Mention de date : 2018
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Ajouter le résultat dans votre panierEffects of Home-Based Versus Clinic-Based Rehabilitation Combining Mirror Therapy and Task-Specific Training for Patients With Stroke: A Randomized Crossover Trial / Yu-wei Hsieh in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 12 (2018)
Titre : Effects of Home-Based Versus Clinic-Based Rehabilitation Combining Mirror Therapy and Task-Specific Training for Patients With Stroke: A Randomized Crossover Trial Type de document : Article Auteurs : Yu-wei Hsieh ; Ku-chou Chang ; Jen-Wen Hung Article en page(s) : p. 2399-2407 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Rééducation et réadaptationMots-clés : Stroke Treatment outcome Résultat thérapeutique Upper Extremity Résumé : Objective
We investigated the treatment effects of a home-based rehabilitation program compared with clinic-based rehabilitation in patients with stroke.
Design
A single-blinded, 2-sequence, 2-period, crossover-designed study.
Setting
Rehabilitation clinics and participant’s home environment.
Participants
Individuals with disabilities poststroke.
Interventions
During each intervention period, each participant received 12 training sessions, with a 4-week washout phase between the 2 periods. Participants were randomly allocated to home-based rehabilitation first or clinic-based rehabilitation first. Intervention protocols included mirror therapy and task-specific training.
Main Outcome Measures
Outcome measures were selected based on the International Classification of Functioning, Disability and Health. Outcomes of impairment level were the Fugl-Meyer Assessment, Box and Block Test, and Revised Nottingham Sensory Assessment. Outcomes of activity and participation levels included the Motor Activity Log, 10-meter walk test, sit-to-stand test, Canadian Occupational Performance Measure, and EuroQoL-5D Questionnaire.
Results
Pretest analyses showed no significant evidence of carryover effect. Home-based rehabilitation resulted in significantly greater improvements on the Motor Activity Log amount of use subscale (P=.01) and the sit-to-stand test (P=.03) than clinic-based rehabilitation. The clinic-based rehabilitation group had better benefits on the health index measured by the EuroQoL-5D Questionnaire (P=.02) than the home-based rehabilitation group. Differences between the 2 groups on the other outcomes were not statistically significant.
Conclusions
The home-based and clinic-based rehabilitation groups had comparable benefits in the outcomes of impairment level but showed differential effects in the outcomes of activity and participation levels.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=119098
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2399-2407[article]
Titre : Comprehensive Nonsurgical Treatment Versus Self-directed Care to Improve Walking Ability in Lumbar Spinal Stenosis: A Randomized Trial Type de document : Article Auteurs : Carlo Ammendolia ; Pierre Côté ; Danielle Southerst Article en page(s) : p. 2408-2419 Langues : Anglais (eng) Descripteurs : HE Vinci
Dos ; Rééducation et réadaptationMots-clés : Back Conservative treatment Traitement conservateur Randomized controlled trial Essai contrôlé randomisé Spinal stenosis Sténose du canal vertébral Résumé : Objectives
To compare the effectiveness of a comprehensive nonsurgical training program to a self-directed approach in improving walking ability in lumbar spinal stenosis (LSS).
Design
Randomized controlled trial.
Setting
Academic hospital outpatient clinic.
Participants
Participants (N=104) with neurogenic claudication and imaging confirmed LSS were randomized. The mean age was 70.6 years, 57% were women, 84% had leg symptoms for >12 months, and the mean maximum walking capacity was 328.7 m.
Interventions
A 6-week structured comprehensive training program or a 6-week self-directed program.
Main Outcome Measures
Continuous walking distance in meters measured by the Self-Paced Walk Test (SPWT) and proportion of participants achieving at least 30% improvement (minimally clinically important difference [MCID]) in the SPWT at 6 months. Secondary outcomes included the Zurich Claudication Questionnaire (ZCQ), Oswestry Disability Index (ODI), ODI walk score, and the Short-Form General Health Survey subscales.
Results
A total of 48 versus 51 participants who were randomized to comprehensive (n=51) or self-directed (n=53) treatment, respectively, received the intervention and 89% of the total study sample completed the study. At 6 months, the adjusted mean difference in walking distance from baseline was 421.0 m (95% confidence interval [95% CI], 181.4-660.6), favoring the comprehensive program and 82% of participants in the comprehensive group and 63% in the self-directed group achieved the MCID (adjusted relative risk, 1.3; 95% CI, 1.0-1.7; P=.03). Both primary treatment effects persisted at 12 months favoring the comprehensive program. At 6 months, the ODI walk score and at 12 months the ZCQ, Medical Outcomes Study 36-Item Short-Form Health Survey-physical function and -bodily pain scores showed greater improvements favoring the comprehensive program.
Conclusions
A comprehensive conservative program demonstrated superior, large, and sustained improvements in walking ability and can be a safe nonsurgical treatment option for patients with neurogenic claudication due to LSS.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=119099
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2408-2419[article]
Titre : Automated Mechanical Peripheral Stimulation Effects on Gait Variability in Individuals With Parkinson Disease and Freezing of Gait: A Double-Blind, Randomized Controlled Trial Type de document : Article Auteurs : Ana Francisca Rozin Kleiner ; Aline Souza Pagnussat ; Camila Pinto Article en page(s) : p. 2420-2429 Langues : Anglais (eng) Descripteurs : HE Vinci
Congélation ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Freezing Gait Démarche Parkinson Disease Résumé : Objective
To assess the effects of automated peripheral stimulation (AMPS) in reducing gait variability of subjects with Parkinson disease (PD) and freezing of gait (FOG) treated with AMPS and to explore the effects of this treatment on gait during a single task (walking) and a dual task (walking while attending the word-color Stroop test).
