Vol. 100, n° 7 2019 Vol. 100, n° 8 2019 Vol. 100, n° 9 2019 Vol. 100, n° 10 2019 Vol. 100, n° 11 2019 Vol. 100, n° 12 2019 Vol. 101, n° 1 2020 Archives of Physical Medicine and Rehabilitation . Vol. 100, n° 10  Mention de date :  2019 Paru le :  01/10/2019

Dépouillements

Family Involvement in Traumatic Brain Injury Inpatient Rehabilitation: A Propensity Score Analysis of Effects on Outcomes During the First Year After Discharge / Jennifer Bogner in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1801-1809 Titre : Family Involvement in Traumatic Brain Injury Inpatient Rehabilitation: A Propensity Score Analysis of Effects on Outcomes During the First Year After Discharge Type de document : Article Auteurs : Jennifer Bogner ; Erinn M. Hade ; Juan Peng Année de publication : 2019 Article en page(s) : p. 1801-1809 Langues : Anglais (eng) Descripteurs : HE Vinci Ergothérapie ; Kinésithérapeutes ; Lésions traumatiques de l'encéphale ; Orthophonie ; Réadaptation ; Score de propension ; Thérapie par le loisir Résumé : Objective To evaluate the effect of family attendance at inpatient rehabilitation therapy sessions on traumatic brain injury (TBI) patient outcomes at discharge and up to 9 months postdischarge. Design Propensity score methods are applied to the TBI Practice-Based Evidence database, a database consisting of multisite, prospective, longitudinal, and observational data. Setting Nine inpatient rehabilitation centers in the United States. Participants Patients (N=1835) admitted for first inpatient rehabilitation after an index TBI. Intervention Family attendance during therapy sessions. Main Outcome Measures Participation Assessment for Recombined Tools-Objective-17 (Total scores and subdomain scores of Productivity, Out and About, and Social Relations), Functional Independence Measure, Satisfaction with Life Scale, and Patient Health Questionnaire-9. Results Participants whose families were in attendance for at least 10% of the treatment time were more out and about in their communities at 3 and 9 months postdischarge than participants whose families attended treatment less than 10% of the time. Although findings varied by propensity score method, improved functional independence in the cognitive area at 9 months was also associated with increased family attendance. Conclusions Family involvement during inpatient rehabilitation may improve community participation and cognitive functioning up to 9 months after discharge. Rehabilitation teams should engage patients’ families in the rehabilitation process to maximize 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=241808 [article]

Contextualized Treatment in Traumatic Brain Injury Inpatient Rehabilitation: Effects on Outcomes During the First Year After Discharge / Jennifer Bogner in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1810-1817 Titre : Contextualized Treatment in Traumatic Brain Injury Inpatient Rehabilitation: Effects on Outcomes During the First Year After Discharge Type de document : Article Auteurs : Jennifer Bogner ; Marcel Dijkers ; Erinn M. Hade Année de publication : 2019 Article en page(s) : p. 1810-1817 Langues : Anglais (eng) Descripteurs : HE Vinci Ergothérapie ; Kinésithérapie (spécialité) ; Lésions traumatiques de l'encéphale ; Orthophonie ; Réadaptation ; Score de propension ; Thérapie par le loisir Résumé : Abstract Objective To evaluate the effect of providing a greater percentage of therapy as contextualized treatment on acute traumatic brain injury (TBI) rehabilitation outcomes. Design Propensity score methods are applied to the TBI Practice-Based Evidence (TBI-PBE) database, a database consisting of multi-site, prospective, longitudinal observational data. Setting Acute inpatient rehabilitation. Participants Patients enrolled in the TBI-PBE study (N=1843), aged 14 years or older, who sustained a severe, moderate, or complicated mild TBI, received their first inpatient rehabilitation facility admission in the US, and consented to follow-up 3 and 9 months post discharge from inpatient rehabilitation. Interventions Not applicable. Main Outcome Measures Participation Assessment with Recombined Tools-Objective (PART-O)-17, FIM Motor and Cognitive scores, Satisfaction with Life Scale, and Patient Health Questionnaire-9. Results Increasing the percentage of contextualized treatment during inpatient TBI rehabilitation leads to better outcomes, specifically in regard to community participation. Conclusions Increasing the proportion of treatment provided in the context of real-life activities appears to have a beneficial effect on outcome. Although the effect sizes are small, the results are consistent with other studies supporting functional-based interventions effecting better outcomes. Furthermore, any positive findings, regardless of size or strength, are endorsed as important by consumers (survivors of TBI). While the findings do not imply that decontextualized treatment should not be used, when the therapy goal can be addressed with either approach, the findings suggest that better outcomes may result if the contextualized approach is used. 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=241810 [article]

