Publications by authors named "F D'Abrosca"

Background: Chest physiotherapy plays a crucial role in the treatment of COPD, although the optimal techniques for airway clearance have not been definitively established. Among the different techniques, high-frequency chest wall oscillation (HFCWO) has gained attention for its potential to create a widespread lung percussion, facilitating the removal of secretions and potentially clearing the peripheral bronchial tree. This study aims to assess the effectiveness of a novel "focused pulse" HFCWO in patients with moderate to severe COPD.

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Background: Several technological advances and digital solutions have been proposed in the recent years to face the emerging need for tele-monitoring older adults with Chronic Obstructive Pulmonary Disease (COPD). However, several challenges have negatively influenced an evidence-based approach to improve Health-Related Quality of Life (HR-QoL) in these patients.

Aim: To assess the effects of tele-monitoring devices on HR-QoL in older adults with COPD.

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Background: Despite the fact that weaning from mechanical ventilation (MV) is one of the main rehabilitation goals in patients with spinal cord injury (SCI), controversies are still open about the optimal rehabilitation approach.

Objective: This systematic review aimed at characterizing the rehabilitation interventions currently available to optimize weaning from MV in SCI patients.

Methods: On April 12nd, 2022, a systematic literature search was performed in PubMed, Scopus, Web of Science, Cochrane, and PEDro, identifying studies assessing MV patients with SCI undergoing pulmonary rehabilitation.

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Chronic obstructive pulmonary disease (COPD) is a burdensome condition affecting a growing number of people worldwide, frequently related to major comorbidities and functional impairment. In these patients, several factors might have a role in promoting both bone and muscle loss, including systemic inflammation, corticosteroid therapies, sedentary behaviours, deconditioning, malnutrition, smoking habits, and alcohol consumption. On the other hand, bone and muscle tissues share several linkages from functional, embryological, and biochemical points of view.

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Article Synopsis
  • Osteoporosis is common among patients with chronic obstructive pulmonary disease (COPD), increasing their risk of fractures, hospitalizations, and mortality due to associated risk factors like corticosteroid use and malnutrition.
  • A personalized, multi-faceted treatment approach is essential, emphasizing exercise, nutrition, dietary supplements, and smoking cessation to enhance both bone health and overall physical performance.
  • Challenges in implementing this personalized care can be mitigated by using digital technology and telemedicine to strengthen connections between hospital care and community support, ultimately improving patient outcomes and reducing long-term healthcare costs.
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