Mention de date : 2017
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Ajouter le résultat dans votre panierEffects of Exergames on Quality of Life, Pain, and Disease Effect in Women With Fibromyalgia: A Randomized Controlled Trial / Daniel Collado-Mateo in Archives of Physical Medicine and Rehabilitation, 2017/9 (2017)
Titre : Effects of Exergames on Quality of Life, Pain, and Disease Effect in Women With Fibromyalgia: A Randomized Controlled Trial Type de document : Article Auteurs : Daniel Collado-Mateo ; Fransisco Javier Dominguez-Muñoz ; Jose Carmelo Adsuar Article en page(s) : p. 1725–1731 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Rééducation et réadaptation ; SantéMots-clés : Exercise Health Résumé : Objective
To evaluate the effects of an exergame-based intervention on a population sample of women with fibromyalgia.
Design
Single-blinded, randomized controlled trial with 8-week intervention.
Setting
Fibromyalgia center.
Participants
Participants (all women) (N=83) were divided into 2 groups: an exercise group (n=42; mean age + SD, 52.52+9.73y) and a nonexercise group (n=41; mean age + SD, 52.47+8.75y).
Interventions
Women in the exercise group completed an 8-week exergame-based training program, which was focused on postural control and coordination of the upper and lower limbs, aerobic conditioning, strength, and mobility. Women (groups of 3) were encouraged to exercise for 120 minutes (over 2 sessions) per week.
Main Outcome Measures
Main outcome measures included pain and disease effect, which were assessed with the Fibromyalgia Impact Questionnaire (FIQ), a specific measure for fibromyalgia. Secondary outcome measure included quality of life, which was assessed with the EuroQoL-5 Dimensions-5 Levels (EQ-5D-5L) generic instrument.
Results
The results showed that 97.62% of participants in the exercise group completed the 8-week intervention. The exercise group showed a significant improvement (P<.05 in the eq-5d-5l utility index and of dimensions. for fiq significant improvements were observed dimensions pain stiffness anxiety feel good. score was also reduced. mean between-group improvement confidence interval> Conclusions
The results and levels of compliance/adherence suggest this exergame-based training program is an effective intervention for reducing pain and increasing health-related quality of life in women with fibromyalgia.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118268
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1725–1731[article] Effects of Exergames on Quality of Life, Pain, and Disease Effect in Women With Fibromyalgia: A Randomized Controlled Trial [Article] / Daniel Collado-Mateo ; Fransisco Javier Dominguez-Muñoz ; Jose Carmelo Adsuar . - p. 1725–1731.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1725–1731
Descripteurs : HE Vinci
Exercice physique ; Rééducation et réadaptation ; SantéMots-clés : Exercise Health Résumé : Objective
To evaluate the effects of an exergame-based intervention on a population sample of women with fibromyalgia.
Design
Single-blinded, randomized controlled trial with 8-week intervention.
Setting
Fibromyalgia center.
Participants
Participants (all women) (N=83) were divided into 2 groups: an exercise group (n=42; mean age + SD, 52.52+9.73y) and a nonexercise group (n=41; mean age + SD, 52.47+8.75y).
Interventions
Women in the exercise group completed an 8-week exergame-based training program, which was focused on postural control and coordination of the upper and lower limbs, aerobic conditioning, strength, and mobility. Women (groups of 3) were encouraged to exercise for 120 minutes (over 2 sessions) per week.
Main Outcome Measures
Main outcome measures included pain and disease effect, which were assessed with the Fibromyalgia Impact Questionnaire (FIQ), a specific measure for fibromyalgia. Secondary outcome measure included quality of life, which was assessed with the EuroQoL-5 Dimensions-5 Levels (EQ-5D-5L) generic instrument.
Results
The results showed that 97.62% of participants in the exercise group completed the 8-week intervention. The exercise group showed a significant improvement (P<.05 in the eq-5d-5l utility index and of dimensions. for fiq significant improvements were observed dimensions pain stiffness anxiety feel good. score was also reduced. mean between-group improvement confidence interval> Conclusions
The results and levels of compliance/adherence suggest this exergame-based training program is an effective intervention for reducing pain and increasing health-related quality of life in women with fibromyalgia.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118268
Titre : Communication Skills Training for Practitioners to Increase Patient Adherence to Home-Based Rehabilitation for Chronic Low Back Pain: Results of a Cluster Randomized Controlled Trial Type de document : Article Auteurs : Chris Lonsdale ; Amanda M. Hall ; Aileen Murray Article en page(s) : p. 1732–1743 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Compétence professionnelle ; Motivation ; Observance par le patient ; Rééducation et réadaptationMots-clés : Professional Competence Self care Résumé : Objective
To assess the effect of an intervention designed to enhance physiotherapists' communication skills on patients' adherence to recommendations regarding home-based rehabilitation for chronic low back pain.
Design
Cluster randomized controlled trial.
Setting
Publicly funded physiotherapy clinics.
Participants
A sample (N=308) of physiotherapists (n=53) and patients with chronic low back pain (n=255; 54% female patients; mean age, 45.3y).
Interventions
Patients received publicly funded individual physiotherapy care. In the control arm, care was delivered by a physiotherapist who had completed a 1-hour workshop on evidence-based chronic low back pain management. Patients in the experimental arm received care from physiotherapists who had also completed 8 hours of communication skills training.
Main Outcome Measures
(1) Patient-reported adherence to their physiotherapists' recommendations regarding home-based rehabilitation measured at 1, 4, 12, and 24 weeks after the initial treatment session. (2) Pain and pain-related function measured at baseline and at 4, 12, and 24 weeks.
Results
A linear mixed model analysis revealed that the experimental arm patients' ratings of adherence were higher than those of controls (overall mean difference, .41; 95% confidence interval, .10–.72; d=.28; P=.01). Moderation analyses revealed that men, regardless of the intervention, showed improvements in pain-related function over time. Only women in the experimental arm showed functional improvements; female controls showed little change in function over time. The Communication Style and Exercise Compliance in Physiotherapy intervention did not influence patients' pain, regardless of their sex.
Conclusions
Communication skills training for physiotherapists had short-term positive effects on patient adherence. This training may provide a motivational basis for behavior change and could be a useful component in complex interventions to promote adherence. Communication skills training may also improve some clinical outcomes for women, but not for men.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118269
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1732–1743[article] Communication Skills Training for Practitioners to Increase Patient Adherence to Home-Based Rehabilitation for Chronic Low Back Pain: Results of a Cluster Randomized Controlled Trial [Article] / Chris Lonsdale ; Amanda M. Hall ; Aileen Murray . - p. 1732–1743.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1732–1743
Descripteurs : HE Vinci
Autosoins ; Compétence professionnelle ; Motivation ; Observance par le patient ; Rééducation et réadaptationMots-clés : Professional Competence Self care Résumé : Objective
To assess the effect of an intervention designed to enhance physiotherapists' communication skills on patients' adherence to recommendations regarding home-based rehabilitation for chronic low back pain.
Design
Cluster randomized controlled trial.
Setting
Publicly funded physiotherapy clinics.
Participants
A sample (N=308) of physiotherapists (n=53) and patients with chronic low back pain (n=255; 54% female patients; mean age, 45.3y).
Interventions
Patients received publicly funded individual physiotherapy care. In the control arm, care was delivered by a physiotherapist who had completed a 1-hour workshop on evidence-based chronic low back pain management. Patients in the experimental arm received care from physiotherapists who had also completed 8 hours of communication skills training.
Main Outcome Measures
(1) Patient-reported adherence to their physiotherapists' recommendations regarding home-based rehabilitation measured at 1, 4, 12, and 24 weeks after the initial treatment session. (2) Pain and pain-related function measured at baseline and at 4, 12, and 24 weeks.
Results
A linear mixed model analysis revealed that the experimental arm patients' ratings of adherence were higher than those of controls (overall mean difference, .41; 95% confidence interval, .10–.72; d=.28; P=.01). Moderation analyses revealed that men, regardless of the intervention, showed improvements in pain-related function over time. Only women in the experimental arm showed functional improvements; female controls showed little change in function over time. The Communication Style and Exercise Compliance in Physiotherapy intervention did not influence patients' pain, regardless of their sex.
Conclusions
Communication skills training for physiotherapists had short-term positive effects on patient adherence. This training may provide a motivational basis for behavior change and could be a useful component in complex interventions to promote adherence. Communication skills training may also improve some clinical outcomes for women, but not for men.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118269
Titre : Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care Type de document : Article Auteurs : Joanne Shanahan ; Meg E. Morris ; Orfhlaith Ni Bhriain Article en page(s) : p. 1744–1751 Langues : Anglais (eng) Descripteurs : HE Vinci
Danse ; Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Dancing Exercise Parkinson disease Résumé : Objective
To examine the feasibility of a randomized controlled study design and to explore the benefits of a set dancing intervention compared with usual care.
Design
Randomized controlled design, with participants randomized to Irish set dance classes or a usual care group.
Setting
Community based.
Participants
Individuals with idiopathic Parkinson disease (PD) (N=90).
Interventions
The dance group attended a 1.5-hour dancing class each week for 10 weeks and undertook a home dance program for 20 minutes, 3 times per week. The usual care group continued with their usual care and daily activities.
Main Outcome Measures
The primary outcome was feasibility, determined by recruitment rates, success of randomization and allocation procedures, attrition, adherence, safety, willingness of participants to be randomized, resource availability, and cost. Secondary outcomes were motor function (motor section of the Unified Parkinson's Disease Rating Scale), quality of life (Parkinson's Disease Questionnaire-39), functional endurance (6-min walk test), and balance (mini-BESTest).
Results
Ninety participants were randomized (45 per group). There were no adverse effects or resource constraints. Although adherence to the dancing program was 93.5%, there was >40% attrition in each group. Postintervention, the dance group had greater nonsignificant gains in quality of life than the usual care group. There was a meaningful deterioration in endurance in the usual care group. There were no meaningful changes in other outcomes. The exit questionnaire showed participants enjoyed the classes and would like to continue participation.
