Mention de date : 2013
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Ajouter le résultat dans votre panierDeliberations About the Functional Benefits and Complications of Partial Foot Amputation: Do We Pay Heed to the Purported Benefits at the Expense of Minimizing Complications? / Michael Dillon in Archives of Physical Medicine and Rehabilitation, 2013/8 (2013)
Titre : Deliberations About the Functional Benefits and Complications of Partial Foot Amputation: Do We Pay Heed to the Purported Benefits at the Expense of Minimizing Complications? Type de document : Article Auteurs : Michael Dillon ; Stefania Fatone Article en page(s) : pp. 1429-1435 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Métabolisme énergétique ; Qualité de vie ; Rééducation et réadaptationMots-clés : Amputation chirurgicale Energy Metabolism Gait Démarche Quality of life Résumé : While discussion about the benefits and complications of partial foot amputation (PFA) is not new, much of it has hinged on anecdotal evidence and led to the popular view that the risk of complications and secondary amputation is reasonable when weighed against the perceived benefits associated with maintaining the ankle joint and residual foot length, including more normal walking, reduced energy expenditure, and improved quality of life. The research evidence makes it difficult not to question whether these benefits are valid and worth striving to achieve. When you consider that persons who undergo PFA are typically in the later years of their life and have limited mobility, it raises the question of whether we place too much emphasis on achieving the purported functional benefits of PFA and too little emphasis on achieving primary wound healing and mitigating the high rates of complications and subsequent amputation. If further research supports what we see emerging in the evidence, there will be a case to be made for selecting the level of PFA based primarily on the potential for wound healing, rather than trying to strike a balance with the perceived functional benefits. This may mean that transtibial amputation is preferable in many cases, given the lower rates of complications and secondary amputation, very similar function in terms of walking and energy expenditure, and similar lived experience of limb loss when compared with persons with PFA. Further research is needed to better understand the complications and benefits of PFA to make this a more viable, first-and-final amputation procedure. 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=117546
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1429-1435[article]
Titre : Metabolic Responses to 4 Different Body Weight-Supported Locomotor Training Approaches in Persons With Incomplete Spinal Cord Injury Type de document : Article Auteurs : Jochen Kressler ; Mark Nash ; Patricia Burns ; [et al.] Article en page(s) : pp. 1436-1442 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Rééducation et réadaptationMots-clés : Exercise Oxygen consumption Consommation d'oxygène Résumé : Objective
To describe metabolic responses accompanying 4 different locomotor training (LT) approaches.
Design
Single-blind, randomized controlled trial.
Setting
Rehabilitation research laboratory, academic medical center.
Participants
Individuals (N=62) with minimal walking function due to chronic motor-incomplete spinal cord injury.
Intervention
Participants trained 5 days/week for 12 weeks. Groups were treadmill-based LT with manual assistance (TM), transcutaneous electrical stimulation (TS), and a driven gait orthosis (DGO) and overground (OG) LT with electrical stimulation.
Main Outcome Measures
Oxygen uptake (o2), walking velocity and economy, and substrate utilization during subject-selected “slow,” “moderate,” and “maximal” walking speeds.
Results
o2 did not increase from pretraining to posttraining for DGO (.00+.18L/min, P=.923). Increases in the other groups depended on walking speed, ranging from .01+.18m/s (P=.860) for TM (slow speed) to .20+.29m/s (P=.017) for TS (maximal speed). All groups increased velocity but to varying degrees (DGO, .01+.18Ln[m/s], P=.829; TM, .07+.29Ln[m/s], P=.371; TS, .33+.45Ln[m/s], P=.013; OG, .52+.61Ln[m/s], P=.007). Changes in walking economy were marginal for DGO and TM (.01+.20Ln[L/m], P=.926, and .00+.42Ln[L/m], P=.981) but significant for TS and OG (.26+.33Ln[L/m], P=.014, and .44+.62Ln[L/m], P=.025). Many participants reached respiratory exchange ratios ≥1 at any speed, rendering it impossible to statistically discern differences in substrate utilization. However, after training, fewer participants reached this ceiling for each speed (slow: 9 vs 6, n=32; moderate: 12 vs 8, n=29; and maximal 15 vs 13, n=28).
Conclusions
DGO and TM walking training was less effective in increasing o2 and velocity across participant-selected walking speeds, while TS and OG training was more effective in improving these parameters and also walking economy. Therefore, the latter 2 approaches hold greater promise for improving clinically relevant outcomes such as enhanced endurance, functionality, or in-home/community ambulation.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=117547
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1436-1442[article]
Titre : Effects of Physical Exercise on Plasma Levels of Brain-Derived Neurotrophic Factor and Depressive Symptoms in Elderly Women—A Randomized Clinical Trial Type de document : Article Auteurs : Daniele Pereira ; Barbara De Queiroz ; Aline Miranda ; [et al.] Article en page(s) : pp. 1443-1450 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Exercice physique ; Personne âgée fragile ; Rééducation et réadaptationMots-clés : Brain-derived neurotrophic factor Facteur neurotrophique dérivé du cerveau Frail Elderly Exercise Résumé : Objectives
To investigate the effect of 2 standardized exercise programs, muscle strength exercises (SE) and aerobic exercises (AE), on the plasma levels of brain-derived neurotrophic factor (BDNF) and depressive symptoms in 451 elderly women.
Design
A randomized controlled trial.
Setting
Belo Horizonte/MG–Brazil.
Participants
Community-dwelling older women (N=451; age, 65–89y).
Intervention
The participants were divided into 2 groups: SE and AE. Both protocols lasted 10 weeks, and 30 sessions (1-h sessions) in total were performed 3 times a week under the direct supervision of physical therapists.
Main Outcome Measures
Plasma levels of BDNF (enzyme-linked immunosorbent assay) and depressive symptoms (Geriatric Depression Scale).
Results
There was a significant difference for BDNF plasma levels between the SE and AE groups (P=.009). Post hoc analysis revealed a pre-post intervention difference in BDNF levels only for the SE group (P=.008). A statistically significant difference was found for the pre- and postintervention Geriatric Depression Scale scores in both groups (P=.001), showing that the effects of both exercise protocols were comparable regarding depressive symptoms (P=.185).
Conclusions
The present findings have demonstrated the positive effect of muscle strengthening and aerobic intervention on depressive symptoms in community-dwelling elderly women. Interestingly, only SE significantly increased the plasma levels of BDNF in our sample. The positive effects of physical exercise on depressive symptoms in the elderly were not mediated by BDNF.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=117548
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1443-1450[article]
Titre : Chemotherapy-Related Neuropathic Symptoms and Functional Impairment in Adult Survivors of Extracranial Solid Tumors of Childhood: Results From the St. Jude Lifetime Cohort Study Type de document : Article Auteurs : Kirsten Ness ; Kendra Jones ; Webb Smith ; [et al.] Article en page(s) : pp. 1451-1457 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; TumeursMots-clés : Cisplatin Cisplatine Neoplasms Peripheral nervous system diseases Neuropathies périphériques Vincristine Résumé : Objectives
To ascertain prevalence of peripheral sensory and motor neuropathy, and to evaluate impairments in relation to function.
