13 results on '"Saibene, F. L."'
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2. Neuroimaging Biomarkers Predicting the Efficacy of Multimodal Rehabilitative Intervention in the Alzheimer’s Dementia Continuum Pathology
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Di Tella, Sonia, Cabinio, M., Isernia, Sara, Blasi, Valeria, Rossetto, Federica, Saibene, F. L., Alberoni, M., Silveri, Maria Caterina, Sorbi, S., Clerici, M., Baglio, F., Di Tella S. (ORCID:0000-0002-2248-5120), Isernia S. (ORCID:0000-0002-0849-3984), Blasi V., Rossetto F., Silveri M. C. (ORCID:0000-0001-5012-0682), Di Tella, Sonia, Cabinio, M., Isernia, Sara, Blasi, Valeria, Rossetto, Federica, Saibene, F. L., Alberoni, M., Silveri, Maria Caterina, Sorbi, S., Clerici, M., Baglio, F., Di Tella S. (ORCID:0000-0002-2248-5120), Isernia S. (ORCID:0000-0002-0849-3984), Blasi V., Rossetto F., and Silveri M. C. (ORCID:0000-0001-5012-0682)
- Published
- 2021
3. Automated scoring for a Tablet-based Rey Figure copy task differentiates constructional, organisational, and motor abilities
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Petilli, M, Daini, R, Saibene, F, Rabuffetti, M, Petilli M. A., Daini R., Saibene F. L., Rabuffetti M., Petilli, M, Daini, R, Saibene, F, Rabuffetti, M, Petilli M. A., Daini R., Saibene F. L., and Rabuffetti M.
- Abstract
Accuracy in copying a figure is one of the most sensitive measures of visuo-constructional ability. However, drawing tasks also involve other cognitive and motor abilities, which may influence the final graphic produced. Nevertheless, these aspects are not taken into account in conventional scoring methodologies. In this study, we have implemented a novel Tablet-based assessment, acquiring data and information for the entire execution of the Rey Complex Figure copy task (T-RCF). This system extracts 12 indices capturing various dimensions of drawing abilities. We have also analysed the structure of relationships between these indices and provided insights into the constructs that they capture. 102 healthy adults completed the T-RCF. A subgroup of 35 participants also completed a paper-and-pencil drawing battery from which constructional, procedural, and motor measures were obtained. Principal component analysis of the T-RCF indices was performed, identifying spatial, procedural and kinematic components as distinct dimensions of drawing execution. Accordingly, a composite score for each dimension was determined. Correlational analyses provided indications of their validity by showing that spatial, procedural, and kinematic scores were associated with constructional, organisational and motor measures of drawing, respectively. Importantly, final copy accuracy was found to be associated with all of these aspects of drawing. In conclusion, copying complex figures entails an interplay of multiple functions. T-RCF provides a unique opportunity to analyse the entire drawing process and to extract scores for three critical dimensions of drawing execution.
- Published
- 2021
4. Functional and Cognitive Improvement After an Intensive Inpatient Multidisciplinary Rehabilitation Program in Mild to Severe Parkinson's Disease: A Retrospective and Observational Study
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Meloni, M., Saibene, F. L., Di Tella, Sonia, Di Cesare, M., Borgnis, Francesca, Nemni, R., Baglio, F., Di Tella S. (ORCID:0000-0002-2248-5120), Borgnis F., Meloni, M., Saibene, F. L., Di Tella, Sonia, Di Cesare, M., Borgnis, Francesca, Nemni, R., Baglio, F., Di Tella S. (ORCID:0000-0002-2248-5120), and Borgnis F.
