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Ajouter le résultat dans votre panierEffect of Cryotherapy After Elbow Arthrolysis: A Prospective, Single-Blinded, Randomized Controlled Study / Shi-yang Yu in Archives of Physical Medicine and Rehabilitation, 2015/1 (2015)
Titre : Effect of Cryotherapy After Elbow Arthrolysis: A Prospective, Single-Blinded, Randomized Controlled Study Type de document : Article Auteurs : Shi-yang Yu ; Shuai Chen ; He-de Yan Article en page(s) : p. 1-6 Langues : Anglais (eng) Descripteurs : HE Vinci
Coude ; Cryotherapie ; Douleur ; Pain ; Rééducation et réadaptationMots-clés : Cryotherapy Elbow Résumé : Objective
To investigate the effect of cryotherapy after elbow arthrolysis on elbow pain, blood loss, analgesic consumption, range of motion, and long-term elbow function.
Design
Prospective, single-blinded, randomized controlled study.
Setting
University hospital.
Participants
Patients (N=59; 27 women, 32 men) who received elbow arthrolysis.
Interventions
Patients were randomly assigned into a cryotherapy group (n=31, cryotherapy plus standard care) or a control group (n=28, standard care).
Main Outcome Measures
Elbow pain at rest and in motion were measured using a visual analog scale (VAS) on postoperative day (POD) 1 to POD 7 and at 2 weeks and 3 months after surgery. Blood loss and analgesic consumption were recorded postoperatively. Elbow range of motion (ROM) was measured before surgery and on POD 1, POD 7, and 3 months after surgery. The Mayo Elbow Performance Score (MEPS) was evaluated preoperatively and 3 months postoperatively.
Results
VAS scores were significantly lower in the cryotherapy group during the first 7 PODs, both at rest and in motion (P<.05 there were no significant differences between the groups in vas scores at weeks and months after surgery. less sufentanil was consumed by cryotherapy group than control for pain relief found blood loss rom meps>.05).
Conclusions
Cryotherapy is effective in relieving pain and reducing analgesic consumption for patients received elbow arthrolysis. The application of cryotherapy will not affect blood loss, ROM, or elbow function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118610
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 1-6[article] Effect of Cryotherapy After Elbow Arthrolysis: A Prospective, Single-Blinded, Randomized Controlled Study [Article] / Shi-yang Yu ; Shuai Chen ; He-de Yan . - p. 1-6.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 1-6
Descripteurs : HE Vinci
Coude ; Cryotherapie ; Douleur ; Pain ; Rééducation et réadaptationMots-clés : Cryotherapy Elbow Résumé : Objective
To investigate the effect of cryotherapy after elbow arthrolysis on elbow pain, blood loss, analgesic consumption, range of motion, and long-term elbow function.
Design
Prospective, single-blinded, randomized controlled study.
Setting
University hospital.
Participants
Patients (N=59; 27 women, 32 men) who received elbow arthrolysis.
Interventions
Patients were randomly assigned into a cryotherapy group (n=31, cryotherapy plus standard care) or a control group (n=28, standard care).
Main Outcome Measures
Elbow pain at rest and in motion were measured using a visual analog scale (VAS) on postoperative day (POD) 1 to POD 7 and at 2 weeks and 3 months after surgery. Blood loss and analgesic consumption were recorded postoperatively. Elbow range of motion (ROM) was measured before surgery and on POD 1, POD 7, and 3 months after surgery. The Mayo Elbow Performance Score (MEPS) was evaluated preoperatively and 3 months postoperatively.
Results
VAS scores were significantly lower in the cryotherapy group during the first 7 PODs, both at rest and in motion (P<.05 there were no significant differences between the groups in vas scores at weeks and months after surgery. less sufentanil was consumed by cryotherapy group than control for pain relief found blood loss rom meps>.05).
Conclusions
Cryotherapy is effective in relieving pain and reducing analgesic consumption for patients received elbow arthrolysis. The application of cryotherapy will not affect blood loss, ROM, or elbow function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118610
Titre : Resistance Training Reduces Disability in Prostate Cancer Survivors on Androgen Deprivation Therapy: Evidence From a Randomized Controlled Trial Type de document : Article Auteurs : Kerri M. Winters-Stone ; Jessica C. Dobek ; Jill A. Bennett Article en page(s) : p. 7-14 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Exercice physique ; Force musculaire ; Rééducation et réadaptation ; TumeursMots-clés : Activities of daily living Exercise Men Hommes Muscle strength Neoplasm Resistance Training Entraînement en résistance Résumé : Objectives
To investigate whether functionally based resistance exercise could improve strength, physical function, and disability among prostate cancer survivors (PCS) on androgen deprivation therapy (ADT); and to explore potential mediators of changes in outcomes from exercise.
Design
Randomized controlled trial.
Setting
Academic medical center.
Participants
PCS (N=51; mean age, 70.2y) on ADT.
Intervention
PCS were randomized to moderate to vigorous intensity resistance training or stretching (placebo control) for 1 year.
Main Outcome Measures
Maximal leg press and bench press strength, objective and self-reported physical function, and self-reported disability. Hierarchical linear modeling was used to test for significant group * time differences adjusting for covariates.
Results
Retention in the study was 84%, and median attendance to supervised classes was 84% in the resistance group. No study-related injuries occurred. Maximal leg strength (P=.032) and bench press strength (P=.027) were improved after 1 year of resistance training, whereas little change occurred from stretching. Self-reported physical function improved with resistance training, whereas decreases occurred from stretching (P=.016). Disability lessened more with resistance training than stretching (P=.018). One-year change in leg press strength mediated the relation between groups (resistance or stretching) and 1-year change in self-reported disability (P<.05> Conclusions
One year of resistance training improved muscle strength in androgen-deprived PCS. Strengthening muscles using functional movement patterns may be an important feature of exercise programs designed to improve perceptions of physical function and disability. Findings from this study contribute to the mounting evidence that exercise should become a routine part of clinical care in older men with advanced prostate cancer.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=118611
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 7-14[article] Resistance Training Reduces Disability in Prostate Cancer Survivors on Androgen Deprivation Therapy: Evidence From a Randomized Controlled Trial [Article] / Kerri M. Winters-Stone ; Jessica C. Dobek ; Jill A. Bennett . - p. 7-14.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 7-14
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Exercice physique ; Force musculaire ; Rééducation et réadaptation ; TumeursMots-clés : Activities of daily living Exercise Men Hommes Muscle strength Neoplasm Resistance Training Entraînement en résistance Résumé : Objectives
To investigate whether functionally based resistance exercise could improve strength, physical function, and disability among prostate cancer survivors (PCS) on androgen deprivation therapy (ADT); and to explore potential mediators of changes in outcomes from exercise.
Design
Randomized controlled trial.
Setting
Academic medical center.
Participants
PCS (N=51; mean age, 70.2y) on ADT.
Intervention
PCS were randomized to moderate to vigorous intensity resistance training or stretching (placebo control) for 1 year.
Main Outcome Measures
Maximal leg press and bench press strength, objective and self-reported physical function, and self-reported disability. Hierarchical linear modeling was used to test for significant group * time differences adjusting for covariates.
Results
Retention in the study was 84%, and median attendance to supervised classes was 84% in the resistance group. No study-related injuries occurred. Maximal leg strength (P=.032) and bench press strength (P=.027) were improved after 1 year of resistance training, whereas little change occurred from stretching. Self-reported physical function improved with resistance training, whereas decreases occurred from stretching (P=.016). Disability lessened more with resistance training than stretching (P=.018). One-year change in leg press strength mediated the relation between groups (resistance or stretching) and 1-year change in self-reported disability (P<.05> Conclusions
One year of resistance training improved muscle strength in androgen-deprived PCS. Strengthening muscles using functional movement patterns may be an important feature of exercise programs designed to improve perceptions of physical function and disability. Findings from this study contribute to the mounting evidence that exercise should become a routine part of clinical care in older men with advanced prostate cancer.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=118611
Titre : Sedentary Behavior in the First Year After Stroke: A Longitudinal Cohort Study With Objective Measures Type de document : Article Auteurs : Zoë Tieges ; Gillian Mead ; Mike Allerhand Article en page(s) : p. 15-23 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Mode de vie sédentaire ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Monitoring Ambulatory Surveillance ambulatoire Exercise Sedentary lifestyle Stroke Résumé : Objective
To quantify longitudinal changes in sedentary behavior (ie, nonexercise seated or lying behavior) after stroke to ascertain whether reducing sedentary behavior might be a new therapeutic target.
Design
Longitudinal cohort study of patients with acute stroke who were followed over 1 year.
Setting
Acute teaching hospital or outpatient clinic, and the community after discharge.
Participants
A convenience sample of patients with acute stroke (N=96; median age, 72y, interquartile range [IQR]=64–80y; 67% men; median National Institute of Health Stroke Scale score=2, IQR=1–3) who were assessed at 1, 6, and 12 months after stroke.
Interventions
Not applicable.
Main Outcome Measures
Objective measures of amount and pattern of time spent in sedentary behavior: total sedentary time, weighted median sedentary bout length, and fragmentation index.
Results
Stroke survivors were highly sedentary, spending on average 81% of the time per day in sedentary behavior: median=19.9 hours (IQR=18.4–22.1h), 19.1 hours (17.8–20.8h), and 19.3 hours (17.3–20.9h) at 1, 6, and 12 months, respectively. Longitudinal changes in sedentary behavior were estimated using linear mixed effects models. Covariates were age, sex, stroke severity (National Institute of Health Stroke Scale score), physical capacity (6-minute walk distance), and functional independence (Nottingham Extended Activities of Daily Living Questionnaire score). Higher stroke severity and less functional independence were associated cross-sectionally with more sedentary behavior (β=.11, SE=.05, P=.020 and β=−.11, SE=.01, P<.001 respectively importantly the pattern of sedentary behavior did not change over first year after stroke and was independent functional ability.> Conclusions
Stroke survivors were highly sedentary and remained so a year after stroke independently of their functional ability. Developing interventions to reduce sedentary behavior might be a potential new therapeutic target in stroke 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=118612
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 15-23[article] Sedentary Behavior in the First Year After Stroke: A Longitudinal Cohort Study With Objective Measures [Article] / Zoë Tieges ; Gillian Mead ; Mike Allerhand . - p. 15-23.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 15-23
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Mode de vie sédentaire ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Monitoring Ambulatory Surveillance ambulatoire Exercise Sedentary lifestyle Stroke Résumé : Objective
To quantify longitudinal changes in sedentary behavior (ie, nonexercise seated or lying behavior) after stroke to ascertain whether reducing sedentary behavior might be a new therapeutic target.
Design
Longitudinal cohort study of patients with acute stroke who were followed over 1 year.
Setting
Acute teaching hospital or outpatient clinic, and the community after discharge.
Participants
A convenience sample of patients with acute stroke (N=96; median age, 72y, interquartile range [IQR]=64–80y; 67% men; median National Institute of Health Stroke Scale score=2, IQR=1–3) who were assessed at 1, 6, and 12 months after stroke.
