trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

International Recommendations to Manage Poststroke Equinovarus Foot Deformity Validated by a Panel of Experts Using Delphi / Marjorie Salga ; Laure Gatin ; Thierry Deltombe ; Thierry Gustin ; Stefano Carda ; Philippe Marque ; Paul Winston ; Rajiv Reebye ; Theodore Wein ; Alberto Esquenazi ; Mary-Ann Keenan ; Franco Molteni ; Paolo Zerbinati ; Alessandro Picelli ; Flavia Coroian ; Bertrand Coulet ; Nadine Sturbois-Nachef ; Christian Fontaine ; Alain Yelnik ; Bernard Parratte ; Prakash Henry ; Srikant Venkatakrishnan ; Philippe Rigoard ; Romain David ; Philippe Denormandie ; Alexis Schnitzler ; Étienne Allart ; François Genet in Archives of Physical Medicine and Rehabilitation, Vol. 104, n° 3 (2023)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 372-379 Titre : International Recommendations to Manage Poststroke Equinovarus Foot Deformity Validated by a Panel of Experts Using Delphi Type de document : Article Auteurs : Marjorie Salga ; Laure Gatin ; Thierry Deltombe ; Thierry Gustin ; Stefano Carda ; Philippe Marque ; Paul Winston ; Rajiv Reebye ; Theodore Wein ; Alberto Esquenazi ; Mary-Ann Keenan ; Franco Molteni ; Paolo Zerbinati ; Alessandro Picelli ; Flavia Coroian ; Bertrand Coulet ; Nadine Sturbois-Nachef ; Christian Fontaine ; Alain Yelnik ; Bernard Parratte ; Prakash Henry ; Srikant Venkatakrishnan ; Philippe Rigoard ; Romain David ; Philippe Denormandie ; Alexis Schnitzler ; Étienne Allart ; François Genet Année de publication : 2023 Article en page(s) : p. 372-379 Langues : Anglais (eng) Descripteurs : HE Vinci Association sportive ; Football ; Hypertonie musculaire ; Méthode Delphi ; Réadaptation Résumé : Objective To establish international recommendations for the management of spastic equinovarus foot deformity. Design Delphi method. Setting International study. Participants A total of 24 international experts (N=24) in neuro-orthopedic deformities, from different specialties (Physical and Rehabilitation Medicine physicians, neurologists, geriatricians, orthopedic surgeons, neurosurgeons, plastic surgeons). Interventions Experts answered 3 rounds of questions related to important aspects of diagnosis, assessment, and treatment of spastic equinovarus foot deformity. Main Outcome Measures A consensus was established when at least 80% of experts agreed on a statement Results A total of 52 items reached consensus. Experts recommend assessing effect of the deformity on functional activities before treatment. Before treatment, it is crucial to differentiate spastic muscle overactivity from soft tissue contractures, identify which muscles are involved in the deformity, and evaluate the activity of antagonist muscles. Motor nerve blocks, 2-dimensional video analysis, and radiologic examinations are often required to complement a clinical examination. The treatment of equinovarus foot depends on the correctability of the deformity and the patient's ability to stand or walk. The preoperative assessment should include an interdisciplinary consultation that must finalize a formal agreement between physicians and the patient, which will define personalized attainable goals before surgery. Conclusion The establishment of guidelines on managing equinovarus foot will help physicians and surgeons, specialists, and nonspecialists to diagnoses and assess the deformity and direct patients to a network of experts to optimize patient functional recovery and improve their autonomy. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303845 [article]

