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Mention de date : 2019
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Ajouter le résultat dans votre panierThe Rehabilitation Enhancing Aging Through Connected Health Prehabilitation Trial / Jonathan F. Bean in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 11 (2019)
Titre : The Rehabilitation Enhancing Aging Through Connected Health Prehabilitation Trial Type de document : Article Auteurs : Jonathan F. Bean ; Lorna Brown ; Tamara R. DeAngelis Année de publication : 2019 Article en page(s) : p. 1999-2005 Langues : Anglais (eng) Descripteurs : HE Vinci
Mobilité réduite ; Prestations des soins de santé ; Réadaptation ; Sujet âgé ; TélémédecineRésumé : Objective
To evaluate the proof of concept of an innovative model of physical therapy Rehabilitation Enhancing Aging through Connected Health (REACH) and evaluated its feasibility and effect on physical function and health care utilization.
Design
Quasi-experimental 12-month clinical trial.
Setting
Two outpatient rehabilitation centers.
Participants
Community-dwelling older primary care patients with a treatment arm undergoing the intervention (n=75; mean age=77±5.9y; 54% women) and propensity matched controls derived from a longitudinal cohort study (n=430; mean age=71±7.0y; 68% women) using identical recruitment criteria (N=505).
Intervention
Combined outpatient and home PT augmented with a commercially available app and computer tablet.
Measurements
Primary outcomes included a feasibility questionnaire, exercise adherence, self-reported function, and the Short Physical Performance Battery (SPPB). Secondary outcomes included the rates of emergency department (ED) visits and hospitalizations.
Results
Among REACH participants, we observed a 9% dropout rate. After accounting for dropouts, with propensity matching, n=68 treatments and n=100 controls were analyzed. Over the 12-month study duration, 85% of participants adhered to the exercise program an average of 2 times a week and evaluated the treatment experience favorably. In comparison to controls, after 1 year of treatment and within multivariable regression models, REACH participants did not manifest a significant difference in patient reported function (group x time effect 1.67 units, P=.10) but did manifest significant differences in SPPB (group x time effect 0.69 units, P=.03) and gait speed (group x time effect .08m/s, P=.02). In comparison to controls, after 1 year, the rate of ED visits (group x time treatment rate=0.27, P<.004 were significantly reduced but a significant reduction in hospitalizations was not observed.> Conclusion
The REACH intervention is feasible and has proof of concept in preventing functional decline and favorably affecting health care utilization. Evaluation on a larger scale is warranted.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=241967
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 1999-2005[article]
Titre : Randomized Controlled Trial of a Telephone-Delivered Physical Activity and Fatigue Self-management Interventions in Adults With Multiple Sclerosis Type de document : Article Auteurs : Matthew Plow ; Marcia Finlayson ; Jintao Liu Année de publication : 2019 Article en page(s) : p. 2006-2014 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement ; Exercice physique ; Fatigue ; Gestion de soi ; Réadaptation ; Recherche comparative sur l'efficacité ; Sclérose en plaquesRésumé : Objective
To compare the effectiveness of telephone-delivered interventions on fatigue, physical activity, and quality of life outcomes in adults with multiple sclerosis (MS).
Design
A single-blinded, randomized controlled trial. Participants were randomized to contact-control intervention (CC), physical activity–only intervention (PA-only), and physical activity plus fatigue self-management intervention (FM+). Outcomes were measured at baseline (2wk prerandomization), posttest (14wk postrandomization), and follow-up (26wk postrandomization).
Setting
Telephone-delivered in Midwest and Northeast regions of the United States.
Participants
Inactive adults with MS (N=208) and moderate-to-severe fatigue.
Interventions
Three or 6 group teleconferences followed by 4 individually tailored phone calls delivered during 12 weeks. An occupational therapist and research assistant delivered the teleconferences and tailored phone calls, respectively.
Main Outcome Measures
Primary outcomes were self-report fatigue and physical activity measured with the Fatigue Impact Scale and Godin Leisure-Time Exercise Questionnaire, respectively. Secondary outcomes included quality of life measured with the Multiple Sclerosis Impact Scale and moderate-to-vigorous exercise and step count measured with an accelerometer.
Results
Linear mixed effects models showed FM+ significantly improved self-reported fatigue (β=−11.08; P=.03) and physical activity (β=0.54; P=.01) compared with CC at posttest. However, FM+ had nonsignificant differences compared with PA-only on self-report fatigue (β=−1.08, P=.84) and physical activity (β=0.09; P=.68) at posttest. PA–only had significant improvements compared with CC on moderate-to-vigorous exercise (β=0.38; P=.02) at posttest and step count at posttest (β=1.30; P<.01 and follow-up p=".01)" measured with an accelerometer. fm pa-only had nonsignificant differences compared cc on quality of life.> Conclusions
Group teleconferences followed by tailored phone calls have a small yet statistically significant effect in promoting physical activity and reducing fatigue impact in people with MS.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=241968
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2006-2014[article]
Titre : Postacute Care Setting Is Associated With Employment After Burn Injury Type de document : Article Auteurs : Leda F. Espinoza ; Laura C. Simko ; Richard Goldstein Année de publication : 2019 Article en page(s) : p. 2015-2021 Langues : Anglais (eng) Descripteurs : HE Vinci
Emploi ; Établissements de soins qualifiés ; Réadaptation ; Soins de suiteRésumé : Objective
To examine differences in long-term employment outcomes in the postacute care setting.
Design
Retrospective review of the prospectively collected Burn Model System National Database.
Setting and Participants
A total of 695 adult survivors of burn injury enrolled between May 1994 and June 2016 who required postacute care at a Burn Model System center following acute care discharge were included. Participants were divided into 2 groups based on acute care discharge disposition. Those who received postacute care at an inpatient rehabilitation facility (IRF) following acute care were included in the IRF group (N=447), and those who were treated at a skilled nursing facility, long-term care hospital, or other extended-care facility following acute care were included in the Other Rehab group (N=248).
Interventions
Not applicable.
Main Outcome Measures
Employment status at 12 months postinjury. Propensity score matching and logistic regression were utilized to determine the effect of postacute care setting on employment status.
