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Papers by Claudio Vitturini
Focus Autism Dev Disabil, 2008
Il programma che permette di eseguire un training computerizzato di coordinazione visuo-motoria (... more Il programma che permette di eseguire un training computerizzato di coordinazione visuo-motoria (TCCVM) è stato creato dal Servizio di Riabilitazione Infantile della Fondazione Santa Lucia — IRCCS di Roma in collaborazione con il Dipartimento di Psicologia,Università La Sapienza di Roma, e con il Dipartimento di Scienze della Salute,Università degli Studi di L’Aquila. Esso si avvale del software Game Maker, uno
Training computerizzato di coordinazione visuo-motoria TCCVM, 2010
ABSTRACT Il programma che permette di eseguire un training computerizzato di coordinazione visuo-... more ABSTRACT Il programma che permette di eseguire un training computerizzato di coordinazione visuo-motoria (TCCVM) è stato creato dal Servizio di Riabilitazione Infantile della Fondazione Santa Lucia — IRCCS di Roma in collaborazione con il Dipartimento di Psicologia,Università La Sapienza di Roma, e con il Dipartimento di Scienze della Salute,Università degli Studi di L’Aquila. Esso si avvale del software Game Maker, uno strumento per lo sviluppo di videogiochi con un potente sistema di scripting, che usa un linguaggio simile al Pascal, il Game Maker Language (GML; Game Maker è stato creato dal Professor Mark H. Overmars, docente della facoltà di informatica dell’Università di Utrecht, Olanda).
Training computerizzato di coordinazione visuo-motoria TCCVM, 2010
La capacità di coordinare le nostre azioni attraverso il sistema motorio, e in particolare la coo... more La capacità di coordinare le nostre azioni attraverso il sistema motorio, e in particolare la coordinazione occhio-mano, è considerata un prerequisito fondamentale per effettuare correttamente le attività della vita di tutti i giorni.
Training computerizzato di coordinazione visuo-motoria TCCVM, 2010
Il TCCVM è stato utilizzato nel trattamento riabilitativo di una bambina affetta da sindrome di R... more Il TCCVM è stato utilizzato nel trattamento riabilitativo di una bambina affetta da sindrome di Rett e di una bambina affetta da sindrome Cri-du-Chat (Pizzamiglio et al, 2008a, b).
... Page 3. Laura Piccardi Claudio Vitturini Francesca Figliozzi Maria Rosa Pizzamiglio Trainin... more ... Page 3. Laura Piccardi Claudio Vitturini Francesca Figliozzi Maria Rosa Pizzamiglio Training computerizzato di coordinazione visuo-motoria TCCVM Strumento per la riabilitazione di gravi disturbi della coordinazione occhio-mano in età evolutiva 123 Page 4. ...
Journal of Bodywork and Movement Therapies, 2012
a) To calculate and compare a Kidney Mobility Score (KMS) in asymptomatic and Low Back Pain (LBP)... more a) To calculate and compare a Kidney Mobility Score (KMS) in asymptomatic and Low Back Pain (LBP) individuals through real-time Ultrasound (US) investigation. b) To assess the effect of Osteopathic Fascial Manipulation (OFM), consisting of Still Technique (ST) and Fascial Unwinding (FU), on renal mobility in people with non-specific LBP. c) To evaluate 'if' and 'to what degree' pain perception may vary in patients with LBP, after OFM is applied. 101 asymptomatic people (F 30; M 71; mean age 38.9 ± 8) were evaluated by abdominal US screening. The distance between the superior renal pole of the right kidney and the ipsilateral diaphragmatic pillar was calculated in both maximal expiration (RdE) and maximal inspiration (RdI). The mean of the RdE-RdI ratios provided a Kidney Mobility Score (KMS) in the cohort of asymptomatic people. The same procedure was applied to 140 participants (F 66; M 74; mean age 39.3 ± 8) complaining of non-specific LBP: 109 of whom were randomly assigned to the Experimental group and 31 to the Control group. For both groups, a difference of RdE and RdI values was calculated (RD = RdE-RdI), before (RD-T0) and after (RD-T1) treatment was delivered, to assess the effective range of right kidney mobility. A blind assessment of each patient was carried using US screening. Both groups completed a Short-Form McGill Pain Assessment Questionnaire (SF-MPQ) on the day of recruitment (SF-MPQ T0) as well as on the third day following treatment (SF-MPQ T1). An Osteopathic assessment of the thoraco-lumbo-pelvic region to all the Experimental participants was performed, in order to identify specific areas of major myofascial tension. Each individual of the Experimental group received OFM by the same Osteopath who had previously assessed them. A sham-treatment was applied to the Control group for the equivalent amount of time. a) The factorial ANOVA test showed a significant difference (p-value < 0.05) between KMS in asymptomatic individuals (1.92 mm, Std. Dev. 1.14) compared with the findings in patients with LBP (1.52 mm, Std. Dev. 0.79). b) The ANOVA test at repeated measures showed a significant difference (p-value < 0.0001) between pre- to post-RD values of the Experimental group compared with those found in the Control. c) A significant difference (p-value < 0.0001) between pre- to post-SF-MPQ results was found in the Experimental cohort compared with those obtained in the Control. People with non-specific LBP present with a reduced range of kidney mobility compared to the findings in asymptomatic individuals. Osteopathic manipulation is shown to be an effective manual approach towards improvement of kidney mobility and reduction of pain perception over the short-term, in individuals with non-specific LBP.