Design
Interventional, double-blinded, placebo-controlled, randomized trial.
Setting
Clinical rehabilitation.
Participants
Thirty subjects were randomized into 2 groups: AMPS (n=15) and AMPS sham (n=15).
Interventions
Both groups received 2 treatment sessions a week for 4 consecutive weeks (totaling 8 treatment sessions). AMPS was applied by using a medical device (Gondola™) and consisted in mechanical pressure stimulations delivered by metallic actuators on 4 areas of the feet. Treatment parameters and device configuration were modified for AMPS sham group.
Main Outcome Measures
Gait analyses were measured at baseline and after the first, fourth, and eighth treatment sessions.
Results
Interactions among groups and sessions were found for both conditions while off anti-Parkinsonian medications. AMPS decreased gait variability in subjects with PD and FOG for both single and dual task conditions.
Conclusions
AMPS is an effective add-on therapy for treating gait variability in patients with PD and FOG.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=119100
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2420-2429[article]
Titre : Feasibility of Ballistic Strength Training in Subacute Stroke: A Randomized, Controlled, Assessor-Blinded Pilot Study Type de document : Article Auteurs : Genevieve Hendrey ; Ross A. Clark ; Anne E. Holland Article en page(s) : p. 2430-2446 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation ; Traitement par les exercices physiquesMots-clés : Exercise therapy Randomized controlled trial Essai contrôlé randomisé Resistance training Entraînement en résistance Stroke Résumé : Objective
To establish the feasibility and effectiveness of a 6-week ballistic strength training protocol in people with stroke.
Design
Randomized, controlled, assessor-blinded study.
Setting
Subacute inpatient rehabilitation.
Participants
Consecutively admitted inpatients with a primary diagnosis of first-ever stroke with lower limb weakness, functional ambulation category score of ≥3, and ability to walk ≥14 m were screened for eligibility to recruit 30 participants for randomization.
Interventions
Participants were randomized to standard therapy or ballistic strength training 3 times per week for 6 weeks.
Main Outcome Measures
The primary aim was to evaluate feasibility and outcomes included recruitment rate, participant retention and attrition, feasibility of the exercise protocol, therapist burden, and participant safety. Secondary outcomes included measures of mobility, lower limb muscle strength, muscle power, and quality of life.
Results
A total of 30 participants (11% of those screened) with mean age of 50 years (SD 18) were randomized. The median number of sessions attended was 15 of 18 and 17 of 18 for the ballistic and control groups, respectively. Earlier than expected discharge to home (n=4) and illness (n=7) were the most common reasons for nonattendance. Participants performed the exercises safely, with no study-related adverse events. There were significant (P<.05 between-group changes favoring the ballistic group for comfortable gait velocity difference confidence interval muscle power as measured by peak jump height ci: and propulsive> Conclusions
Ballistic training was safe and feasible in select ambulant people with stroke. Similar rates of retention and attrition suggest that ballistic training was acceptable to patients. Secondary outcomes provide promising results that warrant further investigation in a larger trial.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=119101
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2430-2446[article]
Titre : The Effects of Neck-Specific Training Versus Prescribed Physical Activity on Pain and Disability in Patients With Cervical Radiculopathy: A Randomized Controlled Trial Type de document : Article Auteurs : Åsa Dedering ; Anneli Peolsson ; Joshua A. Cleland Article en page(s) : p. 2447-2456 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Exercice physique ; Rééducation et réadaptationMots-clés : Radiculopathy Radiculopathie Exercise Neck pain Résumé : Objective
To compare the effects of a neck-specific training program to prescribed physical activity with both groups receiving a cognitive behavioral approach, on pain and disability in patients with cervical radiculopathy (CR).
Design
Parallel-group randomized clinical trial with follow-up at 3, 6, 12, and 24 months.
Setting
Recruitment and assessments of participants were performed at a university hospital. Interventions were performed in primary care setting at outpatient physiotherapy clinics.
Participants
Patients (N=144) with CR were recruited to participate in this clinical trial.
Interventions
Patients were randomly assigned to 3 months of either of a neck-specific training program or prescribed physical activity.
Main Outcome Measures
Primary outcomes included self-rated neck and arm pain as collected by the visual analog scale (VAS). Secondary outcomes were self-rated headache measured with the VAS, the Neck Disability Index, the EuroQol 5D, the Fear Avoidance Beliefs Questionnaire, and the Hospital Anxiety and Depression Scale. Assessments were performed at baseline and at 3-, 6-, 12-, and 24-month follow-up periods.
Results
Intention-to-treat and per-protocol analyses showed no significant interaction (group * time) or group effects. There were, however, significant time effects indicating improvement over time for both groups for all outcomes except for levels of depression.
Conclusions
The study revealed that neck-specific training as well as prescribed physical activity both including additional cognitive behavioral approach decreased the pain in patients with CR, that is, participants improved regardless of the intervention received. There is a lack of consensus of how to best manage individuals with CR. However, our findings suggest that CR has a natural favorable long-term outcome when patients are prescribed neck-specific training and exercise in combination with a behavioral approach.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=119102
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2447-2456[article]
Titre : Does Home-Based Progressive Resistance or High-Intensity Circuit Training Improve Strength, Function, Activity or Participation in Children With Cerebral Palsy? Type de document : Article Auteurs : Christian Schranz ; Annika Kruse ; Teresa Belohlavek Article en page(s) : p. 2457-2464 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Exercice physique ; Paralysie cérébrale ; Rééducation et réadaptationMots-clés : Cerebral palsy Child Exercise High-intensity interval training Entrainement fractionné de haute intensité Resistance training Entraînement en résistance Résumé : Objective
Does home-based progressive resistance or high-intensity circuit training improve strength, function, activity, or participation in children with cerebral palsy (CP)?