Results
Individuals in the IRF group had larger burns and were more likely to have an inhalation injury and to undergo amputation. At 12 months postinjury, the IRF group had over 9 times increased odds of being employed compared to the Other Rehab group, using propensity score matching (P=.046).
Conclusions
While admitting patients with more severe injuries, IRFs provided a long-term benefit for survivors of burn injury in terms of regaining employment. Given the current lack of evidence-based guidelines on postacute care decisions, the results of this study shed light on the potential benefits of the intensive services provided at IRFs in this population.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=241969
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2015-2021[article]
Titre : Shorter vs Longer Immobilization After Surgery for Thumb Carpometacarpal Osteoarthritis: A Propensity Score-Matched Study Type de document : Article Auteurs : Jonathan Tsehaie ; Robbert M. Wouters ; Reinier Feitz Année de publication : 2019 Article en page(s) : p. 2022-2031 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie ; Arthrose ; Articulations carpométacarpiennes ; Essais d'équivalence comme sujet ; Pouce ; RéadaptationRésumé : Objective
To investigate if shorter immobilization is noninferior to longer immobilization after Weilby procedure for thumb carpometacarpal osteoarthritis
Design
Prospective cohort study with propensity score matching.
Setting
Data collection took place in 16 outpatient clinics for hand surgery and hand therapy.
Participants
A total of 131 participants with shorter immobilization and 131 participants with longer immobilization (N=262).
Intervention
Shorter immobilization (3-5 days plaster cast followed by a thumb spica orthosis including wrist until 4 weeks postoperatively) was compared with longer immobilization (10-14 days plaster cast followed by a thumb spica orthosis including wrist until 6 weeks postoperatively) after Weilby procedure for first carpometacarpal joint osteoarthritis. Propensity score matching was used to control for confounders.
Main Outcome Measures
Outcomes were pain measured with a visual analog scale and hand function measured with the Michigan Hand Outcomes Questionnaire at 3 and 12 months. Secondary outcomes were complications, range of motion, grip and pinch strength, satisfaction with treatment, and return to work.
Results
No significant differences were found in visual analog scale pain (effect size, 0.03; 95% confidence interval [CI], −0.21 to 0.27) or the Michigan Hand Outcomes Questionnaire (effect size, 0.01; 95% CI, −0.23 to 0.25) between the groups at 3 months or at 12 months. Furthermore, no differences were found in complication rate or in other secondary outcomes.
Conclusions
In conclusion, shorter immobilization of 3-5 days of a plaster cast after Weilby procedure is equal to longer immobilization for outcomes on pain, hand function, and our secondary outcomes. These results indicate that shorter immobilization is safe and can be recommended, since discomfort of longer immobilization may be prevented and patients may be able to recover sooner, which may lead to reduced loss of productivity. Future studies need to investigate effectiveness of early active and more progressive hand therapy following first carpometacarpal joint arthroplasty.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=241970
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2022-2031[article]
Titre : Accessibility of Medical Diagnostic Equipment for Patients With Disability: Observations From Physicians Type de document : Article Auteurs : Nicole Agaronnik ; Eric G. Campbell ; Julie Ressalam Année de publication : 2019 Article en page(s) : p. 2032-2038 Langues : Anglais (eng) Descripteurs : HE Vinci
Matériel de diagnostic ; Personnel médical hospitalier ; Personnes handicapées ; Réadaptation ; Tables d'examenRésumé : Objective
To explore attitudes and practices of physicians relating to accessible medical diagnostic equipment in serving patients with mobility disability.
Design
Open-ended individual telephone interviews, which reached data saturation. Interview recordings were transcribed verbatim for qualitative conventional content analysis.
Setting
Massachusetts, the United States, October 2017-January 2018.
Participants
Practicing physicians from 5 clinical specialties (N=20).
Interventions
Not applicable.
Main Outcome Measures
Common themes concerning physical accessibility.
Results
Mean ± SD time in practice was 27.5±12.5 years; 14 practices had height-adjustable examination tables; and 7 had wheelchair-accessible weight scales. The analysis identified 6 broad themes: height-adjustable examination tables have advantages; height-adjustable examination tables have drawbacks; transferring patients onto examination tables is challenging; rationale for examining patients in their wheelchairs; perceptions of wheelchair-accessible weight scales; and barriers and facilitators to improving physical accessibility. Major barriers identified by participants included costs of equipment, limited space, and inadequate payment for extra time required to care for persons with disability. Even physicians with accessible examination tables sometimes examined patients seated in their wheelchairs.
Conclusions
Even if physicians have accessible equipment, they do not always use it in examining patients with disability. Future efforts will need to consider ways to eliminate these access barriers in clinical practice. Given small sample size, results are not generalizable to physicians nationwide and globally.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=241971
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2032-2038[article]
Titre : Similarities and Differences of Gait Patterns in Women and Men With Parkinson Disease With Mild Disability Type de document : Article Auteurs : Micaela Porta ; Giuseppina Pilloni ; Federico Arippa Année de publication : 2019 Article en page(s) : p. 2039-2045 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche ; Maladie de Parkinson ; Phénomènes biomécaniques ; Réadaptation ; SexeRésumé : Objective
This study aimed to quantitatively investigate the existence of differences in spatiotemporal and kinematic parameters of gait in men and women with Parkinson disease (PD) using computerized 3-dimensional gait analysis.
Design
Retrospective cohort study.
Setting
Laboratory of Biomechanics.
Participants
Individuals with PD (N=35; 17 female, 18 male) of mean age 70.7 years characterized by mild disability (Hoehn and Yahr ≤2.5) who were tested in On medication state approximately 60 to 90 minutes after intake of the usual morning Levodopa dose.
Intervention
Not applicable.
Main Outcome Measures
Spatiotemporal parameters of gait (speed, stride length, cadence, step width, duration of stance, swing, double support phases) and kinematics of hip, knee, and ankle joints in the sagittal plane.
Results
Men and women exhibit similar spatiotemporal parameters, except for step width (wider in men). In contrast, relevant differences were found in terms of ankle kinematics. In particular, women presented increased ankle dorsiflexion through all the stance phase and mid to late swing phase, and reduced plantarflexion at the stance-swing phase transition.
