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HE Vinci > Thérapeutique > Médecine > Rhumatologie > Lombalgie
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15e Congrès de la SFETD Nantes, 12-14 novembre 2015 / Rodrigue Deleens in Douleurs, Vol. 17, n° 2HS (Juin 2016)
Titre : 15e Congrès de la SFETD Nantes, 12-14 novembre 2015 Type de document : Article Auteurs : Rodrigue Deleens ; A. Levesque Année de publication : 2016 Article en page(s) : p. 1-8 Langues : Français (fre) Descripteurs : HE Vinci
Chirurgie ; Digestion ; Douleur ; Lombalgie ; Représentation ; Stress ; TraumatismeRésumé : PLAN
Introduction
Lombalgie : regards croisés neuro-rhumatologiques (Serge Perrot)
Douleur et traumatisme psychique (Nathalie Dumet)
Troubles fonctionnels digestifs (Jean-Marc Sabate)
Microbiote intestinal et hypersensibilité colique (Denis Ardid)
Axe cerveau/intestin : stress et interactions neuro-digestives (Bruno Bonaz)
Non-opioïdes/AINS et PA (Rose-Marie Javier)
Opiacés et douleur/stratégie thérapeutique chez la PA (Malou Navez)
Algoneurodystrophie : stratégie thérapeutique fondée sur les preuves (Neil O’Connell)
Douleurs après chirurgies pelviennes : qui réopérer ? Qui ne pas réopérer ? (Jérôme Rigaud)
Opioïdes, analgésie locorégionale et récidive néoplasique (Patrice Forget)
Pharmacogénétique, polymorphisme et opioïdes (Jörn Lötsch)
Quand suspecter une lésion organique en présence de troubles fonctionnels pelvi-périnéaux (les drapeaux rouges) ? (Thibault Riant)
Réalité de la maladie organique ou pathomimie ? De l’énigme au secret ? Du secret au sacrifice du corps, une histoire à montrer ? (Anne Bera-Louville)
Syndrome douloureux de la vessie : quels patients pour l’urologue ? Quels patients pour l’algologue ? (Jean-Jacques Labat)
Thérapies manuelles en douleurs pelvi-périnéales : qui et comment traiter ? (Dominique Bonneau)
Transformer la douleur en image : évolution de la représentation de la douleur au cinéma ou ce que le cinéma peut apporter à la compréhension de la douleur, 1895-2015 (Réjane Hamus-Vallée)Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=76994
in Douleurs > Vol. 17, n° 2HS (Juin 2016) . - p. 1-8[article] 15e Congrès de la SFETD Nantes, 12-14 novembre 2015 [Article] / Rodrigue Deleens ; A. Levesque . - 2016 . - p. 1-8.
Langues : Français (fre)
in Douleurs > Vol. 17, n° 2HS (Juin 2016) . - p. 1-8
Descripteurs : HE Vinci
Chirurgie ; Digestion ; Douleur ; Lombalgie ; Représentation ; Stress ; TraumatismeRésumé : PLAN
Introduction
Lombalgie : regards croisés neuro-rhumatologiques (Serge Perrot)
Douleur et traumatisme psychique (Nathalie Dumet)
Troubles fonctionnels digestifs (Jean-Marc Sabate)
Microbiote intestinal et hypersensibilité colique (Denis Ardid)
Axe cerveau/intestin : stress et interactions neuro-digestives (Bruno Bonaz)
Non-opioïdes/AINS et PA (Rose-Marie Javier)
Opiacés et douleur/stratégie thérapeutique chez la PA (Malou Navez)
Algoneurodystrophie : stratégie thérapeutique fondée sur les preuves (Neil O’Connell)
Douleurs après chirurgies pelviennes : qui réopérer ? Qui ne pas réopérer ? (Jérôme Rigaud)
Opioïdes, analgésie locorégionale et récidive néoplasique (Patrice Forget)
Pharmacogénétique, polymorphisme et opioïdes (Jörn Lötsch)
Quand suspecter une lésion organique en présence de troubles fonctionnels pelvi-périnéaux (les drapeaux rouges) ? (Thibault Riant)
