Archives of Physical Medicine and Rehabilitation
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Ajouter le résultat dans votre panierAssociation Between Delayed Discharge From Acute Care and Rehabilitation Outcomes and Length of Stay: A Retrospective Cohort Study / Berk Görgülü ; Jing Dong ; Karen Hunter ; Krista M. Bettio ; Betty Vukusic ; Jonathan Ranisau ; Gary Spencer ; Terence Tang ; Vahid Sarhangian in Archives of Physical Medicine and Rehabilitation, Vol. 104, n° 1 (2023)
Titre : Association Between Delayed Discharge From Acute Care and Rehabilitation Outcomes and Length of Stay: A Retrospective Cohort Study Type de document : Article Auteurs : Berk Görgülü ; Jing Dong ; Karen Hunter ; Krista M. Bettio ; Betty Vukusic ; Jonathan Ranisau ; Gary Spencer ; Terence Tang ; Vahid Sarhangian Année de publication : 2023 Article en page(s) : p. 43-51 Note générale : https://doi.org/10.1016/j.apmr.2022.05.017 Langues : Français (fre) Descripteurs : HE Vinci
Admission du patient ; Durée du séjour ; Réadaptation ; Soins de suiteRésumé : Objective To examine the association between discharge delays from acute to rehabilitation care because of capacity strain in the rehabilitation units, patient length of stay (LOS), and functional outcomes in rehabilitation. Design Retrospective cohort study using an instrumental variable to remove potential biases because of unobserved patient characteristics. Setting Two campuses of a hospital network providing inpatient acute and rehabilitation care. Participants Patients admitted to and discharged from acute care categories of Medicine and Neurology/Musculoskeletal (Neuro/MSK) and subsequently admitted to and discharged from inpatient rehabilitation between 2013 and 2019 (N=10486). Interventions None. Main Outcome Measures Rehabilitation LOS, FIM scores at admission and discharge, and rehabilitation efficiency defined as FIM score improvement per day of rehabilitation. Results The final cohort contained 3690 records for Medicine and 1733 for Neuro/MSK categories. For Medicine, 1 additional day of delayed discharge was associated with an average 5.1% (95% confidence interval [CI], 3%-7.3%) increase in rehabilitation LOS and 0.08 (95% CI, 0.03-0.13) reduction in rehabilitation efficiency. For Neuro/MSK, 1 additional day of delayed discharge was associated with an average 11.6% (95% CI, 2.8%-20.4%) increase in rehabilitation LOS and 0.08 (95% CI, ?0.07 to 0.23) reduction in rehabilitation efficiency. Conclusions Delayed discharge from acute care to rehabilitation because of capacity strain in rehabilitation had a strong association with prolonged LOS in rehabilitation. An important policy implication of this ?cascading? effect of delays is that reducing capacity strain in rehabilitation could be highly effective in reducing discharge delays from acute care and improving rehabilitation efficiency. 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=301931
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 43-51[article]
Titre : Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study Type de document : Article Auteurs : Katie Coakley ; Laura Friedman ; Kaitlyn McLoughlin ; Amy Wozniak ; Paul Hutchison Année de publication : 2023 Article en page(s) : p. 27-33 Note générale : https://doi.org/10.1016/j.apmr.2022.07.010 Langues : Français (fre) Descripteurs : HE Vinci
COVID-19 ; Ergothérapie ; Kinésithérapie (spécialité) ; RéadaptationRésumé : Objective To describe the function of patients with COVID-19 admitted to an acute care hospital early in the pandemic and to characterize change in function among those admitted to intensive care units (ICU) and to non-critical care services. Design This descriptive, retrospective cohort study examined patients infected with SARS-CoV-2 admitted to a tertiary care medical center during the first wave of the pandemic in 2020. Included patients were stratified into 4 cohorts based on whether or not they received therapy during their hospitalization and whether or not their hospitalization included time in the ICU. Data on demographic characteristics, functional impairments, medical interventions, and functional outcomes were collected. Setting Hospital. Participants 432 adult patients were included in this study (N=432). Results ICU patients receiving therapy were more likely to have impaired cognition, impaired strength, and impaired sensation than non-ICU patients receiving therapy. Patients made improvements from evaluation to discharge on the Functional Status Score for the ICU, Activity Measure for Post-Acute Care Daily Activity, and AM-PAC Basic Mobility Short Forms. Conclusion Patients admitted with COVID-19 experienced significant functional impairments but also demonstrated improvement during the course of their hospitalizations. This study can facilitate health care provider awareness of the detrimental functional effects of COVID-19 and the potential role of rehabilitation services for these 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=301932
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 27-33[article]
Titre : Prevalence and Determinants of Pain in Spinal Cord Injury During Initial Inpatient Rehabilitation: Data From the Dutch Spinal Cord Injury Database Type de document : Article Auteurs : Tim C. Crul ; Marcel W.M. Post ; Johanna M.A. Visser-Meily ; Janneke M. Stolwijk-Swüste Année de publication : 2023 Article en page(s) : p. 74-82 Note générale : https://doi.org/10.1016/j.apmr.2022.07.005 Langues : Français (fre) Descripteurs : HE Vinci
Douleur nociceptive ; Nevralgie ; Pain ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective To describe the prevalence and characteristics of spinal cord injury (SCI)-related pain during initial inpatient rehabilitation and to investigate relationships with demographic and lesion characteristics. Design Cohort during inpatient rehabilitation. Setting Eight specialized SCI rehabilitation centers in the Netherlands. Participants Patients with newly acquired SCI admitted for inpatient rehabilitation between November 2013 and August 2019 (N=1432). Interventions Not applicable. Main Outcome Measures Presence of pain at admission and discharge. Logistic regression analyses were used to study the prevalence of pain related to sex, age, etiology, completeness, and level of injury. Results Data from 1432 patients were available. Of these patients 64.6% were male, mean age was 56.8 years, 59.9% had a nontraumatic SCI, 63.9% were classified as American Spinal Cord Injury Association Impairment Scale (AIS) D and 56.5% had paraplegia. Prevalence of pain was 61.2% at admission (40.6% nociceptive pain [NocP], 30.2% neuropathic pain [NeuP], 5.4% other pain) and 51.5% at discharge (26.0% NocP, 31.4% NeuP, 5.7% other pain). Having NocP at admission was associated with traumatic SCI. AIS B had a lower risk of NocP than AIS D at admission. Having NocP at discharge was associated with female sex and traumatic SCI. AIS C had a lower risk of NocP at discharge than AIS D. Having NeuP at admission was associated with female sex. Having NeuP at discharge was associated with female sex, age younger than 65 years vs age older than 75 years and tetraplegia. Conclusions SCI-related pain is highly prevalent during inpatient rehabilitation. Prevalence of NocP decreased during inpatient rehabilitation, and prevalence of NeuP stayed the same. Different patient and lesion characteristics were related to the presence of SCI-related pain. Healthcare professionals should be aware of these differences in screening patients on presence and development of pain during inpatient rehabilitation. Note de contenu : Under a Creative Commons license 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=301933
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 74-82[article]
Titre : Efficacy of High-Frequency Repetitive Transcranial Magnetic Stimulation at 10 Hz in Fibromyalgia: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Ping-an Zhu ; Ju-Ying Xie ; Howe Liu ; Youliang Wen ; Yin-Jin Shao ; Xiao Bao Année de publication : 2023 Article en page(s) : p. 151-159 Note générale : https://doi.org/10.1016/j.apmr.2022.05.006 Langues : Français (fre) Descripteurs : HE Vinci
Fibromyalgie ; Méta-analyse ; Réadaptation ; Stimulation magnétique transcranienneRésumé : Objective The purpose of this review was to systematically assess the effectiveness of 10-Hz repetitive transcranial magnetic stimulation (rTMS) in fibromyalgia. Data Sources We searched PubMed, Cochrane Library, Embase, Web of Science, and Ovid databases as of November 6, 2021. Study Selection The inclusion criteria for this review were randomized controlled trials of 10-Hz rTMS for fibromyalgia, exploring the effects of 10-Hz rTMS on pain, depression, and quality of life in patients with fibromyalgia. Data Extraction Data extraction was performed independently by 2 evaluators according to predefined criteria, and the quality of the included literature was assessed using the Cochrane Bias Risk Assessment Tool. The measurement outcomes include visual analog scale, Hamilton Depression Rating Scale, and Fibromyalgia Impact Questionnaire, and so on. Data Synthesis A total of 488 articles were screened, and the final 7 selected high-quality articles with 217 patients met our inclusion criteria. Analysis of the results showed that high-frequency transcranial magnetic stimulation at 10 Hz was significantly associated with reduced pain compared with sham stimulation in controls (standardized mean difference [SMD]=?0.72; 95% confidence interval [CI], ?1.12 to ?0.33; P<.001 i2="46%)" and was able to improve quality of life ci p but not depression in addition a subgroup analysis pain conducted based on stimulation at the primary motor cortex dorsolateral prefrontal showed no significant difference conclusions overall rtms has effect analgesia improved patients with fms did depression.> 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=301934
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 151-159[article]
Titre : Using Clinical Vignettes and a Modified Expert Delphi Panel to Determine Parameters for Identifying Non-Traumatic Spinal Cord Injury in Health Administrative and Electronic Medical Record Databases Type de document : Article Auteurs : Arrani Senthinathan ; Shawna M. Cronin ; Chester Ho ; Peter W. New ; Sara JT. Guilcher ; Vanessa K. Noonan ; B. Catherine Craven ; Sean Christie ; Eugene K. Wai ; Eve C. Tsai ; Vidya Sreenivasan ; Jefferson Wilson ; Michael G. Fehlings ; Blayne Welk ; Susan B. Jaglal Année de publication : 2023 Article en page(s) : p. 63-73 Note générale : https://doi.org/10.1016/j.apmr.2022.08.002 Langues : Français (fre) Descripteurs : HE Vinci
Base de données ; Dossiers médicaux électroniques ; Maladies de la moelle épinière ; Maladies neurodégénératives ; Moelle spinale ; Réadaptation ; Spondylose ; Sténose du canal vertébral ; Traumatismes de la moelle épinièreRésumé : Objective To obtain expert consensus on the parameters and etiologic conditions required to retrospectively identify cases of non-traumatic spinal cord injury (NTSCI) in health administrative and electronic medical record (EMR) databases based on the rating of clinical vignettes. Design A modified Delphi process included 2 survey rounds and 1 remote consensus panel. The surveys required the rating of clinical vignettes, developed after chart reviews and expert consultation. Experts who participated in survey rounds were invited to participate in the Delphi Consensus Panel. Setting An international collaboration using an online meeting platform. Participants Thirty-one expert physicians and/or clinical researchers in the field of spinal cord injury (SCI). Main Outcome Measure(s) Agreement on clinical vignettes as NTSCI. Parameters to classify cases of NTSCI in health administrative and EMR databases. Results In health administrative and EMR databases, cauda equina syndromes should be considered SCI and classified as a NTSCI or TSCI based on the mechanism of injury. A traumatic event needs to be listed for injury to be considered TSCI. To be classified as NTSCI, neurologic sufficient impairments (motor, sensory, bowel, and bladder) are required, in addition to an etiology. It is possible to have both a NTSCI and a TSCI, as well as a recovered NTSCI. If information is unavailable or missing in health administrative and EMR databases, the case may be listed as ?unclassifiable? depending on the purpose of the research study. Conclusion The Delphi panel provided guidelines to appropriately classify cases of NTSCI in health administrative and EMR databases. 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=301935
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 63-73[article]
Titre : Psychological and Cognitive Functioning Among Patients Receiving Outpatient Rehabilitation for Post-COVID Sequelae: An Observational Study Type de document : Article Auteurs : Benjamin A. Abramoff ; Timothy R. Dillingham ; Lily A. Brown ; Franklin Caldera ; Katherine M. Caldwell ; Mitra McLarney ; Emily L. McGinley ; Liliana E. Pezzin Année de publication : 2023 Article en page(s) : p. 11-17 Note générale : https://doi.org/10.1016/j.apmr.2022.09.013 Langues : Français (fre) Descripteurs : HE Vinci
COVID-19 ; Évaluation de résultat (soins) ; Personnes handicapées ; RéadaptationRésumé : Objectives To describe the characteristics of individuals receiving outpatient rehabilitation for post-acute sequelae of SARS-CoV-2 infection (PASC). Further, to examine factors associated with variation in their psychological and cognitive functioning and health-related quality of life. Design Observational study. Setting Outpatient COVID-19 recovery clinic at a large, tertiary, urban health system in the US. Participants COVID-19 survivors with persistent sequelae (N=324). Interventions : Not applicable. Main Outcome Measures Multivariable logistic and linear regression models were used to examine factors associated with COVID survivors? experience of severe anxiety, severe depression, post-traumatic stress disorder (PTSD), cognitive impairment, and self-reported health-related quality of life. Results About 38% of survivors seeking care for their persistent COVID symptoms suffered from severe anxiety, 31.8% from severe depression, 43% experiencing moderate to severe PTSD symptomology, and 17.5% had cognitive impairment. Their health-related quality of life was substantially lower than that of the general population (-26%) and of persons with other chronic conditions. Poor and African American/Black individuals experienced worse psychological and cognitive sequelae after COVID19 infection, even after controlling for age, sex, initial severity of the acute infection, and time since diagnosis. Conclusions Evidence of consistent disparities in outcomes by the patients? race and socioeconomic status, even among those with access to post-acute COVID rehabilitation care, are concerning and have significant implications for PASC policy and program 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=301936
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 11-17[article]
Titre : Natural Course of Muscular Strength, Physical Performance, and Musculoskeletal Symptoms in Hospitalized Patients With COVID-19 Type de document : Article Auteurs : Ayça Utkan Karasu ; Levent Karatas ; Yesim Yildiz ; Zafer Günendi Année de publication : 2023 Article en page(s) : p. 18-26 Note générale : https://doi.org/10.1016/j.apmr.2022.09.001 Langues : Français (fre) Descripteurs : HE Vinci
COVID-19 ; Force de la main ; Force musculaire ; Performance fonctionnelle physique ; Réadaptation ; SarcopénieRésumé : Objective To investigate the course of muscle strength, musculoskeletal symptoms and physical performance over time in hospitalized COVID-19 patients, and their relation with disease severity at admission. Design Prospective cohort study. Setting Pandemic clinic of Gazi University Hospital, Ankara, Turkey. Participants 76 adult COVID-19 patients (aged >18 years) were enrolled in the study between March 2021 and May 2021 (N=76). The participants were grouped as ?mild,? ?moderate,? and ?severe? according to clinical and radiological findings. Main Outcome Measures The fraction of inspired oxygen (FiO2), oxygen saturation (SpO2), hand grip strength (HGS), 5-times sit and stand test (5XSTS), modified Borg scale at rest (mBorg-rest), modified Borg scale during activities of daily living (mBorg-ADL), Barthel index, and visual analog scale for myalgia (myalgia-VAS) values were recorded on the first day of hospitalization and in the first, third, and 12th weeks. Outcome measures were compared between disease severity groups. In addition, the changes in these outcome measures over time were also examined. Results There were 15 (19.7%) participants in the mild, 20 (26.3%) in the moderate, and 41 (53.9%) in the severe groups. At the baseline evaluation, SpO2 (P<.001 fio2 mborg-rest and mborg-adl were different in groups but there no differences for hgs barthel index myalgia-vas score. scores improved significantly over time all the p respectively at end of weeks only was between groups. longer severe group conclusion although significant improvement observed muscle strength physical performance musculoskeletal symptoms patients with covid-19 these did not reach normal standards. we conclude that post-covid-19 rehabilitation programs are needed to optimize 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=301937
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 18-26[article]
Titre : Reference Values and Cutoff Scores of the Spinal Cord Independence Measure III to Determine Independence for Wheelchair Users and Ambulatory Individuals With Spinal Cord Injury Type de document : Article Auteurs : Sugalya Amatachaya ; Narongsak Khamnon ; Pattra Wattanapan ; Arpassanan Wiyanad ; Thiwabhorn Thaweewannakij ; Wilairat Namwong Année de publication : 2023 Article en page(s) : p. 83-89 Note générale : https://doi.org/10.1016/j.apmr.2022.09.016 Langues : Français (fre) Descripteurs : HE Vinci
Evaluation ; Fauteuils roulants ; Maladies de la moelle épinière ; Mesures ; Mobilité réduite ; RéadaptationRésumé : Objective To establish the reference values and optimal cutoff scores of the Spinal Cord Independence Measure Version III (SCIM III) to indicate independence of wheelchair users (WU) and ambulatory (AM) individuals with spinal cord injury (SCI). Design A cross-sectional study. Setting Tertiary rehabilitation center and communities. Participants A total of 309 (168 WU and 141 AM) participants with SCI. Interventions Not applicable. Main Outcome Measure(s) SCIM III scores. Results Participants with greater levels of independence had significantly higher SCIM III scores, both total and subitem scores (P<.05 the scim iii scores of and were optimal indicators modified independence in wu am individuals respectively specificity>93%, AUC>.95). In addition, scores of 90 were proved to be excellent indicators for independence of AM individuals (sensitivity 94%, specificity 100%, AUC=.99). Conclusions The present findings provide the reference values of SCIM III scores covering WU and AM individuals with SCI at various levels of independence as well as optimal cutoff scores to indicate independence of these individuals. These data can be used as standard criteria for data comparison with patients? ability, and target functional values for individuals with SCI in clinical-, community-, and home-based settings. 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=301938
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 83-89[article]
Titre : Physical Activity in People With Motor Neuron Disease: Validity of the Physical Activity Scale for the Elderly as a Measuring Tool Type de document : Article Auteurs : Trinh Sia ; Karol A. Connors ; Prue Morgan Année de publication : 2023 Article en page(s) : p. 102-107 Note générale : https://doi.org/10.1016/j.apmr.2022.09.007 Langues : Français (fre) Descripteurs : HE Vinci
Exercice physique ; Maladies du motoneurone ; Réadaptation ; Sclérose latérale amyotrophique (SLA)Résumé : Objective This study aimed to investigate whether the physical activity scale for the elderly (PASE) is a valid tool in measuring physical activity (PA) in people with motor neuron disease (MND) and to identify the demographic and clinical factors that predict PA participation in this population. Design A prospective, observational study involving 100 ambulant participants with MND. Setting This study was conducted at a multidisciplinary specialist MND clinic. The clinic is fully funded by the local public health system and patients receiving care here are not expected to pay for their consultation. Participants 190 patients with MND who had a physiotherapy appointment at the specialist clinic between July and October 2018 were screened. Of these, 100 participants (mean age 67 years [SD=12], 64% [n=64] men) who were ambulant (with or without assistance) were recruited (N=100). Interventions Not applicable. Main Outcome Measures PASE questionnaire, amyotrophic lateral sclerosis functional rating scale?Revised (ALSFRS-r), forced vital capacity (FVC). Results The results showed that engagement in PA is generally low, with median PASE score of 57. The PASE had fair-moderate correlation with ALSFRS-R total scores (rho=0.607; P<.000 and fvc p=".030)." standard multiple regression analyses showed that disease severity total score was the strongest predictor of pa levels confidence interval most frequently selected physical activities choice for people with mnd were around their homes biggest barrier to participation is fatigue. conclusion present findings suggest pase can be used measure in mnd. details about activity barriers important considerations designing exercise programs this population maximize compliance therefore effectiveness.> 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=301939
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 102-107[article]
Titre : Influence of Sociodemographic Factors, Health Conditions, and Activity on Participation in People With Spinal Cord Injury in South Korea Type de document : Article Auteurs : Minjae Jeon ; Onyoo Kim ; Bum-Suk Lee ; Wanho Kim ; Jung Hwan Kim ; Eun-Joo Kim ; Jiin Kim Année de publication : 2023 Article en page(s) : p. 52-62 Note générale : https://doi.org/10.1016/j.apmr.2022.08.004 Langues : Français (fre) Descripteurs : HE Vinci
Démographie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective To verify the causal relationship between sociodemographic factors, health conditions, and activities that influence the participation of people with spinal cord injury (SCI) using International Spinal Cord Injury (InSCI) Survey data and to investigate the moderation effects of environmental restrictions and health care system concerns. Design Cross-sectional community survey and structural equation model. Setting SCI databases of the Korea National Rehabilitation Center and Korea Spinal Cord Injury Association. Participants Community-dwelling adults (N=890) with SCI. Interventions Not applicable. Main Outcome Measures The InSCI questionnaire domains included sociodemographic factors, health conditions, activity, participation, environmental restrictions, and health system concerns. Sociodemographic factors included age, education, and income. Health conditions included bowel dysfunction, respiratory problems, and pain, among others. Activity included ?daily routine? and ?using hands,? among others. Participation included ?interacting with people? and ?intimate relationships,? among others. Environmental restrictions included ?public places? and ?negative attitudes,? among others. Health care system concerns included ?nursing care? and ?experience of being treated,? among others. Results The hypothesis that health conditions would have a significant effect on activity was supported because 51% of the total variance in activity factors was explained by health condition factors. The hypothesis that activity would have a significant effect on participation was also supported because 63.4% of total variance in participation factors was explained by activity factors. The moderation effect tests supported the hypotheses that health conditions, activity, and participation would differ depending on the extent of environmental restrictions as well as the extent of health system concerns. Conclusions When formulating policies and recommendations to promote the participation of people with SCI living in the South Korean community, the influence of environmental restrictions and health systems as well as the causal influence of health conditions and activity should be considered. 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=301940
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 52-62[article]
Titre : Sex-Related Discrepancies in the Access to Optimal Care and Outcomes After Traumatic Spinal Cord Injury: A Retrospective Cohort Study Using Data From a Canadian Registry Type de document : Article Auteurs : Julio C. Furlan ; Tian Shen ; Dilnur Kurban Année de publication : 2023 Article en page(s) : p. 1-10 Note générale : https://doi.org/10.1016/j.apmr.2022.09.006 Langues : Français (fre) Descripteurs : HE Vinci
Épidémiologie ; Réadaptation ; Sexe ; Traumatismes de la moelle épinièreRésumé : Objective To compare males and females who were stratified into subgroups corresponding to premenopausal, perimenopausal, and postmenopausal ages, regarding access to optimal care and their outcomes after traumatic spinal cord injury (tSCI). Study Design Retrospective cohort study. Setting Eighteen acute care centers and 13 rehabilitation facilities across Canada. Participants This study included 5571 individuals with tSCI at C1-L2 who were enrolled in the Rick Hansen Spinal Cord Injury Registry from July 2004 to September 2019 (N=5571). Females were compared with males in the younger (aged ?40 years), middle-aged (ages 41-50), and older (aged >50 years) subgroups. Intervention Not applicable. Main Outcome Measures Females were compared with males in each subgroup with regard to their demographic data, pre-existing comorbidities, injury characteristics, management choices, access to optimal care, and clinical, neurologic, and functional outcomes after tSCI. Results In the younger subgroups, females (n=408) were significantly younger, had a greater proportion of aboriginals and transportation-related tSCIs, underwent surgical treatment more often, and had a greater sensory score change than males (n=1613). In the middle-aged subgroups, females (n=174) had a greater proportion of high-thoracic tSCIs than males (n=666). In the older subgroups, females (n=660) were significantly older, had more fall-related and less severe tSCIs, had a shorter stay at the rehabilitation center, had less spasticity, and were discharged home less often than males (n=2050). Conclusions The results of this study suggest some sex-related differences in individuals? demographics and injury characteristics, but fewer discrepancies between females and males regarding their access to optimal care and outcomes after tSCI. Overall, future clinical trials could consider inclusion of males and females of all age groups to enhance recruitment and augment generalizability. 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=301941
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 1-10[article]
Titre : Mixed Study Systematic Review and Meta-analysis of Sexuality and Sexual Rehabilitation in LGBTQI+ Adults Living With Chronic Disease Type de document : Article Auteurs : William Kokay ; Emma Power ; Margaret McGrath Année de publication : 2023 Article en page(s) : p. 108-118 Note générale : https://doi.org/10.1016/j.apmr.2022.07.018 Langues : Français (fre) Descripteurs : HE Vinci
COUNSELING ; Dysfonctionnement érectile ; Libido ; Maladie chronique ; Mâle ; Médecine factuelle ; Personnes transgenres ; Santé sexuelle ; Syndrome d'immunodéficience acquise (SIDA) ; Tumeurs de la prostateRésumé : Objective To systematically review how sexuality is experienced by lesbian, gay, bisexual, transgender, queer or questioning, intersex plus (other gender identifies and sexual orientations) (LGBTQI+) persons living with chronic disease. Data Sources PsycINFO, Embase, MEDLINE, Scopus, Cumulative Index to Nursing and Allied Health, and Web of Science were searched from date of inception to November 2021 for English language publications. Reference lists of relevant publications were also searched. Study Selection Eligible studies reported on sexuality among LGBTQI+ persons living with chronic disease. The search yielded 12,626 records; 665 full texts were assessed for eligibility and 63 documents included (59 unique studies). Study quality was rated using the Mixed Methods Appraisal Tool. Data Extraction Characteristics of included studies were recorded independently by 2 authors. Differences were resolved through discussion or with a third author. Data Synthesis A sequential, exploratory mixed-studies approach was used for synthesis. Pooled analysis indicated that among gay and bisexual men living with prostate cancer, 68.3% experienced erectile dysfunction and 62.9% had insufficient quality of erection to engage in anal sex. Among gay and bisexual men living with HIV or AIDS, 29.3% experienced loss of libido and 25.3% experienced erectile dysfunction. Although sexual dysfunction was common, LGBTQI+ persons had difficulty accessing appropriate sexual counseling and identified negative attitudes and heteronormative assumptions by health care providers as significant barriers to sexual health. Interventions to address sexuality focused entirely on reduction of risky sexual behavior among men living with HIV or AIDS. Women, transgender persons, and intersex persons were largely excluded from the research studies. Conclusions Current understandings of the effect of chronic disease on LGBTQI+ sexuality are limited and mostly focus on the male sexual response. LGBTQI+ persons who experience difficulty with sexuality struggle to identify appropriate services, and there is an absence of evidence-based interventions to promote sexual health and well-being in this population. 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=301942
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 108-118[article]
Titre : Effect of Dynamic Neuromuscular Stabilization on Balance, Trunk Function, Falling, and Spasticity in People With Multiple Sclerosis: A Randomized Controlled Trial Type de document : Article Auteurs : Laleh Abadi Marand ; Shohreh Noorizadeh Dehkordi ; Mahtab Roohi-Azizi ; Mehdi Dadgoo Année de publication : 2023 Article en page(s) : p. 90-101 Note générale : https://doi.org/10.1016/j.apmr.2022.09.015 Langues : Français (fre) Descripteurs : HE Vinci
Chutes accidentelles ; Équilibre postural ; Mobilisation ; Sclérose en plaques ; Spasticité musculaireRésumé : Objective To compare the effects of core stabilization (CS) and dynamic neuromuscular stabilization (DNS) on balance, trunk function, mobility, falling, and spasticity, in people with multiple sclerosis (PWMS). Design Two-group randomized controlled trial. Setting General community and referral center. Participants A total of 64 PWMS, between 30 and 50 years old, and an expanded disability status scale between 2 and 5, participated in this study (N=64). Interventions Participants were randomly assigned to CS (n=32) and DNS (n=32) groups. Both groups received a total of 15 sessions of CS or DNS exercises, 60 minutes per session, 3 times a week during the 5 weeks. Outcome Measures Balance function was measured as the primary outcome measure. Trunk function, postural stability, falling rate, fear of falling, falling index, mobility, and spasticity were measured as secondary outcomes. Results DNS group had significant improvement in Berg balance scale, trunk impairment scale, postural stability, activities-specific balance confidence, reduced falling rate, the timed Up and Go (TUG), multiple sclerosis walking scale-12, and multiple sclerosis spasticity scale in PWMS compared with the CS group, (P<.0001 after weeks of intervention and follow-up. except for the modified ashworth scale significant improvements were seen in all outcome measures both groups intervention. conclusion this is first clinical evidence to support importance dns exercise improving balance trunk function fall prevention pwms. study provides that may be more effective pwms than cs.> 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=301943
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 90-101[article]
Titre : Managing the Transition From Hospital to Home After Stroke: A Patient and Care Partner Guide to Facilitate Discharge Planning Type de document : Article Année de publication : 2023 Article en page(s) : p. 161-164 Note générale : https://doi.org/10.1016/j.apmr.2022.09.008 Langues : Français (fre) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Guide de bonnes pratiques ; Retour à domicile ; Sortie du patientRésumé : A stroke is a sudden event that occurs with no warning. When you have a stroke you and your care partner can sometimes feel scared or overwhelmed by all the changes that may happen when you go home. It is a good idea to start getting ready to go home as early as you can. There is a lot to think about. Setting goals and making a step-by-step plan to accomplish your goals will make it easier. 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=301944
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 161-164[article]
Titre : Overview of Cochrane Systematic Reviews for Rehabilitation Interventions in Persons With Spinal Cord Injury: A Mapping Synthesis Type de document : Article Auteurs : Chiara Arienti ; Michele Patrini ; Stefano Negrini ; Carlotte Kiekens Année de publication : 2023 Article en page(s) : p. 143-150 Note générale : https://doi.org/10.1016/j.apmr.2022.07.003 Langues : Français (fre) Descripteurs : HE Vinci
Marche à pied ; Pain ; Pratique factuelle (EBP) ; Réadaptation ; Respiration ; Revues systématiques comme sujet ; Traumatismes de la moelle épinièreRésumé : Objective This article aims to describe the evidence on rehabilitation interventions for persons with spinal cord injury (SCI) identified in Cochrane Systematic Reviews (CSRs) selected for inclusion in the World Health Organization Rehabilitation Programme?Package of Interventions for Rehabilitation. Data Sources The CSRs search was led by the Cochrane Rehabilitation team, using the tagging process, using the terms ?spinal cord injury? and ?rehabilitation? in the Cochrane Library. Study Selection We performed an overview of all the CSRs according to the inclusion criteria defined with the World Health Organization: rehabilitation interventions in persons with SCI. Data Extraction The CSRs identified after the screening process were summarized using an evidence map, grouping outcomes, and comparisons of included CSRs indicating the effect and the quality of evidence to provide a comprehensive view of what is known. Data Synthesis Out of 248 CSRs from the past 10 years tagged in the Cochrane Rehabilitation database, 3 were related to SCI. They provide data on 13 outcomes analyzed within 11 comparisons for a total of 64 primary studies, including 2024 participants with SCI. Of these, 7 outcomes and 1 comparison focused on people with cervical SCI. Rehabilitation interventions might improve respiratory outcomes and pain relief in people with SCI. There is uncertainty whether bodyweight-supported treadmill training, robotic-assisted training, and functional electrostimulation affect walking speed and capacity. Conclusions The current evidence needs to be confirmed by better quality research. Therefore, future priorities are the improvement of methodological quality of the studies in people with SCI, particularly considering the complexity of this health condition. Further, there is a need for more CSRs in the field. 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=301945
