Archives of Physical Medicine and Rehabilitation
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Ajouter le résultat dans votre panierEffects of Intra-articular Coinjections of Hyaluronic Acid and Hypertonic Dextrose on Knee Osteoarthritis: A Prospective, Randomized, Double-Blind Trial / Ru-Lan Hsieh in Archives of Physical Medicine and Rehabilitation, Vol. 103, n° 8 (2022)
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 ; SarcopenieRésumé : 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]
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Titre : Preventative Services Use and Risk Reduction for Potentially Preventative Hospitalizations Among People With Traumatic Spinal Cord Injury Type de document : Article Auteurs : Elham Mahmoudi ; Paul Lin ; Samantha Ratakonda ; Anam Khan ; Neil Kamdar ; Mark D. Peterson Année de publication : 2022 Article en page(s) : p. 1255-1262 Note générale : https://doi.org/10.1016/j.apmr.2021.12.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Hospitalisation ; Médecine préventive ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the risk of potentially preventable hospitalizations (PPHs) for adults (18 years or older) with traumatic spinal cord injury (TSCI) to identify the most common types of preventable hospitalizations and their associative risk factors.
Design
Cohort study.
Setting
Using 2007-2017 U.S. claims data from the Optum Clinformatics Data Mart, we identified adults (18 years or older) with diagnosis of TSCI (n=5380). Adults without TSCI diagnosis were included as controls (n=1,074,729). Using age and sex, we matched individuals with and without TSCI (n=5173) with propensity scores to address potential selection bias. Generalized linear regression was applied to examine the risk of TSCI on PPHs. Models were adjusted for age; sex; race and ethnicity; Elixhauser comorbidity count; any cardiometabolic, psychological, and musculoskeletal chronic conditions; U.S. Census Division; socioeconomic variables; and use of certain preventative care services. Adjusted odds ratios were compared within a 4-year follow-up period.
Participants
Adults with and without TSCI (N=5,173).
Intervention
Not applicable.
Main Outcomes Measures
Any PPH and specific PPHs
Results
Adults with TSCI had higher risk for any PPH (odds ratio [OR], 1.67; 95% CI,1.20-2.32), as well as PPHs because of urinary tract infection (UTI) (OR, 3.78; 95% CI, 2.47-5.79), hypertension (OR, 3.77; 95% CI, 1.54-9.21), diabetes long-term complications (OR, 2.54; 95% CI, 1.34-4.80), and pneumonia (OR, 1.71; 95% CI. 1.21-2.41). Annual wellness visit was associated with reduced PPH risk compared with cases and controls without annual wellness visit (OR, 0.57; 95% CI, 0.46-0.71) and among people with TSCI (OR, 0.69; 95% CI, 0.55-0.86) compared with cases without annual wellness visit.
Conclusions
Adults with TSCI are at a heightened risk for PPH. They are also more susceptible to certain PPHs such as UTIs, pneumonia, and heart failure. Encouraging the use of preventative or health-promoting services, especially for respiratory and urinary outcomes, may reduce PPHs among adults with TSCI.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=297001
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1255-1262[article]
Titre : Rehospitalization During the First 5 Years After the Onset of Traumatic Spinal Cord Injury: A Population-Based Study Using Administrative Billing Records Type de document : Article Auteurs : Yue Cao ; David Murday ; Elizabeth H. Corley ; Nicole D. DiPiro ; James S. Krause Année de publication : 2022 Article en page(s) : p. 1263-1268 Note générale : https://doi.org/10.1016/j.apmr.2022.01.162 Langues : Anglais (eng) Descripteurs : HE Vinci
Frais hospitaliers ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
Our objective was to identify the number, length of stay, and charges of rehospitalizations during the subsequent 5 years after discharge from the initial hospitalization by using administrative billing records from a population-based cohort with spinal cord injury (SCI) in the southeastern United States.
Design
Analysis of administrative billing data.
Setting
State-based surveillance data analyzed by an academic medical center in the southeastern United States.
Participants
A total of 1872 individuals (N=1872) from a state-based surveillance system in the southeastern United States whose onset was between January 1, 1998, and January 1, 2010.
Interventions
Not applicable.
Main Outcome Measures
The outcome measures were the number of rehospitalization episodes, length of stay, and total hospital charges for each episode of rehospitalization.
Results
Seventy percent of participants were rehospitalized during the first 5 years after initial discharge, and the highest rehospitalization rates were in the first year (54%), being relatively stable in years 2-5 (21%-22%). Adjusted to 2019 US dollars, the average total rehospitalization charges were $214,716 per person during the 5 years. Participants who could walk independently had fewer rehospitalizations, fewer rehospitalization days, and less rehospitalization charges than the nonambulatory participants. College education was also associated with less rehospitalization charges.