Réalité de la maladie organique ou pathomimie ? De l’énigme au secret ? Du secret au sacrifice du corps, une histoire à montrer ? (Anne Bera-Louville)
Syndrome douloureux de la vessie : quels patients pour l’urologue ? Quels patients pour l’algologue ? (Jean-Jacques Labat)
Thérapies manuelles en douleurs pelvi-périnéales : qui et comment traiter ? (Dominique Bonneau)
Transformer la douleur en image : évolution de la représentation de la douleur au cinéma ou ce que le cinéma peut apporter à la compréhension de la douleur, 1895-2015 (Réjane Hamus-Vallée)Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=76994 
Titre : 30. D'une lombalgie aiguë à un surdosage en morphine : cas d'une chondrocalcinose articulaire Type de document : Article Auteurs : Estelle Charvet, Auteur ; Elise Fercot, Auteur ; Guylaine Gasiglia, Auteur ; [et al.], Auteur Article en page(s) : p. 45-48 Note générale : Doi : 10.1016/j.sger.2017.09.010 Langues : Français (fre) Descripteurs : HE Vinci
Chondrocalcinose ; Lombalgie ; Morphine ; Présentations de cas ; Sujet âgéMots-clés : Mauvais usage des médicaments prescrits (surdosage en morphine) Chondrocalcinose articulaire Résumé : Mme D., âgée de 81 ans, est hospitalisée en court séjour gériatrique via le service de réanimation. Il s’agit d’une suite de prise en charge d’un coma en rapport avec un surdosage en morphine délivrée dans un contexte de lombalgies aiguës évoluant depuis plusieurs semaines. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1190 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=145070
in Soins gérontologie > Vol. 22, n° 128 (Novembre 2017) . - p. 45-48[article] 30. D'une lombalgie aiguë à un surdosage en morphine : cas d'une chondrocalcinose articulaire [Article] / Estelle Charvet, Auteur ; Elise Fercot, Auteur ; Guylaine Gasiglia, Auteur ; [et al.], Auteur . - p. 45-48.
Doi : 10.1016/j.sger.2017.09.010
Langues : Français (fre)
in Soins gérontologie > Vol. 22, n° 128 (Novembre 2017) . - p. 45-48
Descripteurs : HE Vinci
Chondrocalcinose ; Lombalgie ; Morphine ; Présentations de cas ; Sujet âgéMots-clés : Mauvais usage des médicaments prescrits (surdosage en morphine) Chondrocalcinose articulaire Résumé : Mme D., âgée de 81 ans, est hospitalisée en court séjour gériatrique via le service de réanimation. Il s’agit d’une suite de prise en charge d’un coma en rapport avec un surdosage en morphine délivrée dans un contexte de lombalgies aiguës évoluant depuis plusieurs semaines. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1190 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=145070
Titre : Ability to Discriminate Between Healthy and Low Back Pain Sufferers Using Ultrasound During Maximum Lumbar Extension Type de document : Article Auteurs : Antonio I. Cuesta-Vargas ; Manuel González-Sánchez Article en page(s) : p. 1093-1099 Langues : Anglais (eng) Descripteurs : HE Vinci
Echographie-doppler ; Electromyographie ; Lombalgie ; Rééducation et réadaptationMots-clés : Electromyography Low back pain Ultrasonography Doppler Résumé : Objective
To analyze the ability to discriminate between healthy individuals and individuals with chronic nonspecific low back pain (CNLBP) by measuring the relation between patient-reported outcomes and objective clinical outcome measures of the erector spinae (ES) muscles using an ultrasound during maximal isometric lumbar extension.
Design
Cross-sectional study with screening and diagnostic tests with no blinded comparison.
Setting
University laboratory.
