The anatomical illustration of the human body is a topic rich in epistemological elements in the course of medical history. Since ancient times concerns about the real correspondence of the scientific and/or artistic representation of human anatomy with the original one arose. First of all, a static two-dimensional representation, the one typical of drawings, was not able to get the depth and complexity of dynamic three-dimensional anatomical morphology. In addition, the epistemic issue that a post-mortem illustration could not somehow correspond to living structures was present even in the past. For a long time the anatomical representation of the human body has been attracting the interest of medical doctors, artists, scholars and philosophers as a fact-finding technique of dissection of corpses preparatory to curative surgical practice in the living body. With regard to that, in the Western world the sixteenth century is often seen as the golden age of normal and macroscopic human anatomy. Major steps in the evolution of the anatomical discipline are the switch from the “normal” to the “pathological” area during the seventeenth century and the transition from the macroscopic to the microscopic level in the eighteenth century; that is true also from an illustrative and iconographic point of view. The tradition of setting up three-dimensional models for the study of the human body dates back to the eighteenth century too. Today’s research techniques in the field of anatomical images are so advanced that they allow the full conformity of human representation, the continuous availability of preserved images, the complete multi-dimensionality of the rendering and the complete dynamism of the whole view. In this context, laser scanner could be the ideal tool to create a new Atlas of Human Anatomy composed of models which are rotatable, observable from every perspective, absolutely faithful to reality, analysable as in a real dissection and carefully measurable.
{"title":"The anatomical representation of the human body: From epistemological examples deriving from medical history to morphometric imaging performed with the laser scanner technique","authors":"G. Gelati, F. Paternostro, A. Conti, G. Orlandini","doi":"10.13128/IJAE-25246","DOIUrl":"https://doi.org/10.13128/IJAE-25246","url":null,"abstract":"The anatomical illustration of the human body is a topic rich in epistemological elements in the course of medical history. Since ancient times concerns about the real correspondence of the scientific and/or artistic representation of human anatomy with the original one arose. First of all, a static two-dimensional representation, the one typical of drawings, was not able to get the depth and complexity of dynamic three-dimensional anatomical morphology. In addition, the epistemic issue that a post-mortem illustration could not somehow correspond to living structures was present even in the past. For a long time the anatomical representation of the human body has been attracting the interest of medical doctors, artists, scholars and philosophers as a fact-finding technique of dissection of corpses preparatory to curative surgical practice in the living body. With regard to that, in the Western world the sixteenth century is often seen as the golden age of normal and macroscopic human anatomy. Major steps in the evolution of the anatomical discipline are the switch from the “normal” to the “pathological” area during the seventeenth century and the transition from the macroscopic to the microscopic level in the eighteenth century; that is true also from an illustrative and iconographic point of view. The tradition of setting up three-dimensional models for the study of the human body dates back to the eighteenth century too. Today’s research techniques in the field of anatomical images are so advanced that they allow the full conformity of human representation, the continuous availability of preserved images, the complete multi-dimensionality of the rendering and the complete dynamism of the whole view. In this context, laser scanner could be the ideal tool to create a new Atlas of Human Anatomy composed of models which are rotatable, observable from every perspective, absolutely faithful to reality, analysable as in a real dissection and carefully measurable.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48758028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cameron K Schmidt, V. Voin, J. Iwanaga, M. Loukas, R. Oskouian, R. Tubbs
Surgical approache through the posterior abdominal wall used for nephrectomy or other access to contents of the retroperitoneal space requires to be cognizant of the regional nerve supply to the posterolateral abdominal wall muscles. We herein report a, to our knowledge, previously undescribed direct branch from the L4 spinal nerve that formed a plexus with regional nerves to then innervate the lateral abdominal wall musculature. Such a nerve variant should be considered by the surgeon who operates this region.
