Mention de date : 2014
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Dépouillements
Ajouter le résultat dans votre panierRobotic Resistance/Assistance Training Improves Locomotor Function in Individuals Poststroke: A Randomized Controlled Study / Ming Wu in Archives of Physical Medicine and Rehabilitation, 2014/5 (2014)
Titre : Robotic Resistance/Assistance Training Improves Locomotor Function in Individuals Poststroke: A Randomized Controlled Study Type de document : Article Auteurs : Ming Wu ; Jill M. Landry ; Janis Kim Article en page(s) : p. 799-806 Langues : Anglais (eng) Descripteurs : HE Vinci
Hémiplégie ; Rééducation et réadaptation ; RobotiqueMots-clés : Gait Démarche Hemiplegia Recovery of function Récupération fonctionnelle Robotics Walking Marche à pied Résumé : Objective
To determine whether providing a controlled resistance versus assistance to the paretic leg at the ankle during treadmill training will improve walking function in individuals poststroke.
Design
Repeated assessment of the same patients with parallel design and randomized controlled study between 2 groups.
Setting
Research units of rehabilitation hospitals.
Participants
Patients (N=30) with chronic stroke.
Intervention
Subjects were stratified based on self-selected walking speed and were randomly assigned to the resistance or assistance training group. For the resistance group, a controlled resistance load was applied to the paretic leg at the ankle to resist leg swing during treadmill walking. For the assistance group, a load that assists swing was applied.
Main Outcome Measures
Primary outcome measures were walking speed and 6-minute walking distance. Secondary measures included clinical assessments of balance, muscle tone, and quality of life. Outcome measures were evaluated before and after 6 weeks of training and at 8 weeks' follow-up, and compared within group and between the 2 groups.
Results
After 6 weeks of robotic training, walking speed significantly increased for both groups, with no significant differences in walking speed gains observed between the 2 groups. In addition, 6-minute walking distance and balance significantly improved for the assistance group but not for the resistance group.
Conclusions
Applying a controlled resistance or an assistance load to the paretic leg during treadmill training may induce improvements in walking speed in individuals poststroke. Resistance training was not superior to assistance training in improving locomotor function in individuals poststroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119021
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 799-806[article]
Titre : Are Performance-Based Functional Assessments Superior to Semistructured Interviews for Enhancing Return-to-Work Outcomes? Type de document : Article Auteurs : Douglas P. Gross ; Alexander K. Asante ; Maxi Miciak Article en page(s) : p. 807-815 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Reprise du travailMots-clés : Insurance disability Assurance invalidité Outcome and process assessment (health care) Évaluation des résultats et des processus en soins de santé Return to work Workers' compensation Indemnisation des accidentés du travail Résumé : Objective
To examine whether use of functional capacity evaluation (FCE) leads to better outcomes for injured workers.
Design
Cluster randomized controlled trial conducted with analysis at level of claimant.
Setting
Rehabilitation facility.
Participants
Participants included claimants (N=203); of these, 103 were tested with FCE. Data were collected on all claimants undergoing RTW assessment at the facility for musculoskeletal conditions. Participants were predominantly employed (59%) men (73%) with chronic musculoskeletal conditions (median duration, 496d).
Interventions
FCEs are commonly used to identify work abilities and inform return-to-work (RTW) decisions. Therefore, FCE results have important consequences. Clinicians who were trained and experienced in performing FCEs were randomized into 2 groups. One group included 14 clinicians who were trained to conduct a semistructured functional interview; the other group (control group) continued to use standard FCE procedures.
Main Outcome Measures
Outcomes included RTW recommendations after assessment, functional work level at time of assessment and 1, 3, and 6 months after assessment, and compensation outcomes. Analysis included Mann-Whitney U, chi-square, and t tests.
Results
All outcomes were similar between groups, and no statistically or clinically significant differences were observed. Mean differences between groups on functional work levels at assessment and follow-up ranged from 0.1 to 0.3 out of 4 (3%–8% difference, P>.05).
Conclusions
Performance-based FCEs did not appear to enhance RTW outcomes beyond information gained from semistructured functional interviewing. Use of functional interviewing has the potential to improve efficiency of RTW assessment without compromising clinical, RTW, or compensation outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119022
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 807-815[article]
Titre : Effect of Tai Chi on Physical Function, Fall Rates and Quality of Life Among Older Stroke Survivors Type de document : Article Auteurs : Ruth E. Taylor-Piliae ; Tiffany M. Hoke ; Joseph T. Hepworth Article en page(s) : p. 816-824 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation ; Tai chiMots-clés : Accidental falls Chutes accidentelles Controlled clinical trial Essai clinique contrôlé Stroke Tai Ji Résumé : Objective
To examine the effect of a 12-week Tai Chi (TC) intervention on physical function and quality of life.
Design
Single-blind, randomized controlled trial.
Setting
General community.
Participants
Community-dwelling survivors of stroke (N=145; 47% women; mean age, 70y; time poststroke: 3y; ischemic stroke: 66%; hemiparesis: 73%) who were aged ≥50 years and were ≥3 months poststroke.
Interventions
Yang style 24-posture short-form TC (n=53), strength and range of movement exercises (SS) (n=44), or usual care (UC) (n=48) for 12 weeks. The TC and SS groups attended a 1-hour class 3 times per week, whereas the UC group had weekly phone calls.
Main Outcome Measures
Physical function: Short Physical Performance Battery, fall rates, and 2-minute step test; quality of life: Medical Outcomes Study 36-Item Short-Form Health Survey, Center for Epidemiologic Studies Depression Scale, and Pittsburgh Sleep Quality Index.
Results
During the intervention, TC participants had two thirds fewer falls (5 falls) than the SS (14 falls) and UC (15 falls) groups (χ2=5.6, P=.06). There was a significant group by time interaction for the 2-minute step test (F2,142=4.69, P<.01 post hoc tests indicated that the tc p=".02)" and ss groups had significantly better aerobic endurance over time though not in uc group intervention adherence rates were> Conclusions
TC and SS led to improved aerobic endurance, and both are suitable community-based programs that may aid in stroke recovery and community reintegration. Our data suggest that a 12-week TC intervention was more effective in reducing fall rates than SS or UC interventions. Future studies examining the effectiveness of TC as a fall prevention strategy for community-dwelling survivors of stroke are recommended.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119023
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 816-824[article]
Titre : Functional Outcomes Associated With Adaptive Seating Interventions in Children and Youth With Wheeled Mobility Needs Type de document : Article Auteurs : Stephen E. Ryan ; Bonita Sawatzky ; Kent A. Campbell Article en page(s) : p. 825-831 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Famille ; Rééducation et réadaptationMots-clés : Family Outcome assessment (health care) Self-help devices Dispositifs d'assistance au mouvement Wheelchairs Fauteuils roulants Résumé : Objective
To determine the parent-reported functional outcomes associated with adaptive seating devices for wheeled mobility devices used by young people aged 1 to 17 years.