Conclusions
Rehospitalization is a significant cost after SCI. Further longitudinal study on the population cohorts and billing data are needed to quantify these changes over time.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=297003
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1263-1268[article]
Titre : Effects of a Low-Carbohydrate, High-Protein Diet on Gut Microbiome Composition in Insulin-Resistant Individuals With Chronic Spinal Cord Injury: Preliminary Results From a Randomized Controlled Trial Type de document : Article Auteurs : Jia Li ; Casey Morrow ; Amie McLain ; Erika D. Womack ; Ceren Yarar-Fisher Année de publication : 2022 Article en page(s) : p. 1269-1278 Note générale : https://doi.org/10.1016/j.apmr.2022.03.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Microbiome gastro-intestinal ; Protéines alimentaires ; Réadaptation ; Syndrome métabolique X ; Traumatismes de la moelle épinièreRésumé : Objective
To evaluate the effect of a low-carbohydrate, high-protein (LC/HP) diet that includes healthy dietary components (eg, lean meat, whole grains, fruits and vegetables, fiber, etc) on the gut microbiome composition in individuals with chronic spinal cord injury (SCI).
Design
A single-center randomized parallel controlled trial.
Setting
Research University.
Participants
Adult participants with chronic SCI (N=19, 3 years or more after the injury, C2-L2, American Spinal Injury Association Impairment Scale A-D). Participants were insulin resistant and had not received antibiotics within 4 weeks before enrolling in the study.
Interventions
Participants were randomized to the LC/HP diet group (40% energy from carbohydrates, 30% energy from protein, and 30% energy from fat and met dietary guideline recommendations) or the control group for 8 weeks. Participants assigned to the LC/HP group were provided with all meals delivered weekly to their homes. Participants assigned to the control group were asked to continue their usual diet.
Main Outcome Measures
Stool samples were collected at baseline and the end of week 8. The gut microbiome 16S ribosomal RNA V4 region was sequenced, and gut microbiome diversity and taxonomical abundance were computed using the QIIME2 suite.
Results
Participants in the LC/HP group had significant changes in alpha-diversity (reduced operational taxonomic unit and Faith's phylogenetic diversity) and beta-diversity (unweighted UniFrac), while no significant differences were observed among participants in the control group after the intervention. Moreover, several taxa changed differently over time between groups, including increased Bacteroides thetaiotaomicron, Coprococcus 3, Fusicatenibacter, Tannerellaceae, and decreased Tyzzerella, Phascolarctobacterium, Romboutsia, Clostridium sensu stricto 1, Hungatella, Ruminococcus gauvreauii, family XI, and Bacillales among participants in the diet group, while these taxa did not change in the control group.
Conclusions
An LC/HP diet with healthy dietary components improved gut microbiome composition in individuals with SCI, including increased bacteria implicated in fiber metabolism and reduced bacteria communities linked to cardiometabolic disorders.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=297007
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1269-1278[article]
Titre : Use and Costs of Nonprescription Medications Among People With Spinal Cord Injury Type de document : Article Auteurs : Shikha Gupta ; Jillian Dhawan ; Mary Ann McColl ; Karen Smith, K ; Alexander McColl Année de publication : 2022 Article en page(s) : p. 1279-1284 Note générale : https://doi.org/10.1016/j.apmr.2021.12.030 Langues : Anglais (eng) Descripteurs : HE Vinci
Compléments alimentaires ; Coûts des médicaments ; Médicaments sans ordonnance ; Réadaptation ; Traumatismes de la moelle épinière ; Utilisation médicamentRésumé : Objectives
The study objectives were to assess the prevalence of, and factors associated with the use and costs of nonprescription medications among people with spinal cord injury.
Design
Observational design; a cross-sectional online survey.
Setting
Community in Canada.
Participants
Individuals with spinal cord injury (N=160).
Interventions
Not applicable.
Main Outcome Measures
Not applicable.
Results
A total of 160 individuals participated in this study. Of all study participants, 83% reported that they used at least 1 nonprescription medication over the last 12 months. On average, participants spent $52 per month on nonprescription medications. The average use and monthly expenditure did not differ significantly by age, sex, or injury parameters. Vitamins and minerals were most commonly used and constituted 62% of all nonprescription medications listed by the participants. Musculoskeletal issues were the most common health problems for which nonprescription medications were used.