Interventions
Not applicable.
Main Outcome Measures
Objective measures of amount and pattern of time spent in sedentary behavior: total sedentary time, weighted median sedentary bout length, and fragmentation index.
Results
Stroke survivors were highly sedentary, spending on average 81% of the time per day in sedentary behavior: median=19.9 hours (IQR=18.4–22.1h), 19.1 hours (17.8–20.8h), and 19.3 hours (17.3–20.9h) at 1, 6, and 12 months, respectively. Longitudinal changes in sedentary behavior were estimated using linear mixed effects models. Covariates were age, sex, stroke severity (National Institute of Health Stroke Scale score), physical capacity (6-minute walk distance), and functional independence (Nottingham Extended Activities of Daily Living Questionnaire score). Higher stroke severity and less functional independence were associated cross-sectionally with more sedentary behavior (β=.11, SE=.05, P=.020 and β=−.11, SE=.01, P<.001 respectively importantly the pattern of sedentary behavior did not change over first year after stroke and was independent functional ability.> Conclusions
Stroke survivors were highly sedentary and remained so a year after stroke independently of their functional ability. Developing interventions to reduce sedentary behavior might be a potential new therapeutic target in stroke 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=118612
Titre : Is Physical Behavior Affected in Fatigued Persons With Multiple Sclerosis? Type de document : Article Auteurs : Lyan J. Blikman ; Jetty van Meeteren ; Herwin L. Horemans Article en page(s) : p. 24-29 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité motrice ; Mode de vie sédentaire ; Rééducation et réadaptation ; Sclérose en plaquesMots-clés : Motor activity Multiple sclerosis Sedentary lifestyle Résumé : Objective
To study physical behavior in detail in fatigued persons with multiple sclerosis (MS).
Design
Case-control explorative study.
Setting
Outpatient rehabilitation department and participants' daily environment.
Participants
Fatigued persons with MS (n=23) were selected from a randomized controlled trial. Cases were matched by age and sex to healthy, nonfatigued controls (n=23). Eligible persons with MS were severely fatigued (Checklist Individual Strength fatigue domain mean score, 43.2+6.6) and ambulatory (Expanded Disability Status Scale mean score, 2.5+1.5).
Interventions
Not applicable.
Main Outcome Measures
Measurements were performed using an accelerometer over 7 days. Outcomes included the following: amount of physical activity expressed in counts per day, counts per minute (CPM), and counts per day period (morning, afternoon, evening); duration of activity intensity categories (sedentary, light physical activity, moderate-to-vigorous physical activity [MVPA]); and distribution of MVPA and sedentary periods over the day.
Results
Persons with MS had fewer counts per day (mean difference, −156*103; 95% confidence interval [CI], −273*103 to −39*103; P=.010), had fewer CPM (mean difference, −135; 95% CI, −256 to −14; P=.030), and were less physically active in the morning (mean difference, −200; 95% CI, −389 to −11; P=.039) and evening (mean difference, −175; 95% CI, −336 to −14; P=.034) than controls. Persons with MS spent a higher percentage of their time sedentary (mean difference, 5.6; 95% CI, .1–11.1; P=.045) and spent less time at the higher MVPA intensity (mean difference, −2.4; 95% CI, −4.7 to −0.09; P=.042). They had fewer MVPA periods (mean difference, 29; 95% CI, −56.2 to −2.6; P=.032) and a different distribution of sedentary (mean difference, .033; 95% CI, .002 to .064; P=.039) and MVPA periods (mean difference, −.08; 95% CI, −.15 to −.01; P=.023).
Conclusions
Detailed analyses of physical behavior showed that ambulatory fatigued persons with MS do differ from healthy controls not only in physical activity level, but also in other physical behavior dimensions (eg, day patterns, intensity, distribution).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=118613
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 24-29[article] Is Physical Behavior Affected in Fatigued Persons With Multiple Sclerosis? [Article] / Lyan J. Blikman ; Jetty van Meeteren ; Herwin L. Horemans . - p. 24-29.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 24-29
Descripteurs : HE Vinci
Activité motrice ; Mode de vie sédentaire ; Rééducation et réadaptation ; Sclérose en plaquesMots-clés : Motor activity Multiple sclerosis Sedentary lifestyle Résumé : Objective
To study physical behavior in detail in fatigued persons with multiple sclerosis (MS).
Design
Case-control explorative study.
Setting
Outpatient rehabilitation department and participants' daily environment.
Participants
Fatigued persons with MS (n=23) were selected from a randomized controlled trial. Cases were matched by age and sex to healthy, nonfatigued controls (n=23). Eligible persons with MS were severely fatigued (Checklist Individual Strength fatigue domain mean score, 43.2+6.6) and ambulatory (Expanded Disability Status Scale mean score, 2.5+1.5).
Interventions
Not applicable.
Main Outcome Measures
Measurements were performed using an accelerometer over 7 days. Outcomes included the following: amount of physical activity expressed in counts per day, counts per minute (CPM), and counts per day period (morning, afternoon, evening); duration of activity intensity categories (sedentary, light physical activity, moderate-to-vigorous physical activity [MVPA]); and distribution of MVPA and sedentary periods over the day.
Results
Persons with MS had fewer counts per day (mean difference, −156*103; 95% confidence interval [CI], −273*103 to −39*103; P=.010), had fewer CPM (mean difference, −135; 95% CI, −256 to −14; P=.030), and were less physically active in the morning (mean difference, −200; 95% CI, −389 to −11; P=.039) and evening (mean difference, −175; 95% CI, −336 to −14; P=.034) than controls. Persons with MS spent a higher percentage of their time sedentary (mean difference, 5.6; 95% CI, .1–11.1; P=.045) and spent less time at the higher MVPA intensity (mean difference, −2.4; 95% CI, −4.7 to −0.09; P=.042). They had fewer MVPA periods (mean difference, 29; 95% CI, −56.2 to −2.6; P=.032) and a different distribution of sedentary (mean difference, .033; 95% CI, .002 to .064; P=.039) and MVPA periods (mean difference, −.08; 95% CI, −.15 to −.01; P=.023).
Conclusions
Detailed analyses of physical behavior showed that ambulatory fatigued persons with MS do differ from healthy controls not only in physical activity level, but also in other physical behavior dimensions (eg, day patterns, intensity, distribution).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=118613
Titre : Effect of Long-Term Physical Activity and Acute Exercise on Markers of Systemic Inflammation in Persons With Chronic Spinal Cord Injury: A Systematic Review Type de document : Article Auteurs : Céline R. Neefkes-Zonneveld ; Arjan J. Bakkum ; Nicolette C. Bishop Article en page(s) : p. 30-42 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Paraplégie ; Rééducation et réadaptation ; Tetraplegie ; Traumatismes de la moelle épinièreMots-clés : Cytokines Paraplegia Exercise Spinal cord injuries Quadriplegia Résumé : Objective
To evaluate the effect of long-term physical activity (PA) and acute exercise on markers of systemic inflammation in persons with chronic spinal cord injury (SCI).
Data Sources
We searched PubMed (MEDLINE), EMBASE, Central Register of Controlled Trials, CINAHL, and PEDro, involving variations of the Medical Subject Headings: SCI, PA, exercise, and inflammation. No time or language restrictions were applied.
Study Selection
Except for case reports, we included any type of study, both sexes, all ages, with SCI, resulting in the inclusion of 11 studies. PA included leisure or work activity, including exercise.
Data Extraction
Two authors independently scanned titles and abstracts and read the articles included. One author extracted and the second double-checked the data. The methodological quality and evidence were rated by using the Cochrane Risk of Bias tool or the Newcastle-Ottawa Scale and the Grading of Recommendations Assessment, Development and Evaluation approach.
Data Synthesis
The included studies had a high risk of bias and “very low” levels of evidence. Meta-analyses were performed (random-effects model or generic inverse variance method). The acute interleukin-6 (IL-6) response to exercise was the same for individuals with SCI and able-bodied individuals (P=.91); however, responses were higher in those with paraplegia than in those with tetraplegia (weighted mean difference, 1.19, P<.0001 and p=".003," respectively compared with physically inactive people sci active had lower plasma c-reactive protein levels mean difference crp concentrations were after the exercise intervention than before> Conclusions
PA and exercise may improve systemic markers of low-grade inflammation in those with SCI, particularly IL-6 and CRP. The change in IL-6 and CRP levels seems to be greater in those with paraplegia than in those with tetraplegia.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=118614
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 30-42[article] Effect of Long-Term Physical Activity and Acute Exercise on Markers of Systemic Inflammation in Persons With Chronic Spinal Cord Injury: A Systematic Review [Article] / Céline R. Neefkes-Zonneveld ; Arjan J. Bakkum ; Nicolette C. Bishop . - p. 30-42.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 30-42
Descripteurs : HE Vinci
Exercice physique ; Paraplégie ; Rééducation et réadaptation ; Tetraplegie ; Traumatismes de la moelle épinièreMots-clés : Cytokines Paraplegia Exercise Spinal cord injuries Quadriplegia Résumé : Objective
To evaluate the effect of long-term physical activity (PA) and acute exercise on markers of systemic inflammation in persons with chronic spinal cord injury (SCI).
Data Sources
We searched PubMed (MEDLINE), EMBASE, Central Register of Controlled Trials, CINAHL, and PEDro, involving variations of the Medical Subject Headings: SCI, PA, exercise, and inflammation. No time or language restrictions were applied.
Study Selection
Except for case reports, we included any type of study, both sexes, all ages, with SCI, resulting in the inclusion of 11 studies. PA included leisure or work activity, including exercise.
Data Extraction
Two authors independently scanned titles and abstracts and read the articles included. One author extracted and the second double-checked the data. The methodological quality and evidence were rated by using the Cochrane Risk of Bias tool or the Newcastle-Ottawa Scale and the Grading of Recommendations Assessment, Development and Evaluation approach.
Data Synthesis
The included studies had a high risk of bias and “very low” levels of evidence. Meta-analyses were performed (random-effects model or generic inverse variance method). The acute interleukin-6 (IL-6) response to exercise was the same for individuals with SCI and able-bodied individuals (P=.91); however, responses were higher in those with paraplegia than in those with tetraplegia (weighted mean difference, 1.19, P<.0001 and p=".003," respectively compared with physically inactive people sci active had lower plasma c-reactive protein levels mean difference crp concentrations were after the exercise intervention than before> Conclusions
PA and exercise may improve systemic markers of low-grade inflammation in those with SCI, particularly IL-6 and CRP. The change in IL-6 and CRP levels seems to be greater in those with paraplegia than in those with tetraplegia.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=118614
Titre : Failures on Obstacle Crossing Task in Independent Ambulatory Patients With Spinal Cord Injury and Associated Factors Type de document : Article Auteurs : Sugalya Amatachaya ; Weeraya Pramodhyakul ; Kittiyawadee Srisim Article en page(s) : p. 43-48 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Paraplégie ; Rééducation et réadaptation ; TetraplegieMots-clés : Postural Balance Équilibre postural Paraplegia Physical Therapy Specialty Quadriplegia Walking Marche à pied Résumé : Objectives
To primarily explore the proportion and factors relating to failure on an obstacle crossing task in ambulatory participants with incomplete spinal cord injury (iSCI); and to compare balance ability between participants who passed and failed on an obstacle crossing task.
