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Ajouter le résultat dans votre panierEffects on Decreasing Upper-Limb Poststroke Muscle Tone Using Transcranial Direct Current Stimulation / Dongyu Wu in Archives of Physical Medicine and Rehabilitation, 2013/1 (2013)
Titre : Effects on Decreasing Upper-Limb Poststroke Muscle Tone Using Transcranial Direct Current Stimulation : A Randomized Sham-Controlled Study Type de document : Article Auteurs : Dongyu Wu ; Long Qian ; Richard D Zorowitz ; [et al.] Article en page(s) : pp. 1-8 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Electrotherapie ; Membre supérieur ; Rééducation et réadaptationMots-clés : Electric stimulation therapy Muscle spasticity Spasticité musculaire Stroke Upper Extremity Résumé : "Objective
To assess the efficacy of transcranial direct current stimulation (tDCS) on decreasing upper-limb (UL) muscle tone after stroke.
Design
A prospective, sham-controlled, randomized controlled trial with 4-weeks follow-up. Randomization into the tDCS group or the control group.
Setting
Rehabilitation education and research hospital.
Participants
Inpatients (N=90, 45 per group; age range, 15–70y; 69 men, 21 women; duration of stroke, 2–12mo) with poststroke UL spasticity. No participant withdrew because of adverse effects.
Intervention
The tDCS group received tDCS to the primary sensorimotor cortex of the affected side with cathodal stimulation, 20 minutes per day, 5 days per week, for 4 weeks and conventional physical therapy. The control group received sham stimulation (same area as the tDCS group) and conventional physical therapy.
Main Outcome Measures
Modified Ashworth scale (MAS), Fugl-Meyer Assessment of motor recovery, and Barthel Index. All outcomes were measured at admission, after treatment, and after follow-up. A clinically important difference (CID) was defined as a reduction of ≥1 in the MAS score.
Results
Compared with the sham tDCS group, the active tDCS group had significantly more patients with a clinically important difference after treatment (80% and 78% vs 6% and 9%) and at 4-week follow-up (84% and 82% vs 7% and 4%), and UL motor function and activities of daily living (ADL) assessment improved more significantly in the active tDCS group (Fugl-Meyer Assessment of motor recovery from 12 [range, 4–26] to 22 [range, 7–50] to 32 [range, 28–41], Barthel Index from 55 [range, 0–85] to 85 [range, 5–100] to 90 [range, 10–100 vs Fugl-Meyer Assessment of motor recovery from 8 [range, 3–34] to 10 [range, 8–25] to 15 [range, 6–40], Barthel Index from 55 [range, 25–95] to 65 [range, 30–100] to 75 [range, 40–100], respectively, P<.01>
Conclusions
UL muscle tone after stroke can be decreased using cathodal tDCS. Combined with conventional physical therapy, tDCS appears to improve motor function and ADL. Cathodal tDCS over ipsilesional primary sensorimotor cortex may inhibit primary sensorimotor cortex hyperactivation, resulting in significant reductions in muscle tone."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=117350
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 1-8[article]
Titre : Effects of Whole-Body Cryotherapy in the Management of Adhesive Capsulitis of the Shoulder Type de document : Article Auteurs : Sang-Yeol Ma ; Je Hyun Dong ; Ji Hoon Jeong ; [et al.] Article en page(s) : pp. 9-16 Langues : Anglais (eng) Descripteurs : HE Vinci
Bursite ; Epaule ; Rééducation et réadaptationMots-clés : Bursitis Shoulder Résumé : "Objective
To compare 2 different treatment approaches, physical therapy modalities, and joint mobilization versus whole-body cryotherapy (WBC) combined with physical therapy modalities and joint mobilization, for symptoms of adhesive capsulitis (AC) of the shoulder.
Design
A randomized trial.
Setting
Hospital.
Participants
Patients with AC of the shoulder (N=30).
Intervention
Patients were randomly assigned to 2 groups. The WBC group received physical therapy modalities, passive joint mobilization of the shoulder, and WBC, whereas the non-WBC group received only physical therapy modalities and passive joint mobilization of the shoulder.
Main Outcome Measures
Visual analog scale (VAS), active range of motion (ROM) of flexion, abduction, internal and external rotation of the shoulder, and the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) were measured before and after the intervention.
Results
A statistically significant difference between groups was found for the VAS, active ROM of flexion, abduction, internal rotation, and external rotation, and the ASES with greater improvements in the WBC group (Ps<.01 overall both groups showed a significant improvement in all outcome measures and rom from pre to post at level of p>
Conclusions
There is significant improvement with the addition of WBC to treatment interventions in this sample of patients."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=117351
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 9-16[article]
Titre : Effect of a Safe Patient Handling Program on Rehabilitation Outcomes Type de document : Article Auteurs : Marc Campo ; Mariya P. Shiyko ; Heather Margulis ; Amy Darragh Article en page(s) : pp. 17-22 Langues : Anglais (eng) Descripteurs : HE Vinci
Ergothérapie ; Lever et mobilisation de patient ; Rééducation et réadaptationMots-clés : Moving and lifting patients Occupational therapy Physical Therapy Modalities Techniques de physiothérapie Résumé : "Objective
To evaluate the effect of a safe patient handling (SPH) program on rehabilitation mobility outcomes.
Design
Retrospective cohort study.
Setting
A rehabilitation unit in a hospital system.
Participants
Consecutive patients (N=1291) over a 1-year period without an SPH program in place (n=507) and consecutive patients over a 1-year period with an SPH program in place (n=784).
Interventions
The SPH program consisted of administrative policies and patient handling technologies. The policies limited manual patient handling. Equipment included ceiling- and floor-based dependent lifts, sit-to-stand assists, ambulation aides, friction-reducing devices, motorized hospital beds and shower chairs, and multihandled gait belts.
Main Outcome Measures
The mobility subscale of the FIM.
Results
Patients rehabilitated in the group with SPH achieved similar outcomes to patients rehabilitated in the group without SPH. A significant difference between groups was noted for patients with initial mobility FIM scores of 15.1 and higher after controlling for initial mobility FIM score, age, length of stay, and diagnosis. Those patients performed better with SPH.
