Dépouillements
Ajouter le résultat dans votre panierEfficacy of Progressive Muscle Relaxation, Mental Imagery, and Phantom Exercise Training on Phantom Limb: A Randomized Controlled Trial / Stefano Brunelli in Archives of Physical Medicine and Rehabilitation, 2015/2 (2015)
Titre : Efficacy of Progressive Muscle Relaxation, Mental Imagery, and Phantom Exercise Training on Phantom Limb: A Randomized Controlled Trial Type de document : Article Auteurs : Stefano Brunelli ; Giovanni Morone ; Marco Iosa Article en page(s) : p. 181-187 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Douleur chronique ; Membre fantôme ; Rééducation et réadaptationMots-clés : Amputation chirurgicale Chronic pain Phantom limb Sensation Résumé : Objective
To evaluate the reduction in phantom pain and sensation with combined training of progressive muscle relaxation, mental imagery, and phantom exercises.
Design
Randomized controlled prospective trial with 2 parallel groups.
Setting
Amputee unit of a rehabilitation hospital.
Participants
Subjects with unilateral lower limb amputation (N=51) with phantom limb pain (PLP) and/or phantom limb sensation (PLS).
Interventions
The experimental group performed combined training of progressive muscle relaxation, mental imagery, and phantom exercises 2 times/wk for 4 weeks, whereas the control group had the same amount of physical therapy dedicated to the residual limb. No pharmacological intervention was initiated during the trial period.
Main Outcome Measures
The Prosthesis Evaluation Questionnaire and the Brief Pain Inventory were used to evaluate changes over time in different aspects (intensity, rate, duration, and bother) of PLS and PLP. Blind evaluations were performed before and after treatment and after 1-month follow-up.
Results
The experimental group showed a significant decrease over time in all the Prosthesis Evaluation Questionnaire domains (in terms of both PLS and PLP; P<.04 for both and the brief pain inventory no statistically significant changes were observed in control group. between-group analyses showed a reduction intensity worst bother of plp rate pls at follow-up evaluation month after end treatment.> Conclusions
Combined training of progressive muscle relaxation, mental imagery, and modified phantom exercises should be taken into account as a valuable technique to reduce phantom limb pain and sensation.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=118519
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 181-187[article]
Titre : Functional Electrical Stimulation–Assisted Active Cycling—Therapeutic Effects in Patients With Hemiparesis From 7 Days to 6 Months After Stroke: A Randomized Controlled Pilot Study Type de document : Article Auteurs : Petra Bauer ; Carmen Krewer ; Stefan Golaszewski Article en page(s) : p. 188-196 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Electrotherapie ; Rééducation et réadaptationMots-clés : Electric stimulation therapy Ergometry Ergométrie Stroke Walking Marche à pied Résumé : Objective
To determine whether functional electrical stimulation (FES)-assisted active cycling is more effective than active cycling without FES concerning walking and balance. Specifically, walking ability was classified as to the amount of personal assistance needed to be able to walk and balance was evaluated for static and dynamic balance tasks.
Design
Monocentric, randomized, single-blinded, controlled trial.
Setting
Neurologic rehabilitation hospital.
Participants
Patients with severe hemiparesis due to stroke (N=40).
Interventions
Twenty minutes of active leg cycling with or without FES applied to the paretic vastus medialis and rectus femoris of quadriceps and to the biceps femoris and semitendinosus muscles, 3 times/wk for 4 weeks.
Main Outcome Measures
Functional ambulation classification (FAC) and performance-oriented mobility assessment (POMA) were the primary outcome measures. The leg subscale of the motricity index (MI) and the modified Ashworth scale were the secondary outcome measures. Evaluation was done before and after the intervention period and after an additional 2 weeks.
Results
After the intervention, the FAC, POMA, and the MI (P<.016 for both intervention groups improved significantly. the fac of control group increased by a median category and that fes categories. change in poma was points respectively. mann-whitney u test between-group comparisons revealed these gains were significantly better z="−2.58;" p=".013;" r="−.42)" because missing data slightly decreased effect sizes during follow-up phase differences did not reach statistically significant values. mi leg subscale showed improvements groups. however there no between at any time. changes observed on modified ashworth scale.> Conclusions
FES-assisted active cycling seems to be a promising intervention during rehabilitation in patients with 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=118520
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 188-196[article]
Titre : Pilot Randomized Trial of Progressive Resistance Exercise Augmented by Neuromuscular Electrical Stimulation for People With Multiple Sclerosis Who Use Walking Aids Type de document : Article Auteurs : Susan Coote, Auteur ; Lonan Hughes, Auteur ; Gary Rainsford, Auteur Article en page(s) : p. 197-204 Langues : Anglais (eng) Descripteurs : HE Vinci
Electrotherapie ; Mobilité réduite ; Rééducation et réadaptation ; Sclérose en plaquesMots-clés : Mobility limitation Multiple sclerosis Electric Stimulation Therapy Résumé : Objective
To investigate the feasibility and preliminary outcomes of a home progressive resistance training (PRT) program augmented by neuromuscular electrical stimulation (NMES).
Design
Randomized controlled pilot trial.
Setting
Participant homes.
Participants
People with multiple sclerosis (MS) (N=37) who use a walking aid.
Interventions
A 12-week home PRT program or the same program augmented by NMES.
Main Outcome Measures
Strength using hand-held dynamometry; repeated sit to stand test; Berg Balance Scale; timed Up & Go test; 12-Item Multiple Sclerosis Walking Scale; Multiple Sclerosis Impact Scale-29, version 2; and Modified Fatigue Impact Scale (MFIS). The NMES group also completed a device usability questionnaire.
Results
Only change in MFIS score was significantly greater in the NMES group than the PRT group (P=.012). The NMES group improved significantly in quadriceps endurance (median of change, 8.5; P=.043), balance (median of change, 3.5; P=.001), physical impact of MS (median of change, −8.3; P=.001), and impact of fatigue (median of change, −17; P=.001). Participants rated the device as highly usable.