Design
Cross-sectional design.
Setting
Tertiary rehabilitation center.
Participants
Independent ambulatory participants with an iSCI (N=113).
Interventions
Not applicable.
Main Outcome Measures
Primary outcomes were the ability to walk over small obstacles of sizes that are commonly found in homes and communities and factors relating to failure on an obstacle crossing task. The secondary outcome was the data from the timed Up and Go (TUG) test.
Results
Of the participants, 33 failed to walk over an obstacle. Using a walker significantly increased chance of failure, whereas having incomplete paraplegia and American Spinal Injury Association Impairment Scale grade D were the protective factors for the event (P≤.01). The number of failures was also significantly increased because of leg contact with a wide or relative large obstacle (4 and 8cm, P<.001 furthermore participants who failed required significantly longer time to complete the tug test than those passed an obstacle crossing task> Conclusions
Apart from the ability of independent walking, rehabilitation professionals may need to emphasize the ability of movement modification of the lower extremities and balance control to improve safety issues for the 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=118615
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 43-48[article] Failures on Obstacle Crossing Task in Independent Ambulatory Patients With Spinal Cord Injury and Associated Factors [Article] / Sugalya Amatachaya ; Weeraya Pramodhyakul ; Kittiyawadee Srisim . - p. 43-48.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 43-48
Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Paraplégie ; Rééducation et réadaptation ; TetraplegieMots-clés : Postural Balance Équilibre postural Paraplegia Physical Therapy Specialty Quadriplegia Walking Marche à pied Résumé : Objectives
To primarily explore the proportion and factors relating to failure on an obstacle crossing task in ambulatory participants with incomplete spinal cord injury (iSCI); and to compare balance ability between participants who passed and failed on an obstacle crossing task.
Design
Cross-sectional design.
Setting
Tertiary rehabilitation center.
Participants
Independent ambulatory participants with an iSCI (N=113).
Interventions
Not applicable.
Main Outcome Measures
Primary outcomes were the ability to walk over small obstacles of sizes that are commonly found in homes and communities and factors relating to failure on an obstacle crossing task. The secondary outcome was the data from the timed Up and Go (TUG) test.
Results
Of the participants, 33 failed to walk over an obstacle. Using a walker significantly increased chance of failure, whereas having incomplete paraplegia and American Spinal Injury Association Impairment Scale grade D were the protective factors for the event (P≤.01). The number of failures was also significantly increased because of leg contact with a wide or relative large obstacle (4 and 8cm, P<.001 furthermore participants who failed required significantly longer time to complete the tug test than those passed an obstacle crossing task> Conclusions
Apart from the ability of independent walking, rehabilitation professionals may need to emphasize the ability of movement modification of the lower extremities and balance control to improve safety issues for the 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=118615
Titre : Phenomenological Study of Neurogenic Bowel From the Perspective of Individuals Living With Spinal Cord Injury Type de document : Article Auteurs : Anthony S. Burns ; Daphney St-Germain ; Maureen Connolly Article en page(s) : p. 49-55 Langues : Anglais (eng) Descripteurs : HE Vinci
Paraplégie ; Recherche qualitative ; Rééducation et réadaptation ; Tetraplegie ; Traumatismes de la moelle épinièreMots-clés : Neurogenic bowel Intestin neurogénique Paraplegia Quadriplegia Qualitative research Spinal cord injuries Résumé : Objective
To gain greater insight into the lived experience of individuals with spinal cord injury (SCI) and neurogenic bowel dysfunction (NBD).
Design
Qualitative (phenomenologic) interviews and analysis.
Setting
Community.
Participants
Individuals with SCI and NBD (N=19) residing in the community.
Interventions
Not applicable.
Main Outcome Measure
Concerns related to living with NBD after SCI.
Results
Challenges related to living with SCI and NBD included costs and requirements, emotional impact, diet, education and employment, intimacy and interpersonal relations, social participation, spontaneity and daily schedule, travel, lack of appropriate and consistent assistance, loss of autonomy (independence, privacy), lack of predictability and fear of incontinence, medical complications, pain or discomfort, physical effort of the bowel routine, physical experience, and time requirements.
Conclusions
Living with NBD presents many challenges. When categorized according to the International Classification of Functioning, Disability and Health, identified domains include body functions and structures, activity, participation, environmental factors, and personal factors. Identified issues have implications for improving clinical management and should be assessed when determining the impact and efficacy of 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=118616
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 49-55[article] Phenomenological Study of Neurogenic Bowel From the Perspective of Individuals Living With Spinal Cord Injury [Article] / Anthony S. Burns ; Daphney St-Germain ; Maureen Connolly . - p. 49-55.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 49-55
Descripteurs : HE Vinci
Paraplégie ; Recherche qualitative ; Rééducation et réadaptation ; Tetraplegie ; Traumatismes de la moelle épinièreMots-clés : Neurogenic bowel Intestin neurogénique Paraplegia Quadriplegia Qualitative research Spinal cord injuries Résumé : Objective
To gain greater insight into the lived experience of individuals with spinal cord injury (SCI) and neurogenic bowel dysfunction (NBD).
Design
Qualitative (phenomenologic) interviews and analysis.
Setting
Community.
Participants
Individuals with SCI and NBD (N=19) residing in the community.
Interventions
Not applicable.
Main Outcome Measure
Concerns related to living with NBD after SCI.
Results
Challenges related to living with SCI and NBD included costs and requirements, emotional impact, diet, education and employment, intimacy and interpersonal relations, social participation, spontaneity and daily schedule, travel, lack of appropriate and consistent assistance, loss of autonomy (independence, privacy), lack of predictability and fear of incontinence, medical complications, pain or discomfort, physical effort of the bowel routine, physical experience, and time requirements.
Conclusions
Living with NBD presents many challenges. When categorized according to the International Classification of Functioning, Disability and Health, identified domains include body functions and structures, activity, participation, environmental factors, and personal factors. Identified issues have implications for improving clinical management and should be assessed when determining the impact and efficacy of 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=118616
Titre : Prevalence and Predictors of Personality Change After Severe Brain Injury Type de document : Article Auteurs : Anne Norup ; Erik Lykke Mortensen Article en page(s) : p. 56-62 Langues : Anglais (eng) Descripteurs : HE Vinci
Famille ; Personnalité ; PrévalenceMots-clés : Brain injuries Lésions encéphaliques traumatic Lésions traumatiques de l'encéphale Family Personality Résumé : Objectives
To investigate the prevalence of personality change after severe brain injury; to identify predictors of personality change; and to investigate whether personality change is associated with distress in family members.
Design
A longitudinal study of personality change.
Setting
Rehabilitation unit.
Participants
The study sample was composed of 22 pairs of patients with traumatic brain injury or nontraumatic brain injury (N=22) and their significant others (SOs).
Interventions
Not applicable.
Main Outcome Measures
An SO completed the observer version of the NEO Five Factor Inventory rating the patient at discharge from hospital and 1 year after injury. The SOs were also asked to complete the anxiety and depression scales of the Symptom Checklist-90-Revised, rating their own emotional condition and health-related quality of life (HRQOL) as assessed by the 4 mental scales of the Medical Outcomes Study 36-Item Short-Form Health Survey.
Results
Of the sample, 59.1% experienced personality change after acquired brain injury, and the most dominant changes were observed in the personality traits of neuroticism, extraversion, and conscientiousness. Changes in neuroticism were most often observed in patients with frontal or temporal lesions. Generally, personality changes in patients were not associated with more distress and lower HRQOL in family members; however, change in patient agreeableness was associated with lower HRQOL on the role limitations-emotional scale.
Conclusions
Personality change was observed in most patients with severe brain injury. Change in neuroticism was associated with frontal and temporal lesions. Generally, personality change was not associated with more distress and lower HRQOL in SOs.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=118617
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 56-62[article] Prevalence and Predictors of Personality Change After Severe Brain Injury [Article] / Anne Norup ; Erik Lykke Mortensen . - p. 56-62.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 56-62
Descripteurs : HE Vinci
Famille ; Personnalité ; PrévalenceMots-clés : Brain injuries Lésions encéphaliques traumatic Lésions traumatiques de l'encéphale Family Personality Résumé : Objectives
To investigate the prevalence of personality change after severe brain injury; to identify predictors of personality change; and to investigate whether personality change is associated with distress in family members.
Design
A longitudinal study of personality change.
Setting
Rehabilitation unit.
Participants
The study sample was composed of 22 pairs of patients with traumatic brain injury or nontraumatic brain injury (N=22) and their significant others (SOs).
Interventions
Not applicable.
Main Outcome Measures
An SO completed the observer version of the NEO Five Factor Inventory rating the patient at discharge from hospital and 1 year after injury. The SOs were also asked to complete the anxiety and depression scales of the Symptom Checklist-90-Revised, rating their own emotional condition and health-related quality of life (HRQOL) as assessed by the 4 mental scales of the Medical Outcomes Study 36-Item Short-Form Health Survey.
Results
Of the sample, 59.1% experienced personality change after acquired brain injury, and the most dominant changes were observed in the personality traits of neuroticism, extraversion, and conscientiousness. Changes in neuroticism were most often observed in patients with frontal or temporal lesions. Generally, personality changes in patients were not associated with more distress and lower HRQOL in family members; however, change in patient agreeableness was associated with lower HRQOL on the role limitations-emotional scale.
Conclusions
Personality change was observed in most patients with severe brain injury. Change in neuroticism was associated with frontal and temporal lesions. Generally, personality change was not associated with more distress and lower HRQOL in SOs.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=118617
Titre : Feasibility of Neuromuscular Electrical Stimulation Immediately After Cardiovascular Surgery Type de document : Article Auteurs : Kotaro Iwatsu ; Sumio Yamada ; Yuki Iida Article en page(s) : p. 63-68 Langues : Anglais (eng) Descripteurs : HE Vinci
Electrotherapie ; Hemodynamique ; Rééducation et réadaptationMots-clés : Arrhythmias cardiac Troubles du rythme cardiaque Cardiovascular surgical procedures Procédures de chirurgie cardiovasculaire Electric stimulation therapy Hemodynamics Résumé : Objective
To determine the safety and feasibility of neuromuscular electrical stimulation (NMES) from postoperative days (PODs) 1 to 5 after cardiovascular surgery.
Design
Pre-post interventional study.
Setting
Surgical intensive care unit and thoracic surgical ward of a university hospital.
