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3. Neuropathic Pain

Author

Briani, C., Padua, L., Pazzaglia, C., Battistin, L., Lajtha, Abel, editor, Youdim, Moussa B. H., editor, Riederer, Peter, editor, Mandel, Sylvia A., editor, and Battistin, Leontino, editor

Published
2007
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10. Cognitive reserve as a useful variable to address robotic or conventional upper limb rehabilitation treatment after stroke: a multicentre study of the Fondazione Don Carlo Gnocchi

Author

Padua, L., Imbimbo, I., Aprile, I., Loreti, C., Germanotta, M., Coraci, D., Piccinini, G., Pazzaglia, C., Santilli, C., Cruciani, A., Carrozza, M. C., Pecchioli, C., Loreti, S., Lattanzi, S., Cortellini, L., Papadopoulou, D., Liberti, G., Panzera, F., Mitrione, P., Ruzzi, D., Rinaldi, G., Insalaco, S., De Santis, F., Spinelli, P., Marsan, S., Bastoni, I., Pellegrino, A., Petitti, T., Montesano, A., Castagna, A., Grosso, C., Ammenti, P., Cattaneo, D., Azzinnaro, L., Barbieri, D., Cassani, S., Corrini, C., Meotti, M., Parelli, R., Spedicato, A., Zocchi, M., Loffi, M., Manenti, D., Negri, L., Gramatica, F., Gower, V., Galeri, S., Noro, F., Medici, L., Garattini, R., Bariselli, F., Luli, M., Ricca, M., Negrini, S., Diverio, M., Giannini, E., Gabrielli, A., Deidda, B., Gnetti, B., Beatini, P., Callegari, S., Cabano, B., Converti, F., Pizzi, A., Falsini, C., Romanelli, A., De Luca, G., Vannetti, F., Simoncini, E., Martini, M., Peccini, E., Cecchi, F., Avila, L., Gabrielli, M. A., Barilli, M., Bertocchi, E., Giannarelli, G., Lerda, E., Vasoli, M., Rossi, P., Marsili, V., Tognoli, B., Bertolini, A., Vastola, G., Speranza, G., Colella, M., Mosca, R., Competiello, G., Chiusano, A., Della Vecchia, A., Soriano, P., Pagliarulo, M., Remollino, V., Langone, E., Santarsiero, R., Magliulo, M., Araneo, G., Galantucci, L., Lioi, N., Marrazzo, F., Larocca, S., Calia, R., Benevento, S., Toscano, O., and Lategana, M.

Subjects
medicine.medical_specialty, Barthel index, medicine.medical_treatment, Cognitive Reserve Index, rehabilitation, Upper Extremity, 03 medical and health sciences, 0302 clinical medicine, Cognitive Reserve, Robotic Surgical Procedures, medicine, Humans, 030212 general & internal medicine, Stroke, Cognitive reserve, robotics, Rehabilitation, business.industry, personalized medicine, stroke, Stroke Rehabilitation, Cognition, Recovery of Function, medicine.disease, Settore MED/26 - NEUROLOGIA, Treatment Outcome, Neurology, Physical therapy, Neurology (clinical), Stroke recovery, Upper limb rehabilitation, business, 030217 neurology & neurosurgery, Settore MED/34 - MEDICINA FISICA E RIABILITATIVA
Abstract

Background and purpose Rehabilitation plays a central role in stroke recovery. Besides conventional therapy, technological treatments have become available. The effectiveness and appropriateness of technological rehabilitation are not yet well defined; hence, research focused on different variables impacting recovery is needed. Results from the literature identified cognitive reserve (CR) as a variable impacting on the cognitive outcome. In this paper, the aim was to evaluate whether CR influences the motor outcome in patients after stroke treated with conventional or robotic therapy and whether it may influence one treatment rather than another. Methods Seventy-five stroke patients were enrolled in five Italian neurological rehabilitation centres. Patients were assigned either to a robotic group, rehabilitation by means of robotic devices, or to a conventional group, where a traditional approach was used. Patients were evaluated at baseline and after rehabilitation treatment of 6 weeks through the Action Research Arm Test (ARAT), the Motricity Index (MI) and the Barthel Index (BI). CR was assessed at baseline using the Cognitive Reserve Index (CRI) questionnaire. Results Considering all patients, a weak correlation was found between the CRI related to leisure time and MI evolution (r = 0.276; P = 0.02). Amongst the patients who performed a robotic rehabilitation, a moderate correlation emerged between the CRI related to working activities and MI evolution (r = 0.422; P = 0.02). Conclusions Our results suggest that CR may influence the motor outcome. For each patient, CR and its subcategories should be considered in the choice between conventional and robotic treatment.

