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Mention de date : 2021
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Dépouillements
Ajouter le résultat dans votre panierComparison of Ischial Containment and Subischial Sockets on Comfort, Function, Quality of Life, and Satisfaction With Device in Persons With Unilateral Transfemoral Amputation: A Randomized Crossover Trial / Stefania Fatone in Archives of Physical Medicine and Rehabilitation, Vol. 102, n° 11 (2021)
Titre : Comparison of Ischial Containment and Subischial Sockets on Comfort, Function, Quality of Life, and Satisfaction With Device in Persons With Unilateral Transfemoral Amputation: A Randomized Crossover Trial Type de document : Article Auteurs : Stefania Fatone ; Ryan Caldwell ; John Angelico ; Rebecca Stine ; Kwang-Youn Kim ; Steven Gard ; Michael Oros Année de publication : 2021 Article en page(s) : p. 2063-2073.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.05.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre inférieur ; Membres artificiels ; Réadaptation ; Résultat thérapeutiqueRésumé : Objective
To compare comfort and functional performance of the Northwestern University Flexible Subischial Vacuum (NU-FlexSIV) Socket with the ischial containment (IC) socket in persons with unilateral transfemoral amputation.
Design
Randomized crossover trial with two 7-week periods.
Setting
Private prosthetic clinics and university research laboratory.
Participants
A total of 30 enrolled (N=30); 25 participants completed the study with full (n=18) or partial data (n=7).
Interventions
Two custom-fabricated sockets (IC and NU-FlexSIV), worn full-time for 7 weeks, with testing at 1, 4, and 7 weeks after socket delivery.
Main Outcome Measures
The primary outcome was change in Socket Comfort Score (SCS) at 7 weeks. Secondary outcomes at 7 weeks included the Orthotic and Prosthetic Users’ Survey (OPUS) to assess lower extremity functional status, health-related quality of life, and satisfaction with device, as well as the 5-Times Rapid Sit-to-Stand Test, Four Square Step Test, and T-Test of Agility to assess functional performance.
Results
At 7 weeks, the mean SCS for IC (7.0±1.7) and NU-FlexSIV (8.4±1.1) Sockets were significantly different (P<.001 confidence interval results from a linear mixed-effects model accounting for data all time points indicated that the scs was higher nu-flexsiv socket secondary outcomes only opus satisfaction with device significantly better in after points.> Conclusions
The results suggest that after 7 weeks’ accommodation, the NU-FlexSIV Socket was more comfortable and led to greater satisfaction with device than the IC socket in persons with unilateral transfemoral amputation and K3/K4 mobility. Other patient-reported outcomes and function were no different between sockets.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=285367
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2063-2073.e2[article]
Titre : Exoskeleton-Assisted Anthropomorphic Movement Training (EAMT) for Poststroke Upper Limb Rehabilitation: A Pilot Randomized Controlled Trial Type de document : Article Auteurs : Ze-Jian Chen ; Chang He ; Feng Guo ; Cai-Hua Xiong ; Xiao-Lin Huang Année de publication : 2021 Article en page(s) : p. 2074-2082 Note générale : https://doi.org/10.1016/j.apmr.2021.06.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Dispositif d'exosquelette ; Essai contrôlé randomisé ; Membre supérieur ; Réadaptation ; RobotiqueRésumé : Objective
To investigate the feasibility of exoskeleton-assisted anthropomorphic movement training (EAMT) and its effects on upper extremity motor impairment, function, and kinematics after stroke.
Design
A single-blind pilot randomized controlled trial.
Setting
Stroke rehabilitation inpatient unit.
Participants
Participants with a hemiplegia (N=20) due to a first-ever, unilateral, subacute stroke who had a score of 8-47 on the Fugl-Meyer Assessment for Upper Extremity (FMA-UE).
Interventions
The exoskeleton group received EAMT therapy that provided task-specific training under anthropomorphic trajectories and postures. The control group received conventional upper limb therapy. For both groups, therapy was delivered at the same intensity, frequency, and duration: 45 minutes daily, 5 days per week, for 4 weeks.
Main Outcome Measures
Primary outcome: feasibility analysis. Secondary outcomes: FMA-UE, Action Research Arm Test (ARAT), modified Barthel Index (MBI), and kinematic metrics during exoskeleton therapy.
Results
Twenty participants with subacute stroke were recruited and completed all therapy sessions. EAMT therapy was feasible and acceptable for the participants. The recruitment rate, retention rate, and number of therapists required for EAMT therapy were acceptable compared with other robotic trials. EAMT was determined to be safe, as no adverse event occurred except tolerable muscle fatigue in 2 participants. There were significant between-group differences in the change scores of FMA-UE (difference, 4.30 points; P=.04) and MBI (difference, 8.70 points; P=.03) in favor of EAMT therapy. No significant between-group difference was demonstrated for the change scores of ARAT (P=.18). Participants receiving EAMT showed significant improvements in kinematic metrics after treatment (P<.01> Conclusions
Our results indicate that EAMT is a feasible approach and may improve upper extremity motor impairment, activities of daily living, and kinematics after stroke. However, fully powered randomized controlled trials are warranted to confirm the results of this pilot study and explore the underlying mechanisms by which EAMT therapy might work.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=285368
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2074-2082[article]
Titre : Extracorporeal Shockwave Therapy in the Treatment of Trigger Finger: A Randomized Controlled Study Type de document : Article Auteurs : Yu-Pin Chen ; Chung-Ying Lin ; Yi-Jie Kuo ; Oscar Kuang-Sheng Lee Année de publication : 2021 Article en page(s) : p. 2083-2090.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.04.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Doigt à ressaut ; Réadaptation ; Tendons ; Traitement par ondes de choc extracorporellesRésumé : Objectives
To determine the efficacy of extracorporeal shockwave therapy (ESWT) and to determine the ideal energy flux density of wide-focused ESWT in the treatment of trigger finger (TF).