Participants
Consecutive patients (N=144) who underwent cardiovascular surgery were included. Patients with peripheral arterial disease, psychiatric disease, neuromuscular disease, and dementia were excluded. Patients with severe chronic renal failure and those who required prolonged mechanical ventilation after surgery were also excluded because of the possibility of affecting the outcome of a future controlled study.
Interventions
NMES to the lower extremities was implemented from PODs 1 to 5.
Main Outcome Measures
Feasibility outcomes included compliance, the number of the patients who had changes in systolic blood pressure (BP) >20mmHg or an increase in heart rate >20 beats/min during NMES, and the incidence of temporary pacemaker malfunction or postoperative cardiac arrhythmias.
Results
Sixty-eight of 105 eligible patients participated in this study. Sixty-one (89.7%) of them completed NMES sessions. We found no patients who had excessive changes in systolic blood pressure, increased heart rate, or pacemaker malfunction during NMES. Incidence of atrial fibrillation during the study period was 26.9% (7/26) for coronary artery bypass surgery, 18.2% (4/22) for valvular surgery, and 20.0% (4/20) for combined or aortic surgery. No sustained ventricular arrhythmia or ventricular fibrillation was observed.
Conclusions
The results of this study demonstrate that NMES can be safely implemented even in patients immediately after cardiovascular surgery.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=118618
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 63-68[article] Feasibility of Neuromuscular Electrical Stimulation Immediately After Cardiovascular Surgery [Article] / Kotaro Iwatsu ; Sumio Yamada ; Yuki Iida . - p. 63-68.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 63-68
Descripteurs : HE Vinci
Electrotherapie ; Hemodynamique ; Rééducation et réadaptationMots-clés : Arrhythmias cardiac Troubles du rythme cardiaque Cardiovascular surgical procedures Procédures de chirurgie cardiovasculaire Electric stimulation therapy Hemodynamics Résumé : Objective
To determine the safety and feasibility of neuromuscular electrical stimulation (NMES) from postoperative days (PODs) 1 to 5 after cardiovascular surgery.
Design
Pre-post interventional study.
Setting
Surgical intensive care unit and thoracic surgical ward of a university hospital.
Participants
Consecutive patients (N=144) who underwent cardiovascular surgery were included. Patients with peripheral arterial disease, psychiatric disease, neuromuscular disease, and dementia were excluded. Patients with severe chronic renal failure and those who required prolonged mechanical ventilation after surgery were also excluded because of the possibility of affecting the outcome of a future controlled study.
Interventions
NMES to the lower extremities was implemented from PODs 1 to 5.
Main Outcome Measures
Feasibility outcomes included compliance, the number of the patients who had changes in systolic blood pressure (BP) >20mmHg or an increase in heart rate >20 beats/min during NMES, and the incidence of temporary pacemaker malfunction or postoperative cardiac arrhythmias.
Results
Sixty-eight of 105 eligible patients participated in this study. Sixty-one (89.7%) of them completed NMES sessions. We found no patients who had excessive changes in systolic blood pressure, increased heart rate, or pacemaker malfunction during NMES. Incidence of atrial fibrillation during the study period was 26.9% (7/26) for coronary artery bypass surgery, 18.2% (4/22) for valvular surgery, and 20.0% (4/20) for combined or aortic surgery. No sustained ventricular arrhythmia or ventricular fibrillation was observed.
Conclusions
The results of this study demonstrate that NMES can be safely implemented even in patients immediately after cardiovascular surgery.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=118618
Titre : Corticospinal Integrity and Motor Impairment Predict Outcomes After Excitatory Repetitive Transcranial Magnetic Stimulation: A Preliminary Study Type de document : Article Auteurs : Chih-Jou Lai ; Chih-Pin Wang ; Po-Yi Tsai Article en page(s) : p. 69-75 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Pronostic ; Rééducation et réadaptation ; Stimulation magnétique transcranienneMots-clés : Motor cortex Cortex moteur Prognosis Stroke Transcranial magnetic stimulation Résumé : Objective
To identify the effective predictors for therapeutic outcomes based on intermittent theta-burst stimulation (iTBS).
Design
A sham-controlled, double-blind parallel study design.
Setting
A tertiary hospital.
Participants
People with stroke (N=72) who presented with unilateral hemiplegia.
Interventions
Ten consecutive sessions of real or sham iTBS were implemented with the aim of enhancing hand function. Patients were categorized into 4 groups according to the presence (MEP+) or absence (MEP−) of motor-evoked potentials (MEPs) and grip strength according to the Medical Research Council (MRC) scale.
Main Outcome Measures
Cortical excitability, Wolf Motor Function Test (WMFT), finger-tapping task (FT), and simple reaction time were performed before and after the sessions.
Results
MEPs and the MRC scale were predictive of iTBS therapeutic outcomes. Group A (MEP+, MRC>1) exhibited the greatest WMFT change (7.6+2.3, P<.001 followed by group b mrc>1; 5.2+2.2 score change) and group C (MEP−, MRC=0; 2.3+1.5 score change). These improvements were correlated significantly with baseline motor function and ipsilesional maximum MEP amplitude.
Conclusions
The effectiveness of iTBS modulation for poststroke motor enhancement depends on baseline hand grip strength and the presence of MEPs. Our findings indicate that establishing neurostimulation strategies based on the proposed electrophysiological and clinical criteria can allow iTBS to be executed with substantial precision. Effective neuromodulatory strategies can be formulated by using electrophysiological features and clinical presentation information as guidelines.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=118619
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 69-75[article] Corticospinal Integrity and Motor Impairment Predict Outcomes After Excitatory Repetitive Transcranial Magnetic Stimulation: A Preliminary Study [Article] / Chih-Jou Lai ; Chih-Pin Wang ; Po-Yi Tsai . - p. 69-75.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 69-75
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Pronostic ; Rééducation et réadaptation ; Stimulation magnétique transcranienneMots-clés : Motor cortex Cortex moteur Prognosis Stroke Transcranial magnetic stimulation Résumé : Objective
To identify the effective predictors for therapeutic outcomes based on intermittent theta-burst stimulation (iTBS).
Design
A sham-controlled, double-blind parallel study design.
Setting
A tertiary hospital.
Participants
People with stroke (N=72) who presented with unilateral hemiplegia.
Interventions
Ten consecutive sessions of real or sham iTBS were implemented with the aim of enhancing hand function. Patients were categorized into 4 groups according to the presence (MEP+) or absence (MEP−) of motor-evoked potentials (MEPs) and grip strength according to the Medical Research Council (MRC) scale.
Main Outcome Measures
Cortical excitability, Wolf Motor Function Test (WMFT), finger-tapping task (FT), and simple reaction time were performed before and after the sessions.
Results
MEPs and the MRC scale were predictive of iTBS therapeutic outcomes. Group A (MEP+, MRC>1) exhibited the greatest WMFT change (7.6+2.3, P<.001 followed by group b mrc>1; 5.2+2.2 score change) and group C (MEP−, MRC=0; 2.3+1.5 score change). These improvements were correlated significantly with baseline motor function and ipsilesional maximum MEP amplitude.
Conclusions
The effectiveness of iTBS modulation for poststroke motor enhancement depends on baseline hand grip strength and the presence of MEPs. Our findings indicate that establishing neurostimulation strategies based on the proposed electrophysiological and clinical criteria can allow iTBS to be executed with substantial precision. Effective neuromodulatory strategies can be formulated by using electrophysiological features and clinical presentation information as guidelines.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=118619
Titre : Estimating the Incidence and Prevalence of Traumatic Spinal Cord Injury in Australia Type de document : Article Auteurs : Peter Wayne New ; David Baxter ; Angela Farry Article en page(s) : p. 76-83 Langues : Anglais (eng) Descripteurs : HE Vinci
Épidémiologie ; Incidence ; Population ; Prévalence ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Computing methodologies Méthodologies informatiques Epidemiology Spinal cord injuries Résumé : Objectives
To determine estimates of the incidence and prevalence of traumatic spinal cord injury (TSCI) in Australia as of June 30, 2011.
Design
Population modeling using cohort survival.
Setting
Australia.
Participants
Hospital data regarding people with TSCI in Australia.
Interventions
Modeling using the following data: 2 population-based databases of hospital separations of patients with TSCI, giving upper and lower estimates of incidence; national population profiles and life tables; levels of TSCI based on Australian Spinal Cord Injury Registry; and life expectancy for persons with spinal cord injury under 3 scenarios—1 constant and 2 with a trend standardized mortality ratio (SMR).
Main Outcome Measures
Age- and sex-specific incidence and prevalence estimates.
Results
The lower estimate of incidence was 21.0 per million population per year, and the upper estimate was 32.3 per million population per year. The derived prevalence rates ranged from 490 per million population (10,944 persons–lower incidence, trend SMR with survival from 1948) up to 886 per million population (19,784 persons–higher incidence, constant SMR). The prevalence was highest in males, persons aged 46 to 60 years, and those with tetraplegia.
Conclusions
We have reported a method for calculating an estimate of the prevalence of TSCI which provides information that will be vital to optimize health care planning for this group of highly disabled members of society.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=118620
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 76-83[article] Estimating the Incidence and Prevalence of Traumatic Spinal Cord Injury in Australia [Article] / Peter Wayne New ; David Baxter ; Angela Farry . - p. 76-83.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 76-83
Descripteurs : HE Vinci
Épidémiologie ; Incidence ; Population ; Prévalence ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Computing methodologies Méthodologies informatiques Epidemiology Spinal cord injuries Résumé : Objectives
To determine estimates of the incidence and prevalence of traumatic spinal cord injury (TSCI) in Australia as of June 30, 2011.
Design
Population modeling using cohort survival.
Setting
Australia.
Participants
Hospital data regarding people with TSCI in Australia.
Interventions
Modeling using the following data: 2 population-based databases of hospital separations of patients with TSCI, giving upper and lower estimates of incidence; national population profiles and life tables; levels of TSCI based on Australian Spinal Cord Injury Registry; and life expectancy for persons with spinal cord injury under 3 scenarios—1 constant and 2 with a trend standardized mortality ratio (SMR).
Main Outcome Measures
Age- and sex-specific incidence and prevalence estimates.
Results
The lower estimate of incidence was 21.0 per million population per year, and the upper estimate was 32.3 per million population per year. The derived prevalence rates ranged from 490 per million population (10,944 persons–lower incidence, trend SMR with survival from 1948) up to 886 per million population (19,784 persons–higher incidence, constant SMR). The prevalence was highest in males, persons aged 46 to 60 years, and those with tetraplegia.
Conclusions
We have reported a method for calculating an estimate of the prevalence of TSCI which provides information that will be vital to optimize health care planning for this group of highly disabled members of society.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=118620
Titre : Racial Differences in Poststroke Rehabilitation Utilization and Functional Outcomes Type de document : Article Auteurs : Charles Ellis ; Andrea D. Boan ; Tanya N. Turan Article en page(s) : p. 84-90 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Groupes ethniques ; Rééducation et réadaptationMots-clés : Ethnic groups Stroke Résumé : Objective
To examine racial differences in poststroke rehabilitation utilization and functional outcomes.