Design
This was the first study on high-intensity circuit training for children with CP. This study was conducted as a randomized prospective controlled pilot study.
Setting
Evaluation took place at the gait laboratory of the university hospital, training sessions were performed at home.
Participants
Children (N=22) with CP (average age: 12y, 10mo, 19 Gross Motor Function Classification System level I, 3 level II) were randomly assigned either to progressive resistance training (PRT) or high-intensity circuit training (HICT).
Interventions
The PRT group trained with progressive overload, while the HICT group performed as many repetitions as possible within 30-second intervals (8wk, 3 times weekly in both groups).
Main Outcome Measures
Outcome measures stretched over all domains of the International Classification of Functioning, Disability and Health and included muscle strength, muscle power sprint test (MPST), timed stairs test (TST), 6-minute walking test, Gait Profile Score (GPS), timed Up and Go test (TUGT) and participation questionnaires.
Results
Only the HICT group was able to improve strength. Furthermore, the HICT group scored better in the MPST, while PRT participants improved in the TST and TUGT. The HICT-group was able to show improvement in the subscores of the parent-reported participation questionnaire. Other measures of mobility or participation did not change.
Conclusions
Both programs improved function specific to intervention. However, only the HICT group showed significant strength and participation improvements. Compliance was decent in both groups, but the average training unit was shorter in the HICT group. Both exercise programs showed functional benefits, but HICT might be the preferable option for strengthening in highly functional children with CP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119103
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2457-2464[article]
Titre : Implementing the German Model of Work-Related Medical Rehabilitation: Did the Delivered Dose of Work-Related Treatment Components Increase? Type de document : Article Auteurs : Matthias Bethge ; Miriam Markus ; Marco Streibelt Article en page(s) : p. 2465-2471 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de programme ; Recherche sur les services de santé ; Rééducation et réadaptationMots-clés : Cohort studies Études de cohortes Health plan implementation Mise en oeuvre des programmes de santé Health services research Program evaluation Résumé : Objectives
Work-related components are an essential part of rehabilitation programs to support return to work of patients with musculoskeletal disorders. In Germany, a guideline for work-related medical rehabilitation was developed to increase work-related treatment components. In addition, new departments were approved to implement work-related medical rehabilitation programs. The aim of our study was to explore the state of implementation of the guideline’s recommendations by describing the change in the delivered dose of work-related treatments.
Design
Nonrandomized controlled trial (cohort study).
Setting
Fifty-nine German rehabilitation centers.
Participants
Patients (N=9046) with musculoskeletal disorders were treated in work-related medical rehabilitation or common medical rehabilitation. Patients were matched one-to-one by propensity scores.
Interventions
Work-related medical rehabilitation in 2014 and medical rehabilitation in 2011.
Main Outcome Measures
Treatment dose of work-related therapies.
Results
The mean dose of work-related therapies increased from 2.2 hours (95% confidence interval [CI], 1.6-2.8) to 8.9 hours (95% CI, 7.7-10.1). The mean dose of social counseling increased from 51 to 84 minutes, the mean dose of psychosocial work-related groups from 39 to 216 minutes, and the mean dose of functional capacity training from 39 to 234 minutes. The intraclass correlation of 0.67 (95% CI, 0.58-0.75) for the total dose of work-related therapies indicated that the variance explained by centers was high.
Conclusions
The delivered dose of work-related components was increased. However, there were discrepancies between the guideline’s recommendations and the actual dose delivered in at least half of the centers. It is very likely that this will affect the effectiveness of work-related medical rehabilitation in 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=119104
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2465-2471[article]
Titre : Acceptance of Tele-Rehabilitation by Stroke Patients: Perceived Barriers and Facilitators Type de document : Article Auteurs : Shilpa Tyagi ; Daniel S.Y. Lim ; Wilbert H.H. Ho Année de publication : 2018 Article en page(s) : p. 2472-2477 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Aidants ; Patients ; Recherche qualitative ; Rééducation et réadaptation ; TéléréadaptationMots-clés : Caregivers Qualitative research Stroke Telerehabilitation Résumé : Objective
To explore the perceived barriers and facilitators of tele-rehabilitation (TR) by stroke patients, caregivers and rehabilitation therapists in an Asian setting.
Design
Qualitative study involving semi-structured in-depth interviews and focus group discussions.
Setting
General community.
Participants
Participants (N=37) including stroke patients, their caregivers, and tele-therapists selected by purposive sampling.
Interventions
Singapore Tele-technology Aided Rehabilitation in Stroke trial.
Main Outcome Measures
Perceived barriers and facilitators for TR uptake, as reported by patients, their caregivers, and tele-therapists.
Results
Thematic analysis was used to inductively identify the following themes: facilitators identified by patients were affordability and accessibility; by tele-therapists, was filling a service gap and common to both was unexpected benefits such as detection of uncontrolled hypertension. Barriers identified by patients were equipment setup–related difficulties and limited scope of exercises; barriers identified by tele-therapists were patient assessments, interface problems and limited scope of exercises; and common to both were connectivity barriers. Patient characteristics like age, stroke severity, caregiver support, and cultural influence modified patient perceptions and choice of rehabilitation.
Conclusions
Patient attributes and context are significant determinants in adoption and compliance of stroke patients to technology driven interventions like TR. Policy recommendations from our work are inclusion of introductory videos in TR programs, provision of technical support to older patients, longer FaceTime sessions as re-enforcement for severely disabled stroke patients, and training of tele-therapists in assessment methods suitable for virtual platforms.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=119105
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2472-2477[article]
Titre : A High-Intensity Multicomponent Agility Intervention Improves Parkinson Patients’ Clinical and Motor Symptoms Type de document : Article Auteurs : József Tollár ; Ferenc Nagy ; Norbert Kovács Article en page(s) : p. 2478-2484 Langues : Anglais (eng) Descripteurs : HE Vinci
Posture ; Qualité de vie ; Rééducation et réadaptationMots-clés : Gait Démarche Quality of life Résumé : Objective
To determine the effects of a high-intensity exercise therapy using sensorimotor and visual stimuli on nondemented Parkinson disease (PD) patients’ clinical symptoms, mobility, and standing balance.
