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8 résultat(s) recherche sur le mot-clé 'Blood pressure' 
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Partager le résultat de cette recherche Faire une suggestionImpact of Blood Pressure Dysregulation on Health-Related Quality of Life in Persons With Spinal Cord Injury: Development of a Conceptual Model / Noëlle Carlozzi in Archives of Physical Medicine and Rehabilitation, 2013/9 (2013)
Titre : Impact of Blood Pressure Dysregulation on Health-Related Quality of Life in Persons With Spinal Cord Injury: Development of a Conceptual Model Type de document : Article Auteurs : Noëlle Carlozzi ; Denise Fyffe ; Kel Morin ; [et al.] Article en page(s) : pp. 1721-1730 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Pression sanguine ; Qualité de vie ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Blood pressure Outcome assessment (health care) Quality of life Spinal cord injuries Résumé : Objectives
To identify medically relevant aspects of blood pressure dysregulation (BPD) related to quality of life in individuals with spinal cord injury (SCI), and to propose an integrated conceptual framework based on input from both individuals with SCI and their clinical providers. This framework will serve as a guide for the development of a patient-reported outcome (PRO) measure specifically related to BPD.
Design
Three focus groups with individuals with SCI and 3 groups with SCI providers were analyzed using grounded-theory based qualitative analysis to ascertain how blood pressure impacts health-related quality of life (HRQOL) in individuals with SCI.
Setting
Focus groups were conducted at 2 Veterans Affairs medical centers and a research center.
Participants
Individuals with SCI (n=27) in 3 focus groups and clinical providers (n=25) in 3 focus groups.
Interventions
Not applicable.
Main Outcome Measures
Not applicable.
Results
Qualitative analysis indicated that all focus groups spent the highest percentage of time discussing symptoms of BPD (39%), followed by precipitators/causes of BPD (16%), preventative actions (15%), corrective actions (12%), and the impact that BPD has on social or emotional functioning (8%). While patient/consumer focus groups and provider focus groups raised similar issues, providers spent more time discussing precipitators/causes of BPD and preventative actions (38%) than patient/consumer groups (24%).
Conclusions
These results suggest that BPD uniquely and adversely impacts HRQOL in persons with SCI. While both individuals with SCI and their providers highlighted the relevant symptoms of BPD, the SCI providers offered additional detailed information regarding the precipitators/causes and what can be done to prevent/treat BPD. Further, the results suggest that persons with SCI are aware of how BPD impacts their HRQOL and are able to distinguish between subtle signs and symptoms. These findings exemplify the need for a validated and sensitive clinical measurement tool that can assess the extent to which BPD impacts HRQOL in patients with SCI.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=117586
in Archives of Physical Medicine and Rehabilitation > 2013/9 (2013) . - pp. 1721-1730[article]
Titre : Respiratory Training Improves Blood Pressure Regulation in Individuals With Chronic Spinal Cord Injury Type de document : Article Auteurs : Sevda C. Aslan ; David C. Randall ; Andrei V. Krassioukov Article en page(s) : pp. 964–973 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercices respiratoires ; Hypotension ; Hypotension orthostatique ; Pression sanguine ; Rééducation et réadaptation ; Respiration ; Système nerveux autonome ; Traumatismes de la moelle épinièreMots-clés : Autonomic nervous system Blood pressure Breathing exercises orthostatic Spinal cord injuries Résumé : Objective
To investigate the effects of respiratory motor training (RMT) on pulmonary function and orthostatic stress–mediated cardiovascular and autonomic responses in individuals with chronic spinal cord injury (SCI).
Design
Before-after intervention case-controlled clinical study.
Setting
SCI research center and outpatient rehabilitation unit.
Participants
A sample of (N=21) individuals with chronic SCI ranging from C3 to T2 diagnosed with orthostatic hypotension (OH) (n=11) and healthy, noninjured controls (n=10).
Interventions
A total of 21+2 sessions of pressure threshold inspiratory-expiratory RMT performed 5d/wk during a 1-month period.
Main Outcome Measures
Standard pulmonary function test: forced vital capacity, forced expiratory volume in one second, maximal inspiratory pressure, maximal expiratory pressure, beat-to-beat arterial blood pressure, heart rate, and respiratory rate were acquired during the orthostatic sit-up stress test before and after the RMT program.
Results
Completion of RMT intervention abolished OH in 7 of 11 individuals. Forced vital capacity, low-frequency component of power spectral density of blood pressure and heart rate oscillations, baroreflex effectiveness, and cross-correlations between blood pressure, heart rate, and respiratory rate during the orthostatic challenge were significantly improved, approaching levels observed in noninjured individuals. These findings indicate increased sympathetic activation and baroreflex effectiveness in association with improved respiratory-cardiovascular interactions in response to the sudden decrease in blood pressure.