{"title":"Aberrant innervation of the lateral abdominal muscles by direct branch of L4 nerve","authors":"Cameron K Schmidt, V. Voin, J. Iwanaga, M. Loukas, R. Oskouian, R. Tubbs","doi":"10.13128/IJAE-25465","DOIUrl":"https://doi.org/10.13128/IJAE-25465","url":null,"abstract":"Surgical approache through the posterior abdominal wall used for nephrectomy or other access to contents of the retroperitoneal space requires to be cognizant of the regional nerve supply to the posterolateral abdominal wall muscles. We herein report a, to our knowledge, previously undescribed direct branch from the L4 spinal nerve that formed a plexus with regional nerves to then innervate the lateral abdominal wall musculature. Such a nerve variant should be considered by the surgeon who operates this region.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48227657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Inspired both by the literature reports and our previous findings on the question if a seasonal cycle alone, consisting of temperature and photoperiod variations, might impact on or activate natural proliferative fluctuations or unmask a latent spontaneous proliferative power in adult brain of poikilothermal Anamnia (fresh water, earth-dwelling) and Amniota (terrestrial), consequently allowing for encephalic reparative and even regenerative potentialities, an investigation has been carried on in normal adult brain of Triturus carnifex caught in nature in spring, summer, autumn. Cells immunostained for PCNA, i.e. cycling cells, were found scattered (“matrix cells”) in the olfactory territories, where they appeared scarce in spring, more frequent in summer, noticeable in autumn; also, immunostained cells were found clustered in “matrix areas”, also named zonae germinativae dorsales and ventrales, in the telencephalic hemispheres: few clusters in spring, an intermediate condition in summer, frequent cell groups in autumn. These results reveal an increasing trend in proliferation from spring, through summer, to autumn. This scenario was appreciable in the forebrain, mainly in the olfactory and telencephalic districts, which is the typical site of stem cells. Signs of potential proliferative activity are well appreciable in the urodele Amphibians, which are the best provided among vertebrates with reparative and regenerative power and possess the richest endowment of dormant cells susceptible to be recruited to proliferation.
{"title":"Relationships between seasonal (spring, summer, autumnal) thermal variations and cell proliferation in heterothermic vertebrates, as revealed by PCNA expression in the brain of adult Triturus carnifex","authors":"V. Margotta, C. Chimenti","doi":"10.13128/IJAE-25468","DOIUrl":"https://doi.org/10.13128/IJAE-25468","url":null,"abstract":"Inspired both by the literature reports and our previous findings on the question if a seasonal cycle alone, consisting of temperature and photoperiod variations, might impact on or activate natural proliferative fluctuations or unmask a latent spontaneous proliferative power in adult brain of poikilothermal Anamnia (fresh water, earth-dwelling) and Amniota (terrestrial), consequently allowing for encephalic reparative and even regenerative potentialities, an investigation has been carried on in normal adult brain of Triturus carnifex caught in nature in spring, summer, autumn. Cells immunostained for PCNA, i.e. cycling cells, were found scattered (“matrix cells”) in the olfactory territories, where they appeared scarce in spring, more frequent in summer, noticeable in autumn; also, immunostained cells were found clustered in “matrix areas”, also named zonae germinativae dorsales and ventrales, in the telencephalic hemispheres: few clusters in spring, an intermediate condition in summer, frequent cell groups in autumn. These results reveal an increasing trend in proliferation from spring, through summer, to autumn. This scenario was appreciable in the forebrain, mainly in the olfactory and telencephalic districts, which is the typical site of stem cells. Signs of potential proliferative activity are well appreciable in the urodele Amphibians, which are the best provided among vertebrates with reparative and regenerative power and possess the richest endowment of dormant cells susceptible to be recruited to proliferation.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48114312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anatomical variants are alterations of the form, thickness, length, width, position of organs and anatomic structures that can cause problems of a functional nature. They can be vascular, bony, muscular and more. They represent anomalies that may cause disturbances or do not cause changes in functions. The criminologist Cesare Lombroso had correlated the anatomical variations to the criminal tendency. The most emblematic case was that related to the alleged brigand Villella, on which Lombroso, performing the autopsy, found in the skull the so-called medial occipital fossa or a third dimple. He stated that the median occipital dimple was considered a sign of atavism, the expression of the criminal. In fact all the anatomical variants described by Lombroso are variations of normality. No one ever said that anatomical variants were a sign of crime. In conclusion, anatomical variants cannot be related to crime tendency, therefore the debated median occipital fossa is only and simply an anatomical variant.
