Vol. 101, n° 6 2020 Vol. 101, n° 7 2020 Vol. 101, n° 8 2020 Vol. 101, n° 9 2020 Vol. 101, n°10 2020 Vol. 101, n° 11 2020 Vol. 101, n° 12 2020 Archives of Physical Medicine and Rehabilitation . Vol. 101, n° 9 Mention de date :  2020 Paru le :  01/09/2020

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Efficacy and Safety of MT10107 (Coretox) in Poststroke Upper Limb Spasticity Treatment: A Randomized, Double-Blind, Active Drug-Controlled, Multicenter, Phase III Clinical Trial / Junekyung Lee in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1485-1496 Titre : Efficacy and Safety of MT10107 (Coretox) in Poststroke Upper Limb Spasticity Treatment: A Randomized, Double-Blind, Active Drug-Controlled, Multicenter, Phase III Clinical Trial Type de document : Périodique Auteurs : Junekyung Lee, Auteur ; Min Ho Chun, Auteur ; Young-Jin Ko, Auteur ; Deog Young Kim, Auteur ; Nam-Jong Paik, Auteur ; Bum Sun Kwon, Auteur ; Y.G. Park, Auteur Année de publication : 2020 Article en page(s) : p. 1485-1496 Note générale : https://doi.org/10.1016/j.apmr.2020.03.025 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Membre supérieur ; Réadaptation ; Sécurité ; Spasticité musculaire ; Toxines botuliniques Résumé : Objective To compare the efficacy and safety of MT10107 (Coretox) with those of onabotulinum toxin A (Botox) in patients with poststroke upper limb spasticity Design Prospective, randomized, double-blind, active drug-controlled, multicenter, phase III clinical trial. Setting Seven university hospitals in the Republic of Korea. Participants Patients (N=220) with poststroke upper limb spasticity. Interventions All participants received a single injection of either MT10107 (Coretox group) or onabotulinum toxin A (Botox group). Main Outcome Measures The primary outcome was change in wrist flexor spasticity from baseline to week 4, which was assessed using the modified Ashworth scale (MAS). The secondary outcomes were MAS scores for wrist, elbow, and finger flexors; percentage of treatment responders (response rate); Disability Assessment Scale (DAS) score, and global assessment of treatment. Safety was evaluated based on adverse events, vital signs, physical examination findings, and laboratory test results. The efficacy and safety were evaluated at 4, 8, and 12 weeks postintervention. Results The primary outcome was found to be −1.32±0.69 and −1.40±0.69 for the Coretox and Botox groups, respectively. MT10107 showed a non-inferior efficacy compared with onabotulinum toxin A, as the 95% confidence interval for between-group differences was −0.10 to 0.27 and the upper limit was less than the non-inferiority margin of 0.45. Regarding the secondary outcomes, MAS scores for all muscles and DAS scores showed a significant improvement at all time points in both groups, with no significant between-group difference. No significant between-group differences were observed regarding response rate, global assessment of treatment, and safety measures. Conclusions MT10107 showed no significant difference in efficacy and safety compared with onabotulinum toxin A in poststroke upper limb spasticity treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259798 [article] Efficacy and Safety of MT10107 (Coretox) in Poststroke Upper Limb Spasticity Treatment: A Randomized, Double-Blind, Active Drug-Controlled, Multicenter, Phase III Clinical Trial [Périodique] / Junekyung Lee, Auteur ; Min Ho Chun, Auteur ; Young-Jin Ko, Auteur ; Deog Young Kim, Auteur ; Nam-Jong Paik, Auteur ; Bum Sun Kwon, Auteur ; Y.G. Park, Auteur . - 2020 . - p. 1485-1496. https://doi.org/10.1016/j.apmr.2020.03.025 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1485-1496 Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Membre supérieur ; Réadaptation ; Sécurité ; Spasticité musculaire ; Toxines botuliniques Résumé : Objective To compare the efficacy and safety of MT10107 (Coretox) with those of onabotulinum toxin A (Botox) in patients with poststroke upper limb spasticity Design Prospective, randomized, double-blind, active drug-controlled, multicenter, phase III clinical trial. Setting Seven university hospitals in the Republic of Korea. Participants Patients (N=220) with poststroke upper limb spasticity. Interventions All participants received a single injection of either MT10107 (Coretox group) or onabotulinum toxin A (Botox group). Main Outcome Measures The primary outcome was change in wrist flexor spasticity from baseline to week 4, which was assessed using the modified Ashworth scale (MAS). The secondary outcomes were MAS scores for wrist, elbow, and finger flexors; percentage of treatment responders (response rate); Disability Assessment Scale (DAS) score, and global assessment of treatment. Safety was evaluated based on adverse events, vital signs, physical examination findings, and laboratory test results. The efficacy and safety were evaluated at 4, 8, and 12 weeks postintervention. Results The primary outcome was found to be −1.32±0.69 and −1.40±0.69 for the Coretox and Botox groups, respectively. MT10107 showed a non-inferior efficacy compared with onabotulinum toxin A, as the 95% confidence interval for between-group differences was −0.10 to 0.27 and the upper limit was less than the non-inferiority margin of 0.45. Regarding the secondary outcomes, MAS scores for all muscles and DAS scores showed a significant improvement at all time points in both groups, with no significant between-group difference. No significant between-group differences were observed regarding response rate, global assessment of treatment, and safety measures. Conclusions MT10107 showed no significant difference in efficacy and safety compared with onabotulinum toxin A in poststroke upper limb spasticity treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259798

Cost-Benefit Analysis From the Payor’s Perspective for Screening and Diagnosing Obstructive Sleep Apnea During Inpatient Rehabilitation for Moderate to Severe TBI / Risa Nakase-Richardson in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1497-1508 Titre : Cost-Benefit Analysis From the Payor’s Perspective for Screening and Diagnosing Obstructive Sleep Apnea During Inpatient Rehabilitation for Moderate to Severe TBI Type de document : Périodique Auteurs : Risa Nakase-Richardson ; Jeanne M. Hoffman ; Ulysses J. Magalang ; Emily Almeida ; Daniel J. Schwartz ; Leah Drasher-Phillips ; Jessica M. Ketchum ; John Whyte ; Jennifer A. Bogner ; Clara E. Dismuke-Greer Année de publication : 2020 Article en page(s) : p. 1497-1508 Note générale : https://doi.org/10.1016/j.apmr.2020.03.020 Langues : Anglais (eng) Descripteurs : HE Vinci Analyse coût-bénéfice ; Encephale ; Plaies et blessures ; Polysomnographie ; Réadaptation ; Syndromes d'apnées du sommeil Résumé : Objective To describe the cost benefit of 4 different approaches to screening for sleep apnea in a cohort of participants with moderate to severe traumatic brain injury (TBI) receiving inpatient rehabilitation from the payor’s perspective. Design A cost-benefit analysis of phased approaches to sleep apnea diagnosis. Setting Six TBI Model System Inpatient Rehabilitation Centers. Participants Trial data from participants (N=214) were used in analyses (mean age 44±18y, 82% male, 75% white, with primarily motor vehicle–related injury [44%] and falls [33%] with a sample mean emergency department Glasgow Coma Scale of 8±5). Intervention Not applicable. Main Outcome Cost benefit. Results At apnea-hypopnea index (AHI) ≥15 (34%), phased modeling approaches using screening measures (Snoring, Tired, Observed, Blood Pressure, Body Mass Index, Age, Neck Circumference, and Gender [STOPBANG] [–$5291], Multivariable Apnea Prediction Index MAPI [–$5262]) resulted in greater cost savings and benefit relative to the portable diagnostic approach (–$5210) and initial use of laboratory-quality polysomnography (–$5,011). Analyses at AHI≥5 (70%) revealed the initial use of portable testing (–$6323) relative to the screening models (MAPI [–$6250], STOPBANG [–$6237) and initial assessment with polysomnography (–$5977) resulted in greater savings and cost-effectiveness. Conclusions The high rates of sleep apnea after TBI highlight the importance of accurate diagnosis and treatment of this comorbid disorder. However, financial and practical barriers exist to obtaining an earlier diagnosis during inpatient rehabilitation hospitalization. Diagnostic cost savings are demonstrated across all phased approaches and OSA severity levels with the most cost-beneficial approach varying by incidence of OSA. 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=259799 [article] Cost-Benefit Analysis From the Payor’s Perspective for Screening and Diagnosing Obstructive Sleep Apnea During Inpatient Rehabilitation for Moderate to Severe TBI [Périodique] / Risa Nakase-Richardson ; Jeanne M. Hoffman ; Ulysses J. Magalang ; Emily Almeida ; Daniel J. Schwartz ; Leah Drasher-Phillips ; Jessica M. Ketchum ; John Whyte ; Jennifer A. Bogner ; Clara E. Dismuke-Greer . - 2020 . - p. 1497-1508. https://doi.org/10.1016/j.apmr.2020.03.020 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1497-1508 Descripteurs : HE Vinci Analyse coût-bénéfice ; Encephale ; Plaies et blessures ; Polysomnographie ; Réadaptation ; Syndromes d'apnées du sommeil Résumé : Objective To describe the cost benefit of 4 different approaches to screening for sleep apnea in a cohort of participants with moderate to severe traumatic brain injury (TBI) receiving inpatient rehabilitation from the payor’s perspective. Design A cost-benefit analysis of phased approaches to sleep apnea diagnosis. Setting Six TBI Model System Inpatient Rehabilitation Centers. Participants Trial data from participants (N=214) were used in analyses (mean age 44±18y, 82% male, 75% white, with primarily motor vehicle–related injury [44%] and falls [33%] with a sample mean emergency department Glasgow Coma Scale of 8±5). Intervention Not applicable. Main Outcome Cost benefit. Results At apnea-hypopnea index (AHI) ≥15 (34%), phased modeling approaches using screening measures (Snoring, Tired, Observed, Blood Pressure, Body Mass Index, Age, Neck Circumference, and Gender [STOPBANG] [–$5291], Multivariable Apnea Prediction Index MAPI [–$5262]) resulted in greater cost savings and benefit relative to the portable diagnostic approach (–$5210) and initial use of laboratory-quality polysomnography (–$5,011). Analyses at AHI≥5 (70%) revealed the initial use of portable testing (–$6323) relative to the screening models (MAPI [–$6250], STOPBANG [–$6237) and initial assessment with polysomnography (–$5977) resulted in greater savings and cost-effectiveness. Conclusions The high rates of sleep apnea after TBI highlight the importance of accurate diagnosis and treatment of this comorbid disorder. However, financial and practical barriers exist to obtaining an earlier diagnosis during inpatient rehabilitation hospitalization. Diagnostic cost savings are demonstrated across all phased approaches and OSA severity levels with the most cost-beneficial approach varying by incidence of OSA. 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=259799

