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Ajouter le résultat dans votre panierComparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke: A Randomized Controlled Trial / Jessica McCabe in Archives of Physical Medicine and Rehabilitation, 2015/6 (2015)
Titre : Comparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke: A Randomized Controlled Trial Type de document : Article Auteurs : Jessica McCabe ; Michelle Monkiewicz ; John Holcomb Article en page(s) : p. 981–990 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Rééducation et réadaptation ; RobotiqueMots-clés : Electric stimulation Stimulation électrique Randomized controlled trial Essai contrôlé randomisé Robotics Stroke Upper extremity Résumé : Objective
To compare response to upper-limb treatment using robotics plus motor learning (ML) versus functional electrical stimulation (FES) plus ML versus ML alone, according to a measure of complex functional everyday tasks for chronic, severely impaired stroke survivors.
Design
Single-blind, randomized trial.
Setting
Medical center.
Participants
Enrolled subjects (N=39) were >1 year postsingle stroke (attrition rate=10%; 35 completed the study).
Interventions
All groups received treatment 5d/wk for 5h/d (60 sessions), with unique treatment as follows: ML alone (n=11) (5h/d partial- and whole-task practice of complex functional tasks), robotics plus ML (n=12) (3.5h/d of ML and 1.5h/d of shoulder/elbow robotics), and FES plus ML (n=12) (3.5h/d of ML and 1.5h/d of FES wrist/hand coordination training).
Main Outcome Measures
Primary measure: Arm Motor Ability Test (AMAT), with 13 complex functional tasks; secondary measure: upper-limb Fugl-Meyer coordination scale (FM).
Results
There was no significant difference found in treatment response across groups (AMAT: P≥.584; FM coordination: P≥.590). All 3 treatment groups demonstrated clinically and statistically significant improvement in response to treatment (AMAT and FM coordination: P≤.009). A group treatment paradigm of 1:3 (therapist/patient) ratio proved feasible for provision of the intensive treatment. No adverse effects.
Conclusions
Severely impaired stroke survivors with persistent (>1y) upper-extremity dysfunction can make clinically and statistically significant gains in coordination and functional task performance in response to robotics plus ML, FES plus ML, and ML alone in an intensive and long-duration intervention; no group differences were found. Additional studies are warranted to determine the effectiveness of these methods in the clinical setting.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=118370
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 981–990[article]
Titre : Invited Commentary on Comparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke: A Randomized Controlled Trial Type de document : Article Auteurs : Gert Kwakkel ; Erwin E. van Wegen ; Carel M. Meskers Article en page(s) : p. 991–993 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Rééducation et réadaptation ; RobotiqueMots-clés : Electric stimulation Stimulation électrique Robotics Stroke Upper extremity Résumé : In this issue of Archives of Physical Medicine and Rehabilitation, Jessica McCabe and colleagues report findings from their methodologically sound, dose-matched clinical trial in 39 patients beyond 6 months poststroke. In this phase II trial, the effects of 60 treatment sessions, each involving 3.5 hours of intensive practice plus either 1.5 hours of functional electrical stimulation (FES) or a shoulder-arm robotic therapy, were compared with 5 hours of intensive daily practice alone. Although no significant between-group differences were found on the primary outcome measure of Arm Motor Ability Test and the secondary outcome measure of Fugl-Meyer Arm motor score, 10% to 15% within-group therapeutic gains were on the Arm Motor Ability Test and Fugl-Meyer Arm. These gains are clinically meaningful for patients with stroke. However, the underlying mechanisms that drive these improvements remain poorly understood. The approximately $1000 cost reduction per patient calculated for the use of motor learning (ML) methods alone or combined with FES, compared with the combination of ML and shoulder-arm robotics, further emphasizes the need for cost considerations when making clinical decisions about selecting the most appropriate therapy for the upper paretic limb in patients with chronic stroke. 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=118371
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 991–993[article]
Titre : Long-Term Survival After Traumatic Brain Injury Part I: External Validity of Prognostic Models Type de document : Article Auteurs : Jordan C. Brooks ; Robert M. Shavelle ; David J. Strauss Article en page(s) : p. 994–999 Langues : Anglais (eng) Descripteurs : HE Vinci
Etudes de validation ; Mortalité ; Pronostic ; Rééducation et réadaptation ; SurvieMots-clés : Brain injuries Lésions encéphaliques Mortality Survival Prognosis Validation studies Résumé : Objectives
To develop prognostic models for long-term survival in adults with traumatic brain injury (TBI) and to assess their external validity in 2 independent populations.
Design
Survival analysis.
Setting
Post-discharge from rehabilitation units and long-term follow-up at regional centers.
Participants
Two cohorts of long-term survivors of TBI (N=12,481): the Traumatic Brain Injury Model Systems (TBIMS) cohort comprised 7365 persons who were admitted to a TBIMS facility and were assessed at ≥1 years postinjury, and the California Department of Developmental Services (CDDS) cohort comprised 5116 persons who sustained a TBI and received long-term services from the CDDS.
Interventions
Not applicable.
Main Outcome Measures
Survival/mortality.
Results
Older age, male sex, and severity of disability in walking and feeding were significant predictors of increased long-term mortality rates (all P<.05 both databases the cdds model predicted deaths for persons in tbims cohort with an observed-to-expected ratio of .94 confidence interval a total ci regression calibration statistics were satisfactory and models ranked survival times well from shortest to longest c index .78 .76 cdds: .80> Conclusions
Long-term survival prognosis in TBI is related to age, sex, and severity of disability. When compared on the basis of these factors, the survival estimates derived from the TBIMS and CDDS cohorts are found to be similar. The close agreement between model predictions and actual mortality rates confirm the external validity of the prognostic models presented herein.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=118372
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 994–999[article]
Titre : Long-Term Survival After Traumatic Brain Injury Part II: Life Expectancy Type de document : Article Auteurs : Jordan C. Brooks ; Robert M. Shavelle ; David J. Strauss Article en page(s) : p. 1000–1005 Langues : Anglais (eng) Descripteurs : HE Vinci
Longévité ; Mortalité ; Pronostic ; Rééducation et réadaptation ; SurvieMots-clés : Brain injuries Lésions encéphaliques Life Expectancy Mortality Prognosis Survival Résumé : Objectives
To compute the life expectancy of persons with traumatic brain injury (TBI) based on validated prognostic models from 2 cohorts, to compare mortality and life expectancy of persons with TBI with those of the U.S. general population, and to investigate trends toward improved survival over the last 2 decades.
Design
Survival analysis.
Setting
Postdischarge from rehabilitation units and long-term follow-up at regional centers.
Participants
Two cohorts of long-term survivors of TBI (N=12,481): the Traumatic Brain Injury Model Systems (TBIMS) cohort comprised 7365 persons who were admitted to a TBIMS facility with moderate to severe TBI and were assessed at ≥1 years postinjury, and the California Department of Developmental Services (CDDS) cohort comprised 5116 persons who sustained a TBI and received long-term services from the CDDS.
