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Cosimo Costantino

Cosimo Costantino
University of Parma, Parma Italy · Medicine and Surgery

Doctor of Medicine

About

105
Publications
52,783
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953
Citations
Additional affiliations
October 2021 - October 2021
University of Parma Italy
Position
  • Managing Director
Description
  • Director of Departmental Unit of Outpatients snd Ortogeriatric Rehabilitation Director of PMR

Publications

Publications (105)
Article
Introduction: Adhesive capsulitis is a disease of unknown aetiology. Conservative therapy is based on the use of multimodal techniques (instrumental physical therapy, exercise, physiokinesitherapy and anti-inflammatory drug therapy). As yet, there is no consensus on which conservative therapy treatment is best for the management of the patient wit...
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Home monitoring supports the continuous improvement of the therapy by sharing data with healthcare professionals. It is required when life-threatening events can still occur after hospital discharge such as neonatal apnea. However, multiple sources of external noise could affect data quality and/or increase the misdetection rate. In this study, we...
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Tendinopathies are common causes of pain and disability in general population and athletes. Conservative treatment is largely preferred, and eccentric exercise or other modalities of therapeutic exercises are recommended. However, this approach requests several weeks of consecutive treatment and could be discouraging. In the last years, injections...
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The Coronavirus Disease 2019 (COVID-19) pandemic is a severe ongoing global emergency. Despite high rates of asymptomatic patients, in many cases, the infection causes a rapid decline in pulmonary function due to an acute respiratory distress-like syndrome, leading to multi-organ failure and death. To date, recommendations about rehabilitation on C...
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Gait and jump anomalies are often used as indicators to identify the presence and state of disorders that involve motor symptoms. Physical tests are often performed in specialized laboratories, which offer reliable and accurate results, but require long and costly analyses performed by specialized personnel. The use of inertial sensors for gait and...
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Background and aim: To determine the efficacy of the synergistic use of High Power Laser Therapy (HPLT) with glucosamine sulfate (GS) in knee osteoarthritis. Methods: This 2-arm randomized controlled trial (RCT) enrolled 90 subjects (M=53, F=37, y= 55±11.2) and randomly allocated using a stratified sampling method in experimental group (A) with HPL...
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Background. This case-control study investigated arm recovery from surgery for a ruptured distal tendon in terms of maximal strength, power, and endurance compared to the healthy contralateral arm, taking into account limb dominance. Methods. An S-shaped single incision and suture anchor repair was used in all 15 patients. All patients were right-a...
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Haemophilia A is a rare inherited hematologic disorder characterized by a deficit of coagulation factor VIII. It is associated with frequent episodes of musculoskeletal bleedings that occur mainly inside joints and secondly inside muscles. The majority of intramuscular hematomas respond well to conservative protocols, based on rehabilitation techni...
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(1) Background: Management of chronic low back pain (cLBP) is often multidisciplinary, involving a combination of treatments, including therapeutic exercises. Core stability exercises aim to improve pain and disability in cLBP increasing spinal stability, neuromuscular control, and preventing shear force that causes injury to the lumbar spine. The...
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Objectives: To conduct a systematic review of randomized controlled trials about the safety (number and severity of adverse events) and efficacy (pain reduction and functional improvement) of mesotherapy in musculoskeletal disorders, and to compare them with other therapeutic options, in accordance with the Preferred Reporting Items for Systematic...
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The production of 3D printed safety protection devices (SPD) requires particular attention to the material selection and to the evaluation of mechanical resistance, biological safety and surface roughness related to the accumulation of bacteria and viruses. We explored the possibility to adopt additive manufacturing technologies for the production...
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Background and aim: In Multiple Sclerosis (MS) spasticity worsen patient's quality of life. Botulinum NeuroToxin TypeA (BoNT-A) is extensively used in focal spasticity, frequently combined with physical therapies. Radial extracorporeal shock waves (rESW) were already used in association with BoNT-A. Considering that loss of efficacy and adverse ev...
