Background: The terminology of urinary incontinence (UI) and pelvic floor dysfunctions is complex. It affects quality of life and daily activities in personal, social, and professional fields. Managing UI without pharmacologic therapies is effective with a low risk of adverse effects and a large benefit for increasing continence rates. The aim of this preliminary retrospective observational study is to evaluate the effectiveness of the association between manual therapy and focused mechano-acoustic vibrations in women with nonspecific UI. Materials and methods: A group of 15 incontinent women (mean age 59.5 ± 11.4), referred to the Physiotherapy Center, Rehabilitation and Re-education (Ce.Fi.R.R.), located at the University “Gabriele d’Annunzio” of Chieti-Pescara from January 2019 December 2021, were enrolled after medical examination. The women were evaluated at T0 (admission protocol), T1 (after 8 weeks), and T2 (after 12 weeks). All patients received the rehabilitation protocol twice a week for a total of 8 weeks (T1) and were reevaluated after 12 weeks (T2). Outcome measures were: the Pelvic Floor Disability Index, the Pelvic Floor Impact Questionnaire-7, and the MyotonPRO. Results: The analysis of MyotonPRO data showed no significant improvements in all parameters. The PFDI-20 and PFIQ-7 questionnaire results showed a significant reduction in scores between T0 and T2.Results over time of the ANOVA values confirming the significant differences in the PFDI-20 and PFIQ-7 questionnaire results but not in the MyotonPRO variables. Conclusions: Despite limitations and no significant results, this study demonstrated that the integration of manual and focused mechano-acoustic vibrations therapy improved the symptoms of UI and reduced its psychosocial impact. Further experience could be required to establish the place of this integrated approach in achieving long-term improvements in UI.

Background: The aim of this study was to evaluate the effects of integrated thermal rehabilitation care (ITRC) on postural balance and health-related quality of life in subjects with basic autonomy. Materials and Methods: From June to December 2021, a total of 50 individuals with six points on the Katz Index of Independence in Activities of Daily Living (ADL) and a mean age of 66 (DS ± 12), comprising 27 (54%) males and 23 (46%) females, were selected. This study was carried out at the Thermal Medical Center of Castelnuovo della Daunia (Foggia, Italy), which operates within the National Health Service. The outcome measures were baropodometry (static exam, dynamic exam, and stabilometric exam), a biometric evaluation system, and the EuroQol 5-Dimension (EQ-5D-5L). Results: Statistical analysis of the data showed how balance affected postural control and how ITRC was able to reduce the body’s imbalance and improve quality of life. The vertical angles in frontal projection displayed an increment in the values (head/shoulder, p = 0.009; head/pelvis, p = 0.001; right hip/knee, p = 0.01; right hip/ankle, p = 0.008). In a dynamic analysis, the podalic weight percentage was shown to have a reduction in imbalance on both sides (left side, p = 0.01; right side, p = 0. 01). EQ-5D-5L showed a statistically significant improvement in quality of life and perception of quality of life. Indeed, the health status score improved in all items and in the total rate of the EQ index. In all subjects, walking motility (p = 0.005), self-care (p = 0.002), and habitual activity (p = 0.002) showed statistically significant increments in their values. Pain/discomfort (p = 0.001) and anxiety (p = 0.006) were also reduced. In addition, there was a statistically significant increment in the Visual Analogue Scale (VAS) score (p = 0.001) for life perception. Conclusions: The ITRC approach showed how small adjustments and postural rebalancing led to a significant improvement in quality of life. ITRC can be considered an effective treatment with good tolerability for a variety of musculoskeletal disorders.