Predictors of Discharge Settings After Total Knee Arthroplasty in Medicare Patients / Rodney Laine Welsh in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1509-1514 Titre : Predictors of Discharge Settings After Total Knee Arthroplasty in Medicare Patients Type de document : Périodique Auteurs : Rodney Laine Welsh ; Dana L. Wild ; Amol M. Karmarkar ; N.E. Leland ; Jacques G. Baillargeon ; Kenneth J. Ottenbacher ; James E. Graham Année de publication : 2020 Article en page(s) : p. 1509-1514 Note générale : https://doi.org/10.1016/j.apmr.2020.05.019 Langues : Anglais (eng) Descripteurs : HE Vinci Arthroplastie ; Arthroplastie prothétique de genou ; Réadaptation ; Soins de suite ; Sortie du patient Résumé : Abstract Objectives To determine the factors associated with acute hospital discharge to the 3 most common postacute settings following total knee arthroplasty (TKA): inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and directly back to the community. Design Retrospective cohort study. Setting Acute care hospitals submitting claims to Medicare. Participants National cohort (N=1,189,286) of 100% Medicare Part A data files from 2009-2011. Interventions Not applicable. Main Outcome Measures Observed rates and adjusted odds of discharge to the 3 main postacute settings based on the clinical and facility level variables: amount of comorbidity, bilateral procedures, and facility TKA volume. Results Using IRF discharge as the reference, patients who received a bilateral procedure had lower odds of both SNF and community discharge, patients with more comorbidity had lower odds for community discharge and higher odds for SNF discharge, and patients who received their TKA from hospitals with lower TKA volumes had lower odds of SNF and community discharge. Conclusions Clinical populations within Medicare beneficiaries may systematically vary across the 3 most common discharge settings following TKA. This information may be helpful for a better understanding on which patient or clinical factors influence postacute care settings following TKA. Additional research including functional status, living situation, and social support systems would be beneficial. 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=259800 [article] Predictors of Discharge Settings After Total Knee Arthroplasty in Medicare Patients [Périodique] / Rodney Laine Welsh ; Dana L. Wild ; Amol M. Karmarkar ; N.E. Leland ; Jacques G. Baillargeon ; Kenneth J. Ottenbacher ; James E. Graham . - 2020 . - p. 1509-1514. https://doi.org/10.1016/j.apmr.2020.05.019 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1509-1514 Descripteurs : HE Vinci Arthroplastie ; Arthroplastie prothétique de genou ; Réadaptation ; Soins de suite ; Sortie du patient Résumé : Abstract Objectives To determine the factors associated with acute hospital discharge to the 3 most common postacute settings following total knee arthroplasty (TKA): inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and directly back to the community. Design Retrospective cohort study. Setting Acute care hospitals submitting claims to Medicare. Participants National cohort (N=1,189,286) of 100% Medicare Part A data files from 2009-2011. Interventions Not applicable. Main Outcome Measures Observed rates and adjusted odds of discharge to the 3 main postacute settings based on the clinical and facility level variables: amount of comorbidity, bilateral procedures, and facility TKA volume. Results Using IRF discharge as the reference, patients who received a bilateral procedure had lower odds of both SNF and community discharge, patients with more comorbidity had lower odds for community discharge and higher odds for SNF discharge, and patients who received their TKA from hospitals with lower TKA volumes had lower odds of SNF and community discharge. Conclusions Clinical populations within Medicare beneficiaries may systematically vary across the 3 most common discharge settings following TKA. This information may be helpful for a better understanding on which patient or clinical factors influence postacute care settings following TKA. Additional research including functional status, living situation, and social support systems would be beneficial. 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=259800

Differential Effects of Time to Initiation of Therapy on Disability and Quality of Life in Patients With Mild and Moderate to Severe Ischemic Stroke / Robert L. Askew in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1515-1522 Titre : Differential Effects of Time to Initiation of Therapy on Disability and Quality of Life in Patients With Mild and Moderate to Severe Ischemic Stroke Type de document : Périodique Auteurs : Robert L. Askew ; Carmen E. Capo-Lugo ; Andrew Naidech ; Shyam K. Prabhakaran Année de publication : 2020 Article en page(s) : p. 1515-1522 Note générale : https://doi.org/10.1016/j.apmr.2020.05.005 Langues : Anglais (eng) Descripteurs : HE Vinci Abdomen aigu ; Accident vasculaire cérébral (AVC) ; Évaluation des résultats et des processus en soins de santé ; Mesures des résultats rapportés par les patients (PROM) ; Qualité des soins de santé ; Réadaptation ; Rééducation neurologique ; Services de santé Résumé : Objective To assess the effect of time to acute therapy on health-related quality of life (HRQoL) and disability after ischemic stroke. Design Prospective cohort study. Setting Comprehensive stroke care center in a large metropolitan city. Participants Patients (N=553; mean age, 67 y; 51.9% male; 64.4% white; 88.8% ischemic stroke) with ischemic stroke or transient ischemic attack (TIA) enrolled in a longitudinal observational study between August 2012 to January 2014 who received rehabilitation services. Intervention Not applicable. Main Outcome Measures Disability status was assessed with the modified Rankin Scale (mRS) and Barthel Index (BI). HRQoL was assessed using the Quality of Life in Neurological Disorders measures of executive function, general cognitive concerns, upper extremity dexterity, and lower extremity mobility. Time to therapy consult and treatment were defined as the number of days from hospital admission to initial consult by a therapist and number of days from hospital admission to initial treatment, respectively. Results Among the participants, the median number of days from hospital admission to acute therapy consult was 2 days (interquartile range, 1-3d). Multivariable linear and logistic regression models indicated that for those with the National Institutes of Health Stroke Scale (NIHSS) score Conclusions Longer time to initiation of acute therapy has differential effects on poststroke disability and HRQoL up to 1-month after ischemic stroke and TIA. The effect of acute therapy consult is more notable for those with mild deficits, while the effect of acute therapy treatment is more notable for those with moderate to severe deficits. Minimizing time to therapy consults and treatments in the acute hospital period might improve outcomes after ischemic stroke and TIA. 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=259805 [article] Differential Effects of Time to Initiation of Therapy on Disability and Quality of Life in Patients With Mild and Moderate to Severe Ischemic Stroke [Périodique] / Robert L. Askew ; Carmen E. Capo-Lugo ; Andrew Naidech ; Shyam K. Prabhakaran . - 2020 . - p. 1515-1522. https://doi.org/10.1016/j.apmr.2020.05.005 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1515-1522 Descripteurs : HE Vinci Abdomen aigu ; Accident vasculaire cérébral (AVC) ; Évaluation des résultats et des processus en soins de santé ; Mesures des résultats rapportés par les patients (PROM) ; Qualité des soins de santé ; Réadaptation ; Rééducation neurologique ; Services de santé Résumé : Objective To assess the effect of time to acute therapy on health-related quality of life (HRQoL) and disability after ischemic stroke. Design Prospective cohort study. Setting Comprehensive stroke care center in a large metropolitan city. Participants Patients (N=553; mean age, 67 y; 51.9% male; 64.4% white; 88.8% ischemic stroke) with ischemic stroke or transient ischemic attack (TIA) enrolled in a longitudinal observational study between August 2012 to January 2014 who received rehabilitation services. Intervention Not applicable. Main Outcome Measures Disability status was assessed with the modified Rankin Scale (mRS) and Barthel Index (BI). HRQoL was assessed using the Quality of Life in Neurological Disorders measures of executive function, general cognitive concerns, upper extremity dexterity, and lower extremity mobility. Time to therapy consult and treatment were defined as the number of days from hospital admission to initial consult by a therapist and number of days from hospital admission to initial treatment, respectively. Results Among the participants, the median number of days from hospital admission to acute therapy consult was 2 days (interquartile range, 1-3d). Multivariable linear and logistic regression models indicated that for those with the National Institutes of Health Stroke Scale (NIHSS) score Conclusions Longer time to initiation of acute therapy has differential effects on poststroke disability and HRQoL up to 1-month after ischemic stroke and TIA. The effect of acute therapy consult is more notable for those with mild deficits, while the effect of acute therapy treatment is more notable for those with moderate to severe deficits. Minimizing time to therapy consults and treatments in the acute hospital period might improve outcomes after ischemic stroke and TIA. 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=259805