Conclusions
SPH programs do not appear to inhibit recovery. Fears among therapists that the use of equipment may lead to dependence may be unfounded."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=117352
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 17-22[article]
Titre : Reducing Waiting Time for Community Rehabilitation Services : A Controlled Before-and-After Trial Type de document : Article Auteurs : Katherine Harding ; Sandra G. Leggat ; Birgitte Bowers ; [et al.] Article en page(s) : pp. 23-31 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Rééducation et réadaptation ; Soins ambulatoiresMots-clés : Ambulatory care Health services accessibility Résumé : "Objective
To investigate whether a simple alternative (specific timely appointments for triage [STAT]) to the more common approach of managing demand using a waitlist with a triage system could reduce waiting time for a community rehabilitation program (CRP) without adverse impacts on patient care.
Design
A prospective, controlled before-and-after trial. Preintervention and postintervention data were collected for 6 months in 2 consecutive years. STAT was introduced at an intervention site and compared with a control site using a triaged waitlist.
Setting
Two musculoskeletal CRP teams within a large metropolitan health service.
Participants
All patients referred to both sites during periods preintervention (n=483) and postintervention (n=488).
Intervention
Under STAT, clinicians created a specified number of assessment times each week based on average referral numbers, and patients were immediately allocated an appointment on referral.
Main Outcome Measures
The primary outcome was the time from referral to first appointment; secondary outcomes included program duration, quality-of-life scores (using the EuroQol EQ-5D), and unplanned hospital admissions.
Results
Waiting time decreased from a mean of 17.5 days to 10.0 days (P<.01 at the intervention site with no significant change control site. patients were over times more likely to be seen within days than ratio confidence interval secondary outcomes did not differ significantly between groups.>
Conclusions
A simple alternative to using a triaged waitlist to manage CRP referrals reduced waiting time without adversely affecting care. Results were sustained over 6 months with no additional resources."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=117353
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 23-31[article]
Titre : Changes in Hospitalization, Physician Visits, and Self-Reported Fitness After Spinal Cord Injury : A Cross-Sequential Analysis of Age, Years Since Injury, and Age at Injury Onset Type de document : Article Auteurs : J.S. Krause ; Y. Cao ; Jennifer L. Bozard Article en page(s) : pp. 32-37 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Santé ; Traumatismes de la moelle épinière ; VieillissementMots-clés : Aging Health Spinal cord injuries Résumé : "Objective
To identify changes in hospitalizations, days hospitalized, nonroutine physician visits, and self-reported fitness over 4 measurements separated by 4- to 5-year intervals among participants with spinal cord injury (SCI), while testing for the effects of age, time since injury, and age at injury onset.
Design
A mixed model was used to analyze the cross-sequential data that include cross-sectional and longitudinal elements. The data were collected in 1993, 1998, 2003, and 2008.
Setting
Data were collected at 2 Midwestern hospitals and a Southeastern specialty hospital in the United States.
Participants
Adult participants (N=1032) with SCI of at least 1-year duration who participated during at least 1 of 4 times of measurement dating back to 1993. Of these, 463 participated on all 4 occasions.
Interventions
Not applicable.
Main Outcome Measures
The outcome measures were 3 indicators of medical treatments—hospitalization, days hospitalized, and nonroutine physician visits. A fourth outcome was self-reported fitness.
Results
Results of the growth model indicated some limited cohort effects for chronologic age, years since injury, and age at injury onset at baseline. However, significant time effects were observed for each of the health indices, with hospitalizations and physician visits increasing and self-reported fitness decreasing. Significant cohort by time interactions were observed for both number of hospitalizations and days hospitalized with years postinjury and chronologic age.
Conclusions
The natural course of change in the health indices was in the direction of a greater need for treatment and reduced fitness over time. Aging effects, as defined by cohort by time interactions, indicated the greater need for hospitalization increased over time at a greater rate for those with more years postinjury and of older ages."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=117354
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 32-37[article]
Titre : Assessing Stroke Patients for Rehabilitation During the Acute Hospitalization : Findings From the Get With The Guidelines–Stroke Program Type de document : Article Auteurs : Janet A. Prvu Bettger ; Lisa Kaltenbach ; Mathew J. Reeves ; [et al.] Article en page(s) : pp. 38-45 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Qualité des soins de santé ; Rééducation et réadaptationMots-clés : Quality of health care Stroke Résumé : "Objective
To examine the frequency and determinants of an assessment for rehabilitation during the hospitalization for acute stroke.
Design
Prospective cohort of patients admitted with acute stroke in the Get With The Guidelines–Stroke (GWTG-Stroke) program from January 8, 2008, to March 31, 2011.
Setting
Acute hospitals (n=1532) in the United States participating in the GWTG-Stroke program.
Participants
Adults with a stroke diagnosis (N=616,982) from a GWTG-Stroke–participating acute hospital.
Interventions
Not applicable.
Main Outcome Measure
Documentation of an assessment for rehabilitation services during the acute hospitalization.
Results
Overall, almost 90% of stroke patients had documentation of an acute assessment for rehabilitation. In multivariable analysis, patients significantly more likely to be assessed for rehabilitation were younger, male, black or of other nonwhite races (Asian, American Indian, Alaska Native, Native Hawaiian, or Pacific Islander) when compared with white, independently ambulating before admission, and admitted from the community. Patients who received a stroke consult, cared for in a stroke unit, and treated in the northeast region of the United States were also more likely to be assessed.
Conclusions
There is evidence that rehabilitation was considered for 90% of acute stroke patients in this sample. Future research is needed to examine what assessments are conducted and by whom, and how these are used to determine the appropriate level of rehabilitation care for their needs."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=117355
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 38-45[article]
Titre : Home-Based Overnight Transcutaneous Capnography/Pulse Oximetry for Diagnosing Nocturnal Hypoventilation Associated With Neuromuscular Disorders Type de document : Article Auteurs : Kristy A Bauman ; Armando Kurili ; L. Schmidt Shelley ; [et al.] Article en page(s) : pp. 46-52 Langues : Anglais (eng) Descripteurs : HE Vinci
Hospitalisation à domicile ; Rééducation et réadaptation ; Syndromes d'apnées du sommeilMots-clés : Blood gas monitoring transcutaneous Mesure transcutanée des gaz du sang Home care services hospital-based Hypoventilation Neuromuscular diseases Maladies neuromusculaires Sleep apnea syndromes Résumé : "Objective
To determine the utility of home-based, unsupervised transcutaneous partial pressure of carbon dioxide (tc-Pco2) monitoring/oxygen saturation by pulse oximetry (Spo2) for detecting nocturnal hypoventilation (NH) in individuals with neuromuscular disorders.
Design
Retrospective case series analyzed consecutively.
Setting
Multidisciplinary neuromuscular respiratory failure (NMRF) clinic at an academic institution.
