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A 1 year follow-up after shortened constraint induced movement therapy with and without mitt poststroke / C. Brogardh in Archives of Physical Medicine and Rehabilitation, 2010/3 (2010)
Titre : A 1 year follow-up after shortened constraint induced movement therapy with and without mitt poststroke Type de document : Article Auteurs : C. Brogardh ; J. Lexell Année de publication : 2010 Article en page(s) : 460/464 Langues : Français (fre) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Recherche ; Rééducation et réadaptation
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in Archives of Physical Medicine and Rehabilitation > 2010/3 (2010) . - 460/464[article]Accelerometer Measurements Indicate That Arm Movements of Children With Cerebral Palsy Do Not Increase After Constraint-Induced Movement Therapy (CIMT). / Briana M. Goodwin in American journal of occupational therapy, Vol. 74, n° 5 (September/October 2020)
Titre : Accelerometer Measurements Indicate That Arm Movements of Children With Cerebral Palsy Do Not Increase After Constraint-Induced Movement Therapy (CIMT). Type de document : Article Auteurs : Briana M. Goodwin ; Emily K. Sabelhaus ; Ying-Chun Pan ; Kristie F. Bjornson ; Kelly L. Pham ; William O. Walker ; Katherine M. Steele Année de publication : 2020 Article en page(s) : p. 1-9 Note générale : doi:10.5014/ajot.2020.040246 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Mouvement du corps ; Paralysie cérébrale ; Réadaptation ; Thérapeutique
Mots-clés : Thérapie par le mouvement induit par la contrainte kinésithérapie par contrainte Résumé : Importance: Constraint-induced movement therapy (CIMT) is a common treatment for children with unilateral cerebral palsy (CP). Although clinic-based assessments have demonstrated improvements in arm function after CIMT, whether these changes are translated and sustained outside of a clinic setting remains unclear.
Objective: Accelerometers were used to quantify arm movement for children with CP 1 wk before, during, and 4 wk or more after CIMT; measurements were compared with those from typically developing (TD) peers.
Setting: Tertiary hospital and community.
Participants: Seven children with CP (5 boys, 2 girls; average [AVE] age ± standard deviation [SD] = 7.4 ± 1.2 yr) and 7 TD peers (2 boys, 5 girls; AVE age ± SD = 7.0 ± 2.3 yr). Intervention: 30-hr CIMT protocol.
Outcomes and Measures: Use ratio, magnitude ratio, and bilateral magnitude were calculated from the accelerometer data. Clinical measures were administered before and after CIMT, and parent surveys assessed parent and child perceptions of wearing accelerometers.
Results: During CIMT, the frequency and magnitude of paretic arm use among children with CP increased in the clinic and in daily life. After CIMT, although clinical scores showed sustained improvement, the children's accelerometry data reverted to baseline values. Children and parents in both cohorts had positive perceptions of accelerometer use.
Conclusions and Relevance: The lack of sustained improvement in accelerometry metrics after CIMT suggests that therapy gains did not translate to increased movement outside the clinic. Additional therapy may be needed to help transfer gains outside the clinic.
What This Article Adds: Accelerometer measurements were effective at monitoring arm movement outside of the clinic during CIMT and suggested that additional interventions may be needed after CIMT to sustain benefits.
