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Auteur Alexis Schnitzler |
Documents disponibles écrits par cet auteur



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)
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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 ; RéadaptationRésumé : 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
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 372-379[article]Motor Branch of Extensor Carpi Radialis Longus / François Genet in Archives of Physical Medicine and Rehabilitation, 2012/12 (2012)
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Titre : Motor Branch of Extensor Carpi Radialis Longus : Anatomic Localization Type de document : Article Auteurs : François Genet ; Katell Autret ; Alexis Schnitzler ; et al. Article en page(s) : pp. 2309-2312 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Système nerveuxMots-clés : Relâchement musculaire blocage neuromusculaire spasticité musculaire Résumé : "Objective
To identify extensor carpi radialis longus (ECRL) motor nerve coordinates in relation to anatomic surface landmarks.
Design
Descriptive study.
Setting
Anatomy institute of a school of medicine in Paris, France.
Cadavers
Fresh adult cadaver upper limbs (N=20).
Intervention
Anatomic dissection of upper limbs.
Main Outcome Measures
Three measurements (mm) were taken of the position of the ECRL motor branch: the distance between the lateral epicondyle and the emergence of the ECRL branch along the forearm axis, the branch depth, and the ratio between the distance corresponding to the nerve depth and the intercondylar distance.
Results
The radial nerves of 4 men and 6 women (age range 5980y) were identified between the brachioradialis and the ECRL and traced proximally to the lateral epicondyle. The injection point was between the lateral epicondyle posteriorly and the wrist extensor group anteriorly. Direction was perpendicular to the axis of the forearm. Mean depth was 35.6mm (minimal value: 24.0; maximal value: 58.0; SD=9mm). Ratio between nerve depth and intercondylar distance was .46 (.37; .53+.05).
Conclusions
The ECRL motor nerve branch is easy to reach using specified landmarks. Selective motor nerve block of the ECRL branch should be considered in the clinical assessment to test the capacity of the extensor carpi radialis brevis to extend the wrist alone and to assess the command and overactivity of antagonists before surgery."Disponible en ligne : Oui En ligne : http://www.archives-pmr.org/article/S0003-9993(12)00191-8/abstract Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117275
in Archives of Physical Medicine and Rehabilitation > 2012/12 (2012) . - pp. 2309-2312[article]Sexual Orientation and Functional Limitations: Cross-sectional Analyses From the Adult Psychiatric Morbidity Survey / Louis Jacob in Archives of Physical Medicine and Rehabilitation, Vol. 102, n° 11 (2021)
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Titre : Sexual Orientation and Functional Limitations: Cross-sectional Analyses From the Adult Psychiatric Morbidity Survey Type de document : Article Auteurs : Louis Jacob ; Guillermo F. López-Sánchez ; Karel Kostev ; Alexis Schnitzler ; Josep Maria Haro ; Ai Koyanagi ; Daragh T. McDermott ; Jae Il Shin Année de publication : 2021 Article en page(s) : p. 2117-2124 Note générale : https://doi.org/10.1016/j.apmr.2021.04.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Comportement sexuel ; Études transversales ; Personnes handicapées ; Réadaptation ; Royaume-UniRésumé : Objective
To assess the association between sexual orientation and functional limitations in a large representative sample of the English population.
Design
Cross-sectional.
Setting
Data were from the 2007 Adult Psychiatric Morbidity Survey.
Participants
A total of 7403 adults aged 16-95 years (51.4% female; mean age, 46.3±18.6y) were included in the present study.
Interventions
Not applicable.
Main Outcome Measures
Sexual orientation was assessed using 2 items adapted from the Kinsey scale and was dichotomized into heterosexual and sexual minority orientation. Functional limitations were assessed using 7 activities of daily living (ADL) and instrumental activities of daily living (IADL). Functional limitations were defined as at least 1 difficulty in 1 of 7 ADL and IADL. Adjusted logistic regression analyses were conducted to investigate the association between sexual orientation (independent variable) and functional limitations (dependent variable).
Results
The level of sexual minority orientation and prevalence of functional limitations in the sample was 7.1% and 32.9%, respectively. After adjusting for several potential confounders, sexual minority orientation was positively and significantly associated with functional limitations (odds ratio, 1.51; 95% confidence interval, 1.18-1.95; reference group: heterosexual orientation).
Conclusions
Based on the findings of this study, interventions aiming to prevent against and/or manage/reduce functional limitations in sexual minorities are needed. More research is also warranted to better understand mediators (eg, obesity, cognitive complaints, psychiatric disorders) involved in the sexual orientationfunctional limitation relationship.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=285874
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2117-2124[article]Surmortalité dans les Ehpad pendant la première vague de la pandémie de la Covid-19 / Simon Bessis in Soins gérontologie, Vol. 28, n° 159 (Janvier 2023)
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Titre : Surmortalité dans les Ehpad pendant la première vague de la pandémie de la Covid-19 Type de document : Article Auteurs : Simon Bessis ; Alexis Schnitzler ; Hélène Mascitti ; Aurélien Dinh Année de publication : 2023 Article en page(s) : p. 28-30 Note générale : https://doi.org/10.1016/j.sger.2022.12.010 Langues : Français (fre) Descripteurs : HE Vinci
COVID-19 ; Gériatrie ; Maisons de repos ; Mortalité ; Sujet âgé ; Sujet âgé de 80 ans ou plusRésumé : La mortalité globale, en France, est de 147 568 décès depuis la première vague. Bien que représentant près de 20 % des décès en France, la surmortalité en Ehpad par rapport aux années précédentes na pas été entièrement étudiée. La pandémie de Covid-19 a mis en évidence la vulnérabilité des résidents des établissements de soins de longue durée, les patients âgés très dépendants étant les plus exposés au risque de décès avec des effets délétères liés aux effets du confinement. Celui-ci sest concrétisé dans les Ehpad par un isolement majeur des résidents et lapparition par les équipes soignantes de trouble cognitifs apparaissant ou se dégradant chez des résidents, ainsi quune perte significative dautonomie. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1569 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=302318
in Soins gérontologie > Vol. 28, n° 159 (Janvier 2023) . - p. 28-30[article]La toxine botulique / Alexis Schnitzler in Kinesithérapie scientifique, 507 (2010)
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Titre : La toxine botulique Type de document : Article Auteurs : Alexis Schnitzler ; B. Bernuz ; C. Rech ; et al. Article en page(s) : 27/34 Descripteurs : HE Vinci
Spasticité musculaireMots-clés : toxine botulinique extrapyramidal (syndrome) Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=128799
in Kinesithérapie scientifique > 507 (2010) . - 27/34[article]Exemplaires (1)
Cote Support Localisation Section Disponibilité Kine Scient 2010 507 Périodique papier Woluwe Espace revues Consultation sur place uniquement
Exclu du prêt