Conclusions
Gait patterns of men and women with PD with mild disability are similar in terms of spatiotemporal parameters but characterized by marked differences regarding the ankle kinematics on the sagittal plane. The findings of the present study support the concept that investigations seeking to clarify the complex pathophysiology of PD-related gait disturbances should consider the role played by an individual's sex, thereby achieving more effective designing of physical and rehabilitative treatments.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=241972
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2039-2045[article]
Titre : Acute and Long-Term Effects of Mechanotherapy on the Outcome After an Achilles Repair: A Prospective Cohort Study With Historical Controls Type de document : Article Auteurs : Pei-Yun Wang ; Kao-Shang Shih ; Hsiao-Li Ma Année de publication : 2019 Article en page(s) : p. 2046-2052 Langues : Anglais (eng) Descripteurs : HE Vinci
Microcirculation ; Réadaptation ; Tendon calcanéen ; VibrationRésumé : Abstract
Objectives
To evaluate the effects of vibration on Achilles’ tendon microcirculation and characteristics following surgical repair of Achilles’ tendon rupture.
Design
Cohort study with historical controls.
Setting
A university institute.
Participants
Participants (N=32), including 19 (16 men, 3 women; median [range] age: 43.0 [25.0-57.0] years) and 13 (10 men, 3 women; 44.00 [29.0-60.0] years) in the vibration (application to the ball of the foot, 30Hz, 2mm amplitude, 4kg pressure, and self-administration) and control groups, respectively, who underwent unilateral Achilles’ tendon repairs were recruited.
Intervention
A 4-week vibration intervention in the vibration group.
Main Outcome Measurements
The tendon microcirculation was measured after the first session of vibration. The participants were evaluated repeatedly with bilateral follow-up measurements of tendon stiffness, 3 functional outcome tests, and a questionnaire survey.
Results
Acute effects of the vibration were observed immediately after the 5-minute vibration (P≤.001). Lower total hemoglobin and oxygen saturation were respectively observed (P=.043) in the repaired legs 3 and 6 months postsurgery in the vibration group as compared with the control group. The vibration group also showed greater tendon stiffness, heel raising height and hopping distance 3 or 6 months postoperation in both the repaired and noninjured legs (all P<.05 the microcirculatory characteristics months postoperation were correlated with outcomes at postoperation.> Conclusions
Differences in microcirculatory characteristics and better rehabilitation outcomes were observed in the legs with an Achilles repair that underwent the early vibration intervention.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=241979
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2046-2052[article]
Titre : Gait- and Posture-Related Factors Associated With Changes in Hip Pain and Physical Function in Patients With Secondary Hip Osteoarthritis: A Prospective Cohort Study Type de document : Article Auteurs : Hiroshige Tateuchi ; Haruhiko Akiyama ; Koji Goto Année de publication : 2019 Article en page(s) : p. 2053-2062 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrite ; Démarche ; Posture ; Pronostic ; RéadaptationRésumé : Objective
To identify gait- and posture-related factors associated with changes in hip pain and physical function in patients with hip osteoarthritis (OA).
Design
Prospective cohort study.
Setting
Clinical biomechanics laboratory of a university.
Participants
Consecutive sampling of female patients with mild-to-moderate secondary hip OA (N=30).
Main Outcome Measures
Hip pain (visual analog scale) and physical function (physical component summary of the Medical Outcomes Study 36-Item Short-Form Health Survey) were measured at baseline and 12 months later. With changes in hip pain and physical function as dependent variables, linear regression analyses were performed with gait- and posture-related factors as independent variables with and without adjustment for age, joint space width, and hip pain or physical function at baseline. Posture-related factors included angles of thoracic kyphosis, lumbar lordosis, sacral inclination, spinal inclination, and spinal mobility. Gait-related factors were walking speed, steps per day, joint angles, external hip joint moment impulses, and daily cumulative hip moments.
Results
Multiple linear regression analyses showed that limited hip extension (adjusted standardized B coefficient [95% confidence interval]: −0.52 [−0.88 to −0.17]) and limited external rotation angles (−0.51 [−0.85 to −0.18]) during walking were associated with the worsening of hip pain. An increased thoracic kyphosis (−0.54 [−0.99 to −0.09]), less sacral anterior tilt (0.40 [0.01-0.79]), reduced thoracic spine mobility (0.59 [0.23-0.94]), less steps per day (0.53 [0.13-0.92]), and a slower walking speed (0.45 [0.04-0.86]) were associated with deterioration in physical function.
Conclusions
Gait- and posture-related factors should be considered when assessing risk and designing preventive interventions for the clinical progression of secondary hip OA.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=241980
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2053-2062[article]
Titre : Comorbidities in Patients With End-Stage Knee OA: Prevalence and Effect on Physical Function Type de document : Article Auteurs : Won Bin Kim ; Bo Ryun Kim ; Sang Rim Kim Année de publication : 2019 Article en page(s) : p. 2063-2070 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Comorbidité ; Genou ; Qualité de vie ; RéadaptationRésumé : Objective
To investigate the prevalence of comorbidities and their effect on physical function, quality of life (QOL), and pain, in patients with end-stage knee osteoarthritis (OA).
Design
A cross-sectional study.
Setting
A rehabilitation facility at university hospital.
Participants
Patients (N=577; 503 women and 74 men) diagnosed with end-stage knee OA between October 2013 and June 2018.
Intervention
Not applicable.
Main Outcome Measures
Comorbidities were as follows: osteoporosis, presarcopenia, degenerative spine disease, diabetes, and hypertension. All patients completed the following performance-based physical function tests: stair-climbing test (SCT), 6-minute walk test (6MWT), timed Up and Go (TUG) test, and gait analysis. Self-reported physical function and pain were measured using Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) and a visual analog scale (VAS), respectively, and self-reported QOL was measured using EuroQoL 5 dimensions (EQ-5D) questionnaire.
Results
Univariate analyses revealed that patients with osteoporosis had significantly higher scores in SCT ascent, SCT descent, TUG, WOMAC pain tests, and lower scores in 6MWT, gait speed, and cadence tests than those without osteoporosis. Patients with presarcopenia recorded higher scores in SCT ascent, TUG, EQ-5D, and lower scores in 6MWT and gait speed tests than those without presarcopenia. Patients with degenerative spine disease showed higher scores in WOMAC pain and lower scores in gait speeds than those without degenerative spine disease. Patients with diabetes showed higher scores in SCT ascent than those without diabetes, and patients with hypertension showed lower scores in 6MWT than those without hypertension. After adjusting age, sex, and body mass index, SCT descent retained significant association with osteoporosis, SCT ascent showed independent association with presarcopenia and diabetes, and WOMAC pain revealed significant association with degenerative spine disease.
