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Mention de date : 2019
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Ajouter le résultat dans votre panierIncreased Utilization of Ambulatory Occupational Therapy and Physical Therapy After Medicaid Expansion / Robert Sandstrom in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 9 (2019)
Titre : Increased Utilization of Ambulatory Occupational Therapy and Physical Therapy After Medicaid Expansion Type de document : Article Auteurs : Robert Sandstrom Année de publication : 2019 Article en page(s) : p. 1587-1591 Langues : Anglais (eng) Descripteurs : HE Vinci
Ergothérapie ; Medicaid (USA) ; Rééducation et réadaptationRésumé : Objective
To determine if Medicaid expansion in 2014 improved utilization of ambulatory physical therapy and occupational therapy.
Design
Secondary data, pre-post analysis study using a difference in differences approach. The study compared utilization rates and likelihood of an ambulatory therapy visit for Medicaid ambulatory therapy patients in the pre-expansion (2012-2013) period and postexpansion (2014-2015) period. A descriptive analysis of utilization and logistic regression with a difference in differences approach of the odds of a therapy visit was conducted.
Setting
Not applicable.
Participants
The 2012-2015 public use data files of the Medical Expenditure Panel Survey- Household Component.
Main Outcome Measures
Descriptive results and the odds ratio of an ambulatory therapy visit were determined.
Results
About 788,233 more Medicaid beneficiaries had an ambulatory therapy visit after Medicaid expansion. By subpopulation, the increases in utilization were greatest for beneficiaries from low-income households and beneficiaries living in the west census region. Policy change increased the odds of a therapy visit for a Medicaid beneficiary by 27%.
Conclusions
Utilization of ambulatory therapy by Medicaid beneficiaries increased after Medicaid expansion.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=241709
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1587-1591[article]
Titre : Does Insurance Coverage Affect Use of Tests and Treatments for Working Age Individuals With Carpal Tunnel Syndrome in the United States? Analysis of the National Ambulatory Medical Care Survey (2005-2014) Type de document : Article Auteurs : Nancy A. Baker ; Haley Feller ; Janet Freburger Année de publication : 2019 Article en page(s) : p. 1592-1598 Langues : Anglais (eng) Descripteurs : HE Vinci
Épidémiologie ; Indemnisation des accidentés du travail ; Medicaid (USA) ; Recherche sur les services de santé ; Rééducation et réadaptation ; Syndrome du canal carpienRésumé : Objective
Carpal tunnel syndrome (CTS) is frequently seen as a work-related disorder. Few studies have examined the treatment of CTS by insurance coverage, and none have used a large, population-based dataset. This study examined the extent to which the use of CTS tests and treatments varied for those on workers’ compensation insurance (WCI) vs private insurance and Medicaid, controlling for patient and provider characteristics.
Design
Analysis of 10 years of data (2005-2014) from the National Ambulatory Medical Care Survey.
Setting
United States office-based physician practices.
Participants
Adults 18-64 years who had a physician visit for CTS (N=23,236,449).
Interventions
Not applicable.
Main Outcome Measures
We examined use of 2 diagnostic tests, imaging and electromyography, and 7 treatments: casting, splinting, occupational therapy (OT), physical therapy (PT), carpal tunnel release surgery, steroid injections, and nonsteroidal anti-inflammatory drug (NSAID).
Results
Individuals who sought care for CTS were more likely to be covered by private insurance (56.9%) than WCI (9.8%) or Medicaid (6.5%). The most commonly prescribed treatment for all types of insurance coverage was splints, followed by NSAID prescription, and OT or PT therapies. Steroid injections (1.2%) and CTS surgery (4.5%) were used significantly less than other treatment types. Patients on WCI were less likely to receive diagnostic tests, and more likely to receive OT or PT than those on other types of insurance coverage.
Conclusion
Patients with CTS who seek ambulatory care are most likely to be covered by private insurance. Insurance coverage appears to play a role in treatment and diagnostic choices for CTS.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=241711
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1592-1598[article]
Titre : Racial and Ethnic Differences in Obesity in People With Spinal Cord Injury: The Effects of Disadvantaged Neighborhood Type de document : Article Auteurs : Huacong Wen ; Amanda L. Botticello ; Sejong Bae Année de publication : 2019 Article en page(s) : p. 1599-1606 Langues : Anglais (eng) Descripteurs : HE Vinci
Caractéristiques de l'habitat ; Disparités de l'état de santé ; Obésité ; Rééducation et réadaptation ; Santé des minorités ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the role of neighborhood in the relation between race and obesity in people with spinal cord injury (SCI).
Design
A cross-sectional analysis of survey data from National SCI Database linked with neighborhood data from American Community Survey by census tract.
Setting
A total of 17 SCI Model Systems centers.
