Επιλεγμένες Επιστημονικές Δημοσιεύσεις

@article{,

title = {Greek population’s perceptions of nonpharmacological interventions towards the first wave of COVID-19 pandemic mitigation: A regressionbased association analysis},

author = {E C Boutsikari and A Christakou and M Elpidoforou and I Kopsidas and N Nikolovienis and D Kardara and C C Boutsikari and C Triantafyllou},

url = {https://doi.org/10.18332/pne/141592},

doi = {10.18332/pne/141592},

issn = {1105-848X},

year  = {2021},

date = {2021-01-01},

journal = {Pneumon},

volume = {34},

number = {3},

pages = {1-11},

abstract = {Introduction In the ongoing coronavirus disease 2019 (COVID-19) pandemic, even though vaccines have been rolled out and the vaccination campaigns in some countries have already been followed by a decline in number and severity of cases, non-pharmaceutical interventions (NPI) are still playing an important role on COVID-19 management (e.g. social distancing) that are imposed by the authorities and require the public’s adherence and behavioral adjustment. This study aims to identify factors that affect the general public’s attitudes towards the importance of NPI in Greece. Methods This prevalence study, enrolled 657 adults from the general Greek population in order to assess their beliefs and identify possible factors that influence their perceptions of NPI. All associations were assessed through multivariate logistic regression. Results Overall, Greeks considered NPI important for health protection. The participants who were less likely to consider NPI important were men compared to women (OR=1.64; 95% CI: 1.15–2.36},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Association of Psychometric Indices and Normal Electrodiagnostic Studies in Referral for Suspected Carpal Tunnel Syndrome},

author = {M Papadopoulou and G Tsivgoulis and I Chatzi and L Palaiodimou and M Bregianni and K Voumvourakis and I Michopoulos},

doi = {10.21873/invivo.12439},

issn = {0258-851X (Print) 

0258-851x},

year  = {2021},

date = {2021-01-01},

journal = {In Vivo},

volume = {35},

number = {3},

pages = {1791-1797},

abstract = {BACKGROUND/AIM: The aim of this study was to investigate psychometric indices and their association with electrodiagnostic studies (EDX). PATIENTS AND METHODS: A total of 100 patients referred for EDX testing of the upper limbs were prospectively enrolled. Demographic data, laboratory test results, referral physician specialty, main symptom, WHODAS 2.0-12 item version, Hospital Anxiety and Depression Scale (HADS), Boston Carpal Tunnel Questionnaire (BCTQ) and a Numeric Rating Scale (NRS) indicating the extent of their discomfort were collected. RESULTS: Normal EDX results were elicited from 56% of patients. Only the presence of numbness in the right hand, pain in the left hand and older age were significantly associated with an abnormal EDX result. The more depressed and anxious the patients were, the more they scored on psychometric scales. CONCLUSION: The large prevalence of normal EDX studies raises the issue of unnecessary referrals. A proportion of patients are referred only according to their reported symptoms. Psychological factors affect the way a person expresses physical discomfort, leading to unnecessary EDX referrals and inevitably with normal results.},

note = {1791-7549 

Papadopoulou, Marianna 

Tsivgoulis, Georgios 

Chatzi, Ioanna 

Palaiodimou, Lina 

Bregianni, Marianna 

Voumvourakis, Konstantinos 

Michopoulos, Ioannis 

Journal Article 

In Vivo. 2021 May-Jun;35(3):1791-1797. doi: 10.21873/invivo.12439.},

keywords = {Aged  Anxiety/diagnosis/epidemiology  *Carpal Tunnel Syndrome/diagnosis/epidemiology  Hand  Humans  Psychometrics  Referral and Consultation  LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Neurophysiological and ultrasonographic comparative study of autonomous nervous system in patients suffering from fibromyalgia and generalized anxiety disorder},

author = {M Papadopoulou and A Papapostolou and E Bakola and V G Masdrakis and C Moschovos and E Chroni and G Tsivgoulis and I Michopoulos},

doi = {10.1007/s10072-021-05606-3},

issn = {1590-1874},

year  = {2021},

date = {2021-01-01},

journal = {Neurol Sci},

abstract = {BACKGROUND: Fibromyalgia (FM) and generalized anxiety disorder (GAD) share common clinical features: they both affect women more than men, their diagnosis is based solely on clinical criteria, and some of the symptoms such as anxiety, aches and muscle tension, sleep disorders, and cognitive dysfunction occur in both diseases. For both conditions, an underlying dysregulation of the autonomic nervous system (ANS) has been proposed. OBJECTIVE: The aims of this study were to investigate ANS dysfunction in FM and GAD and compare them with controls. METHODS: Sympathetic skin response (SSR) from palm and sole and cross-sectional area (CSA) of bilateral vagus nerves (VN) were measured in 28 healthy controls, 21 FM patients, and 24 GAD patients. RESULTS: CSA of VN was significantly smaller in FM patients (right: 1.97 ± 0.74mm(2), left: 1.75 ± 0.65 mm2) and GAD patients (right: 2.12 ± 0.97mm(2), left: 1.71 ± 0.86 mm(2)) compared to controls (right: 3.21 ± 0.75 mm(2), left: 2.65 ± 1.13 mm(2), p < 0.001, but did not differ between the two patient groups. SSR parameters were similar between patients and controls. SSR latency correlated to clinical scales (FM Widespread Pain Index) in the FM group (r = 0.515, p = 0.02 and r = 0.447, p = 0.05) for the upper and lower limbs respectively, but no other correlation between clinical and neurophysiological parameters was identified. CONCLUSION: This study confirms similar ANS abnormalities in FM and GAD that fairly distinguish them from controls and support the hypothesis of a common pathophysiological substrate underlying both conditions.},

note = {1590-3478 

Papadopoulou, Marianna 

Papapostolou, Apostolos 

Bakola, Eleni 

Masdrakis, Vasilios G 

Moschovos, Christos 

Chroni, Elisabeth 

Tsivgoulis, Georgios 

Michopoulos, Ioannis 

Journal Article 

Italy 

Neurol Sci. 2021 Sep 24. doi: 10.1007/s10072-021-05606-3.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Multimodal Neurophysiological and Neuroimaging Evidence of Genetic Influence on Motor Control: A Case Report of Monozygotic Twins},

author = {M Papadopoulou and E Karavasilis and F Christidi and G D Argyropoulos and I Skitsa and G Makrydakis and E Efstathopoulos and T Zambelis and N Karandreas},

doi = {10.1097/wnn.0000000000000262},

issn = {1543-3633},

year  = {2021},

date = {2021-01-01},

journal = {Cogn Behav Neurol},

volume = {34},

number = {1},

pages = {53-62},

abstract = {Considering genetic influence on brain structure and function, including motor control, we report a case of right-handed monozygotic twins with atypical organization of fine motor movement control that might imply genetic influence. Structural and functional organization of the twins' motor function was assessed using transcranial magnetic stimulation (TMS), fMRI with a motor-task paradigm, and diffusion tensor imaging (DTI) tractography. TMS revealed that both twins presented the same unexpected activation and inhibition of both motor cortices during volitional unilateral fine hand movement. The right ipsilateral corticospinal tract was weaker than the left contralateral one. The motor-task fMRI identified activation in the left primary motor cortex and bilateral secondary motor areas during right-hand (dominant) movement and activation in the bilateral primary motor cortex and secondary motor areas during left-hand movement. Based on DTI tractography, both twins showed a significantly lower streamline count (number of fibers) in the right corticospinal tract compared with a control group, which was not the case for the left corticospinal tract. Neither twin reported any difficulty in conducting fine motor movements during their activities of daily living. The combination of TMS and advanced neuroimaging techniques identified an atypical motor control organization that might be influenced by genetic factors. This combination emphasizes that activation of the unilateral uncrossed pyramidal tract represents an alternative scheme to a "failure" of building a standard pattern but may not necessarily lead to disability.},

note = {1543-3641 

Papadopoulou, Marianna 

Karavasilis, Efstratios 

Christidi, Foteini 

Argyropoulos, Georgios D 

Skitsa, Ioulia 

Makrydakis, George 

Efstathopoulos, Efstathios 

Zambelis, Thomas 

Karandreas, Nikolaos 

Case Reports 

Journal Article 

United States 

Cogn Behav Neurol. 2021 Mar 3;34(1):53-62. doi: 10.1097/WNN.0000000000000262.},

keywords = {Adult  Functional Laterality/*genetics  Humans  Male  Neuroimaging/*methods  Neurophysiology/*methods  Twins, Monozygotic  LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Lymphedema duration as a predictive factor of efficacy of complete decongestive therapy},

