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Page 38
April 15-16, 2019 | Milan, Italy
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Ortho Congress 2019 Journal of Orthopedic Surgery and Rehabilitation | ISSN: 2630-4473 | Volume 3
ORTHOPEDICS, RHEUMATOLOGY
AND OSTEOPOROSIS
2nd Annual Conference on
TRIA-MF PROTOCOL AS AN INNOVATIVE TOOL IN THE COMPREHENSIVE TREAT-
MENT AND OUTCOME EVALUATION OF LOWER LIMB AMPUTEES BEFORE AND
AFTER PROSTHESIS USE
Maurizio Falso, Silvia Zani, Eleonora Cattaneo, Marco Zucchini and Franco Zucchini
Fondazione Madonna del Corlo, Italy
The aim of this study was to define the efcacy and outcome value of an innovative procedure tool (TRIA-
MF protocol) in the treatment of lower limb amputees before and after prosthesis use with the purpose to
quantify the quality of the procedure and its economic impact on the clinical patients’ recovery. 12 patients (4
women and 8 males) subjected to lower limb amputation and admitted according to the principles of inclusion
criteria of the TRIA-MF protocol at the Rehabilitation Department of the Clinical Institute Città di Brescia were
recruited in this study. All patients were included in an integrated and task-specific management protocol of
the amputee, which allow to follow the rehabilitation process from amputation to the final restoration, for a
period of 6 months for each patient. Patients were evaluated five times during the study, collecting their de-
gree of pain (VAS), their independence profile (Barthel Index) and the cirtometry of their amputation stump.
Data on the duration of their admission to the rehabilitation unit, the inter-time between the amputation and
acquisition of the temporary prosthesis, and between temporary prosthesis acquisition and the final prosthesis
acquisition were also reported. Patients of our sample, at the end of their hospitalization, highlight a significant
modification of the temporal data at first month and sixth month from their hospital discharge. A statistical
significant increase of the Barthel Index value was observed in all patients recruited in this study proceeding
from time T0 to time T4; in the same way, a statistical significant decrease of the VAS scale was observed in all
patients recruited proceeding from time T0 to time T4; the cirtometry of the amputation stump (expressed in
cm) showed a statistical significant decrease in all patients recruited proceeding from time T0 to time T4. We
haven’t observed a statistical significant correlation between the duration of the rehabilitative hospitalization
and the clinical data; no statistical significant correlation was observed between the amputation stump cirto-
metry time-related modification and the intertime data.
Maurizio Falso et al., J ortho Rehab Surg. 2019, Volume 3 | DOI: 10.4066/2630-4473-C1-002
Maurizio Falso received his Degree of Medicine in 1999 and his specialization in Physical Medicine and Rehabilitation from the
University of Medicine of Verona, Italy in 2004 followed by a post-specialization research on the management of spasticity and
movement disorders at the Department of Neurological Sciences and Vision of the University of Verona, Italy by using botulinum
toxin and baclofen pumps and analyzing motor patterns with video-surface EMG. He is a Professor at the Physiotherapist School of
the Medicine University of Brescia, Italy and a past-member of the Italian Consensus Table on the use of xeomin in adult spasticity. In
his career he also promoted the use of innovative dynamic carbon-kevlar custommade AFO (DAFONS), innovative postural devices
in patients affected by neurological complex postural needs, the device treatment of idiopathic scoliosis by using an innovative
dynamic spine brace called “BRIXIA” and the device treatment of gait disorders by using an innovative dynamic carbon kevlar foot
insole called “PRODYNAMIC”.
BIOGRAPHY