- Abstract
Parkinson's disease (PD) is a neurodegenerative disorder characterized by motor (resting tremor, rigidity, bradykinesia, postural instability, and gait disturbances) and nonmotor symptoms (cognitive, neuropsychiatric, and autonomic problems). In recent years, several studies demonstrated that neurorehabilitation therapy is an effective treatment in addition to pharmacological personalized interventions in persons with PD (PwPD). The main aim of this study was to explore the short-term changes in functional, cognitive, and geriatric domains after a multidimensional rehabilitation program in PwPD (as primary condition) in mild–moderate (M-Ms) to severe (Ss) stages. Our second aim was to compare the effects of multidimensional rehabilitation in M-Ms versus Ss of PD. Twenty-four PwPD in M-Ms to Ss [age (mean ± SD) = 76.25 ± 9.42 years; male/female = 10/14; Hoehn and Yahr (median; IQR) = 4.00; 1.75] were included in a retrospective, observational study. Motor, cognitive, functional, and neuropsychiatric aspects were collected in admission (T0) and in discharge (T1). PwPD were involved in a person-tailored (to individual's needs), inpatient, intensive (5–7 days per week), multidisciplinary (combining cognitive, physical, occupational, and speech therapies), comprehensive, and rehabilitative program. According to Movement Disorders Society Unified Parkinson's Disease Rating Scale III cutoff, PwPD were classified in M-Ms or Ss (M-Ms ≤59; Ss >59); 87.50% of our sample reported significant reduction of functional disability at Barthel Index (p < 0.001). A significant improvement in Token test (p = 0.021), semantic fluency (p = 0.036), Rey's Figure-Copy (p < 0.001), and Raven's Colored Progressive Matrices (p = 0.004) was observed. The pain intensity perception (p < 0.001) and the risk of developing pressure ulcers (p < 0.001) as assessed, respectively, by the Numeric Rating Scale and by the Norton Scale were improved. With regard to the second aim, in M-Ms grou
- Published
- 2021
5. “Art, Colors, and Emotions” Treatment (ACE-t): A Pilot Study on the Efficacy of an Art-Based Intervention for People With Alzheimer’s Disease
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Savazzi, Federica Antonia Maria, Isernia, Sara, Farina, Elisabetta, Fioravanti, R., D'Amico, Adele, Saibene, F. L., Rabuffetti, M., Gilli, Gabriella, Alberoni, M., Nemni, R., Baglio, F., Savazzi F., Isernia S. (ORCID:0000-0002-0849-3984), Farina E., D'Amico A., Gilli G. (ORCID:0000-0002-9889-107X), Savazzi, Federica Antonia Maria, Isernia, Sara, Farina, Elisabetta, Fioravanti, R., D'Amico, Adele, Saibene, F. L., Rabuffetti, M., Gilli, Gabriella, Alberoni, M., Nemni, R., Baglio, F., Savazzi F., Isernia S. (ORCID:0000-0002-0849-3984), Farina E., D'Amico A., and Gilli G. (ORCID:0000-0002-9889-107X)
- Abstract
Increasing evidence suggests that non-pharmacological therapies impact on neuropsychiatric symptoms and quality of life in people with Alzheimer’s disease. Among these, art-based interventions seem particularly suitable for elders’ rehabilitation as they act both on cognitive functions and quality of life. However, their benefits are not yet appropriately explored. The main aim of this quasi-experimental study was to test the feasibility and the likely efficacy of a novel multi-dimensional visual art intervention for people with Alzheimer’s disease (PWAD), named Art, Colors, and Emotions treatment (ACE-t). A group of PWAD (N = 10) was recruited from the Memory Clinic of Don Gnocchi Foundation to take part in the ACE-t. A historical control group that followed a usual care program (N = 10) was used for comparison. We considered both feasibility output (adherence and acceptability) and efficacy outcome measures (neuropsychological and neurobehavioral scales). We observed a good adherence to and acceptability of the ACE-t. The following significant intervention-related changes were also observed in ACE-t with respect to usual care: improvement in general cognition, as assessed with the Alzheimer’s Disease Assessment Scale–Cognitive, amelioration in language, and in executive functions, and reduction in Neuropsychiatric Inventory Scale score. In conclusion, ACE-t could be considered as a suitable intervention for the rehabilitation of PWAD, with positive effects on the cognitive and the behavioral status. ACE is a promising new art-based intervention that merits further research, including confirmatory trials of our preliminary results.