{"title":"Median occipital fossa: is it really a sign of crime or simply an anatomical variant?","authors":"D. Chirchiglia, Pasquale Chirchiglia, R. Marotta","doi":"10.13128/IJAE-25473","DOIUrl":"https://doi.org/10.13128/IJAE-25473","url":null,"abstract":"Anatomical variants are alterations of the form, thickness, length, width, position of organs and anatomic structures that can cause problems of a functional nature. They can be vascular, bony, muscular and more. They represent anomalies that may cause disturbances or do not cause changes in functions. The criminologist Cesare Lombroso had correlated the anatomical variations to the criminal tendency. The most emblematic case was that related to the alleged brigand Villella, on which Lombroso, performing the autopsy, found in the skull the so-called medial occipital fossa or a third dimple. He stated that the median occipital dimple was considered a sign of atavism, the expression of the criminal. In fact all the anatomical variants described by Lombroso are variations of normality. No one ever said that anatomical variants were a sign of crime. In conclusion, anatomical variants cannot be related to crime tendency, therefore the debated median occipital fossa is only and simply an anatomical variant.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47266900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kympouris Sotirios, Filippou Dimitrios, S. Panagiotis
Ansa pancreatica is a reversed S-shaped pancreatic duct arising from the main pancreatic duct of Wirsung and ending at or near the minor duodenal papilla. Described for the first time in 1961, it is a rare anatomic variant of the pancreatic ducts system and is characterized by the absence of the accessory duct of Santorini. It probably serves as a counter measure after the accessory duct obliteration, in order to maintain sufficient pancreatic juice drainage. The literature concerning ansa pancreatica seems to be rather poor, compared to other anatomic variants and congenital anomalies of the pancreatic ducts. We tried to define the ansa pancreatica incidence among general population and highlight the possible differences between different populations, and to define its possible correlation with pancreatitis. The existing data correlate ansa pancreatica with recurrent acute pancreatitis and pancreatitis in alcoholics. Despite the lack of extended data, ansa pancreatica is a rare anatomic variant, proven to play an important role in certain clinical conditions.
{"title":"Ansa pancreatica. Review of the literature","authors":"Kympouris Sotirios, Filippou Dimitrios, S. Panagiotis","doi":"10.13128/IJAE-25472","DOIUrl":"https://doi.org/10.13128/IJAE-25472","url":null,"abstract":"Ansa pancreatica is a reversed S-shaped pancreatic duct arising from the main pancreatic duct of Wirsung and ending at or near the minor duodenal papilla. Described for the first time in 1961, it is a rare anatomic variant of the pancreatic ducts system and is characterized by the absence of the accessory duct of Santorini. It probably serves as a counter measure after the accessory duct obliteration, in order to maintain sufficient pancreatic juice drainage. The literature concerning ansa pancreatica seems to be rather poor, compared to other anatomic variants and congenital anomalies of the pancreatic ducts. We tried to define the ansa pancreatica incidence among general population and highlight the possible differences between different populations, and to define its possible correlation with pancreatitis. The existing data correlate ansa pancreatica with recurrent acute pancreatitis and pancreatitis in alcoholics. Despite the lack of extended data, ansa pancreatica is a rare anatomic variant, proven to play an important role in certain clinical conditions.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46065483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Situs inversus totalis is a congenital condition characterized by the transposition of the thoracic and abdominal organs to the opposite side of the body. Situs inversus totalis is typically asymptomatic, however, these individuals are susceptible to certain defects and malformations such as vascular anomalies and mal-positioned viscera, which can result in a shortened lifespan. There are reports on penetrating abdominal injury in patients with situs inversus. In addition, the presence of pathology of thoracic and abdominal organs in situs inversus patients have been reported. However, from the literature reviewed, there is a paucity of reports on penetrating chest injuries in patients with situs inversus. Hence, we present a case of a patient who presented with a stab chest with situs inversus totalis and a brief discussion on the embryology of the condition.