Design
Randomized clinical intervention, using a before-after trial design.
Setting
University hospital setting.
Participants
A total of 72 PD patients with Hoehn and Yahr stage of 2-3, of whom 64 were randomized, and 55 completed the study.
Intervention
PD patients were randomly assigned to a no physical intervention control (n=20 of 29 completed, 9 withdrew before baseline testing) or to a high-intensity agility program (15 sessions, 3 weeks, n=35 completed).
Main Outcome Measures
Primary outcome was the Movement Disorders Society-Unified Parkinson Disease Rating Scale (MDS-UPDRS) motor experiences of daily living (M-EDL). Secondary outcomes were Beck Depression score, Parkinson Disease Questionnaire-39 (PDQ-39), EuroQoL Five-Dimension (EQ5D) Questionnaire visual analog scale, Schwab and England Activities of Daily Living (SE ADL) Scale, timed Up and Go (TUG) test, and 12 measures of static posturography.
Results
The agility program improved MDS-UPDRS M-EDL by 38% compared with the 2% change in control (group by time interaction, P=.001). Only the intervention group improved in PDQ-39 (6.6 points), depression (18%), EQ5D visual analog scale score (15%), the SE ADL Scale score (15%), the TUG test (39%), and in 8 of 12 posturography measures by 42%-55% (all P<.001 the levodopa equivalent dosage did not change.> Conclusion
A high-intensity agility program improved nondemented, stage 2-3 PD patients’ clinical symptoms, mobility, and standing balance by functionally meaningful margins at short-term follow-up.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119106
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2478-2484[article]
Titre : Behavioral and Health Outcomes Associated With Deployment and Nondeployment Acquisition of Traumatic Brain Injury in Iraq and Afghanistan Veterans Type de document : Article Auteurs : Sarah L. Martindale ; Erica L. Epstein ; Katherine H. Taber Article en page(s) : p. 2485-2495 Langues : Anglais (eng) Descripteurs : HE Vinci
Anciens combattants ; Dépression ; Douleur ; Pain ; Rééducation et réadaptation ; SommeilMots-clés : Sleep Brain Injuries Traumatic Lésions traumatiques de l'encéphale Veterans Résumé : Objective
To characterize behavioral and health outcomes in veterans with traumatic brain injury (TBI) acquired in nondeployment and deployment settings.
Design
Cross-sectional assessment evaluating TBI acquired during and outside of deployment, mental and behavioral health symptoms, and diagnoses.
Setting
Veterans Affairs Medical Centers.
Participants
Iraq and Afghanistan veterans who were deployed to a warzone (N=1399).
Interventions
Not applicable.
Main Outcome Measures
Comprehensive lifetime TBI interview, Structured Clinical Interview for DSM-IV Disorders, Combat Exposure Scale, and behavioral and health measures.
Results
There was a main effect of deployment TBI on depressive symptoms, posttraumatic stress symptoms, poor sleep quality, substance use, and pain. Veterans with deployment TBI were also more likely to have a diagnosis of bipolar, major depressive, alcohol use, and posttraumatic stress disorders than those who did not have a deployment TBI.
Conclusions
TBIs acquired during deployment are associated with different behavioral and health outcomes than TBI acquired in nondeployment environments. The presence of TBI during deployment is associated with poorer behavioral outcomes, as well as a greater lifetime prevalence of behavioral and health problems in contrast to veterans without deployment TBI. These results indicate that problems may persist chronically after a deployment TBI and should be considered when providing care for veterans. Veterans with deployment TBI may require treatment alterations to improve engagement and outcomes.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=119107
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2485-2495[article]
Titre : A Cross-Sectional Study Assessing Treatment Preference of People With Chronic Low Back Pain Type de document : Article Auteurs : Sara J. Francois ; Vanessa M. Lanier ; Andrej V. Marich Article en page(s) : p. 2496-2503 Langues : Anglais (eng) Descripteurs : HE Vinci
Lombalgie ; Rachis ; Rééducation et réadaptation ; Traitement par les exercices physiquesMots-clés : Exercise therapy Low back pain Motor Skills Aptitudes motricesPatient preference Préférence du patient Spine Résumé : Objective
To assess treatment preference and attributes of 2 exercise-based treatments for people with chronic low back pain (LBP).
Design
Cross-sectional study.
Setting
Academic research setting.
Participants
Individuals (N=154) with chronic LBP.
Interventions
Not applicable.
Main Outcome Measures
Participants completed a treatment preference assessment (TPA) measure that described 2 treatments for chronic LBP (strength and flexibility [SF] and motor skill training [MST]). Participants rated each treatment on 4 attributes: effectiveness, acceptability/logicality, suitability/appropriateness, and convenience. An overall score for each treatment was calculated as the mean of the 4 attribute ratings. The participants indicated either (1) no treatment preference or (2) preference for SF or MST.