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 143-150[article]
Titre : Factors Influencing Mobility During the COVID-19 Pandemic in Community-Dwelling Older Adults Type de document : Article Auteurs : Stephanie Saunders ; Alexandra Mayhew ; Renata Kirkwood ; Khang Nguyen ; Ayse Kuspinar ; Elisabeth Vesnaver ; Heather Keller ; Janie Astephen Wilson ; Luciana G. Macedo ; Brenda Vrkljan ; Julie Richardson ; Marla Beauchamp Année de publication : 2023 Article en page(s) : p. 34-42 Note générale : https://doi.org/10.1016/j.apmr.2022.08.009 Langues : Français (fre) Descripteurs : HE Vinci
COVID-19 ; Mobilité réduite ; Performance fonctionnelle physique ; Personne âgée fragile ; Réadaptation ; Sujet âgé ; Vie autonomeRésumé : Objective To describe and identify factors influencing mobility among older adults during the first 5 months of the COVID-19 pandemic. Design A cross-sectional telesurvey. Setting Community dwelling older adults, situated within the first 5 months of the COVID-19 pandemic, in Hamilton, Canada. Participants A random sample of 2343 older adults were approached to be in the study, of which 247 completed the survey (N=247). Eligible participants were aged ?65 years. Interventions Not applicable. Main Outcome Measures Mobility was measured using global rating of change items and the Late Life Function Instrument (LLFI). Multivariate linear regression models were used to examine the association between mobility and related factors based on Webber's model. Results 247 older adults (29% male, mean age 78+7.3 years) completed surveys between May and August 2020. Respectively, 26%, 10%, and 9%, rated their ability to engage in physical activity, housework, and move around their home as worse compared with the start of the pandemic. The mean LLFI score was 60.9+13.4. In the model, walking volume (?=0.03 95% confidence interval 0.013, 0.047), fall history (?=-0.04, 95% confidence interval -0.08, -0.04), male sex (?=0.06, 95% confidence interval 0.02, 0.09), unpleasant neighborhood (?=-0.06, 95% confidence interval -0.11, -0.02), musculoskeletal pain (?=-0.07, 95% confidence interval -0.11, -0.03), and self-reported health (?=0.08, 95% confidence interval 0.03, 0.13) had the strongest associations with LLFI scores and explained 64% of the variance in the LLFI score. Conclusions Physical and environmental factors may help explain poorer mobility during lockdowns. Future research should examine these associations longitudinally to see if factors remain consistent over time and could be targeted for 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=301946
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 34-42[article]
Titre : Intrathecal and Oral Baclofen Use in Adults With Spinal Cord Injury: A Systematic Review of Efficacy in Spasticity Reduction, Functional Changes, Dosing, and Adverse Events Type de document : Article Auteurs : Nicholas Dietz ; Sarah Wagers ; Susan J. Harkema ; Jessica M. D'Amico Année de publication : 2023 Article en page(s) : p. 119-131 Note générale : https://doi.org/10.1016/j.apmr.2022.05.011 Langues : Français (fre) Descripteurs : HE Vinci
Baclofène ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective To examine the efficacy, dosing, and safety profiles of intrathecal and oral baclofen in treating spasticity after spinal cord injury (SCI). Data Sources PubMed and Cochrane Databases were searched from 1970-2018 with keywords baclofen, spinal cord injury, and efficacy. Study Selection The database search yielded 588 sources and 10 additional relevant publications. After removal of duplicates, 398 publications were screened. Data Extraction Data were extracted using the following population, intervention, comparator, outcomes, and study designs criteria: studies including adult patients with SCI with spasticity; the intervention could be oral or intrathecal administration of baclofen; selection was inclusive for control groups, surgical management, rehabilitation, and alternative pharmaceutical agents; outcomes were efficacy, dosing, and adverse events. Randomized controlled trials, observational studies, and case reports were included. Meta-analyses and systematic reviews were excluded. Data Synthesis A total of 98 studies were included with 1943 patients. Only 4 randomized, double-blinded, and placebo-controlled trials were reported. Thirty-nine studies examined changes in the Modified Ashworth Scale (MAS; 34 studies) and Penn Spasm scores (Penn Spasm Frequency; 19 studies), with average reductions of 1.7+1.3 and 1.6+1.4 in individuals with SCI, respectively. Of these data, a total of 6 of the 34 studies (MAS) and 2 of the 19 studies (Penn Spasm Frequency) analyzed oral baclofen. Forty-three studies addressed adverse events with muscle weakness and fatigue frequently reported. Conclusions Baclofen is the most commonly-prescribed antispasmodic after SCI. Surprisingly, there remains a significant lack of large, placebo-controlled, double-blinded clinical trials, with most efficacy data arising from small studies examining treatment across different etiologies. In the studies reviewed, baclofen effectively improved spasticity outcome measures, with increased efficacy through intrathecal administration. Few studies assessed how reduced neural excitability affected residual motor function and activities of daily living. A host of adverse events were reported that may negatively affect quality of life. Comparative randomized controlled trials of baclofen and alternative treatments are warranted because these have demonstrated promise in relieving spasticity with reduced adverse events and without negatively affecting residual motor function. 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=301947
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - p. 119-131[article]
Titre : Factors Associated With Fatigue in People With Spinal Cord Injury: A Systematic Review and Meta-analysis Type de document : Texte imprimé Auteurs : Ana Onate-Figuérez ; Juan Avendaño-Coy ; Sara Fernández-Canosa ; Vanesa Soto-León ; María Isabel López-Molina ; Antonio Oliviero Année de publication : 2023 Article en page(s) : 132-142 Descripteurs : HE Vinci
Association ; Fatigue ; RéadaptationMots-clés : Meta-analysis Spinal cord injuries Résumé : Objective To investigate the association between fatigue and clinical and demographic variables in people with spinal cord injury (SCI). Data Sources Five databases (MEDLINE, Physiotherapy Evidence Database, Cochrane, Google Scholar, Cumulative Index to Nursing and Allied Health) were searched up to November 2021. Study Selection Observational studies that reported the association between fatigue and clinical and demographic variables in English or Spanish were eligible. Reviews, qualitative research studies, and nonoriginal articles were excluded. Twenty-three of the 782 identified studies met the inclusion criteria for the meta-analysis. Data Extraction Two researchers independently extracted the data. The strength of the association between each factor and fatigue was determined by the effect size. When the results of the effect size were expressed with different statistics, the correlation coefficient was the preferred estimation. The risk of bias was assessed using the Appraisal Tool for Cross-Sectional Studies and the Newcastle-Ottawa Scale. Data Summary A pooled analysis of the associations between fatigue and 17 factors was performed. A direct association was found between fatigue and 9 factors (sorted by effect size): anxiety (r=0.57; 95% CI, 0.29-0.75), stress (r=0.54; 95% confidence interval [CI], 0.26-0.74), depression (r=0.47; 95% CI, 0.44-0.50), pain (r=0.34; 95% CI, 0.16-0.50), analgesic medication (r=0.32; 95% CI, 0.28-0.36), assistive devices (r=0.23; 95% CI, 0.17-0.29), lesion level (r=0.15; 95% CI, 0.07-0.23), incomplete SCI (r=0.13; 95% CI, 0.05-0.22), and medication (r=0.12; 95% CI, 0.01-0.23). An inverse association was found with 3 factors (sorted by effect size): self-efficacy (r=?0.63; 95% CI, ?0.81 to ?0.35), participation (r=?0.32; 95% CI, ?0.58 to ?0.001), and physical activity (r=?0.17; 95% CI, ?0.28 to ?0.05). No association was found with age, sex, educational level, time since injury, and spasticity. Conclusions Several factors were associated with fatigue in people with SCI, with those related to mental health showing the strongest associations. These results should be interpreted with caution because of the high heterogeneity observed in some factors. En ligne : https://www.sciencedirect.com/science/article/pii/S0003999322005743 Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=301948
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 1 (2023) . - 132-142[article]
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Titre : Inspiratory Muscle Training and Physical Fitness in Children With Down Syndrome: A Randomized Controlled Trial Type de document : Article Auteurs : Mohamed Ali Elshafey ; Reham Saeed Alsakhawi Année de publication : 2022 Article en page(s) : p. 2279-2287 Note générale : https://doi.org/10.1016/j.apmr.2022.04.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Aptitude physique ; Exercice physique ; Pressions respiratoires maximales ; Syndrome de Down ; Test de marcheRésumé : Objective
To investigate the effect of inspiratory muscle training (IMT) on physical fitness in children with Down syndrome (DS).
Design
Randomized control trial.
Setting
The study was conducted in a private physical therapy center.
Participants
Forty boys and girls with DS aged between 7 and 10 years were enrolled in this study (N=40). They were randomly and equally divided into 2 groups (A and B).
Interventions
All participants received 30 minutes of aerobic exercise training 3 times per week for 12 weeks, whereas group B received an additional 30 minutes of IMT before each aerobic exercise session.
Main Outcomes Measures
Maximal inspiratory pressure (MIP); maximal expiratory pressure (MEP); submaximal aerobic endurance; muscular strength; endurance.
Results
Among the group undergoing IMT, there were significant improvements in MIP, MEP, and submaximal aerobic endurance using the six-minute walk test (6MWT); strength and endurance using the curl-up, dumbbell press, trunk lift, standing long jump, seated push-up, pull-up, and flexed-arm hang; and back saver sit and reach tests (P > 0.05).
Conclusions
Inspiratory muscle training and aerobic exercise training demonstrated more significant improvements in physical fitness than in those children who received only aerobic exercise training.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=300436
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2279-2287[article]
Titre : Feasibility of Customized Pillboxes to Enhance Medication Adherence: A Randomized Controlled Trial Type de document : Article Auteurs : Jaclyn Schwartz ; David H. Ballard Année de publication : 2022 Article en page(s) : p. 2288-2295 Note générale : https://doi.org/10.1016/j.apmr.2022.03.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Adhésion au traitement médicamenteux ; Dispositifs d'assistance au mouvement ; Impression tridimensionnelle ; RéadaptationRésumé : Objective
To test the (1) feasibility of an assistive technology based pillbox intervention on medication adherence; (2) feasibility of trial procedures; and (3) preliminary effectiveness of the pillbox intervention on medication adherence.
Design
A single-blinded randomized controlled clinical trial was conducted during 2-4 weeks.
Setting
Researchers recruited a convenience sample to participate in this university laboratory-based study.
Participants
English-speaking consumers of 2 or more daily medications (N=15) participated in the study. Individuals with cognitive impairment or who did not manage their own medications were excluded.
Interventions
Participants were randomized to 1 of 3 pillbox interventions: (1) standard-of-care pillbox; (2) customized off-the-shelf pillbox; or (3) customized 3-dimensional (3D) printed pillbox.
Main Outcome Measures
Outcome measures were divided among the 3 goals of the study. In addition to feasibility metrics, the Adherence to Refills and Medications Scale was used to measure the primary outcome measure, medication adherence. The Quebec User Evaluation of Satisfaction with Assistive Technology was used to measure pillbox satisfaction.
Results
Researchers successfully administered 6 standard-of-care, 5 custom off-the-shelf, and 4 custom 3D printed pillboxes. Compared with the standard-of-care pillboxes, customized 3D printed pillboxes had large (d=1.04) and customized off-the-shelf pillboxes had medium (d=0.67) effects on medication adherence.
Conclusions
Prescription of customized pillboxes using a manualized and novel assistive technology approach that leverages 3D printing is feasible.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=300783
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2288-2295[article]
Titre : Reproducibility, Construct Validity, and Responsiveness of the Tetraplegia Upper Limb Activities Questionnaire, TUAQ. Part 2 Type de document : Article Auteurs : Johanna Wangdell ; Bridget Hill ; Jennifer A. Dunn Année de publication : 2022 Article en page(s) : p. 2296-2302 Note générale : https://doi.org/10.1016/j.apmr.2022.05.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Mesures des résultats rapportés par les patients (PROM) ; Psychométrie ; Réadaptation ; TétraplégieRésumé : Objective
To test reliability, construct validity and responsiveness of the Tetraplegia Upper Limb Activities Questionnaire (TUAQ), a patient-reported outcome measure that assesses perceived performance and satisfaction with 10 standardized activities.
Design
Outcome measure psychometric evaluation.
Setting
Spinal cord injury units in 2 countries.
Participants
Reproducibility: 47 individuals with tetraplegia. Construct validity and responsiveness: 33 individuals with tetraplegia undergoing surgery to restore hand function (N=80).
Interventions
Reproducibility: The TUAQ was completed on 2 occasions, 2 weeks apart. Construct validity and responsiveness: Participants completed the TUAQ prior to surgery and 3-12 months after hand reconstruction surgery. Internal consistency was examined using Cronbach α. Two agreement parameters were examined: the SEM and minimal detectable change with 90% confidence interval (MDC90). Construct validity was evaluated using Pearson product moment correlation against a priori hypotheses. Responsiveness was assessed using paired t tests and effect size.
Results
Test-retest reliability and internal consistency was high (intraclass correlation coefficient of 0.89 for performance scale and 0.88 for satisfaction, Cronbach α of 0.92 and 0.90, respectively). For agreement the SEM scores were 4.7 and 3.5, with MDC90 of 10.9 and 8.2, respectively. Responsiveness and construct validity showed sound results with no ceiling or floor effects and with large effect size (>1.05).
Conclusions
The TUAQ demonstrates good psychometric properties for reliability and agreement for persons with tetraplegia and responsiveness and construct validity for surgical reconstruction of hand function for persons with tetraplegia. The TUAQ appears appropriate to be used as a patient-reported outcome measure for clinical and research purposes in this population.Note de contenu : Under a Creative Commons license 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=300784
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2296-2302[article]
Titre : Effect of Increasing Obstacle Distances Task on Postural Stability Variables During Gait Initiation in Older Nonfallers and Fallers Type de document : Article Auteurs : Roshita Rathore ; Carole A Tucker ; John J. Jeka ; Geoffrey, W Wright ; Christopher P. Hurt Année de publication : 2022 Article en page(s) : p. 2303-2310 Note générale : https://doi.org/10.1016/j.apmr.2022.04.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Démarche ; Réadaptation ; Sujet âgéRésumé : Objective
To compare the scaling of the postural stability variables between older nonfallers and fallers during gait initiation (GI) while stepping over increasing obstacle distances.
Design
Cross-sectional study.
Setting
University research laboratory.
Participants
A sample of participants (N=24) divided into 2 groups: older nonfallers (n=12) and older fallers (n=12). Participants had no known neurologic, musculoskeletal, or cardiovascular conditions that could have affected their walking, and all were independent walkers. All the participants had an adequate cognitive function to participate as indicated by a score of more than 24 on the Mini-Mental State Examination.
Interventions
Not applicable.
Main Outcome Measures
The primary dependent variables were peak anterior-posterior (AP) center of mass (CoM)-center of pressure (CoP) separation during anticipatory postural adjustments (APAs), AP CoM-CoP separation at the toe-off, and peak AP CoM-CoP separation during the swing. Secondary dependent variables were AP trunk angle during GI. Within- and between-repeated measures analysis of variance was used to compare means between groups across different task conditions for all the dependent variables.
Results
There was a main effect of group for peak AP CoM-CoP separation during APA (P=.018), an interaction effect between group and condition for AP CoM-CoP separation at toe-off (P=.009), and a main effect of condition for peak AP CoM-CoP separation during the swing (P<.001 we also found a main effect of group for peak ap trunk angle during the swing>
Conclusions
For GI while stepping over increasing obstacle distances, older fallers adopt a more conservative strategy of AP CoM-CoP separation than nonfallers prior to toe-off and demonstrate increased peak AP trunk lean during the swing. AP CoM-CoP separation prior to toe-off during the GI task may be a critical marker to identify fallers and warrants additional investigation.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=300785
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2303-2310[article]
Titre : First-Time Lumbar Medial Branch Radiofrequency Ablation: Patient-Reported Outcomes Measurement Information System as a Metric of Outcome Type de document : Article Auteurs : Ramzi El-Hassan ; Adam Michalik ; James Snyder ; Ben L. Laplante ; Clifford Everett ; Rajeev Patel Année de publication : 2022 Article en page(s) : p. 2311-2315 Note générale : https://doi.org/10.1016/j.apmr.2022.03.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Ablation par radiofréquence ; Articulation zygapophysaire ; Lombalgie ; Mesures des résultats rapportés par les patients (PROM) ; RéadaptationRésumé : Objective
To investigate the ability of Patient-Reported Outcomes Measurement Information System (PROMIS) to capture the therapeutic effect of first-time medial branch radiofrequency ablation (RFA).
Design
Before-after trial.
Setting
Single academic spine center.
Participants
Patients who underwent first-time medial branch RFA for lumbar facet joint pain identified by dual comparative medial branch block with ≥80% pain relief between January 1, 2015 and September 1, 2019 were identified using procedural billing codes. Charts were reviewed manually to confirm accuracy and strict adherence to the 80% pain relief threshold for each medial branch block. Thirty-nine patients met the criteria and were included in this study (N=39).
Interventions
Medial branch RFA.
Main Outcome Measures
PROMIS score domains of Depression, Pain Interference, and Physical Function collected pre- and post RFA were compared. Pretreatment scores were within 6 weeks prior to the first medial branch block. Posttreatment scores were between 5 weeks and 6 months after RFA. Paired-sample t test analyses were used to calculate responsiveness to treatment, with significance assigned as P<.05 prior to acquiring data. effect size was calculated using cohen d.>
Results
PROMIS domains of Pain Interference and Physical Function demonstrated a statistically significant improvement (P=.004 and P=.017, respectively). The PROMIS domain of Depression did not demonstrate a statistically significant change (P=.12). The effect size was medium (d=−0.43) for Pain Interference, small/medium (d=0.31) for Physical Function, and small (d=-0.12) for Depression.
Conclusions
Medial branch RFA as a treatment for lumbar facet syndrome is associated with a statistical improvement in PROMIS domains of Physical Function and Pain Interference.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=300786
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2311-2315[article]
Titre : Measuring Satisfaction With Upper Limb Prostheses: Orthotics and Prosthetics User Survey Revision That Includes Issues of Concern to Women Type de document : Article Auteurs : Linda Resnik ; Matthew L. Borgia ; Melissa Clark ; Allen W. Heinemann ; Pengsheng Ni Année de publication : 2022 Article en page(s) : p. 2316-2324 Note générale : https://doi.org/10.1016/j.apmr.2022.05.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse statistique factorielle ; Membre supérieur ; Mesures des résultats rapportés par les patients (PROM) ; Prothèses et implants ; Satisfaction des patientsRésumé : Objective
To (1) modify the Orthotics and Prosthetics User Survey (OPUS) Client Satisfaction with Device (CSD) instrument to incorporate issues of concern to women and (2) evaluate measure's structural and concurrent validity and reliability in persons with upper limb amputation (ULA).
Design
Cross-sectional survey study with retest after 2 weeks. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and Rasch analyses were used to select items and examine differential item functioning, range of coverage, and person and item reliability. Test-retest reliability was evaluated with intraclass correlation coefficients. Pearson correlations were used to estimate associations with other prosthesis satisfaction measures.
Setting
Telephone administered survey.
Participants
Convenience sample of 468 participants in the US (N=468; 19.9% women) with ULA, including a 50-person retest subsample (4% female).
Interventions
Not applicable.
Main Outcome Measures
Modified OPUS CSD.
Results
EFA suggested 3 subscales: Comfort, Appearance, and Utility. CFA found acceptable model fit. After dropping items with poor fit and high pairwise correlations in Rasch partial credit models, CFA model fit indices were acceptable (comparative fit index=0.959, Tucker-Lewis Index=0.954, root mean square error of approximation=0.082). Rasch person reliability was 0.62 (Utility), 0.77 (Appearance), and 0.82 (Comfort). Cronbach α was 0.81, 87, and 0.71 for Comfort and Appearance, and Utility subscales, respectively. Correlations between the modified CSD, the original CSD, and the Trinity Amputation and Prosthesis Experience Satisfaction Scale were 0.54-0.94.
Conclusions
We identified 3 subscales: Comfort (6 items), Appearance (8 items), and Utility (4 items) with 7 new items identified as important to women. The subscales demonstrate evidence of sound concurrent structural and test-retest reliability and concurrent validity. The Appearance and Comfort subscales have good reliability for group-level use in clinical and research applications, whereas the Utility subscale had poor to fair person reliability but excellent item 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=300787
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2316-2324[article]
Titre : Predictors of Missed Follow-up Visits in the National Traumatic Brain Injury Model Systems Cohort Study Type de document : Article Auteurs : Leia Vos ; Esther Ngan ; Luis Leon Novelo ; Michael W. Williams ; Flora M. Hammond ; William C. Walker ; Allison N. Clark ; Andrea P. Ochoa Lopez ; Shannon B. Juengst ; Mark Sherer Année de publication : 2022 Article en page(s) : p. 2325-2337 Note générale : https://doi.org/10.1016/j.apmr.2022.05.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Etudes longitudinales ; Lésions traumatiques de l'encéphale ; RéadaptationRésumé : Objective
To identify key variables that could predict risk of loss to follow-up (LTFU) in a nationally funded longitudinal database of persons with traumatic brain injury.
Design
Secondary analysis of a prospective longitudinal cohort study.
Setting
Traumatic Brain Injury Model System (TBIMS) Centers in the US.
Participants
A total of 17,956 TBIMS participants (N=17,956) with interview status data available were included if eligible for 1-, 2-, 5-, 10-, 15-, or 20-year follow-ups between October 31, 1989, and September 30, 2020.
Interventions
Not applicable.
Main Outcome Measures
Follow-up data collection completion status at years 1, 2, 5, 10, 15, and 20.
Results
Information relevant to participants’ history, injury characteristics, rehabilitation stay, and patterns of follow-up across 20 years were considered using a series of logistic regression models. Overall, LTFU rates were low (consistently
Conclusions
Efforts to retain participants in such social disadvantaged or minority groups are encouraged given their disproportionate rate of LTFU. Repeated attempts to reach participants after a previously missed assessment are beneficial because many participants that missed 1 or more follow-ups were later recovered.Note de contenu : Under a Creative Commons license 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=300788
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2325-2337[article]
Titre : The Relationship of Secondary and Chronic Health Conditions With Emergency Department Visits and Related Hospitalizations Among People With Traumatic Spinal Cord Injury Type de document : Article Auteurs : James S. Krause ; Yue Cao ; Nicole D. DiPiro Année de publication : 2022 Article en page(s) : p. 2338-2344 Note générale : https://doi.org/10.1016/j.apmr.2022.05.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Escarre ; Hospitalisation ; Infection urinaire ; Maladie chronique ; Réadaptation ; Service hospitalier d'urgences ; Traumatismes de la moelle épinièreRésumé : Objective
Identify the relationship of health conditions with self-reported emergency department (ED) visits and ED-related hospitalizations among people with traumatic spinal cord injury (SCI), while controlling for demographic, injury, and socioeconomic factors.
Design
Cross-sectional.
Setting
A regional SCI model system in the Southeastern United States.
Participants
Participants (N=648) were adults with chronic traumatic SCI at least 1 year postinjury who were identified through their Form II annual follow-up within the SCI Model Systems.
Interventions
N/A.
Main Outcome Measures
Self-reported ED visits and ED-related hospitalizations within the 12 months prior to the study.
Results
Several types of factors were significantly related to ED visits, with fewer related to ED hospitalizations. Men (odds ratio [OR]=1.58); those divorced, widowed, or separated (OR=1.57); and those with more severe SCI (C1-C4, or American Spinal Injury Association Impairment Scale A/B) had greater odds of having at least 1 ED visit; education and employment factors were not significant. Of health conditions, acute secondary health conditions including falls (OR=1.45), urinary tract infections (UTIs; OR=2.40), and pressure injuries (OR=1.58) were all associated with a greater odds of ED visits, whereas chronic health conditions were not. Being unemployed was associated with greater odds of an ED hospitalization (OR=1.79), as was having at least 1 UTI (OR=2.24) and at least 1 pressure injury (OR=2.37).
Conclusions
The current findings suggest acute secondary health conditions, particularly UTIs and pressure injuries, were much more highly related to ED visits and related hospitalizations compared to chronic health conditions (eg, diabetes, hypertension). Greater attention needs to be paid to fall, UTI, and pressure injury prevention to reduce the ED burden related to SCI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300789
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2338-2344[article]
Titre : Factors Related to Engagement in Employment After Spinal Cord Injury in Australia: A Cross-sectional Study Type de document : Article Auteurs : Samantha J. Borg ; David N. Borg ; Mohit Arora ; James W. Middleton ; Ruth Marshall ; Andrew Nunn ; Timothy Geraghty Année de publication : 2022 Article en page(s) : p. 2345-2354 Note générale : https://doi.org/10.1016/j.apmr.2022.04.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Emploi ; Intégration ; Réadaptation ; Réadaptation professionnelle ; Reprise du travailRésumé : Objective
To explore the association between sociodemographic, health, functional independence, and environmental variables with engagement in paid work for people with spinal cord injury (SCI).
Design
Self-reported, cross-sectional Australian data from a large international SCI survey.
Setting
Community-based.
Participants
1189 working-age people with SCI (18-67 years) or aged >67 years and engaged in paid employment. Respondents were community based and at least 1 year after injury.
Interventions
Not applicable.
Main Outcome Measures
Employment and work integration variables. Bayesian penalized regression was used to determine associations between 23 predictor variables and engagement in paid work.
Results
Most participants (87%) were employed pre-injury, with 39% in paid employment at the time of the survey. Participants who attained a master's/doctoral degree (odds ratio [OR]=3.01; 95% credible interval [CrI], 1.63, 5.44) and those married (OR=1.68; 95% CrI, 1.13, 2.49) were more likely to be engaged in paid work. Women (OR=0.55; 95% CrI, 0.37, 0.81), people receiving a disability pension (OR=0.17; 95% CrI, 0.13, 0.24), and older participants (OR=0.75; 95% CrI, 0.63, 0.90) were less likely to be in paid work. Working participants identified hardships including problems completing their work (60%) and accessing the workplace (32%), as well as unmet needs relating to assistive devices required for completing their work (50%).
Conclusions
Findings from the current study can assist in directing resources to subgroups within the SCI population who need greater assistance or intervention related to employment outcomes, including through vocational rehabilitation services/programs. Unmet needs and workplace issues expressed by employed individuals identify gaps in work integration and satisfaction that could affect employment sustainability that need to be addressed.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=300790
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2345-2354[article]
Titre : Job Retention Among Individuals With Multiple Sclerosis: Relationship With Prediagnostic Employment and Education; Demographic Characteristics; and Disease Course, Severity, and Complications Type de document : Article Auteurs : James S. Krause ; Clara L. Dismuke-Greer ; Phillip Rumrill ; Karla S. Reed ; Melinda Jarnecke ; Deborah Backus Année de publication : 2022 Article en page(s) : p. 2355-2361 Note générale : https://doi.org/10.1016/j.apmr.2022.05.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Dysfonctionnement cognitif ; Emploi ; Fatigue ; Réadaptation ; Réadaptation professionnelle ; Sclérose en plaquesRésumé : Objective
To identify how prediagnosis employment, education, demographic statuses, and disease factors relate to job retention among people with multiple sclerosis (MS).
Design
Cross-sectional logit model.
Setting
Data were collected at an academic Medical University and a specialty hospital, both in the Southeastern US.
Participants
People with MS (N=1126) who were employed at the time of MS diagnosis.
Interventions
Not applicable.
Main Outcome Measures
Job retention was measured by employment status at the time of follow-up assessment.
Results
Prediagnostic educational attainment was predictive of job retention. Among several prediagnostic employment characteristics, only working in production, transportation, and material moving was significantly related to a lower odds of job retention compared with those working in professional/managerial occupations. Aging factors were strongly related to job retention, with declines in job retention observed with increasing age and years since diagnosis. Non-Hispanic Black and Hispanic participants reported lower odds of job retention than non-Hispanic White participants, although there were no observed effects of sex. A significantly lower job retention rate was observed among those with progressive MS, compared with relapsing-remitting. Job retention was also less likely among people with greater MS severity and fatigue.
Conclusions
Job retention strategies and interventions should target people with greater MS complications and severity, as well as non-Hispanic Black and Hispanic persons, because these characteristics are more highly related to job retention than our prediagnostic employment and vocational history.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=300791
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2355-2361[article]
Titre : Construct Validity of the Steep Ramp Test for Assessing Cardiorespiratory Fitness in Patients With Breast Cancer and the Effect of Chemotherapy-Related Symptom Burden Type de document : Article Auteurs : Hester J. Van de Wiel ; Wim G. Groen ; Caroline S. Kampshoff ; Laurien M. Buffart ; Willem van Mechelen ; Goof Schep ; Gabe S. Sonke ; Rosalie Huijsmans ; Wim H. van Harten ; Neil K. Aaronson ; Martijn M. Stuiver Année de publication : 2022 Article en page(s) : p. 2362-2367 Note générale : https://doi.org/10.1016/j.apmr.2022.05.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Epreuve d'effort ; Réadaptation ; Tumeurs du seinRésumé : Objective
To investigate the construct validity of the Steep Ramp Test (SRT) by longitudinally comparing the correlation between maximum short exercise capacity of the SRT and direct measurements of peak oxygen consumption (Vo2peak) during or shortly after treatment in patients with breast cancer and the potential effect of chemotherapy-induced symptom burden.
