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Papers by Mauro Zampolini

Research paper thumbnail of H-CAD a new approach for home rehabilitation

Research paper thumbnail of Stroke scoring systems

Celani MG, Righetti E, Migliacci R, et al. Comparability and validity of two clinical scores in t... more Celani MG, Righetti E, Migliacci R, et al. Comparability and validity of two clinical scores in thc carly dif1~rcntial diagnosis of acute stroke. BM} 1994; 308: 1674-76. 2 Celani MG, Ceravolo l\1G, Duca E, I:t al. \Xlas it infarction or haemorrhage? A clinical diagnosis by mcan~ of the Allen score.

Research paper thumbnail of Hospital Care of Postacute Spinal Cord Lesion Patients in Italy

Pagliacci MC, Celani MG, Spizzichino L, Zampolini M, Franceschini M, Gruppo Italiano Studio Epide... more Pagliacci MC, Celani MG, Spizzichino L, Zampolini M, Franceschini M, Gruppo Italiano Studio Epidemiologico Mielolesioni: Hospital care of postacute spinal cord lesion patients in Italy: analysis of readmissions into the GISEM study. Am J Phys Med Rehabil 2008;87:619 -626.

Research paper thumbnail of Comparability and validity oftwo clinical scores in the early differential diagnosis ofacute stroke

Objective-To compare two available clinical scores for the differential diagnosis of cerebral isc... more Objective-To compare two available clinical scores for the differential diagnosis of cerebral ischaemia and haemorrhage in acute stroke patients. Design-Prospective, multicentre study of acute stroke patients evaluated with computed tomo­ graphy and Allen and Siriraj scores; the scores were tested for comparability (kappa statistic) and validity (sensitivity, specificity, positive and negative predic­ tive values, diagnostic gaio).

Research paper thumbnail of Nu!RehaVR: virtual reality in neuro tele-rehabilitation of patients with traumatic brain injury and stroke

Virtual Reality, 2010

The availability of virtual environments on the Web is fostering new applications of virtual real... more The availability of virtual environments on the Web is fostering new applications of virtual reality in several fields, including some therapeutical applications. We present an application of virtual reality applied to the tele-rehabilitation of patients with traumatic brain injury and stroke. Our system, based on X3D and Ajax3D technologies, enhances the possibility of making tele-rehabilitation exercises aimed at the recovery of the neurological disease. The system, called Nu!RehaVR, has been designed to integrate the activity carried out on a tele-rehabilitation system, Nu!Reha (Nu!Reha is a trademark of Pragma Engineering srl. See http://www.nureha.eu) desk, with the activities performed in the virtual worlds, through some rehabilitation exercises in contexts incompatible with the patients' impairments (not able to move or forced in static positions because of therapies, etc.). The architecture of Nu!RehaVR and the environments associated to two exercises, ''Utilising an elevator to reach a given floor'' and ''Crossing a road using a traffic light'', are illustrated. These exercises can be considered as prototypes of a series of tele-rehabilitation exercises which help to stimulate the patients performing actions in relatively dangerous scenarios. The system is designed to allow the remote monitoring and assessment of the patient's activities by the medical staff at the hospital using the communication facilities of the tele-rehabilitation system.

Research paper thumbnail of Tele-rehabilitation: present and future

Annali dell'Istituto superiore di sanità, 2008

During the last decade we assisted to relevant progress in rehabilitation studies and in technolo... more During the last decade we assisted to relevant progress in rehabilitation studies and in technological development. From the combination of these issues rises the tele-rehabilitation--a subfield of telemedicine consisting of a system to control rehabilitation "at distance"--as an actual possibility of application and a promising development in the future. The present paper offers a short review of the state of the art in the field of tele-rehabilitation, with a special focus on upper limb tele-rehabilitation. The experience is also briefly reported of the preliminary application of the H-CAD (home care activity desk) system and the HELLODOC (Healthcare service linking tele-rehabilitation to disabled people and clinicians) tele-rehabilitation service, conducted by the authors within two European projects in the period 2003-2005 and 2005-2007 respectively.

Research paper thumbnail of Clinical assessment of the HELLODOC tele-rehabilitation service

Annali Dell Istituto Superiore Di Sanita, 2008

Within the EU project HELLODOC, the clinical effectiveness was investigated of the home care acti... more Within the EU project HELLODOC, the clinical effectiveness was investigated of the home care activity desk (H-CAD). Eighty-one patients with chronic stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) were recruited; 50 out of 81 received 1 month of H-CAD intervention, with one training session a day lasting 30 minutes for 5 days a week. The overall satisfaction of both patients and therapists was high. The Action Research Arm (ARA) and the Nine Hole Peg Test (NHPT) were used as main outcome measures. They proved the H-CAD system to be at least as effective as usual care. Maybe due to limited length and intensity of treatment, during the training month subjects improved on the individual H-CAD exercises but, as in the usual care group, the arm/hand function remained at the same level.