Interventions
Not applicable.
Main Outcome Measures
Life expectancy.
Results
The estimates of age-, sex-, and disability-specific life expectancy of persons with TBI derived from the CDDS and TBIMS were similar. The estimates of age- and sex-specific life expectancy were lower than those of the U.S. general population. Mortality rates of persons with TBI were higher than those of the U.S. general population. Mortality rates did not improve and the standardized mortality ratio increased over the study period from 1988 to 2010.
Conclusions
Life expectancy of persons with TBI is lower than that of the general population and depends on age, sex, and severity of disability. When compared, the survival outcomes in the TBIMS and CDDS cohorts are remarkably similar. Because there have been no marked trends in the last 20 years, the life expectancies presented in this article may remain valid in the future.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=118373
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1000–1005[article]
Titre : Cycling Regimen Induces Spinal Circuitry Plasticity and Improves Leg Muscle Coordination in Individuals With Spinocerebellar Ataxia Type de document : Article Auteurs : Ya-Ju Chang ; Ching-Chieh Chou ; Wan-Ting Huang Article en page(s) : p. 1006–1013 Langues : Anglais (eng) Descripteurs : HE Vinci
Ataxie ; Plasticité neuronale ; Rééducation et réadaptationMots-clés : Ataxia Neuronal Plasticity Spinocerebellar ataxias Ataxies spinocérébelleuses Résumé : Objectives
To compare the reciprocal control of agonist and antagonist muscles in individuals with and without spinocerebellar ataxia (SCA) and to evaluate the effect of a 4-week leg cycling regimen on functional coordination and reciprocal control of agonist and antagonist muscles in patients with SCA.
Design
Randomized controlled trial with repeated measures.
Setting
Research laboratory in a general hospital.
Participants
Individuals with SCA (n=20) and without SCA (n=20).
Interventions
A single 15-minute session of leg cycling and a 4-week cycling regimen.
Main Outcome Measures
Individuals with SCA (n=20) and without SCA (n=20) underwent disynaptic reciprocal inhibition and D1 inhibition tests of the soleus muscles before and after a single 15-minute cycling session. Individuals with SCA were randomly assigned to either participate in 4 weeks of cycling training (n=10) or to receive no training (n=10). The disynaptic reciprocal inhibition and D1 inhibition and International Cooperative Ataxia Rating Scale (ICARS) scores were evaluated in both groups after 4 weeks.
Results
Individuals with SCA showed abnormally strong resting values of disynaptic reciprocal inhibition and D1 inhibition (P<.001 and impaired inhibition modulation capacity after a single session of cycling the was restored icars scores improved significantly post: p=".046)" weeks training.> Conclusions
A 4-week cycling regimen can normalize the modulation of reciprocal inhibition and functional performance in individuals with SCA. These findings are applicable to the coordination training of 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=118374
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1006–1013[article]
Titre : Does Self-Efficacy Mediate Functional Change in Older Adults Participating in an Exercise Program After Hip Fracture? A Randomized Controlled Trial Type de document : Article Auteurs : Feng-Hang Chang ; Nancy K. Latham ; Pengsheng Ni Article en page(s) : p. 1014–1020 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Mobilité réduite ; Rééducation et réadaptation ; VieillissementMots-clés : Activities of daily living Aging Hip fractures Fractures de la hanche Mobility limitation Self efficacy Auto-efficacité Résumé : Objectives
To examine whether self-efficacy mediated the effect of the Home-based Post-Hip Fracture Rehabilitation program on activity limitations in older adults after hip fracture and whether the mediating effect was different between sex and age groups.
Design
Randomized controlled trial.
Setting
Community.
Participants
Participants with hip fracture (N=232; mean age + SD, 79+9.4y) were randomly assigned to intervention (n=120, 51.7%) and attention control (n=112, 48.3%) groups.
Interventions
The 6-month intervention, the Home-based Post-Hip Fracture Rehabilitation, is a functionally oriented, home-based exercise program. Data were collected at baseline, postintervention (6mo), and follow-up (9mo).
Main Outcome Measures
Activity Measure for Post-Acute Care.
Results
The mediating effect of the Home-based Post-Hip Fracture Rehabilitation program on Basic Mobility function through self-efficacy for exercise was significant at 9 months (βindirect=.21). Similarly, the mediating effect of the intervention on Daily Activity function through self-efficacy for exercise was significant at 9 months (βindirect=.49). In subgroup analyses, the mediating effect was significant at 9 months in the younger group (age, ≤79y) in comparison to the older group and was significant in women in comparison to men.
Conclusions
Self-efficacy may play a partial mediating role in the effect on some longer-term functional outcomes in the Home-based Post-Hip Fracture Rehabilitation intervention. The results suggest that program components that target self-efficacy should be incorporated in future hip fracture rehabilitation interventions. Age and sex of the targeted participants may also need to be considered when developing interventions.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=118375
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1014–1020[article]
Titre : Receipt of Physical Therapy Among Osteoarthritis Patients and Its Influencing Factors Type de document : Article Auteurs : Huan-Jui Yeh ; Yiing-Jenq Chou ; Nan-Ping Yang Article en page(s) : p. 1021–1027 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Rééducation et réadaptation ; Services de santéMots-clés : Health services Osteoarthritis Résumé : Objective
To explore major patient and provider characteristics influencing the receipt of physical therapy (PT) among patients newly diagnosed with osteoarthritis.
Design
A population-based, cross-sectional study on outpatient PT for patients newly diagnosed with osteoarthritis within the period of 2005 to 2010.
Setting
Sample of 1 million National Health Insurance enrollees.
Participants
People aged ≥18 years with an incidence of osteoarthritis and receiving initial outpatient treatment. A total of 29,012 patients were included (N=29,012).
Interventions
Not applicable.
Main Outcome Measures
The outcome variable of interest was the probability of receiving PT within 1 year of osteoarthritis diagnosis. Both individual and provider characteristics were investigated to determine their influence on PT receipt.
Results
Of the 29,012 included patients with osteoarthritis, only 24.8% of them received PT within the first year of diagnosis. Men and older adults were less likely to receive PT. In addition, low-income patients with osteoarthritis were less likely to receive PT. Furthermore, PT receipt was increased in patients treated by physicians who were women and by physicians who specialized in rehabilitation medicine. In addition, we observed a pattern indicating that the lower the accreditation level of the practice setting, the greater the probability of receiving PT.