Design
Double-blind randomized controlled trial.
Setting
A university hospital.
Participants
A total of 60 patients (N=60) with grade II TF according to the Quinnell classification were randomly and evenly allocated to 3 treatment groups.
Interventions
Three treatment groups included a high-energy ESWT (HS) group (energy flux density of 0.01 mJ/mm2, 5.8 bar, 1500 impulses, once per week for 4wk), a low-energy ESWT (LS) group (energy flux density of 0.006 mJ/mm2, 3 bar, 1500 impulses, once per week for 4wk), and a sham intervention group (sham group). All participants received 6 months of follow-up after intervention when only painkillers were allowed as concomitant treatment.
Main Outcome Measures
Clinical outcomes were followed at baseline and 1, 3, and 6 months after intervention, including pain score, frequency of triggering, severity of triggering, functional impact of triggering, and quick Disabilities of the Arm, Shoulder, and Hand questionnaire (qDASH).
Results
All groups showed significant improvements from baseline in all clinical parameters, except for functional impact of triggering, 6 months after the interventions. However, the HS group demonstrated a higher magnitude of improvement than the LS and sham groups. In addition, the HS group reported significantly lower pain (P=.01) and lower qDASH (P=.008) than the sham group 6 months after the interventions. No adverse effects were reported in the HS and LS groups within 6 months of follow-up.
Conclusions
Wide-focused ESWT is a safe and effective but dose-dependent alternative facilitating pain relief and functional improvement in the treatment of grade II TF according to the Quinnell classification.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=285371
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2083-2090.e1[article]
Titre : Traditional vs Extended Hybrid Cardiac Rehabilitation Based on the Continuous Care Model for Patients Who Have Undergone Coronary Artery Bypass Surgery in a Middle-Income Country: A Randomized Controlled Trial Type de document : Article Auteurs : Fatemeh Pakrad ; Fazlollah Ahmadi ; Sherry L. Grace ; Khodayar Oshvandi ; Anoshirvan Kazemnejad Année de publication : 2021 Article en page(s) : p. 2091-2101.e3 Note générale : https://doi.org/10.1016/j.apmr.2021.04.026 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Continuité des soins ; Essai contrôlé randomisé ; Modèles de soins infirmiers ; Pontage aortocoronarien ; Prévention secondaire ; Qualité de vie ; Réadaptation ; Réadaptation cardiaque ; Santé mondiale ; TélémédecineRésumé : Objective
To compare traditional (1-month supervised) vs hybrid cardiac rehabilitation (CR; usual care) with an additional 3 months offered remotely based on the continuous care model (intervention) in patients who have undergone coronary artery bypass graft (CABG).
Design
Randomized controlled trial, with blinded outcome assessment.
Setting
A major heart center in a middle-income country.
Participants
Of 107 eligible patients who were referred to CR during the period of study, 82.2% (N=88) were enrolled (target sample size). Participants were randomly assigned 1:1 (concealed; 44 per parallel arm). There was 92.0% retention.
Interventions
After CR, participants were given a mobile application and communicated biweekly with the nurse from months 1-4 to control risk factors.
Main Outcome Measures
Quality of life (QOL, Short Form-36, primary outcome); functional capacity (treadmill test); and the Depression, Anxiety and Stress Scale were evaluated pre-CR, after 1 month, and 3 months after CR (end of intervention), as well as rehospitalization.
Results
The analysis of variance interaction effects for the physical and mental component summary scores of QOL were <.001 favoring intervention protocol there were also significant increases from pre-cr to month and the final assessment in arm with change control only month. effect sizes respectively. similarly interaction for functional capacity was a clinically metabolic equivalent of task increase arm. trends group effects psychosocial indicators paired t tests revealing each at both points months rehospitalizations none intended theoretical mechanisms affected by intervention.> Conclusions
Extending CR in this accessible manner, rendering it more comprehensive, was effective in improving outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285374
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2091-2101.e3[article]
Titre : Sensitivity to Change and Responsiveness of the Original and the Shortened Version of the Community Balance and Mobility Scale for Young Seniors Type de document : Article Auteurs : Katharina Gordt ; Corinna Nerz ; Stefanie A. Mikolaizak ; Kristin Taraldsen ; Mirjam Pijnappels ; Jorunn L. Helbostad ; Beatrix Vereijken ; Clemens Becker ; Michael Schwenk Année de publication : 2021 Article en page(s) : p. 2102-2108 Note générale : https://doi.org/10.1016/j.apmr.2021.03.036 Langues : Anglais (eng) Descripteurs : HE Vinci
Équilibre postural ; Évaluation des résultats des patients ; Réadaptation ; Sujet âgéRésumé : Objective
To examine sensitivity to change and responsiveness of the Community Balance and Mobility Scale (CBM) and shortened CBM (s-CBM).
Design
Secondary analysis using data of a randomized controlled trial.
Setting
General community.
Participants
Young community-dwelling seniors aged 61-70 years (N=134; mean age, 66.2±2.5y).
Interventions
Participants underwent 12 months of exercise intervention.
Main Outcome Measures
CBM and s-CBM. Sensitivity to change was assessed using standardized response mean (SRM) and paired t tests as appropriate. Responsiveness was assessed using 2 minimal important difference (MID) estimates. Analyses were conducted for the full sample and for the subgroups “high-balance” and “low-balance,” divided by median split.