Design
Longitudinal case series.
Setting
Homes of participating parents.
Participants
Parents (N=70, 63 mothers, 6 fathers, 1 grandmother) who had children with adaptive seating needs.
Intervention
Adaptive seating system for wheeled mobility devices.
Main Outcome Measure
Family Impact of Assistive Technology Scale for Adaptive Seating (FIATS-AS).
Results
All parents completed the FIATS-AS 4 times—2 times before and 2 times after their child received a new adaptive seating system. Mixed-design analysis of variance did not detect significant mean differences among the FIATS-AS scores measured at baseline and 2 and 8 months after receiving the seating system (F2,134=.22, P=.81). However, the FIATS-AS detected a significant interaction between age cohort and interview time (F4,134=4.5, P<.001 partial post hoc testing confirmed that months after receiving the seating system was associated with a large improvement in child and family functioning for children years maintenance of between moderate decline youth years.> Conclusions
Adaptive seating interventions for wheeled mobility devices are associated with functional changes in the lives of children and their families that interact inversely with age. Future controlled longitudinal studies could provide further empirical evidence of functional changes in the lives of children and their families after the introduction and long-term use of specific adaptive seating interventions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119024
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 825-831[article]
Titre : Investigating the Role of Backward Walking Therapy in Alleviating Plantar Pressure of Patients With Diabetic Peripheral Neuropathy Type de document : Article Auteurs : Xingguang Zhang ; Yanqi Zhang ; Xiaoxiao Gao Article en page(s) : p. 832-839 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications du diabète ; Rééducation et réadaptationMots-clés : Diabetes Complications Gait Démarche Résumé : Objective
To investigate the effect of combination therapy of backward walking training and alpha-lipoic acid (ALA) treatment on the distribution of plantar pressure in patients with diabetic peripheral neuropathy (DPN).
Design
This study is a double-blinded, randomized controlled trial. The test group was treated with combination therapy of backward walking exercise and ALA (ALA for 2wk, backward walking exercise for 12wk), and the control group only received ALA treatment.
Setting
Clinical and laboratory setting.
Participants
Patients with DPN (N=60) were divided into the test group (n=30) or control group (n=30).
Interventions
Backward walking exercise with ALA treatment for the test group; lipoic acid treatment for the control group.
Main Outcome Measure
Plantar pressure before and after treatment was tested and analyzed with the flatbed plantar pressure measurement system.
Results
After treatment, peak plantar pressure in the forefoot dropped for both the test and control groups; peak plantar pressure for the test group dropped significantly. Peak plantar pressure in the medial foot slightly increased for the test group, suggesting a more even distribution of plantar pressure in the test group after treatment.
Conclusions
The combination therapy of ALA and backward walking proved to be more effective than ALA monotherapy. Backward walking also proved to have an ameliorating effect on balance ability and muscle strength of patients with DPN.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119025
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 832-839[article]
Titre : Targeting Paretic Propulsion to Improve Poststroke Walking Function: A Preliminary Study Type de document : Article Auteurs : Louis N. Awad ; Darcy S. Reisman ; Trisha M. Kesar Article en page(s) : p. 840-848 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Rééducation et réadaptationMots-clés : Paresis Parésie Stroke Walking Marche à pied Résumé : Objectives
To determine the feasibility and safety of implementing a 12-week locomotor intervention targeting paretic propulsion deficits during walking through the joining of 2 independent interventions, walking at maximal speed on a treadmill and functional electrical stimulation of the paretic ankle musculature (FastFES); to determine the effects of FastFES training on individual subjects; and to determine the influence of baseline impairment severity on treatment outcomes.
Design
Single group pre-post preliminary study investigating a novel locomotor intervention.
Setting
Research laboratory.
Participants
Individuals (N=13) with locomotor deficits after stroke.
Intervention
FastFES training was provided for 12 weeks at a frequency of 3 sessions per week and 30 minutes per session.
Main Outcome Measures
Measures of gait mechanics, functional balance, short- and long-distance walking function, and self-perceived participation were collected at baseline, posttraining, and 3-month follow-up evaluations. Changes after treatment were assessed using pairwise comparisons and compared with known minimal clinically important differences or minimal detectable changes. Correlation analyses were run to determine the correlation between baseline clinical and biomechanical performance versus improvements in walking speed.
Results
Twelve of the 13 subjects that were recruited completed the training. Improvements in paretic propulsion were accompanied by improvements in functional balance, walking function, and self-perceived participation (each P<.02 of which were maintained at follow-up. eleven the subjects achieved meaningful functional improvements. baseline impairment was predictive absolute but not relative change after training.> Conclusions
This report demonstrates the safety and feasibility of the FastFES intervention and supports further study of this promising locomotor intervention for persons poststroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119026
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 840-848[article]
Titre : Nonparetic Arm Force Does Not Overinhibit the Paretic Arm in Chronic Poststroke Hemiparesis Type de document : Article Auteurs : Michael A. Dimyan ; Monica A. Perez ; Sungyoung Auh Article en page(s) : p. 849-856 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Neurophysiologie ; Rééducation et réadaptationMots-clés : Neurophysiology Paresis Parésie Stroke Résumé : Objective
To determine whether nonparetic arm force overinhibits the paretic arm in patients with chronic unilateral poststroke hemiparesis.
Design
Case-control neurophysiological and behavioral study of patients with chronic stroke.
Setting
Research institution.
Participants
Eighty-six referred patients were screened to enroll 9 participants (N=9) with a >6 month history of 1 unilateral ischemic infarct that resulted in arm hemiparesis with residual ability to produce 1Nm of wrist flexion torque and without contraindication to transcranial magnetic stimulation. Eight age- and handedness-matched healthy volunteers without neurologic diagnosis were studied for comparison.
Interventions
Not applicable.