author = {E Michopoulos and G Papathanasiou and K Krousaniotaki and I Vathiotis and T Troupis and E Dimakakos},

issn = {0024-7766},

year  = {2021},

date = {2021-01-01},

journal = {Lymphology},

volume = {54},

number = {3},

pages = {140-153},

abstract = {Lymphedema is a common condition with global impact and a multitude of complications, however, only a few professionals specialize in its management. A retrospective analysis of 105 subjects with unilateral lymphedema upper or lower limb was performed to investigate whether the duration of lymphedema constitutes an important factor associated with the efficacy of complete decongestive therapy (CDT). Subjects were classified into two groups according to the duration of lymphedema, prior to CDT: group A (≤1 year) and group B (>1 year). Both groups were treated daily according to the same CDT protocol for four weeks. The CDT efficacy was determined based on the percent reduction of excess volume (PREV) measurements. Lymphedema was significantly reduced in both groups of subjects, but significantly more in group A (p<0.001). In subjects with upper limb lymphedema, median value of PREV was 80.8% (interquartile range, 79.1-105.0%) in group A and 62.0% (interquartile range, 56.7-66.5%) in group B (p<0.001). In subjects with lower limb lymphedema PREV was 80.7% (interquartile range, 74.9-85.2%) and 64.5% (interquartile range, 56.0-68.1%) for groups A and B, respectively (p<0.001). Duration of lymphedema was found to be a strong predictive factor that may significantly impact CDT efficacy. Therapeutic effects were increased in subjects who were detected and treated earlier for lymphedema.},

note = {2522-7963 

Michopoulos, E 

Papathanasiou, G 

Krousaniotaki, K 

Vathiotis, I 

Troupis, T 

Dimakakos, E 

Journal Article 

United States 

Lymphology. 2021;54(3):140-153.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Direct anterior approach vs Hardinge in obese and nonobese osteoarthritic patients: A randomized controlled trial},

author = {G Macheras and S Stasi and M Sarantis and A Triantafyllou and D Tzefronis and S A Papadakis},

doi = {10.5312/wjo.v12.i11.877},

issn = {2218-5836 (Print) 

2218-5836},

year  = {2021},

date = {2021-01-01},

journal = {World J Orthop},

volume = {12},

number = {11},

pages = {877-890},

abstract = {BACKGROUND: The increased prevalence of obesity has resulted in orthopedic surgeons being likely to face many patients with a high body mass index (BMI) who warrant total hip arthroplasties (THAs) over the coming years. Studies' findings considered the postoperative clinical, and functional outcomes in these patients are controversial, and selecting the most appropriate surgical approach remains debatable. AIM: To compare pain-levels, functionality, and quality-of-life in obese and nonobese osteoarthritic patients who have undergone primary total hip arthroplasty through either direct-anterior-approach (DAA) or Hardinge-approach. METHODS: One hundred and twenty participants (> 50 years) were divided into four groups according to the surgical approach (DAA or Hardinge) and patients' BMI (nonobese < 30 kg/m(2) vs obese ≥ 30 kg/m(2)). Outcomes were measured preoperatively and postoperatively (6(th) and 12(th) week). Pain was measured with Face Pain Scale-Revised (FPS-R). Functionality was measured with Timed Up & Go (TUG) test and Modified Harris Hip Score-Greek version (MHHS-Gr). Quality-of-life was evaluated with the 12-item-International Hip Outcome Tool-Greek version (iHOT12-Gr) (Clinical Trial Identifier: ISRCTN15066737). RESULTS: DAA vs Hardinge: (week 6) DAA-patients showed 12.2% less pain, more functionality (14.8% shorter TUG-performance time, 21.5% higher MHHS-Gr), and 38.16% better quality-of-life (iHOT12-Gr) compared to Hardinge-patients (all P values < 0.001). These differences were further increased on week 12 (all P values ≤ 0.05)]. DAA-obese vs Hardinge-obese: (week 6) DAA-obese patients had less pain, shorter TUG-performance time, better MHHS-Gr and iHOT12-Gr scores than Hardinge-obese (all P values < 0.01). (Week 12) Only the TUG-performance time of DAA-obese was significantly shortened (22.57%, P < 0.001). DAA-nonobese vs DAA-obese: no statistically significant differences were observed comparing the 6(th) and 12(th) weeks' outcomes. CONCLUSION: DAA-groups reported less pain, more functionality and better quality-of-life, compared to the Hardinge-groups. The DAA benefited obese and nonobese patients, similarly yet faster, suggesting that it should be the more preferred choice for obese patients, instead of Hardinge. However, more comparative studies with more extended follow-up periods are needed to confirm our results and better evaluate all patients' long-term outcomes.},

note = {2218-5836 

Macheras, George 

Stasi, Sophia 

Sarantis, Michail 

Triantafyllou, Athanasios 

Tzefronis, Dimitrios 

Papadakis, Stamatios A 

Clinical Trial 

World J Orthop. 2021 Nov 18;12(11):877-890. doi: 10.5312/wjo.v12.i11.877. eCollection 2021 Nov 18.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Endothelial progenitor cells mobilization after maximal exercise in patients with chronic heart failure},

author = {C Kourek and E Karatzanos and K Psarra and A Ntalianis and G Mitsiou and D Delis and V Linardatou and T Pittaras and I Vasileiadis and S Dimopoulos and S Nanas},

doi = {10.1016/j.hjc.2020.03.007},

issn = {1109-9666},

year  = {2021},

date = {2021-01-01},

journal = {Hellenic J Cardiol},

volume = {62},

number = {1},

pages = {70-72},

note = {2241-5955 

Kourek, Christos 

Karatzanos, Eleftherios 

Psarra, Katherina 

Ntalianis, Argyrios 

Mitsiou, Georgios 

Delis, Dimitrios 

Linardatou, Vasiliki 

Pittaras, Theodoros 

Vasileiadis, Ioannis 

Dimopoulos, Stavros 

Nanas, Serafim 

Letter 

Netherlands 

Hellenic J Cardiol. 2021 Jan-Feb;62(1):70-72. doi: 10.1016/j.hjc.2020.03.007. Epub 2020 Apr 15.},

keywords = {Chronic Disease  *Endothelial Progenitor Cells  Exercise  Exercise Test  *Heart Failure/therapy  Humans  Oxygen Consumption  LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {The acute and long-term effects of a cardiac rehabilitation program on endothelial progenitor cells in chronic heart failure patients: Comparing two different exercise training protocols},

author = {C Kourek and M Alshamari and G Mitsiou and K Psarra and D Delis and V Linardatou and T Pittaras and A Ntalianis and C Papadopoulos and N Panagopoulou and I Vasileiadis and S Nanas and E Karatzanos},

doi = {10.1016/j.ijcha.2020.100702},

issn = {2352-9067 (Print) 