Results
Inferential statistics revealed a significant CBM (P<.001 and s-cbm improvement within the full sample subgroups p=".001," low-balance: cbm were moderately sensitive to change vs sample. in high-balance subgroup moderate srm values found for small low-balance high exceeded lower but not higher mid value. both only lower. values.> Conclusions
The CBM is a suitable tool to detect intervention-related changes of balance and mobility in young, high-performing seniors. Both versions of the CBM scale show good sensitivity to change and responsiveness, particularly in young seniors with low balance.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=285377
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2102-2108[article]
Titre : Examination of the Relationships Among Social Networks and Loneliness on Health and Life Satisfaction in People with Spinal Cord Injury/Dysfunction Type de document : Article Auteurs : Sander L. Hitzig ; Stephanie R. Cimino ; Mohammad Alavinia ; Rebecca L. Bassett-Gunter ; Catharine B. Craven ; Sara J.T. Guilcher Année de publication : 2021 Article en page(s) : p. 2109-2116.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.03.030 Langues : Anglais (eng) Descripteurs : HE Vinci
Études transversales ; Isolement social ; Qualité de vie ; Réadaptation ; Soutien social ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the associations among social networks and loneliness on health and life satisfaction in adults with chronic spinal cord injury/dysfunction (SCI/D).
Design
Cross-sectional telephone survey study.
Setting
Tertiary spinal cord injury rehabilitation center in Ontario, Canada.
Participants
Community-dwelling adults with chronic SCI/D (N=170).
Interventions
Not applicable.
Main Outcome Measures
The main outcome measures were the Short-Form 36 to assess health and the Life Satisfaction-11 to assess life satisfaction.
Results
A hierarchical regression model predicting physical health accounted for 24% (P<.001 of the variance. only social network variable to significantly contribute model was having a higher proportion members living in one household predicting mental health accounted for variance with and lower feelings loneliness associated better health. finally life satisfaction greater levels intimacy being significant predictors.> Conclusions
These findings highlight the importance of having access to network members in one's home for better physical and mental health after SCI/D as well as the negative association between loneliness and mental health and life satisfaction. There is a need for approaches to ensure that people with SCI/D in the community feel supported to mitigate feelings of loneliness to optimize their health and wellbeing.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=285379
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2109-2116.e1[article]
Titre : Sexual Orientation and Functional Limitations: Cross-sectional Analyses From the Adult Psychiatric Morbidity Survey Type de document : Article Auteurs : Louis Jacob ; Guillermo F. López-Sánchez ; Karel Kostev ; Alexis Schnitzler ; Josep Maria Haro ; Ai Koyanagi ; Daragh T. McDermott ; Jae Il Shin Année de publication : 2021 Article en page(s) : p. 2117-2124 Note générale : https://doi.org/10.1016/j.apmr.2021.04.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Comportement sexuel ; Études transversales ; Personnes handicapées ; Réadaptation ; Royaume-UniRésumé : Objective
To assess the association between sexual orientation and functional limitations in a large representative sample of the English population.
Design
Cross-sectional.
Setting
Data were from the 2007 Adult Psychiatric Morbidity Survey.
Participants
A total of 7403 adults aged 16-95 years (51.4% female; mean age, 46.3±18.6y) were included in the present study.
Interventions
Not applicable.
Main Outcome Measures
Sexual orientation was assessed using 2 items adapted from the Kinsey scale and was dichotomized into heterosexual and sexual minority orientation. Functional limitations were assessed using 7 activities of daily living (ADL) and instrumental activities of daily living (IADL). Functional limitations were defined as at least 1 difficulty in 1 of 7 ADL and IADL. Adjusted logistic regression analyses were conducted to investigate the association between sexual orientation (independent variable) and functional limitations (dependent variable).
Results
The level of sexual minority orientation and prevalence of functional limitations in the sample was 7.1% and 32.9%, respectively. After adjusting for several potential confounders, sexual minority orientation was positively and significantly associated with functional limitations (odds ratio, 1.51; 95% confidence interval, 1.18-1.95; reference group: heterosexual orientation).
Conclusions
Based on the findings of this study, interventions aiming to prevent against and/or manage/reduce functional limitations in sexual minorities are needed. More research is also warranted to better understand mediators (eg, obesity, cognitive complaints, psychiatric disorders) involved in the sexual orientation–functional limitation relationship.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=285874
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2117-2124[article]
Titre : Indicators of Quality Rehabilitation Services for Individuals with Limited English Proficiency: A 3-Round Delphi Study Type de document : Article Auteurs : Mansha Mirza ; Elizabeth A. Harrison ; Kathryn A. Miller ; Elizabeth A. Jacobs Année de publication : 2021 Article en page(s) : p. 2125-2133 Note générale : https://doi.org/10.1016/j.apmr.2021.04.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Amélioration de la qualité ; Communication ; Compétence culturelle ; Équité en santé ; Ergothérapie ; Kinésithérapie (spécialité) ; Minorités ; Réadaptation ; Soins adaptés sur le plan culturelRésumé : Objective
To obtain expert consensus on indicators of quality rehabilitation services for individuals with limited English proficiency (LEP).
Design
Three-round Delphi study.
Setting
Delphi survey conducted online with 30 experts. Most experts worked in adult physical rehabilitation settings and were from Illinois (n=16), and the remaining participants were from 8 other US states or Canadian provinces.
Participants
Experts (N=30) had a minimum of 2 publications on health care services for patients with LEP and/or a minimum of 5 years clinical experience in physical rehabilitation. Of 43 experts (11 researchers, 32 clinicians) who received the round 1 survey by e-mail, 30 returned complete responses (70% response rate). Of those, 25 completed round 2 and 24 completed round 3. Of round 1 participants, most (n =21) identified their primary professional activity as clinical, whereas the others worked in research (n =5) or education (n =4). Twenty-four were women. The median age was 43 years (range, 27-67y). Disciplines included occupational therapy (n =14), physical therapy (n =13), psychology (n=1), nursing (n=1), and medicine (n=1).
Interventions
Not applicable.
Main Outcome Measures
Indicators were rated on a 7-point Likert scale for importance and feasibility. Interquartile range (IQR) and 95% confidence intervals were calculated for importance and feasibility ratings. Indicators with an IQR Results
Round 1 responses were categorized into 15 structural, 13 process, and 18 outcome indicators. All 15 structural indicators reached consensus for importance; 8 were rated as feasible. All 13 process indicators reached consensus, of which 8 were deemed feasible. Sixteen outcome indicators reached consensus, of which 7 were deemed feasible.