Design
Observational follow-up study.
Setting
Designated stroke center.
Participants
Stroke survivors (N=162; 106 whites and 56 blacks) surveyed at 1 year poststroke.
Intervention
Not applicable.
Main Outcome Measures
Twenty-question measure of activities of daily living (ADL) and instrumental activities of daily living (IADL) performance, life participation, and driving. One-year follow-up data collected from stroke survivors as part of the Stroke Education and Prevention-South Carolina Project were examined for racial disparities in rehabilitation utilization and functional outcomes.
Results
Analyses revealed no significant differences between blacks and whites for rehabilitation utilization. In multivariate comparisons controlling for stroke severity, blacks were less likely to report independence in overall functional performance and domain-specific measures of toileting, walking, transportation, laundry, and shopping. Blacks also reported less independence in driving at 1-year follow-up.
Conclusions
Blacks were less likely to report independence in performing ADL and IADL at 1 year poststroke after controlling for stroke severity. Racial disparities were reported in ADL and IADL performance despite a lack of racial differences in rehabilitation utilization. Future studies are needed to further understand the reason for this disparity in reported functional independence.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=118621
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 84-90[article] Racial Differences in Poststroke Rehabilitation Utilization and Functional Outcomes [Article] / Charles Ellis ; Andrea D. Boan ; Tanya N. Turan . - p. 84-90.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 84-90
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Groupes ethniques ; Rééducation et réadaptationMots-clés : Ethnic groups Stroke Résumé : Objective
To examine racial differences in poststroke rehabilitation utilization and functional outcomes.
Design
Observational follow-up study.
Setting
Designated stroke center.
Participants
Stroke survivors (N=162; 106 whites and 56 blacks) surveyed at 1 year poststroke.
Intervention
Not applicable.
Main Outcome Measures
Twenty-question measure of activities of daily living (ADL) and instrumental activities of daily living (IADL) performance, life participation, and driving. One-year follow-up data collected from stroke survivors as part of the Stroke Education and Prevention-South Carolina Project were examined for racial disparities in rehabilitation utilization and functional outcomes.
Results
Analyses revealed no significant differences between blacks and whites for rehabilitation utilization. In multivariate comparisons controlling for stroke severity, blacks were less likely to report independence in overall functional performance and domain-specific measures of toileting, walking, transportation, laundry, and shopping. Blacks also reported less independence in driving at 1-year follow-up.
Conclusions
Blacks were less likely to report independence in performing ADL and IADL at 1 year poststroke after controlling for stroke severity. Racial disparities were reported in ADL and IADL performance despite a lack of racial differences in rehabilitation utilization. Future studies are needed to further understand the reason for this disparity in reported functional independence.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=118621
Titre : Finger Movement Function After Ultrasound-Guided Percutaneous Pulley Release for Trigger Finger: Effects of Postoperative Rehabilitation Type de document : Article Auteurs : Szu-Ching Lu ; Li-Chieh Kuo ; I-Ming Jou Article en page(s) : p. 91-97 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Trigger finger disorder Doigt à ressaut Résumé : Objective
To develop and test a postoperative rehabilitation protocol for use by individuals with trigger finger undergoing ultrasound-guided percutaneous pulley release.
Design
Nonrandomized controlled trial.
Setting
Hospital and local community.
Participants
Individuals suffering from trigger finger with joint contracture (N=21) were recruited and grouped into an intervention group (n=9) or a control group (n=12).
Interventions
All the participants underwent the same surgical procedure performed by the same surgeon. A 4-week postoperative rehabilitation program was designed based on the wound healing process. The intervention group received postoperative rehabilitation after the surgery, whereas the control group received no treatment after the surgery.
Main Outcome Measures
The finger movement functions were quantitatively evaluated before and 1 month after the surgery using a 3-dimensional motion capture system. The fingertip workspace and joint range of motion (ROM) were evaluated while the participant was performing a sequential 5-posture movement, including finger extension, intrinsic plus, straight fist, full fist, and hook fist.
Results
The intervention group demonstrated significantly more improvements than the control group in the fingertip workspace (49% vs 17%), ROM of the distal interphalangeal (DIP) joint (16% vs 4%), ROM of the proximal interphalangeal (PIP) joint (21% vs 5%), and total active ROM (17% vs 5%).
Conclusions
This pilot study evaluated a postoperative rehabilitation protocol for trigger finger and demonstrated its effects on various finger functions. Participants who underwent the rehabilitation program had significantly more improvements in the fingertip workspace, ROM of the DIP and PIP joints, and total active ROM.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=118622
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 91-97[article] Finger Movement Function After Ultrasound-Guided Percutaneous Pulley Release for Trigger Finger: Effects of Postoperative Rehabilitation [Article] / Szu-Ching Lu ; Li-Chieh Kuo ; I-Ming Jou . - p. 91-97.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 91-97
Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Trigger finger disorder Doigt à ressaut Résumé : Objective
To develop and test a postoperative rehabilitation protocol for use by individuals with trigger finger undergoing ultrasound-guided percutaneous pulley release.
Design
Nonrandomized controlled trial.
Setting
Hospital and local community.
Participants
Individuals suffering from trigger finger with joint contracture (N=21) were recruited and grouped into an intervention group (n=9) or a control group (n=12).
Interventions
All the participants underwent the same surgical procedure performed by the same surgeon. A 4-week postoperative rehabilitation program was designed based on the wound healing process. The intervention group received postoperative rehabilitation after the surgery, whereas the control group received no treatment after the surgery.
Main Outcome Measures
The finger movement functions were quantitatively evaluated before and 1 month after the surgery using a 3-dimensional motion capture system. The fingertip workspace and joint range of motion (ROM) were evaluated while the participant was performing a sequential 5-posture movement, including finger extension, intrinsic plus, straight fist, full fist, and hook fist.
Results
The intervention group demonstrated significantly more improvements than the control group in the fingertip workspace (49% vs 17%), ROM of the distal interphalangeal (DIP) joint (16% vs 4%), ROM of the proximal interphalangeal (PIP) joint (21% vs 5%), and total active ROM (17% vs 5%).
Conclusions
This pilot study evaluated a postoperative rehabilitation protocol for trigger finger and demonstrated its effects on various finger functions. Participants who underwent the rehabilitation program had significantly more improvements in the fingertip workspace, ROM of the DIP and PIP joints, and total active ROM.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=118622
Titre : Classical Test Theory and Rasch Analysis Validation of the Upper Limb Functional Index in Subjects With Upper Limb Musculoskeletal Disorders Type de document : Article Auteurs : Elisabetta Bravini ; Franco Franchignoni ; Andrea Giordano Article en page(s) : p. 98-104 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Maladies ostéomusculaires ; Psychométrie ; Rééducation et réadaptationMots-clés : Disability evaluation Évaluation de l'incapacité Musculoskeletal Diseases Outcome assessment (health care) Psychometrics Résumé : Objective
To perform a comprehensive analysis of the psychometric properties and dimensionality of the Upper Limb Functional Index (ULFI) using both classical test theory and Rasch analysis (RA).
Design
Prospective, single-group observational design.
Setting
Freestanding rehabilitation center.
Participants
Convenience sample of Italian-speaking subjects with upper limb musculoskeletal disorders (N=174).
Interventions
Not applicable.
Main Outcome Measures
The Italian version of the ULFI. Data were analyzed using parallel analysis, exploratory factor analysis, and RA for evaluating dimensionality, functioning of rating scale categories, item fit, hierarchy of item difficulties, and reliability indices.
Results
Parallel analysis revealed 2 factors explaining 32.5% and 10.7% of the response variance. RA confirmed the failure of the unidimensionality assumption, and 6 items out of the 25 misfitted the Rasch model. When the analysis was rerun excluding the misfitting items, the scale showed acceptable fit values, loading meaningfully to a single factor. Item separation reliability and person separation reliability were .98 and .89, respectively. Cronbach alpha was .92.
Conclusions
RA revealed weakness of the scale concerning dimensionality and internal construct validity. However, a set of 19 ULFI items defined through the statistical process demonstrated a unidimensional structure, good psychometric properties, and clinical meaningfulness. These findings represent a useful starting point for further analyses of the tool (based on modern psychometric approaches and confirmatory factor analysis) in larger samples, including different patient populations and nationalities.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=118623
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 98-104[article] Classical Test Theory and Rasch Analysis Validation of the Upper Limb Functional Index in Subjects With Upper Limb Musculoskeletal Disorders [Article] / Elisabetta Bravini ; Franco Franchignoni ; Andrea Giordano . - p. 98-104.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 98-104
Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Maladies ostéomusculaires ; Psychométrie ; Rééducation et réadaptationMots-clés : Disability evaluation Évaluation de l'incapacité Musculoskeletal Diseases Outcome assessment (health care) Psychometrics Résumé : Objective
To perform a comprehensive analysis of the psychometric properties and dimensionality of the Upper Limb Functional Index (ULFI) using both classical test theory and Rasch analysis (RA).
Design
Prospective, single-group observational design.
Setting
Freestanding rehabilitation center.
Participants
Convenience sample of Italian-speaking subjects with upper limb musculoskeletal disorders (N=174).
Interventions
Not applicable.
Main Outcome Measures
The Italian version of the ULFI. Data were analyzed using parallel analysis, exploratory factor analysis, and RA for evaluating dimensionality, functioning of rating scale categories, item fit, hierarchy of item difficulties, and reliability indices.
Results
Parallel analysis revealed 2 factors explaining 32.5% and 10.7% of the response variance. RA confirmed the failure of the unidimensionality assumption, and 6 items out of the 25 misfitted the Rasch model. When the analysis was rerun excluding the misfitting items, the scale showed acceptable fit values, loading meaningfully to a single factor. Item separation reliability and person separation reliability were .98 and .89, respectively. Cronbach alpha was .92.
Conclusions
RA revealed weakness of the scale concerning dimensionality and internal construct validity. However, a set of 19 ULFI items defined through the statistical process demonstrated a unidimensional structure, good psychometric properties, and clinical meaningfulness. These findings represent a useful starting point for further analyses of the tool (based on modern psychometric approaches and confirmatory factor analysis) in larger samples, including different patient populations and nationalities.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=118623
Titre : Health-Related Quality of Life in Caregivers of Individuals With Traumatic Brain Injury: Development of a Conceptual Model Type de document : Article Auteurs : Noelle E. Carlozzi ; Anna L. Kratz ; Angelle M. Sander Article en page(s) : p. 105-113 Langues : Anglais (eng) Descripteurs : HE Vinci
Aidants ; Évaluation de résultat (soins) ; Qualité de vie ; Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Caregivers Outcome assessment (health care) Quality of life Résumé : Objectives
To identify aspects of health-related quality of life (HRQOL) that are relevant to caregivers of individuals with traumatic brain injury (TBI) and to propose an integrated conceptual framework based on this information.