Conclusion
The results confirm associations between comorbidities, performance-based and self-reported physical functions, and QOL in patients with end-stage knee OA.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=241981
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2063-2070[article]
Titre : Determinants of Social Participation at 1, 3, and 6 Months Poststroke in Benin Type de document : Article Auteurs : Oyéné Kossi ; Félix Nindorera ; Thierry Adoukonou Année de publication : 2019 Article en page(s) : p. 2071-2078 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; RéadaptationRésumé : Objective
To build a model of prediction of social participation of community-dwelling stroke survivors in Benin at 1 month, 3 months, and 6 months.
Design
An observational study with evaluations at 1 month, 3 months, and 6 months poststroke. Correlational analyses and multivariate linear regressions were performed.
Setting
Outpatient rehabilitation centers in Benin.
Participants
A volunteer sample of 91 stroke patients was enrolled at baseline; 64 (70%) patients completed all the study (N=64): 70% male and 52% right hemiparesis.
Intervention
Not applicable.
Main Outcome Measures
Participants were evaluated with the Participation Measurement Scale, ACTIVLIM-Stroke (activities of daily living [ADL]), Stroke Impairment Assessment Set, 6-minute walk test, Hospital Anxiety and Depression Scale, and the modified Rankin Scale.
Results
The significant predictors of social participation after controlling the confounders were the following: at 1 month ADL (0.4 [0.3, 0.6]) and depression (‒0.6 [‒0.8, ‒0.2]) with total model R2=0.44; at 3 months ADL (0.58 [0.4, 0.7]) and depression (‒0.58 [‒0.5, ‒0.7]) with total model R2=0.65; and at 6 months ADL (0.31 [0.2, 0.5]), impairments (‒0.82 [‒0.5, ‒0.7]), and depression (‒0.94 [‒0.8, ‒0.2]) with total model R2=0.78.
Conclusions
Using socioculturally tailored tools, the present study identified ADL performance (ACTIVLIM-Stroke), depression (Hospital Anxiety Depression Scale), and overall impairments (Stroke Impairment Assessment Set) as the significant determinants of social participation (Participation Measurement Scale) poststroke in Benin. These findings will be a valuable resource for rehabilitation stakeholders in evaluating interventions, programs, and policies designed to encourage social participation for stroke 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=241982
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2071-2078[article]
Titre : Oxygen Cost During Mobility Tasks and Its Relationship to Fatigue in Progressive Multiple Sclerosis Type de document : Article Auteurs : Augustine J. Devasahayam ; Liam P. Kelly ; Elizabeth M. Wallack Année de publication : 2019 Article en page(s) : p. 2079-2088 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Consommation d'oxygène ; Déconditionnement cardiovasculaire ; Fatigue ; Réadaptation ; Sclérose en plaquesRésumé : Objective
To compare the oxygen costs of mobility tasks between individuals with progressive multiple sclerosis (MS) using walking aids and matched controls and to determine whether oxygen cost predicted fatigue.
Design
Cross-sectional descriptive.
Setting
A rehabilitation research laboratory.
Participants
A total of 14 adults with progressive MS (mean age ± SD [y], 54.07±8.46) using walking aids and 8 age- and sex-matched controls without MS (N=22).
Interventions
Participants performed 5 mobility tasks (rolling in bed, lying to sitting, sitting to standing, walking, climbing steps) wearing a portable metabolic cart.
Main Outcome Measures
Oxygen consumption (
o2) during mobility tasks, maximal
o2 during graded maximal exercise test, perceived exertion, and task-induced fatigue were measured on a visual analog scale before and after mobility tasks.
Results
People with progressive MS had significantly higher oxygen cost in all tasks compared to controls (P<.05 climbing steps times more in ms rolling bed walking lying to sitting and standing there was a strong positive correlation between task-induced fatigue oxygen cost of p=".022).<br"> Conclusions
People with progressive MS used 2.81 times more energy on average for mobility tasks compared to controls. People with progressive MS experienced accumulation of oxygen cost, fatigue, and exertion when repeating tasks and higher oxygen cost during walking was related to greater perception of fatigue. Our findings suggest that rehabilitation interventions that increase endurance during functional tasks could help reduce fatigue in people with progressive MS who use walking aids.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=241983
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2079-2088[article]
Titre : Association Between Performance on an Interdisciplinary Stroke Assessment Battery and Falls in Patients With Acute Stroke in an Inpatient Rehabilitation Facility: A Retrospective Cohort Study Type de document : Article Auteurs : Megan Eikenberry ; Kathleen J. Ganley ; Nan Zhang Année de publication : 2019 Article en page(s) : p. 2089-2095 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Chutes accidentelles ; RéadaptationRésumé : Objective
To explore the association between demographic factors and functional performance measures of patients with acute stroke in an inpatient rehabilitation facility (IRF) and falls during the IRF stay and to quantify the diagnostic accuracy of functional outcome measures in identifying fallers.
Design
Retrospective cohort study.
Setting
Inpatient rehabilitation facility.
Participants
Individuals with acute stroke admitted to hospital-based IRF (N=139).
Interventions
Not applicable.
Main Outcome Measures
Odds ratios were used to examine the relationship between fall frequency and functional outcome measures (National Institute of Stroke Scale, neglect [Item #11], Berg Balance Scale, Stroke Rehabilitation Assessment of Movement mobility and Stroke Rehabilitation Assessment of Movement lower extremity subscales [STREAM-LE], Montreal Cognitive Assessment, Dynamic Gait Index, and Stroke Impact Scale). Receiver operator characteristic analysis with area under the curve, sensitivity, specificity, and diagnostic odds ratio were used to assess the diagnostic accuracy of each functional outcome measure to distinguish patients who fell vs those who did not fall in the IRF.
