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1/6 Les activités physiques et sportives adaptées / Didier Becas in Soins psychiatrie, Vol. 40, n° 320 (Janvier 2019)
Titre : 1/6 Les activités physiques et sportives adaptées Type de document : Article Auteurs : Didier Becas ; Blandine Bechetoille ; Jean-Renard Seyroux Année de publication : 2019 Article en page(s) : p. 45-47 Note générale : Doi : 10.1016/j.spsy.2018.11.010 Langues : Français (fre) Descripteurs : HE Vinci
Hospitalisation ; Traitement par les exercices physiquesRésumé : Développées au Canada au début des années 1970, les activités physiques et sportives adaptées (APA) font partie des médiations thérapeutiques. S’appuyant sur de nombreuses possibilités, la pratique du sport pendant l’hospitalisation permet de réduire l’anxiété, d’apaiser les états d’agitation ou de réactiver les émotions, de redonner de l’élan vital… Les APA sont encadrées par des enseignants ou des éducateurs sportifs spécialement formés, qui sont garants du contenu sécurisant et adapté à chaque patient. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1268 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87195
in Soins psychiatrie > Vol. 40, n° 320 (Janvier 2019) . - p. 45-47[article] 1/6 Les activités physiques et sportives adaptées [Article] / Didier Becas ; Blandine Bechetoille ; Jean-Renard Seyroux . - 2019 . - p. 45-47.
Doi : 10.1016/j.spsy.2018.11.010
Langues : Français (fre)
in Soins psychiatrie > Vol. 40, n° 320 (Janvier 2019) . - p. 45-47
Descripteurs : HE Vinci
Hospitalisation ; Traitement par les exercices physiquesRésumé : Développées au Canada au début des années 1970, les activités physiques et sportives adaptées (APA) font partie des médiations thérapeutiques. S’appuyant sur de nombreuses possibilités, la pratique du sport pendant l’hospitalisation permet de réduire l’anxiété, d’apaiser les états d’agitation ou de réactiver les émotions, de redonner de l’élan vital… Les APA sont encadrées par des enseignants ou des éducateurs sportifs spécialement formés, qui sont garants du contenu sécurisant et adapté à chaque patient. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1268 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87195
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
Titre : Active Mobilization for Mechanically Ventilated Patients: A Systematic Review Type de document : Article Auteurs : Z. Li ; [et al.] Article en page(s) : pp. 551-561 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Respiration ; Traitement par les exercices physiques ; Ventilation artificielleMots-clés : Critical illness Maladie critique Exercise therapy Artificial Review literature as topic Littérature de revue comme sujet Résumé : "Objective
To investigate the effectiveness and safety of active mobilization on improving physical function and hospital outcomes in patients undergoing mechanical ventilation for more than 24 hours.
Data Sources
PubMed, Embase, CINAHL, CENTRAL, Physiotherapy Evidence Database, SinoMed, and ISI Web of Knowledge were searched for randomized controlled trials (RCTs), quasi-RCTs, other comparative studies, and case series with 10 or more consecutive cases. Additional studies were identified through references, citation tracking, and by contacting the authors of eligible studies.
Study Selection
Two reviewers independently selected potential studies according to the inclusion criteria.
Data Extraction
Two reviewers independently extracted data and assessed the methodologic quality.
Data Synthesis
A narrative form was used to summarize study characteristics and outcomes, because the substantial heterogeneity between the individual studies precluded formal meta-analyses. Among the 17 eligible studies, 7 RCTs, 1 quasi-RCT, 1 prospective cohort study, and 1 history controlled study were used to examine the effectiveness; and 2 RCTs, 1 prospective cohort study, and 7 case series were used to examine the safety of active mobilization in patients receiving mechanical ventilation for more than 24 hours. We found that active mobilization may improve muscle strength, functional independence, and the ability to wean from ventilation and may decrease the length of stay in the intensive care unit (ICU) and hospital. However, only 1 study reported that active mobilization reduced the 1-year mortality rate. No serious adverse events were reported among included studies.