2352-9067},

year  = {2021},

date = {2021-01-01},

journal = {Int J Cardiol Heart Vasc},

volume = {32},

pages = {100702},

abstract = {BACKGROUND: Vascular endothelial dysfunction is an underlying pathophysiological feature of chronic heart failure (CHF). Endothelial progenitor cells (EPCs) are also impaired. The purpose of the study was to assess the effect of a cardiac rehabilitation (CR) program on the increase of EPCs at rest and on the acute response after maximal exercise in patients with CHF and investigate whether there were differences between two exercise training protocols and patients of NYHA II and III classes. METHODS: Forty-four patients with stable CHF enrolled in a 36-session CR program and were randomized in one training protocol; either high-intensity interval training (HIIT) or HIIT combined with muscle strength (COM). All patients underwent maximum cardiopulmonary exercise testing (CPET) before and after the CR program and venous blood was drawn before and after each CPET. Five endothelial cellular populations, expressed as cells/10(6) enucleated cells, were quantified by flow cytometry. RESULTS: An increase in all endothelial cellular populations at rest was observed after the CR program (p < 0.01). The acute response after maximum exercise increased in 4 out of 5 endothelial cellular populations after rehabilitation. Although there was increase in EPCs at rest and the acute response after rehabilitation in each exercise training group and each NYHA class, there were no differences between HIIT and COM groups or NYHA II and NYHA III classes (p > 0.05). CONCLUSIONS: A 36-session CR program increases the acute response after maximum CPET and stimulates the long-term mobilization of EPCs at rest in patients with CHF. These benefits seem to be similar between HIIT and COM exercise training protocols and between patients of different functional classes.},

note = {2352-9067 

Kourek, Christos 

Alshamari, Manal 

Mitsiou, Georgios 

Psarra, Katherina 

Delis, Dimitrios 

Linardatou, Vasiliki 

Pittaras, Theodoros 

Ntalianis, Argyrios 

Papadopoulos, Costas 

Panagopoulou, Niki 

Vasileiadis, Ioannis 

Nanas, Serafim 

Karatzanos, Eleftherios 

Journal Article 

Int J Cardiol Heart Vasc. 2020 Dec 24;32:100702. doi: 10.1016/j.ijcha.2020.100702. eCollection 2021 Feb.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Acute Cardiorespiratory Responses to Different Exercise Modalities in Chronic Heart Failure Patients-A Pilot Study},

author = {E Karatzanos and P Ferentinos and G Mitsiou and S Dimopoulos and A Ntalianis and S Nanas},

doi = {10.3390/jcdd8120164},

issn = {2308-3425},

year  = {2021},

date = {2021-01-01},

journal = {J Cardiovasc Dev Dis},

volume = {8},

number = {12},

abstract = {The purpose of this study was to compare the acute cardiorespiratory responses and time spent above different %VO(2peak) intensities between three "iso-work" protocols: (a) a high intensity interval training protocol (HIIT), (b) a higher intensity continuous protocol (CON(70)) and (c) a lower intensity continuous protocol (CON(50)) in patients with chronic heart failure (CHF). Ten male CHF patients (aged 55.1 ± 16.2 years) performed in separate days a single session of a HIIT protocol consisted of 4 sets × 4 min cycling at 80% VO(2peak) with 3 min of recovery at 50% VO(2peak), a CON(70) protocol corresponding to 70% VO(2peak) and a CON(50) protocol corresponding to 50% VO(2peak). Cardiopulmonary data were collected by an online gas analysis system. The HIIT and CON(70) elicited higher cardiorespiratory responses compared to CON(50) with no differences between them (p > 0.05). In HIIT and CON(70), patients exercised longer at >80% and >90% VO(2peak). The completion rate was 100% for the three protocols. Not any adverse events were observed in either protocol. Both HIIT and CON(70) elicited a stronger physiological stimulus and required shorter time than CON(50). Both HIIT and CON(70) also induced comparable hemodynamic responses and ventilatory demand.},

note = {2308-3425 

Karatzanos, Eleftherios 

Ferentinos, Panagiotis 

Mitsiou, Georgios 

Dimopoulos, Stavros 

Ntalianis, Argyrios 

Nanas, Serafeim 

Journal Article 

J Cardiovasc Dev Dis. 2021 Nov 26;8(12):164. doi: 10.3390/jcdd8120164.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{Paraskevopoulos2020,

title = {Systematic infection control in Greek physiotherapy practices during the COVID-19 pandemic},

author = {E Paraskevopoulos and M Papandreou},

doi = {doi: 10.3233/wor-203186},

year  = {2020},

date = {2020-09-01},

journal = {Work},

volume = {66},

number = {2},

pages = {367-370},

keywords = {covid, pandemic, physiotherapy},

pubstate = {published},

tppubtype = {article}

}

@article{Christakou2020,

title = {Re-injury worry, confidence and attention as predictors of a sport re-injury during a competitive season},

author = {A Christakou and N A Stavrou and M Psychountaki and Y Zervas},

doi = {doi: 10.1080/15438627.2020.1853542},

year  = {2020},

date = {2020-09-01},

journal = {Res Sports Med},

pages = {1-11},

abstract = {Rehabilitation from sport injury involves not only physical, but also psychological considerations. Re-injury worry, confidence and attention are characteristics that may affect athletes’ returning to competition after a sport injury. The study aimed to describe the predictive ability of the re-injury worry, confidence, and attention to the total of re-injuries at the new competitive season. The sample was 80 male athletes with at least three years of competitive experience who had a sport musculoskeletal injury in the last 8 months and had followed properly their physiotherapy program. They were ready for re-entry into competitive sport. They completed on returning to competition: (a) the Causes of the Re-Injury Worry Questionnaire, (b) the Sport Confidence Questionnaire of Rehabilitated Athletes Returning to Competition and (c) the Attention Questionnaire of Rehabilitated Athletes Returning to Competition. The three valid and reliable instruments predict the total of re-injuries at the beginning and at the middle of the competitive season. Future research should be conducted to examine the relationship between the physical and psychological characteristics in re-injury’s prediction from different contact sports.},

keywords = {attention, confidence, re-injury, sport, worry},

pubstate = {published},

tppubtype = {article}

}

@article{Moutzouri2020,

title = {“Greek KOOS-Child: a valid, disease specific, diagnostically accurate and responsive PROM in children with knee-related pathology”},

author = {M Moutzouri and P Tsoumpos and T Bania and E Billis and J Gliatis},

doi = {doi: 10.1007/s00167-020-06237-5},

year  = {2020},

date = {2020-09-01},

journal = {Knee Surg Sports Traumatol Arthrosc},

volume = {29},

number = {6},

pages = {1841-1849},

abstract = {Purpose: 

The Knee Injury Osteoarthritis Outcome Score (KOOS)-Child questionnaire is one of the frequently child-friendly measures used in pediatric studies. The aim of this study was to transculturally adapt the Greek version of KOOS-Child and evaluate its clinimetric properties in children with knee disorders. 

 

Methods: 

Children visiting the Outpatients Orthopaedic Clinic of a Greek Paediatric General Hospital were considered eligible if they were aged 8–14 years, had a knee soft tissue injury and associated physical limitations. The transcultural adaptation was based on a multistage backward translation approach. Participants completed the KOOS-Child at their first visit to the orthopedic specialist (baseline), 2 weeks and 3 months after baseline. Content validity of the KOOS-Child was evaluated using general QoL measures (KIDSCREEN and Kid-KINDL) and construct validity was explored by correlating relevant items. Responsiveness was evaluated according to the children’s response on the given orthopeadic treatment. 

 

Results: 

Sample consisted of 59 children (30 males), aged: 11 ± 1.8 years. The KOOS-Child showed high internal consistency (Cronbach’s a: 0.80–0.96). Adequate convergent validity with > 75% relevant a priori hypotheses was confirmed. Construct validity was moderate to strong (Pearson’s r correlations between related KOOS and Kid-KINDL subdimensions: 0.54–0.62). KOOS and KIDSCREEN subdimensions correlations were fair (Pearson’s r correlations: 0.32–0.65). KOOS-Child’s diagnostic accuracy was high. Factor analysis extracted height factors accounting for 76.15% of the total variance, confirmed by the scree plot. Responsiveness was moderate to high with Cohen’s d from 0.6 to 1.4. 

 

Conclusion: 

The Greek version of the KOOS-Child demonstrated excellent internal consistency, good construct validity, diagnostic accuracy and interpretability as well as good responsiveness. The measure could be used across Greek children with orthopaedic knee problems. Generalisability of findings is limited due to the relatively limited cohort.},

keywords = {arthroscopy, knee surgery, sports traumatology},

pubstate = {published},

tppubtype = {article}

}

@article{Paraskevopoulos2020b,

title = {Reliability of assessment methods for scapular dyskinesis in asymptomatic subjects: A systematic review},

author = {E Paraskevopoulos and M Papandreou and J Gliatis},

doi = {doi: 10.5152/j.aott.2020.19088},

year  = {2020},

date = {2020-09-01},

journal = {Acta Orthop Traumatol Turc},

volume = {54},

number = {5},

pages = {546-556},

abstract = {Objective: 

The aim of this systematic review was to evaluate the available published evidence on the intra- and inter-rater reliabilities of assessment methods used for identifying and measuring scapular dyskinesis (SD) in asymptomatic subjects. 

