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. DOI : https://doi.org/10.1016/j.apmr.2022.07.020 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]

Membre supérieur du paralysé cérébral / Flavia Coroian (2022)

Titre : Membre supérieur du paralysé cérébral : de l'enfant à l'adulte Type de document : Livre Auteurs : Flavia Coroian, Directeur de publication, rédacteur en chef ; Emmanuelle Chaleat-Valayer, Directeur de publication, rédacteur en chef ; Bertrand Coulet, Directeur de publication, rédacteur en chef ; Isabelle Laffont, Directeur de publication, rédacteur en chef ; A. Abime, Collaborateur ; F. Alkar, Collaborateur ; E. Allart, Collaborateur ; R. Bard-Pondarré, Collaborateur ; E. Boissonnault, Collaborateur ; C. Boulay, Collaborateur ; L. Boyer, Collaborateur ; D. Demailly, Collaborateur ; E Chan seng, Collaborateur ; F. Cif, Collaborateur ; J. Cottalorda, Collaborateur ; P. Coubes, Collaborateur ; F. Cyprien, Collaborateur ; M. Delpont, Collaborateur ; M.-H. Elleuch, Collaborateur ; C. Fontaine, Collaborateur ; S. Ghroubi, Collaborateur ; [et al.] Editeur : Montpellier : Sauramps Médical Année de publication : 2022 Collection : Acquisitions en médecine physique et de réadaptation Importance : 142 p. Présentation : Ill. en noir. ISBN/ISSN/EAN : 979-10-303-0258-5 Prix : 32€ Langues : Français (fre) Résumé : La paralysie cérébrale est la cause la plus fréquente des déficiences motrices chez l’enfant. Devant la variété des tableaux cliniques et la nécessité de répondre à des objectifs individualisés, le clinicien doit pouvoir réaliser une analyse approfondie des déficiences et de leurs conséquences fonctionnelles afin d’établir la meilleure stratégie thérapeutique. Cet ouvrage destiné aux médecins, chirurgiens et rééducateurs constituant l’équipe interdisciplinaire amenée à prendre en charge les patients avec paralysie cérébrale aborde les formes cliniques d’atteinte du membre supérieur, les aspects spécifiques d’évaluation et de prise en charge médicale, rééducative et chirurgicale par des méthodes conventionnelles ou innovantes chez les patients de différents âges. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295331

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
651.4 CORM	Livre	Woluwe	Réadaptation/Paralysie cérébrale	Prêt autorisé Disponible

Percutaneous Needle Tenotomy for the Treatment of Muscle and Tendon Contractures in Adults With Brain Damage: Results and Complications / Flavia Coroian in Archives of Physical Medicine and Rehabilitation, 2017/5 (2017)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2017/5 (2017) . - pp. 915-922 Titre : Percutaneous Needle Tenotomy for the Treatment of Muscle and Tendon Contractures in Adults With Brain Damage: Results and Complications Type de document : Article Auteurs : Flavia Coroian ; Claire Jourdan ; Jérôme Froger Article en page(s) : pp. 915-922 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation Mots-clés : Contracture  Stroke  Tenotomy  Ténotomie Résumé : Objective To study the results and complications of percutaneous needle tenotomy for superficial retracted tendons in patients with brain damage. Design Prospective observational study. Setting University hospital. Participants Patients with severe brain damage (N=38; mean age, 60.7y; age range, 24–93y; 21 women) requiring surgical management of contractures and eligible for percutaneous needle tenotomy were enrolled between February 2015 and February 2016. Interventions The percutaneous needle tenotomy gesture was performed by a physical medicine and rehabilitation physician trained by an orthopedic surgeon, under local or locoregional anesthesia. Treated tendons varied among patients. Main Outcome Measures All patients were evaluated at 1, 3, and 6 months to assess surgical outcomes (joint range of motion [ROM], pain, and functional improvement) while screening for complications. Results Improvements in ROM (37/38) and contractures-related pain (12/12) were satisfactory. Functional results were satisfactory (Goal Attainment Scale score ≥0) for most patients (37/38): nursing (n=12), putting shoes on (n=8), getting in bed or sitting on a chair (n=6), verticalization (n=7), transfers and gait (n=8), and grip (n=2). Five patients had complications related to the surgical gesture: cast-related complications (n=2), hand hematoma (n=2), and cutaneous necrosis of the Achilles tendon in a patient with previous obliterative arteriopathy of the lower limbs (n=1). Conclusions Percutaneous needle tenotomy yields good results in the management of selected superficial muscle and tendon contractures. The complications rate is very low, and this treatment can be an alternative to conventional surgery in frail patients with neurologic diseases. DOI : https://doi.org/10.1016/j.apmr.2016.11.014 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=117744 [article]

Upper Limb Isokinetic Strengthening Versus Passive Mobilization in Patients With Chronic Stroke: A Randomized Controlled Trial / Flavia Coroian in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 2 (2018)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 99, n° 2 (2018) . - p. 321-328 Titre : Upper Limb Isokinetic Strengthening Versus Passive Mobilization in Patients With Chronic Stroke: A Randomized Controlled Trial Type de document : Article Auteurs : Flavia Coroian ; Claire Jourdan ; Karima Bakhti Article en page(s) : p. 321-328 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Force musculaire ; Membre supérieur ; Rééducation et réadaptation Mots-clés : Muscle Strength Dynamometer  Dynamomètre pour la mesure de la force musculaire  Muscle strength  Stroke  Upper extremity Résumé : Objective To assess the benefit of isokinetic strengthening of the upper limb (UL) in patients with chronic stroke as compared to passive mobilization. Design Randomized blinded assessor controlled trial. Setting Physical Medicine and Rehabilitation departments of 2 university hospitals. Participants Patients (N=20) with incomplete hemiplegia (16 men; mean age, 64y; median time since stroke, 32mo). Interventions A 6-week comprehensive rehabilitation program, 3d/wk, 3 sessions/d. In addition, a 45-minute session per day was performed using an isokinetic dynamometer, with either isokinetic strengthening of elbow and wrist flexors/extensors (isokinetic strengthening group) or passive joint mobilization (control group). Main Outcome Measures The primary endpoint was the increase in Upper Limb Fugl-Meyer Assessment (UL-FMA) score at day 45 (t1). Secondary endpoints were increases in UL-FMA scores, Box and Block Test scores, muscle strength, spasticity, and Barthel Index at t1, t2 (3mo), and t3 (6mo). Results Recruitment was stopped early because of excessive fatigue in the isokinetic strengthening group. The increase in UL-FMA score at t1 was 3.5+4.4 in the isokinetic strengthening group versus 6.0+4.5 in the control group (P=.2). Gains in distal UL-FMA scores were larger (3.1+2.8) in the control group versus 0.6+2.5 in the isokinetic strengthening group (P=.05). No significant group difference was observed in secondary endpoints. Mixed models confirmed those results. Regarding the whole sample, gains from baseline were significant for the UL-FMA at t1 (+4.8; P<.001 t2 and t3 for the box block test at t1 p=".013)" t2.> Conclusions In a comprehensive rehabilitation program, isokinetic strengthening did not show superiority to passive mobilization for UL rehabilitation. Findings also suggest a sustained benefit in impairments and function of late UL rehabilitation programs for patients with stroke. 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=118731 [article]