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Marianna Avola

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Research paper thumbnail of Non-Adherence to Anti-Osteoporosis Medication: Factors Influencing and Strategies to Overcome It. A Narrative Review

Journal of Clinical Medicine

To evaluate the reasons for inadequate adherence to osteoporosis therapy and to describe the stra... more To evaluate the reasons for inadequate adherence to osteoporosis therapy and to describe the strategies for improving adherence to and persistence with regular medications, we conducted a review of the literature. The primary outcome of the study was the determination of the factors adverse to the onset and maintenance of anti-osteoporosis therapies. Secondly, we focused on studies whose efforts led to finding different strategies to improve adherence and persistence. We identified a total of 26 articles. The most recurrent and significant factors identified were aging, polypharmacy, and smoking habits. Different strategies to guide patients in their osteoporosis care have been identified, such as monitoring and follow-up via telephone calls, email, and promotional meetings, and proactive care interventions such as medication monitoring, post-fracture care programs, and decision aids. Changes in the drugs regimen and dispensation are strategies tried to lead to better adherence and ...

Research paper thumbnail of Rehabilitation Strategies for Patients with Femoral Neck Fractures in Sarcopenia: A Narrative Review

Journal of Clinical Medicine, 2020

Sarcopenia is defined as a syndrome characterized by progressive and generalized loss of skeletal... more Sarcopenia is defined as a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength. It has been identified as one of the most common comorbidities associated with femoral neck fracture (FNF). The aim of this review was to evaluate the impact of physical therapy on FNF patients’ function and rehabilitation. The selected articles were randomized controlled trials (RCTs), published in the last 10 years. Seven full texts were eligible for this review: three examined the impact of conventional rehabilitation and nutritional supplementation, three evaluated the effects of rehabilitation protocols compared to new methods and a study explored the intervention with erythropoietin (EPO) in sarcopenic patients with FNF and its potential effects on postoperative rehabilitation. Physical activity and dietary supplementation are the basic tools of prevention and rehabilitation of sarcopenia in elderly patients after hip surgery. The most effective physical ...

Research paper thumbnail of Haemophilic arthropathy: A narrative review on the use of intra‐articular drugs for arthritis

Haemophilia, 2019

Introduction: Intra-articular injections of various drugs are commonly used in patients with dege... more Introduction: Intra-articular injections of various drugs are commonly used in patients with degenerative osteoarthritis and also in haemophilic patients. Haemophilic arthropathy is a particular type of secondary osteoarthritis (OA), but the degeneration of strong synovial, cartilaginous and subchondral constituents is provoked by the direct action of iron and blood in the joint. Aim of the study: The aim of this study is to review the literature regarding the use of various intra-articular drugs in joints affected by haemophilic arthropathy.

Research paper thumbnail of Usability and Acceptability of Telerehabilitation in Children with Hemiplegia: a Systematic Review and a Pilot Study

Stroke and Cerebral Palsy are two of the most common causes of physical disability, one in adults... more Stroke and Cerebral Palsy are two of the most common causes of physical disability, one in adults, and the other in children. These conditions cause severe chronic limitations in terms of independence and quality of life. This leads to a need of multidisciplinary care and rehabilitation programs; however, resources are often limited in most areas. The involvement of new technologies in neurorehabilitation fields in the last decades has offered the possibility to improve delivery, intensity and practice of rehabilitative therapies, while attempting to enhance motivation and enjoyment of patients. Improving motivation may ultimately be one of the most meaningful ways to improve compliance, and achieve the goals of treatments for clinical populations such as children with Cerebral Palsy. Recent literature suggests the importance of involving end-users needs and feedback in different phases of technology development, in particular for home-designed rehabilitation devices To reach this p...

Research paper thumbnail of Non-Adherence to Anti-Osteoporosis Medication: Factors Influencing and Strategies to Overcome It. A Narrative Review

Journal of Clinical Medicine

To evaluate the reasons for inadequate adherence to osteoporosis therapy and to describe the stra... more To evaluate the reasons for inadequate adherence to osteoporosis therapy and to describe the strategies for improving adherence to and persistence with regular medications, we conducted a review of the literature. The primary outcome of the study was the determination of the factors adverse to the onset and maintenance of anti-osteoporosis therapies. Secondly, we focused on studies whose efforts led to finding different strategies to improve adherence and persistence. We identified a total of 26 articles. The most recurrent and significant factors identified were aging, polypharmacy, and smoking habits. Different strategies to guide patients in their osteoporosis care have been identified, such as monitoring and follow-up via telephone calls, email, and promotional meetings, and proactive care interventions such as medication monitoring, post-fracture care programs, and decision aids. Changes in the drugs regimen and dispensation are strategies tried to lead to better adherence and ...

Research paper thumbnail of Rehabilitation Strategies for Patients with Femoral Neck Fractures in Sarcopenia: A Narrative Review

Journal of Clinical Medicine, 2020

Sarcopenia is defined as a syndrome characterized by progressive and generalized loss of skeletal... more Sarcopenia is defined as a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength. It has been identified as one of the most common comorbidities associated with femoral neck fracture (FNF). The aim of this review was to evaluate the impact of physical therapy on FNF patients’ function and rehabilitation. The selected articles were randomized controlled trials (RCTs), published in the last 10 years. Seven full texts were eligible for this review: three examined the impact of conventional rehabilitation and nutritional supplementation, three evaluated the effects of rehabilitation protocols compared to new methods and a study explored the intervention with erythropoietin (EPO) in sarcopenic patients with FNF and its potential effects on postoperative rehabilitation. Physical activity and dietary supplementation are the basic tools of prevention and rehabilitation of sarcopenia in elderly patients after hip surgery. The most effective physical ...

Research paper thumbnail of Haemophilic arthropathy: A narrative review on the use of intra‐articular drugs for arthritis

Haemophilia, 2019

Introduction: Intra-articular injections of various drugs are commonly used in patients with dege... more Introduction: Intra-articular injections of various drugs are commonly used in patients with degenerative osteoarthritis and also in haemophilic patients. Haemophilic arthropathy is a particular type of secondary osteoarthritis (OA), but the degeneration of strong synovial, cartilaginous and subchondral constituents is provoked by the direct action of iron and blood in the joint. Aim of the study: The aim of this study is to review the literature regarding the use of various intra-articular drugs in joints affected by haemophilic arthropathy.

Research paper thumbnail of Usability and Acceptability of Telerehabilitation in Children with Hemiplegia: a Systematic Review and a Pilot Study

Stroke and Cerebral Palsy are two of the most common causes of physical disability, one in adults... more Stroke and Cerebral Palsy are two of the most common causes of physical disability, one in adults, and the other in children. These conditions cause severe chronic limitations in terms of independence and quality of life. This leads to a need of multidisciplinary care and rehabilitation programs; however, resources are often limited in most areas. The involvement of new technologies in neurorehabilitation fields in the last decades has offered the possibility to improve delivery, intensity and practice of rehabilitative therapies, while attempting to enhance motivation and enjoyment of patients. Improving motivation may ultimately be one of the most meaningful ways to improve compliance, and achieve the goals of treatments for clinical populations such as children with Cerebral Palsy. Recent literature suggests the importance of involving end-users needs and feedback in different phases of technology development, in particular for home-designed rehabilitation devices To reach this p...

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