Design
St. Jude Lifetime Cohort Study, a clinical follow-up study designed to evaluate adverse late effects in adult survivors of childhood cancer.
Setting
A children's research hospital.
Participants
Eligibility required treatment for an extracranial solid malignancy between 1962 and 2002, age ≥18 years, ≥10 years postdiagnosis, and no history of cranial radiation. Survivors (N=531) were included in the evaluation with a median age of 32 years and a median time from diagnosis of 25 years.
Interventions
Not applicable.
Main Outcome Measures
Primary exposure measures were cumulative doses of vinca-alkaloid and platinum-based chemotherapies. Survivors with scores ≥1 on the sensory subscale of the Modified Total Neuropathy Score were classified with prevalent sensory impairment. Those with sex-specific z scores of ≤−1.3 for dorsiflexion strength were classified with prevalent motor impairment. Participants completed the 6-minute walk test (endurance), the Timed Up & Go test (mobility), and the Sensory Organization Test (balance).
Results
The prevalence of sensory and motor impairment was 20% and 17.5%, respectively. Vinca-alkaloid exposure was associated with an increased risk of motor impairment (adjusted odds ratio [OR]=1.66; 95% confidence interval [CI], 1.04–2.64) without evidence for a dose response. Platinum exposure was associated with increased risk of sensory impairment (adjusted OR=1.62; 95% CI, .97–2.72) without evidence of a dose response. Sensory impairment was associated with poor endurance (OR=1.99; 95% CI, .99–4.0) and mobility (OR=1.65; 95% CI, .96–2.83).
Conclusions
Vincristine and cisplatin exposure may increase risk for long-term motor and sensory impairment, respectively. Survivors with sensory impairment are at increased risk for functional performance limitations.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=117549
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1451-1457[article]
Titre : Systematic Review of High-Intensity Progressive Resistance Strength Training of the Lower Limb Compared With Other Intensities of Strength Training in Older Adults Type de document : Article Auteurs : Melissa Raymond ; Rebecca Bramley-tzerefos ; Kimberley Jeffs ; [et al.] Article en page(s) : pp. 1458-1472 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Revue de la littérature ; Sujet âgéMots-clés : Aged Resistance training Entraînement en résistance Review Résumé : Objective
To examine the effect of high-intensity progressive resistance strength training (HIPRST) on strength, function, mood, quality of life, and adverse events compared with other intensities in older adults.
Data Sources
Online databases were searched from their inception to July 2012.
Study Selection
Randomized controlled trials of HIPRST of the lower limb compared with other intensities of progressive resistance strength training (PRST) in older adults (mean age ≥65y) were identified.
Data Extraction
Two reviewers independently completed quality assessment using the Physiotherapy Evidence Database (PEDro) scale and data extraction using a prepared checklist.
Data Synthesis
Twenty-one trials were included. Study quality was fair to moderate (PEDro scale range, 3–7). Studies had small sample sizes (18–84), and participants were generally healthy. Meta-analyses revealed HIPRST improved lower-limb strength greater than moderate- and low-intensity PRST (standardized mean difference [SMD]=.79; 95% confidence interval [CI], .40 to 1.17 and SMD=.83; 95% CI, −.02 to 1.68, respectively). Studies where groups performed equivalent training volumes resulted in similar improvements in leg strength, regardless of training intensity. Similar improvements were found across intensities for functional performance and disability. The effect of intensity of PRST on mood was inconsistent across studies. Adverse events were poorly reported, however, no correlation was found between training intensity and severity of adverse events.
Conclusions
HIPRST improves lower-limb strength more than lesser training intensities, although it may not be required to improve functional performance. Training volume is also an important variable. HIPRST appears to be a safe mode of exercise in older adults. Further research into its effects on older adults with chronic health conditions across the care continuum is required.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=117550
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1458-1472[article]
Titre : Meta-Analysis of Botulinum Toxin A Detrusor Injections in the Treatment of Neurogenic Detrusor Overactivity After Spinal Cord Injury Type de document : Article Auteurs : Swati Mehta ; Denise Hill ; Amanda McIntyre ; [et al.] Article en page(s) : pp. 1473-1481 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Botulinum toxins Toxines botuliniques Spinal cord injuries Urinary bladder Vessie urinaire Résumé : Objective
To examine the effectiveness of botulinum toxin type A (BTX-A) on neurogenic detrusor overactivity (NDO) in individuals with spinal cord injury (SCI).
Data Sources
MEDLINE, CINAHL, EMBASE, and PsycINFO databases were searched for all relevant articles published from 1980 to June 2012.
Study Selection
Trials examining the use of BTX-A injections into the detrusor wall in the treatment of NDO after SCI were included if (1) ≥50% of study sample comprised subjects post-SCI; (2) outcomes of interest were assessed before and after treatment with a single injection of BTX-A; and (3) the sample size was ≥3.
Data Extraction
A standardized mean difference + SE (95% confidence interval) was calculated for at least 1 of the following outcomes in every study: postvoid residual urine volume, reflex detrusor volume, bladder capacity, bladder compliance, catheterization frequency, and maximum flow rate. Results from all studies were then pooled using a random-effects model. Treatment effect sizes were interpreted as small, >0.2; moderate, >0.5; or large, >0.8.
Data Synthesis
Fourteen studies representing data from 734 subjects were included. After BTX-A injection, large treatment effects were observed in postvoid residual urine volume, reflex detrusor volume, bladder capacity, bladder compliance, and catheterization frequency (P<.01 rate of incontinence episodes was reduced from to after btx-a treatment. no significant decrease in max flow observed> Conclusions
Results of the meta-analysis indicate BTX-A is effective in treating NDO after SCI. The use of BTX-A was associated with a decrease in incontinence episodes, catheter use, and bladder pressures.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=117551
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1473-1481[article]
Titre : Comparison of Intra-articular Hyaluronic Acid Injections With Transcutaneous Electric Nerve Stimulation for the Management of Knee Osteoarthritis: A Randomized Controlled Trial Type de document : Article Auteurs : Wen-Ling Chen ; Wei-Chun Hsu ; Yi-Jia Lin ; [et al.] Article en page(s) : pp. 1482-1489 Langues : Anglais (eng) Descripteurs : HE Vinci
Gonarthrose ; Rééducation et réadaptationMots-clés : Hyaluronic acid Acide hyaluronique Injections intra-articular Injections articulaires Osteoarthritis knee Transcutaneous electric nerve stimulation Neurostimulation électrique transcutanée Résumé : Objective
To compare the effects of intra-articular hyaluronic acid (HA; ARTZ) and transcutaneous electric nerve stimulation (TENS) in the treatment of patients with knee osteoarthritis.
Design
A prospective, randomized controlled trial.
Setting
Rehabilitation clinic of a teaching hospital.
Participants
Patients with knee osteoarthritis (N=50; aged 51–80y) were randomly assigned to the HA group (n=27) or the TENS group (n=23).
Interventions
The HA group received intra-articular HA injection into the affected knee once a week for 5 consecutive weeks, and the TENS group received a 20- minute session of TENS 3 times a week for 4 consecutive weeks.
Main Outcome Measures
The primary outcome measures used were the visual analog scale (VAS) for pain and the Lequesne index. The secondary outcome measures were range of motion of the knee, walking time, pain threshold, patient global assessment, and disability in activities of daily living. All subjects were assessed at baseline, and at 2 weeks, 2 months, and 3 months after the treatments were completed.