Advanced Therapy in Traumatic Brain Injury Inpatient Rehabilitation: Effects on Outcomes During the First Year After Discharge / Misti Timpson in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1818-1826 Titre : Advanced Therapy in Traumatic Brain Injury Inpatient Rehabilitation: Effects on Outcomes During the First Year After Discharge Type de document : Article Auteurs : Misti Timpson ; Erinn M. Hade ; Cynthia Beaulieu Année de publication : 2019 Article en page(s) : p. 1818-1826 Langues : Anglais (eng) Descripteurs : HE Vinci Ergothérapie ; Kinésithérapie (spécialité) ; Lésions encéphaliques ; Orthophonie ; Réadaptation ; Score de propension ; Thérapie par le loisir Résumé : Objective To use causal inference methods to determine if receipt of a greater proportion of inpatient rehabilitation treatment focused on higher level functions, for example, executive functions, ambulating over uneven surfaces (advanced therapy [AdvTx]), results in better rehabilitation outcomes. Design A cohort study using propensity score methods applied to the traumatic brain injury practice-based evidence (TBI-PBE) database, a database consisting of multisite, prospective, longitudinal observational data. Setting Acute inpatient rehabilitation facilities. Participants Patients enrolled in the TBI-PBE study (N=1843), aged 14 years or older, who sustained a severe, moderate, or complicated mild TBI, receiving their first inpatient rehabilitation facility admission to 1 of 9 sites in the United States, and consented to follow-up 3 and 9 months postdischarge from inpatient rehabilitation. Interventions Not applicable. Main Outcome Measures Participation Assessment with Recombined Tools-Objective-17, FIM motor and cognitive scores, Satisfaction with Life Scale, and Patient Health Questionnaire-9. Results Controlling for measured potential confounders, increasing the percentage of AdvTx during inpatient TBI rehabilitation was found to be associated with better community participation, functional independence, life satisfaction, and decreased likelihood of depression during the year after discharge from inpatient rehabilitation. Participants who began rehabilitation with greater disability experienced larger gains on some outcomes than those who began rehabilitation with more intact abilities. Conclusions Increasing the proportion of treatment targeting higher level functions appears to have no detrimental and a small, beneficial effect on outcome. Caution should be exercised when inferring causality given that a large number of potential confounders could not be completely controlled with propensity score methods. Further, the extent to which unmeasured confounders influenced the findings is not known and could be of particular concern due to the potential for the patient’s recovery trajectory to influence therapists’ decisions to provide a greater amount of AdvTx. 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=241811 [article]

Level of Effort and 3 Hour Rule Compliance / Cynthia L. Beaulieu in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1827-1836 Titre : Level of Effort and 3 Hour Rule Compliance Type de document : Article Auteurs : Cynthia L. Beaulieu ; Juan Peng ; Erinn M. Hade Année de publication : 2019 Article en page(s) : p. 1827-1836 Langues : Anglais (eng) Descripteurs : HE Vinci Ergothérapie ; Kinésithérapie (spécialité) ; Lésions traumatiques de l'encéphale ; Orthophonie ; Réadaptation ; Recherche sur les services de santé ; Thérapie par le loisir Résumé : Objective To determine if patients’ level of effort (LOE) in therapy sessions during traumatic brain injury (TBI) rehabilitation modifies the effect of compliance with the 3-Hour Rule of the Centers for Medicare & Medicaid Services. Design Propensity score methodology applied to the TBI Practice-Based Evidence database, consisting of multisite, prospective, longitudinal observational data. Setting Acute inpatient rehabilitation facilities (IRF). Participants Patients (N=1820) who received their first IRF admission for TBI in the United States and were enrolled for 3- and 9-month follow-up. Main Outcome Measures Participation Assessment with Recombined Tools-Objective-17, FIM Motor and Cognitive scores, Satisfaction with Life Scale, and Patient Health Questionnaire-9. Results When the full cohort was examined, no strong main effect of compliance with the 3-Hour Rule was identified and LOE did not modify the effect of compliance with the 3-Hour Rule. In contrast, LOE had a strong positive main effect on all outcomes, except depression. When the sample was stratified by level of disability, LOE modified the effect of compliance, particularly on the outcomes of participants with less severe disability. For these patients, providing 3 hours of therapy for 50% or more of therapy days in the context of low effort resulted in poorer performance on select outcome measures at discharge and up to 9 months postdischarge compared to patients with Conclusions LOE is an active ingredient in inpatient TBI rehabilitation, while compliance with the 3-Hour Rule was not found to have a substantive effect on the outcomes. The results support matching time in therapy during acute TBI rehabilitation to patients’ LOE in order to optimize long-term benefits on 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=241812 [article]

Depression as a Predictor of Long-term Employment Outcomes Among Individuals With Moderate-to-Severe Traumatic Brain Injury / Daniel W. Klyce in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1837-1843 Titre : Depression as a Predictor of Long-term Employment Outcomes Among Individuals With Moderate-to-Severe Traumatic Brain Injury Type de document : Article Auteurs : Daniel W. Klyce ; Katharine A. Stromberg ; William C. Walker Année de publication : 2019 Article en page(s) : p. 1837-1843 Langues : Anglais (eng) Descripteurs : HE Vinci Dépression ; Emploi ; Lésions traumatiques de l'encéphale ; Réadaptation Résumé : Objective To examine the predictive ability of depression when considering long-term employment outcomes for individuals with moderate-to-severe traumatic brain injury (TBI) after controlling for key preinjury and injury-related variables. Design Secondary data analysis. Setting Community follow-up after discharge from an inpatient rehabilitation center. Participants Individuals between 18 and 60 years old with moderate-to-severe TBI enrolled in the Traumatic Brain Injury Model Systems database. Interventions Not applicable. Main Outcome Measures Employment status. Results The prevalence of employment at 2 and 5 years post injury was 40.3% and 44.5%, respectively. Individuals identified as depressed at 1 year were more likely to be unemployed at 2 years post injury (odds ratio [OR], 1.77; 95% CI, 1.38-2.27; P<.0001 similar relations between current depression and future employment were observed from status predicting or ci p> Conclusions After controlling for baseline predictors variables, the experience of postinjury depression—a modifiable condition—contributes predictive ability to future employment outcomes. Incorporating assessments and/or interventions for depression into postacute rehabilitation programs could promote favorable employment outcomes after TBI. 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=241814 [article]