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in American journal of occupational therapy > Vol. 74, n° 5 (September/October 2020) . - p. 1-9[article]Acceptability of Lycra arm sleeve in people with sub-acute stroke: patients, carers and clinicians perspectives / Praveen Kumar ; Robert Jones ; Mary Cramp ; Rosemary Greenwood ; Paul White ; Ailie Turton in Physiotherapy, Vol. 118 (2023)
Titre : Acceptability of Lycra arm sleeve in people with sub-acute stroke: patients, carers and clinicians perspectives Type de document : Article Auteurs : Praveen Kumar ; Robert Jones ; Mary Cramp ; Rosemary Greenwood ; Paul White ; Ailie Turton Année de publication : 2023 Article en page(s) : p. 31-38 Langues : Anglais (eng) Descripteurs : HE Vinci
Acceptation des soins par les patients ; Accident vasculaire cérébral (AVC) ; Luxation de l'épaule ; Membre supérieur ; Tissu ; Vêtements
Résumé : Background Previous studies found that the Lycra sleeve has potential to reduce glenohumeral subluxation in people with stroke. The primary aim of this study was to explore the acceptability of the Lycra sleeve from patients?, carers? and staff perceptive in the sub-acute phase of stroke. Method Stroke survivors over 18 years with hemiplegia and muscle strength of ??3 (Medical Research Council scale) shoulder abduction, able to provide informed consent were recruited as soon as they were medically stable. Patients wore the Lycra sleeve for up to 10?h/day for three months. A questionnaire was administered three months post-sleeve application to immediate and delayed groups and healthcare staff. Results Twenty-seven patients (immediate group (n?=?19), delayed group (n?=?8)), 23 carers/family-members and 36 healthcare staff (nurses (n?=?10), nursing assistants (n?=?5), physiotherapists (n?=?10), physiotherapy assistants (n?=?3) and occupational therapists (n?=?8) completed a questionnaire. Several staff reported for more than one patient resulting in up to 37 responses to some questions from nursing staff and 46 responses from therapy staff. Of 27 patients, all found the sleeve to be comfortable. The average time to apply the sleeve was between two and five minutes. The sleeve was reported as acceptable in daily life by patients (96%, n?=?24/25), carers/family-members (96%, n?=?21/22), by nurses (92%, n?=?34/37) and in routine clinical practice by therapists (91%, n?=?41/45). Conclusion Wearing of Lycra sleeve was acceptable for patients during activities of daily living/rehabilitation. However, research is required on the effectiveness of the sleeve before this can be routinely used in clinical practice. DOI : https://doi.org/10.1016/j.physio.2022.08.002 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=304563
in Physiotherapy > Vol. 118 (2023) . - p. 31-38[article]Accuracy of an Algorithm in Predicting Upper Limb Functional Capacity in a United States Population / Jessica Barth in Archives of Physical Medicine and Rehabilitation, Vol. 103, n° 1 (2022)
Titre : Accuracy of an Algorithm in Predicting Upper Limb Functional Capacity in a United States Population Type de document : Article Auteurs : Jessica Barth ; Kimberly J. Waddell ; Marghuretta D. Bland ; Catherine E. Lang Année de publication : 2022 Article en page(s) : p. 44-51 Note générale : https://doi.org/10.1016/j.apmr.2021.07.808 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Analyse multifactorielle ; Ergothérapie ; Kinésithérapie (spécialité) ; Membre supérieur ; Réadaptation
Résumé : Objective
To determine the accuracy of an algorithm, using clinical measures only, on a sample of persons with first-ever stroke in the United States (US). It was hypothesized that algorithm accuracy would fall in a range of 70%-80%.
Secondary analysis of prospective, observational, longitudinal cohort; 2 assessments were done: (1) within 48 hours to 1 week poststroke and (2) at 12 weeks poststroke.
Recruited from a large acute care hospital and followed over the first 6 months after stroke.
Adults with first-ever stroke (N=49) with paresis of the upper limb (UL) at ≤48 hours who could follow 2-step commands and were expected to return to independent living at 6 months.
Main Outcome Measures
The overall accuracy of the algorithm with clinical measures was quantified by comparing predicted (expected) and actual (observed) categories using a correct classification rate.
The overall accuracy (61%) and weighted κ (62%) were significant. Sensitivity was high for the Excellent (95%) and Poor (81%) algorithm categories. Specificity was high for the Good (82%), Limited (98%), and Poor (95%) categories. Positive predictive value (PPV) was high for Poor (82%) and negative predictive value (NPV) was high for all categories. No differences in participant characteristics were found between those with accurate or inaccurate predictions.
The results of the present study found that use of an algorithm with clinical measures only is better than chance alone (chance=25% for each of the 4 categories) at predicting a category of UL capacity at 3 months post troke. The moderate to high values of sensitivity, specificity, PPV, and NPV demonstrates some clinical utility of the algorithm within health care settings in the US.
