A. Giombini - Academia.edu (original) (raw)

Papers by A. Giombini

The Journal of sports medicine and physical fitness, 2001

We report two cases of localised hypertrophy of semimembranous muscle in young athletes diagnosed... more We report two cases of localised hypertrophy of semimembranous muscle in young athletes diagnosed with ultrasonography, flow color-Doppler and MRI. The symptomatic case had the resolution of the pain after one month rest. At one year follow-up both cases are still asymptomatic, without any further increase of the hypertrophyc masses.

Objective The objective was to report the clinical and imaging patterns of nine cases of stress f... more Objective The objective was to report the clinical and imaging patterns of nine cases of stress fractures of the rib diagnosed in Italian Olympic rowers. Patients and methods Nine patients with stress fractures of the rib detected from 103 (8.7%) Italian team rowers competing between May 2000 and May 2006 were identified based on the database of a sports medicine institute. All athletes were male. They were aged between 17 and 31 years (mean: 24.4). Patient weight, fracture location, rowing side and imaging methods employed were noted. Results The diagnosis was made based on history, clinical examination and Tc-99m MDP bone scintigraphy. Eight of the 9 fractures were located anterolaterally between the fourth and ninth rib. In 1 of the 5 athletes with standard radiographs, a fracture line was visible and in 4 there was callus formation. In 2 athletes sonography was performed, which detected discontinuity of the rib surface and callus formation (1 case each). Conclusion Stress fractures of the ribs are relatively common in competitive rowers. They are characterized by increasing lateral chest pain and typical scintigraphic, radiographic and sonographic findings.

American Journal of Physical Medicine & Rehabilitation, 2014

Older age is associated with lower optimal vibration frequency in lower-limb muscles during whole... more Older age is associated with lower optimal vibration frequency in lower-limb muscles during whole-body vibration. Am J Phys Med Rehabil 2014;00:00Y00.

Scandinavian Journal of Medicine & Science in Sports, 2013

Lower limb tendon changes detected at imaging are common among asymptomatic athletes. We aimed to... more Lower limb tendon changes detected at imaging are common among asymptomatic athletes. We aimed to prospectively assess the clinical status, tendon structure, and vascularity of lower limb tendons of elite fencers, and predict the risk of developing symptoms over time. Clinical examination, ultrasonographic changes (US), and Power Doppler (PD) flow of both the Achilles, patellar, and quadriceps tendon were assessed in 37 elite fencers in January 2007 and 3 years after. Two hundred and twentytwo tendons were examined. At the last appointment, patellar tendons diagnosed as abnormal at baseline were more likely to develop symptoms than normal those (P < 0.05, Fisher's exact test), while US and PD abnormalities on Achilles and quadriceps tendons were no predictive for development of symptoms over years. A very low percentage of tendons diagnosed as normal at baseline (1.45%) showed US abnormalities at 3-year follow-up. In asymptomatic elite fencers, structural changes are relatively common at US and PD assessment of Achilles, quadriceps, and patellar tendons. It seems unlikely that additional PD investigations provide further information or change prognosis in patients with US diagnosis of tendinopathy. Toppan Best-set Premedia Limited Journal Code: SMS Proofreader: Mony

Research in Developmental Disabilities, 2013

Knee Surgery, Sports Traumatology, Arthroscopy, 2006

Alcaptonuria is an inherited hereditary metabolic disorder, which is associated with various syst... more Alcaptonuria is an inherited hereditary metabolic disorder, which is associated with various systemic abnormalities and related to the accumulation of homogentisic acid and a derived melanine-like pigment in the connective tissues; the latter is termed ochronosis. We present the arthroscopic findings in the shoulder of a 58-year-old female with ochronotic arthropathy and discuss the role of arthroscopy in the diagnosis and management of this rare metabolic disorder.

Knee Surgery, Sports Traumatology, Arthroscopy, 2011

Purpose To investigate the effects of hyperthermia on knee osteoarthritis (OA) in a randomized pl... more Purpose To investigate the effects of hyperthermia on knee osteoarthritis (OA) in a randomized placebo-controlled double-blind clinical trial. Methods Sixty-three patients with clinical evidence and radiographic confirmation of knee OA (Kellgren and Lawrence grades II and III) were randomized to either three 30-min sessions of hyperthermia per week for 4 weeks were administered using a 433.92 MHZ microwave generator or receive placebo treatment (machine not turned on) for same number of sessions. The Western Ontario McMaster Universities (WOMAC) questionnaire and the Timed Up and Go test (TUGT), a performance-based measure of function, were obtained at baseline (week 0), at the end of treatment (week 4), and at final follow-up (week 16). Results The treatment group showed a significant decrease in the overall WOMAC score and each of its components, and in the TGUG test between the beginning (week 0) and the end of treatment (week 4), as well as at final follow-up (week 16). In the placebo group, a significant fall was only visible in the pain subscore at week 4. However, the mean improvement was only 1 point and was lost at final follow-up (P = 0.332). There was a significant difference in pain -7.4 pre-post (P \ 0.01), -8.1 pre-follow-up (P \ 0.01); stiffness -4.6 pre-post (P \ 0.01), -5.1 pre-follow-up (P \ 0.01); activities daily living (ADL) -30.9 pre-post (P \ 0.01), -33.2 pre-follow-up (P \ 0.01); and WOMAC total score -43 pre-post (P \ 0.01), -46.4 pre-follow-up (P \ 0.01); and in TGUG test -2.4 pre-post (P \ 0.01), -2.9 prefollow-up (P \ 0.01) between the treatment and placebo group over the whole length of the trial. Conclusions A 433.92 MHz microwave hyperthermia regimen showed beneficial effects in patients with moderate knee OA to reduce pain and to improve their physical function. Level of evidence I.

