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NEMOCO srlNeuromotor Controlling Operators
DOCUMENTAZIONE SCIENTIFICA DEL CRO®SYSTEM
Il Cro®System è uno strumento ed un metodo integrati in grado di indurre modifiche
plastiche nel Sistema nervoso Centrale (Marconi B et al. 2008) e migliorare la performance
motoria mediante l’applicazione di una leggera vibrazione meccanica localmente applicata su
singoli muscoli.
Gli effetti si instaurano rapidamente (Marconi B et al. 2008; Brunetti O et al. 2006;
Filippi GM et al. 2009) e sono lungamente peristenti (Fattorini L et al. 2006; Brunetti O et al. 2006;
Marconi B et al. 2008; Filippi GM et al. 2009).
Gli effetti consistono in:
1. aumento della resistenza alla fatica (Fattorini L et al. 2006)
2. diminuzione del tempo di esplosione della forza (Fattorini L et al. 2006)
3. aumento della forza e della potenza (Fattorini L et al. 2006; Brunetti O et al. 2006;
Filippi GM et al. 2009)
4. aumento dell’altezza nel balzo (Filippi GM et al. 2009)
5. aumento della stabilità nella postura (Brunetti O et al. 2006; Filippi GM et al. 2009)
6. diminuzione della spasticità e recupero di funzione motoria (Marconi B, et al. 2008;
Marconi B et al 2009).
Tutti gli studi convergono sull’ipotesi che il meccanismo d’azione consista in un
miglioramento del processing propriocettivo e del controllo articolare attraverso un
miglioramento del gioco agonisti-antagonisti (Fattorini L et al. 2006; Brunetti O et al. 2006;
Filippi GM et al. 2009). Il maggior controllo dell’impedenza articolare giustifica la resistenza
alla fatica, la migliore esplosività, l’aumento di stabilità e la diminuzione della spasticità
(Marconi B et al. 2008 E 2009).
Le caratteristiche applicative per avere il massimo risultato con il minimo tempo di
trattamento sono: 3 applicazioni al giorno di 10 minuti ognuna intervallate da 10-30 secondi
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NEMOCO srlNeuromotor Controlling Operators
di pausa, per 3 giorni consecutivi, di una lieve vibrazione di 0,1-0,5 mm. Le applicazioni
vanno eseguite sul gruppo muscolare da trattare. Poiché 0,1-0,5 mm di vibrazione e
corrispondenti a circa 0,002 mm alle fibre muscolari (Filippi GM et al. 2009) il procedimento è
del tutto innocuo e applicabile a qualsiasi età (da 2-3 anni a oltre 90). Nessuno studio, ad oggi,
ha riportato effetti collaterali significativi.
La lunga durata degli effetti, (mesi o permanenti, a fronte di 90 minuti applicativi rendono lo
strumento facilmente applicabile su grandi numeri di pazienti.
Campi applicativi:
1. Pazienti neurologicia. Ictus acuti, subacuti e cronicib. Traumatizzati cranicic. Sclerosi multipled. Midollarie. Paralisi periferiche f. paralisi cerebrali infantili
2. Pazienti ortopedicia. Esiti di traumib. Esiti chirurgicic. Forme infiammatorie (artrite reumatoide, artriti)d. Forme artrosiche
3. Terza età per vincere l’astenia, la debolezza, prevenire le cadute. 4. SPORT
per aumentare la forza esplosiva la resistenza, la stabilizzazione articolare
Riabilitazione ortopedica, neurologica, della terza età e in generale in tutte le forme
caratterizzate da sarcopenia o da ipovalidità funzionale. Particolarmente indicata
l’interazione con la riabilitazione tradizionale (Brunetti O et al. 2006;Filippi GM et al. 2009;
Marconi B et al. 2009). Importante l’azione sulla spasticità da lesioni centrali nel migliorare
il tono e la coordinazione, aprendo nuove strade alla riabilitazione (Marconi B, et al. 2008b;
Marconi B et al 2009).
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Principali riferimenti bibliografici
1. Brunetti O, Botti FM, Roscini M, Brunetti A, Panichi R, Filippi GM, Pettorossi VE
Effects of quadriceps muscle vibration on leg power and knee joint laxity of female
volleyball players submitted to Journal of Athletic Training 2010
2. Camerota F, Galli M, Celletti C, Vimercati S, Cimolin V, Tenore N, Filippi GM,
Albertini G. Quantitative effects on gait pattern of repeated muscle vibrations: a 5-yr-
old case study.submitted to Disorder and Disability 2010
3. Marconi B, Filippi GM, Koch G, Pecchioli C, Versace V, Camerota F, Saraceni VM,
Caltagirone C. Long-term effects on cortical excitability and motor recovery induced
by repeated muscle vibration in chronic stroke patients. In stampa Neurorehabilitation
and Neural Repair 2010
4. Filippi GM, Brunetti O, Botti FM, Panichi R, Roscini M, Camerota F, Cesari M,
Pettorossi VE. Improvement of stance control and muscle performance induced by
focal muscle vibration in young-elderly women: a randomized controlled trial. Arch
Phys Med Rehabil. 2009 Dec;90:2019-25
5. Marconi B, Filippi GM, Koch G, et al. Long-term effects on motor cortical excitability
induced by repeated muscle vibration during contraction in healthy subjects. J Neurol
Sci 2008b;275:51-9
6. Fattorini L, Ferraresi A, Rodio A, Azzena GB, Filippi GM. Motor performance
changes induced by muscle vibration. Eur J Appl Physiol 2006;98:79-87.