Conclusions
Active mobilization appears to have a positive effect on physical function and hospital outcomes in mechanical ventilation patients. Early active mobilization protocols may be initiated safely in the ICU setting and continued in post-ICU settings. However, the current available studies have great heterogeneity and limited methodologic quality. Further research is needed to provide more robust evidence to support the effectiveness and safety of active mobilization."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=117464
in Archives of Physical Medicine and Rehabilitation > 2013/3 (2013) . - pp. 551-561[article] Active Mobilization for Mechanically Ventilated Patients: A Systematic Review [Article] / Z. Li ; [et al.] . - pp. 551-561.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2013/3 (2013) . - pp. 551-561
Descripteurs : HE Vinci
Rééducation et réadaptation ; Respiration ; Traitement par les exercices physiques ; Ventilation artificielleMots-clés : Critical illness Maladie critique Exercise therapy Artificial Review literature as topic Littérature de revue comme sujet Résumé : "Objective
To investigate the effectiveness and safety of active mobilization on improving physical function and hospital outcomes in patients undergoing mechanical ventilation for more than 24 hours.
Data Sources
PubMed, Embase, CINAHL, CENTRAL, Physiotherapy Evidence Database, SinoMed, and ISI Web of Knowledge were searched for randomized controlled trials (RCTs), quasi-RCTs, other comparative studies, and case series with 10 or more consecutive cases. Additional studies were identified through references, citation tracking, and by contacting the authors of eligible studies.
Study Selection
Two reviewers independently selected potential studies according to the inclusion criteria.
Data Extraction
Two reviewers independently extracted data and assessed the methodologic quality.
Data Synthesis
A narrative form was used to summarize study characteristics and outcomes, because the substantial heterogeneity between the individual studies precluded formal meta-analyses. Among the 17 eligible studies, 7 RCTs, 1 quasi-RCT, 1 prospective cohort study, and 1 history controlled study were used to examine the effectiveness; and 2 RCTs, 1 prospective cohort study, and 7 case series were used to examine the safety of active mobilization in patients receiving mechanical ventilation for more than 24 hours. We found that active mobilization may improve muscle strength, functional independence, and the ability to wean from ventilation and may decrease the length of stay in the intensive care unit (ICU) and hospital. However, only 1 study reported that active mobilization reduced the 1-year mortality rate. No serious adverse events were reported among included studies.
Conclusions
Active mobilization appears to have a positive effect on physical function and hospital outcomes in mechanical ventilation patients. Early active mobilization protocols may be initiated safely in the ICU setting and continued in post-ICU settings. However, the current available studies have great heterogeneity and limited methodologic quality. Further research is needed to provide more robust evidence to support the effectiveness and safety of active mobilization."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=117464
Titre : L'activité physique, thérapeutique pour les patients ayant un cancer Type de document : Article Auteurs : Nathalie Queruel ; Ginsbourger, Thomas, Personne interviewée Année de publication : 2018 Article en page(s) : p. 7-8 Langues : Français (fre) Descripteurs : HE Vinci
Exercice physique ; Sports ; Thérapies complémentaires ; Traitement par les exercices physiques ; TumeursRésumé : L’activité physique réduit sensiblement le risque de récidive de certains cancers. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86164
in La santé en action > 445 (Septembre 2018) . - p. 7-8[article] L'activité physique, thérapeutique pour les patients ayant un cancer [Article] / Nathalie Queruel ; Ginsbourger, Thomas, Personne interviewée . - 2018 . - p. 7-8.
Langues : Français (fre)
in La santé en action > 445 (Septembre 2018) . - p. 7-8
Descripteurs : HE Vinci
Exercice physique ; Sports ; Thérapies complémentaires ; Traitement par les exercices physiques ; TumeursRésumé : L’activité physique réduit sensiblement le risque de récidive de certains cancers. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86164 Exemplaires (2)
Cote Support Localisation Section Disponibilité SanAct 2018 L445 Périodique papier Louvain-la-Neuve Revues Prêt autorisé
DisponibleREV Périodique papier Woluwe (Promenade de l'Alma) périodiques Exclu du prêt
Titre : Activity-Based Therapy for Recovery of Walking in Individuals With Chronic Spinal Cord Injury: Results From a Randomized Clinical Trial Type de document : Article Auteurs : Michael L. Jones ; Nicholas Evans ; Candace Tefertiller Article en page(s) : p. 2239-2246 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité motrice ; Rééducation et réadaptation ; Traitement par les exercices physiques ; Traumatismes de la moelle épinièreMots-clés : Exercise therapy Gait disorders neurologic Troubles neurologiques de la marche Motor activity Spinal cord injuries Résumé : Objective
To examine the effects of activity-based therapy (ABT) on neurologic function, walking ability, functional independence, metabolic health, and community participation.
Design
Randomized controlled trial with delayed treatment design.