Design
Nine focus groups with caregivers of individuals with moderate-to-severe TBI were qualitatively analyzed to ascertain the effect that caring for an individual with a TBI has on caregiver HRQOL.
Setting
University hospitals and rehabilitation treatment centers.
Participants
Caregivers (N=55) of individuals with moderate-to-severe TBI.
Interventions
Not applicable.
Main Outcome Measures
Not applicable.
Results
Qualitative analysis indicated that caregivers were most concerned about their social health (42% of comments). Other important issues were emotional health (34%), physical health (11%), cognitive health (3%), and feelings of loss (9%; feelings of loss related to changes in the future/potential of the care recipient or related to the caregiver). Areas of concern that were discussed that were specific to the caregiver and not fully evaluated by existing patient-reported outcomes (PROs) included feelings of loss, anxiety related to the caregiver role (reinjury concerns, worry about leaving the person alone, etc), and caregiver strain (burden, stress, feeling overwhelmed, etc).
Conclusions
Although existing PROs capture relevant aspects of HRQOL for caregivers, there are HRQOL domains that are not addressed. A validated and sensitive HRQOL tool for caregivers of individuals with TBI will facilitate initiatives to improve outcomes in this underserved 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=118624
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 105-113[article] Health-Related Quality of Life in Caregivers of Individuals With Traumatic Brain Injury: Development of a Conceptual Model [Article] / Noelle E. Carlozzi ; Anna L. Kratz ; Angelle M. Sander . - p. 105-113.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 105-113
Descripteurs : HE Vinci
Aidants ; Évaluation de résultat (soins) ; Qualité de vie ; Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Caregivers Outcome assessment (health care) Quality of life Résumé : Objectives
To identify aspects of health-related quality of life (HRQOL) that are relevant to caregivers of individuals with traumatic brain injury (TBI) and to propose an integrated conceptual framework based on this information.
Design
Nine focus groups with caregivers of individuals with moderate-to-severe TBI were qualitatively analyzed to ascertain the effect that caring for an individual with a TBI has on caregiver HRQOL.
Setting
University hospitals and rehabilitation treatment centers.
Participants
Caregivers (N=55) of individuals with moderate-to-severe TBI.
Interventions
Not applicable.
Main Outcome Measures
Not applicable.
Results
Qualitative analysis indicated that caregivers were most concerned about their social health (42% of comments). Other important issues were emotional health (34%), physical health (11%), cognitive health (3%), and feelings of loss (9%; feelings of loss related to changes in the future/potential of the care recipient or related to the caregiver). Areas of concern that were discussed that were specific to the caregiver and not fully evaluated by existing patient-reported outcomes (PROs) included feelings of loss, anxiety related to the caregiver role (reinjury concerns, worry about leaving the person alone, etc), and caregiver strain (burden, stress, feeling overwhelmed, etc).
Conclusions
Although existing PROs capture relevant aspects of HRQOL for caregivers, there are HRQOL domains that are not addressed. A validated and sensitive HRQOL tool for caregivers of individuals with TBI will facilitate initiatives to improve outcomes in this underserved 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=118624
Titre : Decreased Diaphragm Excursion in Stroke Patients With Dysphagia as Assessed by M-Mode Sonography Type de document : Article Auteurs : Geun-Young Park, Auteur ; Seong-Rim Kim, Auteur ; Young Woo Kim, Auteur Article en page(s) : p. 114-121 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Échographie ; Rééducation et réadaptation ; Toux ; Troubles de la déglutitionMots-clés : Cough Deglutition disorders Diaphragm Muscle diaphragme Stroke Ultrasonography Résumé : Objective
To record diaphragm excursion via M-mode ultrasonography in stroke patients with dysphagia and determine whether they present reduced diaphragm excursion during voluntary cough compared with stroke patients without dysphagia and healthy subjects.
Design
Prospective cross-sectional study.
Setting
University rehabilitation hospital.
Participants
Acute stroke patients with dysphagia (n=23), acute stroke patients without dysphagia (n=24), and healthy control participants (n=27) (N=74).
Interventions
Not applicable.
Main Outcome Measures
Diaphragm motions during quiet breathing, deep breathing, and voluntary coughing were recorded via ultrasonography using M-mode tracing (mm). Maximum inspiratory and expiratory pressures (cmH2O) and peak cough flow (L/min) during voluntary coughing were measured.
Results
The mean diaphragm movement (mm) of the hemiplegic side for all groups during quiet breathing, deep breathing, and voluntary coughing was 14.8+4.3, 17.6+4.8, and 20.9+3.7 (P<.001 and respectively. the differences were statistically significant. observed in maximum inspiratory expiratory pressures peak cough flow among groups. forward selection stepwise regression analysis which was performed to determine variables that help predict diaphragm excursion during voluntary coughing showed presence of dysphagia explained up hemiplegic movement patients with stroke.> Conclusions
M-mode ultrasonography showed that stroke patients with dysphagia have decreased diaphragm excursion and compromised respiratory function during voluntary coughing.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=118625
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 114-121[article] Decreased Diaphragm Excursion in Stroke Patients With Dysphagia as Assessed by M-Mode Sonography [Article] / Geun-Young Park, Auteur ; Seong-Rim Kim, Auteur ; Young Woo Kim, Auteur . - p. 114-121.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 114-121
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Échographie ; Rééducation et réadaptation ; Toux ; Troubles de la déglutitionMots-clés : Cough Deglutition disorders Diaphragm Muscle diaphragme Stroke Ultrasonography Résumé : Objective
To record diaphragm excursion via M-mode ultrasonography in stroke patients with dysphagia and determine whether they present reduced diaphragm excursion during voluntary cough compared with stroke patients without dysphagia and healthy subjects.
Design
Prospective cross-sectional study.
Setting
University rehabilitation hospital.
Participants
Acute stroke patients with dysphagia (n=23), acute stroke patients without dysphagia (n=24), and healthy control participants (n=27) (N=74).
Interventions
Not applicable.
Main Outcome Measures
Diaphragm motions during quiet breathing, deep breathing, and voluntary coughing were recorded via ultrasonography using M-mode tracing (mm). Maximum inspiratory and expiratory pressures (cmH2O) and peak cough flow (L/min) during voluntary coughing were measured.
Results
The mean diaphragm movement (mm) of the hemiplegic side for all groups during quiet breathing, deep breathing, and voluntary coughing was 14.8+4.3, 17.6+4.8, and 20.9+3.7 (P<.001 and respectively. the differences were statistically significant. observed in maximum inspiratory expiratory pressures peak cough flow among groups. forward selection stepwise regression analysis which was performed to determine variables that help predict diaphragm excursion during voluntary coughing showed presence of dysphagia explained up hemiplegic movement patients with stroke.> Conclusions
M-mode ultrasonography showed that stroke patients with dysphagia have decreased diaphragm excursion and compromised respiratory function during voluntary coughing.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=118625
Titre : Using the Systems Framework for Postural Control to Analyze the Components of Balance Evaluated in Standardized Balance Measures: A Scoping Review Type de document : Article Auteurs : Kathryn M. Sibley ; Marla K. Beauchamp ; Karen Van Ooteghem Article en page(s) : p. 122-132 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladie chronique ; Psychométrie ; Rééducation et réadaptation ; VieillissementMots-clés : Accidental falls Chutes accidentelles Aging Chronic disease Postural balance Équilibre postural Psychometrics Résumé : Objective
To identify components of postural control included in standardized balance measures for adult populations.
Data Sources
Electronic searches of MEDLINE, EMBASE, and CINAHL databases using keyword combinations of postural balance/equilibrium, psychometrics/reproducibility of results/predictive value of tests/validation studies, instrument construction/instrument validation, geriatric assessment/disability evaluation, gray literature, and hand searches.
Study Selection
Inclusion criteria were measures with a stated objective to assess balance, adult populations (18y and older), at least 1 psychometric evaluation, 1 standing task, a standardized protocol and evaluation criteria, and published in English. Two reviewers independently identified studies for inclusion. Sixty-six measures were included.
Data Extraction
A research assistant extracted descriptive characteristics and 2 reviewers independently coded components of balance in each measure using the Systems Framework for Postural Control, a widely recognized model of balance.
Data Synthesis
Components of balance evaluated in these measures were underlying motor systems (100% of measures), anticipatory postural control (71%), dynamic stability (67%), static stability (64%), sensory integration (48%), functional stability limits (27%), reactive postural control (23%), cognitive influences (17%), and verticality (8%). Thirty-four measures evaluated 3 or fewer components of balance, and 1 measure—the Balance Evaluation Systems Test—evaluated all components of balance.
Conclusions
Several standardized balance measures provide only partial information on postural control and omit important components of balance related to avoiding falls. As such, the choice of measure(s) may limit the overall interpretation of an individual's balance ability. Continued work is necessary to increase the implementation of comprehensive balance assessment in research and practice.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=118626
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 122-132[article] Using the Systems Framework for Postural Control to Analyze the Components of Balance Evaluated in Standardized Balance Measures: A Scoping Review [Article] / Kathryn M. Sibley ; Marla K. Beauchamp ; Karen Van Ooteghem . - p. 122-132.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 122-132
Descripteurs : HE Vinci
Maladie chronique ; Psychométrie ; Rééducation et réadaptation ; VieillissementMots-clés : Accidental falls Chutes accidentelles Aging Chronic disease Postural balance Équilibre postural Psychometrics Résumé : Objective
To identify components of postural control included in standardized balance measures for adult populations.
Data Sources
Electronic searches of MEDLINE, EMBASE, and CINAHL databases using keyword combinations of postural balance/equilibrium, psychometrics/reproducibility of results/predictive value of tests/validation studies, instrument construction/instrument validation, geriatric assessment/disability evaluation, gray literature, and hand searches.
Study Selection
Inclusion criteria were measures with a stated objective to assess balance, adult populations (18y and older), at least 1 psychometric evaluation, 1 standing task, a standardized protocol and evaluation criteria, and published in English. Two reviewers independently identified studies for inclusion. Sixty-six measures were included.
Data Extraction
A research assistant extracted descriptive characteristics and 2 reviewers independently coded components of balance in each measure using the Systems Framework for Postural Control, a widely recognized model of balance.
Data Synthesis
Components of balance evaluated in these measures were underlying motor systems (100% of measures), anticipatory postural control (71%), dynamic stability (67%), static stability (64%), sensory integration (48%), functional stability limits (27%), reactive postural control (23%), cognitive influences (17%), and verticality (8%). Thirty-four measures evaluated 3 or fewer components of balance, and 1 measure—the Balance Evaluation Systems Test—evaluated all components of balance.