Main Outcome Measure
Change in interhemispheric inhibition targeting the ipsilesional primary motor cortex (M1) during nonparetic arm force. We hypothesized that interhemispheric inhibition would increase more in healthy controls than in patients with hemiparesis.
Results
Healthy age-matched controls had significantly greater increases in inhibition from their active to resting M1 than patients with stroke from their active contralesional to resting ipsilesional M1 in the same scenario (20%+7% vs −1%+4%, F1,12=6.61, P=.025). Patients with greater increases in contralesional to ipsilesional inhibition were better performers on the 9-hole peg test of paretic arm function.
Conclusions
Our findings reveal that producing force with the nonparetic arm does not necessarily overinhibit the paretic arm. Though our study is limited in generalizability by the small sample size, we found that greater active contralesional to resting ipsilesional M1 inhibition was related with better recovery in this subset of patients with chronic poststroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119027
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 849-856[article]
Titre : Apathy and Health-Related Quality of Life in Stroke Type de document : Article Auteurs : Wai-Kwong Tang ; Grace Lau Chieh ; Vincent Mok Article en page(s) : p. 857-861 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Apathie ; Qualité de vie ; Rééducation et réadaptationMots-clés : Apathy Quality of life Stroke Résumé : Objective
To examine differences in health-related quality of life (HRQOL) in stroke survivors with and without apathy.
Design
Cross-sectional study.
Setting
Acute stroke unit in a regional hospital.
Participants
Stroke survivors (N=391) recruited from the acute stroke unit.
Interventions
Not applicable.
Main Outcome Measures
Participants were divided into apathy and nonapathy groups. Participants who scored ≥36 on the Apathy Evaluation Scale, clinician's version formed the apathy group. HRQOL was measured with the 2 component scores, mental component summary (MCS) and physical component summary (PCS), of the Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12). Demographic and clinical information were obtained with the National Institutes of Health Stroke Scale (NIHSS), Barthel Index (BI), Mini-Mental State Examination (MMSE), and Geriatric Depression Scale (GDS).
Results
Thirty-six (9%) participants had apathy. The apathy group had significantly lower MCS and PCS scores. After adjusting for sex, education, diabetes mellitus, and NIHSS, MMSE, GDS, and BI scores, the MCS score in the apathy group remained significantly lower.
Conclusions
Apathy has a significant negative effect on HRQOL in stroke survivors, particularly on their mental health. Interventions for apathy could improve the HRQOL of stroke survivors.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119028
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 857-861[article]
Titre : Level of Mobility Limitations and Falls Status in Persons With Multiple Sclerosis Type de document : Article Auteurs : Susan Coote ; Marcia Finlayson ; Jacob J. Sosnoff Article en page(s) : p. 862-866 Langues : Anglais (eng) Descripteurs : HE Vinci
Mobilité réduite ; Rééducation et réadaptation ; Sclérose en plaquesMots-clés : Accidental falls Chutes accidentelles Mobility Limitation Self-Help Devices Dispositifs d'assistance au mouvement Multiple sclerosis Résumé : Objective
To investigate whether fall rates are constant across levels of mobility limitations.
Design
Secondary analysis of baseline assessments from a stratified randomized controlled trial.
Setting
Community.
Participants
Persons with multiple sclerosis (N=365) were divided into 5 groups based on the mobility section of the Guy's Neurological Disability Scale (GNDS): no walking impairment (n=82); impaired walking, no aid (n=87); unilateral support (n=76); bilateral support to walk (n=78); or occasional wheelchair user (n=42).
Interventions
Not applicable.
Main Outcome Measures
Self-reported fall history (ie, retrospective) in the preceding 3 months.
Results
One hundred twenty-four persons in the overall sample reported falling in the last 3 months (fall prevalence, 33.97%). Of the total sample, 17.8% reported 2 or more falls in the last 3 months. Chi-square analysis revealed a significant difference in the proportion of fallers across GNDS categories (χ2=42.64, P<.001 post hoc analysis revealed that the group who walked with bilateral support had greatest proportion of fallers while without walking impairment lowest an examination recurrent as a function found there were more in but used no aid relative to other groups.> Conclusions
The current findings highlight that fall rates including recurrent fall prevalence are not uniform across mobility aid categories in persons with MS. Those using bilateral assistance for gait have the highest prevalence of fallers, and those with walking limitations and not yet using an aid had the greatest prevalence of multiple falls.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119029
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 862-866[article]
Titre : Jaw-Opening Force Test to Screen for Dysphagia: Preliminary Results Type de document : Article Auteurs : Koji Hara ; Haruka Tohara ; Satoko Wada Article en page(s) : p. 867-874 Langues : Anglais (eng) Descripteurs : HE Vinci
Déglutition ; Machoire ; Rééducation et réadaptation ; Troubles de la déglutitionMots-clés : Deglutition disorders Jaw Résumé : Objective
To assess the jaw-opening force test (JOFT) for dysphagia screening.
Design
Criterion standard.
Setting
University dental hospital.
Participants
Patients complaining of dysphagia (N=95) and with symptoms of dysphagia with chronic underlying causes (mean age + SD, 79.3+9.61y; range, 50–94y; men: n=49; mean age + SD, 77.03+9.81y; range, 50–94y; women: n=46; mean age + SD, 75.42+9.73y; range, 51–93y) admitted for treatment between May 2011 and December 2012 were included.
Interventions
None.
Main Outcome Measures
All patients were administered the JOFT and underwent fiberoptic endoscopic evaluation of swallowing (FEES). The mean jaw-opening strength was compared with aspiration (ASP) and pharyngeal residue observations of the FEES, which was used as the criterion standard.
Results
A receiver operating characteristic (ROC) curve analysis was performed. Forces of ≤3.2kg for men and ≤4kg for women were appropriate cutoff values for predicting ASP with a sensitivity and specificity of .57 and .79 for men and .93 and .52 for women, respectively. Based on the ROC analyses for predicting pharyngeal residue, forces of ≤5.3kg in men and ≤3.9kg in women were appropriate cutoff values, with a sensitivity and specificity of .80 and .88 for men and .83 and .81 for women, respectively.