Design
Cross-sectional.
Setting
Multicenter.
Participants
We used data from 2 studies that included women with breast cancer treated with chemotherapy, resulting in 274 observations. A total of 161 patients (N=161) performed the cardiopulmonary exercise test and the SRT in 2 test sessions on different time points around chemotherapy treatment.
Interventions
Not applicable.
Main Outcome Measures
Fatigue was assessed with the Multidimensional Fatigue Inventory, and nausea and vomiting and pain by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30. The longitudinal correlation between the maximum short exercise capacity and Vo2peak was investigated using a linear mixed model. Interaction terms were added to the model to investigate whether the correlation varied by symptom burden.
Results
We found a statistically significant moderate correlation between Vo2peak and maximum short exercise capacity (0.61; 95% confidence interval, 0.51-0.70; P<.01 over time. this correlation was slightly attenuated confidence interval to p=".04)" in patients with chemotherapy-related nausea and vomiting indicating smaller correlations of vo2peak the maximum short exercise capacity increasing symptom burden. pain fatigue did not significantly modify correlation.>
Conclusions
The SRT can only be used as a proxy for changes in aerobic capacity with great caution and with attention for the level of nausea and vomiting.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=300792
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2362-2367[article]
Titre : Measuring Mechanical Properties of Spastic Muscles After Stroke. Does Muscle Position During Assessment Really Matter? Type de document : Article Auteurs : María-Isabel García-Bernal ; Paula González-García ; María Jesús Casuso-Holgado ; María Dolores Cortés-Vega ; Alberto Marcos Heredia-Rizo Année de publication : 2022 Article en page(s) : p. 2368-2374 Note générale : https://doi.org/10.1016/j.apmr.2022.05.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Réadaptation ; Spasticité musculaireRésumé : Objective
To investigate the influence of muscle position (relaxed vs stretched) on muscle mechanical properties and the ability of myotonometry to detect differences between sides, groups, and sites of testing in patients with stroke. We also analyzed the association between myotonometry and clinical measures of spasticity.
Design
Cross-sectional study.
Setting
Outpatient rehabilitation units including private and public centers.
Participants
Seventy-one participants (20 subacute stroke, 20 chronic stroke, 31 controls) were recruited (N=71).
Intervention
Muscle mechanical properties were measured bilaterally with a MyotonPRO at muscle belly and musculotendinous sites during 2 protocols (muscle relaxed or in maximal bearable stretched position).
Main Outcome Measures
Muscle tone and stiffness of the biceps brachii and gastrocnemius. Poststroke spasticity was evaluated with the Modified Tardieu Scale (MTS). A mixed-model analysis of variance was used to detect differences in the outcome measures.
Results
The analysis of variance showed a significant effect of muscle position on muscle mechanical properties (higher tone and stiffness with the muscle assessed in stretched position). Measurements with the stretched muscle could help discriminate between spastic and nonspastic sides, but only at the biceps brachii. Overall, there was a significant increase in tone and stiffness in the chronic stroke group and in myotendinous sites compared with muscle belly sites (all, P<.05 no correlations were found between myotonometry and the mts.>
Conclusions
Myotonometry assessment of mechanical properties with the muscle stretched improves the ability of myotonometry to discriminate between sides in patients after stroke and between people with and without stroke.Note de contenu : Under a Creative Commons license 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=300793
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2368-2374[article]
Titre : Determinants of Quality of Life in Individuals With Spinal Cord Injury Using Structural Equation Modeling Type de document : Article Auteurs : Manuel Zwecker ; Eyal Heled ; Moshe Bondi ; Gabi Zeilig ; Vadim Bluvstein ; Amiram Catz ; Israel Dudkiewicz Année de publication : 2022 Article en page(s) : p. 2375-2382 Note générale : https://doi.org/10.1016/j.apmr.2022.06.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse de structure latente ; Classification internationale du fonctionnement, du handicap et de la santé (ICF) ; Qualité de vie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
The objective of this study is to examine the interdependent associations between International Classification of Functioning, Disability and Health (ICF) domains and their relationship with environmental factors with regard to quality of life (QoL) in individuals with spinal cord injury (SCI).
Design
Survey, cross-sectional study, and model testing using structural equation modeling.
Setting
Two inpatient and outpatient SCI rehabilitation units, Sheba Medical Center and Loewenstein Hospital, Israel.
Participants
Convenience sample of 156 individuals with SCI (N=156).
Interventions
Not applicable.
Main Outcome Measures
QoL assessed by the World Health Organization Quality of Life Assessment-BREF.
Neurological impairment after SCI reflected by lesion completeness and neurologic level of injury as measured by the International Standards for Neurological Classification of Spinal Cord Injury.
The Spinal Cord Independence Measure to assess SCI-related task performance.
ICF Brief Core Sets composition scores to assess impairment in body structure and function domains, limitations in activities, restriction in participation constructs, and the effect of environmental factors within the ICF model.
Results
Level of spinal cord injury and ICF Brief Core Sets composite score relating to activities and participation construct demonstrated a direct significant association with QoL. Moreover, a significant indirect association with QoL was found between the composite scores in ICF body structure and function and environmental factors, level of spinal cord injury, time since injury onset, and sex. Because the Spinal Cord Independence Measure was not related to QoL, we inferred that the categories related to instrumental activities of daily living and participation exert the most significant influence on QoL.
Conclusions
In order to optimize improvements in quality of life, current rehabilitation programs should target limitations specifically related to instrumental activities of daily living and participation restrictions. It may serve as a focal point for further development of current therapeutic models and analytical methods that optimize rehabilitation planning and decision making among both health care professionals and 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=300794
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2375-2382[article]
Titre : Association of Function, Symptoms, and Social Support Reported in Standardized Outpatient Clinic Questionnaires With Subsequent Hospital Discharge Disposition and 30-Day Readmissions Type de document : Article Auteurs : Tamra Keeney ; Minji K. Lee ; Jeffrey R. Basford ; Andrea L. Cheville Année de publication : 2022 Article en page(s) : p. 2383-2390 Note générale : https://doi.org/10.1016/j.apmr.2022.06.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Mesures des résultats rapportés par les patients (PROM) ; Réadaptation ; Réadmission du patient ; Soins de suiteRésumé : Objective
To determine whether patient-reported information, routinely collected in an outpatient setting, is associated with readmission within 30 days of discharge and/or the need for post-acute care after a subsequent hospital admission.
Design
Retrospective cohort study. Six domains of patient-reported information collected in the outpatient setting (psychological distress, respiratory symptoms, musculoskeletal pain, family support, mobility, and activities of daily living [ADLs]) were linked to electronic health record hospitalization data. Mixed effects logistic regression models with random intercepts were used to identify the association between the 6 domains and outcomes.
Setting
Outpatient clinics and hospitals in a Midwestern health system.
Participants
7671 patients who were hospitalized 11,445 times between May 2004 and May 2014 (N=7671).
Intervention
None.
Main Outcome Measures
30-day hospital readmission and discharge home vs facility.
Results
Domains were significantly associated with 30-day readmission and placement in a facility. Specifically, mobility (odds ratio [OR]=1.30; 95% confidence interval [CI], 1.16, 1.46), ADLs (OR=1.27; 95% CI, 1.13, 1.42), respiratory symptoms (OR=1.26; 95% CI, 1.12, 1.41), and psychological distress (OR=1.20; 95% CI, 1.07, 1.35) had the strongest associations with 30-day readmission. The ADL (OR=2.52; 95% CI, 2.26, 2.81), mobility (OR=2.35; 95% CI, 2.10, 2.63), family support (OR=2.28; 95% CI, 1.98, 2.62), and psychological distress (OR=1.38; 95% CI, 1.25, 1.52) domains had the strongest associations with discharge to an institution.
Conclusions
Patient-reported function, symptoms, and social support routinely collected in outpatient clinics are associated with future 30-day readmission and discharge to an institutional setting. Whether these data can be leveraged to guide interventions to address patient needs and improve outcomes 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=300795
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2383-2390[article]
Titre : Effects of Multimodal Inpatient Rehabilitation vs Conventional Pulmonary Rehabilitation on Physical Recovery After Esophageal Cancer Surgery Type de document : Article Auteurs : Jung Hwa Do ; Ma Nessa Gelvosa ; Kyung Yong Choi ; Hwal Kim ; Ja Young Kim ; Nicole L. Stout ; Young Ki Cho ; Hyeong Ryul Kim ; Yong-Hee Kim ; Sang Ah Kim ; Jae Yong Jeon Année de publication : 2022 Article en page(s) : p. 2391-2397 Note générale : https://doi.org/10.1016/j.apmr.2022.05.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Qualité de vie ; Réadaptation ; Tumeurs de l'oesophageRésumé : Objective
To determine the effects of multimodal rehabilitation initiated immediately after esophageal cancer surgery on physical recovery compared with conventional pulmonary rehabilitation.
Design
Retrospective study.
Setting
Private quaternary care hospital.
Participants
Fifty-nine inpatients (N=59) who participated in either conventional pulmonary rehabilitation (n=30) or in multimodal rehabilitation (n=29) after esophageal cancer surgery were included.
Interventions
Both groups performed pulmonary exercises, including deep breathing, chest expansion, inspiratory muscle training, coughing, and manual vibration. In the conventional pulmonary rehabilitation group, light-intensity mat exercise, stretching, and walking were performed. The multimodal rehabilitation group performed resistance exercises and moderate- to high-intensity aerobic interval exercises using a bicycle.
Main Outcome Measures
The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire C30 (EORTC QLQ-C30), pain, 6-minute walk test (6MWT), 30-second chair stand test, and grip strengths were assessed before and after the rehabilitation programs.
Results
Symptom scales of pain, dyspnea, and insomnia in the EORTC QLQ-C30 as well as 6MWT improved significantly after each program (P<.05 vs p d="1.15)," chair stand test and left grip strength improved significantly in the multimodal rehabilitation group compared with pulmonary group. while right also showed more improvement for those undergoing program mean difference was not clinically meaningful.>
Conclusions
A multimodal inpatient rehabilitation program instituted early after esophageal cancer surgery improved endurance for walking more than conventional pulmonary rehabilitation as measured by the 6MWT and the 30-second chair stand test.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=300796
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2391-2397[article]
Titre : The Effect of CMS's Comprehensive Care for Joint Replacement Bundled Payment Model on Trajectories of Post-acute Rehabilitation Care After Total Hip Arthroplasty Type de document : Article Auteurs : Kara Kallies ; Timothy R. Dillingham ; Adam Edelstein ; Eric Hume ; Daniel Polsky ; Roy Schwartz ; Emily L. McGinley ; Liliana E. Pezzin Année de publication : 2022 Article en page(s) : p. 2398-2403 Note générale : https://doi.org/10.1016/j.apmr.2022.05.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de hanche ; Bouquets de soins des patients ; Réadaptation ; Soins de suiteRésumé : Objective
To evaluate the effect of the Comprehensive Care for Joint Replacement (CJR) policy on the 90-day trajectory of post-acute care after a total hip arthroplasty (THA).
Design
Multivariable difference-in-difference models applied to Medicare beneficiaries undergoing a THA prior to (2014-2015) and post-CJR implementation (2017) in areas subjected to or exempt from the policy.
Setting
Hospitals in standard metropolitan statistical areas.
Participants
357,844 elderly Medicare patients nationwide undergoing THA (N=357,844).
Interventions
None.
Main Outcome Measures
Escalation in care to institutionalization (ie, admission to an inpatient rehabilitation or skilled nursing facility during 90-days postdischarge for those initially discharged to the community and return to the community at the end of the episode of care among those initially discharged to an institutional setting).
Results
Of the 357,844 elderly Medicare patients nationwide undergoing THA during the study period, 47.6% were discharged directly to the community and 52.4% received post-acute care in an institution. Patients discharged to an institution post-policy in a CJR area were about 10% less likely to return to the community (odds ratio=0.91; 95% confidence interval, 0.84-0.98; P=.02) at the end of the 90-day episode of care than those treated in policy-exempt areas. Despite the large magnitude, estimates of escalation in care among patients treated in bundling areas post-CJR implementation were not statistically significant.
Conclusions
Our findings support further exploration of unanticipated effects of mandatory bundled payment policies on outcomes, as well as further examination of outcomes among policy-relevant subgroups of patients undergoing hip replacement in the United States.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=300797
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2398-2403[article]
Titre : Clinical Properties of the 6-Clicks and Functional Status Score for the ICU in a Hospital in the United Arab Emirates Type de document : Article Auteurs : Aaron Thrush ; Emma Steenbergen Année de publication : 2022 Article en page(s) : p. 2404-2409 Note générale : https://doi.org/10.1016/j.apmr.2022.04.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Évaluation des résultats des patients ; Mobilité réduite ; Réadaptation ; Service hospitalier de kinésithérapie ; Soins de réanimationRésumé : Objective
To determine measurement properties of the Activity Measure for Post-Acute Care Inpatient Mobility Short Form (6-clicks) and Functional Status Score for the Intensive Care Unit (FSS-ICU).
Design
Retrospective analysis of scores from a cohort of patients over 24 months. Outcome measures were administered to patients referred to physical therapy on admission and discharge.
Setting
Tertiary care hospital in the United Arab Emirates.
Participants
2793 adults referred to physical therapy; 62% were male, with a median age of 58 (interquartile range=44-70) and the median length of stay was 14 days (interquartile range=8-28).
Interventions
Not applicable.
Main Outcome Measure
Instruments’ clinical measurement properties: (1) responsiveness as per mean change and effect size; (2) floor and ceiling effects; and (3) minimal important difference. Results were analyzed for the whole group as well as 3 subgroups: patients with stroke as primary diagnosis (n = 644), discharged from heart and vascular floors (n = 642), and discharged from medical floors (n = 554).
Results
The mean change and effect size (Cohen's d) for the 6-clicks were +8.3 (±8.6) and 0.97, and for the FSS-ICU they were +6.8 (±7.8) and 0.87, respectively. 6-Clicks had a floor effect on admission among patients with stroke (16.9%) and patients discharged from medical floors (19.3%), as well as a ceiling effect on discharge (25.5% in the whole group). The FSS-ICU had a ceiling effect on discharge (23.2% in whole group). The estimated minimal important difference for the 6-clicks was 4.3, and for the FSS-ICU it was 3.9.
Conclusion
Both instruments demonstrate good responsiveness in adults hospitalized in the United Arab Emirates. The FSS-ICU exhibited several advantages in performance that suggest greater clinical utility than the 6-clicks. Minimal important differences were generated, which has not been previously reported for the 6-clicks.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=300798
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2404-2409[article]
Titre : Feasibility, Acceptability, and Efficacy of Mindfulness Training in People With Upper Motor Neuron Disorders: A Systematic Review Type de document : Article Auteurs : Radha Korupolu ; Aila Malik ; Chelsea Ratcliff ; Susan Robinson-Whelen ; Heather B. Taylor Année de publication : 2022 Article en page(s) : p. 2410-2428 Note générale : https://doi.org/10.1016/j.apmr.2022.05.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Etudes de faisabilité ; Lésions encéphaliques ; Médiation ; Pleine conscience (Mindfulness) ; Réadaptation ; Sclérose en plaques ; Sclérose latérale amyotrophique (SLA) ; Traumatismes de la moelle épinièreRésumé : Objectives
This systematic review aims to gain a comprehensive understanding of the feasibility, acceptability, and efficacy of mindfulness-based interventions (MBIs) on depression, anxiety, fatigue, and health-related quality of life among individuals with upper motor neuron disorders (UMNDs).
Data Sources
PubMed, PsycINFO, Excerpta Medica Database, and Cumulative Index to Nursing and Allied Health Literature were searched for relevant studies published between January 2001 and June 2021.
Study Selection
Clinical trials published in English evaluating MBIs in adults with the 4 most common UMNDs (multiple sclerosis, brain injury including stroke, spinal cord injury, amyotrophic lateral sclerosis) were included.
Data Extraction
Two reviewers independently performed the risk of bias assessment using standardized tools and extracted desired data electronically.
Data Synthesis
A total of 44 studies were included: 26 randomized controlled trials, 10 nonrandomized controlled trials, and 8 pre-post intervention studies. The average ± SD duration of MBIs was 8±2 weeks. On average, 85%±14% of participants completed the MBI, and the retention rate at follow-up was 80%±16%. Only 14% of the studies delivered MBIs virtually, and feasibility metrics were similar to in-person studies. Among studies reporting acceptability data, most participants reported satisfaction with the MBI. Randomized controlled trials that evaluated the effects of MBI on depression, anxiety, fatigue, and quality of life revealed greater relative improvement in these outcomes among MBI participants compared with controls, with differences greater when compared with passive control than active control participants. None of the studies included in this review studied dose response.
Conclusions
Based on current data, MBIs are feasible and offer a promising approach to address the biopsychosocial needs of individuals with UMNDs. MBIs are associated with a high acceptance rate among participants, with notable improvements in depression, anxiety, fatigue, and quality of life post intervention. Future studies are needed to evaluate alternate models of delivery of MBIs and the dose-response relationship.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=300799
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2410-2428[article]
Titre : Understanding How Newly Implemented Rehabilitation Best Practices Are Sustained: A Realist Review Type de document : Article Auteurs : Rebecca Ataman ; Sara Ahmed ; Ahlam Zidan ; Aliki Thomas Année de publication : 2022 Article en page(s) : p. 2429-2443 Note générale : https://doi.org/10.1016/j.apmr.2022.05.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Diffusion des innovations ; Ergothérapie ; Kinésithérapie (spécialité) ; Littérature de revue comme sujet ; Pathologie de la parole et du langage (spécialité) ; Pratique factuelle (EBP) ; Réadaptation ; Science de la mise en oeuvreRésumé : Objective
We conducted a realist review to understand how (mechanism) and in what circumstances (context) evidence-based practices are sustained in rehabilitation (outcome).
Data Sources
MEDLINE, Embase, reference lists, and targeted websites.
Study Selection
Two independent reviewers calibrated study selection; then 1 reviewer screened all titles and abstracts, while the second reviewer screened a random 20%. We repeated this process for full texts. We included 115 documents representing 61 implementation projects (8.9% of identified documents). Included documents described implementation projects in which physical therapists, occupational therapists, and/or speech-language pathologists were the target users of an evidence-based practice.
Data Extraction
Two reviewers repeated the independent process described in study selection to extract basic study and sustainability characteristics as well as context, mechanism, outcome, and strategy text.
Data Synthesis
Using basic numerical analyses, we found that only 54% of evidence-based practices in rehabilitation are sustained. Furthermore, while authors who reported sustainability planning sustained the practice 94% of the time, sustainability planning in rehabilitation is rare (only reported 26% of the time). Extracted text was synthesized using the realist technique of inductive and deductive retroduction in which context, mechanism, outcome, and strategy text are combined into narrative explanations of how sustainability works. To inform these explanations, we applied normalization process theory and the theory of planned behavior. Collectively, the 52 identified narratives provide evidence for 3 patterns: (1) implementation and sustainability phases are interconnected, (2) continued use of the evidence-based practice can be interpreted as the ultimate sustainability outcome, and (3) intermediate sustainability outcomes (ie, fit/alignment, financial support, benefits, expertise) can become contextual features influencing other sustainability outcomes.
Conclusions
Implementation teams can use the narrative explanations generated in this review to optimize sustainability planning. This can sustain practice changes and improve quality of care and patient outcomes. Future research should seek to iteratively refine the proposed narrative explanations.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=300800
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2429-2443[article]
Titre : Prevalence of Neuropsychiatric Disorders in Duchenne and Becker Muscular Dystrophies: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Carlos Pascual-Morena ; Iván Cavero-Redondo ; Sara Reina-Gutiérrez ; Alicia Saz-Lara ; José Francisco López-Gil ; Vicente Martínez-Vizcaíno Année de publication : 2022 Article en page(s) : p. 2444-2453 Note générale : https://doi.org/10.1016/j.apmr.2022.05.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Dystrophies musculaires ; Maladies neuromusculaires ; Myopathie de Duchenne ; Réadaptation ; Trouble déficitaire de l'attention avec ou sans hyperactivité ; Trouble dépressif ; Trouble du spectre autistique (TSA) ; Trouble obsessionnel compulsif (TOC) ; Troubles anxieuxRésumé : Objective
To estimate the prevalence of neuropsychiatric disorders, including autism spectrum disorders (ASDs), attention-deficit hyperactivity disorder (ADHD), depression, anxiety disorders, and obsessive-compulsive disorder (OCD), in populations with Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD).
Data Sources
MEDLINE (via PubMed), Scopus, Web of Science, and Cochrane Library from inception to November 2021.
Study Selection
Observational studies of individuals with DMD or BMD that estimated the prevalence of ASDs, ADHD, depression, anxiety disorders, and OCD in each population.
Data Extraction
A random-effects meta-analysis was performed on each outcome and each population (ie, DMD, BMD).
Data Synthesis
Twenty-three studies were included in the meta-analysis. In DMD, there was a prevalence of 7.0% of ASDs, 18.0% of ADHD, 11.0% of depression, 24.0% of anxiety disorders, and 12.0% of OCD. Furthermore, in BMD, there was a prevalence of 6.0% of ASDs, 28.0% of ADHD, 7.0% of depression, 25.0% of anxiety disorders, and 7.0% of OCD.
Conclusions
The prevalence of these neuropsychiatric disorders is higher among patients with DMD or BMD than among the general population, and the presence of these disorders may negatively influence optimal medical management.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=300801
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 12 (2022) . - p. 2444-2453[article]
Paru le : 01/11/2022
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Titre : Randomization to Treadmill Training Improves Physical and Metabolic Health in Association With Declines in Oxidative Stress in Stroke Type de document : Article Auteurs : Monica C. Serra ; Charlene E. Hafer-Macko ; Ronna Robbins ; Jason C. O'Connor ; Alice S. Ryan Année de publication : 2022 Article en page(s) : p. 2077-2084 Note générale : https://doi.org/10.1016/j.apmr.2022.06.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Inflammation ; Réadaptation ; Stress oxydatifRésumé : Objective
To investigate the effect of aerobic exercise vs control (stretching/balance) on inflammatory and oxidative stress biomarkers in stroke survivors and whether these changes are associated with improvements in physical and metabolic health.
Design
Randomized controlled trial.
Setting
The general communities of Baltimore, Maryland, and Atlanta, Georgia.
Participants
Two hundred forty-six older (>50 years), chronic (>6 months) survivors of stroke (N=246) with hemiparetic gait were recruited, with 51 completing pre-intervention testing and 39 completing postintervention testing. Participants were required to have completed all conventional physical therapy and be capable of walking 3 minutes on a treadmill (N=246).
Intervention
Participants completed 6 months of 2 times/wk stretching or balance (ST; n=19) or 3 times/wk aerobic treadmill rehabilitation (TM; n=20;).
Main Outcome Measure(s)
Peak oxygen uptake rate (V̇o2peak), 6-minute walking distance (6MWD), fasting plasma glucose, insulin, oxidative stress, and inflammatory biomarkers were assessed pre- and postintervention. Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) was calculated.
Results
Physical function and metabolic health parameters tended to improve after TM but not ST (ST vs TM: V̇o2peak: −9% vs 24%, P<.01 vs p=".05;" insulin: homa-ir: plasma concentrations of nitrotyrosine protein carbonyls and oxidized low-density lipoprotein tended to decrease from pre-intervention in response tm compared st tm: nitrotyrosine: carbonyls: oxldl: changes circulating c-reactive oxldl were negatively associated with v positively fasting insulin homa-ir ps>
Conclusions
Six months of TM tends to be associated with increased functional capacity and reduced oxidative stress in chronic stroke survivors. Our findings identify potentially modifiable systemic markers of inflammation and oxidative stress important to stroke rehabilitation and provide potential targets for novel therapeutics in future studies.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=300365
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2077-2084[article]
Titre : Effect of Perineural Dextrose Injection on Ulnar Neuropathy at the Elbow: A Randomized, Controlled, Double-Blind Study Type de document : Article Auteurs : Basak Mansiz-Kaplan ; Baris Nacir ; Secil Pervane-Vural ; Olcay Tosun-Meric ; Burcu Duyur-Cakit ; Hakan Genc Année de publication : 2022 Article en page(s) : p. 2085-2091 Note générale : https://doi.org/10.1016/j.apmr.2022.04.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Glucose ; Injections ; Réadaptation ; Syndromes de compression du nerf ulnaireRésumé : Objective
To compare perineural dextrose injection efficacy in the treatment of ulnar neuropathy at the elbow with a control group.
Design
Prospective double-blind randomized control study.
Setting
Training and research hospital.
Participants
The study was completed with 40 patients with ulnar neuropathy at the elbow.
Intervention
Normal saline (0.9% sodium chloride) was injected in patients in the control group (n=20; mean age=38.1±10.7 years; median duration of symptoms=4.5 months), and 5% dextrose was injected in patients in the dextrose group (n=20; mean age=43.6±13.5 years; median duration of symptoms=5 months), perineurally under ultrasound guidance twice at 2-week intervals. Ultrasound-guided perineural injection of 1 cc each was administered into the ulnar nerve, 2 cm and 4 cm distal to the medial epicondyle, at the level of the medial epicondyle, and 2 cm and 4 cm proximal to the medial epicondyle. The amount of total fluid injected was 5 cc.
Main Outcome Measure(s)
At baseline and weeks 2, 4, and 12, the patients were evaluated with the Visual Analog Scale for pain and the Disabilities of the Arm Shoulder and Hand questionnaire for disability. Electrophysiological evaluation was performed with ulnar nerve conduction studies, and the ulnar nerve cross-sectional area was measured on ultrasonography.
Results
The improvements in pain, disability, ulnar motor nerve velocity, and ulnar nerve cross-sectional area in the dextrose group were superior to those in the control group, especially at weeks 4 and 12 (P<.001 using independent samples t tests>
Conclusion
Perineural 5% dextrose may be an effective alternative therapy for those with ulnar neuropathy at the elbow for up to the 12th week.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=300368
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2085-2091[article]
Titre : The First FDA Approved Early Feasibility Study of a Novel Percutaneous Bone Anchored Prosthesis for Transfemoral Amputees: A Prospective 1-year Follow-up Cohort Study Type de document : Article Auteurs : Sarina Sinclair ; Peter J. Beck ; Joseph Webster ; Jayant Agarwal ; Bart Gillespie ; Phil Stevens ; Jeremy Gililland ; Erik Kubiak Année de publication : 2022 Article en page(s) : p. 2092-2104 Note générale : https://doi.org/10.1016/j.apmr.2022.06.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputés ; Os et tissu osseux ; Prothèse à ancrage osseux ; RéadaptationRésumé : Objective
Evaluate the safety and efficacy of a novel press-fit bone-anchored prosthesis in an FDA approved study.
Design
Single-center, prospective 1-year follow-up cohort study of a percutaneous bone anchored prosthesis.
Setting
Veterans Health Administration Hospital.
Participants
Ten male Veterans with unilateral transfemoral amputation that occurred at least 6 months prior to enrollment and was not the result of dysvascular disease (N=10).
Interventions
All participants received the novel press-fit Percutaneous Osseointegrated Prosthesis (POP) and a minimum of 10 days supervised rehabilitation therapy.
Outcome Measures
Adverse events and radiographs were collected to assess device safety. Temporal assessments of bone density, stomal skin, prosthetic don/doff, functional ambulation, and patient-reported outcome compared our POP to a socket suspension system.
Results
Ten male participants mean age 48.8±12.1 years (range, 32-68 y) with mean time since amputation of 9.4± years (range 1-18 y) completed a two-staged implantation protocol and progressed to ambulation with an assistive device by post-operative day 14. Eight of 10 completed all study procedures. One implant loosened at 5 weeks, requiring removal. A second was removed after periprosthetic fracture from a non-device-related fall at 28 weeks. One patient required oral antibiotics for superficial infection. There were significant (P<.05 increases in bone density the lumbar spine and adjacent to distal porous coating with no radiographic evidence of resorption. compared socket system use pop significantly reduced prosthetic don doff times patient-reported problem scores. significant improvements mean mobility global health walking test scores were also observed.>
Conclusions
Improvements in bone density, function, and patient reported outcomes were observed with the POP device when compared to a socket suspension system. This Early Feasibility Study established initial safety and effectiveness of the POP device, supporting expanded investigation as an alternative to socket prostheses.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=300369
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2092-2104[article]
Titre : Anxiety Trajectories the First 10 Years After a Traumatic Brain Injury (TBI): A TBI Model Systems Study Type de document : Article Auteurs : Dawn Neumann ; Shannon B. Juengst ; Charles H. Bombardier ; Jacob A. Finn ; Shannon R. Miles ; Yue Zhang ; Richard Kennedy ; Amanda R. Rabinowitz ; Amber Thomas ; Laura E. Dreer Année de publication : 2022 Article en page(s) : p. 2105-2113 Note générale : https://doi.org/10.1016/j.apmr.2022.07.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Affect ; Anxiété ; Lésions encéphaliques ; Réadaptation ; Santé mentaleRésumé : Objective
Determine anxiety trajectories and predictors up to 10 years posttraumatic brain injury (TBI).
Design
Prospective longitudinal, observational study.
Setting
Inpatient rehabilitation centers.
Participants
2836 participants with moderate to severe TBI enrolled in the TBI Model Systems National Database who had ≥2 anxiety data collection points (N=2836).
Main Outcome Measure
Generalized Anxiety Disorder-7 (GAD-7) at 1, 2, 5, and 10-year follow-ups.