American Journal of Sports Medicine, 2006

American Journal of Physical Medicine & Rehabilitation, 2014

Laudani L, Giombini A, Mariani PP, Pigozzi F, Macaluso A: Application of the sitto-stand movement... more Laudani L, Giombini A, Mariani PP, Pigozzi F, Macaluso A: Application of the sitto-stand movement for the early assessment of functional deficits in patients who underwent anterior cruciate ligament reconstruction. Am J Phys Med Rehabil 2013;92:00Y00.

American Journal of Physical Medicine & Rehabilitation, 2012

Pigozzi F, Giombini A, Macaluso A: Do current methods of strength testing for the return to sport... more Pigozzi F, Giombini A, Macaluso A: Do current methods of strength testing for the return to sport after injuries really address functional performance? Am J Phys Med Rehabil 2012;91:458Y460.

American Journal of Physical Medicine & Rehabilitation, 2013

Giombini A, Macaluso A, Laudani L, Di Cesare A, Piccinini A, Pigozzi F, Saraceni VM: Acute effect... more Giombini A, Macaluso A, Laudani L, Di Cesare A, Piccinini A, Pigozzi F, Saraceni VM: Acute effect of whole-body vibration at optimal frequency on muscle power output of the lower limbs in older women. Am J Phys Med Rehabil 2013;92:797Y804.

American Journal of Physical Medicine & Rehabilitation, 2004

Background Low-intensity ultrasound has demonstrated an acceleration of bone healing and more pro... more Background Low-intensity ultrasound has demonstrated an acceleration of bone healing and more profound callus formation in animal and human clinical experiments. In this study, the effect of pulsed, low-intensity ultrasound was determined in established nonunion cases.

The Journal of sports medicine and physical fitness, 2001

We report two cases of localised hypertrophy of semimembranous muscle in young athletes diagnosed... more We report two cases of localised hypertrophy of semimembranous muscle in young athletes diagnosed with ultrasonography, flow color-Doppler and MRI. The symptomatic case had the resolution of the pain after one month rest. At one year follow-up both cases are still asymptomatic, without any further increase of the hypertrophyc masses.

Objective The objective was to report the clinical and imaging patterns of nine cases of stress f... more Objective The objective was to report the clinical and imaging patterns of nine cases of stress fractures of the rib diagnosed in Italian Olympic rowers. Patients and methods Nine patients with stress fractures of the rib detected from 103 (8.7%) Italian team rowers competing between May 2000 and May 2006 were identified based on the database of a sports medicine institute. All athletes were male. They were aged between 17 and 31 years (mean: 24.4). Patient weight, fracture location, rowing side and imaging methods employed were noted. Results The diagnosis was made based on history, clinical examination and Tc-99m MDP bone scintigraphy. Eight of the 9 fractures were located anterolaterally between the fourth and ninth rib. In 1 of the 5 athletes with standard radiographs, a fracture line was visible and in 4 there was callus formation. In 2 athletes sonography was performed, which detected discontinuity of the rib surface and callus formation (1 case each). Conclusion Stress fractures of the ribs are relatively common in competitive rowers. They are characterized by increasing lateral chest pain and typical scintigraphic, radiographic and sonographic findings.

American Journal of Physical Medicine & Rehabilitation, 2014

Older age is associated with lower optimal vibration frequency in lower-limb muscles during whole... more Older age is associated with lower optimal vibration frequency in lower-limb muscles during whole-body vibration. Am J Phys Med Rehabil 2014;00:00Y00.