Data Mining to Understand How Health Status Preceding Traumatic Brain Injury Affects Functional Outcome: A Population-Based Sex-Stratified Study / Vincy Chan in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1523-1531 Titre : Data Mining to Understand How Health Status Preceding Traumatic Brain Injury Affects Functional Outcome: A Population-Based Sex-Stratified Study Type de document : Périodique Auteurs : Vincy Chan ; Mitchell Sutton ; Tatyana Mollayeva ; Michael Escobar ; Mackenzie Hurst ; Angela Colantonio ; Angela Colantonio Année de publication : 2020 Article en page(s) : p. 1523-1531 Note générale : https://doi.org/10.1016/j.apmr.2020.05.017 Langues : Anglais (eng) Descripteurs : HE Vinci CLASSIFICATION INTERNATIONALE DES MALADIES (CIM-10) ; Comorbidité ; Lésions encéphaliques ; Réadaptation Résumé : Objectives To understand how health status preceding traumatic brain injury (TBI) affects relative functional gain after inpatient rehabilitation using a data mining approach. Design Population-based, sex-stratified, retrospective cohort study using health administrative data from Ontario, Canada (39% of the Canadian population). Setting Inpatient rehabilitation. Participants Patients 14 years or older (N=5802; 63.4% male) admitted to inpatient rehabilitation within 1 year of a TBI-related acute care discharge between April 1, 2008, and March 31, 2015. Interventions Not applicable. Main Outcome Measures Relative functional gain (RFG) in percentage, calculated as ([discharge FIM−admission FIM]/[126−admission FIM]×100). Health status prior to TBI was identified and internally validated using a data mining approach that categorized all International Classification of Diseases, 10th revision, codes for each patient. Results The average RFG was 52.8%±27.6% among male patients and 51.6%±27.1% among female patients. Sex-specific Bonferroni adjusted multivariable linear regressions identified 10 factors of preinjury health status related to neurology, emergency medicine, cardiology, psychiatry, geriatrics, and gastroenterology that were significantly associated with reduced RFG in FIM for male patients. Only 1 preinjury health status category, geriatrics, was significantly associated with RFG in female patients. Conclusions Comorbid health conditions present up to 5 years preceding the TBI event were significantly associated with RFG. These findings should be considered when planning and executing interventions to maximize functional gain and to support an interdisciplinary approach. Best practices guidelines and clinical interventions for older male and female patients with TBI should be developed given the increasingly aging population with 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=259853 [article] Data Mining to Understand How Health Status Preceding Traumatic Brain Injury Affects Functional Outcome: A Population-Based Sex-Stratified Study [Périodique] / Vincy Chan ; Mitchell Sutton ; Tatyana Mollayeva ; Michael Escobar ; Mackenzie Hurst ; Angela Colantonio ; Angela Colantonio . - 2020 . - p. 1523-1531. https://doi.org/10.1016/j.apmr.2020.05.017 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1523-1531 Descripteurs : HE Vinci CLASSIFICATION INTERNATIONALE DES MALADIES (CIM-10) ; Comorbidité ; Lésions encéphaliques ; Réadaptation Résumé : Objectives To understand how health status preceding traumatic brain injury (TBI) affects relative functional gain after inpatient rehabilitation using a data mining approach. Design Population-based, sex-stratified, retrospective cohort study using health administrative data from Ontario, Canada (39% of the Canadian population). Setting Inpatient rehabilitation. Participants Patients 14 years or older (N=5802; 63.4% male) admitted to inpatient rehabilitation within 1 year of a TBI-related acute care discharge between April 1, 2008, and March 31, 2015. Interventions Not applicable. Main Outcome Measures Relative functional gain (RFG) in percentage, calculated as ([discharge FIM−admission FIM]/[126−admission FIM]×100). Health status prior to TBI was identified and internally validated using a data mining approach that categorized all International Classification of Diseases, 10th revision, codes for each patient. Results The average RFG was 52.8%±27.6% among male patients and 51.6%±27.1% among female patients. Sex-specific Bonferroni adjusted multivariable linear regressions identified 10 factors of preinjury health status related to neurology, emergency medicine, cardiology, psychiatry, geriatrics, and gastroenterology that were significantly associated with reduced RFG in FIM for male patients. Only 1 preinjury health status category, geriatrics, was significantly associated with RFG in female patients. Conclusions Comorbid health conditions present up to 5 years preceding the TBI event were significantly associated with RFG. These findings should be considered when planning and executing interventions to maximize functional gain and to support an interdisciplinary approach. Best practices guidelines and clinical interventions for older male and female patients with TBI should be developed given the increasingly aging population with 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=259853

What Is the Impact of Engaging With Natural Environments Delivered Via Virtual Reality on the Psycho-emotional Health of People With Spinal Cord Injury Receiving Rehabilitation in Hospital? Findings From a Pilot Randomized Controlled Trial / Ali Lakhani in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1532-1540 Titre : What Is the Impact of Engaging With Natural Environments Delivered Via Virtual Reality on the Psycho-emotional Health of People With Spinal Cord Injury Receiving Rehabilitation in Hospital? Findings From a Pilot Randomized Controlled Trial Type de document : Périodique Auteurs : Ali Lakhani ; Kate Martin ; Gray Lyndal ; Jessica Mallison ; Peter Grimbeek ; Izak Hollins ; Col Mackareth Année de publication : 2020 Article en page(s) : p. 1532-1540 Note générale : https://doi.org/10.1016/j.apmr.2020.05.013 Langues : Anglais (eng) Descripteurs : HE Vinci Réadaptation ; Réalité de synthèse ; Traumatismes de la moelle épinière Résumé : Objectives This study investigated (1) the effect of engaging with 20-minute simulated natural environments delivered via virtual reality (VR) on current mood state and (2) the effect of engaging with multiple VR sessions over a period of a week on the depressive symptoms of people with a spinal cord injury (SCI). Design Randomized controlled trial design. Setting Spinal Cord Injury Rehabilitation Unit in Australia. Participants Participants (N=24) were assigned to a group engaging in VR sessions during week 1 (group 1, n=10) or week 2 (group 2, n=14). Interventions The intervention week involved participation in up to three 20-minute VR sessions over 3 consecutive days. The control condition involved regular rehabilitation practice over a week. Main Outcome Measures The Patient Health Questionnaire-8 (PHQ-8) was completed prior to the first week (T1), after the first week and prior to the second week (T2), and after the second week (T3). Current feeling states, including depressed/happy, anxious/relaxed, and not feeling good/feeling good, were rated immediately prior and after each VR session. Results Levels of happiness, relaxation, and feeling good were significantly higher subsequent to engaging with each VR session. Between-group differences in PHQ-8 scores were significantly greater for participants who experienced the intervention during the first week compared to participants within the control group: intervention participants had significant improvements in psycho-emotional health. Within-group PHQ-8 scores were reduced for each group subsequent to experiencing the intervention; however, differences were not significant. Conclusions Engaging with simulated natural environments delivered via VR can favorably affect the psycho-emotional health of people with SCI receiving rehabilitation in hospital. Future research including larger samples and investigating the effect over a longer time period is required to confirm the findings presented. 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=259854 [article] What Is the Impact of Engaging With Natural Environments Delivered Via Virtual Reality on the Psycho-emotional Health of People With Spinal Cord Injury Receiving Rehabilitation in Hospital? Findings From a Pilot Randomized Controlled Trial [Périodique] / Ali Lakhani ; Kate Martin ; Gray Lyndal ; Jessica Mallison ; Peter Grimbeek ; Izak Hollins ; Col Mackareth . - 2020 . - p. 1532-1540. https://doi.org/10.1016/j.apmr.2020.05.013 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1532-1540 Descripteurs : HE Vinci Réadaptation ; Réalité de synthèse ; Traumatismes de la moelle épinière Résumé : Objectives This study investigated (1) the effect of engaging with 20-minute simulated natural environments delivered via virtual reality (VR) on current mood state and (2) the effect of engaging with multiple VR sessions over a period of a week on the depressive symptoms of people with a spinal cord injury (SCI). Design Randomized controlled trial design. Setting Spinal Cord Injury Rehabilitation Unit in Australia. Participants Participants (N=24) were assigned to a group engaging in VR sessions during week 1 (group 1, n=10) or week 2 (group 2, n=14). Interventions The intervention week involved participation in up to three 20-minute VR sessions over 3 consecutive days. The control condition involved regular rehabilitation practice over a week. Main Outcome Measures The Patient Health Questionnaire-8 (PHQ-8) was completed prior to the first week (T1), after the first week and prior to the second week (T2), and after the second week (T3). Current feeling states, including depressed/happy, anxious/relaxed, and not feeling good/feeling good, were rated immediately prior and after each VR session. Results Levels of happiness, relaxation, and feeling good were significantly higher subsequent to engaging with each VR session. Between-group differences in PHQ-8 scores were significantly greater for participants who experienced the intervention during the first week compared to participants within the control group: intervention participants had significant improvements in psycho-emotional health. Within-group PHQ-8 scores were reduced for each group subsequent to experiencing the intervention; however, differences were not significant. Conclusions Engaging with simulated natural environments delivered via VR can favorably affect the psycho-emotional health of people with SCI receiving rehabilitation in hospital. Future research including larger samples and investigating the effect over a longer time period is required to confirm the findings presented. 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=259854