Results
Linear mixed models showed higher GAD-7 scores were associated with Black race (P<.001 public insurance pre-injury mental health treatment additional tbis with loss of consciousness violent injury and more years post-tbi an interaction between follow-up year age was also related to gad-7 scores a latent class mixed model identified anxiety trajectories: low-stable high-increasing high-decreasing the groups had mild or higher up years. compared group likely be black have prior>
Conclusions
A substantial minority of participants had anxiety symptoms that either increased (10%) or decreased (13%) over 10 years but never decreased below mild anxiety. Risk factors of anxiety included indicators of socioeconomic disadvantage (public insurance) and racial inequities (Black race) as well as having had pre-injury mental health treatment and 2 prior TBIs. Awareness of these risk factors may lead to identifying and proactively referring susceptible individuals to mental health services.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=300370
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2105-2113[article]
Titre : Effect of Custom Carbon Ankle–Foot Orthosis Use on Energetic Demands of Walking and Comparisons With Individuals With Amputation Type de document : Article Auteurs : Wyatt D. Ihmels ; Kelly A. Ohm ; Simisola Oludare ; Jonathan Elrod ; Elizabeth Russell Esposito Année de publication : 2022 Article en page(s) : p. 2114-2119 Note générale : https://doi.org/10.1016/j.apmr.2022.02.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Consommation d'oxygène ; Démarche ; Personnel militaire ; Réadaptation ; Rythme cardiaque ; Sauvetage de membreRésumé : Objective
To compare the metabolic demands of walking in individuals with lower limb injury with and without ankle–foot orthosis (AFO) use. A secondary aim was to compare these results with those from individuals with unilateral transtibial amputation (TTA) and able-bodied controls.
Design
Cross-sectional study.
Setting
Two clinical research centers.
Participants
Thirteen individuals (N=13) with lower limb injury who used a passive-dynamic AFO underwent metabolic analysis at 3 standardized speeds with and without their AFO. Results were compared with individuals with unilateral TTA who used a passive prosthetic foot and able-bodied controls with no musculoskeletal, neurologic, or cardiovascular deficits.
Main Outcome Measures
Oxygen consumption, heart rate, and rating of perceived exertion.
Results
The use of the passive-dynamic AFO did not significantly change energetic demand (oxygen consumption, heart rate, perceived exertion) in participants with a lower limb [LL] injury. Heart rate (P<.037 was significantly greater than able-bodied controls but perceived exertion lower there were no significant differences between participants with an ll injury or without the afo and individuals tta.>
Conclusions
Many individuals with LL injuries may expect to use passive-dynamic AFOs with little to no metabolic consequence. The stabilizing and assistive benefits of the AFO likely balance with its well-known range of motion limitations and power reductions. Passive-dynamic AFO use can sometimes be an alternative for individuals considering TTA. These results support that AFO users may be able to achieve similar energetic demands as those with amputation.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=300371
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2114-2119[article]
Titre : Rasch Analysis of the International Quality of Life Basic Data Set Version 2.0 Type de document : Article Auteurs : Marcel W.M. Post ; Carolina S. Fellinghauer ; Susan Charlifue ; Peter W. New ; Martin B. Forchheimer ; Denise G. Tate Année de publication : 2022 Article en page(s) : p. 2120-2130 Note générale : https://doi.org/10.1016/j.apmr.2022.02.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Etudes de validation ; Psychométrie ; Qualité de vie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the internal construct validity of the International Spinal Cord Injury Quality of Life Basic Data Set Version 2.0 (QoL-BDS V2.0) and compare this with the internal construct validity of the original version of the QoL-BDS.
Design
International cross-sectional psychometric study.
Setting
Spinal rehabilitation units, clinics, and community.
Participants
The study involved 5 sites and 4 countries, 2 of whose primary language is not English. Each site included a consecutive sample of inpatients with spinal cord injury or disease (SCI/D) and a convenience sample of individuals with SCI/D living in the community (N=565).
Main Outcome Measures
The QoL-BDS V2.0 consists of the 3 original items on satisfaction with life as a whole, physical health, psychological health of the QoL-BDS, and an additional item on satisfaction with social life. All 4 items are answered on a 0-10 numeric rating scale. Rasch analysis was performed on versions 1.0 and 2.0 of the QoL-BDS to examine the ordering of the items’ response options, item scaling, reliability, item fit, local item independence, differential item functioning, and unidimensionality.
Results
The sample included 565 participants with 57% outpatients and 43% inpatients. Mean age was 51.4 years; 71% were male; 65% had a traumatic injury, 40% had tetraplegia, and 67% were wheelchair users. Item thresholds were collapsed for ordering, and subsequent analyses showed good internal construct validity for the QoL-BDS V2.0 with a person separation reliability of 0.76 and Cronbach α of 0.81. Infit and outfit statistics ranged 0.62-0.91. No local dependencies and multidimensionality were found. Differential item functioning was observed only for country and inpatients vs outpatients but not for other participants’ characteristics. Differences in internal construct validity between the 3-item and 4-item versions were minimal.
Conclusions
The results of this Rasch analysis support the internal construct validity of the QoL-BDS V2.0.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=300372
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2120-2130[article]
Titre : Predictive Value of a New Brief Cognitive Test for Long-term Functional Outcome in Acute Traumatic Brain Injury Type de document : Article Auteurs : Marie-Julie Potvin ; Pauline Brayet ; Véronique Paradis ; Charles Overbeek ; Érik Therrien ; Laurie-Anne Dion ; Francis Bernard ; Nadia Gosselin ; Isabelle Rouleau ; Olivier Boucher ; Jean-François Giguère Année de publication : 2022 Article en page(s) : p. 2131-2137 Note générale : https://doi.org/10.1016/j.apmr.2022.02.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Dysfonctionnement cognitif ; Lésions traumatiques de l'encéphale ; Pronostic ; RéadaptationRésumé : Objective
To determine how results on the EXAmen Cognitif abrégé en Traumatologie (EXACT), a new test specifically designed to briefly assess global cognitive functioning during the acute phase of traumatic brain injury (TBI), can predict long-term functional outcome compared with length of posttraumatic amnesia (PTA), a well-established predictor.
Design
Inception cohort.
Settings
Level 1 trauma center.
Participants
A total of 90 patients (N=90) hospitalized for a moderate or severe TBI.
Interventions
Not applicable.
Main Outcome Measures
Performance on the EXACT in the first 3 months after injury and results on the Disability Rating Scale (DRS) at follow-up 1-2 years later.
Results
EXACT scores were all correlated with length of PTA and DRS result. Compared with length of PTA, the EXACT added significantly to the regression and improved prediction of functional outcome. More specifically, a total score ≤80 on the EXACT was associated with a higher rate of long-term disability because of more severe TBI consequences. Behavioral regulation and executive functions were the cognitive domains that showed the most impairment, followed by attention and working memory as well as episodic memory. Except for length of PTA and hospital stay, the DRS score was not correlated with other demographic (age, education) or clinical variables (Glasgow Coma Scale and maximum score on the Therapy Intensity Level Scale).
Conclusions
The EXACT can be administered to most patients early in the acute phase of TBI, and results could be used, along with other predictors such as PTA, to estimate their long-term functional sequelae. The EXACT may be a promising brief cognitive instrument for future studies investigating recovery 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=300373
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2131-2137[article]
Titre : Staying Pressure Injury Free: The Role of Modifiable Behaviors Type de document : Article Auteurs : Yue Cao ; Nicole D. DiPiro ; James S. Krause Année de publication : 2022 Article en page(s) : p. 2138-2144 Note générale : https://doi.org/10.1016/j.apmr.2022.02.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate the association of behavioral factors with retrospective reports of staying free from pressure injuries (PIs) during a 12-month period for people with chronic spinal cord injury (SCI).
Design
Cross-sectional survey.
Setting
Data collection was completed at an academic medical center in the Southeastern United States in collaboration with a specialized treatment center and 2 public health registries that use population-based approaches to identify all incident cases of SCI within the state.
Participants
The participant cohort was composed of 3817 adults (N=3817) with traumatic SCI of at least 1-year duration.
Interventions
Not applicable.
Main Outcome Measures
Self-reported recall of staying PI-free for 12 months vs having 1 or more PIs.
Results
Among the 3817 participants, 74% were male, 76% were non-Hispanic White, and mean age was 48 years, with an average of 12 years post SCI. Based on self-report assessment, 67% reported being PI-free in the past year. After controlling for the demographic and injury characteristics, we found that those in the clinical cohort and those who reported healthy diets and planned exercise at least once a week were more likely to be PI-free; being underweight and high frequency of prescription medication use for spasticity, pain, and depression were negatively associated with being PI-free. Smoking, alcohol use, nonmedical substance use, and prescription medication misuse were not statistically significant in the multivariate model.
Conclusions
There are several significant behavioral predictors of being PI-free, and consideration of these factors may be used to develop tailored strategies to promote healthy skin maintenance and the prevention of multiple, severe, and recurrent PI.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=300374
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2138-2144[article]
Titre : Effect of Missed Items on the Reliability of the Kessler Foundation Neglect Assessment Process Type de document : Article Auteurs : Timothy J. Rich ; Kimberly Hreha ; A.M. Barrett ; Devan Parrott ; Peii Chen Année de publication : 2022 Article en page(s) : p. 2145-2152 Note générale : https://doi.org/10.1016/j.apmr.2022.01.165 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Guide de bonnes pratiques ; Réadaptation ; Rééducation neurologique ; Troubles de la perceptionRésumé : Objective
To determine the maximum permissible number of missed items on the 10-item Catherine Bergego Scale administered after the Kessler Foundation Neglect Assessment Process (KF-NAP). Secondary objectives were to determine the frequency, characteristics, and most commonly cited reasons reported for missed items.
Design
Retrospective diagnostic accuracy study.
Setting
Sixteen inpatient rehabilitation facilities in the United States.
Participants
A consecutive clinical sample of 4256 patients (N=4256) with stroke or other neurologic deficits who were assessed for spatial neglect with the KF-NAP.
Interventions
Not applicable.
Main Outcome Measures
Catherine Bergego Scale via KF-NAP.
Results
The majority (69.7%) of patients had at least 1 missed item on their KF-NAP. Among those with missed items, it was most common to have 2 missed items (51.4%), and few had more than 3 missed items (11.3%). The most commonly missed items were Collisions (37.2%), Cleaning After Meals (36.1%), Meals (34.0%), and Navigation (19.7%). The most commonly reported reasons for missed items included time constraints, cognitive or communication deficits, and behavior or refusal of the therapy session. These reasons were reported for nearly all item types. Item-specific reasons were also commonly reported, such as a lack of a needed resource for task completion or low functional status of the patient. Prorated scoring of measures with up to 3 missed items maintained an acceptable level of concordance with complete measures (Lin's Concordance Correlation Coefficient=0.96, 95% CI, 0.9478-0.9626) for the combination of 3 missed items with lowest concordance.
Conclusions
Clinicians should make every effort to capture all items on the KF-NAP. However, missed items occur in the majority of cases because of patient factors and barriers inherent to the inpatient hospital setting. When missed items are necessary, clinicians can confidently interpret a prorated score when 7 or more items are scored.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=300376
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2145-2152[article]
Titre : Factors Influencing the Implementation of Guideline-Recommended Practices for Postconcussive Sleep Disturbance and Headache in the Veterans Health Administration: A Mixed Methods Study Type de document : Article Auteurs : Adam R. Kinney ; Nazanin Bahraini ; Jeri E. Forster ; Lisa A. Brenner Année de publication : 2022 Article en page(s) : p. 2153-2163 Note générale : https://doi.org/10.1016/j.apmr.2022.01.164 Langues : Anglais (eng) Descripteurs : HE Vinci
Adhésion aux directives ; Anciens combattants ; Céphalée ; Lésions traumatiques de l'encéphale ; Réadaptation ; SommeilRésumé : Objective
Understand barriers and facilitators of implementing recommended practices for postconcussive sleep disturbance and headache, as outlined in the Veterans Administration/Department of Defense 2016 Clinical Practice Guideline (CPG) for mild traumatic brain injury (mTBI).
Design
Convergent parallel mixed methods.
Setting
Ten national Veterans Health Administration (VHA) facilities.
Participants
Twenty VHA stakeholders (14 clinicians; 4 researchers; 2 policymakers), 55% of whom were affiliated with a VHA polytrauma rehabilitation center (N=20).
Interventions
None.
Main Outcome Measures
Stakeholders rated the quality of recommendations for sleep disturbance and headache using the Appraisal of Guidelines Research and Evaluation-Recommendations Excellence instrument. A descriptive analysis of item scores was performed to understand the following features of the recommendations: (1) clinical credibility (eg, evidence quality), (2) alignment with stakeholder values, and (3) implementability. We conducted semistructured interviews with stakeholders and used descriptive and interpretive analyses to reveal emergent themes. After analyzing the Appraisal of Guidelines Research and Evaluation-Recommendations Excellence and qualitative interview data, we synthesized the results into coherent conclusions (ie, meta-inferences) by comparing and contrasting respective findings.
Results
Stakeholders highlighted that the mTBI CPG includes features that reflect clinical priorities (eg, alignment with veteran preferences), making it an appropriate standard of care and facilitating its implementation. However, stakeholders also identified that the design of the mTBI CPG, along with provider-level (eg, knowledge) and facility-level (eg, resources) factors, may create barriers for implementation. In addition to these potential barriers, stakeholders noted a lack of comprehensive and systematic efforts designed to promote the uptake of these recommendations. Findings also revealed stakeholder recommendations for addressing potential barriers (eg, decision support).
Conclusions
With the recent release of the 2021 mTBI CPG, decision makers are encouraged to incorporate information gathered from previous implementation efforts to promote adherence to updated recommendations. Study findings, including recommended changes suggested by stakeholders, offer information that can be leveraged to design such efforts and promote care quality and associated outcomes for veterans with mTBI.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=300377
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2153-2163[article]
Titre : Factors Associated With High and Low Life Satisfaction 10 Years After Traumatic Brain Injury Type de document : Article Auteurs : Therese M. O'Neil-Pirozzi ; Shanti M. Pinto ; Mitch Sevigny ; Flora M. Hammond ; Shannon B. Juengst ; Charles H. Bombardier Année de publication : 2022 Article en page(s) : p. 2164-2173 Note générale : https://doi.org/10.1016/j.apmr.2022.01.159 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Lésions traumatiques de l'encéphale ; Réadaptation ; Résultat thérapeutique ; Satisfaction personnelleRésumé : Objective
To identify correlates of life satisfaction at 10 years after moderate to severe traumatic brain injury (TBI) using an extreme phenotyping approach.
Design
Effect sizes were calculated in this observational cohort study to estimate relationships of 10-year postinjury extremely high, extremely low, and moderate life satisfaction with (1) pre-injury demographics, injury-related factors, and functional characteristics at inpatient rehabilitation admission and discharge; and (2) postinjury demographics and clinical and functional measures at 10 years postinjury.
Setting
Multicenter longitudinal database study.
Participants
People identified from the National Institute on Disability, Independent Living, and Rehabilitation Research TBI Database with life satisfaction data at 10 years post TBI (N=4800).
Interventions
Not applicable.
Main Outcome Measure
Satisfaction With Life Scale.
Results
Although few pre-injury factors or clinical and functional factors shortly after injury were associated with 10-year life satisfaction groups, the following 10-year postinjury factors were associated with extremely high vs extremely low life satisfaction group membership: greater independent functioning, less disability, more frequent community participation, being employed, and having fewer depressive and anxiety symptoms. Those with extremely high life satisfaction were distinctly different from those with moderate and extremely low satisfaction. Extremely high life satisfaction was underrepresented among non-Hispanic Black persons relative to non-Hispanic White persons. Relationships between life satisfaction and independent functioning, disability, and participation were attenuated among non-Hispanic Black persons.
Conclusions
Extreme phenotyping analysis complements existing knowledge regarding life satisfaction after moderate to severe TBI and may inform acute and postacute clinical service delivery by comparing extremely high and extremely low life satisfaction subgroups. Findings suggest little association among personal, clinical, and functional characteristics early post TBI and life satisfaction 10 years later. Contemporaneous correlates of extremely high life satisfaction exist at 10 years post TBI, although the positive relationship of these variables to life satisfaction may be attenuated for non-Hispanic Black persons.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=300378
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2164-2173[article]
Titre : Role of Ultrasonography in Upper Airway Assessment for Decannulating Tracheostomy in Acquired Brain Injury—A Pilot Study Type de document : Article Auteurs : Samuel Barnabas Sikha ; Navin B. Prakash ; Naveen Cherian Thomas ; Judy Ann John ; Suma Susan Mathews ; Pavithra Mannam ; Philip George Année de publication : 2022 Article en page(s) : p. 2174-2179 Note générale : https://doi.org/10.1016/j.apmr.2022.01.158 Langues : Anglais (eng) Descripteurs : HE Vinci
Ablation de dispositif ; Dysfonction des cordes vocales ; Endoscopie ; Lésions encéphaliques ; Réadaptation ; TrachéostomieRésumé : Objective
To compare the findings of ultrasonography of the upper airway with flexible fiberoptic laryngoscopy and determine the efficacy of transcutaneous laryngeal ultrasonography for decannulation.
Design
Prospective cross-sectional study.
Setting
Tertiary care referral center in South India.
Participants
Twenty-four patients with acquired brain injury (N=24).
Main Outcome Measures
Participants underwent an airway assessment by ultrasonography followed by assessment of airway by flexible laryngoscopy done within the next 72 hours.
Results
Vocal cord assessment by ultrasonography revealed a sensitivity of 81.2% and specificity of 87.5%. A statistically significant association between vocal cord mobility as assessed by ultrasonography and decannulation was observed (sensitivity of 81.25%, specificity of 87.5%, P=.002). Although aspiration was not assessed by ultrasonography, a statistically significant association was observed between vocal cord mobility on ultrasonography and aspiration as assessed by laryngoscopy (sensitivity of 81.25%, specificity of 87.5%, P=.011).
Conclusion
Laryngeal ultrasonography is an emerging diagnostic modality with a potential role for assessing vocal cord mobility and airway prior to decannulation in centers that lack the expertise and the infrastructure to perform a flexible laryngoscopy.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=300380
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2174-2179[article]
Titre : Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation Type de document : Article Auteurs : Ryan Walsh ; Virginia R. McKay ; Piper Hansen ; Peggy P. Barco ; Kayla Jones ; Yejin Lee ; Riddhi D. Patel ; David Chen ; Allen W. Heinemann ; Eric J. Lenze ; Alex W.K. Wong Année de publication : 2022 Article en page(s) : p. 2180-2188 Note générale : https://doi.org/10.1016/j.apmr.2022.04.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Participation des patients ; Réadaptation ; Science de la mise en oeuvre ; Traumatismes de la moelle épinièreRésumé : Objectives
This study aimed to describe the process of adapting an evidence-based patient engagement intervention, enhanced medical rehabilitation (E-MR), for inpatient spinal cord injury/disease (SCI/D) rehabilitation using an implementation science framework.
Design
We applied the collaborative intervention planning framework and included a community advisory board (CAB) in an intervention mapping process.
Setting
A rehabilitation hospital.
Participants
Stakeholders from inpatient SCI/D rehabilitation (N=7) serving as a CAB and working with the research team (N=7) to co-adapt E-MR.
Interventions
E-MR.
Main Outcome Measures
Logic model and matrices of change used in CAB meetings to identify areas of intervention adaptation.
Results
The CAB and research team implemented adaptations to E-MR, including (1) identifying factors influencing patient engagement in SCI/D rehabilitation (eg, therapist training); (2) revising intervention materials to meet SCI/D rehabilitation needs (eg, modified personal goals interview and therapy trackers to match SCI needs); (3) incorporating E-MR into the rehabilitation hospital's operations (eg, research team coordinated with CAB to store therapy trackers in the hospital system); and (4) retaining fidelity to the original intervention while best meeting the needs of SCI/D rehabilitation (eg, maintained core E-MR principles while adapting).
Conclusions
This study demonstrated that structured processes guided by an implementation science framework can help researchers and clinicians identify adaptation targets and modify the E-MR program for inpatient SCI/D 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=300427
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2180-2188[article]
Titre : Development, Internal Construct, and Unidimensionality of the Tetraplegia Upper Limb Activities Questionnaire, TUAQ. Part 1 Type de document : Article Auteurs : Johanna Wangdell ; Bridget Hill ; Jennifer A. Dunn Année de publication : 2022 Article en page(s) : p. 2189-2196 Note générale : https://doi.org/10.1016/j.apmr.2022.02.024 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Mesures des résultats rapportés par les patients (PROM) ; Psychométrie ; Réadaptation ; TétraplégieRésumé : Objective
This study aims to develop a patient-reported outcome measure that focuses on relevant daily activities relying on upper extremity for individuals with tetraplegia.
Design
Cross-sectional study.
Setting
Spinal cord injury units in 2 countries.
Participants
Ninety-nine individuals (N=99) with C2-C8, American Spinal Injury Association Impairment Scale A-D tetraplegia, mean age 46 years, 1- 43 years post injury.
Interventions
Thirteen items included in the initial testing were chosen from 708 activity limitations identified by individuals with tetraplegia. Items were pilot tested for wording, response options, and relevance for both performance and satisfaction. Items were analyzed and reselected using exploratory factor analysis and Rasch analysis for local dependency, dimensionality, differential item functioning (DIF), threshold response, and targeting.
Main Outcome Measures
Not applicable.
Results
Exploratory factor analysis supported a 2-factor solution for both performance and satisfaction. While data fit the Rasch model, there was evidence of local dependency and multiple disordered thresholds. Three items were removed because of high interitem correlation and DIF and the scale rescored to 5 response options. The remaining 10 items demonstrated fit to the Rasch model, with no local dependency, no multidimensionality, no item or person misfit, and minimal disordered thresholds.
Conclusions
Results support the internal construct validity and unidimensionality of the Tetraplegia Upper Limb Activities Questionnaire (TUAQ), a 10-item, 5-response patient-reported outcome measure assessing performance and satisfaction with activities targeted to the upper extremity for individuals with tetraplegia. Further testing is required and ongoing to evaluate reliability and responsiveness of the TUAQ.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=300428
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2189-2196[article]
Titre : Can Physical Exercise Prevent Chemotherapy-Induced Peripheral Neuropathy in Patients With Cancer? A Systematic Review and Meta-analysis Type de document : Article Auteurs : Maria Lopez-Garzon ; Irene Cantarero-Villanueva ; Paula Postigo-Martin ; Ángela González-Santos ; Mario Lozano-Lozano ; Noelia Galiano-Castillo Année de publication : 2022 Article en page(s) : p. 2197-2208 Note générale : https://doi.org/10.1016/j.apmr.2022.02.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Neuropathies périphériques ; Qualité de vie ; Réadaptation ; Traitement médicamenteux ; TumeursRésumé : Objective
This systematic review analyzed the effects of physical exercise programs in patients with cancer undergoing chemotherapy on chemotherapy-induced peripheral neuropathy (CIPN) prevention.
Data Sources
PubMed, Web of Science, Scopus, and Cochrane Library were searched for relevant studies published before December 2020. Additional references were identified by manual screening of the reference lists.
Study Selection
Based on the Population, Intervention, Comparator, Outcomes, and Study Designs strategy, randomized controlled trials in which physical exercise was applied before or during chemotherapy to prevent or ameliorate CIPN were included.
Data Extraction
Two reviewers blinded and independent screened the articles, scored methodologic quality, and extracted data for analysis. The review was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Sensitivity and precision analysis databases was included. Risk of bias assessment and meta-analysis were conducted using the Cochrane tools.
Data Synthesis
Of 229 potentially relevant studies, 8 randomized controlled trials were included and scored. They comprise a total of 618 patients with cancer. MEDLINE and Scopus databases recorded the highest sensitivity. None of the studies achieved a “low” overall risk of bias. Four studies were included in meta-analysis for quality of life, and a significance standardized mean difference was found between groups from baseline of 14.62; 95% CI, 6.03-3.20, with a large effect size g=0.83; 95% CI, 0.48-1.18) in favor of physical exercise program compared with usual care.
Conclusions
Physical exercise at the onset of chemotherapy has shown promising effects on the prevention of CIPN, specially improving quality of life.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=300429
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2197-2208[article]
Titre : Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Mengting Zhu ; David Rabago ; Vincent Chi-ho ; Kenneth Dean Reeves ; Samuel Yeung-Shan Wong ; Regina Wing-Shan Sit Année de publication : 2022 Article en page(s) : p. 2209-2218 Note générale : https://doi.org/10.1016/j.apmr.2022.01.166 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Epicondylite ; Méta-analyse ; Prolothérapie ; Réadaptation ; Revue systématiqueRésumé : Objective
To systematically review the effectiveness of hypertonic dextrose prolotherapy (DPT) on pain intensity and physical functioning in patients with lateral elbow tendinosis (LET) compared with other active non-surgical treatments.
Data Sources
Systematic search of Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Web of Science, PubMed, Dimensions, Global Health, NHS Health Technology Assessment, Allied and Complementary Medicine, and OVID nursing database from inception to June 15, 2021, without language restrictions.
Study Selection
Two reviewers independently identified parallel or crossover randomized controlled trials that evaluated the effectiveness of DPT in LET. The search identified 245 records; data from 8 studies (354 patients) were included.
Data Extraction
Two reviewers independently extracted data and assessed included studies. The Cochrane Risk of Bias 2 tool was used to evaluate risk of bias. The Grading of Recommendation Assessment, Development, and Evaluation approach was used to assess quality of the evidence.
Data Synthesis
Pooled results favored the use of DPT in reducing tennis elbow pain intensity compared with active controls at 12 weeks postenrollment, with a standardized mean difference of −0.44 (95% confidence interval, −0.88 to −0.01, P=.04) and of moderate heterogeneity (I2=49%). Pooled results also favored the use of DPT on physical functioning compared with active controls at 12 weeks, with Disabilities of the Arm, Shoulder and Hand scores achieving a mean difference of −15.04 (95% confidence interval, −20.25 to −9.82, P<.001 and of low heterogeneity no major related adverse events have been reported.>
Conclusions
DPT is superior to active controls at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of LET. Although existing studies are too small to assess rare adverse events, for patients with LET, especially those refractory to first-line treatments, DPT can be considered a nonsurgical treatment option in carefully selected patients. Further high-quality trials with comparison with other injection therapies are needed.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=300430
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2209-2218[article]
Titre : Factors Related to the Quality and Stability of Partner Relationships After Traumatic Brain Injury: A Systematic Literature Review Type de document : Article Auteurs : Brenda van den Broek ; Sophie Rijnen ; Annemarie Stiekema ; Caroline Van heugten ; Boudewijn Bus Année de publication : 2022 Article en page(s) : p. 2219-2231.e9 Note générale : https://doi.org/10.1016/j.apmr.2022.02.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Conjoints ; Lésions encéphaliques ; Mariage ; Qualité de vie ; Réadaptation ; Revue systématiqueRésumé : Objective
The latest literature review on partner relationships after traumatic brain injury (TBI), conducted a decade ago, discussed solely quantitative work and noted significant knowledge gaps. The current review updates and expands on this work by providing an overview of the current state of knowledge on factors related to relationship quality and stability after TBI.
Data Sources
Cumulative Index to Nursing and Allied Health, Embase, MEDLINE, Psychology and Behavioral Sciences Collection, APA PsycINFO, and PubMed were searched on April 23, 2020, for literature on factors associated with (1) relationship quality; and (2) relationship stability after TBI.
Study Selection
English quantitative and qualitative studies investigating factors associated with relationship quality and/or stability after TBI were included. Two reviewers independently assessed eligibility. If consensus was not reached, a third reviewer's conclusion was decisive. Forty-three studies were included.
Data Extraction
Information regarding study objectives and characteristics, participant demographics, independent and dependent variables, and main findings was extracted. Study quality was rated using the JBI Checklist for Analytical Cross-Sectional Studies and/or the CASP Checklist for Qualitative Research. Both were performed by the lead reviewer and checked by the second reviewer.
Data Synthesis
Thirty-eight factors related to relationship quality and/or stability were identified, covering injury characteristics (eg, severity), body functions (eg, personality changes), activities (eg, communication), participation (eg, social dependence), environment (eg, children), and personal factors (eg, coping strategies).
Conclusions
Relationship quality and stability after TBI are related to a multitude of factors, including newly identified factors such as personality changes and dependence. Future research may wish to quantitatively investigate factors thus far only identified in qualitative research, explore possible positive effects of TBI on relationships, study the experiences of same-sex couples, and include the perspectives of both partners with and without the injury.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=300431
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2219-2231.e9[article]
Titre : Can Therapeutic Exercises Improve Proprioception in Chronic Ankle Instability? A Systematic Review and Network Meta-analysis Type de document : Article Auteurs : Jia Han ; Lijiang Luan ; Roger Adams ; Jeremy B. Witchalls ; Phillip Newman ; Oren Tirosh ; Gordon Waddington Année de publication : 2022 Article en page(s) : p. 2232-2244 Note générale : https://doi.org/10.1016/j.apmr.2022.04.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Cheville ; Instabilité articulaire ; Méta-analyse en réseau ; Proprioception ; Réadaptation ; Revue systématique ; Traitement par les exercices physiquesRésumé : Objective
To assess exercise therapies that aim to enhance proprioception in individuals with chronic ankle instability (CAI).
Data Sources
Five databases (PubMed, Embase, Cochrane Library, Web of Science, and EBSCO) were searched in October 2021.
Study Selection
Randomized controlled trials involving exercise therapy conducted on individuals with CAI were included.
Data Extraction
Data were extracted by 2 independent reviewers using a standardized form. Methodological quality and risk of bias were assessed with the Physiotherapy Evidence Database scale.
Data Synthesis
The end trial weighted mean difference and standard deviations were analyzed, and the synthetic value for the improvement in error scores of ankle joint position sense in multiple directions was evaluated.
Results
Eleven trials with 333 participants were eligible for inclusion in this systematic review and were included in the network meta-analysis. Foot and ankle muscle strengthening exercise showed the highest probability of being among the best treatments (surface under the cumulative ranking [SUCRA]=74.6%). The next 2 were static balance exercise only (SUCRA=67.9%) and corrective exercise (SUCRA=56.1%). The SUCRA values of proprioceptive exercise, dynamic balance exercise only, aquatic exercise, rehabilitation exercise with brace, mixed static/dynamic balance exercise, and control were at relatively low levels and scored at 49.6%, 48.8%, 47.8%, 47.7%, 44.0%, and 13.5%, respectively.
