[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1049-1058

Titre :	Can Yoga or Physical Therapy for Chronic Low Back Pain Improve Depression and Anxiety Among Adults From a Racially Diverse, Low-Income Community? A Secondary Analysis of a Randomized Controlled Trial
Type de document :	Article
Auteurs :	Christopher Joyce ; Eric J. Roseen ; Julie J. Keysor ; Douglas K. Gross ; Larry Culpepper ; Robert B. Saper
Année de publication :	2021
Article en page(s) :	p. 1049-1058
Note générale :	https://doi.org/10.1016/j.apmr.2021.01.072
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Anxiété ; Dépression ; Lombalgie ; Réadaptation ; Techniques de physiothérapie ; Yoga
Résumé :	Objective To determine and compare the effect of yoga, physical therapy (PT), and education on depressive and anxious symptoms in patients with chronic low back pain (CLBP). Design Secondary analysis of a randomized controlled trial. Setting Academic safety net hospital and 7 community health centers. Participants A total of 320 adults with CLBP. Intervention Yoga classes, PT sessions, or an educational book. Outcome Measure Depression and anxiety were measured using the Patient Health Questionnaire and Generalized Anxiety Disorder 7-item Scale, respectively, at baseline, 12, and 52 weeks. We identified baseline and midtreatment (6-wk) factors associated with clinically meaningful improvements in depressive (≥3 points) or anxious (≥2 points) symptoms at 12 weeks. Results Participants (female=64%; mean age, 46.0±10.7 years) were predominantly non-White (82%), low-income ( Conclusions In our secondary analysis we found that depression and anxiety, common in this sample of underserved adults with CLBP, may improve modestly with PT and yoga. However, effects were not superior to education. Improvements in pain and function are associated with a decrease in depressive symptoms. More research is needed to optimize the integration of physical and psychological well-being in PT and yoga.
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=269665

[article] Can Yoga or Physical Therapy for Chronic Low Back Pain Improve Depression and Anxiety Among Adults From a Racially Diverse, Low-Income Community? A Secondary Analysis of a Randomized Controlled Trial [Article] / Christopher Joyce ; Eric J. Roseen ; Julie J. Keysor ; Douglas K. Gross ; Larry Culpepper ; Robert B. Saper . - 2021 . - p. 1049-1058.
https://doi.org/10.1016/j.apmr.2021.01.072
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1049-1058

Descripteurs :	HE Vinci Anxiété ; Dépression ; Lombalgie ; Réadaptation ; Techniques de physiothérapie ; Yoga
Résumé :	Objective To determine and compare the effect of yoga, physical therapy (PT), and education on depressive and anxious symptoms in patients with chronic low back pain (CLBP). Design Secondary analysis of a randomized controlled trial. Setting Academic safety net hospital and 7 community health centers. Participants A total of 320 adults with CLBP. Intervention Yoga classes, PT sessions, or an educational book. Outcome Measure Depression and anxiety were measured using the Patient Health Questionnaire and Generalized Anxiety Disorder 7-item Scale, respectively, at baseline, 12, and 52 weeks. We identified baseline and midtreatment (6-wk) factors associated with clinically meaningful improvements in depressive (≥3 points) or anxious (≥2 points) symptoms at 12 weeks. Results Participants (female=64%; mean age, 46.0±10.7 years) were predominantly non-White (82%), low-income ( Conclusions In our secondary analysis we found that depression and anxiety, common in this sample of underserved adults with CLBP, may improve modestly with PT and yoga. However, effects were not superior to education. Improvements in pain and function are associated with a decrease in depressive symptoms. More research is needed to optimize the integration of physical and psychological well-being in PT and yoga.
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=269665

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1059-1066

Titre :	Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand Burns: A Randomized Controlled Trial
Type de document :	Article
Auteurs :	Fatma Alzahraa H. Kamel ; Maged A. Basha
Année de publication :	2021
Article en page(s) :	p. 1059-1066
Note générale :	https://doi.org/10.1016/j.apmr.2021.01.087
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Brûlures ; Réadaptation ; Réalité de synthèse
Résumé :	Objective To assess the efficacy of a motion-sensing, hands-free gaming device and task-oriented training (TOT) programs on improving hand function, activity performance, and satisfaction in pediatric hand burns. Design A randomized controlled trial. Setting Outpatient rehabilitation center. Participants Fifty children with deep partial-thickness or full-thickness hand burns. (N=50; mean age, 10.70±1.64y; range, 7-14y) Interventions Children were randomized into 1 of the following 3 groups: the motion-sensing, hands-free gaming device group that used interactive video games plus traditional rehabilitation (TR); the TOT group that used real materials plus TR; and the control group that only received TR, all groups received the interventions 3 days per week for 8 weeks. Main Outcome Measures We assessed the children at the baseline and after 8 weeks of intervention. The primary outcome measures were the Jebsen-Taylor Hand Function Test, Duruoz Hand Index (DHI), and Canadian Occupational Performance Measure (COPM). The secondary outcome measures were range of motion (ROM) of the digits, grip strength, and pinch strengths (tip, palmer, and lateral pinch). Results There was a significant increase in all measurements of the motion-sensing, hands-free gaming device and TOT groups compared with that of the control group postintervention (P<.05 there was no significant change in jebsen-taylor hand function test copm performance rom grip strength and tip lateral pinch strengths between the motion-sensing hands-free gaming device group tot>.05), whereas there was a significant increase in DHI, COPM satisfaction, and palmer pinch strength (P<.05 in the motion-sensing hands-free gaming device group compared with tot postintervention.> Conclusions The motion-sensing, hands-free gaming device and TOT programs resulted in significant improvement in hand function, activity performance and satisfaction, ROM of the digits, grip strength, and pinch strengths in pediatric hand burns compared with the traditional hand 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=269668

[article] Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand Burns: A Randomized Controlled Trial [Article] / Fatma Alzahraa H. Kamel ; Maged A. Basha . - 2021 . - p. 1059-1066.
https://doi.org/10.1016/j.apmr.2021.01.087
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1059-1066

Descripteurs :	HE Vinci Brûlures ; Réadaptation ; Réalité de synthèse
Résumé :	Objective To assess the efficacy of a motion-sensing, hands-free gaming device and task-oriented training (TOT) programs on improving hand function, activity performance, and satisfaction in pediatric hand burns. Design A randomized controlled trial. Setting Outpatient rehabilitation center. Participants Fifty children with deep partial-thickness or full-thickness hand burns. (N=50; mean age, 10.70±1.64y; range, 7-14y) Interventions Children were randomized into 1 of the following 3 groups: the motion-sensing, hands-free gaming device group that used interactive video games plus traditional rehabilitation (TR); the TOT group that used real materials plus TR; and the control group that only received TR, all groups received the interventions 3 days per week for 8 weeks. Main Outcome Measures We assessed the children at the baseline and after 8 weeks of intervention. The primary outcome measures were the Jebsen-Taylor Hand Function Test, Duruoz Hand Index (DHI), and Canadian Occupational Performance Measure (COPM). The secondary outcome measures were range of motion (ROM) of the digits, grip strength, and pinch strengths (tip, palmer, and lateral pinch). Results There was a significant increase in all measurements of the motion-sensing, hands-free gaming device and TOT groups compared with that of the control group postintervention (P<.05 there was no significant change in jebsen-taylor hand function test copm performance rom grip strength and tip lateral pinch strengths between the motion-sensing hands-free gaming device group tot>.05), whereas there was a significant increase in DHI, COPM satisfaction, and palmer pinch strength (P<.05 in the motion-sensing hands-free gaming device group compared with tot postintervention.> Conclusions The motion-sensing, hands-free gaming device and TOT programs resulted in significant improvement in hand function, activity performance and satisfaction, ROM of the digits, grip strength, and pinch strengths in pediatric hand burns compared with the traditional hand 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=269668

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1067-1074

Titre :	Do Patients With COVID-19 Benefit from Rehabilitation? Functional Outcomes of the First 100 Patients in a COVID-19 Rehabilitation Unit
Type de document :	Article
Auteurs :	Violaine Piquet ; Cédric Luczak ; Fabien Seiler ; Jordan Monaury ; Alexandre Martini ; Anthony B. Ward ; Jean-Michel Gracies ; Damien Motavasseli
Année de publication :	2021
Article en page(s) :	p. 1067-1074
Note générale :	https://doi.org/10.1016/j.apmr.2021.01.069
Langues :	Anglais (eng)
Descripteurs :	HE Vinci COVID-19 ; Pandémies ; Réadaptation
Résumé :	Objective To determine the benefits associated with brief inpatient rehabilitation for coronavirus 2019 (COVID-19) patients. Design Retrospective chart review. Setting A newly created specialized rehabilitation unit in a tertiary care medical center. Participants Consecutive sample of patients (N=100) with COVID-19 infection admitted to rehabilitation. Intervention Inpatient rehabilitation for postacute care COVID-19 patients. Main Outcome Measures Measurements at admission and discharge comprised a Barthel Activities of Daily Living Index (including baseline value before COVID-19 infection), time to perform 10 sit-to-stands with associated cardiorespiratory changes, and grip strength (dynamometry). Correlations between these outcomes and the time spent in the intensive care unit (ICU) were explored. Results Upon admission to rehabilitation, 66% of the patients were men, the age was 66±22 years, mean delay from symptom onset was 20.4±10.0 days, body mass index was 26.0±5.4 kg/m2, 49% had hypertension, 29% had diabetes, and 26% had more than 50% pulmonary damage on computed tomographic scans. The mean length of rehabilitation stay was 9.8±5.6 days. From admission to discharge, the Barthel index increased from 77.3±26.7 to 88.8±24.5 (P<.001 without recovering baseline values p there was a improvement in sit-to-stand frequency to hz decrease post-test respiratory rate and increase grip strength kg at both admission discharge barthel score correlated with which negatively time spent the icu> Conclusions Inpatient rehabilitation for COVID-19 patients was associated with substantial motor, respiratory, and functional improvement, especially in severe cases, although there remained mild persistent autonomy loss upon discharge. After acute stages, COVID-19, primarily a respiratory disease, might convert into a motor impairment correlated with the time spent in intensive care.
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=269669

[article] Do Patients With COVID-19 Benefit from Rehabilitation? Functional Outcomes of the First 100 Patients in a COVID-19 Rehabilitation Unit [Article] / Violaine Piquet ; Cédric Luczak ; Fabien Seiler ; Jordan Monaury ; Alexandre Martini ; Anthony B. Ward ; Jean-Michel Gracies ; Damien Motavasseli . - 2021 . - p. 1067-1074.
https://doi.org/10.1016/j.apmr.2021.01.069
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1067-1074

Descripteurs :	HE Vinci COVID-19 ; Pandémies ; Réadaptation
Résumé :	Objective To determine the benefits associated with brief inpatient rehabilitation for coronavirus 2019 (COVID-19) patients. Design Retrospective chart review. Setting A newly created specialized rehabilitation unit in a tertiary care medical center. Participants Consecutive sample of patients (N=100) with COVID-19 infection admitted to rehabilitation. Intervention Inpatient rehabilitation for postacute care COVID-19 patients. Main Outcome Measures Measurements at admission and discharge comprised a Barthel Activities of Daily Living Index (including baseline value before COVID-19 infection), time to perform 10 sit-to-stands with associated cardiorespiratory changes, and grip strength (dynamometry). Correlations between these outcomes and the time spent in the intensive care unit (ICU) were explored. Results Upon admission to rehabilitation, 66% of the patients were men, the age was 66±22 years, mean delay from symptom onset was 20.4±10.0 days, body mass index was 26.0±5.4 kg/m2, 49% had hypertension, 29% had diabetes, and 26% had more than 50% pulmonary damage on computed tomographic scans. The mean length of rehabilitation stay was 9.8±5.6 days. From admission to discharge, the Barthel index increased from 77.3±26.7 to 88.8±24.5 (P<.001 without recovering baseline values p there was a improvement in sit-to-stand frequency to hz decrease post-test respiratory rate and increase grip strength kg at both admission discharge barthel score correlated with which negatively time spent the icu> Conclusions Inpatient rehabilitation for COVID-19 patients was associated with substantial motor, respiratory, and functional improvement, especially in severe cases, although there remained mild persistent autonomy loss upon discharge. After acute stages, COVID-19, primarily a respiratory disease, might convert into a motor impairment correlated with the time spent in intensive care.
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=269669

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1075-1083

Titre :	Disability and the COVID-19 Pandemic: A Survey of Individuals With Traumatic Brain Injury
Type de document :	Article
Auteurs :	Emily L. Morrow ; Nirav N. Patel ; Melissa C. Duff
Année de publication :	2021
Article en page(s) :	p. 1075-1083
Note générale :	https://doi.org/10.1016/j.apmr.2021.01.064
Langues :	Anglais (eng)
Descripteurs :	HE Vinci COVID-19 ; Lésions traumatiques de l'encéphale ; Réadaptation
Résumé :	Objectives To identify the consequences of the coronavirus 2019 (COVID-19) pandemic for individuals with traumatic brain injury (TBI), with particular attention to unique effects for individuals with chronic disability. Design Individuals with and without a history of TBI completed a web-based survey. Setting Participants were recruited from the Vanderbilt Brain Injury Patient Registry in Nashville, TN, and completed the survey from their homes between May and June 2020, during social distancing related to the COVID-19 pandemic. Participants Participants (N=47) in the chronic phase of moderate-severe TBI (>6mo postinjury) and 51 noninjured comparison (NC) peers completed the survey. Interventions Not applicable. Main Outcome Measures Participants, or respondents, answered a mix of multiple choice and free text questions about how the COVID-19 pandemic has affected their work, education, medical care, social communication, sources of information and decision making, and mental and physical well-being. Individuals with TBI also answered questions about how TBI has affected their experiences of the pandemic. Results As a group, respondents with TBI reported less pandemic-related behavior change (eg, daily habits, virtual social visits, and masking) than NC peers. Both NCs and respondents with TBI identified health care providers as trusted sources of public health information. One-third of individuals with TBI indicated that brain injury has made coping with the pandemic more difficult, and respondents identified mental health challenges and social isolation as key barriers. Conclusions These results suggest that health care providers should look for ways to provide tailored education and reduce social isolation for individuals with disability during the ongoing COVID-19 pandemic. We discuss several direct suggestions from participant responses.
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=269672

[article] Disability and the COVID-19 Pandemic: A Survey of Individuals With Traumatic Brain Injury [Article] / Emily L. Morrow ; Nirav N. Patel ; Melissa C. Duff . - 2021 . - p. 1075-1083.
https://doi.org/10.1016/j.apmr.2021.01.064
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1075-1083

Descripteurs :	HE Vinci COVID-19 ; Lésions traumatiques de l'encéphale ; Réadaptation
Résumé :	Objectives To identify the consequences of the coronavirus 2019 (COVID-19) pandemic for individuals with traumatic brain injury (TBI), with particular attention to unique effects for individuals with chronic disability. Design Individuals with and without a history of TBI completed a web-based survey. Setting Participants were recruited from the Vanderbilt Brain Injury Patient Registry in Nashville, TN, and completed the survey from their homes between May and June 2020, during social distancing related to the COVID-19 pandemic. Participants Participants (N=47) in the chronic phase of moderate-severe TBI (>6mo postinjury) and 51 noninjured comparison (NC) peers completed the survey. Interventions Not applicable. Main Outcome Measures Participants, or respondents, answered a mix of multiple choice and free text questions about how the COVID-19 pandemic has affected their work, education, medical care, social communication, sources of information and decision making, and mental and physical well-being. Individuals with TBI also answered questions about how TBI has affected their experiences of the pandemic. Results As a group, respondents with TBI reported less pandemic-related behavior change (eg, daily habits, virtual social visits, and masking) than NC peers. Both NCs and respondents with TBI identified health care providers as trusted sources of public health information. One-third of individuals with TBI indicated that brain injury has made coping with the pandemic more difficult, and respondents identified mental health challenges and social isolation as key barriers. Conclusions These results suggest that health care providers should look for ways to provide tailored education and reduce social isolation for individuals with disability during the ongoing COVID-19 pandemic. We discuss several direct suggestions from participant responses.
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=269672

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1084-1090

Titre :	Swallowing and Voice Outcomes in Patients Hospitalized With COVID-19: An Observational Cohort Study
Type de document :	Article
Auteurs :	Sally K. Archer ; Christina M. Iezzi ; Louisa Gilpin
Année de publication :	2021
Article en page(s) :	p. 1084-1090
Note générale :	https://doi.org/10.1016/j.apmr.2021.01.063
Langues :	Anglais (eng)
Descripteurs :	HE Vinci COVID-19 ; Pathologie de la parole et du langage (spécialité) ; Réadaptation ; Trachéostomie ; Troubles de la déglutition
Résumé :	Objective To evaluate the presentations and outcomes of inpatients with coronavirus disease 2019 (COVID-19) presenting with dysphonia and dysphagia to investigate trends and inform potential pathways for ongoing care. Design Observational cohort study. Setting An inner-city National Health Service Hospital Trust in London, United Kingdom. Participants All adult inpatients hospitalized with COVID-19 (N=164) who were referred to Speech and Language Therapy (SLT) for voice and/or swallowing assessment for 2 months starting in April 2020. Interventions SLT assessment, advice, and therapy for dysphonia and dysphagia. Main Outcome Measures Evidence of delirium, neurologic presentation, intubation, tracheostomy, and proning history were collected, along with type of SLT provided and discharge outcomes. Therapy outcome measures were recorded for swallowing and tracheostomy pre- and post-SLT intervention and Grade Roughness Breathiness Asthenia Strain Scale for voice. Results Patients (N=164; 104 men) aged 56.8±16.7 years were included. Half (52.4%) had a tracheostomy, 78.7% had been intubated (mean, 15±6.6d), 13.4% had new neurologic impairment, and 69.5% were delirious. Individualized compensatory strategies were trialed in all and direct exercises with 11%. Baseline assessments showed marked impairments in dysphagia and voice, but there was significant improvement in all during the study (P<.0001 on average patients started some oral intake days after initial slt assessment range and were eating drinking normally discharge but of those with dysphagia dysphonia remained impaired at hospital discharge. a total tracheostomized decannulated the median time to decannulation was among completed input while inpatients transferred another had voice required community follow-up for dysphagia.> Conclusions Inpatients with COVID-19 present with significant impairments of voice and swallowing, justifying responsive SLT. Prolonged intubations and tracheostomies were the norm, and a minority had new neurologic presentations. Patients typically improved with assessment that enabled treatment with individualized compensatory strategies. Services preparing for COVID-19 should target resources for tracheostomy weaning and to enable responsive management of dysphagia and dysphonia with robust referral pathways.
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=269674