Results
One hundred four participants (67.5%) had a treatment preference; of those, 95 (91.3%) preferred SF and 9 (8.7%) preferred MST. The SF preference group rated SF higher than MST overall and on all attributes (all Ps <.01 ds ranged from .48-1.07 the mst preference group did not rate treatments differently overall or on any of attributes ps>.05, ds ranged from .43-.66). Convenience of SF (P=.05, d=.79) and effectiveness (d=1.20), acceptability/logicality (d=1.27), and suitability/appropriateness (d=1.52) of MST (all Ps <.01 were rated differently between the preference groups.> Conclusions
When presented with 2 treatment options, a majority of patients preferred SF over MST. Convenience was a particularly important attribute affecting preference. Assessing treatment preference and attributes prior to treatment initiation allows the clinician to identify factors that may need to be addressed to enhance adherence to, and outcomes of, treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119108
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2496-2503[article]
Titre : Development of a Multivariate Prognostic Model for Pain and Activity Limitation in People With Low Back Disorders Receiving Physiotherapy Type de document : Article Auteurs : Jon J. Ford ; Matt C. Richards ; Luke D. Surkitt Article en page(s) : p. 2504-2512 Langues : Anglais (eng) Descripteurs : HE Vinci
Dorsalgie ; Pronostic ; Rééducation et réadaptationMots-clés : Back pain Prognosis Résumé : Objective
To identify predictors for back pain, leg pain, and activity limitation in patients with early persistent low back disorders (LBDs).
Design
Prospective inception cohort study.
Setting
Primary care private physiotherapy clinics in Melbourne, Australia.
Participants
Individuals (N=300) aged 18-65 years with low back and/or referred leg pain of ≥6 weeks and ≤6 months duration.
Interventions
Not applicable.
Main Outcome Measures
Numeric rating scales for back pain and leg pain as well as the Oswestry Disability Scale.
Results
Prognostic factors included sociodemographics, treatment related factors, subjective/physical examination, subgrouping factors, and standardized questionnaires. Univariate analysis followed by generalized estimating equations were used to develop a multivariate prognostic model for back pain, leg pain, and activity limitation. Fifty-eight prognostic factors progressed to the multivariate stage where 15 showed significant (P<.05 associations with at least of the outcomes. there were indicators positive outcome types lbd subgroups paresthesia below waist walking as an easing factor and low transversus abdominis tone negative parents born overseas deep leg symptoms longer sick leave duration high multifidus clinically determined inflammation higher back pain severity lower lifting capacity work drawing percentage coverage preliminary model identifying predictors lbds explained up to variance in outcome.> Conclusions
This study evaluated a comprehensive range of prognostic factors reflective of both the biomedical and psychosocial domains of LBDs. The preliminary multivariate model requires further validation before being considered for clinical use.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119109
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2504-2512[article]
Titre : The Adult Assisting Hand Assessment Stroke: Psychometric Properties of an Observation-Based Bimanual Upper Limb Performance Measurement Type de document : Article Auteurs : Annick Van Gils ; Sarah Meyer ; Margaretha Van Dijk Article en page(s) : p. 2513-2522 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Membre supérieur ; Rééducation et réadaptationMots-clés : Outcome Assessment (Health Care) Stroke Task Performance and Analysis Analyse et exécution des tâches Upper extremity Résumé : Objective
To investigate interrater and intrarater reliability, measurement error, and convergent and discriminative validity of the Adult Assisting Hand Assessment Stroke (Ad-AHA Stroke).
Design
Cross-sectional observational study.
Setting
A total of 7 stroke rehabilitation centers.
Participants
Stroke survivors (reliability sample: n=30; validity sample: N=118) were included (median age 67y; interquartile range [IQR], 59-76); median time poststroke 81 days (IQR 57-117).
Interventions
N/A.
Main Outcome Measures
Ad-AHA Stroke, Action Research Arm Test (ARAT), upper extremity Fugl-Meyer Assessment (UE-FMA). The Ad-AHA Stroke is an observation-based instrument assessing the effectiveness of the spontaneous use of the affected hand when performing bimanual activities in adults poststroke. Reliability of Ad-AHA Stroke was examined using intraclass correlation coefficients (ICCs), Bland–Altman plots, and weighted kappa statistics for reliability on item level. SEM was calculated based on Ad-AHA units. Convergent validity was assessed by calculating Spearman rank correlation coefficients between Ad-AHA Stroke and ARA test and UE-FMA. Comparison of Ad-AHA Stroke scores between subgroups of patients according to hand dominance, neglect, and age evaluated discriminative validity.
Results
Intrarater and interrater agreement showed an ICC of 0.99 (95% confidence interval, 0.99-0.99), an SEM of 2.15 and 1.64 out of 100, respectively, and weighted kappa for item scores were all above 0.79. The relation between Ad-AHA and other clinical assessments was strong (ρ=0.9). Patients with neglect had significantly lower Ad-AHA scores compared to patients without neglect (P=.004).
Conclusions
The Ad-AHA Stroke captures actual bimanual performance. Therefore, it provides an additional aspect of upper limb assessment with good to excellent reliability and low SEM for patients with subacute stroke. High convergent validity with the ARA test and UE-FMA and discriminative validity were supported.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=119110
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2513-2522[article]
Titre : Do Medical Complications Impact Long-Term Outcomes in Prolonged Disorders of Consciousness? Type de document : Article Auteurs : Anna Estraneo ; Vincenzo Loreto ; Orsola Masotta Article en page(s) : p. 2523-2531 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications postopératoires ; Rééducation et réadaptationMots-clés : Postoperative Complications Persistent Vegetative State État végétatif persistant Résumé : Objective
To investigate medical complications (MCs) occurring within 6 months postinjury in brain-injured patients with prolonged disorders of consciousness (DoC) and to evaluate impact of MC on mortality and long-term clinical outcomes.
Design
Prospective observational cohort study.
Setting
Rehabilitation unit for acquired DoC.
Participants
Patients (N=194) with DoC (142 in vegetative state [VS], 52 in minimally conscious state; traumatic etiology 43, anoxic 69, vascular 82) consecutively admitted to a neurorehabilitation unit within 1-3 months postonset.
