A5048416883- Chronic Obstructive Pulmonary Disease (COPD) Research
- Respiratory Support and Mechanisms
- Cardiovascular and exercise physiology
- Long-Term Effects of COVID-19
- Intensive Care Unit Cognitive Disorders
- Cardiac Health and Mental Health
- Amyotrophic Lateral Sclerosis Research
- Family and Patient Care in Intensive Care Units
- Obstructive Sleep Apnea Research
- Dysphagia Assessment and Management
- Stroke Rehabilitation and Recovery
- Neurogenetic and Muscular Disorders Research
- COVID-19 and Mental Health
- Heart Rate Variability and Autonomic Control
- Asthma and respiratory diseases
- COVID-19 Clinical Research Studies
- Respiratory and Cough-Related Research
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Cardiovascular Function and Risk Factors
- Cystic Fibrosis Research Advances
- Neuroscience of respiration and sleep
- Health and Wellbeing Research
- Cerebral Palsy and Movement Disorders
- Heart Failure Treatment and Management
- Frailty in Older Adults
Istituti Clinici Scientifici Maugeri
2014-2025
Centro Cardiologico Monzino
2022-2024
Rigshospitalet
2024
University of Verona
2022
Istituti di Ricovero e Cura a Carattere Scientifico
2016-2022
Fondazione Salvatore Maugeri
2006-2021
Pulmonary Associates
2021
Venture Chemicals (United States)
2020
University of Brescia
2015-2016
Foundation for Physical Medicine and Rehabilitation
2016
Respiratory physiotherapy in patients with COVID-19 infection acute setting: a Position Paper of the Italian Association Physiotherapists (ARIR)
 On February 2020, Italy, especially northern regions, was hit by an epidemic new SARS-Cov-2 coronavirus that spread from China between December 2019 and January 2020. The entire healthcare system had to respond promptly very short time exponential growth number subjects affected (Coronavirus disease 2019) need semi-intensive intensive care units.
In this cross-sectional study, we evaluated skeletal muscle strength and physical performance (1-min sit-to-stand short battery tests), dyspnea, fatigue, single-breath counting at discharge from a postacute COVID department, in patients recovering COVID-19 pneumonia who had no locomotor disability before the infection.Quadriceps biceps were weak 86% 73% of patients, respectively. Maximal voluntary contraction for quadriceps was 18.9 (6.8) kg 15.0 (5.5) (i.e., 54% 69% predicted normal value,...
Due to the exponential growth of number subjects affected by coronavirus disease 2019 (COVID-19), entire Italian health care system had respond promptly and in a very short time with need semi-intensive intensive units. Moreover, trained dedicated COVID-19 teams consisting physicians were coming from different specialties (intensivists or pneumologists infectiologists), while respiratory therapists nurses have been recruited work on without rest. However, due still limited evolving knowledge...
In hospitalized patients recovering from the SARS-coronavirus-2 disease 19 (COVID-19), high prevalence of muscle weakness and physical performance impairment has been observed.
chronic obstructive pulmonary disease (COPD) and heart failure (CHF) frequently coexist in older people, reducing patients' quality of life (QoL) increasing morbidity mortality. we studied the feasibility efficacy an integrated telerehabilitation home-based programme (Telereab-HBP), 4 months long, patients with combined COPD CHF. The primary outcome was exercise tolerance evaluated at 6-min walk test (6MWT). Secondary outcomes were time-to-event (hospitalisation death), dyspnoea (MRC),...
In patients with COPD non-naïve to rehabilitation we tested the feasibility, adherence and satisfaction of a home-based reinforcement telerehabilitation program (TRP). Outcomes were compared standard outpatient (ORP). Then 18 TRP underwent 28 sessions strength exercises (60 min) cycle training (40 using satellite platform provided telemonitoring, tele-prescription, video-assistance phone-calls, equipped an oximeter, steps-counter, bicycle, remote control interactive TV software. matched ORP,...
There is a need of consensus about the pulmonary rehabilitation (PR) in patients with COVID-19 after discharge from acute care. To facilitate knowledge evidence and its translation into practice, we developed suggestions based on experts’ opinion. A steering committee identified areas questions sent to experts. Other international experts participated RAND Delphi method reaching proposing further suggestions. Strong agreement was defined when mean >7 (1 = no 9 maximal agreement)....