Results
The TENS group exhibited a significantly greater improvement in VAS than the HA group at 2 weeks' follow-up (4.17+1.98 vs 5.31+1.78, respectively; P=.03). In addition, the TENS group also exhibited a significantly greater improvement in the Lequesne index than the HA group at 2 weeks' follow-up (7.78+2.08 vs 9.85+3.54, respectively; P=.01) and at 3 months' follow-up (7.07+2.85 vs 9.24+4.04, respectively; P=.03).
Conclusions
TENS with silver spike point electrodes was observed to be more effective than intra-articular HA injection for patients with knee osteoarthritis in improving the VAS for pain at 2 weeks' follow-up as well as the Lequesne index at 2 weeks' and 3 months' follow-up.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=117552
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1482-1489[article]
Titre : Comparison of the International Committee of the Red Cross Foot With the Solid Ankle Cushion Heel Foot During Gait: A Randomized Double-Blind Study Type de document : Article Auteurs : Katia Turcot ; Yoshimasa Sagawa ; Alain Lacraz ; [et al.] Article en page(s) : pp. 1490-1497 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputés ; Biomécanique ; Croix-rouge ; Rééducation et réadaptationMots-clés : Amputees Biomechanics Gait Démarche Kinetics Cinétique Red Cross Résumé : Objective
To compare the well-recognized solid ankle cushion heel (SACH) foot with the prosthetic foot developed by the International Committee of the Red Cross (CR Equipements SACH) during gait.
Design
Double-blind study was conducted to compare the influence on the biomechanics of gait of the CR Equipements SACH foot and the SACH foot.
Setting
University hospital research center.
Participants
Participants with unilateral transtibial amputation (N=15) were included.
Interventions
Three-dimensional motion analysis system and 2 forceplates were used to capture body motion and ground reaction forces during gait at a self-selected speed and at 1.2m/s.
Main Outcome Measures
Nonparametric Wilcoxon matched-pairs tests were used to compare the 2 prosthetic feet with respect to their spatiotemporal (gait velocity, stride length, and percentage of stance phase), kinematic (range and peak angles of the pelvis, hip, knee, and ankle), and kinetic (peak moment and power of the hip, knee, and ankle) parameters.
Results
Compared with the SACH foot, the CR Equipements SACH foot demonstrated a significantly greater stance phase symmetry ratio (SACH: 94% vs CR Equipements SACH: 97%), a more extensive ankle range of motion in the sagittal plane (SACH: 7° vs CR Equipements SACH: 12°), a greater maximal dorsiflexion angle during the terminal stance phase (SACH: 10° vs CR Equipements SACH: 13°), and a higher ankle power (SACH: .31W/kg vs CR Equipements SACH: .40W/kg). No significant difference was found for the examined knee, hip, and pelvis parameters.
Conclusions
The CR Equipements SACH foot provides more symmetry and improves ankle kinematics and kinetics in the sagittal plane compared with the SACH foot. This study suggests that individuals using the CR Equipements SACH foot improve their gait biomechanics compared when using the SACH foot.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=117553
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1490-1497[article]
Titre : Pilot Study: Elevated Circulating Levels of the Proinflammatory Cytokine Macrophage Migration Inhibitory Factor in Patients With Chronic Spinal Cord Injury Type de document : Article Auteurs : Adam Stein ; Arti Panjwani ; Cristina Sison ; [et al.] Article en page(s) : pp. 1498-1507 Langues : Anglais (eng) Descripteurs : HE Vinci
Inflammation ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Cytokines Macrophage migration-inhibitory factors Facteurs inhibiteurs de la migration des macrophages Spinal cord injuries Résumé : Objective
To test the hypothesis that the proinflammatory cytokine macrophage migration inhibitory factor (MIF) is elevated in the circulation of patients with chronic spinal cord injury (SCI) relative to uninjured subjects, and secondarily to identify additional immune mediators that are elevated in subjects with chronic SCI.
Design
Prospective, observational pilot study.
Setting
Outpatient clinic of a department of physical medicine and rehabilitation and research institute in an academic medical center.
Participants
Individuals with chronic (>1y from initial injury) SCI (n=22) and age- and sex-matched uninjured subjects (n=19).
Interventions
Not applicable.
Main Outcome Measures
Plasma levels of MIF, as determined by a commercially available multiplex suspension immunoassay. The relationship between MIF levels and clinical/demographic variables was also examined. As a secondary outcome, we evaluated other cytokines, chemokines, and growth factors.
Results
Plasma MIF levels were significantly higher in subjects with chronic SCI than in control subjects (P<.001 elevated mif levels were not correlated significantly with any one clinical or demographic characteristic. subjects sci also exhibited higher plasma of monokine induced by interferon-gamma c-x-c motif ligand macrophage colony stimulating factor interleukin-3 and stem cell growth beta among the scgf- increased time from initial injury.> Conclusions
These data confirm the hypothesis that MIF is elevated in subjects with chronic SCI and identify additional novel immune mediators that are also elevated in these subjects. This study suggests the importance of examining the potential functional roles of MIF and other immune factors in subjects with chronic SCI.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=117554
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1498-1507[article]
Titre : Rehabilitation Outcomes of Stroke Patients With and Without Diabetes Type de document : Article Auteurs : Bridgett Piernik-Yoder ; Norma Ketchum Article en page(s) : pp. 1508-1512 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Diabète ; Rééducation et réadaptationMots-clés : Diabetes mellitus Stroke Résumé : Objective
To investigate the relation of diabetes comorbidity and the rehabilitation outcomes of patients with stroke.
Design
Secondary data analysis.
Setting
Inpatient rehabilitation facilities.
Participants
Patients with stroke (N=35,243) who received inpatient rehabilitation in 2004 through 2008.
Interventions
None.
Main Outcome Measures
FIM, length of stay, and discharge destination.
Results
Mean age + SD of the sample was 71.0+13.2 years. The percent of the sample of Medicare beneficiaries was 53.8%, whereas 46.2% had other sources of funding. Of the patients in the sample, 34.5% had a comorbidity of diabetes, with 17.2% classified as tier-eligible and 82.8% as nontier eligible. Findings included that patients in this sample with diabetes were admitted for rehabilitation services at a younger age than those without diabetes and support previous studies in which tier-eligible diabetes comorbidities moderated by patient age were found to be significant predictors of stroke rehabilitation outcomes. Furthermore, similar findings remained regardless of payer source.
Conclusions
This study provides additional evidence that diabetes as a comorbidity is significantly related to stroke rehabilitation outcome, but the relation is moderated by patient age.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=117555
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1508-1512[article]
Titre : Dual-Task Effect on Gait Balance Control in Adolescents With Concussion Type de document : Article Auteurs : David Howell ; Louis R. Osternig ; Li-Shan Chou Article en page(s) : pp. 1513-1520 Langues : Anglais (eng) Descripteurs : HE Vinci
Attention ; Commotion de l'encéphale ; Rééducation et réadaptationMots-clés : Brain concussion Brain injuries Lésions encéphaliques Gait Démarche Postural balance Équilibre postural Résumé : Objective
To prospectively and longitudinally examine how concussion affects gait balance control in adolescents during single- and dual-task walking.