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Hyaluronic acid has carved out an essential, though sometimes discussed, role in the treatment of joint degenerative pathology. Recent studies, first in vitro, then preclin-ical, have paved the way for use in tendon pathology. Clinical experience to date has shown extremely encouraging results in different tendinopathy frameworks such as tenosynovi...
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Background: The impact of the SARS-CoV-2 on the National Health System (NHS) required a reorganization of the various levels of care, which also involved the rehabilitation reality. Aim of the work: A clinical practice review of the literature was conducted to provide operational-rehabilitation guidelines adapted to the local reality and to the...
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SARS-CoV-2 is the coronavirus involved for the ongoing pandemic, responsible of the disease that has been identified as COVID-19 (COronaVIrus Disease-19) (1,2). In most cases, transmission occurs via saliva droplets in closed or poorly ventilated environments (particularly public and workplaces), unclean hands and rarely via contaminated surfaces (...
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Background: Stroke is the third cause of long term disability worldwide and its rehabilitation program must to have into account all aspects of disability. International research and politics increasingly study the relationship between disability and the direct costs associated with living with a disability. Objective: Using the ICF, this articl...
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Physical activity is recognised as a major health determinant, with positive effects on health, environmental sustainability and economy. However, worldwide, 1 in 4 adults, and 3 in 4 adolescents do not currently meet the recommendations for physical activity set by the World Health Organization. Notably, the prevalence of inactivity varies conside...
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Background Many variables affect outcome after brain injury. Cognitive reserve (CR) is a subjective factor that reflects a set of personal characteristics and that differentiates individuals. It may influence an individual’s capacity to react to brain injury. Objective To study the effects of cognitive reserve on functional and cognitive outcome a...
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PurposeThe aim of this study was to describe the differences between abdominal wall muscles echo intensity (EI) in PD patients and healthy controls.Methods Forty-three consecutive PD patients (25 males and 18 females, age 73.7 ± 7.1, and 42 controls without neurological diseases (22 males, 20 females, age 69.8 ± 6.0) participated in this cross-sect...
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Physical activity is recognised as a major health determinant, with positive effects on health, environmental sustainability and economy. National surveillance data show that one out of three Italians - adult and elderly alike - declares to be sedentary, with a progressively increasing trend. From the urgent need to implement strategies to promote...
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Objective. To investigate RCTs that reported the effects of Radial ShockWave Therapy (RSWT) versus traditional physiotherapy on pain, shoulder articular function and quality of life of patients suffering by tendinopathy of the shoulder. Data sources. Studies were comprehensively searched, without language restrictions, on PubMed, Embase, PEdro, Coc...
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iNtroductioN: the increasing popularity of inertial sensors in clinical practice is not supported by precise information on their reliability or guidelines for their use in rehabilitation. the authors investigated the state of the literature concerning the use of inertial sensors for gait analysis in both healthy and pathological adults comparing t...
Article
Introduction: Groin pain is a common complaint both in high-performance and recreational athletes. Diagnosis is based on the patient's history and physical examination. Imaging assessments are often considered to exclude other pathologies. To date there is no strong evidence to support conservative or surgical treatment options. The purpose of thi...
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Background and Purpose Recently new technologies and new techniques, such as Whole Body Vibration (WBV), have been introduced by the health and fitness industry to pursue therapeutic or physical performance goals. The aim of this systematic review is to investigate the effectiveness of single or multiple WBV sessions alone or in association with tr...
Data
(i) PRISMA Checklists: this file is a brief description of 27 PRISMA items pertaining to the content of a systematic review, indicating where it can be found in the manuscript (pages, tables, and figure), provided as requested by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. (ii) PubMed Search String: this f...
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Intra-articular and peri-articular hyaluronic acid (HA) injections are widely used to treat several musculoskeletal pathologies. Although clinical outcomes are often positive for different conditions, an holistic consensus on this topic is still lacking. Our work is divided in two main sessions: in the first section we analyzed the preclinical base...