Conclusions
The JOFT could be a useful screening tool for predicting pharyngeal residue and could provide useful information to aid in the referral of patients for further diagnostic imaging testing. However, given its low sensitivity to ASP the JOFT should be paired with other screening tests that predict ASP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119030
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 867-874[article]
Titre : Upper Limb Physical Function and Adverse Effects After Breast Cancer Surgery: A Prospective 2.5-Year Follow-Up Study and Preoperative Measures Type de document : Article Auteurs : Aase Sagen ; Rolf Kaaresen ; Leiv Sandvik Article en page(s) : p. 875-881 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Long Term Adverse Effects Effets indésirables à long terme Breast Cancer Lymphedema Lymphoedème après cancer du sein Hand Strength Force de préhension manuelle Physical therapy modalities Techniques de physiothérapie Résumé : Objective
To examine upper limb physical function and adverse effects after axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SLNB) in patients with breast cancer to identify impairments that can inform rehabilitation strategies.
Design
Prospective longitudinal cohort. Upper limb measurements were studied preoperatively and 2.5 years after breast cancer treatment.
Setting
Hospital setting.
Participants
Two groups of patients with early-stage primary breast cancer (N=391): the ALND surgery group (mean age, 55+10y) and the SLNB group (mean age, 57+10y).
Interventions
Not applicable.
Main Outcome Measures
Arm lymphedema (≥10% increased arm volume relative to control arm volume), grip strength (in kilograms), shoulder mobility, pain intensity during isometric shoulder abduction (on a 100-mm visual analog scale), and body mass index (kg/m2). Parametric/nonparametric tests were used for hypothesized changes and differences, and regression analysis was used for confounding factors.
Results
We observed more adverse effects in women treated with ALND than with SLNB after 2.5 years (P<.05 arm lymphedema vs grip strength reduction and shoulder abduction-provoked pain of decrease the adverse effects were similar for affected control upper limbs all outcomes except which occurred only on side.> Conclusions
Adverse effects in both affected and control/unaffected upper limb were observed after 2.5-year follow-up in both ALND and SLNB groups, but a higher prevalence was observed in the ALND group. Thus, women going through ALND surgery may benefit from further postoperative physical therapy, including resistance and strength exercise, focusing on pain management.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119031
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 875-881[article]
Titre : Feasibility of Computerized Adaptive Testing for Collection of Patient-Reported Outcomes After Inpatient Rehabilitation Type de document : Article Auteurs : Alex W.K. Wong ; Allen W. Heinemann ; Ana Miskovic Article en page(s) : p. 882-891 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Rééducation et réadaptationMots-clés : Outcome assessment (health care) Résumé : Objective
To evaluate the feasibility of computer adaptive testing (CAT) using an Internet or telephone interface to collect patient-reported outcomes after inpatient rehabilitation and to examine patient characteristics associated with completion of the CAT-administered measure and mode of administration.
Design
Prospective cohort study of patients contacted approximately 4 weeks after discharge from inpatient rehabilitation. Patients selected an Internet or telephone interface.
Setting
Rehabilitation hospital.
Participants
Patients (N=674) with diagnoses of neurologic, orthopedic, or medically complex conditions.
Interventions
None.
Main Outcome Measure
CAT version of the Community Participation Indicators (CAT-CPI).
Results
From an eligible pool of 3221 patients, 674 (21%) agreed to complete the CAT-CPI. Patients who agreed to complete the CAT-CPI were younger and reported slightly higher satisfaction with overall care than those who did not participate. Among these patients, 231 (34%) actually completed the CAT-CPI; 141 (61%) selected telephone administration, and 90 (39%) selected Internet administration. Decreased odds of completing the CAT-CPI were associated with black and other race; stroke, brain injury, or orthopedic and other impairments; and being a Medicaid beneficiary, whereas increased odds of completing the CAT-CPI were associated with longer length of stay and higher discharge FIM cognition measure. Decreased odds of choosing Internet administration were associated with younger age, retirement status, and being a woman, whereas increased odds of choosing Internet administration were associated with higher discharge FIM motor measure.
Conclusions
CAT administration by Internet and telephone has limited feasibility for collecting postrehabilitation outcomes for most rehabilitation patients, but it is feasible for a subset of patients. Providing alternative ways of answering questions helps assure that a larger proportion of patients will respond.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119032
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 882-891[article]
Titre : Incremental Shuttle Walking Test: A Reproducible and Valid Test to Evaluate Exercise Tolerance in Adults With Noncystic Fibrosis Bronchiectasis Type de document : Article Auteurs : Anderson Alves de Camargo ; Tatiane S. Amaral ; Samia Z. Rached Article en page(s) : p. 892-899 Langues : Anglais (eng) Descripteurs : HE Vinci
Epreuve d'effort ; Rééducation et réadaptationMots-clés : Bronchiectasis Dilatation des bronches Exercise test Exercise tolerance Tolérance à l'effort Résumé : Objective
To analyze the reliability, validity, and determinants of the incremental shuttle walk test (ISWT) in adults with noncystic fibrosis bronchiectasis.
Design
Cross-sectional study.
Setting
Outpatient clinic.
Participants
Subjects (N=75; 26 men) underwent, on different days, cardiopulmonary exercise testing (CPET) and 2 ISWTs, 30 minutes apart. The number of steps in daily life was recorded. Concurrent validity was tested by the relation between distance walked with peak load and oxygen consumption (Vo2).
Interventions
None.
Main Outcome Measures
Distance walked (m) was compared between the first and second ISWTs; greatest distance walked was correlated with peak load and Vo2peak obtained from CPET, steps per day, and dyspnea evaluated by the Medical Research Council (MRC) scale; and desaturation was compared between CPET and the ISWT.
Results
Distance walked was equivalent between the first ISWT (441+152m) and the second ISWT (445+153m) with an excellent intraclass correlation coefficient (.995; 95% confidence interval, .99–.997). There were significant correlations between distance walked and peak load (r=.82),
Vo2 (r=.72), steps per day (r=.61), and the MRC scale (r=−.69). Age, body mass index, sex, forced vital capacity (% predicted), dyspnea, and steps per day explained 70% of the variation in distance walked (m) and 60% of the variance when expressed as percent predicted. Higher desaturation was observed during the ISWT (−4%+4%) than cycling (−2+3%) (P<.001> Conclusions
The ISWT is reliable, represents functional capacity, and induces greater desaturation than cycling. Age, body composition, pulmonary function, dyspnea, and physical activity in daily life are determinants of the distance walked on the ISWT.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119033
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 892-899[article]
Titre : Posterolateral Hip Muscle Strengthening Versus Quadriceps Strengthening for Patellofemoral Pain: A Comparative Control Trial Type de document : Article Auteurs : Khalil Khayambashi ; Alireza Fallah ; Ahmadreza Movahedi Article en page(s) : p. 900-907 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai clinique ; Rééducation et réadaptationMots-clés : Clinical trial Patella Patellofemoral pain syndrome Syndrome fémoro patellaire Résumé : Objective
To compare the efficacy of posterolateral hip muscle strengthening versus quadriceps strengthening in reducing pain and improving health status in persons with patellofemoral pain (PFP).