Design
Cohort, prospective, repeated-measures design.
Setting
Motion analysis laboratory.
Participants
Adolescents (N=20) identified as suffering a concussion were matched with healthy control subjects (N=20) and tested 5 times across a 2-month period after injury.
Interventions
Not applicable.
Main Outcome Measures
Gait temporal-distance parameters included average walking speed, step length, and step width; whole body center of mass (COM) parameters included medial/lateral displacement and peak COM medial/lateral and anterior velocities; dual-task cost, which was defined as percent change from single- to dual-task conditions; and Stroop test accuracy.
Results
No between-group differences were observed for step length and step width. The dual-task cost for average walking speed for subjects with concussion was greater than control subjects across the 2-month testing period (main effect of group P=.019), as was the dual-task costs for peak anterior COM velocity (main effect of group P=.017) and total COM medial/lateral displacement (main effect of group P=.013). The total COM medial/lateral displacement (group * task interaction P=.006) and peak COM medial/lateral velocity (main effect of group P=.027; main effect of task P=.01) were significantly greater in subjects with concussion compared with control subjects during dual-task walking. Subjects with concussion were significantly less accurate than controls on the Stroop test (main effect of group P=.004).
Conclusions
The findings suggest that concussion affects the ability of adolescents to control body posture during gait up to 2 months after injury. Furthermore, dual-task paradigms may provide additional useful information in the clinical assessment and recovery of concussion.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=117556
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1513-1520[article]
Titre : Validity and Reliability of the FIM Instrument in the Inpatient Burn Rehabilitation Population Type de document : Article Auteurs : Paul Gerrard ; Richard Goldstein ; Margaret Divita ; [et al.] Article en page(s) : pp. 1521-1526 Langues : Anglais (eng) Descripteurs : HE Vinci
Brûlures ; Etudes de validation ; Évaluation de résultat (soins) ; Psychométrie ; Rééducation et réadaptationMots-clés : Burns Factor Analysis Statistical Analyse statistique factorielle Outcome Assessment (Health Care) Psychometrics Validation Studies Résumé : Objective
To provide evidence of construct validity for the FIM instrument in the inpatient rehabilitation burn population.
Design
Confirmatory factor analysis and item response theory were used to assess construct validity. Confirmatory factor analysis was performed on a 2-factor model of the FIM instrument and on a 6-subfactor model. Mokken scale analysis, a nonparametric item response theory, was performed on each of the FIM instrument's 2 major factors, motor and cognitive domains. Internal consistency using Cronbach alpha and Molenaar and Sijtsma's statistic was also examined.
Setting
Inpatient rehabilitation facilities.
Participants
Data from the Uniform Data System for Medical Rehabilitation for patients with an impairment code of burn injury from the years 2002 to 2011 were used for this analysis. A total of 7569 subjects were included in the study.
Interventions
Not applicable.
Main Outcome Measures
Comparative fit index results for the confirmatory factor analyses and adherence to assumptions of the Mokken scale model.
Results
Confirmatory factor analysis provided a comparative fit index of .862 for the 2-factor model and .941 for the 6-subfactor model. Mokken scale analysis showed scalability coefficients of .681 and .891 for the motor and cognitive domains, respectively. Measures of internal consistency statistic gave values of >.95 for each major domain of the FIM instrument.
Conclusions
The FIM instrument has evidence of validity and reliability as an outcome measure for patients with burn injuries in the inpatient rehabilitation setting. The 6-subfactor model provides a better fit than the 2-factor model by confirmatory factor analysis. There is evidence that the motor and cognitive domains each form valid unidimensional metrics based on nonparametric item response theory.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=117557
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1521-1526[article]
Titre : Rasch Analysis Staging Methodology to Classify Upper Extremity Movement Impairment After Stroke Type de document : Article Auteurs : Michelle Woodbury ; Craig Velozo ; Lorie Gage Richards ; [et al.] Article en page(s) : pp. 1527-1533 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Rééducation et réadaptationMots-clés : Stroke Accident vasculaire cérébra Upper extremity Résumé : Objectives
To define Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) cutoff scores that demarcate 1 level of upper extremity (UE) impairment from another, and describe motor behaviors for each category in terms of expected FMA-UE item performance.
Design
Analysis of existing FMA-UE data.
Setting
University research laboratory.
Participants
Persons (N=512) 0 to 145 days poststroke, 42 to 90 years of age.
Intervention
Not applicable.
Main Outcome Measures
An item response Rasch analysis staging method was used to calculate cutoff scores, which were defined as the Rasch-Andrich threshold values of 2 criterion FMA-UE items derived from an analysis of this sample. The analysis enabled conversion of cutoff scores, in logit units, to FMA-UE points assessed on 30 FMA-UE voluntary movement items (60 possible points).
Results
The boundary between severe and moderate impairment was defined as −1.59+.27 logits or 19+2 points; and between moderate and mild impairment was defined as 2.44+.27 logits or 47+2 points. A description of expected performance in each impairment level shows that patients with severe impairment exhibited some distal movements, and patients with mild impairment had difficulties with some proximal movements.
Conclusions
The cutoff scores, which link to a description of specific movements a patient can, can partially, and cannot perform, may enable formation of heterogeneous patient groups, advance efforts to identify specific movement therapy targets, and define treatment response in terms of specific movement that changed or did not change with therapy.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=117558
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1527-1533[article]
Titre : Steps Per Day Among Persons With Multiple Sclerosis: Variation by Demographic, Clinical, and Device Characteristics Type de document : Article Auteurs : Deirdre Dlugonski ; Lara A. Pilutti ; Brian Sandroff ; [et al.] Article en page(s) : pp. 1534-1539 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Santé ; Sclérose en plaquesMots-clés : Health Multiple sclerosis Walking Marche à pied Résumé : Objectives
To identify steps per day in a large sample of persons with multiple sclerosis (MS) and to describe variation by demographic and clinical characteristics and device type.
Design
Cross-sectional design.
Setting
General community.
Participants
Convenience sample of persons with multiple sclerosis (N=645) recruited from the general community who were ambulatory and relapse free for 30 days. Mean age + SD of the participants was 46.3+10.6 years old. Participants were mostly women (85%), white (93%), and employed (64%).
Interventions
Not applicable.
Main Outcome Measure
Step counts measured by a motion sensor during a 7-day period.
Results
The average value for the entire sample was 5903+3185 steps per day. This value varied by demographic and clinical characteristics, but not device type, and indicated that men, participants who were unemployed, had a high school education or less, progressive MS, a longer disease duration, and higher disability were less physically active based on the metric of steps per day.