Conclusions
Because of the National Health Insurance program in Taiwan, direct medical costs of PT have been substantially reduced; however, variations are still observed among different patient and provider characteristics. The major role of providers in PT receipt for patients with osteoarthritis should not be ignored.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=118376
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1021–1027[article]
Titre : Work Disability Functional Assessment Battery: Feasibility and Psychometric Properties Type de document : Article Auteurs : Mark Meterko ; Elizabeth E. Marfeo ; Christine M. McDonough Article en page(s) : p. 1028–1035 Langues : Anglais (eng) Descripteurs : HE Vinci
Etudes de validation ; Évaluation de résultat (soins) ; Psychométrie ; Rééducation et réadaptationMots-clés : Disability evaluation Évaluation de l'incapacité Outcome Assessment (Health Care) Psychometrics United States Social Security Administration Social Security Administration (USA) Validation studies Résumé : Objective
To assess the feasibility and psychometric properties of 8 scales covering 2 domains of the newly developed Work Disability Functional Assessment Battery (WD-FAB): physical function (PF) and behavioral health (BH) function.
Design
Cross-sectional study.
Setting
Community.
Participants
Adults (N=973) unable to work because of a physical (n=497) or a mental (n=476) disability.
Interventions
Not applicable.
Main Outcome Measures
Each disability group responded to a survey consisting of the relevant WD-FAB scales and existing measures of established validity. The WD-FAB scales were evaluated with regard to data quality (score distribution, percentage of “I don't know” responses), efficiency of administration (number of items required to achieve reliability criterion, time required to complete the scale) by computerized adaptive testing (CAT), and measurement accuracy as tested by person fit. Construct validity was assessed by examining both convergent and discriminant correlations between the WD-FAB scales and scores on same-domain and cross-domain established measures.
Results
Data quality was good, and CAT efficiency was high across both WD-FAB domains. Measurement accuracy was very good for PF scales; BH scales demonstrated more variability. Construct validity correlations, both convergent and divergent, between all WD-FAB scales and established measures were in the expected direction and range of magnitude.
Conclusions
The data quality, CAT efficiency, person fit, and construct validity of the WD-FAB scales were well supported and suggest that the WD-FAB could be used to assess PF and BH function related to work disability. Variation in scale performance suggests the need for future work on item replenishment and refinement, particularly with regard to the Self-Efficacy scale.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=118377
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1028–1035[article]
Titre : Rasch Analyses of the Wheelchair Use Confidence Scale Type de document : Article Auteurs : Brodie M. Sakakibara ; William C. Miller ; Paula W. Rushton Article en page(s) : p. 1036–1044 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Psychométrie ; Rééducation et réadaptationMots-clés : Factor Analysis Statistical Analyse statistique factorielle Outcome assessment (health care) Psychometrics Self efficacy Auto-efficacité Wheelchairs Fauteuils roulants Résumé : Objectives
To compare the functioning of the 101-point response format of the Wheelchair Use Confidence Scale (WheelCon) with shortened 11-point formats, and to evaluate the scale's measurement properties using principal components and Rasch analyses.
Design
Secondary analysis of cross-sectional data.
Setting
Community.
Participants
Volunteer participants were manual wheelchair users (N=220) ≥19 years of age, with ≥6 months' experience with daily wheelchair use and no cognitive impairment.
Interventions
None.
Main Outcome Measure
65-item WheelCon.
Results
The 11-point response format outperformed the original 101-point format. Principal component analyses confirmed the presence of 2 dimensions: mobility efficacy and self-management efficacy. Thirteen items in the mobility efficacy subscale and 8 items in the self-management efficacy subscale fit the Rasch Rating Scale model. Five items misfit the model developed using the 21 items from both subscales. In each of the 13- and 8-item subscales, and the 21-item short form, the 2 lowest and highest scores had internal consistency reliability estimates <.70 all other scores had reliability estimates>.70.
Conclusions
The WheelCon is composed of 2 dimensions. The recoded measurements using a 0-to-10 response scale from the 13-item mobility and 8-item self-management efficacy subscales have good reliability, as do the measurements from the 21-item WheelCon Short Form. The use of the subscales, the short form, or both, depends on the context in which they are being considered. Research to establish the reliability and validity of the measurements using the 0-to-10 response format is warranted.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=118378
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1036–1044[article]
Titre : Development and Psychometric Evaluation of a New Measure for Children's Participation in Hand-Use Life Situations Type de document : Article Auteurs : Chi-Wen Chien ; Sylvia Rodger ; Jodie Copley Article en page(s) : p. 1045–1055 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Évaluation de résultat (soins) ; Participation sociale ; Rééducation et réadaptationMots-clés : Child Outcome assessment (health care) Social participation Résumé : Objective
To describe the development of the Children's Assessment of Participation with Hands, a parent-report questionnaire that assesses children's participation in life situations requiring hand use specifically, and to investigate its construct validity (using Rasch analysis and known-group comparison) and reliability (test-retest reliability and internal consistency).
Design
Cross-sectional, validation, and test-retest studies.
Setting
Schools.
Participants
Parents/caregivers (N=202) reported on their children aged 2 to 12 years with (n=97) and without disabilities (n=105).
Interventions
Not applicable.
Main Outcome Measure
The Children's Assessment of Participation with Hands was developed based on a content review of existing children's participation measures and literature, expert review, and pilot testing. The Children's Assessment of Participation with Hands included 37 items measuring participation diversity, frequency, independence, and desire for change in specific hand-use life situations across 4 domains of self-care, recreation, education, and domestic life and community.
Results
Evidence for construct validity of the Children's Assessment of Participation with Hands domains was established through Rasch analysis (after removing 2 misfitting items from the recreational domain and 1 item from the domestic life and community domain). Differences in summary scores of each domain between children with and without disabilities were also significant (P<.01 test-retest reliability of the children assessment participation with hands was moderate to high correlation coefficients .69 except for desire change dimension scale recreational domain internal consistency varied across dimensions> Conclusions
Results provide preliminary evidence for the construct validity and reliability of the Children's Assessment of Participation with Hands that could be used in clinical and research settings to gain a specific understanding of the impact of children's hand-use difficulties on their participation in life situations requiring hand use.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=118379
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1045–1055[article]
Titre : Dutch Multifactor Fatigue Scale: A New Scale to Measure the Different Aspects of Fatigue After Acquired Brain Injury Type de document : Article Auteurs : Annemarie C. Visser-Keizer ; Antoinette Hogenkamp ; Herma J. Westerhof-Evers Article en page(s) : p. 1056–1063 Langues : Anglais (eng) Descripteurs : HE Vinci
Fatigue ; Neuropsychologie ; Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Neuropsychology Self-assessment Auto-évaluation (psychologie) Résumé : Objectives
To develop the Dutch Multifactor Fatigue Scale (DMFS), a new scale to assess the nature and impact of fatigue and coping with fatigue in the chronic phase after acquired brain injury (ABI) and to analyze the psychometric properties of this scale in a mixed group of patients with ABI.
Design
Cross-sectional survey study.