Design
Comparative control trial.
Setting
Rehabilitation facility.
Participants
Persons with a diagnosis of PFP (N=36; 18 men, 18 women).
Interventions
Patients were alternately assigned to a posterolateral hip muscle strengthening group (9 men and 9 women) or a quadriceps strengthening group (9 men and 9 women). The posterolateral hip muscle strengthening group performed hip abductor and external rotator strengthening exercises, whereas the quadriceps strengthening group performed quadriceps strengthening exercises (3 times a week for 8wk).
Main Outcome Measures
Pain (visual analog scale [VAS]) and health status (Western Ontario McMaster Universities Osteoarthritis Index [WOMAC]) were assessed at baseline, postintervention, and 6-month follow-up.
Results
Significant improvements in VAS and WOMAC scores were observed in both groups from baseline to postintervention and baseline to 6-month follow-up (P<.001 improvements in vas and womac scores the posterolateral hip exercise group were superior to those quadriceps postintervention at follow-up> Conclusions
Although both intervention programs resulted in decreased pain and improved function in persons with PFP, outcomes in the posterolateral hip exercise group were superior to the quadriceps exercise group. The superior outcomes obtained in the posterolateral hip exercise group were maintained 6 months postintervention.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119034
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 900-907[article]
Titre : The Mediating Role of the Environment in Explaining Participation of Children and Youth With and Without Disabilities Across Home, School, and Community Type de document : Article Auteurs : Dana Anaby ; Wendy J. Coster ; Gary Bedell Article en page(s) : p. 908-917 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfants handicapés ; Environnement ; Participation sociale ; Rééducation et réadaptationMots-clés : Disabled children Environment Social participation Résumé : Objective
To test the effect of personal and environmental factors on children's participation across 3 different settings (home, school, community); to ascertain the interrelations between these factors; and to propose and test 3 models, 1 for each setting, using structural equation modeling.
Design
Survey, cross-sectional study, and model testing.
Setting
Web-based measures were completed by parents residing in North America in their home/community.
Participants
Parents (N=576) of children and youth with and without disabilities, (n=282 and n=294, respectively), ages 5 to 17 years (mean age, 11y 2mo), completed the Participation and Environment Measure for Children and Youth (PEM-CY).
Interventions
Not applicable.
Main Outcome Measures
The PEM-CY measured levels of participation frequency and involvement, as well as environmental barriers and supports of participation, in each of the following 3 settings: home, school, and community. Information about the child's health condition and functional issues was also collected.
Results
All 3 models fit the data well (comparative fit index, .89–.97) and explained 50% to 64% of the variance of participation frequency and involvement. Environmental barriers and supports served as significant mediators between child/personal factors (income, health condition, functional issues) and participation outcomes, across all models. The effect of the environment was most pronounced, however, in the community setting.
Conclusions
Our findings highlight the unique role of the environment in explaining children's participation across different settings and, therefore, support the development of interventions targeting modifiable environmental factors.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119035
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 908-917[article]
Titre : Self-Perceived Utilization of the Paretic Arm in Chronic Stroke Requires High Upper Limb Functional Ability Type de document : Article Auteurs : Melanie K. Fleming ; Di J. Newham ; Sarah F. Roberts-Lewis Article en page(s) : p. 918-924 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Rééducation et réadaptationMots-clés : Stroke Upper extremity Résumé : Objective
To explore potential predictors of self-reported paretic arm use at baseline and after task-specific training (TST) in survivors of stroke.
Design
Data were obtained from a randomized controlled trial of somatosensory stimulation and upper limb TST in chronic stroke.
Setting
University laboratory.
Participants
Chronic (≥3mo) survivors of stroke (N=33; mean age, 62y; mean stroke duration, 38mo).
Interventions
Participants received 12 sessions of TST preceded by either active (n=16) or sham (n=17) somatosensory stimulation to all 3 peripheral nerves.
Main Outcome Measures
Demographic and clinical characteristics were entered stepwise into multiple linear regression analyses to determine the factors that best predict baseline Motor Activity Log (MAL) amount of use rating and change 3 months after TST.
Results
The Action Research Arm Test (ARAT) score predicted the amount of use at baseline (R2=.47, P<.001 in using this model an arat score of is required to on the mal described as between rarely and sometimes after tst change predicted amount use p=".001)." predictive power for at months increased if fugl-meyer assessment wrist component was added> Conclusions
Utilization of the paretic upper limb in activities of daily living requires high functional ability. The increase in self-reported arm use after TST is dependent on the change in functional ability. These results provide further guidance for rehabilitation decisions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119036
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 918-924[article]
Titre : Validating the Traumatic Brain Injury-4 Screening Measure for Veterans Seeking Mental Health Treatment With Psychiatric Inpatient and Outpatient Service Utilization Data Type de document : Article Auteurs : Jennifer H. Olson-Madden ; Beeta Y. Homaifar ; Trisha A. Hostetter Article en page(s) : p. 925-929 Langues : Anglais (eng) Descripteurs : HE Vinci
Hospitalisation ; Rééducation et réadaptation ; Santé mentaleMots-clés : Brain injuries Lésions encéphaliques Hospitalization Mental health Résumé : Objective
To determine whether a positive screen on the Traumatic Brain Injury-4 (TBI-4) can be used to identify veterans who use more inpatient and outpatient mental health services.
Design
Validation cohort.
Setting
Medical center.
Participants
Individuals seeking Veterans Health Administration mental health services (N=1493).
Interventions
Not applicable.
Main Outcome Measures
One year of inpatient and outpatient mental health utilization data after the TBI-4 screen date.
Results
In the year postmental health intake, those who answered positively to any of the 4 TBI-4 screening questions (criterion 1) or question 2 (criterion 2; ever having been knocked out) had significantly more psychiatric hospitalizations than those who met neither criterion. Those who were positive by criterion 2 also had significantly fewer outpatient mental health contacts.