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in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 44-51[article]Accurate Prediction of Persistent Upper Extremity Impairment in Patients With Ischemic Stroke / Adam de Havenon in Archives of Physical Medicine and Rehabilitation, Vol. 103, n° 5 (2022)
Titre : Accurate Prediction of Persistent Upper Extremity Impairment in Patients With Ischemic Stroke Type de document : Article Auteurs : Adam de Havenon ; Laura Heitsch ; Abimbola Sunmonu ; Robynne Braun ; Keith R. Lohse ; John W. Cole ; Eva Mistry ; Arne Lindgren ; Bradford B. Worrall ; Steven C. Cramer Année de publication : 2022 Article en page(s) : p. Steven C. Note générale : https://doi.org/10.1016/j.apmr.2021.10.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Paralysie ; Réadaptation
Résumé : Objective
To develop a simple and effective risk score for predicting which stroke patients will have persistent impairment of upper extremity motor function at 90 days.
Post hoc analysis of clinical trial patients hospitalized with acute ischemic stroke who were followed for 90 days to determine functional outcome.
Patient were hospitalized at facilities across the United States.
We created a harmonized cohort of individual patients (N=1653) from the NINDS tPA, ALIAS part 2, IMS-III, DEFUSE 3, and FAST-MAG trials. We split the cohort into balanced derivation and validation samples.
Main Outcome Measures
The primary outcome was persistent arm impairment, defined as a National Institutes of Health Stroke Scale (NIHSS) arm domain score of 2 to 4 at 90 days in patients who had a 24-hour NIHSS arm score of 1 or more. We used least absolute shrinkage and selection operator regression to determine the elements of the persistent upper extremity impairment (PUPPI) index, which we validated as a predictive tool.
We included 1653 patients (827 derivation, 826 validation), of whom 803 (48.6%) had persistent arm impairment. The PUPPI index gives 1 point each for age 55 years or older and NIHSS values of worse arm (4), worse leg (>2), facial palsy (3), and total NIHSS (≥10). The optimal cutpoint for the PUPPI index was 3 or greater, at which the area under the curve was greater than 0.75 for the derivation and validation cohorts and when using NIHSS values from either 24 hours or in a subacute or discharge time window. Results were similar across different levels of stroke severity.
The PUPPI index uses readily available information to accurately predict persistent upper extremity motor impairment at 90 days poststroke. The PUPPI index can be administered in minutes and could be used as inclusion criterion in recovery-related clinical trials or, with additional development, as a prognostic tool for patients, caregivers, and clinicians.
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in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. Steven C.[article]Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study / Enrique V. Smith-Forbes in Archives of Physical Medicine and Rehabilitation, 2016/8 (2016)PermalinkAn analysis of publicly available National Health Service information leaflets for patients following an upper arm break / Pauline May ; Gillian Yeowell ; Louise A. Connell ; Chris Littlewood in Musculoskeletal Science and Practice, Vol. 59 (June 2022)PermalinkAn Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial / Liam Johnson in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 7 (2020)PermalinkAnalyse biomécanique des transferts réalisés seul par le sujet paraplégique / Marie-Christine Da Silva (2014)PermalinkAnatomie de l'appareil locomoteur. Tome 2 : membre supérieur / M. Dufour (2002)PermalinkAnatomie clinique. Tome 1 : Anatomie générale - membres / P. Kamina (2015)PermalinkAnatomie fonctionnelle. 1 - Membre supérieur / A.I. Kapandji (2018)PermalinkAnatomie in vivo. Tome 1 : Etude et palpation des membres supérieurs et inférieurs / B. Reichert (2007)PermalinkAnatomie de surface / Richard Tunstall (2018)PermalinkArm Motor Control as Predictor for Hypertonia After Stroke: A Prospective Cohort Study / L.D. De Jong in Archives of Physical Medicine and Rehabilitation, 2011/9 (2011)Permalink