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Background: The management of acute low back pain (LBP) is directed to obtain early and maximum relief of the local and regional pain, and to improve mobility and physical function. Aim: To evaluate the effects of a 4 ml-volume diclofenac 75mg/thiocolchicoside 4mg fixed dose combination (FDC) for intramuscular (IM) injection (test) compared to t...
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Objective: In a context of bone fragility, primitive and subsequent fractures are a growing problem in the industrialized countries where the mean age of the population is constantly increasing. Among the various factors that favor a fragility fracture, the most important is osteoporosis, a pathology that can be prevented through diagnostic screen...
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Objective: Several different types of grafts have been used in ACL rupture. The purpose of the study was to compare the recovery of lower limbs muscle strength and proprioception in athletes, who underwent ACL reconstruction with Bone-Patellar-Tendon-Bone (BPTB) versus semitendinosus and gracilis (HS) autografts. Methods: We enrolled 30 male ama...
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Objective: To evaluate whether an 8-week whole-body vibration training program may improve recovery of knee flexion/extension muscular strength in athletes after arthroscopic anterior cruciate ligament (ACL) reconstruction. Design: Randomized controlled trial. Setting: Single outpatient rehabilitation center. Participants: Thirty-eight femal...
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Background: Plantar fasciitis (PF) is reported in different sports mainly in running and soccer athletes. Purpose of this study is to conduct a systematic review of published literature concerning the diagnosis and treatment of PF in both recreational and élite athletes. The review was conducted and reported in accordance with the PRISMA statement...
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The purpose of this study was to investigate the effectiveness of strength training, performed against a different resistance from body weight, in improving motor and nonmotor symptoms in patients with Parkinson’s disease (PD). The following electronic databases were searched: PubMed, Physiotherapy Evidence Database, Cochrane Central Register of Co...
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Scientific evidences show that people living with and surviving cancer may practice physical activity with several benefits and without particular side effects if type, timing and intensity of the activities are targeted on their clinical status. Physical exercise may prevent or reduce cancer-related fatigue before, during and after therapy. This c...
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Background: In recent years, local muscle vibration received considerable attention as a useful method for muscle stimulation in clinical therapy. Some studies described specific vibration training protocol, and few of them were conducted on post-stroke patients. Therefore there is a general uncertainty regarding the vibrations protocol. Aim: Th...
Article
BACKGROUND: Cyclists are constantly subjected to repeated stress at the level of the lumbar spine. In these athletes a significant functional overload of the spine is consequent to the maintenance of prolonged fixed positions and of the mechanical stresses due to vibration on the bicycle, thus determining the loss of its physiological curve. The hi...
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Background The anterior cruciate ligament (ACL) rupture accounting for about 50% of all knee ligament injuries. The rehabilitation program requires a long time to rebuild muscle strength and to reestablish joint mobility and neuromuscular control. The purpose of the study is to evaluate the muscle strength recovery in athletes with ACL reconstructi...
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Background and aim of the work: The purpose of the study was to examine the long term effects of a selective muscle strengthening program in reducing pain and improving knee function and strength in athletes with Patellofemoral Pain Syndrome. Methods: A total of one hundred and thirty four athletes were enrolled in the study. All patients were e...
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Scapular dyskinesis in pitchers can potentially lead to impairments in the optimal performance of muscles of the shoulder complex. The purpose of this prospective study was to evaluate whether the use of a scapula stabilizing t-shirt can decrease stress and discomfort in over-head baseball pitchers. Thirty-two semi-professional baseball pitchers we...
Article
Background: Fractures in elderly are always a dramatic event and the healing is often not complete. In a context of bone fragility, repeated fractures are a growing problem in the industrialized world, in which the mean age of population is increasing. The aim of this study was to identify those general factors which may increase the risk of subse...
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Aim. "Pubalgia like" syndromes in the athletes should not be underestimated because they are often associated with a high morbidity, which leads to time away from training and competition. The aim of the study was to verify the accuracy of an initial generic diagnosis of athletic pubalgia in professional soccer players. Methods. In this study 44 at...
