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Severe acquired brain injury: early verticalisation using Erigo©

Is it useful to subject people who have suffered a severe acquired brain injury to early rehabilitation treatment? One hypothesis is to start this treatment already in an intensive care setting, followed by early transfer to high speciality intensive rehabilitation wards, with care by an experienced, multi-professional rehabilitation team. Among the first objectives in which the physiotherapist plays an essential role is that of recovering the patient's uprightness, overcoming the initial problems of a neurovegetative nature and in any case regardless of the frequent concomitance of serious deficit of consciousness (vegetative state or state of minimal consciousness) and internist instability. This work takes up the first data obtained from a study carried out on a small number of subjects with cerebral palsy who underwent conventional treatment of verticalisation on a plane by manual static (control group) and were compared with another group of subjects verticalised using the Erigo© robotic instrumentation (experimental group). The positive results obtained, in terms of earlier control of blood pressure in orthostatism, are analysed and a new multicentre experimental project being designed on the same subject is introduced.

 
Communicating error in medicine

Medicine has a weak side, which is not the inability to cure all illnesses, but the error which we all realise is inevitable. Mistakes in the medical field are the subject of great silence or great discussions that fill the news, of heated debates between professionals, of minute gossip among practitioners. The error must be translated into words, i.e. it must be verbalised in order to be communicated. In medicine, as in business, communicating the error or reporting the event, incident reporting, is the first rule of risk management for patient safety.

 
Chronic musculoskeletal pain: perception, experience, and value of care for Muslim patients

Chronic musculoskeletal pain (DCMS) is a multidimensional experience that also involves religious and cultural factors. In many Western countries there is now a significant prevalence of Muslims who need or will need physiotherapy care, but relatively little attention is paid to the influence of the spiritual sphere on their conceptions of illness and suffering. Little is also known about the value placed by the Islamic religion on the treatment of physical pain and trust in health professionals. A qualitative survey was conducted to develop the necessary intercultural competences.

 
Carpal tunnel syndrome: manual therapy and peripheral nervous system mobilization

Is the most frequent entrapment neuropathy and it affects the median nerve: many studies have compared the different therapies available for a conservative management. In this one, an experimental manual therapy protocol involving a global patient approach was tested.