Conclusions
This pilot study suggests that a home PRT program with NMES is feasible, and the neuromuscular electrical stimulation device is usable by this population. Only reduction in impact of fatigue was greater in the NMES than the PRT group.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=118521
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 197-204[article]
Titre : Effect of Early Rehabilitation by Physical Therapists on In-hospital Mortality After Aspiration Pneumonia in the Elderly Type de document : Article Auteurs : Ryo Momosaki ; Hideo Yasunaga ; Hiroki Matsui Article en page(s) : p. 205-209 Langues : Anglais (eng) Descripteurs : HE Vinci
Aspiration ; Mortalité hospitalière ; Rééducation et réadaptationMots-clés : Hospital mortality Pneumonia Pneumopathie de déglutition Résumé : Objective
To clarify the effect of early rehabilitation by physical therapists on in-hospital mortality among elderly patients with aspiration pneumonia.
Design
A retrospective cohort study.
Setting
A total of 1161 acute-care hospitals across Japan.
Participants
Consecutive patients (age, 70–100y) (N=68,584) from July 2010 to March 2012 in the Japanese Diagnosis Procedure Combination inpatient database with aspiration pneumonia on admission who underwent early physical therapist–guided rehabilitation (n=16,835) and who did not undergo rehabilitation administered by physical therapists (n=51,749).
Interventions
Early rehabilitation was defined as physical rehabilitation administered by a physical therapist, initiated within 3 days of admission, and undertaken for at least 7 days.
Main Outcome Measure
Thirty-day in-hospital mortality.
Results
The 30-day in-hospital mortality rates were 5.1% and 7.1% in the early rehabilitation group and the control group, respectively. The multivariable logistic regression model showed that the early rehabilitation group had a significantly lower in-hospital mortality rate (odds ratio, .71; 95% confidence interval [CI], .64–.79; P<.001 among patients without severe pneumonia we found no significant difference in mortality rates between who underwent early rehabilitation and those did not undergo by physical therapists. the instrumental variable analysis confirmed that was associated with a reduced risk for in-hospital ci to p number needed treat> Conclusions
The data suggest that early rehabilitation by physical therapists was associated with a reduction in 30-day in-hospital mortality rates in elderly patients with severe aspiration pneumonia.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=118522
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 205-209[article]
Titre : Use of a Standardized Assessment to Predict Rehabilitation Care After Acute Stroke Type de document : Article Auteurs : Joel Stein ; Janet Prvu Bettger ; Alyse Sicklick Article en page(s) : p. 210-217 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Rééducation et réadaptationMots-clés : Critical Care Outcomes Résultats des soins intensifs Stroke Résumé : Objective
To pilot a program of formal assessment of rehabilitation needs and predictors of referral to rehabilitation.
Design
A prospective pilot project to collect standardized measures of stroke severity and function: National Institutes of Health Stroke Scale, premorbid modified Rankin scale, Short Portable Mental Status Questionnaire, and Barthel Index (BI). These were collected in addition to routine data in the Get With The Guidelines-Stroke registry. Logistic regression was used to examine predictors of referral to any institution-based rehabilitation versus discharge home and referral to an inpatient rehabilitation facility (IRF) versus a skilled nursing facility (SNF).
Setting
Twenty-two hospitals within the Northeast Cerebrovascular Consortium (located in the northeastern United States).
Participants
Data were collected on individuals with acute ischemic and hemorrhagic stroke (N=736).
Interventions
Not applicable.
Main Outcome Measures
Discharge disposition location.
Results
The BI score was recorded in 736 (81%) patients. In multivariable analyses, a higher BI score (85–100) was the only factor associated with return home versus need for institution-based rehabilitation (P<.001 among patients discharged to irf versus snf discharge was less likely in older ratio .96 confidence interval .94 p and those with prestroke disability rankin scale score .47 ci .28 more moderate-severe or moderate activities of daily living impairment.> Conclusions
Formal standardized assessment of rehabilitation needs was feasible in this pilot project. Patients' sociodemographic characteristics, premorbid function, and ADL impairment discriminated better between discharge home and institution-based rehabilitation than between IRF and SNF. Selection of IRF versus SNF appears to be influenced either by unmeasured clinical characteristics of individuals with stroke or by nonclinical factors, such as cost, geography, referral relationships, or IRF availability.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=118523
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 210-217[article]
Titre : Comparing the Fullerton Advanced Balance Scale With the Mini-BESTest and Berg Balance Scale to Assess Postural Control in Patients With Parkinson Disease Type de document : Article Auteurs : Christian Schlenstedt ; Stephanie Brombacher Dipl-Psych ; Gesa Hartwigsen Article en page(s) : p. 218-225 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladie de Parkinson ; Posture ; Rééducation et réadaptationMots-clés : Parkinson disease Postural balance Équilibre postural Reproducibility of Results Reproductibilité des résultats Résumé : Objectives
To validate the Fullerton Advanced Balance (FAB) Scale for patients with idiopathic Parkinson disease (PD); and to compare the FAB Scale with the Mini-Balance Evaluation Systems Test (Mini-BESTest) and Berg Balance Scale (BBS).
Design
Observational study to assess concurrent validity, test-retest, and interrater reliability of the FAB Scale in patients with PD and to compare the distribution of the scale with the Mini-BESTest and BBS.
Setting
University hospital in an urban community.
Participants
Patients with idiopathic PD (N=85; Hoehn and Yahr stages 1–4).
Interventions
Not applicable.
Main Outcome Measures
FAB Scale, Mini-BESTest, BBS, timed Up and Go test, Unified Parkinson's Disease Rating Scale, and visual analog scale.
Results
Interrater (3 raters) and test-retest (3+1d) reliability were high for all scales (ICCs≥.95). The FAB Scale was highly correlated with the Mini-BESTest (Spearman ρ=.87) and timed Up and Go test item of the Mini-BESTest (Spearman ρ=.83). In contrast with the BBS, the FAB Scale and Mini-BESTest have only minimal ceiling effects. The FAB Scale demonstrated the most symmetric distribution when compared with the Mini-BESTest and BBS (skewness: FAB scale: −.54; Mini-BESTest: −1.07; BBS: −2.14).
Conclusions
The FAB Scale is a valid and reliable tool to assess postural control in patients with PD. No ceiling effect was noted for the FAB Scale. Although the items of the FAB Scale are more detailed when compared with the Mini-BESTest, interrater and test-retest reliability were excellent. The scale is a promising tool to detect small changes of the postural control system in individuals with PD.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=118524
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 218-225[article]
Titre : Dorsiflexion Assist Orthosis Reduces the Physiological Cost and Mitigates Deterioration in Strength and Balance Associated With Walking in People With Multiple Sclerosis Type de document : Article Auteurs : James V. McLoughlin ; Stephen R. Lord ; Christopher J. Barr Article en page(s) : p. 226-232 Langues : Anglais (eng) Descripteurs : HE Vinci
Fatigue ; Force musculaire ; Rééducation et réadaptation ; Sclérose en plaquesMots-clés : Multiple sclerosis Muscle strength Orthotic devices Orthèses Postural balance Équilibre postural Résumé : Objective
To evaluate the effect of wearing a dorsiflexion assist orthosis (DAO) on walking distance, physiological cost, fatigue, and strength and balance measures after a modified 6-minute walk test (6MWT) in people with multiple sclerosis (MS).