- Published
- 2020
6. Implementation of the dutch meeting centres support program for people with dementia and their carers in milan:Process evaluation of the preparation phase
- Author
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van der Sanden, M. C., Farina, E., Saibene, F. L., Meiland, F. J. M., Droes, R. M., Westerman, M. J., and Chattat, R.
- Abstract
Background and Aims. The Meeting Centres Support Programme (MCSP) for people with mild to moderately severe dementia and their carers proved effective in the Netherlands, and is now being implemented in other European countries. This study aimed to compare factors that at the preparation of two meeting centres in Italy were expected and experienced as facilitating or impeding implementation. Methods. At the start, stakeholders (n = 19) filled in a checklist on expected facilitators and barriers. After opening the centres, experienced facilitators and barriers were inventoried in semi-structured interviews (n = 13) and analysed by two independent researchers, using a Theoretical model on implementation. Additionally, minutes of the initiative group were investigated. Expected and experienced facilitators and barriers were compared. Results. In contrary to the expectations, the use of existing networks/collaboration between organizations facilitated the preparation phase. As expected, motivated stakeholders were facilitating. Shortening of the original time plan (for pragmatic reasons) was not expected, and made some preparatory tasks difficult to fulfil. Lack of Italian examples and cultural differences in working method made the realization of meeting centres difficult to imagine. Some experienced factors were not foreseen due to unexpected events. Conclusions. Most aspects of MCSP appeared well implementable in the Italian setting. Many factors were in line with the Dutch implementation study, new influencing factors were also found.
- Published
- 2017
7. The Italian dementia with Lewy bodies study group (DLB-SINdem): toward a standardization of clinical procedures and multicenter cohort studies design
- Author
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Bonanni, L, Cagnin, A., Agosta, F., Babiloni, C., Borroni, B., Bozzali, M., Bruni, A. C., Filippi, M., Galimberti, D., Monastero, R., Muscio, C., Parnetti, L., Perani, D., Serra, L., Silani, V., Tiraboschi, P., Padovani, A., On behalf of DLB SINdem study group, Null, Alberici, A., Alberoni, M., Amici, S., Appollonio, I., Arena, M. G., Arighi, A., Avanzi, S., Bagella, C. F., Baglio, F., Barocco, F., Belardinelli, N., Bonuccelli, U., Bottini, G., Bruno Bossio, R., Bruno, G., Buccomino, D., Cacchiò, G., Calabrese, E., Campanelli, A., Canevelli, M., Canu, E. D. G., Cappa, A., Capra, C., Carapelle, E., Caratozzolo, S., Carbone, G. F. S., Cattaruzza, T., Cerami, C., Cester, A., Cheldi, A., Cherchi, R., Chiari, A., Cirafisi, C., Colao, R., Confaloni, A., Conti, M. Z., Costa, A., Costa, B., Cotelli, M. S., Cova, I., Cravello, L., Cumbo, E., Cupidi, C., De Togni, L., Del Din, G., Del Re, M. L., Dentizzi, C., Di Lorenzo, F., Di Stefano, F., Dikova, N., Farina, E., Floris, G., Foti, A., Franceschi, M., Fumagalli, G. G., Gabelli, C., Ghidoni, E., Giannandrea, D., Giordana, M. T., Giorelli, M., Giubilei, F., Grimaldi, L., Grimaldi, R., Guglielmi, V., Lanari, A., Le Pira, F., Letteri, F., Levi Minzi, G. V., Lorusso, S., Ludovico, L., Luzzi, S., Maggiore, L., Magnani, G., Mancini, G., Manconi, F. M., Manfredi, L., Maniscalco, M., Marano, P., Marcon, M., Marcone, A., Marra, C., Martorana, A., Mascia, M. G., Mascia, V., Mauri, M., Mazzei, B., Meloni, M., Merlo, P., Messa, G., Milia, A., Monacelli, F., Montecalvo, G., Moschella, V., Mura, G., Nemni, R., Nobili, F., Notarelli, A., Di Giacomo, R., Onofrj, M., Paci, C., Padiglioni, C., Perini, M., Perotta, D., Perri, Formenti