Setting
Academic rehabilitation center.
Participants
A mixed sample of patients with ABI (N=134). For the development of the DMFS: community-dwelling adults with stroke (n=9) and traumatic brain injury (n=5). For analyses of the psychometric properties of the DMFS: community-dwelling adults with ischemic stroke (n=55), hemorrhagic stroke (n=22), traumatic brain injury (n=35), or other ABIs (n=22), all at least 6 months after brain injury.
Interventions
Not applicable.
Main Outcome Measures
DMFS, Hospital Anxiety and Depression Scale, Checklist Individual Strength, and Dutch Personality Questionnaire.
Results
Exploratory and confirmatory factor analyses on data of 134 patients showed that the final DMFS consisted of 5 factors (explaining 55% of the variance): Impact of fatigue, Mental fatigue, Signs and Direct consequences of fatigue, Physical fatigue, and Coping with fatigue. All subscales of the DMFS showed sufficient to good reliability, good convergent validity with an existing fatigue scale, and good divergent validity with measures of mood and self-esteem.
Conclusions
The DMFS is believed to improve the diagnostic process of fatigue in the chronic phase after ABI. As it measures several factors of fatigue after brain injury, therapeutic indications can be targeted to patients' needs.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=118380
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1056–1063[article]
Titre : Psychological Factors Determine Depressive Symptomatology After Stroke Type de document : Article Auteurs : Maria L. van Mierlo ; Caroline M. van Heugten ; Marcel W. Post Article en page(s) : p. 1064–1070 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Dépression ; Psychologie ; Rééducation et réadaptation ; Santé mentaleMots-clés : Mental health Psychology Stroke Résumé : Objective
To identify psychological factors related to poststroke depressive symptoms.
Design
Cross-sectional study, with patients assessed at 2 months poststroke.
Setting
Patients with stroke from 6 general hospitals.
Participants
Stroke patients (N=344; mean age + SD, 66.9+12.3y).
Interventions
Not applicable.
Main Outcome Measures
The presence of clinical depressive symptoms was determined with the depression subscale of the Hospital Anxiety and Depression Scale 2 months poststroke. Psychological factors assessed were extraversion, neuroticism, optimism, pessimism, self-efficacy, helplessness, acceptance, perceiving benefits, proactive coping, and passive coping.
Results
Bivariate correlations and multivariate backward logistic regression were used to analyze associations between psychological factors and poststroke depressive symptoms, accounting for demographic and stroke-related factors. More neuroticism, pessimism, passive coping, and helplessness, and less extraversion, optimism, self-efficacy, acceptance, perceived benefits, and proactive coping were bivariately associated with the presence of depressive symptoms. Multivariate logistic regression analysis showed that more helplessness (odds ratio [OR]=1.17) and passive coping (OR=1.19) and less acceptance (OR=.89) and perceived benefits (OR=.89) were independently significantly associated with the presence of poststroke depressive symptoms (Nagelkerke R2=.49).
Conclusions
We found a relationship between psychological variables and the presence of depressive symptoms 2 months poststroke. It is important to take these factors into account during poststroke rehabilitation.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=118381
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1064–1070[article]
Titre : Prevalence of Abnormal Systemic Hemodynamics in Veterans With and Without Spinal Cord Injury Type de document : Article Auteurs : Jill M. Wecht ; Joseph P. Weir ; Marinella Galea Article en page(s) : p. 1071–1079 Langues : Anglais (eng) Descripteurs : HE Vinci
Hypertension arterielle ; Hypotension ; Hypotension arterielle ; Hypotension orthostatique ; Rééducation et réadaptation ; TachycardieMots-clés : Orthostatic Tachycardia Résumé : Objective
Increased prevalence of heart rate and blood pressure abnormalities are evident in persons with spinal cord injury (SCI), but age, comorbid medical conditions, and prescription medication use may contribute. To determine differences in the prevalence of cardiac acceleration (heart rate ≥80 beats per minute), hypotension (blood pressure ≤110/70mmHg), orthostatic hypotension (OH) (−20/−10mmHg with upright positioning), and hypertension (HTN) (blood pressure ≥140/90mmHg) in veterans with and without SCI.
Design
Observational trial.
Setting
Medical center.
Participants
Subjects included veterans with SCI (n=62; cervical: tetraplegia, C3-8; high thoracic, T1-5; low thoracic, T7-L2) and veterans without SCI (n=160).
Interventions
None.
Main Outcome Measures
We assessed medical history, prescription medication use, and heart rate and blood pressure during a routine clinical visit. Prevalence rates of cardiac acceleration, hypotension, OH, and HTN were calculated using binary logistic regression analysis with 95% confidence intervals. The influence of SCI status, age, smoking status, cardiovascular diagnoses, and use of prescribed antihypertensive medications on the prevalence of abnormal heart rate and blood pressure recordings was determined.
Results
The diagnosis of HTN was reduced in the high thoracic and tetraplegia groups compared with the non-SCI and low thoracic groups. Use of antihypertensive medications was increased in the low thoracic group compared with the other 3 groups and was increased in the non-SCI group compared with the tetraplegia group. The prevalence of cardiac acceleration was reduced, and the prevalence of systolic hypotension was increased in the tetraplegia group. The prevalence of diastolic hypotension was increased in all SCI groups compared with the non-SCI group. For all analyses, increased prevalence of abnormal heart rate and blood pressure recordings was not further explained by the covariates, with the exception of age, cardiovascular diagnoses, and antihypertensive medications in the cardiac acceleration model; however, SCI status remained significant and was the dominant predictor variable.
Conclusions
Our data suggest that SCI status contributes to the prevalence of cardiac acceleration and systolic and diastolic hypotension regardless of cardiovascular medical conditions or prescription antihypertensive medication use.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=118382
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1071–1079[article]
Titre : International Retrospective Comparison of Inpatient Rehabilitation for Patients With Spinal Cord Dysfunction Epidemiology and Clinical Outcomes Type de document : Article Auteurs : Peter Wayne New ; Ronald K. Reeves ; Eimear Smith Article en page(s) : p. 1080–1087 Langues : Anglais (eng) Descripteurs : HE Vinci
Épidémiologie ; Prestations des soins de santé ; Rééducation et réadaptationMots-clés : Delivery of health care Epidemiology Outcome and process assessment (health care) Évaluation des résultats et des processus en soins de santé Spinal cord diseases Maladies de la moelle épinière Résumé : Objective
To describe and compare epidemiologic characteristics of patients with spinal cord dysfunction admitted to spinal rehabilitation units (SRUs) in 9 countries (Australia, Canada, Italy, India, Ireland, The Netherlands, Switzerland, United Kingdom, and United States).
Design
Retrospective multicenter open-cohort case series.
Setting
SRUs.