Design
Randomized crossover trial.
Setting
Hospital Movement Laboratory.
Participants
People with moderate MS and Expanded Disability Status Scale score of 3.7+0.7 (N=34; 26 women).
Interventions
Modified 6MWT with and without a DAO worn on the weaker leg.
Main Outcome Measures
Distance walked, perceived fatigue, and the physiological cost of walking were compared between walking conditions. Pre- and postwalk changes in knee extensor and ankle dorsiflexor isometric strength and standing postural sway with eyes open and closed were compared between walking conditions.
Results
There were no differences in distance walked or perceived fatigue between the 2 walking conditions. However, there was a reduced physiological cost of walking (P<.05 a smaller reduction in knee extensor strength and increase standing postural sway with eyes open after walking while wearing the dao compared without dao.> Conclusions
Despite not increasing walking distance or reducing perceived fatigue, the DAO reduced the physiological cost of walking and maintained knee strength and standing balance, which may have important implications for physical rehabilitation in people with MS. Further trials are required to determine whether the beneficial effects of wearing a DAO found here are maintained for longer periods.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=118525
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 226-232[article]
Titre : Psychometric Properties of the Nottwil Environmental Factors Inventory Short Form Type de document : Article Auteurs : Carolina S. Ballert ; Marcel W. Post ; Martin W Brinkhof Article en page(s) : p. 233-240 Langues : Anglais (eng) Descripteurs : HE Vinci
Environnement ; Participation sociale ; Psychométrie ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Environment International Classification of Functioning Disability and Health Classification internationale du fonctionnement du handicap et de la santé Psychometrics Social participation Spinal cord injuries Résumé : Objectives
To examine the psychometric properties of the Nottwil Environmental Factors Inventory Short Form using Rasch analysis; to determine its construct validity and internal consistency; and to develop a metric for scoring.
Design
Cross-sectional psychometric study. Construct validity of the Nottwil Environmental Factors Inventory Short Form, including model fit, person and item fit, local item dependence, dimensionality, and differential item functioning (DIF), was investigated with Rasch analysis. Internal consistency was assessed with Cronbach alpha and item-total correlations.
Setting
Community.
Participants
Swiss residents aged >16 years and living with traumatic or nontraumatic spinal cord injury (SCI) (N=1549).
Interventions
Not applicable.
Main Outcome Measure
The Nottwil Environmental Factors Inventory Short Form, a 14-item questionnaire developed to assess perceived impact of environmental barriers on participation.
Results
Local dependencies between items addressing a similar content could be solved by creating a testlet. With 1 testlet there was strong evidence for unidimensionality of the Nottwil Environmental Factors Inventory Short Form. Although person-item targeting revealed a floor effect, indicating few perceived environmental barriers to participation in the Swiss SCI population, the item fit was good. Only a few items presented DIF. The Nottwil Environmental Factors Inventory Short Form showed good internal consistency (α=.82).
Conclusions
This psychometric analysis supports the use of the Nottwil Environmental Factors Inventory Short Form to evaluate perceived environmental barriers to participation in persons with SCI living in the community.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=118526
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 233-240[article]
Titre : Incidence and Associations of Hemiplegic Shoulder Pain Poststroke: Prospective Population-Based Study Type de document : Article Auteurs : Zoe Adey-Wakeling ; Hisatomi Arima ; Maria Crotty Article en page(s) : p. 241-247 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Douleur ; Epaule ; Épidémiologie ; Hémiplégie ; Pain ; Rééducation et réadaptationMots-clés : Epidemiology Hemiplegia Shoulder Stroke Résumé : Objective
To provide an epidemiological perspective of the clinical profile, frequency, and determinants of poststroke hemiplegic shoulder pain.
Design
A prospective population-based study of an inception cohort of participants with a 12-month follow-up period.
Setting
General community and hospital within a geographically defined metropolitan region.
Participants
Multiple ascertainment techniques were used to identify 318 confirmed stroke events in 301 individuals. Among adults with stroke, data on shoulder pain were available for 198 (83% of the survivors) at baseline and for 156 and 148 at 4 and 12 months, respectively.
Interventions
Not applicable.
Main Outcome Measures
Subjective reports of onset, severity, and aggravating factors for pain and 3 passive range-of-motion measures were collected at baseline and at 4- and 12-month follow-up.
Results
A total of 10% of the participants reported shoulder pain at baseline, whereas 21% reported pain at each follow-up assessment. Overall, 29% of all assessed participants reported shoulder pain during 12-month follow-up, with the median pain score (visual analog scale score=40) highest at 4 months and more often associated with movement at later time points. Objective passive range-of-motion tests elicited higher frequencies of pain than did self-report and predicted later subjective shoulder pain (crude relative risk of 3.22 [95% confidence interval, 1.01–10.27]).
Conclusions
The frequency of poststroke shoulder pain is almost 30%. Peak onset and severity of hemiplegic shoulder pain in this study was at 4 months, outside of rehabilitation admission time frames. Systematic use of objective assessment tools may aid in early identification and management of stroke survivors at risk of this common complication of 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=118527
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 241-247[article]
Titre : Are the Barriers for Physical Activity Practice Equal for All Peripheral Artery Disease Patients? Type de document : Article Auteurs : Bruno R. Cavalcante ; Breno Q. Farah ; João Paulo dos A.Barbosa Article en page(s) : p. 248-252 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité motrice ; Exercice physique ; Facteurs de risque ; Rééducation et réadaptationMots-clés : Motor activity Peripheral Arterial Disease Maladie artérielle périphérique Risk factors Résumé : Objective
To investigate barriers to physical activity related to the sociodemographic comorbidities and clinical variables of patients with intermittent claudication.
Design
Cross-sectional study.
Setting
Ambulatory care.
Participants
The medical histories of patients (N=145) aged ≥50 years with intermittent claudication were examined.
Interventions
Not applicable.