Determinants of Recurrent Falls Poststroke: A 1-Year Follow-up of the Fall Study of Gothenburg / Carina M. Samuelsson in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1541-1548 Titre : Determinants of Recurrent Falls Poststroke: A 1-Year Follow-up of the Fall Study of Gothenburg Type de document : Périodique Auteurs : Carina M. Samuelsson ; Per-Olof Hansson ; Carina U. Persson Année de publication : 2020 Article en page(s) : p. 1541-1548 Note générale : https://doi.org/10.1016/j.apmr.2020.05.010 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Chutes accidentelles ; Équilibre postural ; Réadaptation Résumé : Objective To identify the occurrence of recurrent falls and the determinants in the acute phase poststroke that are associated with recurrent falls within the first year poststroke. Design Prospective follow-up study. Setting Stroke unit and community. Participants Patients (N=504) with acute stroke. Interventions Not applicable. Main Outcome Measures The dependent variable was recurrent falls, defined as ≥2 falls, within the first year poststroke. The independent baseline variables were related to function, activity, participation, personal and environmental factors, and comorbidity and were assessed within 4 days after admission to a stroke unit. Fall data were registered at the stroke unit, and self-reported fall data were collected during follow-up using a standardized questionnaire. Determinants of recurrent falls were identified using univariable and multivariable logistic regression analyses. Results Within 12 months poststroke, 95 of 348 participants (27%) had experienced recurrent falls. Poor postural control (odds ratio [OR] 5.85; 95% confidence interval [CI], 2.84-12.02; P<.0001 moderate postural control ci p=".012)," and using a walking aid in the acute phase are statistically significant determinants that associated with recurrent falls within first year poststroke. determinant of appears to be primarily driven by those younger than years. addition impaired fall at stroke unit is after discharge months> Conclusions More than 1 in 4 individuals with stroke experienced recurrent falls within the first year poststroke. Impaired postural control, using a walking aid in the acute phase, and fall during hospitalization are determinants associated with recurrent falls during follow-up. The determinants differ somewhat at different ages. 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=259856 [article] Determinants of Recurrent Falls Poststroke: A 1-Year Follow-up of the Fall Study of Gothenburg [Périodique] / Carina M. Samuelsson ; Per-Olof Hansson ; Carina U. Persson . - 2020 . - p. 1541-1548. https://doi.org/10.1016/j.apmr.2020.05.010 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1541-1548 Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Chutes accidentelles ; Équilibre postural ; Réadaptation Résumé : Objective To identify the occurrence of recurrent falls and the determinants in the acute phase poststroke that are associated with recurrent falls within the first year poststroke. Design Prospective follow-up study. Setting Stroke unit and community. Participants Patients (N=504) with acute stroke. Interventions Not applicable. Main Outcome Measures The dependent variable was recurrent falls, defined as ≥2 falls, within the first year poststroke. The independent baseline variables were related to function, activity, participation, personal and environmental factors, and comorbidity and were assessed within 4 days after admission to a stroke unit. Fall data were registered at the stroke unit, and self-reported fall data were collected during follow-up using a standardized questionnaire. Determinants of recurrent falls were identified using univariable and multivariable logistic regression analyses. Results Within 12 months poststroke, 95 of 348 participants (27%) had experienced recurrent falls. Poor postural control (odds ratio [OR] 5.85; 95% confidence interval [CI], 2.84-12.02; P<.0001 moderate postural control ci p=".012)," and using a walking aid in the acute phase are statistically significant determinants that associated with recurrent falls within first year poststroke. determinant of appears to be primarily driven by those younger than years. addition impaired fall at stroke unit is after discharge months> Conclusions More than 1 in 4 individuals with stroke experienced recurrent falls within the first year poststroke. Impaired postural control, using a walking aid in the acute phase, and fall during hospitalization are determinants associated with recurrent falls during follow-up. The determinants differ somewhat at different ages. 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=259856

Is It Time to Replace the Oswestry Index With PROMIS Physical Function Computer Adaptive Test? / Léon Rijk in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1549-1555 Titre : Is It Time to Replace the Oswestry Index With PROMIS Physical Function Computer Adaptive Test? Type de document : Périodique Auteurs : Léon Rijk ; Joost T.P. Kortlever ; George W. Tipton ; David Ring ; Mark V. Queralt Année de publication : 2020 Article en page(s) : p. 1549-1555 Note générale : https://doi.org/10.1016/j.apmr.2020.03.021 Langues : Anglais (eng) Descripteurs : HE Vinci Catastrophisation ; Dépression ; Lombalgie ; Mesures des résultats rapportés par les patients (PROM) ; Réadaptation Résumé : Objective To address the relative influence of psychological factors on variation in Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) Computer Adaptive Test (CAT) and Oswestry Low Back Pain Disability Index (ODI) scores. Design Cross-sectional. Setting We enrolled patients with low back pain, presenting to clinicians specializing in the treatment of spine conditions in a large urban area. Participants New and return English-speaking patients (N=116). Main Outcome Measures The PF CAT and ODI. Methods Patients completed the Pain Catastrophizing Scale short form, Patient Health Questionnaire short form (PHQ-2), Pain Self-Efficacy Questionnaire short form (PSEQ-2), PROMIS PF CAT and ODI on a secure tablet. Results The 95% CI for the amount of variation in PROMIS PF CAT scores (95% CI, 0.06-0.31) accounted for by psychological measures overlapped with the 95% CI for the amount of variation in ODI scores (CI, 0.26-0.53). PROMIS PF CAT had a strong correlation with ODI (r=−0.69; P<.001 greater promis pf cat scores were independently associated with fewer symptoms of depression ci to p=".003)." higher odi more catastrophic thinking and less self-efficacy pseq-2 accounted for the largest proportion variation in odi. phq-2 cat. psychological measures explained r2="0.48" adjusted full model="0.49)" than> Conclusions The ODI and PROMIS PF CAT are comparably sensitive to psychological factors in patients with persistent lower back pain. Given that the PROMIS PF CAT is more efficient to administer, clinicians might consider using PROMIS PF CAT when assessing physical limitations in patients with persistent lower back 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=259861 [article] Is It Time to Replace the Oswestry Index With PROMIS Physical Function Computer Adaptive Test? [Périodique] / Léon Rijk ; Joost T.P. Kortlever ; George W. Tipton ; David Ring ; Mark V. Queralt . - 2020 . - p. 1549-1555. https://doi.org/10.1016/j.apmr.2020.03.021 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1549-1555 Descripteurs : HE Vinci Catastrophisation ; Dépression ; Lombalgie ; Mesures des résultats rapportés par les patients (PROM) ; Réadaptation Résumé : Objective To address the relative influence of psychological factors on variation in Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) Computer Adaptive Test (CAT) and Oswestry Low Back Pain Disability Index (ODI) scores. Design Cross-sectional. Setting We enrolled patients with low back pain, presenting to clinicians specializing in the treatment of spine conditions in a large urban area. Participants New and return English-speaking patients (N=116). Main Outcome Measures The PF CAT and ODI. Methods Patients completed the Pain Catastrophizing Scale short form, Patient Health Questionnaire short form (PHQ-2), Pain Self-Efficacy Questionnaire short form (PSEQ-2), PROMIS PF CAT and ODI on a secure tablet. Results The 95% CI for the amount of variation in PROMIS PF CAT scores (95% CI, 0.06-0.31) accounted for by psychological measures overlapped with the 95% CI for the amount of variation in ODI scores (CI, 0.26-0.53). PROMIS PF CAT had a strong correlation with ODI (r=−0.69; P<.001 greater promis pf cat scores were independently associated with fewer symptoms of depression ci to p=".003)." higher odi more catastrophic thinking and less self-efficacy pseq-2 accounted for the largest proportion variation in odi. phq-2 cat. psychological measures explained r2="0.48" adjusted full model="0.49)" than> Conclusions The ODI and PROMIS PF CAT are comparably sensitive to psychological factors in patients with persistent lower back pain. Given that the PROMIS PF CAT is more efficient to administer, clinicians might consider using PROMIS PF CAT when assessing physical limitations in patients with persistent lower back 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=259861