Journal of Bodywork and Movement Therapies, 2011
Background: Myofascial Release (MFR) and Fascial Unwinding (FU) are widely used manual fascial te... more Background: Myofascial Release (MFR) and Fascial Unwinding (FU) are widely used manual fascial techniques (MFTs), generally incorporated in treatment protocols to release fascial restrictions and restore tissue mobility. However, the effects of MFT on pain perception, and the mobility of fascial layers, have not previously been investigated using dynamic ultrasound (US) in patients with neck pain (NP) and low back pain (LBP). Objectives: a) To show that US screening can be a useful tool to assess dysfunctional alteration of organ mobility in relation to their fascial layers, in people with non-specific NP or LBP, in the absence of any organ disease; b) To assess, by dynamic US screening, the change of sliding movements between superficial and deep fascia layers in the neck, in people with non-specific NP, before and after application of MFTs c) To assess, by dynamic US screening, the variation of right reno-diaphragmatic (RD) distance and of neck bladder (NB) mobility, in patients with nonspecific LBP, before and after application of MFTs d) To evaluate 'if' and 'at what degree' pain perception may vary in patients with NP or LBP, after MFTs are applied, over the short term. Methods: An Experimental group of 60 subjects, 30 with non-specific NP and 30 with nonspecific LBP, were assessed in the area of complaint, by Dynamic Ultrasound Topographic Anatomy Evaluation (D.US.T.A.-E.), before and after MFTs were applied in situ, in the corresponding painful region, for not more than 12 min. The results were compared with those from the respective Sham-Control group of 30 subjects. For the NP sub-groups, the pre-to post-US recorded videos of each subject were compared and assessed randomly and independently by two blinded experts in echographic screening. They were asked to rate the change observed in the cervical fascia sliding motions as 'none', 'discrete' or 'radical'. For the LBP sub-groups,
International Journal of Rehabilitation Research, 2008
The present study reports on the effects of an experimental computerized training specifically co... more The present study reports on the effects of an experimental computerized training specifically conceived for improving visual-motor coordination in a child (L.D.J.) affected by Cri-du-Chat syndrome. The child was asked to touch a picture on the screen with a coordinated hand movement to obtain the appearance of a new picture. The training was organized into four levels of increasing difficulty, which were progressively administered in different sessions. Response times and number of errors were collected at each session. The child improved in performing computerized training, becoming faster and more accurate. Unlike control participants, she also improved in performing untrained tasks, which implied similar skills. Repercussions on L.D.J. 's autonomy and communication skills in daily life are described.
Focus on Autism and Other Developmental Disabilities, 2008
Rett syndrome (RS) is a severe neurodevelopmental disorder that mostly affects females. It is cha... more Rett syndrome (RS) is a severe neurodevelopmental disorder that mostly affects females. It is characterized by a regression of motor, cognitive, linguistic, and social abilities and by an inappropriate and stereotypical use of the hands. The purpose of the current study was to explore the possibility of rehabilitating purposeful use of the hands and hand-eye coordination in individuals with this syndrome. G.P., a child affected by RS, received experimental, computerized visual-motor coordination training and a sensory-motor rehabilitative program specifically designed for her based on Piaget's (1937) theory of cognitive development. After 3 years of therapy, G.P. partially regained the use of her hands as an instrument of object knowledge and as a means of communicating with people.
Il TCCVM non è utile solamente per quelle patologie genetiche dove il danno della coordinazione o... more Il TCCVM non è utile solamente per quelle patologie genetiche dove il danno della coordinazione occhio-mano è inquadrabile nello specifico profilo di un grave ritardo cognitivo, ma anche nelle patologie a eziologia neurologica come le encefalopatie congenite, in cui la compromissione della coordinazione è da imputare non tanto a un ritardo cognitivo, quanto soprattutto a un grave danno motorio.