Conclusions
For people with mild to moderately severe PD, set dancing is feasible and enjoyable and may improve quality of life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118270
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1744–1751[article] Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care [Article] / Joanne Shanahan ; Meg E. Morris ; Orfhlaith Ni Bhriain . - p. 1744–1751.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1744–1751
Descripteurs : HE Vinci
Danse ; Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Dancing Exercise Parkinson disease Résumé : Objective
To examine the feasibility of a randomized controlled study design and to explore the benefits of a set dancing intervention compared with usual care.
Design
Randomized controlled design, with participants randomized to Irish set dance classes or a usual care group.
Setting
Community based.
Participants
Individuals with idiopathic Parkinson disease (PD) (N=90).
Interventions
The dance group attended a 1.5-hour dancing class each week for 10 weeks and undertook a home dance program for 20 minutes, 3 times per week. The usual care group continued with their usual care and daily activities.
Main Outcome Measures
The primary outcome was feasibility, determined by recruitment rates, success of randomization and allocation procedures, attrition, adherence, safety, willingness of participants to be randomized, resource availability, and cost. Secondary outcomes were motor function (motor section of the Unified Parkinson's Disease Rating Scale), quality of life (Parkinson's Disease Questionnaire-39), functional endurance (6-min walk test), and balance (mini-BESTest).
Results
Ninety participants were randomized (45 per group). There were no adverse effects or resource constraints. Although adherence to the dancing program was 93.5%, there was >40% attrition in each group. Postintervention, the dance group had greater nonsignificant gains in quality of life than the usual care group. There was a meaningful deterioration in endurance in the usual care group. There were no meaningful changes in other outcomes. The exit questionnaire showed participants enjoyed the classes and would like to continue participation.
Conclusions
For people with mild to moderately severe PD, set dancing is feasible and enjoyable and may improve quality of life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118270
Titre : Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial Type de document : Article Auteurs : Jerrilyn A. Cambron ; Jennifer M. Dexheimer ; Manuel Duarte Article en page(s) : p. 1752–1762 Langues : Anglais (eng) Descripteurs : HE Vinci
Lombalgie ; Rééducation et réadaptationMots-clés : Chiropractic Chiropraxie Low back pain Orthotic devices Orthèses Shoes Chaussures Résumé : Objectives
To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment.
Design
Randomized controlled trial.
Setting
Integrative medicine teaching clinic at a university.
Participants
Adult subjects (N=225) with symptomatic low back pain of ≥3 months were recruited from a volunteer sample.
Interventions
Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus, and waitlist groups). The shoe orthotic group received custom-made shoe orthotics. The plus group received custom-made orthotics plus chiropractic manipulation, hot or cold packs, and manual soft tissue massage. The waitlist group received no care.
Main Outcome Measures
The primary outcome measures were change in perceived back pain (numerical pain rating scale) and functional health status (Oswestry Disability Index) after 6 weeks of study participation. Outcomes were also assessed after 12 weeks and then after an additional 3, 6, and 12 months.
Results
After 6 weeks, all 3 groups demonstrated significant within-group improvement in average back pain, but only the shoe orthotic and plus groups had significant within-group improvement in function. When compared with the waitlist group, the shoe orthotic group demonstrated significantly greater improvements in pain (P<.0001 and function the addition of chiropractic to orthotics treatment demonstrated significantly greater improvements in when compared with alone but no significant difference pain group differences at weeks later were not significant.> Conclusions
Six weeks of prescription shoe orthotics significantly improved back pain and dysfunction compared with no treatment. The addition of chiropractic care led to higher improvements in function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118271
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1752–1762[article] Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial [Article] / Jerrilyn A. Cambron ; Jennifer M. Dexheimer ; Manuel Duarte . - p. 1752–1762.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1752–1762
Descripteurs : HE Vinci
Lombalgie ; Rééducation et réadaptationMots-clés : Chiropractic Chiropraxie Low back pain Orthotic devices Orthèses Shoes Chaussures Résumé : Objectives
To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment.
Design
Randomized controlled trial.
Setting
Integrative medicine teaching clinic at a university.
Participants
Adult subjects (N=225) with symptomatic low back pain of ≥3 months were recruited from a volunteer sample.
Interventions
Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus, and waitlist groups). The shoe orthotic group received custom-made shoe orthotics. The plus group received custom-made orthotics plus chiropractic manipulation, hot or cold packs, and manual soft tissue massage. The waitlist group received no care.
Main Outcome Measures
The primary outcome measures were change in perceived back pain (numerical pain rating scale) and functional health status (Oswestry Disability Index) after 6 weeks of study participation. Outcomes were also assessed after 12 weeks and then after an additional 3, 6, and 12 months.
Results
After 6 weeks, all 3 groups demonstrated significant within-group improvement in average back pain, but only the shoe orthotic and plus groups had significant within-group improvement in function. When compared with the waitlist group, the shoe orthotic group demonstrated significantly greater improvements in pain (P<.0001 and function the addition of chiropractic to orthotics treatment demonstrated significantly greater improvements in when compared with alone but no significant difference pain group differences at weeks later were not significant.> Conclusions
Six weeks of prescription shoe orthotics significantly improved back pain and dysfunction compared with no treatment. The addition of chiropractic care led to higher improvements in function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118271
Titre : Auditing Access to Outpatient Rehabilitation Services for Children With Traumatic Brain Injury and Public Insurance in Washington State Type de document : Article Auteurs : Molly M. Fuentes ; Leah Thompson ; Alex D. Quistberg Article en page(s) : p. 1763–1770 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Enfants handicapés ; Rééducation et réadaptation ; Services de santé pour les personnes handicapéesMots-clés : Disabled children Health equity Équité en santé Health services accessibility Health services for persons with disabilities Résumé : Objective
To identify insurance-based disparities in access to outpatient pediatric neurorehabilitation services.
Design
Audit study with paired calls, where callers posed as a mother seeking services for a simulated child with history of severe traumatic brain injury and public or private insurance.
Setting
Outpatient rehabilitation clinics.
Participants
Sample of rehabilitation clinics (N=287): 195 physical therapy (PT) clinics, 109 occupational therapy (OT) clinics, 102 speech therapy (ST) clinics, and 11 rehabilitation medicine clinics.
Interventions
Not applicable.
Main Outcome Measures
Acceptance of public insurance and the number of business days until the next available appointment.
Results
Therapy clinics were more likely to accept private insurance than public insurance (relative risk [RR] for PT clinics, 1.33; 95% confidence interval [CI], 1.22–1.44; RR for OT clinics, 1.40; 95% CI, 1.24–1.57; and RR for ST clinics, 1.42; 95% CI, 1.25–1.62), with no significant difference for rehabilitation medicine clinics (RR, 1.10; 95% CI, 0.90–1.34). The difference in median wait time between clinics that accepted public insurance and those accepting only private insurance was 4 business days for PT clinics and 15 days for ST clinics (P≤.001), but the median wait time was not significantly different for OT clinics or rehabilitation medicine clinics. When adjusting for urban and multidisciplinary clinic statuses, the wait time at clinics accepting public insurance was 59% longer for PT (95% CI, 39%–81%), 18% longer for OT (95% CI, 7%–30%), and 107% longer for ST (95% CI, 87%–130%) than that at clinics accepting only private insurance. Distance to clinics varied by discipline and area within the state.
Conclusions
Therapy clinics were less likely to accept public insurance than private insurance. Therapy clinics accepting public insurance had longer wait times than did clinics that accepted only private insurance. Rehabilitation professionals should attempt to implement policy and practice changes to promote equitable access to care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118272
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1763–1770[article] Auditing Access to Outpatient Rehabilitation Services for Children With Traumatic Brain Injury and Public Insurance in Washington State [Article] / Molly M. Fuentes ; Leah Thompson ; Alex D. Quistberg . - p. 1763–1770.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1763–1770
Descripteurs : HE Vinci
Accessibilité des services de santé ; Enfants handicapés ; Rééducation et réadaptation ; Services de santé pour les personnes handicapéesMots-clés : Disabled children Health equity Équité en santé Health services accessibility Health services for persons with disabilities Résumé : Objective
To identify insurance-based disparities in access to outpatient pediatric neurorehabilitation services.
Design
Audit study with paired calls, where callers posed as a mother seeking services for a simulated child with history of severe traumatic brain injury and public or private insurance.
Setting
Outpatient rehabilitation clinics.
Participants
Sample of rehabilitation clinics (N=287): 195 physical therapy (PT) clinics, 109 occupational therapy (OT) clinics, 102 speech therapy (ST) clinics, and 11 rehabilitation medicine clinics.
Interventions
Not applicable.
Main Outcome Measures
Acceptance of public insurance and the number of business days until the next available appointment.
Results
Therapy clinics were more likely to accept private insurance than public insurance (relative risk [RR] for PT clinics, 1.33; 95% confidence interval [CI], 1.22–1.44; RR for OT clinics, 1.40; 95% CI, 1.24–1.57; and RR for ST clinics, 1.42; 95% CI, 1.25–1.62), with no significant difference for rehabilitation medicine clinics (RR, 1.10; 95% CI, 0.90–1.34). The difference in median wait time between clinics that accepted public insurance and those accepting only private insurance was 4 business days for PT clinics and 15 days for ST clinics (P≤.001), but the median wait time was not significantly different for OT clinics or rehabilitation medicine clinics. When adjusting for urban and multidisciplinary clinic statuses, the wait time at clinics accepting public insurance was 59% longer for PT (95% CI, 39%–81%), 18% longer for OT (95% CI, 7%–30%), and 107% longer for ST (95% CI, 87%–130%) than that at clinics accepting only private insurance. Distance to clinics varied by discipline and area within the state.
