Yannis Dionyssiotis

Yannis Dionyssiotis
University of Patras | UP · Spinal Cord Injuries Rehabilitation Clinic

Professor

About

154
Publications
46,067
Reads
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891
Citations
Introduction
SPINAL CORD INJURY, osteosarcopenia, sarcopenia, osteoporosis, falls, fractures, stroke, multiple sclerosis, botulinum toxin, McKenzie, disability, carers, neurodisability
Additional affiliations
June 2021 - present
General University Hospital Patras
Position
  • Professor (Assistant)
December 2018 - June 2021
National Rehabilitation Center EKA
Position
  • Consultant
June 2018 - December 2018
General University Hospital Ioannina
Position
  • Consultant
Education
September 1990 - January 1997

Publications

Publications (154)
Article
Full-text available
Falls are one of the most common geriatric problems threatening the independence of older persons. Elderly patients tend to fall more often and have a greater tendency to fracture their bones. Fractures occur particularly in osteoporotic people due to increased bone fragility, resulting in considerable reduction of quality of life, morbidity, and m...
Article
Full-text available
Interventions other than medications in the management of osteoporosis are often overlooked. The purpose of this study was to investigate the association of physical activity and calcium intake with bone parameters. We measured the heel T-score and stiffness index (SI) in 1890 pre- and postmenopausal women by quantitative ultrasound (QUS) and asses...
Article
Full-text available
A sudden loss of motor function in segments of the spinal cord results in immobilisation and is complicated by bone loss and fractures in areas below the level of injury. Despite the acceptance of osteoporosis and fractures as two major public health problems, in people with spinal cord injuries, the mechanisms are not adequately investigated. Mult...
Article
Full-text available
Low back pain (LBP) is a common clinical problem imposing a prominent socio-economic burden. The purpose of this systematic review was to investigate the biopsychosocial effects of the Mulligan Concept (MC) of manual therapy (MT) when applied to patient's with LBP. Three researchers independently evaluated the literature quality, and completed a re...
Article
Full-text available
Background: Chronic heart failure (CHF) is a multifaceted syndrome associated with endothelial dysfunction and increased inflammation. Despite the existing controversies regarding the appropriate training modality, it is widely accepted that supervised cardiac rehabilitation (CR) interventions lead to pro-inflammatory biomarkers reduction and cell...
Preprint
Objective Stroke is a significant cause of disability, rendering patients with inability to perform activities of daily living due to lack of functional recovery. Precise prognosis in the early stage after stroke could enable realistic goal-setting and efficient resources allocation. Prediction algorithms have been tested and validate in the past,...
Article
Full-text available
Osteosarcopenia has been proposed as a syndrome in a subset of frail individuals at higher risk of falls, fractures, and institutionalization. In this paper, we will go over the translational aspects of sarcopenia and osteoporosis research and highlight outcomes from different interventions. In addition, preventative measures and therapeutic interv...
Article
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Von Hippel Lindau (VHL) is a hereditary multiple neoplasia syndrome. We report a case series of two siblings with Von Hippel Lindau (VHL) disease admitted to the rehabilitation department after surgical excision of Central Nervous System (CNS) haemangioblastomas. These clinical cases present rehabilitation challenges in VHL disease. We present a 39...
Article
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Shortened and fragmented sleeping patterns occupying modern industrialized societies may promote metabolic disturbances accompanied by an increased risk of weight gain and skeletal muscle degradation. Short-term sleep restriction may alter energy homeostasis by modifying dopamine brain receptor signaling, leading to hyperpalatable food consumption...
Article
During the acute and chronic phase of spinal cord injury (SCI) bone turnover and structure are affected. Bone mineral density of lower limbs is decreased up to 28-50% below that of age-matched peers at 12–18 months post injury. Coexisting secondary etiologies of osteoporosis may be present, and during ageing additional loss of bone occurs. All thes...
Article
Full-text available
1 Εξωτερικό Ρευματολογικό Ιατρείο ΕΣΥ Πανεπιστημιακού Γενικού Νοσοκομείου Αλεξανδρούπολης 2 1 η Κλινική Φυσικής Ιατρικής και Αποκατάστασης, Εθνικό Κέντρο Αποκατάστασης (ΕΚΑ), Αθήνα Περίληψη H ανασκόπηση αποτελεί μια ευρύτερη παρουσίαση των μελετών που αφορούν τη σαρκοπενία, την καχεξία και την ευπάθεια στα ρευματικά νοσήματα. Αναλύεται η συχνότητ...