Rasch Analysis of Postconcussive Symptoms: Development of Crosswalks and the Brain Injury Symptom Scale / Leia Vos in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1844-1852 Titre : Rasch Analysis of Postconcussive Symptoms: Development of Crosswalks and the Brain Injury Symptom Scale Type de document : Article Auteurs : Leia Vos ; Gale G. Whiteneck ; Esther Ngan Année de publication : 2019 Article en page(s) : p. 1844-1852 Langues : Anglais (eng) Descripteurs : HE Vinci Évaluation des symptômes ; Lésions traumatiques de l'encéphale ; Réadaptation ; Syndrome post-commotionnel Résumé : Objective The first aim of this study was to develop a Rasch-based crosswalk between 2 postconcussive symptom measures, the Neurobehavioral Symptom Inventory (NSI) and the Rivermead Postconcussive Symptom Questionnaire (RPQ). The second goal was to utilize Rasch analysis to formulate a new proposed scale containing the best theoretical and psychometric items. Design Prospective cohort observational study. Setting Three acute inpatient rehabilitation hospitals in the United States. Participants Community-dwelling persons (N=497) who were previously hospitalized and were diagnosed with mild to severe traumatic brain injury. Participants were (1) 18-64 years old; (2) could give informed consent; (3) able to complete study measures in English; (4) did not have an interfering medical or psychiatric condition. Interventions Not applicable. Main Outcome Measures NSI, RPQ. Results Rasch analysis revealed 4 subdimensions across the 2 scales: cognitive, affective, physical, and visual. Crosswalk tables were generated for the first 3. Visual items were too few to generate a crosswalk. Iterative Rasch analysis produced a new scale with items rated from none to severe including the best items in each of these dimensions. Conclusions The NSI and RPQ have considerable overlap and measure the same overarching constructs. Crosswalk tables may be helpful for clinicians and researchers to convert scores from 1 measure to the other. A more psychometrically sound scale, the Brain Injury Symptom Scale, composed of items from the NSI and RPQ, is proposed and will need further validation. 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=241815 [article]

Validation of the WHOQOL-BREF and Shorter Versions Using Rasch Analysis in Traumatic Brain Injury and Orthopedic Populations / Shivanthi K. Balalla in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1853-1862 Titre : Validation of the WHOQOL-BREF and Shorter Versions Using Rasch Analysis in Traumatic Brain Injury and Orthopedic Populations Type de document : Article Auteurs : Shivanthi K. Balalla ; Oleg N. Medvedev ; Richard J. Siegert Année de publication : 2019 Article en page(s) : p. 1853-1862 Langues : Anglais (eng) Descripteurs : HE Vinci Lésions traumatiques de l'encéphale ; Orthopédie ; Psychométrie ; Qualité de vie ; Réadaptation Résumé : Objective To use Rasch analysis to validate the World Health Organization Quality of Life-BREF (WHOQOL-BREF) and existing short versions in individuals with traumatic brain injury and orthopedic injuries, with comparisons to a general population group. Design The Partial Credit Rasch model was applied to evaluate the WHOQOL-BREF as well as shortened versions using a cross-sectional study design. Setting Regional hospital, and national electoral sample in New Zealand. Participants Individuals with traumatic brain injury (n=74), individuals with orthopedic injuries (n=114), general population (n=140). Interventions None. Main Outcome Measure WHOQOL-BREF. Results The WHOQOL-BREF met expectations of the unidimensional Rasch model and demonstrated good reliability (person separation index [PSI] =0.82) when domain items were combined into physical-psychological, social, and environmental superitems. Analysis of shorter versions, the EUROHIS-QOL-8 and World Health Organization Quality of Life-5 (WHOQOL-5), indicated overall acceptable fit to the Rasch model and evidence of unidimensionality. The EUROHIS-QOL-8 showed good reliability (PSI=0.81); however, reliability of the WHOQOL-5 (PSI=0.68) was below acceptable standards for group comparisons, in addition to demonstrating poor person-item targeting. Conclusions The WHOQOL-BREF and the 8-item EUROHIS-QOL-8 version are both reliable and valid in the assessment of quality of life in both injury and general populations. Ordinal-interval conversion tables published for these validated scales as well as for the WHOQOL-5 can be used to improve precision of assessment. The transformation of ordinal scale scores into an interval measure of health-related quality of life also permits the calculation of a single summary score for the WHOQOL-BREF, which will be useful in a wide range of clinical and research contexts. Further validation work of the WHOQOL-5 is needed to ascertain its 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=241816 [article]