Article
Background In spastic paresis, factors limiting active movement include antagonist contracture, agonist paresis, and spastic cocontraction. We studied agonist and antagonist muscle activation around the elbow to determine the role of the degree of muscle stretch in modifying paresis and cocontraction. Methods Eighteen healthy (age 47 ± 10) and 15...
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Advanced PD is often associated with cognitive impairment and frequent falls. We describe a suggestive case report of PD associated with mild cognitive impairment (MCI) and falls. The aim of our study was to test alteration in balance potentially related to use of acetylcholinesterase inhibitor (AchEI). We address this hypothesis after keeping the...
Article
Purpose of this study is to evaluate differences in leg muscles strength and motor performance between neuromuscular taping (NT) and sham tape groups. Relapsing-remitting (RR) multiple sclerosis (MS) patients were recruited and randomly assigned to NT or sham tape groups. All patients underwent the treatment 5 times at 5-d intervals. They were subm...
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Background: Drop foot is a distal deficiency common in patients with central nervous system diseases that makes clearance difficult during swing phase, contributes to inefficient gait compensations contribute to increase incidence of falls and energy expenditure. Aim of this study is to evaluate the effectiveness of a single application of function...
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Background and aim of the work: Chronic low back pain (CLBP) is a major cause of disability, for which clinical practice guidelines suggest exercise programs, such as Back School program (stretching and selective muscle reinforcement techniques) and Hydrotherapy technique, as an effective treatment to reduce pain intensity and disability. Methods...
Article
Background: Vibration therapy may be used to help cortical reorganization after stroke as it can cause different adaptive metabolic and mechanical effects. Objective: This study examined whether the application of mechano-acoustic vibration on upper limb muscles could induce changes in range of motion (ROM), function, pain, and grip strength in...
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Hip and groin pain in athlete is a common condition and is not infrequently a cause of frustration and aggravation to both physician and patient. It may result from an acute injury, a chronic repetitive trauma and also from systemic pathologies. The differential diagnosis of hip pain is broad and includes bone injuries, intra- and extra-articular p...
Article
Whole body vibration training is a recent area of study in athletic conditioning, health and rehabilitation. This paper provides a review of the effectiveness of this type of training in sport. A search was conducted across several electronic databases and studies on effects of whole body vibration training on sport performance were reviewed. 13 ar...
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Background: Despite the use of many shoulder outcome scales in subjects with rotator cuff pathology or instability symptoms, it can be problematic to select an instrumental evaluation in the shoulder trauma population. In this study we evaluated patients with proximal humeral fractures treated with internal fixation with a locking plate, analyzing...
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The aim of this study is to understand whether the isokinetic strength could be a valid objective data of functional recovery evaluating a group of patients with proximal humeral fractures treated with open reduction and internal fixation with locking plate comparing the clinical and functional recovery (isokinetic strength) with the not involved s...
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Although athletic injuries at the hip occur less commonly than injuries in the extremities, groin pain is an insidious condition in athletes with significant morbidity, which leads to time away from training and competition, and may result in a career ending event. The anatomy and biomechanics of hip and pelvis are among the most complex and contro...
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Background: Plantar fasciitis is one of the most common causes of pain in the inferior heel and is very frequent in some running sports. It affects up to 10% of general population and accounts for 11% to 15% of all foot pain symptomatology. Several treatments have been suggested, but there is no evidence supporting a specific conservative manageme...
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Background and aim of the work: the traumatic amputation or partial amputation of a portion of the lower limb is one of the most serious and not so rare road accident and job injury. There are few cases reported of replantation of the lower extremities rather than amputation surgery. This work describes a case of partial amputation of the right an...
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Aim: The authors proposed to retrospectively assess the incidence of ankle sprain and the relevant risk factors in footballers playing in the teams of the province of Parma during a professional season. Methods: Sixty-six football clubs from the province of Parma associated with the Italian Football Federation were contacted. Each athlete involved...