Conclusions
This study provides an expected value for average steps per day among persons with MS. Such an expected value for this population is an important first step to help researchers and clinicians interested in improving the overall health of persons with MS through physical activity promotion.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=117559
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1534-1539[article]
Titre : Changes in Pulmonary Function During the Early Years After Inpatient Rehabilitation in Persons With Spinal Cord Injury: A Prospective Cohort Study Type de document : Article Auteurs : Karin Postma ; Janneke A. Haisma ; Sonja De Groot ; [et al.] Article en page(s) : pp. 1540-1546 Langues : Anglais (eng) Descripteurs : HE Vinci
Etudes longitudinales ; Rééducation et réadaptation ; Tests de la fonction respiratoire ; Traumatismes de la moelle épinièreMots-clés : Longitudinal Studies Respiratory Function Tests Spinal cord injuries Vital capacity Capacité vitale Résumé : Objective
To describe changes in pulmonary function (PF) during the 5 years after inpatient rehabilitation in persons with spinal cord injury (SCI) and to study potential determinants of change.
Design
Prospective cohort study.
Setting
Eight rehabilitation centers with specialized SCI units.
Participants
Persons with SCI (N=180).
Interventions
Not applicable.
Main Outcome Measures
PF was determined by forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) as a percentage of the predicted value, at the start of rehabilitation, at discharge, and 1 and 5 years after discharge from inpatient rehabilitation. The population was divided into 3 subgroups on the basis of whether their PF declined, stabilized, or improved.
Results
FVC improved on average 5.1% over the whole period between discharge of inpatient rehabilitation and 5 years thereafter, but changes differed largely between persons. FVC declined in 14.9% of the population during the first year after discharge. During this year, body mass index, inspiratory muscle strength, change in peak power output, and change in peak oxygen uptake differed significantly between subgroups. FVC declined in 28.3% of the population during the following 4 years, but no differences were found between the subgroups for this period. Subgroups based on changes in FEV1 differed only with respect to change in peak oxygen uptake the first year after discharge.
Conclusions
In our study, many persons with SCI showed a decline in PF, larger than the normal age-related decline, during the 5 years after inpatient rehabilitation. Results suggest that a decline in PF during the first year after inpatient rehabilitation is associated with higher body mass index, lower inspiratory muscle strength, and declined physical fitness.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=117560
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1540-1546[article]
Titre : Emotional Vitality: Concept of Importance for Rehabilitation Type de document : Article Auteurs : Skye Barbic ; Susan Bartlett ; Nancy E. Mayo Article en page(s) : pp. 1547-1554 Langues : Anglais (eng) Descripteurs : HE Vinci
Émotions ; Rééducation et réadaptation ; Santé mentaleMots-clés : Mental health Résumé : Objectives
To (1) provide a framework for the conceptualization of emotional vitality as an important construct for rehabilitation professionals; (2) outline the existing scope and breadth of knowledge currently available regarding the definition and measurement of emotional vitality in persons with chronic health conditions; and (3) identify the extent to which the components can be mapped to the International Classification of Functioning, Disability and Health (ICF).
Design
Activities included a scoping review of the literature, and a Delphi mapping exercise using the ICF.
Setting
Not applicable.
Participants
Not applicable.
Intervention
Not applicable.
Main Outcome Measure
Not applicable.
Results
The results of this study suggest that emotional vitality is a complex latent construct that includes (1) physical energy and well-being, (2) regulation of mood, (3) mastery, and (4) engagement and interest in life. Existing literature supported the presence of all 4 components of the construct. The mapping exercise showed that 3 of these components could be readily mapped to the Body Function chapter of the ICF (energy, mood, mastery).
Conclusions
Emotional vitality may influence both the physical and emotional adaptation to living with a chronic illness or disability and should be included in both assessment and treatment planning to optimize rehabilitation outcomes. Future research is needed to refine the definition and identify optimal methods of measuring this construct.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=117561
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1547-1554[article]
Titre : Responsiveness of the Motor Function Measure in Patients With Spinal Muscular Atrophy Type de document : Article Auteurs : Carole Vuillerot ; Christine Payan ; Jean Iwaz ; [et al.] Article en page(s) : pp. 1555-1561 Langues : Anglais (eng) Descripteurs : HE Vinci
Amyotrophie spinale ; Essai clinique ; Faiblesse musculaire ; Mobilité réduite ; Rééducation et réadaptationMots-clés : Clinical trial Mobility limitation Muscle weakness Muscular atrophy spinal Neuromuscular diseases Maladies neuromusculaires Résumé : Objective
To assess the ability of the Motor Function Measure (MFM) to detect changes in the progression of spinal muscular atrophy (SMA).
Design
Observational, retrospective, multicenter cohort study.
Setting
Seventeen departments of pediatric physical medicine.
Participants
Volunteer patients with SMA (N=112) aged 5.7 to 59 years with no treatment other than physical therapy and nutritional or respiratory assistance.
Interventions
Not applicable.
Main Outcome Measures
The distributions of the MFM scores (total score and 3 subscores) were analyzed per SMA subtype. The relationships between scores and age were studied. The slopes of score changes (reflecting MFM responsiveness) were estimated in patients with at least 6 months' follow-up and 2 MFMs. Hypothetical sample sizes for specific effect sizes in clinical trial scenarios are given.
Results
In 12 patients with SMA type 2 and 19 with SMA type 3 (mean + SD follow-up, 25.8+19mo), there was a moderate inverse relationship between age and the MFM total score. Patients with less than 6 months' follow-up showed little score changes. Patients with longer follow-ups showed a slow deterioration (−0.9 points/y for type 2 and −0.6 points/y for type 3). Substantial responsiveness was obtained with the MFM Dimension 2 subscore (proximal and axial motricity) in patients with SMA type 2 (standardized response mean [SRM]=1.29), and with the MFM Dimension 1 subscore (standing and transfers) in patients with SMA type 3 aged 10 to 15 years (SRM=.94).
Conclusions
If further confirmed by larger studies, these preliminary results on the relative responsiveness of the MFM in SMA will foster its use in monitoring disease progression in patients who participate in clinical trials.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=117562
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1555-1561[article]
Titre : People With Multiple Sclerosis Use Many Fall Prevention Strategies but Still Fall Frequently Type de document : Article Auteurs : Michelle Meron ; Miho Asano ; Dennis Bourdette Article en page(s) : pp. 1562-1566 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Autosoins ; Rééducation et réadaptation ; Sclérose en plaquesMots-clés : Accidental falls Chutes accidentelles Activities of daily living Multiple sclerosis Self care Résumé : Objective
To compare the use of fall prevention strategies by people with multiple sclerosis (MS) who do or do not fall.
Design
Prospective cohort. All assessments were completed between January 2011 and December 2011. Data used in this analysis were collected as part of an observational study that included baseline assessment followed by prospective counting of falls using fall calendars.
Setting
Veterans Affairs and university medical centers.
Participants
People with MS (N=58) of any subtype, aged 18 to 50 years, with Expanded Disability Status Scale score ≤6.0, recruited from MS clinics at the Portland VA Medical Center and Oregon Health and Science University and from the surrounding areas.
Interventions
Not applicable.
Main Outcome Measures
Measures included the occurrence of falls over 3 months and scores on the Fall Prevention Strategy Survey (FPSS) and the relations between fall prevention strategy use reported on the FPSS and falls.
Results
A total of 52 subjects completed the study. Of these, 33 (63%) subjects fell at least once in the 3-month period, and 19 (36%) subjects did not fall. The mean total FPSS score for the fallers was significantly higher than the nonfallers (mean + SD, 8.1+6.4 vs 4.0+4.1; range, 0–20 vs 0–15; P=.007), and FPSS scores correlated with monthly fall rates (ρ=.49, P=.01). A higher proportion of fallers than nonfallers used the strategies of turning on lights at home, asking others for help, and talking to a health care professional about fall prevention. However, both groups rarely talked to a health care professional about fall prevention or asked a provider to check whether any medications might increase fall risk.