A., Perri, R., Piccininni, C., Piccoli, T., Pilia, G., Pilotto, A., Poli, S., Pomati, S., Pompanin, S., Pucci, E., Puccio, G., Quaranta, D., Rainero, I., Rea, G., Realmuto, S., Riva, M., Rizzetti, M. C., Rolma, G., Rozzini, L., Sacco, L., Saibene, F. L., Scarpini, E., Sensi, S., Seripa, D., Sinforiani, E., Sorbi, S., Sorrentino, Giuseppe, Spallazzi, M., Stracciari, A., Talarico, G., Tassinari, T., Thomas, A., Tiezzi, A., Tomassini, P. F., Trebbastoni, A., Tremolizzo, L., Tripi, G., Ursini, F., Vaianella, L., Valluzzi, F., Vezzadini, G., Vista, M., Volontè, M. A., Bonanni, L, Cagnin, A, Agosta, F, Babiloni, C, Borroni, B, Bozzali, M, Bruni, A, Filippi, M, Galimberti, D, Monastero, R, Muscio, C, Parnetti, L, Perani, D, Serra, L, Silani, V, Tiraboschi, P, Padovani, A, Alberici, A, Alberoni, M, Amici, S, Appollonio, I, Arena, M, Arighi, A, Avanzi, S, Bagella, C, Baglio, F, Barocco, F, Belardinelli, N, Bonuccelli, U, Bottini, G, Bruno Bossio, R, Bruno, G, Buccomino, D, Cacchiò, G, Calabrese, E, Campanelli, A, Canevelli, M, Canu, E, Cappa, A, Capra, C, Carapelle, E, Caratozzolo, S, Carbone, G, Cattaruzza, T, Cerami, C, Cester, A, Cheldi, A, Cherchi, R, Chiari, A, Cirafisi, C, Colao, R, Confaloni, A, Conti, M, Costa, A, Costa, B, Cotelli, M, Cova, I, Cravello, L, Cumbo, E, Cupidi, C, de Togni, L, Del Din, G, Del Re, M, Dentizzi, C, Di Lorenzo, F, Di Stefano, F, Dikova, N, Farina, E, Floris, G, Foti, A, Franceschi, M, Fumagalli, G, Gabelli, C, Ghidoni, E, Giannandrea, D, Giordana, M, Giorelli, M, Giubilei, F, Grimaldi, L, Grimaldi, R, Guglielmi, V, Lanari, A, Le Pira, F, Letteri, F, Levi Minzi, G, Lorusso, S, Ludovico, L, Luzzi, S, Maggiore, L, Magnani, G, Mancini, G, Manconi, F, Manfredi, L, Maniscalco, M, Marano, P, Marcon, M, Marcone, A, Marra, C, Martorana, A, Mascia, M, Mascia, V, Mauri, M, Mazzei, B, Meloni, M, Merlo, P, Messa, G, Milia, A, Monacelli, F, Montecalvo, G, Moschella, V, Mura, G, Nemni, R, Nobili, F, Notarelli, A, Di Giacomo, R, Onofrj, M, Paci, C, Padiglioni, C, Perini, M, Perotta, D, Perri, F, Perri, R, Piccininni, C, Piccoli, T, Pilia, G, Pilotto, A, Poli, S, Pomati, S, Pompanin, S, Pucci, E, Puccio, G, Quaranta, D, Rainero, I, Rea, G, Realmuto, S, Riva, M, Rizzetti, M, Rolma, G, Rozzini, L, Sacco, L, Saibene, F, Scarpini, E, Sensi, S, Seripa, D, Sinforiani, E, Sorbi, S, Sorrentino, G, Spallazzi, M, Stracciari, A, Talarico, G, Tassinari, T, Thomas, A, Tiezzi, A, Tomassini, P, Trebbastoni, A, Tremolizzo, L, Tripi, G, Ursini, F, Vaianella, L, Valluzzi, F, Vezzadini, G, Vista, M, Volontè, M, Bruni, Ac, DLB-SINdem study, Group, Bruni, AC, and Padovani, A - On behalf of DLB-SINdem study group
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Lewy Body Disease ,medicine.medical_specialty ,Pediatrics ,Dementia with Lewy bodie ,Dementia with Lewy bodies ,Dermatology ,Cohort Studies ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Alzheimer Disease ,Surveys and Questionnaires ,mental disorders ,Standardization of diagnostic procedures ,Diagnosis ,Survey ,Disease Management ,Humans ,Italy ,Research Design ,2708 ,Neurology (clinical) ,Psychiatry and Mental Health ,medicine ,Dementia ,030212 general & internal medicine ,MED/01 - STATISTICA MEDICA ,MED/26 - NEUROLOGIA ,business.industry ,Standardization of diagnostic procedure ,General Medicine ,medicine.disease ,Settore MED/26 - NEUROLOGIA ,Cohort ,Differential ,Physical therapy ,Delirium ,Alzheimer's disease ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Frontotemporal dementia ,Cohort study - Abstract
Dementia with Lewy bodies (DLB) causes elevated outlays for the National Health Systems due to high institutionalization rate and patients' reduced quality of life and high mortality. Furthermore, DLB is often misdiagnosed as Alzheimer's disease. These data motivate harmonized multicenter longitudinal cohort studies to improve clinical management and therapy monitoring. The Italian DLB study group of the Italian Neurological Society for dementia (SINdem) developed and emailed a semi-structured questionnaire to 572 national dementia centers (from primary to tertiary) to prepare an Italian large longitudinal cohort. The questionnaire surveyed: (1) prevalence and incidence of DLB; (2) clinical assessment; (3) relevance and availability of diagnostic tools; (4) pharmacological