Participants
Subjects (N=35, 68.6% men; mean age, 46.9y) with spinal cord injury (45.7%) or other neuromuscular disorders underwent overnight tests with tc-Pco2/Spo2 monitoring. Fifteen (42.9%) were using nocturnal ventilatory support, either bilevel positive airway pressure (BiPAP) or tracheostomy ventilation (TV).
Interventions
A respiratory therapist brought a calibrated tc-Pco2/Spo2 monitor to the patient’s home and provided instructions for data collection during the subject’s normal sleep period. Forced vital capacity (FVC), body mass index (BMI), and exhaled end-tidal Pco2 (ET-Pco2) were recorded at a clinic visit before monitoring.
Main Outcome Measures
Detection of NH (tc-Pco2 ≥50mmHg for ≥5% of monitoring time). Data were also analyzed to determine whether nocturnal oxygen desaturation (Spo2 ≤88% for ≥5% of monitoring time), FVC, BMI, or daytime ET-Pco2 could predict the presence of NH.
Results
NH was detected in 18 subjects (51.4%), including 53.3% of those using BiPAP or TV. NH was detected in 43.8% of ventilator-independent subjects with normal daytime ET-Pco2 (present for 49.4%+31.5% [mean + SD] of the study period), and in 75% of subjects with an elevated daytime ET-Pco2 (present for 92.3%+8.7% of the study period). Oxygen desaturation, BMI, and FVC were poor predictors of NH. Only 3 attempted monitoring studies failed to produce acceptable results.
Conclusions
Home-based, unsupervised monitoring with tc-Pco2/Spo2 is a useful method for diagnosing NH in NMRF."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=117356
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 46-52[article]
Titre : Preoperative Pulmonary Rehabilitation Versus Chest Physical Therapy in Patients Undergoing Lung Cancer Resection : A Pilot Randomized Controlled Trial Type de document : Article Auteurs : Maria T. Morano ; Amanda S Araujo ; Francisco B. Nascimento ; [et al.] Article en page(s) : pp. 53-58 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications postopératoires ; Rééducation et réadaptation ; Tumeurs du poumonMots-clés : Lung Neoplasms Postoperative complications Thoracic surgery Chirurgie thoracique Résumé : "Objective
To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection.
Design
Randomized single-blinded study.
Setting
A teaching hospital.
Participants
Patients undergoing lung cancer resection (N=24).
Interventions
Patients were randomly assigned to receive PR (strength and endurance training) versus CPT (breathing exercises for lung expansion). Both groups received educational classes.
Main Outcome Measures
Functional parameters assessed before and after 4 weeks of PR or CPT (phase 1), and pulmonary complications assessed after lung cancer resection (phase 2).
Results
Twelve patients were randomly assigned to the PR arm and 12 to the CPT arm. Three patients in the CPT arm were not submitted to lung resection because of inoperable cancer. During phase 1 evaluation, most functional parameters in the PR group improved from baseline to 1 month: forced vital capacity (FVC) (1.47L [1.27–2.33L] vs 1.71L [1.65–2.80L], respectively; P=.02); percentage of predicted FVC (FVC%; 62.5% [49%–71%] vs 76% [65%–79.7%], respectively; P<.05 walk test vs respectively p maximal inspiratory pressure and expiratory during phase evaluation the pr group had a lower incidence of postoperative respiratory morbidity shorter length stay required chest tube for fewer days compared with cpt arm.>
Conclusions
These findings suggest that 4 weeks of PR before lung cancer resection improves preoperative functional capacity and decreases the postoperative respiratory morbidity."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=117357
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 53-58[article]
Titre : Preliminary Trial of Postural Strategy Training Using a Personal Transport Assistance Robot for Patients With Central Nervous System Disorder Type de document : Article Auteurs : Kenichi Ozaki ; Hitoshi Kagaya ; Satoshi Hirano ; [et al.] Article en page(s) : pp. 59-66 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Self-Help Devices Dispositifs d'assistance au mouvement Central Nervous System Diseases Maladie du système nerveux central Postural balance Équilibre postural Résumé : "Objective
To examine the efficacy of postural strategy training using a personal transport assistance robot (PTAR) for patients with central nervous system disorders.
Design
Single-group intervention trial.
Setting
Rehabilitation center at a university hospital.
Participants
Outpatients (N=8; 5 men, 3 women; mean age, 50+13y) with a gait disturbance (mean time after onset, 34+29mo) as a result of central nervous system disorders were selected from a volunteer sample.
Interventions
Two methods of balance exercise using a PTAR were devised: exercise against perturbation and exercise moving the center of gravity. The exercises were performed twice a week for 4 weeks.
Main Outcome Measures
Preferred and tandem gait speeds, Functional Reach Test, functional base of support, center of pressure (COP), muscle strength of lower extremities, and grip strength were assessed before and after the completion of the exercise program. After the exercise program, enjoyment of exercise was investigated via a visual analog scale questionnaire.
Results
After the program, statistically significant improvements were noted for tandem gait speeds (P=.009), Functional Reach Test (P=.003), functional base of support (P=.014), and lower extremity muscle strength (P<.001 on the other hand preferred gait speeds cop and grip power did not change. finally subjects rated that this exercise was more enjoyable than traditional balance exercises.>
Conclusions
Dynamic balance and lower extremity muscle strength were significantly improved in response to postural strategy training with the PTAR. These results suggest that postural strategy training with the PTAR may contribute to fall prevention of patients with a balance disorder."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=117358
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 59-66[article]
Titre : Residual Complaints After Neuralgic Amyotrophy Type de document : Article Auteurs : Edith H. Cup ; Jos Ijspeert ; J. Janssen renske ; [et al.] Article en page(s) : pp. 67-73 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Fatigue ; Pain ; Plexus brachial ; Pronostic ; Rééducation et réadaptationMots-clés : Brachial plexus Brachial Plexus Neuritis Névrite du plexus brachial Prognosis Résumé : "Objective
To develop recommendations regarding outcome measures and topics to be addressed in rehabilitation for persons with neuralgic amyotrophy (NA), this study explored which functions and activities are related to persisting pain in NA and which questionnaires best capture these factors.
Design
A questionnaire-based survey from 2 cross-sectional cohorts, one of patients visiting the neurology outpatient clinic and a cohort seen at a multidisciplinary plexus clinic.
Setting
Two tertiary referral clinics based in the Department of Neurology and Rehabilitation from a university medical center provided the data.
