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Auteur John S. Sullivan |
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Postural Control in Response to Altered Sensory Conditions in Persons With Dysvascular and Traumatic Transtibial Amputation / Prasath Jayakaran in Archives of Physical Medicine and Rehabilitation, 2015/2 (2015)
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Titre : Postural Control in Response to Altered Sensory Conditions in Persons With Dysvascular and Traumatic Transtibial Amputation Type de document : Article Auteurs : Prasath Jayakaran ; Gillian M. Johnson ; John S. Sullivan Article en page(s) : p. 331-339 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Complications du diabète ; Membre inférieur ; Proprioception ; Rééducation et réadaptationMots-clés : Amputation chirurgicale Diabetes complications Lower extremity Peripheral Vascular Diseases Maladies vasculaires périphériques Postural balance Équilibre postural Résumé : Objective
To compare the postural control of persons with a dysvascular transtibial amputation and traumatic transtibial amputation with able-bodied adults with and without a dysvascular condition in altered sensory testing conditions.
Design
Cross-sectional study.
Setting
University balance clinic.
Participants
The study participants (N=35) included: participants with a dysvascular transtibial amputation (n=9), participants with a traumatic transtibial amputation (n=9), age-matched able-bodied adults without a dysvascular condition (n=9), and able-bodied adults with a dysvascular condition (n=8).
Interventions
Six Sensory Organization Test (SOT) conditions, which included standing with eyes open (condition 1) and closed (condition 2) on a static force platform with visual surround; standing with eyes open on a static force platform with movable visual surround (condition 3); standing with eyes open (condition 4) and closed (condition 5) on a movable force platform with static visual surround; and standing with eyes open on a movable force platform with movable visual surround (condition 6).
Main Outcome Measures
Bilateral anteroposterior (AP) and mediolateral (ML) center of pressure variables, namely root mean square distance (RMSD) and mean velocity (mVel), for each of the 6 SOT conditions.
Results
The dysvascular transtibial amputation group demonstrated a higher AP RMSD (P≤.04) on the sound side than did the able-bodied adults without a dysvascular condition and the able-bodied adults with a dysvascular condition in SOT conditions 1 and 2, respectively. Both the dysvascular transtibial amputation group and the traumatic transtibial amputation group demonstrated a higher AP RMSD (P≤.002) than the able-bodied adults without a dysvascular condition in SOT conditions 3 and 4. The dysvascular transtibial amputation group showed higher AP mVel (P≤.002) on the sound side for SOT conditions 2 and 3, whereas both amputation groups showed higher AP mVel for SOT conditions 1 and 4 than the able-bodied adults with and without a dysvascular condition.
Conclusions
Postural control of the dysvascular transtibial amputation group was not different than the traumatic transtibial amputation group in challenging sensory conditions. However, when compared with the groups of able-bodied adults with and without a dysvascular condition, postural strategies distinct with amputation etiology were observed.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=118549
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 331-339[article]The understanding of the concept of rest in the management of a sports concussion by physical therapy students / John S. Sullivan in Physical therapy in sport, 2012/4 (2012)
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Titre : The understanding of the concept of rest in the management of a sports concussion by physical therapy students : A descriptive study Type de document : Article Auteurs : John S. Sullivan ; Sridhar Alla ; Hopin Lee ; [et al.] Année de publication : 2012 Article en page(s) : pp. 209-213 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Kinésithérapie (spécialité) ; ReposRésumé : "Objectives
To investigate physical therapy students understanding of the concept of rest following a sport concussion and to ascertain if this understanding changes following a lecture based on current best practice concussion knowledge.
Design
Pre-post observational survey.
Setting
University classroom setting.
Participants
A cohort of 118 (40 male, 78 female) physical therapy students participating in volunteer sports medic training.
Results
Participants provided 320 (pre) and 350 (post) responses depicting activities which should be restricted following a concussion. The responses were classified into three rest-related categories: Physical rest, Cognitive rest and Mixed (a combination of physical and cognitive rest). Pre-lecture, approximately 74% of the students responses were categorized as Physical rest, and 25% under Mixed. There was a shift in the response pattern post-lecture, with 96% of the responses falling in the Mixed category.
Conclusions
The results of the study highlight a lack of understanding of the concept of cognitive rest in concussion management among trainee sport medics. The need for wider dissemination of this concept as recommended by the recent consensus statement on sports concussion is indicated."Disponible en ligne : Oui En ligne : http://www.physicaltherapyinsport.com/article/S1466-853X(11)00110-6/abstract Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=133516
in Physical therapy in sport > 2012/4 (2012) . - pp. 209-213[article]