Conclusions
Veterans screening positive for history of traumatic brain injury on the TBI-4 had more hospital stays in the year postmental health intake. Those who reported having been knocked out also had fewer outpatient mental health visits. These findings may suggest an overall relation in this population between greater needs for mental health care and likelihood of prior injury. For those with a history of loss of consciousness, the reduced use of outpatient care may reflect greater problems engaging in treatment or with preventive aspects of the health care system during non-crisis periods. Using a screener (eg, the TBI-4) could facilitate identification of veterans who might benefit from targeted and intensive outpatient interventions to avoid frequent inpatient psychiatric hospitalization.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119037
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 925-929[article]
Titre : Validation of a Body-Worn Accelerometer to Measure Activity Patterns in Octogenarians Type de document : Article Auteurs : Lynne M. Taylor ; Jochen Klenk ; Alistair J. Maney Article en page(s) : p. 930-934 Langues : Anglais (eng) Descripteurs : HE Vinci
Evaluation gériatrique ; Exercice physique ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Geriatric assessment Exercise Résumé : Objective
To determine the validity of a triaxial body-worn accelerometer for detection of gait and postures in people aged >80 years.
Design
Participants performed a range of activities (sitting, lying, walking, standing) in both a controlled and a home setting while wearing the accelerometer. Activities in the controlled setting were performed in a scripted sequence. Activities in the home setting were performed in an unscripted manner. Analyzed accelerometer data were compared against video observation as the reference measure.
Setting
Independent-living and long-term-care retirement village.
Participants
Older people (N=22; mean age + SD, 88.1+5y) residing in long-term-care and independent-living retirement facilities.
Interventions
Not applicable.
Main Outcome Measures
The level of agreement between video observation and the accelerometer for the total duration of each activity, and second-by-second correspondence between video observation and the accelerometer for each activity.
Results
The median absolute percentage errors between video observation and the accelerometer were Conclusions
This single-device accelerometer provides a valid measure of lying and locomotion in people aged >80 years. There is an error of approximately 25% when discriminating sitting from standing postures, which needs to be taken into account when monitoring longer-term habitual activity in this age group.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119038
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 930-934[article]
Titre : Determining the Anaerobic Threshold in Postpolio Syndrome: Comparison With Current Guidelines for Training Intensity Prescription Type de document : Article Auteurs : Eric L. Voorn ; Karin H. Gerrits ; Fieke S. Koopman Article en page(s) : p. 935-940 Langues : Anglais (eng) Descripteurs : HE Vinci
Epreuve d'effort ; Exercice physique ; Rééducation et réadaptationMots-clés : Anaerobic threshold Seuil d'anaérobiose Exercise Exercise test Neuromuscular diseases Maladies neuromusculaires Postpoliomyelitis syndrome Syndrome post-poliomyélitique Résumé : Objectives
To determine whether the anaerobic threshold (AT) can be identified in individuals with postpolio syndrome (PPS) using submaximal incremental exercise testing, and to compare current guidelines for intensity prescription in PPS with the AT.
Design
Cohort study.
Setting
Research laboratory.
Participants
Individuals with PPS (N=82).
Interventions
Not applicable.
Main Outcome Measures
Power output, gas exchange variables, heart rate, and rating of perceived exertion (RPE) were measured in an incremental submaximal cycle ergometry test. Two independent observers identified the AT. Comparison of current guidelines for training intensity prescription in PPS (40%–60% heart rate reserve [HRR] or RPE of 12) with the AT was based on correlations between recommended heart rate and the heart rate at the AT. In addition, we determined the proportion of individuals that would have been recommended to train at an intensity corresponding to their AT.
Results
The AT was identified in 63 (77%) of the participants. Pearson correlation coefficients between the recommended heart rate and the heart rate at the AT were lower in cases of 40% HRR (r=.56) and 60% HRR (r=.50) than in cases of prescription based on the RPE (r=.86). Based on the RPE, 55% of the individuals would have been recommended to train at an intensity corresponding to their AT. This proportion was higher compared with 40% HRR (41%) or 60% HRR (18%) as criterion.
Conclusions
The AT can be identified in most individuals with PPS offering an individualized target for aerobic training. If the AT cannot be identified (eg, because gas analysis equipment is not available), intensity prescription can best be based on the RPE.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119039
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 935-940[article]
Titre : Is the Long Form of the Fugl-Meyer Motor Scale More Responsive Than the Short Form in Patients With Stroke? Type de document : Article Auteurs : Kuan-Lin Chen ; Cheng-Te Chen ; Ching-Lin Shih Article en page(s) : p. 941-949 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Psychométrie ; Rééducation et réadaptationMots-clés : Outcome Assessment (Health Care) Psychometrics Stroke Résumé : Objective
To compare the responsiveness of the Rasch-calibrated 37-item Fugl-Meyer motor Scale with that of the 12-item Fugl-Meyer motor scale at both an individual and a group level.
Design
Repeated-measurements design.
Setting
Medical center.
Participants
Patients (N=301) 14 days after stroke.
Interventions
Not applicable.
Main Outcome Measures
50-item Fugl-Meyer motor scale, 37-item Fugl-Meyer motor scale, and 12-item Fugl-Meyer motor scale.
Results
The patients were assessed with the original 50-item Fugl-Meyer motor scale 4 times, at 14, 30, 90, and 180 days after stroke onset. The patients' responses were used for estimating the Rasch scores of the 37-item Fugl-Meyer motor scale and 12-item Fugl-Meyer motor scale. The effect size, standardized response mean, and paired t test were used to compare the group-based responsiveness of the 3 forms (50-item Fugl-Meyer motor scale, 37-item Fugl-Meyer motor scale, 12-item Fugl-Meyer motor scale). Individual-level responsiveness was compared based on the significance of change between the 37-item Fugl-Meyer motor scale and 12-item Fugl-Meyer motor scale. Because up to 13 items of the 50-item Fugl-Meyer motor scale did not meet the Rasch model's assumptions, the significance of change of the 50-item Fugl-Meyer motor scale was not calculated. At the group level, the FM-37 and FM-12 Fugl-Meyer motor scale had sufficient and similar responsiveness. At the individual level, the FM-37 Fugl-Meyer motor scale detected more patients with significant improvement than the FM-12 Fugl-Meyer motor scale. The SC values and category distribution of the FM-37 Fugl-Meyer motor scale were significantly better than those of the FM-12 Fugl-Meyer motor scale (P<.001> Conclusions
Although the group-level responsiveness of the 12-item Fugl-Meyer motor scale was sufficient and very similar to that of the 37-item Fugl-Meyer motor scale, the 37-item Fugl-Meyer motor scale had better individual-level responsiveness. The 37-item Fugl-Meyer motor scale is suggested as an outcome measure for both clinicians and researchers.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119040
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 941-949[article]
Titre : Evaluation of Activity Limitation in Patients With Idiopathic Pulmonary Fibrosis Grouped According to Medical Research Council Dyspnea Grade Type de document : Article Auteurs : Ryo Kozu ; Sue Jenkins ; Hideaki Senjyu Article en page(s) : p. 950-955 Langues : Anglais (eng) Descripteurs : HE Vinci
Dyspnée ; Fibrose pulmonaire idiopathique ; Rééducation et réadaptationMots-clés : Dyspnea Idiopathic pulmonary fibrosis Résumé : Objective
To investigate the relations between Medical Research Council (MRC) dyspnea grade and peripheral muscle force, activities of daily living (ADL) performance, health status, lung function, and exercise capacity in subjects with idiopathic pulmonary fibrosis (IPF).