 

Methods: 

A systematic electronic literature search was performed in PubMed, Physiotherapy Evidence Database, Scopus, and the Cochrane Library, and studies on the intra- and inter-rater reliabilities of physical examination tests used for identifying SD in asymptomatic people were identified. Methodological quality of the studies meeting the inclusion criteria was assessed using the Quality Appraisal of Reliability Studies (QAREL) checklist by two reviewers. The overall level of evidence of this systematic review was determined by the Modified Cochrane Back Pain Criteria based on previous research which was modified for reliability studies of the shoulder complex. 

 

Results: 

The literature search generated 388 results, and only 14 articles met the inclusion criteria. In these studies, reliabilities of two qualitative and five quantitative methods for the assessment of SD were analyzed. The QAREL checklist revealed that 12 studies had moderate risk of bias and 2 had high risk of bias. Additionally, none of the studies were of high quality. On the basis of the Modified Cochrane Back Pain Criteria, the overall level of evidence was moderate. Most of the studies including quantitative measurement methods found good to excellent inter- and intra-rater reliability values. Most of the studies including qualitative methods found low-to-moderate intra- and inter-rater reliability values. 

 

Conclusion: 

Considering the available published evidence, there is lack of high-quality studies evaluating the inter- and intra-rater reliabilities of qualitative or quantitative methods used for the assessment of SD. There are no qualitative methods with high reliability that are fit for clinical applications. Some quantitative methods with higher reliability are present, but clinicians should be aware of the methodological flaws that studies evaluating these methods suffer from.},

keywords = {evidence, physiotherapy, scapular dyskinesis},

pubstate = {published},

tppubtype = {article}

}

@article{Mitsiou2020,

title = {Exercise promotes endothelial progenitor cell mobilization in patients with chronic heart failure},

author = {G Mitsiou and E Karatzanos and I Smilios and K Psarra and I Patsaki and H T Douda and A Ntalianis and S Nanas and S P Tokmakidis},

doi = {doi: 10.1093/eurjpc/zwaa046},

year  = {2020},

date = {2020-09-01},

journal = {Eur J Prev Cardiol},

abstract = {Regular exercise affects the vascular system, endothelial function, and facilitates microcirculation in patients with chronic heart failure (CHF). It promotes mobilization of endothelial progenitor cells (EPCs) into circulation which repair dysfunctional or injured endothelium and contribute to angiogenesis. Furthermore, haematopoietic progenitor cells (HPCs), a related cell population with progenitor-like properties, support regeneration and facilitate reparatory mechanisms in the vascular system. During exercise, using either a continuous or an interval training method, EPCs circulate into the bloodstream, ‘home to’ sites of ischaemic vascular injury and promote vascular regeneration.},

note = {Online ahead of print},

keywords = {chronic heart failure, endothelial progenitor cells, exercise},

pubstate = {published},

tppubtype = {article}

}

@article{Hayden2020,

title = {Exercise treatment effect modifiers in persistent low back pain: an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials},

author = {J A Hayden and M N Wilson and S Stewart and J L Cartwright and A O Smith and R D Riley and M van Tulder and T Bendix and F Cecchi and L O P Costa and N Dufour and M L Ferreira and N E Foster and M R Gudavalli and J Hartvigsen and P Helmhout and J Kool and G A Koumantakis and F M Kovacs and T Kuukkanen and A Long and L G Macedo and L A C Machado and C G Maher and W Mehling and G Morone and T Peterson and E Rasmussen-Barr and C G Ryan and T Sjögren and R Smeets and J B Staal and M Unsgaard-Tøndel and H Wajswelner and E W Yeung and C L B P I M -A Group},

doi = {doi: 10.1136/bjsports-2019-101205},

year  = {2020},

date = {2020-09-01},

journal = {Br J Sports Med},

volume = {54},

number = {21},

pages = {1277-1278},

abstract = {Background: 

Low back pain is one of the leading causes of disability worldwide. Exercise therapy is widely recommended to treat persistent non-specific low back pain. While evidence suggests exercise is, on average, moderately effective, there remains uncertainty about which individuals might benefit the most from exercise. 

 

Methods: 

In parallel with a Cochrane review update, we requested individual participant data (IPD) from high-quality randomised clinical trials of adults with our two primary outcomes of interest, pain and functional limitations, and calculated global recovery. We compiled a master data set including baseline participant characteristics, exercise and comparison characteristics, and outcomes at short-term, moderate-term and long-term follow-up. We conducted descriptive analyses and one-stage IPD meta-analysis using multilevel mixed-effects regression of the overall treatment effect and prespecified potential treatment effect modifiers. 

 

Results: 

We received IPD for 27 trials (3514 participants). For studies included in this analysis, compared with no treatment/usual care, exercise therapy on average reduced pain (mean effect/100 (95% CI) −10.7 (−14.1 to –7.4)), a result compatible with a clinically important 20% smallest worthwhile effect. Exercise therapy reduced functional limitations with a clinically important 23% improvement (mean effect/100 (95% CI) −10.2 (−13.2 to –7.3)) at short-term follow-up. Not having heavy physical demands at work and medication use for low back pain were potential treatment effect modifiers—these were associated with superior exercise outcomes relative to non-exercise comparisons. Lower body mass index was also associated with better outcomes in exercise compared with no treatment/usual care. This study was limited by inconsistent availability and measurement of participant characteristics. 

 

Conclusions: 

This study provides potentially useful information to help treat patients and design future studies of exercise interventions that are better matched to specific subgroups.},

keywords = {chronic, exercise, low back pain, participants, physiotherapy},

pubstate = {published},

tppubtype = {article}

}

@article{Gkikopoulos2020,

title = {Examining re-injury worry, confidence and attention after a sport musculoskeletal injury},

author = {G Gkikopoulos and C Chronopoulou and A Christakou},

doi = {doi: 10.23736/s0022-4707.19.10124-7},

year  = {2020},

date = {2020-09-01},

journal = {J Sports Med Phys Fitness},

volume = {60},

number = {3},

pages = {428-434},

abstract = {Background: 

Sport injury is an unfortunate event which can have a major impact on the injured athletes' psychology. Athletes may experience re-injury worry and low levels of attention and confidence getting back to competition following a sport injury. The aim of the study was to examine re-injury worry, confidence and attention of previously injured athletes, before they returned to competition. 

 

Methods: 

Cross-sectional research design. A total of 52 athletes volunteered for this study, aged 23.1±4.8 years old with a previous musculoskeletal injury during the last year. Participants completed the Causes of Re-Injury Worry Questionnaire, the Sport Confidence Questionnaire of Rehabilitated Athletes Returning to Competition and the Attention Questionnaire of Rehabilitated Athletes Returning to Competition, on their first competitive game after rehabilitation program. 

 

Results: 

The athletes experienced average levels of re-injury worry and distraction attention and high levels of confidence and functional attention. The duration of injury, the medical and physiotherapy treatment and the absence from sport were significantly correlated with the questionnaire factors "Re-injury worry due to opponent's ability", "Functional attention" and "Distraction attention". 

 

Conclusions: 

Psychological characteristics of previously injured athletes may be influenced from the duration of: 1) medical treatment; 2) injury; 3) physiotherapy treatment; and 4) absence from sport, when they return to competition. More research needs to be conducted to confirm the present results.},

keywords = {attention, confide, medical, re-injury, sportnce},

pubstate = {published},

tppubtype = {article}

}

@article{Chandrinou2020,

title = {Avascular necrosis of the femoral head: Evaluation of hyperbaric oxygen therapy and quality of life},

author = {A Chandrinou and A Korompeli and E Grammatopoulou and K Gaitanou and K Tsoumakas and G Fildissis},

year  = {2020},

date = {2020-09-01},

journal = {Undersea Hyperb Med},

volume = {47},

number = {4},

pages = {561-569},

keywords = {physiotherapy},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Reliability and validity of the Greek shoulder pain and disability index in patients with shoulder pain},