Conclusions
Therapy clinics were less likely to accept public insurance than private insurance. Therapy clinics accepting public insurance had longer wait times than did clinics that accepted only private insurance. Rehabilitation professionals should attempt to implement policy and practice changes to promote equitable access to care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118272
Titre : Exploratory Study of the Influence of Posture and Hand Task on Corticomotor Excitability of Upper Extremity Muscles After Stroke Type de document : Article Auteurs : Caroline I. Renner ; Sophia Hanna ; Ricarda Ludwig Article en page(s) : p. 1771–1781 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Posture ; Rééducation et réadaptation ; Stimulation magnétique transcranienneMots-clés : Paresis Parésie Stroke Transcranial magnetic stimulation Résumé : Objective
To explore the interaction between postural stability and hand task on the corticospinal excitability (CE) of upper extremity muscles and how it is affected by lesion location.
Design
Cross-sectional explorative survey.
Setting
Inpatient rehabilitation center.
Participants
Participants (N=81) were neurologically healthy subjects (volunteer sample, n=36) and patients with stroke (convenience sample, n=45; mean time since stroke, 45d), stratified according to lesion location: pure subcortical strokes (n=25) and strokes with cortical involvement (n=20).
Interventions
Not applicable.
Main Outcome Measures
Motor-evoked potentials were recorded simultaneously from the first dorsal interosseus (FDI) muscle and biceps brachii (BB) during rest and during low and forceful activation of the FDI in 4 different postural positions (supine, sitting, sitting unsupported, standing) and compared.
Results
Posture modulated CE of the FDI and BB during performance of a motor task but not at rest. The influence of postural position on CE of the FDI depended on force demand and lesion location: the control and subcortical stroke group demonstrated significantly higher CE of the FDI when performing the forceful task in the supine and stable sitting positions, respectively, compared with standing. In contrast, the cortical stroke group exhibited significantly higher CE of the FDI when performing the low-force task in a stable sitting position compared with standing.
Conclusions
Posture influences CE of the FDI and BB in healthy subjects and patients with stroke differentially depending on hand task, but not at rest. A stable sitting posture increased excitability of the FDI in patients with stroke. These findings imply that hand rehabilitation protocols may be influenced by posture.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118273
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1771–1781[article] Exploratory Study of the Influence of Posture and Hand Task on Corticomotor Excitability of Upper Extremity Muscles After Stroke [Article] / Caroline I. Renner ; Sophia Hanna ; Ricarda Ludwig . - p. 1771–1781.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1771–1781
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Posture ; Rééducation et réadaptation ; Stimulation magnétique transcranienneMots-clés : Paresis Parésie Stroke Transcranial magnetic stimulation Résumé : Objective
To explore the interaction between postural stability and hand task on the corticospinal excitability (CE) of upper extremity muscles and how it is affected by lesion location.
Design
Cross-sectional explorative survey.
Setting
Inpatient rehabilitation center.
Participants
Participants (N=81) were neurologically healthy subjects (volunteer sample, n=36) and patients with stroke (convenience sample, n=45; mean time since stroke, 45d), stratified according to lesion location: pure subcortical strokes (n=25) and strokes with cortical involvement (n=20).
Interventions
Not applicable.
Main Outcome Measures
Motor-evoked potentials were recorded simultaneously from the first dorsal interosseus (FDI) muscle and biceps brachii (BB) during rest and during low and forceful activation of the FDI in 4 different postural positions (supine, sitting, sitting unsupported, standing) and compared.
Results
Posture modulated CE of the FDI and BB during performance of a motor task but not at rest. The influence of postural position on CE of the FDI depended on force demand and lesion location: the control and subcortical stroke group demonstrated significantly higher CE of the FDI when performing the forceful task in the supine and stable sitting positions, respectively, compared with standing. In contrast, the cortical stroke group exhibited significantly higher CE of the FDI when performing the low-force task in a stable sitting position compared with standing.
Conclusions
Posture influences CE of the FDI and BB in healthy subjects and patients with stroke differentially depending on hand task, but not at rest. A stable sitting posture increased excitability of the FDI in patients with stroke. These findings imply that hand rehabilitation protocols may be influenced by posture.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118273
Titre : Risk Analyses of Pressure Ulcer in Tetraplegic Spinal Cord-Injured Persons: A French Long-Term Survey Type de document : Article Auteurs : Marc Le Fort ; Maude Espagnacq ; Brigitte Perrouin-Verbe Article en page(s) : p. 1782–1791 Langues : Anglais (eng) Descripteurs : HE Vinci
Facteurs de risque ; Récidive ; Rééducation et réadaptationMots-clés : Cohort studies Études de cohortes Follow-up studies Études de suivi Recurrence Risk factors Surveys and questionnaires Enquêtes et questionnaires Résumé : Objective
To identify the long-term clinical, individual, and social risk factors for the development of pressure ulcers (PUs) in traumatic spinal cord–injured persons with tetraplegia (TSCIt).
Design
Cohort survey with self-applied questionnaires in 1995 and 2006.
Setting
Thirty-five French-speaking European physical medicine and rehabilitation centers participating in the Tetrafigap surveys.
Participants
Tetraplegic adults (N=1641) were surveyed after an initial posttraumatic period of at least 2 years. Eleven years later, a follow-up was done for 1327 TSCIt, among whom 221 had died and 547 could be surveyed again.
Interventions
Not applicable.
Main Outcome Measures
The proportion of PUs documented at the various defined time points, relative to the medical and social situations of the TSCIt, by using univariate analyses followed by logistic regression.
Results
Of the participants, 73.4% presented with a PU during at least 1 period after their injury. Four factors had an effect on the occurrence of PUs in the long-term. Protective features for this population were incomplete motor impairment (odds ratio, 0.5) and the ability to walk (odds ratio, 0.2), whereas a strong predictive factor was the development of a PU during the initial posttrauma phase (odds ratio, 2.7). Finally, a significant situational factor was the lack of a social network (odds ratio, 3.1).
Conclusions
We believe that the highlighting of a motor incomplete feature of SCI (protective against the development of a PU) and of a medical risk factor, an early PU (which served as a definitive marker of the trajectory of TSCIt), together with a social situational factor, indicates the crucial role of initial management and long-term follow-up.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118274
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1782–1791[article] Risk Analyses of Pressure Ulcer in Tetraplegic Spinal Cord-Injured Persons: A French Long-Term Survey [Article] / Marc Le Fort ; Maude Espagnacq ; Brigitte Perrouin-Verbe . - p. 1782–1791.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1782–1791
Descripteurs : HE Vinci
Facteurs de risque ; Récidive ; Rééducation et réadaptationMots-clés : Cohort studies Études de cohortes Follow-up studies Études de suivi Recurrence Risk factors Surveys and questionnaires Enquêtes et questionnaires Résumé : Objective
To identify the long-term clinical, individual, and social risk factors for the development of pressure ulcers (PUs) in traumatic spinal cord–injured persons with tetraplegia (TSCIt).
Design
Cohort survey with self-applied questionnaires in 1995 and 2006.
Setting
Thirty-five French-speaking European physical medicine and rehabilitation centers participating in the Tetrafigap surveys.
Participants
Tetraplegic adults (N=1641) were surveyed after an initial posttraumatic period of at least 2 years. Eleven years later, a follow-up was done for 1327 TSCIt, among whom 221 had died and 547 could be surveyed again.
Interventions
Not applicable.
Main Outcome Measures
The proportion of PUs documented at the various defined time points, relative to the medical and social situations of the TSCIt, by using univariate analyses followed by logistic regression.
Results
Of the participants, 73.4% presented with a PU during at least 1 period after their injury. Four factors had an effect on the occurrence of PUs in the long-term. Protective features for this population were incomplete motor impairment (odds ratio, 0.5) and the ability to walk (odds ratio, 0.2), whereas a strong predictive factor was the development of a PU during the initial posttrauma phase (odds ratio, 2.7). Finally, a significant situational factor was the lack of a social network (odds ratio, 3.1).
Conclusions
We believe that the highlighting of a motor incomplete feature of SCI (protective against the development of a PU) and of a medical risk factor, an early PU (which served as a definitive marker of the trajectory of TSCIt), together with a social situational factor, indicates the crucial role of initial management and long-term follow-up.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118274
Titre : Inflammatory Mediators Associated With Pressure Ulcer Development in Individuals With Pneumonia After Traumatic Spinal Cord Injury: A Pilot Study Type de document : Article Auteurs : Shilpa Krishnan ; Yoram Vodovotz ; Patricia E. Karg Article en page(s) : p. 1792–1799 Langues : Anglais (eng) Descripteurs : HE Vinci
Evaluation des risques ; Facteurs de risque ; Marqueurs biologiques ; Rééducation et réadaptation ; UlcereMots-clés : Biomarkers Risk assessment Risk factors Ulcer Wounds and injuries Plaies et blessures Résumé : Objective
To identify the inflammatory mediators around the time of pneumonia onset associated with concurrent or later onset of pressure ulcers (PUs).
Design
Retrospective.
Setting
Acute hospitalization and inpatient rehabilitation unit of a university medical center.
Participants
Individuals (N=86) with traumatic spinal cord injury (SCI) were included in the initial analyses. Fifteen of the 86 developed pneumonia and had inflammatory mediator data available. Of these 15, 7 developed PUs and 8 did not.
Interventions
Not applicable.
Main Outcome Measures
Twenty-three inflammatory mediators in plasma and urine were assayed. The differences in concentrations of plasma and urine inflammatory mediators between the closest time point before and after the diagnosis of pneumonia were calculated.