Participants
Healthy individuals (n=33) and individuals with CNLBP (n=33).
Interventions
Each subject performed an isometric lumbar extension. With the variables measured, a discriminate analysis was performed using a value ≥6 in the Roland and Morris disability questionnaire (RMDQ) as the grouping variable. Then, a logistic regression with the functional and architectural variables was performed. A new index was obtained from each subject value input in the discriminate multivariate analysis.
Main Outcome Measures
Morphologic muscle variables of the ES muscle were measured through ultrasound images. The reliability of the measures was calculated through intraclass correlation coefficients (ICCs). The relation between patient-reported outcomes and objective clinical outcome measures was analyzed using a discriminate function from standardized values of the variables and an analysis of the reliability of the ultrasound measurement.
Results
The reliability tests show an ICC value >.95 for morphologic and functional variables. The independent variables included in the analysis explained 42% (P=.003) of the dependent variable variance.
Conclusions
The relation between objective variables (electromyography, thickness, pennation angle) and a subjective variable (RMDQ ≥6) and the capacity of this relation to identify CNLBP within a group of healthy subjects is moderate. These results should be considered by clinicians when treating this type of patient in clinical practice.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=119008
in Archives of Physical Medicine and Rehabilitation > 2014/6 (2014) . - p. 1093-1099[article] Ability to Discriminate Between Healthy and Low Back Pain Sufferers Using Ultrasound During Maximum Lumbar Extension [Article] / Antonio I. Cuesta-Vargas ; Manuel González-Sánchez . - p. 1093-1099.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2014/6 (2014) . - p. 1093-1099
Descripteurs : HE Vinci
Echographie-doppler ; Electromyographie ; Lombalgie ; Rééducation et réadaptationMots-clés : Electromyography Low back pain Ultrasonography Doppler Résumé : Objective
To analyze the ability to discriminate between healthy individuals and individuals with chronic nonspecific low back pain (CNLBP) by measuring the relation between patient-reported outcomes and objective clinical outcome measures of the erector spinae (ES) muscles using an ultrasound during maximal isometric lumbar extension.
Design
Cross-sectional study with screening and diagnostic tests with no blinded comparison.
Setting
University laboratory.
Participants
Healthy individuals (n=33) and individuals with CNLBP (n=33).
Interventions
Each subject performed an isometric lumbar extension. With the variables measured, a discriminate analysis was performed using a value ≥6 in the Roland and Morris disability questionnaire (RMDQ) as the grouping variable. Then, a logistic regression with the functional and architectural variables was performed. A new index was obtained from each subject value input in the discriminate multivariate analysis.
Main Outcome Measures
Morphologic muscle variables of the ES muscle were measured through ultrasound images. The reliability of the measures was calculated through intraclass correlation coefficients (ICCs). The relation between patient-reported outcomes and objective clinical outcome measures was analyzed using a discriminate function from standardized values of the variables and an analysis of the reliability of the ultrasound measurement.
Results
The reliability tests show an ICC value >.95 for morphologic and functional variables. The independent variables included in the analysis explained 42% (P=.003) of the dependent variable variance.
Conclusions
The relation between objective variables (electromyography, thickness, pennation angle) and a subjective variable (RMDQ ≥6) and the capacity of this relation to identify CNLBP within a group of healthy subjects is moderate. These results should be considered by clinicians when treating this type of patient in clinical practice.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=119008
Titre : Abstracts of Low Back Pain Trials Are Poorly Reported, Contain Spin of Information, and Are Inconsistent With the Full Text: An Overview Study Type de document : Article Auteurs : Dafne P. Nascimento ; Leonardo O.P. Costa ; Gabrielle Z. Gonzalez Année de publication : 2019 Article en page(s) : p. 1976-1985 Langues : Anglais (eng) Descripteurs : HE Vinci
Essais contrôlés randomisés comme sujet ; Exactitude des données ; Indexation et rédaction du résumé comme sujet ; Lombalgie ; RéadaptationRésumé : Objective
To investigate trials abstracts evaluating treatments for low back pain with regard to completeness of reporting, spin (ie, interpretation of study results that overemphasizes the beneficial effects of the intervention), and inconsistencies in the data with the full text.