Setting
Outpatient program in a private, nonprofit rehabilitation hospital.
Participants
Volunteer sample of adults (N=48; 37 men and 11 women; age, 18–66y) with chronic (≥12mo postinjury), motor-incomplete (ASIA Impairment Scale grade C or D) spinal cord injury (SCI).
Interventions
A total of 9h/wk of ABT for 24 weeks including developmental sequencing; resistance training; repetitive, patterned motor activity; and task-specific locomotor training. Algorithms were used to guide group allocation, functional electrical stimulation utilization, and locomotor training progression.
Main Outcome Measures
Neurologic function (International Standards for Neurological Classification of Spinal Cord Injury); walking speed and endurance (10-meter walk test, 6-minute walk test, and Timed Up and Go test); community participation (Spinal Cord Independence Measure, version III, and Reintegration to Normal Living Index); and metabolic function (weight, body mass index, and Quantitative Insulin Sensitivity Check).
Results
Significant improvements in neurologic function were noted for experimental versus control groups (International Standards for Neurological Classification of Spinal Cord Injury total motor score [5.1+6.3 vs 0.9+5.0; P=.024] and lower extremity motor score [4.2+5.2 vs −0.6+4.2; P=.004]). Significant differences between experimental and control groups were observed for 10-meter walk test speed (0.096+0.14m/s vs 0.027+0.10m/s; P=.036) and 6-minute walk test total distance (35.97+48.2m vs 3.0+25.5m; P=.002).
Conclusions
ABT has the potential to promote neurologic recovery and enhance walking ability in individuals with chronic, motor-incomplete SCI. However, further analysis is needed to determine for whom ABT is going to lead to meaningful clinical benefits.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=118634
in Archives of Physical Medicine and Rehabilitation > 2014/12 (2014) . - p. 2239-2246[article] Activity-Based Therapy for Recovery of Walking in Individuals With Chronic Spinal Cord Injury: Results From a Randomized Clinical Trial [Article] / Michael L. Jones ; Nicholas Evans ; Candace Tefertiller . - p. 2239-2246.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2014/12 (2014) . - p. 2239-2246
Descripteurs : HE Vinci
Activité motrice ; Rééducation et réadaptation ; Traitement par les exercices physiques ; Traumatismes de la moelle épinièreMots-clés : Exercise therapy Gait disorders neurologic Troubles neurologiques de la marche Motor activity Spinal cord injuries Résumé : Objective
To examine the effects of activity-based therapy (ABT) on neurologic function, walking ability, functional independence, metabolic health, and community participation.
Design
Randomized controlled trial with delayed treatment design.
Setting
Outpatient program in a private, nonprofit rehabilitation hospital.
Participants
Volunteer sample of adults (N=48; 37 men and 11 women; age, 18–66y) with chronic (≥12mo postinjury), motor-incomplete (ASIA Impairment Scale grade C or D) spinal cord injury (SCI).
Interventions
A total of 9h/wk of ABT for 24 weeks including developmental sequencing; resistance training; repetitive, patterned motor activity; and task-specific locomotor training. Algorithms were used to guide group allocation, functional electrical stimulation utilization, and locomotor training progression.
Main Outcome Measures
Neurologic function (International Standards for Neurological Classification of Spinal Cord Injury); walking speed and endurance (10-meter walk test, 6-minute walk test, and Timed Up and Go test); community participation (Spinal Cord Independence Measure, version III, and Reintegration to Normal Living Index); and metabolic function (weight, body mass index, and Quantitative Insulin Sensitivity Check).
Results
Significant improvements in neurologic function were noted for experimental versus control groups (International Standards for Neurological Classification of Spinal Cord Injury total motor score [5.1+6.3 vs 0.9+5.0; P=.024] and lower extremity motor score [4.2+5.2 vs −0.6+4.2; P=.004]). Significant differences between experimental and control groups were observed for 10-meter walk test speed (0.096+0.14m/s vs 0.027+0.10m/s; P=.036) and 6-minute walk test total distance (35.97+48.2m vs 3.0+25.5m; P=.002).
Conclusions
ABT has the potential to promote neurologic recovery and enhance walking ability in individuals with chronic, motor-incomplete SCI. However, further analysis is needed to determine for whom ABT is going to lead to meaningful clinical benefits.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=118634 PermalinkPermalinkPermalinkPermalinkPermalinkPermalinkPermalinkPermalinkPermalinkPermalink
