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MEDICINA DELLO SPORT
A Journal on Sports Medicine
Official Journal of the Italian Sports Medicine Federation
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,163
Medicina dello Sport 2015 March;68(1):135-62
language: English, Italian
A new frontier in sports therapy: AMPA system (personalized and adapted motor activity)
Lamberti V. Jr. 1, Nardini S. 2, Romano P. 1, Menegon T. 3, Lamberti V. Sr. 1
1 Istituto di Medicina dello Sport e dell’Attività Motoria (IMS) c.FMSI-CONI, Vittorio Veneto, Treviso, Italy;
2 Operative Unit of Pneumology, Az. ULSS 7 Pieve di Soligo, Treviso, Italy;
3 Servizio per la Promozione della Salute e Tutela nelle Attività Sportive, Dipartimento di Prevenzione Az. ULSS 7 Pieve di Soligo, Treviso, Italy
AIM: With this study we wanted to investigate how exercise programs can be customized and adapted to improve the clinical condition of the patients with chronic degenerative diseases stabilized and non-communicable diseases, affecting the health care cost containment.
METHODS: In 2009/2010, after appropriate medical screening, we selected a sample of 178 subjects aged between 35 and 85 years old, who had carried out a cycle of sport-therapy in medical gym with AMPA method (Personalized and Adapted Motor Activity). The subjects were then subjected to a new screening, useful for the comparison of clinical and functional parameters collected during pre-and postintervention. Were then identified five specific groups of patients: elevated blood pressure group, elevated blood glucose group, high cholesterol group, high BMI (Body Mass Index) group and reduced TI (Tiffeneau Index) group. For each group, we performed a comparison between the values of “baseline” and “end of cycle sport-therapy” of the parameters investigated. The modified questionnaire QUALEFFO-41 was used to evaluate the perception of health status and quality of life pre-and postintervention.
RESULTS: The effectiveness of sport-therapy is demonstrated by the improvement in the perception of health status, quality of life, cardiorespiratory functional capacity, cardiovascular and metabolic parameters considered. This is closely correlated with the reduction in the risk of cardiovascular events and with better management of chronic disease, which is likely to result in the reduction of hospital admissions and complaints to the general practitioner and / or specialist visits.
CONCLUSION: We validate the sports therapy as an effective tool for the prevention and treatment of chronic stabilized diseases, that nowadays have become a health and social problem due to significant implications for welfare and economic development. In response to the new demand for health and care of citizens suffering from chronic disease and the reduction of health care costs, the Institute of Sports Medicine of Vittorio Veneto and the Health Units 7 of Pieve di Soligo (TV) have made available a sport-therapy service (AMPA system) on the territory.