Conclusions
People with MS who fall use more fall prevention strategies than those who do not fall.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=117563
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1562-1566[article]
Titre : Cognitive Processing Speed Is Related to Fall Frequency in Older Adults With Multiple Sclerosis Type de document : Article Auteurs : Jacob Sosnoff ; Swathi Balantrapu ; Lara A. Pilutti ; [et al.] Article en page(s) : pp. 1567-1572 Langues : Anglais (eng) Descripteurs : HE Vinci
Locomotion ; Posture ; Rééducation et réadaptationMots-clés : Postural Balance Équilibre postural Accidental Falls Chutes accidentelles Résumé : Objective
To examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency.
Design
Retrospective, cross-sectional design.
Setting
University research laboratory.
Participants
Community-dwelling persons with MS (N=27) aged between 50 and 75 years were divided into 2 groups—single-time (n=11) and recurrent (n=16; >2 falls/12 mo) fallers—on the basis of fall history.
Intervention
Not applicable.
Main Outcome Measures
Mobility was assessed using a variety of measures including Multiple Sclerosis Walking Scale-12, walking speed (Timed 25-Foot Walk test), endurance (6-Minute Walk test), and functional mobility (Timed Up and Go test). Balance was assessed with the Berg Balance Scale, posturography, and self-reported balance confidence. Fall risk was assessed with the Physiological Profile Assessment. Cognitive processing speed was quantified with the Symbol Digit Modalities Test and the Paced Auditory Serial Addition Test.
Results
Recurrent fallers had slower cognitive processing speed than single-time fallers (P≤.01). There was no difference in mobility, balance, or fall risk between recurrent and single-time fallers (P>.05).
Conclusions
Results indicated that cognitive processing speed is associated with fall frequency and may have implications for fall prevention strategies targeting recurrent fallers with MS.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=117564
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1567-1572[article]
Titre : Climbing Stairs After Outpatient Rehabilitation for a Lower-Limb Amputation Type de document : Article Auteurs : Fred De Laat ; Gerardus Rommers ; Pieter Dijkstra ; [et al.] Article en page(s) : pp. 1573-1579 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Mobilité réduite ; Rééducation et réadaptationMots-clés : Mobility limitation Questionnaires Résumé : Objective
To study the necessity and ability to climb stairs in persons after a lower-limb amputation (LLA) and the relation of this ability with personal and clinical variables.
Design
Cross-sectional study.
Setting
Outpatient department of a rehabilitation center.
Participants
Persons with an LLA (N=155; mean age + SD, 64.1+11.2y; 73% men).
Interventions
Not applicable.
Main Outcome Measures
The necessity to climb stairs was assessed with the Prosthetic Profile of the Amputee. Several indicators of the ability to climb stairs were assessed including: (1) independence in climbing stairs with a handrail and (2) without a handrail, according to the Locomotor Capabilities Index; (3) numbers of floors actually climbed, according to a rating scale; and (4) limitations in climbing stairs, according to the Climbing Stairs Questionnaire (range, 0–100, with higher scores indicating less limitations). Multivariate logistic regression analysis was used to investigate the associations between the ability to climb stairs and personal and clinical variables.
Results
Of the participants, 47% had to climb stairs. The ability to climb stairs was: (1) 62% independently climbed stairs with a handrail and (2) 21% without a handrail; (3) 32% didn't climb any stairs, 34% climbed half a floor or 1 floor, and 34% climbed ≥2 floors; (4) the median sum score (interquartile range) of the Climbing Stairs Questionnaire was 38 (19–63), indicating marked limitations. Older participants and women were less able to climb stairs with and without a handrail.
Conclusions
A considerable number of persons with an LLA have to climb stairs in their home environment. Many of them, especially older participants and women, are particularly hampered in their ability to climb stairs.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=117565
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1573-1579[article]
Titre : Correlation Between Voluntary Cough and Laryngeal Cough Reflex Flows in Patients With Traumatic Brain Injury Type de document : Article Auteurs : Sang Chul Lee ; Seong-Woong Kang ; Min Tae Kim ; [et al.] Article en page(s) : pp. 1580-1583 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; TouxMots-clés : Respiratory Aspiration Inhalation bronchique Brain injuries Lésions encéphaliques Cough Résumé : Objective
To correlate voluntary cough and laryngeal cough reflex (LCR) flows in patients with traumatic brain injury (TBI).
Design
Cross-sectional study.
Setting
University rehabilitation hospital.
Participants
Patients with TBI (n=25) and healthy controls (n=48).
Interventions
Not applicable.
Main Outcome Measures
Peak cough flows (PCFs) and LCR flows were measured using a peak flow meter at the oral-nasal interface. The largest value of 3 attempts was recorded for PCF and LCR, respectively. LCR was elicited by 20% solution of pharmaceutic-grade citric acid dissolved in sterile .15M NaCl solution that was inhaled from a nebulizer.
Results
PCF was 447.4+99.0L/min in the control group and 211.7+58.2L/min in the patient group. LCR was 209.2+63.8L/min in the control group and 170.0+59.7L/min in the patient group. Both PCF (P=.000) and LCR (P=.013) were significantly reduced in patients with TBI compared to that of the control group. LCR was strongly related to the PCF in both control (R=.645; P=.000) and patient (R=.711; P=.000) groups.
Conclusions
As LCR can be measured as a numerical value and significantly correlates with PCF, LCR can be used to estimate cough ability of patients with TBI who cannot cooperate with PCF measurement.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=117566
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1580-1583[article]
Titre : Satisfaction and Problems Experienced With Transfemoral Suspension Systems: A Comparison Between Common Suction Socket and Seal-In Liner Type de document : Article Auteurs : Hossein Gholizadeh ; Noor Azuan Abu Osman ; Arezoo Eshraghi ; [et al.] Article en page(s) : pp. 1584-1589 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Prothèses et implants ; Rééducation et réadaptationMots-clés : Patient satisfaction Satisfaction du patient Prostheses and implants Résumé : Objective
To compare a seal-in liner with the common suction socket with regards to patient satisfaction and problems experienced with the prosthesis.
Design
Retrospective survey.
Setting
A medical and engineering research center and a department of biomechanical engineering.
Participants
Men (N=90) with traumatic transfemoral amputation who used both suspension systems participated in the study.
Intervention
Two prosthetic suspension systems: a seal-in liner and common suction socket.
Main Outcome Measures
Two questionnaires were completed by each subject to evaluate their satisfaction and problems experienced with the 2 suspension systems. Satisfaction and problems with the prosthetic suspension systems were analyzed in terms of fitting, donning and doffing, sitting, walking, stair negotiation, appearance, sweating, wounds, pain, irritation, pistoning, edema, smell, sound, and durability.