Conclusions
This Delphi study identified structural, process, and outcome indicators that can inform delivery and assessment of quality rehabilitation services for individuals with LEP. Future research should operationalize and measure these quality indicators in clinical practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285876
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2125-2133[article]
Titre : Functional Gains in Children Receiving Inpatient Rehabilitation After Brain Tumor Resection Type de document : Article Auteurs : Alyssa M. Day ; Beth S. Slomine ; Christina Salama ; Thea L. Quinton ; Stacy J. Suskauer ; Cynthia F. Salorio Année de publication : 2021 Article en page(s) : p. 2134-2140 Note générale : https://doi.org/10.1016/j.apmr.2021.05.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Pédiatrie ; Réadaptation ; Récupération fonctionnelle ; Tumeurs du cerveauRésumé : Objective
To examine whether children with brain tumors treated with resection benefit from inpatient rehabilitation and to explore what factors present at admission may predict better functional outcomes.
Design
Retrospective cohort design.
Setting
Pediatric inpatient rehabilitation unit.
Participants
Forty patients (N=40; ages 3-21y; 42.5% female) admitted to the rehabilitation unit between 2003 and 2015 after brain tumor resection.
Interventions
Patients received multidisciplinary rehabilitation therapies as part of their admission to inpatient rehabilitation, including occupational, physical, and speech-language therapy.
Main Outcome Measures
Functional outcomes included the FIM for Children (WeeFIM) at discharge and 3-month follow-up as well as WeeFIM efficiency.
Results
A repeated-measures analysis of variance using patient WeeFIM Developmental Functional Quotients (DFQs) at admission, discharge, and 3-month follow-up showed significant gains in total WeeFIM DFQ scores across time. Admission WeeFIM DFQ, time from surgery to admission, and age at admission provided the strongest model for predicting discharge and 3-month follow-up WeeFIM DFQ scores. Admission WeeFIM DFQ and time from surgery to admission provided the strongest model for predicting WeeFIM efficiency. Total Neurological Predictor Scale (NPS) at admission did not add predictive power to any of the 3 models over and above patient characteristics (admission WeeFIM DFQ, age at admission, time from surgery to admission).
Conclusions
Patients admitted to inpatient rehabilitation after brain tumor resection made significant functional gains (as measured by the WeeFIM) during inpatient rehabilitation and continued to make significant gains 3 months after discharge. Age and timing of admission provided the strongest models for predicting patient outcomes. The NPS did not predict functional outcomes after rehabilitation when controlling for other variables known to influence rehabilitation outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285877
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2134-2140[article]
Titre : Online Information About the Effectiveness of Shoulder Surgery Is Not Based on the Best Available Evidence: A Content Analysis Type de document : Article Auteurs : Andrew Robertson ; Michael Birch ; Ian A. Harris ; Rachelle Buchbinder ; Giovanni Ferreira ; Mary O'Keeffe ; Christopher G. Maher ; Joshua R. Zadro Année de publication : 2021 Article en page(s) : p. 2141-2149.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.03.041 Langues : Anglais (eng) Descripteurs : HE Vinci
Coiffe des rotateurs ; Internet ; Procédures orthopédiques ; RéadaptationRésumé : Objective
To summarize the proportion of consumer webpages on subacromial decompression and rotator cuff repair surgery that make an accurate portrayal of the evidence for these operations (primary outcome), mention the benefits and harms of surgery, outline alternatives to surgery, and make various surgical recommendations.
Design
Content analysis.
Setting
Online consumer information about subacromial decompression and rotator cuff repair surgery. Webpages were identified through (1) Google searches using terms synonymous with “shoulder pain” and “shoulder surgery” and searching “orthopedic surgeon” linked to each Australian capital city and (2) websites of relevant professional associations (eg, Australian Orthopaedic Association). Two reviewers independently identified webpages and extracted data.
Participants
Not applicable.
Interventions
Not applicable.
Main Outcome Measures
Whether the webpage made an accurate portrayal of the evidence for subacromial decompression or rotator cuff repair surgery (primary outcome), mentioned benefits and harms of surgery, outlined alternatives to surgery, and made various surgical recommendations (eg, delay surgery). Outcome data were summarized using counts and percentages.
Results
A total of 155 webpages were analyzed (n=89 on subacromial decompression, n=90 on rotator cuff repair, n=24 on both). Only 18% (n=16) and 4% (n=4) of webpages made an accurate portrayal of the evidence for subacromial decompression and rotator cuff repair surgery, respectively. For subacromial decompression and rotator cuff repair, respectively, 85% (n=76) and 80% (n=72) of webpages mentioned benefits, 38% (n=34) and 47% (n=42) mentioned harms, 94% (n=84) and 92% (n=83) provided alternatives to surgery, and 63% (n=56) and 62% (n=56) recommended delayed surgery (the most common recommendation).
Conclusions
Most online information about subacromial decompression and rotator cuff repair surgery does not accurately portray the best available evidence for surgery and may be inadequate to inform patient decision making.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=285882
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2141-2149.e2[article]
Titre : Criterion Validity and Responsiveness of the Steep Ramp Test to Evaluate Aerobic Capacity in Survivors of Cancer Participating in a Supervised Exercise Rehabilitation Program Type de document : Article Auteurs : Anouk T.R. Weemaes ; Milou Beelen ; Bart C. Bongers ; Matty P. Weijenberg ; Antoine F. Lenssen Année de publication : 2021 Article en page(s) : p. 2150-2156 Note générale : https://doi.org/10.1016/j.apmr.2021.04.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Epreuve d'effort ; Etudes de validation ; Réadaptation ; Survivants du cancer ; Traitement par les exercices physiquesRésumé : Objective
To evaluate the criterion validity and responsiveness of the steep ramp test (SRT) compared with the cardiopulmonary exercise test (CPET) in evaluating aerobic capacity in survivors of cancer participating in a rehabilitation program.