Focus Autism Dev Disabil, 2008
Il programma che permette di eseguire un training computerizzato di coordinazione visuo-motoria (... more Il programma che permette di eseguire un training computerizzato di coordinazione visuo-motoria (TCCVM) è stato creato dal Servizio di Riabilitazione Infantile della Fondazione Santa Lucia — IRCCS di Roma in collaborazione con il Dipartimento di Psicologia,Università La Sapienza di Roma, e con il Dipartimento di Scienze della Salute,Università degli Studi di L’Aquila. Esso si avvale del software Game Maker, uno
Training computerizzato di coordinazione visuo-motoria TCCVM, 2010
ABSTRACT Il programma che permette di eseguire un training computerizzato di coordinazione visuo-... more ABSTRACT Il programma che permette di eseguire un training computerizzato di coordinazione visuo-motoria (TCCVM) è stato creato dal Servizio di Riabilitazione Infantile della Fondazione Santa Lucia — IRCCS di Roma in collaborazione con il Dipartimento di Psicologia,Università La Sapienza di Roma, e con il Dipartimento di Scienze della Salute,Università degli Studi di L’Aquila. Esso si avvale del software Game Maker, uno strumento per lo sviluppo di videogiochi con un potente sistema di scripting, che usa un linguaggio simile al Pascal, il Game Maker Language (GML; Game Maker è stato creato dal Professor Mark H. Overmars, docente della facoltà di informatica dell’Università di Utrecht, Olanda).
Training computerizzato di coordinazione visuo-motoria TCCVM, 2010
La capacità di coordinare le nostre azioni attraverso il sistema motorio, e in particolare la coo... more La capacità di coordinare le nostre azioni attraverso il sistema motorio, e in particolare la coordinazione occhio-mano, è considerata un prerequisito fondamentale per effettuare correttamente le attività della vita di tutti i giorni.
Training computerizzato di coordinazione visuo-motoria TCCVM, 2010
Il TCCVM è stato utilizzato nel trattamento riabilitativo di una bambina affetta da sindrome di R... more Il TCCVM è stato utilizzato nel trattamento riabilitativo di una bambina affetta da sindrome di Rett e di una bambina affetta da sindrome Cri-du-Chat (Pizzamiglio et al, 2008a, b).
... Page 3. Laura Piccardi Claudio Vitturini Francesca Figliozzi Maria Rosa Pizzamiglio Trainin... more ... Page 3. Laura Piccardi Claudio Vitturini Francesca Figliozzi Maria Rosa Pizzamiglio Training computerizzato di coordinazione visuo-motoria TCCVM Strumento per la riabilitazione di gravi disturbi della coordinazione occhio-mano in età evolutiva 123 Page 4. ...
Journal of Bodywork and Movement Therapies, 2012
a) To calculate and compare a Kidney Mobility Score (KMS) in asymptomatic and Low Back Pain (LBP)... more a) To calculate and compare a Kidney Mobility Score (KMS) in asymptomatic and Low Back Pain (LBP) individuals through real-time Ultrasound (US) investigation. b) To assess the effect of Osteopathic Fascial Manipulation (OFM), consisting of Still Technique (ST) and Fascial Unwinding (FU), on renal mobility in people with non-specific LBP. c) To evaluate 'if' and 'to what degree' pain perception may vary in patients with LBP, after OFM is applied. 101 asymptomatic people (F 30; M 71; mean age 38.9 ± 8) were evaluated by abdominal US screening. The distance between the superior renal pole of the right kidney and the ipsilateral diaphragmatic pillar was calculated in both maximal expiration (RdE) and maximal inspiration (RdI). The mean of the RdE-RdI ratios provided a Kidney Mobility Score (KMS) in the cohort of asymptomatic people. The same procedure was applied to 140 participants (F 66; M 74; mean age 39.3 ± 8) complaining of non-specific LBP: 109 of whom were randomly assigned to the Experimental group and 31 to the Control group. For both groups, a difference of RdE and RdI values was calculated (RD = RdE-RdI), before (RD-T0) and after (RD-T1) treatment was delivered, to assess the effective range of right kidney mobility. A blind assessment of each patient was carried using US screening. Both groups completed a Short-Form McGill Pain Assessment Questionnaire (SF-MPQ) on the day of recruitment (SF-MPQ T0) as well as on the third day following treatment (SF-MPQ T1). An Osteopathic assessment of the thoraco-lumbo-pelvic region to all the Experimental participants was performed, in order to identify specific areas of major myofascial tension. Each individual of the Experimental group received OFM by the same Osteopath who had previously assessed them. A sham-treatment was applied to the Control group for the equivalent amount of time. a) The factorial ANOVA test showed a significant difference (p-value < 0.05) between KMS in asymptomatic individuals (1.92 mm, Std. Dev. 1.14) compared with the findings in patients with LBP (1.52 mm, Std. Dev. 0.79). b) The ANOVA test at repeated measures showed a significant difference (p-value < 0.0001) between pre- to post-RD values of the Experimental group compared with those found in the Control. c) A significant difference (p-value < 0.0001) between pre- to post-SF-MPQ results was found in the Experimental cohort compared with those obtained in the Control. People with non-specific LBP present with a reduced range of kidney mobility compared to the findings in asymptomatic individuals. Osteopathic manipulation is shown to be an effective manual approach towards improvement of kidney mobility and reduction of pain perception over the short-term, in individuals with non-specific LBP.
