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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 : 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 ; Paralysie cérébrale ; Réadaptation ; ThérapeutiqueMots-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
in American journal of occupational therapy > Vol. 74, n° 5 (September/October 2020) . - p. 1-9[article] Accelerometer Measurements Indicate That Arm Movements of Children With Cerebral Palsy Do Not Increase After Constraint-Induced Movement Therapy (CIMT). [Article] / Briana M. Goodwin ; Emily K. Sabelhaus ; Ying-Chun Pan ; Kristie F. Bjornson ; Kelly L. Pham ; William O. Walker ; Katherine M. Steele . - 2020 . - p. 1-9.
doi:10.5014/ajot.2020.040246
Langues : Anglais (eng)
in American journal of occupational therapy > Vol. 74, n° 5 (September/October 2020) . - p. 1-9
Descripteurs : HE Vinci
Membre supérieur ; Mouvement ; Paralysie cérébrale ; Réadaptation ; ThérapeutiqueMots-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
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 réadaptationMots-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
in Archives of Physical Medicine and Rehabilitation > 2016/8 (2016) . - pp. 1262–1268[article] Adherence of Individuals in Upper Extremity Rehabilitation: A Qualitative Study [Article] / Enrique V. Smith-Forbes ; Dana M. Howell ; Jason Willoughby . - pp. 1262–1268.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2016/8 (2016) . - pp. 1262–1268
Descripteurs : HE Vinci
Membre supérieur ; Observance par le patient ; Recherche qualitative ; Rééducation et réadaptationMots-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
Titre : An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial Type de document : Article Auteurs : Liam Johnson ; Marie-Louise Bird ; Makii Muthalib Année de publication : 2020 Article en page(s) : p. 1131-1137 Note générale : https://doi.org/10.1016/j.apmr.2020.03.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Membre supérieur ; Réalité de synthèse ; TechnologieRésumé : Objective
To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors.
Design
Assessor-blinded randomized controlled trial.
Setting
Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting.
Participants
Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4±8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex.
Interventions
Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System.
Main Outcome Measures
Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study.
Results
Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F1, 1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported.
Conclusions
We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported.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=256437
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 7 (2020) . - p. 1131-1137[article] An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial [Article] / Liam Johnson ; Marie-Louise Bird ; Makii Muthalib . - 2020 . - p. 1131-1137.
https://doi.org/10.1016/j.apmr.2020.03.011
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 7 (2020) . - p. 1131-1137
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Membre supérieur ; Réalité de synthèse ; TechnologieRésumé : Objective
To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors.
Design
Assessor-blinded randomized controlled trial.
Setting
Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting.
Participants
Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4±8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex.
Interventions
Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System.
Main Outcome Measures
Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study.
Results
Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F1, 1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported.
Conclusions
We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported.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=256437 Analyse biomécanique des transferts réalisés seul par le sujet paraplégique / Marie-Christine Da Silva (2014)
Titre : Analyse biomécanique des transferts réalisés seul par le sujet paraplégique Type de document : Travail de fin d'études Auteurs : Marie-Christine Da Silva Editeur : Bruxelles : Parnasse-ISEI Année de publication : 2014 Importance : 103 p. Langues : Français (fre) Descripteurs : HE Vinci
Déplacement ; Membre supérieur ; Paraplégie ; Phénomènes biomécaniquesIndex. décimale : TFE - Kinésithérapie Résumé : Les sujets paraplégiques sont amenés à réaliser dans les activités de la vie quotidienne des transferts très fréquemment lorsque par exemple, ils se transfèrent d’un fauteuil roulant vers une voiture ou vers un lit. On distingue trois types de transfert différents réalisés en fonction des besoins de déplacement et des exigences de l’environnement : le transfert par pivot assis, le transfert postérieur et le push-up. Ils présentent chacun des variables temporelles, cinématiques, dynamiques et électromyographiques différentes. Les analyses biomécaniques de ces mouvements permettent de déterminer les contraintes mécaniques et les efforts musculaires au niveau des articulations des membres supérieurs. Le transfert par pivot assis est reconnu comme étant le plus contraignant mécaniquement et musculairement, particulièrement sur le membre supérieur situé en arrière lors du transfert.
Ces contraintes mécaniques peuvent expliquer le développement de lésions musculosquelettiques secondaires à l’apparition de la paraplégie et donc à l’utilisation du fauteuil roulant. L’épaule est tout particulièrement concernée par le développement d’une situation d’impingement sous-acromial et d’instabilité, via des forces de réaction articulaires postérieures décoaptantes importantes lors du transfert par pivot. Les poignets sont également sujets à lésions par les positions d’extension extrêmes associés à l’application de forces verticales.
A partir des analyses biomécaniques, certaines recommandations cliniques peuvent être établies de façon à préserver l’intégrité des membres supérieurs du sujet paraplégique, utilisateur de fauteuil roulant, lors de la réalisation de transferts seul.Accès : Connectez-vous dans le menu à gauche avant d'accéder à ce document électronique. Disponible en ligne : Oui Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=250302 Analyse biomécanique des transferts réalisés seul par le sujet paraplégique [Travail de fin d'études] / Marie-Christine Da Silva . - Bruxelles : Parnasse-ISEI, 2014 . - 103 p.
Langues : Français (fre)
Descripteurs : HE Vinci
Déplacement ; Membre supérieur ; Paraplégie ; Phénomènes biomécaniquesIndex. décimale : TFE - Kinésithérapie Résumé : Les sujets paraplégiques sont amenés à réaliser dans les activités de la vie quotidienne des transferts très fréquemment lorsque par exemple, ils se transfèrent d’un fauteuil roulant vers une voiture ou vers un lit. On distingue trois types de transfert différents réalisés en fonction des besoins de déplacement et des exigences de l’environnement : le transfert par pivot assis, le transfert postérieur et le push-up. Ils présentent chacun des variables temporelles, cinématiques, dynamiques et électromyographiques différentes. Les analyses biomécaniques de ces mouvements permettent de déterminer les contraintes mécaniques et les efforts musculaires au niveau des articulations des membres supérieurs. Le transfert par pivot assis est reconnu comme étant le plus contraignant mécaniquement et musculairement, particulièrement sur le membre supérieur situé en arrière lors du transfert.
Ces contraintes mécaniques peuvent expliquer le développement de lésions musculosquelettiques secondaires à l’apparition de la paraplégie et donc à l’utilisation du fauteuil roulant. L’épaule est tout particulièrement concernée par le développement d’une situation d’impingement sous-acromial et d’instabilité, via des forces de réaction articulaires postérieures décoaptantes importantes lors du transfert par pivot. Les poignets sont également sujets à lésions par les positions d’extension extrêmes associés à l’application de forces verticales.
A partir des analyses biomécaniques, certaines recommandations cliniques peuvent être établies de façon à préserver l’intégrité des membres supérieurs du sujet paraplégique, utilisateur de fauteuil roulant, lors de la réalisation de transferts seul.Accès : Connectez-vous dans le menu à gauche avant d'accéder à ce document électronique. Disponible en ligne : Oui Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=250302 Documents numériques
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TFe_2014_Kin_DaSilva_Marie-christine.pdfAdobe Acrobat PDFAnatomie de l'appareil locomoteur. Tome 2 : membre supérieur / M. Dufour (2002)
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