Scandinavian Journal of Medicine & Science in Sports, 2013

Lower limb tendon changes detected at imaging are common among asymptomatic athletes. We aimed to... more Lower limb tendon changes detected at imaging are common among asymptomatic athletes. We aimed to prospectively assess the clinical status, tendon structure, and vascularity of lower limb tendons of elite fencers, and predict the risk of developing symptoms over time. Clinical examination, ultrasonographic changes (US), and Power Doppler (PD) flow of both the Achilles, patellar, and quadriceps tendon were assessed in 37 elite fencers in January 2007 and 3 years after. Two hundred and twentytwo tendons were examined. At the last appointment, patellar tendons diagnosed as abnormal at baseline were more likely to develop symptoms than normal those (P < 0.05, Fisher's exact test), while US and PD abnormalities on Achilles and quadriceps tendons were no predictive for development of symptoms over years. A very low percentage of tendons diagnosed as normal at baseline (1.45%) showed US abnormalities at 3-year follow-up. In asymptomatic elite fencers, structural changes are relatively common at US and PD assessment of Achilles, quadriceps, and patellar tendons. It seems unlikely that additional PD investigations provide further information or change prognosis in patients with US diagnosis of tendinopathy. Toppan Best-set Premedia Limited Journal Code: SMS Proofreader: Mony

Research in Developmental Disabilities, 2013

Knee Surgery, Sports Traumatology, Arthroscopy, 2006

Alcaptonuria is an inherited hereditary metabolic disorder, which is associated with various syst... more Alcaptonuria is an inherited hereditary metabolic disorder, which is associated with various systemic abnormalities and related to the accumulation of homogentisic acid and a derived melanine-like pigment in the connective tissues; the latter is termed ochronosis. We present the arthroscopic findings in the shoulder of a 58-year-old female with ochronotic arthropathy and discuss the role of arthroscopy in the diagnosis and management of this rare metabolic disorder.

Knee Surgery, Sports Traumatology, Arthroscopy, 2011

Purpose To investigate the effects of hyperthermia on knee osteoarthritis (OA) in a randomized pl... more Purpose To investigate the effects of hyperthermia on knee osteoarthritis (OA) in a randomized placebo-controlled double-blind clinical trial. Methods Sixty-three patients with clinical evidence and radiographic confirmation of knee OA (Kellgren and Lawrence grades II and III) were randomized to either three 30-min sessions of hyperthermia per week for 4 weeks were administered using a 433.92 MHZ microwave generator or receive placebo treatment (machine not turned on) for same number of sessions. The Western Ontario McMaster Universities (WOMAC) questionnaire and the Timed Up and Go test (TUGT), a performance-based measure of function, were obtained at baseline (week 0), at the end of treatment (week 4), and at final follow-up (week 16). Results The treatment group showed a significant decrease in the overall WOMAC score and each of its components, and in the TGUG test between the beginning (week 0) and the end of treatment (week 4), as well as at final follow-up (week 16). In the placebo group, a significant fall was only visible in the pain subscore at week 4. However, the mean improvement was only 1 point and was lost at final follow-up (P = 0.332). There was a significant difference in pain -7.4 pre-post (P \ 0.01), -8.1 pre-follow-up (P \ 0.01); stiffness -4.6 pre-post (P \ 0.01), -5.1 pre-follow-up (P \ 0.01); activities daily living (ADL) -30.9 pre-post (P \ 0.01), -33.2 pre-follow-up (P \ 0.01); and WOMAC total score -43 pre-post (P \ 0.01), -46.4 pre-follow-up (P \ 0.01); and in TGUG test -2.4 pre-post (P \ 0.01), -2.9 prefollow-up (P \ 0.01) between the treatment and placebo group over the whole length of the trial. Conclusions A 433.92 MHz microwave hyperthermia regimen showed beneficial effects in patients with moderate knee OA to reduce pain and to improve their physical function. Level of evidence I.

American Journal of Sports Medicine, 2006

American Journal of Physical Medicine & Rehabilitation, 2014

Laudani L, Giombini A, Mariani PP, Pigozzi F, Macaluso A: Application of the sitto-stand movement... more Laudani L, Giombini A, Mariani PP, Pigozzi F, Macaluso A: Application of the sitto-stand movement for the early assessment of functional deficits in patients who underwent anterior cruciate ligament reconstruction. Am J Phys Med Rehabil 2013;92:00Y00.

American Journal of Physical Medicine & Rehabilitation, 2012

Pigozzi F, Giombini A, Macaluso A: Do current methods of strength testing for the return to sport... more Pigozzi F, Giombini A, Macaluso A: Do current methods of strength testing for the return to sport after injuries really address functional performance? Am J Phys Med Rehabil 2012;91:458Y460.

American Journal of Physical Medicine & Rehabilitation, 2013

Giombini A, Macaluso A, Laudani L, Di Cesare A, Piccinini A, Pigozzi F, Saraceni VM: Acute effect... more Giombini A, Macaluso A, Laudani L, Di Cesare A, Piccinini A, Pigozzi F, Saraceni VM: Acute effect of whole-body vibration at optimal frequency on muscle power output of the lower limbs in older women. Am J Phys Med Rehabil 2013;92:797Y804.

American Journal of Physical Medicine & Rehabilitation, 2004

Background Low-intensity ultrasound has demonstrated an acceleration of bone healing and more pro... more Background Low-intensity ultrasound has demonstrated an acceleration of bone healing and more profound callus formation in animal and human clinical experiments. In this study, the effect of pulsed, low-intensity ultrasound was determined in established nonunion cases.