It continues with a visit to highlight internist or exclude any pathology.
It then goes on to a series of functional measurements useful to verify the correct physiology of organs and apparatuses.
With the anthropometric assessment calculates the body composition (fat mass, lean mass and water mass) of the patient.
The fat mass is determined by skinfold calipers according to the Durnin scheme.
The lean body mass is calculated with the muscular area of the arm (AMA).
The water content (TBW) is calculated using the serum sodium concentration.
The result of this survey serves to harmonize the body compartments restoring them to physiological values.
With this assessment, it also determines the Body Mass Index (BMI) useful to highlight the patient's morbidity against diseases influenced by excess weight.
This provides both an observation with normal light (to highlight the skin biotype, wrinkles and neoplasms) is an observation with Wood's light (to locate the dermal and epidermal pigmentation). It can be completed with the measurement of corneometry (hydration of the skin), the sebometria (sebum production) and the lactic acid test (sensitivity).
With the assessment of the state postural highlight the irregularities of the position of the body with respect to the supporting surfaces of the same.
At the irregularities resulting posture of the spastic muscle contractions necessary to normalize the center of gravity. This determines algie at the level of the column and irregularities of venolinfatica function of the lower limbs.
The study begins by observing the position of the body both in the anterior-posterior direction and in the latero-lateral direction.
It continues with the highlighting of deviations and column rotations, highlighting with 'a red dermographism "vertebral spinous processes and controlling, with a" plumb ", the linearity of the same.
Finally, it is observed the hindfoot to highlight pronations or supination of this on the basis of the projection of the condyles on the footprint and the plantar support highlighting a cavus or a flat-footedness on the basis of the relationship between forefoot and hindfoot.
the correction of postural irregularities provides the postural gymnastics programming and prescription orthoses orthotics.
The joint evaluation measures the mobility of some of the major joints: the shoulder joint, the sacral vertebral and hip joint.
1. The scapulohumeral involves measuring the minimum opening of the limbs stretched, in the antero-posterior rotation of the same (cm).
2. The vertebral-sacral involves measuring the maximum range, forward, the tip of the fingers to the tip of the toes, the patient sitting with legs stretched (cm).
3. The coxofemoral provides for the maximum measurement of the angle of opening of the legs, with the patient seated with legs stretched (degrees).
The results represent an initial parameter, subjective patient, which should improve over time and with the appropriate exercises.
The evaluation mnesica involves the administration to the test patient traits from Gerontecnology and useful to measure quantitatively the reduction of both visual memory that visual-verbal connection.
For the visual test, we observe the patient 20 photos of faces, each for 9 seconds. Subsequently, always for 9 seconds per photo, they are made to observe 14 faces, of which 8 are chosen from among those already seen and 6 new ones. The patient must recognize faces already seen.
For the visual-verbal test, they observe the patient 20 pictures of faces paired with the matching name, for 15 seconds each. Subsequently, still for 15 seconds per photo, they are made to observe 14 faces, of which 8 are chosen from among those already seen and 6 new ones. The patient must recognize and remember faces already seen its name linked to each face.
Scores are expressed as x / 8 where x is the number of right results.
This test is performed by applying the characteristics of the questions SCALE DEPRESSION . If, compared to the comparison grid the patient responds to more than 15 of the 30 questions in a depressive way, you are faced with the planning of a therapy
Stress, a series of biochemical reactions in our body to prepare it for defense, becomes positive to negative when they continue over time to the patient's inability to positively solve the problem. This evaluation is performed by administering to the patient the TEST HOLMES in which, in particular incidents that may have occurred over the past six months has an associated score. If, in the case of the patient, the score exceeds the value of 150 eustress (positive stress) it becomes distress (negative stress) and requires a treatment to prevent the occurrence of clinical problems (fall of immune defenses, bulimia, impotence).
Blood chemistry EVALUATION
With blood chemistry evaluation we mean that the laboratory analyzes are performed using blood sampling on the patient.
• sex hormones (estradiol, progesterone, testosterone)
• lymphocyte populations
The results obtained will help us to schedule a hormone replacement therapy subjectivized and an immunostimulant treatment.
EVALUATION GENETIC POLYMORPHISMS
Today it is possible to check whether the function of our genes are correct and allow us to live well, with a simple collection of saliva. We experience our metabolic functions (food, detoxifying), the inflammatory aging, oxidative aging, hormonal functions, memory, depression, skin functions. Based on the result of a behavioral program, integrative and corrective.
After the tour you can fill out a FINAL with the patient's clinical picture.