National Institutes of Health Toolbox Emotion Battery: Application of Summary Scores to Adults With Spinal Cord Injury, Traumatic Brain Injury, and Stroke / Ida Babakhanyan in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1863-1871 Titre : National Institutes of Health Toolbox Emotion Battery: Application of Summary Scores to Adults With Spinal Cord Injury, Traumatic Brain Injury, and Stroke Type de document : Article Auteurs : Ida Babakhanyan ; Noelle E. Carlozzi ; Benjamin S. McKenna Année de publication : 2019 Article en page(s) : p. 1863-1871 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Émotions ; Lésions traumatiques de l'encéphale ; Poids et mesures ; Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective To examine the validity of factor analytically based summary scores that were developed using the National Institutes of Health Toolbox Emotion Battery (NIHTB-EB); (ie, psychological well-being, social satisfaction, negative affect) normative sample in individuals with neurologic conditions. Design Cross-sectional, observational cohort. Setting Community. Participants A total of 1036 English-speaking adults from the National Institutes of Health Toolbox (NIHTB) normative project and 604 community-dwelling adults with neurologic conditions including spinal cord injury (SCI n=209), traumatic brain injury (TBI n=184), and stroke (cerebrovascular accident [CVA] n=211) (N=1640). Intervention Not applicable. Main Outcome Measures The NIHTB-EB. Results A series of univariate analyses comparing summary scores across the 4 groups (SCI, TBI, CVA, normative group) were conducted to identify group differences. Base rates (defined as >1 SD toward the problematic direction) were also identified. The normative group demonstrated better emotional functioning characterized by greater social satisfaction and psychological well-being (normative group > SCI, TBI, CVA; P’s <.0001 and less negative affect group sci p=".016;" normative tbi cva compared with each neurologic group. using base rates to identify problematic emotions for the summary scores there were higher of on all groups> Conclusions The NIHTB-EB summary scores demonstrate an increased prevalence of problematic emotions among individuals with 3 neurologic conditions, and might be useful for identifying individuals with similar conditions and potentially in need of psychological support. 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=241817 [article]

Survival in 222 Patients With Severe CSCI: An 8-Year Epidemiologic Survey in Western China / Chenxin Liu in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1872-1880 Titre : Survival in 222 Patients With Severe CSCI: An 8-Year Epidemiologic Survey in Western China Type de document : Article Auteurs : Chenxin Liu ; Xiaojiang Yang ; Bing Meng Année de publication : 2019 Article en page(s) : p. 1872-1880 Langues : Anglais (eng) Descripteurs : HE Vinci Analyse de survie ; Odds ratio ; Réadaptation ; Thérapeutique ; Traumatismes de la moelle épinière Résumé : Objective To assess the survival and the predictors of mortality in patients with severe cervical spinal cord injuries (CSCI). Design Retrospective study. Participants From January 1, 2010, to May 31, 2018, patients who suffered from severe CSCIs in Western China were enrolled in this study (N=222). Interventions Not applicable. Main Outcome Measures Survival rates and mortality risk factors. Measures were calculated by the product-limit method (Kaplan-Meier) and the Cox model. Results The overall 1-year, 3-year, 5-year, and 8-year postoperative mortalities were 24.4%, 30.6%, 33.3%, 36.2%, and 39.0%, respectively. Most deaths occurred within 36 months after the injury. According to the Cox proportional hazards model, the significant predictors of survival were as follows: (1) age; (2) neurologic level; (3) treatment options (surgical or conservative); (4) ventilator support (P<.05 the mortality for older patients>50y) was 50.2%, which was significantly higher than that for younger patients (32.4%, .05). However, patients who received late-term surgery (>7d) had a higher mortality risk (P<.05 the overall mortality risk of patients who needed ventilator support was much higher than those did not need> Conclusions Age, neurologic level, ventilator dependence, treatment options, and timing to surgery were main risk factors for mortality in patients with severe CSCIs. Better understanding of the predictors for survival could possibly contribute to the improvement of survival rates. 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=241818 [article]

Determining Pressure Injury Risk on Admission to Inpatient Spinal Cord Injury Rehabilitation: A Comparison of the FIM, Spinal Cord Injury Pressure Ulcer Scale, and Braden Scale / Heather M. Flett in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1881-1887 Titre : Determining Pressure Injury Risk on Admission to Inpatient Spinal Cord Injury Rehabilitation: A Comparison of the FIM, Spinal Cord Injury Pressure Ulcer Scale, and Braden Scale Type de document : Article Auteurs : Heather M. Flett ; Jude J. Delparte ; Carol Y. Scovil Année de publication : 2019 Article en page(s) : p. 1881-1887 Langues : Anglais (eng) Descripteurs : HE Vinci Escarre ; Médecine préventive ; Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective Assess the utility of the admission Spinal Cord Injury Pressure Ulcer Scale (SCIPUS), Braden Scale, and the FIM for identifying individuals at risk for developing pressure injury during inpatient spinal cord injury (SCI) rehabilitation. Design Retrospective cohort. Setting Two tertiary rehabilitation centers. Participants Individuals (N=754) participating in inpatient SCI rehabilitation. Interventions Not applicable. Main Outcome Measures Logistic regression analysis was performed to determine the utility of the SCIPUS, Braden Scale, and FIM for identifying individuals at risk for developing pressure injury (PI) during inpatient SCI rehabilitation. Sensitivity, specificity, positive predictive value, negative predictive value, false negative rate, odds ratio, likelihood ratio, and area under the curve (AUC) are reported. Results The SCIPUS total score and its individual items did not demonstrate acceptable accuracy (AUC≥0.7) whereas the Braden Scale (0.73) and the FIM score (0.74) did. Once items were dichotomized into high and low risk categories, 1 Braden item (friction and shear), 5 FIM items (bathing, toileting, bed/chair transfer, tub/shower transfer, toilet transfer), the FIM transfers subscale, FIM Motor subscale, and the FIM instrument as a whole, maintained AUCs ≥0.7 and negative predictive values ≥0.95. The FIM bed/chair transfer score demonstrated the highest likelihood ratio (2.62) and overall was the most promising measure for determining PI risk. Conclusion Study findings suggest that a simple measure of mobility, admission FIM bed/chair transfer score of 1 (total assist), can identify at-risk individuals with greater accuracy than both an SCI specific instrument (SCIPUS) and a PI specific instrument (Braden). The FIM bed/chair transfer score can be readily determined at rehabilitation admission with minimal administrative and clinical burden. 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=241819 [article]