Participants
Patients (N=956) with initial onset of spinal cord dysfunction consecutively admitted between January 1, 2008, and December 31, 2010. Median age on admission was 59 years (interquartile range [IQR], 46–70), and 60.8% of patients were men.
Interventions
Not applicable.
Main Outcome Measures
Demographic characteristics (eg, age, sex), time frame over which clinical symptoms of spinal cord dysfunction developed, etiology, length of stay in hospital, level of lesion and American Spinal Injury Association Impairment Scale (AIS) grade, discharge destination, and inpatient mortality.
Results
The time frame of onset of spinal cord dysfunction symptoms was as follows: ≤1 day (28.5%); ≤1 week (13.8%); >1 week but ≤1 month (10.5%), and >1 month (47.2%). Most common etiologies were degenerative conditions (30.8%), malignant tumors (16.2%), ischemia (10.9%), benign tumors (8.7%), and bacterial infections (7.1%). Most patients (72.3%) had paraplegia. The AIS grade on SRU admission was grade A in 14%, grade B in 6.5%, grade C in 24%, grade D in 52.4%, grade E in 0.2%, and missing in 2.9%. AIS grade significantly improved by discharge (z=−10.1, P<.0001 median length of stay in the sru was days most patients were discharged home. differences between countries found for variables.> Conclusions
This international study of spinal cord dysfunction showed substantial variation of etiology, demographic, and clinical characteristics across countries. Further research, including multiple centers per country, are needed to separate country effects from center effects.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=118383
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1080–1087[article]
Titre : Segmental Contributions to Trunk Control in Children With Moderate-to-Severe Cerebral Palsy Type de document : Article Auteurs : Sandra L. Saavedra ; Marjorie H. Woollacott Article en page(s) : p. 1088–1097 Langues : Anglais (eng) Descripteurs : HE Vinci
Posture ; Rééducation et réadaptationRésumé : Objective
To examine postural constraints in children with moderate-to-severe cerebral palsy (CP) using a segmental approach.
Design
Quasi-experimental repeated-measures study; case series.
Setting
Motor control research laboratory.
Participants
Children (N=15; age range, 4–16y) with moderate (Gross Motor Function Classification System [GMFCS] IV; n=8; 4 boys) or severe (GMFCS V) (n=7; 4 boys) CP.
Interventions
Each child participated in 3 data collection sessions. During each session, we evaluated postural control for sitting using kinematics and clinical assessments.
Main Outcome Measures
Kinematic data were used to document head alignment and stabilization with external support at 4 levels (axillae, midrib, waist, hip). Two clinical assessments, the Segmental Assessment of Trunk Control and behavioral assessment for stage of trunk control, were also used to compare results for children with CP to previous longitudinal data from typically developing (TD) infants (3–9mo of age).
Results
Children with GMFCS V had difficulty aligning and stabilizing their head along the medial-lateral and anterior-posterior axes. External support improved postural control for children with GMFCS V but not for those classified as GMFCS IV, who had opposite responses to support compared with TD infants.
Conclusions
Children with GMFCS V have limited trunk control but respond to support similarly to young TD infants, suggesting delayed postural control. Response to external support for children with GMFCS IV suggests a unique strategy for trunk control not observed in typical infants. Overall a segmental approach offers new insights into development of trunk control in children with moderate-to-severe CP.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=118384
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1088–1097[article]
Titre : Preliminary Investigation of Gait Initiation and Falls in Multiple Sclerosis Type de document : Article Auteurs : Douglas A. Wajda ; Yaejin Moon ; Robert W. Motl Article en page(s) : p. 1098–1102 Langues : Anglais (eng) Descripteurs : HE Vinci
Locomotion ; Rééducation et réadaptation ; Sclérose en plaquesMots-clés : Accidental falls Chutes accidentelles Gait Démarche Multiple sclerosis Résumé : Objective
To examine the relationship between gait initiation, fall history, and physiological fall risk in individuals with multiple sclerosis (MS) during both cognitive distracting and nondistracting conditions.
Design
Single time point cross-sectional analysis.
Setting
University research laboratory.
Participants
Ambulatory individuals (N=20) with MS ranging in age from 28 to 76 years.
Intervention
Not applicable.
Main Outcome Measures
Gait initiation time was quantified as the time to toe-off of the first step after an auditory cue. Gait initiation was performed with and without a concurrent cognitive challenge of reciting alternating letters of the alphabet. Additionally, participants underwent a test of fall risk using the Physiological Profile Assessment (PPA) and provided a self-report of the number of falls in the previous 3 months.
Results
Gait initiation times ranged from .67 to 1.12 seconds during the single-task condition and .73 to 1.84 seconds during the cognitive challenge condition. PPA scores ranged from −.80 to 3.87. Participants reported a median of 0.0 falls (interquartile range, 0.0–2.75) in the previous 3 months. There was a significant correlation between PPA score and gait initiation times only in the cognitive distraction condition (ρ=.50). There was also a correlation between cognitive distraction gait initiation times and fall history (ρ=.60).
Conclusions
The observations provide preliminary evidence that gait initiation during cognitive challenge may represent a target for fall prevention strategies in MS.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=118385
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1098–1102[article]
Titre : Single-Fiber Electromyography Analysis of Botulinum Toxin Diffusion in Patients With Fatigue and Pseudobotulism Type de document : Article Auteurs : Alexis Ruet ; Marie Christine Durand ; Pierre Denys Article en page(s) : p. 1103–1109 Langues : Anglais (eng) Descripteurs : HE Vinci
Asthenie ; Botulisme ; Electromyographie ; Rééducation et réadaptationMots-clés : Asthenia Botulinum toxins type A Toxines botuliniques de type A Botulism Electromyography Résumé : Objective
To characterize electromyographic abnormalities according to symptoms (asymptomatic, fatigue, pseudobotulism) reported 1 month after botulinum toxin injection.
Design
Retrospective, single-center study comparing single-fiber electromyography (SFEMG) in the extensor digitorum communis (EDC) or orbicularis oculi (OO) muscles.
Setting
Hospital.
Participants
Four groups of adults treated for spasticity or neurologic bladder hyperactivity (N=55): control group (asymptomatic patients: n=17), fatigue group (unusual fatigue with no weakness: n=15), pseudobotulism group (muscle weakness and/or visual disturbance: n=20), and botulism group (from intensive care unit of the same hospital: n=3).
Interventions
Not applicable.
Main Outcome Measures
Mean jitter, percentage of pathologic fibers, and percentage of blocked fibers were compared between groups.
Results
SFEMG was abnormal for 17.6% of control patients and 75% of patients in the pseudobotulism group. There were no differences between the control and fatigue groups. Mean jitter, percentage of pathologic fibers, and percentage of blocked fibers of the EDC muscle were significantly higher in the pseudobotulism group than in the fatigue and control groups. There were no differences between groups for the OO muscle. The SFEMG results in the botulism group were qualitatively similar to those of the pseudobotulism group.