[article] Swallowing and Voice Outcomes in Patients Hospitalized With COVID-19: An Observational Cohort Study [Article] / Sally K. Archer ; Christina M. Iezzi ; Louisa Gilpin . - 2021 . - p. 1084-1090.
https://doi.org/10.1016/j.apmr.2021.01.063
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1084-1090

Descripteurs :	HE Vinci COVID-19 ; Pathologie de la parole et du langage (spécialité) ; Réadaptation ; Trachéostomie ; Troubles de la déglutition
Résumé :	Objective To evaluate the presentations and outcomes of inpatients with coronavirus disease 2019 (COVID-19) presenting with dysphonia and dysphagia to investigate trends and inform potential pathways for ongoing care. Design Observational cohort study. Setting An inner-city National Health Service Hospital Trust in London, United Kingdom. Participants All adult inpatients hospitalized with COVID-19 (N=164) who were referred to Speech and Language Therapy (SLT) for voice and/or swallowing assessment for 2 months starting in April 2020. Interventions SLT assessment, advice, and therapy for dysphonia and dysphagia. Main Outcome Measures Evidence of delirium, neurologic presentation, intubation, tracheostomy, and proning history were collected, along with type of SLT provided and discharge outcomes. Therapy outcome measures were recorded for swallowing and tracheostomy pre- and post-SLT intervention and Grade Roughness Breathiness Asthenia Strain Scale for voice. Results Patients (N=164; 104 men) aged 56.8±16.7 years were included. Half (52.4%) had a tracheostomy, 78.7% had been intubated (mean, 15±6.6d), 13.4% had new neurologic impairment, and 69.5% were delirious. Individualized compensatory strategies were trialed in all and direct exercises with 11%. Baseline assessments showed marked impairments in dysphagia and voice, but there was significant improvement in all during the study (P<.0001 on average patients started some oral intake days after initial slt assessment range and were eating drinking normally discharge but of those with dysphagia dysphonia remained impaired at hospital discharge. a total tracheostomized decannulated the median time to decannulation was among completed input while inpatients transferred another had voice required community follow-up for dysphagia.> Conclusions Inpatients with COVID-19 present with significant impairments of voice and swallowing, justifying responsive SLT. Prolonged intubations and tracheostomies were the norm, and a minority had new neurologic presentations. Patients typically improved with assessment that enabled treatment with individualized compensatory strategies. Services preparing for COVID-19 should target resources for tracheostomy weaning and to enable responsive management of dysphagia and dysphonia with robust referral pathways.
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=269674

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1091-1101

Titre :	Qualitative Examination of Voting Empowerment and Participation Among People Living With Traumatic Brain Injury
Type de document :	Article
Auteurs :	Flora M. Hammond ; Christine S. Davis ; Mark A. Hirsch ; Julia M. Snow ; Martha E. Kropf ; Lisa Schur ; Douglas Kruse ; Andrew M. Ball
Année de publication :	2021
Article en page(s) :	p. 1091-1101
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.016
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Lésions encéphaliques ; Participation communautaire ; Politique ; Réadaptation ; Recherche qualitative
Résumé :	Objective To examine political participation after traumatic brain injury (TBI). Design Qualitative, participatory research via interviews and observations. Each participant was interviewed to discuss their experience of voting in 2007 or 2008. Data were coded using Grounded Theory to develop themes, metacodes, and theories. Setting Community. Participants A total of 57 individuals with history of TBI and 28 family members (N=85). Main Outcome Measures Not applicable. Results Four themes emerged from the data: (1) people with TBI have barriers to voting; (2) the voting process can be improved for people with TBI; (3) voting is the responsibility of members of society; and (4) voting is one way we have a voice in society. Conclusions The data support the importance of voting as an American right regardless of the presence of disability. While persons with TBI report voting represents their freedom and voice, there may be barriers that can threaten or limit their voice.
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=269675

[article] Qualitative Examination of Voting Empowerment and Participation Among People Living With Traumatic Brain Injury [Article] / Flora M. Hammond ; Christine S. Davis ; Mark A. Hirsch ; Julia M. Snow ; Martha E. Kropf ; Lisa Schur ; Douglas Kruse ; Andrew M. Ball . - 2021 . - p. 1091-1101.
https://doi.org/10.1016/j.apmr.2020.12.016
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1091-1101

Descripteurs :	HE Vinci Lésions encéphaliques ; Participation communautaire ; Politique ; Réadaptation ; Recherche qualitative
Résumé :	Objective To examine political participation after traumatic brain injury (TBI). Design Qualitative, participatory research via interviews and observations. Each participant was interviewed to discuss their experience of voting in 2007 or 2008. Data were coded using Grounded Theory to develop themes, metacodes, and theories. Setting Community. Participants A total of 57 individuals with history of TBI and 28 family members (N=85). Main Outcome Measures Not applicable. Results Four themes emerged from the data: (1) people with TBI have barriers to voting; (2) the voting process can be improved for people with TBI; (3) voting is the responsibility of members of society; and (4) voting is one way we have a voice in society. Conclusions The data support the importance of voting as an American right regardless of the presence of disability. While persons with TBI report voting represents their freedom and voice, there may be barriers that can threaten or limit their voice.
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=269675

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1102-1112

Titre :	Personal Factors Associated With Postconcussion Symptoms 3 Months After Mild Traumatic Brain Injury
Type de document :	Article
Auteurs :	Toril Skandsen ; Jonas Stenberg ; Turid Follestad ; Migle Karaliute ; Simen B. Saksvik ; Cathrine E. Einarsen ; Hanna Lillehaug ; Asta K. Håberg ; Anne Håberg ; Alexander Olsen ; Grant L. Iverson
Année de publication :	2021
Article en page(s) :	p. 1102-1112
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.106
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Commotion de l'encéphale ; Réadaptation ; Syndrome post-commotionnel
Résumé :	Objective To describe personal factors in patients with mild traumatic brain injury (MTBI) and 2 control groups and to explore how such factors were associated with postconcussion symptoms (PCSs). Design Prospective cohort study. Setting Level 1 trauma center and outpatient clinic. Participants Participants (N=541) included patients with MTBI (n=378), trauma controls (n=82), and community controls (n=81). Main Outcome Measures Data on preinjury health and work status, personality, resilience, attention deficit/hyperactivity, and substance use. Computed tomography (CT) findings and posttraumatic amnesia were recorded. Symptoms were assessed at 3 months with the British Columbia Postconcussion Symptom Inventory and labeled as PCS+ if ≥3 symptoms were reported or the total score was ≥13. Predictive models were fitted with penalized logistic regression using the least absolute shrinkage and selection operator (lasso) in the MTBI group, and model fit was assessed with optimism-corrected area under the curve (AUC) of the receiver operating characteristic curve. Results There were few differences in personal factors between the MTBI group and the 2 control groups without MTBI. Rates of PCS+ were 20.8% for the MTBI group, 8.0% for trauma controls, and 1.3% for community controls. In the MTBI group, there were differences between the PCS+ and PCS− group on most personal factors and injury-related variables in univariable comparisons. In the lasso models, the optimism-corrected AUC for the full model was 0.79, 0.73 for the model only including personal factors, and 0.63 for the model only including injury variables. Working less than full time before injury, having preinjury pain and poor sleep quality, and being female were among the selected predictors, but also resilience and some personality traits contributed in the model. Intracranial abnormalities on CT were also a risk factor for PCS. Conclusions Personal factors convey important prognostic information in patients with MTBI. A vulnerable work status and preinjury health problems might indicate a need for follow-up and targeted interventions.
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=269678

[article] Personal Factors Associated With Postconcussion Symptoms 3 Months After Mild Traumatic Brain Injury [Article] / Toril Skandsen ; Jonas Stenberg ; Turid Follestad ; Migle Karaliute ; Simen B. Saksvik ; Cathrine E. Einarsen ; Hanna Lillehaug ; Asta K. Håberg ; Anne Håberg ; Alexander Olsen ; Grant L. Iverson . - 2021 . - p. 1102-1112.
https://doi.org/10.1016/j.apmr.2020.10.106
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1102-1112

Descripteurs :	HE Vinci Commotion de l'encéphale ; Réadaptation ; Syndrome post-commotionnel
Résumé :	Objective To describe personal factors in patients with mild traumatic brain injury (MTBI) and 2 control groups and to explore how such factors were associated with postconcussion symptoms (PCSs). Design Prospective cohort study. Setting Level 1 trauma center and outpatient clinic. Participants Participants (N=541) included patients with MTBI (n=378), trauma controls (n=82), and community controls (n=81). Main Outcome Measures Data on preinjury health and work status, personality, resilience, attention deficit/hyperactivity, and substance use. Computed tomography (CT) findings and posttraumatic amnesia were recorded. Symptoms were assessed at 3 months with the British Columbia Postconcussion Symptom Inventory and labeled as PCS+ if ≥3 symptoms were reported or the total score was ≥13. Predictive models were fitted with penalized logistic regression using the least absolute shrinkage and selection operator (lasso) in the MTBI group, and model fit was assessed with optimism-corrected area under the curve (AUC) of the receiver operating characteristic curve. Results There were few differences in personal factors between the MTBI group and the 2 control groups without MTBI. Rates of PCS+ were 20.8% for the MTBI group, 8.0% for trauma controls, and 1.3% for community controls. In the MTBI group, there were differences between the PCS+ and PCS− group on most personal factors and injury-related variables in univariable comparisons. In the lasso models, the optimism-corrected AUC for the full model was 0.79, 0.73 for the model only including personal factors, and 0.63 for the model only including injury variables. Working less than full time before injury, having preinjury pain and poor sleep quality, and being female were among the selected predictors, but also resilience and some personality traits contributed in the model. Intracranial abnormalities on CT were also a risk factor for PCS. Conclusions Personal factors convey important prognostic information in patients with MTBI. A vulnerable work status and preinjury health problems might indicate a need for follow-up and targeted interventions.
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=269678

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1113-1123

Titre :	Development and Validation of the WHO Rehabilitation Competency Framework: A Mixed Methods Study
Type de document :	Article
Auteurs :	Jody-Anne Mills ; Alarcos Cieza ; Stephanie D. Short ; James W. Middleton
Année de publication :	2021
Article en page(s) :	p. 1113-1123
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.129
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Compétence clinique ; Compétence professionnelle ; Education ; Main-d'oeuvre en santé ; Modèle de compétence attendue ; Réadaptation
Résumé :	Objectives To identify the competencies, behaviors, activities, and tasks required by the rehabilitation workforce, and their core values and beliefs, and to validate these among rehabilitation professionals and service users. Design Mixed methods study, involving a content analysis of rehabilitation-related competency frameworks, a modified Delphi study, and a consultation-based questionnaire of service users. Setting Desk-based research. Participants Participants who completed the first (N=77; 47%) and second (N=68; 67%) iterations of the modified Delphi study. Thirty-seven individuals participated in the service user consultation. Collectively, the participants of the mixed methods study represented a significant range of rehabilitation professions from a broad range of countries, as well as both high- and low-income settings. Interventions Not applicable. Main Outcome Measures Not applicable. Results The mixed methods study resulted in the inclusion of 4 core values, 4 core beliefs, 17 competencies, 56 behaviors, 20 activities, and 62 tasks in the Rehabilitation Competency Framework. The content analysis of rehabilitation-related competency frameworks produced an alpha list of competencies, behaviors, activities and tasks (“statements”), which were categorized into 5 domains. The final iteration of the modified Delphi study revealed an average of 95% agreement with the statements, whereas the service user consultation indicated an average of 87% agreement with the statements included in the questionnaire. Conclusions Despite the diverse composition of the rehabilitation workforce, this mixed methods study demonstrated that a strong consensus on competencies and behaviors that are shared across professions, specializations, and settings, and for activities and tasks that collectively capture the scope of rehabilitation practice. The development of the Rehabilitation Competency Framework is a pivotal step toward the twin goals of building workforce capability to improve quality of care and strengthening a common rehabilitation workforce identity that will bolster its visibility and influence at a systems-level.
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=269679

[article] Development and Validation of the WHO Rehabilitation Competency Framework: A Mixed Methods Study [Article] / Jody-Anne Mills ; Alarcos Cieza ; Stephanie D. Short ; James W. Middleton . - 2021 . - p. 1113-1123.
https://doi.org/10.1016/j.apmr.2020.10.129
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1113-1123

Descripteurs :	HE Vinci Compétence clinique ; Compétence professionnelle ; Education ; Main-d'oeuvre en santé ; Modèle de compétence attendue ; Réadaptation
Résumé :	Objectives To identify the competencies, behaviors, activities, and tasks required by the rehabilitation workforce, and their core values and beliefs, and to validate these among rehabilitation professionals and service users. Design Mixed methods study, involving a content analysis of rehabilitation-related competency frameworks, a modified Delphi study, and a consultation-based questionnaire of service users. Setting Desk-based research. Participants Participants who completed the first (N=77; 47%) and second (N=68; 67%) iterations of the modified Delphi study. Thirty-seven individuals participated in the service user consultation. Collectively, the participants of the mixed methods study represented a significant range of rehabilitation professions from a broad range of countries, as well as both high- and low-income settings. Interventions Not applicable. Main Outcome Measures Not applicable. Results The mixed methods study resulted in the inclusion of 4 core values, 4 core beliefs, 17 competencies, 56 behaviors, 20 activities, and 62 tasks in the Rehabilitation Competency Framework. The content analysis of rehabilitation-related competency frameworks produced an alpha list of competencies, behaviors, activities and tasks (“statements”), which were categorized into 5 domains. The final iteration of the modified Delphi study revealed an average of 95% agreement with the statements, whereas the service user consultation indicated an average of 87% agreement with the statements included in the questionnaire. Conclusions Despite the diverse composition of the rehabilitation workforce, this mixed methods study demonstrated that a strong consensus on competencies and behaviors that are shared across professions, specializations, and settings, and for activities and tasks that collectively capture the scope of rehabilitation practice. The development of the Rehabilitation Competency Framework is a pivotal step toward the twin goals of building workforce capability to improve quality of care and strengthening a common rehabilitation workforce identity that will bolster its visibility and influence at a systems-level.
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=269679

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1124-1133

Titre :	The Relationship Between Fall Risk and Hospital-Based Therapy Utilization Is Moderated by Demographic Characteristics and Insurance Type
Type de document :	Article
Auteurs :	Adam R. Kinney ; James E. Graham ; Julia Sharp ; Amanda Hoffman ; Matt P. Malcolm
Année de publication :	2021
Article en page(s) :	p. 1124-1133
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.005
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Ergothérapie ; Hôpitaux ; Kinésithérapie (spécialité) ; Réadaptation ; Recherche sur les services de santé
Résumé :	Objective To investigate whether indicators of patient need (comorbidity burden, fall risk) predict acute care rehabilitation utilization, and whether this relation varies across patient characteristics (ie, demographic characteristics, insurance type). Design Secondary analysis of electronic health records data. Setting Five acute care hospitals. Participants Adults (N=110,209) admitted to 5 regional hospitals between 2014 and 2018. Interventions Not applicable. Main Outcome Measures Occupational therapy (OT) and physical therapy (PT) utilization. Logistic regression models determined whether indicators of patient need predicted OT and PT utilization. Interactions between indicators of need and both demographic factors (eg, minority status, presence of significant other) and insurance type were included to investigate whether the relation between patient need and therapy access varied across patient characteristics. Results Greater comorbidity burden was associated with a higher likelihood of receiving OT and PT. Relative to those with low fall risk, those with moderate and high fall risk were more likely to receive OT and PT. The relation between fall risk and therapy utilization differed across patient characteristics. Among patients with higher levels of fall risk, those with a significant other were less likely to receive OT and PT; significant other status did not explain therapy utilization among patients with low fall risk. Among those with high fall risk, patients with VA insurance and minority patients were more likely to receive PT than those with private insurance and nonminority patients, respectively. Insurance type and minority status did not appear to explain PT utilization among those with lower fall risk. Conclusions Patients with greater comorbidity burden and fall risk were more likely to receive acute care rehabilitation. However, the relation between fall risk and utilization was moderated by insurance type, having a significant other, and race/ethnicity. Understanding the implications of these utilization patterns requires further research.
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=269680

[article] The Relationship Between Fall Risk and Hospital-Based Therapy Utilization Is Moderated by Demographic Characteristics and Insurance Type [Article] / Adam R. Kinney ; James E. Graham ; Julia Sharp ; Amanda Hoffman ; Matt P. Malcolm . - 2021 . - p. 1124-1133.
https://doi.org/10.1016/j.apmr.2020.12.005
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1124-1133

Descripteurs :	HE Vinci Ergothérapie ; Hôpitaux ; Kinésithérapie (spécialité) ; Réadaptation ; Recherche sur les services de santé
Résumé :	Objective To investigate whether indicators of patient need (comorbidity burden, fall risk) predict acute care rehabilitation utilization, and whether this relation varies across patient characteristics (ie, demographic characteristics, insurance type). Design Secondary analysis of electronic health records data. Setting Five acute care hospitals. Participants Adults (N=110,209) admitted to 5 regional hospitals between 2014 and 2018. Interventions Not applicable. Main Outcome Measures Occupational therapy (OT) and physical therapy (PT) utilization. Logistic regression models determined whether indicators of patient need predicted OT and PT utilization. Interactions between indicators of need and both demographic factors (eg, minority status, presence of significant other) and insurance type were included to investigate whether the relation between patient need and therapy access varied across patient characteristics. Results Greater comorbidity burden was associated with a higher likelihood of receiving OT and PT. Relative to those with low fall risk, those with moderate and high fall risk were more likely to receive OT and PT. The relation between fall risk and therapy utilization differed across patient characteristics. Among patients with higher levels of fall risk, those with a significant other were less likely to receive OT and PT; significant other status did not explain therapy utilization among patients with low fall risk. Among those with high fall risk, patients with VA insurance and minority patients were more likely to receive PT than those with private insurance and nonminority patients, respectively. Insurance type and minority status did not appear to explain PT utilization among those with lower fall risk. Conclusions Patients with greater comorbidity burden and fall risk were more likely to receive acute care rehabilitation. However, the relation between fall risk and utilization was moderated by insurance type, having a significant other, and race/ethnicity. Understanding the implications of these utilization patterns requires further research.
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=269680