Participants
Individuals (N=3385; 2251 non-Hispanic whites, 760 non-Hispanic blacks, 374 Hispanics) who completed a follow-up assessment during 2006-2017 (mean duration of injury, 8.3±9.9y) and resided in 2934 census tracts.
Intervention
Not applicable.
Main Outcome Measures
Body mass index (BMI) (kg/m2).
Results
The overall prevalence of obesity was 52.9% (BMI≥25.0) and 23.3% (BMI≥30.0). Hispanics were 67.0% more likely to be obese (BMI≥30.0 kg/m2) relative to non-Hispanic whites (odds ratio, 1.67; 95% confidence interval, 1.27-2.18), after controlling for demographic and injury-related characteristics. Most of the non-Hispanic blacks (66.8%) were living in neighborhoods with high concentrated disadvantaged index (CDI), compared to 35.0% of Hispanics and 9.2% of non-Hispanic whites living in this similar neighborhood status (P<.0001 after accounting for cdi the odds of being obese in hispanics decreased ratio confidence interval regardless race and ethnicity people with sci from disadvantaged neighborhoods were more likely to be than those minimal neighborhoods.> Conclusions
Neighborhood characteristics partially diminish racial differences in obesity. Weight management for the SCI population should target those who are Hispanic and living in the disadvantaged neighborhoods.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=241713
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1599-1606[article]
Titre : Efficacy of Topical Vibratory Stimulation for Reducing Pain During Trigger Point Injection to the Gastrocnemius: A Randomized Controlled Trial Type de document : Article Auteurs : Young-Eun Moon ; Sang-Hyun Kim ; Hyun Seok Année de publication : 2019 Article en page(s) : p. 1607-1613 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Injections ; Points de déclenchement ; Rééducation et réadaptation ; VibrationRésumé : Objective
To evaluate the efficacy of topical vibratory stimulation for reducing pain during trigger point injection (TPI).
Design
Double-blind randomized placebo-controlled clinical trial.
Setting
Tertiary care university hospital.
Participants
A total of 136 participants were randomly recruited from among patients with myofascial pain syndrome who were scheduled for TPI. Of these, 65 were excluded because they met the exclusion criteria, and 11 because they refused to participate. Finally, 60 participants were enrolled. No participants dropped out of the study.
Intervention
Participants were randomly assigned to the vibration group or control group. TPI was performed with 0.5% lidocaine using a 25-gauge needle. A vibrator was applied to the popliteal fossa for 3 to 5 seconds prior to and during TPI to the gastrocnemius; 100-Hz vibration was turned on for the vibration group and turned off for the control group.
Main Outcome Measures
Pain intensity during TPI was assessed using a 100-mm visual analog scale (VAS) as a primary outcome, and participant satisfaction and preference for repeated use were measured using 5-point Likert scales as a secondary outcome. These parameters were evaluated immediately after TPI. The primary outcome was evaluated using analysis of covariance and secondary outcome using the Mann-Whitney U test.
Results
VAS scores for pain during TPI were significantly lower in the vibration group (30.30; 95% confidence interval [CI], 22.65-39.26) compared with the control group (47.58; 95% CI, 38.80-56.52; F=7.74; P Conclusion
Topical vibratory stimulation significantly decreased pain during TPI of the gastrocnemius.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=241722
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1607-1613[article]
Titre : Genitourinary Complications Are a Leading and Expensive Cause of Emergency Department and Inpatient Encounters for Persons With Spinal Cord Injury Type de document : Article Auteurs : Felicia Skelton ; Jason L. Salemi ; Lois Akpati Année de publication : 2019 Article en page(s) : p. 1614-1621 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Traumatismes de la moelle épinière ; Vessie neurologiqueRésumé : Objectives
To determine the rates of emergency department (ED) visits and inpatient hospitalizations for genitourinary (GU) complications after spinal cord injury (SCI) using a national sample; to examine which patient and facility factors are associated with inhospital mortality; and to estimate direct medical costs of GU complications after SCI.
Design
Retrospective cross-sectional and cost analysis of the 2006 to 2015 National Inpatient Sample and National Emergency Department Sample from the Healthcare Cost and Utilization Project.
Participants
SCI-related encounters using various International Classification of Disease, Ninth Edition, Clinical Modification diagnosis codes. The inpatient sample included 1,796,624 hospitalizations, and the ED sample included 618,118 treat-and-release visits.
Main Outcome Measures
The exposure included a GU complication, identified by International Classification of Disease, Ninth Edition, Clinical Modification codes 590-599. The outcomes then included an ED visit or hospitalization, death prior to discharge, and direct medical costs estimated from reported hospital charges.