Effects of Performance-Based Training on Gait and Balance in Individuals With Incomplete Spinal Cord Injury / Brian T. Neville in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1888-1893 Titre : Effects of Performance-Based Training on Gait and Balance in Individuals With Incomplete Spinal Cord Injury Type de document : Article Auteurs : Brian T. Neville ; Donal Murray ; Kerry B. Rosen Année de publication : 2019 Article en page(s) : p. 1888-1893 Langues : Anglais (eng) Descripteurs : HE Vinci Démarche ; Équilibre postural ; Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective To determine changes in balance and gait following a task-specific, performance-based training protocol for overground locomotor training (OLT) in individuals with motor-incomplete spinal cord injury (iSCI). Design Convenience sample, prepilot and postpilot study. Setting Human performance research laboratory. Participants Adults (N=15; 12 men and 3 women; mean age [y] ± SD, 41.5±16.9), American Spinal Injury Association Impairment Scale C or D, >6 months post-spinal cord injury. Interventions Two 90-minute OLT sessions per week over 12 to 15 weeks. OLT sessions were built on 3 principles of motor learning: practice variability, task specificity, and progressive overload (movement complexity, resistance, velocity, volume). Training used only voluntary movements without body-weight support, robotics, electrical stimulation, or bracing. Subjects used ambulatory assistive devices as necessary. Main Outcome Measures Berg Balance Scale (BBS), Spinal Cord Injury Functional Ambulation Inventory (SCI-FAI) gait parameters, spatiotemporal measures of gait (step length, step width, percent stance, stance:swing ratio) from 7 participants who walked across a pressure-sensitive walkway. Results Fourteen participants completed the OLT protocol and 1 participant completed 15 sessions due to scheduled surgery. The BBS scores showed a mean improvement of 4.53±4.09 (P<.001 sci-fai scores showed a mean increase of spatiotemporal measures gait no significant changes.> Conclusion This pilot demonstrated improvements in balance and selected gait characteristics using a task-specific, performance-based OLT for chronic iSCI. 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=241821 [article]

Participation in People Living With Spinal Cord Injury in Switzerland: Degree and Associated Factors / Mirja H. Gross-Hemmi in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1894-1906 Titre : Participation in People Living With Spinal Cord Injury in Switzerland: Degree and Associated Factors Type de document : Article Auteurs : Mirja H. Gross-Hemmi ; Marcel W. Post ; Stefanie Bienert Année de publication : 2019 Article en page(s) : p. 1894-1906 Langues : Anglais (eng) Descripteurs : HE Vinci Participation communautaire ; Participation sociale ; Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective To describe different domains of participation such as productive, leisure and social activities and describe sociodemographic and spinal cord injury (SCI)-related characteristics that are associated with participation in these domains in a large sample of community-dwelling individuals with SCI in Switzerland. Design Cross-sectional population-based survey within the Swiss Spinal Cord Injury Cohort Study. Participation in major life domains was measured by the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation). Univariable unconditional analysis and unbiased recursive partitioning were used to identify the predominant associations of sociodemographic and SCI-related characteristics with multiple dimensions of participation. Setting Community. Participants Swiss residents aged 16 years or older and living with traumatic or nontraumatic SCI (N=1549). Interventions Not applicable. Main Outcome Measure The USER-Participation, a 32-item self-report questionnaire with 3 scales (Frequency, Restrictions, and Satisfaction) to assess key domains of participation (productive, leisure, social). Results Frequency (median 34.5 out of 100) in productive, outdoor leisure, and social activities was reduced with distinctive perceived restrictions in work and education, sports, and partner relationships. Domestic leisure activities (65.4%) and maintaining social relationships (76.1%) were those activities most often performed and with least perceived restrictions. Participants were generally satisfied with their current daily life activities. Lower scores across all participation scales were associated with more severe SCI, higher age, being female, not having a partner, and lower level of education. Conclusions This study provides a thorough analysis of participation in major life domains of individuals with SCI in Switzerland. Different risk groups for reduced levels in participation in productive, leisure, and social activities were identified. This population-based evidence is instrumental to the better targeting of rehabilitation and policy interventions that aim to improve community participation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=241822 [article]

Artificial Neural Network Learns Clinical Assessment of Spasticity in Modified Ashworth Scale / Jeong-Ho Park in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1907-1915 Titre : Artificial Neural Network Learns Clinical Assessment of Spasticity in Modified Ashworth Scale Type de document : Article Auteurs : Jeong-Ho Park ; Yushin Kim ; Kwang-Jae Lee Année de publication : 2019 Article en page(s) : p. 1907-1915 Langues : Anglais (eng) Descripteurs : HE Vinci Évaluation de résultat (soins) ; Intelligence artificielle (IA) ; Réadaptation ; Spasticité musculaire Résumé : Objective To propose an artificial intelligence (AI)-based decision-making rule in modified Ashworth scale (MAS) that draws maximum agreement from multiple human raters and to analyze how various biomechanical parameters affect scores in MAS. Design Prospective observational study. Setting Two university hospitals. Participants Hemiplegic adults with elbow flexor spasticity due to acquired brain injury (N=34). Intervention Not applicable. Main Outcome Measures Twenty-eight rehabilitation doctors and occupational therapists examined MAS of elbow flexors in 34 subjects with hemiplegia due to acquired brain injury while the MAS score and biomechanical data (ie, joint motion and resistance) were collected. Nine biomechanical parameters that quantify spastic response described by the joint motion and resistance were calculated. An AI algorithm (or artificial neural network) was trained to predict the MAS score from the parameters. Afterwards, the contribution of each parameter for determining MAS scores was analyzed. Results The trained AI agreed with the human raters for the majority (82.2%, Cohen’s kappa=0.743) of data. The MAS scores chosen by the AI and human raters showed a strong correlation (correlation coefficient=0.825). Each biomechanical parameter contributed differently to the different MAS scores. Overall, angle of catch, maximum stretching speed, and maximum resistance were the most relevant parameters that affected the AI decision. Conclusions AI can successfully learn clinical assessment of spasticity with good agreement with multiple human raters. In addition, we could analyze which factors of spastic response are considered important by the human raters in assessing spasticity by observing how AI learns the expert decision. It should be noted that few data were collected for MAS3; the results and analysis related to MAS3 therefore have limited supporting evidence. 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=241824 [article]