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1134-1139

Titre :	Falls Efficacy Is Associated With Better Gait and Functional Outcomes After Rehabilitation in Older Patients
Type de document :	Article
Auteurs :	Giulia Belloni ; Laurence Seematter-Bagnoud ; Hélène Krief ; Kamiar Aminian ; Christophe J. Büla
Année de publication :	2021
Article en page(s) :	p. 1134-1139
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.017
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Chutes accidentelles ; Réadaptation ; Sujet âgé ; Vitesse de marche
Résumé :	Objective To examine the relationship between falls efficacy and the change in gait speed and functional status in older patients undergoing postacute rehabilitation. Design Prospective cohort study. Setting Postacute rehabilitation facility. Participants Patients (N=180) aged 65 years and older (mean age ± SD, 81.3±7.1y). Interventions Not applicable. Main Outcome Measures Data on demographics; functional, cognitive, and affective status; and falls efficacy using a 10-item version of the Falls Efficacy Scale (FES; range, 0-100) were collected upon admission. Data about gait speed and functional status (Barthel Index and Basic Activities of Daily Living [BADL]) were measured at admission and discharge. In addition, BADL performance was self-reported 1 month after discharge. Results Compared with admission, all rehabilitation outcomes improved at discharge: gait speed (0.41±0.15 m/s vs 0.50±0.16 m/s; P<.001 barthel index score vs p and badl adjusting for baseline status other potential confounders fes independently predicted gait speed coefficient: confidence interval ci at discharge with higher predicting greater improvement. was also associated self-reported performance the follow-up> Conclusions In older patients, higher falls efficacy predicted better gait and functional rehabilitation outcomes, independently of baseline performance. These results suggest that interventions aiming at falls efficacy improvement during rehabilitation might also contribute to enhancing gait speed and functional status in patients admitted to this setting.
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=269686

[article] Falls Efficacy Is Associated With Better Gait and Functional Outcomes After Rehabilitation in Older Patients [Article] / Giulia Belloni ; Laurence Seematter-Bagnoud ; Hélène Krief ; Kamiar Aminian ; Christophe J. Büla . - 2021 . - p. 1134-1139.
https://doi.org/10.1016/j.apmr.2020.12.017
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1134-1139

Descripteurs :	HE Vinci Chutes accidentelles ; Réadaptation ; Sujet âgé ; Vitesse de marche
Résumé :	Objective To examine the relationship between falls efficacy and the change in gait speed and functional status in older patients undergoing postacute rehabilitation. Design Prospective cohort study. Setting Postacute rehabilitation facility. Participants Patients (N=180) aged 65 years and older (mean age ± SD, 81.3±7.1y). Interventions Not applicable. Main Outcome Measures Data on demographics; functional, cognitive, and affective status; and falls efficacy using a 10-item version of the Falls Efficacy Scale (FES; range, 0-100) were collected upon admission. Data about gait speed and functional status (Barthel Index and Basic Activities of Daily Living [BADL]) were measured at admission and discharge. In addition, BADL performance was self-reported 1 month after discharge. Results Compared with admission, all rehabilitation outcomes improved at discharge: gait speed (0.41±0.15 m/s vs 0.50±0.16 m/s; P<.001 barthel index score vs p and badl adjusting for baseline status other potential confounders fes independently predicted gait speed coefficient: confidence interval ci at discharge with higher predicting greater improvement. was also associated self-reported performance the follow-up> Conclusions In older patients, higher falls efficacy predicted better gait and functional rehabilitation outcomes, independently of baseline performance. These results suggest that interventions aiming at falls efficacy improvement during rehabilitation might also contribute to enhancing gait speed and functional status in patients admitted to this setting.
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=269686

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1140-1146

Titre :	Fear of Falling, Community Participation, and Quality of Life Among Community-Dwelling People Who Use Wheelchairs Full Time
Type de document :	Article
Auteurs :	JongHun Sung ; Sa Shen ; Elizabeth W. Peterson ; Jacob J. Sosnoff ; Deborah Backus ; Laura A. Rice
Année de publication :	2021
Article en page(s) :	p. 1140-1146
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.013
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Fauteuils roulants ; Participation communautaire ; Qualité de vie ; Réadaptation
Résumé :	Objectives To examine the differences in community participation and quality of life (QOL) among individuals who use wheelchairs full time with and without fear of falling (FOF). Design Cross-sectional study design. Setting University research laboratory. Participants Individuals (N=85) who use a manual or power wheelchair full time who are living with various health conditions and have a history of at least 1 fall in the past 12 months (age, 45.4±15.8y; disability duration, 21.5±13.6y) were included. Forty-six (54%) were manual wheelchair users. Interventions Not applicable. Main Outcome Measures To quantify FOF, participants responded (yes/no) to the question: “Are you worried or concerned that you might fall?” Community participation and QOL were indexed by the Community Participation Indicator (CPI) and the World Health Organization Quality of Life-Brief version (WHOQOL-BREF), respectively. A multivariate analysis of variance (MANOVA) was performed to examine the differences in CPI and WHOQOL-BREF scores among wheelchair users who reported FOF and no FOF. Results A total of 54 participants (63.5%) reported that they were worried or concerned about falling. The MANOVA revealed significant differences in overall CPI (F2,82=4.714; P=.012; Wilks’ λ=0.897) and WHOQOL-BREF (F4,63=3.32; P=.016; Wilks’ λ=.826) scores. Participants who reported FOF demonstrated significantly lower CPI and WHOQOL-BREF scores compared with those who did not report FOF. Conclusions FOF and associated activity curtailment are prevalent and may be a factor influencing full time wheelchair users’ community participation and QOL. Prospective research is needed to better understand how FOF influences community participation and QOL among individuals who use wheelchairs full time. Findings would support the development of interventions, specifically for individuals who use wheelchairs full time, to reduce FOF and improve community participation and QOL.
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=269688

[article] Fear of Falling, Community Participation, and Quality of Life Among Community-Dwelling People Who Use Wheelchairs Full Time [Article] / JongHun Sung ; Sa Shen ; Elizabeth W. Peterson ; Jacob J. Sosnoff ; Deborah Backus ; Laura A. Rice . - 2021 . - p. 1140-1146.
https://doi.org/10.1016/j.apmr.2020.11.013
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1140-1146

Descripteurs :	HE Vinci Fauteuils roulants ; Participation communautaire ; Qualité de vie ; Réadaptation
Résumé :	Objectives To examine the differences in community participation and quality of life (QOL) among individuals who use wheelchairs full time with and without fear of falling (FOF). Design Cross-sectional study design. Setting University research laboratory. Participants Individuals (N=85) who use a manual or power wheelchair full time who are living with various health conditions and have a history of at least 1 fall in the past 12 months (age, 45.4±15.8y; disability duration, 21.5±13.6y) were included. Forty-six (54%) were manual wheelchair users. Interventions Not applicable. Main Outcome Measures To quantify FOF, participants responded (yes/no) to the question: “Are you worried or concerned that you might fall?” Community participation and QOL were indexed by the Community Participation Indicator (CPI) and the World Health Organization Quality of Life-Brief version (WHOQOL-BREF), respectively. A multivariate analysis of variance (MANOVA) was performed to examine the differences in CPI and WHOQOL-BREF scores among wheelchair users who reported FOF and no FOF. Results A total of 54 participants (63.5%) reported that they were worried or concerned about falling. The MANOVA revealed significant differences in overall CPI (F2,82=4.714; P=.012; Wilks’ λ=0.897) and WHOQOL-BREF (F4,63=3.32; P=.016; Wilks’ λ=.826) scores. Participants who reported FOF demonstrated significantly lower CPI and WHOQOL-BREF scores compared with those who did not report FOF. Conclusions FOF and associated activity curtailment are prevalent and may be a factor influencing full time wheelchair users’ community participation and QOL. Prospective research is needed to better understand how FOF influences community participation and QOL among individuals who use wheelchairs full time. Findings would support the development of interventions, specifically for individuals who use wheelchairs full time, to reduce FOF and improve community participation and QOL.
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=269688

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1147-1154

Titre :	Traumatic Spinal Cord Injury and Risk of Early and Late Onset Alzheimer’s Disease and Related Dementia: Large Longitudinal Study
Type de document :	Article
Auteurs :	Elham Mahmoudi ; Paul Lin ; Mark D. Peterson ; Michelle A. Meade ; Denise G. Tate ; Neil Kamdar
Année de publication :	2021
Article en page(s) :	p. 1147-1154
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.019
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Démence ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objective Traumatic spinal cord injury (TSCI) is a life altering event most often causing permanent physical disability. Little is known about the risk of developing Alzheimer disease and related dementia (ADRD) among middle-aged and older adults living with TSCI. Time to diagnosis of and adjusted hazard for ADRD was assessed. Design Cohort study. Setting Using 2007-2017 claims data from the Optum Clinformatics Data Mart, we identified adults (45+) with diagnosis of TSCI (n=7019). Adults without TSCI diagnosis were included as comparators (n=916,516). Using age, sex, race/ethnicity, cardiometabolic, psychological, and musculoskeletal chronic conditions, US Census division, and socioeconomic variables, we propensity score matched persons with and without TSCI (n=6083). Incidence estimates of ADRD were compared at 4 years of enrollment. Survival models were used to quantify unadjusted, fully adjusted, and propensity-matched unadjusted and adjusted hazard ratios (HRs) for incident ADRD. Participants Adults with and without TSCI (N=6083). Intervention Not applicable. Main Outcomes Measures Diagnosis of ADRD. Results Both middle-aged and older adults with TSCI had higher incident ADRD compared to those without TSCI (0.5% vs 0.2% and 11.7% vs 3.3% among 45-64 and 65+ y old unmatched cohorts, respectively) (0.5% vs 0.3% and 10.6% vs 6.2% among 45-64 and 65+ y old matched cohorts, respectively). Fully adjusted survival models indicated that adults with TSCI had a greater hazard for ADRD (among 45-64y old: unmatched HR: 3.19 [95% confidence interval, 95% CI, 2.30-4.44], matched HR: 1.93 [95% CI, 1.06-3.51]; among 65+ years old: unmatched HR: 1.90 [95% CI, 1.77-2.04], matched HR: 1.77 [1.55-2.02]). Conclusions Adults with TSCI are at a heightened risk for ADRD. Improved clinical screening and early interventions aiming to preserve cognitive function are of paramount importance for this patient cohort.
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=269689

[article] Traumatic Spinal Cord Injury and Risk of Early and Late Onset Alzheimer’s Disease and Related Dementia: Large Longitudinal Study [Article] / Elham Mahmoudi ; Paul Lin ; Mark D. Peterson ; Michelle A. Meade ; Denise G. Tate ; Neil Kamdar . - 2021 . - p. 1147-1154.
https://doi.org/10.1016/j.apmr.2020.12.019
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1147-1154

Descripteurs :	HE Vinci Démence ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objective Traumatic spinal cord injury (TSCI) is a life altering event most often causing permanent physical disability. Little is known about the risk of developing Alzheimer disease and related dementia (ADRD) among middle-aged and older adults living with TSCI. Time to diagnosis of and adjusted hazard for ADRD was assessed. Design Cohort study. Setting Using 2007-2017 claims data from the Optum Clinformatics Data Mart, we identified adults (45+) with diagnosis of TSCI (n=7019). Adults without TSCI diagnosis were included as comparators (n=916,516). Using age, sex, race/ethnicity, cardiometabolic, psychological, and musculoskeletal chronic conditions, US Census division, and socioeconomic variables, we propensity score matched persons with and without TSCI (n=6083). Incidence estimates of ADRD were compared at 4 years of enrollment. Survival models were used to quantify unadjusted, fully adjusted, and propensity-matched unadjusted and adjusted hazard ratios (HRs) for incident ADRD. Participants Adults with and without TSCI (N=6083). Intervention Not applicable. Main Outcomes Measures Diagnosis of ADRD. Results Both middle-aged and older adults with TSCI had higher incident ADRD compared to those without TSCI (0.5% vs 0.2% and 11.7% vs 3.3% among 45-64 and 65+ y old unmatched cohorts, respectively) (0.5% vs 0.3% and 10.6% vs 6.2% among 45-64 and 65+ y old matched cohorts, respectively). Fully adjusted survival models indicated that adults with TSCI had a greater hazard for ADRD (among 45-64y old: unmatched HR: 3.19 [95% confidence interval, 95% CI, 2.30-4.44], matched HR: 1.93 [95% CI, 1.06-3.51]; among 65+ years old: unmatched HR: 1.90 [95% CI, 1.77-2.04], matched HR: 1.77 [1.55-2.02]). Conclusions Adults with TSCI are at a heightened risk for ADRD. Improved clinical screening and early interventions aiming to preserve cognitive function are of paramount importance for this patient cohort.
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=269689

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1155-1164

Titre :	Effects of Lower Thoracic Spinal Cord Stimulation on Bowel Management in Individuals With Spinal Cord Injury
Type de document :	Article
Auteurs :	Anthony F. DiMarco ; Robert T. Geertman ; Kutaiba Tabbaa ; Gregory A. Nemunaitis ; Krzysztof E. Kowalski
Année de publication :	2021
Article en page(s) :	p. 1155-1164
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.394
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Intestin ; Réadaptation ; Tetraplegie ; Traumatismes de la moelle épinière
Résumé :	Objective To systematically determine whether use of the spinal cord stimulation (SCS) system to restore cough may improve bowel management (BM) in individuals with spinal cord injury (SCI). Design Experimental studies (clinical trial). Setting Inpatient hospital setting for electrode insertion; outpatient setting for measurement of respiratory pressures; home setting for application of SCS. Participants Participants (N=5) with cervical SCI. Intervention A fully implantable SCS cough system was surgically placed in each subject. SCS was applied at home, 2-3 times/d, on a chronic basis, every time bowel regimen was performed and as needed for secretion management. Stimulus parameters were set at values resulting in near maximum airway pressure generation, which was used as an index of expiratory muscle strength. Participants also used SCS during their bowel routine. Main Outcome Measures Airway pressure generation achieved with SCS. Weekly completion of Bowel Routine Log including BM time, mechanical measures, and medications used. Results Mean pressure during spontaneous efforts was 30±8 cmH2O. After a period of reconditioning, SCS resulted in pressure of 146±21 cmH2O. The time required for BM routines was reduced from 118±34 minutes to 18±2 minutes (P<.05 and was directly related to the magnitude of pressure development during scs. mechanical methods for bm were completely eliminated in patients. no patients experienced fecal incontinence as result each participant also reported marked overall improvement associated with bm.> Conclusions Our results of this pilot study suggest that SCS to restore cough may be a useful method to improve BM and life quality for both patients with SCI and their caregivers. Our results indicate that the improvement in BM is secondary to restoration of intra-abdominal pressure development.
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=269690

[article] Effects of Lower Thoracic Spinal Cord Stimulation on Bowel Management in Individuals With Spinal Cord Injury [Article] / Anthony F. DiMarco ; Robert T. Geertman ; Kutaiba Tabbaa ; Gregory A. Nemunaitis ; Krzysztof E. Kowalski . - 2021 . - p. 1155-1164.
https://doi.org/10.1016/j.apmr.2020.09.394
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1155-1164

Descripteurs :	HE Vinci Intestin ; Réadaptation ; Tetraplegie ; Traumatismes de la moelle épinière
Résumé :	Objective To systematically determine whether use of the spinal cord stimulation (SCS) system to restore cough may improve bowel management (BM) in individuals with spinal cord injury (SCI). Design Experimental studies (clinical trial). Setting Inpatient hospital setting for electrode insertion; outpatient setting for measurement of respiratory pressures; home setting for application of SCS. Participants Participants (N=5) with cervical SCI. Intervention A fully implantable SCS cough system was surgically placed in each subject. SCS was applied at home, 2-3 times/d, on a chronic basis, every time bowel regimen was performed and as needed for secretion management. Stimulus parameters were set at values resulting in near maximum airway pressure generation, which was used as an index of expiratory muscle strength. Participants also used SCS during their bowel routine. Main Outcome Measures Airway pressure generation achieved with SCS. Weekly completion of Bowel Routine Log including BM time, mechanical measures, and medications used. Results Mean pressure during spontaneous efforts was 30±8 cmH2O. After a period of reconditioning, SCS resulted in pressure of 146±21 cmH2O. The time required for BM routines was reduced from 118±34 minutes to 18±2 minutes (P<.05 and was directly related to the magnitude of pressure development during scs. mechanical methods for bm were completely eliminated in patients. no patients experienced fecal incontinence as result each participant also reported marked overall improvement associated with bm.> Conclusions Our results of this pilot study suggest that SCS to restore cough may be a useful method to improve BM and life quality for both patients with SCI and their caregivers. Our results indicate that the improvement in BM is secondary to restoration of intra-abdominal pressure development.
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=269690

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1165-1169

Titre :	Effects of Bilateral Transcutaneous Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Spinal Cord Injury: A Urodynamic Study
Type de document :	Article
Auteurs :	Kornkamon Kamboonlert ; Sirikwan Panyasriwanit ; Natthiya Tantisiriwat ; Wasuwat Kitisomprayoonkul
Année de publication :	2021
Article en page(s) :	p. 1165-1169
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.130
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Neurostimulation électrique transcutanée (TENS) ; Réadaptation ; Traumatismes de la moelle épinière ; Vessie neurologique ; Vessie urinaire
Résumé :	Objective To study the short-term effect of bilateral transcutaneous tibial nerve stimulation (TTNS) on urodynamic study (UDM) parameters in spinal cord injury (SCI) patients with neurogenic detrusor overactivity (NDO). Design Single-blinded sham-controlled study. Setting Rehabilitation center. Participants SCI patients with NDO (N=17) were recruited. Fifteen patients (mean age, 40±18y) completed the study. Most of the patients had chronic incomplete SCI. Interventions UDM was performed 3 times. The first UDM was performed after taking anticholinergics for 1 hour to assess the effects of medication. After stopping anticholinergics for a 5 half-lives, the second UDM was performed immediately after a 20-minute sham TTNS (switch on for 30s at the beginning, switch off for 20min, and switch on for 30s before stopping). The third UDM was performed immediately after a 20-minute bilateral TTNS. Main Outcome Measures Reflex volume (mL), cystometric capacity (mL), maximum pressure detrusor (mmH2O), and bladder compliance (mL/mmH2O). Results UDM tracings were interpreted by 2 blinded assessors. This study used per-protocol analysis and repeated measures Analysis of variance with Bonferroni post hoc analysis. When compared with sham stimulation, bilateral TTNS and anticholinergics produced greater increases in reflex volume (136.1±99.88, 212.2±112.82, and 226.3±111.52 mL; P<.001 cystometric capacity and ml p compliance no significant differences were found in reflex volume or between bilateral ttns anticholinergics>.05). The maximum pressure detrusor was not significantly different between groups (P>.05). Conclusion Bilateral TTNS may be an effective short-term intervention to improve UDM parameters in SCI with NDO. Further study is necessary to determine the long-term effects and benefits of combined bilateral TTNS with anticholinergics.
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=269717