Is Spastic Muscle Echo Intensity Related to the Response to Botulinum Toxin Type A in Patients With Stroke? A Cohort Study / Alessandro Picelli in Archives of Physical Medicine and Rehabilitation, 2012/7 (2012)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2012/7 (2012) . - pp. 1253-1258 Titre : Is Spastic Muscle Echo Intensity Related to the Response to Botulinum Toxin Type A in Patients With Stroke? A Cohort Study Type de document : Article Auteurs : Alessandro Picelli ; Paola Bonetti ; Carla Fontana ; et al., Auteur Article en page(s) : pp. 1253-1258 Langues : Anglais (eng) Descripteurs : HE Vinci Échographie ; Fibrose ; Muscles ; Rééducation et réadaptation Mots-clés : Fibrosis  skeletal  Muscle spasticity  Ultrasonography  Muscles squelettiques  Spasticité musculaire Résumé : Objective To investigate the relationship between gastrocnemius muscle echo intensity and response to botulinum toxin type A (BoNT-A) in patients with spastic equinus foot resulting from stroke. Design Cohort study. Setting University hospital. Participants Adult patients (N=56) with spastic equinus foot resulting from stroke scheduled to receive BoNT-A injection into the gastrocnemius muscle. Interventions All patients were injected with BoNT-A (abobotulinumtoxinA) into the gastrocnemius muscle with an ultrasonography-guided, multisite injection technique. The toxin dose was 250U for the gastrocnemius medialis and 250U for the gastrocnemius lateralis (dilution 500U/2mL) in each patient. All patients were evaluated before and 4 weeks after BoNT-A injection. Main Outcome Measures Spastic gastrocnemius muscle echo intensity visually graded with the Heckmatt scale. Clinical assessment of the spastic gastrocnemius with the Modified Ashworth Scale, Tardieu Scale, and ankle passive range of motion. Results Postintervention testing at 4 weeks showed overall significant improvements in the clinical assessment of the spastic gastrocnemius muscle. No significant change was observed in the echo muscle intensity of the spastic gastrocnemius after BoNT-A injection. Post hoc comparisons showed that all clinical outcomes were significantly better in those patients with echo muscle intensity of the spastic gastrocnemius graded II on the Heckmatt scale than those with grades III (P<.001 and iv after botulinum toxin injection.> Conclusions These findings support the hypothesis that patients with higher spastic muscle echo intensity have a reduced response to BoNT-A. Disponible en ligne : Oui En ligne : http://www.archives-pmr.org/article/S0003-9993%2812%2900098-6/abstract Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117223 [article]

Relationship Between Ultrasonographic, Electromyographic, and Clinical Parameters in Adult Stroke Patients With Spastic Equinus: An Observational Study / Alessandro Picelli in Archives of Physical Medicine and Rehabilitation, 2014/8 (2014)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2014/8 (2014) . - p. 1564-1570 Titre : Relationship Between Ultrasonographic, Electromyographic, and Clinical Parameters in Adult Stroke Patients With Spastic Equinus: An Observational Study Type de document : Article Auteurs : Alessandro Picelli ; Stefano Tamburin ; Stefano Cavazza Article en page(s) : p. 1564-1570 Langues : Anglais (eng) Descripteurs : HE Vinci Échographie ; Electromyographie ; Muscles ; Rééducation et réadaptation Mots-clés : Electromyography  skeletal  Muscles squelettiques  Muscle spasticity  Spasticité musculaire  Ultrasonography Résumé : Objective To find more accurate indices that could affect decisions in spasticity treatment by investigating the relation between ultrasonographic, electromyographic, and clinical parameters of the gastrocnemius muscle in adults with spastic equinus after stroke. Design Observational study. Setting University hospitals. Participants Chronic patients with stroke with spastic equinus (N=43). Interventions Not applicable. Main Outcome Measures Ultrasonographic features were spastic gastrocnemius muscle echo intensity, muscle thickness, and posterior pennation angle of the gastrocnemius medialis (GM) and gastrocnemius lateralis (GL) in both legs. Electromyographic evaluation included compound muscle action potentials (CMAPs) recorded from the GM and GL of both legs. Clinical assessment of the spastic gastrocnemius muscle was performed with the Modified Ashworth Scale (MAS) and by measuring ankle dorsiflexion passive range of motion (PROM). Results Spastic muscle echo intensity was inversely associated with proximal (GM and GL: P=.002) and distal (GM and GL: P=.001) muscle thickness, pennation angle (GM: P Conclusions Increased spastic muscle echo intensity was associated with reduced muscle thickness, posterior pennation angle, and CMAP amplitude in the gastrocnemius muscle. Building on previous evidence that these instrumental features are related to botulinum toxin response, these new findings may usefully inform spasticity treatment decisions. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118950 [article]