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]

Selection criteria for surgical correction of equinovarus foot in adults with brain damage: A systematic scoping review / Barbara Chan ; Marianne Salib ; Florence Faggianelli ; Philippe Marque ; Camille Cormier ; David Gasq in Annals of Physical and Rehabilitation Medicine, Vol. 66, n° 2 (March 2023)  

[article]  inAnnals of Physical and Rehabilitation Medicine > Vol. 66, n° 2 (March 2023) . - 101651 Titre : Selection criteria for surgical correction of equinovarus foot in adults with brain damage: A systematic scoping review Type de document : Article Auteurs : Barbara Chan ; Marianne Salib ; Florence Faggianelli ; Philippe Marque ; Camille Cormier ; David Gasq Année de publication : 2023 Article en page(s) : 101651 Note générale : https://doi.org/10.1016/j.rehab.2022.101651 Langues : Anglais (eng) Descripteurs : HE Vinci Adulte ; Deformation ; Hémiplégie ; Lésions encéphaliques ; Neurochirurgie ; Pied bot varus équin congénital ; Ténotomie Résumé : Objective To report on preoperative outcomes that guide the choice of surgical techniques to correct equinovarus foot in adults with brain injury. Methods Four databases (PubMed, MEDLINE, Cochrane, PEDro) were searched according to the PRISMA guidelines. Studies were included regardless of their level of proof, with no limitation on date of publication, and their quality was assessed with the Methodological Index for Non-Randomized Studies score. Results We analysed 61 studies (n = 2,293 participants); 523 participants underwent neurotomy, 437 calf musculotendinous lengthening, and 888 tibialis anterior transfer or alternative anterior transfers with the flexor digitorum/hallucis longus (n = 249), the extensor hallucis longus (n = 102), the tibialis posterior (n = 41) and the peroneus longus (n = 41). Two studies were dedicated to osteoarticular surgeries (n = 12 participants). Ankle dorsiflexors motricity was assessed before 70% of neurotomies as compared with 29% before isolated calf lengthening studies, their strength being at least 3/5 in 33% and 50% of the studies concerned, respectively. Passive ankle dorsiflexion was assessed before surgery in 87% of neurotomy studies, with 62% of studies investigating non-retracted spastic equinovarus foot. Before anterior tendon transfer with the tibialis anterior or another muscle, passive ankle dorsiflexion was reported in only 20% and 46% of studies, respectively, and dynamic tibialis anterior activation during gait in 46% and 56%. Although voluntary recruitment of the tibialis anterior produced a better functional result, the presence/correction of varus justified its transfer in 60% of studies as compared with 30% in other transfers, which were justified by hyperactivity or voluntary recruitment of transferred muscle. Conclusions This review highlights the poor level of preoperative assessment and the absence of formal criteria to indicate the different surgical approaches in the management of equinovarus foot. It reinforces the interest of a systematic standardized preoperative assessment such as selective motor block and dynamic electromyography to choose the most suitable surgical procedure. 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=304907 [article]