Investigating Characteristics of Quality Peer Mentors With Spinal Cord Injury / Heather L. Gainforth in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1916-1923 Titre : Investigating Characteristics of Quality Peer Mentors With Spinal Cord Injury Type de document : Article Auteurs : Heather L. Gainforth ; Emily E. Giroux ; Robert B. Shaw Année de publication : 2019 Article en page(s) : p. 1916-1923 Langues : Anglais (eng) Descripteurs : HE Vinci Consensus ; Mentors ; Méthode Delphi ; Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective To identify characteristics (1) of high- and low-quality spinal cord injury (SCI) peer mentors; (2) that should be used to match SCI peer mentors and mentees. Design The study was conducted in partnership with three Canadian provincial SCI organizations using an integrated knowledge translation approach. The Delphi exercise was completed in three rounds. In Round 1, people with SCI completed a thought-listing exercise to identify characteristics of high- and low-quality peer mentors and for matching. In Rounds 2 and 3, people with SCI and community organization staff rated characteristics from the previous round on an 11-point scale. After the final round, the remaining characteristics were thematically analyzed. Setting Community-based peer mentorship programs in three Canadian provinces. Participants People with SCI and SCI community organization staff (Round 1, n=45; Round 2, n=27; Round 3, n=25). Interventions Not applicable. Main Outcome Measures Consensus-based list of characteristics. Results Participants reached consensus on 215 characteristics of quality peer mentors and 11 characteristics for peer mentor-mentee matching (ICC=0.96). A consensus-based characterization of high- and low-quality peer mentorship was created and included six overarching themes: competencies, personality characteristics, emotional state, mentor outlook, reason for mentoring, and role model. Conclusion A consensus-based characterization of quality peer mentorship was co-developed with input from over 50 members of the SCI community. Findings highlight that peers have both interpersonal and intrapersonal characteristics that contribute to quality mentorship. The findings highlighted the importance of matching mentors on lived experience and shared interests. Findings will inform future research and SCI peer mentorship programs. 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=241825 [article]

Tracking Spinal Cord Injury Functional Outcomes Across the Lifespan: Validation of Linking Coefficients / Pengsheng Ni in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1924-1931 Titre : Tracking Spinal Cord Injury Functional Outcomes Across the Lifespan: Validation of Linking Coefficients Type de document : Article Auteurs : Pengsheng Ni ; M. J. Mulcahey ; Mary D. Slavin Année de publication : 2019 Article en page(s) : p. 1924-1931 Langues : Anglais (eng) Descripteurs : HE Vinci Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective Validation of linking coefficients to transform Pediatric Spinal Cord Injury Activity Measure (PEDI-SCI/AM) scores to adult Spinal Cord Injury-Functional Index (SCI-FI) scores. Design This cross-sectional study administered PEDI-SCI/AM and SCI-FI computerized adaptive tests (CATs) and short forms (SFs) to children with SCI and parents or caregivers. Setting Hospitals, university, and rehabilitation institute. Participants About 107 children with SCI and 96 parent or caregivers. Interventions Not applicable. Main Outcome Measures Linking coefficients estimated SCI-FI (est-SCI-FI) scores from PEDI-SCI/AM scores for matched domains. Correlations between est-SCI-FI and actual SCI-FI scores were calculated. If correlations exceeded the criterion linking (0.866), the following analyses to compare est-SCI-FI and actual SCI-FI scores were conducted: paired t tests, intraclass correlation coefficients (ICCs 3, 1), percent of cases with absolute score differences at different thresholds. Results Two matched domains, PEDI-SCI/AM Daily Routine/SCI-FI Self-Care and PEDI-SCI/AM General Mobility/SCI-FI Basic Mobility, met the linking criterion for both respondent-types (parent and child) and administration modes (CAT and SF). PEDI-SCI/AM Daily Routine and SCI-FI Fine Motor Function did not meet linking criterion for respondent type or mode. The linking criterion was met for wheelchair domains (child SF and CAT) and ambulation domains (child SF only). Significant differences between est-SCI-FI and actual SCI-FI scores were noted for all matched domains except Daily Routine/Self-Care (child SF only; parent SF and CAT). ICC values showed excellent agreement (range=0.75-0.89). Absolute differences between est-SCI-FI and actual SCI-FI scores were less than 1 standard deviation (except wheelchair CAT child). Conclusions Linking coefficients applied to PEDI-SCI/AM scores can provide valid SCI-FI estimates that vary by domain, mode, and respondent type. 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=241829 [article]