Results
Initial chi-square analysis revealed a significant (P=.02) association between pneumonia and PUs. Individuals with SCI and diagnosed pneumonia had nearly double the risk for developing PUs compared with those with no pneumonia. In individuals with pneumonia, Mann-Whitney U exact tests suggested an association (P<.05 between the formation of a first pu and slight increase in plasma concentrations tumor necrosis factor-alpha decrease urine tnf- granulocyte-macrophage colony-stimulating factor interleukin after onset pneumonia.> Conclusions
These findings suggest that a relatively small increase in plasma TNF-α, and decreases in urine TNF-α, GM-CSF, and IL-15 from just before to just after the diagnosis of pneumonia could be markers for an increased risk of PUs in individuals with pneumonia after traumatic SCI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118275
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1792–1799[article] Inflammatory Mediators Associated With Pressure Ulcer Development in Individuals With Pneumonia After Traumatic Spinal Cord Injury: A Pilot Study [Article] / Shilpa Krishnan ; Yoram Vodovotz ; Patricia E. Karg . - p. 1792–1799.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1792–1799
Descripteurs : HE Vinci
Evaluation des risques ; Facteurs de risque ; Marqueurs biologiques ; Rééducation et réadaptation ; UlcereMots-clés : Biomarkers Risk assessment Risk factors Ulcer Wounds and injuries Plaies et blessures Résumé : Objective
To identify the inflammatory mediators around the time of pneumonia onset associated with concurrent or later onset of pressure ulcers (PUs).
Design
Retrospective.
Setting
Acute hospitalization and inpatient rehabilitation unit of a university medical center.
Participants
Individuals (N=86) with traumatic spinal cord injury (SCI) were included in the initial analyses. Fifteen of the 86 developed pneumonia and had inflammatory mediator data available. Of these 15, 7 developed PUs and 8 did not.
Interventions
Not applicable.
Main Outcome Measures
Twenty-three inflammatory mediators in plasma and urine were assayed. The differences in concentrations of plasma and urine inflammatory mediators between the closest time point before and after the diagnosis of pneumonia were calculated.
Results
Initial chi-square analysis revealed a significant (P=.02) association between pneumonia and PUs. Individuals with SCI and diagnosed pneumonia had nearly double the risk for developing PUs compared with those with no pneumonia. In individuals with pneumonia, Mann-Whitney U exact tests suggested an association (P<.05 between the formation of a first pu and slight increase in plasma concentrations tumor necrosis factor-alpha decrease urine tnf- granulocyte-macrophage colony-stimulating factor interleukin after onset pneumonia.> Conclusions
These findings suggest that a relatively small increase in plasma TNF-α, and decreases in urine TNF-α, GM-CSF, and IL-15 from just before to just after the diagnosis of pneumonia could be markers for an increased risk of PUs in individuals with pneumonia after traumatic SCI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118275
Titre : Complications of Spinal Cord Injury Over the First Year After Discharge From Inpatient Rehabilitation Type de document : Article Auteurs : Michael D. Stillman ; Jason Barber ; Steve Burns Article en page(s) : p. 1800–1805 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Spinal cord injuries Résumé : Objectives
To describe the prevalence and cumulative incidence of secondary complications of spinal cord injury (SCI) in the first year after discharge from inpatient rehabilitation (IR); and to evaluate potential associations between risk of complications and sociodemographic and injury-specific factors.
Design
Secondary analysis of data collected for a single-site, single-blind, randomized controlled trial comparing telephone follow-up with usual care.
Setting
Inpatient rehabilitation units.
Participants
Adults ages ≥18 years (N=169) within 1 year of discharge from IR after SCI.
Interventions
Not applicable.
Main Outcome Measures
Self-report of 10 secondary complications of SCI.
Results
Participants experienced a mean of 4.7 complications over 12 months. The most frequently reported complications were urinary tract infection (UTI), autonomic dysreflexia (AD), and pressure ulcers, with cumulative incidences of 62%, 43%, and 41%, respectively. Bone and soft tissue injuries (cumulative incidence, 35%) and bowel problems, including impaction or severe constipation (cumulative incidence, 33%), were also common. Cumulative incidences of AD, decubitus ulcers, UTI, and problems with bladder were greater in participants with higher level and more complete injuries, and some recurrent complications were common. Age at injury and impairment level significantly affected rates of complications, and subjects developed an average of 2.33 distinct complications during the study period.
Conclusions
People with SCI are at high risk for a number of secondary complications over the first year after discharge from IR. Although these data offer some insight into who with SCI is at highest risk for first time and recurrent complications, further study is needed to refine this understanding and to develop effective educational and prevention strategies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118276
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1800–1805[article] Complications of Spinal Cord Injury Over the First Year After Discharge From Inpatient Rehabilitation [Article] / Michael D. Stillman ; Jason Barber ; Steve Burns . - p. 1800–1805.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1800–1805
Descripteurs : HE Vinci
Complications ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Spinal cord injuries Résumé : Objectives
To describe the prevalence and cumulative incidence of secondary complications of spinal cord injury (SCI) in the first year after discharge from inpatient rehabilitation (IR); and to evaluate potential associations between risk of complications and sociodemographic and injury-specific factors.
Design
Secondary analysis of data collected for a single-site, single-blind, randomized controlled trial comparing telephone follow-up with usual care.
Setting
Inpatient rehabilitation units.
Participants
Adults ages ≥18 years (N=169) within 1 year of discharge from IR after SCI.
Interventions
Not applicable.
Main Outcome Measures
Self-report of 10 secondary complications of SCI.
Results
Participants experienced a mean of 4.7 complications over 12 months. The most frequently reported complications were urinary tract infection (UTI), autonomic dysreflexia (AD), and pressure ulcers, with cumulative incidences of 62%, 43%, and 41%, respectively. Bone and soft tissue injuries (cumulative incidence, 35%) and bowel problems, including impaction or severe constipation (cumulative incidence, 33%), were also common. Cumulative incidences of AD, decubitus ulcers, UTI, and problems with bladder were greater in participants with higher level and more complete injuries, and some recurrent complications were common. Age at injury and impairment level significantly affected rates of complications, and subjects developed an average of 2.33 distinct complications during the study period.
Conclusions
People with SCI are at high risk for a number of secondary complications over the first year after discharge from IR. Although these data offer some insight into who with SCI is at highest risk for first time and recurrent complications, further study is needed to refine this understanding and to develop effective educational and prevention strategies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118276
Titre : Establishing the Minimal Clinical Important Difference and Minimal Detectable Change for the Cumberland Ankle Instability Tool Type de document : Article Auteurs : Cynthia J. Wright ; Shelley W. Linens ; Spencer M. Cain Article en page(s) : p. 1806–1811 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Rééducation et réadaptationMots-clés : Ankle injuries Traumatismes de la cheville Outcome assessment (health care) ROC curve Courbe ROC Résumé : Objective
To establish the minimal detectable change (MDC) and minimal clinically important difference (MCID) for the Cumberland Ankle Instability Tool (CAIT) in a population with chronic ankle instability (CAI).
Design
Experimental cohort.
Setting
Laboratory.
Participants
A convenience sample of individuals with CAI (N=50; 12 men; 38 women; episodes of giving way, 5.84+12.54mo). CAI inclusion criteria included a history of an ankle sprain, recurrent episodes of giving way, and a CAIT score ≤25.
Interventions
Participants completed demographic information, an injury history questionnaire, and the CAIT. Participants then either participated in 4 weeks of wobble board balance training, resistance tubing strength training, or no intervention. After 4 weeks, participants recompleted the CAIT and recorded their global rating of change (GRC).
Main Outcome Measures
Dependent variables were pre- and postintervention scores on the CAIT and postintervention GRC. The MDC with 95% confidence interval was calculated. A receiver operating characteristic (ROC) curve identified the optimal CAIT cut point (MCID) between improved and unimproved individuals on the basis of their GRC. The area under the curve was used to identify a significant ROC curve (α=.05).
Results
The average CAIT score preintervention was 16.8+5.6, and postintervention, it was 20.0+5.2. Thirty-one participants (62%) rated themselves as improved on the GRC scale, whereas 19 (38%) were not improved. The ROC curve was significant (area under the curve, .797; P=.001), indicating that the CAIT change score significantly predicted clinical status. The MDC was 3.08, and the MCID was ≥3 points.
Conclusions
The CAIT has an MDC and MCID of ≥3 points. When CAIT scores are used to assess patient change over time, these scores should be used as a minimum threshold to indicate detectable and clinically meaningful improvement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118277
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1806–1811[article] Establishing the Minimal Clinical Important Difference and Minimal Detectable Change for the Cumberland Ankle Instability Tool [Article] / Cynthia J. Wright ; Shelley W. Linens ; Spencer M. Cain . - p. 1806–1811.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1806–1811
Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Rééducation et réadaptationMots-clés : Ankle injuries Traumatismes de la cheville Outcome assessment (health care) ROC curve Courbe ROC Résumé : Objective
To establish the minimal detectable change (MDC) and minimal clinically important difference (MCID) for the Cumberland Ankle Instability Tool (CAIT) in a population with chronic ankle instability (CAI).
Design
Experimental cohort.
Setting
Laboratory.
Participants
A convenience sample of individuals with CAI (N=50; 12 men; 38 women; episodes of giving way, 5.84+12.54mo). CAI inclusion criteria included a history of an ankle sprain, recurrent episodes of giving way, and a CAIT score ≤25.
Interventions
Participants completed demographic information, an injury history questionnaire, and the CAIT. Participants then either participated in 4 weeks of wobble board balance training, resistance tubing strength training, or no intervention. After 4 weeks, participants recompleted the CAIT and recorded their global rating of change (GRC).
Main Outcome Measures
Dependent variables were pre- and postintervention scores on the CAIT and postintervention GRC. The MDC with 95% confidence interval was calculated. A receiver operating characteristic (ROC) curve identified the optimal CAIT cut point (MCID) between improved and unimproved individuals on the basis of their GRC. The area under the curve was used to identify a significant ROC curve (α=.05).
Results
The average CAIT score preintervention was 16.8+5.6, and postintervention, it was 20.0+5.2. Thirty-one participants (62%) rated themselves as improved on the GRC scale, whereas 19 (38%) were not improved. The ROC curve was significant (area under the curve, .797; P=.001), indicating that the CAIT change score significantly predicted clinical status. The MDC was 3.08, and the MCID was ≥3 points.