[article] Effects of Bilateral Transcutaneous Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Spinal Cord Injury: A Urodynamic Study [Article] / Kornkamon Kamboonlert ; Sirikwan Panyasriwanit ; Natthiya Tantisiriwat ; Wasuwat Kitisomprayoonkul . - 2021 . - p. 1165-1169.
https://doi.org/10.1016/j.apmr.2020.10.130
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1165-1169

Descripteurs :	HE Vinci Neurostimulation électrique transcutanée (TENS) ; Réadaptation ; Traumatismes de la moelle épinière ; Vessie neurologique ; Vessie urinaire
Résumé :	Objective To study the short-term effect of bilateral transcutaneous tibial nerve stimulation (TTNS) on urodynamic study (UDM) parameters in spinal cord injury (SCI) patients with neurogenic detrusor overactivity (NDO). Design Single-blinded sham-controlled study. Setting Rehabilitation center. Participants SCI patients with NDO (N=17) were recruited. Fifteen patients (mean age, 40±18y) completed the study. Most of the patients had chronic incomplete SCI. Interventions UDM was performed 3 times. The first UDM was performed after taking anticholinergics for 1 hour to assess the effects of medication. After stopping anticholinergics for a 5 half-lives, the second UDM was performed immediately after a 20-minute sham TTNS (switch on for 30s at the beginning, switch off for 20min, and switch on for 30s before stopping). The third UDM was performed immediately after a 20-minute bilateral TTNS. Main Outcome Measures Reflex volume (mL), cystometric capacity (mL), maximum pressure detrusor (mmH2O), and bladder compliance (mL/mmH2O). Results UDM tracings were interpreted by 2 blinded assessors. This study used per-protocol analysis and repeated measures Analysis of variance with Bonferroni post hoc analysis. When compared with sham stimulation, bilateral TTNS and anticholinergics produced greater increases in reflex volume (136.1±99.88, 212.2±112.82, and 226.3±111.52 mL; P<.001 cystometric capacity and ml p compliance no significant differences were found in reflex volume or between bilateral ttns anticholinergics>.05). The maximum pressure detrusor was not significantly different between groups (P>.05). Conclusion Bilateral TTNS may be an effective short-term intervention to improve UDM parameters in SCI with NDO. Further study is necessary to determine the long-term effects and benefits of combined bilateral TTNS with anticholinergics.
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=269717

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1170-1179

Titre :	Postural Control Performance on the Functional Reach Test: Validity of the Kids-Balance Evaluation Systems Test (Kids-BESTest) Criteria
Type de document :	Article
Auteurs :	Rosalee M. Dewar ; Kylie Tucker ; Andrew P. Claus ; Robert S. Ware ; Leanne M. Johnston
Année de publication :	2021
Article en page(s) :	p. 1170-1179
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.018
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Enfant (6-12 ans) ; Équilibre postural ; Paralysie cérébrale ; Réadaptation
Résumé :	Objective Evaluate the validity of the Kids-Balance Evaluation Systems Test (Kids-BESTest) clinical criteria for the Functional Reach Test (FRT) forward and lateral with laboratory measures of postural control in children with cerebral palsy (CP). Design Psychometric study of face, concurrent, and content validity. Setting Clinical laboratory. Participants Children (N=58) aged 7-18 years (ambulant CP n=17, typically developing [TD] n=41). Intervention Not applicable. Main Outcome Measures Stability limits in standing were assessed using the Kids-BESTest items for FRT forwards (FRTFORWARD), FRT lateral preferred (FRTLATERAL(P)), and FRT lateral nonpreferred (FRTLATERAL(NP)). Force platforms and kinematic markers were used to collect information on center of pressure (CoP) and joint movement during reach. Analyses included face validity (Kids-BESTest scores compared between CP and TD groups), concurrent validity (agreement between Kids-BESTest scores and digitally derived scores), and content validity (relations between Kids-BESTest scores with kinematic and CoP data). Results Face validity of Kids-BESTest criteria was demonstrated with lower scores for CP compared to TD groups for FRTFORWARD (P<.001 and frtlateral equal scores for concurrent validity agreement between kids-bestest digitally derived was good to excellent p frtforward both groups. content the cp group were correlated with cop-rangeforward during cop-rangelateral kinematic data correlations moderate-high range of hip flexion ankle plantar trunk lateral> Conclusion The FRTFORWARD demonstrated face, concurrent, and content validity. The FRTLATERAL(P/NP) demonstrated concurrent validity, but partial face and content validity. To improve validity of Kids-BESTest FRT criteria, additional descriptors have been added under the scoring criteria to enable clinicians to quantify observed reach strategies.
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=269718

[article] Postural Control Performance on the Functional Reach Test: Validity of the Kids-Balance Evaluation Systems Test (Kids-BESTest) Criteria [Article] / Rosalee M. Dewar ; Kylie Tucker ; Andrew P. Claus ; Robert S. Ware ; Leanne M. Johnston . - 2021 . - p. 1170-1179.
https://doi.org/10.1016/j.apmr.2020.12.018
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1170-1179

Descripteurs :	HE Vinci Enfant (6-12 ans) ; Équilibre postural ; Paralysie cérébrale ; Réadaptation
Résumé :	Objective Evaluate the validity of the Kids-Balance Evaluation Systems Test (Kids-BESTest) clinical criteria for the Functional Reach Test (FRT) forward and lateral with laboratory measures of postural control in children with cerebral palsy (CP). Design Psychometric study of face, concurrent, and content validity. Setting Clinical laboratory. Participants Children (N=58) aged 7-18 years (ambulant CP n=17, typically developing [TD] n=41). Intervention Not applicable. Main Outcome Measures Stability limits in standing were assessed using the Kids-BESTest items for FRT forwards (FRTFORWARD), FRT lateral preferred (FRTLATERAL(P)), and FRT lateral nonpreferred (FRTLATERAL(NP)). Force platforms and kinematic markers were used to collect information on center of pressure (CoP) and joint movement during reach. Analyses included face validity (Kids-BESTest scores compared between CP and TD groups), concurrent validity (agreement between Kids-BESTest scores and digitally derived scores), and content validity (relations between Kids-BESTest scores with kinematic and CoP data). Results Face validity of Kids-BESTest criteria was demonstrated with lower scores for CP compared to TD groups for FRTFORWARD (P<.001 and frtlateral equal scores for concurrent validity agreement between kids-bestest digitally derived was good to excellent p frtforward both groups. content the cp group were correlated with cop-rangeforward during cop-rangelateral kinematic data correlations moderate-high range of hip flexion ankle plantar trunk lateral> Conclusion The FRTFORWARD demonstrated face, concurrent, and content validity. The FRTLATERAL(P/NP) demonstrated concurrent validity, but partial face and content validity. To improve validity of Kids-BESTest FRT criteria, additional descriptors have been added under the scoring criteria to enable clinicians to quantify observed reach strategies.
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=269718

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1180-1190

Titre :	Optimal Multifield Functional Electrical Stimulation Parameters for the “Turn on the Light” Task and Related Upper Limb Kinematics Repeatability in Poststroke Subjects
Type de document :	Article
Auteurs :	S.P. Sousa Andreia ; Inês Albuquerque Mesquita ; Cláudia Isabel Costa da Silva ; Augusta Silva ; Rui Macedo ; Eukene Imatz-Ojanguren ; Erik Hernandez ; Thierry Keller ; Juliana Moreira ; Pedro Filipe Pereira da Fonseca ; Rubim Santos
Année de publication :	2021
Article en page(s) :	p. 1180-1190
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.135
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Dispositifs d'assistance au mouvement ; Membre supérieur ; Mouvement ; Réadaptation ; Stimulation électrique
Résumé :	Objective To characterize the optimal functional electrical stimulation (FES) parameters that assist the turn on the light task (TOTL) on poststroke participants and to analyze the related upper limb (UL) kinematics repeatability. Design Cross-sectional study. Setting Human movement research center. Participants Poststroke individuals (N=11) with history of a single unilateral stroke that resulted in a motor control dysfunction of the contralesional UL. Interventions FES based on surface multifield technology applied to the contralesional wrist and finger extensors during the TOTL. Main Outcome Measures FES outcome metrics (virtual electrodes, stimulation duration, intensity) and kinematic metrics (end-point kinematics [absolute and relative duration, mean and peak velocities, relative instant of peak velocity, index of curvature, number of movement units] and joint kinematics [shoulder, elbow, wrist end position and range of movement]). Outcome measures were assessed 2 times with a 72-hour maximum time interval. Conclusion It was possible to establish reliable FES parameters that assisted the TOTL on poststroke participants. These stimulation parameters led to high to very high repeatability in terms of UL kinematics for most of the cases.
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=269720

[article] Optimal Multifield Functional Electrical Stimulation Parameters for the “Turn on the Light” Task and Related Upper Limb Kinematics Repeatability in Poststroke Subjects [Article] / S.P. Sousa Andreia ; Inês Albuquerque Mesquita ; Cláudia Isabel Costa da Silva ; Augusta Silva ; Rui Macedo ; Eukene Imatz-Ojanguren ; Erik Hernandez ; Thierry Keller ; Juliana Moreira ; Pedro Filipe Pereira da Fonseca ; Rubim Santos . - 2021 . - p. 1180-1190.
https://doi.org/10.1016/j.apmr.2020.10.135
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1180-1190

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Dispositifs d'assistance au mouvement ; Membre supérieur ; Mouvement ; Réadaptation ; Stimulation électrique
Résumé :	Objective To characterize the optimal functional electrical stimulation (FES) parameters that assist the turn on the light task (TOTL) on poststroke participants and to analyze the related upper limb (UL) kinematics repeatability. Design Cross-sectional study. Setting Human movement research center. Participants Poststroke individuals (N=11) with history of a single unilateral stroke that resulted in a motor control dysfunction of the contralesional UL. Interventions FES based on surface multifield technology applied to the contralesional wrist and finger extensors during the TOTL. Main Outcome Measures FES outcome metrics (virtual electrodes, stimulation duration, intensity) and kinematic metrics (end-point kinematics [absolute and relative duration, mean and peak velocities, relative instant of peak velocity, index of curvature, number of movement units] and joint kinematics [shoulder, elbow, wrist end position and range of movement]). Outcome measures were assessed 2 times with a 72-hour maximum time interval. Conclusion It was possible to establish reliable FES parameters that assisted the TOTL on poststroke participants. These stimulation parameters led to high to very high repeatability in terms of UL kinematics for most of the cases.
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=269720

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1191-1197

Titre :	Systematic Review of Clinical Practice Guidelines for Individuals With Amputation: Identification of Best Evidence for Rehabilitation to Develop the WHO’s Package of Interventions for Rehabilitation
Type de document :	Article
Auteurs :	Arne Heyns ; Sofie Jacobs ; Stefano Negrini ; Michele Patrini ; Alexandra Rauch
Année de publication :	2021
Article en page(s) :	p. 1191-1197
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.019
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Amputation chirurgicale ; Directives ; Réadaptation ; Revue systématique
Résumé :	Objectives To report the results of the systematic search performed to identify interventions and related evidence for rehabilitation of individuals with amputation based on the current evidence from clinical practice guidelines (CPG). Data Sources Pubmed, Pedro, CINAHL, Embase, Google Scholar, and multiple guideline databases (date restriction, 2008-2018). Study Selection Exclusion criteria were no CPG, not reporting on rehabilitation, published before 2008, developed for health conditions other than amputation, presence of conflict of interest (financial or nonfinancial), lack of information on the strength of the recommendation, and lack of quality assessed by the “Appraisal of Guidelines for Research and Evaluation.” Data Extraction Data extraction was done using a standardized form, which comprised information on the recommendation, the strength of recommendation and the quality of the evidence used to inform the recommendation. Data Synthesis We included 4 guidelines, providing a total of 217 recommendations (20 on assessments, 131 on interventions, and 66 on service provision). Most recommendations concerned pain management, education, pre- and postoperative management, and residual limb care. The strength of recommendation was generally weak to intermediate. The level of evidence mostly compromised expert opinions, with only 6.9% (15 of 217) being provided by randomized controlled trials, systematic reviews, or meta-analyses. Conclusions The field of amputation is well covered for recommended interventions, but the level of evidence is generally low and is based mostly on expert opinion. Some important domains are not covered (eg, vocation and education, sexual and/or intimate relationships, activities of daily living or leisure activities, education concerning socket/liner fitting). There is also a lack of description of the contents of training and rehabilitation programs. This should be taken into account for the development of future guidelines.
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=269721

[article] Systematic Review of Clinical Practice Guidelines for Individuals With Amputation: Identification of Best Evidence for Rehabilitation to Develop the WHO’s Package of Interventions for Rehabilitation [Article] / Arne Heyns ; Sofie Jacobs ; Stefano Negrini ; Michele Patrini ; Alexandra Rauch . - 2021 . - p. 1191-1197.
https://doi.org/10.1016/j.apmr.2020.11.019
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1191-1197

Descripteurs :	HE Vinci Amputation chirurgicale ; Directives ; Réadaptation ; Revue systématique
Résumé :	Objectives To report the results of the systematic search performed to identify interventions and related evidence for rehabilitation of individuals with amputation based on the current evidence from clinical practice guidelines (CPG). Data Sources Pubmed, Pedro, CINAHL, Embase, Google Scholar, and multiple guideline databases (date restriction, 2008-2018). Study Selection Exclusion criteria were no CPG, not reporting on rehabilitation, published before 2008, developed for health conditions other than amputation, presence of conflict of interest (financial or nonfinancial), lack of information on the strength of the recommendation, and lack of quality assessed by the “Appraisal of Guidelines for Research and Evaluation.” Data Extraction Data extraction was done using a standardized form, which comprised information on the recommendation, the strength of recommendation and the quality of the evidence used to inform the recommendation. Data Synthesis We included 4 guidelines, providing a total of 217 recommendations (20 on assessments, 131 on interventions, and 66 on service provision). Most recommendations concerned pain management, education, pre- and postoperative management, and residual limb care. The strength of recommendation was generally weak to intermediate. The level of evidence mostly compromised expert opinions, with only 6.9% (15 of 217) being provided by randomized controlled trials, systematic reviews, or meta-analyses. Conclusions The field of amputation is well covered for recommended interventions, but the level of evidence is generally low and is based mostly on expert opinion. Some important domains are not covered (eg, vocation and education, sexual and/or intimate relationships, activities of daily living or leisure activities, education concerning socket/liner fitting). There is also a lack of description of the contents of training and rehabilitation programs. This should be taken into account for the development of future guidelines.
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=269721

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1198-1209

Titre :	TBI as a Risk Factor for Substance Use Behaviors: A Meta-analysis
Type de document :	Article
Auteurs :	Davis J. VanderVeen
Année de publication :	2021
Article en page(s) :	p. 1198-1209
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.112
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Lésions traumatiques de l'encéphale ; Méta-analyse ; Réadaptation
Résumé :	Objective To quantify the relationship between substance use behaviors before and after traumatic brain injury (TBI), to identify populations that may benefit more from targeted interventions to reduce the effect of substance use on TBI recovery, and to establish areas for further study. Data Sources Studies were identified via literature searches using MEDLINE, PsychInfo, PsychArticles, PubMed, and GoogleScholar (published before January 2019), as well as reference section reviews and forward searches. Searches were conducted using search terms for TBI and substance use behaviors. Study Selection Studies were included if they (1) contained both a measure of TBI and a measure of substance use behaviors; (2) reported an effect size representing the relationship between substance use behaviors before and after TBI, compared TBI vs non-TBI groups on substance use behaviors controlling for pre-TBI substance use, or compared groups with differing TBI severity on subsequent substance use behaviors controlling for pre-TBI substance use; (3) were written in English; and (4) were human subjects research. Studies examining effects of substance use intervention for people sustaining TBI were excluded from this study. Data Extraction Study variables included substance use behaviors, TBI severity, time since TBI, military status, age, race, and sex. Data Synthesis Substance use behaviors had a small but statistically significant decrease after moderate-severe TBI. After moderate-severe TBI, there was a statistically significant decline in both substance use (d=−0.29, P<.01 and negative substance use consequences p=".01)." there was no significant change in behaviors after mild tbi.> Conclusions Substance use behaviors had a small decrease after moderate to severe TBI and no significant change after mild TBI. Study findings suggest the need for accurate assessment to identify those at greatest risk for problematic substance use behaviors after TBI.
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=269723

[article] TBI as a Risk Factor for Substance Use Behaviors: A Meta-analysis [Article] / Davis J. VanderVeen . - 2021 . - p. 1198-1209.
https://doi.org/10.1016/j.apmr.2020.10.112
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1198-1209

Descripteurs :	HE Vinci Lésions traumatiques de l'encéphale ; Méta-analyse ; Réadaptation
Résumé :	Objective To quantify the relationship between substance use behaviors before and after traumatic brain injury (TBI), to identify populations that may benefit more from targeted interventions to reduce the effect of substance use on TBI recovery, and to establish areas for further study. Data Sources Studies were identified via literature searches using MEDLINE, PsychInfo, PsychArticles, PubMed, and GoogleScholar (published before January 2019), as well as reference section reviews and forward searches. Searches were conducted using search terms for TBI and substance use behaviors. Study Selection Studies were included if they (1) contained both a measure of TBI and a measure of substance use behaviors; (2) reported an effect size representing the relationship between substance use behaviors before and after TBI, compared TBI vs non-TBI groups on substance use behaviors controlling for pre-TBI substance use, or compared groups with differing TBI severity on subsequent substance use behaviors controlling for pre-TBI substance use; (3) were written in English; and (4) were human subjects research. Studies examining effects of substance use intervention for people sustaining TBI were excluded from this study. Data Extraction Study variables included substance use behaviors, TBI severity, time since TBI, military status, age, race, and sex. Data Synthesis Substance use behaviors had a small but statistically significant decrease after moderate-severe TBI. After moderate-severe TBI, there was a statistically significant decline in both substance use (d=−0.29, P<.01 and negative substance use consequences p=".01)." there was no significant change in behaviors after mild tbi.> Conclusions Substance use behaviors had a small decrease after moderate to severe TBI and no significant change after mild TBI. Study findings suggest the need for accurate assessment to identify those at greatest risk for problematic substance use behaviors after TBI.
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=269723