Results
A total of 23 patients (16.2%) fell during the IRF hospitalization. Patients who did and did not fall did not differ in terms of age, sex, stroke type, or stroke location. Only the STREAM-LE was associated with falls (odds ratio, 0.93; 95% CI, 0.86-0.99). Area under the curve was 0.67 (95% CI, 0.51-0.82). With a positivity cutoff point of 12, sensitivity and specificity were 73.3% (95% CI, 54.6%-92.2%) and 50.0% (95% CI, 39.9%-59.2%), respectively. The diagnostic odds ratio was 3.4.
Conclusions
The STREAM-LE score at admission to IRF may identify patients with acute stroke who are more likely to fall during their stay. However, the search for measures with greater diagnostic accuracy should continue.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=241994
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2089-2095[article]
Titre : Comparing Participation Outcome Over Time Across International Stroke Cohorts: Outcomes and Methods Type de document : Article Auteurs : Daan Verberne ; Tamara Tse ; Thomas Matyas Année de publication : 2019 Article en page(s) : p. 2096-2105 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Comparaison interculturelle ; Etude comparative ; Etudes de faisabilité ; Participation sociale ; RéadaptationRésumé : Objective
To enable a direct comparison of participation levels in the first year post-stroke, assessed by different outcome measures internationally.
Design
Two prospective stroke cohort studies following persons from stroke onset to 12 months post-stroke.
Setting
Community.
Participants
Persons with stroke (N=495), not living at a nursing home, from Australia STroke imAging pRevention and Treatment-Prediction and Prevention to Achieve optimal Recovery Endpoints after stroke (START-PrePARE; n=100) and the Netherlands (Restore4stroke; n=395).
Interventions
Not applicable.
Main Outcome Measures
Activity Card Sort-Australia and Utrecht Scale for Evaluation of Rehabilitation-Participation. Activity domains were matched across measures to find common denominators and original scoring methods were recoded, hereby enabling a direct comparison of retained activities.
Results
Ninety-one (START-PrePARE) and 218 (Restore4stroke) persons with stroke were included for analyses. No major differences in background characteristics were observed between the cohorts; the Dutch cohort suffered from slightly more severe stroke. A higher level of participation was observed (radar charts) in the first months post-stroke for the Australian cohort than in the Dutch cohort, especially for unpaid work (P<.003 at months post-stroke participation levels were similar without significant differences in retained activities using the defined common denominators>.003).
Conclusions
An international comparison of actual activities that persons re-engage in in the first year post-stroke was achieved using a new method and recoding of data. High levels of participation were observed in both cohorts. Unpaid work showed different frequencies at 2-3 months, contributing to different trajectories over time across cultures. Important insights were gained. Although valuable information is inevitably lost with recoding, the approach may assist future studies on the harmonization of data across cohorts, particularly for 1 of the key outcomes of stroke: 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=241995
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2096-2105[article]
Titre : Predicting Mobility Limitations in Patients With Total Knee Arthroplasty in the Inpatient Setting Type de document : Article Auteurs : Eleanor Shu-Xian Chew ; Seng-Jin Yeo ; Terry Haines Année de publication : 2019 Article en page(s) : p. 2106-2112 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Genou ; Modèles statistiques ; Pronostic ; Réadaptation ; RisqueRésumé : Objective
To develop a prediction model for postoperative day 3 mobility limitations in patients undergoing total knee arthroplasty (TKA).
Design
Prospective cohort study.
Setting
Inpatients in a tertiary care hospital.
Participants
A sample of patients (N=2300) who underwent primary TKA in 2016-2017.
Interventions
Not applicable.
Main Outcome Measure
Candidate predictors included demographic variables and preoperative clinical and psychosocial measures. The outcome of interest was mobility limitations on post-TKA day 3, and this was determined a priori by an ordinal mobility outcome hierarchy based on the type of the gait aids prescribed and the level of physiotherapist assistance provided. To develop the model, we fitted a multivariable proportional odds regression model with bootstrap internal validation. We used a model approximation approach to create a simplified model that approximated predictions from the full model with 95% accuracy.
Results
On post-TKA day 3, 11% of patients required both walkers and therapist assistance to ambulate safely. Our prediction model had a concordance index of 0.72 (95% confidence interval, 0.68-0.75) when evaluating these patients. In the simplified model, predictors of greater mobility limitations included older age, greater walking aid support required preoperatively, less preoperative knee flexion range of movement, low-volume surgeon, contralateral knee pain, higher body mass index, non-Chinese race, and greater self-reported walking limitations preoperatively.
Conclusion
We have developed a prediction model to identify patients who are at risk for mobility limitations in the inpatient setting. When used preoperatively as part of a shared-decision making process, it can potentially influence rehabilitation strategies and facilitate discharge 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=242007
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2106-2112[article]
Titre : Prospectively Classifying Community Walkers After Stroke: Who Are They? Type de document : Article Auteurs : Marijn Mulder ; Rinske H. Nijland ; Ingrid G. van de Port Année de publication : 2019 Article en page(s) : p. 2113-2118 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Classification ; Démarche ; Enquêtes et questionnaires ; Marche à pied ; MobilitéRésumé : Objective
To classify patients with stroke into subgroups based on their characteristics at the moment of discharge from inpatient rehabilitation in order to predict community ambulation outcome 6 months later.
Design
Prospective cohort study with a baseline measurement at discharge from inpatient care and final outcome determined after 6 months.
Setting
Community.
Participants
A cohort of patients (N=243) with stroke, referred for outpatient physical therapy, after completing inpatient rehabilitation in The Netherlands.
Interventions
Not applicable.
Main Outcome Measures
A classification model was developed using Classification And Regression Tree (CART) analysis. Final outcome was determined using the community ambulation questionnaire. Potential baseline predictors included patient demographics, stroke characteristics, use of assistive devices, comfortable gait speed, balance, strength, motivation, falls efficacy, anxiety, and depression.
Results
The CART model accurately predicted independent community ambulation in 181 of 193 patients with stroke, based on a comfortable gait speed at discharge of 0.5 meters per second or faster. In contrast, 27 of 50 patients with gait speeds below 0.5 meters per second were correctly predicted to become noncommunity walkers.