Conclusions
The CAIT has an MDC and MCID of ≥3 points. When CAIT scores are used to assess patient change over time, these scores should be used as a minimum threshold to indicate detectable and clinically meaningful improvement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118277
Titre : How Are Race, Cultural, and Psychosocial Factors Associated With Outcomes in Veterans With Spinal Cord Injury? Type de document : Article Auteurs : Larissa Myaskovsky ; Shasha Gao ; Leslie R.M. Hausmann Article en page(s) : p. 1812–1820 Langues : Anglais (eng) Descripteurs : HE Vinci
Disparités d'accès aux soins ; Qualité de vie ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Healthcare disparities Quality of life Spinal cord injuries Résumé : Objective
To understand the role of cultural and psychosocial factors in the outcomes of veteran wheelchair users with spinal cord injury (SCI) to help clinicians identify unique factors faced by their patients and help researchers identify target variables for interventions to reduce disparities in outcomes.
Design
Cross-sectional cohort study.
Setting
Three urban Veterans Affairs medical centers affiliated with academic medical centers.
Participants
Of the patients (N=516) who were eligible to participate, 482 completed the interview and 439 had SCI. Because of small numbers in other race groups, analyses were restricted to white and African American participants, resulting in a final sample of 422.
Intervention
Not applicable.
Main Outcome Measures
Quality of life (QOL, Veterans RAND 12-Item Health Survey); satisfaction (Client Satisfaction Questionnaire); and participation (Craig Handicap Assessment and Reporting Technique Short Form).
Results
African American Veterans reported poorer physical QOL but better mental QOL than did white Veterans. No other significant race differences were found in unadjusted analyses. Multivariable analyses showed that psychosocial factors were predominantly associated with patients' QOL outcomes and satisfaction with service, but demographic and medical factors were predominantly associated with participation outcomes. Interaction analyses showed that there was a stronger negative association between anxiety and mental QOL for African Americans than for whites, and a positive association between higher self-esteem and social integration for whites but not African Americans.
Conclusions
Findings suggest that attempts to improve the outcomes of Veterans with SCI should focus on a tailored approach that emphasizes patients' demographic, medical, and psychosocial assets (eg, building their sense of self-esteem or increasing their feelings of mastery), while providing services targeted to their specific limitations (eg, reducing depression and anxiety).Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118278
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1812–1820[article] How Are Race, Cultural, and Psychosocial Factors Associated With Outcomes in Veterans With Spinal Cord Injury? [Article] / Larissa Myaskovsky ; Shasha Gao ; Leslie R.M. Hausmann . - p. 1812–1820.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1812–1820
Descripteurs : HE Vinci
Disparités d'accès aux soins ; Qualité de vie ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Healthcare disparities Quality of life Spinal cord injuries Résumé : Objective
To understand the role of cultural and psychosocial factors in the outcomes of veteran wheelchair users with spinal cord injury (SCI) to help clinicians identify unique factors faced by their patients and help researchers identify target variables for interventions to reduce disparities in outcomes.
Design
Cross-sectional cohort study.
Setting
Three urban Veterans Affairs medical centers affiliated with academic medical centers.
Participants
Of the patients (N=516) who were eligible to participate, 482 completed the interview and 439 had SCI. Because of small numbers in other race groups, analyses were restricted to white and African American participants, resulting in a final sample of 422.
Intervention
Not applicable.
Main Outcome Measures
Quality of life (QOL, Veterans RAND 12-Item Health Survey); satisfaction (Client Satisfaction Questionnaire); and participation (Craig Handicap Assessment and Reporting Technique Short Form).
Results
African American Veterans reported poorer physical QOL but better mental QOL than did white Veterans. No other significant race differences were found in unadjusted analyses. Multivariable analyses showed that psychosocial factors were predominantly associated with patients' QOL outcomes and satisfaction with service, but demographic and medical factors were predominantly associated with participation outcomes. Interaction analyses showed that there was a stronger negative association between anxiety and mental QOL for African Americans than for whites, and a positive association between higher self-esteem and social integration for whites but not African Americans.
Conclusions
Findings suggest that attempts to improve the outcomes of Veterans with SCI should focus on a tailored approach that emphasizes patients' demographic, medical, and psychosocial assets (eg, building their sense of self-esteem or increasing their feelings of mastery), while providing services targeted to their specific limitations (eg, reducing depression and anxiety).Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118278
Titre : Giving Them a Hand: Wearing a Myoelectric Elbow-Wrist-Hand Orthosis Reduces Upper Extremity Impairment in Chronic Stroke Type de document : Article Auteurs : Heather T Peters ; Stephen J. Page ; Andrew Persch Article en page(s) : p.1821–1827 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Ergothérapie ; Hémiplégie ; Rééducation et réadaptationMots-clés : Hemiplegia Occupational therapy Stroke Résumé : Objective
To determine the immediate effect of a portable, myoelectric elbow-wrist-hand orthosis on paretic upper extremity (UE) impairment in chronic, stable, moderately impaired stroke survivors.
Design
Observational cohort study.
Setting
Outpatient rehabilitation clinic.
Participants
Participants exhibiting chronic, moderate, stable, poststroke, UE hemiparesis (N=18).
Interventions
Subjects were administered a battery of measures testing UE impairment and function. They then donned a fabricated myoelectric elbow-wrist-hand orthosis and were again tested on the same battery of measures while wearing the device.
Main Outcome Measures
The primary outcome measure was the UE Section of the Fugl-Meyer Scale. Subjects were also administered a battery of functional tasks and the Box and Block (BB) test.
Results
Subjects exhibited significantly reduced UE impairment while wearing the myoelectric elbow-wrist-hand orthosis (FM: t17=8.56, P<.0001 and increased quality in performing all functional tasks while wearing the myoelectric elbow-wrist-hand orthosis with subtasks showing significant increases z="2.251," p=".024;" feeding drinking additionally subjects showed decreases time taken to grasp a cup gross manual dexterity test:> Conclusions
Results suggest that UE impairment, as measured by the Fugl-Meyer Scale, is significantly reduced when donning a myoelectric elbow-wrist-hand orthosis, and these changes exceeded the Fugl-Meyer Scale's clinically important difference threshold. Further, utilization of a myoelectric elbow-wrist-hand orthosis significantly increased gross manual dexterity and performance of certain functional tasks. Future work will integrate education sessions to increase subjects' ability to perform multijoint functional movements and attain consistent functional changes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118279
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p.1821–1827[article] Giving Them a Hand: Wearing a Myoelectric Elbow-Wrist-Hand Orthosis Reduces Upper Extremity Impairment in Chronic Stroke [Article] / Heather T Peters ; Stephen J. Page ; Andrew Persch . - p.1821–1827.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p.1821–1827
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Ergothérapie ; Hémiplégie ; Rééducation et réadaptationMots-clés : Hemiplegia Occupational therapy Stroke Résumé : Objective
To determine the immediate effect of a portable, myoelectric elbow-wrist-hand orthosis on paretic upper extremity (UE) impairment in chronic, stable, moderately impaired stroke survivors.
Design
Observational cohort study.
Setting
Outpatient rehabilitation clinic.
Participants
Participants exhibiting chronic, moderate, stable, poststroke, UE hemiparesis (N=18).
Interventions
Subjects were administered a battery of measures testing UE impairment and function. They then donned a fabricated myoelectric elbow-wrist-hand orthosis and were again tested on the same battery of measures while wearing the device.
Main Outcome Measures
The primary outcome measure was the UE Section of the Fugl-Meyer Scale. Subjects were also administered a battery of functional tasks and the Box and Block (BB) test.
Results
Subjects exhibited significantly reduced UE impairment while wearing the myoelectric elbow-wrist-hand orthosis (FM: t17=8.56, P<.0001 and increased quality in performing all functional tasks while wearing the myoelectric elbow-wrist-hand orthosis with subtasks showing significant increases z="2.251," p=".024;" feeding drinking additionally subjects showed decreases time taken to grasp a cup gross manual dexterity test:> Conclusions
Results suggest that UE impairment, as measured by the Fugl-Meyer Scale, is significantly reduced when donning a myoelectric elbow-wrist-hand orthosis, and these changes exceeded the Fugl-Meyer Scale's clinically important difference threshold. Further, utilization of a myoelectric elbow-wrist-hand orthosis significantly increased gross manual dexterity and performance of certain functional tasks. Future work will integrate education sessions to increase subjects' ability to perform multijoint functional movements and attain consistent functional changes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118279
Titre : Deliberately Light Interpersonal Contact Affects the Control of Head Stability During Walking in Children and Adolescents With Cerebral Palsy Type de document : Article Auteurs : Katrin Hanna Schulleri ; Frauke Burfeind ; Beate Höß-Zenker Article en page(s) : p. 1828–1835 Langues : Anglais (eng) Descripteurs : HE Vinci
Locomotion ; Paralysie cérébrale ; Rééducation et réadaptation ; Toucher thérapeutiqueMots-clés : Cerebral palsy Postural balance Équilibre postural Therapeutic touch Résumé : Objective
To evaluate the potential of deliberately light interpersonal touch (IPT) for reducing excessive head and trunk sway during self-paced walking in children and adolescents with cerebral palsy (CP).
Design
Quasi-experimental, proof-of-concept study with between-groups comparison.
Setting
Ambulant care facility, community center.
Participants
Children and adolescents (N=65), consisting of those with CP (spastic and ataxic, n=26; Gross Motor Function Classification System I–III; mean age, 9.8y; 11 girls, 15 boys) and those who were typically developed (TD, n=39; mean age, 10.0y; 23 girls, 16 boys).
Interventions
IPT applied by a therapist to locations at the back and the head.
Main Outcome Measures
As primary outcomes, head and trunk sway during self-paced walking were assessed by inertial measurement units. Secondary outcomes were average step length and gait speed.
Results
CP group: apex and occiput IPT reduced head velocity sway compared with thoracic IPT (both P=.04) irrespective of individuals' specific clinical symptoms. TD group: all testing conditions reduced head velocity sway compared with walking alone (all P≤.03), as well as in apex and occiput IPT compared with paired walking (both P≤.02).
