“Nonsi? Spunnapeti ci fù!” Il patrimonio linguistico attiva strutture nervose come facilitatore nel recupero delle attività sensomotorie

“Nonsi? Spunnapeti ci fù!” (It’s a trap!) How language heritage activates nerve structures as a facilitator in the recovery of sensorimotor activities

Autori

Teresa Pintaudi (Università degli studi di Messina, Messina, Italia)

Mariachiara Ceccio (Università degli studi di Messina, Messina, Italia)

Francesco Bonanno (Università degli studi di Messina, Messina, Italia)

Filippo Cavallaro (AOU “G. Martino”, Messina, Italia )

Introduction

From a spontaneous statement expressed by a patient during a declination of sequential recognition in a cognitive therapeutic exercise (CTE), We thought about the role of past memories and events related to family-like experiences and how they can contribute during the exercise.

This reaction braked the subject in his decision-making process to reevaluate the experience, repeating it independently.

Methods

At the end of May 2024 during the daily physiotherapy session, Mr. “Fabrizio,” who was being followed for right encephalic stroke outcomes, was performing CTE exercises. Suddenly and unexpectedly he exclaimed: “Nonsi? Spunnapeti ci fù!” (it’s a trap!)

He realized that what he had so far perceived could not match the proposal that had been presented. He opened his arms and stopped what he was doing.

He returned to contact with the grant with a different focus and awareness for recognition.

Results

Complexity is an epistemic property, while freedom should belong to the intrinsic properties of that ontology system.

In fact, the structures that constitute the living being have a specific organization characterized by a complexity of connections, linkages, relationships that answer to its properties and conditions of self-determination and survival. These structures have a freedom to assert their existence by learning opportunities wit the aim to adapt experiences and changes the body (disease) and the environment (context).

Complex systems are predictable, knowing their initial conditions, in fact they are simulated in electronic computers. Therefore, the study and the deepening of knowledge in biology, physiology, psychology and sociology’s fields and all the disciplines which relate to man as a living being, can allow, those involved in the recovery of functions related to motor skills, the  using of knowledge pathways for the acquisition of motor skills and abilities.

“Fabrizio”, who was guided during the recognition experience, notices a condition of unbalance, non-alignment and a lack of coherence, between the experience he was describing and the recent memory of the grants.

To reinforce the discovery he retrieves a Sicilian phraseology coming from deeper memories that can enrich the way the experience is valued. Consequently, in the complexity field of connections, it is  activated a transdisciplinarity phenomenon (citing Jean Piaget).

Discussion and Conclusion

Everyone manifests in movements and behaviors, their personality, their culture and their freedom. This is even more evident in learning. In order to add an element among its skills, the person must modify itself both in the connections that characterize the functions of balance and coordination, and in the structures for weighing, speed, comfort.

During the experience of illness the body asks us to be guided among its complexities to unravel its wires and find those that can give opportunities for recovery to win over the pathological drift.

REFERENCES

• Manzotti R., Tagliasco V. Coscienza e realtà, Il Mulino 2001
• Morin E. Ancora un momento, Raffaello Cortina editore 2024
• Morin E. Lezioni messinesi, Armando Siciliano editore 2006
• Maturana H., Varela F. Macchine ed esseri viventi, Casa editrice Astrolabio 1992
• Parisi D. Intervista sulle reti neurali, Il Mulino 1989

BALANCE BETWEEN MEASURES, BUT ON THE SLIDEBAR THERE IS TINETTI SCALE

Introduction

Balance is a term frequently used by health professionals working in a wide variety of clinical specialties. Nowadays there is not an universally definition of human balance. From a physic point of view, balance is the state of an object, when the resultant load actions (forces or moments) acting upon it are zero. If the line of gravity of an object falls within the base of support, then the object is balanced. This principle can be applicable to the balance of humans, in fact the human body is balanced when muscle forces counteract the force of gravity, and the line of gravity falls inside the base of support. Measuring static and dynamic balance means giving autonomy to the patient and it represents a good way to prevent falls.

Methods

To measure balance, we proposed the following scales to 45 patients, admitted to the department of physical medicine and rehabilitation at the Polyclinic of Messina:

• Berg Balance Scale
• Time Up And Go Test (TUG)
• The 30-Second Chair Stand Test
• Tinetti Scale, it is used to measure balance ability, including fall risk and ambulation. It is composed by 16 items, divided into two different sections (balance and walking), that assess balance and walking performance through the observation of motor skills of great relevance in daily life. Each item is given a score ranging from 0 to 2, (0= inability, 1= ability with aid or adaptation, 2= full ability). The balance functions consists of 9 tests that examine static balance skills in different positions and the execution of position changes. The second section, on the other hand, assesses walking functions through gait characteristics such as symmetry, length, and stride continuity. The maximum score is 28

Results

Through the administration of these scales, we saw a significant improvement in patients’ balance and in the perception of their body

Discussion and Conclusion

Thanks to these scales, we noticed that balance needs to be assessed, measured, and warned. From the data collected, it emerged that, thanks to physiotherapy, patients are able to improve their balance, preventing falls and injuries. For the physiotherapist Tinetti scale is more appropriate because its items give value to the observational aspects of movement.

REFERENCES

Pollock AS, Durward BR, Rowe PJ, Paul JP. What is balance? Clin Rehabil. 2000 Aug;14(4):402-6. doi: 10.1191/0269215500cr342oa. PMID: 10945424.