Results
For the inpatient sample, we observed a 2.5% annual increase (95% confidence interval [CI], 1.8-3.2) in the proportion of SCI-related hospitalizations with any GU complication from 2006 to 2011, and a lesser rate of increase of 0.9% (95% CI, 0.4-1.4) each year from 2011 to 2015. Age, level of injury, and payer source were correlated to inhospital mortality. The costs of GU-related health care use exceeded $4 billion over the study period.
Conclusions
This study shows the rates and economic burden of health care use associated with GU complications in persons with SCI in the United States. The need to develop strategies to effectively deliver health care to the SCI population for these conditions remains great.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=241726
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1614-1621[article]
Titre : Racial Differences in Discharge Location After a Traumatic Brain Injury Among Older Adults Type de document : Article Auteurs : Aparna Vadlamani ; Justin A. Perry ; Maureen McCunn Année de publication : 2019 Article en page(s) : p. 1622-1628 Langues : Anglais (eng) Descripteurs : HE Vinci
Facteurs raciaux ; Lésions traumatiques de l'encéphale ; Rééducation et réadaptationRésumé : Objective
To determine if there were racial differences in discharge location among older adults treated for traumatic brain injury (TBI) at a level 1 trauma center.
Design
Retrospective cohort study.
Setting
R Adams Cowley Shock Trauma Center.
Participants
Black and white adults aged ≥65 years treated for TBI between 1998 and 2012 and discharged to home without services or inpatient rehabilitation (N=2902).
Main Outcome Measures
We assessed the association between race and discharge location via logistic regression. Covariates included age, sex, Abbreviated Injury Scale-Head score, insurance type, Glasgow Coma Scale score, and comorbidities.
Results
There were 2487 (86%) whites and 415 blacks (14%) in the sample. A total of 1513 (52%) were discharged to inpatient rehabilitation and 1389 (48%) were discharged home without services. In adjusted logistic regression, blacks were more likely to be discharged to inpatient rehabilitation than to home without services compared to whites (odds ratio 1.34, 95% confidence interval, 1.06-1.70).
Conclusions
In this group of Medicare-eligible older adults, blacks were more likely to be discharged to inpatient rehabilitation compared to whites.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=241730
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1622-1628[article]
Titre : Progressive Decline in Daily and Social Activities: A 9-year Longitudinal Study of Participation in Myotonic Dystrophy Type 1 Type de document : Article Auteurs : Kateri Raymond ; Mélanie Levasseur ; Jean Mathieu Année de publication : 2019 Article en page(s) : p. 1629-1639 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Dystrophie myotonique ; Etudes longitudinales ; Participation sociale ; Rééducation et réadaptationRésumé : Objective
To describe and compare changes in participation over a 9-year period in women and men with myotonic dystrophy type 1 (DM1). To compare participation restrictions with available reference values from a typical aging population living in the community.
Design
Descriptive longitudinal design comparing data from baseline (2002) with data from follow-up (2011).
Setting
Neuromuscular clinic and participant’s home.
Participants
Adults with DM1 participated in the follow-up study (N=115).
Interventions
Not applicable.
Main Outcome Measure
The Assessment of Life Habits measured participation in 10 domains of daily and social activities. The minimal clinically important difference is 0.5 on a 10-point scale for participation accomplishment level.
Results
A total of 62% of participants were women, and the mean age was 52.3±10.3 years. A decline (P<.01 was observed with increasing difficulty and assistance required in global participation sd social activities subscore nutrition fitness personal care mobility community life recreation more areas are disrupted over time: domains were below reference values from a population aged years at follow-up compared baseline. satisfaction remains high stable time.> Conclusion
As disease duration increases, global participation and more daily and social domains were restricted with increasing difficulty and assistance required. Adults with DM1 showed not only age-associated but disease-specific changes in participation. Description over time of participation could improve clinical assessment and guide interdisciplinary management of DM1, leading to higher rehabilitation success. Further investigation of the factors influencing changes in participation is required to support disease management and services planning.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=241733
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1629-1639[article]
Titre : Change in Function Over Inpatient Rehabilitation After Hypoxic Ischemic Brain Injury: A Population-Wide Cohort Study Type de document : Article Auteurs : David Stock ; Binu Jacob ; Vincy Chan Année de publication : 2019 Article en page(s) : p. 1640-1647 Langues : Anglais (eng) Descripteurs : HE Vinci
Hypoxie-ischémie du cerveau ; Rééducation et réadaptationRésumé : Objective
To estimate change in motor, cognitive, and overall functional performance during inpatient rehabilitation (IR) and to identify potential determinants of these outcomes among patients with hypoxic-ischemic brain injury (HIBI).
Design
Population-based retrospective cohort study using Ontario’s health administrative data.
Setting
Inpatient rehabilitation.