Introduction Early rehabilitation programs have become an important focus of perioperative management after colorectal surgery with aims of improving patient care, reducing complication rates, and shortening hospital stay following colorectal surgery. The aim of this study is to evaluate the efficacy and safety of Yogic Breathing and Manual Diaphragm Release Technique in early rehabilitation of patients following surgery to remove colorectal cancer. Methods A total of 40 patients with colorectal cancer who underwent colorectal resection were randomly assigned to receive either the experimental protocol (experimental group, EG: n 20 average age 66,5 years) or the stansard postoperative care (standard group, SG: n 20 average age 66 years). In all subjects, postoperative outcomes after seven sessions were: peripheral oxygen saturation of capillary blood hemoglobin (SpO2), heart rate (HR), Activities of Daily Living (ADL), Short-Form 12 (SF-12) questionnaire, Visual Analogue Scale (VAS) and pulmonary functionality (spirometer). Results The length of postoperative hospital stay and ventilation hours were shorter in patients receiving the experimental protocol compared with those receiving the conventional postoperative care. A better pulmonary functionality, which is fundamental for reducing lung complications, was recorded in patients receiving the experimental program than in those receiving conventional care mainly in the percentage of Forced Expiratory Volume in 1st second. A significantly improvement of SPO2 and a greater decrement of HR was observed in the EG. To compare with SG, SF12 score after experimental protocol showed an improvement of quality of live. There was no significant difference in ADL score when the two groups were compared. Patients who received the experimental protocol compared with those receiving the standard postoperative care showed a significantly reduction of discomfort after surgery. Conclusion Our experience demonstrated that there is the place for cooperation between Yogic Breathing and Manual Diaphragm Release Technique after colorectal surgery. The comparison between the groups showed that the SG has been in a favorable clinical condition to prevent PPCs than the CG group. Thus, this new approach could be used as a component of the management of patients who have undergone colorectal surgery for cancer.

The purpose of this study is to evaluate the effectiveness of radial shock waves in myofascial upper trapezius syndrome following the global treatment scheme of key trigger points. Materials and methods 26 patients treated with rESWT (Radial shock wave therapy) after a global postural and myofascial assessment of the patient and the identification of the key trigger points. At the end of the treatment each subject was re-evaluated through the Numerical Rating Scale - NRS and through the examination with Electronic Baropodometer. In this study, we compared the values of NRS and the values of postural biometrics before and after 2 sessions of rESWT, and a statistically significant difference (P <0.05) in all measurements emerged in the values measured with NRS. In the static percentage load, a statistically significant reduction in the percentage load differences (right / left) (P <0.05) was observed in all three evaluation moments (T0, T1, T2). The percentage and statistically significant improvement (P <0.05) were recorded at time T2 in the surface of the ellipse. Greater control of balance and greater awareness of the base of support was found in the calculation of the sway path, in particular with closed eyes. Based on this experience, the use of radial shock waves in pathologies related to myofascial pain with postural implications would be desirable.

Traditional thermal medicine, gold standard for some pathologies, focuses its therapeutic target mainly on a sectorial level, focusing only on the pathological symptom and neglecting man as a whole. The importance of the whole, of the phenomena of systemic, viscero-somatic and somato-visceral interrelation, has led to the creation of a new approach called "CTI" - Integrated Thermal Care, which uses all the thermal therapies, integrated and administered according to the individual needs to enhance their therapeutic effect. 235 subjects have received, on average, 40 treatments within about a year. They were treated with hydropinic treatment, inhalation treatments, hydrokinesitherapy, vascular pathways, mud therapy and manual neuromuscular therapy associated with the previous treatments. The results obtained in all the FIM, VAS, TINETTI, EUROQOL scales are positive and statistically significant, which suggests that a modification of the treatment protocols, which provides for a unique and integrated stimulation, is the new objective of thermal medicine for serious disabilities.

This experimental study aims to evaluate and validate the effectiveness of the proposed application method in the use of "focused mechanical vibrations" for the treatment of muscle spasticity. The basic concept of this study is that in spasticity, by specifically stimulating some clearly identifiable trigger points of the body, better results are obtained; in fact, with the localized mechanical-sound vibrations, by positioning the handpiece for the treatment on those specific points, immediate generalized relaxation of the entire spastic muscle is obtained through reflex pathways. To evaluate this operative reality we treated 5 subjects affected by neurological pathology with spasticity and at T0 time (before treatment) and at T1 time (immediately after treatment), they were assessed with Ashworth Scale, Passive joint evaluation, Evaluation of active motility, Test of Bahkta (for non-functioning hand), surface electromyography The subjects were treated with a 120Hz vibratory therapy handpiece for a total time of 15 minutes The data showed us a clear improvement of the parameters lost in the exam, in the less serious patients and a good improvement also in the most serious subjects.