Journal of Bodywork and Movement Therapies, 2011
Background: Myofascial Release (MFR) and Fascial Unwinding (FU) are widely used manual fascial te... more Background: Myofascial Release (MFR) and Fascial Unwinding (FU) are widely used manual fascial techniques (MFTs), generally incorporated in treatment protocols to release fascial restrictions and restore tissue mobility. However, the effects of MFT on pain perception, and the mobility of fascial layers, have not previously been investigated using dynamic ultrasound (US) in patients with neck pain (NP) and low back pain (LBP). Objectives: a) To show that US screening can be a useful tool to assess dysfunctional alteration of organ mobility in relation to their fascial layers, in people with non-specific NP or LBP, in the absence of any organ disease; b) To assess, by dynamic US screening, the change of sliding movements between superficial and deep fascia layers in the neck, in people with non-specific NP, before and after application of MFTs c) To assess, by dynamic US screening, the variation of right reno-diaphragmatic (RD) distance and of neck bladder (NB) mobility, in patients with nonspecific LBP, before and after application of MFTs d) To evaluate 'if' and 'at what degree' pain perception may vary in patients with NP or LBP, after MFTs are applied, over the short term. Methods: An Experimental group of 60 subjects, 30 with non-specific NP and 30 with nonspecific LBP, were assessed in the area of complaint, by Dynamic Ultrasound Topographic Anatomy Evaluation (D.US.T.A.-E.), before and after MFTs were applied in situ, in the corresponding painful region, for not more than 12 min. The results were compared with those from the respective Sham-Control group of 30 subjects. For the NP sub-groups, the pre-to post-US recorded videos of each subject were compared and assessed randomly and independently by two blinded experts in echographic screening. They were asked to rate the change observed in the cervical fascia sliding motions as 'none', 'discrete' or 'radical'. For the LBP sub-groups,
International Journal of Rehabilitation Research, 2008
The present study reports on the effects of an experimental computerized training specifically co... more The present study reports on the effects of an experimental computerized training specifically conceived for improving visual-motor coordination in a child (L.D.J.) affected by Cri-du-Chat syndrome. The child was asked to touch a picture on the screen with a coordinated hand movement to obtain the appearance of a new picture. The training was organized into four levels of increasing difficulty, which were progressively administered in different sessions. Response times and number of errors were collected at each session. The child improved in performing computerized training, becoming faster and more accurate. Unlike control participants, she also improved in performing untrained tasks, which implied similar skills. Repercussions on L.D.J. 's autonomy and communication skills in daily life are described.
Focus on Autism and Other Developmental Disabilities, 2008
Rett syndrome (RS) is a severe neurodevelopmental disorder that mostly affects females. It is cha... more Rett syndrome (RS) is a severe neurodevelopmental disorder that mostly affects females. It is characterized by a regression of motor, cognitive, linguistic, and social abilities and by an inappropriate and stereotypical use of the hands. The purpose of the current study was to explore the possibility of rehabilitating purposeful use of the hands and hand-eye coordination in individuals with this syndrome. G.P., a child affected by RS, received experimental, computerized visual-motor coordination training and a sensory-motor rehabilitative program specifically designed for her based on Piaget's (1937) theory of cognitive development. After 3 years of therapy, G.P. partially regained the use of her hands as an instrument of object knowledge and as a means of communicating with people.
Il TCCVM non è utile solamente per quelle patologie genetiche dove il danno della coordinazione o... more Il TCCVM non è utile solamente per quelle patologie genetiche dove il danno della coordinazione occhio-mano è inquadrabile nello specifico profilo di un grave ritardo cognitivo, ma anche nelle patologie a eziologia neurologica come le encefalopatie congenite, in cui la compromissione della coordinazione è da imputare non tanto a un ritardo cognitivo, quanto soprattutto a un grave danno motorio.