Participants
A referred sample of patients (N=248) with either idiopathic or hereditary NA who fulfilled the criteria for this disorder, in whom the last episode of NA had been at least 6 months ago and included brachial plexus involvement.
Interventions
Not applicable.
Main Outcome Measures
Two custom clinical screening questionnaires were used as well as the Shoulder Rating Questionnaire–Dutch Language Version, the Shoulder Pain and Disability Index (SPADI), the Shoulder Disability Questionnaire (SDQ), and Overall Disability Sum Score.
Results
The survey confirms the high prevalence of persisting pain and impairments. More than half of the patients were restricted by pain, while in those without pain 60% experienced residual paresis. Correlations show an intimate relation between pain, scapular instability, problems with overhead activities, and increased fatigability. A standard physical therapy approach was ineffective or aggravated symptoms in more than 50%.
Conclusions
Pain and fatigue are strongly correlated to persisting scapular instability and increased fatigability of the affected muscles in NA. Our results suggest that an integrated rehabilitation approach is needed in which all of these factors are addressed. We further recommend using the SPADI and SDQ in future studies to evaluate the natural course and treatment effects in NA."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=117359
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 67-73[article]
Titre : Unique Contribution of Fatigue to Disability in Community-Dwelling Adults With Traumatic Brain Injury Type de document : Article Auteurs : Shannon Juengst ; Elizabeth R. Skidmore ; Patricia M Arenth ; [et al.] Article en page(s) : pp. 74-79 Langues : Anglais (eng) Descripteurs : HE Vinci
Fatigue ; Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Résumé : "Objective
To examine the unique contribution of fatigue to self-reported disability in community-dwelling adults with traumatic brain injury (TBI).
Design
A cross-sectional cohort design.
Setting
Community dwellings.
Participants
Adults (N=50) with a history of mild to severe TBI were assessed.
Intervention
Not applicable.
Main Outcome Measures
This study assessed the contribution of fatigue (Modified Fatigue Impact Scale) to disability (Mayo-Portland Adaptability Inventory), controlling for executive functions (Frontal Systems Behavior Scale), depression status (major depression in partial remission/current major depression/depressive symptoms or no history of depression), and initial injury severity (uncomplicated mild, complicated mild, moderate, or severe).
Results
Fatigue was found to contribute uniquely to the variance in self-reported disability (β=.47, P<.001 after controlling for injury severity executive functions and depression status. the overall model was significant p explained of variance in self-reported disability with fatigue alone accounting>
Conclusions
Fatigue contributes uniquely to disability status among community-dwelling adults with chronic TBI, independent of injury severity, executive functions, and depression. Addressing fatigue through targeted interventions may help to improve self-perceived disability in this population."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=117360
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 74-79[article]
Titre : Pain and Post-Traumatic Stress Disorder Symptoms During Inpatient Rehabilitation Among Operation Enduring Freedom/Operation Iraqi Freedom Veterans With Spinal Cord Injury Type de document : Article Auteurs : M. Ullrich philip ; Bridget M. Smith ; Linda Poggensee ; [et al.] Article en page(s) : pp. 80-85 Langues : Anglais (eng) Descripteurs : HE Vinci
Anciens combattants ; Douleur ; Pain ; Rééducation et réadaptation ; Traumatismes de la moelle épinière ; Troubles de stress post-traumatiqueMots-clés : Stress Disorders Post-Traumatic Spinal cord injuries Veterans Résumé : "Objective
To examine the frequency of post-traumatic stress disorder (PTSD) symptoms and pain, and how PTSD symptoms were associated with pain severity ratings and the longitudinal course of pain during inpatient rehabilitation for spinal cord injury (SCI) among veterans of the Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) conflicts.
Design
Longitudinal analysis of data gathered from electronic medical records.
Setting
SCI specialty care centers within the Department of Veterans Affairs.
Participants
Veterans of the OEF/OIF conflicts (N=87) who received inpatient rehabilitation for SCI and disorders at Department of Veterans Affairs SCI centers between May 2003 and October 2009.
Interventions
Not applicable.
Main Outcome Measure(s)
PTSD screening at start of rehabilitation and pain numeric rating scale measurements completed throughout rehabilitation. Cut-scores were used to categorize participants into 1 of 4 groups on the basis of scores at the start of rehabilitation: Pain and PTSD, Pain Alone, PTSD Alone, Neither Condition.
Results
Comorbid pain and PTSD symptoms were more common than either condition alone, and nearly as common as not having either condition. Participants with pain at the start of rehabilitation (Pain and PTSD, Pain-Alone groups) showed declines in pain ratings over the course of rehabilitation. In contrast, participants in the PTSD-Alone group showed increasing pain over the course of rehabilitation.
Conclusions
Pain and PTSD symptoms may be more likely to manifest as comorbidities than as isolated conditions during inpatient rehabilitation. Assessment routines and care plans should be prepared with comorbidities as a foremost concern. It is advisable to screen for pain and PTSD at multiple time points during inpatient rehabilitation to detect new or emerging concerns."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=117361
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 80-85[article]
Titre : Constraint-Induced Movement Therapy Combined With Conventional Neurorehabilitation Techniques in Chronic Stroke Patients With Plegic Hands : A Case Series Type de document : Article Auteurs : Edward Taub ; Gitendra Uswatte ; Mary H Bowman ; [et al.] Article en page(s) : pp. 86-94 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Infarctus cerebral ; Membre supérieur ; Rééducation et réadaptationMots-clés : Cerebral infarction Motor skills Aptitudes motrices Stroke Upper extremity Résumé : "Objective
To determine whether the combination of Constraint-Induced Movement Therapy (CIMT) and conventional rehabilitation techniques can produce meaningful motor improvement in chronic stroke patients with initially fisted hands.
Design
Case series.
Setting
University hospital outpatient laboratory.
Participants
Consecutive sample (N=6) >1 year poststroke with plegic hands.
Interventions
Treatment consisted of an initial period of 3 weeks (phase A) when adaptive equipment in the home, orthotics, and splints were employed to improve ability to engage in activities of daily living. This was continued in phase B, when CIMT and selected neurodevelopmental treatment techniques were added.
Main Outcome Measures
Motor Activity Log (MAL), accelerometry, Fugl-Meyer Motor Assessment (F-M).