Results
The study revealed that the respondents were more satisfied with a seal-in liner with regards to fitting, sitting, and donning and doffing. Overall satisfaction increased with the use of a seal-in liner compared with the suction socket (P<.05 however satisfaction with the prosthesis showed no significant differences in terms of walking and uneven surfaces appearance stair negotiation. furthermore problems experienced differed significantly between suspension systems sweating wounds pain irritation pistoning edema smell sound were less problematic use a seal-in liner whereas durability was better suction socket.> Conclusions
The results of the survey suggest that satisfaction and problems with prosthetic suspension in persons with transfemoral amputation can be improved with a seal-in liner compared with the suction socket, provided that the durability of the liner is enhanced.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=117567
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1584-1589[article]
Titre : Early Neuromechanical Outcomes of the Triceps Surae Muscle-Tendon After an Achilles' Tendon Repair Type de document : Article Auteurs : Hsing-Kuo Wang ; Hongsen Chiang ; Wen-Shiang Chen ; [et al.] Article en page(s) : pp. 1590-1598 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Système nerveuxMots-clés : Mechanical phenomena Phénomènes mécaniques Nervous system Postural balance Équilibre postural Tendons Résumé : Objectives
To compare the neuromechanical and functional characteristics of the legs of athletes who underwent unilateral Achilles' tendon repair and their controls, and to determine any correlation between the characteristics.
Design
A case-control and cross-sectional study.
Setting
A university institute.
Participants
Male athletes (N=33) were recruited; 23 in the ≥3- and Intervention
Surgical Achilles' tendon repair in the study group.
Main Outcome Measures
Bilateral measurements of activation strategy involving the triceps surae and tibialis anterior muscles, mechanical properties of the Achilles' tendon, and explosive performance tests were conducted.
Results
Compared with the noninjured legs and the control legs, the repaired legs showed lower normalized rates of electromyographic rise (RER) in the soleus, gastrocnemius medialis, and gastrocnemius lateralis (P ranged between .006 and .001); and less tendon stiffness, greater hysteresis, and less rates of force development (RFD) (P ranged between .006 and <.001 repaired legs had less ankle dorsiflexion a shorter hopping distance and lower balance scores the noninjured of athletes who underwent surgical achilles tendon repair normalized rer in soleus lateral gastrocnemius when compared with healthy controls neuromechanical outcomes explosive performances showed correlations rfd score.> Conclusions
The athletes who underwent unilateral Achilles' tendon repair demonstrated bilateral neuromechanical deficits within the 1-year postsurgical 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=117568
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1590-1598[article]
Titre : Corticomotor Facilitation in Vegetative State: Results of a Pilot Study Type de document : Article Auteurs : Francesca Pistoia ; Simona Sacconi ; Antonio Carolei ; [et al.] Article en page(s) : pp. 1599-1606 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Stimulation magnétique transcranienneMots-clés : Brain injuries Lésions encéphaliques Persistent Vegetative State État végétatif persistant Transcranial magnetic stimulation Résumé : Objective
To investigate whether corticomotor facilitation induced by transcranial magnetic stimulation (TMS-CF) could evoke a simple purposeful motor behavior in patients with a diagnosis of vegetative state.
Design
Cross-sectional survey.
Setting
Post-coma and rehabilitation care unit.
Participants
Patients (N=6) with a diagnosis of vegetative state.
Interventions
A cascade of consecutive motor-evoked potentials (MEPs) was elicited under 3 different conditions: in the first condition, patients were at rest (Rest); in the second, they were asked to open and close the right hand (Execution); in the third, the examiner modeled a movement of abduction of the thumb in front of the patient who was encouraged in advance to imitate the action (Observation to Imitate).
Main Outcome Measures
Changes in MEP values from the abductor pollicis brevis muscle and improvement in scores on the Coma Recovery Scale-Revised.
Results
TMS-CF alone or combined with verbal instructions did not yield any change; only the combination with imitation caused changes in MEPs (shorter latency and increased amplitude) associated with behavioral improvement in 4 patients.
Conclusions
Encouraging observation to imitate may favor the transformation of some perceived actions into motor images and performances, probably depending on the activation of mirror motor neurons. In our opinion, combining visual input with TMS-CF might have reinforced the coupling between movement planning and execution, promoting the recovery of elementary motor activities in some patients. The proposed protocol may contribute to unmasking signs of preserved consciousness in patients with latent capacities for recovery.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=117569
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1599-1606[article]
Titre : Effectiveness of Pulmonary Rehabilitation in Exercise Capacity and Quality of Life in Chronic Obstructive Pulmonary Disease Patients With and Without Global Fat-Free Mass Depletion Type de document : Article Auteurs : Danilo Berton ; Leonardo Silveira ; Cassia Da Costa ; [et al.] Article en page(s) : pp. 1607-1614 Langues : Anglais (eng) Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; Exercice physique ; Maladies pulmonaires ; Rééducation et réadaptationMots-clés : Exercise Muscles Lung Diseases Pulmonary Disease Chronic Obstructive Résumé : Objective
To investigate the effectiveness of pulmonary rehabilitation (PR) in exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD) with and without global fat-free mass (FFM) depletion.
Design
Retrospective case-control.
Setting
Outpatient clinic, university center.
Participants
COPD patients (N=102) that completed PR were initially evaluated.
Intervention
PR including whole-body and weight training for 12 weeks, 3 times per week.
Main Outcome Measures
St. George Respiratory Questionnaire (SGRQ), 6-minute walk distance (6MWD), and FFM evaluation applied before and after PR.
Results
Patients were stratified according to their FFM status measured by bioelectric impedance. They were considered depleted if the FFM index was ≤15kg/m2 in women and ≤16kg/m2 in men. From the initial sample, all depleted patients (n=31) composed the FFM depleted group. It was composed predominantly by women (68%) with a mean age + SD of 64.4+7.3 years and a forced expiratory volume in 1 second of 33.6%=−13.2% predicted. Paired for sex and age, 31 nondepleted patients were selected from the initial sample to compose the nondepleted group. Improvement in the 6MWD was similar in these 2 groups after PR. Both groups improved SGRQ scores, although the observed power was small and did not allow adequate comparison between depleted and nondepleted patients. There was no difference between groups in weight change, whereas FFM tended to be greater in depleted patients. This increase had no correlation with the 6MWD or the SGRQ.
Conclusions
Benefits of PR to exercise capacity were similar comparing FFM depleted and nondepleted COPD patients. Although FFM change tended to be greater in depleted patients, this increase had no definite relation with clinical 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=117570
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1607-1614[article]
Titre : Spinal Cord Injury and Time to Instability in Seated Posture Type de document : Article Auteurs : Sunghoon Shin ; Jacob Sosnoff Article en page(s) : pp. 1615-1620 Langues : Anglais (eng) Descripteurs : HE Vinci
Paraplégie ; Rééducation et réadaptationMots-clés : Paraplegia Résumé : Objective
To investigate seated postural control in persons with spinal cord injury (SCI) compared with age-matched controls.
Design
Cohort.
Setting
University research laboratory.
Participants
Adults (N=36; mean age + SD, 22.5+3.2y): 7 persons with high SCI (HI group; injury level greater than T10), 11 persons with low SCI (LI group; injury level between T10 and L4), and 18 persons with non-SCI.
Intervention
Not applicable.