Main Outcome Measures
Sociodemographic data (sex, race, level of education, socioeconomic status, marital status), comorbidities (overweight, hypertension, dyslipidemia, diabetes, currently smoking, heart disease), and clinical variables (initial claudication distance, total walking distance, ankle-brachial index). Information on personal and environmental barriers was obtained by questionnaire.
Results
Low economic status was most associated with “being afraid of falling” (odd ratios [OR]=2.22; 95% confidence interval [CI], 1.08–4.54). Low education level was most associated with “lack of street pedestrian crossing” (OR=3.34; 95% CI, 1.48–7.52). Diabetes was associated with lack of energy (OR=3.38; 95% CI, 1.68–6.79) and other medical conditions (eg, arthritis, angina) (OR=3.44; 95% CI, 1.65–7.16). Ankle brachial index was associated with “some difficulty in getting to a place where physical activity can be performed” (OR = 2.75; 95% CI, 1.22–6.21). Walking capacity was strongly associated with barriers relating to leg pain (OR=7.39; 95% CI, 1.66–32.88).
Conclusions
Older patients, those with a low education level, patients with diabetes, low ankle brachial index, and those with a lower walking capacity are more likely to experience barriers to physical activity.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=118528
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 248-252[article]
Titre : Knee Extensor and Flexor Muscle Power Explains Stair Ascension Time in Patients With Unilateral Late-Stage Knee Osteoarthritis: A Cross-Sectional Study Type de document : Article Auteurs : Anu M. Valtonen ; Tapani Pöyhönen ; Mikko Manninen Article en page(s) : p. 253-259 Langues : Anglais (eng) Descripteurs : HE Vinci
Gonarthrose ; Mobilité réduite ; Rééducation et réadaptationMots-clés : Mobility limitation Osteoarthritis knee Walking Marche à pied Résumé : Objectives
To determine the extent of asymmetrical deficits in knee extensor and flexor muscles, and to examine whether asymmetrical muscle deficits are associated with mobility limitations in persons with late-stage knee osteoarthritis (OA).
Design
Cross-sectional.
Setting
Research laboratory.
Participants
A clinical sample (N=56; age range, 50–75y) of eligible persons with late-stage knee OA awaiting knee replacement.
Interventions
Not applicable.
Main Outcome Measures
Knee extensor and flexor power and torque assessed isokinetically; thigh muscle cross-sectional area (CSA) assessed by computed tomography; mobility limitation assessed by walking speed and stair ascension time; and pain assessed with the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire.
Results
The asymmetrical deficits in knee extensor and flexor power and torque were between 18% and 29% (P<.001 regarding the thigh muscle csa asymmetrical deficit was larger knee extensor power deficits and weaker flexor on contralateral side were associated with slower stair ascension times. moreover ipsilateral greater pain in oa joint independently ascending time both models.> Conclusions
The knee extensor and flexor muscle power of both the ipsilateral and contralateral sides and the pain in the OA knee were independently associated with stair ascension times. These results highlight the importance of assessing muscle power on both sides and knee pain in the prevention of mobility limitations in patients with knee OA.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=118529
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 253-259[article]
Titre : Exploratory Study of Physical Activity in Persons With Charcot-Marie-Tooth Disease Type de document : Article Auteurs : Elisabeth Anens ; Margareta Emtner ; Karin Hellström Article en page(s) : p. 260-268 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Fatigue ; Rééducation et réadaptationMots-clés : Exercise Neuromuscular diseases Maladies neuromusculaires Self efficacy Auto-efficacité Résumé : Objectives
To explore and describe the perceived facilitators and barriers to physical activity, and to examine the physical activity correlates in people with Charcot-Marie-Tooth (CMT) disease.
Design
Cross-sectional survey study.
Setting
Community-living subjects.
Participants
Swedish people with CMT disease (N=44; men, 54.5%; median age, 59.5y [interquartile range, 45.3–64.8y]).
Interventions
Not applicable.
Main Outcome Measures
The survey included open-ended questions and standardized self-reported scales measuring physical activity, fatigue, activity limitation, self-efficacy for physical activity, fall-related self-efficacy, social support, and enjoyment of physical activity. Physical activity was measured by the Physical Activity Disability Survey–Revised.
Results
Qualitative content analysis revealed that personal factors such as fatigue, poor balance, muscle weakness, and pain were important barriers for physical activity behavior. Facilitators of physical activity were self-efficacy for physical activity, activity-related factors, and assistive devices. Multiple regression analysis showed that self-efficacy for physical activity (β=.41) and fatigue (β=−.30) explained 31.8% of the variation in physical activity (F2,40=10.78, P=.000).
Conclusions
Despite the well-known benefits of physical activity, physical activity in people with CMT disease is very sparsely studied. These new results contribute to the understanding of factors important for physical activity behavior in people with CMT disease and can guide health professionals to facilitate physical activity behavior in this group 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=118530
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 260-268[article]
Titre : Divergent Sensory Phenotypes in Nonspecific Arm Pain: Comparisons With Cervical Radiculopathy Type de document : Article Auteurs : Niamh Moloney ; Toby Hall ; Catherine Doody Article en page(s) : p. 269-275 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Musculoskeletal pain Douleur musculosquelettique Cumulative Trauma Disorders Lésions par microtraumatismes répétés Pain threshold Seuil nociceptif Radiculopathy Radiculopathie Sensory thresholds Seuils sensoriels Résumé : Objectives
To investigate whether distinct sensory phenotypes were identifiable in individuals with nonspecific arm pain (NSAP) and whether these differed from those in people with cervical radiculopathy. A secondary question considered whether the frequency of features of neuropathic pain, kinesiophobia, high pain ratings, hyperalgesia, and allodynia differed according to subgroups of sensory phenotypes.
Design
Cross-sectional study.
Setting
Higher education institution.
Participants
Forty office workers with NSAP, 17 people with cervical radiculopathy, and 40 age- and sex-matched healthy controls (N=97).
Interventions
Not applicable.
Main Outcome Measures
Participants were assessed using quantitative sensory testing (QST) comprising thermal and vibration detection thresholds and thermal and pressure pain thresholds; clinical examination; and relevant questionnaires. Sensory phenotypes were identified for each individual in the patient groups using z-score transformation of the QST data.
Results
Individuals with NSAP and cervical radiculopathy present with a spectrum of sensory abnormalities; a dominant sensory phenotype was not identifiable in individuals with NSAP. No distinct pattern between clinical features and questionnaire results across sensory phenotypes was identified in either group.