Results
Patients exhibited a large improvement in spontaneous real-world use of the more-affected arm (mean lower-functioning MAL change=1.3+0.4 points; P<.001 d and a similar pattern of increase in an objective measure real-world more-affected arm movement change ratio more- to less-affected accelerometer recordings="0.12+0.1" points p=".016;" large improvement motor status was also recorded f-m>
Conclusions
The findings of this pilot study suggest that stroke patients with plegic hands can benefit from CIMT combined with some conventional rehabilitation techniques, even long after brain injury. More research is warranted."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=117362
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 86-94[article]
Titre : Effects of Carrier Frequency of Interferential Current on Pressure Pain Threshold and Sensory Comfort in Humans Type de document : Article Auteurs : Ceila Venancio roberta ; Stella Pelegrini ; Daiane Queiroz Gomes ; [et al.] Article en page(s) : pp. 95-102 Langues : Anglais (eng) Descripteurs : HE Vinci
Electrotherapie ; Rééducation et réadaptationMots-clés : Electric stimulation therapy Pain threshold Seuil nociceptif Physical therapy modalities Techniques de physiothérapie Résumé : "Objective
To assess the effect of carrier frequency of interferential current (IFC) on pressure pain threshold (PPT) and sensory comfort in healthy subjects.
Design
A double-blind randomized trial.
Setting
University research laboratory.
Participants
Healthy subjects (N=150).
Interventions
Application of the IFC for 20 minutes and measures of PPT collected in the regions of the nondominant hand and forearm.
Main Outcomes Measures
We measured PPT and comfort at frequencies of 1kHz, 2kHz, 4kHz, 8kHz, and 10kHz.
Results
There was a significant increase in PPT in the 1-kHz group when compared with the 8-kHz and 10-kHz groups. There was a greater discomfort in the 1-kHz and 2-kHz groups.
Conclusions
IFC with a carrier frequency of 1kHz promotes a higher hypoalgesic response during and after stimulation than IFC with carrier frequencies of 8kHz and 10kHz. Carrier frequencies of 1kHz and 2kHz are perceived as more uncomfortable than carrier frequencies of 4kHz, 8kHz, and 10kHz."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=117363
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 95-102[article]
Titre : Combined Effects of a Valgus Knee Brace and Lateral Wedge Foot Orthotic on the External Knee Adduction Moment in Patients With Varus Gonarthrosis Type de document : Article Auteurs : Rebecca F. Moyer ; T.B. Birmingham ; Colin E. Dombroski ; [et al.] Article en page(s) : pp. 103-112 Langues : Anglais (eng) Descripteurs : HE Vinci
Biomécanique ; Gonarthrose ; Rééducation et réadaptationMots-clés : Biomechanics Braces Orthèses de maintien Gait Démarche Osteoarthritis knee Résumé : "Objective
To test the hypothesis that a custom-fit valgus knee brace and custom-made lateral wedge foot orthotic will have greatest effects on decreasing the external knee adduction moment during gait when used concurrently.
Design
Proof-of-concept, single test session, crossover trial.
Setting
Biomechanics laboratory within a tertiary care center.
Participants
Patients (n=16) with varus alignment and knee osteoarthritis (OA) primarily affecting the medial compartment of the tibiofemoral joint (varus gonarthrosis).
Interventions
Custom-fit valgus knee brace and custom-made full-length lateral wedge foot orthotic. Amounts of valgus angulation and wedge height were tailored to each patient to ensure comfort.
Main Outcome Measures
The external knee adduction moment (% body weight [BW]*height [Ht]), frontal plane lever arm (cm), and ground reaction force (N/kg), determined from 3-dimensional gait analysis completed under 4 randomized conditions: (1) control (no knee brace, no foot orthotic), (2) knee brace, (3) foot orthotic, and (4) knee brace and foot orthotic.
Results
The reduction in knee adduction moment was greatest when concurrently using the knee brace and foot orthotic (effect sizes ranged from 0.3 to 0.4). The mean decrease in first peak knee adduction moment compared with control was .36% BW*Ht (95% confidence interval [CI], –.66 to –.07). This was accompanied by a mean decrease in frontal plane lever arm of .59cm (95% CI, –.94 to –.25).
Conclusions
These findings suggest that using a custom-fit knee brace and custom-made foot orthotic concurrently can produce a greater overall reduction in the knee adduction moment, through combined effects in decreasing the frontal plane lever arm."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=117364
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 103-112[article]
Titre : Impact of Neck Dissection on Scapular Muscle Function : A Case-Controlled Electromyographic Study Type de document : Article Auteurs : C. McGarvey Aoife ; Peter Grant Osmotherly ; Gary R. Hoffman ; Pauline E. Chiarelli Article en page(s) : pp. 113-119 Langues : Anglais (eng) Descripteurs : HE Vinci
Electromyographie ; Rééducation et réadaptationMots-clés : Accessory nerve Nerf accessoire Electromyography Neck dissection Évidement ganglionnaire cervical Shoulder pain Scapulalgie Résumé : "Objective
To assess the dynamic activity of scapular muscles in patients with accessory nerve dysfunction after neck dissection surgery, compared with both their unaffected side and with age- and sex-matched controls.
Design
A case-control investigation.
Setting
Physiotherapy department of a hospital.
Participants
Two groups of 10 participants were recruited. One group consisted of neck dissection patients with demonstrated clinical signs of accessory nerve injury. The second group was composed of matched healthy individuals.
Interventions
Surface electromyographic activity of the upper trapezius, middle trapezius, rhomboid major, and serratus anterior muscles was compared dynamically during scapular strengthening exercises.
Main Outcome Measures
Electromyographic activity comparisons were made between the neck dissection affected side, the neck dissection unaffected side, and the matched healthy control side. Raw data and data expressed as a percentage of maximal voluntary isometric contraction were compared.
Results
The neck dissection affected side demonstrated significantly less upper trapezius and middle trapezius muscle activity compared with the neck dissection unaffected side and matched control group. The neck dissection unaffected side had significantly less upper trapezius muscle activity than the matched control group.
Conclusions
Trapezius muscle activity is significantly reduced in accessory nerve shoulder dysfunction as a result of neck dissection, both in the affected and unaffected sides. This needs to be considered in the rehabilitation of this patient group."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=117365
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 113-119[article]
Titre : Changes of Timing Variables in Swallowing of Boluses With Different Viscosities in Patients With Dysphagia Type de document : Article Auteurs : Sang Il Lee ; Yoo J. Yoon ; Min Young Kim ; J.S. Ryu Article en page(s) : pp. 120-126 Langues : Anglais (eng) Descripteurs : HE Vinci
Biomécanique ; Déglutition ; Rééducation et réadaptation ; ViscositéMots-clés : Biomechanics Cineradiography Radiocinématographie Viscosity Résumé : "Objectives
To evaluate the timing of the swallowing process and the effect of bolus viscosity on swallowing.