author = {A Spanou and I Mamais and D Lamnisos and D Stasinopoulos},

doi = {10.1080/09638288.2018.1519728},

issn = {0963-8288},

year  = {2020},

date = {2020-01-01},

journal = {Disabil Rehabil},

volume = {42},

number = {9},

pages = {1299-1304},

abstract = {Background: The Shoulder Pain and Disability Index is one of the most common questionnaire to evaluate the impact of shoulder disorders on function. There is no valid and reliable Greek version of the Shoulder Pain and Disability Index available at present for all shoulder disorders. Therefore, the aim of the current study was to test the reliability and validity of the Shoulder Pain and Disability Index in patients with shoulder pain for at least four weeks.Methods: The validation study was conducted in clinical settings by questionnaires comprising the Greek Shoulder Pain and Disability Index and Disability of the Arm, Shoulder, and Hand questionnaire. 130 (68 women and 62 men) Greek reading patients over 18 years old with shoulder pain for at least four weeks were recruited from physical therapy clinics. Internal consistency of the translated instrument was measured using Cronbach's α. to establish test-retest reliability, the patients without any change in their condition after 2-3 days from their initial visit were asked to complete the Shoulder Pain and Disability Index for a second time. An intraclass correlation coefficient was used to assess the test-retest reliability of the Shoulder Pain and Disability Index. The Greek version of the Shoulder Pain and Disability Index and Disability of the Arm, Shoulder, and Hand questionnaire was also administered in both visits. Concurrent validity was measured by correlating the Shoulder Pain and Disability Index with the Greek Shoulder Pain and Disability Index and Disability of the Arm, Shoulder and Hand scale using Pearson's correlation coefficient.Results: The results showed that the Greek Shoulder Pain and Disability Index has good internal consistency (Cronbach α = 0.947), test-retest reliability (ICC =0.926) and concurrent validity (r > 0.7). The standard error of measurement (SEM) and the smallest detectable change (SDC) of the Greek SPADI total score were 4.77 and 13.18.Conclusions: The Greek version of the Shoulder Pain and Disability Index is a reliable and valid measure when administered to patients aged over 18 years old with shoulder pain for at least four weeks.Implications for RehabilitationThe Greek version of the Shoulder Pain and Disability Index has been found to be reliable and valid when used in patients with shoulder pain for at least four weeks.The results of the psychometric characteristics were compatible with those of the original English version.The Shoulder Pain and Disability Index could be applied to a Greek-speaking population to assess functional limitations and symptoms in patients over 18 years old with shoulder pain for at least four weeks.},

note = {1464-5165 

Spanou, Alexia 

Mamais, Ioannis 

Lamnisos, Dimitrios 

Stasinopoulos, Dimitrios 

Journal Article 

England 

Disabil Rehabil. 2020 May;42(9):1299-1304. doi: 10.1080/09638288.2018.1519728. Epub 2019 Jan 17.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Psychometric Properties of the 12-Item World Health Organization Disability Assessment Schedule (WHODAS 2.0) in Adult Patients with Motor Disabilities},

author = {M Papadopoulou and S Stasi and D Bakalidou and E Papageorgiou and A Tsokani and T Bratsi and G Papathanasiou},

url = {https://doi.org/10.1007/s10882-019-09721-0},

doi = {10.1007/s10882-019-09721-0},

issn = {1573-3580},

year  = {2020},

date = {2020-01-01},

journal = {Journal of Developmental and Physical Disabilities},

volume = {32},

number = {5},

pages = {801-819},

abstract = {To explore the psychometric properties of the Greek version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0–12 item) in adult patients suffering from motor disabilities. The questionnaire of WHODAS 2.0–12 item was officially translated and cross-culturally adapted into Greek (WHODAS 2.0–12Gr).136 adult patients with motor disabilities included in the present observational study. A reliability study was carried out to explore WHODAS 2.0–12Gr’s internal consistency (Cronbach’s a), repeatability (Pearson’s r) and test retest test-retest reliability between the WHODAS 2.0–12Gr outcomes of day-1 and day-8 [intra-class correlation coefficients with 95% confidence intervals (ICC 95%CI)], and the convergent validity (item-total correlation) of the questionnaire. Exploratory factor analysis (EFA) was used to explore the construct validity of the WHODAS 2.0–12Gr, while the concurrent validity of the questionnaire was testing against the Greek Medical Outcomes Study 36-item Short Form Health Survey version 1.0 (SF-36v1.0-Gr). Reliability properties: WHODAS 2.0–12Gr Cronbach’s a was 0.814 (p < 0.001), Pearson’s r value was 0.980 (p < 0.001) and ICC (95%CI) was 0.990 (0.985–0.993) (p < 0.001). Validity properties: Pearson’s r values of item-total correlation were ranged from 0.376 to 0.736. EFA extracted a 3-factor model. Regarding concurrent validity, the significant correlations between the WHODAS 2.0–12Gr and the SF36v1.0-Gr ranged from −0.169 to −0.720. WHODAS 2.0–12Gr showed significant high to excellent reliability and significant weak to strong validity properties. Overall, it can be suggested that WHODAS 2.0–12Gr could be a reliable and valid tool for assessing patients with motor disabilities.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Effectiveness and Safety of Complete Decongestive Therapy of Phase I: A Lymphedema Treatment Study in the Greek Population},

author = {E Michopoulos and G Papathanasiou and G Vasilopoulos and M Polikandrioti and E Dimakakos},

doi = {10.7759/cureus.9264},

issn = {2168-8184 (Print) 

2168-8184},

year  = {2020},

date = {2020-01-01},

journal = {Cureus},

volume = {12},

number = {7},

pages = {e9264},

abstract = {Background Lymphedema is a chronic condition caused by a failure in the lymphatic system that most commonly occurs in the limbs. Complete decongestive therapy (CDT) is the gold standard for lymphedema management. Objective To evaluate the effectiveness and safety of complete decongestive therapy (CDT) of phase I in the Greek population with lymphedema. Methods The patients' demographic and clinical characteristics were recorded. CDT was implemented in all patients for 20 sessions in a four-week treatment period. The edema's (excess volume (EV) and percent of excess volume (PEV)) measurements were carried out four times in the treatment period, whereas the percent reduction of excess volume (PREV) was calculated at the end of phase I. Moreover, we recorded every infection, trauma of skin, and pain of limb during the treatment. Results One-hundred five patients with lymphedema were enrolled in the present study, of whom 31.4% had upper limb lymphedema and 68.6% had lower limb lymphedema. All patients with upper limb lymphedema had a secondary type while the corresponding proportion of patients with lower limb lymphedema was 58.3%. A significant reduction (p<0.001) between the pre-treatment and post-treatment values of EV and PEV was found for both upper and lower limb lymphedema. For patients with upper limb lymphedema, the average PREV was 66.5% (interquartile range, 57.3%-80.6%), whereas for patients with lower limb lymphedema, a 71.5% (interquartile range, 64.5%-80.7%) median value was measured. No side effects from the treatment were recorded during CDT. Conclusion The proper treatment of the CDT phase I ensures safety and a great reduction in edema in patients with lymphedema that predispose the success of phase II of CDT.},

note = {2168-8184 

Michopoulos, Emmanouil 

Papathanasiou, George 

Vasilopoulos, Georgios 

Polikandrioti, Maria 

Dimakakos, Evangelos 

Journal Article 

Cureus. 2020 Jul 19;12(7):e9264. doi: 10.7759/cureus.9264.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Carpometacarpal Dislocation of the Third to Fifth Fingers and an Associated Fracture of the Hamate in a Military Paratrooper},

author = {G Kalinterakis and E Antonogiannakis and A Abdi and G Demetriades and A Koulouktsis and A Syllaios and A Koutras and S Vrouva and A Papagiavis and M Ziogas},

doi = {10.1155/2020/2861604},

issn = {2090-6749 (Print) 