Conclusions
Deliberately light IPT at the apex of the head alters control of head sway in children and adolescents with CP. The effect of IPT varies as a function of contact location and acts differently in TD individuals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118280
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1828–1835[article] Deliberately Light Interpersonal Contact Affects the Control of Head Stability During Walking in Children and Adolescents With Cerebral Palsy [Article] / Katrin Hanna Schulleri ; Frauke Burfeind ; Beate Höß-Zenker . - p. 1828–1835.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1828–1835
Descripteurs : HE Vinci
Locomotion ; Paralysie cérébrale ; Rééducation et réadaptation ; Toucher thérapeutiqueMots-clés : Cerebral palsy Postural balance Équilibre postural Therapeutic touch Résumé : Objective
To evaluate the potential of deliberately light interpersonal touch (IPT) for reducing excessive head and trunk sway during self-paced walking in children and adolescents with cerebral palsy (CP).
Design
Quasi-experimental, proof-of-concept study with between-groups comparison.
Setting
Ambulant care facility, community center.
Participants
Children and adolescents (N=65), consisting of those with CP (spastic and ataxic, n=26; Gross Motor Function Classification System I–III; mean age, 9.8y; 11 girls, 15 boys) and those who were typically developed (TD, n=39; mean age, 10.0y; 23 girls, 16 boys).
Interventions
IPT applied by a therapist to locations at the back and the head.
Main Outcome Measures
As primary outcomes, head and trunk sway during self-paced walking were assessed by inertial measurement units. Secondary outcomes were average step length and gait speed.
Results
CP group: apex and occiput IPT reduced head velocity sway compared with thoracic IPT (both P=.04) irrespective of individuals' specific clinical symptoms. TD group: all testing conditions reduced head velocity sway compared with walking alone (all P≤.03), as well as in apex and occiput IPT compared with paired walking (both P≤.02).
Conclusions
Deliberately light IPT at the apex of the head alters control of head sway in children and adolescents with CP. The effect of IPT varies as a function of contact location and acts differently in TD individuals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118280
Titre : Psychometric and Clinimetric Properties of the Melbourne Assessment 2 in Children With Cerebral Palsy Type de document : Article Auteurs : Tien-Ni Wang ; Kai-Jie Liang ; Yi-Chia Liu Article en page(s) : p. 1836–1841 Langues : Anglais (eng) Descripteurs : HE Vinci
Paralysie cérébrale ; Psychométrie ; Rééducation et réadaptationMots-clés : Cerebral palsy Minimal clinically important difference Différence minimale cliniquement importante Psychometrics Reproducibility of results Reproductibilité des résultats Résumé : Objective
To examine the psychometric and clinimetric properties of the Melbourne Assessment 2 (MA2), an outcome measurement that is increasingly used in clinical studies.
Design
Psychometric and clinimetric study.
Setting
Community.
Participants
Seventeen children with cerebral palsy (CP) from 5 to 12 years were recruited for the estimation of the test-retest reliability and minimal detectable change (MDC). Thirty-five children with CP were recruited to receive an 8-week intensive neurorehabilitation intervention to estimate the validity, responsiveness, and minimal clinically important difference (MCID).
Interventions
Thirty-five children with CP received upper limb neurorehabilitation programs for 8 weeks.
Main Outcome Measures
The MA2 and the criterion measures, including the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2), the Box and Blocks Test (BBT), and the Pediatric Motor Activity Log–Revised (PMAL-R), were evaluated at pretreatment and posttreatment.
Results
The MA2 has 4 subscales: range of motion, fluency, accuracy, and dexterity. The test-retest reliability of the MA2 is high (intraclass correlation coefficient, .92–.98). The significant relationships between the MA2 and BBT, BOT-2, and PMAL-R support its validity. The significance of paired t test results (P<.001 and large magnitudes of the standardized response mean confirm responsiveness ma2. mdc values subscales ma2 are respectively suggested mcid these indicating minimum scores improvement to be interpreted as both statistically significant clinically important.> Conclusions
The study findings indicate that the MA2 has sound psychometric and clinimetric properties and is thus an adequate measurement for research and clinical applications.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118281
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1836–1841[article] Psychometric and Clinimetric Properties of the Melbourne Assessment 2 in Children With Cerebral Palsy [Article] / Tien-Ni Wang ; Kai-Jie Liang ; Yi-Chia Liu . - p. 1836–1841.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1836–1841
Descripteurs : HE Vinci
Paralysie cérébrale ; Psychométrie ; Rééducation et réadaptationMots-clés : Cerebral palsy Minimal clinically important difference Différence minimale cliniquement importante Psychometrics Reproducibility of results Reproductibilité des résultats Résumé : Objective
To examine the psychometric and clinimetric properties of the Melbourne Assessment 2 (MA2), an outcome measurement that is increasingly used in clinical studies.
Design
Psychometric and clinimetric study.
Setting
Community.
Participants
Seventeen children with cerebral palsy (CP) from 5 to 12 years were recruited for the estimation of the test-retest reliability and minimal detectable change (MDC). Thirty-five children with CP were recruited to receive an 8-week intensive neurorehabilitation intervention to estimate the validity, responsiveness, and minimal clinically important difference (MCID).
Interventions
Thirty-five children with CP received upper limb neurorehabilitation programs for 8 weeks.
Main Outcome Measures
The MA2 and the criterion measures, including the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2), the Box and Blocks Test (BBT), and the Pediatric Motor Activity Log–Revised (PMAL-R), were evaluated at pretreatment and posttreatment.
Results
The MA2 has 4 subscales: range of motion, fluency, accuracy, and dexterity. The test-retest reliability of the MA2 is high (intraclass correlation coefficient, .92–.98). The significant relationships between the MA2 and BBT, BOT-2, and PMAL-R support its validity. The significance of paired t test results (P<.001 and large magnitudes of the standardized response mean confirm responsiveness ma2. mdc values subscales ma2 are respectively suggested mcid these indicating minimum scores improvement to be interpreted as both statistically significant clinically important.> Conclusions
The study findings indicate that the MA2 has sound psychometric and clinimetric properties and is thus an adequate measurement for research and clinical applications.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118281
Titre : Considerations of the Principles of Resistance Training in Exercise Studies for the Management of Knee Osteoarthritis: A Systematic Review Type de document : Article Auteurs : Claire Minshull ; Nigel Gleeson Article en page(s) : p. 1842–1851 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Genou ; Rééducation et réadaptation ; Revue de la littératureMots-clés : Knee Osteoarthritis Resistance training Entraînement en résistance Review Résumé : Objective
To evaluate the methodologic quality of resistance training interventions for the management of knee osteoarthritis.
Data Sources
A search of the literature for studies published up to August 10, 2015, was performed on MEDLINE (OVID platform), PubMed, Embase, and Physiotherapy Evidence Database databases. Search terms associated with osteoarthritis, knee, and muscle resistance exercise were used.
Study Selection
Studies were included in the review if they were published in the English language and met the following criteria: (1) muscle resistance training was the primary intervention; (2) randomized controlled trial design; (3) treatment arms included at least a muscle conditioning intervention and a nonexercise group; and (4) participants had osteoarthritis of the knee. Studies using preoperative (joint replacement) interventions with only postoperative outcomes were excluded. The search yielded 1574 results. The inclusion criteria were met by 34 studies.
Data Extraction
Two reviewers independently screened the articles for eligibility. Critical appraisal of the methodology was assessed according to the principles of resistance training and separately for the reporting of adherence using a specially designed scoring system. A rating for each article was assigned.
Data Synthesis
There were 34 studies that described a strength training focus of the intervention; however, the principles of resistance training were inconsistently applied and inadequately reported across all. Methods for adherence monitoring were incorporated into the design of 28 of the studies, but only 13 reported sufficient detail to estimate average dose of exercise.
Conclusions
These findings affect the interpretation of the efficacy of muscle resistance exercise in the management of knee osteoarthritis. Clinicians and health care professionals cannot be confident whether nonsignificant findings are because of the lack of efficacy of muscle resistance interventions, or occur through limitations in treatment prescription and patient adherence. Future research that seeks to evaluate the effects of muscle strength training interventions on symptoms of osteoarthritis should be properly designed and adherence diligently reported.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118282
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1842–1851[article] Considerations of the Principles of Resistance Training in Exercise Studies for the Management of Knee Osteoarthritis: A Systematic Review [Article] / Claire Minshull ; Nigel Gleeson . - p. 1842–1851.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1842–1851
Descripteurs : HE Vinci
Arthrose ; Genou ; Rééducation et réadaptation ; Revue de la littératureMots-clés : Knee Osteoarthritis Resistance training Entraînement en résistance Review Résumé : Objective
To evaluate the methodologic quality of resistance training interventions for the management of knee osteoarthritis.
Data Sources
A search of the literature for studies published up to August 10, 2015, was performed on MEDLINE (OVID platform), PubMed, Embase, and Physiotherapy Evidence Database databases. Search terms associated with osteoarthritis, knee, and muscle resistance exercise were used.
Study Selection
Studies were included in the review if they were published in the English language and met the following criteria: (1) muscle resistance training was the primary intervention; (2) randomized controlled trial design; (3) treatment arms included at least a muscle conditioning intervention and a nonexercise group; and (4) participants had osteoarthritis of the knee. Studies using preoperative (joint replacement) interventions with only postoperative outcomes were excluded. The search yielded 1574 results. The inclusion criteria were met by 34 studies.
Data Extraction
Two reviewers independently screened the articles for eligibility. Critical appraisal of the methodology was assessed according to the principles of resistance training and separately for the reporting of adherence using a specially designed scoring system. A rating for each article was assigned.
Data Synthesis
There were 34 studies that described a strength training focus of the intervention; however, the principles of resistance training were inconsistently applied and inadequately reported across all. Methods for adherence monitoring were incorporated into the design of 28 of the studies, but only 13 reported sufficient detail to estimate average dose of exercise.