Conclusions
We show that comfortable gait speed is a key factor in the prognosis of community ambulation outcome. The CART model may support clinicians in organizing community services at the moment of discharge from inpatient care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=242008
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2113-2118[article]
Titre : Ultrasound-Guided Standard vs Dual-Target Subacromial Corticosteroid Injections for Shoulder Impingement Syndrome: A Randomized Controlled Trial Type de document : Article Auteurs : Jia-Chi Wang ; Ke-Vin Chang ; Wei-Ting Wu Année de publication : 2019 Article en page(s) : p. 2119-2128 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Échographie ; Epaule ; RéadaptationRésumé : Objective
To compare dual-target injection with standard ultrasound (US)-guided subacromial injection in patients with subacromial impingement syndrome (SIS) and possible disorders of the biceps long-head tendons.
Design
Double-blind, randomized controlled trial.
Setting
Rehabilitation outpatient clinic.
Participants
Patients with SIS (N=60).
Intervention
(1) US-guided standard subacromial bursa; (2) dual-target (subacromial bursa plus proximal biceps long-head tendon) injection, with 40-mg triamcinolone acetonide administered to patients in each group.
Main Outcome Measures
Clinical assessments were performed at baseline. The outcomes, including results from a self-administered questionnaire, the Shoulder Pain and Disability Index (SPADI), and a self-pain report, the visual analog scale (VAS) scores for pain at rest, at night, and during overhead activities, were evaluated at baseline and at the first and third months postintervention.
Results
No significant difference was observed in baseline evaluations between groups (n=30 in each treatment arm) prior to injections. Both groups exhibited significant SPADI and VAS-score improvements after the first month. The dual-target injection group had less rebounding pain at the 3-month follow-up. The standard injection group had more patients reporting worsening pain within 1 day postinjection.
Conclusion
US-guided dual-target corticosteroid injection showed similar short-term efficacy to standard subacromial injections, but with an extended duration of symptom relief. Therefore, dual-target corticosteroid injections may be useful for shoulder pain treatment in patients with SIS.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=242009
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2119-2128[article]
Titre : Cognition Predicts Mobility Change in Lower Extremity Amputees Between Discharge From Rehabilitation and 4-Month Follow-up: A Prospective Cohort Study Type de document : Article Auteurs : Susan W. Hunter ; Pavlos Bobos ; Courtney Frengopoulos Année de publication : 2019 Article en page(s) : p. 2129-2135 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Cognition ; Évaluation de résultat (soins) ; RéadaptationRésumé : Objectives
To assess (1) the effect of task (single and dual task), time (discharge and 4mo), and their interaction for mobility; (2) task prioritization during dual-task testing; and (3) the association between cognition on change in mobility between discharge from rehabilitation and 4 months’ follow-up.
Design
Prospective cohort study.
Setting
Rehabilitation hospital.
Participants
People with lower extremity amputations (N=22) were consecutively recruited at discharge from an inpatient prosthetic rehabilitation program.
Interventions
Not applicable.
Main Outcome Measures
Gait velocity and the L Test of Functional Mobility, single and dual task (serial subtractions by 3), were the primary outcomes. Montreal Cognitive Assessment and Trail Making Test quantified cognition as secondary outcomes. Repeated measures analysis of variance evaluated the effects of task (single task and dual task) and time (at discharge and 4 months’ follow-up) and their interaction on each outcome. A performance-resource operating characteristic graph evaluated gait and cognitive task prioritization. Multivariable linear regression evaluated the association between cognition and change in mobility over time.
Results
No significant interactions between task and time were found (all P>.121) for L Test and gait velocity. The L Test single task (P=.001) and dual task (P=.004) improved over time. Gait velocity improved over time for both single task and dual task (P<.001 dual-task performance was slower than single-task performances at each time point. the trail making test b independently associated with change in l and gait velocity follow-up.> Conclusions
Gait velocity and L Test single and dual task improved over time. No significant interactions indicated that cognitive task did not differentially affect performance over time. Lower executive function scores at discharge were independently associated with lower gains in all gait velocity and dual-task L Test outcomes at follow-up.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=242011
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2129-2135[article]
Titre : Effect of Psychomotricity in Combination With 3 Months of Active Shoulder Exercises in Individuals With Chronic Shoulder Pain: Primary Results From an Investigator-Blinded, Randomized, Controlled Trial Type de document : Article Auteurs : Ingwersen Kim Gordon ; Jette Wessel Vobbe ; Pedersen Lise Lang Année de publication : 2019 Article en page(s) : p. 2136-2143 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Epaule ; Exercice physique ; RéadaptationRésumé : Objective
To evaluate whether psychomotor therapy (PMT) in combination with usual care active exercise (AE) rehabilitation for the shoulder is superior to merely AE.
Design
The trial was a single-center, stratified (by corticosteroid injection [yes or no]), randomized, and controlled superiority trial.
Setting
Shoulder unit of the orthopedic department at Hospital Lillebaelt, Vejle Hospital.
Participants
Eligible participants (N=87) were adults aged 18-75 years with shoulder complaints lasting for at least 3 months, in addition to a score equal to or below 3 on the Multidimensional Assessment of Interoceptive Awareness score. Furthermore, patients had at least a visual analog scale pain score of 2 at rest, 3 at night, and 5 in activity (range: 0-10).
Interventions
Patients were randomized to 12 weeks of AE (control group) or in combination with 5 PMT sessions (intervention group).
Main Outcome Measure
The primary outcome was the patient-reported outcome score Disability of the Arm, Shoulder and Hand questionnaire. The primary endpoint was 12 weeks after baseline.
Results
There was no between-group difference in function between the intervention group and control group.
Conclusions
Our results showed no additional benefit on patient-reported function and pain from PMT over usual care in patients with long-lasting shoulder pain and low body awareness. This finding suggests that PMT adds no additional benefit to patients’ recovery in relation to pain and active function in comparison to standard care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=242016
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2136-2143[article]
Titre : Caregiver Strategy Use to Promote Children's Home Participation After Pediatric Critical Illness Type de document : Article Auteurs : Jessica M. Jarvis ; Andrea R. Gurga ; Heather Lim Année de publication : 2019 Article en page(s) : p. 2144-2150 Langues : Anglais (eng) Descripteurs : HE Vinci
Aidants ; Participation des patients ; Pédiatrie ; Réadaptation ; Soins de réanimationRésumé : Objectives
The primary objectives are to assess the most common type of caregiver strategy (remedial vs compensatory) reported for supporting their child’s home participation after critical illness and identify themes in compensatory strategies described, with a secondary objective to describe themes in strategy use as reported by caregivers of children who did and did not receive pediatric intensive care unit (PICU) rehabilitation services.
