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Abdominal Binder Improves Lung Volumes and Voice in People With Tetraplegic Spinal Cord Injury / Brooke M. Wadsworth in Archives of Physical Medicine and Rehabilitation, 2012/12 (2012)
Titre : Abdominal Binder Improves Lung Volumes and Voice in People With Tetraplegic Spinal Cord Injury Type de document : Article Auteurs : Brooke M. Wadsworth ; Terry P. Haines ; Petrea L. Cornwell ; [et al.] Année de publication : 2012 Article en page(s) : pp. 2189-2197 Langues : Anglais (eng) Descripteurs : HE Vinci
Hypotension orthostatique ; Langage oral ; Rééducation et réadaptation ; Respiration ; Tests de la fonction respiratoire ; Traumatismes de la moelle épinière
Résumé : "Objective
To investigate the effect of an elasticated abdominal binder on respiratory, voice, and blood pressure outcomes for people with a motor complete acute tetraplegia during the first year after injury.
Randomized crossover study.
Large university-affiliated referral hospital.
Consenting participants (N=14, 13 men and 1 woman) with recent, motor complete, C3-T1 spinal cord injury.
Abdominal binder on/off with participant seated in upright wheelchair, with 3 repeated measures at 6 weeks, 3 months, and 6 months after commencing daily use of an upright wheelchair.
Main Outcome Measures
Forced vital capacity, forced expiratory volume in 1 second, peak expiratory flow, maximal inspiratory pressure, and maximal expiratory pressure were measured. Mean arterial pressure, maximum sustained vowel time, and sound pressure level were also measured.
Overall, an abdominal binder resulted in a statistically significant improvement in forced vital capacity (weighted mean difference .34L [95% confidence interval (CI) .10.58], P=.005), forced expiratory volume in 1 second (.25L [95% CI −.01 to .51], P=.05), peak expiratory flow (.81L/s [95% CI .131.48], P=.02), maximal inspiratory pressure (7.40cmH2O [95% CI 1.6413.14], P=.01), and maximum sustained vowel time (3.75s [95% CI .906.60], P=.01). There was no statistically significant improvement in maximal expiratory pressure (5.37cmH2O [95% CI −1.15 to 11.90], P=.11), mean arterial pressure (4.41mmHg [95% CI −6.15 to 14.97], P=.41), or sound pressure level (1.14dB [95% CI −1.31 to 3.58], P=.36).
An individually fitted abdominal binder significantly improved forced vital capacity, forced expiratory volume in 1 second, peak expiratory flow, maximal inspiratory pressure, and maximum sustained vowel time in people with newly acquired tetraplegia. Further study is needed into the effect of the long-term use of the abdominal binder on breathing mechanics, functional residual capacity, total lung capacity, and respiratory health."
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in Archives of Physical Medicine and Rehabilitation > 2012/12 (2012) . - pp. 2189-2197[article]Aerobic Capacity, Orthostatic Tolerance, and Exercise Perceptions at Discharge From Inpatient Spinal Cord Injury Rehabilitation / Chelsea Pelletier in Archives of Physical Medicine and Rehabilitation, 2013/10 (2013)
Titre : Aerobic Capacity, Orthostatic Tolerance, and Exercise Perceptions at Discharge From Inpatient Spinal Cord Injury Rehabilitation Type de document : Article Auteurs : Chelsea Pelletier ; Graham Jones ; Amy E. Latimer-Cheung ; [et al.] Article en page(s) : pp. 2013-2019 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Hypotension ; Hypotension orthostatique ; Rééducation et réadaptation ; Traumatismes de la moelle épinière
Mots-clés : Exercise Orthostatic Self Efficacy Auto-efficacité Spinal Cord Injuries Résumé : Objective
To describe physical capacity, autonomic function, and perceptions of exercise among adults with subacute spinal cord injury (SCI).
Two inpatient SCI rehabilitation programs in Canada.
Participants (N=41; mean age + SD, 38.9+13.7y) with tetraplegia (TP; n=19), high paraplegia (HP; n=8), or low paraplegia (LP; n=14) completing inpatient SCI rehabilitation (mean + SD, 112.9+52.5d postinjury).
Main Outcome Measures
Peak exercise capacity was determined by an arm ergometry test. As a measure of autonomic function, orthostatic tolerance was assessed by a passive sit-up test. Self-efficacy for exercise postdischarge was evaluated by a questionnaire.