management of cognitive, motor, and behavioural disturbances; (5) causes of hospitalization, with specific focus on delirium and its treatment. Overall, 135 centers (23.6 %) contributed to the survey. Overall, 5624 patients with DLB are currently followed by the 135 centers in a year (2042 of them are new patients). The percentage of DLB patients was lower (27 ± 8 %) than that of Alzheimer's disease and frontotemporal dementia (56 ± 27 %) patients. The majority of the centers (91 %) considered the clinical and neuropsychological assessments as the most relevant procedure for a DLB diagnosis. Nonetheless, most of the centers has availability of magnetic resonance imaging (MRI; 95 %), electroencephalography (EEG; 93 %), and FP-CIT single photon emission-computerized tomography (SPECT; 75 %) scan for clinical applications. It will be, therefore, possible to recruit a large harmonized Italian cohort of DLB patients for future cross-sectional and longitudinal multicenter studies.
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- 2017
8. Group art treatment and cognitive decline: a pilot study with fMRI
- Author
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Savazzi, Federica Antonia Maria, Baglio, F., Isernia, Sara, Rabuffetti, Marco, D'Amico, A., Fioravanti, R., Saibene, F. L., Nemni, R., and Farina, Elisabetta
- Subjects
fMRI, Neuropsychological assessment, cognitive decline, group rehabilitation, visual art intervention ,group rehabilitation ,fMRI ,Settore M-PSI/08 - PSICOLOGIA CLINICA ,cognitive decline ,Neuropsychological assessment ,visual art intervention - Published
- 2015
9. Technology-enhanced multi-domain at home continuum of care program with respect to usual care for people with cognitive impairment: the Ability-TelerehABILITation study protocol for a randomized controlled trial
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Realdon, O., primary, Rossetto, F., additional, Nalin, M., additional, Baroni, I., additional, Cabinio, M., additional, Fioravanti, R., additional, Saibene, F. L., additional, Alberoni, M., additional, Mantovani, F., additional, Romano, M., additional, Nemni, R., additional, and Baglio, F., additional
- Published
- 2016
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10. Implementation of the Dutch Meeting Centres Support Program for people with dementia and their carers in Milan: process evaluation of the preparation phase
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Sanden, M. C., Farina, E., Saibene, F. L., Meiland, F. J. M., Rose-Marie Dröes, Westerman, M. J., Chattat, R., Methodology and Applied Biostatistics, Ethics, Law & Medical humanities, General practice, APH - Aging & Later Life, APH - Quality of Care, Psychiatry, APH - Mental Health, IOO, APH - Methodology, van der Sanden, M. C., Farina, E., Saibene, F. L., Meiland, F. J. M., Drã¶es, R. M., Westerman, M. J., and Chattat, Rabih
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Aging ,Facilitators and barrier ,SDG 17 - Partnerships for the Goals ,Carer ,adaptive implementation ,facilitators and barriers ,meeting centres support programme, adaptive implementation, dementia, carers, facilitators and barriers ,carers ,meeting centres support programme ,Geriatrics and Gerontology ,dementia - Abstract
Background and Aims. The Meeting Centres Support Programme (MCSP) for people with mild to moderately severe dementia and their carers proved effective in the Netherlands, and is now being implemented in other European countries. This study aimed to compare factors that at the preparation of two meeting centres in Italy were expected and experienced as facilitating or impeding implementation. Methods. At the start, stakeholders (n = 19) filled in a checklist on expected facilitators and barriers. After opening the centres, experienced facilitators and barriers were inventoried in semi-structured interviews (n = 13) and analysed by two independent researchers, using a Theoretical model on implementation. Additionally, minutes of the initiative group were investigated. Expected