Design
A prospective cohort study in which survivors of cancer performed an SRT and CPET before (T=0) and after (T=1) a 10-week exercise rehabilitation program. Peak work rate achieved during the SRT (SRT-WRpeak) was compared with peak oxygen consumption measured during the CPET (CPET-Vo2peak), which is the criterion standard for aerobic capacity. Correlation coefficients were calculated between SRT-WRpeak and CPET-Vo2peak at T=0 to examine criterion validity and between changes in SRT-WRpeak and CPET-Vo2peak from T=0 to T=1 to determine responsiveness. Receiver operating characteristic analysis was performed to examine the ability of the SRT to detect a true improvement (6%) in CPET-Vo2peak.
Setting
University medical center.
Participants
Survivors of cancer (N=106).
Interventions
Exercise rehabilitation.
Main Outcome Measures
Correlation coefficients between CPET-Vo2peak and SRT-WRpeak and between changes in CPET-Vo2peak and SRT-WRpeak.
Results
An r of 0.86 (N=106) was found for the relation between SRT-WRpeak and CPET-Vo2peak at T=0. An r of 0.51 was observed for the relation between changes in SRT-WRpeak and CPET-Vo2peak (n=59). Receiver operating characteristic analysis showed an area under the curve of 0.74 for the SRT to detect a true improvement in CPET-Vo2peak, with an optimal cutoff value of +0.26 W/kg (sensitivity 70.7%, specificity 66.7%).
Conclusions
Because SRT-WRpeak and CPET-Vo2peak were strongly correlated, the SRT seems a valid tool to estimate aerobic capacity in survivors of cancer. The responsiveness to measure changes in aerobic capacity appears moderate. Nevertheless, the SRT seems able to detect improvement in aerobic capacity, with a cutoff value of 0.26 W/kg.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=285884
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2150-2156[article]
Titre : Linking AM-PAC Cognition to PROMIS Cognitive Function Type de document : Article Auteurs : Anne Thackeray ; Robin L. Marcus ; Lan Yu ; Polly McCracken ; Beth Cardell ; Janel Hanmer Année de publication : 2021 Article en page(s) : p. 2157-2164.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.04.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Mesures des résultats rapportés par les patients (PROM) ; Qualité de vie ; RéadaptationRésumé : Objective
To link the Activity Measure for Post-Acute Care (AM-PAC) Applied Cognition to the Patient-Reported Outcomes Measurement Information System (PROMIS) Cognitive Function, allowing for a common metric across scales.
Design
Cross-sectional survey study.
Setting
Outpatient rehabilitation clinics.
Participants
Consecutive sample of 500 participants (N=500) aged ≥18 years presenting for outpatient therapy (physical, occupation, speech).
Interventions
Not applicable.
Main Outcome Measures
AM-PAC Medicare and Generic Cognition short forms and PROMIS Cognitive Function items representing the PROMIS Cognitive Function item bank.
Results
The calibration of 25 AM-PAC cognition items with 11 fixed PROMIS cognitive function item parameters using item-response theory indicated that items were measuring the same underlying construct (cognition). Both scales measured a wide range of functioning. The AM-PAC Generic Cognitive assessment showed more reliability with lower levels of cognition, whereas the PROMIS Cognitive Function full-item bank was more reliable across a larger distribution of scores. Data were appropriate for a fixed-anchor item response theory–based crosswalk and AM-PAC Cognition raw scores were mapped onto the PROMIS metric.
Conclusions
The crosswalk developed in this study allows for converting scores from the AM-PAC Applied Cognition to the PROMIS Cognitive Function scale.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=285885
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2157-2164.e1[article]
Titre : Association Between the Swallowing Reflex and the Incidence of Aspiration Pneumonia in Patients With Dysphagia Admitted to Long-term Care Wards: A Prospective Cohort Study of 60 Days Type de document : Article Auteurs : Tomoya Omura ; Miwa Matsuyama ; Shota Nishioka ; Shomu Sagawa ; Masaya Seto ; Mitsugu Naoe Année de publication : 2021 Article en page(s) : p. 2165-2171 Note générale : https://doi.org/10.1016/j.apmr.2021.06.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Études de cohortes ; Pneumopathie de déglutition ; Réadaptation ; Soins de longue durée ; Troubles de la déglutitionRésumé : Objective
To investigate the association between the Simple Swallowing Provocation Test (SSPT) and the incidence of aspiration pneumonia in patients with dysphagia in long-term care (LTC) wards.
Design
The study design was a prospective cohort study. Participants were followed for 60 days from admission.
Setting
LTC wards.
Participants
Study participants were patients with dysphagia aged ≥65 years who were admitted to LTC wards between August 2018 and August 2019. In total, 39 participants were included in the analysis (N=39; 20 male, 19 female; mean age, 83.8±8.5y). Participants were divided into 2 groups based on SSPT results: normal swallowing reflex (SSPT normal group) and abnormal swallowing reflex (SSPT abnormal group). The covariates were age and sex, primary disease, history of cerebrovascular disease, Glasgow Coma Scale, body mass index, Geriatric Nutritional Risk Index, the Mann Assessment of Swallowing Ability, Food Intake Level Scale, FIM, and Oral Health Assessment Tool.
Interventions
Not applicable.
Main Outcome Measures
The outcome was the incidence of aspiration pneumonia during the first 60 days of hospitalization, and the predictive factor was SSPT: 0.4 mL.
Results
The incidence of aspiration pneumonia was 33.3% in the SSPT normal group and 76.2% in the SSPT abnormal group. The φ coefficient (a measure of association for 2 binary variables) was 0.43, the risk ratio (the ratio of the probability of an outcome in an exposed group to the probability of an outcome in an unexposed group) was 2.29, and the 95% confidence interval was 1.14-4.58 for the SSPT abnormal group.