Conclusions
When considering sensory phenotypes, neither individuals with NSAP nor individuals with cervical radiculopathy should be considered homogeneous. Therefore, people with either condition may warrant different intervention approaches according to their individual sensory phenotype. Issues relating to the clinical identification of sensory hypersensitivity and the validity of QST are highlighted.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=118531
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 269-275[article]
Titre : Description of the Moderate Brain Injured Patient and Predictors of Discharge to Rehabilitation Type de document : Article Auteurs : Sandra Rogers ; Kathy C. Richards ; Michele Davidson Article en page(s) : p. 276-282 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Résumé : Objective
To describe patients with moderate traumatic brain injury (TBI) treated and discharged at levels I and II trauma centers in the United States; and to describe the predictors of discharge to rehabilitation after acute care.
Design
Retrospective, cross-sectional, descriptive study.
Setting
Trauma centers.
Participants
Patients with moderate TBI (N=2087; age range, 18–64y) as reported in the 2010 National Sample Project.
Interventions
None.
Main Outcome Measure
Discharge destination (rehabilitation vs home with no services).
Results
Multivariate logistic regression models revealed that demographic, clinical, and financial characteristics influenced the likelihood of being discharged to rehabilitation. Increased age, increased severity, Medicare use, longer length of stay, and trauma center locations in the Midwest and Northeast all increased the likelihood of discharge to rehabilitation.
Conclusions
The decision to discharge a person with moderate TBI from acute care to rehabilitation appears to be based on factors other than just clinical need. These findings should be considered in creating more equitable access to postacute rehabilitation services for patients with moderate TBI because they risk long-term physical and cognitive problems and have the potential for productive lives with treatment.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=118532
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 276-282[article]
Titre : Influence of Manual Lymphatic Drainage on Health-Related Quality of Life and Symptoms of Chronic Venous Insufficiency: A Randomized Controlled Trial Type de document : Article Auteurs : Rute Sofia dos Santos Crisóstomo ; Daniela Sofia Albino Costa ; Catarina de Luz BeloMartins Article en page(s) : p. 283-291 Langues : Anglais (eng) Descripteurs : HE Vinci
Insuffisance veineuse ; Oedeme ; Rééducation et réadaptationMots-clés : Edema Musculoskeletal Manipulations Manipulations de l'appareil locomoteur Venous insufficiency Résumé : Objective
To evaluate the efficacy of manual lymphatic drainage (MLD) in improving health-related quality of life (HRQOL), symptomatology, and physical status in patients with chronic venous insufficiency (CVI).
Design
Single-blind randomized controlled trial.
Setting
Health community attendant service.
Participants
Subjects with CVI (N=41) were randomly assigned to an experimental group (n=20; mean age, 54.6+11.3y) or control group (n=21; mean age, 46.8+11.1y).
Interventions
The experimental group completed 10 lower extremity MLD sessions over 4 weeks and 1 educational session. The control group only attended the educational session. Outcome measures were taken at baseline (t0), at the end of 4 weeks (t1), and after 2 months for follow-up (t2).
Main Outcome Measures
HRQOL was assessed with the Chronic Venous Insufficiency Quality of Life Questionnaire-20, symptoms (fatigue, heaviness) were assessed with a visual analog scale, severity of the disease was assessed with the Venous Clinical Severity Score (VCSS) (total score, score for each item), leg volumetry was assessed with perimeters, and plantar/dorsiflexion strength and ankle range of motion (ROM) were assessed with dynamometry.
Results
A significant interaction group * time effect was found for pain on HRQOL (F2,78=3.507; P=.035; partial η2=.087), clinical severity (F2,78=5.231; P=.007; partial η2=.118), especially for venous edema (assessed with the VCSS), fatigue (F1.67,65.21=4.690; P=.012; partial η2=.107), and heaviness (F1.57,61.32=9.702; P=.001; partial η2=.199), with the experimental group improving from t0 to t1 and t0 to t2 in all of these outcomes. No effect of MLD treatment could be found for ankle muscle strength, ankle ROM, and leg volume.
Conclusions
Short-term MLD treatment ameliorates CVI severity and related edema, symptoms, and pain HRQOL in patients with CVI.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=118533
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 283-291[article]
Titre : Hip Stiffness Patterns in Lumbar Flexion- or Extension-Based Movement Syndromes Type de document : Article Auteurs : Jason Zafereo ; Raymond Devanna ; Edward Mulligan Article en page(s) : p. 292-297 Langues : Anglais (eng) Descripteurs : HE Vinci
Classification ; Lombalgie ; Rééducation et réadaptationMots-clés : Hip joint Articulation de la hanche Low back pain Range of Motion Articular Amplitude articulaire Résumé : Objective
To determine whether a relationship exists between sagittal plane hip range of motion loss and sagittal plane lumbar Movement System Impairment (MSI) categories in patients with low back pain (LBP).
Design
Correlational study.
Setting
University outpatient physical therapy clinic.
Participants
Subjects (N=40) with LBP.
Interventions
Not applicable.
Main Outcome Measures
Classification into a flexion- or extension-based lumbar MSI category, and bilateral passive hip flexion and extension range of motion testing. Using predefined criteria, subjects in each MSI category were subclassified into 1 of 3 hip stiffness categories: (1) a considerable loss of either flexion or extension (pattern A); (2) a considerable loss of both flexion and extension (pattern B); or (3) minimally limited flexion or extension (pattern C).
Results
Pattern A occurred in 23 (57.5%) subjects, with the primary direction of hip motion loss agreeing with the MSI category 78.3% of the time (φ=.56; P=.007). Pattern B occurred in 10 (25%) subjects, with the primary direction of hip motion loss agreeing with the MSI category 70% of the time (φ=.47; P=.197). Pattern C occurred in 7 (17.5%) subjects, with the primary direction of hip motion limitation agreeing with the MSI category 42.9% of the time (φ=−.40; P=.290).