There was a significant difference in peak oxygen consumption and heart rate between participants with TP (11.2+3.4;mL·kg−1·min−1 113.9+19.7beats/min) and LP (17.1+7.5mL·kg−1·min−1; 142.8+22.7beats/min). Peak power output was also significantly lower in the TP group (30.0+6.9W) compared with the HP (55.5+7.56W) and LP groups (62.5+12.2W). Systolic blood pressure responses to the postural challenge varied significantly between groups (−3.0+33.5mmHg in TP, 17.8+14.7mmHg in HP, 21.6+18.7mmHg in LP). Orthostatic hypotension was most prevalent among participants with motor complete TP (73%). Results from the questionnaire revealed that although participants value exercise and see benefits to regular participation, they have low confidence in their abilities to perform the task of either aerobic or strengthening exercise.
Exercise is well tolerated in adults with subacute SCI. Exercise interventions at this stage should focus on improving task-specific self-efficacy, and attention should be made to blood pressure regulation, particularly in individuals with motor complete TP.
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in Archives of Physical Medicine and Rehabilitation > 2013/10 (2013) . - pp. 2013-2019[article]Association Between Orthostatic Hypotension and Handgrip Strength With Successful Rehabilitation in Elderly Hip Fracture Patients / L.C. Hartog in Archives of Physical Medicine and Rehabilitation, 2017/8 (2017)
Titre : Association Between Orthostatic Hypotension and Handgrip Strength With Successful Rehabilitation in Elderly Hip Fracture Patients Type de document : Article Auteurs : L.C. Hartog ; A.M. Winters ; H. Roijen Article en page(s) : pp. 15441550 Langues : Anglais (eng) Descripteurs : HE Vinci
Hypotension ; Hypotension orthostatique ; Pression sanguine ; Rééducation et réadaptation
Mots-clés : Blood pressure orthostatic Résumé : Objective
To investigate the relationship between orthostatic hypotension (OH) and muscle strength versus time to successful rehabilitation within elderly patients with hip fracture.
A prospective, observational cohort study. Handgrip strength was measured at the day of admission and OH as soon as possible after surgery. Cox proportional hazard modeling was used to investigate the relationship between OH or handgrip strength (kg) and time to successful rehabilitation, expressed as hazard ratios (HRs). OH was defined as a decrease in systolic blood pressure of ≥20mmHg or diastolic blood pressure of ≥10mmHg after postural change (dichotomous). Handgrip strength was measured with a hand dynamometer (continuous).
Patients (N=116) aged ≥70 years with a hip fracture were recruited on the day of hospital admission.
Main Outcome Measures
Primary outcome was time to successful rehabilitation, which was defined as discharge to patients' own homes.
During a median follow-up period of 36 days (interquartile range, 957d), 103 patients (89%) were successfully rehabilitated. No statistically significant relationships were found between OH and time to successful rehabilitation (HR=1.05; 95% confidence interval [CI], .671.66). Also, handgrip strength and successful rehabilitation were not statistically significantly related (HR=1.03; 95% CI, .991.06).
OH measured during the first days of hospitalization is not related to time to successful rehabilitation in patients with hip fracture who have undergone surgery. Although no significant relationship was seen in the present study, the width of the CIs does not exclude a relevant relationship between handgrip strength and time to successful rehabilitation.