Design
Prospective cross-sectional observational study.
Setting
University hospital.
Participants
Subjects with IPF (N=65, 46 men) in a stable clinical state with a mean age of 68+7 years.
Interventions
Not applicable.
Main Outcome Measures
Right ventricular systolic pressure (RVSP) via transthoracic echocardiography, pulmonary function, isometric quadriceps force (QF) and handgrip force (HF), 6-minute walk distance (6MWD), ADL score, and health status (Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36]) were assessed and compared between subjects grouped according to MRC grade.
Results
Of the participants, 16 were in MRC grade 2, 17 were in MRC grade 3, 17 were in MRC grade 4, and 15 were in MRC grade 5. RVSP, pulmonary function, QF, HF, 6MWD, ADL, and SF-36 scores decreased with increasing MRC grade (all P<.001 all measures were lower in subjects with grades and than strong associations found between mrc grade p=".001)" adl score was also associated rvsp pulmonary function qf hf> Conclusions
The MRC dyspnea scale provides a simple and useful method of categorizing individuals with IPF with respect to their activity limitation and may assist in understanding the impact of IPF on an individual.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119041
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 950-955[article]
Titre : Interventions to Promote Long-Term Participation in Physical Activity After Stroke: A Systematic Review of the Literature Type de document : Article Auteurs : Jacqui H. Morris ; Stephen MacGillivray ; Sarah Mcfarlane Article en page(s) : p. 956-967 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Rééducation et réadaptationMots-clés : Exercise Stroke Résumé : Objective
To investigate the effects of interventions to promote long-term participation in physical activity (PA) on measures of frequency, duration, or intensity of PA at 3 months or longer in community-dwelling stroke survivors.
Data Sources
MEDLINE, Cumulative Index to Nursing and Allied Health (CINAHL), PsycINFO, and Cochrane Library of Systematic Reviews between 1987 and December 2012. Search terms included “physical activity, exercise promotion,” “stroke,” “behavior change interventions,” and their synonyms.
Study Selection
Randomized controlled trials or comparison studies involving stroke survivors, with follow-up of ≥3 months, examining interventions to increase long-term participation in PA.
Data Extraction
Preferred reporting items for systematic reviews and meta-analyses guidelines informed data extraction. Risk of bias was assessed using the Cochrane Collaboration tool. Two reviewers independently reviewed abstracts and extracted data.
Data Synthesis
Of 2888 studies, 11 involving 1704 participants were included. Risk of bias occurred in randomization methods and blinding. Limited data and study heterogeneity meant that data pooling was not possible. Odds ratios and continuous data as weighted mean differences, however, were calculated using fixed-effect models and 95% confidence intervals. Two intervention types were identified: individualized tailored counseling with or without supervised exercise (n=6 studies) and supervised exercise with advice (n=5 studies). Three studies illustrated increased odds of meeting recommended PA levels and participation in PA at 12 months after tailored counseling (P<.05 two studies showed improved step count at months with supervised exercise only however pa levels had declined by months. tailored home was the predominantly exercise-based intervention to demonstrate higher participation> Conclusions
This study provides some evidence that tailored counseling alone or with tailored supervised exercise improves long-term PA participation and functional exercise capacity after stroke better than does tailored supervised exercise with general advice only. Interventions to improve participation in PA should incorporate PA-specific tailored counseling based on sound behavioral theory to promote long-term participation in PA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119042
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 956-967[article]
Titre : Assistive Technologies: Can They Contribute to Rehabilitation of the Upper Limb After Stroke? Type de document : Article Auteurs : Sybil Eleanor Farmer ; Venugopal Durairaj ; Ian Swain Article en page(s) : p. 968-985 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Rééducation et réadaptation ; Revue de la littératureMots-clés : Self-Help Devices Dispositifs d'assistance au mouvement Review Upper Extremity Résumé : Objective
To systematically identify, review, and explore the evidence for use of assistive technologies (ATs) in poststroke upper limb rehabilitation.
Data Sources
AMED, CINAHL, Cochrane Library, Compendex, CSA Illumina, EMBASE, MEDLINE, PEDro, PyscINFO, and Web of Science were last searched in September 2011.
Study Selection
Two independent researchers screened for inclusion criteria (adult poststroke subjects, upper limb rehabilitation with an AT). The risk of bias was assessed. Randomized controlled trials of poststroke subjects with baseline equivalence as assessed by blinded assessors were selected for data extraction.
Data Extraction
Details of subjects, experimental and control treatments, and all outcomes were recorded in a spreadsheet.
Data Synthesis
These data were used to calculate effect sizes for all outcome measures. Impairment measures ranged from −.39 (95% confidence interval [CI], −1.14 to .62) to 1.46 (95% CI, .72–2.20). Measures of activity effect sizes were from .04 (95% CI, −.35 to .44) to .93 (95% CI, −.39 to 2.25); for Motor Activity Log, from .07 (95% CI, −.66 to .80) to 1.24 (95% CI, .47–2.01); and for participation, from −3.32 (95% CI, −4.52 to 2.11) to 1.78 (95% CI, 0–3.56).