{"title":"Penetrating chest injury in a case of situs inversus totalis","authors":"N. Ajayi, L. Lazarus, K. Satyapal","doi":"10.13128/IJAE-25470","DOIUrl":"https://doi.org/10.13128/IJAE-25470","url":null,"abstract":"Situs inversus totalis is a congenital condition characterized by the transposition of the thoracic and abdominal organs to the opposite side of the body. Situs inversus totalis is typically asymptomatic, however, these individuals are susceptible to certain defects and malformations such as vascular anomalies and mal-positioned viscera, which can result in a shortened lifespan. There are reports on penetrating abdominal injury in patients with situs inversus. In addition, the presence of pathology of thoracic and abdominal organs in situs inversus patients have been reported. However, from the literature reviewed, there is a paucity of reports on penetrating chest injuries in patients with situs inversus. Hence, we present a case of a patient who presented with a stab chest with situs inversus totalis and a brief discussion on the embryology of the condition.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47161802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Recto, M. Boddi, J. Branca, G. Morucci, A. Pacini, M. Gulisano, F. Paternostro
Variations in the branching pattern of the aortic arch are clinically relevant because of the direct influence that their presence can have on the success of cardio-vascular procedures, neck or thorax surgery, trauma management or intensive care. In most cases these anatomical variations are asymptomatic and considered clinically benign, but some particular aortic branching patterns have been associated with surgical complications or with vascular diseases in non-surgical patients. The main objective of this work was to study the frequency of variation of the aortic arch branching pattern in a wide and varied population on the basis of literature reports. The aortic arch branching pattern of 20,030 cases reported by 40 anatomical or radiological studies were analyzed. 84,52% of the studied population had a three branches pattern and 14,65% had a two branches pattern. The four primary arteries were seen arising directly from the aortic arch in 0,81% of the cases and only 0,02% had them all arising from a common trunk.
{"title":"Aortic arch branching pattern variation: its incidence on a 20030 cases review","authors":"C. Recto, M. Boddi, J. Branca, G. Morucci, A. Pacini, M. Gulisano, F. Paternostro","doi":"10.13128/IJAE-25245","DOIUrl":"https://doi.org/10.13128/IJAE-25245","url":null,"abstract":"Variations in the branching pattern of the aortic arch are clinically relevant because of the direct influence that their presence can have on the success of cardio-vascular procedures, neck or thorax surgery, trauma management or intensive care. In most cases these anatomical variations are asymptomatic and considered clinically benign, but some particular aortic branching patterns have been associated with surgical complications or with vascular diseases in non-surgical patients. The main objective of this work was to study the frequency of variation of the aortic arch branching pattern in a wide and varied population on the basis of literature reports. The aortic arch branching pattern of 20,030 cases reported by 40 anatomical or radiological studies were analyzed. 84,52% of the studied population had a three branches pattern and 14,65% had a two branches pattern. The four primary arteries were seen arising directly from the aortic arch in 0,81% of the cases and only 0,02% had them all arising from a common trunk.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44913731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Among the hundred cases ranging from 19-38 years, fifty placentae were from normal uncomplicated pregnancies and the rest from diabetic mothers. In case of normal pregnancies, the average (±standard deviation) placental weight, volume, thickness, diameter, area and circumference were 513.3 (±53.13) g; 437.4 (±59.8) cm3,1.79 (±0.24) cm, 17.5 (±1.52) cm, 242.19 (±40.21) cm2, 54.95 (±4.78) cm respectively. In case of diabetic mothers, the corresponding values were 579.2 (± 44.3) g, 503.9 (± 46.11) cm3, 2.45 (±0.49) cm, 17.56 (±1.57) cm, 243.96 (±41.41) cm2, 55.14 (±4.93) cm. The average birth weight of baby and foeto-placental ratio were 2.55 (±0.25) kg and 4.97(±0.5) respectively in normal cases and 3.42 ± 0.26 kg and 5.91 ± 0.33 respectively in cases of diabetic pregnancy. Among the different parameters the birth weight of baby was the best predictor of the placental morphometric parameters while body weight and age of mother were poor predictors.