Participants
Survivors of HIBI 20 years and older discharged from acute care between fiscal years 2002-2003 and 2010-2011 and admitted to IR within 1 year of acute care discharge (N=159).
Interventions
Not applicable.
Main Outcome Measure
Functional status as measured by FIM, total, and scores on motor and cognitive subscales.
Results
A higher proportion (77%) of HIBI patients in the study were male and 28% were older than 65 years. We observed material improvements in FIM total, motor, and cognitive scores from across the IR episode. Potential determinants of total FIM gain were living in rural location (β, 10.4; 95% CI, 0.21-21), having shorter preceding acute care length of stay (15-30 vs >60 days β, 10.4; 95% CI, 1.4-19.5), and failing to proceed directly to IR following acute care discharge (β, 8.7; 95% CI, 1.8-15.5). Motor FIM gain had similar identified potential determinants. Identified potential determinants of cognitive FIM gain were shorter (ie, 31-60 vs >60 days) preceding acute care, longer IR and length of stay, and proceeding directly to IR. There were no sex differences in functional gain.
Conclusions
Inpatient rehabilitation is beneficial to HIBI survivors. Timely access to these services may be crucial in achieving optimal outcomes for these patients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=241736
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1640-1647[article]
Titre : Relationships Between Wheelchair Services Received and Wheelchair User Outcomes in Less-Resourced Settings: A Cross-Sectional Survey in Kenya and the Philippines Type de document : Article Auteurs : Lee R. Kirby ; Steve P. Doucette Année de publication : 2019 Article en page(s) : p. 1648-1654.e9 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Fauteuils roulants ; Kenya ; Organisation mondiale de la santé (OMS) ; Philippines ; Rééducation et réadaptationRésumé : Objective
To explore the relationships between wheelchair services received during wheelchair provision and positive outcomes for users of wheelchairs.
Design
Secondary analysis of cross-sectional data.
Setting
Urban and periurban communities in Kenya and the Philippines.
Participants
Adult basic manual wheelchair users (N=852), about half of whom reported having received some wheelchair services with the provision of their current wheelchairs.
Interventions
Not applicable.
Main Outcome Measures
Participants completed a survey that included questions related to demographic, clinical, and wheelchair characteristics. The survey also included questions about the past receipt of 13 wheelchair services and 4 positive outcomes for users of wheelchairs. The relationships between individual services received and positive outcomes were assessed using logistic regression analyses. In addition to assessing individual services and outcomes, we analyzed a composite service score (the total number of services received) and a composite outcome score (≥3 positive outcomes).
Results
The top 3 individual services from the perspective of relationships with the composite outcome score were “provider did training” (P=.0009), “provider assessed wheelchair fit while user propelled the wheelchair” (P=.002), and “peer group training received” (P=.033). The composite service score was significantly related to “daily wheelchair use” (P<.0001 unassisted wheelchair use performance of activities daily living and the composite outcome score but not to serious falls> Conclusions
The receipt of wheelchair services is associated with positive outcomes for users of wheelchairs, but such relationships do not exist for all services and outcomes. These findings are highly relevant to ongoing efforts to optimize wheelchair service delivery.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=241737
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1648-1654.e9[article]
Titre : Interrater Reliability of Activity Questionnaires After an Intensive Motor-Skill Learning Intervention for Children With Cerebral Palsy Type de document : Article Auteurs : Julie Paradis ; Delphine Dispa ; Agnès De Montpellier Année de publication : 2019 Article en page(s) : p. 1655-1662 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Paralysie cérébrale ; Psychométrie ; Questionnaire de santé du patient ; Rééducation neurologiqueRésumé : Objective
To investigate the reliability of parents-reported activity questionnaires after a motor-skill learning intervention for children with cerebral palsy (CP). We hypothesize that the intervention process might influence parental judgment.
Design
Double-blind randomized trial.
Setting
Conventional therapy was delivered in the usual context while intensive intervention was provided at the Catholic University of Louvain.
Participants
Children with CP (N=41; age range 5-18y, Gross Motor Function Classification System I-IV) were randomized to a control group (CG) (n=21, 2 dropouts) receiving conventional therapy or an intervention group (IG) (n=20) receiving hand-arm bimanual intensive therapy—including lower extremities (HABIT-ILE).
Interventions
Conventional therapy (mostly neurodevelopmental) was delivered as ongoing treatment (1-5 times/wk). HABIT-ILE, based on motor-skill learning, was delivered over 2 weeks. All children were assessed at T1 (baseline), T2 (3wk after baseline) and T3 (4mo after baseline).
Main Outcomes Measures
ABILHAND-Kids and ACTIVLIM-CP questionnaires rated by parents (perception) and 2 examiners (videotapes).