Employment and Job Benefits Among Those With Spinal Cord Dysfunction: A Comparison of People With Spinal Cord Injury and Multiple Sclerosis / James S. Krause in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1932-1938 Titre : Employment and Job Benefits Among Those With Spinal Cord Dysfunction: A Comparison of People With Spinal Cord Injury and Multiple Sclerosis Type de document : Article Auteurs : James S. Krause ; Clara E. Dismuke-Greer ; Karla S. Reed Année de publication : 2019 Article en page(s) : p. 1932-1938 Langues : Anglais (eng) Descripteurs : HE Vinci Emploi ; Réadaptation ; Sclérose en plaques ; Traumatismes de la moelle épinière Résumé : Objective (1) Identify the proportion of participants with spinal cord dysfunction (SCD) reporting each of 10 job benefits and compare the proportions between participants with spinal cord injury (SCI) and multiple sclerosis (MS); and (2) examine if diagnostic criteria, demographics, education level, and functional limitations are associated with the number of job benefits received. Design Econometric modeling of cross-sectional data using a 2-step data analytic model of employment and job benefits. Setting Medical university in the southeastern United States. Participants Participants (N=2624) were identified from the southeastern United States. After eliminating those age 65 and older, there were 2624 adult participants with SCD; 1234 had MS and 1390 had SCI. Interventions Not applicable. Main Outcome Measures Current employment status; number of benefits received and specific benefits received. Results A greater proportion of participants with MS received benefits, with significant differences observed on all but 1 type of benefit. Among those who were employed, a greater number of benefits was associated with having MS, greater education, younger age, married or in an unmarried couple, and not having functional restrictions with cognition, doing errands, or shopping alone in the community, and walking. Conclusions Employed participants with MS were more likely to receive job benefits, indicative of a higher quality of employment, compared to participants with SCI. Employment without benefits is a form of underemployment that disproportionately affects individuals with many of the same characteristics that initially lead to disparities in probability of gainful employment. 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=241833 [article]

Validation of Upper Extremity Motor Function as a Key Predictor of Bladder Management After Spinal Cord Injury / Christopher S. Elliott in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1939-1944 Titre : Validation of Upper Extremity Motor Function as a Key Predictor of Bladder Management After Spinal Cord Injury Type de document : Article Auteurs : Christopher S. Elliott ; John T. Stoffel ; Jeremy B. Myers Année de publication : 2019 Article en page(s) : p. 1939-1944 Langues : Anglais (eng) Descripteurs : HE Vinci Réadaptation ; Sondage urétral intermittent ; Traumatismes de la moelle épinière ; Vessie neurologique Résumé : Objective To validate if better upper extremity (UE) motor function predicts clean intermittent catheterization (CIC) adoption and adherence after spinal cord injury (SCI) using a validated instrument (as opposed to prior research using scales based on expert opinion). Design We examined data from the Neurogenic Bladder Research Group SCI registry, a multicenter, prospective, observational study assessing persons with neurogenic bladder following SCI. All participants who were unable to volitionally void and were >1 year post injury were included. Participants were dichotomized into those performing CIC vs those using other bladder management methods. In addition to demographic and clinical characteristics, UE motor function was examined using the SCI-Fine Motor Function Index using validated categorization levels: (1) no activities requiring hand function, (2) some activities involving gross hand movement, (3) some activities requiring dexterity or coordinated UE movement, or (4) most activities requiring dexterity and coordinated UE movement. Associations were examined using logistic regression. Setting Multicenter study. Participants Registry participants unable to volitionally void after SCI (N=1236). Intervention Not applicable. Main Outcome Measure Upper extremity motor function association with CIC. Results A total of 1326 individuals met inclusion criteria (66% performing CIC, 60% male, and 82% white). On multivariate analysis, better UE motor function was associated with a statistically increased odds of performing CIC (odds ratio, 3.10 [Level 3] and odds ratio, 8.12 [Level 4] vs Levels 1 and 2 [P<.001> Conclusion In persons with SCI who are unable to volitionally void, UE motor function is highly associated with CIC. These results validate prior findings and continue to suggest that following SCI, the degree of preserved UE motor function is associated with CIC more than any other factor. 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=241836 [article]

Noninvasive Brain Stimulation for Rehabilitation of Pediatric Motor Disorders Following Brain Injury: Systematic Review of Randomized Controlled Trials / Samar T. Elbanna in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1945-1963 Titre : Noninvasive Brain Stimulation for Rehabilitation of Pediatric Motor Disorders Following Brain Injury: Systematic Review of Randomized Controlled Trials Type de document : Article Auteurs : Samar T. Elbanna ; Shorouk Elshennawy ; M.N. Ayad Année de publication : 2019 Article en page(s) : p. 1945-1963 Langues : Anglais (eng) Descripteurs : HE Vinci Paralysie cérébrale ; Réadaptation ; Stimulation magnétique transcranienne ; Stimulation transcrânienne par courant continu ; Troubles moteurs Résumé : Objective To assess the evidence of the effectiveness of noninvasive brain stimulation (NIBS) for rehabilitation of pediatric motor disorders after brain injury. Data Sources Ovid, Cochrane, Science Direct, Web of Science, EBSCOhost, PubMed, and Google Scholar databases were searched up to August 2017 by 2 independent reviewers. Study Selection Randomized controlled trials (RCTs) published in English were included if they met the following criteria. Population: Pediatric patients with motor disorders following brain injury. Intervention: NIBS, including transcranial direct current stimulation (tDCS) or repetitive transcranial magnetic stimulation (rTMS). Outcomes: Measures related to motor disorders (upper limb functional abilities, gait, balance, and spasticity). Fourteen RCTs were included (10 studies used tDCS, while 4 studies used rTMS). Data Extraction Predefined data were tabulated by 1 reviewer and verified by another reviewer. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale; also levels of evidence adapted from Sackett were used. Data Synthesis A grouped meta-analysis was performed on balance, gait parameters, and upper limb function. Data were pooled using a random-effects model to assess the immediate effect and 1-month follow-up of NIBS. According to the PEDro scale, 3 studies were excellent, 8 studies were good, and 3 studies were fair. The level of evidence of all of the included studies was 1b, except for 3 studies with grade 2a. There were significant improvements in all upper limb functions (standardized mean differences [SMDs] ranging from 0.94 to 1.83 [P values=.0001]), balance (SMDs ranging between -0.48 to 0.83 [P values<.05 and some gait variables.> Conclusion Pediatric patients with brain injury can be safely stimulated by NIBS, and there is evidence for the efficacy of rTMS in improving upper limb function, and tDCS in improving balance and majority of gait variables with persisted effects for 1 month. The efficacy of spasticity is uncertain. 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=241838 [article]