2090-6757},

year  = {2020},

date = {2020-01-01},

journal = {Case Rep Orthop},

volume = {2020},

pages = {2861604},

abstract = {Multiple carpometacarpal dislocations with a simultaneous fracture of the hamate represent less than 1% of all injuries to the hand and wrist regions, with a scarcity of published cases. These injuries usually require a great force, and diagnosis can be missed or delayed because of the high likelihood of other severe concomitant injuries. We report a case of acute closed dislocation of the third through fifth carpometacarpal joints and an associated fracture of the hamate in a military paratrooper. The injury was caused by a wrong landing technique during parachuting. The patient was managed with primary surgical repair, and after a six-month follow-up, he has excellent functional results. The fact that both this clinical entity and the mechanism of injury are very unusual a high index of suspicion is needed, especially for orthopedic surgeons working in military hospitals. Additionally, given that there is a paucity of published cases and optional treatment is controversial, this study corroborates the superiority of surgical repair in a long-term basis.},

note = {2090-6757 

Kalinterakis, Georgios 

Antonogiannakis, Emmanouil 

Abdi, Arezoo 

Demetriades, Georgios 

Koulouktsis, Alexandros 

Syllaios, Athanasios},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Assessing frailty in heart failure},

author = {D Farmakis and M Thodi and M Elpidoforou and G Filippatos},

doi = {10.1002/ejhf.1905},

issn = {1388-9842},

year  = {2020},

date = {2020-01-01},

journal = {Eur J Heart Fail},

volume = {22},

number = {11},

pages = {2134-2137},

note = {1879-0844 

Farmakis, Dimitrios 

Thodi, Maria 

Elpidoforou, Michail 

Filippatos, Gerasimos 

Comment 

Editorial 

England 

Eur J Heart Fail. 2020 Nov;22(11):2134-2137. doi: 10.1002/ejhf.1905. Epub 2020 Jun 26.},

keywords = {Aged  Atmosphere  Frail Elderly  *Frailty/diagnosis/epidemiology  *Heart Failure/diagnosis/epidemiology  Humans  Prevalence  Stroke Volume  LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {International Hip Outcome Tool (12-items) as health-related quality-of-life measure in osteoarthritis: validation of Greek version},

author = {S Stasi and M Stamou and G Papathanasiou and P Frantzeskaki and E Kanavas and G Evaggelou-Sossidis and A Gouskos and A Palantzas and K Poursanidis and G A Macheras},

doi = {10.1186/s41687-020-00207-8},

issn = {2509-8020},

year  = {2020},

date = {2020-01-01},

journal = {J Patient Rep Outcomes},

volume = {4},

number = {1},

pages = {41},

abstract = {BACKGROUND: The 12-item International Hip Outcome Tool (iHOT12) is a patient-reported outcome (PRO) designed to evaluate quality of life. We assessed the psychometric properties of the Greek version (iHOT12-Gr) in hip osteoarthritic patients. METHODS: Data from 124 patients aged > 50 years were used for factor analysis. Reliability evaluation included internal consistency, test-retest reliability, and interpretability. Content validity was examined by calculating the item-level content validity indices (I-CVI) and the scale-level content validity indices (S-CVI), using two methods: S-CVI Average (S-CVI/Ave), and the S-CVI Universal Agreement among experts (S-CVI/UA). Construct validity was tested against Greek versions of the Lower Extremity Functional Scale (LEFS-Greek), Modified Harris Hip Score (MHHS-Gr), and the 30 s chair-to-stand, Timed Up & Go (TUG), and 9-stairs-ascend/descend (9S-A/D) tests. Known-groups validity was examined using LEFS-Greek (cut-off = 53 points) as estimate variable. Responsiveness was examined pre and post total hip arthroplasty (4 and 8 weeks). RESULTS: Factor analysis revealed a two-factor model. Factor-1 (items 1-9) reflects "Symptoms and functionality", while Factor-2 (items 10-12) reflects "Hip disorder-related concerns". Reliability: Internal consistency and test-retest reliability of iHOT12-Gr-total were excellent: Cronbach's alpha > 0.92 and ICC(95% CI) > 0.976(0.96-0.99)(p < 0.001). Interpretability: There was no floor or ceiling effect; measurement error: 3.72 (Factor-1), 3.64 (Factor-2), and 3.22 (iHOT12-Gr-total); minimal detectable change: 10.3 (Factor-1), 10.1 (Factor-2), and 8.92 (iHOT12-Gr-total). VALIDITY: Content validity: The I-CVI value of the 12 items ranged from 1.00 to 0.83, the S-CVI/Ave was 0.97 and the S-CVI/UA was 0.83. Construct validity: iHOT12-Gr correlated strongly with both LEFS-Greek and MHHS-Gr, and weakly but significantly with 30s chair-to-stand, TUG and 9S-A/D (p < 0.001). Known-groups validity showed that iHOT12-Gr well discriminated subgroups of patients (p < 0.001). ROC analysis cut-off points were 51.9 (Factor-1), 25 (Factor-2) and 45.2 (iHOT12-Gr-total) (p < 0.001). Responsiveness: Four and 8 weeks postoperatively, standardized response means of Factor-1, Factor-2, and iHOT12-Gr-total were > 0.8. CONCLUSION: iHOT12-Gr showed excellent reliability properties. The content validity was excellent and significant weak-to-strong correlations were found regarding construct validity. The known-group validity was also significant, while the responsiveness was excellent. iHOT12-Gr could be a reliable and valid PRO for assessing quality of life in patients with hip osteoarthritis.},

note = {2509-8020 

Stasi, Sophia 

Stamou, Magdalini 

Papathanasiou, George 

Frantzeskaki, Paraskevi 

Kanavas, Emmanouil 

Evaggelou-Sossidis, George 

Gouskos, Adamantios 

Palantzas, Andreas 

Poursanidis, Kyriakos 

Macheras, George A 

Journal Article 

J Patient Rep Outcomes. 2020 May 27;4(1):41. doi: 10.1186/s41687-020-00207-8.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {The impact of fascia iliaca compartment block on chronic postsurgical pain in patients undergoing hip fracture repair},

author = {M Diakomi and M Papaioannou and G Georgoudis and E Argyra and A Mela and I Siafaka and A Makris},

doi = {10.1016/j.jclinane.2020.109801},

issn = {0952-8180},

year  = {2020},

date = {2020-01-01},

journal = {J Clin Anesth},

volume = {64},

pages = {109801},

abstract = {STUDY OBJECTIVE: Chronic postsurgical pain (CPSP), i.e. pain persisting >3 months, may appear after any type of surgery. There is a paucity of literature addressing CPSP development after hip fracture repair and the impact of any analgesic intervention on the development of CPSP in patients after hip fracture surgery. This study is the first aiming to examine the impact of ultrasound-guided fascia iliaca compartment block (USG FICB) on the development of CPSP after hip fracture repair. DESIGN: Prospective randomized study. SETTING: Operating room. PATIENTS: 182 patients scheduled for hip fracture surgery. INTERVENTIONS: Patients were randomized to receive a USG FICB (FICB group) or a sham saline injection (sham FICB group), twenty minutes before positioning for spinal anesthesia. MEASUREMENTS: The hip - related characteristic pain intensity (CPI) at 3- months post-surgery was the primary outcome measure. Presence and severity of hip-related pain at 3- and 6-months post-surgery, numeric rating pain scale (NRS) scores at 6, 24, 36, 48 postoperative hours, total 24-hour tramadol PCA administration and timing of the first tramadol dose, were documented as well. MAIN RESULTS: FICB group presented with lower CPI scores 3- months postoperatively (p < 0.01), as well as lower percentage of patients with high-grade CPSP, 3 and 6 months postoperatively (p < 0.001). FICB group also showed significantly lower NRS scores in all instances, lower total 24 - hour tramadol consumption and higher mean time to first tramadol dose (p < 0.05). The overall sample of 182 patients reported a considerably high incidence of hip -related CPSP (60% at 3 months, 45% at 6 months). CONCLUSIONS: USG FICB in the perioperative setting may reduce the incidence, intensity and severity of CPSP at 3 and 6 months after hip fracture surgery, providing safe and effective postoperative analgesia.},

note = {1873-4529 

Diakomi, Maria 

Papaioannou, Marianna 

Georgoudis, George 

Argyra, Erifili 

Mela, Argyro 

Siafaka, Ioanna 

Makris, Alexandros 

Journal Article 

United States 

J Clin Anesth. 2020 Apr 22;64:109801. doi: 10.1016/j.jclinane.2020.109801.},

keywords = {Acute pain, Chronic pain, Lower extremity, PHYSIOLAB},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Cross-cultural Adaptation and Psychometric Properties of the Greek Version of the Central Sensitization Inventory},

author = {P Bilika and R Neblett and G Georgoudis and Z Dimitriadis and E Fandridis and N Strimpakos and E Kapreli},