Conclusions
These findings affect the interpretation of the efficacy of muscle resistance exercise in the management of knee osteoarthritis. Clinicians and health care professionals cannot be confident whether nonsignificant findings are because of the lack of efficacy of muscle resistance interventions, or occur through limitations in treatment prescription and patient adherence. Future research that seeks to evaluate the effects of muscle strength training interventions on symptoms of osteoarthritis should be properly designed and adherence diligently reported.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118282
Titre : Carers' Experiences, Needs, and Preferences During Inpatient Stroke Rehabilitation: A Systematic Review of Qualitative Studies Type de document : Article Auteurs : Julie Luker ; Carolyn Murray ; Elizabeth Lynch Article en page(s) : p. 1852–1862 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Aidants ; Recherche qualitative ; Rééducation et réadaptation ; Revue de la littératureMots-clés : Caregivers Qualitative research Review Stroke Résumé : Objective
To report and synthesize the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation.
Data Sources
MEDLINE, CINAHL, Embase, PsycINFO, and Web of Science were searched to March 2016. Reference lists of relevant publications were searched. No language restrictions were applied.
Study Selection
Eligible qualitative studies reported the experiences of carers of stroke survivors who underwent inpatient rehabilitation. The search yielded 3532 records; 93 full-text publications were assessed for eligibility, and 34 documents (33 studies) were included. Comprehensiveness of reporting was assessed using the Consolidated Criteria for Reporting Qualitative Health Research framework.
Data Extraction
Data on the characteristics of included studies were independently extracted by 2 authors. Differences in data extraction between authors were resolved through discussion or by a third author. All text in studies' results and discussion sections were extracted for analysis.
Data Synthesis
Extracted texts were analyzed inductively using thematic synthesis. Seven analytical themes were developed that related to the carers' experiences, needs, and preferences: (1) overwhelmed with emotions; (2) recognition as a stakeholder in recovery; (3) desire to be heard and informed; (4) persisting for action and outcomes; (5) being legitimate clients; (6) navigating an alien culture and environment; and (7) managing the transition home.
Conclusions
This systematic review provides new insights into the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation. Carers experienced distress as they navigated a foreign culture and environment without adequate communication and processes in place for their inclusion. We recommend deliberate efforts to provide a more inclusive environment that better supports and prepares carers for their new role.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118283
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1852–1862[article] Carers' Experiences, Needs, and Preferences During Inpatient Stroke Rehabilitation: A Systematic Review of Qualitative Studies [Article] / Julie Luker ; Carolyn Murray ; Elizabeth Lynch . - p. 1852–1862.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1852–1862
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Aidants ; Recherche qualitative ; Rééducation et réadaptation ; Revue de la littératureMots-clés : Caregivers Qualitative research Review Stroke Résumé : Objective
To report and synthesize the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation.
Data Sources
MEDLINE, CINAHL, Embase, PsycINFO, and Web of Science were searched to March 2016. Reference lists of relevant publications were searched. No language restrictions were applied.
Study Selection
Eligible qualitative studies reported the experiences of carers of stroke survivors who underwent inpatient rehabilitation. The search yielded 3532 records; 93 full-text publications were assessed for eligibility, and 34 documents (33 studies) were included. Comprehensiveness of reporting was assessed using the Consolidated Criteria for Reporting Qualitative Health Research framework.
Data Extraction
Data on the characteristics of included studies were independently extracted by 2 authors. Differences in data extraction between authors were resolved through discussion or by a third author. All text in studies' results and discussion sections were extracted for analysis.
Data Synthesis
Extracted texts were analyzed inductively using thematic synthesis. Seven analytical themes were developed that related to the carers' experiences, needs, and preferences: (1) overwhelmed with emotions; (2) recognition as a stakeholder in recovery; (3) desire to be heard and informed; (4) persisting for action and outcomes; (5) being legitimate clients; (6) navigating an alien culture and environment; and (7) managing the transition home.
Conclusions
This systematic review provides new insights into the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation. Carers experienced distress as they navigated a foreign culture and environment without adequate communication and processes in place for their inclusion. We recommend deliberate efforts to provide a more inclusive environment that better supports and prepares carers for their new role.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118283
Titre : Systematic Review of Measures of Impairment and Activity Limitation for Persons With Upper Limb Trauma and Amputation Type de document : Article Auteurs : Linda Resnik ; Matt Borgia ; Ben Silver Article en page(s) : p. 1863–1892 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Membre supérieur ; Rééducation et réadaptationMots-clés : Amputation chirurgicale Disability evaluation Évaluation de l'incapacité Upper extremity Wounds and injuries Plaies et blessures Résumé : Objective
(1) To identify outcome measures used in studies of persons with traumatic upper limb injury and/or amputation; and (2) to evaluate focus, content, and psychometric properties of each measure.
Data Sources
Searches of PubMed and CINAHL for terms including upper extremity, function, activities of daily living, outcome assessment, amputation, and traumatic injuries.
Study Selection
Included articles had a sample of ≥10 adults with limb trauma or amputation and were in English. Measures containing most items assessing impairment of body function or activity limitation were eligible.
Data Extraction
There were 260 articles containing 55 measures that were included. Data on internal consistency; test-retest, interrater, and intrarater reliability; content, structural, construct, concurrent, and predictive validity; responsiveness; and floor/ceiling effects were extracted and confirmed by a second investigator.
Data Synthesis
The mostly highly rated performance measures included 2 amputation-specific measures (Activities Measure for Upper Limb Amputees and University of New Brunswick Test of Prosthetic Function skill and spontaneity subscales) and 2 non–amputation-specific measures (Box and Block Test and modified Jebsen-Taylor Hand Function Test light and heavy cans tests). Most highly rated self-report measures were Disabilities of the Arm, Shoulder and Hand; Patient Rated Wrist Evaluation; QuickDASH; Hand Assessment Tool; International Osteoporosis Foundation Quality of Life Questionnaire; and Patient Rated Wrist Evaluation functional recovery subscale. None were amputation specific.
Conclusions
Few performance measures were recommended for patients with limb trauma and amputation. All top-rated self-report measures were suitable for use in both groups. These results will inform choice of outcome measures for these patients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118284
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1863–1892[article] Systematic Review of Measures of Impairment and Activity Limitation for Persons With Upper Limb Trauma and Amputation [Article] / Linda Resnik ; Matt Borgia ; Ben Silver . - p. 1863–1892.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1863–1892
Descripteurs : HE Vinci
Amputation ; Membre supérieur ; Rééducation et réadaptationMots-clés : Amputation chirurgicale Disability evaluation Évaluation de l'incapacité Upper extremity Wounds and injuries Plaies et blessures Résumé : Objective
(1) To identify outcome measures used in studies of persons with traumatic upper limb injury and/or amputation; and (2) to evaluate focus, content, and psychometric properties of each measure.
Data Sources
Searches of PubMed and CINAHL for terms including upper extremity, function, activities of daily living, outcome assessment, amputation, and traumatic injuries.
Study Selection
Included articles had a sample of ≥10 adults with limb trauma or amputation and were in English. Measures containing most items assessing impairment of body function or activity limitation were eligible.
Data Extraction
There were 260 articles containing 55 measures that were included. Data on internal consistency; test-retest, interrater, and intrarater reliability; content, structural, construct, concurrent, and predictive validity; responsiveness; and floor/ceiling effects were extracted and confirmed by a second investigator.
Data Synthesis
The mostly highly rated performance measures included 2 amputation-specific measures (Activities Measure for Upper Limb Amputees and University of New Brunswick Test of Prosthetic Function skill and spontaneity subscales) and 2 non–amputation-specific measures (Box and Block Test and modified Jebsen-Taylor Hand Function Test light and heavy cans tests). Most highly rated self-report measures were Disabilities of the Arm, Shoulder and Hand; Patient Rated Wrist Evaluation; QuickDASH; Hand Assessment Tool; International Osteoporosis Foundation Quality of Life Questionnaire; and Patient Rated Wrist Evaluation functional recovery subscale. None were amputation specific.
Conclusions
Few performance measures were recommended for patients with limb trauma and amputation. All top-rated self-report measures were suitable for use in both groups. These results will inform choice of outcome measures for these patients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118284
Titre : Mental Health Does Not Moderate Compensatory Cognitive Training Efficacy for Veterans With a History of Mild Traumatic Brain Injury Type de document : Article Auteurs : Kathleen F. Pagulayan ; Maya O'Neil ; Rhonda M. Williams Article en page(s) : p. 1893–1896 Langues : Anglais (eng) Descripteurs : HE Vinci
Anciens combattants ; Cognition ; Dépression ; Rééducation et réadaptation ; Troubles de stress post-traumatique ; Troubles liés à une substanceMots-clés : Brain injuries Lésions encéphaliques Stress Disorders Post-Traumatic Substance-related disorders Veterans Résumé : Objective
To examine the potential moderating effects of mental health symptoms on the efficacy of compensatory cognitive training (CCT) for Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans with a history of mild traumatic brain injury (mTBI).
Design
Secondary analysis of a randomized controlled trial of CCT. Posttraumatic stress disorder, depression, and substance dependence symptom severity were examined as potential moderators of CCT efficacy for subjective cognitive complaints, use of cognitive strategies, and objective neurocognitive performance.
Setting
Three Veterans Affairs medical centers.
Participants
Participants included veterans with history of mTBI (N=119): 50 participated in CCT and 69 received usual care (UC).
Intervention
CCT is a 10-week group-based (90 minutes per session) manualized cognitive rehabilitation intervention.
Main Outcome Measures
Objective (neuropsychological functioning) and subjective (self-report) cognitive functioning and use of cognitive strategies.
Results
Baseline mental health symptoms did not moderate CCT efficacy: veterans who received CCT reported significantly greater improvement in cognitive difficulties and use of cognitive strategies compared with the UC group, regardless of baseline mental health symptom severity. The CCT group also demonstrated significant improvements on neuropsychological measures of attention, learning, and executive functioning compared with the UC group, regardless of baseline mental health symptom severity.