Conclusions
Several standardized balance measures provide only partial information on postural control and omit important components of balance related to avoiding falls. As such, the choice of measure(s) may limit the overall interpretation of an individual's balance ability. Continued work is necessary to increase the implementation of comprehensive balance assessment in research and practice.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=118626
Titre : Prevalence of Depression After Spinal Cord Injury: A Meta-Analysis Type de document : Article Auteurs : Ryan Williams ; Adrian Murray Article en page(s) : p. 133-140 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Méta-analyse ; Prévalence ; Rééducation et réadaptation ; Revue de la littérature ; Traumatismes de la moelle épinièreMots-clés : Meta-analysis Review Spinal cord injuries Résumé : Objectives
To use meta-analysis to synthesize point prevalence estimates of depressive disorder diagnoses for persons who have sustained a spinal cord injury (SCI).
Data Sources
We searched PsycINFO, PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Dissertation Abstracts International (DAI) for studies examining depression after SCI through 2013. We also conducted a manual search of the reference sections of included studies.
Study Selection
Included studies contained persons with SCI; used a diagnostic measure of depression (ie, an unstructured, semi-structured, or structured clinical interview, and/or a clinician diagnosis); and provided a diagnosis of major or minor depressive episodes for the subjects in the study. Diagnostic criteria were based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, or the Diagnostic and Statistical Manual of Mental Disorders-Third Edition (including Research Diagnostic Criteria) criteria.
Data Extraction
The 2 authors of this study screened the titles and abstracts of 1053 unique studies for inclusion in this meta-analysis. Nineteen studies, containing 35,676 subjects and 21 effect size estimates, were included.
Data Synthesis
The mean prevalence estimate of depression diagnosis after SCI was 22.2%, with a lower-bound estimate of 18.7% and an upper bound estimate of 26.3%. Random effects and mixed effects models were used in this work. A small number of study moderators were explored, including sample sex composition, Diagnostic and Statistical Manual of Mental Disorders version used, data collection method (primary vs secondary), sample traumatic etiology composition, sample injury level and completeness composition, and sample diagnostic composition. Data collection method, Diagnostic and Statistical Manual of Mental Disorders version, and diagnostic composition significantly predicted variation in observed effect size estimates, with primary data collection studies having lower estimates compared with secondary data analysis studies, studies using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnostic criteria having higher estimates compared with studies using Diagnostic and Statistical Manual of Mental Disorders, Third Edition, criteria, and samples comprising individuals diagnosed only with major depression having lower prevalence estimates.
Conclusions
The existing data on depression after SCI indicate that the prevalence of depression after SCI is substantially greater than that in the general medical population. These results underscore the importance of continued research on measuring depression in persons with SCI and on treatments for depression after 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=118627
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 133-140[article] Prevalence of Depression After Spinal Cord Injury: A Meta-Analysis [Article] / Ryan Williams ; Adrian Murray . - p. 133-140.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 133-140
Descripteurs : HE Vinci
Dépression ; Méta-analyse ; Prévalence ; Rééducation et réadaptation ; Revue de la littérature ; Traumatismes de la moelle épinièreMots-clés : Meta-analysis Review Spinal cord injuries Résumé : Objectives
To use meta-analysis to synthesize point prevalence estimates of depressive disorder diagnoses for persons who have sustained a spinal cord injury (SCI).
Data Sources
We searched PsycINFO, PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Dissertation Abstracts International (DAI) for studies examining depression after SCI through 2013. We also conducted a manual search of the reference sections of included studies.
Study Selection
Included studies contained persons with SCI; used a diagnostic measure of depression (ie, an unstructured, semi-structured, or structured clinical interview, and/or a clinician diagnosis); and provided a diagnosis of major or minor depressive episodes for the subjects in the study. Diagnostic criteria were based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, or the Diagnostic and Statistical Manual of Mental Disorders-Third Edition (including Research Diagnostic Criteria) criteria.
Data Extraction
The 2 authors of this study screened the titles and abstracts of 1053 unique studies for inclusion in this meta-analysis. Nineteen studies, containing 35,676 subjects and 21 effect size estimates, were included.
Data Synthesis
The mean prevalence estimate of depression diagnosis after SCI was 22.2%, with a lower-bound estimate of 18.7% and an upper bound estimate of 26.3%. Random effects and mixed effects models were used in this work. A small number of study moderators were explored, including sample sex composition, Diagnostic and Statistical Manual of Mental Disorders version used, data collection method (primary vs secondary), sample traumatic etiology composition, sample injury level and completeness composition, and sample diagnostic composition. Data collection method, Diagnostic and Statistical Manual of Mental Disorders version, and diagnostic composition significantly predicted variation in observed effect size estimates, with primary data collection studies having lower estimates compared with secondary data analysis studies, studies using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnostic criteria having higher estimates compared with studies using Diagnostic and Statistical Manual of Mental Disorders, Third Edition, criteria, and samples comprising individuals diagnosed only with major depression having lower prevalence estimates.
Conclusions
The existing data on depression after SCI indicate that the prevalence of depression after SCI is substantially greater than that in the general medical population. These results underscore the importance of continued research on measuring depression in persons with SCI and on treatments for depression after 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=118627
Titre : Dance for People With Parkinson Disease: What Is the Evidence Telling Us? Type de document : Article Auteurs : Joanne Shanahan ; Meg E. Morris ; Orfhlaith Ni Bhriain Article en page(s) : p. 141-153 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptation ; Thérapie par la danseMots-clés : Dance therapy Exercise Parkinson disease Résumé : Objectives
(1) To appraise and synthesize the literature on dance interventions for individuals with Parkinson disease (PD); (2) to provide information regarding the frequency, intensity, duration, and type of dance used in these programs; and (3) to inform the development of future studies evaluating dance interventions in this population.
Data Sources
Eight databases (MEDLINE, Cumulative Index to Nursing and Allied Health Literature [CINAHL], the Allied and Complementary Medicine Database [AMED], SPORTDiscus, PubMed, PubMed Central, Sage, and ScienceDirect) were electronically searched in April 2014. The references lists from the included articles were also searched.
Study Selection
Studies retrieved during the literature search were reviewed by 2 reviewers independently. Suitable articles were identified by applying inclusion criteria.
Data Extraction
Data regarding participants and the frequency, intensity, duration, and type of dance form used were extracted. The effect that each dance program had on defined outcomes and the feasibility of each program were also reviewed.
Data Synthesis
Thirteen articles were identified. The quality of studies varied, and methodological limitations were evident in some. The evidence evaluated suggests that two 1-hour dance classes per week over 10 to 13 weeks may have beneficial effects on endurance, motor impairment, and balance.
Conclusions
Dance may be helpful for some people with PD. This article provides preliminary information to aid clinicians when implementing dance programs for people with PD. Higher-quality multicenter studies are needed to determine the effect of other dance genres and the optimal therapy volume and intensity.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=118628
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 141-153[article] Dance for People With Parkinson Disease: What Is the Evidence Telling Us? [Article] / Joanne Shanahan ; Meg E. Morris ; Orfhlaith Ni Bhriain . - p. 141-153.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 141-153
Descripteurs : HE Vinci
Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptation ; Thérapie par la danseMots-clés : Dance therapy Exercise Parkinson disease Résumé : Objectives
(1) To appraise and synthesize the literature on dance interventions for individuals with Parkinson disease (PD); (2) to provide information regarding the frequency, intensity, duration, and type of dance used in these programs; and (3) to inform the development of future studies evaluating dance interventions in this population.
Data Sources
Eight databases (MEDLINE, Cumulative Index to Nursing and Allied Health Literature [CINAHL], the Allied and Complementary Medicine Database [AMED], SPORTDiscus, PubMed, PubMed Central, Sage, and ScienceDirect) were electronically searched in April 2014. The references lists from the included articles were also searched.
Study Selection
Studies retrieved during the literature search were reviewed by 2 reviewers independently. Suitable articles were identified by applying inclusion criteria.
Data Extraction
Data regarding participants and the frequency, intensity, duration, and type of dance form used were extracted. The effect that each dance program had on defined outcomes and the feasibility of each program were also reviewed.
Data Synthesis
Thirteen articles were identified. The quality of studies varied, and methodological limitations were evident in some. The evidence evaluated suggests that two 1-hour dance classes per week over 10 to 13 weeks may have beneficial effects on endurance, motor impairment, and balance.
Conclusions
Dance may be helpful for some people with PD. This article provides preliminary information to aid clinicians when implementing dance programs for people with PD. Higher-quality multicenter studies are needed to determine the effect of other dance genres and the optimal therapy volume and intensity.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=118628
Titre : Mediolateral Joint Powers at the Low Back Among Persons With Unilateral Transfemoral Amputation Type de document : Article Auteurs : Brad D. Hendershot ; Erik J. Wolf Article en page(s) : p. 154-157 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Locomotion ; Rééducation et réadaptation ; TroncMots-clés : Amputation chirurgicale Biomechanical Phenomena Phénomènes biomécaniques Kinetics Cinétique Torso Résumé : Objective
To analyze mediolateral joint powers at the low back during gait among persons with and without unilateral transfemoral amputation to better understand the functional contributions of tissues in and around the low back to altered lateral trunk movements in this population.
Design
Retrospective analysis of biomechanical gait data.
Setting
Gait laboratory.
Participants
Twenty persons with unilateral transfemoral amputation and 20 uninjured controls (N=40).
Interventions
Not applicable.
Main Outcome Measures
Net joint powers, and total generation (+) and absorption (−) energies, at the low back (L5/S1 spinal level) were analyzed in the frontal plane using inverse dynamics analyses on over-ground gait data collected at self-selected walking speeds (∼1.3m/s).
Results
Compared with uninjured controls, 4 distinctly larger positive phases of mediolateral joint power at L5/S1 were evident in persons with transfemoral amputation, occurring before and after each heel strike. Total generation energies throughout the gait cycle were also larger (P<.001 among persons with transfemoral amputation than uninjured controls> Conclusions
Larger positive phases of joint power at L5/S1 in the frontal plane support previous suggestions that persons with transfemoral amputation use a more active mediolateral trunk movement strategy, although such an active trunk movement strategy with transfemoral amputation may contribute to higher metabolic energy expenditures and low back pain risk.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=118629
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 154-157[article] Mediolateral Joint Powers at the Low Back Among Persons With Unilateral Transfemoral Amputation [Article] / Brad D. Hendershot ; Erik J. Wolf . - p. 154-157.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 154-157
Descripteurs : HE Vinci
Amputation ; Locomotion ; Rééducation et réadaptation ; TroncMots-clés : Amputation chirurgicale Biomechanical Phenomena Phénomènes biomécaniques Kinetics Cinétique Torso Résumé : Objective
To analyze mediolateral joint powers at the low back during gait among persons with and without unilateral transfemoral amputation to better understand the functional contributions of tissues in and around the low back to altered lateral trunk movements in this population.
Design
Retrospective analysis of biomechanical gait data.
Setting
Gait laboratory.
Participants
Twenty persons with unilateral transfemoral amputation and 20 uninjured controls (N=40).
Interventions
Not applicable.
Main Outcome Measures
Net joint powers, and total generation (+) and absorption (−) energies, at the low back (L5/S1 spinal level) were analyzed in the frontal plane using inverse dynamics analyses on over-ground gait data collected at self-selected walking speeds (∼1.3m/s).