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1210-1227

Titre :	Reliability and Validity of Clinical Tests for Measuring Strength or Endurance of Cervical Muscles: A Systematic Review and Meta-analysis
Type de document :	Article
Auteurs :	Luiz Fernando Approbato Selistre ; Cristiane de Sousa Melo ; Marcos Amaral de Noronha
Année de publication :	2021
Article en page(s) :	p. 1210-1227
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.018
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Cervicalgie ; Douleur chronique ; Force musculaire ; Reproductibilité des résultats
Résumé :	Objective To evaluate the reliability and validity of clinical tests for measuring cervical muscle strength or endurance in participants with and without neck pain. Data Source Systematic review and meta-analysis on reliability and validity. Literature search was conducted on January 28, 2020, using 5 databases: MEDLINE, Cumulative Index to Nursing and Allied Health, EMBASE, SPORTDiscus, and Scopus. Study Selection We included studies that investigated the reliability or validity of clinical tests for measuring cervical muscle strength or endurance in participants with nonspecific chronic neck pain, with or without irradiation, or healthy participants. We included only those that were viable for daily practice and of low cost. Data Extraction Data were extracted as follows: (1) author and year of publication, (2) demographic values and health condition, (3) reported clinical tests, (4) inclusion and exclusion criteria, (5) description of test, (6) interrater reliability, and (7) intrarater reliability. For validity studies we also extracted the (8) reference method and (9) validity estimates. Data Synthesis Methodological quality was assessed with the Quality Appraisal of Diagnostic Reliability and the Guidelines for Reporting Reliability and Agreement Studies. Data on reliability and validity were extracted from included articles and then analyzed. Results Thirty-one studies were included. Cervical flexor and extensor endurance test, craniocervical flexion test (CCFT), AND cervical muscle strength using a handheld dynamometer (HHD) showed moderate to good intra- and interrater reliability (intraclass correlation coefficients ranging from 0.64-0.90). Concurrent validity was measured by only 2 studies, which do not provide adequate evidence for a recommendation. Conclusions The cervical flexor and extensor endurance tests, CCFT, and HHD for measuring cervical strength presented an acceptable interrater and intrarater reliability.
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=269726

[article] Reliability and Validity of Clinical Tests for Measuring Strength or Endurance of Cervical Muscles: A Systematic Review and Meta-analysis [Article] / Luiz Fernando Approbato Selistre ; Cristiane de Sousa Melo ; Marcos Amaral de Noronha . - 2021 . - p. 1210-1227.
https://doi.org/10.1016/j.apmr.2020.11.018
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1210-1227

Descripteurs :	HE Vinci Cervicalgie ; Douleur chronique ; Force musculaire ; Reproductibilité des résultats
Résumé :	Objective To evaluate the reliability and validity of clinical tests for measuring cervical muscle strength or endurance in participants with and without neck pain. Data Source Systematic review and meta-analysis on reliability and validity. Literature search was conducted on January 28, 2020, using 5 databases: MEDLINE, Cumulative Index to Nursing and Allied Health, EMBASE, SPORTDiscus, and Scopus. Study Selection We included studies that investigated the reliability or validity of clinical tests for measuring cervical muscle strength or endurance in participants with nonspecific chronic neck pain, with or without irradiation, or healthy participants. We included only those that were viable for daily practice and of low cost. Data Extraction Data were extracted as follows: (1) author and year of publication, (2) demographic values and health condition, (3) reported clinical tests, (4) inclusion and exclusion criteria, (5) description of test, (6) interrater reliability, and (7) intrarater reliability. For validity studies we also extracted the (8) reference method and (9) validity estimates. Data Synthesis Methodological quality was assessed with the Quality Appraisal of Diagnostic Reliability and the Guidelines for Reporting Reliability and Agreement Studies. Data on reliability and validity were extracted from included articles and then analyzed. Results Thirty-one studies were included. Cervical flexor and extensor endurance test, craniocervical flexion test (CCFT), AND cervical muscle strength using a handheld dynamometer (HHD) showed moderate to good intra- and interrater reliability (intraclass correlation coefficients ranging from 0.64-0.90). Concurrent validity was measured by only 2 studies, which do not provide adequate evidence for a recommendation. Conclusions The cervical flexor and extensor endurance tests, CCFT, and HHD for measuring cervical strength presented an acceptable interrater and intrarater reliability.
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=269726

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 811-818

Titre :	Effect of a Novel Perturbation-Based Pinch Task Training on Sensorimotor Performance of Upper Extremity for Patients With Chronic Stroke: A Pilot Randomized Controlled Trial
Type de document :	Article
Auteurs :	Hsiu-Yun Hsu ; Ta-Shen Kuan ; Ching-Liang Tsai ; Po-Ting Wu ; Yao-Lung Kuo ; Fong-Chin Su ; Li-Chieh Kuo
Année de publication :	2021
Article en page(s) :	p. 811-818
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.004
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Membre supérieur ; Réadaptation ; Sensation
Résumé :	Objective To investigate the effects of perturbation-based pinch task training on the sensorimotor performance of the upper extremities of patients with chronic stroke via a novel vibrotactile therapy system. Design A single-blinded randomized controlled trial. Setting A university hospital. Participants Patients with chronic stroke (N=19) randomly assigned into either an experimental group or a control group completed the study. Interventions In addition to 10 minutes of traditional sensorimotor facilitation, each participant in the experimental group received 20 minutes of perturbation-based pinch task training in each treatment session, and the controls received 20 minutes of task-specific motor training twice a week for 6 weeks. Main Outcome Measures The scores for the primary outcome, Semmes-Weinstein monofilament (SWM), and those for the secondary outcomes, Fugl-Meyer Assessment (FMA), amount of use, quality of movement (QOM) on the Motor Activity Log (MAL) scale, and box and block test (BBT), were recorded. All outcome measures were recorded at pretreatment, post treatment, and 12-week follow-up. Results There were statistically significant between-group differences in the training-induced improvements revealed in the SWM results (P=.04) immediately after training and in the BBT results (P=.05) at the 12-week follow-up. The changes in muscle tone and in the QOM, SWM, and BBT scores indicated statistically significant improvements after 12 sessions of treatment for the experimental group. For the control group, a significant statistical improvement was found in the wrist (P<.001 and coordination component of the fma score.> Conclusions This study indicated that the perturbation-based pinch task training has beneficial effects on sensory restoration of the affected thumb in patients with chronic stroke.
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=267491

[article] Effect of a Novel Perturbation-Based Pinch Task Training on Sensorimotor Performance of Upper Extremity for Patients With Chronic Stroke: A Pilot Randomized Controlled Trial [Article] / Hsiu-Yun Hsu ; Ta-Shen Kuan ; Ching-Liang Tsai ; Po-Ting Wu ; Yao-Lung Kuo ; Fong-Chin Su ; Li-Chieh Kuo . - 2021 . - p. 811-818.
https://doi.org/10.1016/j.apmr.2020.11.004
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 811-818

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Membre supérieur ; Réadaptation ; Sensation
Résumé :	Objective To investigate the effects of perturbation-based pinch task training on the sensorimotor performance of the upper extremities of patients with chronic stroke via a novel vibrotactile therapy system. Design A single-blinded randomized controlled trial. Setting A university hospital. Participants Patients with chronic stroke (N=19) randomly assigned into either an experimental group or a control group completed the study. Interventions In addition to 10 minutes of traditional sensorimotor facilitation, each participant in the experimental group received 20 minutes of perturbation-based pinch task training in each treatment session, and the controls received 20 minutes of task-specific motor training twice a week for 6 weeks. Main Outcome Measures The scores for the primary outcome, Semmes-Weinstein monofilament (SWM), and those for the secondary outcomes, Fugl-Meyer Assessment (FMA), amount of use, quality of movement (QOM) on the Motor Activity Log (MAL) scale, and box and block test (BBT), were recorded. All outcome measures were recorded at pretreatment, post treatment, and 12-week follow-up. Results There were statistically significant between-group differences in the training-induced improvements revealed in the SWM results (P=.04) immediately after training and in the BBT results (P=.05) at the 12-week follow-up. The changes in muscle tone and in the QOM, SWM, and BBT scores indicated statistically significant improvements after 12 sessions of treatment for the experimental group. For the control group, a significant statistical improvement was found in the wrist (P<.001 and coordination component of the fma score.> Conclusions This study indicated that the perturbation-based pinch task training has beneficial effects on sensory restoration of the affected thumb in patients with chronic stroke.
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=267491

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 819-827

Titre :	Proximal vs Distal Approach of Ultrasound-guided Suprascapular Nerve Block for Patients With Adhesive Capsulitis of the Shoulder: Prospective Randomized Controlled Trial
Type de document :	Article
Auteurs :	Kyu Hwan Bae ; Ki Chol Park ; Gu Min Jeong ; Tae Kang Lim
Année de publication :	2021
Article en page(s) :	p. 819-827
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.003
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Bloc nerveux ; Bursite ; Échographie ; Réadaptation ; Scapulalgie
Résumé :	Objectives To evaluate the early clinical outcomes of ultrasound (US)-guided suprascapular nerve block (SSNB) using a proximal approach compared with a distal approach for outpatient treatment of adhesive capsulitis. Design Randomized controlled trial. Setting Outpatient clinic Participants Participants (N=47) with symptomatic adhesive capsulitis. Interventions Participants were randomly assigned to either US-guided SSNB using a proximal approach (n=23, proximal group) or a distal approach (n=24, distal group). Main Outcome Measures The primary outcome measure was the visual analog scale (VAS) for pain at week 12. Secondary outcomes included the American Shoulder Elbow Surgeon’s (ASES) score, University California Los Angeles score, Short Form-36 mental and physical component summaries, and range of motion. All patients completed clinical follow-up at 2, 6, and 12 weeks after treatment. On US images, depth and insertion angle of needle during injection were measured. Results The VAS significantly improved in both groups at week 12. After treatment, no significant differences were found in early clinical outcomes (weeks 2, 6, and 12) between groups (all P>.05), except that ASES at 2 weeks showed a significantly higher score in the distal group than in the proximal group (87.1±4.8 and 83.0±6.3, respectively; P=.014). The mean depth and insertion angle of needle was significantly lower (depth: 13.4±3.9 and 30.6±4.3 mm, respectively; P<.001 insertion angle: and p in the proximal group than distal group.> Conclusions This study demonstrated that proximal approach of US-guided SSNB provided favorable short-term outcomes of pain and functional improvement and that outcomes were comparable to those of the distal approach in adhesive capsulitis. The suprascapular nerve was located more superficially and easily identified in the proximal approach, suggesting that this method might improve the accuracy of injection.
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=267499

[article] Proximal vs Distal Approach of Ultrasound-guided Suprascapular Nerve Block for Patients With Adhesive Capsulitis of the Shoulder: Prospective Randomized Controlled Trial [Article] / Kyu Hwan Bae ; Ki Chol Park ; Gu Min Jeong ; Tae Kang Lim . - 2021 . - p. 819-827.
https://doi.org/10.1016/j.apmr.2020.11.003
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 819-827

Descripteurs :	HE Vinci Bloc nerveux ; Bursite ; Échographie ; Réadaptation ; Scapulalgie
Résumé :	Objectives To evaluate the early clinical outcomes of ultrasound (US)-guided suprascapular nerve block (SSNB) using a proximal approach compared with a distal approach for outpatient treatment of adhesive capsulitis. Design Randomized controlled trial. Setting Outpatient clinic Participants Participants (N=47) with symptomatic adhesive capsulitis. Interventions Participants were randomly assigned to either US-guided SSNB using a proximal approach (n=23, proximal group) or a distal approach (n=24, distal group). Main Outcome Measures The primary outcome measure was the visual analog scale (VAS) for pain at week 12. Secondary outcomes included the American Shoulder Elbow Surgeon’s (ASES) score, University California Los Angeles score, Short Form-36 mental and physical component summaries, and range of motion. All patients completed clinical follow-up at 2, 6, and 12 weeks after treatment. On US images, depth and insertion angle of needle during injection were measured. Results The VAS significantly improved in both groups at week 12. After treatment, no significant differences were found in early clinical outcomes (weeks 2, 6, and 12) between groups (all P>.05), except that ASES at 2 weeks showed a significantly higher score in the distal group than in the proximal group (87.1±4.8 and 83.0±6.3, respectively; P=.014). The mean depth and insertion angle of needle was significantly lower (depth: 13.4±3.9 and 30.6±4.3 mm, respectively; P<.001 insertion angle: and p in the proximal group than distal group.> Conclusions This study demonstrated that proximal approach of US-guided SSNB provided favorable short-term outcomes of pain and functional improvement and that outcomes were comparable to those of the distal approach in adhesive capsulitis. The suprascapular nerve was located more superficially and easily identified in the proximal approach, suggesting that this method might improve the accuracy of injection.
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=267499

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 828-834

Titre :	Opioid Use Among Individuals With Spinal Cord Injury: Prevalence Estimates Based on State Prescription Drug Monitoring Program Data
Type de document :	Article
Auteurs :	Nicole D. DiPiro ; David Murday ; Elizabeth H. Corley ; Thomas V. DiPiro ; James S. Krause
Année de publication :	2021
Article en page(s) :	p. 828-834
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.128
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Analgésiques ; Analgésiques morphiniques ; Programmes de surveillance des médicaments d'ordonnance ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objective To identify the prevalence of opioid use in individuals with chronic spinal cord injury (SCI) living in South Carolina. Design Cohort study. Setting Data from 2 statewide population-based databases, an SCI Registry and the state prescription drug monitoring program, were linked and analyzed. Participants The study included individuals (N=503) with chronic (>1y) SCI who were injured between 2013 and 2014 in South Carolina and who survived at least 3 years postinjury. Interventions Not applicable. Main Outcome Measures Filled opioid prescriptions over a 2-year period (months 13-36 after injury). The main outcomes were total number of days with an opioid prescription over the 2-year period, length of coverage period [(final day of prescription coverage+the days supplied)–first day of prescription coverage], average daily morphine milligram equivalents (MME) over the coverage period, and concurrent days covered by an opioid and a prescription for benzodiazepines, sedatives, or hypnotics. Results A total of 53.5% of the cohort (269 individuals) filled at least 1 opioid prescription during their second or third year after SCI. In total, there were 3386 opioid fills during the 2-year study. On average, the total number of opioid prescription days was 293±367. The average coverage period was 389±290 days, and the average daily MME during the coverage period was 41±70 MME. Of those who filled an opioid prescription, 23% had high-risk fills (>50 MME), and 38% had concurrent prescriptions for benzodiazepines, sedatives, or hypnotics. Conclusions The prevalence of opioid use was high among individuals with chronic SCI, exceeding rates observed in the general population. Also concerning were the rates of high-risk fills, based on average daily MME and concurrent benzodiazepine, sedative, or hypnotic prescriptions. These findings, taken together with those of earlier studies, should be used by providers to assess and monitor opioid use, decrease concurrent high-risk medication use, and attenuate the risk of adverse outcomes.
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=267501

[article] Opioid Use Among Individuals With Spinal Cord Injury: Prevalence Estimates Based on State Prescription Drug Monitoring Program Data [Article] / Nicole D. DiPiro ; David Murday ; Elizabeth H. Corley ; Thomas V. DiPiro ; James S. Krause . - 2021 . - p. 828-834.
https://doi.org/10.1016/j.apmr.2020.10.128
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 828-834

Descripteurs :	HE Vinci Analgésiques ; Analgésiques morphiniques ; Programmes de surveillance des médicaments d'ordonnance ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objective To identify the prevalence of opioid use in individuals with chronic spinal cord injury (SCI) living in South Carolina. Design Cohort study. Setting Data from 2 statewide population-based databases, an SCI Registry and the state prescription drug monitoring program, were linked and analyzed. Participants The study included individuals (N=503) with chronic (>1y) SCI who were injured between 2013 and 2014 in South Carolina and who survived at least 3 years postinjury. Interventions Not applicable. Main Outcome Measures Filled opioid prescriptions over a 2-year period (months 13-36 after injury). The main outcomes were total number of days with an opioid prescription over the 2-year period, length of coverage period [(final day of prescription coverage+the days supplied)–first day of prescription coverage], average daily morphine milligram equivalents (MME) over the coverage period, and concurrent days covered by an opioid and a prescription for benzodiazepines, sedatives, or hypnotics. Results A total of 53.5% of the cohort (269 individuals) filled at least 1 opioid prescription during their second or third year after SCI. In total, there were 3386 opioid fills during the 2-year study. On average, the total number of opioid prescription days was 293±367. The average coverage period was 389±290 days, and the average daily MME during the coverage period was 41±70 MME. Of those who filled an opioid prescription, 23% had high-risk fills (>50 MME), and 38% had concurrent prescriptions for benzodiazepines, sedatives, or hypnotics. Conclusions The prevalence of opioid use was high among individuals with chronic SCI, exceeding rates observed in the general population. Also concerning were the rates of high-risk fills, based on average daily MME and concurrent benzodiazepine, sedative, or hypnotic prescriptions. These findings, taken together with those of earlier studies, should be used by providers to assess and monitor opioid use, decrease concurrent high-risk medication use, and attenuate the risk of adverse outcomes.
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=267501