Interventions
Not applicable.
Main Outcome Measures
Mortality and improvements in clinical diagnosis and functional disability level (assessed by Coma Recovery Scale-Revised [CRS-R] and Disability Rating Scale) at 12, 24, and 36 months postonset.
Results
Within 6 months postinjury, 188 of 194 patients (>95%) developed at least 1 MC and 142 of them (73%) showed at least 1 severe MC. Respiratory and musculoskeletal-cutaneous MCs were the most frequent, followed by endocrino-metabolic abnormalities. Follow-up, complete in 189 of 194 patients, showed that male sex and endocrine-metabolic MCs were associated with higher risk of mortality at all timepoints. Old age, anoxic etiology, lower CRS-R total scores, and diagnosis of VS at study entry predicted no clinical and functional improvements at most timepoints; however, epilepsy predicted no improvement in diagnosis at 24 months postonset only.
Conclusions
MCs are very frequent in patients with DoC within at least 6 months after brain injury, regardless of clinical diagnosis, etiology, and age. Endocrino-metabolic MCs are independent predictors of mortality at all timepoints; however,epilepsy predicted poor long-term outcome. Occurrence and severity of MCs in patients with DoC call for long-term appropriate levels of care after the postacute phase.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=119111
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2523-2531[article]
Titre : Determining Peak Cough Flow Cutoff Values to Predict Aspiration Pneumonia Among Patients With Dysphagia Using the Citric Acid Reflexive Cough Test Type de document : Article Auteurs : Donggyun Sohn ; Geun-Young Park ; HyungJung Koo Article en page(s) : p. 2532-2539 Langues : Anglais (eng) Descripteurs : HE Vinci
Aspiration ; Rééducation et réadaptation ; Toux ; Troubles de la déglutitionMots-clés : Pneumonia Pneumopathie de déglutition Citric acid Acide citrique Cough Deglutition disorders Résumé : Objective
To investigate the clinical usefulness of the peak cough flow generated during the citric acid reflexive cough test (0.28 mol/L) by determining the appropriate cutoff values that could accurately predict aspiration pneumonia within the first 6 months after onset.
Design
Retrospective analysis of a prospectively maintained database.
Setting
University-affiliated hospital.
Participants
Patients (N=163) with first-ever diagnosed dysphagia attributable to cerebrovascular disease, who had undergone the citric acid reflexive cough test on the same day they underwent the instrumental assessment of swallowing, such as videofluoroscopy or the functional endoscopic swallowing test.
Interventions
Not applicable.
Main Outcome Measures
Peak cough flow (L/min) from the citric acid reflexive cough test.
Results
A final 163 patients had full medical records with 6-month follow-up. Receiver operating curve analysis showed that peak cough flow cutoff values set at 59 L/min were significantly associated with aspiration pneumonia (area under the curve [AUC] 95% confidence interval =0.88 [0.83-0.93]). This cutoff value significantly (P<.001 predicted the risk of aspiration pneumonia with an odds ratio a multivariate regression logistic analysis model including initial dysphagia severity low body mass index and decreased level cognition showed that inclusion peak cough flow from citric acid reflexive test significantly improved predictive within first months after onset vs> Conclusions
Those with reflexive cough strength less than 59 L/min may be at high risk of respiratory infections within the first 6 months after dysphagia onset. Objective measurement of reflexive cough strength may help to predict those at risk of aspiration pneumonia.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119112
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2532-2539[article]
Titre : The Feasibility and Longitudinal Effects of a Home-Based Sedentary Behavior Change Intervention After Stroke Type de document : Article Auteurs : Victor E. Ezeugwu ; Patricia J. Manns Article en page(s) : p. 2540-2547 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Comportement ; Exercice physique ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Behavior Exercise Stroke Résumé : Objective
To evaluate the feasibility and preliminary effects of a sedentary behavior change intervention on sedentary behavior, physical activity, function, and quality of life following inpatient stroke rehabilitation.
Design
Single-group, longitudinal, intervention study with 1-week baseline, 8-week intervention, and 8-week follow-up.
Setting
Community.
Participants
Individuals (N=34) with subacute stroke recruited within 1 month following discharge home from inpatient stroke rehabilitation.
Intervention
STand Up Frequently From Stroke (STUFFS) intervention that involved interrupting and replacing sedentary time with upright activities (standing and walking) at home and in the community. A motivational wrist-worn activity monitor was used throughout the intervention.
Main Outcome Measures
Primary outcomes were reach (enrolled/eligible), retention (completed/enrolled), satisfaction, and compliance with the intervention. Secondary outcomes were sedentary behavior, physical activity, lower extremity impairment, self-efficacy, cognitive status, mobility, and quality of life outcomes.
Results
Forty-four participants were eligible to participate. Of the eligible, 34 (77.3%; time since stroke onset: 3.5+1.1 months) were enrolled at baseline and 32 (94.1%) of the enrolled had complete data at follow-up. Satisfaction with the program was 89%. Sedentary time decreased by 54.2+13.7 minutes per day (P<.01 at postintervention and minutes per day follow-up relative to baseline. there were significant improvements in walking speed cognition impairment self-reported quality of life over time self-efficacy was high across all points. the number steps spent stepping not statistically different both periods.> Conclusions
The program was feasible to deliver in the home environment with good retention and satisfaction. Further research is required to test the effectiveness of the STUFFS program compared with usual care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119113
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2540-2547[article]
Titre : Effects of Physical Exercise Interventions on Dual–Task Gait Speed Following Stroke: A Systematic Review and Meta–Analysis Type de document : Article Auteurs : Prudence Plummer ; Gözde Iyigün Article en page(s) : p. 2548-2560 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Attention ; Rééducation et réadaptation ; Vitesse de marcheMots-clés : Gait Démarche Stroke Walking speed Résumé : Objectives
To estimate the treatment effects of exercise and/or gait training interventions on dual–task walking in people with stroke. The secondary objective was to conduct subgroup analyses to compare the treatment effects of interventions involving dual–task training to those without any dual–task training.