Results
Agreement (level/range) between examiners was systematically almost perfect (P≤.001). At baseline, moderate to almost perfect agreement (level/range) was observed between parents and examiners (P≤.001). At T2 and T3, a similar agreement (level/range) was observed for the CG. For the IG, a similar level of agreement was observed, but the range of agreement varied from poor to almost perfect (P≤.001), with parents estimating higher performance measures compared to examiners after intervention. Higher performance was associated with higher satisfaction scores of the child’s functional goals at T3.
Conclusion
Parents and examiners have a similar perception of the child’s performance at baseline and during conventional therapy. Their perceptions are less congruent after a motor-skill learning intervention, probably due to the goal-oriented process of the intervention. Therefore, our results favor the use of blind observations of home-videotaped items after intensive motor-skill learning interventions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=241745
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1655-1662[article]
Titre : Trunk Muscle Composition 2 Months After Hip Fracture: Findings From the Baltimore Hip Studies Type de document : Article Auteurs : Gregory E. Hicks ; Michelle D. Shardell ; Ram R. Miller Année de publication : 2019 Article en page(s) : p. 1663-1671 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Sarcopénie ; Sujet âgéRésumé : Objective
To determine if hip fracture patients would have smaller cross-sectional area (CSA) and lower radiological attenuation (suggesting greater fat infiltration) in all trunk muscles as compared to older adults without hip fractures.
Design
Cross-sectional analysis of computed tomography (CT) scans.
Setting
Clinical imaging facility.
Participants
Forty-one white participants (19 men, 22 women) from the Baltimore Hip Studies seventh cohort at 2 months postfracture were compared to 693 white participants (424 men, 269 women) from the Health, Aging and Body Composition (Health ABC) study at the year 6 visit (N=734).
Intervention
Not applicable.
Main Outcome Measures
Trunk muscle CSA and attenuation values were obtained from a single 10-mm, axial CT scan completed at the L4-L5 disc space in each participant.
Results
The hip fracture cohort had significantly smaller CSA for all trunk muscles (range: 12.1%-38% smaller) compared to the Health ABC cohort (P<.01 with the exception of rectus abdominus muscle in men but hip fracture patients particularly female had higher attenuation levels intramuscular fat all trunk muscles> Conclusions
Findings are consistent with atrophy of the trunk muscles in the hip fracture population without a high level of intramuscular fat. Future work should evaluate the role of trunk muscle composition in the functional recovery of older adults after hip fracture.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=241746
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1663-1671[article]
Titre : Development and Validation of a Questionnaire to Assess Barriers to Physical Activity After Stroke: The Barriers to Physical Activity After Stroke Scale Type de document : Article Auteurs : Joffrey Drigny ; Charles Joussain ; Vincent Gremeaux Année de publication : 2019 Article en page(s) : p. 1672-1679 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Rééducation et réadaptationRésumé : Objective
To develop and validate a self-reported questionnaire assessing the barriers to physical activity (PA) among stroke survivors.
Design
Psychometric study.
Setting
Ambulatory stroke care.
Participants
A total of one hundred and forty-six (N=146) individuals were included in this study. In stage 1, community-living stroke survivors (n=37; 13 women) with low-moderate disability (modified Rankin Score 0-3, stroke >3mo) were included. In stage 2, participants (n=109; 40 women) with same characteristics were included. Nine professionals experienced in PA for poststroke patients formed an expert panel.
Interventions
In stage 1, semistructured interviews identified perceived barriers to PA, which were then selected by the expert panel and grouped on a Barriers to Physical Activity After Stroke (BAPAS) scale. In stage 2, stroke participants completed a personal information questionnaire and the BAPAS scale.
Main Outcome Measures
An item selection process with factor analysis was carried out. The suitability of the data set was analyzed using the Kaiser-Meyer-Olkin coefficient, internal consistency was evaluated by Cronbach α, and concurrent validity was assessed with Spearman correlation coefficients between the BAPAS scale and the modified Rankin Scale. Test-retest repeatability was estimated using 2-way random effects intraclass correlation coefficient model 2,1 at 4-6 day follow-up (n=21).