Design
Prospective observational study.
Setting
General teaching hospital, rehabilitation unit.
Participants
We enrolled patients with dysphagia (n=82) in a videofluoroscopic swallowing study (VFSS) from January 13, 2009, to October 22, 2009. Based on VFSS results, we classified patients as “thin-fluid aspirators” (n=40) or as “nonaspirators” (n=42).
Interventions
Swallowing of a 5-mL thick bolus and a 5-mL thin bolus in all patients.
Main Outcome Measures
Kinematic analysis of various variables during the swallowing process (pharyngeal phase), including epiglottis contact with the bolus, laryngeal elevation, pharyngeal constriction, and upper esophageal sphincter opening.
Results
In both groups, the thin bolus arrived at the vallecular pouch earlier than the thick bolus. During swallowing of the thick bolus, the thin-fluid aspirators had a delayed latency of upper esophageal sphincter opening, delayed laryngeal elevation to peak level, and significantly longer rise time of laryngeal elevation.
Conclusions
Our results indicate clear differences in the degree of adaptation to bolus viscosity between patients classified as thin-fluid aspirators and as nonaspirators. These differences were mainly in activities of laryngeal elevators rather than pharyngeal constrictors."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=117366
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 120-126[article]
Titre : Walking and Talking in Maintenance Hemodialysis Patients Type de document : Article Auteurs : Sunghoon Shin ; Hae Ryong Chung ; Brandon M. Kistler ; [et al.] Article en page(s) : pp. 127-131 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladies du rein ; Rééducation et réadaptationMots-clés : Gait Démarche Kidney diseases Résumé : "Objectives
To investigate whether there is a reduction in walking with the simultaneous performance of a cognitive task (ie, dual-task cost [DTC]) in persons undergoing hemodialysis (HD), and whether it is greater in persons undergoing HD compared with age-matched controls.
Design
Cohort.
Setting
University research laboratory.
Participants
Persons undergoing HD (n=14; 5 women, 9 men; mean age + SD, 50.0+11.8y) and age-matched controls (n=14; 4 women, 10 men; mean age + SD, 48.5+10.1y) participated in the investigation.
Interventions
Not applicable.
Main Outcomes Measures
Participants walked at a self-selected pace on an electronic pathway, which recorded spatiotemporal parameters of gait, in 4 separate trials and completed a cognitive task in the last 2 trials. The DTC was quantified as the change in spatiotemporal parameters of gait from baseline to the cognitive trials.
Results
The HD group had a greater decrease in walking function during the cognitive task, with DTC ranging from 6% to 14%. On average, walking velocity decreased to less than 1m/s in HD patients during the cognitive condition. Baseline walking velocity was found to be moderately correlated with the magnitude of DTC of cadence and step time (ρ=−.44 and .46; P values <.05>
Conclusions
Persons undergoing HD have greater interference between walking and talking compared with controls. Difficulty walking while thinking has implications for everyday life and may be related to the risk of falls. Further work is necessary to determine other contributing factors to elevated DTC in HD patients, and whether DTC can be reduced with targeted interventions."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=117367
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 127-131[article]
Titre : Reliably Measuring Ambulatory Activity Levels of Children and Adolescents With Cerebral Palsy Type de document : Article Auteurs : Saori Ishikawa ; Minsoo Kang ; Kristie F. Bjornson ; Kit Song Article en page(s) : pp. 132-137 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité motrice ; Paralysie cérébrale ; Rééducation et réadaptationMots-clés : Cerebral palsy Monitoring ambulatory Surveillance ambulatoire Motor activity Reproducibility of results Reproductibilité des résultats Walking Marche à pied Résumé : "Objective
To identify sources of variance in step counts and to examine the minimum number of days required to obtain a stable measure of habitual ambulatory activity in the cerebral palsy (CP) population.
Design
Cross-sectional.
Setting
Free-living environments.
Participants
Children and adolescents with CP (N=209; mean age + SD, 8y, 4mo + 3y, 4mo; n=118 boys; Gross Motor Function Classification System [GMFCS] levels I–III) were recruited through 3 regional pediatric specialty care hospitals.
Interventions
Daily walking activity was measured with a 2-dimensional accelerometer over 7 consecutive days. An individual information-centered approach was applied to days with
Main Outcome Measures
Mean step counts, relative magnitude of variance components in total step activity, and generalizability coefficients (G coefficients) of various combinations of days of the week.
Results
Variance in step counts attributable to participants ranged from 33.6% to 65.4%. For youth ages 2 to 5 years, a minimum of 8, 6, and 2 days were required to reach acceptable G coefficient (reliability) of ≥.80 for GMFCS levels I, II, and III, respectively. For those ages 6 to 14 years, a minimum of 6, 5, and 4 days were required to reach stable measures of step activity for GMFCS levels I, II, and III, respectively.
Conclusions
The findings of the study suggest that an activity-monitoring period should be determined based on the GMFCS levels to reliably measure ambulatory activity levels in youth with CP."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=117368
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 132-137[article]
Titre : Early Aquatic Physical Therapy Improves Function and Does Not Increase Risk of Wound-Related Adverse Events for Adults After Orthopedic Surgery : A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Elizabeth Villalta m. ; C.L. Peiris Article en page(s) : pp. 138-148 Langues : Anglais (eng) Descripteurs : HE Vinci
Hydrothérapie ; Méta-analyse ; Orthopédie ; Rééducation et réadaptation ; Revue de la littératureMots-clés : Hydrotherapy Meta-analysis Orthopedics Review Résumé : "Objectives
To investigate whether early postoperative aquatic physical therapy is a low-risk and effective form of physical therapy to improve functional outcomes after orthopedic surgery.
Data Sources
Databases MEDLINE, CINAHL, AMED, Embase, and PEDro were searched from the earliest date available until October 2011. Additional trials were identified by searching reference lists and citation tracking.
Study Selection
Controlled trials evaluating the effects of aquatic physical therapy on adverse events for adults
Data Extraction
A predefined data extraction form was completed in detail for each included study by 1 reviewer and checked for accuracy by another. Methodologic quality of included trials was assessed independently by 2 reviewers using the PEDro scale.