Conclusions
SFEMG of the EDC muscle confirmed diffusion of the toxin into muscles distant from the injection site in the pseudobotulism group. SFEMG in the OO muscle is not useful for the diagnosis of diffusion. No major signs of diffusion of botulinum toxin type A were found away from the injection site in patients with fatigue but no motor weakness. Such fatigue may be related to other mechanisms.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=118386
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1103–1109[article]
Titre : Participation in Society in Patients With Coronary Artery Disease Before and After Cardiac Rehabilitation Type de document : Article Auteurs : Nienke ter Hoeve ; Myrna E. van Geffen ; Marcel W. Post Article en page(s) : p. 1110–1116 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladie des artères coronaires ; Participation sociale ; Rééducation et réadaptationMots-clés : Coronary artery disease Social participation Résumé : Objectives
To assess changes in participation in society (frequency, restrictions, satisfaction) during and after cardiac rehabilitation (CR) and to assess associations between participation and heath-related quality of life (HRQOL).
Design
Prospective cohort study.
Setting
Outpatient CR center.
Participants
Patients with coronary artery disease (N=121; mean age, 57y; 96 men [79%]).
Interventions
Multidisciplinary CR.
Main Outcome Measures
Participation in society was assessed with the Utrecht Scale for Evaluation of Rehabilitation-Participation and HRQOL with the MacNew Heart Disease health-related quality of life questionnaire. All measurements were performed pre-CR, post-CR, and 1 year after the start of CR.
Results
Frequency of participation did not change during and after CR. The proportion of patients experiencing restrictions in participation decreased from 69% pre-CR to 40% post-CR (P<.001 and at year vs post-cr pre-cr of patients were dissatisfied with their participation. this improved to experienced restrictions explained the improvement in hrqol during cr satisfaction participation> Conclusions
Participation in society improves in patients undergoing CR. Despite these improvements, the presence of coronary artery disease is associated with persistent restrictions and dissatisfaction with participation. Because experienced restrictions and dissatisfaction are related to changes in HRQOL it is important to address these aspects of participation during CR.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=118387
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1110–1116[article]
Titre : Barriers to Wheelchair Use in the Winter Type de document : Article Auteurs : Jacquie D. Ripat ; Cara L. Brown ; Karen D. Ethans Article en page(s) : p. 1117–1122 Langues : Anglais (eng) Descripteurs : HE Vinci
Neige ; Participation sociale ; Rééducation et réadaptationMots-clés : Cold temperature Basse température Social participation Snow Wheelchairs Fauteuils roulants Résumé : Objectives
To test the hypothesis that challenges to community participation posed by winter weather are greater for individuals who use scooters, manual and power wheelchairs (wheeled mobility devices [WMDs]) than for the general ambulatory population, and to determine what WMD users identify as the most salient environmental barriers to community participation during the winter.
Design
Cross-sectional survey organized around 5 environmental domains: technological, natural, physical, social/attitudinal, and policy.
Setting
Urban community in Canada.
Participants
Convenience sample of WMD users or their proxy (N=99).
Interventions
Not applicable.
Main Outcome Measures
Not applicable.
Results
Forty-two percent identified reduced outing frequency in winter months, associated with increased age (χ3=6.4, P=.04), lack of access to family/friends for transportation (χ2=8.1, P=.04), and primary type of WMD used in the winter (scooter χ2=8.8, P=.003). Most reported tires/casters becoming stuck in the snow (95%) or slipping on the ice (91%), difficulty ascending inclines/ramps (92%), and cold hands while using controls or pushing rims (85%); fewer identified frozen wheelchair/scooter batteries, seat cushions/backrests, or electronics. Sidewalks/roads were reported to be problematic by 99%. Eighty percent reported needing additional help in the winter. Limited community access in winter led to a sense of loneliness/isolation, and fear/anxiety related to safety. Respondents identified policies that limited participation during winter.
Conclusions
People who use WMDs decrease their community participation in cold weather because of multiple environmental barriers. Clinicians, researchers, and policymakers can take a multidimensional approach to mitigate these barriers in order to enhance community participation by WMD users in winter.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=118388
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1117–1122[article]
Titre : Prevalence of Myofascial Trigger Points and Diagnostic Criteria of Different Muscles in Function of the Medial Longitudinal Arch Type de document : Article Auteurs : Juan C. Zuil-Escobar ; Carmen B. Martínez-Cepa ; José A. Martín-Urrialde Article en page(s) : p. 1123–1130 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre inférieur ; Prévalence ; Rééducation et réadaptationMots-clés : Lower extremity Trigger points Points de déclenchement Résumé : Objectives
To evaluate the reliability of the used diagnostic criteria of latent trigger points (LTrPs) and pressure pain thresholds and to evaluate the prevalence of LTrPs in several muscles of the lower limb in subjects with a lower medial longitudinal arch (MLA) compared with controls.
Design
Cross-sectional study.
Setting
University campus.
Participants
Subjects with a lower limb MLA (n=82) and controls (n=82) (N=164).
Interventions
Not applicable.
Main Outcome Measures
The navicular drop test was used to classify subjects with a lower MLA (≥10mm) and controls (5–9mm). The Simons et al recommended specific diagnostic criteria and pressure pain thresholds were used to evaluate the prevalence of LTrPs in several muscles of the lower limb, which was compared between the 2 groups. The reliability was evaluated using Cohen's kappa and intraclass correlation coefficient. The unpaired Student t test and chi-square test were used to evaluate the difference in the LTrP prevalence between the 2 groups.
Results
The intrarater reliability of the navicular drop test and the diagnosis of LTrPs was excellent, with the taut band and tender spot being the most reliable diagnostic criteria. In the lower MLA group, 60 subjects (73%) presented at least 1 LTrP whereas 57 controls (70%) presented at least 1 LTrP. The lower MLA group showed more LTrPs (4.46+4.10) than did controls (3.32+3.24) (P<.05 there were significantly more subjects with ltrps in the flexor digitorum longus tibialis anterior and vastus medialis lower mla group than control group.> Conclusions
LTrPs are common in the lower limb muscles in both controls and subjects with a lower MLA. A lower MLA is associated with a higher prevalence of LTrPs, which are significant in the flexor digitorum longus, tibialis anterior, and vastus medialis.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=118389
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1123–1130[article]
Titre : Incidence and Time Path of Lymphedema in Sentinel Node Negative Breast Cancer Patients: A Systematic Review Type de document : Article Auteurs : Nick Gebruers ; Hanne Verbelen ; Tessa De Vrieze Article en page(s) : p. 1131–1139 Langues : Anglais (eng) Descripteurs : HE Vinci
Lymphoedeme ; Rééducation et réadaptation ; Revue de la littérature ; Tumeurs du seinMots-clés : Breast neoplasms Lymphedema Review Sentinel lymph node biopsy Biopsie de noeud lymphatique sentinelle Résumé : Objective
To systematically assess the incidence/prevalence and time path of lymphedema in patients with sentinel node–negative breast cancer.