Results
Factor analysis supported a 14-item BAPAS that explained 62% of total variance (Kaiser-Meyer-Olkin=0.82) and total score calculated higher than 70 (higher scores for higher barriers). Cronbach α was 0.86, Spearman correlation with the modified Rankin Scale was r=0.65 (P<.001 and test-retest intraclass correlation coefficient was ci the bapas scores were higher in patients with greater disabilities those a longer time since stroke event> Conclusion
We developed and validated the BAPAS scale to assess barriers to PA in stroke survivors with low-moderate disability with promising psychometric properties.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=241747
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1672-1679[article]
Titre : Relationship Between Observational Wisconsin Gait Scale, Gait Deviation Index, and Gait Variability Index in Individuals Poststroke Type de document : Article Auteurs : Agnieszka Guzik ; Mariusz Druzbicki ; Lorenza Maistrello Année de publication : 2019 Article en page(s) : p. 1680-1687 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Analyse de démarche ; Démarche ; Rééducation et réadaptationRésumé : Objective
To compare results of the observational Wisconsin Gait Scale (WGS) and global gait indexes such as Gait Deviation Index (GDI) and Gait Variability Index (GVI), constituting an objective method of assessing gait, and taking into account parameters identified during 3-dimensional gait analysis (3DGA).
Design
A validation study.
Setting
Rehabilitation clinic.
Participants
A total of 50 individuals poststroke and 50 individuals without stroke and without gait disorders (N=100).
Interventions
Not applicable.
Main Outcome Measures
Gait was evaluated using the WGS. GDI and GVI values were acquired using a movement analysis system. The global gait indexes GDI and GVI were determined based on the kinematic and spatiotemporal parameters, respectively.
Results
The study showed statistically significant correlations between the parameters of GDI affected leg and WGS total score (R=-0.87), GVI affected leg and WGS total score (R=-0.93), GVI unaffected leg and WGS total score (R=-0.88), GVI affected/unaffected leg and the total score in the assessment of spatiotemporal parameters on the WGS (R=-0.81) as well as GDI affected leg and the total score in the assessment of kinematics parameters on the WGS (R=-0.85). All correlations were strong (0.7 Conclusions
WGS scores have a strong or very strong correlation with GDI and GVI. The WGS may be recommended as a substitute tool to be used when 3DGA is unavailable, as it is a useful ordinal scale, enabling simple and accurate observational assessment of gait in patients poststroke, with effectiveness that is comparable to the GDI and GVI.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=241749
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1680-1687[article]
Titre : Culture, Health, Function, and Participation Among American Indian and Alaska Native Children and Youth With Disabilities: An Exploratory Qualitative Analysis Type de document : Article Auteurs : Molly Fuentes ; Kathryn Lent Année de publication : 2019 Article en page(s) : p. 1688-1694 Langues : Anglais (eng) Descripteurs : HE Vinci
Amérindiens ; Autochtones d'Alaska ; Enfants handicapés ; Participation sociale ; Rééducation et réadaptationRésumé : Objective
To investigate the influence of traditional culture on health, disability, and health care services among American Indian and Alaska Native (AI/AN) children and youth with disabilities.
Design
Exploratory descriptive qualitative analysis.
Setting
Tertiary children’s hospital.
Participants
A purposively sampled group (N=17) of AI/AN youth (n=4) with disability lasting at least 6 months age 8-24 years old and parents (n=13) of AI/AN children with disability lasting at least 6 months age 6 months to 17 years old.
Interventions
Not applicable.
Main Outcome Measures
Participant responses to semistructured interview questions regarding health beliefs, daily activities, participation in cultural activities, and experiences receiving or having their child receive health care and rehabilitation services.
Results
Three themes were identified: (1) participation in cultural activities is important for health as an AI/AN person; (2) experiences participating in cultural activities with functional differences; and (3) lack of recognition of the culturally related functional needs of AI/AN children with disabilities by rehabilitation providers. Children participated in cultural activities primarily through attendance at community-wide events. Barriers to participation in cultural activities included environmental barriers and adaptive mobility devices ill-suited to rough terrain. Participants perceived addressing functional needs related to culture, and cultural activities was not an expected part of rehabilitation services.
Conclusions
AI/AN children with disabilities experience barriers to participation in cultural activities, making it hard for them to achieve their definition of ideal health. Rehabilitation services have not identified or addressed these unmet culturally related functional needs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=241750
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1688-1694[article]
Titre : A Randomized Controlled Trial on the Effects of Low-Dose Extracorporeal Shockwave Therapy in Patients With Knee Osteoarthritis Type de document : Article Auteurs : Zongye Zhong ; Bangzhong Liu ; Guanghua Liu Année de publication : 2019 Article en page(s) : p. 1695-1702 Langues : Anglais (eng) Descripteurs : HE Vinci
Cartilage ; Essai contrôlé randomisé ; Gonarthrose ; Rééducation et réadaptation ; Traitement par ondes de choc extracorporellesRésumé : Objective
To test the efficacy of low-dose extracorporeal shockwave therapy (ESWT) on osteoarthritis knee pain, lower limb function, and cartilage alteration for patients with knee osteoarthritis.
Design
Randomized controlled trial with placebo control.
Setting
Outpatient physical therapy clinics within a hospital network.
Participants
Eligible volunteers (N=63) with knee osteoarthritis (Kellgren-Lawrence grade II or III) were randomly assigned to 2 groups.