and experienced facilitators and barriers were compared. Results. In contrary to the expectations, the use of existing networks/collaboration between organizations facilitated the preparation phase. As expected, motivated stakeholders were facilitating. Shortening of the original time plan (for pragmatic reasons) was not expected, and made some preparatory tasks difficult to fulfil. Lack of Italian examples and cultural differences in working method made the realization of meeting centres difficult to imagine. Some experienced factors were not foreseen due to unexpected events. Conclusions. Most aspects of MCSP appeared well implementable in the Italian setting. Many factors were in line with the Dutch implementation study, new influencing factors were also found.
11. Facilitators and barriers to adaptive implementation of the Meeting Centers Support Program (MCSP) in three European countries; the process evaluation within the MEETINGDEM study
- Author
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G. Gamberini, Rose-Marie Dröes, Franka Meiland, Joanna Rymaszewska, Dorota Szcześniak, Katarzyna Urbańska, Francesca Lea Saibene, Rabih Chattat, Elisabetta Farina, Dawn Brooker, Shirley Evans, L. D. Van Mierlo, Claudia Scorolli, Division 6, APH - Mental Health, APH - Aging & Later Life, Psychiatry, General practice, APH - Quality of Care, APH - Methodology, Van Mierlo, L. D., Chattat, R., Evans, S., Brooker, D., Saibene, F. L., Gamberini, G., Farina, E., Scorolli, C., Szczeå niak, D., Urbaå ska, K. M., Rymaszewska, J., Drã¶es, R. M., and Meiland, F. J. M.
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Psychological intervention ,BF ,Person-centered therapy ,Project manager ,03 medical and health sciences ,0302 clinical medicine ,Outcome Assessment, Health Care ,carer ,person-centered approach ,Humans ,030212 general & internal medicine ,Qualitative Research ,TRACE (psycholinguistics) ,Medical education ,Social Support ,Continuity of Patient Care ,Psychosocial support ,process evaluation ,United Kingdom ,Checklist ,Meeting Centers Support Program ,Psychiatry and Mental health ,Clinical Psychology ,Caregivers ,Italy ,H1 ,Quality of Life ,Multiple case ,Dementia ,Poland ,Geriatrics and Gerontology ,Process evaluation ,Psychology ,Gerontology ,030217 neurology & neurosurgery ,implementation proce ,Program Evaluation - Abstract
Background:In the MEETINGDEM project, the Meeting Centers Support Program (MCSP) was adaptively implemented and evaluated in three European countries: Italy, Poland, and the United Kingdom. The aim of this study was to investigate overall and country-specific facilitators and barriers to the implementation of MCSP in these European countries.Methods:A qualitative multiple case study design was used. Based on the theoretical model of adaptive implementation, a checklist was composed of potential facilitators and barriers to the implementation of MCSP. This checklist was administered among stakeholders involved in the implementation of MCSP to trace the experienced facilitators and barriers. Twenty-eight checklists were completed.Results:Main similarities between countries were related to the presence of suitable staff, management, and a project manager, and the fact that the MCSP is attuned to needs and wishes of people with dementia and informal caregivers. Main differences between countries were related to: communication with potential referrers, setting up an inter-organizational collaboration network, receiving support of national organizations, having clear discharge criteria for the MCSP and continuous PR in the region.Conclusion:The results of this study provide insight into generic and country specific factors that can influence the implementation of MCSP in different European countries. This study informs further implementation and dissemination of MCSP in Europe and may also serve as an example for the dissemination and implementation of other effective psychosocial support interventions for people with dementia and their informal caregivers across and beyond Europe.