Data Sources
A systematic literature search up to November 2013 was performed using 4 different electronic databases: PubMed, Embase, Cochrane Clinical Trials, and Web of Science.
Study Selection
Inclusion criteria were as follows: (1) research studies that included breast cancer patients who were surgically treated using the sentinel lymph node biopsy (SLNB) technique; (2) sentinel node–negative patients; (3) studies that investigated lymphedema as a primary or secondary outcome; (4) data extraction for the incidence or time path of lymphedema was possible; and (5) publication date starting from January 1, 2001. Exclusion criteria were as follows: (1) reviews or case studies; (2) patients who had an SLNB followed by an axillary lymph node dissection (ALND); (3) results of ALND patients and SLNB patients not described separately; and (4) studies not written in English.
Data Extraction
After scoring the methodological quality of the selected studies, the crude data concerning the incidence of lymphedema were extracted. Data concerning the time points and the incidence of lymphedema were also extracted.
Data Synthesis
Twenty-eight articles were included, representing 9588 SLNB-negative patients. The overall incidence of lymphedema in patients with sentinel node–negative breast cancer ranged from 0% to 63.4%. The studies that have assessed lymphedema at predefined time points, instead of a mean follow-up time, demonstrated an incidence range at ≤3, 6, 12, 18, or >18 months postsurgery of 3.2% to 5%, 2% to 10%, 3% to 63.4%, 6.6% to 7%, and 6.9% to 8.2%, respectively.
Conclusions
In SLNB patients, lymphedema is still a problem, mostly occurring 6 to 12 months after surgery. Because of different assessments and criteria, there is a wide range in incidence. Clear definitions of lymphedema are absolutely necessary to tailor therapy.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=118390
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1131–1139[article]
Titre : Effectiveness of Postoperative Physical Therapy for Upper-Limb Impairments After Breast Cancer Treatment: A Systematic Review Type de document : Article Auteurs : An De Groef ; Marijke Van Kampen ; Evi Dieltjens Article en page(s) : p. 1140–1153 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Tumeurs du seinMots-clés : Breast neoplasms Physical therapy modalities Techniques de physiothérapie Shoulder pain Scapulalgie Résumé : Objective
To systematically review the effectiveness of various postoperative physical therapy modalities and timing of physical therapy after treatment of breast cancer on pain and impaired range of motion (ROM) of the upper limb.
Data Sources
We searched the following databases: PubMed/MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, Physiotherapy Evidence Database, and Cochrane. Articles published until October 2012 were included.
Study Selection
Only (pseudo) randomized controlled trials and nonrandomized experimental trials investigating the effectiveness of passive mobilization, manual stretching, myofascial therapy, and/or exercise therapy and timing of physical therapy after treatment for breast cancer are reviewed. Primary outcomes are pain of the upper limb and/or ROM of the shoulder. Secondary outcomes are decreased shoulder strength, arm lymphedema, limitations in activities of daily living, decreased quality of life, and wound drainage volume. Physical therapy modalities had to be started in the first 6 weeks after surgery.
Data Extraction
Articles were selected by 2 independent researchers in 3 phases and compared for consensus. First the titles were analyzed, and then the selected abstracts and finally the full texts were reviewed.
Data Synthesis
Eighteen randomized controlled trials were included in the review. Three studies investigated the effect of multifactorial therapy: 2 studies confirmed that the combination of general exercises and stretching is effective for the treatment of impaired ROM another study showed that passive mobilization combined with massage had no beneficial effects on pain and impaired ROM. Fifteen studies investigated the effectiveness of a single physical therapy modality. One study of poor quality found evidence supporting the beneficial effects of passive mobilization. The only study investigating the effect of stretching did not find any beneficial effects. No studies were found about the effectiveness of myofascial therapy in the postoperative phase. Five studies found that active exercises were more effective than no therapy or information on the treatment of impairments of the upper limb. Three studies supported the early start of exercises for recovery of shoulder ROM, whereas 4 studies supported the delay of exercises to avoid prolonged wound healing.
Conclusions
Multifactorial physical therapy (ie, stretching, exercises) and active exercises were effective to treat postoperative pain and impaired ROM after treatment for breast cancer. High-quality studies are necessary to determine the effectiveness of passive mobilization, stretching, and myofascial therapy as part of the multifactorial treatment. In addition, the appropriate timing and content of the exercise programs need to be further investigated.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=118391
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1140–1153[article]
Titre : Callosal Hyperintensities and Gait Speed Gain From Two Types of Mobility Interventions in Older Adults Type de document : Article Auteurs : Neelesh K. Nadkarni ; Subashan Perera ; Stephanie A. Studenski Article en page(s) : p. 1154–1157 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Exercice physique ; Rééducation et réadaptationMots-clés : Cerebral Small Vessel Diseases Maladies des petits vaisseaux cérébraux Corpus callosum Corps calleux Exercise Mobility Limitation Mobilité réduiteRehabilitation Résumé : Objective
To assess whether the volume of callosal hyperintensities in the genu and splenium of older adults with mobility impairment is differentially associated with the degree of gain in gait speed after 2 types of gait interventions.
Design
Single-blind randomized controlled trial of 2 types of gait exercises in older adults.
Setting
Research center in an academic institution.
Participants
Ambulatory adults (N=44) aged ≥65 years with a slow and variable gait.
Intervention
Twelve-week physical therapist–guided trial of a conventional walking, endurance, balance, and strength (WEBS) intervention (n=20) versus a timing and coordination of gait (TC) intervention (n=22).
Main Outcome Measure
Gain in gait speed after the intervention and its relation to callosal hyperintensities in the genu and splenium of the corpus callosum.
Results
Gait speed improved in both the WEBS group (mean change, 0.16m/s) and the TC group (mean change, 0.21m/s; both P<.05 the volume of white matter hypertintensities in genu was differentially associated with gait speed gain genual wmh interaction p=".05)." greater related to a smaller webs group but not tc group. splenial> Conclusions
Callosal hyperintensities differentially influence gait speed gain by the type of gait rehabilitation. Mobility impaired older adults with genual hyperintensities may benefit from a rehabilitation program focused on motor skill learning rather than on strength and endurance training.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=118392
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1154–1157[article]
Titre : Preliminary Evidence to Support a “Boot Camp” Approach to Wheelchair Skills Training for Clinicians Type de document : Article Auteurs : Edward M. Giesbrecht ; Nicole Wilson ; Andrea Schneider Article en page(s) : p. 1158–1161 Langues : Anglais (eng) Descripteurs : HE Vinci
Education ; Ergothérapie ; Rééducation et réadaptationMots-clés : Occupational therapy Self efficacy Auto-efficacité Wheelchairs Fauteuils roulants Résumé : Objective
To evaluate the impact of providing intensive large-group training on wheelchair-specific self-efficacy and skill capacity among occupational therapy students.