Conclusions
Foot and ankle muscle strengthening exercise may have a good effect when used to improve joint position sense in individuals with CAI. The more complex balance exercise intervention becomes, the less effective the proprioceptive outcome.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=300432
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2232-2244[article]
Titre : First Systematic Review and Meta-analysis of the Validity and Test-Retest Reliability of Physical Activity Monitors for Estimating Energy Expenditure During Walking in Individuals With Stroke Type de document : Article Auteurs : Mathilde Cabot ; Jean Christophe Daviet ; Noemie Duclos ; David Bernikier ; Jean Yves Salle ; Maxence Compagnat Année de publication : 2022 Article en page(s) : p. 2245-2255 Note générale : https://doi.org/10.1016/j.apmr.2022.03.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Métabolisme énergétique ; Moniteurs de condition physique ; RéadaptationRésumé : Objective
To evaluate the validity and test-retest reliability of physical activity trackers (accelerometer, multisensor, smartphone, pedometer) for estimating energy expenditure during walking in individuals with stroke.
Data Sources
Webline, MEDLINE, Scopus, ScienceDirect, Bielefeld Academic Search Engine, and Wiley Online Library databases from 1980 to November 2020.
Study Selection
The inclusion criteria were studies that examined the validity of portable physical activity trackers for estimating energy expenditure in individuals with stroke during walking activities compared to indirect calorimetry.
Data Extraction
This systematic review was reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and the methodological quality of the included studies was determined with the Quality Assessment of Diagnostic Accuracy Studies. The study selection was made by 2 blind observers.
Data Synthesis
We screened 3677 articles; 3647 were excluded after duplicate removal and title and abstract review. Thirty articles were included for full-text analysis. Eight articles met the inclusion criteria (184 individuals with stroke) and were included in the data synthesis and meta-analysis. For all monitors, activities, and placements, the overall level of correlation with indirect calorimetry was 0.34 (95% confidence interval [CI], 0.23-0.44). After subgroups analysis, we showed that type and placement have no effect on the level of validity. Test-retest reliability was high, with intraclass correlation equal to 0.89 (95% CI, 0.76-0.95).
Conclusions
Portable physical activity monitors provided a low correlation with indirect calorimetry during walking in individuals with stroke. It seems essential to pursue studies to improve their validity in this population.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=300433
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 11 (2022) . - p. 2245-2255[article]
Paru le : 01/10/2022
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Titre : Outcomes of Telehealth Physical Therapy Provided Using Real-Time, Videoconferencing for Patients With Chronic Low Back Pain: A Longitudinal Observational Study Type de document : Article Auteurs : Julie M. Fritz ; Kate I. Minick ; Gerard P. Brennan ; Terrence McGee ; Elizabeth Lane ; Richard L. Skolasky ; Anne Thackeray ; Tyler Bardsley ; Stephen T. Wegener ; Stephen J. Hunter ; Stephen J. Hunter Année de publication : 2022 Article en page(s) : p. 1924-1934 Note générale : https://doi.org/10.1016/j.apmr.2022.04.016 Langues : Français (fre) Descripteurs : HE Vinci
Lombalgie ; Réadaptation ; Techniques de physiothérapie ; Télémédecine ; TéléréadaptationRésumé : Objective To describe the feasibility of an evidence-based physical therapy (PT) program for persons with chronic low back pain (LBP) originally designed for in-person delivery, adapted for telehealth using videoconferencing. Design Prospective, longitudinal cohort. Setting Three health care systems in the United States. Participants Adults, aged 18-64 years (N=126), with chronic LBP recruited from August through December 2020. Intervention Up to 8 weekly sessions of telehealth PT. Main Outcome Measures Follow-up assessments were 10 and 26 weeks after baseline. Participant outcomes collected were the Oswestry Disability Index, Patient-Reported Outcomes Measurement Information System-29 health domains, and pain self-efficacy. Implementation outcomes included acceptability, adoption, feasibility, and fidelity assessed using participant surveys and compliance with session attendance. 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=298494
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1924-1934[article]
Titre : Identifying Perceptions, Experiences, and Recommendations of Telehealth Physical Therapy for Patients With Chronic Low Back Pain: A Mixed Methods Survey Type de document : Article Auteurs : Richard L. Skolasky ; Richard L. Skolasky ; Elisabeth R. Kimball ; Patrick Galyean ; Kate I. Minick ; Gerard Brennan ; Terrence McGee ; Elizabeth Lane ; Anne Thackeray ; Tyler Bardsley ; Stephen T. Wegener ; Stephen J. Hunter ; Susan Zickmund ; Julie M. Fritz Année de publication : 2022 Article en page(s) : p. 1935-1943 Note générale : https://doi.org/10.1016/j.apmr.2022.06.006 Langues : Français (fre) Descripteurs : HE Vinci
Lombalgie ; Réadaptation ; Techniques de physiothérapie ; TélémédecineRésumé : Objective To describe concerns, advantages, and disadvantages encountered in an evidence-based physical therapy (PT) program for persons with chronic low back pain (CLBP) delivered by telehealth. Design Mixed methods survey and semistructured interview of persons with CLBP. Setting Prospective observational cohort study of persons with CLBP from 3 health care systems receiving 8 sessions of evidence-based telehealth PT. Participants Participants were selected after completing week 10 (from baseline) assessment from an ongoing cohort study. We enrolled 31 of 126 participants (mean age, 42.4 years; 71.0% female) from the cohort study (N=31). Interventions Participants had completed 8 sessions of evidence-based telehealth PT and participated in semistructured interviews. Main Outcome Measures Baseline and week 10 and 26 assessments assessed psychosocial risk (StarTBack Screening Tool), working alliance (Working Alliance Inventory-Short Form), pain (Oswestry Disability Index), and health-related quality of life (Patient-Reported Outcomes Measurement Information System-29 profile, version 2). Semistructured interviews were conducted by telephone and consisted of open-ended questions assessing perception, satisfaction, and likelihood of recommending telehealth PT. Participants identified advantages and disadvantages to telehealth PT. Interviews were recorded, transcribed, and coded using an iterative qualitative process. Statistical comparisons by experience were made using analysis of variance (continuous) and Fisher exact test (categorical). Results Compared with the negative experience group (n=5), participants in positive (n=16) and neutral (n=10) experience groups endorsed higher bond working alliance with their therapist. Participants with a positive experience were more likely to view telehealth PT as cost-saving (n=10, 62.5%) compared with those with a neutral (n=1, 10.0%) or negative (n=1, 20.0%) experience and less likely to view telehealth PT as lower quality (n=0, 0.0%; n=1, 10.0%; n=2, 40.0%, respectively). Prior to starting telehealth, based on semistructured interviews, 18 participants (58.1%) had concerns and these persisted after starting in half of this group. Concerns regarded telehealth being different from or inferior to in-person PT, lack of physical correction, and worries of not using technology appropriately. Convenience, time savings, and personalization were seen as advantages. Difficulty making a personal connection with the therapist, lack of physical correction, and problems with technology were seen as disadvantages. Many participants endorsed a hybrid approach that included in-person and telehealth PT. Providing necessary equipment and technology assistance was seen as ways to improve telehealth PT experience. Conclusions Telehealth is an acceptable modality to deliver PT for patients with CLBP with most having a positive experience and reporting advantages. Improvements could include offering a hybrid approach (in-person and telehealth combined) and providing necessary equipment and technical support. More research is needed to optimize the most effective strategies for providing telehealth PT for patients with CLBP. 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=298495
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1935-1943[article]
Titre : Factors Associated With Walking Adaptability and Its Relationship With Falling in Polio Survivors Type de document : Article Auteurs : Jana Tuijtelaars ; Martine Jeukens-visser ; Frans Nollet ; Merel-Anne Brehm ; Merel-Anne Brehm Année de publication : 2022 Article en page(s) : p. 1983-1991 Note générale : https://doi.org/10.1016/j.apmr.2022.05.005 Langues : Français (fre) Descripteurs : HE Vinci
Chutes accidentelles ; Démarche ; Locomotion ; Marche à pied ; Poliomyelite ; RéadaptationRésumé : Objective To explore factors associated with walking adaptability and associations between walking adaptability and falling in polio survivors. Design Cross-sectional study. Setting Outpatient expert polio clinic. Participants Polio survivors (N=46) who fell in the previous year and/or reported fear of falling. Interventions Not applicable. Main Outcome Measures Walking adaptability was assessed on an interactive treadmill and operationalized as variable target-stepping and reactive obstacle avoidance performance. Further, we collected walking speed and assessed leg muscle strength, balance performance (Berg Balance Scale and Timed-Up-and-Go Test), balance confidence (Activities-specific Balance Confidence scale), ambulation level, orthosis use, fear of falling, and number of falls in the previous year. Results With walking speed included as a covariate, muscle weakness of the most affected leg and balance confidence explained 54% of the variance in variable target-stepping performance. For reactive obstacle avoidance performance, muscle weakness of the most affected leg and knee extensor strength of the least affected leg explained 32% of the variance. Only target-stepping performance was significantly related to the number of falls reported in the previous year (R2=0.277, P<.001 and mediated the relation between leg muscle weakness balance confidence with falling. conclusion our exploratory study suggests that reduced limit walking adaptability in polio survivors. because poorer target stepping rather than obstacle avoidance performance was associated falling results indicate a limited ability to ensure safe foot placement may be fall risk factor this group. these findings should confirmed larger sample.> Note de contenu : Under a Creative Commons license 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=298496
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1983-1991[article]
Titre : Individuals With Impaired Lumbopelvic Control Demonstrate Lumbar Multifidus Muscle Activation Deficit Using Ultrasound Imaging in Conjunction With Electrical Stimulation: A Cross-sectional Study Type de document : Article Auteurs : Panakorn Sungnak ; Sranya Songjaroen ; Warin Krityakiarana ; Hsing-Kuo Wang ; Jim Richards ; Peemongkon Wattananon ; Peemongkon Wattananon Année de publication : 2022 Article en page(s) : p. 1951-1957 Note générale : https://doi.org/10.1016/j.apmr.2022.02.010 Langues : Français (fre) Descripteurs : HE Vinci
Échographie ; Lombalgie ; Muscles paravertébraux ; RéadaptationRésumé : Objective To determine lumbar multifidus (LM) muscle activation deficits in individuals with impaired lumbopelvic control (iLPC) based on musculoskeletal ultrasound in conjunction with electrical stimulation approach and the correlation between back extension force and LM activation. Design A cross-sectional study design. Setting A university laboratory. Participants Fifty participants (25 iLPC and 25 no low back pain [NoLBP]) were recruited from the university physical therapy clinic and surrounding areas. Main Outcome Measures The musculoskeletal ultrasound was used to measure LM thickness at rest, maximum voluntary isometric contraction (MVIC), and electrical stimulation combined with MVIC, and a handheld dynamometer was used to record force during MVIC and electrical stimulation combined with MVIC. These data were used to derive LM activation (LMACT) and percentage force generation (ForceGEN). Results The iLPC group had significantly lower LMACT (17%) than the NoLBP group (P<.05 no significant difference was seen in forcegen between the nolbp and ilpc groups>.05). No significant correlation was seen between LMACT and ForceGEN (P>.05). Conclusions The findings support the utility of our protocol to determine LM activation deficits. The lower LM activation in iLPC group suggests that individuals with iLPC were unable to fully recruit the motor units available in LM. Force generation measurements may not be an appropriate approach to determine such deficits in LM. 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=298497
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1951-1957[article]
Titre : Effectiveness of Home-Based Exercise for Nonspecific Shoulder Pain: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Jinde Liu ; Stanley Sai-chuen Hui ; Yijian Yang ; Xiaohan Rong ; Ru Zhang ; Ru Zhang Année de publication : 2022 Article en page(s) : p. 2036-2050 Note générale : https://doi.org/10.1016/j.apmr.2022.05.007 Langues : Français (fre) Descripteurs : HE Vinci
Douleur ; Epaule ; Méta-analyse ; Réadaptation ; Scapulalgie ; Traitement conservateur ; Traitement par les exercices physiquesRésumé : Objective To evaluate the effectiveness of home-based exercise to treat nonspecific shoulder pain (NSSP). Data Sources MEDLINE, Embase, Cumulative Index to Nursing and Allied Health, Cochrane Controlled Register of Trials, and Physiotherapy Evidence Database were searched from inception to January 2022. Study Selection Independent reviewers selected randomized controlled trials that compared the effects of home-based exercise alone with no treatment or other conservative treatments in individuals with nonsurgical painful shoulder disorders. The primary outcomes were shoulder pain intensity and function, and the secondary outcome was shoulder range of motion (ROM). Data Extraction Two reviewers independently conducted data extraction. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool, and the overall quality of the evidence was evaluated using the Grading of Recommendation Assessment, Development, and Evaluation approach. Data Synthesis Twelve studies were included in the review, and 10 studies were included in the meta-analysis. Low to moderate quality of evidence indicated that home-based exercise alone and other conservative treatments showed equal improvements in pain intensity reduction (mean difference [MD], 0.27; 95% confidence interval [CI], ?0.12 to 0.65; I2=30%), function (standardized mean difference [SMD], 0.12; 95% CI, ?0.14 to 0.38; I2=16%), flexion ROM (MD, 4.61; 95% CI, ?1.16 to 10.38; I2=54%), and abduction ROM (MD, 3.74; 95% CI, ?12.44 to 19.93; I2=82%). Very low quality of evidence indicated that home-based exercise alone was more effective than no treatment for pain intensity reduction (MD, ?1.47; 95% CI, ?2.33 to -0.61) and function improvement (SMD, ?0.81; 95% CI, ?1.31 to -0.31; large effect). Conclusions Home-based exercise alone may be equally effective as other conservative treatments and superior to no treatment for the treatment of NSSP. To draw firmer conclusions, further research is required to validate these findings. 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=298498
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 2036-2050[article]
Titre : Effect of Pulmonary Rehabilitation Approaches on Dyspnea, Exercise Capacity, Fatigue, Lung Functions, and Quality of Life in Patients With COVID-19: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Ishtiaq Ahmed ; Rustem Mustafaoglu ; Ipek Yeldan ; Zeynal Yasaci ; Belgin Erhan ; Belgin Erhan Année de publication : 2022 Article en page(s) : p. 2051-2062 Note générale : https://doi.org/10.1016/j.apmr.2022.06.007 Langues : Français (fre) Descripteurs : HE Vinci
COVID-19 ; Dyspnée ; Exercice physique ; Poumon ; Réadaptation ; Rééducation de la respiration ; SARS-CoV-2Résumé : Objective To qualitatively synthesize and quantitatively evaluate the effect of pulmonary rehabilitation (PR) on dyspnea, lung functions, fatigue, exercise capacity, and quality of life (QoL) in patients with COVID-19. Data Sources PubMed, Web of Science, and Cochrane databases were searched from January 2020 to April 2022. Data Selection Randomized controlled trials (RCTs) assessing the effect of PR on dyspnea, lung functions, fatigue, exercise capacity, and QoL in patients with COVID-19. Data Extraction The mean difference (MD) and a 95% CI were estimated for all the outcome measures using random effect models. The following data were extracted by 2 independent reviewers: (1) first author; (2) publication year; (3) nationality; (4) number of patients included (5) comorbidities; (6) ventilatory support; (7) length of inpatient stay; (8) type of PR; (9) outcome measures; and (10) main findings. The risk of bias was evaluated using the cochrane risk of bias tool. Data Synthesis A total of 8 RCTs involving 449 participants were included in the review. PR was found to be significantly effective in improving dyspnea (5 studies, SMD -2.11 [95% CI, -2.96 to -1.27; P<.001 and exercise capacity m ci to p in patients with both acute chronic covid-19 mild severe symptoms whereas fatigue lung functions l were significantly improved symptoms. the effect of pr on qol was inconsistent across studies. found be safe feasible for covid-19. conclusion evidence from studies indicates that program is superior no intervention improving dyspnea appears beneficial 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=298499
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 2051-2062[article]
Titre : Development of a Clinical Prediction Rule to Identify Physical Activity After Total Hip Arthroplasty Type de document : Article Auteurs : Takumi Kawano ; Takumi Kawano ; Manabu Nankaku ; Masanobu Murao ; Koji Goto ; Yutaka Kuroda ; Toshiyuki Kawai ; Ryosuke Ikeguchi ; Shuichi Matsuda Année de publication : 2022 Article en page(s) : p. 1975-1982 Note générale : https://doi.org/10.1016/j.apmr.2022.03.015 Langues : Français (fre) Descripteurs : HE Vinci
Arthroplastie prothétique de hanche ; Exercice physique ; Réadaptation ; Techniques d'aide à la décisionRésumé : Objective To develop clinical prediction rule (CPR) of physical activity 1 year after total hip arthroplasty (THA). Design Retrospective cohort study. Setting University hospital with orthopedic surgery. Participants The study group included 321 patients (56 men) who underwent primary THA (N=321). Intervention Not applicable. Main Outcomes Measures The data collected included age, body mass index, clinical score from the questionnaires, hip pain, range of motion, muscle strength, and Physical functions (10-meter walk test [10MWT], timed Up and Go test, sit-to-stand test). Patients were classified into sufficient and insufficient activity groups based on their University of California, Los Angeles (UCLA) activity score 1 year after THA. Variables measured preoperatively and 3 weeks postoperatively were analyzed using univariate and multivariate methods to derive CPR for physical activity. Results A CPR was developed using the following 5 factors and cutoffs: age 70.5 years or younger, preoperative UCLA activity score ?3.5, preoperative hip abduction strength ?0.54 Nm/kg, preoperative knee extension strength ?1.04 Nm/kg, and 10MWT ?8.49 seconds 3 weeks after surgery. The presence of 4 of the 5 factors predicted a sufficient physical activity level at 1 year, with a positive likelihood ratio of 5.94 and probability of 85.4%. The presence of 5 predictor variables increased the probability of sufficient physical activity after THA to 94.7%. Conclusions This study developed a CPR for physical activity 1 year after THA. Having 4 or more of the 5 measurements were useful indicators for predicting of physical activity 1 year postoperatively. 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=298500
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1975-1982[article]
Titre : Mindfulness-Based Interdisciplinary Pain Management Program for Complex Polymorbid Pain in Veterans: A Randomized Controlled Trial Type de document : Article Auteurs : Donald D. McGeary ; Donald D. McGeary ; Carlos Jaramillo ; Blessen Eapen ; Tabatha H. Blount ; Paul S. Nabity ; Jose Moreno ; Mary Jo Pugh ; Tim T. Houle ; Jennifer S. Potter ; Stacey Young-McCaughan ; Alan L. Peterson ; Robert Villarreal ; Nicole Brackins ; Zhanna Sikorski ; Tracy R. Johnson ; Rebecca Tapia ; David Reed ; Craig A. Caya ; Dillon Bomer ; Maureen Simmonds ; Cindy A. McGeary Année de publication : 2022 Article en page(s) : p. 1899-1907 Note générale : https://doi.org/10.1016/j.apmr.2022.06.012 Langues : Français (fre) Descripteurs : HE Vinci
Analgésiques morphiniques ; Douleur chronique ; Gestion de la douleur ; Polytraumatisme ; Réadaptation ; Recherche interdisciplinaireRésumé : Objective To evaluate the effects of interdisciplinary pain management on pain-related disability and opioid reduction in polymorbid pain patients with 2 or more comorbid psychiatric conditions. Design Two-arm randomized controlled trial testing a 3-week intervention with assessments at pre-treatment, post-treatment, 6-month, and 12-month follow-up. Setting Department of Veterans Affairs medical facility. Participants 103 military veterans (N=103) with moderate (or worse) levels of pain-related disability, depression, anxiety, and/or posttraumatic stress disorder randomly assigned to usual care (n=53) and interdisciplinary pain management (n=50). All participants reported recent persistent opioid use. Trial participants had high levels of comorbid medical and mental health conditions. Interventions Experimental arm?a 3-week, interdisciplinary pain management program guided by a structured manual; comparison arm?usual care in a large Department of Veterans Affairs medical facility. Main Outcome Measures Oswestry Disability Index (pain disability); Timeline Followback Interview and Medication Event Monitoring System (opioid use). Analysis used generalized linear mixed model with all posttreatment observations (posttreatment, 6-month follow-up, 12-month follow-up) entered simultaneously to create a single posttreatment effect. Results Veterans with polymorbid pain randomized to the interdisciplinary pain program reported significantly greater decreases in pain-related disability compared to veterans randomized to treatment as usual (TAU) at posttreatment, 6-month, and 12-month follow-up. Aggregated mean pain disability scores (ie, a summary effect of all posttreatment observations) for the interdisciplinary pain program were -9.1 (95% CI: -14.4, -3.7, P=.001) points lower than TAU. There was no difference between groups in the proportion of participants who resumed opioid use during trial participation (32% in both arms). Conclusion These findings offer the first evidence of short- and long-term interdisciplinary pain management efficacy in polymorbid pain patients, but more work is needed to examine how to effectively decrease opioid use in this population. 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=298501
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1899-1907[article]
Titre : Training in Varying Environmental Contexts Facilitates Transfer of Improved Gait Performance to New Contexts for Individuals With Parkinson Disease: A Randomized Controlled Trial Type de document : Article Auteurs : Ya-yun Lee ; Chun-Hwei Tai ; Beth E. Fisher ; Beth E. Fisher Année de publication : 2022 Article en page(s) : p. 1917-1923 Note générale : https://doi.org/10.1016/j.apmr.2022.06.010 Langues : Français (fre) Descripteurs : HE Vinci
Apprentissage ; Démarche ; Environnement ; Maladie de Parkinson ; RéadaptationRésumé : Objective To investigate whether varying practice context during gait training could reduce context dependency and facilitate transfer of improved gait performance to a new context. Design A single-blind, parallel-group randomized controlled trial. Setting Medical university rehabilitation settings. Participants Forty-nine participants with Parkinson disease were recruited and randomized into the constant (CONS) or varied (VARI) context group. Interventions All participants received 12 sessions of treadmill and over-ground gait training. The CONS group was trained in a constant environmental context throughout the study, whereas the VARI group received training in 2 different contexts in an alternating order. Main Outcome Measures The primary outcome was gait performance, including velocity, cadence, and stride length. The participants were assessed in the original training context as well as in a novel context at posttest to determine the influence of changed environmental context on gait performance. Results Though both groups improved significantly after training, the CONS group showed greater improvement in stride length than the VARI group when assessed in the original practice context. However, the CONS group showed a decreased velocity and stride length in the novel context, whereas the VARI group maintained their performance. Conclusions Varying practice context could facilitate transfer of improved gait performance to a novel context. 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=298502
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1917-1923[article]
Titre : Effect of Type-2 Diabetes Mellitus on Cardiac Rehabilitation Outcomes: A Meta-analysis Type de document : Article Auteurs : Markaela L. Bluhm ; Kellie N. Hoehing ; Rachael K. Nelson ; Micah N. Zuhl ; Micah N. Zuhl Année de publication : 2022 Article en page(s) : p. 2016-2022 Note générale : https://doi.org/10.1016/j.apmr.2022.01.167 Langues : Français (fre) Descripteurs : HE Vinci
Capacité cardiorespiratoire ; Exercice physique ; Maladies métaboliques ; RéadaptationRésumé : Objective To determine the effect of cardiac rehabilitation (CR) on changes in functional capacity among patients with cardiovascular disease (CVD) and a type 2 diabetes mellitus (T2D) comorbidity compared with patients without T2D. Data Sources A systematic review and meta-analysis of randomized controlled trials were completed using PubMed, Cumulative Index to Nursing and Allied Health, and Web of Science in January 2021. Study Selection Articles were included if they compared patients CR with T2D with those without T2D. Data Extraction The primary outcome variable was functional capacity change from pre- to post CR reported as maximum or peak oxygen consumption and peak metabolic equivalent (METs). Risk of bias was assessed using the Cochrane Risk of Bias Tool. A random-effects model subgroup meta-analysis was conducted. A diabetes comorbidity was selected for the subgroup analysis with patients with CVD having conditions reported as T2D or non-T2D. Data Synthesis Twelve studies with total sample of 15,672 patients were extracted. Average change in peak METs was 1.41+1.76 among non-T2D and 1.08+1.57 among T2D after CR. Change in functional capacity was significantly lower among patients with T2D (z value=2.14; g=?0.42; 95% CI, ?0.86 to ?0.01; P=.03). Conclusions Patients with CVD with T2D experience less robust improvements in functional capacity in response to CR compared with patients with CVD alone. A better understanding of the relationship between T2D and functional capacity vital step in informing exercise prescription in CR for patients with T2D and CVD. The lack of understanding the role of T2D onset and progression is a limitation to this study. 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=298503
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 2016-2022[article]
Titre : Predictors of Postacute Sequelae of COVID-19 Development and Rehabilitation: A Retrospective Study Type de document : Article Auteurs : Nermine Abdelwahab ; Nermine Abdelwahab ; Nicholas E. Ingraham ; Nguyen Nguyen ; Lianne Siegel ; Greg Silverman ; Himanshu Shekhar Sahoo ; Serguei Pakhomov ; Leslie R. Morse ; Joanne Billings ; Michael G. Usher ; Tanya E. Melnik ; Christopher J. Tignanelli ; Farha Ikramuddin Année de publication : 2022 Article en page(s) : p. 2001-2008 Note générale : https://doi.org/10.1016/j.apmr.2022.04.009 Langues : Français (fre) Descripteurs : HE Vinci
COVID-19 ; RéadaptationRésumé : Objective To examine the frequency of postacute sequelae of SARS-CoV-2 (PASC) and the factors associated with rehabilitation utilization in a large adult population with PASC. Design Retrospective study. Setting Midwest hospital health system. Participants 19,792 patients with COVID-19 from March 10, 2020, to January 17, 2021. Intervention Not applicable. Main Outcome Measures Descriptive analyses were conducted across the entire cohort along with an adult subgroup analysis. A logistic regression was performed to assess factors associated with PASC development and rehabilitation utilization. Results In an analysis of 19,792 patients, the frequency of PASC was 42.8% in the adult population. Patients with PASC compared with those without had a higher utilization of rehabilitation services (8.6% vs 3.8%, P<.001 risk factors for rehabilitation utilization in patients with pasc included younger age ratio confidence interval p=".01)." addition to several comorbidities and demographics solely the inpatient population male sex ci on angiotensin-converting-enzyme inhibitors or angiotensin-receptor blockers months prior covid-19 infections having a decreased of needing conclusions had higher utilization. we identified clinical demographic associated development> Note de contenu : Under a Creative Commons license 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=298504
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 2001-2008[article]
Titre : Role of Resistance Training in Mitigating Risk for Mobility Disability in Community-Dwelling Older Adults: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Christina Prevett ; Kevin Moncion ; Stuart M. Phillips ; Julie Richardson ; Ada Tang ; Ada Tang Année de publication : 2022 Article en page(s) : p. 2023-2035 Note générale : https://doi.org/10.1016/j.apmr.2022.04.002 Langues : Français (fre) Descripteurs : HE Vinci
Entraînement en résistance ; Mobilité réduite ; RéadaptationRésumé : Objective To examine the effects of community-based resistance training (RT) on physical function for older adults with mobility disability. Data Sources Four databases (PubM, PubMed, MEDLINE, Ovid, Cumulative Index to Nursing and Allied Health, Web of Science) were searched from inception to February 2, 2021. Study Selection Randomized controlled trials that examined community-based RT for improving physical function in community-dwelling older adults were included. Data Extraction Two reviewers independently conducted title and abstract screening, full-text evaluation, data extraction, and risk of bias quality assessment. Data Synthesis Twenty-four studies (3656 participants; age range, 63-83 years) were included. RT programs ranged from 10 weeks to 18 months in duration. RT was more effective than control in improving 6-minute walk test distance (n=638; mean difference [MD], 16.1m; 95% CI, 12.27-19.94; P<.0001 lower extremity strength standardized md ci p and usual gait speed m in sensitivity analyses benefits were maintained when studies with a high risk of bias excluded. there was no effect rt on fast or short physical performance battery score compared control. conclusions improves walking distance older adults mobility disability. improvements function could increase independence activities daily living for this at-risk population.> 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=298505
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 2023-2035[article]
Titre : A Smartphone Application to Assess Real-Time and Individual-Specific Societal Participation: A Development and Usability Study Type de document : Article Auteurs : Maaike Ouwerkerk ; Isaline C.J.M. Eijssen ; Meike M.W. van der Linden ; Inez M. Wijnands ; Frank J.G. Dorssers ; Marc B. Rietberg ; Heleen Beckerman ; Vincent De Groot Année de publication : 2022 Article en page(s) : p. 1958-1966 Note générale : https://doi.org/10.1016/j.apmr.2022.01.168 Langues : Français (fre) Descripteurs : HE Vinci
RéadaptationMots-clés : Mobile applications Multiple sclerosis Patient-reported outcome measures Telemedicine Résumé : Objective To develop a mobile health app to assess individual-specific meaningful societal participation in real time and to evaluate its usability. Design Development and usability study. Setting General community. Participants Persons with multiple sclerosis (PwMS) utilized the app for 7 consecutive days. In total, 72 PwMS and smartphone owners were included in the analysis (N=72). Interventions Using location tracking, the newly developed Whereabouts app generates an individual-specific timeline of societal participation activities each day, consisting of location and transportation intervals. Subsequently, this timeline is real time enriched by the user with self-reported ratings of meaningfulness and perceived strain of these societal participation activities. The app is based on the International Classification of Functioning, Disability and Health and was developed in an iterative process. Main Outcome Measure(s) Usability of the newly developed Whereabouts app was evaluated by analyzing the effectiveness, efficiency, and user satisfaction. Results Regarding effectiveness, the app correctly assessed the type, frequency, and duration of different societal participation activities for 96.1% of the participation activities. The self-reported ratings of societal participation varied for meaningfulness (range, 5-8), perceived strain (range, 2-6), and meaningfulness of the perceived strain (range, 5-8). The latter 2 were highly correlated (r=0.857). With regards to efficiency, 3.9% of the generated participation activities had to be excluded due to inaccuracy or incompleteness. Relating to user satisfaction, 57.3% of PwMS reported that they were satisfied with the usability of the app and 59.7% stated that it gave a realistic overview of their daily activities. However, 54.4% PwMS missed the possibility to specify activities at home, to add activities in more detail, and to correct mistakes. Conclusions The Whereabouts app demonstrates usability in assessing real-time, individual-specific meaningful societal participation. Improvements are recommended, such as the possibility to specify participation activities and to generate a graphic overview. 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=298506
