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

Clinic-Based Assessment of Weight-Bearing Asymmetry During Squatting in People With Anterior Cruciate Ligament Reconstruction Using Nintendo Wii Balance Boards / Ross A. Clark in Archives of Physical Medicine and Rehabilitation, 2014/6 (2014)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2014/6 (2014) . - p. 1156-1161 Titre : Clinic-Based Assessment of Weight-Bearing Asymmetry During Squatting in People With Anterior Cruciate Ligament Reconstruction Using Nintendo Wii Balance Boards Type de document : Article Auteurs : Ross A. Clark ; Brooke Howells ; Julian Feller Article en page(s) : p. 1156-1161 Langues : Anglais (eng) Descripteurs : HE Vinci Gonarthrose ; Rééducation et réadaptation Mots-clés : Anterior Cruciate Ligament  Ligament croisé antérieur  Anterior cruciate ligament reconstruction  Reconstruction du ligament croisé antérieur  Osteoarthritis  Knee Résumé : Objective To use low-cost Nintendo Wii Balance Boards (NWBB) to assess weight-bearing asymmetry (WBA) in people who have undergone anterior cruciate ligament reconstruction (ACLR), and to compare their results with a matched control group. Design Quantitative clinical study using a cross-sectional design. Setting Orthopedic clinic of a private hospital. Participants ACLR participants (n=41; mean age + SD, 26.0+9.8y; current Cincinnati sports activity level, 75.3+19.8) performed testing in conjunction with their routine 6- or 12-month clinical follow-up, and a control group (n=41) was matched for age, height, body mass, and physical activity level. Interventions Participants performed double-limb squats while standing on 2 NWBBs, 1 under each foot. Main Outcome Measures The WBA variables mean mass difference as a percentage of body mass, time favoring a single limb by >5% body mass, absolute symmetry index, and symmetry index relative to the operated or matched control limb were derived. Mann-Whitney U tests were performed to assess between-group differences. Results Significant (P<.05 increases in asymmetry the aclr group were found for all outcome measures except symmetry index relative to operated limb.> Conclusions People who have undergone ACLR are likely to possess WBA during squats, and this can be assessed using low-cost NWBBs in a clinical setting. Interestingly, the observed asymmetry was not specific to the surgical limb. Future research is needed to assess the relationship between WBA early in the rehabilitation process and long-term outcomes. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119016 [article]

Feasibility of Ballistic Strength Training in Subacute Stroke: A Randomized, Controlled, Assessor-Blinded Pilot Study / Genevieve Hendrey in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 12 (2018)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2430-2446 Titre : Feasibility of Ballistic Strength Training in Subacute Stroke: A Randomized, Controlled, Assessor-Blinded Pilot Study Type de document : Article Auteurs : Genevieve Hendrey ; Ross A. Clark ; Anne E. Holland Article en page(s) : p. 2430-2446 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation ; Traitement par les exercices physiques Mots-clés : Exercise therapy  Randomized controlled trial  Essai contrôlé randomisé  Resistance training  Entraînement en résistance  Stroke Résumé : Objective To establish the feasibility and effectiveness of a 6-week ballistic strength training protocol in people with stroke. Design Randomized, controlled, assessor-blinded study. Setting Subacute inpatient rehabilitation. Participants Consecutively admitted inpatients with a primary diagnosis of first-ever stroke with lower limb weakness, functional ambulation category score of ≥3, and ability to walk ≥14 m were screened for eligibility to recruit 30 participants for randomization. Interventions Participants were randomized to standard therapy or ballistic strength training 3 times per week for 6 weeks. Main Outcome Measures The primary aim was to evaluate feasibility and outcomes included recruitment rate, participant retention and attrition, feasibility of the exercise protocol, therapist burden, and participant safety. Secondary outcomes included measures of mobility, lower limb muscle strength, muscle power, and quality of life. Results A total of 30 participants (11% of those screened) with mean age of 50 years (SD 18) were randomized. The median number of sessions attended was 15 of 18 and 17 of 18 for the ballistic and control groups, respectively. Earlier than expected discharge to home (n=4) and illness (n=7) were the most common reasons for nonattendance. Participants performed the exercises safely, with no study-related adverse events. There were significant (P<.05 between-group changes favoring the ballistic group for comfortable gait velocity difference confidence interval muscle power as measured by peak jump height ci: and propulsive> Conclusions Ballistic training was safe and feasible in select ambulant people with stroke. Similar rates of retention and attrition suggest that ballistic training was acceptable to patients. Secondary outcomes provide promising results that warrant further investigation in a larger trial. 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=119101 [article]