Published
2019

14. Is overwork weakness relevant in Charcot–Marie–Tooth disease?

Author

Piscosquito, G, Reilly, M M, Schenone, A, Fabrizi, G M, Cavallaro, T, Santoro, L, Vita, G, Quattrone, A, Padua, L, Gemignani, F, Visioli, F, Laurà, M, Calabrese, D, Hughes, R A C, Radice, D, Solari, A, Pareyson, D, Marchesi, C, Salsano, E, Nanetti, L, Marelli, C, Scaioli, V, Ciano, C, Rimoldi, M, Lauria, G, Rizzetto, E, Camozzi, F, Narciso, E, Grandis, M, Monti-Bragadin, M, Nobbio, L, Casano, A, Bertolasi, L, Cabrini, I, Corrà, K, Rizzuto, N, Manganelli, F, Pisciotta, C, Nolano, M, Mazzeo, A, Di Leo, R, Majorana, G, Russo, M, Valentino, P, Nisticò, R, Pirritano, D, Lucisano, A, Canino, M, Pazzaglia, C, Granata, G, Foschini, M, Brindani, F, Vitetta, F, Allegri, I, Bogani, P, Blake, J, Koltzenburg, M, Hutton, E, and Lunn, M

Published
2014
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18. PMP22 messenger RNA levels in skin biopsies: testing the effectiveness of a Charcot–Marie–Tooth 1A biomarker

Author

Nobbio, Lucilla, Visigalli, Davide, Radice, Davide, Fiorina, Elisabetta, Solari, Alessandra, Lauria, Giuseppe, Reilly, Mary M., Santoro, Lucio, Schenone, Angelo, Pareyson, Davide, Pareyson, D., Marchesi, C., Salsano, E., Nanetti, L., Marelli, C., Scaioli, V., Ciano, C., Rimoldi, M., Lauria, G., Rizzetto, E., Camozzi, F., Schenone, A., Narciso, E., Grandis, M., Monti-Bragadin, M., Nobbio, L., Fabrizi, G. M., Cavallaro, T., Casano, A., Bertolasi, L., Cabrini, I., Corrà, K., Rizzuto, N., Santoro, L., Manganelli, F., Pisciotta, C., Nolano, M., Vita, G., Mazzeo, A., Aguennouz, M., Di Leo, R., Majorana, G., Lanzano, N., Valenti, F., Quattrone, A., Valentino, P., Nisticò, R., Pirritano, D., Lucisano, A., Canino, M., Padua, L., Pazzaglia, C., Granata, G., Foschini, M., Gemignani, F., Brindani, F., Vitetta, F., Allegri, I., Visioli, F., Bogani, P., and Visioli, F.

Published
2014
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21. Treadmill training in patients affected by Charcot-Marie-Tooth neuropathy: results of a multicenter, prospective, randomized, single-blind, controlled study

Author

Mori, L, Signori, A, Prada, V, Pareyson, D, Piscosquito, G, Padua, L, Pazzaglia, C, Fabriz, Gm, Picelli, A, Schenone, A, Grandis, M, Maggi, G, Zuccariono, R, Marinelli, L, Trompetto, C, Scorsone, D, Montesano, A, Cattaneo, D, Casati, E, Smania, N, Brugnera, A, Fontana, C, and Munari, D.

Subjects
Male, evidence based medicine, Walking, Charcot–Marie–Tooth disease, 0302 clinical medicine, Drop out, Medicine, Single-Blind Method, 030212 general & internal medicine, Prospective Studies, evidence‐based medicine, Middle Aged, Exercise Therapy, Settore MED/26 - NEUROLOGIA, Treatment Outcome, aerobic exercise, Neurology, Original Article, Female, muscle fatigue, medicine.symptom, evidence-based medicine, Adult, medicine.medical_specialty, Weakness, Charcot-Marie-Tooth, Treadmill training, Charcot-Marie-Tooth disease, rehabilitation, 03 medical and health sciences, Young Adult, Muscle Stretching Exercises, Humans, In patient, Adverse effect, Aged, Proprioception, business.industry, Overwork, Original Articles, Physical therapy, Quality of Life, Neurology (clinical), Single blind, business, 030217 neurology & neurosurgery, Settore MED/34 - MEDICINA FISICA E RIABILITATIVA
Abstract

