Nocicettivo (post-traumatico, infiammatorio, dell'apparato locomotore, e di meccanismi periferici. RICERCA MULTICENTRICA. PROTOCOLLI RIABILITATIVI E. Percorso riabilitativo dopo tenorrafia dell'achilleo by Bruno Congiu(Book) in Italian Protesi inversa di spalla: protocolli riabilitativi by Valeria Addis(Book). Dopo questo periodo è necessario iniziare con protocolli riabilitativi ed esercizio controllato fino ad un evidente recupero clinico. Il processo di guarigione può.


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Published online May Received Jan 26; Accepted May This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license http: This article has been cited by other protocolli riabilitativi in PMC.


This might facilitate the different health professionals involved in the continuum of care of obese patients to standardize rehabilitation interventions. After training on the Protocolli riabilitativi and based on the relevant studies, ICF categories were identified in a formal consensus process by our multidisciplinary team.

Thereafter, we defined an individual rehabilitation project based on a structured multi-disciplinary approach to obesity. Information was shared with the patient who signed informed consent.

The model proposed provides the following advantages: Introduction Obesity has been shown to play an important role in the trends in disability over the last two decades and in the dramatic increase in related chronic conditions [ protocolli riabilitativi ].

Tecnologie avanzate

It can account for increased limitations during activities of daily living ADLs and instrumental activities of daily living IADLssuch as showering, dressing, indoor protocolli riabilitativi, as well as family activities, driving, working, manual lifting, and sports. The rates of musculoskeletal conditions, such as arthritis, back, neck, hip and knee problems, and comorbidities including diabetes, hypertension and heart disease coronary heart disease and ischemic strokeare higher in obese protocolli riabilitativi and frequently cited as causes of limitation in the ability to participate in social and occupational activities [ 2 ].

The presence of physical functional limitation due to obesity is not related to obesity degree measured as BMIgender or age [ 3 ]. Achieving sufficient weight loss to improve some clinical conditions is only part of a comprehensive rehabilitation program for obese patients with comorbidities.

In a rehabilitative perspective and protocolli riabilitativi the wake of the latest definition of Rehabilitation by the World Health Organization WHO [ 4 ], obese patients require a holistic rather than just a treatment approach to their care.

A consensus document for the Rehabilitation protocolli riabilitativi obese patients with comorbidities has been recently published [ 5 ], in line with the recommendations of the Italian Ministry of Health on the rehabilitative pathways [ 6 ].

Elementi di Psicometria Computazionale - Pietro Cipresso - Google grāmatas

The latter state that the Individual Rehabilitative Project IRP is the requisite to access rehabilitation care in Italy and constitutes the reference for all health professionals, including social care workers. It also describes whether the completion of the rehabilitation phase has been successful in terms of the goals achieved.

The specific intervention areas, the short-term goals, the modalities of application of the interventions, the professionals involved and the assessment of the results are exhaustively defined.

Previous experiences with the use of ICF in obesity [ 89 ] have provided a validated checklist for describing the functional profile of obese patients. Patients with obesity show several limitations in their body functions Protocolli riabilitativi neuro-musculoskeletal and movement-related functions, B2 pain, Protocolli riabilitativi function of the cardiovascularactivities and participation D5 self-care, D2 general tasks and demand, D7 relationships and reported scarce environmental facilitators E3 support [ 10 ].

The Rehab-CYCLE [ protocolli riabilitativi ] is a problem solving approach to rehabilitation management that integrates the universal model of the ICF within the rehabilitation cycle, where all professionals involved in the care of the patient coordinate their actions.


Indeed, in protocolli riabilitativi clinical practice, an integration between the interventions provided at different times by the various health professionals involved is often difficult both during the rehabilitation phase and especially when patients return home, where relatives, care-givers and general practitioners need to have the updated picture of their functioning and needs.

Protocolli riabilitativi model might serve as a standard for rehabilitation interventions in obesity and offer suggestions for maintaining positive lifestyle changes within the community.

Methods At our Institute, we had previously developed a Diagnostic and Therapeutic Protocol DTP to define the rehabilitation pathway of obese patients with comorbidities [ 12 ]. Its development relied on the contributions of rehabilitation specialists, endocrinologists and other medical specialists, nurses, physiotherapists, dietitians, psychologists and social care workers.

A preliminary study reported the methodological procedure for mapping our structured multi-disciplinary protocolli riabilitativi [ 9 ] onto the ICF manual published by WHO that contains the explanation for each ICF code [ 7 ].

After following the international training procedures on how to use the ICF and relying on the standardized set of coding rules, we linked the mapping to a checklist of ICF categories [ 9 ], expanding and modifying the previous core set for obesity containing ICF categories published by Stucki et al.

In a subsequent clinical study [ 10 ], we analyzed data obtained from 51 obese patients and validated the checklist with the aim of identifying the characteristics of the obesity-related disability.

The evaluation of the disability protocolli riabilitativi obtained from our checklist, represents the starting point for the formulation of the IRP, which includes the definition of specific interventions nutrition, physiotherapy, psychological support, nursingshort-term goals, intervention modalities, healthcare professionals involved and outcome assessments, all of which have to be shared with the patient.

Figure 1 shows an example of the decision-making process in IRPOb, where the functional diagnoses obtained from protocolli riabilitativi ICF checklist are implemented. All members of the ICF-trained and obesity expert team were involved in formal and consensus process.

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