Efficacy and Safety of High-Frequency Repetitive Transcranial Magnetic Stimulation for Poststroke Depression: A Systematic Review and Meta-analysis / Chaomeng Liu in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1964-1975 Titre : Efficacy and Safety of High-Frequency Repetitive Transcranial Magnetic Stimulation for Poststroke Depression: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Chaomeng Liu ; Meizi Wang ; Xia Liang Année de publication : 2019 Article en page(s) : p. 1964-1975 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Dépression ; Réadaptation ; Sécurité ; Stimulation magnétique transcranienne Résumé : Objective To summarize and systematically review the efficacy and safety of high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) for depression in patients with stroke. Data Sources Six databases (Wanfang, the China National Knowledge Infrastructure, PubMed, Embase, Cochrane Library, and Web of Science) were searched from inception until November 15, 2018. Study Selection Seventeen randomized controlled trials were included for meta-analysis. Data Extraction Two independent reviewers selected potentially relevant studies based on the inclusion criteria, extracted data, and evaluated the methodological quality of the eligible trials using the Physiotherapy Evidence Database. Data Synthesis We calculated the combined effect size (standardized mean difference [SMD] and odds ratio [OR]) for the corresponding effects models. Physiotherapy Evidence Database scores ranged from 7 to 8 points (mean=7.35). The study results indicated that HF-rTMS had significantly positive effects on depression in patients with stroke. The effect sizes of the SMD ranged from small to large (SMD, -1.01; 95% confidence interval [CI], -1.36 to -0.66; P<.001 i2 n="1053)," and the effect sizes of or were large rates vs ci p remission in terms treatment side effects hf-rtms group was more prone to headache than control> Conclusions HF-rTMS is an effective intervention for poststroke depression, although treatment safety should be further verified via large sample multicenter trials. 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=241839 [article]

Abstracts of Low Back Pain Trials Are Poorly Reported, Contain Spin of Information, and Are Inconsistent With the Full Text: An Overview Study / Dafne P. Nascimento in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 10 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1976-1985 Titre : Abstracts of Low Back Pain Trials Are Poorly Reported, Contain Spin of Information, and Are Inconsistent With the Full Text: An Overview Study Type de document : Article Auteurs : Dafne P. Nascimento ; Leonardo O.P. Costa ; Gabrielle Z. Gonzalez Année de publication : 2019 Article en page(s) : p. 1976-1985 Langues : Anglais (eng) Descripteurs : HE Vinci Essais contrôlés randomisés comme sujet ; Exactitude des données ; Indexation et rédaction du résumé comme sujet ; Lombalgie ; Réadaptation Résumé : Objective To investigate trials abstracts evaluating treatments for low back pain with regard to completeness of reporting, spin (ie, interpretation of study results that overemphasizes the beneficial effects of the intervention), and inconsistencies in the data with the full text. Data Sources The search was performed on the Physiotherapy Evidence Database (PEDro) in February 2016. Study Selection This is an overview study of a random sample of 200 low back pain trials published between 2010 and 2015. The languages of publication were restricted to English, Spanish, and Portuguese. Data Extraction Completeness of reporting was assessed using the Consolidated Standards of Reporting Trials (CONSORT) for abstracts checklist (CONSORT-A). Spin was assessed using a spin checklist. Consistency between abstract and full text was assessed by applying the assessment tools to both the abstract and full text of each trial and calculating inconsistencies in the summary score (paired t test) and agreement in the classification of each item (kappa statistics). Methodologic quality was analyzed using the total PEDro score. Data Synthesis The mean number of fully reported items ± SD for abstracts using the CONSORT-A was 5.1±2.4 out of 15 points. The mean number of items ± SD with spin was 4.9±2.6 out of 7 points. Abstract and full text scores were statistically inconsistent (P=.01). There was slight to moderate agreement between items of the CONSORT-A in the abstracts and full text (mean kappa ± SD, 0.20±0.13) and fair to moderate agreement for items of the spin checklist (mean kappa ± SD, 0.47±0.09). Conclusions The abstracts were incomplete, with evidence of spin and inconsistent with the full text. We advise health care professionals to avoid making clinical decisions based solely upon abstracts. Journal editors, reviewers, and authors are jointly responsible for improving abstracts, which could be guided by amended editorial policies. 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=241840 [article]