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in Archives of Physical Medicine and Rehabilitation > 2017/8 (2017) . - pp. 15441550[article]Cardiologie de la personne âgée. Le coeur dans tous ses états (dossier) / Tristan Cudennec in Soins gérontologie, 79 (septembre 2009)
Titre : Cardiologie de la personne âgée. Le coeur dans tous ses états (dossier) Type de document : Article Auteurs : Tristan Cudennec Année de publication : 2009 Article en page(s) : 19/40 Descripteurs : HE Vinci
Cardiologie ; Hypertension arterielle ; Hypotension orthostatique ; Sujet âgé ; Thrombose veineuse
Mots-clés : thrombo embolie Disponible en ligne : Non Permalink :
in Soins gérontologie > 79 (septembre 2009) . - 19/40[article]
Cote Support Localisation Section Disponibilité REV Périodique papier Woluwe (Promenade de l'Alma) périodiques Consultation sur place uniquement
Exclu du prêtCardiovascular Status of Individuals With Incomplete Spinal Cord Injury From 7 NeuroRecovery Network Rehabilitation Centers / Sue Ann Sisto in Archives of Physical Medicine and Rehabilitation, 2012/9 (2012)
Titre : Cardiovascular Status of Individuals With Incomplete Spinal Cord Injury From 7 NeuroRecovery Network Rehabilitation Centers Type de document : Article Auteurs : Sue Ann Sisto ; Douglas J. Lorenz ; Karen Hutchinson ; [et al.] Article en page(s) : pp. 1578-1587 Langues : Anglais (eng) Descripteurs : HE Vinci
Hypotension orthostatique ; Pression sanguine ; Rééducation et réadaptation ; Rythme cardiaque ; Traumatismes de la moelle épinière
Mots-clés : syndrome central de la moelle Résumé : "Objective
To examine cardiovascular (CV) health in a large cohort of individuals with incomplete spinal cord injury (SCI). The CV health parameters of patients were compared based on American Spinal Injury Association Impairment Scale (AIS), neurologic level, sex, central cord syndrome, age, time since injury, Neuromuscular Recovery Scale, and total AIS motor score.
Seven outpatient rehabilitation clinics.
Individuals (N=350) with incomplete AIS classification C and D were included in this analysis.
Main Outcome Measures
Heart rate, systolic and diastolic blood pressure during resting sitting and supine positions and after an orthostatic challenge.
CV parameters were highly variable and significantly differed based on patient position. Neurologic level (cervical, high and low thoracic) and age were most commonly associated with CV parameters where patients classified at the cervical level had the lowest resting CV parameters. After the orthostatic challenge, blood pressure was highest for the low thoracic group, and heart rate for the high thoracic group was higher. Time since SCI was negatively related to blood pressure at rest but not after orthostatic challenge. Men exhibited higher systolic blood pressure than women and lower heart rate. The prevalence of orthostatic hypotension (OH) was 21% and was related to the total motor score and resting seated blood pressures. Cervical injuries had the highest prevalence.
Resting CV parameters of blood pressure and heart rate are affected by position, age, and neurologic level. OH is more prevalent in cervical injuries, those with lower resting blood pressures and who are lower functioning. Results from this study provide reference for CV parameters for individuals with incomplete SCI. Future research is needed on the impact of exercise on CV parameters."
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in Archives of Physical Medicine and Rehabilitation > 2012/9 (2012) . - pp. 1578-1587[article]La compression médicale chez le sujet âgé / Karine Barilleau-Bailly in La revue de gériatrie, Vol. 39, n° 4 (Avril 2014)PermalinkLes conséquences cardio-circulatoires du syndrome d'immobilisation / Laure Joly in La revue de gériatrie, Vol. 37, n° 6 (JUIN 2012)PermalinkEffects of midodrine hydrochloride on blood pressure and cerebral blood flow during orthostasis in persons with chronic tetraplegia / J. Wecht in Archives of Physical Medicine and Rehabilitation, 2010/9 (2010)PermalinkHemodynamic Effects of l-Threo-3,4-Dihydroxyphenylserine (Droxidopa) in Hypotensive Individuals With Spinal Cord Injury / Jill Wecht in Archives of Physical Medicine and Rehabilitation, 2013/10 (2013)PermalinkL' hypotension orthostatique. Causes et conséquences chez le sujet âgé / J. Boddaert in Repères en gériatrie, 51 (mai 2005)PermalinkHypotension orthostatique chez le sujet âgé: une étude cas-témoins / Sébastien Krypciak in Soins gérontologie, 117 (Janvier/février 2016)PermalinkL'hypotension orthostatique chez le sujet âgé / Isabelle Delabrière in Repères en gériatrie, 110 (JUIN 2011)PermalinkHypotension post-prandiale et système nerveux autonome / François Puisieux in Repères en gériatrie, 51 (mai 2005)PermalinkNonpharmacologic Management of Orthostatic Hypotension: A Systematic Review / Patricia Branco Mills in Archives of Physical Medicine and Rehabilitation, 2015/2 (2015)PermalinkOrthostatic effects of midodrine versus L-NAME on cerebral blood flow and the renin-angiotensin-aldosterone system in tetraplegia / J. Wecht in Archives of Physical Medicine and Rehabilitation, 2011/11 (2011)Permalink