Conclusions
Our findings suggest that the SSPT provides a valid index for the development of aspiration pneumonia in older patients with dysphagia admitted to LTC wards.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=285886
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2165-2171[article]
Titre : Real-World Adherence to OnabotulinumtoxinA Treatment for Spasticity: Insights From the ASPIRE Study Type de document : Article Auteurs : Alberto Esquenazi ; Gerard E. Francisco ; Wuwei Feng ; Alessio Baricich ; Philippe Gallien ; Kristina Fanning ; Aleksej Zuzek ; Daniel S. Bandari ; George F. Wittenberg Année de publication : 2021 Article en page(s) : p. 2172-2184.e6 Note générale : https://doi.org/10.1016/j.apmr.2021.06.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Adhésion et observance thérapeutiques ; Réadaptation ; Toxines botuliniques ou botuliquesRésumé : Objective
To identify baseline characteristics and treatment-related variables that affect adherence to onabotulinumtoxinA treatment from the Adult Spasticity International Registry (ASPIRE) study.
Design
Prospective, observational registry (NCT01930786).
Setting
International clinical sites.
Participants
Adults with spasticity (N=730).
Interventions
OnabotulinumtoxinA at clinician's discretion.
Main Outcome Measures
Clinically meaningful thresholds used for treatment adherent (≥3 treatment sessions during 2-year study) and nonadherent (≤2 sessions). Data analyzed using logistic regression and presented as odds ratios (ORs) with 95% confidence intervals (CIs). Treatment-related variables assessed at sessions 1 and 2 only.
Results
Of the total population, 523 patients (71.6%) were treatment adherent with 5.3±1.6 sessions and 207 (28.4%) were nonadherent with 1.5±0.5 sessions. In the final model (n=626/730), 522 patients (83.4%) were treatment adherent and 104 (16.6%) were nonadherent. Baseline characteristics associated with adherence: treated in Europe (OR=1.84; CI, 1.06-3.21; P=.030) and use of orthotics (OR=1.88; CI, 1.15-3.08; P=.012). Baseline characteristics associated with nonadherence: history of diplopia (OR=0.28; CI, 0.09-0.89; P=.031) and use of assistive devices (OR=0.51; CI, 0.29-0.90; P=.021). Treatment-related variables associated with nonadherence: treatment interval ≥15 weeks (OR=0.43; CI, 0.26-0.72; P=.001) and clinician dissatisfaction with onabotulinumtoxinA to manage pain (OR=0.18; CI, 0.05-0.69; P=.012). Of the population with stroke (n=411), 288 patients (70.1%) were treatment adherent with 5.3±1.6 sessions and 123 (29.9%) were nonadherent with 1.5±0.5 session. In the final stroke model (n=346/411), 288 patients (83.2%) were treatment adherent and 58 (16.8%) were nonadherent. Baseline characteristics associated with adherence: treated in Europe (OR=2.99; CI, 1.39-6.44; P=.005) and use of orthotics (OR=3.18; CI, 1.57-6.45; P=.001). Treatment-related variables associated with nonadherence: treatment interval ≥15 weeks (OR=0.42; CI, 0.21-0.83; P=.013) and moderate/severe disability on upper limb Disability Assessment Scale pain subscale (OR=0.40; CI, 0.19-0.83; P=.015).
Conclusions
These ASPIRE analyses demonstrate real-world patient and clinical variables that affect adherence to onabotulinumtoxinA and provide insights to help optimize management strategies to improve patient care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285895
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2172-2184.e6[article]
Titre : Development of the Computerized Adaptive Test of Motor Development (MD-CAT) Adopting Multidimensional Rasch Analysis Type de document : Article Auteurs : Kuan-Lin Chen ; Chien-Yu Huang ; Cheng-Te Chen ; Julie Chi Chow ; Willy Chou Année de publication : 2021 Article en page(s) : p. 2185-2192.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.06.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Aptitudes motrices ; Enfant (6-12 ans) ; RéadaptationRésumé : Objective
This study aimed to develop the Computerized Adaptive Test of Motor Development (MD-CAT) in preschool children based on multidimensional Rasch analysis.
Design
A retrospective study with cross-sectional design.
Setting
A medical center.
Participants
A total of 1738 children (N=1738).
Interventions
Not applicable.
Main Outcome Measures
MD-CAT.
Results
Multidimensional Rasch analysis was used to develop the item bank of the MD-CAT. The item bank of the MD-CAT contained 74 items, with 44 and 30 items, respectively, for the subscales of gross and fine motor skills. High correlation existed between the 2 subscales (r=0.96). Three stopping rules were set for the MD-CAT: (1) the person reliability achieved 0.95 or the limited reliability increase by Conclusions
The MD-CAT has high precision and efficiency, good construct validity, and high diagnostic validity. The results of our study indicate that the MD-CAT can be useful in clinical practice and in research as a diagnostic measure.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=285896
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2185-2192.e2[article]
Titre : Psychometric Properties and Sex Differences on the Mayo-Portland Adaptability Inventory Participation Subscale (M2PI) in Veterans With Traumatic Brain Injury Type de document : Article Auteurs : Alison M. Cogan ; Jennifer A. Weaver ; Joel Scholten ; Theresa Bender Pape ; Trudy Mallinson Année de publication : 2021 Article en page(s) : p. 2193-2200.e3 Note générale : https://doi.org/10.1016/j.apmr.2021.06.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Anciens combattants ; Lésions traumatiques de l'encéphale ; Participation communautaire ; Psychométrie ; RéadaptationRésumé : Objective
To evaluate the structural validity of the Mayo-Portland Adaptability Inventory Participation Index (M2PI) in a sample of veterans and to assess whether the tool functioned similarly for male and female veterans.
Design
Rasch analysis of M2PI records from the National Veterans Traumatic Brain Injury Health Registry database from 2012-2018.
Setting
National VA Polytrauma System of Care outpatient settings.
Participants
Veterans with a clinically confirmed history of traumatic brain injury (TBI) (N=6065; 94% male).