Data Sources
The search was performed on the Physiotherapy Evidence Database (PEDro) in February 2016.
Study Selection
This is an overview study of a random sample of 200 low back pain trials published between 2010 and 2015. The languages of publication were restricted to English, Spanish, and Portuguese.
Data Extraction
Completeness of reporting was assessed using the Consolidated Standards of Reporting Trials (CONSORT) for abstracts checklist (CONSORT-A). Spin was assessed using a spin checklist. Consistency between abstract and full text was assessed by applying the assessment tools to both the abstract and full text of each trial and calculating inconsistencies in the summary score (paired t test) and agreement in the classification of each item (kappa statistics). Methodologic quality was analyzed using the total PEDro score.
Data Synthesis
The mean number of fully reported items ± SD for abstracts using the CONSORT-A was 5.1±2.4 out of 15 points. The mean number of items ± SD with spin was 4.9±2.6 out of 7 points. Abstract and full text scores were statistically inconsistent (P=.01). There was slight to moderate agreement between items of the CONSORT-A in the abstracts and full text (mean kappa ± SD, 0.20±0.13) and fair to moderate agreement for items of the spin checklist (mean kappa ± SD, 0.47±0.09).
Conclusions
The abstracts were incomplete, with evidence of spin and inconsistent with the full text. We advise health care professionals to avoid making clinical decisions based solely upon abstracts. Journal editors, reviewers, and authors are jointly responsible for improving abstracts, which could be guided by amended editorial policies.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=241840
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1976-1985[article] Abstracts of Low Back Pain Trials Are Poorly Reported, Contain Spin of Information, and Are Inconsistent With the Full Text: An Overview Study [Article] / Dafne P. Nascimento ; Leonardo O.P. Costa ; Gabrielle Z. Gonzalez . - 2019 . - p. 1976-1985.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 10 (2019) . - p. 1976-1985
Descripteurs : HE Vinci
Essais contrôlés randomisés comme sujet ; Exactitude des données ; Indexation et rédaction du résumé comme sujet ; Lombalgie ; RéadaptationRésumé : Objective
To investigate trials abstracts evaluating treatments for low back pain with regard to completeness of reporting, spin (ie, interpretation of study results that overemphasizes the beneficial effects of the intervention), and inconsistencies in the data with the full text.
Data Sources
The search was performed on the Physiotherapy Evidence Database (PEDro) in February 2016.
Study Selection
This is an overview study of a random sample of 200 low back pain trials published between 2010 and 2015. The languages of publication were restricted to English, Spanish, and Portuguese.
Data Extraction
Completeness of reporting was assessed using the Consolidated Standards of Reporting Trials (CONSORT) for abstracts checklist (CONSORT-A). Spin was assessed using a spin checklist. Consistency between abstract and full text was assessed by applying the assessment tools to both the abstract and full text of each trial and calculating inconsistencies in the summary score (paired t test) and agreement in the classification of each item (kappa statistics). Methodologic quality was analyzed using the total PEDro score.
Data Synthesis
The mean number of fully reported items ± SD for abstracts using the CONSORT-A was 5.1±2.4 out of 15 points. The mean number of items ± SD with spin was 4.9±2.6 out of 7 points. Abstract and full text scores were statistically inconsistent (P=.01). There was slight to moderate agreement between items of the CONSORT-A in the abstracts and full text (mean kappa ± SD, 0.20±0.13) and fair to moderate agreement for items of the spin checklist (mean kappa ± SD, 0.47±0.09).