A Comparison of Diagnostic Stability of the ASIA Impairment Scale Versus Frankel Classification Systems for Traumatic Spinal Cord Injury / Steven C. Kirshblum in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1556-1562 Titre : A Comparison of Diagnostic Stability of the ASIA Impairment Scale Versus Frankel Classification Systems for Traumatic Spinal Cord Injury Type de document : Périodique Auteurs : Steven C. Kirshblum ; Amanda L. Botticello ; John Benedetto ; Jayne Donovan ; Ralph J. Marino ; Shelly Hsieh ; Nicole Wagaman Année de publication : 2020 Article en page(s) : p. 1556-1562 Note générale : https://doi.org/10.1016/j.apmr.2020.05.016 Langues : Anglais (eng) Descripteurs : HE Vinci Classification ; Neurologie ; Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective To determine whether the “sacral sparing” definition for completeness of traumatic spinal cord injury (SCI) is a more stable definition than the previously used Frankel Classification. Design Retrospective analysis of individuals enrolled in the Spinal Cord Injury Model Systems (SCIMS) database between 2011 and 2018. Setting SCIMS centers. Participants Individuals (N=804) with traumatic SCI who were at least 16 years old at time of injury, were admitted to rehabilitation within 30 days, had American Spinal Injury Association Impairment Scale (AIS) grades A-D at admission, and had complete neurologic data at the time of admission and 1 year. Intervention Not applicable. Main Outcome Measures Frankel and AIS scores were computed for a cohort of 804 eligible cases. Stability was compared between the 2 classification systems by calculating the proportions of cases in which regression (conversion to a more severe impairment level) was observed. Results A larger proportion of individuals classified with “incomplete” injuries (grades B-D) at the time of admission using the Frankel system regressed to complete status at 1 year compared with the AIS criteria (9.4% vs 2.0%). Those with grade B injuries regressed to grade A more often using the Frankel system compared with the AIS system (19.7% to 5.4%). A larger proportion of people diagnosed as Frankel grade C or D regressed to Frankel grade A compared with individuals diagnosed as AIS grade C or D who regressed to AIS grade A (5.0% to 1.1%). Conclusions More individuals diagnosed with neurologically incomplete SCI regressed to complete status at 1 year when using the Frankel system compared with AIS classification, which is based on sacral sparing. This reinforces the finding that the “sacral sparing” definition is a more stable classification in traumatic SCI. 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=259865 [article] A Comparison of Diagnostic Stability of the ASIA Impairment Scale Versus Frankel Classification Systems for Traumatic Spinal Cord Injury [Périodique] / Steven C. Kirshblum ; Amanda L. Botticello ; John Benedetto ; Jayne Donovan ; Ralph J. Marino ; Shelly Hsieh ; Nicole Wagaman . - 2020 . - p. 1556-1562. https://doi.org/10.1016/j.apmr.2020.05.016 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1556-1562 Descripteurs : HE Vinci Classification ; Neurologie ; Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective To determine whether the “sacral sparing” definition for completeness of traumatic spinal cord injury (SCI) is a more stable definition than the previously used Frankel Classification. Design Retrospective analysis of individuals enrolled in the Spinal Cord Injury Model Systems (SCIMS) database between 2011 and 2018. Setting SCIMS centers. Participants Individuals (N=804) with traumatic SCI who were at least 16 years old at time of injury, were admitted to rehabilitation within 30 days, had American Spinal Injury Association Impairment Scale (AIS) grades A-D at admission, and had complete neurologic data at the time of admission and 1 year. Intervention Not applicable. Main Outcome Measures Frankel and AIS scores were computed for a cohort of 804 eligible cases. Stability was compared between the 2 classification systems by calculating the proportions of cases in which regression (conversion to a more severe impairment level) was observed. Results A larger proportion of individuals classified with “incomplete” injuries (grades B-D) at the time of admission using the Frankel system regressed to complete status at 1 year compared with the AIS criteria (9.4% vs 2.0%). Those with grade B injuries regressed to grade A more often using the Frankel system compared with the AIS system (19.7% to 5.4%). A larger proportion of people diagnosed as Frankel grade C or D regressed to Frankel grade A compared with individuals diagnosed as AIS grade C or D who regressed to AIS grade A (5.0% to 1.1%). Conclusions More individuals diagnosed with neurologically incomplete SCI regressed to complete status at 1 year when using the Frankel system compared with AIS classification, which is based on sacral sparing. This reinforces the finding that the “sacral sparing” definition is a more stable classification in traumatic SCI. 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=259865

Estimation of Physical Activity Intensity in Spinal Cord Injury Using a Wrist-Worn ActiGraph Monitor / Akhila Veerubholta in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1563-1569 Titre : Estimation of Physical Activity Intensity in Spinal Cord Injury Using a Wrist-Worn ActiGraph Monitor Type de document : Périodique Auteurs : Akhila Veerubholta ; Eun-Kyoung Hong ; Steven Knezevic ; Ann Spungen ; Dan Ding Année de publication : 2020 Article en page(s) : p. 1563-1569 Note générale : https://doi.org/10.1016/j.apmr.2020.05.014 Langues : Anglais (eng) Descripteurs : HE Vinci Métabolisme ; Moniteurs de condition physique ; Promotion de la santé ; Réadaptation Résumé : Objectives To derive accelerometer count thresholds for classifying time spent in sedentary, light intensity, and moderate-to-vigorous physical activity (MVPA) in manual wheelchair users (MWUs) with spinal cord injury (SCI). Design Participants completed 18 activities of daily living and exercises for 10 minutes each with a 3-minute break between activities while wearing a COSMED K4b2 portable metabolic cart and an ActiGraph activity monitor on the dominant wrist. A linear regression was computed between the wrist acceleration vector magnitude and SCI metabolic equivalent of task (MET) for 80% of the participants to obtain thresholds for classifying different activity intensities, and the obtained thresholds were tested for accuracy on the remaining 20% of participants. This cross-validation process was iterated for 1000 times to evaluate the stability of the thresholds on data corresponding to different proportions of sedentary, light intensity, and MVPA. MET values of 1.5 or lower were classified as sedentary behavior, MET values between 1.5 and 3 were classified as light intensity, and MET values of 3 or higher were classified as MVPA. The final thresholds were then validated on an out-of-sample independent dataset. Participants MWUs (N=17) with SCI in the out-of-sample validation data set. Interventions Not applicable. Setting Research lab, community Main Outcome Measures Accelerometer thresholds to classify sedentary, light intensity, and MVPA were obtained and their accuracy tested using cross-validation and an out-of-sample dataset. Results The threshold between sedentary and light intensity was 2057 counts-per-minute, and the threshold between light intensity and MVPA was 11,551 counts per minute. Based on the out-of-sample validation, the obtained thresholds had an overall accuracy of 85.6%, with a sensitivity and specificity of 95.3% and 97.4% for sedentary behavior, 87.8% and 84.5% for light intensity, 68.5% and 96.3% for MVPA, respectively. Conclusion Accelerometer-based thresholds can be used to accurately identify sedentary behavior. However, thresholds may not provide accurate estimations of MVPA throughout the day when participants engage in more resistance-based activities. 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=259866 [article] Estimation of Physical Activity Intensity in Spinal Cord Injury Using a Wrist-Worn ActiGraph Monitor [Périodique] / Akhila Veerubholta ; Eun-Kyoung Hong ; Steven Knezevic ; Ann Spungen ; Dan Ding . - 2020 . - p. 1563-1569. https://doi.org/10.1016/j.apmr.2020.05.014 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1563-1569 Descripteurs : HE Vinci Métabolisme ; Moniteurs de condition physique ; Promotion de la santé ; Réadaptation Résumé : Objectives To derive accelerometer count thresholds for classifying time spent in sedentary, light intensity, and moderate-to-vigorous physical activity (MVPA) in manual wheelchair users (MWUs) with spinal cord injury (SCI). Design Participants completed 18 activities of daily living and exercises for 10 minutes each with a 3-minute break between activities while wearing a COSMED K4b2 portable metabolic cart and an ActiGraph activity monitor on the dominant wrist. A linear regression was computed between the wrist acceleration vector magnitude and SCI metabolic equivalent of task (MET) for 80% of the participants to obtain thresholds for classifying different activity intensities, and the obtained thresholds were tested for accuracy on the remaining 20% of participants. This cross-validation process was iterated for 1000 times to evaluate the stability of the thresholds on data corresponding to different proportions of sedentary, light intensity, and MVPA. MET values of 1.5 or lower were classified as sedentary behavior, MET values between 1.5 and 3 were classified as light intensity, and MET values of 3 or higher were classified as MVPA. The final thresholds were then validated on an out-of-sample independent dataset. Participants MWUs (N=17) with SCI in the out-of-sample validation data set. Interventions Not applicable. Setting Research lab, community Main Outcome Measures Accelerometer thresholds to classify sedentary, light intensity, and MVPA were obtained and their accuracy tested using cross-validation and an out-of-sample dataset. Results The threshold between sedentary and light intensity was 2057 counts-per-minute, and the threshold between light intensity and MVPA was 11,551 counts per minute. Based on the out-of-sample validation, the obtained thresholds had an overall accuracy of 85.6%, with a sensitivity and specificity of 95.3% and 97.4% for sedentary behavior, 87.8% and 84.5% for light intensity, 68.5% and 96.3% for MVPA, respectively. Conclusion Accelerometer-based thresholds can be used to accurately identify sedentary behavior. However, thresholds may not provide accurate estimations of MVPA throughout the day when participants engage in more resistance-based activities. 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=259866