Article
An online survey To describe current clinical practices regarding osteoporosis assessment and management in people with Spinal Cord Injury (SCI) and compare them to recommended diagnostic tests and interventions. An international collaboration surveying professionals working in SCI Medicine. Online cross-sectional survey regarding clinical practice...
Article
Full-text available
Background and purpose: Spasticity is a disorder of sensory-motor control that appears as an effect of a lesion in the upper motor neuron and demonstrates sustained or intermittent unintentional muscle activation. Many treatment interventions exist to treat spasticity, and in this study, three of them were combined: vibration, static positioning a...
Article
Full-text available
Background: In recent decades, many studies are focused on different training modalities comparison in patients with cardiac diseases. High intensity aerobic interval training (HIAIT) has been considered as an alternative approach to moderate-intensity continuous training (MICT) in rehabilitation of patients with chronic heart failure (CHF). Aim:...
Article
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Objective: Low muscle function is a component of sarcopenia. Rheumatic and musculoskeletal diseases are related to increased muscle loss and decreased muscle performance. Our purpose was to study muscle function among pre and postmenopausal women and women with rheumatic diseases. Methods: Two hundred fifty seven women were included in the study...
Article
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Locked-in syndrome (LIS) is a neuropsychological condition, in which patients present with quadriplegia, lower cranial nerve paralysis, and mutism. Diagnosis of LIS is difficult because of the similarities with other related syndromes, but it is of crucial importance to establish precise and early diagnosis in order to make the appropriate decision...
Article
Full-text available
With increasing longevity, hip fractures become more and more a serious burden not only for societies in developed civilization, but also for emerging countries. According to world-wide projections 1.5 million people are affected each year. Although a lot of research has been performed over the last decade, there is still a lack of standardized and...
Article
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The loss of strength, mobility and functionality is not an inevitable part of aging. It is a result of disuse, abnormal hormonal levels, nutritional and dietary issues amongst other factors that deteriorate with aging. One of the greatest threats for the adult’s ability to remain healthy and functional while growing old is the gradual loss of lean...
Article
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The prevalence of chronic illness and the disabilities they cause are strongly associated with age. According to the United Nations, in most countries around the world, 8-10% of the population has some form of disability. Carers are helping subjects who have severe or profound core activity limitations in the community and hospice facilities. The s...
Article
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In the 21st century, life expectancy has increased and consequently so has the number of elderly people. Sarcopenia is an emerging area in geriatric medicine. The European Working Group on Sarcopenia in Older People (EWGSOP) defined sarcopenia as a syndrome characterised by progressive and generalised loss of skeletal muscle mass and strength and/o...
Book
Full-text available
Αγαπητοί συνάδελφοι, Η αιφνίδια απώλεια κινητικής λειτουργίας σε τµήµατα του νωτιαίου µυελού, οδηγεί σε ακινητοποίηση και περιπλέκεται από οστική διαταραχή και κατάγµατα κάτω από το επίπεδο της βλάβης. Παρά τον αυξηµένο αριθµό παραγόντων κινδύνου σε αυτούς τους πληθυσµούς δεν υπάρχουν κατευθυντήριες οδηγίες σχετικά µε τις µετρήσεις οστικής πυκνότη...
Article
Full-text available
Μακρόχρονη μελέτη διάρκειας 30 ετών στην Ελλάδα έδειξε ότι η συχνότητα των καταγμάτων του ισχίου λόγω οστεοπόρωσης έχει τριπλασιαστεί. Τα κατάγματα ισχίου αποτελούν συνήθως ένα τραυματικό επεισόδιο που χρειάζεται χειρουρ-γική παρέμβαση για την αποκατάσταση του κατάγματος ή την αντικατάσταση της άρθρωσης του ισχίου. Το κάταγμα ισχίου μπορεί να συμβε...
Article
Full-text available
Objective: Little is known about how appropriate the working definitions of sarcopenia are in subjects with spinal cord injury (SCI). This study aimed to evaluate the application of current sarcopenia definitions in SCI. Methods: We compared 31 complete SCI men with 33 able-bodied age matched subjects. All were examined by whole body DXA (Norlan...
Article
Full-text available
Spinal cord injury (SCI)-related osteoporosis is common complication in people with tetraplegia or paraplegia. Studies have shown that sublesional regions are severely demineralized. Loss of bone and sequential fractures are major problems in people with SCI that lead to further immobilization and decreasing quality of life. Despite extensive resea...