Interventions
Not applicable.
Main Outcome Measures
M2PI, a 5-point Likert-type scale with 8 items. For this analysis, the 2 employment items were treated individually for a total of 9 items.
Results
The employment items misfit the Rasch Measurement model (paid employment mean square [MnSq]=1.40; other employment MnSq=1.34) and were removed from subsequent iterations. The final model had eigenvalue 1.87 on the first contrast, suggesting unidimensionality of the remaining 7 items. Item order from least to most participation restriction was transportation, self-care, residence management, financial management, initiation, leisure, and social contact. Wright's person separation reliability for nonnormal distributions was 0.93, indicating appropriateness of M2PI for making individual-level treatment decisions. Mean person measure was −0.92±1.34 logits, suggesting that participants did not report restrictions on most items (item mean=0 logits). A total of 3.8% of the sample had the minimum score (no impairment on all items), and 0.2% had the maximum score. Four items had different item calibrations (≥0.25 logits) for female compared with male veterans, but the hierarchy of items was unchanged when the female sample was examined separately.
Conclusions
These findings suggest that, although employment is a poor indicator of participation restrictions among veterans with TBI, the M2PI is unidimensional. Because of subtle differences in scale function between male and female participants, M2PI should be part of a more thorough clinical interview about participation strengths and restrictions.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=285897
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2193-2200.e3[article]
Titre : Region-specific Exercises vs General Exercises in the Management of Spinal and Peripheral Musculoskeletal Disorders: A Systematic Review With Meta-analyses of Randomized Controlled Trials Type de document : Article Auteurs : Philippe Ouellet ; Simon Lafrance ; Andrea Pizzi ; Jean-Sébastien Roy ; Jeremy Lewis ; David Høyrup Christiansen ; Blaise Dubois ; Pierre Langevin ; François Desmeules Année de publication : 2021 Article en page(s) : p. 2201-2218 Note générale : https://doi.org/10.1016/j.apmr.2021.01.093 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Exercice physique ; Réadaptation ; Techniques de physiothérapieRésumé : Objective
To compare the efficacy of region-specific exercises to general exercises approaches for adults with spinal or peripheral musculoskeletal disorders (MSKDs).
Data Sources
Electronic searches were conducted up to April 2020 in Medline, Embase, Cochrane Central Register of Controlled Trials, and Cumulative Index to Nursing and Allied Health.
Study Selection
Randomized control trials (RCTs) on the efficacy of region-specific exercises compared to general exercises approaches for adults with various MSKDs.
Data Extraction
Mean differences and standardized mean differences were calculated using random-effects inverse variance modeling. Eighteen RCTs (n=1719) were included. Cohorts were composed of participants with chronic neck (n=313) or low back disorders (n=1096) and knee osteoarthritis (OA) (n=310).
Data Synthesis
Based on low-quality evidence in the short-term and very low-quality in the mid- and long-term, there were no statistically significant differences between region-specific and general exercises in terms of pain and disability reductions for adults with spinal disorders or knee OA. Secondary analyses for pain reduction in the short-term for neck or low back disorders did not report any statistically significant differences according to very low- to low-quality of evidence.
Conclusions
The difference in treatment effect remains uncertain between region-specific and general exercises approaches. Based on very low- to low-quality evidence, there appear to have no differences between both types of exercise approaches for pain reduction or disability for adults with spinal disorders. Future trials may change the current conclusions. More evidence is needed for region-specific exercises compared to general exercises for other peripheral MSKDs including knee OA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285901
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2201-2218[article]
Titre : Effect of Therapeutic Ultrasound for Neck Pain: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Wanyi Qing ; Xian Shi ; Qing Zhang ; Lihong Peng ; Chengqi He, Che ; Quan Wei Année de publication : 2021 Article en page(s) : p. 2219-2230 Note générale : https://doi.org/10.1016/j.apmr.2021.02.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Méta-analyse ; Ondes ultrasonores ; Réadaptation ; Syndromes de la douleur myofascialeRésumé : Objective
To evaluate the effects and safety of therapeutic ultrasound in patients with neck pain.
Data Sources
The PubMed, EMBASE, CENTRAL, and Physiotherapy Evidence databases were searched for articles published before December 1, 2020.
Study Selection
Randomized controlled trials that compared the effects of therapeutic ultrasound on neck pain were included in this review. The included studies compared therapeutic ultrasound plus other treatments with the other treatments alone or compared therapeutic ultrasound with sham or no treatment. Outcome measures involved the effects on pain, disability, and quality of life. Other treatments included all nonultrasonic therapies (eg, various exercises, massage, electrotherapy).
Data Extraction
Data on the study population, therapeutic ultrasound intervention, combined intervention, outcome measures, and follow-up were extracted.
Data Synthesis
Twelve randomized controlled trials (705 patients) fulfilled the inclusion criteria. Seven studies compared therapeutic ultrasound plus other treatments vs the other treatments alone (449 patients). Therapeutic ultrasound yielded additional benefits for pain, but there was high heterogeneity and we could not draw a clear conclusion. Ultrasound did not have a better effect on disability or quality of life when it was combined with other treatments. Five studies compared therapeutic ultrasound with sham or no treatment (256 patients), and the pooled data showed that therapeutic ultrasound significantly reduced pain intensity. No adverse events of therapeutic ultrasound were reported in the included studies.
Conclusions
Therapeutic ultrasound may reduce the intensity of pain more than sham or no treatment, and it is a safe treatment. Whether therapeutic ultrasound in combination with other conventional treatments produced additional benefits on pain intensity, disability, or quality of life is not clear. The randomized trials included in this review had different levels of quality and high heterogeneity. A large trial using a valid methodology is warranted.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285903
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2219-2230[article]
Titre : Is There an Association Between Ulnar Nerve Hypermobility and Neuropathy at the Elbow? Type de document : Article Auteurs : Geoffrey Frost ; Peter Varey ; Chloe Haldane ; Terry Lee ; Heather Finlayson Année de publication : 2021 Article en page(s) : p. 2231-2238 Note générale : https://doi.org/10.1016/j.apmr.2021.02.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Coude ; Échographie ; Électrodiagnostic ; Nerf ulnaire ; Réadaptation ; Revue systématiqueRésumé : Objective
To systematically review the association between ulnar nerve hypermobility (UNH) at the elbow and ulnar neuropathy (UNE).