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1958-1966[article]
Titre : Isotemporal Substitution of Sedentary Behavior by Different Physical Activity Intensities on Pain and Disability of Patients With Chronic Low Back Pain: A Cross-Sectional Study Type de document : Article Auteurs : Ana Paula Coelho Figueira Freire ; Ana Paula Coelho Figueira Freire ; Crystian Bitencourt Soares de Oliveira ; Diego Giulliano Destro Christofaro ; Sean Shumate ; Larissa Bragança Falcão Marques ; Rafael Zambelli Pinto Année de publication : 2022 Article en page(s) : p. 1944-1950 Note générale : https://doi.org/10.1016/j.apmr.2022.03.017 Langues : Français (fre) Descripteurs : HE Vinci
Exercice physique ; Lombalgie ; Mode de vie sédentaire ; RéadaptationRésumé : Objective To investigate the association of isotemporal substitution modeling (ISM) of time spent in sedentary activities with physical activity in different intensities on pain and disability of patients with chronic low back pain (LBP). Design Observational and cross-sectional study. Device-measured physical activity levels were assessed using an actigraph. Pain intensity was measured using the 11-point numeric rating scale, and disability was measured using the Roland Morris Disability Questionnaire. The ISM was used to estimate the theoretical substitution association of reallocating time from 1 exposure variable to an equal amount of time in another exposure variable while holding total activity time constant. Settings Outpatient physical therapy clinic. Participants This study included data from 358 patients (N=358) with chronic LBP aged between 18 and 60 years. Main Outcome Measures Pain and disability. Results Our results suggest that replacing 60 minutes of sedentary behavior with 60 minutes of vigorous activity in a week is significantly associated with a decrease in pain (?=?1.67; 95% confidence interval [CI], ?3.18 to ?0.15). Additionally, replacing 60 minutes of light physical activity (?=?1.67; 95% CI, ?3.18 to ?0.16) or moderate activity (?=?1.67; 95% CI, ?3.21 to ?0.13) with the same amount of time of vigorous activity per week may also favorable reductions in pain. For the analysis of disability, no significant associations (P>.05) for disability in any of the isotemporal models were found. Conclusions Our results showed that replacing 60 minutes of sedentary behavior with equal amounts of vigorous activity per week was associated with reductions in pain intensity. Similarly, replacing a light or moderate activities with vigorous activity was also associated with reductions in pain intensity. Finally, no significant associations were observed between time spent in sedentary activities with physical activity in different intensities for disability. 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=298507
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1944-1950[article]
Titre : Concurrent Validity of Different Sensor-Based Measures: Activity Counts Do Not Reflect Functional Hand Use in Children and Adolescents With Upper Limb Impairments Type de document : Article Auteurs : Fabian Marcel Rast ; Rob Labruyere ; Rob Labruyere Année de publication : 2022 Article en page(s) : p. 1967-1974 Note générale : https://doi.org/10.1016/j.apmr.2022.03.021 Langues : Français (fre) Descripteurs : HE Vinci
Accélérométrie ; Activités de la vie quotidienne ; Enfants handicapés ; Membre supérieur ; RéadaptationRésumé : Objective To investigate the concurrent validity of 4 different outcome measures to determine daily functional hand use with wrist-worn inertial sensors in children with upper limb impairments. We hypothesized that the commonly used activity counts are biased by walking and wheeling activities, while measures that exclude arm movements during these periods with activity detection algorithms or by limiting the analysis to a range of functional forearm elevation would lead to more valid estimates of daily hand use. Design Concurrent validity study with video-based observations of functional hand use serving as the criterion measure. Setting The participants were videotaped while performing an activity circuit at the rehabilitation center and wearing inertial sensors. Participants A convenience sample of 30 school-aged children and adolescents with upper limb impairments. Interventions Not applicable. Main Outcome Measures Spearman rank correlation coefficients ? between the criterion measure and 4 sensor-based measures: activity counts, combining activity counts with activity detection algorithms (arm activity counts), limiting activity counts to a functional range of forearm elevation (functional activity counts), and a threshold-based approach limited to the same range of forearm elevation (gross arm movements). Results Activity counts (?=0.43) and gross arm movements (?=0.57) did not reveal valid estimates of daily hand use. In contrast, arm and functional activity counts correlated significantly stronger with the criterion measure and revealed valid correlation coefficients of 0.78 and 0.71, respectively. Conclusions Activity counts should not be used to measure daily hand use because they are biased by walking and wheeling activities. Arm and functional activity counts provide better and valid alternatives. The selection of these 2 approaches depends on the availability and accuracy of activity detection algorithms and on the users' willingness to wear additional sensors in daily life. 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=298508
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1967-1974[article]
Titre : Comparative Effectiveness of 4 Exercise Interventions Followed by 2 Years of Exercise Maintenance in Multiple Sclerosis: A Randomized Controlled Trial Type de document : Article Auteurs : Tibor Hortobágyi ; Pongrác Ács ; Petra Baumann ; Gábor Borbély ; György Áfra ; Emese Reichardt-Varga ; Gergely Sántha ; József Tollár ; József Tollár Année de publication : 2022 Article en page(s) : p. 1908-1916 Note générale : https://doi.org/10.1016/j.apmr.2022.04.012 Langues : Français (fre) Descripteurs : HE Vinci
Posture ; RéadaptationRésumé : Objective To determine the effects of exergaming (EXE) on quality of life (QOL), motor, and clinical symptoms in multiple sclerosis (MS). We compared the effects of EXE, balance (BAL), cycling (CYC), proprioceptive neuromuscular facilitation (PNF), and a standard care wait-listed control group on clinical and motor symptoms and quality of life (QOL) in people with MS (PwMS) and determined the effects of subsequent maintenance programs for 2 years in a hospital setting. Design A randomized controlled trial, using before-after test design. Setting University hospital setting. Participants Of 82 outpatients with MS, 70 were randomized (N=70), and 68 completed the study. Interventions The initial high-intensity and high-frequency interventions consisted of 25 one-hour sessions over 5 weeks. After the 5-week-long initial intervention, the 2-year-long maintenance programs followed, consisting of 3 sessions per week, each for 1 hour. Main Outcome Measures The primary outcome: Multiple Sclerosis Impact Scale (MSIS-29). Secondary outcomes: Measures 5 aspects of health-related QOL (EuroQol 5-Dimension questionnaire), Beck Depression Inventory, 6-minute walk test (6MWT), Berg Balance Scale (BBS), Tinetti Assessment Tool (TAT), and static BAL (center of pressure). Results MSIS-29 improved most in EXE (11 points), BAL (6), and CYC (6) (all P<.05 qol improved most in exe points cyc and bal p tat bbs significantly but similarly>.05) in EXE, BAL, and CYC. 6MWT improved most in EXE (57m), BAL (32m), and CYC (19m) (all P<.001 standing sway did not change. maintenance programs further increased the initial exercise-induced gains robustly in exe. conclusions a total of sessions exe bal cyc and pnf this order improved clinical motor symptoms qol subsequent thrice weekly slowed symptom worsening qol. was most least effective to improve function pwms.> 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=298509
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1908-1916[article]
Titre : Impact of the COVID-19 Pandemic on Physical Activity and Associated Technology Use in Persons With Multiple Sclerosis: An International RIMS-SIG Mobility Survey Study Type de document : Article Auteurs : Lousin Moumdjian ; Lousin Moumdjian ; Tori Smedal ; Ellen Christin Arntzen ; Marietta L. van der Linden ; Yvonne Learmonth ; Ludovico Pedullà ; Andrea Tacchino ; Klara Novotna ; Alon Kalron ; Yonca Zenginler Yazgan ; Una Nedeljkovic ; Daphne Kos ; Johanna Jonsdottir ; Carme Santoyo-Medina ; Susan Coote Année de publication : 2022 Article en page(s) : p. 2009-2015 Note générale : https://doi.org/10.1016/j.apmr.2022.06.001 Langues : Français (fre) Descripteurs : HE Vinci
COVID-19 ; Démarche ; Exercice physique ; Réadaptation ; Sclérose en plaques ; TechnologieRésumé : Objective To investigate the impact of the COVID-19 pandemic on physical activity in persons with multiple sclerosis (PwMS). Design Multicenter international online survey study. Setting The survey was conducted within 11 participating countries. Each country launched the survey using online platforms from May to July 2021. Participants This was an electronic survey study targeting PwMS (N=3725). Intervention Not applicable. Main Outcome Measures The survey ascertained physical activity performance and its intensity, the nature of the activities conducted, and the use of technology to support home-based physical activity before and during the pandemic. Results A total of 3725 respondents completed the survey. Prepandemic, the majority (83%) of respondents reported being physically active, and this decreased to 75% during the pandemic. This change was significant for moderate- and high-intensity activity (P<.0001 activities carried out in physiotherapy centers gyms or pools decreased the most. walking was most frequently performed activity prepandemic and increased during pandemic a total of those inactive had no intention changing their physical behavior post pandemic. respondents did not use technology to support who wearables were used currently nonactive expressed preference for an in-person format conduct conclusions performance especially at moderate high intensities pwms compared with prepandemic. using gained popularity as ways stay active. we move toward endemic covid-19 call action develop interventions focused on programs specific emphasis increasing is proposed.> 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=298510
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 2009-2015[article]
Titre : Multimodal Ambulatory Monitoring of Daily Activity and Health-Related Symptoms in Community-Dwelling Survivors of Stroke: Feasibility, Acceptability, and Validity Type de document : Article Auteurs : Stephen C.L. Lau ; Stephen C.L. Lau ; Lisa Tabor Connor ; Carolyn M. Baum ; Carolyn M. Baum Année de publication : 2022 Article en page(s) : p. 1992-2000 Note générale : https://doi.org/10.1016/j.apmr.2022.06.002 Langues : Français (fre) Descripteurs : HE Vinci
Accélérométrie ; Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Évaluation écologique instantanée ; Réadaptation ; TélémédecineRésumé : Objective To examine the feasibility, acceptability, and validity of multimodal ambulatory monitoring, which combines accelerometry with ecological momentary assessment (EMA), to assess daily activity and health-related symptoms among survivors of stroke. Design Prospective cohort study involving 7 days of ambulatory monitoring; participants completed 8 daily EMA surveys about daily activity and symptoms (mood, cognitive complaints, fatigue, pain) while wearing an accelerometer. Participants also completed retrospective assessments and an acceptability questionnaire. Setting Community. Participants Forty survivors of stroke (N=40). Interventions Not applicable. Main Outcome Measures Feasibility was determined using attrition rate and compliance. Acceptability was reported using the acceptability questionnaire. Convergent and discriminant validity were determined by the correlations between ambulatory monitoring and retrospective self-reports. Criterion validity was determined by the concordance between accelerometer-measured and EMA-reported daily activity. Results All participants completed the study (attrition rate=0%). EMA and accelerometer compliance were 93.6 % and 99.7%, respectively. Participants rated their experience with multimodal ambulatory monitoring positively. They were highly satisfied (mean, 4.8/5) and confident (mean, 4.7/5) in using ambulatory monitoring and preferred it over traditional retrospective assessments (mean, 4.7/5). Multimodal ambulatory monitoring estimates correlated with retrospective self-reports of the same and opposing constructs in the predicted directions (r=?0.66 to 0.72, P<.05 more intense accelerometer-measured physical activity was observed when participants reported doing physically demanding activities and vice versa. conclusions findings support the feasibility acceptability validity of multimodal ambulatory monitoring in survivors mild stroke. has potential to provide a complete understanding daily context everyday life.> 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=298511
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 10 (2022) . - p. 1992-2000[article]
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Titre : Effects of In-Hospital Rehabilitation on Preventing Hospital Readmissions in Patients With Cirrhosis: A Retrospective Cohort Study Type de document : Article Auteurs : Tomohiko Kamo ; Ryo Momosaki ; Masato Azami ; Hirofumi Ogihara ; Satoshi Yuguchi ; Ryoma Asahi ; Keisuke Suzuki ; Keisuke Suzuki Année de publication : 2022 Article en page(s) : p. 1730-1737 Note générale : https://doi.org/10.1016/j.apmr.2021.12.009 Langues : Français (fre) Descripteurs : HE Vinci
Cirrhose du foie ; Réadaptation ; Score de propensionRésumé : Objectives To investigate the effect of rehabilitation on hospital readmissions in patients with cirrhosis. Design A retrospective cohort study. Setting Acute hospitals. Participants Patients hospitalized due to cirrhosis (N=6485). Interventions We defined rehabilitation as any type and intensity of rehabilitation administered by physical, occupational, or speech therapists. Main Outcome Measures Readmission within 30 days after discharge. 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=298473
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1730-1737[article]
Titre : Effectiveness of Blood Flow Restriction Training on Muscle Strength and Physical Performance in Older Adults: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Noé Labata-Lezaun ; Noé Labata-Lezaun ; Vanessa González-Rueda ; Carlos López-de-Celis ; Simón Cedeño-Bermúdez ; Joan Bañuelos-Pago ; Albert Pérez-Bellmunt ; Albert Pérez-Bellmunt Année de publication : 2022 Article en page(s) : p. 1848-1857 Note générale : https://doi.org/10.1016/j.apmr.2021.12.015 Langues : Français (fre) Descripteurs : HE Vinci
Entraînement en résistance ; Force musculaire ; Performance fonctionnelle physique ; RéadaptationRésumé : Objective To analyze the effectiveness of the blood flow restriction training in improving muscle strength and physical performance in older adults. Data Sources A systematic review and meta-analysis of randomized controlled trials was conducted. The Cochrane Library, PubMed, Web of Sciences, PEDro, Scopus, and ScienceDirect databases were systematically searched. Study Selection Articles were included if participants were 60 years or older and were considered healthy. Data Extraction The search strategy found a total of 363 studies. Finally, 10 articles were included in the systematic review, with a total of 278 healthy older adults analyzed. Data Synthesis The main results of the meta-analysis showed a statistical difference of muscle strength in favor of blood flow restriction training when compared with conventional training and no statistical differences when compared with high-intensity resistance training. Physical performance showed a nonstatistical difference between the blood flow restriction training, conventional training, and no training groups. Conclusions Blood flow restriction training is an interesting alternative to high-intensity strength training for improving muscle strength in older individuals who cannot perform high-load exercises. 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=298474
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1848-1857[article]
Titre : Association Between Daily Physical Activity and Clinical Anthropomorphic Measures in Adults With Cerebral Palsy Type de document : Article Auteurs : Stephen Leb ; Christina Marciniak ; Deborah Gaebler-Spira ; Liqi Chen ; Ariane Garrett ; Ariane Garrett Année de publication : 2022 Article en page(s) : p. 1777-1785 Note générale : https://doi.org/10.1016/j.apmr.2022.01.150 Langues : Français (fre) Descripteurs : HE Vinci
Adulte ; Exercice physique ; Obésité ; Paralysie cérébrale ; RéadaptationRésumé : Objective To describe the relationship between activity level and cardiovascular risk measures as well as describe general activity patterns of adults with cerebral palsy. Design Cross?sectional. Setting Academic outpatient rehabilitation clinic. Participants Adults with cerebral palsy (N=47). Interventions Not applicable. Main Outcome Measures Gross Motor Functional Classification System (GMFCS) level was determined by validated self?report questionnaire. Activity (daily step count, walk time, sitting time, standing time, and transitional movements) over 6?days recorded using an activPAL. Weight, body mass index (BMI), and waist-to-hip ratio were measured. Bivariate relationships between anthropomorphic and activity measures were assessed. Results Thirty-eight participants completed all measurements. Nine were excluded because of incomplete activPAL data. The median age was 28.50?years (interquartile range [IQR]=24.25-47.00), range 18-77 years. Participants? GMFCS levels were I: 13%; II: 16%; III: 21%; IV: 34%; and V: 16%. Median steps/day for GMFCS I/II participants were 5258.3 (IQR=3606.8-6634.7), and median steps/day were 1681.3 (IQR=657.2-2751.8) and 30.0 (IQR=6.8-54.2) for GMFCS level III and IV/V participants, respectively. Significantly greater steps/day were found for GMFCS I/II or III participants compared to those GMFCS IV/V (P<.001 and p=".0074," respectively in addition of the subjects had a bmi normal range were obese overweight underweight. for with gmfcs i spearman rank correlation coefficient time standing waist circumference was iii iv participants respective correlations groups conclusions level or ii who engaged more activity tended to have favorable anthropometric profiles. v did not similar trend. our findings suggest factors beyond patterns affect anthropometrics greater degree those higher levels.> 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=298475
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1777-1785[article]
Titre : Physical Activity and Sedentary Behavior Timing in Fatigued and Nonfatigued Adults With Multiple Sclerosis Type de document : Article Auteurs : Katie L.J. Cederberg ; Brenda Jeng ; Jeffer E. Sasaki ; Robert W. Motl ; Robert W. Motl Année de publication : 2022 Article en page(s) : p. 1758-1765 Note générale : https://doi.org/10.1016/j.apmr.2021.12.022 Langues : Français (fre) Descripteurs : HE Vinci
Exercice physique ; Fatigue ; Mode de vie sédentaire ; Réadaptation ; Sclérose en plaquesRésumé : Objective To examine device-measured physical activity levels and sedentary behavior participation during different times of the day (ie, morning, midday, and evening) in adults with multiple sclerosis (MS) who differed in fatigue status. Design Cross-sectional survey. Setting Remote survey study managed by a university-based research laboratory. Participants A population-based sample of 1000 participants with MS were sent recruitment materials by the North American Research Committee on Multiple Sclerosis and 218 participants completed all relevant outcomes (N=218). Interventions Not applicable. Main Outcome Measures Participants (N=218) completed the Fatigue Severity Scale (FSS) as a measure of fatigue severity and were divided into subgroups of fatigued (FSS score ?4) and nonfatigued (FSS score 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=298476
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1758-1765[article]
Titre : Effect of Neuromuscular Electrical Stimulation During Walking on Pain Sensitivity in Women With Obesity With Knee Pain: A Randomized Controlled Trial Type de document : Article Auteurs : Hiroo Matsuse ; Neil A. Segal ; Kaitlin G. Rabe ; Naoto Shiba ; Naoto Shiba Année de publication : 2022 Article en page(s) : p. 1707-1714 Note générale : https://doi.org/10.1016/j.apmr.2022.01.157 Langues : Français (fre) Descripteurs : HE Vinci
Exercice physique ; Gonarthrose ; Marche à pied ; Neurostimulation électrique transcutanée (TENS) ; Réadaptation ; Seuil nociceptif ; Traitement par les exercices physiquesRésumé : Objective To assess the extent to which pain sensitivity is altered in women with obesity with frequent knee symptoms who walk with either a hybrid training system (HTS) that provides antagonist muscle electrical stimulation vs sensory transcutaneous electrical nerve stimulation (TENS). Design Randomized, double-blinded, controlled trial. Setting University-based fitness center. Participants Twenty-eight women (N=28) with obesity, aged 40-70 years, with daily knee symptoms. Interventions Participants were randomized to 12 weeks of biweekly 30-minute walking exercise with either HTS (HTSW group) or sensory TENS (control group). Main Outcome Measures Pressure pain thresholds (PPTs) at the more symptomatic knee (local PPT) and PPT at the ipsilateral pain-free wrist (remote PPT). Results After adjustment for preintervention values and body mass index (BMI), there was a statistically significant improvement in local PPT in the HTSW group compared with the control group (P=.039). After adjustment for pretraining value, age, and BMI, changes in remote PPT when comparing groups did not reach statistical significance, although the HTS group tended to demonstrate increased remote PPT (P=.052) compared with the control group. Moreover, after adjustment for pretraining value, knee pain, and quality of life, comparing groups did not reach statistical significance, although the HTS group tended to demonstrate decreased knee pain (P=.069) compared with the control group. Conclusions Augmentation of walking exercise with HTS was more effective than application of sensory TENS in improving local pain sensitivity at the knee but not at the wrist in women with obesity with frequent knee symptoms. 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=298477
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1707-1714[article]
Titre : Completeness of Reporting Is Suboptimal in Randomized Controlled Trials Published in Rehabilitation Journals, With Trials With Low Risk of Bias Displaying Better Reporting: A Meta-research Study Type de document : Article Auteurs : Tiziano Innocenti ; Silvia Giagio ; Stefano Salvioli ; Daniel Feller ; Silvia Minnucci ; Fabrizio Brindisino ; Wilhelmina IJzelenberg ; Raymond Ostelo ; Alessandro Chiarotto Année de publication : 2022 Article en page(s) : p. 1839-1847 Note générale : https://doi.org/10.1016/j.apmr.2022.01.156 Langues : Français (fre) Descripteurs : HE Vinci
Accès à l'information ; Biais de publication ; Essai contrôlé randomisé ; Liste de contrôle ; Réadaptation ; Recherche biomédicale ; RédactionRésumé : Objective Primary: To evaluate the completeness of reporting of randomized controlled trials (RCTs) published in rehabilitation journals through the evaluation of the adherence to the Consolidated Standards of Reporting Trials (CONSORT) checklist and investigate the relationship between reporting and risk of bias (ROB). Secondary: To study the association between completeness of reporting and the characteristics of studies and journals. Data Sources A random sample of 200 RCTs published between 2011 and 2020 in 68 rehabilitation journals indexed under the ?rehabilitation? category in the InCites Journal Citation Report. Study Selection One reviewer evaluated the completeness of reporting operationalized as the adherence to the CONSORT checklist. Two independent reviewers evaluated the ROB using the Cochrane risk-of-bias 2.0 tool. Data Extraction Overall adherence and adherence to each CONSORT section were calculated. Regression analyses investigated the association between completeness of reporting, ROB, and other characteristics (quartile range, publication modalities, study protocol registration). Data Synthesis The mean overall CONSORT adherence across studies was 65%. Studies with high ROB have less adherence than those with low ROB (?5.5%; CI, ?10.9 to 0.0). There was a 10.2% (% CI, 6.2-14.3) increase in adherence if the RCT protocol was registered. Studies published in first quartile journals displayed an overall adherence of 11.7% (% CI 17.1-6.4) higher than those published in the fourth quartile. Conclusions Reporting completeness is still suboptimal and is associated with ROB, journal impact ranking, and registration of the study protocol. Trial authors should improve adherence to the CONSORT guideline, and journal editors should adopt new strategies to improve the reporting. Note de contenu : Under a Creative Commons license 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=298478
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1839-1847[article]
Titre : Five-Year Cumulative Incidence of Axillary Web Syndrome and Comparison in Upper Extremity Movement, Function, Pain, and Lymphedema in Survivors of Breast Cancer With and Without Axillary Web Syndrome Type de document : Article Auteurs : Linda Koehler ; Amanda Day ; David Hunter ; Anne Blaes ; Tufia Haddad ; Ryan Shanley ; Ryan Shanley Année de publication : 2022 Article en page(s) : p. 1798-1806 Note générale : https://doi.org/10.1016/j.apmr.2022.03.007 Langues : Français (fre) Descripteurs : HE Vinci
Incidence ; Lymphoedeme ; Réadaptation ; Tumeurs du seinRésumé : Objective To determine the cumulative incidence and natural history of axillary web syndrome (AWS) and its related postoperative risk for physical impairments in a cohort of women followed for 5 years post breast cancer surgery. Design Prospective, longitudinal study. Setting Academic health center. Participants Women (N=36) with and without AWS after breast cancer surgery with sentinel node biopsy or axillary lymph node dissection. Interventions Not applicable. Main Outcome Measures Participants were assessed for AWS, shoulder goniometric flexion and abduction range of motion, function (Disability of the Arm, Shoulder, and Hand), lymphedema (bioimpedance spectroscopy, girth measures, tissue dielectric constant), and pain (visual analog scale) at 2, 4, 12, and 78 weeks and 5 years after breast cancer surgery. Analysis of variance compared range of motion, function, lymphedema, and pain in women identified with AWS with those without AWS across visits. Univariate logistic regression assessed if AWS was a risk factor for physical impairment at 5 years. Results The cumulative incidence of AWS was 57%. Fifty percent (14/28) of the women who completed all study visits had signs of AWS at 5 years. Abduction active range of motion was significantly lower in women with AWS at 2 and 4 weeks post surgery. AWS was identified as a risk factor for reduced shoulder motion at 5 years. Regardless of AWS, 75% of the women experienced 1 or more upper extremity physical impairments at 5 years, which is an increase from 66% at 78 weeks in the same cohort. Conclusions AWS is associated with reduced shoulder range of motion in the early postoperative time period, can persist for 5 years after breast cancer surgery, and increases the risk of long-term reduced shoulder range of motion. Long-term physical issues are apparent after breast cancer surgery regardless of AWS. 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=298479
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1798-1806[article]
Titre : Examining the Use of a Rest-Activity Ratio in a Pediatric Rehabilitation Setting Type de document : Article Auteurs : Anthony H. Lequerica ; Krishan Yalamanchi ; Jean Lengenfelder ; Claire Marchetta ; Jessica Ace ; John DeLuca ; John DeLuca Année de publication : 2022 Article en page(s) : p. 1766-1770 Note générale : https://doi.org/10.1016/j.apmr.2021.12.027 Langues : Français (fre) Descripteurs : HE Vinci
Actigraphie ; Lésions encéphaliques ; Réadaptation ; SommeilRésumé : Objective To examine the relationship between an estimate of sleep?wake regulation derived from actigraphy and determine whether it would be sensitive to neurocognitive dysfunction associated with acquired brain injury (ABI) in a pediatric rehabilitation sample. Design Cross-sectional design. Setting Inpatient pediatric rehabilitation facility. Participants A sample (N=43) of 31 males (72.1%) and 12 females (27.9%) admitted to a pediatric rehabilitation hospital wore an actigraph (wrist accelerometer) for 1 week. Participant ages ranged from 8 to 17 years (mean, 13.1y; SD, 2.7y). Interventions Not applicable. Main Outcome Measures Raw actigraphy activity counts in 1-minute epochs were used to derive a rest-activity ratio over each 24-hour period; a 5-day average value was calculated for Monday through Friday. Brain injury status was derived through medical record review, resulting in the formation of 3 groups: traumatic brain injury (n=14), nontraumatic brain injury (n=16), and a non-ABI control group (n=13). Functional status was measured using FIM for children (WeeFIM) Cognitive and Motor scores extracted from the medical records. Results Unadjusted models showed a significant main group effect for brain injury status (P=.012). Compared with controls, the rest-activity ratio was significantly lower in both the traumatic brain injury (P=.005), and nontraumatic brain injury (P=.023) groups. However, the main group effect was no longer significant in an adjusted model controlling for WeeFIM Cognitive and WeeFIM Motor scores at admission. In the context of the adjusted model, there was a significant relationship between the rest-activity ratio and WeeFIM Cognitive scores at admission. Conclusions Individuals with lower functional status at admission, especially in the cognitive domain, had lower rest-activity ratios, suggesting poorer sleep?wake regulation. Similar to findings in adults with ABI, this ratio may have utility in tracking sleep?wake regulation in the pediatric rehabilitation setting. Future studies should investigate sensitivity to change over the course of recovery and responsiveness to clinical interventions to improve sleep. 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=298480
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1766-1770[article]
Titre : Systematic Review of Functional Outcomes in Cancer Rehabilitation Type de document : Article Auteurs : Alix Sleight ; Lynn H. Gerber ; Timothy F. Marshall ; Alicia Livinski ; Catherine M. Alfano ; Shana Harrington ; Ann Marie Flores ; Aneesha Virani ; Xiaorong Hu ; Sandra A. Mitchell ; Mitra Varedi ; Melissa Eden ; Samah Hayek ; Beverly Reigle ; Anya Kerkman ; Raquel Neves ; Kathleen Jablonoski ; Eileen Danaher Hacker ; Virginia Sun ; Robin Newman ; Karen Kane Mcdonnell ; Allison L'Hotta ; Alana Schoenhals ; Nicole L. Stout DPT Année de publication : 2022 Article en page(s) : p. 1807-1826 Note générale : https://doi.org/10.1016/j.apmr.2022.01.142 Langues : Français (fre) Descripteurs : HE Vinci
Réadaptation ; Revue systématique ; TumeursRésumé : Objective To systematically review the evidence regarding rehabilitation interventions targeting optimal physical or cognitive function in adults with a history of cancer and describe the breadth of evidence as well as strengths and limitations across a range of functional domains. Data Sources PubMed, Cumulative Index to Nursing and Allied Health Plus, Scopus, Web of Science, and Embase. The time scope was January 2008 to April 2019. Study Selection Prospective, controlled trials including single- and multiarm cohorts investigating rehabilitative interventions for cancer survivors at any point in the continuum of care were included, if studies included a primary functional outcome measure. Secondary data analyses and pilot/feasibility studies were excluded. Full-text review identified 362 studies for inclusion. Data Extraction Extraction was performed by coauthor teams and quality and bias assessed using the American Academy of Neurology (AAN) Classification of Evidence Scheme (class I-IV). Data Synthesis Studies for which the functional primary endpoint achieved significance were categorized into 9 functional areas foundational to cancer rehabilitation: (1) quality of life (109 studies), (2) activities of daily living (61 studies), (3) fatigue (59 studies), (4) functional mobility (55 studies), (5) exercise behavior (37 studies), (6) cognition (20 studies), (7) communication (10 studies), (8) sexual function (6 studies), and (9) return to work (5 studies). Most studies were categorized as class III in quality/bias. Averaging results found within each of the functional domains, 71% of studies reported statistically significant results after cancer rehabilitation intervention(s) for at least 1 functional outcome. Conclusions These findings provide evidence supporting the efficacy of rehabilitative interventions for individuals with a cancer history. The findings should be balanced with the understanding that many studies had moderate risk of bias and/or limitations in study quality by AAN criteria. These results may provide a foundation for future work to establish clinical practice guidelines for rehabilitative interventions across cancer disease types. Note de contenu : Under a Creative Commons license 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=298481
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1807-1826[article]
Titre : Chronic Physical Health Conditions After Injury: A Comparison of Prevalence and Risk in People With Orthopedic Major Trauma and Other Types of Injury Type de document : Article Auteurs : Belinda J. Gabbe ; Christina L. Ekegren ; Christina L. Ekegren Année de publication : 2022 Article en page(s) : p. 1738-1748 Note générale : https://doi.org/10.1016/j.apmr.2021.12.014 Langues : Français (fre) Descripteurs : HE Vinci