Article
Full-text available
Introduction: Athletic performance is the result ofthe interaction of various factors. The flexibility ofthe joints plays an important role in athletic per-formance. The effect of static and dynamicstretching on physical performance has beenstudied, but with no mention to variable duration.This study aims to examine the effect of durationof acute...
Article
Full-text available
On July 13th 2010, Lazlo Andor (Commissioner for Employment, Social Affairs and Inclusion) declared that active ageing could make the baby-boomers generation a part of the solution of the demographic problem, instead of identifying with it. This is the reason why the "Europe 2020" strategy draws the attention to the necessity of ensuring that the e...
Article
Full-text available
Introduction/Background The European Working Group on Sarcopenia in Older People (EWGSOP) categorized sarcopenia in primary-age related and secondary sarcopenia. Whole body Dual-energy X-ray Absorptiometry (DXA) measurement remains the gold standard for muscle mass measurements. Sarcopenia is defined by measuring muscle mass (ratio of appendicular...
Article
Full-text available
Aim: Epidemiological study of the incidence of mechanical low back pain (LBP) in non-professional female Greek classic ballet dancers over a year and therapeutic interventions required to address symptoms. Materials and methods: Forty-six female classic ballet dancers members of preprofessional schools, aged 16-37 years (mean 28.8 ±5.44 yrs) practi...
Article
Introduction: Friedreich's ataxia (FDRA) is the most common autosomal recessive, early-onset ataxia. FDRA is a progressive neurodegenerative disease that mainly affects the posterior (dorsal) columns of the spinal cord resulting in sensory ataxia. It manifests in initial symptoms of poor coordination and gait disturbance. Case presentation: We p...
Article
Full-text available
Mobilization and Stimulation of Neuromuscular Tissue (MASONT) is a newly invented somatosensory intervention used for the recovery of function in stroke patients. This paper aims to offer a more spherical view on the new technique. To that end, a basic manual of MASONT's application is provided, along with its rational of use. Moreover, clinical ob...
Article
Background Hypertension is associated with deterioration of musculoskeletal function and functional capacity. Existing prediction models for assessment of the 6-min walk test (6MWT) do not capture the disease-related functional capacity. This study developed a multivariate prediction model of the measured 6-min walked distance (6MWDM) in hypertensi...
Article
Full-text available
Introduction: Athletic performance is the result of the interaction of various factors. The flexibility of the joints plays an important role in athletic performance. The effect of static and dynamic stretching on physical performance has been studied, but with no mention to variable duration. This study aims to examine the effect of duration of ac...
Article
Full-text available
Falls among elderly are a common and major public health problem. Even though most falls do not lead to injury, they threaten the independence of older people causing functional decline in activities of daily living (ADLs) with substantial socioeconomic consequences. According to current literature several risk factors have been identified. Falls r...
Article
Full-text available
Objective: Malnutrition is a common problem in hip fracture patients. The prevalence of malnutrition and available nutritional markers for use for nutritional assessment in this population group was investigated. Methods: This is a case control study including 214 patients with a hip fracture from "KAT" Hospital in Athens, Greece, and 108 contro...
Book
Full-text available
Frailty is considered a multisystem impairment that makes an individual vulnerable to external or internal stressors. Sarcopenia, the age-dependent loss of muscle mass and function, is proposed as the biological substrate and the pathway whereby the consequences of physical frailty develop. These syndromes are associated with a negative impact in q...
Chapter
Rehabilitation in hip-fractured subjects needs to be individualized to optimize function to the highest level of independence while improving the overall quality of life. Exercise is the cornerstone in a programme which should focus on how to increase muscular-bone strength and balance. Resistance exercises are beneficial for the muscle and bone, a...
Article
Full-text available
Background: Falling is a major clinical problem in elderly people, demanding effective solutions. At present, the only effective intervention is motor training of balance and strength. Executive function-based training (EFt) might be effective at preventing falls according to evidence showing a relationship between executive functions and gait abn...
Article
Full-text available
Objective: Corridor tests (CT) are validated tools used to measure the effects of rehabilitation interventions in frail elderly subjects. Recently the six-minute walk test (6MWT) was introduced in the assessment of frail individuals. The purpose of this study was to investigate the use of the 6MWT as a tool for measurement the functional capacity a...
Article
According to the mechanostat, a model promoted by Harold Frost and described in detail in the “Utah paradigm of skeletal physiology”, bone growth and bone loss are stimulated by the local mechanical elastic deformation of bone.Mechanical stimulation loading generated by muscles must reach a threshold in order for exercise to have positive results o...