Background and purpose Muscle-strengthening, stretching or proprioceptive treatments may slow symptom progression in Charcot-Marie-Tooth (CMT) neuropathy. The aim of the study was to evaluate safety and efficacy of treadmill training in CMT1A. Methods We planned a multicenter, prospective, randomized, single-blind, controlled study. We recruited 53 outpatients affected by CMT1A and randomized them into two treatment groups: one underwent stretching and proprioceptive exercise, whereas the other was additionally treated with treadmill training (TreSPE). Primary outcome measures (OMs) were the walking evaluations and secondary OM was the balance assessment. All participants were assessed at baseline and after 3 and 6 months of treatment. Results Most patients showed an improvement in at least one OM after 3 months [42/47 (89.4%)] and 6 months [38/40 (95%)] of treatment. No adverse events were reported in either group. Conclusions The most important finding was that both stretching and proprioceptive exercise and treadmill training had an objective benefit on patients affected by CMT disease, without causing overwork weakness. We had a low rate of drop out and did not find deterioration in motor performance. Our results also confirm that applying evidence-based medicine methods to rehabilitative research is the correct way to test the efficacy of a treatment.

Published
2020

30. Novel outcome measures for Charcot−Marie−Tooth disease: validation and reliability of the 6-min walk test and StepWatch™Activity Monitor and identification of the walking features related to higher quality of life

Author

Padua, L., Pazzaglia, C., Pareyson, D., Schenone, A., Aiello, A., Fabrizi, G. M., Cavallaro, T., Santoro, L., Manganelli, F., Gemignani, F., Vitetta, F., Quattrone, A., Mazzeo, A., Russo, M., Vita, G, Gentile, L, Messina, S, Stancanelli, C, L Vita, G, Iacovelli, C, Figliolia, D, Silipo, S, Cabrini, I, Pisciotta, C, Tozza, S, Contini, M, Padua, L., Pazzaglia, C., Pareyson, D., Schenone, A., Aiello, A., Fabrizi, G. M., Cavallaro, T., Santoro, Lucio, Manganelli, Fiore, Gemignani, F., Vitetta, F., Quattrone, A., Mazzeo, A., Russo, M., and Vita, G.

Subjects
Male, 030506 rehabilitation, medicine.medical_treatment, Validity, Walking, Disease, Outcome measure, 0302 clinical medicine, Quality of life, Charcot-Marie-Tooth Disease, Outcome Assessment, Health Care, Charcot−Marie−Tooth, outcome measures, quality of life, rehabilitation, Prospective Studies, Prospective cohort study, Reliability (statistics), Rehabilitation, Charcot-Marie-Tooth, Outcome measures, Neurology (clinical), Neurology, Middle Aged, Test (assessment), Settore MED/26 - NEUROLOGIA, Italy, Female, 0305 other medical science, Adult, congenital, hereditary, and neonatal diseases and abnormalities, medicine.medical_specialty, Adolescent, Monitoring, MEDLINE, Walk Test, Outcome Assessment (Health Care), Young Adult, 03 medical and health sciences, Physical medicine and rehabilitation, medicine, Humans, Physiologic, Monitoring, Physiologic, Aged, business.industry, Charcot−Marie−Tooth, Reproducibility of Results, Quality of Life, Charcotâ Marieâ Tooth, nervous system diseases, Physical therapy, business, 030217 neurology & neurosurgery, Settore MED/34 - MEDICINA FISICA E RIABILITATIVA
Abstract

Background and purpose Charcot−Marie−Tooth (CMT) disease is the most common inherited neuropathy, but therapeutic options have been limited to symptom management. Past pharmacological trials have failed, possibly due to insensitive outcome measures (OMs). The aim of the current study was to evaluate the validity and reliability of the 6-min walk test (6MWT) and StepWatch™ Activity Monitoring (SAM) with other previously validated OMs in CMT disease. Methods A prospective multicenter study was performed, consecutively enrolling 168 CMT patients (104 with CMT1A, 27 with CMT1B, 37 with X-linked CMT) from Italian centers specializing in CMT care. Results Statistical analysis showed that the 6MWT was highly related with all previously used OMs. Some, but not all, SAM parameters were related to commonly used OMs but may provide more information about quality of life. Conclusions The current study demonstrated the validity and reliability of the 6MWT and SAM as OMs for CMT. Moreover, SAM provides data that correlate better with quality of life measures, making it useful in future rehabilitation trials.