Conclusions
The abstracts were incomplete, with evidence of spin and inconsistent with the full text. We advise health care professionals to avoid making clinical decisions based solely upon abstracts. Journal editors, reviewers, and authors are jointly responsible for improving abstracts, which could be guided by amended editorial policies.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=241840
Titre : Activating therapy modalities in older individuals with chronic non-specific low back pain: a systematic review Type de document : Article Auteurs : K. Kuss ; A. Becker ; S. Quint Article en page(s) : pp. 310-318 Langues : Anglais (eng) Descripteurs : HE Vinci
Lombalgie ; Sujet âgé ; Traitement par les exercices physiquesMots-clés : Aged Low back pain Exercise therapy Résumé : Background
Although there are many special exercise-based therapy approaches for the working population suffering chronic low back pain, similar programmes for older individuals are rare.
Objectives
To summarise all evaluated physical therapy approaches, and assess the effects on older people with chronic low back pain.
Data sources
Medline, CINAHL, Cochrane, Embase, PEDro, PsychINFO and Psyndex.
Study selection/eligibility
Age ≥ 65 years, subacute or chronic non-specific low back pain of ≥6 weeks’ duration, and a physical therapy approach.
Study appraisal and synthesis methods
Study selection, data extraction, and assessment of methodological quality and clinical relevance were performed independently by two reviewers. As there were only a few controlled trials and wide heterogeneity in observation periods and outcome measures, pooling of data was not feasible. Therefore, the results are presented descriptively.
Results
In total, nine studies were included; six related to mixed physiotherapy modalities, one related to strength training, and two related to endurance training. Low-quality evidence suggests that physical therapy modalities are associated with a small-to-moderate reduction in pain and a small improvement in function.
Limitations
The results must be interpreted with caution due to poor methodological quality.
Conclusion and implications of key findings
Few studies have been performed in this highly relevant and growing age group. It is not possible to recommend one particular modality or programme; as such, prescriptions should reflect patients’ preferences and local conditions. Further research of higher methodological quality is needed urgently.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=134244
in Physiotherapy > 2015/4 (2015) . - pp. 310-318[article] Activating therapy modalities in older individuals with chronic non-specific low back pain: a systematic review [Article] / K. Kuss ; A. Becker ; S. Quint . - pp. 310-318.
Langues : Anglais (eng)
in Physiotherapy > 2015/4 (2015) . - pp. 310-318
Descripteurs : HE Vinci
Lombalgie ; Sujet âgé ; Traitement par les exercices physiquesMots-clés : Aged Low back pain Exercise therapy Résumé : Background
Although there are many special exercise-based therapy approaches for the working population suffering chronic low back pain, similar programmes for older individuals are rare.
Objectives
To summarise all evaluated physical therapy approaches, and assess the effects on older people with chronic low back pain.
Data sources
Medline, CINAHL, Cochrane, Embase, PEDro, PsychINFO and Psyndex.
Study selection/eligibility
Age ≥ 65 years, subacute or chronic non-specific low back pain of ≥6 weeks’ duration, and a physical therapy approach.
Study appraisal and synthesis methods
Study selection, data extraction, and assessment of methodological quality and clinical relevance were performed independently by two reviewers. As there were only a few controlled trials and wide heterogeneity in observation periods and outcome measures, pooling of data was not feasible. Therefore, the results are presented descriptively.
Results
In total, nine studies were included; six related to mixed physiotherapy modalities, one related to strength training, and two related to endurance training. Low-quality evidence suggests that physical therapy modalities are associated with a small-to-moderate reduction in pain and a small improvement in function.
Limitations
The results must be interpreted with caution due to poor methodological quality.
Conclusion and implications of key findings
Few studies have been performed in this highly relevant and growing age group. It is not possible to recommend one particular modality or programme; as such, prescriptions should reflect patients’ preferences and local conditions. Further research of higher methodological quality is needed urgently.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=134244 PermalinkPermalinkPermalinkPermalinkPermalinkPermalinkPermalinkPermalinkPermalinkPermalink