Background and purpose Forced vital capacity ( FVC ) <80% is one of the key indications for starting non‐invasive ventilation NIV in amyotrophic lateral sclerosis ALS ). It was hypothesized that a very early start could lengthen free interval before death compared to later‐start ; as secondary outcome, survival rate patients on without tracheotomy also evaluated. Methods This retrospective study conducted 194 patients, divided into later group LG with at prescription n = 129) VEG ≥80%...
Due to COVID-19 outbreak, lighten the burden of acute and critical care hospitals, some respiratory rehabilitation departments have been used host patients with in post-acute phase. This new unexpected situation required a change roles scheduling teams. In this manuscript we describe urgent organizational Cardio-Pulmonary Rehabilitation (CPR) service during emergency Northern Italian hospital, focusing on Respiratory Physiotherapists’ (RPTs) role. A quick three-days complete reorganization...
Higher levels of exercise capacity and physical activity are desired outcomes in the comprehensive management COPD patient. In addition, improvements instrumental to optimising other important therapeutic goals, such as improved health status, reduced healthcare utilisation increased survival. Four general approaches towards increasing individuals with will be discussed this review: 1) pharmacological intervention, especially administration long-acting bronchodilators; 2) pulmonary...
The project is framed into the activities addressing Smart Campus at University of Brescia. classroom building used as demonstrator energy strategies to improve performance existing buildings toward zero goals. Innovative systems reduce consumption (i.e. heating, cooling and ventilation, lighting electric equipment) Automation are crucial in School Project which this research a preliminary step development. based on three main pillars: envelope refurbishment, improvement services efficiency,...
In patients with amyotrophic lateral sclerosis (ALS), non-invasive ventilation (NIV) is usually initiated in an in-hospital regime.We investigated if NIV outpatient setting can be as effective terms of patients' acceptance/adherence. We also evaluated factors predicting acceptance and adherence disease progression.Prospective randomized study.Outpatient versus inpatient rehabilitation.ALS patients.ALS were to two groups for initiation: outpatients inpatients. At baseline (T0), end trial...
Background: As Barthel Index (BI) quantifies motor impairment but not breathlessness, the use of only this index could underestimate disability in chronic respiratory disease (CRD). To our knowledge, no study evaluates both and CRD during activities daily living (ADLs) simultaneously with a unique tool. The objective was to propose for patients an additional tool dyspnea assessment ADLs based on BI items named dyspnea. Methods: Comprehensibility, reliability, internal consistency, validity,...
To establish a cost-effective telephone-accessed consultation and mechanical in-exsufflation (MI-E) manually assisted coughing, oximetry feedback program for 39 patients with amyotrophic lateral sclerosis.Rapid access to healthcare MI-E was provided treat episodes of distress as result secretion encumbrance not reversed by suctioning associated decrease in oxyhemoglobin saturation (SpO(2)) baseline. Avoided hospitalizations, defined relief respiratory return SpO(2) baseline >or=95%...
Our objective was to explore strain and needs in caregivers of advanced ALS patients correlate this burden with patient's clinical condition caregiver's sociodemographic status.Fifty-eight completed the Family Strain Questionnaire-short form (FSQ-SF) Caregiver Needs Assessment (CNA) during patients' hospitalization (T0); 39 were reassessed at 6–12 months (T1) 13 18–24 (T2) follow-up. FSQ-SF CNA total scores (CNA-T), including subscores 'Emotional/Social Support Needs' (CNA-E)...
Fall incidents are the third cause of chronic disablement in elderly according to World Health Organization (WHO). Recent meta-analyses shows that a multifactorial falls risk assessment and management programmes effective all older population studied. However, application these may not be same National health care setting and, consequently, needs evaluated by cost-effectiveness studies before plan this intervention regular care. In Italy structured collaboration between hospital staff...
Home mechanical ventilation is increasingly used by people with chronic respiratory failure. However, there are few reports on attitudes towards treatment. A web-based survey in eight languages was disseminated across 11 European countries to evaluate the perception of home provision ventilator-assisted individuals and caregivers. Out 787 responders from countries, 687 were patients 100 95% 94% caregivers only 4 (Germany, Netherlands, Italy, Spain). The majority respondents male aged 46–65...
Non invasive ventilation (NIV) is currently employed for weaning from (IMV) in the acute setting but its use prolonged still occasional and not standardized. We wanted to evaluate whether a combined protocol of NIV decannulation tracheostomized patients needing mechanical was feasible what would be one-year outcome.We studied dependent with following inclusion criteria: a) tolerance at least 8h unsupported breathing, b) progressive hypercapnia/acidosis after discontinuation, c) good...