Article
Full-text available
The principles of physical medicine and rehabilitation for acute injuries of muscles, tendons and ligaments include following stages: healing of soft tissue, early mobilization after injury, and progressive tissue loading in order to return to the functional level. The aim is the control of pain and edema, restoration of normal range of motion, str...
Article
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Η αναπηρία και η συνακόλουθη ακινητοποίηση έχουν συνδεθεί με σημαντικές αλλαγές στην σύσταση του σώματος, όπως η ελάττωση της άλιπης σωματικής μάζας και της οστικής πυκνότητας έναντι της αύξησης του λιπώδους ιστού. Οι δυνητικοί κίνδυνοι που απορρέουν από τις αλλαγές αυτές, επιπλέκουν την υγεία των ατόμων με αναπηρία. Το σωματικό λίπος έχει ταυτοποι...
Article
Full-text available
Neurological and neurosurgical diseases lead to complications producing malnutrition increasing pathology and mortality. In order to avoid complications because of malnutrition or overcome deficiencies in nutrients supplements are often used for these subjects. The physiopathological mechanisms of malnutrition, methods of nutritional assessment and...
Data
Full-text available
Article
Οι αρχές της αποκατάστασης για οξείες βλάβες μυών, τενόντων και συνδέσμων περιλαμβάνουν την εφαρμογή σταδίων επούλωσης των μαλακών ιστών, έγκαιρης κινητοποίησης μετά από τραυματισμό, και προοδευτικής φόρτισης του ιστού για επιστροφή σε λειτουργικό επίπεδο. Στόχους αποτελούν ο έλεγχος του πόνου και του οιδήματος, η αποκατάσταση του φυσιολογικού εύρο...
Article
Full-text available
Οι αρχές της αποκατάστασης για οξείες βλάβες μυών, τενόντων και συνδέσμων περιλαμβάνουν την εφαρμογή σταδίων επούλωσης των μαλακών ιστών, έγκαιρης κινητοποίησης μετά από τραυματισμό, και προοδευτικής φόρτισης του ιστού για επιστροφή σε λειτουργικό επίπεδο. Στόχους αποτελούν ο έλεγχος του πόνου και του οιδήματος, η αποκατάσταση του φυσιολογικού εύρο...
Chapter
Full-text available
Η ογκολογική αποκατάσταση έχει ιδιαίτερη σημασία στην αντιμετώπιση του καρ- κίνου, και με δεδομένη την αυξημένη επιβίωση, περιλαμβάνει διαδικασίες που έχουν εξελιχθεί από απλά υποστηρικτικές και ανακουφιστικές μορφές φροντίδας σε πολύπλοκες παρεμβάσεις.
Article
According to the mechanostat, a model promoted by Harold Frost and described in detail in the “Utah paradigm of skeletal physiology”, bone growth and bone loss are stimulated by the local mechanical elastic deformation of bone. Mechanical stimulation loading generated by muscles must reach a threshold in order for exercise to have positive results...
Article
Full-text available
Disability leads to immobilisation associated with profound changes in body composition. The potential risks involved with these changes i.e. loss of lean tissue mass (LM) and bone mineral density (BMD) vs. gain in fat mass (FM) in body composition have implications for the health of the disabled individuals. Body fat has been identified as a signi...
Article
Full-text available
http://www.egalinos.gr/gr/issues/latest/ http://issuu.com/egalinos/docs/merged__3o_2015?e=15627266/30652902
Article
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Background: The Extended Forsteo Observational Study (ExFOS) is a multinational, non-interventional, prospective, observational study that aims to provide real-life data on patients with osteoporosis treated with teriparatide for up to 24 months. It includes the new indications of osteoporosis in men and glucocorticoid-induced osteoporosis (GIOP)....
Conference Paper
Full-text available
This study shows preliminary results of the multicenter and international I-DONT-FALL (IDF) project co-funded by the European Union aiming to offer an integrated ICT solution for fall prevention and detection. Here we assessed the efficacy of a motor and a cognitive treatment delivered through the IDF ICT solution, aiming to reduce the risk of fall...
Book
Full-text available
A balanced regulation of bone formation and resorption in the healthy individual is required for a healthy bone. On the other side, there are many factors which can lead to alterations in bone density and microarchitecture. Menopause is a condition which can increase the remodeling process in favor of resorption. Moreover, there are also some disea...