Publications by authors named "Danilo Donati"
Objectives: The primary aim of this study was to evaluate the reliability and efficiency of a 3D laser scanner as a tool for volumetric measurement of the upper limbs, comparing it with the gold standard method of non-reflux water displacement. The study sought to determine whether the 3D scanner could serve as a reliable and time-efficient alternative in clinical settings, particularly for managing conditions like lymphedema.
Methods: A total of 30 healthy participants (18 women, 12 men) were recruited, and volumetric measurements were taken using both the 3D scanner and water displacement methods.
Background: Focal mechanical vibration therapy has gained attention as a potential intervention to improve motor function while decreasing spasticity and pain in post-stroke patients. Despite promising results, there remains variability in study designs and outcomes, warranting a review of its clinical efficacy.
Methods: A review was conducted to evaluate randomized controlled trials (RCTs) investigating the effects of focal mechanical vibration therapy on post-stroke rehabilitation.
Background: Knee osteoarthritis (OA) is a prevalent and disabling condition often managed with physiotherapy or intra-articular injections. However, the comparative effectiveness of these treatments remains unclear. This systematic review aimed to evaluate and compare the efficacy of physiotherapy and intra-articular injections in managing knee OA.
View Article and Find Full Text PDFBackground: Carpal Tunnel Syndrome (CTS) is a common condition characterized by compression of the median nerve, leading to pain, numbness, and hand dysfunction. Both manual therapy and surgical decompression are widely used interventions, but their comparative effectiveness remains uncertain.
Methods: A systematic review and a meta-analysis were conducted to compare the short- and long-term efficacy of manual therapy versus surgery for CTS.
: Unexpected infections diagnosed after intraoperative cultures in aseptic revision hip arthroplasties are infrequent, but the features and outcomes of culture-positive cases are still poorly understood. A single-center retrospective study was conducted to assess the following: (1) the incidence, (2) the profile of the cases, and (3) the outcomes of the revision hips performed for presumed aseptic reasons that became septic after intraoperative cultures. Instances of first-time aseptic revision hips (a retrospective cohort study) in the hospital database were reviewed.
View Article and Find Full Text PDFKnee osteoarthritis (OA) is a prevalent condition that significantly impairs pain, mobility, and quality of life. Hydrokinesiotherapy, a water-based exercise therapy, is gaining traction as a potential alternative to traditional land-based rehabilitation for managing knee OA symptoms. This scoping review aimed to evaluate the effectiveness of hydrokinesiotherapy compared to standard land-based physical therapy and self-administered exercise regimens in improving pain, joint mobility, quality of life, and physical function in patients with knee OA.
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- Adhesive capsulitis (AC), or frozen shoulder, is a painful condition typically affecting people aged 40-60, and diagnosing it can be difficult due to its gradual onset and different stages.
- A new scoring system was created to improve the diagnosis of AC, assessing factors like patient history, imaging results, and other health conditions.
- This scoring system successfully categorized patients, helping to identify those with clear cases of AC, uncertain diagnoses, or excluded them from having the condition altogether, which could lead to better treatment strategies.
Low back pain is a prevalent condition affecting 60-85% of individuals during their lifetime. Despite various proposed mechanisms, the etiology of low back pain remains unclear. This study aims to evaluate the effectiveness of combining ultrasound-guided infiltrations with early rehabilitation in reducing pain and improving functional limitations in patients with chronic nonspecific low back pain.
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- A study was conducted to create and validate a new protocol called THD-US for detecting tendinopathy in patients with hemophilia using ultrasound.
- Twenty male patients with hemophilic arthropathy were evaluated, resulting in analyses of 200 tendons for abnormalities such as structural changes, hyperemia, and calcifications.
- The THD-US protocol offers a standardized and efficient way to assess tendon issues in hemophilia patients, which could lead to better management and outcomes for these individuals.