Data Sources
A systematic search of the literature was conducted in 6 databases (PubMed, CINAHL, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Physiotherapy Evidence Database) up to July 18, 2017.
Study Selection
Randomized controlled trials (RCTs), nonrandomized controlled trials, or uncontrolled studies involving individuals with stroke and examining the effects of exercise and/or gait training interventions on dual–task gait speed.
Data Extraction
We extracted data on participant characteristics, intervention duration, frequency, and type; pre and post gait speed and secondary nongait task performance for single and dual–task conditions, types of tasks used for dual–task assessment and dual–task prioritization instructions.
Data Synthesis
Of 313 articles identified, 7 studies involving 12 independent treatment arms (n=124) met the inclusion criteria. There was a significant pre–post intervention increase in dual–task gait speed (MD: 0.03m/s, 95% CI: 0.01, 0.06) and single–task gait speed (MD: 0.06m/s, 95% CI: 0.03, 0.09). Dual–task training tended to have a larger effect on dual–task gait speed than interventions without dual–task training. Between–group analysis of three RCTs found evidence of superiority of dual–task gait training over single–task gait training for improving dual–task gait speed (MD: 0.08m/s, 95% CI: 0.02, 0.14).
Conclusions
Exercise and gait training interventions, especially those involving dual–task practice, may improve dual–task gait speed after stroke, but the clinical significance is unclear. Current effect size estimates lack precision due to small sample sizes of existing studies.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=119114
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2548-2560[article]
Titre : Effects of Exercise Training on Pulmonary Function in Adults With Chronic Lung Disease: A Meta-Analysis of Randomized Controlled Trials Type de document : Article Auteurs : Pablo A. Salcedo ; Jacob B. Lindheimer ; Jacquelyn C. Klein-Adams Article en page(s) : p. 2561-2569 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladies pulmonaires ; Méta-analyse ; Rééducation et réadaptation ; Tests de la fonction respiratoire ; Traitement par les exercices physiquesMots-clés : Exercise therapy Lung diseases Meta-analysis Respiratory function tests Résumé : Objective
To quantify the effect of exercise training on indices of pulmonary function in adults with chronic lung disease using meta-analytic techniques.
Data Sources
Eligible trials were identified using a systematic search of MEDLINE, Web of Science, Physiotherapy Evidence Database, and GoogleScholar databases.
Study Selection
Randomized controlled trials that evaluated pulmonary function before and after whole-body exercise training among adult patients (aged ≥19y) with chronic lung disease were included.
Data Extraction
Data were independently extracted from each study by 3 authors. Random-effects models were used to aggregate a mean effect size (Hedges’ d; Δ) and 95% confidence interval (CI), and multilevel linear regression with robust maximum likelihood estimation was used to adjust for potential nesting effects.
Data Synthesis
Among 2923 citations, a total of 105 weighted effects from 21 randomized controlled trials were included. After adjusting for nesting effects, exercise training resulted in a small (Δ=.18; 95% CI, .07–.30) and significant (P=.002) improvement in a composite measure of pulmonary function. Tests of heterogeneity of the mean effect size were nonsignificant.
Conclusions
Contrary to prior assumptions, whole-body exercise training is effective for improving pulmonary function in adults with chronic lung disease, particularly spirometric indices. Subsequent studies are necessary to determine the optimal exercise training characteristics to maximize functional improvement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119115
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2561-2569[article]
Titre : Chronic Heart Failure and Exercise Rehabilitation: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Katie Palmer ; Kelly-Ann Bowles ; Michelle Paton Article en page(s) : p. 2570-2582 Langues : Anglais (eng) Descripteurs : HE Vinci
Défaillance cardiaque ; Exercice physique ; Qualité de vie ; Rééducation et réadaptationMots-clés : Community Health Centers Centres de santé communautaires Exercise Quality of life Heart Failure Résumé : Objective
The aim of this systematic review was to identify the effect of specific exercise parameters on physical function and quality of life (QOL) in people with chronic heart failure living in the community.
Data Sources
A total of 5 electronic databases were searched for relevant studies published after 1994.
Study Selection
The screening process was completed by 2 independent researchers, with a third independent reviewer for conflict resolution. Studies were selected if they included only chronic hHart failure participants, and the sole intervention was a structured exercise training program in an outpatient or community setting.
Data Extraction
Two independent researchers completed the data extraction and qualiy assessment. Quality was assessed using the Physiotherapy Evidence Database and Grading of Recommendations Assessment, Development and Evaluation scales.
Data Synthesis
In total, 40 articles (n=5411) were included in the review for meta-analysis and meta-regression, including 27 randomized control trials and 13 cohort studies. Exercise was shown to have a positive effect on QOL outcomes (standardized mean difference 1.16; 95% confidence interval [CI], 0.76-1.56) with the most commonly used measure, the Minnesota Living with Heart Failure Questionnaire, showing a clinically significant change of 8.5 points. Physical function was improved postexercise intervention in the 23 included studies (standardized mean difference 0.89; 95% CI, 0.40-1.38), with a clinically significant change of 49.8 m seen in studies using the 6-minute walk test (95% CI, 26.52-73.13). These improvements were independent of study design, study quality, participant demographics, disease severity, and exercise prescription variables.