Maladie chronique ; Maladies cardiovasculaires ; Polytraumatisme ; RéadaptationRésumé : Objectives To determine (1) the prevalence of chronic physical health conditions reported preinjury, at the time of injury, up to 1 year postinjury, and 1 to 5 years postinjury; and (2) the risk of chronic physical health conditions reported 1 to 5 years postinjury in people with orthopedic and other types of major trauma. Design Cohort study using linked trauma registry and health administrative datasets. Setting This study used linked data from the Victorian State Trauma Registry (VSTR), the Victorian Registry of Births, Deaths and Marriages (BDM), the Victorian Admitted Episodes Dataset (VAED), and the Victorian Emergency Minimum Dataset (VEMD). Participants Major trauma patients (N=28,522) aged 18 years and older who were registered by the VSTR, with dates of injury from 2007 to 2016, and who survived to at least 1 year after injury, were included in this study. Major trauma cases were classified into 4 groups: (1) orthopedic injury, (2) severe traumatic brain injury (s-TBI), (3) spinal cord injury, and (4) other major trauma. Intervention Not applicable. Main Outcome Measure Prevalence of chronic physical health conditions. Results The cumulative prevalence of any chronic physical health condition for all participants was 69.3%. The s-TBI group had the highest cumulative prevalence of conditions. The most common conditions were arthritis and arthropathies, cancer, and cardiovascular diseases. Preinjury chronic conditions were most common in people with s-TBI (19.3%) and were least common in people with other types of major trauma (6.6%). The highest prevalence of new-onset conditions after injury was found in people with s-TBI (21.7%) and orthopedic major trauma (21.4%), whereas the lowest prevalence was found in people with other types of major trauma (9.2%). For the orthopedic injury group, there were no significant differences in the adjusted risk of conditions reported 1 to 5 years postinjury compared with other major trauma groups. Conclusions Chronic physical health conditions were common among all injury groups. There was no significant difference in the risk of chronic conditions among injury groups. Rehabilitation practitioners should be aware of the risk of chronic conditions in people with orthopedic and other types of major trauma. Long-term follow-up care after injury should include prevention and treatment of chronic conditions. 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=298482
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1738-1748[article]
Titre : Adherence to Exercise Programs in Community-Dwelling Older Adults Postdischarge for Hip Fracture: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Lucinda Yau ; Kate Soutter ; Christina Ekegren ; Keith D. Hill ; Maureen Ashe ; Sze-Ee Soh Année de publication : 2022 Article en page(s) : p. 1827-1838.e2 Note générale : https://doi.org/10.1016/j.apmr.2022.01.145 Langues : Français (fre) Descripteurs : HE Vinci
Chirurgie générale ; Exercice physique ; Hanche ; RéadaptationRésumé : Objective To determine whether older adults adhere to exercise programs after discharge for hip fracture and how adherence relates to exercise program characteristics and intervention efficacy. Data Sources Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health, Embase, Physiotherapy Evidence Database, Web of Science, SPORTDiscus, PsycINFO, PubMed, and Ovid MEDLINE were searched from inception to August 2020. Study Selection Randomized controlled trials of exercise interventions in adults older than 60 years with a surgically managed hip fracture that provided a measure of adherence were selected by 2 independent reviewers. Data Extraction Data were extracted independently by 1 reviewer and cross-checked by a second reviewer for accuracy. Risk of bias was assessed with 2 tools: a customized checklist was used to examine sources of bias and ambiguity for adherence data, and the Cochrane Risk of Bias tool was used to assess the interval validity of studies. Data Synthesis Seventeen trials with 1850 participants (mean age, 78.8 years) were included in the review. The pooled estimate of adherence to exercise programs post hip fracture was 0.88 (95% CI, 0.78-0.95). Programs that were more than 6 months in duration were associated with a decrease in adherence (odds ratio, 0.29; 95% CI, 0.11-0.77). However, increased adherence was not associated with improvements in functional outcomes. None of the other program characteristics were associated with improvements in functional outcomes. Conclusions Adherence to exercise programs after hip fracture appears to be high and may be related to program duration. However, there is a need for a standardized approach to measure and report adherence data in future studies to determine whether exercise adherence is associated with improvements in function for this population. 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=298483
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1827-1838.e2[article]
Titre : Use of Standardized Outcome Measures for People With Lower Limb Amputation: A Survey of Prosthetic Practitioners in the United States Type de document : Article Auteurs : Sara J. Morgan ; Sara J. Morgan ; Kimberly Rowe ; Chantelle C. Fitting ; Ignacio A. Gaunaurd ; Anat Kristal ; Geoffrey S. Balkman ; Rana Salem ; Alyssa M. Bamer ; Brian J. Hafner Année de publication : 2022 Article en page(s) : p. 1786-1797 Note générale : https://doi.org/10.1016/j.apmr.2022.03.009 Langues : Français (fre) Descripteurs : HE Vinci
Enquêtes et questionnaires ; Évaluation de résultat (soins) ; Membres artificiels ; Prestations des soins de santé ; RéadaptationRésumé : Objective To assess the clinical resources available for the assessment of health outcomes in people with lower limb amputation and to understand barriers and facilitators associated with use of standardized outcome measures in clinical practice. Design Cross-sectional survey. Setting General community (online). Participants A volunteer sample of prosthetic practitioners was recruited through national professional organizations. Eligible participants were practitioners certified by a professional prosthetics organization and currently practicing as a prosthetist, prosthetist-orthotist, or prosthetic assistant. Interventions Not applicable. Main Outcome Measures A custom-designed online survey on clinical use of patient-reported and performance-based standardized outcome measures to assess patients with lower limb amputation. Results A total of 375 participants completed the survey. Most participants (79%) reported that they are encouraged or required to administer standardized outcome measures in their clinic or facility. Most participants reported that use of patient-reported and performance-based outcome measures are within their scope of practice (88%) and that they have the knowledge required for outcomes measurement (84%). Few participants agreed that outcomes measurement is standardized across the profession (30%). Most participants had access to small spaces and equipment for outcomes measurement, such as short hallways (65%-94%), stairs (69%), and tablets with wireless internet connection (83%). Most participants reported that they would be willing to spend between 5 (36% of participants) and 10 (43% of participants) minutes on self-reported surveys, and between 10 (41% of participants) and 20 (28% of participants) minutes on performance-based tests. Conclusions Outcomes measurement is encouraged or expected in contemporary prosthetic practice. Strategies to improve standardization and efficiency of administration are needed to facilitate routine use of outcome measures in clinical 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=298484
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1786-1797[article]
Titre : Are There Interindividual Differences in Anxiety as a Result of Aerobic Exercise Training in Adults With Fibromyalgia? An Ancillary Meta-analysis of Randomized Controlled Trials Type de document : Article Auteurs : George A. Kelley ; Kristi S. Kelley ; Leigh F. Callahan Année de publication : 2022 Article en page(s) : p. 1858-1865 Note générale : https://doi.org/10.1016/j.apmr.2021.12.019 Langues : Français (fre) Descripteurs : HE Vinci
Exercice physique ; Fibromyalgie ; Méta-analyse ; RéadaptationRésumé : Objective To determine whether true interindividual response differences (IIRD) exist with respect to changes in anxiety because of aerobic exercise training in adults with fibromyalgia (FM). Data Sources Data from a previous meta-analytical database of randomized controlled trials of exercise in adults with arthritis and other rheumatic diseases. Study Selection Randomized controlled trials limited to aerobic exercise training on anxiety in adults 18 years or older with FM were included. Data Extraction Change outcome SDs treated as point estimates for anxiety were used to calculate true IIRD from each study. In addition, treatment effect data were extracted. Data Synthesis The inverse variance heterogeneity model was used to pool all results. For the 5 studies and 321 participants in which results were pooled, statistically significant treatment effect reductions in anxiety were observed (mean, ?0.77 points, 95% CI, ?1.25 to ?0.77). However, no significant IIRD were found (mean, 0.6 points, 95% CI, ?1.2 to 1.5). The 95% prediction interval for true IIRD in a future study was ?1.7 to 0.8. The percent chance, ie, probability, of a clinically meaningful difference in variability, was 61.5% (only possibly clinically important). Conclusions The results of the current study suggest that aerobic exercise is associated with reductions in anxiety among adults with fibromyalgia. However, there is currently a lack of convincing evidence to support the notion that true IIRD exist. Therefore, a search for potential mediators and moderators associated with aerobic exercise and changes in anxiety among adults with FM may not be warranted. However, additional research is needed before any true level of certainty can be established. This includes (1) the assessment of IIRD in future randomized controlled trials, (2) randomized controlled trials of longer duration, and (3) an increase in the proportion of men included in randomized controlled trials. 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=298485
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1858-1865[article]
Titre : Hindfoot Flexibility Influences the Biomechanical Effects of Laterally Wedged Insoles and Ankle-Foot Orthoses in Medial Knee Osteoarthritis Type de document : Article Auteurs : Leonie P. Bartsch ; Martin Schwarze ; Julia Block ; Merkur Alimusaj ; Anela Hadzic ; Tobias Renkawitz ; Sebastian I. Wolf ; Sebastian I. Wolf Année de publication : 2022 Article en page(s) : p. 1699-1706 Note générale : https://doi.org/10.1016/j.apmr.2022.02.012 Langues : Français (fre) Descripteurs : HE Vinci
Analyse de démarche ; Cheville ; Gonarthrose ; Orthèses ; Orthèses de maintien ; Orthèses de pied ; Phénomènes biomécaniques ; Réadaptation ; Traitement conservateurRésumé : Objective To investigate the relationship of frontal plane ankle mobility with the effects of an ankle-foot orthosis (AFO) and a laterally wedged insole (LWI) on knee adduction moment (KAM) in the treatment of medial knee osteoarthritis. Design Randomized, nonblinded crossover trial. Setting Outpatient clinic of university hospital. Participants Referred sample of 20 patients (N=20) with medial knee osteoarthritis stage 1-3 (Kellgren and Lawrence), aged 56.4+6.5 years; 58 patients were assessed, 21 were included, and 1 was a dropout. There were 14 healthy reference participants without knee osteoarthritis (convenience sample) who were matched by age. Interventions Patients received AFO and LWI for 6 weeks each with gait analysis after each 6-week intervention. Patients underwent additional barefoot gait analysis, walking on even ground and on a cross slope of 5° lateral elevation and standing on inclinations of 0°, 5°, 10°, and 20°. Main Outcome Measures Spearman correlation between the immediate change in first peak of KAM with each aid and the change in hindfoot varus on the cross slope relative to level ground. Results The KAM reduction with AFO correlated significantly with hindfoot varus reaction to the cross slope during walking: the greater the hindfoot valgization on the cross slope, the greater the KAM reduction with AFO (Spearman ?=0.53, P=.02). The KAM reduction with LWI correlated moderately negatively with the change in hindfoot varus: the greater the hindfoot valgization on the cross slope, the smaller the KAM reduction with LWI (r=?0.31 P=.18). Conclusions LWI may be suitable for patients with limited to normal frontal plane ankle mobility. Patients with greater frontal plane ankle mobility benefit most from frontal plane ankle bridging with AFO. Studies with larger samples are necessary. 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=298486
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1699-1706[article]
Titre : Clinical Characteristics of 100 Patients With Hypermobility Spectrum Disorders and Shoulder Complaints With or Without Mechanical Symptoms: A Cross-sectional Study Type de document : Article Auteurs : Behnam Liaghat ; Søren T. Skou ; Jens Sondergaard ; Eleanor Boyle ; Karen Søgaard ; Birgit Juul-Kristensen ; Birgit Juul-Kristensen Année de publication : 2022 Article en page(s) : p. 1749-1757.e4 Note générale : https://doi.org/10.1016/j.apmr.2021.12.021 Langues : Français (fre) Descripteurs : HE Vinci
Epaule ; Instabilité articulaire ; RéadaptationRésumé : Objective To describe the clinical characteristics of patients with hypermobility spectrum disorders (HSD) and shoulder complaints with or without mechanical symptoms, and to compare characteristics between these groups. Design A cross-sectional study. Setting Primary care. Participants One-hundred patients with HSD and shoulder complaints for at least 3 months were included from primary care (N=100). Interventions Not applicable. Main Outcome Measures Medical history, self-reported (shoulder pain and function, discomfort due to other symptoms, fatigue, fear of movement, quality of life) and objective (strength, range of motion, proprioception) characteristics were collected by physiotherapists. Mechanical symptoms (yes/no) were defined as self-reported shoulder instability, subluxation, and/or laxity. Results Sixty-seven reported mechanical symptoms. Patients in both groups reported impairments related to shoulder pain, function, fatigue, fear of movement, and quality of life. Patients with mechanical symptoms were younger (mean, 35.1 years [95% CI, 32.3-37.9 years] vs 43.3 years [95% CI, 38.4-48.1 years]), had longer symptom duration (median, 46 months [95% CI, 36-66 months] vs 24 months [95% CI, 9-56 months]), reported a previous shoulder dislocation (25% [95% CI, 16-37] vs 3% [95% CI, 0-16]), experienced that their shoulder was loose (64% [95% CI, 52-76] vs 15% [95% CI, 5-32]), and reported discomfort due to other symptoms (odds ratio, 1.48 [95% CI, 1.17-1.87]). Furthermore, a larger proportion had received supplemental treatment (analgesic medication, steroid injection/surgery). Conclusions Both groups with HSD and shoulder complaints presented with substantial shoulder-related impairments. Two-thirds reported mechanical symptoms, were younger, and more severely impaired than those without mechanical symptoms. These findings highlight the importance of managing mechanical shoulder symptoms to fully address the patients? impairments. Note de contenu : Under a Creative Commons license 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=298487
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1749-1757.e4[article]
Titre : Effects of Early Postdischarge Rehabilitation Services on Care Needs?Level Deterioration in Older Adults With Functional Impairment: A Propensity Score?Matched Study Type de document : Article Auteurs : Seigo Mitsutake ; Tatsuro Ishizaki ; Rumiko Tsuchiya-Ito ; Rumiko Tsuchiya-Ito ; Hiroshige Jinnouchi ; Hiroaki Ueshima ; Tomoyuki Matsuda ; Satoru Yoshie ; Katsuya Iijima ; Nanako Tamiya ; Nanako Tamiya Année de publication : 2022 Article en page(s) : p. 1715-1722.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.12.024 Langues : Français (fre) Descripteurs : HE Vinci
Mégadonnées ; Réadaptation ; Services de santé ; Soins de longue durée ; Soins de transitionRésumé : Objective To examine the effects of early postdischarge rehabilitation on care needs?level deterioration in older Japanese patients. Design Propensity score?matched retrospective cohort study. Setting A secondary data analysis was conducted using medical and long-term care insurance claims data from a suburban city in Japan. Participants We analyzed patients (N=2746) aged 65 years or older who were discharged from hospital to home between April 2012 and March 2014 and had care needs certification indicating functional impairment. Interventions The provision of early rehabilitation services by rehabilitation therapists within 1 month of discharge. Propensity score matching was used to control for differences in characteristics between patients with and without early rehabilitation services. Main Outcome Measures Any deterioration in care needs level during the 12-month period after discharge. Cox proportional hazards analyses were conducted to identify the association between the exposure and outcome variables after matching. Results Among 2746 patients, 573 (20.9%) used early rehabilitation services. Care needs?level deterioration occurred in 508 patients (incidence: 18.3 per 1000 person-months), of which 76 used early rehabilitation services (12.3 per 1000 person-months) and 432 did not use early rehabilitation services (20.0 per 1000 person-months). One-to-one propensity score matching produced 566 matched pairs that adjusted for the differences in all covariables. In these matched pairs, the hazard of care needs?level deterioration was significantly lower among patients who used early rehabilitation services (hazard ratio=0.712, 95% CI, 0.529-0.958). A Kaplan-Meier survival analysis showed similar results (log-rank: P=.023). Conclusions Early rehabilitation services provided by rehabilitation therapists after hospital discharge appeared effective in preventing care needs?level deterioration, and involving rehabilitation therapists in transitional care may aid the optimization of health care for older Japanese adults with functional impairment. Note de contenu : Under a Creative Commons license 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=298488
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1715-1722.e1[article]
Titre : Postamputation Cognitive Impairment Is Related to Worse Perceived Physical Function Among Middle-Aged and Older Prosthesis Users Type de document : Article Auteurs : Matthew J. Miller ; Rashelle M. Hoffman ; Laura A. Swink ; Deborah E. Barnes ; Cory L. Christiansen ; Cory L. Christiansen Année de publication : 2022 Article en page(s) : p. 1723-1729 Langues : Français (fre) Descripteurs : HE Vinci
Amputation chirurgicale ; Dysfonctionnement cognitif ; Prothèses et implants ; Réadaptation ; VieillissementRésumé : Objective To compare characteristics between middle-aged and older prosthesis users with and without cognitive impairment and determine whether cognitive impairment contributes to variability in perceived physical function. Design Cross-sectional, observational study Setting General community. Participants Adults 45 years or older, at least 1-year post lower limb amputation (LLA) who were walking independently with a prosthesis (N=119). Intervention Not applicable. Main Outcome Measures We identified cognitive impairment using an education-adjusted Telephone Interview for Cognitive Status-modified score. Perceived physical function was measured using the Prosthesis Mobility Questionnaire. Results Of 119 participants (mean age, 62.6+8.2 years; male: 89.1%; vascular etiology: 82.4%; years since amputation: 4.9+4.7 years), 28 (23.5%) had cognitive impairment. Compared with participants without cognitive impairment, those with cognitive impairment were more likely to use an assistive device (60.7% vs 25.3%, P=.002); were older (66.3+7.3 vs 61.5+8.1 years, P=.006) and had more chronic conditions (7.1+3.4 vs 5.4+2.5, P=.004), more depressive symptoms (6.6+5.1 vs 4.2+3.8, P=.008), and worse perceived physical function (2.0+0.6 vs 2.6+0.7, P<.001 using backward stepwise linear regression we found that participants with cognitive impairment had worse perceived physical function parameter estimate p=".02)," even after adjusting for depressive symptoms prosthesis satisfaction number of chronic conditions and assistive device use together these variables explained variability. conclusions is common associated post lla controlling mental health differences. tailored rehabilitation interventions may be needed to improve in users impairment.> 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=298489
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1723-1729[article]
Titre : Assessment of Vo2 peak and Exercise Capacity After Stroke: A Validity Study of the Human Activity Profile Questionnaire Type de document : Article Auteurs : Sherindan Ayessa Ferreira de Brito ; Larissa Tavares Aguiar ; Ludmylla Ferreira Quintino ; Giane Amorim Ribeiro-Samora ; Raquel Rodrigues Britto ; Christina Danielli Coelho de Morais Faria ; Christina Danielli Coelho de Morais Faria Année de publication : 2022 Article en page(s) : p. 1771-1776 Note générale : https://doi.org/10.1016/j.apmr.2022.01.141 Langues : Français (fre) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Capacité cardiorespiratoire ; RéadaptationRésumé : Objective To investigate the concurrent validity of the Human Activity Profile (HAP) in individuals after stroke to provide the peak oxygen uptake (V?o2peak) and the construct validity of the HAP to assess exercise capacity, and to provide equations based on the HAP outcomes to estimate the distance covered in the Incremental Shuttle Walking Test (ISWT). Design Cross-sectional study. Setting University laboratory. Participants Individuals (N=57) aged 54+11 years who have experienced stroke. Intervention Not applicable. Main Outcome Measures Agreement between the V?o2peak provided by the HAP (lifestyle energy consumption [LEC] outcome, in mL/kg?1/min?1) and the criterion standard measure of the V?o2peak (mL/kg?1/min?1), obtained through the symptom-limited Cardiopulmonary Exercise Test (CPET). Correlation between the HAP outcomes (LEC, maximum activity score [MAS], and adjusted activity score [AAS]) and the construct measure: the distance covered (in meters) in the ISWT. An equation to estimate the distance covered in the ISWT was determined. Results High magnitude agreement was found between the V?o2peak, in mL/kg?1/min?1, obtained by the symptom-limited CPET and the value of V?o2peak, in mL/kg?1/min?1, provided by the HAP (LEC) (intraclass correlation coefficient, 0.75; P<.001 low to moderate magnitude correlations were found between the distance covered in iswt and hap equation estimate explained of variability conclusion questionnaire is a clinically applicable way provide valid value v ml assess exercise capacity individuals after stroke. furthermore an submaximal field test based on result aas points was provided.> 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=298490
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 9 (2022) . - p. 1771-1776[article]
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Titre : Effects of Intra-articular Coinjections of Hyaluronic Acid and Hypertonic Dextrose on Knee Osteoarthritis: A Prospective, Randomized, Double-Blind Trial Type de document : Article Auteurs : Ru-Lan Hsieh ; Wen-Chung Lee Année de publication : 2022 Article en page(s) : p. 1505-1514 Note générale : https://doi.org/10.1016/j.apmr.2022.04.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Acide hyaluronique ; Glucose ; Gonarthrose ; Prolothérapie ; RéadaptationRésumé : Objective
To determine whether intra-articular coinjection with hypertonic dextrose improves the outcome of hyaluronic acid (HA) prolotherapy for knee osteoarthritis (OA).
Design
Prospective, randomized, double-blind trial.
Setting
Medical center in Taiwan.
Participants
In total, 104 participants who fulfilled the American College of Rheumatology clinical and radiographic criteria for knee OA with a Kellgren-Lawrence score of 2 or 3 were recruited (N=104).
Interventions
The participants were blocked randomized to the treatment (HA and hypertonic dextrose) or control (HA and normal saline) group. Ultrasound-guided knee intra-articular injections were administered once a week for 3 weeks.
Main Outcome Measures
The primary outcomes were performance-based physical function measures (regular and fastest walking speed, stair climbing time, and chair rising time), and the secondary outcomes were the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Knee Injury and Osteoarthritis Outcome Score (KOOS). The outcome measures were assessed before the injections and at 1 week and 1, 3, and 6 months after the injections. The data were analyzed through repeated-measures analysis of covariance.
Results
Significant intergroup difference-in-differences favoring the treatment group were observed for improvements in stair climbing time (−1.6; 95% confidence interval, −8.56 to 4.16; P=.38) and WOMAC physical function (−21.2; 95% confidence interval, −126.05 to 103.83; P = .045) at 6 months. The group×time interaction effects favored the treatment group for regular (P=.001) and fastest walking speed (P=.001) and chair rising time (P=.038); WOMAC stiffness (P
Conclusions
Compared with HA plus normal saline coinjections, HA plus dextrose coinjections resulted in more significant improvements in stair climbing time and physical function at 6 months, effectively decreased pain, and improved physical function and physical functional performance from 1 week to 6 months. HA plus dextrose coinjections could be a suitable adjuvant therapy for patients with knee OA.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=297050
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1505-1514[article]
Titre : Comparison of Ischial Containment and Subischial Sockets Effect on Gait Biomechanics in People With Transfemoral Amputation: A Randomized Crossover Trial Type de document : Article Auteurs : Stefania Fatone ; Rebecca Stine ; Ryan Caldwell ; John Angelico ; Steven Gard ; Michael Oros ; Matthew J. Major Année de publication : 2022 Article en page(s) : p. 1515-1523 Note générale : https://doi.org/10.1016/j.apmr.2022.02.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse de démarche ; Membre inférieur ; Membres artificiels ; Réadaptation ; Résultat thérapeutiqueRésumé : Objective
To compare gait biomechanics of the Northwestern University Flexible Sub-Ischial Vacuum (NU-FlexSIV) Socket to the ischial containment (IC) socket.
Design
Randomized crossover trial with 2, 7-week periods.
Setting
Private prosthetic clinics and university research laboratory.
Participants
A total of 30 enrolled (n=30); 25 participants completed the study with full (n=18) or partial data (n=7).
Interventions
Two custom-fabricated sockets (IC and NU-FlexSIV), worn full-time for 7 weeks, with testing at 1, 4, and 7 weeks after socket delivery.
Main Outcome Measures
Gait analyses were conducted at 1, 4, and 7 weeks post socket delivery. Differences between sockets in selected gait variables related to hip motion and coronal plane socket stability were assessed.
Results
For participants with data for both sockets at week 7 (n=19), there were no significant differences in any gait variables between sockets at self-selected normal walking speed. However, when all participants and all study time points were assessed (n=25), there was a significant main effect of socket (P=.013), with prosthetic side sagittal plane hip range of motion being significantly greater for the NU-FlexSIV Socket at self-selected normal walking speed. There were no other significant effects.
Conclusions
The results suggest that, compared to the IC socket, the NU-FlexSIV Socket did not alter gait biomechanics related to hip motion and coronal plane socket stability in people with unilateral transfemoral amputation.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=297052
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1515-1523[article]
Titre : Effectiveness of Transcranial Direct Current Stimulation Combined With Exercising in People With Fibromyalgia: A Randomized Sham-Controlled Clinical Trial Type de document : Article Auteurs : Rubén Arroyo-Fernández ; Juan Avendaño-Coy ; Rafael Velasco-Velasco ; Rocío Palomo-Carrión ; Elisabeth Bravo-Esteban ; Asunción Ferri-Morales Année de publication : 2022 Article en page(s) : p. 1524-1532 Note générale : https://doi.org/10.1016/j.apmr.2022.02.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Exercice physique ; Fibromyalgie ; Réadaptation ; Stimulation transcrânienne par courant continuRésumé : Objective
To evaluate the effectiveness of transcranial direct current stimulation (tDCS) combined with exercising in people with fibromyalgia.
Design
Randomized, triple-blind, sham-controlled, clinical trial.
Setting
Primary health care center.
Participants
A total of 120 volunteer participants (N=120) between 18 and 65 years old and diagnosed with fibromyalgia. Four participants dropped out of the study for causes unrelated to the intervention.
Intervention
Participants were randomized into 3 groups (active tDCS+exercising, sham tDCS+exercising, no-intervention control). The intervention was delivered in 5 sessions over 2 weeks.
Main Outcome Measures
Pain intensity and referred pain area after suprathreshold pressure stimulation.
Results
Pain intensity further decreased in the active tDCS group vs control (mean, −14.43; 95% confidence interval, −25.27 to −3.58) at post intervention, unlike the sham tDCS group. Both tDCS groups did not achieve greater reductions in referred pain vs control. In the active tDCS group, health status (mean, −14.80; 95% confidence interval, −23.10 to −6.50) and pain catastrophizing (mean, −6.68, 95% confidence interval, −11.62 to −1.73) improved at post intervention, and so did health status (mean, −8.81; 95% confidence interval, −17.11 to −0.51), pain catastrophizing (mean, −7.00; 95% confidence interval, −12.13 to −1.87), and depression (mean, −3.52; 95% confidence interval, −6.86 to −0.19) after 1 month. In the sham tDCS group, improvements were recorded in health status (mean, −13.21; 95% confidence interval, −21.52 to −4.91) and depression (mean, −3.35; 95% confidence interval, −6.35 to −0.35) at post intervention and in health status (mean, −8.77; 95% confidence interval, −17.06 to −0.47), pain catastrophizing (mean, −5.68; 95% confidence interval, −10.80 to −0.55), and depression (mean, −3.98; 95% confidence interval, −7.31 to −0.64) after 1 month. No intergroup differences were observed between active and sham tDCS.
Conclusions
Active and sham tDCS improved health status, pain catastrophizing, and depression vs control, but pain intensity decreased only in the active tDCS group.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=297053
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1524-1532[article]
Titre : Thoracic Manual Therapy Improves Pain and Disability in Individuals With Shoulder Impingement Syndrome Compared With Placebo: A Randomized Controlled Trial With 1-Year Follow-up Type de document : Article Auteurs : Donald J. Hunter ; Darren A. Rivett ; Sharmaine McKiernan ; Renae Luton ; Suzanne J. Snodgrass Année de publication : 2022 Article en page(s) : p. 1533-1543 Note générale : https://doi.org/10.1016/j.apmr.2022.03.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Epaule ; Réadaptation ; Syndrome de conflit sous-acromialRésumé : Objective
To investigate whether muscle energy technique (MET) to the thoracic spine decreases the pain and disability associated with shoulder impingement syndrome (SIS).
Design
Single-center, 3-arm, randomized controlled trial, single-blind, placebo control with concealed allocation and a 12-month follow-up.
Setting
Private osteopathic practice.
Participants
Three groups of 25 participants (N=75) 40 years or older with SIS received allocated intervention once a week for 15 minutes, 4 consecutive weeks.
Interventions
Participants were randomly allocated to MET to the thoracic spine (MET-only), MET plus soft tissue massage (MET+STM), or placebo.
Main Outcome Measures
Primary outcome measure: Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Secondary outcome measures: Shoulder Pain and Disability Index (SPADI) questionnaire; visual analog scale (VAS) (mm/100): current, 7-day average, and 4-week average; Patient-Specific Functional Scale (PSFS); and Global Rating of Change (GROC). Measures recorded at baseline, discharge, 4-week follow-up, 6 months, and 12 months. Also baseline and discharge thoracic posture and range of motion (ROM) measured using an inclinometer. Statistical analysis included mixed-effects linear regression model for DASH, SPADI, VAS, PSFS, GROC, and thoracic posture and ROM.
Results
MET-only group demonstrated significantly greater improvement in pain and disability (DASH, SPADI, VAS 7-day average) than placebo at discharge (mean difference, DASH=−8.4; 95% CI, −14.0 to −2.8; SPADI=−14.7; 95% CI, −23.0 to −6.3; VAS=−15.5; 95% CI, −24.5 to −6.5), 6 months (−11.1; 95% CI, −18.6 to −3.7; −14.9; 95% CI, −26.3 to −3.5; −14.1; 95% CI, −26.0 to −2.2), and 12 months (−13.4; 95% CI, −23.9 to−2.9; −19.0; 95% CI, −32.4 to −5.7; −17.3; 95% CI, −30.9 to −3.8). MET+STM group also demonstrated greater improvement in disability but not pain compared with placebo at discharge (DASH=−8.2; 95% CI, −14.0 to −2.3; SPADI=−13.5; 95% CI, −22.3 to −4.8) and 6 months (−9.0; 95% CI, −16.9 to −1.2; −12.4; 95% CI, −24.3 to −0.5). For the PSFS, MET-only group improved compared with placebo at discharge (1.3; 95% CI, 0.1-2.5) and 12 months (1.8; 95% CI, 0.5-3.2); MET+STM at 12 months (1.7; 95% CI, 0.3-3.0). GROC: MET-only group improved compared with placebo at discharge (1.5; 95% CI, 0.9-2.2) and 4 weeks (1.0; 95% CI, 0.1-1.9); MET+STM at discharge (1.2; 95% CI, 0.5-1.9) and 6 months (1.2; 95% CI, 0.1-1.3). There were no differences between MET-only group and MET+STM, and no between-group differences in thoracic posture or ROM.