Results
Compared with uninjured controls, 4 distinctly larger positive phases of mediolateral joint power at L5/S1 were evident in persons with transfemoral amputation, occurring before and after each heel strike. Total generation energies throughout the gait cycle were also larger (P<.001 among persons with transfemoral amputation than uninjured controls> Conclusions
Larger positive phases of joint power at L5/S1 in the frontal plane support previous suggestions that persons with transfemoral amputation use a more active mediolateral trunk movement strategy, although such an active trunk movement strategy with transfemoral amputation may contribute to higher metabolic energy expenditures and low back pain risk.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=118629
Titre : Rehabilitation Professionals Still Do Not Communicate Effectively About Cognition Type de document : Article Auteurs : Erik S. Lande ; Richard L. Wanlass Article en page(s) : p. 158-162 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Communication ; Mémoire ; Rééducation et réadaptationMots-clés : Memory Terminology as topic Terminologie comme sujet Résumé : Objective
To examine current use of descriptive labels for levels of cognitive impairment and types of memory to explore whether rehabilitation disciplines are now communicating more effectively.
Design
Survey of rehabilitation professionals.
Setting
Hospital rehabilitation programs.
Participants
Respondents (N=130) representing 8 facilities in 5 states completed surveys.
Interventions
Not applicable.
Main Outcome Measures
Responses to survey questions about severity and types of memory impairment were examined with the Kruskal-Wallis test to determine the impact of profession on ratings. Post hoc Mann-Whitney U test comparisons of the 2 professions with the most cognitive assessment experience, psychologists/neuropsychologists and speech-language pathologists, were conducted.
Results
Ratings of various deficit levels differed significantly by profession (mild: H=39.780, P<.000 moderate: h="43.309," p severe: but not by program location. in comparing psychologists and speech-language pathologists specifically we found a significant discrepancy ratings for percentile ranges associated with the terms mild moderate severe disagreement on meaning of descriptive memory was noted among rehabilitation professionals general large percentages respondents agreeing meanings terms.> Conclusions
A significant lack of consensus persists regarding the understanding of common cognitive terminology. This miscommunication affects cognitive impairment descriptors (eg, mild, moderate, severe) and categorization of types of memory. Only half of rehabilitation professionals appear aware of this discrepancy, suggesting that education is necessary to bring greater awareness of the potential for miscommunication.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=118630
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 158-162[article] Rehabilitation Professionals Still Do Not Communicate Effectively About Cognition [Article] / Erik S. Lande ; Richard L. Wanlass . - p. 158-162.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 158-162
Descripteurs : HE Vinci
Cognition ; Communication ; Mémoire ; Rééducation et réadaptationMots-clés : Memory Terminology as topic Terminologie comme sujet Résumé : Objective
To examine current use of descriptive labels for levels of cognitive impairment and types of memory to explore whether rehabilitation disciplines are now communicating more effectively.
Design
Survey of rehabilitation professionals.
Setting
Hospital rehabilitation programs.
Participants
Respondents (N=130) representing 8 facilities in 5 states completed surveys.
Interventions
Not applicable.
Main Outcome Measures
Responses to survey questions about severity and types of memory impairment were examined with the Kruskal-Wallis test to determine the impact of profession on ratings. Post hoc Mann-Whitney U test comparisons of the 2 professions with the most cognitive assessment experience, psychologists/neuropsychologists and speech-language pathologists, were conducted.
Results
Ratings of various deficit levels differed significantly by profession (mild: H=39.780, P<.000 moderate: h="43.309," p severe: but not by program location. in comparing psychologists and speech-language pathologists specifically we found a significant discrepancy ratings for percentile ranges associated with the terms mild moderate severe disagreement on meaning of descriptive memory was noted among rehabilitation professionals general large percentages respondents agreeing meanings terms.> Conclusions
A significant lack of consensus persists regarding the understanding of common cognitive terminology. This miscommunication affects cognitive impairment descriptors (eg, mild, moderate, severe) and categorization of types of memory. Only half of rehabilitation professionals appear aware of this discrepancy, suggesting that education is necessary to bring greater awareness of the potential for miscommunication.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=118630
Titre : Health-Related Rehabilitation and Human Rights: Analyzing States' Obligations Under the United Nations Convention on the Rights of Persons with Disabilities Type de document : Article Auteurs : Dimitrios Skempes ; Gerold Stucki ; Jerome Bickenbach Article en page(s) : p. 163-173 Langues : Anglais (eng) Descripteurs : HE Vinci
Droits de l'homme ; Jurisprudence ; Prestations des soins de santé ; Rééducation et réadaptation ; Services de santé pour les personnes handicapéesMots-clés : Delivery of health care Human rights Health Services for Persons with Disabilities Résumé : Globally, disability represents a major challenge for health systems and contributes to the rising demand for rehabilitation care. An extensive body of evidence testifies to the barriers that people with disabilities confront in accessing rehabilitation services and to the enormous impact this has on their lives. The international legal dimension of rehabilitation is underexplored, although access to rehabilitation is a human right enshrined in numerous legal documents, specifically the Convention on the Rights of Persons with Disabilities. However, to date, no study has analyzed the implications of the Convention for Rehabilitation Policy and Organization. This article clarifies states' obligations with respect to health-related rehabilitation for persons with disabilities under the Convention. These obligations relate to the provision of rehabilitation but extend across several key human right commitment areas such as equality and nondiscrimination; progressive realization; international cooperation; participation in policymaking processes; the accessibility, availability, acceptability, and quality of rehabilitation services; privacy and confidentiality; and informed decision making and accountability. To support effective implementation of the Convention, governments need to focus their efforts on all these areas and devise appropriate measures to monitor compliance with human rights principles and standards in rehabilitation policy, service delivery, and organization. This article lays the foundations for a rights-based approach to rehabilitation and offers a framework that may assist in the evaluation of national rehabilitation strategies and the identification of gaps in the implementation of the Convention. 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=118631
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 163-173[article] Health-Related Rehabilitation and Human Rights: Analyzing States' Obligations Under the United Nations Convention on the Rights of Persons with Disabilities [Article] / Dimitrios Skempes ; Gerold Stucki ; Jerome Bickenbach . - p. 163-173.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 163-173
Descripteurs : HE Vinci
Droits de l'homme ; Jurisprudence ; Prestations des soins de santé ; Rééducation et réadaptation ; Services de santé pour les personnes handicapéesMots-clés : Delivery of health care Human rights Health Services for Persons with Disabilities Résumé : Globally, disability represents a major challenge for health systems and contributes to the rising demand for rehabilitation care. An extensive body of evidence testifies to the barriers that people with disabilities confront in accessing rehabilitation services and to the enormous impact this has on their lives. The international legal dimension of rehabilitation is underexplored, although access to rehabilitation is a human right enshrined in numerous legal documents, specifically the Convention on the Rights of Persons with Disabilities. However, to date, no study has analyzed the implications of the Convention for Rehabilitation Policy and Organization. This article clarifies states' obligations with respect to health-related rehabilitation for persons with disabilities under the Convention. These obligations relate to the provision of rehabilitation but extend across several key human right commitment areas such as equality and nondiscrimination; progressive realization; international cooperation; participation in policymaking processes; the accessibility, availability, acceptability, and quality of rehabilitation services; privacy and confidentiality; and informed decision making and accountability. To support effective implementation of the Convention, governments need to focus their efforts on all these areas and devise appropriate measures to monitor compliance with human rights principles and standards in rehabilitation policy, service delivery, and organization. This article lays the foundations for a rights-based approach to rehabilitation and offers a framework that may assist in the evaluation of national rehabilitation strategies and the identification of gaps in the implementation of the Convention. 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=118631
Titre : Measurement Characteristics and Clinical Utility of the Capabilities of Upper Extremities Among Individuals With Spinal Cord Injury Type de document : Article Auteurs : Cara L. Weisbach ; Wendy Romney ; Jennifer H. Kahn Article en page(s) : p. 177-178 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Traumatismes de la moelle épinièreMots-clés : Upper Extremity Spinal Cord Injuries Résumé : Improving upper extremity (UE) function is a high priority for individuals with spinal cord injury (SCI).1 Currently, there is a lack of standardized measures to capture UE function specific to individuals with SCI.2 The Capabilities of Upper Extremities (CUE) is an SCI-specific, patient-reported outcome measure examining UE functions in individuals with tetraplegia.3 It is a 32-item questionnaire assessing self-perceived difficulty in performing specific tasks including reaching and lifting, pushing and pulling, and wrist, hand, and finger actions. A total score of between 32 and 224 points is available, with higher scores indicating higher levels of UE function. Fifteen of the items assess unilateral hand and arm function separately for the left and right, and 2 items assess bilateral arm and hand function.3 Excellent homogeneity, test-retest reliability, validity, and minimal detectable change have been established for people with chronic tetraplegia (>1y postinjury).3-5 Further psychometric testing is needed to determine its use in individuals with acute SCI. The CUE has been used in intervention studies looking at UE function in individuals with tetraplegia.6 It is being used to create the CUE-T, a performance-based hand function test that, with preliminary testing, has shown strong psychometric properties.7
A full review of the CUE and reviews of nearly 200 other instruments can be found at www.rehabmeasures.org.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=118632
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 177-178[article] Measurement Characteristics and Clinical Utility of the Capabilities of Upper Extremities Among Individuals With Spinal Cord Injury [Article] / Cara L. Weisbach ; Wendy Romney ; Jennifer H. Kahn . - p. 177-178.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 177-178
Descripteurs : HE Vinci
Membre supérieur ; Traumatismes de la moelle épinièreMots-clés : Upper Extremity Spinal Cord Injuries Résumé : Improving upper extremity (UE) function is a high priority for individuals with spinal cord injury (SCI).1 Currently, there is a lack of standardized measures to capture UE function specific to individuals with SCI.2 The Capabilities of Upper Extremities (CUE) is an SCI-specific, patient-reported outcome measure examining UE functions in individuals with tetraplegia.3 It is a 32-item questionnaire assessing self-perceived difficulty in performing specific tasks including reaching and lifting, pushing and pulling, and wrist, hand, and finger actions. A total score of between 32 and 224 points is available, with higher scores indicating higher levels of UE function. Fifteen of the items assess unilateral hand and arm function separately for the left and right, and 2 items assess bilateral arm and hand function.3 Excellent homogeneity, test-retest reliability, validity, and minimal detectable change have been established for people with chronic tetraplegia (>1y postinjury).3-5 Further psychometric testing is needed to determine its use in individuals with acute SCI. The CUE has been used in intervention studies looking at UE function in individuals with tetraplegia.6 It is being used to create the CUE-T, a performance-based hand function test that, with preliminary testing, has shown strong psychometric properties.7
A full review of the CUE and reviews of nearly 200 other instruments can be found at www.rehabmeasures.org.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=118632
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