doi = {10.1111/papr.12843},

issn = {1530-7085},

year  = {2020},

date = {2020-01-01},

journal = {Pain Pract},

volume = {20},

number = {2},

pages = {188-196},

abstract = {OBJECTIVES: Recent studies support the opinion that central sensitization (CS) plays an important role in the pathophysiology of many chronic pain conditions. CS refers to hyperexcitability of the central nervous system, which can result in pain hypersensitivity and other somatosensory symptoms. Recognition of CS-related symptomology is crucial in chronic pain evaluation and rehabilitation. The Central Sensitization Inventory (CSI) was created to evaluate symptoms that have been found to be associated with CS. The aim of the current study was the cross-cultural adaptation of the CSI into Greek (CSI-Gr). METHODS: To evaluate discriminate validity, 200 patients with chronic pain and 50 healthy control subjects participated. The sample was divided into 4 diagnostic groups (fibromyalgia, single pain complaints, multiple pain complaints, and a control group) and into 5 CSI severity subgroups, from subclinical to extreme. Convergent validity was determined by evaluation of the relationship between the CSI-Gr and the Pain Catastrophizing Scale (PCS). Additionally, 30 patients completed the CSI a second time for the purpose of a test/retest analysis. RESULTS: The results showed high internal consistency (Cronbach's alpha = 0.994) and test-retest reliability (intraclass correlation coefficient = 0.993). The standard error of measurement was 2.1. The CSI-Gr correlated moderately with the PCS (r = 0.68). Statistically significant differences were found among the 3 comparison groups, with patients who had fibromyalgia reporting the highest CSI severity and healthy control subjects reporting the lowest severity. CONCLUSIONS: As determined in the present study, the CSI-Gr was found to be a reliable and valid tool for recognition of CS-related symptomology.},

note = {1533-2500 

Bilika, Paraskevi 

Neblett, Randy 

Georgoudis, George 

Dimitriadis, Zacharias 

Fandridis, Emmanouil 

Strimpakos, Nikolaos 

Kapreli, Eleni},

keywords = {Central Sensitization Inventory, Chronic pain, cross-cultural adaptation, PHYSIOLAB},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {The Effect of Intensive Abductor Strengthening on Postoperative Muscle Efficiency and Functional Ability of Hip-Fractured Patients: A Randomized Controlled Trial},

author = {S Stasi and G Papathanasiou and E Chronopoulos and I A Dontas and I P Baltopoulos and N A Papaioannou},

doi = {10.4103/ortho.IJOrtho_183_18},

issn = {0019-5413 (Print) 

0019-5413},

year  = {2019},

date = {2019-01-01},

journal = {Indian J Orthop},

volume = {53},

number = {3},

pages = {407-419},

abstract = {BACKGROUND: Hip fractures are common in the elderly and many patients fail to regain prefracture hip abductor strength or functional status. The purpose of this clinical trial was to compare the effects of an intensive abductor muscle exercise program versus a standard physiotherapy intervention in hip-fractured patients. MATERIALS AND METHODS: Ninety six femoral neck-fractured patients were randomized into equal-sized groups. A 12-week standard physiotherapy program was implemented in the control group(S-PT) whereas an intensive exercise program, emphasizing on abductors' strengthening, was implemented in the research group(I-PT). Abductors' isometric strength of the fractured hip, abductor ratio% in the fractured compared to contralateral hip, and functional level were assessed at the 3(rd) (postintervention) and 6(th) (followup) months. RESULTS: Postintervention, abductors' isometric strength was 35.7% greater (P < 0.0005) and abductor ratio% was 2.5% higher (P < 0.0005) in I-PT group, compared to S-PT group. With regard to functional assessments, I-PT group was 29.1% faster during Timed Up and Go (TUG) test and achieved a 26.7% higher Lower Extremity Functional Scale Greek version's (LEFS-Greek) total score, compared to S-PT group (P < 0.0005). At followup, abductors' isometric strength was 37.0% greater (P < 0.0005) and abductor ratio% was 7.1% higher (P < 0.0005) in I-PT group, compared to S-PT group. In addition, I-PT group was 45.9% faster during TUG test (P < 0.0005) and achieved an 11.2% higher LEFS-Greek total score, compared to S-PT group (P = 0.013). CONCLUSIONS: Compared to the standard physiotherapy intervention, the intensive abductor-strengthening program significantly increased both abductors' isometric strength of the fractured hip and abductor ratio% and resulted in patients' enhanced functional level. CLINICAL TRIAL IDENTIFIER: ISRCTN30713542.},

note = {1998-3727 

Stasi, Sophia 

Papathanasiou, George 

Chronopoulos, Efstathios 

Dontas, Ismene A 

Baltopoulos, Ioannis P 

Papaioannou, Nikolaos A 

Journal Article 

Indian J Orthop. 2019 May-Jun;53(3):407-419. doi: 10.4103/ortho.IJOrtho_183_18.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Long term follow-up of quality of life and functional ability in patients with ICU acquired Weakness - A post hoc analysis},

author = {G Sidiras and I Patsaki and E Karatzanos and M Dakoutrou and A Kouvarakos and G Mitsiou and C Routsi and G Stranjalis and S Nanas and V Gerovasili},

doi = {10.1016/j.jcrc.2019.06.022},

issn = {0883-9441},

year  = {2019},

date = {2019-01-01},

journal = {J Crit Care},

volume = {53},

pages = {223-230},

abstract = {PURPOSE: ICU acquired Weakness (ICUaW) is a common complication of critical illness. The aim of our study was the assessment of quality of life (QoL) and functional ability of patients with ICUaW, 6 months post hospital discharge. MATERIAL AND METHODS: Eight hundred seventy eight consecutive patients who had been discharged from the ICU were evaluated and 128 of them, 36 with ICUaW, were eligible for the study. Muscle strength was evaluated with MRC and Hand grip dynamometry. The Functional Independence Measure (FIM) was used to evaluate the functional ability while QoL was assessed with the Nottingham Health Profile and with the SF-36 questionnaire. RESULTS: Patients with ICUaW continued to have low MRC at hospital discharge, [53(49-56) vs. 59(58-60), p < 0.05]. Patients who developed ICUaW had lower Hand grip dynamometry at ICU, hospital discharge and 6 months after (p < 0.05). Patients with ICUaW have significantly lower FIM score at hospital discharge, 3 and 6 months post hospital discharge (p < 0.05) and persistently lower QoL at 3 and 6 months post hospital discharge(p < 0.05). CONCLUSIONS: ICUaW is associated with persistent deficiencies in functional ability and Qol leading to a prolonged period of recovery. Further research is needed in the field of prevention and targeted rehabilitation of functionality in this patient group.},

note = {1557-8615 

Sidiras, Georgios 

Patsaki, Irini 

Karatzanos, Eleftherios 

Dakoutrou, Maria 

Kouvarakos, Alexandros 

Mitsiou, Georgios 

Routsi, Christina 

Stranjalis, Georgios 

Nanas, Serafim 

Gerovasili, Vasiliki 

Journal Article 

Randomized Controlled Trial 

Research Support, Non-U.S. Gov't 

United States 

J Crit Care. 2019 Oct;53:223-230. doi: 10.1016/j.jcrc.2019.06.022. Epub 2019 Jun 21.},

keywords = {Activities of Daily Living  Adolescent  Adult  Aged  Aged},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Cyriax Friction Massage-Suggestions for Improvements},

author = {A Pitsillides and D Stasinopoulos},

doi = {10.3390/medicina55050185},

issn = {1010-660X (Print) 

1010-660x},

year  = {2019},

date = {2019-01-01},

journal = {Medicina (Kaunas)},

volume = {55},

number = {5},

abstract = {Background and objectives: Cyriax friction massage is a widely known and used technique in the field of chronic pain management. Despite its frequent use in daily clinical practice, the technique lacks evidence to support its therapeutic value. While this might be due to various factors, the authors of this paper suggest that the technique might need to be improved and/or modernized according to the recent literature. The purpose of this letter is to further analyze our point of view. Materials and Methods: Using the most relevant methods to the subject literature, the authors intended to point out a few technical details that might need reconsideration and/or modernization. Results: An appropriate terminology is suggested in the text. Further, suggestions are made regarding the technique's interval time, a possible addition of self-treatment, a discussion of the combination with Mill's manipulation, tendon positioning and other parameters. Conclusions: As a therapeutic value has not yet been clearly documented, and since the modernization and/or improvement of the technique might be needed, we suggest that this technique should not be used as a first-line treatment for the management of chronic pain.},

note = {1648-9144 

Pitsillides, Alexios 

Stasinopoulos, Dimitrios 

Journal Article 

Medicina (Kaunas). 2019 May 21;55(5):185. doi: 10.3390/medicina55050185.},

keywords = {Chronic Pain/*therapy  *Friction  Humans  Massage/methods/*standards  Pain Management/methods/standards  LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {The Beliefs and Attitudes of Cypriot Physical Therapists Regarding the Use of Deep Friction Massage},

author = {A Pitsillides and D Stasinopoulos},

doi = {10.3390/medicina55080472},

issn = {1010-660X (Print) 