Design
Qualitative substudy of the Wee-Cover prospective cohort study.
Setting
Two PICU sites.
Participants
Wee-Cover enrolled caregivers (N=180) of children 1-17 years of age, who were admitted to a PICU for ≥48 hours. This study excluded participants missing relevant data (n=12).
Intervention
Not applicable.
Main Outcome Measures
Qualitative data were gathered from open-ended questions on strategies within the Participation and Environment Measure at PICU discharge and 3 and 6 months post-PICU discharge. Strategies were classified as remedial or compensatory pending their content fit with 1 of 5 environmental chapters in the International Classification of Functioning, Disability, and Health–Children and Youth Version. Data on PICU-based rehabilitation services were obtained prospectively from electronic medical records and dichotomized (yes or no).
Results
Most caregiver strategies were compensatory, with more than half (60%) of the strategies pertaining to fostering supportive relationships. In contrast, strategies addressing the child’s natural environment (12%), services (3%), and attitudes of others in the home (1%) were least commonly described. Similar themes were identified for caregivers whose children did and did not receive PICU rehabilitation services.
Conclusions
Caregivers identify a range of strategies to facilitate their child’s participation in home activities post-PICU discharge, but primarily report on strategies for addressing supports and relationships in the child’s home environment. Results highlight areas warranting caregiver education to support the child’s participation after critical illness.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=242018
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2144-2150[article]
Titre : Intradialytic Resistance Training Improves Functional Capacity and Lean Mass Gain in Individuals on Hemodialysis: A Randomized Pilot Trial Type de document : Article Auteurs : Lorena Cristina Curado Lopes ; João Felipe Mota ; Jonato Prestes Année de publication : 2019 Article en page(s) : p. 2151-2158 Langues : Anglais (eng) Descripteurs : HE Vinci
Dialyse rénale ; Entraînement en résistance ; Qualité de vie ; Réadaptation ; SarcopénieRésumé : Objective
To compare the effects of high vs moderate loads of intradialytic resistance training (RT) on body composition, sarcopenia prevalence, functional capacity, inflammatory markers, and quality of life (QoL) in individuals on hemodialysis.
Design
A pilot randomized clinical trial.
Setting
Two hemodialysis centers.
Participants
Individuals on hemodialysis (N=80; 51% men, aged 30-75y) in treatment for at least 3 months, adequately dialyzed (Kt/V≥1.2, where K is dialyzer clearance in mL/min, t is time, and V is volume of water) with vascular access via arteriovenous fistula.
Interventions
The 12 weeks of intradialytic RT was performed 3 times per week. The training groups were: high-load intradialytic group (HLG, 8-10 repetitions), moderate-load intradialytic group (MLG, 16-18 repetitions), and control group (CG, stretching exercise). The total training volume was equalized among training groups.
Main Outcome Measures
Lean leg mass was assessed by a dual-energy x-ray absorptiometry; functional capacity was assessed by Short Physical Performance Battery and Timed Up and Go test; and QoL was assessed by Kidney Disease QoL Instrument, inflammatory markers, and sarcopenia.
Results
After the training period, the HLG increased lean leg mass compared with the CG. The HLG also displayed improvements in the pain and physical function domains. The skeletal muscle index and functional capacity increased in both RT protocols. The prevalence of sarcopenia was reduced 14.3% and 25% in the MLG and HLG, respectively, while there was an increase of 10% in the CG. No differences were observed in cytokines after intervention.
Conclusions
High-load intradialytic RT was associated with gains in lean leg mass and QoL while functional capacity, appendicular muscle mass, and sarcopenia status were improved regardless of the RT load.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=242019
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2151-2158[article]
Titre : Effect of an mHealth Wheelchair Skills Training Program for Older Adults: A Feasibility Randomized Controlled Trial Type de document : Article Auteurs : Edward M. Giesbrecht ; William C. Miller Année de publication : 2019 Article en page(s) : p. 2159-2166 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Réadaptation ; Sujet âgé ; Télémédecine ; TéléréadaptationRésumé : Objective
To evaluate the effect of an mHealth wheelchair skills training program on clinical outcomes among older adult manual wheelchair users.
Design
2×2 factorial randomized controlled trial.
Setting
Community setting in 2 Canadian cities.
Participants
Convenience sample of manual wheelchair users 50 years and older living in the community who were able to self-propel with both hands and communicate in English. Participants (N=18) were randomized into either a mHealth treatment (n=10) or tablet gaming control (n=8) group.
Interventions
All participants received 2 in-person sessions with their trainer and engaged in a 4-week monitored home training program with a computer tablet. The Enhancing Participation In the Community by improving Wheelchair Skills program provided wheelchair skills training; the control program included 9 dexterity and cognitive training games.
Main Outcome Measures
The primary outcome was wheelchair skill capacity. Secondary outcomes included safety, self-efficacy, activity participation, mobility, divided-attention, and health-related quality of life.
Results
Data collection was blinded to group allocation. Capacity improved by 2 skills but with no statistically significant between-group difference. The mHealth training program had a significant effect on participation (P=.03) and self-efficacy (P=.06) with large effect sizes (ηp2=0.22-0.29). Mobility, safety with skill performance, and divided attention measures demonstrated medium effect size changes, but only safety with skill performance was statistically significant. The program was more beneficial for participants with Conclusion
Enhancing Participation In the Community by improving Wheelchair Skills participants demonstrated good program adherence and clinical benefits were evident in community participation and wheelchair self-efficacy. Wheelchair safety and mobility were positively affected, while skill capacity showed a small, nonsignificant improvement. Future study should investigate benefit retention over time.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=242020
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2159-2166[article]
Titre : Whole Body Vibration Exercise for Chronic Musculoskeletal Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials Type de document : Article Auteurs : Yulin Dong ; Jiejiao Zheng ; Su Chen Année de publication : 2019 Article en page(s) : p. 2167-2178 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Maladies ostéomusculaires ; Méta-analyse ; Réadaptation ; Revue systématiqueRésumé : Objective
This study systematically reviews previous work on the effects of whole body vibration exercise (WBVE) on pain associated with chronic musculoskeletal disorders.