Data Synthesis
Pooled analyses were performed using random effects model with inverse variance methods to calculate standardized mean differences (SMDs) and 95% confidence intervals (CIs) (continuous outcomes) and risk difference and 95% CIs (dichotomous outcomes). When compared with land-based physical therapy, early aquatic physical therapy does not increase the risk of wound-related adverse events (risk difference=.01, 95% CI −.05 to .07) and results in improved performance of activities of daily living (SMD=.33, 95% CI=.07–.58, I2=0%). There were no significant differences in edema (SMD=−.27, 95% CI=−.81 to .27, I2=58%) or pain (SMD=−.06, 95% CI=−.50 to .38, I2=32%).
Conclusions
After orthopedic surgery aquatic physical therapy improves function and does not increase the risk of wound-related adverse events and is as effective as land-based therapy in terms of pain, edema, strength, and range of motion in the early postoperative period."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=117369
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 138-148[article]
Titre : Do Thermal Agents Affect Range of Movement and Mechanical Properties in Soft Tissues? : A Systematic Review Type de document : Article Auteurs : Chris M Bleakley ; Joseph T. Costello Article en page(s) : pp. 149-163 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Cold temperature Température froide Hot temperature Température chaude Range of Motion Articular Amplitude articulaire Muscle stretching exercises Exercices d'étirement musculaire Résumé : "Objectives
To examine the effect of thermal agents on the range of movement (ROM) and mechanical properties in soft tissue and to discuss their clinical relevance.
Data Sources
Electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE) were searched from their earliest available record up to May 2011 using Medical Subjects Headings and key words. We also undertook related articles searches and read reference lists of all incoming articles.
Study Selection
Studies involving human participants describing the effects of thermal interventions on ROM and/or mechanical properties in soft tissue. Two reviewers independently screened studies against eligibility criteria.
Data Extraction
Data were extracted independently by 2 review authors using a customized form. Methodologic quality was also assessed by 2 authors independently, using the Cochrane risk of bias tool.
Data Synthesis
Thirty-six studies, comprising a total of 1301 healthy participants, satisfied the inclusion criteria. There was a high risk of bias across all studies. Meta-analyses were not undertaken because of clinical heterogeneity; however, effect sizes were calculated. There were conflicting data on the effect of cold on joint ROM, accessory joint movement, and passive stiffness. There was limited evidence to determine whether acute cold applications enhance the effects of stretching, and further evidence is required. There was evidence that heat increases ROM, and a combination of heat and stretching is more effective than stretching alone.
Conclusions
Heat is an effective adjunct to developmental and therapeutic stretching techniques and should be the treatment of choice for enhancing ROM in a clinical or sporting setting. The effects of heat or ice on other important mechanical properties (eg, passive stiffness) remain equivocal and should be the focus of future study."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=117370
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 149-163[article]
Titre : Does Exercise Reduce Pain and Improve Physical Function Before Hip or Knee Replacement Surgery? : A Systematic Review and Meta-Analysis of Randomized Controlled Trials Type de document : Article Auteurs : D. Gill stephen ; Helen McBurney Article en page(s) : pp. 164-176 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie ; Exercice physique ; Rééducation et réadaptation ; Soins périopératoiresMots-clés : Arthroplasty Exercise Perioperative care Physical therapy modalities Techniques de physiothérapie Résumé : "Objective
To investigate the preoperative effects of exercise-based interventions on pain and physical function for people awaiting joint replacement surgery of the hip or knee.
Data Sources
Four computer databases (CINAHL, MEDLINE, Embase, and Cochrane Library) were searched until July 4, 2012. Search terms included knee, hip, joint replacement, arthroplasty, physiotherapy, physical therapy, exercise, hydrotherapy, rehabilitation, and preoperative. Reference lists of retrieved articles were also screened.
Study Selection
Randomized or quasi-randomized studies comparing an exercise-based intervention with a no-intervention group for people awaiting hip or knee joint replacement surgery were included. Outcomes were pain and physical function including self-reported function, walking speed, and muscle strength. One of 2 reviewers determined that 18 studies met the inclusion criteria.
Data Extraction
The methodologic quality of each study was independently assessed by 2 reviewers using the PEDro scale, and a final PEDro score was determined by discussion and consensus between the reviewers. Participants’ characteristics, content and design of the interventions, and data for quantitative synthesis were extracted by 1 reviewer.
Data Synthesis
For participants awaiting knee replacement surgery, quantitative data synthesis found no significant differences between the exercise and no-intervention groups for pain, self-reported function, walking speed, or muscle strength. For participants awaiting hip replacement surgery, quantitative data synthesis found a significant difference between the groups, with standardized mean differences (SMDs) indicating a medium-sized effect in favor of intervention for both pain (SMD=.45; 95% confidence interval .15–.75) and self-reported function (SMD=.46; 95% confidence interval .20–.72).
Conclusions
Exercise-based interventions can reduce pain and improve physical function for people awaiting hip replacement surgery but not knee replacement surgery."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=117371
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 164-176[article]
Titre : Measuring Participation After Stroke : A Review of Frequently Used Tools Type de document : Article Auteurs : Tamara Tse ; Jacinta Douglas ; Primrose Lentin ; Leeanne M. Carey Article en page(s) : pp. 177-192 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Participation sociale ; Rééducation et réadaptation ; Revue de la littératureMots-clés : Consumer participation Participation des consommateurs Outcome Assessment (Health Care) Review Social participation Stroke Résumé : "Objective
To identify and critique the measures currently used to assess participation in clinical stroke studies.
Data Sources
Relevant articles published between January 2001 and April 2012 identified through Medline, CINAHL, and ProQuest Central databases.
Study Selection
Published articles involving poststroke assessment of participation. Case studies, cohort studies, and randomized controlled trials were included.
Data Extraction
The most frequently used measures were identified and the psychometric properties evaluated. Three raters independently evaluated each measure relative to the first and second coding levels of the International Classification of Functioning, Disability and Health (ICF) Activities and Participation domain categories.
Data Synthesis
Thirty-six measures were identified. The Stroke Impact Scale (SIS), London Handicap Scale, Assessment of Life Habits (LIFE-H), Frenchay Activities Index, and Activity Card Sort (ACS) were used most frequently. No single measure met criteria across all psychometric indices, and not one covered all 9 of the ICF Activities and Participation domains. The SIS, LIFE-H, and ACS covered the widest range. The domains covered most frequently were Community, Social and Civic Life, Domestic Life, and Mobility. Learning and Applying Knowledge, General Tasks and Demands, and Communication were the domains less frequently covered.