1010-660x},

year  = {2019},

date = {2019-01-01},

journal = {Medicina (Kaunas)},

volume = {55},

number = {8},

abstract = {Background: Deep friction massage (DFM) is a widely used technique by physical therapists worldwide for chronic pain management. According to Dr. James Cyriax, compliance with the proposed guidelines is vital to obtain the desired therapeutic results. Objectives: This study explored the beliefs and attitudes of Cypriot physical therapists to DFM and their compliance with the suggested guidelines to identify any empirical-based application patterns and compare them to the suggestions of Cyriax. In addition, the prevalence of DFM use in clinical practice in Cyprus was investigated. Methods: Questionnaires, consisting of 18 multiple choice questions and a table of six sub-questions, were distributed to 90 local physical therapists. Results: A total of 70% of respondents declared that they perform DFM in their daily practice. The respondents answered 11 out of the 19 technical questions in compliance with the guidelines. Conclusion: The study revealed the DFM application pattern of Cypriot physical therapists. The compliance percentage of this pattern to Cyriax guidelines was 58% in general and 62.5% for patients with chronic conditions.},

note = {1648-9144 

Pitsillides, Alexios 

Stasinopoulos, Dimitrios 

Journal Article 

Medicina (Kaunas). 2019 Aug 12;55(8):472. doi: 10.3390/medicina55080472.},

keywords = {Attitudes, Chronic Pain/*therapy  Cyprus  *Friction  *Health Knowledge, Practice  Humans  *Massage  Musculoskeletal Pain/*therapy  *Physical Therapists  Surveys and Questionnaires  LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Comparative Study of Pain Relief in Two Non-Pharmacological Treatments in Patients with Partial Rotator Cuff Tears: A Randomized Trial},

author = {S Vrouva and C Batistaki and E Paraskevaidou and K Chanopoulos and D Kostopoulos and E Stamoulis and G Kostopanagiotou},

doi = {10.5812/aapm.88327},

issn = {2228-7523 (Print) 

2228-7523},

year  = {2019},

date = {2019-01-01},

journal = {Anesth Pain Med},

volume = {9},

number = {2},

pages = {e88327},

abstract = {BACKGROUND: Pain induction is the primary characteristic of a rotator cuff tear while muscle weakness appears as a secondary feature, leading to further disability. OBJECTIVES: The study aimed to determine the effectiveness of physiotherapeutic interventions through transcutaneous electrical nerve stimulation (TENS) or microcurrent electrical nerve stimulation (MENS) in conjunction with kinesiotherapy in patients with partial thickness rotator cuff tear. METHODS: This was a blinded randomized prospective study. The study recruited 42 outpatients with partial rotator cuff tear under conservative treatment selected from the 401 General Military Hospital of Athens and the University General Hospital 'Attikon' during 2015 - 2017. Patients were assessed for pain and disability using the SPADI (shoulder pain and disability index), a numerical rating scale (NRS) for pain, and the EuroQoL-5 questionnaire for the evaluation of the quality of life. The first group received TENS and kinesiotherapy while the second group received MENS and kinesiotherapy. Three measurements were recorded. The first assessment was performed during the initial patient visit; the second after completion of the physiotherapeutic sessions, and the third one three months after the initial assessment. A follow-up ultrasound scan was performed three months after the completion of the therapeutic sessions to assess the anatomical healing of the rotator cuff tear. RESULTS: Repeated measurements analysis indicated a significant improvement in pain scores, functionality, and patients' quality of life (P value < 0.001). Comparison of the two treatment methods did not reveal any significant differences (P value > 0.05) despite the fact that the MENS was associated with a greater improvement in pain intensity and TENS with a greater improvement in functionality and quality of life. CONCLUSIONS: Using MENS and TENS appears to be equally effective in terms of pain relief, functional improvement, and quality of life enhancement in patients.},

note = {2228-7531 

Vrouva, Sotiria 

Batistaki, Chrysanthi 

Paraskevaidou, Efterpi 

Chanopoulos, Konstantinos 

Kostopoulos, Dimitrios 

Stamoulis, Efthimios 

Kostopanagiotou, Georgia 

Journal Article 

Anesth Pain Med. 2019 Apr 10;9(2):e88327. doi: 10.5812/aapm.88327. eCollection 2019 Apr.},

keywords = {LANECASM},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Similar 2-point discrimination and stereognosia but better locognosia at long term with an independent home-based sensory reeducation program vs no reeducation after low-median nerve transection and repair},

author = {D K Antonopoulos and A F Mavrogenis and P D Megaloikonomos and E Mitsiokapa and G Georgoudis and C T Vottis and G K Antonopoulos and P J Papagelopoulos and S Pneumatikos and S G Spyridonos},

doi = {10.1016/j.jht.2017.10.008},

issn = {0894-1130},

year  = {2019},

date = {2019-01-01},

journal = {J Hand Ther},

volume = {32},

number = {3},

pages = {305-312},

abstract = {STUDY DESIGN: Prospective controlled study. INTRODUCTION: Previous studies evaluated the effectiveness of sensory reeducation (SR) after peripheral nerve injury and repair. However, evidence for long-term clinical usefulness of SR is inconclusive. PURPOSE OF THE STUDY: The purpose of this study is to compare the sensory results of patients with low-median nerve complete transection and microsurgical repair, with and without SR at long term. METHODS: We prospectively studied 52 consecutive patients (mean age, 36 years; range, 20-47 years) with low-median nerve complete transection and microsurgical repair. When reinnervation was considered complete with perception of vibration with a 256-cycles per second tuning fork (mean, 3.5 months after nerve injury and repair), the patients were sequentially allocated (into 2 groups [group SR, 26 patients, SR; group R, 26 patients, reassured on recovery without SR). SR was conducted in a standardized fashion, in 2 stages, as an independent home-based program: the first stage was initiated when reinnervation was considered complete, and included instruction in home exercises to identify familiar objects and papers of different roughness, and localization of light touch (eyes open and closed); the second stage was initiated when the patients experienced normal static and moving 2-point discrimination (2PD) at the index fingertip of injured hand, and included instruction in home exercises for stereognosia, supplementary exercises for localization of light touch, and identification of small objects (eyes open and closed). Exercises were prescribed for 5-10 minutes, 4 times per day. At 1.5, 3, and 6 years after nerve injury and repair, we evaluated the static and moving 2PD, stereognosia with the Moberg's pick-up test, and locognosia with the modified Marsh test. Comparison between groups and time points was done with the nonparametric analysis of variance (Kruskal-Wallis analysis of variance). RESULTS: Static and moving 2PD and stereognosia were not significantly different between groups at any study period. Locognosia was significantly better at 1.5 and 3 years in group SR; locognosia was excellent in 17 patients of group SR vs 5 patients of group R at 1.5-year follow-up and in 14 patients of group SR vs 5 patients of group R at 3-year follow-up. Locognosia was not different between the study groups at 6-year follow-up. CONCLUSION: A 2-stage home program of SR improved locognosia at 1.5 and 3 years after low-median nerve complete transection and repair without significant differences in other modalities or the 6-year follow-up of a small subsample.},

keywords = {Adult, Female Humans, Locognosia, Male Median Nerve/injuries/*surgery, Median nerve, Median Neuropathy/physiopathology/*rehabilitation, Microsurgery, Microsurgical repair, Middle Aged *Physical Therapy, Modalities, PHYSIOLAB, Prospective Studies, Recovery of Function/physiology, Sensation/*physiology, Sensory reeducation, Stereognosia, Stereognosis, Two-point discrimination, Wrist, Young Adult},

pubstate = {published},

tppubtype = {article}

}