Improving Walking Ability in People With Neurologic Conditions: A Theoretical Framework for Biomechanics-Driven Exercise Prescription / Gavin Williams in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 6 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 6 (2019) . - p. 1184-1190 Titre : Improving Walking Ability in People With Neurologic Conditions: A Theoretical Framework for Biomechanics-Driven Exercise Prescription Type de document : Article Auteurs : Gavin Williams ; Leanne Hassett ; Ross A. Clark Année de publication : 2019 Article en page(s) : p. 1184-1190 Langues : Anglais (eng) Descripteurs : HE Vinci Démarche ; Exercice physique ; Médecine physique et de réadaptation ; Neurologie ; Parésie ; Rééducation et réadaptation Résumé : The purpose of this paper is to discuss how knowledge of the biomechanics of walking can be used to inform the prescription of resistance exercises for people with mobility limitations. Muscle weakness is a key physical impairment that limits walking in commonly occurring neurologic conditions such as cerebral palsy, traumatic brain injury, and stroke. Few randomized trials to date have shown conclusively that strength training improves walking in people living with these conditions. This appears to be because (1) the most important muscle groups for forward propulsion when walking have not been targeted for strengthening, and (2) strength training protocols have focused on slow and heavy resistance exercises, which do not improve the fast muscle contractions required for walking. We propose a theoretical framework to improve exercise prescription by integrating the biomechanics of walking with the principles of strength training outlined by the American College of Sports Medicine to prescribe exercises that are specific to improving the task of walking. The high angular velocities that occur in the lower limb joints during walking indicate that resistance exercises targeting power generation would be most appropriate. Therefore, we propose the prescription of plyometric and ballistic resistance exercise, applied using the American College of Sports Medicine guidelines for task specificity, once people with neurologic conditions are ambulating, to improve walking outcomes. This new theoretical framework for resistance training ensures that exercise prescription matches how the muscles work during walking. 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=240725 [article]

Toward Accurate Clinical Spasticity Assessment: Validation of Movement Speed and Joint Angle Assessments Using Smartphones and Camera Tracking / Megan Banky in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 8 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 8 (2019) . - p. 1482-1491 Titre : Toward Accurate Clinical Spasticity Assessment: Validation of Movement Speed and Joint Angle Assessments Using Smartphones and Camera Tracking Type de document : Article Auteurs : Megan Banky ; Ross A. Clark ; Benjamin F. Mentiplay Année de publication : 2019 Article en page(s) : p. 1482-1491 Langues : Anglais (eng) Descripteurs : HE Vinci Évaluation de résultat (soins) ; Rééducation et réadaptation ; Spasticité musculaire ; Technologie Résumé : Objective To investigate whether a three-dimensional (3-D) camera (Microsoft Kinect) and a smartphone can be used to accurately quantify the joint angular velocity and range of motion (ROM) compared to a criterion-standard 3-D motion analysis system during a lower limb spasticity assessment. Design Observational, criterion-standard comparison study. Setting Large rehabilitation center. Participants A convenience sample of 35 controls, 35 patients with a neurologic condition, and 34 rehabilitation professionals (physiotherapists and rehabilitation doctors) participated (N=104). Interventions Not applicable. Main Outcome Measures The Modified Tardieu Scale was used to assess spasticity of the quadriceps, hamstrings, soleus, and gastrocnemius. Data for each trial were collected concurrently using the criterion-standard Optitrack 3-D motion analysis (3DMA) system, Microsoft Kinect, and a smartphone. Each healthy control participant was assessed by 1 health professional and each patient with a neurological condition was assessed by 3 health professionals. Spearman correlation coefficient and intraclass correlation coefficient with 95% confidence intervals were used to report the strength of the relationships investigated. Results The smartphone and Microsoft Kinect demonstrated excellent concurrent validity with the 3DMA system. Overall, 74.8% of the relationships investigated demonstrated a very strong (≥0.80) correlation across all of the testing parameters. The Microsoft Kinect was superior to the smartphone for measuring joint start and end angle, the smartphone was superior for measuring joint angular velocity, and the 2 systems were comparable for measuring total joint ROM. Conclusions These findings provide preliminary evidence that user-friendly, low-cost technologies can be used to facilitate accurate measurements of joint angular velocity and angles during a lower limb spasticity assessment in a clinical setting. 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=241471 [article]