Research paper thumbnail of L'intervento riabilitativo sulle gravi cerebrolesioni acquisite in Italia: dati dallo studio GISCAR

Research paper thumbnail of Severe Brain Injury in Developmental Age: preliminary data of the italian GISCAR

Research paper thumbnail of Supplement IV Vol 2 N°4 XII CONGRESSO NAZIONALE MILANO – ITALY 03-05 Maggio 2012

L'efficacia della tossina botulinica è prevalentemente valutata con la scala di Ashworth modifica... more L'efficacia della tossina botulinica è prevalentemente valutata con la scala di Ashworth modificata (MAS), nonostante diversi studi hanno dimostrato la sua scarsa sensibilità (1).Scopo di questo studio è quello di dimostrare come la misurazione miometrica del tono muscolare nel trattamento della spasticità muscolare con alte dosi di tossina sia più sensibile e accurata.

Research paper thumbnail of Micheli, S., Corea, F., Brustenghi, P., Todeschini, E., Baratta, S., Zampolini, M., & Pezzella, F. (2013, January). Hemorrhagic stroke and epilepsy: prevalence and associated factors in patients with severe brain injuries. In CEREBROVASCULAR DISEASES (Vol. 35, pp. 782-782). ALLSCHWILERSTRASSE 10,...

Micheli, S., Corea, F., Brustenghi, P., Todeschini, E., Baratta, S., Zampolini, M., & Pezzella, F. (2013, January). Hemorrhagic stroke and epilepsy: prevalence and associated factors in patients with severe brain injuries. In CEREBROVASCULAR DISEASES (Vol. 35, pp. 782-782). ALLSCHWILERSTRASSE 10,...

Research paper thumbnail of European Stroke Conference London May 28-30, 2013

Research paper thumbnail of THE REHABILITATION OF SEVERE BRAIN INJURY IN ITALY: THE GISCAR STUDY

Research paper thumbnail of Recovery after traumatic brain injury studied with 1hmr spectroscopy

Research paper thumbnail of Importanza di un intervento riabilitativo neuropsicologico precoce nel paziente traumatizzato cranico

Research paper thumbnail of Correlation between neuropsychological deficit and 1hmr spectroscopy in traumatic brain injury

Research paper thumbnail of Utilization of reciprocating gait orthosis in spinal cord injured patients: a multicentric study

Research paper thumbnail of Postural reflexes in subjects with somatosensory impairment

Research paper thumbnail of Correlazioni tra spettrorisonanza e grado di disabilità in pazienti con sclerosi multipla

Research paper thumbnail of Valutazione spettrometrica nei traumi cranioencefalici

Research paper thumbnail of H-CAD a new approach for home rehabilitation

Research paper thumbnail of Stroke scoring systems

Celani MG, Righetti E, Migliacci R, et al. Comparability and validity of two clinical scores in t... more Celani MG, Righetti E, Migliacci R, et al. Comparability and validity of two clinical scores in thc carly dif1~rcntial diagnosis of acute stroke. BM} 1994; 308: 1674-76. 2 Celani MG, Ceravolo l\1G, Duca E, I:t al. \Xlas it infarction or haemorrhage? A clinical diagnosis by mcan~ of the Allen score.

Research paper thumbnail of Hospital Care of Postacute Spinal Cord Lesion Patients in Italy

Pagliacci MC, Celani MG, Spizzichino L, Zampolini M, Franceschini M, Gruppo Italiano Studio Epide... more Pagliacci MC, Celani MG, Spizzichino L, Zampolini M, Franceschini M, Gruppo Italiano Studio Epidemiologico Mielolesioni: Hospital care of postacute spinal cord lesion patients in Italy: analysis of readmissions into the GISEM study. Am J Phys Med Rehabil 2008;87:619 -626.

Research paper thumbnail of Comparability and validity oftwo clinical scores in the early differential diagnosis ofacute stroke

Objective-To compare two available clinical scores for the differential diagnosis of cerebral isc... more Objective-To compare two available clinical scores for the differential diagnosis of cerebral ischaemia and haemorrhage in acute stroke patients. Design-Prospective, multicentre study of acute stroke patients evaluated with computed tomo­ graphy and Allen and Siriraj scores; the scores were tested for comparability (kappa statistic) and validity (sensitivity, specificity, positive and negative predic­ tive values, diagnostic gaio).

Research paper thumbnail of Nu!RehaVR: virtual reality in neuro tele-rehabilitation of patients with traumatic brain injury and stroke

Virtual Reality, 2010

The availability of virtual environments on the Web is fostering new applications of virtual real... more The availability of virtual environments on the Web is fostering new applications of virtual reality in several fields, including some therapeutical applications. We present an application of virtual reality applied to the tele-rehabilitation of patients with traumatic brain injury and stroke. Our system, based on X3D and Ajax3D technologies, enhances the possibility of making tele-rehabilitation exercises aimed at the recovery of the neurological disease. The system, called Nu!RehaVR, has been designed to integrate the activity carried out on a tele-rehabilitation system, Nu!Reha (Nu!Reha is a trademark of Pragma Engineering srl. See http://www.nureha.eu) desk, with the activities performed in the virtual worlds, through some rehabilitation exercises in contexts incompatible with the patients' impairments (not able to move or forced in static positions because of therapies, etc.). The architecture of Nu!RehaVR and the environments associated to two exercises, ''Utilising an elevator to reach a given floor'' and ''Crossing a road using a traffic light'', are illustrated. These exercises can be considered as prototypes of a series of tele-rehabilitation exercises which help to stimulate the patients performing actions in relatively dangerous scenarios. The system is designed to allow the remote monitoring and assessment of the patient's activities by the medical staff at the hospital using the communication facilities of the tele-rehabilitation system.

