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)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2010/3 (2010) . - 460/464 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 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=116590 [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)  

[article]  inAmerican journal of occupational therapy > Vol. 74, n° 5 (September/October 2020) . - p. 1-9 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. Design: Observational. 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. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259395 [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)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 44-51 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%. Design 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. Setting Recruited from a large acute care hospital and followed over the first 6 months after stroke. Participants 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. Intervention Not applicable. 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. Results 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. Conclusions 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. 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=290230 [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)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. Steven C. 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. Design Post hoc analysis of clinical trial patients hospitalized with acute ischemic stroke who were followed for 90 days to determine functional outcome. Setting Patient were hospitalized at facilities across the United States. Participants 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. Interventions Not applicable. 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. Results 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. Conclusion 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. 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=294444 [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)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2016/8 (2016) . - pp. 1262–1268 Titre : Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study Type de document : Article Auteurs : Enrique V. Smith-Forbes ; Dana M. Howell ; Jason Willoughby Article en page(s) : pp. 1262–1268 Langues : Anglais (eng) Descripteurs : HE Vinci Membre supérieur ; Observance par le patient ; Recherche qualitative ; Rééducation et réadaptation Mots-clés : Patient satisfaction  Satisfaction du patient  Qualitative research  Upper extremity Résumé : Objective To describe the rehabilitation experiences, expectations, and treatment adherence of patients receiving upper extremity (UE) rehabilitation who demonstrated discrepancy between functional gains and overall improvement. Design Qualitative (phenomenologic) interviews and analysis. Setting Outpatient UE rehabilitation. Participants Patients with acute UE injuries (N=10). Interventions Not applicable. Main Outcome Measure Concerns related to UE rehabilitation patients demonstrating discrepancy between outcome measures. Results Five key themes emerged from the interviews of patients demonstrating discrepancy in their self-reported patient outcomes: (1) desire to return to normal, (2) initial anticipation of brief recovery, (3) trust of therapist, (4) cannot stop living, and (5) feelings of ambivalence. Challenges included living with the desire to move back into life. Multiple factors affected patient adherence: cost of treatment, patient-provider relation (difference between therapist and patient understanding on what is important for treatment), and patients expecting the treating therapists to be an expert and fix their problem. Conclusions Patient adherence to UE rehabilitation presents many challenges. Patients view themselves as laypersons and seek the knowledge of a dedicated therapist who they trust to spend time with them to understand what they value as important and clarify their injury, collaboratively make goals, and explain the intervention to get them in essence, back into life, in the minimal required time. When categorized according to the World Health Organization's multidimensional adherence model, domains identified in this model include social and economic, health care team and system, condition-related, therapy-related, and patient-related dimensions. Assessing factors identified to improve efficiency and effectiveness of clinical management can enhance patient adherence. 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=117986 [article]

An 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)  

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An 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)  

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Analyse biomécanique des transferts réalisés seul par le sujet paraplégique / Marie-Christine Da Silva (2014) 

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Anatomie de l'appareil locomoteur. Tome 2 : membre supérieur / M. Dufour (2002)

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Anatomie clinique. Tome 1 : Anatomie générale - membres / P. Kamina (2015)

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Anatomie fonctionnelle. 1 - Membre supérieur / A.I. Kapandji (2018)

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Anatomie in vivo. Tome 1 : Etude et palpation des membres supérieurs et inférieurs / B. Reichert (2007)

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Anatomie de surface / Richard Tunstall (2018)

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Arm 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)  

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Assessing Physical Function in Adult Acquired Major Upper-Limb Amputees by Combining the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Questionnaire and Clinical Examination / K. Ostlie in Archives of Physical Medicine and Rehabilitation, 2011/10 (2011)  

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