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- 2018
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12. Brain plasticity after rehabilitation in a severe case of artery of Percheron stroke assessed with multimodal MR imaging.
- Author
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Tavazzi E, Bergsland N, Pirastru A, Pelizzari L, Cazzoli M, Saibene FL, Navarro JS, Farina E, Comanducci A, Cecconi P, and Baglio F
- Subjects
- Arteries, Humans, Magnetic Resonance Imaging methods, Neuronal Plasticity physiology, Thalamus blood supply, Thalamus diagnostic imaging, Stroke complications, Stroke diagnostic imaging, Stroke Rehabilitation
- Abstract
Artery of Percheron (AOP) stroke is a rare event. We describe an AOP stroke involving both thalami and the midbrain, resulting in a multifunctional clinical impairment. Intensive inpatient multidisciplinary rehabilitation favored the recovery of motor deficits, together with the improvement of cognitive dysfunctions. MRI assessment in the chronic post-stroke phase showed structural and functional reorganization in response to the extended thalamic tissue damage and absence of revascularization. Thalamo-cortical networks involving frontal and prefrontal regions, as well as parietal areas were disrupted, whereas increased functional thalamo-occipital connectivity was found. This report sheds light on brain reorganization following AOP stroke after rehabilitation..
- Published
- 2022
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- View/download PDF
13. Not re-inventing the wheel: the adaptive implementation of the meeting centres support programme in four European countries.
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Mangiaracina F, Chattat R, Farina E, Saibene FL, Gamberini G, Brooker D, Evans SC, Evans SB, Szcześniak D, Urbanska K, Rymaszewska J, Hendriks I, Dröes RM, and Meiland FJ
- Subjects
- Aged, Dementia psychology, Female, Humans, Italy, Male, Middle Aged, Netherlands, Poland, Program Development, Qualitative Research, United Kingdom, Caregivers psychology, Community Health Centers organization & administration, Continuity of Patient Care organization & administration, Dementia therapy, Social Support
- Abstract
Objectives: The implementation of new health services is a complex process. This study investigated the first phase of the adaptive implementation of the Dutch Meeting Centres Support Programme (MCSP) for people with dementia and their carers in three European countries (Italy, Poland, the UK) within the JPND-MEETINGDEM project. Anticipated and experienced factors influencing the implementation, and the efficacy of the implementation process, were investigated. Findings were compared with previous research in the Netherlands., Method: A qualitative multiple case study design was applied. Checklist on anticipated facilitators and barriers to the implementation and semi-structured interview were completed by stakeholders, respectively at the end and at the beginning of the preparation phase., Results: Overall, few differences between countries were founded. Facilitators for all countries were: added value of MCSP matching needs of the target group, evidence of effectiveness of MCSP, enthusiasm of stakeholders. General barriers were: competition with existing care and welfare organizations and scarce funding. Some countries experienced improved collaborations, others had difficulties finding a socially integrated location for MCSP. The step-by-step implementation method proved efficacious., Conclusion: These insights into factors influencing the implementation of MCSP in three European countries and the efficacy of the step-by-step preparation may aid further implementation of MCSP in Europe.
- Published
- 2017
- Full Text
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