Published
2016

47. Cognitive reserve as a useful variable to address robotic or conventional upper limb rehabilitation treatment after stroke: a multicentre study of the Fondazione Don Carlo Gnocchi.

Author

Padua, L., Imbimbo, I., Aprile, I., Loreti, C., Germanotta, M., Coraci, D., Piccinini, G., Pazzaglia, C., Santilli, C., Cruciani, A., Carrozza, M. C., Pecchioli, C., Loreti, S., Lattanzi, S., Cortellini, L., Papadopoulou, D., Liberti, G., Panzera, F., Mitrione, P., and Ruzzi, D.

Subjects
ARM, NEUROREHABILITATION, REHABILITATION centers, REHABILITATION, ROBOTICS, STROKE
Abstract

Background and purpose: Rehabilitation plays a central role in stroke recovery. Besides conventional therapy, technological treatments have become available. The effectiveness and appropriateness of technological rehabilitation are not yet well defined; hence, research focused on different variables impacting recovery is needed. Results from the literature identified cognitive reserve (CR) as a variable impacting on the cognitive outcome. In this paper, the aim was to evaluate whether CR influences the motor outcome in patients after stroke treated with conventional or robotic therapy and whether it may influence one treatment rather than another. Methods: Seventy‐five stroke patients were enrolled in five Italian neurological rehabilitation centres. Patients were assigned either to a robotic group, rehabilitation by means of robotic devices, or to a conventional group, where a traditional approach was used. Patients were evaluated at baseline and after rehabilitation treatment of 6 weeks through the Action Research Arm Test (ARAT), the Motricity Index (MI) and the Barthel Index (BI). CR was assessed at baseline using the Cognitive Reserve Index (CRI) questionnaire. Results: Considering all patients, a weak correlation was found between the CRI related to leisure time and MI evolution (r = 0.276; P = 0.02). Amongst the patients who performed a robotic rehabilitation, a moderate correlation emerged between the CRI related to working activities and MI evolution (r = 0.422; P = 0.02). Conclusions: Our results suggest that CR may influence the motor outcome. For each patient, CR and its subcategories should be considered in the choice between conventional and robotic treatment. [ABSTRACT FROM AUTHOR]

Published
2020
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48. Treadmill training in patients affected by Charcot–Marie–Tooth neuropathy: results of a multicenter, prospective, randomized, single‐blind, controlled study.

Author

Mori, L., Signori, A., Prada, V., Pareyson, D., Piscosquito, G., Padua, L., Pazzaglia, C., Fabrizi, G. M., Picelli, A., Schenone, A., Grandis, Marina, Maggi, Giovanni, Zuccariono, Riccardo, Marinelli, Lucio, Trompetto, Carlo, Scorsone, Deborah, Montesano, Angelo, Cattaneo, Davide, Casati, Eleonora, and Smania, Nicola

Subjects
TREADMILLS, STRETCH (Physiology), NEUROPATHY, EVIDENCE-based medicine, CHARCOT-Marie-Tooth disease, BODY-weight-supported treadmill training
Abstract

Background and purpose: Muscle‐strengthening, stretching or proprioceptive treatments may slow symptom progression in Charcot—Marie–Tooth (CMT) neuropathy. The aim of the study was to evaluate safety and efficacy of treadmill training in CMT1A. Methods: We planned a multicenter, prospective, randomized, single‐blind, controlled study. We recruited 53 outpatients affected by CMT1A and randomized them into two treatment groups: one underwent stretching and proprioceptive exercise, whereas the other was additionally treated with treadmill training (TreSPE). Primary outcome measures (OMs) were the walking evaluations and secondary OM was the balance assessment. All participants were assessed at baseline and after 3 and 6 months of treatment. Results: Most patients showed an improvement in at least one OM after 3 months [42/47 (89.4%)] and 6 months [38/40 (95%)] of treatment. No adverse events were reported in either group. Conclusions: The most important finding was that both stretching and proprioceptive exercise and treadmill training had an objective benefit on patients affected by CMT disease, without causing overwork weakness. We had a low rate of drop out and did not find deterioration in motor performance. Our results also confirm that applying evidence‐based medicine methods to rehabilitative research is the correct way to test the efficacy of a treatment. [ABSTRACT FROM AUTHOR]

Published
2020
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