Conclusions
AT treatments appear to give modest additional benefit when compared with usual care or in addition to usual care. This is most apparent for subjects early poststroke with 2 caveats: high-intensity constraint-induced movement therapy and electrical stimulation exclusively to the shoulder appear detrimental. The heterogeneity of treatment parameters and population characteristics precludes specific recommendations. Research would benefit from modeling studies to explicitly define criteria of population, intervention, comparator, and outcomes for effective treatments before the development of efficiently integrated care pathways.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119043
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 968-985[article]
Titre : Incidence, Prevalence, Costs, and Impact on Disability of Common Conditions Requiring Rehabilitation in the United States: Stroke, Spinal Cord Injury, Traumatic Brain Injury, Multiple Sclerosis, Osteoarthritis, Rheumatoid Arthritis, Limb Loss, and Back Pain Type de document : Article Auteurs : Vincent Y. Ma ; Leighton Chan ; Kadir J. Carruthers Article en page(s) : p. 986-995 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Arthrose ; Dorsalgie ; Incidence ; Personnes handicapées ; Polyarthrite rhumatoide ; Prévalence ; Rééducation et réadaptation ; Sclérose en plaques ; Traumatismes de la moelle épinièreMots-clés : Amputation chirurgicale Back pain Cost of Illness Coût de la maladie Direct service costs Coûts directs des services Disabled persons Multiple sclerosis Osteoarthritis Arthritis Rheumatoid Spinal cord injuries Brain Injuries Traumatic Lésions traumatiques de l'encéphale Résumé : Objective
To determine the relative incidence, prevalence, costs, and impact on disability of 8 common conditions treated by rehabilitation professionals.
Data Sources
Comprehensive bibliographic searches using MEDLINE, Google Scholar, and UpToDate, (June, 2013).
Data Extraction
Two review authors independently screened the search results and performed data extraction. Eighty-two articles were identified that had relevant data on the following conditions: Stroke, Spinal Cord Injury, Traumatic Brain Injury, Multiple Sclerosis, Osteoarthritis, Rheumatoid Arthritis, Limb Loss, and Back Pain.
Data Synthesis
Back pain and arthritis (osteoarthritis, rheumatoid arthritis) are the most common and costly conditions we analyzed, affecting more than 100 million individuals and costing greater than $200 billion per year. Traumatic brain injury, while less common than arthritis and back pain, carries enormous per capita direct and indirect costs, mostly because of the young age of those involved and the severe disability that it may cause. Finally, stroke, which is often listed as the most common cause of disability, is likely second to both arthritis and back pain in its impact on functional limitations.
Conclusions
Of the common rehabilitation diagnoses we studied, musculoskeletal conditions such as back pain and arthritis likely have the most impact on the health care system because of their high prevalence and impact on disability.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119044
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 986-995[article]
Titre : Impact of Physical Exercise on Reaction Time in Patients With Parkinson's Disease—Data From the Berlin BIG Study Type de document : Article Auteurs : Georg Ebersbach ; Almut Ebersbach ; Florin Gandor Article en page(s) : p. 996-999 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Exercise Parkinson Disease Reaction Time Temps de réaction Résumé : Objective
To determine whether physical activity may affect cognitive performance in patients with Parkinson's disease by measuring reaction times in patients participating in the Berlin BIG study.
Design
Randomized controlled trial, rater-blinded.
Setting
Ambulatory care.
Participants
Patients with mild to moderate Parkinson's disease (N=60) were randomly allocated to 3 treatment arms. Outcome was measured at the termination of training and at follow-up 16 weeks after baseline in 58 patients (completers).
Interventions
Patients received 16 hours of individual Lee Silverman Voice Treatment-BIG training (BIG; duration of treatment, 4wk), 16 hours of group training with Nordic Walking (WALK; duration of treatment, 8wk), or nonsupervised domestic exercise (HOME; duration of instruction, 1hr).
Main Outcome Measures
Cued reaction time (cRT) and noncued reaction time (nRT).
Results
Differences between treatment groups in improvement in reaction times from baseline to intermediate and baseline to follow-up assessments were observed for cRT but not for nRT. Pairwise t test comparisons revealed differences in change in cRT at both measurements between BIG and HOME groups (intermediate: −52ms; 95% confidence interval [CI], −84/−20; P=.002; follow-up: 55ms; CI, −105/−6; P=.030) and between WALK and HOME groups (intermediate: −61ms; CI, −120/−2; P=.042; follow-up: −78ms; CI, −136/−20; P=.010). There was no difference between BIG and WALK groups (intermediate: 9ms; CI, −49/67; P=.742; follow-up: 23ms; CI, −27/72; P=.361).
Conclusion
Supervised physical exercise with Lee Silverman Voice Treatment-BIG or Nordic Walking is associated with improvement in cognitive aspects of movement preparation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119045
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 996-999[article]
Titre : Is Highly Challenging and Progressive Balance Training Feasible in Older Adults With Parkinson's Disease? Type de document : Article Auteurs : David Conradsson ; Niklas Löfgren ; Agneta Ståhle Article en page(s) : p. 1000-1003 Langues : Anglais (eng) Descripteurs : HE Vinci
Etudes de faisabilité ; Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Exercise Feasibility studies Parkinson disease Résumé : Objective
To develop a highly challenging and progressive group balance training regime specific to Parkinson's disease (PD) symptoms and to investigate its feasibility in older adults with mild to moderate PD.
Design
Intervention study, before-after trial with a development and feasibility design.
Setting
University hospital setting.
Participants
Feasibility was evaluated in older adults (N=5; mean age, 72y; age range, 69–80y) with mild to moderate idiopathic PD.
Intervention
A balance training regime emphasizing specific and highly challenging exercises, performed 3 times per week for 12 weeks, was developed through discussion and workshops by a group of researchers and physiotherapists.
Main Outcome Measures
Indicators of feasibility included attendance rate, safety (adverse events, physical function, and pain), participants' perceptions of the intervention (level of difficulty of the exercises, motivation level, and appreciation), and efficacy of the intervention (balance performance assessed with the Mini-Balance Evaluation Systems Test [Mini-BESTest]).
Results
The incidence rate was high (93%) for attendance and low (1.2%) for adverse events. Ratings by the participants indicated progression throughout the training period. All participants considered the training motivational and stated that they would recommend it to others. The efficacy of the intervention measured with the Mini-BESTest showed that 4 out of 5 participants improved their balance performance.
Conclusions
These findings support the overall feasibility of this novel balance program in older adults with mild to moderate PD. However, to further evaluate the efficacy of the program, a larger randomized controlled trial is required.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119046
in Archives of Physical Medicine and Rehabilitation > 2014/5 (2014) . - p. 1000-1003[article]