Main Outcomes Measures
Participants sat on a force platform on a custom-built wooden box with their arms by their side. Postural control was quantified in several ways. Participants completed a functional reach test. The amount of postural sway was quantified by characterizing the center of pressure (COP) trajectory by determining median velocity and root mean square of the signal. In addition, the virtual time to contact to the functional boundary was quantified. Last, the instability index was determined as the ratio of the COP area to the functional boundary.
Results
There were no group differences in COP-based metrics (P>.05). There was no difference between SCI groups in functional reach (P>.05). The HI group had a smaller virtual time to contact (VTC) than the control group (.50+.20s vs .98+.24s, P<.05 both sci groups had a greater instability index than the control group with hi having largest amount of> Conclusions
The observations suggest that VTC analysis is appropriate to investigate seated postural control. It is proposed that including VTC of seated postural control as an outcome measure will provide novel information concerning the effectiveness of various rehabilitation approaches and/or technologies aimed at improving seated postural control in persons with SCI.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=117571
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1615-1620[article]
Titre : Is It Possible to Individualize Intensity of Eccentric Cycling Exercise From Perceived Exertion on Concentric Test? Type de document : Article Auteurs : Davy Laroche ; Charles Joussain ; Claire Espagnac ; [et al.] Article en page(s) : pp. 1621-1627 Langues : Anglais (eng) Descripteurs : HE Vinci
Débit systolique ; Exercice physique ; Rééducation et réadaptationMots-clés : Cardiac output Débit cardiaque Exercise Oxygen consumption Consommation d'oxygène Resistance training Entraînement en résistance Stroke volume Résumé : Objective
To assess the safety and acute effects of a procedure using perceived exertion during a prior submaximal concentric (CON) test to individualize eccentric (ECC) cycling exercise intensity.
Design
Prospective, monocentric open study.
Setting
Technological investigation platform at a physical medicine and rehabilitation department in a university hospital.
Participants
Healthy subjects (N=18; 15 men, 3 women) aged between 22 and 37 years.
Interventions
The subjects performed 3 cycling exercises: (1) incremental CON test to determine the comfortable pedaling power (CPP) corresponding to a Borg scale rating of 12 (rate of perceived exertion); (2) steady-state CON exercise at the CPP workload to determine the corresponding plantar pressure; and (3) steady-state ECC exercise with an imposed resistance corresponding to the CPP plantar pressure.
Main Outcome Measures
Rate of perceived exertion on Borg scale, oxygen uptake (VO2Max), heart rate, cardiac output, and stroke volume using inert gas rebreathing techniques were measured during steady-state CON and ECC exercises. Muscle soreness was rated on a visual analog scale immediately, 24, and 48 hours after the tests.
Results
No adverse effects were reported. VO2Max was about 5 times the resting value during CON exercise, while it was twice that during ECC exercise. Cardiac output was lower during ECC exercise (P<.05 this moderate increase of cardiac output was exclusively linked to a greater in stroke volume during ecc exercise than con> Conclusions
Moderate-intensity ECC cycling exercise tailored according to perceived exertion during a prior CON test is well tolerated. It corresponds to a limited muscular use of oxygen and to an isolated increase in stroke volume. It appears to be a feasible procedure for preconditioning before ECC training.Note de contenu : http://doc.parnasse-deuxalice.edu/catalog.php?categ=serials&sub=analysis&action=analysis_form&bul_id=10030&analysis_id=0 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=117572
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1621-1627[article]
Titre : Intrarater and Interrater Reliability of Select Clinical Tests in Patients Referred for Diagnostic Facet Joint Blocks in the Cervical Spine Type de document : Article Auteurs : Geoff Schneider ; Gwendolen Jull ; Kenneth Thomas ; [et al.] Article en page(s) : pp. 1628-1634 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Cou ; Examen clinique ; Rééducation et réadaptationMots-clés : Zygapophyseal Joint Articulation zygapophysaire Neck Neck pain Physical examination Reproducibility of Results Reproductibilité des résultats Résumé : Objective
To measure the intra- and interrater reliability of select standardized clinical tests used for the assessment of patients with axial neck pain referred for diagnostic facet joint blocks.
Design
Single-group, repeated-measures study.
Setting
Tertiary interventional pain management center.
Participants
Consecutive patients with persistent neck pain, referred to a tertiary interventional pain management center, were approached to participate. Fifty-six patients consented to participate in the study.
Interventions
Subjects underwent a standardized clinical testing protocol, performed by 2 physiotherapists, before receiving diagnostic facet joint blocks. Subjects were examined twice by 1 assessor for the determination of the intrarater reliability of the testing protocol, and again by a second assessor for determination of interrater reliability.
Main Outcome Measures
Intraclass correlation coefficients (ICCs), kappa coefficients, and 95% confidence intervals were calculated to determine the intra- and interrater reliability for cervical range of motion (ROM; 6 directions), extension-rotation (ER) test, manual spinal examination (MSE), and palpation for paraspinal tenderness (PST) from C2 through C7.
Results
For intrarater reliability, kappa coefficients ranged from .51 to .88 for the ER test, MSE, and PST, and ICCs ranged from .91 to .97 for ROM. For interrater reliability, kappa coefficients ranged from .74 to .96 for the ER test, MSE, and PST, and ICCs ranged from .90 to .95 for ROM.
Conclusions
The standardized clinical tests exhibited moderate to substantial reliability in patients with axial neck pain referred for diagnostic facet joint blocks. The data justify the incorporation of these tests into a clinical prediction model to screen patients before referral for diagnostic facet blocks.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=117573
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1628-1634[article]
Titre : Invited Commentary on Intrarater and Interrater Reliability of Select Clinical Tests in Patients Referred for Diagnostic Facet Joint Blocks in the Cervical Spine Type de document : Article Auteurs : M. McGill Stuart Article en page(s) : pp. 1635-1637 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Pain ; Rééducation et réadaptationMots-clés : Reproducibility of Results Reproductibilité des résultats Résumé : The authors of an article in this issue of Archives of Physical Medicine and Rehabilitation have advanced our understanding of reliability of clinical tests designed to provide insight into suspected facet joint pain generators. Because the issue of reliability influences, and is influenced by, political and clinical issues, my commentary has 2 parts. First is a general commentary on reliability of assessment tests, followed by comments specific to this article. 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=117574
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1635-1637[article]
Titre : Response to Commentary on Our Article Titled “Intrarater and Interrater Reliability of Select Clinical Tests in Patients Referred for Diagnostic Facet Joint Blocks in the Cervical Spine” Type de document : Article Auteurs : Geoff Schneider ; Gwendolen Jull ; Kenneth Thomas ; [et al.] Article en page(s) : pp. 1638-1640 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Cou ; Examen clinique ; Rééducation et réadaptationMots-clés : Zygapophyseal Joint Articulation zygapophysaire Neck Neck pain Physical examination Reproducibility of Results Reproductibilité des résultats Résumé : Dr. Stuart McGill provided an insightful commentary on the issues surrounding the usefulness of reliable clinical tests in the management of patients with spinal pain conditions. In this response, we will address the points raised in the commentary and provide a rationale for the use of reliable tests in the development of clinical decision guides. 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=117575
in Archives of Physical Medicine and Rehabilitation > 2013/8 (2013) . - pp. 1638-1640[article]