Modified PRISM and SCI-SET Spasticity Measures for Persons With Traumatic Spinal Cord Injury: Results of a Rasch Analyses / W. Mark Sweatman in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1570-1579 Titre : Modified PRISM and SCI-SET Spasticity Measures for Persons With Traumatic Spinal Cord Injury: Results of a Rasch Analyses Type de document : Périodique Auteurs : W. Mark Sweatman ; Allen W. Heinemann ; Catherine L. Furbish ; Edelle C. Field-Fote Année de publication : 2020 Article en page(s) : p. 1570-1579 Note générale : https://doi.org/10.1016/j.apmr.2020.05.012 Langues : Anglais (eng) Descripteurs : HE Vinci Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective To evaluate the psychometric properties of the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) and Patient-Reported Impact of Spasticity Measure (PRISM) using Rasch analysis to optimize their validity and efficiency. Design Rasch analysis of the SCI-SET and PRISM represents a secondary analysis of data collected as part of a collaborative research project of the SCI Model Systems Centers. The overall survey was organized into 4 sections: (1) participant demographics and injury characteristics, (2) participant experiences of spasticity, (3) SCI-SET, and (4) PRISM. Participants were recruited from the community via multiple avenues. Data were collected and managed via an online survey tool using a secure web-based data management application. Setting Participating Spinal Cord Injury Model Systems Centers. Participants Most participants (N=1239) had lived with their injury for more than 2 years and used a wheelchair as their primary mode of mobility. The majority of the sample (58%) sustained cervical injuries. Interventions None. Main Outcome Measures SCI-SET and PRISM. Results The SCI-SET demonstrated strong measurement properties with acceptably high reliability and point-measure correlations and no evidence of multidimensionality. However, respondents underused some rating scale categories. Analyses of the PRISM demonstrated 3 distinct subscales relating to the physical, psychological, and social influences of spasticity; respondents underused some rating scale categories. Combining underused rating scale categories for both spasticity instruments resulted in increased reliability and reduced respondent burden compared with the original versions. Both the Modified SCI-SET (person separation reliability=0.93) and Modified PRISM (person separation reliability=0.85, 0.89, 0.83 for physical, psychological, and social subscores, respectively) display strong measurement properties. Conclusions Measurement properties of the SCI-SET and PRISM improved from use of Rasch model methods. The SCI-SET required minor revisions, whereas the PRISM required definition of subscores. Both modified spasticity measures demonstrated adequate psychometric properties, and correlations among the modified measures were high, providing evidence of convergent validity. We recommend use of the Modified SCI-SET and Modified PRISM measures in future studies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259868 [article] Modified PRISM and SCI-SET Spasticity Measures for Persons With Traumatic Spinal Cord Injury: Results of a Rasch Analyses [Périodique] / W. Mark Sweatman ; Allen W. Heinemann ; Catherine L. Furbish ; Edelle C. Field-Fote . - 2020 . - p. 1570-1579. https://doi.org/10.1016/j.apmr.2020.05.012 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1570-1579 Descripteurs : HE Vinci Réadaptation ; Traumatismes de la moelle épinière Résumé : Objective To evaluate the psychometric properties of the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) and Patient-Reported Impact of Spasticity Measure (PRISM) using Rasch analysis to optimize their validity and efficiency. Design Rasch analysis of the SCI-SET and PRISM represents a secondary analysis of data collected as part of a collaborative research project of the SCI Model Systems Centers. The overall survey was organized into 4 sections: (1) participant demographics and injury characteristics, (2) participant experiences of spasticity, (3) SCI-SET, and (4) PRISM. Participants were recruited from the community via multiple avenues. Data were collected and managed via an online survey tool using a secure web-based data management application. Setting Participating Spinal Cord Injury Model Systems Centers. Participants Most participants (N=1239) had lived with their injury for more than 2 years and used a wheelchair as their primary mode of mobility. The majority of the sample (58%) sustained cervical injuries. Interventions None. Main Outcome Measures SCI-SET and PRISM. Results The SCI-SET demonstrated strong measurement properties with acceptably high reliability and point-measure correlations and no evidence of multidimensionality. However, respondents underused some rating scale categories. Analyses of the PRISM demonstrated 3 distinct subscales relating to the physical, psychological, and social influences of spasticity; respondents underused some rating scale categories. Combining underused rating scale categories for both spasticity instruments resulted in increased reliability and reduced respondent burden compared with the original versions. Both the Modified SCI-SET (person separation reliability=0.93) and Modified PRISM (person separation reliability=0.85, 0.89, 0.83 for physical, psychological, and social subscores, respectively) display strong measurement properties. Conclusions Measurement properties of the SCI-SET and PRISM improved from use of Rasch model methods. The SCI-SET required minor revisions, whereas the PRISM required definition of subscores. Both modified spasticity measures demonstrated adequate psychometric properties, and correlations among the modified measures were high, providing evidence of convergent validity. We recommend use of the Modified SCI-SET and Modified PRISM measures in future studies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259868

Association Between Motor Subtype and Visuospatial and Executive Function in Mild-Moderate Parkinson Disease / Hannah Lally in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1580-1589 Titre : Association Between Motor Subtype and Visuospatial and Executive Function in Mild-Moderate Parkinson Disease Type de document : Périodique Auteurs : Hannah Lally ; Ariel R. Hart ; Allison A. Bay ; Chaejin Kim ; Steven L. Wolf ; Madeleine E. Hackney Année de publication : 2020 Article en page(s) : p. 1580-1589 Note générale : https://doi.org/10.1016/j.apmr.2020.05.018 Langues : Anglais (eng) Descripteurs : HE Vinci Chutes accidentelles ; Cognition ; Fonction exécutive ; Maladie de Parkinson ; Mémoire ; Réadaptation Résumé : Objective To compare participants with Parkinson disease (PD) motor subtypes, postural instability and gait difficulty (PIGD) (n=46) and tremor dominant (TD) (n=28), in cognitive and motor-cognitive assessments with the purpose of identifying associations between subtype and visuospatial, whole-body spatial, inhibition and/or switching, and planning and/or organizational aspects of cognitive and motor-cognitive function. Design Retrospective cohort study. Fisher exact test was used for categorical variables, while 2-sample independent t tests were used to analyze continuous variables. Setting Assessments took place at Emory University. Participants Participants (N=72) were 40 years and older, had a clinical diagnosis of PD, exhibited 3 of the 4 cardinal signs of PD, had shown benefit from antiparkinsonian medications, and were in Hoehn and Yahr stages I-IV. Participants could walk 3 m or more with or without assistance. Interventions Not applicable. Main Outcome Measures Balance and mobility tests included Fullerton Advanced Balance Scale and the time needed to turn 360 degrees. Cognitive assessments included Montreal Cognitive Assessment, Brooks Spatial Memory Task, Color-Word Interference Test, Tower of London, Trail Making Test, Corsi Blocks, Serial 3s Subtraction, and Body Position Spatial Task. Motor-cognitive function measures included Four Square Step Test and Timed Up and Go. Results Participants with PIGD performed lower than those with TD symptoms on mental status (P=.005), spatial memory (P=.027), executive function (P=.0001-.034), and visuospatial ability (P=.048). Conclusions Findings suggest that PIGD subtype is linked to greater deficits in spatial cognition, attentional flexibility and organizational planning, and whole-body spatial memory domains. These findings support the need for more personalized approaches to clinically managing PD. 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=259869 [article] Association Between Motor Subtype and Visuospatial and Executive Function in Mild-Moderate Parkinson Disease [Périodique] / Hannah Lally ; Ariel R. Hart ; Allison A. Bay ; Chaejin Kim ; Steven L. Wolf ; Madeleine E. Hackney . - 2020 . - p. 1580-1589. https://doi.org/10.1016/j.apmr.2020.05.018 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1580-1589 Descripteurs : HE Vinci Chutes accidentelles ; Cognition ; Fonction exécutive ; Maladie de Parkinson ; Mémoire ; Réadaptation Résumé : Objective To compare participants with Parkinson disease (PD) motor subtypes, postural instability and gait difficulty (PIGD) (n=46) and tremor dominant (TD) (n=28), in cognitive and motor-cognitive assessments with the purpose of identifying associations between subtype and visuospatial, whole-body spatial, inhibition and/or switching, and planning and/or organizational aspects of cognitive and motor-cognitive function. Design Retrospective cohort study. Fisher exact test was used for categorical variables, while 2-sample independent t tests were used to analyze continuous variables. Setting Assessments took place at Emory University. Participants Participants (N=72) were 40 years and older, had a clinical diagnosis of PD, exhibited 3 of the 4 cardinal signs of PD, had shown benefit from antiparkinsonian medications, and were in Hoehn and Yahr stages I-IV. Participants could walk 3 m or more with or without assistance. Interventions Not applicable. Main Outcome Measures Balance and mobility tests included Fullerton Advanced Balance Scale and the time needed to turn 360 degrees. Cognitive assessments included Montreal Cognitive Assessment, Brooks Spatial Memory Task, Color-Word Interference Test, Tower of London, Trail Making Test, Corsi Blocks, Serial 3s Subtraction, and Body Position Spatial Task. Motor-cognitive function measures included Four Square Step Test and Timed Up and Go. Results Participants with PIGD performed lower than those with TD symptoms on mental status (P=.005), spatial memory (P=.027), executive function (P=.0001-.034), and visuospatial ability (P=.048). Conclusions Findings suggest that PIGD subtype is linked to greater deficits in spatial cognition, attentional flexibility and organizational planning, and whole-body spatial memory domains. These findings support the need for more personalized approaches to clinically managing PD. 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=259869

Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease — A Systematic Review / Busaba Chuatrakoon in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1590-1602 Titre : Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease — A Systematic Review Type de document : Périodique Auteurs : Busaba Chuatrakoon ; Shirley P.C. Ngai ; Somporn Sungkarat ; Sureeporn Uthaikhup Année de publication : 2020 Article en page(s) : p. 1590-1602 Note générale : https://doi.org/10.1016/j.apmr.2020.01.016 Langues : Anglais (eng) Descripteurs : HE Vinci Broncho-pneumopathie chronique obstructive ; Exercice physique ; Réadaptation ; Revue systématique ; Tractus extrapyramidaux Résumé : Highlights • People with chronic obstructive pulmonary disease (COPD) have balance impairment compared to those without COPD. • Available evidence shows exercise can improve balance performance in people with COPD. • More research on exercise interventions on balance in COPD is needed. 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=259871 [article] Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease — A Systematic Review [Périodique] / Busaba Chuatrakoon ; Shirley P.C. Ngai ; Somporn Sungkarat ; Sureeporn Uthaikhup . - 2020 . - p. 1590-1602. https://doi.org/10.1016/j.apmr.2020.01.016 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1590-1602 Descripteurs : HE Vinci Broncho-pneumopathie chronique obstructive ; Exercice physique ; Réadaptation ; Revue systématique ; Tractus extrapyramidaux Résumé : Highlights • People with chronic obstructive pulmonary disease (COPD) have balance impairment compared to those without COPD. • Available evidence shows exercise can improve balance performance in people with COPD. • More research on exercise interventions on balance in COPD is needed. 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=259871