7. Brunetti O, Filippi GM, Lorenzini M, Liti A, Panichi R, Roscini M, et al.
Improvement of posture stability by vibratory stimulation following anterior cruciate
ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2006;14:1180–7.
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NEMOCO srlNeuromotor Controlling Operators
ABSTRACTS DEI PRINCIPALI LAVORI
EFFECTS OF QUADRICEPS MUSCLE VIBRATION ON LEG POWER AND KNEE
JOINT LAXITY OF FEMALE VOLLEYBALL PLAYERS
(submitted to Journal of Athletic Training 2010)
Orazio Brunetti PhD(*), Fabio M. Botti MD(*), Mauro Roscini HSG(*), Antonella Brunetti
MD(†), Roberto Panichi PhD(*), Guido Filippi MD(‡), Vito Enrico Pettorossi MD(+)
(*) Department of Internal Medicine, Section of Human Physiology, University of Perugia, Via del Giochetto, 06100 Perugia, Italy;
(†)
Department of Clinical Orthopedics and Traumatology, University of Perugia; (‡) Institute of Human Physiology
- Catholic University - Rome (Italy)
Abstract
Context: High explosive power, reactive force and joint stability are required in volleyball
players. Common training methods have a modest efficacy and when improperly applied, they
may be associated with an increased risk of injury.
Objective: To determine the effect of the mechanical vibration, applied focally and
repeatedly (repeated muscle vibration = rMV) on the quadriceps muscles on explosive and
reactive leg power and knee laxity of female women players (age 23 ± 4 years).
Design: A double-blind randomized controlled trial.
Setting: Controlled laboratory environment.
Patients or other partecipants: Eighteen healthy volleyball female athletes, belonging to the
same team of senior regional level (age = 22.7 ± 3 years, height = 1,803 ± 5 m, mass = 64 ± 4
Kg).
Intervention(s): Participants were randomly assigned to 3 groups, each composed of 6
women: Vibration on Contracted quadriceps = VC; Vibration in Relaxed muscle = VR;
placebo. rMV parameters were: 100Hz, 300–500 μm, in three 10-minute sessions a day for 3
consecutive days.
Main Outcome Measure(s) : explosive leg power, reactive leg power, knee joint laxity.
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NEMOCO srlNeuromotor Controlling Operators
Results: In VC group explosive and reactive leg power increased by ~20% at 30 days and by
~30% at 240 days after the intervention. Knee laxity also changed decreasing by 15% at 30
days and ~25% at 240 days. These values were significantly different compared to those of the
other groups (P< .05), in which the increase in explosive and reactive leg powers and the
decrease in knee joint laxity were ~5% at 30 days and ~10% at 240 days.
Conclusions: rMV is a short-lasting and noninvasive protocol that can significantly and
persistently improves muscle performance and knee laxity in volleyball women players.
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NEMOCO srlNeuromotor Controlling Operators
QUANTITATIVE EFFECTS ON GAIT PATTERN OF REPEATED MUSCLE
VIBRATIONS: A 5-YR-OLD CASE STUDY
(submitted to Disorder and Disability 2010)
Camerota F1, Manuela Galli2,3, Claudia Celletti1, Sara Vimercati2, Veronica Cimolin2, Nunzio
Tenore3, Filippi GM4, Giorgio Albertini3
1 Physical Medicine and Rehabilitation Division, Umberto I Hospital, “Sapienza” University
of Rome, 00185 Rome, Italy; 2 Bioeng. Dept. Politecnico di Milano, P.za Leonardo da Vinci
32, 20133 Milano, Italy; 3 IRCCS “San Raffaele Pisana” - Tosinvest Sanità, Via della Pisana
235, Roma, Italy; 4 Institute of Human Physiology, Catholic University of Rome, 00168
Rome, Italy
Abstract
In this case study we investigated quantitatively and objectively the effects of repeated muscle
vibration (rMV) of triceps surae for the reduction of equinus foot deformity due to calf
spasticity in a 5-yr-old patient with Cerebral Palsy. His gait pattern was evaluated before and
one month after the treatment using Gait Analysis, in terms of distal and proximal joints
kinematics. The obtained results demonstrated that rMV had positive effects on the patient’s
gait pattern, in terms of spatio-temporal parameters (stance duration and step length) and of
angles at all lower limb joints, not only at the joint directly involved by the treatment (i.e.
ankle and knee joints) but also at proximal joints (i.e. pelvis and hip joint). These results
showed that the rMV technique seems to be a reasonable option for the gait pattern
improvement in CP, which can be used also in very young patient.
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
NEMOCO srlNeuromotor Controlling Operators
Via F.Siacci 38 00197 Roma, P.IVA 06331541000@mail: nemoco.informa@tiscali.it www.nemoco.it
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