Conclusions
Considerable unidirectional hip motion loss in the sagittal plane was a common finding among subjects with LBP and yielded a strong positive relationship with the same direction MSI category. These results may inform future studies investigating whether treatment of hip stiffness patterns could improve outcomes in LBP management.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=118534
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 292-297[article]
Titre : Visual Scapular Dyskinesis: Kinematics and Muscle Activity Alterations in Patients With Subacromial Impingement Syndrome Type de document : Article Auteurs : Andrea Diniz Lopes ; Mark K. Timmons ; Molly Grover Article en page(s) : p. 298-306 Langues : Anglais (eng) Descripteurs : HE Vinci
Electromyographie ; Rééducation et réadaptationMots-clés : Electromyography Scapula Shoulder impingement syndrome Syndrome de conflit sous-acromial Résumé : Objective
To characterize scapular kinematics and shoulder muscle activity in patients with subacromial impingement syndrome, with and without visually identified scapular dyskinesis.
Design
Cross-sectional study.
Setting
Laboratory.
Participants
Participants with subacromial impingement syndrome (N=38) were visually classified using a scapular dyskinesis test with obvious scapular dyskinesis (n=19) or normal scapular motion (n=19).
Interventions
Not applicable.
Main Outcome Measures
An electromagnetic motion capture system measured 3-dimensional kinematics of the thorax, humerus, and scapula. Simultaneously, surface electromyography was used to measure muscle activity of the upper, middle, and lower trapezius; serratus anterior; and infraspinatus during ascending and descending phases of weighted shoulder flexion. Separate mixed-model analyses of variance for the ascending and descending phases of shoulder flexion compared kinematics and muscle activity between the 2 groups. Shoulder disability was assessed with the Pennsylvania Shoulder Score (Penn).
Results
The group with obvious dyskinesis reported 6 points lower on Penn shoulder function (0–60 points), exhibited a main group effect of less scapular external rotation of 2.1° during ascent and 2.5° during descent, and had 12.0% higher upper trapezius muscle activity during ascent in the 30° to 60° interval.
Conclusions
Patients with obvious dyskinesis and subacromial impingement syndrome have reduced scapular external rotation and increased upper trapezius muscle activity, along with a greater loss of shoulder function compared with those without dyskinesis. These biomechanical alterations can lead to or be caused by scapular dyskinesis. Future studies should determine if correction of these deficits will eliminate scapular dyskinesis and improve patient-rated shoulder 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=118535
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 298-306[article]
Titre : Psychometric Properties of the Young Children's Participation and Environment Measure Type de document : Article Auteurs : Mary A. Khetani ; James E. Graham ; Patricia L. Davies Article en page(s) : p. 307-316 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Environnement ; Nourrisson ; Participation sociale ; Rééducation et réadaptationMots-clés : Child Environment Infant Social participation Résumé : Objective
To evaluate the psychometric properties of the newly developed Young Children's Participation and Environment Measure (YC-PEM).
Design
Cross-sectional study.
Setting
Data were collected online and by telephone.
Participants
Convenience and snowball sampling methods were used to survey caregivers of children (N=395, comprising children with [n=93] and without [n=302] developmental disabilities and delays) between the ages of 0 and 5 years (mean age + SD, 35.33+20.29mo) and residing in North America.
Interventions
Not applicable.
Main Outcome Measures
The YC-PEM includes 3 participation scales and 1 environment scale. Each scale is assessed across 3 settings: home, daycare/preschool, and community. Data were analyzed to derive estimates of internal consistency, test-retest reliability, and construct validity.
Results
Internal consistency ranged from .68 to .96 and .92 to .96 for the participation and environment scales, respectively. Test-retest reliability (2–4wk) ranged from .31 to .93 for participation scales and from .91 to .94 for the environment scale. One of 3 participation scales and the environment scale demonstrated significant group differences by disability status across all 3 settings, and all 4 scales discriminated between disability groups for the daycare/preschool setting. The participation scales exhibited small to moderate positive associations with functional performance scores.
Conclusions
Results lend initial support for the use of the YC-PEM in research to assess the participation of young children with disabilities and delays in terms of (1) home, daycare/preschool, and community participation patterns; (2) perceived environmental supports and barriers to participation; and (3) activity-specific parent strategies to promote participation.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=118536
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 307-316[article]
Titre : Validation of Environmental Content in the Young Children's Participation and Environment Measure Type de document : Article Auteurs : Mary A. Khetani Article en page(s) : p. 317-322 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Enfants handicapés ; Environnement ; Nourrisson ; Participation sociale ; Rééducation et réadaptationMots-clés : Child Disabled Children Environment Infant Social participation Résumé : Objective
To evaluate the concurrent validity of the environment content in the newly developed Young Children's Participation and Environment Measure (YC-PEM).
Design
Cross-sectional study.
Setting
Data were collected online.
Participants
Convenience and snowball sampling methods were used to survey caregivers of children (N=381; 85 children with developmental disabilities and delays and 296 children without developmental disabilities and delays) aged 0 and 5 years (mean age, 36.49+20.18mo).
Interventions
Not applicable.
Main Outcome Measures
The YC-PEM includes an assessment of the effect of environment on children's participation for 3 settings: home, daycare/preschool, and community. Pearson and Spearman correlational analyses were used to examine the concurrent validity of the YC-PEM environmental content according to a criterion measure, the Craig Hospital Inventory of Environmental Factors–Child and Parent Version (CHIEF-CP). The YC-PEM and the CHIEF-CP items were first mapped to the International Classification of Functioning, Disability, and Health–Children and Youth Version to identify items for pairwise comparison.
Results
We found small to moderate negative associations for 51 of 66 pairwise comparisons involving CHIEF-CP and YC-PEM environment items (r=−.13 to −.39; P<.01 significant associations were found for items in all international classification of functioning disability and health youth version environmental domains.> Conclusions
Results lend further support for the use of the YC-PEM for valid caregiver assessment of the physical, social, attitudinal, and institutional features of environments in terms of their effect on young children's participation within the home, daycare/preschool, and community settings.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=118547
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 317-322[article]
Titre : Diagnosis and Decision Making for Patients With Disorders of Consciousness: A Survey Among Family Members Type de document : Article Auteurs : Ralf J. Jox ; Katja Kuehlmeyer ; Anke-Maria Klein Article en page(s) : p. 323-330 Langues : Anglais (eng) Descripteurs : HE Vinci
Diagnostic ; Ethique ; Famille ; Prise de décisionMots-clés : Decision making Diagnosis Ethics Family Persistent vegetative state État végétatif persistant Résumé : Objectives
To examine the perceptions of family members of patients with disorders of consciousness (DOC) in regard to the patients' level of consciousness, communicative status, and prognosis as compared with the objective medical categories, and to elicit the family members' self-reported practice of treatment decision-making.