Measurement Properties of a 2-Dimensional Movement Analysis System: A Systematic Review and Meta-analysis / Ze Lu in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1603-1627 Titre : Measurement Properties of a 2-Dimensional Movement Analysis System: A Systematic Review and Meta-analysis Type de document : Périodique Auteurs : Ze Lu ; Goris Nazari ; Joy C. MacDermid ; Shirin Modarresi ; Shannon Killip Année de publication : 2020 Article en page(s) : p. 1603-1627 Note générale : https://doi.org/10.1016/j.apmr.2020.02.011 Langues : Anglais (eng) Descripteurs : HE Vinci Déplacement ; Réadaptation ; Reproductibilité des résultats ; Revue de la littérature Résumé : Objectives To critically appraise, compare, and summarize the quality of the measurement properties of the Dartfish software across various populations and motion tasks. Data Sources Systematic electronic searches were performed in the PsychInfo, Embase, Medline@Ovid, CINAHL, and Google Scholar databases from January 1999 to January 2020. Study Selection Prospective measurement studies published in English peer-reviewed journals that reported on at least 1 psychometric property (reliability, validity, measurement error) using Dartfish were included. An independent reviewer performed searches and identified studies. Data Extraction We followed the COnsensus-based Standards for the selection of health Measurement INstruments 2018 guideline for abstracting and assessing data quality. Independent extraction was performed by 2 individual authors. The extracted data involved the author, year, study population, setting, sample size, and measurement properties, as well as information on camera positions, analyzed movement variables, and the corresponding strategy for addressing perspective error. Data Synthesis In total, 23 studies were included in this review. Studies were pooled to examine inter-rater reliability estimates for different tasks: single-leg squat angle (2 studies, 115 participants; intra-class correlation coefficient [ICC], 0.94; 95% confidence interval [CI], 0.62-0.99), single-leg vertical drop jump angle (2 studies, 94 participants; ICC, 0.92; 95% CI, 0.20-0.99), and vertical drop jump angle (2 studies, 100 participants; ICC, 0.88; 95% CI, 0.83-0.92). Concurrent validity (2-dimensional Dartfish vs 3-dimensional Vicon) was established using the push and release task, single leg stance, and single leg stance with acutely induced dizziness in 45 healthy Parkinson patients. A correlation of 0.59 to 0.98 was reported. For tracking angles across various movements, a measurement error of approximately 10° retest variation was reported in 3 studies. Conclusion Dartfish is a reliable software for assessing a variety of tasks across multiple contexts of assessments. Evidence suggests that the estimates of motion obtained with Dartfish are valid for single plane movements. 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=259872 [article] Measurement Properties of a 2-Dimensional Movement Analysis System: A Systematic Review and Meta-analysis [Périodique] / Ze Lu ; Goris Nazari ; Joy C. MacDermid ; Shirin Modarresi ; Shannon Killip . - 2020 . - p. 1603-1627. https://doi.org/10.1016/j.apmr.2020.02.011 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1603-1627 Descripteurs : HE Vinci Déplacement ; Réadaptation ; Reproductibilité des résultats ; Revue de la littérature Résumé : Objectives To critically appraise, compare, and summarize the quality of the measurement properties of the Dartfish software across various populations and motion tasks. Data Sources Systematic electronic searches were performed in the PsychInfo, Embase, Medline@Ovid, CINAHL, and Google Scholar databases from January 1999 to January 2020. Study Selection Prospective measurement studies published in English peer-reviewed journals that reported on at least 1 psychometric property (reliability, validity, measurement error) using Dartfish were included. An independent reviewer performed searches and identified studies. Data Extraction We followed the COnsensus-based Standards for the selection of health Measurement INstruments 2018 guideline for abstracting and assessing data quality. Independent extraction was performed by 2 individual authors. The extracted data involved the author, year, study population, setting, sample size, and measurement properties, as well as information on camera positions, analyzed movement variables, and the corresponding strategy for addressing perspective error. Data Synthesis In total, 23 studies were included in this review. Studies were pooled to examine inter-rater reliability estimates for different tasks: single-leg squat angle (2 studies, 115 participants; intra-class correlation coefficient [ICC], 0.94; 95% confidence interval [CI], 0.62-0.99), single-leg vertical drop jump angle (2 studies, 94 participants; ICC, 0.92; 95% CI, 0.20-0.99), and vertical drop jump angle (2 studies, 100 participants; ICC, 0.88; 95% CI, 0.83-0.92). Concurrent validity (2-dimensional Dartfish vs 3-dimensional Vicon) was established using the push and release task, single leg stance, and single leg stance with acutely induced dizziness in 45 healthy Parkinson patients. A correlation of 0.59 to 0.98 was reported. For tracking angles across various movements, a measurement error of approximately 10° retest variation was reported in 3 studies. Conclusion Dartfish is a reliable software for assessing a variety of tasks across multiple contexts of assessments. Evidence suggests that the estimates of motion obtained with Dartfish are valid for single plane movements. 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=259872

Measurement Properties of the Multiple Errands Test: A Systematic Review / Shlomit Rotenberg in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1628-1642 Titre : Measurement Properties of the Multiple Errands Test: A Systematic Review Type de document : Périodique Auteurs : Shlomit Rotenberg ; Moira Ruthralingam ; Brett Hnatiw ; Kimberley Neufeld ; Kirstin E. Yuzwa ; Ifah Arbel ; Deirdre Dawson Année de publication : 2020 Article en page(s) : p. 1628-1642 Note générale : https://doi.org/10.1016/j.apmr.2020.01.019 Langues : Anglais (eng) Descripteurs : HE Vinci Fonction exécutive ; Réadaptation ; Revue systématique Résumé : Objective To systematically review, summarize, and evaluate published evidence on measurement properties of real-world versions of the Multiple Errands Test (MET) following Consensus-based Standards for the Selection of Health Measurement Instruments guidelines. Data Sources Four databases were searched in May 2019 using multiple variants of the name of the MET from 1991 onward following the publication of the original MET. Study Selection We included peer-reviewed original research articles in English that provided data on measurement properties (reliability, validity, and responsiveness to change) on real-world versions of the MET in any clinical population. Data Extraction Data on the MET characteristics, study population, and evidence for each measurement property were extracted using predefined criteria. The review team critically appraised the methodological quality and rated the results from each study as sufficient (+), insufficient (−), or indeterminate (?). Data Summary Data on each measurement property were pooled. Pooled results were rated as sufficient (+), insufficient (−), mixed (±), or indeterminate (?). The overall quality of evidence per measurement property was graded based on risk of bias, sample size, and consistency of results. The overall evidence for each measurement property was determined as high, moderate, low, or very low. Results We found 33 studies that provided data on measurement properties of real-world versions of the MET. Pooled results revealed high-quality evidence for interrater reliability and moderate-quality evidence for known-group validity. Limited support for other kinds of reliability and validity was found. Conclusions This review suggests the MET should be used cautiously. Reasons for the limited psychometric support are discussed, the value of generic forms of the MET that do not require site specific adaptations is noted, and areas for further psychometric work are highlighted. 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=259873 [article] Measurement Properties of the Multiple Errands Test: A Systematic Review [Périodique] / Shlomit Rotenberg ; Moira Ruthralingam ; Brett Hnatiw ; Kimberley Neufeld ; Kirstin E. Yuzwa ; Ifah Arbel ; Deirdre Dawson . - 2020 . - p. 1628-1642. https://doi.org/10.1016/j.apmr.2020.01.019 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1628-1642 Descripteurs : HE Vinci Fonction exécutive ; Réadaptation ; Revue systématique Résumé : Objective To systematically review, summarize, and evaluate published evidence on measurement properties of real-world versions of the Multiple Errands Test (MET) following Consensus-based Standards for the Selection of Health Measurement Instruments guidelines. Data Sources Four databases were searched in May 2019 using multiple variants of the name of the MET from 1991 onward following the publication of the original MET. Study Selection We included peer-reviewed original research articles in English that provided data on measurement properties (reliability, validity, and responsiveness to change) on real-world versions of the MET in any clinical population. Data Extraction Data on the MET characteristics, study population, and evidence for each measurement property were extracted using predefined criteria. The review team critically appraised the methodological quality and rated the results from each study as sufficient (+), insufficient (−), or indeterminate (?). Data Summary Data on each measurement property were pooled. Pooled results were rated as sufficient (+), insufficient (−), mixed (±), or indeterminate (?). The overall quality of evidence per measurement property was graded based on risk of bias, sample size, and consistency of results. The overall evidence for each measurement property was determined as high, moderate, low, or very low. Results We found 33 studies that provided data on measurement properties of real-world versions of the MET. Pooled results revealed high-quality evidence for interrater reliability and moderate-quality evidence for known-group validity. Limited support for other kinds of reliability and validity was found. Conclusions This review suggests the MET should be used cautiously. Reasons for the limited psychometric support are discussed, the value of generic forms of the MET that do not require site specific adaptations is noted, and areas for further psychometric work are highlighted. 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=259873