Data Sources
Seven electronic databases (PubMed, Embase, CINAHL, Web of Science, Cochrane, Physiotherapy Evidence Database [PEDro], and the China National Knowledge Infrastructure) were searched for articles published between January 1980 and September 2018.
Study Selection
Randomized controlled trials involving adults with chronic low back pain (CLBP), osteoarthritis (OA), or fibromyalgia were included. Participants in the WBVE intervention group were compared with those in the nontreatment and non-WBVE control groups.
Data Extraction
Data were independently extracted using a standardized form. Methodological quality was assessed using PEDro.
Data Synthesis
Suitable data from 16 studies were pooled for meta-analysis. A random effects model was used to calculate between-groups mean differences at 95% confidence interval (CI). The data were analyzed depending on the duration of the follow-up, common disorders, and different control interventions.
Results
Alleviation of pain was observed at medium term (standardized mean difference [SMD], -0.67; 95% CI, -1.14 to -0.21; I2, 80%) and long term (SMD, -0.31; 95% CI, -0.59 to -0.02; I2, 0%). Pain was alleviated in osteoarthritis (OA) (SMD, -0.37; 95% CI, -0.64 to -0.10; P<.05 i2 and clbp ci to p long-term wbve could relieve chronic musculoskeletal pain conditions of oa improved compared with the treatment control traditional>.05; I2, 94%) and no treatment control (SMD, -1; 95% CI, -1.76 to -0.24; P<.05 i2> Conclusions
Evidence suggests positive effects of WBVE on chronic musculoskeletal pain, and long durations of WBVE could be especially beneficial. However, WBVE does not significantly relieve chronic musculoskeletal pain compared with the traditional treatment. Further work is required to identify which parameters of WBVE are ideal for patients with chronic musculoskeletal pain.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=242021
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2167-2178[article]
Titre : Content and Effectiveness of Interventions Focusing on Community Participation Poststroke: A Systematic Review Type de document : Article Auteurs : Danbi Lee ; Jenna L. Heffron ; Mansha Mirza Année de publication : 2019 Article en page(s) : p. 2179-2192 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Classification internationale du fonctionnement, du handicap et de la santé (ICF) ; Participation communautaire ; Participation sociale ; Réadaptation ; Revue systématiqueRésumé : Objective
To investigate the content and effectiveness of interventions that address poststroke community participation.
Data Sources
EMBASE, PsycINFO, PubMed, and Cumulative Index to Nursing and Allied Health (CINAHL) were searched using 3 indexing terms and respective thesaurus: stroke, social participation, and clinical trials. Filters for English, publication dates (January 2001-May 2017), and publication types were used. The search also included checking references from relevant systematic reviews.
Study Selection
Studies conducted with adults with stroke, evaluating interventions addressing community participation, having a comparison group, and reporting at least 1 of 3 outcomes (participation, depression, and health-related quality of life) were selected. Retrieved articles were screened by 2 reviewers. After substantial agreement was achieved using interrater reliability, reviewers screened articles independently. Eighteen of 1130 articles were included.
Data Extraction
Characteristics of participants, key elements of intervention, comparator, and results were independently extracted by 2 reviewers. Intervention content was categorized based on 9 categories from the International Classification of Functioning, Disability, and Health Activities and Participation domains. Risk of selection, performance, attrition, and reporting bias were evaluated.
Data Synthesis
Two intervention categories were identified: leisure participation and community integration. Three leisure and 4 community integration interventions showed significant group differences favoring the intervention group in the target outcomes. The majority of interventions addressed the leisure, interpersonal relations, and community life categories of International Classification of Functioning, Disability, and Health with few focusing on political life, education, assisting others, and religion.
Conclusions
A limited number of studies showed an effect on participation, depression, and health-related quality of life outcomes. There were gaps in intervention content indicating that current community participation interventions fall short in addressing full inclusion and citizenship of people with stroke. Future interventions should focus on civic- and societal-level participation and community activities beyond leisure.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=242022
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2179-2192[article]
Titre : Is Fatigue Associated With Aerobic Capacity and Muscle Strength in People With Multiple Sclerosis: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Scott Rooney ; Leslie Wood ; Fiona Moffat Année de publication : 2019 Article en page(s) : p. 2193-2204 Langues : Anglais (eng) Descripteurs : HE Vinci
Fatigue ; Force musculaire ; Réadaptation ; Sclérose en plaquesRésumé : Objective
To determine the relationship between self-reported fatigue and aerobic capacity and muscle strength in people with multiple sclerosis (MS).
Data Sources
Four databases (Cumulative Index to Nursing and Allied Health, MEDLINE, ProQuest, and Web of Science Core Collections) were searched up to October 2018.
Study Selection
Cross-sectional or longitudinal studies that reported the association between self-reported fatigue and aerobic capacity or objectively measured muscle strength in people with MS were included.
Data Extraction
Study details, participant demographics, outcome measurement protocols, and the correlation coefficient derived from the association between fatigue and aerobic capacity or muscle strength at baseline was extracted, and methodological quality of included studies was assessed using the Joanna Briggs Institute Appraisal Checklist for Analytical Cross-sectional Studies.
Data Synthesis
Ten studies were identified, of which 5 examined the association between fatigue and aerobic capacity and 7 examined the association between fatigue and muscle strength. Meta-analysis of the extracted correlation coefficients was performed using the Hedges-Olkin method, and pooled correlation coefficients demonstrated a moderate negative association between fatigue and aerobic capacity (r=−0.471; 95% CI, −0.644 to −0.251; P<.001 and a weak negative association between fatigue muscle strength ci to p=".022).<br"> Conclusions
The results of this meta-analysis suggest that higher levels of aerobic capacity are associated with lower fatigue. Therefore, this finding highlights the potential role of aerobic exercise interventions in managing fatigue. Conversely, the relationship between fatigue and muscle strength was weak and inconsistent, and further studies are required to examine the association between these variables.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=242023
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2193-2204[article]