Research paper thumbnail of Tele-rehabilitation: present and future

Annali dell'Istituto superiore di sanità, 2008

During the last decade we assisted to relevant progress in rehabilitation studies and in technolo... more During the last decade we assisted to relevant progress in rehabilitation studies and in technological development. From the combination of these issues rises the tele-rehabilitation--a subfield of telemedicine consisting of a system to control rehabilitation "at distance"--as an actual possibility of application and a promising development in the future. The present paper offers a short review of the state of the art in the field of tele-rehabilitation, with a special focus on upper limb tele-rehabilitation. The experience is also briefly reported of the preliminary application of the H-CAD (home care activity desk) system and the HELLODOC (Healthcare service linking tele-rehabilitation to disabled people and clinicians) tele-rehabilitation service, conducted by the authors within two European projects in the period 2003-2005 and 2005-2007 respectively.

Research paper thumbnail of Clinical assessment of the HELLODOC tele-rehabilitation service

Annali Dell Istituto Superiore Di Sanita, 2008

Within the EU project HELLODOC, the clinical effectiveness was investigated of the home care acti... more Within the EU project HELLODOC, the clinical effectiveness was investigated of the home care activity desk (H-CAD). Eighty-one patients with chronic stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) were recruited; 50 out of 81 received 1 month of H-CAD intervention, with one training session a day lasting 30 minutes for 5 days a week. The overall satisfaction of both patients and therapists was high. The Action Research Arm (ARA) and the Nine Hole Peg Test (NHPT) were used as main outcome measures. They proved the H-CAD system to be at least as effective as usual care. Maybe due to limited length and intensity of treatment, during the training month subjects improved on the individual H-CAD exercises but, as in the usual care group, the arm/hand function remained at the same level.

Research paper thumbnail of L'intervento riabilitativo sulle gravi cerebrolesioni acquisite in Italia: dati dallo studio GISCAR

Research paper thumbnail of Severe Brain Injury in Developmental Age: preliminary data of the italian GISCAR

Research paper thumbnail of Supplement IV Vol 2 N°4 XII CONGRESSO NAZIONALE MILANO – ITALY 03-05 Maggio 2012

L'efficacia della tossina botulinica è prevalentemente valutata con la scala di Ashworth modifica... more L'efficacia della tossina botulinica è prevalentemente valutata con la scala di Ashworth modificata (MAS), nonostante diversi studi hanno dimostrato la sua scarsa sensibilità (1).Scopo di questo studio è quello di dimostrare come la misurazione miometrica del tono muscolare nel trattamento della spasticità muscolare con alte dosi di tossina sia più sensibile e accurata.

Research paper thumbnail of Micheli, S., Corea, F., Brustenghi, P., Todeschini, E., Baratta, S., Zampolini, M., & Pezzella, F. (2013, January). Hemorrhagic stroke and epilepsy: prevalence and associated factors in patients with severe brain injuries. In CEREBROVASCULAR DISEASES (Vol. 35, pp. 782-782). ALLSCHWILERSTRASSE 10,...

Micheli, S., Corea, F., Brustenghi, P., Todeschini, E., Baratta, S., Zampolini, M., & Pezzella, F. (2013, January). Hemorrhagic stroke and epilepsy: prevalence and associated factors in patients with severe brain injuries. In CEREBROVASCULAR DISEASES (Vol. 35, pp. 782-782). ALLSCHWILERSTRASSE 10,...

Research paper thumbnail of European Stroke Conference London May 28-30, 2013

Research paper thumbnail of THE REHABILITATION OF SEVERE BRAIN INJURY IN ITALY: THE GISCAR STUDY

Research paper thumbnail of Recovery after traumatic brain injury studied with 1hmr spectroscopy

Research paper thumbnail of Importanza di un intervento riabilitativo neuropsicologico precoce nel paziente traumatizzato cranico

Research paper thumbnail of Correlation between neuropsychological deficit and 1hmr spectroscopy in traumatic brain injury

Research paper thumbnail of Utilization of reciprocating gait orthosis in spinal cord injured patients: a multicentric study

Research paper thumbnail of Postural reflexes in subjects with somatosensory impairment

Research paper thumbnail of Correlazioni tra spettrorisonanza e grado di disabilità in pazienti con sclerosi multipla

Research paper thumbnail of Valutazione spettrometrica nei traumi cranioencefalici