Quality of Rehabilitation Clinical Practice Guidelines: An Overview Study of AGREE II Appraisals / Marcel P. Dijkers in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1643-1655 Titre : Quality of Rehabilitation Clinical Practice Guidelines: An Overview Study of AGREE II Appraisals Type de document : Article Auteurs : Marcel P. Dijkers ; Irene Ward ; Thiru Annaswamy ; Devin Dedrick ; Jennie Feldpausch ; Andrew Moul ; Lilian Hoffecker Année de publication : 2020 Article en page(s) : p. 1643-1655 Note générale : https://doi.org/10.1016/j.apmr.2020.03.022 Langues : Anglais (eng) Descripteurs : HE Vinci Directives ; Guide de bonnes pratiques ; Qualité, accès, évaluation des soins de santé ; Réadaptation ; Recommandations comme sujet Résumé : Objective To evaluate the quality of rehabilitation Clinical Practice Guidelines (CPG), specifically with respect to their applicability. Data Sources The Medline, Embase, Web of Science, CINAHL, PsycINFO, and Cochrane Library databases were searched for papers published between 2017 and 2019 that applied the Appraisal of Guidelines for Research & Evaluation II (AGREE II) CPG quality assessment tool to rehabilitation CPGs. Study Selection Deduplicated abstracts (N=449) were independently screened by 2 authors, resulting in 47 articles. Independent screening of 47 full texts by 2 authors resulted in a final selection of 40 papers appraising 544 CPGs. Data Extraction Data were extracted by 1 author using a pretested Excel form and were checked by a second author. Key data on the review papers included: purpose, methods used for finding and appraising CPGs, and observations and conclusions on CPG quality, specifically applicability. Key data on each CPG included the 6 AGREE II domain scores or 23 item scores, as well as 2 global evaluations. Data Synthesis The mean AGREE II domain scores for the 544 CPGs (all on a 0-100 scale) were: scope and purpose (72), stakeholder involvement (53), rigor of development (56), clarity of presentation (71), applicability (34), and editorial independence (50). Only 36% of CPGs were recommended without modification. The 40 review authors generally stated that all or most of the CPGs they appraised were poor or mediocre, especially with respect to applicability. They only infrequently pointed out what information, going beyond that specified in AGREE II, would enhance applicability. Conclusions CPGs in principle are an ideal means to move knowledge obtained from clinical research into practice. Our review of reviews of rehabilitation CPGs shows that they commonly have deficits, especially in terms of applicability. Much work needs to be done by guideline developers to make it easier for the average rehabilitation organization and clinician to implement CPGs in daily practice. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260276 [article] Quality of Rehabilitation Clinical Practice Guidelines: An Overview Study of AGREE II Appraisals [Article] / Marcel P. Dijkers ; Irene Ward ; Thiru Annaswamy ; Devin Dedrick ; Jennie Feldpausch ; Andrew Moul ; Lilian Hoffecker . - 2020 . - p. 1643-1655. https://doi.org/10.1016/j.apmr.2020.03.022 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1643-1655 Descripteurs : HE Vinci Directives ; Guide de bonnes pratiques ; Qualité, accès, évaluation des soins de santé ; Réadaptation ; Recommandations comme sujet Résumé : Objective To evaluate the quality of rehabilitation Clinical Practice Guidelines (CPG), specifically with respect to their applicability. Data Sources The Medline, Embase, Web of Science, CINAHL, PsycINFO, and Cochrane Library databases were searched for papers published between 2017 and 2019 that applied the Appraisal of Guidelines for Research & Evaluation II (AGREE II) CPG quality assessment tool to rehabilitation CPGs. Study Selection Deduplicated abstracts (N=449) were independently screened by 2 authors, resulting in 47 articles. Independent screening of 47 full texts by 2 authors resulted in a final selection of 40 papers appraising 544 CPGs. Data Extraction Data were extracted by 1 author using a pretested Excel form and were checked by a second author. Key data on the review papers included: purpose, methods used for finding and appraising CPGs, and observations and conclusions on CPG quality, specifically applicability. Key data on each CPG included the 6 AGREE II domain scores or 23 item scores, as well as 2 global evaluations. Data Synthesis The mean AGREE II domain scores for the 544 CPGs (all on a 0-100 scale) were: scope and purpose (72), stakeholder involvement (53), rigor of development (56), clarity of presentation (71), applicability (34), and editorial independence (50). Only 36% of CPGs were recommended without modification. The 40 review authors generally stated that all or most of the CPGs they appraised were poor or mediocre, especially with respect to applicability. They only infrequently pointed out what information, going beyond that specified in AGREE II, would enhance applicability. Conclusions CPGs in principle are an ideal means to move knowledge obtained from clinical research into practice. Our review of reviews of rehabilitation CPGs shows that they commonly have deficits, especially in terms of applicability. Much work needs to be done by guideline developers to make it easier for the average rehabilitation organization and clinician to implement CPGs in daily practice. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260276

Role of Rehabilitation Department for Adult Individuals With COVID-19: The Experience of the San Raffaele Hospital of Milan / Sandro Iannaccone in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1656-1661 Titre : Role of Rehabilitation Department for Adult Individuals With COVID-19: The Experience of the San Raffaele Hospital of Milan Type de document : Article Auteurs : Sandro Iannaccone ; Paola Castellazzi ; Andrea Tettamanti ; Elise Houdayer ; Luigia Brugliera ; Francesco de Blasio ; Paolo Cimino ; Marco Ripa ; Carlo Meloni ; Federica Alemanno ; Paolo Scarpellini ; Andrea Tettamanti Année de publication : 2020 Article en page(s) : p. 1656-1661 Note générale : https://doi.org/10.1016/j.apmr.2020.05.015 Langues : Anglais (eng) Descripteurs : HE Vinci Coronavirus ; COVID-19 ; Neuropsychologie ; Personne âgée fragile ; Programme clinique ; Réadaptation ; Sujet âgé ; Techniques de physiothérapie ; Télémédecine Résumé : Abstract The rapid evolution of the health emergency linked to the spread of severe acute respiratory syndrome coronavirus 2 requires specifications for the rehabilitative management of patients with coronavirus disease 2019 (COVID-19). The symptomatic evolution of patients with COVID-19 is characterized by 2 phases: an acute phase in which respiratory symptoms prevail and a postacute phase in which patients can show symptoms related to prolonged immobilization, to previous and current respiratory dysfunctions, and to cognitive and emotional disorders. Thus, there is the need for specialized rehabilitative care for these patients. This communication reports the experience of the San Raffaele Hospital of Milan and recommends the setup of specialized clinical pathways for the rehabilitation of patients with COVID-19. In this hospital, between February 1 and March 2, 2020, about 50 patients were admitted every day with COVID-19 symptoms. In those days, about 400 acute care beds were created (intensive care/infectious diseases). In the following 30 days, from March 2 to mid-April, despite the presence of 60 daily arrivals to the emergency department, the organization of patient flow between different wards was modified, and several different units were created based on a more accurate integration of patients’ needs. According to this new organization, patients were admitted first to acute care COVID-19 units and then to COVID-19 rehabilitation units, post-COVID-19 rehabilitation units, and/or quarantine/observation units. After hospital discharge, telemedicine was used to follow-up with patients at home. Such clinical pathways should each involve dedicated multidisciplinary teams composed of pulmonologists, physiatrists, neurologists, cardiologists, physiotherapists, neuropsychologists, occupational therapists, speech therapists, and nutritionists. 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=260278 [article] Role of Rehabilitation Department for Adult Individuals With COVID-19: The Experience of the San Raffaele Hospital of Milan [Article] / Sandro Iannaccone ; Paola Castellazzi ; Andrea Tettamanti ; Elise Houdayer ; Luigia Brugliera ; Francesco de Blasio ; Paolo Cimino ; Marco Ripa ; Carlo Meloni ; Federica Alemanno ; Paolo Scarpellini ; Andrea Tettamanti . - 2020 . - p. 1656-1661. https://doi.org/10.1016/j.apmr.2020.05.015 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1656-1661 Descripteurs : HE Vinci Coronavirus ; COVID-19 ; Neuropsychologie ; Personne âgée fragile ; Programme clinique ; Réadaptation ; Sujet âgé ; Techniques de physiothérapie ; Télémédecine Résumé : Abstract The rapid evolution of the health emergency linked to the spread of severe acute respiratory syndrome coronavirus 2 requires specifications for the rehabilitative management of patients with coronavirus disease 2019 (COVID-19). The symptomatic evolution of patients with COVID-19 is characterized by 2 phases: an acute phase in which respiratory symptoms prevail and a postacute phase in which patients can show symptoms related to prolonged immobilization, to previous and current respiratory dysfunctions, and to cognitive and emotional disorders. Thus, there is the need for specialized rehabilitative care for these patients. This communication reports the experience of the San Raffaele Hospital of Milan and recommends the setup of specialized clinical pathways for the rehabilitation of patients with COVID-19. In this hospital, between February 1 and March 2, 2020, about 50 patients were admitted every day with COVID-19 symptoms. In those days, about 400 acute care beds were created (intensive care/infectious diseases). In the following 30 days, from March 2 to mid-April, despite the presence of 60 daily arrivals to the emergency department, the organization of patient flow between different wards was modified, and several different units were created based on a more accurate integration of patients’ needs. According to this new organization, patients were admitted first to acute care COVID-19 units and then to COVID-19 rehabilitation units, post-COVID-19 rehabilitation units, and/or quarantine/observation units. After hospital discharge, telemedicine was used to follow-up with patients at home. Such clinical pathways should each involve dedicated multidisciplinary teams composed of pulmonologists, physiatrists, neurologists, cardiologists, physiotherapists, neuropsychologists, occupational therapists, speech therapists, and nutritionists. 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=260278