Conclusions
This review identified and evaluated the most frequently used participation measures in clinical stroke studies. The SIS, LIFE-H, and ACS covered the ICF Activities and Participation domain categories most comprehensively. However, none of the measures covered all the ICF Activities and Participation domain categories. The information provided in this systematic review can be used to guide the selection of participation measures to meet specific clinical and research purposes."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=117372
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 177-192[article]
Titre : Gender, Health Ambiguity, and Depression Among Survivors of First Stroke : A Pilot Study Type de document : Article Auteurs : Michael J. McCarthy ; Karen S. Lyons ; Laurie E. Powers ; Elizabeth A Bauer Article en page(s) : pp. 193-195 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Dépression ; Incertitude ; Rééducation et réadaptationMots-clés : Stroke Uncertainty Résumé : "Objective
To investigate the association between health ambiguity and depressive symptoms among stroke survivors and whether survivor gender moderates this association.
Design
Cross-sectional survey study.
Setting
General community.
Participants
Survivors of first stroke (N=36) recruited through provider referral, support groups, and print and Web-based sources.
Interventions
Not applicable.
Main Outcome Measures
Depressive symptoms as measured by the Patient Health Questionnaire-9.
Results
Health ambiguity (β=.984, P<.001 gender p and the interaction of variables were significantly associated with depressive symptoms. simple slopes tests indicated that association between health ambiguity symptoms was stronger for male versus female survivors.>
Conclusions
Gender and health ambiguity impact survivor depressive symptoms, independently and in conjunction with one another. Results are promising, and further research with larger samples and more comprehensive statistical models is needed to confirm these findings."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=117373
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 193-195[article]
Titre : Changes in Blood Flow and Cellular Metabolism at a Myofascial Trigger Point With Trigger Point Release (Ischemic Compression) : A Proof-of-Principle Pilot Study Type de document : Article Auteurs : Albert F. Moraska ; Robert C. Hickner ; W.M. Kohrt ; Alan Brewer Article en page(s) : pp. 196-200 Langues : Anglais (eng) Descripteurs : HE Vinci
Céphalées ; Massage ; Rééducation et réadaptation ; Thérapies complémentairesMots-clés : Complementary Therapies Headache Microdialysis Microdialyse Myofascial pain syndromes Syndromes de la douleur myofasciale Résumé : "Objective
To demonstrate proof-of-principle measurement for physiologic change within an active myofascial trigger point (MTrP) undergoing trigger point release (ischemic compression).
Design
Interstitial fluid was sampled continuously at a trigger point before and after intervention.
Setting
A biomedical research clinic at a university hospital.
Participants
Subjects (N=2) from a pain clinic who had chronic headache pain.
Interventions
A single microdialysis catheter was inserted into an active MTrP of the upper trapezius to allow for continuous sampling of interstitial fluid before and after application of trigger point therapy by a massage therapist.
Main Outcome Measures
Procedural success, pain tolerance, feasibility of intervention during sample collection, and determination of physiologically relevant values for local blood flow as well as glucose and lactate concentrations.
Results
Both patients tolerated the microdialysis probe insertion into the MTrP and treatment intervention without complication. Glucose and lactate concentrations were measured in the physiologic range. After intervention, a sustained increase in lactate was noted for both subjects.
Conclusions
Identifying physiologic constituents of MTrPs after intervention is an important step toward understanding pathophysiology and resolution of myofascial pain. The present study forwards that aim by showing that proof-of-concept for collection of interstitial fluid from an MTrP before and after intervention can be accomplished using microdialysis, thus providing methodological insight toward treatment mechanism and pain resolution. Of the biomarkers measured in this study, lactate may be the most relevant for detection and treatment of abnormalities in the MTrP."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=117374
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 196-200[article]
Titre : Defining Barriers to Discharge From Inpatient Rehabilitation, Classifying Their Causes, and Proposed Performance Indicators for Rehabilitation Patient Flow Type de document : Article Auteurs : Peter W. New ; Peter A. Cameron ; John H. Olver ; Johannes U. Stoelwinder Article en page(s) : pp. 201-208 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Recherche opérationnelle ; Rééducation et réadaptation ; Sortie du patientMots-clés : Health services accessibility Operations research Outcome and process assessment (health care) Évaluation des résultats et des processus en soins de santé Patient discharge Résumé : "There is little research literature on patient flow in rehabilitation. Accepted definitions of barriers to discharge and agreed performance measures are needed to support research and understanding of this topic. The potential of improved patient flow in rehabilitation to assist relieving demand pressures in acute hospitals underscores its importance.
This study develops a definition of barriers to discharge from postacute care and classifies their causes using a multiphased iterative consultation and feedback process involving physiatrists, aged-care physicians, and senior nursing and allied health clinicians. Key performance indicators (KPIs) for postacute patient flow are then proposed, the development of which were informed by the available literature and a survey (n=101) of physiatrists, aged-care physicians, and hospital managers with responsibility for patient flow who were questioned about the use of relevant KPIs in this setting. Most (>70%) respondents believed that using KPIs (eg, waiting time from acceptance by postacute care and ready for transfer until admission, percentage of postacute bed days occupied by inpatients with a discharge barrier) to measure aspects of patient flow could improve processes, but few reported collecting this information (45% admission KPIs, 19% discharge KPIs).
By using the definition and classification of discharge barriers prospectively to document and address barriers, in conjunction with appropriate KPIs, postacute patient flow and the efficiency of hospital resource utilization can potentially be improved. Our commentary aims to stimulate interest among others to develop a more robust evidence base for improved flow through postacute care."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=117375
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 201-208[article]
Titre : Invited Commentary on Central Hypersensitivity in Patients With Subacromial Impingement Syndrome Type de document : Article Auteurs : Peter T. Dorsher Article en page(s) : pp. 209-210 Langues : Anglais (eng) Descripteurs : HE Vinci
Mesure de la douleur ; Rééducation et réadaptationMots-clés : Central Nervous System Sensitization Sensibilisation du système nerveux central Myofascial pain syndromes Syndromes de la douleur myofasciale Pain measurement Pain threshold Seuil nociceptif Résumé : "Pain pressure threshold (PPT) measurement by handheld algometer has been validated as a tool to identify and quantitate myofascial pain sites in an individual. The average of 3 readings at a given muscle site is used, so the standard error of measurement of these devices must be considered when determining whether PPT differences between muscle sites represent true changes. This commentary discusses this issue." 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=117376
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 209-210[article]