{"title":"A comparative study of placental morphometry in diabetic and normal mothers in a tertiary care hospital of West Bengal","authors":"S. Chakraborty, S. Bhattacharya","doi":"10.13128/IJAE-25471","DOIUrl":"https://doi.org/10.13128/IJAE-25471","url":null,"abstract":"Among the hundred cases ranging from 19-38 years, fifty placentae were from normal uncomplicated pregnancies and the rest from diabetic mothers. In case of normal pregnancies, the average (±standard deviation) placental weight, volume, thickness, diameter, area and circumference were 513.3 (±53.13) g; 437.4 (±59.8) cm3,1.79 (±0.24) cm, 17.5 (±1.52) cm, 242.19 (±40.21) cm2, 54.95 (±4.78) cm respectively. In case of diabetic mothers, the corresponding values were 579.2 (± 44.3) g, 503.9 (± 46.11) cm3, 2.45 (±0.49) cm, 17.56 (±1.57) cm, 243.96 (±41.41) cm2, 55.14 (±4.93) cm. The average birth weight of baby and foeto-placental ratio were 2.55 (±0.25) kg and 4.97(±0.5) respectively in normal cases and 3.42 ± 0.26 kg and 5.91 ± 0.33 respectively in cases of diabetic pregnancy. Among the different parameters the birth weight of baby was the best predictor of the placental morphometric parameters while body weight and age of mother were poor predictors.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47057364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Piergiorgio Francia, G. Iannone, F. Paternostro, Ugo Santosuosso, M. Gulisano
Even if physical activity plays a key role within diabetic foot treatment its use and the results obtained from this treatment seem to be still limited. Nowadays, new and even more advanced technologies for the long term daily physical activity monitoring are available and they are radically changing some aspects of physical activity such as its amount, features and monitoring. In spite of the past, the several electronic devices that are currently available can be integrated into routine care and provide essential information for management to both the healthcare providers and patients. In particular, since the end of the last century, an increasing number of studies have applied the movement monitoring to patients at risk or with history of ulceration. The questionnaires have been progressively replaced with modern technologies such as accelerometers or complex multisensory devices able to objectively measure the physical activity performed. The data collected through the use of such devices can allow a better assessment of patient’s condition and provide useful information for the definition of a more complete treatment protocol. Daily physical activity monitoring devices provide to the Diabetes Units information on the typology, quantity, distribution and intensity of the daily physical activity performed by each patient concurring to the prevention of foot ulcers that represent the most dreadful diabetes complications. The different functions and modes of operation of monitoring devices can be integrated to provide a more comprehensive and intelligent monitoring system that provide valuable information on patients’ ongoing health status and the physical activity performed during daily life. These devices can manage in real time or even in remote the physical activity performed in addition to calculate that to be performed in the following hours. As a result, they contribute to improve patients’ lifestyle and reduce the costs for the treatment of such complications. The aim of this review is to define and emphasize the role of a long term daily physical activity monitoring in the prevention of diabetic foot ulcers.
{"title":"Management of daily physical activity and diabetic foot prevention","authors":"Piergiorgio Francia, G. Iannone, F. Paternostro, Ugo Santosuosso, M. Gulisano","doi":"10.13128/IJAE-25247","DOIUrl":"https://doi.org/10.13128/IJAE-25247","url":null,"abstract":"Even if physical activity plays a key role within diabetic foot treatment its use and the results obtained from this treatment seem to be still limited. Nowadays, new and even more advanced technologies for the long term daily physical activity monitoring are available and they are radically changing some aspects of physical activity such as its amount, features and monitoring. In spite of the past, the several electronic devices that are currently available can be integrated into routine care and provide essential information for management to both the healthcare providers and patients. In particular, since the end of the last century, an increasing number of studies have applied the movement monitoring to patients at risk or with history of ulceration. The questionnaires have been progressively replaced with modern technologies such as accelerometers or complex multisensory devices able to objectively measure the physical activity performed. The data collected through the use of such devices can allow a better assessment of patient’s condition and provide useful information for the definition of a more complete treatment protocol. Daily physical activity monitoring devices provide to the Diabetes Units information on the