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How the response to chronicity is changing care patterns

Chronic diseases are now the main public health problem at global level: what cultural and organisational innovations are needed to tackle this problem? This article presents the Chronic Care Model, a constant reference in all health policies aimed at responding to chronicity.

 
Alternative augmentative communication

The application of robotic technologies represents one of the most promising prospects in the field of physical and rehabilitative medicine: in the case of individuals affected by severe cerebral lesions from the earliest stages of recovery there may be difficulties in verbal expression that may persist even in the chronic phase, reducing the subject's ability to communicate adequately, to live independently, to participate in social or working life, to build and maintain a relationship with family and friends. In these cases, alternative augmentative communication tools are useful: one of the future possibilities is the development of brain-computer interfaces (BCI) able to provide people with very severe disabilities with the possibility of communication and environmental control independent of motor control.

 
Knee arthrosis

Symptomatic degenerative knee arthropathy is among the most common forms of osteoarthritis and one of the main causes of disability in the adult population. It is a chronic degenerative condition that leads to pain, inflammation and joint stiffness as a result of cartilage degradation, subchondral bone remodelling and osteophyte formation. The consequences for those affected are significant in terms of reduced functional capacity, productivity and quality of life. In this issue the different aspects of diagnosis, evaluation and treatment will be analysed.

 
Interventional procedures in rehabilitation

What are the interventional procedures in rehabilitation? A dossier dedicated to what can be done using procedures such as echo-guided percutaneous lithoclasia, oxygen-ozone therapy, focal shock waves, nerve block in diseases such as lumbago, calcific tendinopathy of the rotator cuff, adhesive shoulder capsulite, tendinopathies and bone diseases.