Conclusion
Exercise significantly improves QOL and physical function. Current evidence suggests that engagement with exercise is a more important factor in achieving improvement than how the exercise is performed. Future research should aim to identify and address barriers to engagement in exercise rehabilitation in this population.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=119116
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2570-2582[article]
Titre : Does Psychological Health Influence Hospital Length of Stay Following Total Knee Arthroplasty? A Systematic Review Type de document : Article Auteurs : Marie K. March ; Alison R. Harmer ; Sarah Dennis Article en page(s) : p. 2583-2594 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie ; Arthroplastie prothétique de genou ; Durée du séjour ; Orthopédie ; Psychologie ; Rééducation et réadaptation ; Santé mentaleMots-clés : Arthroplasty Length of stay Mental health Orthopedics Psychology Replacement Knee Résumé : Objective
To systematically review the literature to determine if preoperative psychological health affected hospital length of stay among adults following primary unilateral total knee arthroplasty.
Data Sources
Systematic review. We searched 6 online databases for original research published before December 31, 2016, that investigated adults undergoing primary unilateral total knee arthroplasty.
Study Selection
We included studies that used any measure of preoperative psychological health and reported length of stay, irrespective of study design. We excluded studies that considered participants with cognitive impairment or substance abuse; studies that considered participants who experienced revision, bilateral or hip surgery; and studies that did not have full text available in English.
Data Extraction
One review author screened 438 titles and abstracts for inclusion. Another author reviewed a 10% sample of excluded studies for adherence to the review protocol, with no violations observed. For all included studies, 2 authors independently extracted data from each study using a form designed a priori and independently assessed study quality according to the Joanna Briggs Checklist for Cohort Studies.
Data Synthesis
In view of the heterogeneity of the included studies, we present a narrative synthesis . Of the 7 included studies, 5 reported statistically significant increases in hospital length of stay among those with worse preoperative psychological health. These differences were often Conclusions
Adults experiencing worse preoperative psychological health before total knee arthroplasty may have a longer hospital stay compared to those with unremarkable psychological health.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=119117
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2583-2594[article]
Titre : Efficacy of Exercise Interventions in Patients With Advanced Cancer: A Systematic Review Type de document : Article Auteurs : Reginald Heywood ; Alexandra L. McCarthy ; Tina L. Skinner Article en page(s) : p. 2595-2620 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Rééducation et réadaptation ; Traitement par les exercices physiques ; TumeursMots-clés : Exercise Exercise therapy Neoplasms Treatment outcome Résultat thérapeutique Résumé : Objective
To critically analyze the literature surrounding the efficacy of exercise interventions in patients with advanced cancer.
Data Sources
A literature search was undertaken of health and medical electronic databases (PubMED, Medline, CINAHL, Embase, PEDRO, Web of Science, Scopus) until March 1, 2017.
Study Selection
Studies were included if they were published in the English language and met the following criteria: structured exercise as the primary intervention, ≥80% study participants diagnosed with advanced cancer that is unlikely to be cured; reported outcomes concerning physical function, quality of life, fatigue, body composition, psychosocial function, sleep quality pain, and/or survival.
Data Extraction
After title and abstract screening, 68 articles were eligible for full-text review, with a total of 25 studies (n=1188; 16 controlled trials, 9 noncontrolled trials) included in the quantitative synthesis. Two reviewers assessed methodological quality using the Cochrane Risk of Bias Tool for controlled trials and a modified Newcastle–Ottawa Scale for noncontrolled trials.
Data Synthesis
Aerobic exercise was used in 6 studies, resistance training in 3 studies, and combination training (aerobic and resistance) in 15 studies. Significant between- and within-group improvements were reported with exercise in ≥50% of studies assessing physical function (83%), quality of life (55%), fatigue (50%), body composition (56%), psychosocial function (56%), and sleep quality (100%). Improvement within or between groups in pain after exercise was only observed in 2 studies (25%), whereas survival was unaffected in any study.
Conclusions
Most studies reported significant between- and/or within-group improvements in physical function, quality of life, fatigue, body composition, psychosocial function, and sleep quality in patients with advanced cancer, although the effects on pain and survival rates are unclear. Exercise appears to be an effective adjunct therapy in the advanced cancer context, although targeted studies are required to determine the optimal exercise dose to enhance outcomes for specific cancer diagnoses.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=119118
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2595-2620[article]
Titre : A Systematic Review and Meta-Analysis of the Safety, Feasibility, and Effect of Exercise in Women With Stage II+ Breast Cancer Type de document : Article Auteurs : Ben Singh ; Rosalind R. Spence ; Megan L. Steele Article en page(s) : p. 2621-2636 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Rééducation et réadaptation ; Tumeurs du seinMots-clés : Breast neoplasms Exercise Résumé : Objective
To systematically evaluate the safety, feasibility, and effect of exercise among women with stage II+ breast cancer.
Data Sources
CINAHL, Cochrane, Ebscohost, MEDLINE, Pubmed, ProQuest Health and Medical Complete, ProQuest Nursing and Allied Health Source, Science Direct and SPORTDiscus were searched for articles published before March 1, 2017.
Study Selection
Randomized, controlled, exercise trials involving at least 50% of women diagnosed with stage II+ breast cancer were included.
Data Extraction
Risk of bias was assessed and adverse event severity was classified using the Common Terminology Criteria. Feasibility was evaluated by computing median (range) recruitment, withdrawal, and adherence rates. Meta-analyses were performed to evaluate exercise safety and effects on health outcomes only. The influence of intervention characteristics (mode, supervision, duration and timing) on exercise outcomes were also explored.
Data Synthesis
There were no differences in adverse events between exercise and usual care (risk difference: Conclusion
The findings support the safety, feasibility, and effects of exercise for those with stage II+ breast cancer, suggesting that national and international exercise guidelines appear generalizable to women with local, regional, and distant breast 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=119119
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2621-2636[article]
