This project was supported by the Rotary Foundation thanks to the collaboration of the Rotary Club Cidade de Rio Claro Azul with two Rotary Districts Italian Club. The main objectives of the AMA Project – “Accessible Movement Analysis for All” are offering high quality rehabilitation to children and young people who have motor disabilities, and improving the qualification of the professionals who work at the public health system of the city of Rio Claro and its region. The chosen center was the Children’s Habilitation Center Princesa Victoria (CHI-PV) is an institution linked to Rio Claro’s Municipal Health Foundation, in the city of Rio Claro, state of São Paulo, Brazil. The principles of CHI-PV are to enable persons with disabilities to live independently and to participate fully in all aspects of life. Nowadays, the CHI-PV assists 1157/year children with several types of physical disabilities. All of these patients are from low-income families from Rio Claro and nearby towns.
The project’s specific steps are:
Step 1. Using the movement analysis to quantify what are the functional limitations related to different pathologies in the best way possible, as well as defining a personal rehabilitation program for each patient.
Step 2. Evaluating the effects of new treatments aiming to improve the patients’ quality of life.
Step 3. Improving the capacitation of the health professionals of the Children’s Habilitation Center Princesa Victoria, promoting workshops, courses, and seminars and also an exchange program for some of these professionals to the Politecnico di Milano , IRCSS San Raffaele Pisana Hospital, in Rome, and Fondazione Gaetano e Piera Borghi, in Milan, Italy;
Step 4. Making the Children’s Habilitation Center Princesa Victoria a center of reference in the area of movement analysis in Brazil, promoting the capacitation of professionals to deal with the analysis equipment and its protocols in an autonomous way.
5×1000 Polisocial Award 2012-2013
PATHOLOGY ONCOLOGY E LONG SURVIVALS: QUANTITATIVE EVALUATION OF UPPER LIMB WITH LYMPHEDEMA
The Project ” Patologia oncologica e long survivals: Valutazione quantitativa di arti affetti da linfedema e loro recupero a seguito di trattamenti riabilitativi mirati ” is a winning project in the competition 5×1000 “Polisocial Awards 2012-2013” at Politecnico di Milano. This project is part of the assessment of lymphedema of the upper limb following the removal of the tumor in women with breast cancer. Specifically, the goal is to provide tools and methods to the clinic, to measure the size of the side affected by lymphedema and its functional limitations in the execution of movements associated with it. Each year, approximately 40,000 women become ill with breast cancer (20-25% of all female cancers). The incidence of breast cancer in Italy grew up until the late ’90s, thanks also to the implementation of screening programs that allowed to reveal a greater number of cases. In parallel, the significant reduction in mortality appears to be linked to the spread of screening programs and to the therapy advancements (surgical techniques, radiotherapy and chemotherapy). Unfortunately, however, the finalized treatments are cause of the formation of lymphedema (important increase in volume of the upper limb in the case of breast cancer) that constitutes a disabling element both from a physical point of view that social. Aim of this project is to give technological tools, protocols and methods for the evaluation of the functional limitation associated to the increase of the limb size. A quantitative measure, therefore, allows to better characterize the severity of lymphedema and to record the changes induced by the treatment. The Coordinator is the Department of Electronics, Information and Bioengineering of the Politecnico di Milano; the project is in collaboration with the Fondazione IRCCS National Cancer Institute, more specifically with the Struttura Complessa Di Cure Palliative, Terapia del dolore e Riabilitazione.
TUTORI INNOVATIVI DI ARTO INFERIORE Project
The project “TUTORI INNOVATIVI DI ARTO INFERIORE” is an industrial research project and an experimental development in the strategic sectors of the Lombardy Region and the Ministry of Education, University and Research, funded in 2011, with the objective to study new composite and polymeric materials for the development of lighter, more durable and lasting orthotics/braces of lower limb, in terms of product life and better performance. The orthotics are typically used in the case of functional deficits of the lower limbs; their basic feature is to ensure the alignment with the corresponding articular segments; in fact, approximating the movement of joints, they are exoskeletons. Their function is to support the patient during the gait, discharging part of its weight on the brace, allowing a correct muscle activation in order to optimize the walk. The partners of this project are Roadrunnerfoot Engineering Ltd. (Leader), Politecnico di Milano, Orthopedic Center Essedì and Lamar srl.
Project NICE (New Italian Chilean Excellence) is a project funded by the Lombardy Region in 2010 with the aim to develop specific protocols for the evaluation of the movement and the brain activity in the execution of typical movements of daily life in children with disabilities, especially with cerebral palsy. These protocols, applied before and after the rehabilitation treatment, help to verify, in an objective and quantitative way, the effectiveness of the rehabilitation treatments normally applied on children with disabilities. The partners in this project are the Department of Bioengineering of the Politecnico of Milano, who is the coordinator of the NICE project, and the Universidad de Chile. The Department of Bioengineering of the Politecnico di Milano has long since wide experience in the quantitative assessment of the movement for the clinical-rehabilitative application (Posture and Movement Analysis Laboratory “Luigi Divieti”) and the evaluation of the signals relating to the ‘brain activity (Laboratory of Signal Processing, data and medical images). The Universidad de Chile, with its clinical partner “Child Rehabilitation Center Teleton of Santiago”, have much experience in the assessment and treatment of children. In particular, the Rehabilitation Center Teleton is the largest pediatric rehabilitation center in Chile with a catchment area of about 10,000 patients per year.
For more info http://www.nice.polimi.it/
The quantitative analysis of posture and motion in humans is a rapidly expanding biomedical field and one of considerable interest from a clinical perspective; it is able to define the motion strategy of a subjects quantitatively in a non invasive way and to supply the clinician with crucial information for the assessment of patient.
The Project TRAMA Network was born with the aim of training researchers in the filed of quantitative analysis of movement creating a Network among all the Institutions involved in the Project.
The aims of the Project are:
- Training about the use of the equipment usually present in a Motion Analysis Lab, about the use of new experimental set-ups for movement analysis and about the development of new methodologies;
- Training via web and in practical session in the Labs, about the evaluation of the data acquired in motion analysis Labs and their clinical meaning;
- Network realization for a continue teaching assistance within different Institutions involved in the Project
TRAMA Project is one of the project of Programme αLFA (America Latina – Formacion Academica), which is a programme of co-operation between higher education institution of the European Union and Latin America.
For more info http://www.biomed.polimi.it/trama/