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 835-842

Titre :	A Consensus Statement for the Management and Rehabilitation of Communication and Swallowing Function in the ICU: A Global Response to COVID-19
Type de document :	Article
Auteurs :	Amy Freeman-Sanderson ; Elizabeth C. Ward ; Anna Miles ; Irene de Pedro Netto ; Sallyanne Duncan ; Yoko Inamoto ; Jackie McRae ; Natasha Pillay ; Stacey A. Skoretz ; Margaret Walshe ; Martin B. Brodsky
Année de publication :	2021
Article en page(s) :	p. 835-842
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.113
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Communication ; COVID-19 ; Réadaptation ; SARS-CoV-2 ; Soins de réanimation ; Télémédecine ; Troubles de la déglutition
Résumé :	Objective To identify core practices for workforce management of communication and swallowing functions in coronavirus disease 2019 (COVID-19) positive patients within the intensive care unit (ICU). Design A modified Delphi methodology was used, with 3 electronic voting rounds. AGREE II and an adapted COVID-19 survey framework from physiotherapy were used to develop survey statements. Sixty-six statements pertaining to workforce planning and management of communication and swallowing function in the ICU were included. Setting Electronic modified Delphi process. Participants Speech-language pathologists (SLPs) (N=35) from 6 continents representing 12 countries. Interventions Not applicable. Main Outcome Measures The main outcome was consensus agreement, defined a priori as ≥70% of participants with a mean Likert score ≥7.0 (11-point scale: 0=strongly disagree, 10=strongly agree). Prioritization rank order of statements in a fourth round was also conducted. Results SLPs with a median of 15 years of ICU experience, working primarily in clinical (54%), academic (29%), or managerial positions (17%), completed all voting rounds. After the third round, 64 statements (97%) met criteria. Rank ordering identified issues of high importance. Conclusions A set of global consensus statements to facilitate planning and delivery of rehabilitative care for patients admitted to the ICU during the COVID-19 pandemic were agreed by an international expert SLP group. Statements focused on considerations for workforce preparation, resourcing and training, and the management of communication and swallowing functions. These statements support and provide direction for all members of the rehabilitation team to use for patients admitted to the ICU during a global pandemic.
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=267506

[article] A Consensus Statement for the Management and Rehabilitation of Communication and Swallowing Function in the ICU: A Global Response to COVID-19 [Article] / Amy Freeman-Sanderson ; Elizabeth C. Ward ; Anna Miles ; Irene de Pedro Netto ; Sallyanne Duncan ; Yoko Inamoto ; Jackie McRae ; Natasha Pillay ; Stacey A. Skoretz ; Margaret Walshe ; Martin B. Brodsky . - 2021 . - p. 835-842.
https://doi.org/10.1016/j.apmr.2020.10.113
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 835-842

Descripteurs :	HE Vinci Communication ; COVID-19 ; Réadaptation ; SARS-CoV-2 ; Soins de réanimation ; Télémédecine ; Troubles de la déglutition
Résumé :	Objective To identify core practices for workforce management of communication and swallowing functions in coronavirus disease 2019 (COVID-19) positive patients within the intensive care unit (ICU). Design A modified Delphi methodology was used, with 3 electronic voting rounds. AGREE II and an adapted COVID-19 survey framework from physiotherapy were used to develop survey statements. Sixty-six statements pertaining to workforce planning and management of communication and swallowing function in the ICU were included. Setting Electronic modified Delphi process. Participants Speech-language pathologists (SLPs) (N=35) from 6 continents representing 12 countries. Interventions Not applicable. Main Outcome Measures The main outcome was consensus agreement, defined a priori as ≥70% of participants with a mean Likert score ≥7.0 (11-point scale: 0=strongly disagree, 10=strongly agree). Prioritization rank order of statements in a fourth round was also conducted. Results SLPs with a median of 15 years of ICU experience, working primarily in clinical (54%), academic (29%), or managerial positions (17%), completed all voting rounds. After the third round, 64 statements (97%) met criteria. Rank ordering identified issues of high importance. Conclusions A set of global consensus statements to facilitate planning and delivery of rehabilitative care for patients admitted to the ICU during the COVID-19 pandemic were agreed by an international expert SLP group. Statements focused on considerations for workforce preparation, resourcing and training, and the management of communication and swallowing functions. These statements support and provide direction for all members of the rehabilitation team to use for patients admitted to the ICU during a global pandemic.
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=267506

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 843-848

Titre :	Prevalence and Risk Factors of Adhesive Capsulitis in Asian Breast Cancer Patients Undergoing an Outpatient Community Cancer Rehabilitation Program
Type de document :	Article
Auteurs :	Chin Jung Wong ; Matthew Rong Jie Tay ; Hui Zhen Aw
Année de publication :	2021
Article en page(s) :	p. 843-848
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.105
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Lymphoedeme ; Réadaptation ; Services de santé communautaires ; Survie (démographie) ; Tumeurs du sein
Résumé :	Objectives To investigate the prevalence and risk factors for adhesive capsulitis in postoperative breast cancer patients up to 5 years after surgery who were attending an outpatient community cancer rehabilitation program, and to determine whether any significant relationship exists between arm lymphedema and adhesive capsulitis. Design Cross-sectional observational study. Setting National cancer rehabilitation center. Participants Asian women (N=135) who underwent breast surgery and were referred for an outpatient community cancer rehabilitation program. Interventions Not applicable. Main Outcome Measures Presence of adhesive capsulitis, lymphedema. Results The prevalence of adhesive capsulitis and lymphedema in this population was 22.2% and 33.3%, respectively. A history of mastectomy (odds ratio [OR], 3.93; 95% confidence interval [CI], 1.23-12.63; P=.021), mastectomy with reconstruction (OR, 2.72; 95% CI, 1.27-30.54; P=.024), and lymphedema (OR, 7.92; 95% CI, 2.73-22.95; P<.001 were found to be significantly associated with adhesive capsulitis on multivariate analysis.> Conclusions Adhesive capsulitis and lymphedema are common in breast cancer survivors. The design of cancer rehabilitation programs for breast cancer survivors should include surveillance and management of adhesive capsulitis, especially in the presence of lymphedema.
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=267552

[article] Prevalence and Risk Factors of Adhesive Capsulitis in Asian Breast Cancer Patients Undergoing an Outpatient Community Cancer Rehabilitation Program [Article] / Chin Jung Wong ; Matthew Rong Jie Tay ; Hui Zhen Aw . - 2021 . - p. 843-848.
https://doi.org/10.1016/j.apmr.2020.10.105
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 843-848

Descripteurs :	HE Vinci Lymphoedeme ; Réadaptation ; Services de santé communautaires ; Survie (démographie) ; Tumeurs du sein
Résumé :	Objectives To investigate the prevalence and risk factors for adhesive capsulitis in postoperative breast cancer patients up to 5 years after surgery who were attending an outpatient community cancer rehabilitation program, and to determine whether any significant relationship exists between arm lymphedema and adhesive capsulitis. Design Cross-sectional observational study. Setting National cancer rehabilitation center. Participants Asian women (N=135) who underwent breast surgery and were referred for an outpatient community cancer rehabilitation program. Interventions Not applicable. Main Outcome Measures Presence of adhesive capsulitis, lymphedema. Results The prevalence of adhesive capsulitis and lymphedema in this population was 22.2% and 33.3%, respectively. A history of mastectomy (odds ratio [OR], 3.93; 95% confidence interval [CI], 1.23-12.63; P=.021), mastectomy with reconstruction (OR, 2.72; 95% CI, 1.27-30.54; P=.024), and lymphedema (OR, 7.92; 95% CI, 2.73-22.95; P<.001 were found to be significantly associated with adhesive capsulitis on multivariate analysis.> Conclusions Adhesive capsulitis and lymphedema are common in breast cancer survivors. The design of cancer rehabilitation programs for breast cancer survivors should include surveillance and management of adhesive capsulitis, especially in the presence of lymphedema.
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=267552

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 849-855

Titre :	Poststroke Fatigue at Admission is Associated With Independence Levels of Activities of Daily Living at Discharge From Subacute Rehabilitation Wards
Type de document :	Article
Auteurs :	Kazuaki Oyake ; Yohei Otaka ; Daisuke Matsuura ; Kaoru Honaga ; Naoki Mori ; Kunitsugu Kondo
Année de publication :	2021
Article en page(s) :	p. 849-855
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.117
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Activités de la vie quotidienne ; Angiopathies intracrâniennes ; Pronostic ; Réadaptation
Résumé :	Objective To determine whether poststroke fatigue at admission is associated with the degree of independence in activities of daily living in patients with stroke at discharge from subacute rehabilitation wards. Design Retrospective cohort study. Setting Subacute rehabilitation hospital. Participants A consecutive sample of patients (N=156) with stroke who were admitted to a subacute rehabilitation ward between December 2012 and November 2013 were enrolled in the study. Interventions Not applicable. Main Outcome Measures Poststroke fatigue was assessed using the Fatigue Severity Scale within 2 weeks of admission. Poststroke fatigue was defined as the mean score of 4 points or more from among 9 items in the Fatigue Severity Scale. Functional outcome was assessed by using FIM motor items. Results Fifty-six (35.9%) of the 156 participants had poststroke fatigue at admission. The scores of the FIM motor items at admission and discharge were significantly lower in the fatigue group than in the nonfatigue group (P<.05 multiple regression analysis with potentially confounding variables revealed that poststroke fatigue was a significant independent factor for discharge fim motor items score> Conclusion Poststroke fatigue at admission was significantly associated with functional outcome at discharge from subacute rehabilitation wards. Our findings emphasize that rehabilitation professionals need to manage poststroke fatigue in addition to providing the interventions to improve daily activities in patients with subacute stroke.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com./science/ [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267553

[article] Poststroke Fatigue at Admission is Associated With Independence Levels of Activities of Daily Living at Discharge From Subacute Rehabilitation Wards [Article] / Kazuaki Oyake ; Yohei Otaka ; Daisuke Matsuura ; Kaoru Honaga ; Naoki Mori ; Kunitsugu Kondo . - 2021 . - p. 849-855.
https://doi.org/10.1016/j.apmr.2020.10.117
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 849-855

Descripteurs :	HE Vinci Activités de la vie quotidienne ; Angiopathies intracrâniennes ; Pronostic ; Réadaptation
Résumé :	Objective To determine whether poststroke fatigue at admission is associated with the degree of independence in activities of daily living in patients with stroke at discharge from subacute rehabilitation wards. Design Retrospective cohort study. Setting Subacute rehabilitation hospital. Participants A consecutive sample of patients (N=156) with stroke who were admitted to a subacute rehabilitation ward between December 2012 and November 2013 were enrolled in the study. Interventions Not applicable. Main Outcome Measures Poststroke fatigue was assessed using the Fatigue Severity Scale within 2 weeks of admission. Poststroke fatigue was defined as the mean score of 4 points or more from among 9 items in the Fatigue Severity Scale. Functional outcome was assessed by using FIM motor items. Results Fifty-six (35.9%) of the 156 participants had poststroke fatigue at admission. The scores of the FIM motor items at admission and discharge were significantly lower in the fatigue group than in the nonfatigue group (P<.05 multiple regression analysis with potentially confounding variables revealed that poststroke fatigue was a significant independent factor for discharge fim motor items score> Conclusion Poststroke fatigue at admission was significantly associated with functional outcome at discharge from subacute rehabilitation wards. Our findings emphasize that rehabilitation professionals need to manage poststroke fatigue in addition to providing the interventions to improve daily activities in patients with subacute stroke.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com./science/ [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267553

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 856-864

Titre :	Shoulder Pain Is Associated With Rate of Rise and Jerk of the Applied Forces During Wheelchair Propulsion in Individuals With Paraplegic Spinal Cord Injury
Type de document :	Article
Auteurs :	Benjamin J.H. Beirens ; Fransiska M. Bossuyt ; Ursina Arnet ; Lucas H. van der Woude ; Wiebe H.K. de Vries
Année de publication :	2021
Article en page(s) :	p. 856-864
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.114
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Fauteuils roulants ; Réadaptation ; Scapulalgie ; Traumatismes de la moelle épinière
Résumé :	Objective To investigate the association between propulsion biomechanics, including variables that describe smoothness of the applied forces, and shoulder pain in individuals with spinal cord injury (SCI). Design Cross-sectional, observational study. Setting Non-university research institution. Participants Community dwelling, wheelchair dependent participants (N=30) with chronic paraplegia between T2 and L1, with and without shoulder pain (age, 48.6±9.3y; 83% men). Interventions Not applicable. Main Outcome Measures Rate of rise and jerk of applied forces during wheelchair propulsion. Participants were stratified in groups with low, moderate, and high pain based on their Wheelchair User Shoulder Pain Index score on the day of measurement. Results A mixed-effect multilevel analysis showed that wheelchair users in the high pain group propelled with a significantly greater rate of rise and jerk, measures that describe smoothness of the applied forces, compared with individuals with less or no pain, when controlling for all covariables. Conclusions Individuals with severe shoulder pain propelled with less smooth strokes compared to individuals with less or no pain. This supports a possible association between shoulder pain and rate of rise and jerk of the applied forces during wheelchair propulsion.
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=267566

[article] Shoulder Pain Is Associated With Rate of Rise and Jerk of the Applied Forces During Wheelchair Propulsion in Individuals With Paraplegic Spinal Cord Injury [Article] / Benjamin J.H. Beirens ; Fransiska M. Bossuyt ; Ursina Arnet ; Lucas H. van der Woude ; Wiebe H.K. de Vries . - 2021 . - p. 856-864.
https://doi.org/10.1016/j.apmr.2020.10.114
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 856-864

Descripteurs :	HE Vinci Fauteuils roulants ; Réadaptation ; Scapulalgie ; Traumatismes de la moelle épinière
Résumé :	Objective To investigate the association between propulsion biomechanics, including variables that describe smoothness of the applied forces, and shoulder pain in individuals with spinal cord injury (SCI). Design Cross-sectional, observational study. Setting Non-university research institution. Participants Community dwelling, wheelchair dependent participants (N=30) with chronic paraplegia between T2 and L1, with and without shoulder pain (age, 48.6±9.3y; 83% men). Interventions Not applicable. Main Outcome Measures Rate of rise and jerk of applied forces during wheelchair propulsion. Participants were stratified in groups with low, moderate, and high pain based on their Wheelchair User Shoulder Pain Index score on the day of measurement. Results A mixed-effect multilevel analysis showed that wheelchair users in the high pain group propelled with a significantly greater rate of rise and jerk, measures that describe smoothness of the applied forces, compared with individuals with less or no pain, when controlling for all covariables. Conclusions Individuals with severe shoulder pain propelled with less smooth strokes compared to individuals with less or no pain. This supports a possible association between shoulder pain and rate of rise and jerk of the applied forces during wheelchair propulsion.
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=267566

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 865-873

Titre :	Effect of Different Forms of Activity-Based Recovery Training on Bladder, Bowel, and Sexual Function After Spinal Cord Injury
Type de document :	Article
Auteurs :	Charles H. Hubscher ; Jennifer Wyles ; Anthony Gallahar ; Kristen Johnson ; Andrea Willhite ; Susan J. Harkema ; April N. Herrity
Année de publication :	2021
Article en page(s) :	p. 865-873
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.002
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Intestin neurogénique ; Réadaptation ; Traumatismes de la moelle épinière ; Troubles sexuels d'origine physiologique ; Vessie urinaire
Résumé :	Objectives To investigate whether the urogenital and bowel functional gains previously demonstrated post-locomotor step training after chronic spinal cord injury could have been derived due to weight-bearing alone or from exercise in general. Design Prospective cohort study; pilot trial with small sample size. Setting Urogenital and bowel scientific core facility at a rehabilitation institute and spinal cord injury research center in the United States. Participants Men and women (N=22) with spinal cord injury (American Spinal Injury Association Impairment Scale grades of A-D) participated in this study. Interventions Approximately 80 daily 1-hour sessions of either stand training or nonweight-bearing arm crank ergometry. Comparisons were made with previously published locomotor training data (step; N=7). Main Outcome Measures Assessments at both pre- and post-training timepoints included cystometry for bladder function and International Data Set Questionnaires for bowel and sexual functions. Results Cystometry measurements revealed a significant decrease in bladder pressure and limited improvement in compliance with nonweight-bearing exercise but not with standing. Although International Data Set questionnaires revealed profound bowel dysfunction and marked deficits in sexual function pretraining, no differences were identified poststand or after nonweight-bearing exercise. Conclusions These pilot trial results suggest that, although stand and weight-bearing alone do not benefit pelvic organ functions after spinal cord injury, exercise in general may contribute at least partially to the lowering of bladder pressure and the increase in compliance that was seen previously with locomotor training, potentially through metabolic, humoral, and/or cardiovascular mechanisms. Thus, to maximize activity-based recovery training benefits for functions related to storage and emptying, an appropriate level of sensory input to the spinal cord neural circuitries controlling bladder and bowel requires task-specific stepping.
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=267570

[article] Effect of Different Forms of Activity-Based Recovery Training on Bladder, Bowel, and Sexual Function After Spinal Cord Injury [Article] / Charles H. Hubscher ; Jennifer Wyles ; Anthony Gallahar ; Kristen Johnson ; Andrea Willhite ; Susan J. Harkema ; April N. Herrity . - 2021 . - p. 865-873.
https://doi.org/10.1016/j.apmr.2020.11.002
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 865-873

Descripteurs :	HE Vinci Intestin neurogénique ; Réadaptation ; Traumatismes de la moelle épinière ; Troubles sexuels d'origine physiologique ; Vessie urinaire
Résumé :	Objectives To investigate whether the urogenital and bowel functional gains previously demonstrated post-locomotor step training after chronic spinal cord injury could have been derived due to weight-bearing alone or from exercise in general. Design Prospective cohort study; pilot trial with small sample size. Setting Urogenital and bowel scientific core facility at a rehabilitation institute and spinal cord injury research center in the United States. Participants Men and women (N=22) with spinal cord injury (American Spinal Injury Association Impairment Scale grades of A-D) participated in this study. Interventions Approximately 80 daily 1-hour sessions of either stand training or nonweight-bearing arm crank ergometry. Comparisons were made with previously published locomotor training data (step; N=7). Main Outcome Measures Assessments at both pre- and post-training timepoints included cystometry for bladder function and International Data Set Questionnaires for bowel and sexual functions. Results Cystometry measurements revealed a significant decrease in bladder pressure and limited improvement in compliance with nonweight-bearing exercise but not with standing. Although International Data Set questionnaires revealed profound bowel dysfunction and marked deficits in sexual function pretraining, no differences were identified poststand or after nonweight-bearing exercise. Conclusions These pilot trial results suggest that, although stand and weight-bearing alone do not benefit pelvic organ functions after spinal cord injury, exercise in general may contribute at least partially to the lowering of bladder pressure and the increase in compliance that was seen previously with locomotor training, potentially through metabolic, humoral, and/or cardiovascular mechanisms. Thus, to maximize activity-based recovery training benefits for functions related to storage and emptying, an appropriate level of sensory input to the spinal cord neural circuitries controlling bladder and bowel requires task-specific stepping.
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=267570

