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Colombo R.,IRCCS Rehabilitation Institute of Pavia
Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference | Year: 2011

Patient motivation is an important factor in rehabilitation. The difficulty level of the motor task, the awareness of the performance obtained, and the quantity and quality of feedbacks presented to the patient can influence patient motivation and produce different ways of acting and different performances. This study presents a Progressive Task Regulation algorithm able to evaluate the patient's performance during training and automatically change the features of the reaching movement, so as to adapt automatically the difficulty level of the motor task to the patient's ability. Use of the progressive task regulation algorithm should promote patient motivation throughout the course of treatment. Source


Bovio G.,Rehabilitation Institute of Pavia | Fonte M.L.,University of Pavia | Baiardi P.,IRCCS Rehabilitation Institute of Pavia
American Journal of Hospice and Palliative Medicine | Year: 2014

The aim of this study was to investigate the relationship between gastrointestinal symptoms, nutritional balance, and performance status in patients receiving palliative care for advanced cancers originating in different sites. We studied a total of 105 patients. Upper gastrointestinal symptoms, Eastern Cooperative Oncology Group Performance Status score (ECOG-PS), dietary intakes, anthropometric measures, and some serum proteins were determined. Unintentional weight loss, alterations in anthropometric measures, and highest number of symptoms were greater in patients with lung and stomach cancer. No differences were found in ECOG-PS according to cancer site. Patients with gastric or lung cancer have most evidence of protein-calorie malnutrition and a higher prevalence of upper gastrointestinal symptoms. The performance status is not affected by tumor site. Early nutritional support should be planned for all patients with cancer, especially for patients with gastric or lung cancer. © The Author(s) 2013. Source


Bovio G.,IRCCS Rehabilitation Institute of Pavia | Montagna G.,IRCCS Rehabilitation Institute of Pavia | Brazzo S.,Foundation Medicine | Piazza V.,IRCCS Rehabilitation Institute of Pavia | And 2 more authors.
Journal of Human Nutrition and Dietetics | Year: 2013

Background: Energy balance (EB) is important when assessing nutritional status. EB has never been assessed in haemodialysis (HD) and peritoneal dialysis (PD) patients. The present study aimed to assess weekly EB in these patients. Methods: This clinical cross-sectional study was conducted for 7 days in eight HD and eight PD patients. Nutritional status was assessed by anthropometry, bioelectrical impedance analysis and biochemical markers. Energy intake (EI per day) and total energy expenditure (TEE per day) were determined by a 7-day weighed food diary and a portable armband device, respectively. Results: No significant differences in age, body mass index, fat free mass (FFM), parathyroid hormone were found between the two groups. EB was calculated by subtracting TEE per day from EI per day. EB was negative in HD {-1347 (1276) kJ day-1 [-322 (305) kcal day-1]}, as well as in PD patients {-427 (5338) kJ day-1 [-102 (395) kcal day-1]}. TEE per day was positively correlated with EI per day, prealbumin, FFM. EI per day was positively correlated with prealbumin. C-reactive protein was negatively correlated with TEE and FFM (P < 0.05). EB showed a positive correlation with EI per day (P = 0.012) and a negative trend with TEE. Conclusions: HD and PD patients have a negative EB and are at risk of malnutrition. Inflammatory status determines a lower EI per day and a reduction in TEE per day. The most important parameter in determining EB in HD and PD patients is EI per day. This topic deserves further investigation to better understand the mechanisms of impaired EB with respect to preserving patients' nutritional status. © 2012 The British Dietetic Association Ltd. Source


Sterpi I.,IRCCS Rehabilitation Institute of Pavia | Panarese A.,SantAnna School of Advanced Studies | Micera S.,SantAnna School of Advanced Studies | Pisano F.,Rehabilitation Institute of Veruno NO | Colombo R.,IRCCS Rehabilitation Institute of Pavia
Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics | Year: 2012

Stroke patients exhibit a reduced ability or incapacity to selectively activate muscle fibres and consequently motor performance is impaired. The best behavioural outcomes after stroke are associated with the greatest return of brain function toward the normal state of organization. Besides traditional physical therapy, task oriented repetitive movements can help patients recover motor function, improve motor coordination, learn new motor strategies and avoid secondary complications, as many studies using robot-aided therapy attest. The goal of the present study was to verify the transfer of motor skills from trained to untrained tasks in chronic stroke subjects. We investigated to what extent there is generalization of motor recovery in chronic stroke subjects for point-to-point movements executed within and outside the workspace in which they were previously trained. Our results suggest that while the generalization of motor recovery is good for new point-to-point movements executed within the training workspace, there is little generalization for point-to-point movements outside. This calls for varied therapy practice to promote improvement in activity of daily living. © 2012 IEEE. Source


Colombo R.,IRCCS Rehabilitation Institute of Pavia | Sterpi I.,IRCCS Rehabilitation Institute of Pavia | Mazzone A.,Rehabilitation Institute of Veruno NO | Delconte C.,Rehabilitation Institute of Veruno NO | Pisano F.,Rehabilitation Institute of Veruno NO
Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS | Year: 2011

Patient motivation is an important factor in rehabilitation. The difficulty level of the motor task, the awareness of the performance obtained, and the quantity and quality of feedbacks presented to the patient can influence patient motivation and produce different ways of acting and different performances. This study presents a Progressive Task Regulation algorithm able to evaluate the patient's performance during training and automatically change the features of the reaching movement, so as to adapt automatically the difficulty level of the motor task to the patient's ability. Use of the progressive task regulation algorithm should promote patient motivation throughout the course of treatment. © 2011 IEEE. Source

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