Data Sources
Cumulative Index to Nursing and Allied Health, MEDLINE, and Embase databases were searched for English language studies published up to July 4, 2020.
Study Selection
We included case-control, cohort, and randomized controlled studies that established the presence or absence of UNH and UNE. Twenty out of 654 studies identified met the inclusion criteria.
Data Extraction
Two reviewers independently extracted data for analysis. Risk of bias and applicability were assessed with the QUADAS-2 tool.
Data Synthesis
We compared rates of UNH between patients diagnosed with and without UNE and found no significant difference. The meta-analysis pooled rate of UNH was 0.37 (95% confidence interval, 0.20-0.57) for those without UNE and 0.33 (95% confidence interval, 0.23-0.45) for those with UNE.
Conclusions
The clinical finding of UNH is unhelpful when assessing for UNE, as the presence of UNH does not make the diagnosis of UNE more likely.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=285905
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2231-2238[article]
Titre : Evaluation of Patient-Reported Outcome Measures in Intermittent Self-Catheterization Users: A Systematic Review Type de document : Article Auteurs : Xue Wang ; Xiaona Cao ; Jialin Li ; Cuiyu Deng ; Ting Wang ; Li Fu ; Qing Zhang Année de publication : 2021 Article en page(s) : p. 2239-2246 Note générale : https://doi.org/10.1016/j.apmr.2021.03.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Mesures des résultats rapportés par les patients (PROM) ; Psychométrie ; Réadaptation ; Revue systématique ; Sondage urétral intermittent ; Vessie neurologiqueRésumé : Objective
To identify patient-reported outcome measures (PROMs) for intermittent self-catheterization (ISC) users, critically assess and summarize the quality of the measurement properties, and describe the application scenarios on each instrument.
Data Sources
PubMed, EMBASE, Medline, PsycINFO, and relevant reference lists were systematically searched through December 2019 (updated May 2020).
Study Selection
Two reviewers independently identified original English language publications that evaluated the psychometric properties of specific PROMs used in ISC patients.
Data Extraction
The following data were obtained: author and publication year, content of domains and subscales, number of items, response options, constructs measured, language, and information on measurement properties.
Data Synthesis
Eleven publications were deemed eligible, including 6 PROMs for measuring patients’ ISC-related quality of life, self-confidence, satisfaction, difficulties, acceptance, and adherence to treatment. The Intermittent Self-Catheterization Questionnaire provided the most detail, and the Intermittent Catheterization Acceptance Test could be evaluated on the most consensus-based standards for the selection of health status measurement instrument properties.
Conclusions
Several tools are available for ISC users, but at present there is no comprehensive, concise, and robust instrument with good psychometric properties. Further research on psychometric properties is needed to verify the remaining properties of existing scales and to develop novel tools for clinicians, researchers, and patients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285907
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2239-2246[article]
Titre : Effectiveness of Conservative Nonpharmacologic Therapies for Pain, Disability, Physical Capacity, and Physical Activity Behavior in Patients With Degenerative Lumbar Spinal Stenosis: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Samantha Jacobi ; Amber Beynon ; Stephan U. Dombrowski ; Niels Wedderkopp ; Richelle Witherspoon ; Jeffrey J. Hébert Année de publication : 2021 Article en page(s) : p. 2247-2260.e7 Note générale : https://doi.org/10.1016/j.apmr.2021.03.033 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Méta-analyse ; Réadaptation ; Région lombosacrale ; Revue systématique ; Sténose du canal vertébralRésumé : Objective
To investigate the effectiveness of conservative nonpharmacologic therapies on pain, disability, physical capacity, and physical activity outcomes in patients with degenerative lumbar spinal stenosis (LSS).
Data Sources
Systematic search of MEDLINE, EMBASE, CENTRAL, and PsycINFO from inception to November 4, 2019, without language restrictions.
Study Selection
Pairs of review authors independently identified randomized controlled trials published in peer-reviewed scientific journals reporting on the effects of rehabilitation interventions on pain intensity (back or leg), disability, symptom severity, physical capacity, physical activity behavior, or adverse events (secondary outcome) in adults with LSS. The search identified 1718 records; data from 21 reports of 19 trials (1432 patients) were included.
Data Extraction
Review author pairs independently extracted data and assessed included studies. We assessed risk of bias with the Cochrane tool, and overall study quality with the Grading of Recommendations Assessment, Development and Evaluation classification.
Data Synthesis
We pooled data using random-effects meta-analyses; treatment effects were reported as mean differences (MD) and 95% confidence intervals (CI). Directed exercise and manual therapy was superior to self-directed or group exercise for improving short-term walking capacity (MD, 293.3 m; 95% CI, 61.7-524.9 m; low-quality evidence), back pain (MD, –1.1; 95% CI, –1.8 to –0.4; moderate quality evidence), leg pain (MD, –.9; 95% CI, –0.2 to –1.5; moderate-quality evidence), and symptom severity (MD, –0.3; 95% CI, –0.4 to –0.2; low quality evidence). There is very low quality evidence that rehabilitation is no better than surgery at improving intermediate- or long-term disability. Single trials provided conflicting evidence of effectiveness for a variety of therapies.
Conclusions
For patients with LSS, there is low- to moderate-quality evidence that manual therapy with supervised exercises improves short-term walking capacity and results in small improvements in pain and symptom severity compared with self-directed or group exercise. The choice between rehabilitation and surgery for LSS is very uncertain owing to the very low quality of available evidence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285908
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2247-2260.e7[article]