Design
Cross-sectional semiquantitative survey.
Setting
Five specialized neurologic rehabilitation facilities.
Participants
Consecutive sample of primary family members (N=44) of patients with DOC as determined by the Coma Recovery Scale-Revised, surveyed 6 months after the patient's brain injury.
Intervention
Not applicable.
Main Outcome Measures
Perception of level of consciousness as compared with the medical diagnosis; assessment of communicative status and prognosis; and practice of treatment decision-making.
Results
The study included 44 family members of patients, most of whom had sustained global cerebral ischemia. Six months after brain injury, 36% were in a vegetative state (VS), 20% were in a minimally conscious state (MCS), and 39% had emerged from an MCS. In 76% of cases, the relatives assumed the same level of consciousness that diagnostic tests showed. In the other cases, consciousness was mostly underestimated. While relatives of patients in a VS, and to a lesser extent of those in an MCS, were more skeptical about the patients' chances to advance to an independent life, all had high hopes that the patients would regain the ability to communicate. Yet, 59% of family members had thought about limiting life-sustaining treatment. Most of them base treatment decisions on the patient's well-being; very few relied on previously expressed patient wishes.
Conclusions
According to our sample, family members of patients with DOC largely assess the level of consciousness correctly and express high hopes to reestablish communication with the patient.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=118548
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 323-330[article]
Titre : Postural Control in Response to Altered Sensory Conditions in Persons With Dysvascular and Traumatic Transtibial Amputation Type de document : Article Auteurs : Prasath Jayakaran ; Gillian M. Johnson ; John S. Sullivan Article en page(s) : p. 331-339 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Complications du diabète ; Membre inférieur ; Proprioception ; Rééducation et réadaptationMots-clés : Amputation chirurgicale Diabetes complications Lower extremity Peripheral Vascular Diseases Maladies vasculaires périphériques Postural balance Équilibre postural Résumé : Objective
To compare the postural control of persons with a dysvascular transtibial amputation and traumatic transtibial amputation with able-bodied adults with and without a dysvascular condition in altered sensory testing conditions.
Design
Cross-sectional study.
Setting
University balance clinic.
Participants
The study participants (N=35) included: participants with a dysvascular transtibial amputation (n=9), participants with a traumatic transtibial amputation (n=9), age-matched able-bodied adults without a dysvascular condition (n=9), and able-bodied adults with a dysvascular condition (n=8).
Interventions
Six Sensory Organization Test (SOT) conditions, which included standing with eyes open (condition 1) and closed (condition 2) on a static force platform with visual surround; standing with eyes open on a static force platform with movable visual surround (condition 3); standing with eyes open (condition 4) and closed (condition 5) on a movable force platform with static visual surround; and standing with eyes open on a movable force platform with movable visual surround (condition 6).
Main Outcome Measures
Bilateral anteroposterior (AP) and mediolateral (ML) center of pressure variables, namely root mean square distance (RMSD) and mean velocity (mVel), for each of the 6 SOT conditions.
Results
The dysvascular transtibial amputation group demonstrated a higher AP RMSD (P≤.04) on the sound side than did the able-bodied adults without a dysvascular condition and the able-bodied adults with a dysvascular condition in SOT conditions 1 and 2, respectively. Both the dysvascular transtibial amputation group and the traumatic transtibial amputation group demonstrated a higher AP RMSD (P≤.002) than the able-bodied adults without a dysvascular condition in SOT conditions 3 and 4. The dysvascular transtibial amputation group showed higher AP mVel (P≤.002) on the sound side for SOT conditions 2 and 3, whereas both amputation groups showed higher AP mVel for SOT conditions 1 and 4 than the able-bodied adults with and without a dysvascular condition.
Conclusions
Postural control of the dysvascular transtibial amputation group was not different than the traumatic transtibial amputation group in challenging sensory conditions. However, when compared with the groups of able-bodied adults with and without a dysvascular condition, postural strategies distinct with amputation etiology were observed.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=118549
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 331-339[article]
Titre : Differences in Quality of Life Outcomes Among Depressed Spinal Cord Injury Trial Participants Type de document : Article Auteurs : Denise G. Tate ; Martin Forchheimer ; Charles H. Bombardier Article en page(s) : p. 340-348 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Qualité de vie ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Quality of life Randomized controlled trial Essai contrôlé randomisé Spinal cord injuries Résumé : Objective
To assess the role that treatment response plays in a randomized controlled trial of an antidepressant among people with spinal cord injury (SCI) diagnosed with major depressive disorder (MDD) in explaining quality of life (QOL), assessed both globally as life satisfaction and in terms of physical and mental health-related QOL.
Design
Multivariable analyses were conducted, controlling for demographic, neurologic, and participatory factors and perceived functional limitations.
Setting
Rehabilitation centers.
Participants
Of the 133 persons who were randomized into the Project to Improve Symptoms and Mood after Spinal Cord Injury randomized controlled trial, 124 participated in this study. All participants were between the ages of 18 and 64 years, at least 1 month post-SCI, met the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for MDD, and completed the core measures used in this study.
Interventions
Not applicable.
Main Outcome Measures
The Satisfaction with Life Scale and the physical and mental component summary scores of the Medical Outcomes Study 12-Item Short-Form Health Survey.
Results
Reduction in depressive symptoms over the course of a 12-week trial was predictive of increased QOL, which was measured as life satisfaction and mental well-being, within the context of other explanatory factors. However, reduction in symptoms did not explain differences in physical well-being among those with MDD. Perceived functional disability explained all 3 indices of QOL.
Conclusions
Greater recognition has been given to QOL outcomes as endpoints of clinical trials because these often reflect participants' reported outcomes. Our findings support the association of QOL to the reduction of depression symptoms among trial participants. This association differs depending on how QOL is defined and measured, with stronger relations observed with life satisfaction and mental well-being among those diagnosed with MDD. The lack of association between depression and physical well-being may be explained by participants' subjective interpretation of physical well-being after SCI and their expectations and perceptions of improved physical health-related QOL based on the use of assistive technology. Consistent with our findings, pain is likely to play a role in decreasing physical QOL among those with incomplete injuries. Practicing caution is suggested in using physical well-being as an endpoint in trials among people with 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=118550
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 340-348[article]
Titre : Effect of Scapular Stabilization During Horizontal Adduction Stretching on Passive Internal Rotation and Posterior Shoulder Tightness in Young Women Volleyball Athletes: A Randomized Controlled Trial Type de document : Article Auteurs : Paul A. Salamh ; Morey J. Kolber ; William J. Hanney Article en page(s) : p. 349-356 Langues : Anglais (eng) Descripteurs : HE Vinci
Athlètes ; Epaule ; Rééducation et réadaptationMots-clés : Rotator cuff Coiffe des rotateurs Shoulder Résumé : Objective
To evaluate the effect of scapular stabilization during horizontal adduction stretching (cross-body) on posterior shoulder tightness (PST) and passive internal rotation (IR).