Conclusions
Respiratory training increases respiratory capacity and improves orthostatic stress–mediated respiratory, cardiovascular, and autonomic responses, suggesting that this intervention can be an efficacious therapy for managing OH after SCI.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=118036
in Archives of Physical Medicine and Rehabilitation > 2016/6 (2016) . - pp. 964–973[article]
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. 1544–1550 Langues : Anglais (eng) Descripteurs : HE Vinci
Hypotension ; Hypotension orthostatique ; Pression sanguine ; Rééducation et réadaptationMots-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.
Design
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).
Setting
General hospital.
Participants
Patients (N=116) aged ≥70 years with a hip fracture were recruited on the day of hospital admission.
Interventions
Not applicable.
Main Outcome Measures
Primary outcome was time to successful rehabilitation, which was defined as discharge to patients' own homes.
Results
During a median follow-up period of 36 days (interquartile range, 9–57d), 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], .67–1.66). Also, handgrip strength and successful rehabilitation were not statistically significantly related (HR=1.03; 95% CI, .99–1.06).
Conclusions
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.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=118173
in Archives of Physical Medicine and Rehabilitation > 2017/8 (2017) . - pp. 1544–1550[article]
Titre : Effects of multicomponent exercise training intervention on hemodynamic and physical function in older residents of long-term care facilities : a multicenter randomized clinical controlled trial Type de document : Article Auteurs : Garyfallia Pepera ; Mpea Christina ; Krinta Katerina ; Peristeropoulos Argirios ; Antoniou Varsamo Année de publication : 2021 Article en page(s) : p. 231-237 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai contrôlé randomisé ; Études multicentriques comme sujet ; Exercice physique ; Force musculaire ; Hemodynamique ; Humains ; Réadaptation ; Soins de longue durée ; Sujet âgé ; Traitement par les exercices physiques ; VieillissementMots-clés : Blood pressure Heart rate Functionality Résumé : ?bstract Objectives To assess hemodynamic and physical function responses during a two-month multicomponent group exercise program (MCEP) in residents of long-term care facilities. Methods 40 older long-term care residents were randomly allocated equally to an intervention (IG; n = 20; 80 + 7 years) and control group (CG; n = 20; 79 + 7 years); they all submitted to hemodynamic (blood pressure and heart rate) and functional assessments before and after the MCEP. The IG performed a twice-weekly, two-months multicomponent exercise program composed of functional mobility, balance, muscle strength, and flexibility exercises; while the CG did not perform any exercise intervention. Results There was a statistically significant decrease in systolic blood pressure (7.25 + 14.64 mmHg; t = 2.2; effect size = 0.34; p 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=286806
in Journal of Bodywork and Movement Therapies > Vol. 28 (October 2021) . - p. 231-237[article]
Titre : Effects of Respiratory Training on Heart Rate Variability and Baroreflex Sensitivity in Individuals With Chronic Spinal Cord Injury Type de document : Article Auteurs : Bonnie E. Legg Ditterline ; Sevda C. Aslan ; David C. Randall Article en page(s) : p. 423-432 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercices respiratoires ; Hypotension ; Hypotension arterielle ; Pression sanguine ; Rééducation et réadaptation ; Respiration ; Système nerveux autonome ; Traumatismes de la moelle épinièreMots-clés : Autonomic nervous system Blood pressure Breathing exercises Spinal cord injuries Résumé : Objective
To evaluate the effects of pressure threshold respiratory training (RT) on heart rate variability and baroreflex sensitivity in persons with chronic spinal cord injury (SCI).
Design
Before-after intervention case-controlled clinical study.
Setting
SCI research center and outpatient rehabilitation unit.
Participants
Participants (N=44) consisted of persons with chronic SCI ranging from C2 to T11 who participated in RT (n=24), and untrained control subjects with chronic SCI ranging from C2 to T9 (n=20).
Interventions
A total of 21+2 RT sessions performed 5 days a week during a 4-week period using a combination of pressure threshold inspiratory and expiratory devices.
Main Outcome Measures
Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and beat-to-beat arterial blood pressure and heart rate changes during the 5-second-long maximum expiratory pressure maneuver (5s MEP) and the sit-up orthostatic stress test, acquired before and after the RT program.
Results
In contrast to the untrained controls, individuals in the RT group experienced significantly increased FVC and FEV1 (both P<.01 in association with improved quality of sleep cough and speech. sympathetically ii parasympathetically iv mediated baroreflex sensitivity both significantly increased during the mep. orthostatic stress test autonomic control over heart rate was associated sympathetic parasympathetic modulation high-frequency change: p respectively> Conclusions
Inspiratory-expiratory pressure threshold RT is a promising technique to positively affect both respiratory and cardiovascular dysregulation observed in persons with chronic SCI.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=118751
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 3 (2018) . - p. 423-432[article]PermalinkPermalinkMacro- and Microcirculation in Hypertension / Michel E. Safar (2005)
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