Design
Intervention study using before-after trial.
Setting
Universities.
Participants
Volunteer sample of master of occupational therapy students (N=65).
Interventions
Two instructors provided a total of 4.5 hours of wheelchair skills training to groups of 14 to 19 students in a boot camp format, which included a brief lecture, instruction, demonstration, and hands-on practice.
Main Outcome Measures
Wheelchair skill capacity (Wheelchair Skills Test Questionnaire [WST-Q]), with scores ranging from 0 to 64, and wheelchair-specific self-efficacy (Wheelchair Use Confidence Scale for Manual Wheelchair Users [WheelCon-M]), with scores ranging from 0 to 10.
Results
At postintervention, the mean WST-Q score increased by 24.7 (95% confidence interval, 22.1–27.3; P=.000), reflecting a 38.6% improvement (Cohen d=2.8). The mean WheelCon-M score improved by 3.0 (95% confidence interval, 2.5–3.3; P=.000).
Conclusions
To our knowledge, this is the first study to measure and demonstrate improvement in wheelchair-specific self-efficacy among student clinicians. Participants demonstrated substantively larger improvements and acquired more advanced skills than previous studies using shorter training sessions with smaller groups. This study provides evidence for using a boot camp format as an effective strategy to increase occupational therapy students' confidence and skill with wheelchair mobility, preparing them to place greater emphasis on, and achieve better success in, training future clients.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=118393
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1158–1161[article]
Titre : Assessing Gait Variability in Transtibial Amputee Fallers Based on Spatial-Temporal Gait Parameters Normalized for Walking Speed Type de document : Article Auteurs : Brenton G. Hordacre ; Christopher J. Barr ; Benjamin L. Patritti Article en page(s) : p. 1162–1165 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputés ; Rééducation et réadaptationMots-clés : Accidental falls Chutes accidentelles Amputees Gait Démarche Walking Marche à pied Résumé : Objective
To determine whether normalizing spatial-temporal gait data for walking speed obtained from multiple walking trials leads to differences in gait variability parameters associated with a history of falling in people with transtibial amputations.
Design
Cross-sectional study.
Setting
Rehabilitation center.
Participants
People with unilateral transtibial amputations (N=45; mean age + SD, 60.5+13.7y; 35 men [78%]) were recruited.
Interventions
Not applicable.
Main Outcome Measures
Participants completed 10 consecutive walking trials using an instrumented walkway system. Primary gait parameters were walking speed and step-length, step-width, step-time, and swing-time variability. A retrospective 12-month fall history was obtained from participants.
Results
Sixteen amputees (36%) were classified as fallers. Variation in gait speed across the 10 walking trials was 2.9% (range, 1.1%–12.1%). Variability parameters of normalized gait data were significantly different from variability parameters of nonnormalized data (all P<.01 for nonnormalized data fallers had greater amputated limb step-time step-length swing-time and step-width variability nonamputated variability. normalized only parameters were significantly fallers. these> Conclusions
Normalizing spatial-temporal gait data for walking speed before calculating gait variability parameters may aid in discerning variability parameters related to falls histories in people with transtibial amputations. This may help focus on the initial rehabilitation efforts of amputees with a fall history.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=118394
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1162–1165[article]
Titre : Improved Gait Performance in a Patient With Hereditary Spastic Paraplegia After a Continuous Intrathecal Baclofen Test Infusion and Subsequent Pump Implantation: A Case Report Type de document : Article Auteurs : Herre W. Heetla ; Jan P. Halbertsma ; Rienk Dekker Article en page(s) : p. 1166–1169 Langues : Anglais (eng) Descripteurs : HE Vinci
Présentations de cas ; Rééducation et réadaptationMots-clés : Baclofen Baclofène Case reports Injections spinal Injections rachidiennes Muscle spasticity Spasticité musculaire Spastic paraplegia hereditary Paraplégie spasmodique héréditaire Résumé : Objective
To show the benefits of a continuous intrathecal baclofen (ITB) test infusion in a patient with hereditary spastic paraplegia (HSP), with an improved gait performance after ITB pump implantation.
Design
Case report.
Setting
University hospital.
Participant
A 49-year old man with HSP experiencing progressive walking difficulties because of lower extremity spasticity, which did not respond to oral spasmolytics.
Interventions
A prolonged, continuous ITB test infusion was started at a low dose and increased gradually, to provide a stable dose of ITB over a prolonged period. The gradual dose increase provided the patient enough time to experience the effects of ITB, because he feared that ITB therapy might cause functional loss.
Main Outcome Measures
Modified Ashworth Scale, electromyography, muscle strength, timed Up and Go tests, and the Patient Global Impression of Change. Gait performance before and after ITB pump implantation was assessed in a motion laboratory.
Results
During the test infusion, the ITB dose was gradually increased to a continuous dose of 108μg/d. This dose caused the spasticity to decrease, with maintenance of muscle strength. After pump implantation, gait performance was improved, resulting in increased knee flexion during the loading response and a doubled walking speed as compared with baseline.
Conclusions
Patients with HSP who have mild spasticity that does not respond to oral spasmolytics should receive a continuous ITB test infusion, to provide them with enough time to experience the delicate balance between spasmolysis and muscle strength. ITB administration is a suitable therapy to improve gait performance in patients with HSP.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=118395
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1166–1169[article]
Titre : Reporting on Interventions: Issues and Guidelines for Rehabilitation Researchers Type de document : Article Auteurs : Marcel P. Dijkers Article en page(s) : p. 1170–1180 Langues : Anglais (eng) Descripteurs : HE Vinci
Edition ; Rééducation et réadaptationMots-clés : Guidelines as topic Recommandations comme sujet Peer review research Évaluation de la recherche par les pairs Publishing Résumé : Observers commonly note the poor reporting of research, including rehabilitation research. The Consolidated Standards of Reporting Trials (CONSORT) checklist (supplemented by the CONSORT extension for nonpharmacologic interventions) has been published for improving the reporting of intervention research. However, the items on these checklists are considered to be inadequate to guide authors as to which information to include when reporting on the intervention(s) studied, and the Template for Intervention Description and Replication, Journal Article Reporting Standards, and the checklist of the Western Journal of Nursing Research are recommended to rehabilitation researchers. The Rehabilitation Treatment Taxonomy framework is recommended as a conceptual scheme to assist authors in thinking through the linkages between intervention ingredients, targets of treatment, and the mechanisms of action linking these 2 areas. Recommendations are made for prospective authors and journal editors who desire to see improved reporting of rehabilitation interventions. 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=118396
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 1170–1180[article]