Design
Randomized controlled trial with single blinding.
Setting
Athletic club.
Participants
Asymptomatic volleyball players who are women with glenohumeral internal rotation deficit (N=60).
Interventions
Subjects were randomly assigned to either horizontal adduction stretching with manual scapular stabilization (n=30) or horizontal adduction stretching without stabilization (n=30). Passive stretching was performed for 3- to 30-second holds in both groups.
Main Outcome Measures
Range of motion measurements of PST and IR were performed on the athlete's dominant shoulder prior to and immediately after the intervention.
Results
Baseline mean angular measurements of PST and IR for all athletes involved in the study were 62°+14° and 40°+10°, respectively, with no significant difference between groups (P=.598 and P=.734, respectively). Mean PST measurements were significantly different between groups after the horizontal adduction stretch, with a mean angle of 83°+17° among the scapular stabilization group and 65°+13° among the nonstabilization group (P<.001 measurements of ir were also significantly different between groups with a mean angle among the scapular stabilization group and nonstabilization> Conclusions
Horizontal adduction stretches performed with scapular stabilization produced significantly greater improvements in IR and PST than horizontal adduction stretching without scapular stabilization.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=118551
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 349-356[article]
Titre : Systematic Review of Patient-Reported Outcome Measures in Clinical Vestibular Research Type de document : Article Auteurs : Eric Fong ; Carol Li ; Rebecca Aslakson Article en page(s) : p. 357-365 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Rééducation et réadaptation ; VertigeMots-clés : Outcome Assessment (Health Care) Patient Outcome Assessment Évaluation des résultats des patients Vertigo Vestibular function tests Épreuves vestibulaires Résumé : Objective
To identify the most commonly used patient-reported outcome (PRO) measures in clinical vestibular research, and to assess their test characteristics and applicability to the study of age-related vestibular loss in clinical trials.
Data Sources
We performed a systematic review of the PubMed, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO databases from 1950 to August 13, 2013.
Study Selection
PRO measures were defined as outcomes that capture the subjective experience of the patient (eg, symptoms, functional status, health perceptions, quality of life). Two independent reviewers selected studies that used PRO measures in clinical vestibular research. Disparities were resolved with consensus between the reviewers. Of 2260 articles initially found in the literature search, 255 full-text articles were retrieved for assessment. Of these, 104 met inclusion criteria for data collection.
Data Extraction
PRO measures were identified by 2 independent reviewers. The 4 most commonly used PROs were evaluated for their applicability to the condition of age-related vestibular loss. Specifically, for these 4 PROs, data were collected pertaining to instrument test-retest reliability, item domains, and target population of the instrument.
Data Synthesis
A total of 50 PRO instruments were identified. The 4 most frequently used PROs were the Dizziness Handicap Inventory, Activities-specific Balance Confidence scale, Vertigo Symptom Scale-short form, and visual analog scale. Of these 4 PROs, 3 were validated for use in patients with vestibular disease and 1 was validated in community-dwelling older individuals with balance impairments. Items across the 4 PROs were categorized into 3 domains based on the International Classification of Functioning, Disability and Health: activity, participation, and body functions and structures.
Conclusions
None of the most commonly used PRO instruments were validated for use in community-dwelling older adults with age-related vestibular loss. Nevertheless, the 3 common domains of items identified across these 4 PRO instruments may be generalizable to older adults and provide a basis for developing a PRO instrument designed to evaluate the effectiveness of interventions targeted toward age-related vestibular loss.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=118552
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 357-365[article]
Titre : Nonpharmacologic Management of Orthostatic Hypotension: A Systematic Review Type de document : Article Auteurs : Patricia Branco Mills ; Carlen K. Fung ; Angelique Travlos Article en page(s) : p. 366-375 Langues : Anglais (eng) Descripteurs : HE Vinci
Diétothérapie ; Hypotension ; Hypotension orthostatique ; Rééducation et réadaptationMots-clés : Diet therapy orthostatic Orthostatic intolerance Intolérance orthostatique Physical therapy modalities Techniques de physiothérapie Résumé : Objective
To systematically review the literature on nonpharmacologic treatment of orthostatic hypotension.
Data Sources
MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, Cochrane Central Register of Controlled Trials, and SPORTDiscus were searched for human studies written in the English language between January 1980 and April 2013. Reference lists of relevant articles were reviewed for citations to expand the data set.
Study Selection
Prospective experimental studies assessing nonpharmacologic interventions for management of orthostatic drop in blood pressure in various patient populations were included. All studies identified through the literature search were reviewed independently in duplicate. Of the 642 studies, 23 met the selection criteria.
Data Extraction
Two reviewers independently extracted data for analysis, including systolic and diastolic blood pressure and orthostatic symptoms in response to postural challenge before and after the intervention. All 23 studies were assessed in duplicate for risk of bias using the Physiotherapy Evidence Database scale for randomized controlled trials and the Downs and Black tool for nonrandomized trials.
Data Synthesis
There were 8 identified nonpharmacologic interventions for management of orthostatic hypotension under 2 general categories: physical modalities (exercise, functional electrical stimulation, compression, physical countermaneuvers, compression with physical countermaneuvers, sleeping with head up) and dietary measures (water intake, meals). Owing to the clinically diverse nature of the studies, statistical comparison (meta-analysis) was deemed inappropriate. Instead, descriptive comparisons were drawn. Levels of evidence were assigned.
Conclusions
Strong levels of evidence were found for 4 of the 8 interventions: functional electrical stimulation in spinal cord injury, compression of the legs and/or abdomen, physical countermaneuvers in various patient populations, and eating smaller and more frequent meals in chronic autonomic failure. However, this conclusion is based on a limited number of studies with small sample sizes. Further research into all interventions 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=118553
in Archives of Physical Medicine and Rehabilitation > 2015/2 (2015) . - p. 366-375[article]