Conclusions
CCT is efficacious for improving objective cognitive functioning and compensatory strategy use for veterans with a history of mTBI, regardless of the severity of comorbid psychiatric symptoms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118285
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1893–1896[article] Mental Health Does Not Moderate Compensatory Cognitive Training Efficacy for Veterans With a History of Mild Traumatic Brain Injury [Article] / Kathleen F. Pagulayan ; Maya O'Neil ; Rhonda M. Williams . - p. 1893–1896.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1893–1896
Descripteurs : HE Vinci
Anciens combattants ; Cognition ; Dépression ; Rééducation et réadaptation ; Troubles de stress post-traumatique ; Troubles liés à une substanceMots-clés : Brain injuries Lésions encéphaliques Stress Disorders Post-Traumatic Substance-related disorders Veterans Résumé : Objective
To examine the potential moderating effects of mental health symptoms on the efficacy of compensatory cognitive training (CCT) for Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans with a history of mild traumatic brain injury (mTBI).
Design
Secondary analysis of a randomized controlled trial of CCT. Posttraumatic stress disorder, depression, and substance dependence symptom severity were examined as potential moderators of CCT efficacy for subjective cognitive complaints, use of cognitive strategies, and objective neurocognitive performance.
Setting
Three Veterans Affairs medical centers.
Participants
Participants included veterans with history of mTBI (N=119): 50 participated in CCT and 69 received usual care (UC).
Intervention
CCT is a 10-week group-based (90 minutes per session) manualized cognitive rehabilitation intervention.
Main Outcome Measures
Objective (neuropsychological functioning) and subjective (self-report) cognitive functioning and use of cognitive strategies.
Results
Baseline mental health symptoms did not moderate CCT efficacy: veterans who received CCT reported significantly greater improvement in cognitive difficulties and use of cognitive strategies compared with the UC group, regardless of baseline mental health symptom severity. The CCT group also demonstrated significant improvements on neuropsychological measures of attention, learning, and executive functioning compared with the UC group, regardless of baseline mental health symptom severity.
Conclusions
CCT is efficacious for improving objective cognitive functioning and compensatory strategy use for veterans with a history of mTBI, regardless of the severity of comorbid psychiatric symptoms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118285
Titre : Accuracy of McMurray and Joint Line Tenderness Tests in the Diagnosis of Chronic Meniscal Tears: An Ad Hoc Receiver Operator Characteristic Analysis Approach Type de document : Article Auteurs : Marco Galli ; Emanuele Marzetti Article en page(s) : p. 1897–1899 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroscopie ; Examen clinique ; Genou ; Rééducation et réadaptation ; Sensibilité et spécificitéMots-clés : Arthroscopy Knee Physical examination ROC curve Courbe ROC Sensitivity and specificity Résumé : Objective
To determine the overall diagnostic accuracy of the McMurray and joint line tenderness (JLT) tests for the detection of meniscal lesions.
Design
Secondary analysis of a prospective observational study.
Setting
Orthopedics outpatient clinic, university hospital.
Participants
Patients (N=56) with suspected nonacute meniscal lesions who underwent knee arthroscopy.
Interventions
Not applicable.
Main Outcome Measures
Diagnostic accuracy of the McMurray and JLT tests as determined by receiver operator characteristic analysis.
Results
The McMurray test showed higher accuracy (area under the curve [AUC], .69; SE, .079) than the JLT test (AUC, .58; SE, .084).
Conclusions
The McMurray test, although presenting a higher diagnostic accuracy than the JLT test, does not suffice as a standalone diagnostic procedure for chronic meniscal lesions. The test may still be valuable to guide the diagnosis in cases with highly suspected meniscal tears.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118286
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1897–1899[article] Accuracy of McMurray and Joint Line Tenderness Tests in the Diagnosis of Chronic Meniscal Tears: An Ad Hoc Receiver Operator Characteristic Analysis Approach [Article] / Marco Galli ; Emanuele Marzetti . - p. 1897–1899.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1897–1899
Descripteurs : HE Vinci
Arthroscopie ; Examen clinique ; Genou ; Rééducation et réadaptation ; Sensibilité et spécificitéMots-clés : Arthroscopy Knee Physical examination ROC curve Courbe ROC Sensitivity and specificity Résumé : Objective
To determine the overall diagnostic accuracy of the McMurray and joint line tenderness (JLT) tests for the detection of meniscal lesions.
Design
Secondary analysis of a prospective observational study.
Setting
Orthopedics outpatient clinic, university hospital.
Participants
Patients (N=56) with suspected nonacute meniscal lesions who underwent knee arthroscopy.
Interventions
Not applicable.
Main Outcome Measures
Diagnostic accuracy of the McMurray and JLT tests as determined by receiver operator characteristic analysis.
Results
The McMurray test showed higher accuracy (area under the curve [AUC], .69; SE, .079) than the JLT test (AUC, .58; SE, .084).
Conclusions
The McMurray test, although presenting a higher diagnostic accuracy than the JLT test, does not suffice as a standalone diagnostic procedure for chronic meniscal lesions. The test may still be valuable to guide the diagnosis in cases with highly suspected meniscal tears.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118286
Titre : While Mortality Rates Differ After Dysvascular Partial Foot and Transtibial Amputation, Should They Influence the Choice of Amputation Level? Type de document : Article Auteurs : Michael Dillon ; Stefania Fatone ; Matthew Quigley Article en page(s) : p. 1900–1902 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Mortalité ; Prise de décision ; Rééducation et réadaptationMots-clés : Amputation chirurgicale Decision making Mortality Résumé : Although there is strong evidence to show that the risk of dying after transtibial amputation is higher than partial foot amputation, we are concerned by the implication that amputation level influences mortality, and that such interpretations of the evidence may be used to inform decisions about the choice of amputation level. We argue that the choice of partial foot or transtibial amputation does not influence the risk of mortality. The highest mortality rates are observed in studies with older people with more advanced systemic disease and multiple comorbidities. Studies that control for the confounding influence of these factors have shown no differences in mortality rates by amputation level. These insights have important implications in terms of how we help inform difficult decisions about amputation at either the partial foot or transtibial level, given a more thoughtful interpretation of the published mortality rates. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118287
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1900–1902[article] While Mortality Rates Differ After Dysvascular Partial Foot and Transtibial Amputation, Should They Influence the Choice of Amputation Level? [Article] / Michael Dillon ; Stefania Fatone ; Matthew Quigley . - p. 1900–1902.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1900–1902
Descripteurs : HE Vinci
Amputation ; Mortalité ; Prise de décision ; Rééducation et réadaptationMots-clés : Amputation chirurgicale Decision making Mortality Résumé : Although there is strong evidence to show that the risk of dying after transtibial amputation is higher than partial foot amputation, we are concerned by the implication that amputation level influences mortality, and that such interpretations of the evidence may be used to inform decisions about the choice of amputation level. We argue that the choice of partial foot or transtibial amputation does not influence the risk of mortality. The highest mortality rates are observed in studies with older people with more advanced systemic disease and multiple comorbidities. Studies that control for the confounding influence of these factors have shown no differences in mortality rates by amputation level. These insights have important implications in terms of how we help inform difficult decisions about amputation at either the partial foot or transtibial level, given a more thoughtful interpretation of the published mortality rates. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118287
Titre : Commentary on “Rehabilitation Outcomes Associated With Foreign Domestic Workers as Caregivers” Type de document : Article Auteurs : Frances M. Yang ; Solon T. Kao Article en page(s) : p. 1903–1905 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Aidants ; Droits de l'homme ; Hospitalisation ; Maladies chroniques multiples ; Population de passage et migrants ; Rééducation et réadaptation ; Services de santé pour les personnes handicapées ; Singapour ; Sortie du patient ; TaïwanMots-clés : Activities of daily living Caregivers Health Services for Persons with Disabilities Hospitalization Human rights Transients and Migrants Multiple Chronic Conditions Patient discharge Singapore Stroke Résumé : The purpose of this commentary is to illuminate the role of foreign domestic workers (FDW) as caregivers for patients undergoing rehabilitation in Asia. The authors of a published study in this issue of the Archives of Physical Medicine and Rehabilitation investigate the association between the characteristics of caregivers for patients recovering from sub-acute stroke and the rehabilitation outcomes of those patients in Singapore. The investigators examined over 4,000 caregivers and one of the findings showed that after controlling for characteristics of both caregivers and patients, there was a significant and negative association between having an FDW as a caregiver, compared to a spouse, and patient rehabilitation effectiveness. The inclusion of FDW’s in this study is an important and understudied group of caregivers in the role of patient rehabilitation that is relatively new to the US, but common in other parts of the world. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118288
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1903–1905[article] Commentary on “Rehabilitation Outcomes Associated With Foreign Domestic Workers as Caregivers” [Article] / Frances M. Yang ; Solon T. Kao . - p. 1903–1905.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 1903–1905
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Aidants ; Droits de l'homme ; Hospitalisation ; Maladies chroniques multiples ; Population de passage et migrants ; Rééducation et réadaptation ; Services de santé pour les personnes handicapées ; Singapour ; Sortie du patient ; TaïwanMots-clés : Activities of daily living Caregivers Health Services for Persons with Disabilities Hospitalization Human rights Transients and Migrants Multiple Chronic Conditions Patient discharge Singapore Stroke Résumé : The purpose of this commentary is to illuminate the role of foreign domestic workers (FDW) as caregivers for patients undergoing rehabilitation in Asia. The authors of a published study in this issue of the Archives of Physical Medicine and Rehabilitation investigate the association between the characteristics of caregivers for patients recovering from sub-acute stroke and the rehabilitation outcomes of those patients in Singapore. The investigators examined over 4,000 caregivers and one of the findings showed that after controlling for characteristics of both caregivers and patients, there was a significant and negative association between having an FDW as a caregiver, compared to a spouse, and patient rehabilitation effectiveness. The inclusion of FDW’s in this study is an important and understudied group of caregivers in the role of patient rehabilitation that is relatively new to the US, but common in other parts of the world. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118288
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