Article Synopsis
- Cervical facet joint syndrome (CFJS) is a common cause of neck pain and disability, and ultrasound (US)-guided injections are increasingly used for treatment, though their effectiveness is still under debate.* -
- A systematic review was conducted following PRISMA guidelines, analyzing nine studies with 958 patients to evaluate the efficacy, accuracy, and feasibility of US-guided injections for chronic neck pain.* -
- The findings indicate that US-guided injections are highly accurate (92%-98%) and efficient, providing significant pain relief with less procedure time compared to X-ray-guided methods, though success depends on the operator's skill and training.*
Article Synopsis
- Adhesive capsulitis, or "frozen shoulder," is a painful condition linked to recent COVID-19 impacts, and treatment focuses on easing pain and improving shoulder mobility.
- A study involving 36 patients examined treatment outcomes from either glenohumeral hydrodistension or a combination of hydrodistension and bursal injection over 6 months.
- Results revealed that the combined treatment led to significantly better improvements in shoulder motion and pain reduction compared to hydrodistension alone.
Background: Dissection of the axillary lymph nodes during surgery for breast cancer with lymph node involvement is burdened by a complication: lymphedema. Approximately half of women undergoing axillary dissection suffer from it, with a notable impact in terms of perceived discomfort, presented quality of life, and alteration of body image. There is also no shortage of problems in the patient's social and professional life.
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- Conventional radiography and MRI are standard for assessing knee osteoarthritis, but ultrasound is emerging as a useful complementary tool, despite ongoing debates about its efficacy.
- Ultrasound can help detect issues like cartilage degradation and synovitis, and it allows for real-time guidance in local diagnostic and minimally invasive treatments.
- Advances in ultrasound technology, such as tele-ultrasonography and raw data analysis, may improve therapy tracking and provide deeper insights into joint structures, highlighting its growing importance in both research and clinical applications.
Spine pain (SP) is the most common musculoskeletal disorder that causes transitional forms of motor disability. Considering its affordability and safety, manipulative therapy (MT) stands as one of the primary therapeutic approaches for SP and the related dysfunctional consequences. However, it is still difficult to assess and quantify the results of this treatment since there is a lack of objective evaluation tools in the available scientific literature.
View Article and Find Full Text PDFObjective: This study evaluated the effectiveness of ultrasound-guided hydrodissection treatment for De Quervain's stenosing tenosynovitis, characterized by the narrowing of the first extensor compartment of the wrist. Notably, approximately 2% of cases involve a fibrous septum that divides the compartment.
Subjects And Methods: Ninety-five patients diagnosed with De Quervain's disease using ultrasound underwent hydrodissection treatment.
Introduction: The COVID-19 pandemic has brought attention to neurological complications, including cerebellitis, characterized by inflammation of the cerebellum. Despite its rare occurrence, cerebellitis has been associated with COVID-19 infection, albeit the pathogenic mechanisms remain unclear.
Case Report: We present the case of a 22-year-old male with acute onset ataxia and dysarthria during a SARS-CoV-2 infection.
Introduction: Wrist fractures, particularly the distal radius, can result in significant stiffness and hand dysfunction if not mobilized early. The variable immobilization period post-fracture depends on fracture type, location, stability, and surgical intervention. Inadequate early mobilization typically leads to structured stiffness, influenced by patient health, injury mechanism, joint surface involvement, associated tissue injuries, and patient motivation.
View Article and Find Full Text PDFIntroduction: This study aimed to compare the effectiveness of endoscopic carpal tunnel release (ECTR) versus open carpal tunnel release (OCTR) in treating carpal tunnel syndrome (CTS), focusing on symptom relief, functional recovery and post-operative complications.
Methods: A retrospective analysis was conducted on 44 patients diagnosed with CTS, randomly assigned to undergo either ECTR (n=23) or OCTR (n=21). Parameters evaluated included post-operative pain, grip strength, functional status using the Disability of the Arm, Shoulder and Hand (DASH) score and time to return to work.