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 874-880

Titre :	Sensorimotor, Cognitive, and Affective Functions Contribute to the Prediction of Falls in Old Age and Neurologic Disorders: An Observational Study
Type de document :	Article
Auteurs :	Kimberley S. van Schooten ; Morag E. Taylor ; Jacqueline C.T. Close ; Jennifer C. Davis ; Serena S. Paul ; Colleen Canning ; Mark D. Latt ; Phu Hoang ; Nicole A. Kochan ; Perminder S. Sachdev ; Henry Brodaty ; Catherine M. Dean ; Femke Hulzinga ; Stephen R. Lord ; Kim Delbaere
Année de publication :	2021
Article en page(s) :	p. 874-880
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.134
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Chutes accidentelles ; Cognition ; Cortex sensorimoteur ; Dépression ; Réadaptation
Résumé :	Objective To determine whether impairments across cognitive and affective domains provide additional information to sensorimotor deficits for fall prediction among various populations. Design We pooled data from 5 studies for this observational analysis of prospective falls. Setting Community or low-level care facility. Participants Older people (N=1090; 74.0±9.4y; 579 female); 500 neurologically intact (NI) older people and 3 groups with neurologic disorders (cognitive impairment, n=174; multiple sclerosis (MS), n=111; Parkinson disease, n=305). Interventions None. Main Outcome Measures Sensorimotor function was assessed with the Physiological Profile Assessment, cognitive function with tests of executive function, affect with questionnaires of depression, and concern about falling with falls efficacy questionnaires. These variables were associated with fall incidence rates, obtained prospectively over 6-12 months. Results Poorer sensorimotor function was associated with falls (incidence rate ratio [95% CI], 1.46 [1.28-1.66]). Impaired executive function was the strongest predictor of falls overall (2.91 [2.27-3.73]), followed by depressive symptoms (2.07 [1.56-2.75]) and concern about falling (2.02 [1.61-2.55]). Associations were similar among groups, except for a weaker relationship with executive impairment in NI persons and a stronger relationship with concern about falling in persons with MS. Multivariable analyses showed that executive impairment, poorer sensorimotor performance, depressive symptoms, and concern about falling were independently associated with falls. Conclusions Deficits in cognition (executive function) and affect (depressive symptoms) and concern about falling are as important as sensorimotor function for fall prediction. These domains should be included in fall risk assessments for older people and clinical groups.
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=267571

[article] Sensorimotor, Cognitive, and Affective Functions Contribute to the Prediction of Falls in Old Age and Neurologic Disorders: An Observational Study [Article] / Kimberley S. van Schooten ; Morag E. Taylor ; Jacqueline C.T. Close ; Jennifer C. Davis ; Serena S. Paul ; Colleen Canning ; Mark D. Latt ; Phu Hoang ; Nicole A. Kochan ; Perminder S. Sachdev ; Henry Brodaty ; Catherine M. Dean ; Femke Hulzinga ; Stephen R. Lord ; Kim Delbaere . - 2021 . - p. 874-880.
https://doi.org/10.1016/j.apmr.2020.10.134
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 874-880

Descripteurs :	HE Vinci Chutes accidentelles ; Cognition ; Cortex sensorimoteur ; Dépression ; Réadaptation
Résumé :	Objective To determine whether impairments across cognitive and affective domains provide additional information to sensorimotor deficits for fall prediction among various populations. Design We pooled data from 5 studies for this observational analysis of prospective falls. Setting Community or low-level care facility. Participants Older people (N=1090; 74.0±9.4y; 579 female); 500 neurologically intact (NI) older people and 3 groups with neurologic disorders (cognitive impairment, n=174; multiple sclerosis (MS), n=111; Parkinson disease, n=305). Interventions None. Main Outcome Measures Sensorimotor function was assessed with the Physiological Profile Assessment, cognitive function with tests of executive function, affect with questionnaires of depression, and concern about falling with falls efficacy questionnaires. These variables were associated with fall incidence rates, obtained prospectively over 6-12 months. Results Poorer sensorimotor function was associated with falls (incidence rate ratio [95% CI], 1.46 [1.28-1.66]). Impaired executive function was the strongest predictor of falls overall (2.91 [2.27-3.73]), followed by depressive symptoms (2.07 [1.56-2.75]) and concern about falling (2.02 [1.61-2.55]). Associations were similar among groups, except for a weaker relationship with executive impairment in NI persons and a stronger relationship with concern about falling in persons with MS. Multivariable analyses showed that executive impairment, poorer sensorimotor performance, depressive symptoms, and concern about falling were independently associated with falls. Conclusions Deficits in cognition (executive function) and affect (depressive symptoms) and concern about falling are as important as sensorimotor function for fall prediction. These domains should be included in fall risk assessments for older people and clinical groups.
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=267571

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 881-887

Titre :	Association of Therapy Time Per Day With Functional Outcomes and Rate of Recovery in Older Adults After Elective Joint Replacement Surgery
Type de document :	Article
Auteurs :	Alison M. Cogan ; Jennifer A. Weaver ; David A. Ganz ; Leslie Davidson ; Keith R. Cole ; Trudy Mallinson
Année de publication :	2021
Article en page(s) :	p. 881-887
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.123
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Arthroplastie ; Gériatrie ; Gestion de la douleur ; Réadaptation
Résumé :	Objectives To explore the association between therapy minutes per length of stay (LOS) day (TMLD), functional outcomes, and rate of functional recovery among older adults after elective hip or knee replacement surgery across postacute (PAC) settings. Design Secondary analysis of data collected for an observational cohort study from 2005 to 2010. Setting Four inpatient rehabilitation facilities (IRF) and 7 skilled nursing facilities (SNF). Participants Adults aged 65 years or older (N=162) with Medicare fee-for-service insurance and a primary diagnosis of elective hip or knee replacement. Interventions Not applicable. Main Outcome Measures FIM mobility and self-care measures at discharge. Results The TMLD was divided into high, medium, and low categories. Participants were grouped into low, medium, and high gain rate groups based on their average change in mobility and self-care FIM measures per LOS day. Gain rate and TMLD groups were crossmapped to create 9 gain-TMLD groups separately for mobility and self-care. There were no significant differences in admission mobility or self-care measures by gain rate and TMLD trajectory or by facility type (IRF or SNF). TMLD was not significantly associated with discharge mobility measures. Participants in high gain trajectories attained independence with mobility and self-care tasks at discharge regardless of TMLD. Those in low gain trajectories needed supervision or assistance on all mobility tasks. Older age and greater pain at discharge were significantly associated with lower odds of being in the medium or high gain rate groups. Conclusions For clinicians and facility managers who must care for patients with constrained resources, the shift to value-based reimbursement for rehabilitation services in PAC settings has reinvigorated the question of whether the duration of therapy provided influences patient outcomes. Three hours of daily therapy after joint replacement surgery may exceed what is necessary for recovery. Postsurgical pain management remains a significant challenge in older adults.
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=267572

[article] Association of Therapy Time Per Day With Functional Outcomes and Rate of Recovery in Older Adults After Elective Joint Replacement Surgery [Article] / Alison M. Cogan ; Jennifer A. Weaver ; David A. Ganz ; Leslie Davidson ; Keith R. Cole ; Trudy Mallinson . - 2021 . - p. 881-887.
https://doi.org/10.1016/j.apmr.2020.10.123
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 881-887

Descripteurs :	HE Vinci Arthroplastie ; Gériatrie ; Gestion de la douleur ; Réadaptation
Résumé :	Objectives To explore the association between therapy minutes per length of stay (LOS) day (TMLD), functional outcomes, and rate of functional recovery among older adults after elective hip or knee replacement surgery across postacute (PAC) settings. Design Secondary analysis of data collected for an observational cohort study from 2005 to 2010. Setting Four inpatient rehabilitation facilities (IRF) and 7 skilled nursing facilities (SNF). Participants Adults aged 65 years or older (N=162) with Medicare fee-for-service insurance and a primary diagnosis of elective hip or knee replacement. Interventions Not applicable. Main Outcome Measures FIM mobility and self-care measures at discharge. Results The TMLD was divided into high, medium, and low categories. Participants were grouped into low, medium, and high gain rate groups based on their average change in mobility and self-care FIM measures per LOS day. Gain rate and TMLD groups were crossmapped to create 9 gain-TMLD groups separately for mobility and self-care. There were no significant differences in admission mobility or self-care measures by gain rate and TMLD trajectory or by facility type (IRF or SNF). TMLD was not significantly associated with discharge mobility measures. Participants in high gain trajectories attained independence with mobility and self-care tasks at discharge regardless of TMLD. Those in low gain trajectories needed supervision or assistance on all mobility tasks. Older age and greater pain at discharge were significantly associated with lower odds of being in the medium or high gain rate groups. Conclusions For clinicians and facility managers who must care for patients with constrained resources, the shift to value-based reimbursement for rehabilitation services in PAC settings has reinvigorated the question of whether the duration of therapy provided influences patient outcomes. Three hours of daily therapy after joint replacement surgery may exceed what is necessary for recovery. Postsurgical pain management remains a significant challenge in older adults.
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=267572

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 888-894

Titre :	Twenty-Five-Year Cross-sequential Analysis of Self-reported Problems: Findings From 5 Cohorts From the Spinal Cord Injury Longitudinal Aging Study
Type de document :	Article
Auteurs :	Chao Li ; Jillian M.R. Clark ; James S. Krause
Année de publication :	2021
Article en page(s) :	p. 888-894
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.016
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Autorapport ; Isolement social ; Réadaptation ; Traumatismes de la moelle épinière ; Vieillissement
Résumé :	Objective To evaluate how self-reported problems change over time among people with spinal cord injury (SCI). Design Cross-sequential analysis. Setting Medical university in the Southeastern United States. Participants Participants included 1997 individuals with traumatic SCI of at least 1-year duration who were identified from participation in the SCI Longitudinal Aging Study from 1993-2018. Interventions None. Main Outcome Measures The outcomes analyzed were 6 problem factors defined as health, social isolation, emotional distress, environmental barriers, money, and lack of opportunities. A series of cross-sequential models, using PROC MIXED procedure, were developed to evaluate the initial and change of the 6 problem factors over the 6 times of measurements in 25 years. Results Years post injury was negatively associated with initial status of problems of social isolation, emotional distress, environmental barriers, and lack of opportunities because participants with more years post injury at baseline reported lower scores on each factor. Longitudinally, with increased years post injury, higher scores were observed on the health problem factor. However, problems of social isolation, emotional distress, environmental barriers, money, and lack of opportunities decreased over time with increasing years post injury. Conclusions Participants had more health problems with increasing years after SCI, but fewer problems of social isolation, emotional distress, environmental barriers, money, and lack of opportunities.
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=267573

[article] Twenty-Five-Year Cross-sequential Analysis of Self-reported Problems: Findings From 5 Cohorts From the Spinal Cord Injury Longitudinal Aging Study [Article] / Chao Li ; Jillian M.R. Clark ; James S. Krause . - 2021 . - p. 888-894.
https://doi.org/10.1016/j.apmr.2020.11.016
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 888-894

Descripteurs :	HE Vinci Autorapport ; Isolement social ; Réadaptation ; Traumatismes de la moelle épinière ; Vieillissement
Résumé :	Objective To evaluate how self-reported problems change over time among people with spinal cord injury (SCI). Design Cross-sequential analysis. Setting Medical university in the Southeastern United States. Participants Participants included 1997 individuals with traumatic SCI of at least 1-year duration who were identified from participation in the SCI Longitudinal Aging Study from 1993-2018. Interventions None. Main Outcome Measures The outcomes analyzed were 6 problem factors defined as health, social isolation, emotional distress, environmental barriers, money, and lack of opportunities. A series of cross-sequential models, using PROC MIXED procedure, were developed to evaluate the initial and change of the 6 problem factors over the 6 times of measurements in 25 years. Results Years post injury was negatively associated with initial status of problems of social isolation, emotional distress, environmental barriers, and lack of opportunities because participants with more years post injury at baseline reported lower scores on each factor. Longitudinally, with increased years post injury, higher scores were observed on the health problem factor. However, problems of social isolation, emotional distress, environmental barriers, money, and lack of opportunities decreased over time with increasing years post injury. Conclusions Participants had more health problems with increasing years after SCI, but fewer problems of social isolation, emotional distress, environmental barriers, money, and lack of opportunities.
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=267573

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 895-904

Titre :	Classification of Stroke Patients With Dysphagia Into Subgroups Based on Patterns of Submental Muscle Strength and Skill Impairment
Type de document :	Article
Auteurs :	Karen B. Ng ; Richard D. Jones ; Esther Guiu Hernandez ; Phoebe Macrae ; Maggie-Lee Huckabee
Année de publication :	2021
Article en page(s) :	p. 895-904
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.014
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Déglutition ; Réadaptation ; Troubles de la déglutition
Résumé :	Objectives To identify and characterize subgroups of stroke patients with clinical signs of dysphagia, based on swallowing-related strength and skill impairments of the submental muscle group. Design Prospective observational study. Setting Inpatient rehabilitation centers and community dwellings. Participants Individuals (N=114), including stroke patients with dysphagia (n=55) and 2 control groups including myopathic patients with dysphagia (n=19) and healthy volunteers (n=40) were included in this study. Interventions Not applicable. Main Outcome Measures Novel clinical assessment of strength (force generation) and skill (spatial and temporal precision of muscle activation) of the submental muscle group during swallowing and nonswallowing behaviors, using surface electromyography and dynamometry. Results Hierarchical cluster analysis revealed 4 clusters, which could be broadly characterized as cluster 1: intact strength and skill, cluster 2: poor strength and poor nonswallowing skill, cluster 3: poor strength, and cluster 4: poor strength and poor swallowing skill. Membership in cluster was significantly associated with medical diagnosis (P<.001 the majority of healthy and myopathic participants were assigned to clusters respectively whereas stroke patients found in all clusters. skill outcome measures more predictive cluster assignment than strength measures.> Conclusions Although healthy and myopathic participants demonstrated predominantly homogeneous swallowing patterns of submental muscle function within their etiology, several subgroups were identified within stroke, possibly reflecting different subtypes of swallowing function. Future research should focus on the nature and rehabilitation needs of these subtypes. Assessment of skill in swallowing may be an important but overlooked aspect of 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=267574

[article] Classification of Stroke Patients With Dysphagia Into Subgroups Based on Patterns of Submental Muscle Strength and Skill Impairment [Article] / Karen B. Ng ; Richard D. Jones ; Esther Guiu Hernandez ; Phoebe Macrae ; Maggie-Lee Huckabee . - 2021 . - p. 895-904.
https://doi.org/10.1016/j.apmr.2020.11.014
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 895-904

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Déglutition ; Réadaptation ; Troubles de la déglutition
Résumé :	Objectives To identify and characterize subgroups of stroke patients with clinical signs of dysphagia, based on swallowing-related strength and skill impairments of the submental muscle group. Design Prospective observational study. Setting Inpatient rehabilitation centers and community dwellings. Participants Individuals (N=114), including stroke patients with dysphagia (n=55) and 2 control groups including myopathic patients with dysphagia (n=19) and healthy volunteers (n=40) were included in this study. Interventions Not applicable. Main Outcome Measures Novel clinical assessment of strength (force generation) and skill (spatial and temporal precision of muscle activation) of the submental muscle group during swallowing and nonswallowing behaviors, using surface electromyography and dynamometry. Results Hierarchical cluster analysis revealed 4 clusters, which could be broadly characterized as cluster 1: intact strength and skill, cluster 2: poor strength and poor nonswallowing skill, cluster 3: poor strength, and cluster 4: poor strength and poor swallowing skill. Membership in cluster was significantly associated with medical diagnosis (P<.001 the majority of healthy and myopathic participants were assigned to clusters respectively whereas stroke patients found in all clusters. skill outcome measures more predictive cluster assignment than strength measures.> Conclusions Although healthy and myopathic participants demonstrated predominantly homogeneous swallowing patterns of submental muscle function within their etiology, several subgroups were identified within stroke, possibly reflecting different subtypes of swallowing function. Future research should focus on the nature and rehabilitation needs of these subtypes. Assessment of skill in swallowing may be an important but overlooked aspect of 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=267574

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 905-913

Titre :	Effects of Ultrasound-Guided Peritendinous and Intrabursal Corticosteroid Injections on Shoulder Tendon Elasticity: A Post Hoc Analysis of a Randomized Controlled Trial
Type de document :	Article
Auteurs :	Po-Cheng Hsu ; Ke-Vin Chang ; Wei-Ting Wu ; Jia-Chi Wang ; Lèvent Ozçakar
Année de publication :	2021
Article en page(s) :	p. 905-913
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.011
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Coiffe des rotateurs ; Corticostérone ; Epaule ; Imagerie d'élasticité tissulaire ; Réadaptation
Résumé :	Objectives The study aimed to investigate whether the shoulder tendons changed their elasticity after ultrasound-guided peritendinous or intrabursal corticosteroid injections. Design Post hoc secondary analysis of a double-blinded, randomized controlled study with 3 months of follow-up. Setting Outpatient rehabilitation clinic. Participants Patients with subacromial impingement syndrome (N=60). Interventions Patients with unilateral shoulder pain were randomly assigned to receive standard ultrasound-guided subacromial or dual-target corticosteroid injections. The supraspinatus tendons were exposed to 40 mg triamcinolone acetonide in the formal group, whereas the long head of the biceps brachii tendons (LHBT) and supraspinatus tendons were individually infiltrated by 20 mg triamcinolone acetonide in the latter group. Patients’ bilateral shoulders were divided into group 1 (n=30, receiving standard subacromial injections), group 2 (n=30, receiving dual-target injections), and group 3 (n=60, without injections). Main Outcome Measures Strain ratio of LHBT and supraspinatus tendons using ultrasound elastography. Results The repeated-measures analysis of variance revealed no intragroup difference of the strain ratio of the LHBT (P=.412 for group 1, P=.936 for group 2, P=.131 for group 3) and supraspinatus tendon (P=.309 for group 1, P=.067 for group 2, P=.860 for group 3) across the 3 time points. Treating group 3 as the reference, the linear mixed model revealed no significant changes in tendon elasticity after either the standard subacromial injection (P=.205 for the LHBT and P=.529 for the supraspinatus tendon) or the dual-target injection (P=.961 for the LHBT and P=.831 for the supraspinatus tendon). Conclusions Elasticity of the LHBT and supraspinatus tendons is unlikely to change after a single dose of peritendinous or intrabursal corticosteroid injections. Future studies with a shorter follow-up interval are needed to validate whether corticosteroid injections can cause transient changes of the tendon’s elasticity.
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=267575