Interventions
Patients in the experimental group received low-dose ESWT for 4 weeks while those in the placebo group got sham shockwave therapy. Both groups maintained a usual level of home exercise.
Main Outcome Measures
Knee pain and physical function were measured using a visual analog scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Lequesne index at baseline, 5 weeks, and 12 weeks. Cartilage alteration was measured analyzing the transverse relaxation time (T2) mapping.
Results
The VAS score, WOMAC, and Lequesne index of the ESWT group were significantly better than those of the placebo group at 5 and 12 weeks (P<.05 both groups showed improvement in pain and disability scores over the follow-up period terms of imaging results there was no significant difference t2 values between during trial although eswt group at weeks significantly increased compared to those baseline number prevalence adverse effects were similar serious side found.> Conclusions
A 4-week treatment of low-dose ESWT was superior to placebo for pain easement and functional improvement in patients with mild to moderate knee osteoarthritis but had some negative effects on articular cartilage.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=241759
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1695-1702[article]
Titre : Effectiveness of Botulinum Toxin Treatment for Upper Limb Spasticity Poststroke Over Different ICF Domains: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Aukje Andringa ; Ingrid van de Port ; Erwin van Wegen Année de publication : 2019 Article en page(s) : p. 1703-1725 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Méta-analyse ; Rééducation et réadaptation ; Spasticité musculaire ; Toxines botuliniques ou botuliquesRésumé : Objective
To provide a comprehensive overview of reported effects and scientific robustness of botulinum toxin (BoNT) treatment regarding the main clinical goals related to poststroke upper limb spasticity, using the International Classification of Functioning, Disability and Health.
Data Sources
Embase, PubMed, Wiley/Cochrane Library, and Ebsco/CINAHL were searched from inception up to May 16, 2018.
Study Selection
We included randomized controlled trials comparing upper limb BoNT injections with a control intervention in patients with a history of stroke. A total of 1212 unique records were screened by 2 independent reviewers. Forty trials were identified, including 2718 patients with history of stroke.
Data Extraction
Outcome data were pooled according to assessment timing (ie, 4-8wk and 12wk after injection), and categorized into 6 main clinical goals (ie, spasticity-related pain, involuntary movements, passive joint motion, care ability, arm and hand use, and standing and walking performance). Sensitivity analyses were performed for the influence of study and intervention characteristics, involvement of pharmaceutical industry, and publication bias.
Data Synthesis
Robust evidence is shown for the effectiveness of BoNT in reducing resistance to passive movement, as measured with the (Modified) Ashworth Score, and improving self-care ability for the affected hand and arm after intervention (P<.005 and at follow-up in addition robust evidence is shown for the absence of effect on arm-hand capacity follow-up. bont was found to significantly reduce involuntary movements spasticity-related pain caregiver burden improve passive range motion while no arm hand use after intervention.> Conclusions
In view of the robustness of current evidence, no further trials are needed to investigate BoNT for its favorable effects on resistance to passive movement of the spastic wrist and fingers, and on self-care. No trials are needed to further confirm the lack of effects of BoNT on arm-hand capacity, whereas additional trials are needed to establish the suggested favorable effects of BoNT on other body functions, which may result in clinically meaningful outcomes at 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=241760
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1703-1725[article]
Titre : The Effectiveness of Instrument-Assisted Soft Tissue Mobilization in Athletes, Participants Without Extremity or Spinal Conditions, and Individuals with Upper Extremity, Lower Extremity, and Spinal Conditions: A Systematic Review Type de document : Article Auteurs : Goris Nazari ; Pavlos Bobos ; Joy C. MacDermid Année de publication : 2019 Article en page(s) : p. 1726-1751 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Revue systématique ; SantéRésumé : Objective
To assess the effectiveness of instrument-assisted soft tissue mobilization (IASTM) to other treatments or placebo in athletes or participants without extremity or spinal conditions and individuals with upper extremity, lower extremity, and spinal conditions.
Data Sources
The MEDLINE, EMBASE, CINAHL, and PEDro electronic databases were searched from January 1998 to March 2018.
Study Selection
Randomized controlled trials of participants without extremity or spinal conditions or athletes and people with upper extremity, lower extremity, or spinal conditions, who revived IASTM vs other active treatment, placebo, or control (no treatment), to improve outcome (function, pain, range of motion).
Data Extraction
Two independent review authors extracted data, assessed the trials for risk of bias using the Cochrane Risk of Bias tool in included studies, and performed the rating of quality of individual trials per outcome across trials was also performed using the Grading of Recommendations, Assessment, Development, and Evaluations guidelines.