typology, quantity, distribution and intensity of the daily physical activity performed by each patient concurring to the prevention of foot ulcers that represent the most dreadful diabetes complications. The different functions and modes of operation of monitoring devices can be integrated to provide a more comprehensive and intelligent monitoring system that provide valuable information on patients’ ongoing health status and the physical activity performed during daily life. These devices can manage in real time or even in remote the physical activity performed in addition to calculate that to be performed in the following hours. As a result, they contribute to improve patients’ lifestyle and reduce the costs for the treatment of such complications. The aim of this review is to define and emphasize the role of a long term daily physical activity monitoring in the prevention of diabetic foot ulcers.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44325721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. D. Cagno, G. Calcagno, Andrea Buonsenso, E. Iuliano, G. Innocenti, M. Piazza, G. Fiorilli
The purpose of this study was to investigate the acute effects of both static and dynamic stretching on upper limb strength and to assess whether a cross-over inhibitory effect occurred during the time in which this effect may appear. Eighteen male volleyball players (aged 21.50, standard deviation 3.12 years) underwent the experimental protocol organized in in two sessions, one of static and the other of dynamic stretching for upper body muscles. Participants performed three specific strength tests: Ball Throwing, Maximum Voluntary Isometric Contraction, and Push-Up, to assess explosive, isometric and endurance strength respectively, at baseline (T0) and 10, 20 and 60 minutes after the static stretching and dynamic stretching sessions. The Ball Throwing results showed significant differences between the two stretching protocols (F1,14 = 4.967; p = 0.043; ηp2 = 0.262), among the 5 time measures (F4,58 = 7.476; p < 0.001; ηp2 = 0.348), and for the interaction Protocol × Time (F4,58 = 8.258; p < 0.001; ηp2 = 0.371). Maximum Voluntary Isometric Ccontraction scores showed significant differences among the time measures (F4,58 = 4.015; p = 0.006; ηp2 = 0.223) and for the interaction Session × Time (F4,58 = 2.625; p = 0.044; ηp2 = 0.158). At the Push-Up test significant differences were found only among the time measures (F4,58 = 5.634; p = 0.001; ηp2 = 0.287). Static stretching may adversely affect upper limb endurance strength, whereas no changes in isometric and explosive strength were found. Dynamic stretching did not have a detrimental effect on upper limb endurance strength, whereas it may improve isometric and explosive strength.
{"title":"Effects of static and dynamic stretching on upper limb explosive, isometric and endurance strength, in male volleyball players","authors":"A. D. Cagno, G. Calcagno, Andrea Buonsenso, E. Iuliano, G. Innocenti, M. Piazza, G. Fiorilli","doi":"10.13128/IJAE-25475","DOIUrl":"https://doi.org/10.13128/IJAE-25475","url":null,"abstract":"The purpose of this study was to investigate the acute effects of both static and dynamic stretching on upper limb strength and to assess whether a cross-over inhibitory effect occurred during the time in which this effect may appear. Eighteen male volleyball players (aged 21.50, standard deviation 3.12 years) underwent the experimental protocol organized in in two sessions, one of static and the other of dynamic stretching for upper body muscles. Participants performed three specific strength tests: Ball Throwing, Maximum Voluntary Isometric Contraction, and Push-Up, to assess explosive, isometric and endurance strength respectively, at baseline (T0) and 10, 20 and 60 minutes after the static stretching and dynamic stretching sessions. The Ball Throwing results showed significant differences between the two stretching protocols (F1,14 = 4.967; p = 0.043; ηp2 = 0.262), among the 5 time measures (F4,58 = 7.476; p < 0.001; ηp2 = 0.348), and for the interaction Protocol × Time (F4,58 = 8.258; p < 0.001; ηp2 = 0.371). Maximum Voluntary Isometric Ccontraction scores showed significant differences among the time measures (F4,58 = 4.015; p = 0.006; ηp2 = 0.223) and for the interaction Session × Time (F4,58 = 2.625; p = 0.044; ηp2 = 0.158). At the Push-Up test significant differences were found only among the time measures (F4,58 = 5.634; p = 0.001; ηp2 = 0.287). Static stretching may adversely affect upper limb endurance strength, whereas no changes in isometric and explosive strength were found. Dynamic stretching did not have a detrimental effect on upper limb endurance strength, whereas it may improve isometric and explosive strength.","PeriodicalId":14636,"journal":{"name":"Italian journal of anatomy and embryology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.13128/IJAE-25475","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66171350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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