Conclusions
MET of the thoracic spine with or without STM improved the pain and disability in individuals 40 years or older with SIS and may be recommended as a treatment approach for SIS.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=297889
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1533-1543[article]
Titre : Facial Disability Index in Adults With Peripheral Facial Palsy: Rasch Analysis and Suggestions for Refinement Type de document : Article Auteurs : Chiara Pavese ; Andrea Giordano ; Elena Dalla Toffola ; Antonio Nardone ; Franco Franchignoni Année de publication : 2022 Article en page(s) : p. 1544-1550 Note générale : https://doi.org/10.1016/j.apmr.2021.10.030 Langues : Anglais (eng) Descripteurs : HE Vinci
Etudes de validation ; Mesures des résultats rapportés par les patients (PROM) ; Paralysie faciale ; Paralysie faciale de Bell ; Psychométrie ; RéadaptationRésumé : Objective
To investigate the psychometric properties of the validated Italian version of the Facial Disability Index (FDI), a patient-reported outcome measure widely used to assess individuals with peripheral facial palsy.
Design
Methodological research on cross-sectional data from a convenience sample.
Setting
Outpatient university rehabilitation clinic.
Participants
A total of 168 (N=168) outpatients (66% female; mean age, 44±15 years) with peripheral facial palsy of diverse etiology (48% postsurgical, 31% Bell palsy, 8% posttraumatic, 3% congenital, 11% other medical conditions) and severity at the first visit.
Interventions
Not applicable.
Main Outcome Measures
The 2 FDI subscales, physical function (FDI-PHY) and social/well-being function (FDI-SWB), were separately analyzed using classical test theory methods and Rasch analysis.
Results
Cronbach α was 0.79 in FDI-PHY and 0.74 in FDI-SWB, while item-rest correlation ranged from 0.36-0.67 in FDI-PHY and from 0.43-0.68 in FDI-SWB. In the FDI-PHY, we deleted 2 underused response categories, rescoring the remaining ones. In the FDI-SWB, some response categories did not function as expected by the Rasch model: their collapse into a 4-level format solved this problem. In each subscale, all items fitted the Rasch model except item 4 (eye tearing/becoming dry) in FDI-PHY that showed an unexpectedly high response variability. The person separation reliability of both subscales indicated that they are useful only for group-level judgments. In both subscales, principal component analysis of the residuals showed unidimensionality and absence of locally dependent items. No significant differential item functioning concerning sex, age, or time from paralysis emerged.
Conclusions
Our study demonstrated overall positive psychometric characteristics of FDI except for the functioning of the response categories. We propose a refined version with 4 response categories only and related conversion graphs that may improve the interpretability, feasibility, and metric performance of this tool.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=297890
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1544-1550[article]
Titre : Diagnosis of Carpal Tunnel Syndrome in Patients Without Diabetes With Hemodialysis Using Ultrasonography: Is It a Useful Adjunctive Tool? Type de document : Article Auteurs : I-Te Tu ; I-Ming Jou ; Po-Yen Ko ; Jung-Shun Lee ; Li-Chieh Kuo ; Chung-Yi Li ; Po-Ting Wu Année de publication : 2022 Article en page(s) : p. 1551-1557 Note générale : https://doi.org/10.1016/j.apmr.2021.11.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Diagnostic ; Dialyse rénale ; Échographie ; Réadaptation ; Syndrome du canal carpienRésumé : Objective
(1) To examine the ultrasonography (US) characteristics in patients with hemodialysis-related carpal tunnel syndrome (H-CTS) and (2) to evaluate the accuracy of a proposed US parameter-dynamic ratio of median nerve-to-hamate hook distance (RMHD) in diagnosis of H-CTS.
Design
A case-control study.
Setting
A tertiary medical center and a secondary hospital from November 2017 to March 2021.
Participants
Consecutive patients (N=207) without diabetes under hemodialysis were recruited and divided into a hemodialysis without carpel tunnel syndrome (CTS) (H-Control) group and an H-CTS group. Age-matched volunteers (N=89) without diabetes or upper extremity disorders were enrolled as the control group.
Intervention
US examinations by 2 operators blinded to the patient's clinical information.
Main Outcome Measures
US parameters including cross-sectional area of the median nerve at the carpal tunnel inlet (CSA-I) and outlet (CSA-O), the flattening ratio of the median nerve at the inlet (FR-I) and outlet (FR-O), and RMHD.
Results
Handedness and arteriovenous fistula showed no associations with CSA-I/O and FR-I/O. Compared with the control group (n=69), the CSA-I was significantly larger in the H-Control group (n=63) and H-CTS group (n=76) (P<.001 both there were no significant differences in the fr-i among groups. for second aim h-cts group was a significantly lower rmhd compared with control and h-control groups vs p an cutoff value of yielded specificity sensitivity overall accuracy diagnosis h-cts.>
Conclusions
Neither CSA-I/-O or FR-I/-O have a role in the diagnosis of H-CTS. RMHD might be a useful US parameter in the diagnosis of CTS in patients without diabetes undergoing hemodialysis.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=297896
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1551-1557[article]
Titre : Bidirectional Association Between Sleep Quality and Low Back Pain in Older Adults: A Longitudinal Observational Study Type de document : Article Auteurs : Priscila K. Morelhão ; Cynthia Gobbi ; Diego G.D. Christofaro ; Tatiana M. Damato ; Guilherme D. Grande ; Cristina Frange ; Monica L. Andersen ; Sergio Tufik ; Marcia R. Franco ; Rafael Z. Pinto Année de publication : 2022 Article en page(s) : p. 1558-1564 Note générale : https://doi.org/10.1016/j.apmr.2021.11.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Dorsalgie ; Études épidémiologiques ; Réadaptation ; SommeilRésumé : Objective
To investigate the bidirectional relationship by determining whether baseline sleep quality predicts pain intensity and whether baseline pain intensity predicts sleep quality in older individuals with chronic low back pain (LBP).
Design
A prospective longitudinal cohort study with a 6-month follow-up period.
Setting
Community.
Participants
Older adults with LBP aged 60 years or older (N=215).
Intervention
Not applicable.
Main Outcome Measures
Data collection occurred at baseline and at 6 months. Pain intensity and sleep quality were measured in both time points of assessment using the numeric pain rating scale (range, 0-10) and the Pittsburg Sleep Quality Index. At baseline, we also collected information on demographic anthropometric variables, cognitive status, depression, and comorbidities. Multivariable linear regression analyses adjusted for potential covariates were performed.
Results
A total of 215 individuals with LBP were recruited. Poor sleep quality at baseline predicted high pain intensity at 6 months (β coefficient, 0.18; 95% confidence interval [CI], 0.07-0.30). High pain intensity at baseline predicted poor sleep quality 6 months later (β coefficient, 0.14; 95% CI, 0.01-0.26).
Conclusion
Our findings give some support to the bidirectional relationship between pain and sleep quality in older individuals with LBP. This bidirectional relationship may be used as prognostic information by clinicians when managing patients with LBP.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=297900
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1558-1564[article]
Titre : Feasibility of Concussion Rehabilitation Approaches Tailored to Psychological Coping Styles: A Randomized Controlled Trial Type de document : Article Auteurs : Noah D. Silverberg ; Molly Cairncross ; Penelope M.A. Brasher ; Ana-Maria Vranceanu ; Deborah L. Snell ; Keith Owen Yeates ; William J. Panenka ; Grant L. Iverson ; Chantel T. Debert ; Mark T. Bayley ; Cindy Hunt ; Andrew Baker ; Matthew J. Burke ; Canadian Traumatic Brain Injury Research Consortium Année de publication : 2022 Article en page(s) : p. 1565-1573.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.12.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Essai contrôlé randomisé ; Réadaptation ; Techniques psychologiques ; Thérapie comportementale ; Traumatismes cranioencéphaliquesRésumé : Objective
To evaluate the feasibility of a clinical trial involving participants with concussion randomized to treatments designed to address fear avoidance or endurance coping, which are risk factors for disability. A secondary objective was to evaluate whether each treatment could affect selective change on targeted coping outcomes.
Design
Randomized controlled trial.
Setting
Outpatient concussion clinics.
Participants
Adults (N=73, mean age=42.5y) who had persistent postconcussion symptoms and high avoidance or endurance behavior were enrolled at a mean of 12.9 weeks post injury. Ten participants did not complete treatment.
Interventions
Participants were randomized to an interdisciplinary rehabilitation program delivered via videoconferencing and tailored to avoidance coping (graded exposure therapy [GET]) or endurance coping (operant condition-based pacing strategies plus mindfulness training [Pacing+]).
Main Outcome Measures
Feasibility outcomes included screening efficiency, accrual, credibility, treatment fidelity, adherence, and retention. Avoidance was measured with the Fear Avoidance Behavior after Traumatic Brain Injury Questionnaire and endurance behavior with the Behavioral Response to Illness Questionnaire.
Results
Screening efficiency, or the proportion of clinic patients who were assessed for eligibility, was 44.5% (275 of 618). A total of 65.8% (73 of 111) of eligible patients were randomized (37 to GET, 36 to Pacing+), meeting accrual targets; 91.7% (55 of 60) of participants perceived treatment as credible. Therapists covered a mean of 96.8% of essential prescribed elements, indicating excellent fidelity. The majority (71.2%; 47 of 66) of participants consistently attended treatment sessions and completed between-session homework. Retention was strong, with 65 of 73 (89%) randomized participants completing the outcome assessment. GET was associated with greater posttreatment reductions in avoidance behavior compared with Pacing+ (Cohen's drepeated measures, 0.81), whereas the treatment approach-specific effect of Pacing+ on endurance behavior was less pronounced (Cohen's drepeated measures, 0.39).
Conclusions
These findings support a future efficacy-focused clinical trial. GET has the potential to selectively reduce fear avoidance behavior after concussion, and, via this mechanism, to prevent or reduce disability.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=297901
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1565-1573.e2[article]
Titre : Using Machine Learning to Develop a Short-Form Measure Assessing 5 Functions in Patients With Stroke Type de document : Article Auteurs : Gong-Hong Lin ; Chih-Ying Li ; Ching-Fan Sheu ; Chien-Yu Huang ; Shih-Chieh Lee ; Yu-Hui Huang ; Ching-Lin Hsieh Année de publication : 2022 Article en page(s) : p. 1574-1581 Note générale : https://doi.org/10.1016/j.apmr.2021.12.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Apprentissage machine ; Équilibre postural ; RéadaptationRésumé : Objective
This study aimed to develop and validate a machine learning-based short measure to assess 5 functions (the ML-5F) (activities of daily living [ADL], balance, upper extremity [UE] and lower extremity [LE] motor function, and mobility) in patients with stroke.
Design
Secondary data from a previous study. A follow-up study assessed patients with stroke using the Barthel Index (BI), Postural Assessment Scale for Stroke (PASS), and Stroke Rehabilitation Assessment of Movement (STREAM) at hospital admission and discharge.
Setting
A rehabilitation unit in a medical center.
Participants
Patients (N=307) with stroke.
Interventions
Not applicable.
Main Outcome Measures
The BI, PASS, and STREAM.
Results
A machine learning algorithm, Extreme Gradient Boosting, was used to select 15 items from the BI, PASS, and STREAM, and transformed the raw scores of the selected items into the scores of the ML-5F. The ML-5F demonstrated good concurrent validity (Pearson's r, 0.88-0.98) and responsiveness (standardized response mean, 0.28-1.01).
Conclusions
The ML-5F comprises only 15 items but demonstrates sufficient concurrent validity and responsiveness to assess ADL, balance, UE and LE functions, and mobility in patients with stroke. The ML-5F shows great potential as an efficient outcome measure in clinical settings.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=297902
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1574-1581[article]
Titre : Reducing the Number of Test Items of the Action Research Arm Test Poststroke: A Decision Tree Analysis Type de document : Article Auteurs : V.J. Zonjee ; R.W. Selles ; R.H. Nijland ; M.J.W. van der Oest ; H.J. Bosomworth ; F. van Wijck Année de publication : 2022 Article en page(s) : p. 1582-1591 Note générale : https://doi.org/10.1016/j.apmr.2021.12.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Arbres de décision ; Biais (épidémiologie) ; Membre supérieur ; RéadaptationRésumé : Objective
The present study aimed to create a shorter version of the Action Research Arm Test (ARAT) without compromising its measurement properties.
Design
Secondary analysis of stroke recovery cohorts that used the ARAT to measure upper limb impairment.
Setting
Rehabilitation centers.
Participants
Patients with stroke from 5 different stroke recovery cohorts (N=1425).
Interventions
Not applicable.
Main Outcome Measures
A decision tree version of the ARAT (ARAT-DT) was developed using chi-square automated interaction detection. In an independent validation subset, criterion validity, agreement of ARAT-DT with original ARAT scores and score categories, and construct validity with the Fugl-Meyer Upper Extremity Scale score were determined.
Results
In total, 3738 ARAT measurements were available involving 1425 subjects. Chi-square automated interaction detection analysis in the development subset (n=2803) revealed an optimized decision tree with a maximum of 4 consecutive items. In the validation data set (n=935), the ARAT-DT differed by a mean of 0.19 points (0.3% of the total scale) from the original ARAT scores (limits of agreement=−5.67 to 6.05). The ARAT-DT demonstrated excellent criterion validity with the original ARAT scores (intraclass correlation coefficient=0.99 and ρ=0.99) and scoring categories (κw=0.97). The ARAT-DT showed very good construct validity with the Fugl-Meyer Upper Extremity Scale (ρ=0.92).
Conclusion
A decision tree version of the ARAT was developed, reducing the maximum number of items necessary for ARAT administration from 19 to 4. The scores produced by the decision tree had excellent criterion validity with original ARAT scores.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=297906
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1582-1591[article]
Titre : Cerebellar Contributions to Motor and Cognitive Control in Multiple Sclerosis Type de document : Article Auteurs : Nora E. Fritz ; Erin M. Edwards ; Chuyang Ye ; Jerry Prince ; Zhen Yang ; Timothy Gressett ; Jennifer Keller ; Emily Myers ; Peter A. Calabresi ; Kathleen M. Zackowski Année de publication : 2022 Article en page(s) : p. 1592-1599 Note générale : https://doi.org/10.1016/j.apmr.2021.12.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervelet ; Cognition ; Imagerie par résonance magnétique ; Imagerie par tenseur de diffusion ; Réadaptation ; Sclérose en plaquesRésumé : Objective
To evaluate relationships between specific cerebellar regions and common clinical measures of motor and cognitive function in persons with multiple sclerosis (PwMS).
Design
Cross-sectional.
Setting
Laboratory.
Participants
Twenty-nine PwMS and 28 age- and sex-matched controls without multiple sclerosis (MS) (N=57).
Interventions
Not applicable.
Main Outcome Measures
Both diffusion and lobule magnetic resonance imaging analyses and common clinical measures of motor and cognitive function were used to examine structure-function relationships in the cerebellum.
Results
PwMS demonstrate significantly worse motor and cognitive function than controls, including weaker strength, slower walking, and poorer performance on the Symbol Digit Modalities Test, but demonstrate no differences in cerebellar volume. However, PwMS demonstrate significantly worse diffusivity (mean diffusivity: P=.0003; axial diffusivity: P=.0015; radial diffusivity: P=.0005; fractional anisotropy: P=.016) of the superior cerebellar peduncle, the primary output of the cerebellum. Increased volume of the motor lobules (I-V, VIII) was significantly related to better motor (P<.022 and cognitive performance increased volume of the lobules was also related to better motor supporting role cerebellum in both functioning.>
Conclusions
These data highlight the contributions of the cerebellum to both motor and cognitive function in PwMS. Using novel neuroimaging techniques to examine structure-function relationships in PwMS improves our understanding of individualized differences in this heterogeneous group and may provide an avenue for targeted, individualized rehabilitation aimed at improving cerebellar dysfunction in MS.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=297915
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1592-1599[article]
Titre : Mobility Status and Acute Care Physical Therapy Utilization: The Moderating Roles of Age, Significant Others, and Insurance Type Type de document : Article Auteurs : Adam R. Kinney ; James E. Graham ; Addie Middleton ; Jessica Edelstein ; Jordan M. Wyrwa ; Matt P. Malcolm Année de publication : 2022 Article en page(s) : p. 1600-1606.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.12.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Hôpitaux ; Réadaptation ; Recherche sur les services de santé ; Techniques de physiothérapieRésumé : Objective
To investigate whether a direct measure of need for physical therapy (PT), mobility status, was associated with acute care PT utilization and whether this relationship differs across sociodemographic factors and insurance type.
Design
In a secondary analysis of electronic health records data, we estimated logistic regression models to determine whether mobility status was associated with acute care PT utilization. Interactions between mobility and both sociodemographic factors (sex, age, significant other, minority status) and insurance type were included to investigate whether the relationship between mobility and PT utilization varied across patient characteristics.
Setting
Five regional hospitals from 1 health system.
Participants
A total of 60,459 adults admitted between 2014 and 2018 who received a PT evaluation.
Interventions
None.
Main Outcome Measures
Received acute care PT; Activity Measure for Post-Acute Care “6-Clicks” measure of mobility.
Results
Half of patients who received a PT evaluation received subsequent treatment. Patients with mobility limitations were more likely to receive PT. Interaction terms indicated that among patients with mobility limitations, those who (1) were younger, (2) had significant others, and (3) had private insurance (vs public) were more likely to receive PT. Among patients with greater mobility status, older patients and those without a significant other were more likely to receive PT.
Conclusions
The relationship between acute care PT need and utilization differed across sociodemographic factors and insurance type. We offer potential explanations for these findings to guide efforts targeting equitable distribution of beneficial PT services.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=297917
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1600-1606.e1[article]
Titre : Application of Second-Order Growth Mixture Modeling to Longitudinal Traumatic Brain Injury Outcome Research: 15-Year Trajectories of Life Satisfaction in Adolescents and Young Adults as an Example Type de document : Article Auteurs : Jiabin Shen ; Yan Wang Année de publication : 2022 Article en page(s) : p. 1607-1614.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.12.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Jeune adulte (19-24 ans) ; Lésions traumatiques de l'encéphale ; Qualité de vie ; RéadaptationRésumé : Objective
To demonstrate the application of second-order growth mixture modeling (SO-GMM) using life satisfaction among adolescents and young adults with traumatic brain injury (TBI) up to 15 years post injury.
Design
SO-GMM, a data-driven modeling approach that accounts for measurement errors, was adopted to uncover distinct growth trajectories of life satisfaction during 15 years post injury. Membership in growth trajectories was then linked with baseline characteristics to understand the contributing factors to distinct growth over time.
Setting
Traumatic Brain Injury Model System National Database.
Participants
A total of 3756 adolescents and young adults (AYAs) with TBI aged 16-25 years (mean age, 20.49±2.66 years; 27.24% female).
Interventions
Not applicable.
Main Outcome Measures
Satisfaction With Life Scale.
Results
Four quadratic growth trajectories were identified: low-stable (16.6%), which had low initial life satisfaction and remained low over time; high-stable (49.3%), which had high life satisfaction at the baseline and stayed high over time; high-decreasing (15.8%), which started with high life satisfaction but decreased over time; and low-increasing (18.2%), which started with low life satisfaction but increased over time. Sex, race, preinjury employment status, age, and FIM cognition were associated with group assignment.
Conclusions
This study applied SO-GMM to a national TBI database and identified 4 longitudinal trajectories of life satisfaction among AYAs with TBI. Findings provided data-driven evidence for development of future interventions that are tailored at both temporal and personalized levels for improved health outcomes among AYAs with 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=297918
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1607-1614.e1[article]
Titre : Effects of Cognitive and Mental Health Factors on the Outcomes Following Carpal Tunnel Release: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Rodrigo Núñez-Cortés ; Carlos Cruz-Montecinos ; Rodrigo Torres-Castro ; Claudio Tapia ; Thomas A. Püschel ; Sofia Pérez-Alenda Année de publication : 2022 Article en page(s) : p. 1615-1627 Note générale : https://doi.org/10.1016/j.apmr.2021.10.026
Under a Creative Commons licenseLangues : Anglais (eng) Descripteurs : HE Vinci
Douleur postopératoire ; Mesures des résultats rapportés par les patients (PROM) ; Psychologie ; Réadaptation ; Syndrome du canal carpienRésumé : Objective
To determine the effects of the cognitive and mental health factors on the outcomes after carpal tunnel release (CTR).
Data Sources
Embase, PubMed/MEDLINE, Web of Science, Cumulative Index to Nursing and Allied Health, and Cochrane Central Register of Controlled Trials databases from inception to August 14, 2021.
Study Selection
Randomized controlled trials and observational studies of patients with CTR were included. The included studies aimed to determine the effect of the cognitive (catastrophic thinking, kinesiophobia, self-efficacy) or mental health factors (symptoms of anxiety and depression) on the outcomes at least 3 months post CTR.
Data Extraction
Two independent reviewers performed data extraction and assessed the risk of bias. Data were extracted using a standardized protocol and reporting forms. The risk of bias of the included studies was assessed using the Quality in Prognosis Studies risk-of-bias tool. Random-effects models were used for meta-analysis.
Data Synthesis
A total of 15 studies involving 2599 patients were included in this systematic review. The majority of studies indicate a significant association between the cognitive or mental health factors and outcomes after CTR. Quantitative analysis showed a moderate association of symptoms of depression on symptom severity (n=531; r=0.347; 95% CI, 0.205-0.475; P≤.0001), function (n=386; r=0.307; 95% CI, 0.132-0.464; P=.0008), and pain (n=344; r=0.431; 95% CI, 0.286-0.558; P≤.0001). In general, the risk of bias in the included studies was low.
Conclusions
This systematic review and meta-analysis showed that symptoms of depression have a moderate association with symptom severity, function, and pain after CTR. Symptoms of anxiety, catastrophic thinking, and self-efficacy are also important indicators of poor postsurgery outcomes. Physicians, physical therapists, and occupational therapists should consider evaluating these variables in patients undergoing CTR.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=297919
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1615-1627[article]
Titre : Determinants of Hospital-Based Health Service Utilization in Cerebral Palsy: a Systematic Review Type de document : Article Auteurs : Simon Paget ; Katarina Ostojic ; Shona Goldsmith ; Natasha Nassar ; Sarah McIntyre Année de publication : 2022 Article en page(s) : p. 1628-1637 Note générale : https://doi.org/10.1016/j.apmr.2021.12.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Paralysie cérébrale ; Réadaptation ; Services de santéRésumé : Objective
To systematically review and synthesize evidence of determinants associated with hospital-based health service utilization among individuals with cerebral palsy (CP).
Data Sources
Electronic databases MEDLINE, Embase, APA Psycinfo were searched from January 2000 to April 2020.
Study Selection
Observational studies were included that described people with CP, reported quantitative measures of hospital-based health service utilization (inpatient, outpatient, emergency department), and based in high-income countries. We excluded studies that included only subsets of people with CP, or those that only reported therapy service utilization.
Data Extraction
After initial screen, 2 reviewers reviewed full texts for inclusion and performed data extraction and risk of bias assessment using the Newcastle-Ottawa scale. Determinants of health service utilization were identified and categorized using the Andersen behavioral model.
Data Synthesis
Seventeen studies met inclusion criteria. Study quality was high. Twenty-six determinants were reported across 8 Andersen model characteristics. Individual predisposing factors such as sex showed no difference in health service utilization; inpatient admissions decreased with increasing age during childhood and was lower in adults. Increased health service utilization was associated with “individual need” including severe gross motor disability, epilepsy, developmental/ intellectual disability and gastrostomy-use across inpatient, outpatient and emergency department settings. There was little information reported on socio-demographic and health system contextual determinants.
Conclusions
CP health service utilization is associated with age, severity and comorbidities. Improved understanding of determinants of health service utilization can support health service access for people with CP.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=297920
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1628-1637[article]
Titre : Community Reintegration After Rehabilitation for Hip Fracture: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Beth Storr ; Casey L. Peiris ; David A. Snowdon Année de publication : 2022 Article en page(s) : p. 1638-1650.e7 Note générale : https://doi.org/10.1016/j.apmr.2021.12.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Fractures de la hanche ; Littérature de revue comme sujet ; Participation communautaire ; RéadaptationRésumé : Objective
To investigate the effect of rehabilitation on the physical, social, and psychological dimensions of community reintegration after hip fracture.
Data Sources
Electronic databases Embase, EMCare, MEDLINE, PsycINFO, Cumulative Index to Nursing and Allied Health, and SPORTDiscus were searched from the earliest date available to second June 2021.
Study Selection
Searching identified 1844 potentially relevant articles. Twenty randomized controlled trials evaluating physical retraining, cognitive retraining, and model of care interventions on physical, social and psychological aspects of community reintegration for 3075 adults after hip fracture were included.
Data Extraction
Data were extracted using predetermined templates for participant characteristics, intervention type and setting, and outcomes related to community reintegration. Methodological quality was assessed using the Physiotherapy Evidence Database scale, and the Grading of Recommendations, Assessment, Development, and Evaluations approach was applied to each meta-analysis.
Data Synthesis
Post intervention data were pooled to calculate risk ratios (RRs), mean differences, standardized mean differences, and 95% confidence intervals (CIs) using inverse variance methods and a random-effects model. Compared with usual care or no rehabilitation, there was moderate-quality evidence to suggest that physical retraining interventions improved outdoor mobility (RR, 1.45; 95% CI, 1.09-1.91; I2=0%) and moderate-quality evidence to suggest that physical retraining improved Nottingham Extended Activities of Daily Living Scale scores (physical and social reintegration) by a mean 3.5 units (95% CI, 0.99-6.01; I2=0%). Meta-analyses showed no significant effect for cognitive retraining and model of care interventions on any dimension of community reintegration.
Conclusions
Preliminary evidence suggests that physical rehabilitation after hip fracture improves physical and social aspects of community reintegration. The effect of psychological and home-based interventions on community reintegration is currently unclear. Further research is needed to determine the effect of rehabilitation on community reintegration, using interventions and measures that encompass all dimensions of community reintegration.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=297922
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1638-1650.e7[article]
Titre : Systematic Review of the Importance of Hip Muscle Strength, Activation, and Structure in Balance and Mobility Tasks Type de document : Article Auteurs : Marcel B. Lanza ; Breanna Arbuco ; Alice S. Ryan ; Andrea G. Shipper ; Vicki L. Gray ; Odessa Addison Année de publication : 2022 Article en page(s) : p. 1651-1662 Note générale : https://doi.org/10.1016/j.apmr.2021.12.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Équilibre postural ; Force musculaire ; Hanche ; Réadaptation ; VieillissementRésumé : Objective
The aim of this systematic review was to identify the associations of the hip abductor muscle strength, structure, and neuromuscular activation on balance and mobility in younger, middle-aged, and older adults.
Data Sources
We followed PRISMA guidelines and performed searches in PubMed, Embase, CINAHL, and Physiotherapy Evidence Database.
Study Selection
Study selection included: (1) studies with patients aged 18 years or older and (2) studies that measured hip abduction torque, surface electromyography, and/or muscle structure and compared these measures with balance or mobility outcomes.
Data Extraction
The extracted data included the study population, setting, sample size, sex, and measurement evaluated.
Data Synthesis
The present systematic review is composed of 59 research articles including a total of 2144 young, middle-aged, and older adults (1337 women). We found that hip abductor strength is critical for balance and mobility function, independent of age. Hip abductor neuromuscular activation is also important for balance and mobility, although it may differ across ages depending on the task. Finally, the amount of fat inside the muscle appears to be one of the important factors of muscle structure influencing balance.
Conclusions
In conclusion, a change in all investigated variables (hip abduction torque, neuromuscular activation, and intramuscular fat) appears to have an effect during balance or mobility tasks across age ranges and may elicit better performance. Future studies are necessary to confirm the effect of these variables across age ranges and the effects of 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=297923
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1651-1662[article]
Titre : Center-Based vs Home-Based Geriatric Rehabilitation on Sarcopenia Components: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Qiaowei Li ; Fang Wang ; Xiaoqun Liu ; Huijuan Zhong ; Feng Huang ; Pengli Zhu Année de publication : 2022 Article en page(s) : p. 1663-1675.e3 Note générale : https://doi.org/10.1016/j.apmr.2021.12.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Etablissements de santé ; Gériatrie ; Réadaptation ; SarcopénieRésumé : Objective
To investigate the available evidence on the components of sarcopenia in geriatric rehabilitation and to examine whether changes in different settings are associated with sarcopenia.
Data Sources
PubMed, the Cochrane Central Register of Controlled Trials in the Cochrane Library, and Embase were searched from initiation to August 30, 2021.
Study Selection
We included randomized controlled trials of older adults receiving geriatric rehabilitation that included strength exercise training.
Data Extraction
The following study contents were extracted: study design, patient characteristics, sample size, description of the rehabilitation setting, follow-up time point, and outcomes. The main outcomes were muscle mass, muscle strength, and physical performance.
Data Synthesis
Weighted mean difference for Timed Up and Go score and standardized mean difference for other parameters were calculated.
Conclusions
Center-based geriatric rehabilitation improved lower limb strength and Timed Up and Go test score to a greater extent than home-based geriatric rehabilitation in elderly people. Center-based training seems to show a minor superior effect on gait speed in prolonged follow-up rather than at the endpoint of intervention. To draw a stronger conclusion, further high-quality trials with standard protocols and longer follow-up are needed.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=297924
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 8 (2022) . - p. 1663-1675.e3[article]
Paru le : 01/07/2022
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Paru le : 01/07/2022
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