Data Synthesis
Nine trials with 43 reported outcomes (function, pain, range of motion, grip strength), compared the addition of IASTM over other treatments vs other treatments. Six trials with 36 outcomes reported no clinically important differences in outcomes between the 2 groups. Two trials with 2 outcomes displayed clinically important differences favoring the other treatment (without IASTM) group. Six trials with 15 reported outcomes (pressure sensitivity, pain, range of motion, muscle performance), compared IASTM vs control (no treatment). Three trials with 5 outcomes reported no clinically important differences in outcomes between the 2 groups. Furthermore, in 1 trial with 5 outcomes, IASTM demonstrated small effects (standard mean difference range 0.03-0.24) in terms of improvement muscle performance in physically active individuals when compared to a no treatment group.
Conclusion
The current evidence does not support the use of IASTM to improve pain, function, or range of motion in individuals without extremity or spinal conditions or those with varied pathologies.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=241761
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1726-1751[article]
Titre : Exercising Choice and Control: A Qualitative Meta-synthesis of Perspectives of People With a Spinal Cord Injury Type de document : Article Auteurs : Carolyn M. Murray ; Gisela Van Kessel ; Michelle Guerin Année de publication : 2019 Article en page(s) : p. 1752-1762 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Émotions ; Espoir ; Humains ; Pouvoir (psychologie) ; Rééducation et réadaptation ; Relations interpersonnellesRésumé : Objective
To systematically search the literature and construct a meta-synthesis of how choice and control are perceived by people with spinal cord injury (SCI).
Data Sources
Medline, Academic Search Premier, CINAHL, Cochrane, EMBASE, HealthSource, ProQuest, PsychInfo, SAGE, and SCOPUS were searched from 1980 until September 2018 including all languages. Reference lists of selected studies were also reviewed.
Study Selection
Eligible qualitative studies included perspectives about choice of control as reported by people with an SCI. Studies were excluded if they included perspectives from other stakeholder groups. A total of 6706 studies were screened for title and abstract and full text of 127 studies were reviewed resulting in a final selection of 29.
Data Extraction
Characteristics of the studies were extracted along with any data (author interpretations and quotes) relating to perspectives on choice and control.
Data Synthesis
First-order analysis involved coding the data in each study and second-order analysis involved translating each segment of coded data into broader categories with third-order analysis condensing categories to 2 broad overarching themes. These themes were experiencing vulnerability or security and adapting to bounded abilities.
Conclusions
Perspectives of choice and control are influenced by interrelated environmental, interpersonal, and personal contexts. From a personal perspective, participants reported a readiness for adaptation that included turning points where emotional and cognitive capacity to make choices and take control changed. Health professionals need to be responsive to this readiness, promote empowerment and foster, rather than remove, hope.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=241762
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1752-1762[article]
Titre : Continuous Passive Motion After Total Knee Arthroplasty: A Systematic Review and Meta-analysis of Associated Effects on Clinical Outcomes Type de document : Article Auteurs : Xia Yang ; Guo-hong Li ; Hui-jie Wang Année de publication : 2019 Article en page(s) : p. 1763-1778 Langues : Anglais (eng) Descripteurs : HE Vinci
Amplitude articulaire ; Arthroplastie prothétique de genou ; Durée du séjour ; Méta-analyse ; Rééducation et réadaptation ; Traitement par mobilisation passive continueRésumé : Objective
To evaluate the efficacy of continuous passive motion (CPM) after total knee arthroplasty (TKA) and whether the use of CPM is related to improved clinical and functional outcomes.
Data Sources
A systematic MEDLINE search via Web of Science, Cochrane Library, and PubMed databases was conducted.
Study Selection
English-language articles published between January 2000 and May 2018 reporting the related clinical outcomes of CPM after TKA were included. A total of 3334 titles and abstracts were preliminarily reviewed, of which 16 studies were included according to the eligibility criteria.
Data Extraction
Two different reviewers were selected to perform the study extraction, independent of each other. If there were any disagreements regarding the final list of studies, the third reviewer reviewed the list as an arbitrator for completeness.
Data Synthesis
A total of 16 trials with 1224 patients were included. The pooled results revealed that use of CPM did not show a statistically significant improvement of postoperative knee range of motion (ROM) except for middle-term passive knee extension and long-term active knee flexion ROM. Also, CPM therapy did not show a significant positive effect on the functional outcomes. No significant reduction in length of stay (LOS) and incidence of adverse events (AEs) was identified.
Conclusion
Among patients undergoing TKA, neither the ROM nor the functional outcomes could be improved by CPM therapy. Moreover, the risk of AEs and LOS could not be reduced by application of CPM. The current available evidence suggested that this intervention was insufficient to be used routinely in clinical 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=241763
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 9 (2019) . - p. 1763-1778[article]