[article] Effects of Ultrasound-Guided Peritendinous and Intrabursal Corticosteroid Injections on Shoulder Tendon Elasticity: A Post Hoc Analysis of a Randomized Controlled Trial [Article] / Po-Cheng Hsu ; Ke-Vin Chang ; Wei-Ting Wu ; Jia-Chi Wang ; Lèvent Ozçakar . - 2021 . - p. 905-913.
https://doi.org/10.1016/j.apmr.2020.11.011
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 905-913

Descripteurs :	HE Vinci Coiffe des rotateurs ; Corticostérone ; Epaule ; Imagerie d'élasticité tissulaire ; Réadaptation
Résumé :	Objectives The study aimed to investigate whether the shoulder tendons changed their elasticity after ultrasound-guided peritendinous or intrabursal corticosteroid injections. Design Post hoc secondary analysis of a double-blinded, randomized controlled study with 3 months of follow-up. Setting Outpatient rehabilitation clinic. Participants Patients with subacromial impingement syndrome (N=60). Interventions Patients with unilateral shoulder pain were randomly assigned to receive standard ultrasound-guided subacromial or dual-target corticosteroid injections. The supraspinatus tendons were exposed to 40 mg triamcinolone acetonide in the formal group, whereas the long head of the biceps brachii tendons (LHBT) and supraspinatus tendons were individually infiltrated by 20 mg triamcinolone acetonide in the latter group. Patients’ bilateral shoulders were divided into group 1 (n=30, receiving standard subacromial injections), group 2 (n=30, receiving dual-target injections), and group 3 (n=60, without injections). Main Outcome Measures Strain ratio of LHBT and supraspinatus tendons using ultrasound elastography. Results The repeated-measures analysis of variance revealed no intragroup difference of the strain ratio of the LHBT (P=.412 for group 1, P=.936 for group 2, P=.131 for group 3) and supraspinatus tendon (P=.309 for group 1, P=.067 for group 2, P=.860 for group 3) across the 3 time points. Treating group 3 as the reference, the linear mixed model revealed no significant changes in tendon elasticity after either the standard subacromial injection (P=.205 for the LHBT and P=.529 for the supraspinatus tendon) or the dual-target injection (P=.961 for the LHBT and P=.831 for the supraspinatus tendon). Conclusions Elasticity of the LHBT and supraspinatus tendons is unlikely to change after a single dose of peritendinous or intrabursal corticosteroid injections. Future studies with a shorter follow-up interval are needed to validate whether corticosteroid injections can cause transient changes of the tendon’s elasticity.
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=267575

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 914-924

Titre :	Unilateral Strength Training of the Less Affected Hand Improves Cortical Excitability and Clinical Outcomes in Patients With Subacute Stroke: A Randomized Controlled Trial
Type de document :	Article
Auteurs :	Nasrin Salehi Dehno ; Fahimeh Kamali ; Abdolhamid Shariat ; Shapour Jaberzadeh
Année de publication :	2021
Article en page(s) :	p. 914-924
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.012
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Excitabilité corticale ; Membre supérieur ; Réadaptation
Résumé :	Objectives To investigate whether unilateral strength training helps improve cortical excitability and clinical outcomes after stroke. Design Randomized controlled trial. Setting Rehabilitation sciences research center. Participants Patients with subacute stroke (N=26) were randomly assigned to a control group (n=13) or the experimental group (n=13). Interventions Participants in both groups received conventional physiotherapy. The experimental group also received unilateral strength training of the less affected wrist extensors. Interventions were applied for 4 weeks (12 sessions, 3 d/wk). Main Outcome Measures Cortical excitability in both the ipsilesional hemisphere (ipsiH) and contralesional hemisphere (contraH) was assessed by measuring resting motor threshold (RMT), active motor threshold (AMT), motor evoked potential (MEP), and cortical silent period (CSP) at baseline and after the 4-week intervention period. Clinical outcomes were obtained by evaluating wrist extension strength in both the more affected and less affected hands, upper extremity motor function, activities of daily living (ADL), and spasticity. Results The experimental group showed greater MEP amplitude (P=.001) in the ipsiH and shorter CSP duration in both the ipsiH (P=.042) and contraH (P=.038) compared with the control group. However, the reductions in RMT and AMT in both hemispheres were not significantly different between groups. Improvements in wrist extension strength in the more affected (P=.029) and less affected (P=.001) hand, upper extremity motor function (P=.04), and spasticity (P=.014) were greater in the experimental group. No significant difference in ADLs was detected between groups. Conclusions A combination of unilateral strength training and conventional physiotherapy appears to be a beneficial therapeutic modality for improving cortical excitability and some clinical outcomes in patients with stroke.
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=267576

[article] Unilateral Strength Training of the Less Affected Hand Improves Cortical Excitability and Clinical Outcomes in Patients With Subacute Stroke: A Randomized Controlled Trial [Article] / Nasrin Salehi Dehno ; Fahimeh Kamali ; Abdolhamid Shariat ; Shapour Jaberzadeh . - 2021 . - p. 914-924.
https://doi.org/10.1016/j.apmr.2020.12.012
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 914-924

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Excitabilité corticale ; Membre supérieur ; Réadaptation
Résumé :	Objectives To investigate whether unilateral strength training helps improve cortical excitability and clinical outcomes after stroke. Design Randomized controlled trial. Setting Rehabilitation sciences research center. Participants Patients with subacute stroke (N=26) were randomly assigned to a control group (n=13) or the experimental group (n=13). Interventions Participants in both groups received conventional physiotherapy. The experimental group also received unilateral strength training of the less affected wrist extensors. Interventions were applied for 4 weeks (12 sessions, 3 d/wk). Main Outcome Measures Cortical excitability in both the ipsilesional hemisphere (ipsiH) and contralesional hemisphere (contraH) was assessed by measuring resting motor threshold (RMT), active motor threshold (AMT), motor evoked potential (MEP), and cortical silent period (CSP) at baseline and after the 4-week intervention period. Clinical outcomes were obtained by evaluating wrist extension strength in both the more affected and less affected hands, upper extremity motor function, activities of daily living (ADL), and spasticity. Results The experimental group showed greater MEP amplitude (P=.001) in the ipsiH and shorter CSP duration in both the ipsiH (P=.042) and contraH (P=.038) compared with the control group. However, the reductions in RMT and AMT in both hemispheres were not significantly different between groups. Improvements in wrist extension strength in the more affected (P=.029) and less affected (P=.001) hand, upper extremity motor function (P=.04), and spasticity (P=.014) were greater in the experimental group. No significant difference in ADLs was detected between groups. Conclusions A combination of unilateral strength training and conventional physiotherapy appears to be a beneficial therapeutic modality for improving cortical excitability and some clinical outcomes in patients with stroke.
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=267576

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 925-931

Titre :	Effect of Aerobic Exercise on Cardiopulmonary Responses and Predictors of Change in Individuals With Parkinson's Disease
Type de document :	Article
Auteurs :	Amanda L. Penko ; Nicole M. Zimmerman ; Michael Crawford ; Susan M. Linder ; Jay L. Alberts
Année de publication :	2021
Article en page(s) :	p. 925-931
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.011
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Consommation d'oxygène ; Epreuve d'effort ; Exercice physique ; Maladie de Parkinson ; Réadaptation
Résumé :	Objective To determine the effect of aerobic exercise on maximal and submaximal cardiopulmonary responses and predictors of change in individuals with Parkinson's disease (PD). Design Single-center, parallel-group, rater-blind study. Setting Research laboratory. Participants Individuals with mild to moderate PD (N=100). Intervention Participants were enrolled in a trial evaluating the effect of cycling on PD and randomized to either voluntary exercise (VE), forced exercise (FE), or a no exercise control group. The exercise groups were time and intensity matched and exercised 3×/wk for 8 weeks on a stationary cycle. Main Outcome Measures Cardiopulmonary responses were collected via gas analysis during a maximal graded exercise test at baseline and post intervention. Results Exercise attendance was 97% and 93% for the FE and VE group, respectively. Average exercise heart rate reserve was 67%±11% for FE and 70%±10% for VE. No significant difference was present for change in peak oxygen consumption (VO2peak) post intervention, even though the FE group had a 5% increase in VO2peak. Both the FE and VE groups had significantly higher percentage oxygen consumption per unit time ( o2) at ventilator threshold (VT) than the control group compared with baseline values (P=.04). Mean O2 at VT was 5% (95% CI, 0.1%-11%) higher in the FE group (P=.04) and 7% (2%, 12%) higher in VE group compared with controls. A stepwise linear regression model revealed that lower age, higher exercise cadence, and lower baseline VO2peak were most predictive of improved VO2peak. The overall model was found to be significant (P<.01> Conclusions Peak and submaximal cardiopulmonary function may improve after aerobic exercise in individuals with PD. Lower age, higher exercise cadence, and lower baseline VO2peak were most predictive of improved VO2peak in this exercise cohort. The improvements observed in aerobic capacity were gained after a relatively short aerobic cycling intervention.
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=267577

[article] Effect of Aerobic Exercise on Cardiopulmonary Responses and Predictors of Change in Individuals With Parkinson's Disease [Article] / Amanda L. Penko ; Nicole M. Zimmerman ; Michael Crawford ; Susan M. Linder ; Jay L. Alberts . - 2021 . - p. 925-931.
https://doi.org/10.1016/j.apmr.2020.12.011
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 925-931

Descripteurs :	HE Vinci Consommation d'oxygène ; Epreuve d'effort ; Exercice physique ; Maladie de Parkinson ; Réadaptation
Résumé :	Objective To determine the effect of aerobic exercise on maximal and submaximal cardiopulmonary responses and predictors of change in individuals with Parkinson's disease (PD). Design Single-center, parallel-group, rater-blind study. Setting Research laboratory. Participants Individuals with mild to moderate PD (N=100). Intervention Participants were enrolled in a trial evaluating the effect of cycling on PD and randomized to either voluntary exercise (VE), forced exercise (FE), or a no exercise control group. The exercise groups were time and intensity matched and exercised 3×/wk for 8 weeks on a stationary cycle. Main Outcome Measures Cardiopulmonary responses were collected via gas analysis during a maximal graded exercise test at baseline and post intervention. Results Exercise attendance was 97% and 93% for the FE and VE group, respectively. Average exercise heart rate reserve was 67%±11% for FE and 70%±10% for VE. No significant difference was present for change in peak oxygen consumption (VO2peak) post intervention, even though the FE group had a 5% increase in VO2peak. Both the FE and VE groups had significantly higher percentage oxygen consumption per unit time ( o2) at ventilator threshold (VT) than the control group compared with baseline values (P=.04). Mean O2 at VT was 5% (95% CI, 0.1%-11%) higher in the FE group (P=.04) and 7% (2%, 12%) higher in VE group compared with controls. A stepwise linear regression model revealed that lower age, higher exercise cadence, and lower baseline VO2peak were most predictive of improved VO2peak. The overall model was found to be significant (P<.01> Conclusions Peak and submaximal cardiopulmonary function may improve after aerobic exercise in individuals with PD. Lower age, higher exercise cadence, and lower baseline VO2peak were most predictive of improved VO2peak in this exercise cohort. The improvements observed in aerobic capacity were gained after a relatively short aerobic cycling intervention.
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=267577

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 932-939

Titre :	Overground Robotic Program Preserves Gait in Individuals With Multiple Sclerosis and Moderate to Severe Impairments: A Randomized Controlled Trial
Type de document :	Article
Auteurs :	Rakel Berriozabalgoitia ; Iraia Bidaurrazaga-Letona ; Erika Otxoa ; Miriam Urquiza ; Jon Irazusta ; Ana Rodriguez-Larrad
Année de publication :	2021
Article en page(s) :	p. 932-939
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.002
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Démarche ; Fatigue ; Qualité de vie ; Réadaptation ; Sclérose en plaques ; Vitesse de marche
Résumé :	Objective To determine how overground robotic (OR) training added to ongoing rehabilitation affects gait speed, lower extremity function, functional mobility, and fatigue in individuals with multiple sclerosis (MS) and moderate to severe gait impairments. Design Randomized controlled trial. Setting Outpatient setting at the Multiple Sclerosis Association of Bizkaia, an association serving MS patients in Bizkaia, Spain. Participants Individuals with MS (N=36) participated in this interventional study. Inclusion criteria were age of 18 years or older, Expanded Disability Status Scale score between 4.5 and 7, and the need for assistive devices for walking outdoors. Interventions The control group (CG) engaged in an ongoing rehabilitation program consisting of weekly 1-hour individualized sessions. The intervention group (OR group) also participated in this program in addition to a twice-weekly individualized and progressive OR gait training intervention for 3 months, aiming to reach a maximum of 40 minutes by the end of the 3-month period. Main Outcome Measures Primary outcome was the 10-meter walking test (10MWT). Secondary variables included the Short Physical Performance Battery, the timed Up and Go (TUG) test, and the Modified Fatigue Impact Scale. Results The OR group maintained 10MWT performance and significantly improved on the TUG test (P=.049, medium effect size) without increasing fatigue perception. The CG demonstrated a decline on the 10MWT (P=.044, small effect size) and reduced fatigue (P=.024, medium effect size). No time per group interaction was observed for any variable. Conclusion The evaluated intervention could preserve gait speed and significantly improve functional mobility without increasing perceived fatigue in participants. Thus, OR exoskeletons could be considered a tool to deliver intensive practice of good-quality gait training in individuals with MS and moderate to severe gait impairments. Further studies are necessary to confirm these preliminary results.
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=267606

[article] Overground Robotic Program Preserves Gait in Individuals With Multiple Sclerosis and Moderate to Severe Impairments: A Randomized Controlled Trial [Article] / Rakel Berriozabalgoitia ; Iraia Bidaurrazaga-Letona ; Erika Otxoa ; Miriam Urquiza ; Jon Irazusta ; Ana Rodriguez-Larrad . - 2021 . - p. 932-939.
https://doi.org/10.1016/j.apmr.2020.12.002
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 932-939

Descripteurs :	HE Vinci Démarche ; Fatigue ; Qualité de vie ; Réadaptation ; Sclérose en plaques ; Vitesse de marche
Résumé :	Objective To determine how overground robotic (OR) training added to ongoing rehabilitation affects gait speed, lower extremity function, functional mobility, and fatigue in individuals with multiple sclerosis (MS) and moderate to severe gait impairments. Design Randomized controlled trial. Setting Outpatient setting at the Multiple Sclerosis Association of Bizkaia, an association serving MS patients in Bizkaia, Spain. Participants Individuals with MS (N=36) participated in this interventional study. Inclusion criteria were age of 18 years or older, Expanded Disability Status Scale score between 4.5 and 7, and the need for assistive devices for walking outdoors. Interventions The control group (CG) engaged in an ongoing rehabilitation program consisting of weekly 1-hour individualized sessions. The intervention group (OR group) also participated in this program in addition to a twice-weekly individualized and progressive OR gait training intervention for 3 months, aiming to reach a maximum of 40 minutes by the end of the 3-month period. Main Outcome Measures Primary outcome was the 10-meter walking test (10MWT). Secondary variables included the Short Physical Performance Battery, the timed Up and Go (TUG) test, and the Modified Fatigue Impact Scale. Results The OR group maintained 10MWT performance and significantly improved on the TUG test (P=.049, medium effect size) without increasing fatigue perception. The CG demonstrated a decline on the 10MWT (P=.044, small effect size) and reduced fatigue (P=.024, medium effect size). No time per group interaction was observed for any variable. Conclusion The evaluated intervention could preserve gait speed and significantly improve functional mobility without increasing perceived fatigue in participants. Thus, OR exoskeletons could be considered a tool to deliver intensive practice of good-quality gait training in individuals with MS and moderate to severe gait impairments. Further studies are necessary to confirm these preliminary results.
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=267606

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 940-950

Titre :	Effectiveness of a Functional Rehabilitation Program for Upper Limb Apraxia in Poststroke Patients: A Randomized Controlled Trial
Type de document :	Article
Auteurs :	María Encarnación Aguilar-Ferrándiz ; Sonia Toledano-Moreno ; María Carmen García-Ríos ; Rosa María Tapia-Haro ; Francisco Javier Barrero-Hernández ; Antonio Casas-Barragán
Année de publication :	2021
Article en page(s) :	p. 940-950
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.015
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Apraxies ; Membre supérieur ; Qualité de vie ; Réadaptation
Résumé :	Objective To analyze the effectiveness of a home-based restorative and compensatory upper limb apraxia (ULA) rehabilitation program. Design Randomized controlled trial. Setting Neurology Unit of San Cecilio Hospital and 2 private and specialized health care centers. Participants Community dwelling participants (N=38) between the ages of 25 and 95 years old (sex ratio, 1:1) with unilateral mild-to-moderate poststroke lesions (time of evolution since stroke, 12.03±8.98mo) and secondary ULA. Interventions Participants were randomly assigned to an 8-week combined ULA functional rehabilitation group (n=19) 3 days per week for 30 minutes or to a traditional health care education protocol group (n=19) once a month for 8 weeks. Both interventions were conducted at home. Main Outcome Measures Sociodemographic and clinical data, Barthel Index (primary outcome), Lawton and Brody Scale, observation and scoring activities of daily living, the De Renzi tests for ideational and ideomotor apraxia and imitating gestures test, recognition of gestures, test for upper limb apraxia , and stroke-specific quality of life scale were assessed at 3 time points: baseline, posttreatment (8wk), and follow-up (8wk). Results There were statistically significant differences among the groups regarding ideomotor apraxia, imitating gestures, global recognition of gestures, intransitive gestures, and comprehension of gesture production (P<.05 in favor of the experimental group. however no statistically significant differences were found between groups regarding functionality or quality life>.05). Regarding the within-group effect, statistically significant differences were found in all neuropsychological outcomes at posttreatment and follow-up (P<.05> Conclusion A functional rehabilitation program was found to be superior to a traditional health care education program and resulted in improvements in neuropsychological functioning in ULA poststroke. Conventional education showed an insufficient effect on apraxia recovery. Further studies with larger sample sizes are needed to determine the effect of rehabilitation strategies on functionality and quality of life of poststroke ULA patients.
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=267607