Conclusion
Nonprescription medications are a common part of therapeutic drug regimens for people with spinal cord injuries and are purchased as an out-of-pocket expense. These products may or may not have established benefits. Knowledge about the use of nonprescription medications may help prescribers to improve drug safety, medication affordability, and quality of pharmacotherapy for patients with spinal cord 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=297011
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1279-1284[article]
Titre : Comparison of Life Satisfaction in Persons With Spinal Cord Injury Living in 22 Countries With Different Economic Status Type de document : Article Auteurs : Tomasz Tasiemski ; Jolanta Kujawa ; Piotr Tederko ; Sara Rubinelli ; James W. Middleton ; Ashley Craig ; Marcel W. Post Année de publication : 2022 Article en page(s) : p. 1285-1293 Note générale : https://doi.org/10.1016/j.apmr.2021.11.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Internationalité ; Produit Intérieur Brut (PIB) ; Qualité de vie ; Réadaptation ; Satisfaction personnelle ; Traumatismes de la moelle épinièreRésumé : Objective
To analyze and compare life satisfaction (LS) in persons with spinal cord injury (SCI) living in 22 countries participating in the International Spinal Cord Injury (InSCI) community survey. The study tested the hypothesis that there are differences in LS across InSCI countries according to the countries’ economic status specified as gross domestic product per capita purchased power parity (GDP-PPP).
Design
Cross-sectional survey.
Setting
Community setting (22 countries representing all 6 World Health Organization regions).
Participants
Persons (N=12,108) with traumatic or nontraumatic SCI aged at least 18 years, living in the community and able to respond to one of the available language versions of the questionnaire.
Interventions
Not applicable.
Main Outcome Measures
LS measured by 5 items selected from the World Health Organization Quality of Life Assessment-BREF: satisfaction with overall quality of life, health, daily activities, relationships, and living conditions. LS index was calculated as the mean of these 5 items.
Results
The highest level of LS was reported by persons with SCI living in the United States, Malaysia, and Switzerland (mean range, 3.76-3.80), and the lowest was reported by persons with SCI living in South Korea, Japan, and Morocco (mean range, 2.81-3.16). There was a significant cubic association between LS index and GDP-PPP. Regression tree analysis revealed the main variables differentiating LS index were GDP-PPP and monthly income, followed by time since injury and education.
Conclusions
Life satisfaction reported by persons with SCI related mainly to their country economic situation expressed by GDP-PPP and monthly income. The results of this study underscore the need for policy dialogues to avoid inequalities and improve the life experience in persons with 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=297013
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1285-1293[article]
Titre : Pain Trajectories During Initial Rehabilitation After Spinal Cord Injury: Do Psychosocial Resources and Mental Health Predict Trajectories? Type de document : Article Auteurs : Céline Braunwalder ; Cristina Ehrmann ; Jsabel Hodel ; Rachel Müller ; Doris von Matt ; Christine Fekete Année de publication : 2022 Article en page(s) : p. 1294-1302 Note générale : https://doi.org/10.1016/j.apmr.2022.01.149 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse de structure latente ; Douleur ; Etudes longitudinales ; Gestion de la douleur ; Psychologie positive ; Réadaptation ; Santé mentale ; Traumatismes de la moelle épinièreRésumé : Objective
To identify classes of pain trajectories during initial rehabilitation after spinal cord injury (SCI) and to investigate whether psychosocial resources and mental health predict pain trajectory membership.
Design
Longitudinal analysis with prospective data from the Inception Cohort of the Swiss Spinal Cord Injury Cohort Study.
Setting
Initial rehabilitation in 4 SCI specialized rehabilitation centers in Switzerland.
Participants
Individuals aged ≥16 years with newly diagnosed traumatic or nontraumatic SCI admitted to initial rehabilitation between August 2015 and April 2021 (N=343).
Intervention
Not applicable.
Main Outcome Measures
Pain intensity was assessed at 4 time points (4, 12, and 24 weeks after SCI and at discharge) with 1 item of the International SCI Basic Pain Dataset asking participants to rate their average pain intensity experienced during the past week on a 0-10 numeric rating scale.
Results
Four pain trajectories were identified by latent process mixed modeling: stable moderate pain (N=170, 49.6%), decreasing pain (N=36, 10.5%), increasing pain (N=16, 4.7%), and stable low pain (N=121, 35.3%). Participants with higher optimism (β = 0.12; 95% confidence interval [CI], 0.03-0.22), more social support (β = 0.30; 95% CI, 0.01-0.59), and less anxiety (β = −0.13; 95% CI, −0.24 to −0.01) 1 month after injury were more likely to be classified to the decreasing pain than the stable moderate pain trajectory in adjusted analyses. Self-efficacy, purpose in life, and depressive symptoms did not predict this allocation when adjusting for sociodemographics, SCI characteristics, and pain medication.
Conclusions
These findings highlight the importance of psychosocial resources and mental health for early pain trajectories after SCI onset and support the notion that strengthening psychosocial resources and mental health early after SCI could present promising targets in pain 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=297016
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1294-1302[article]
Titre : Inspiratory Muscle Performance Is Related to Seated Balance Function in People With Spinal Cord Injury: An Observational Study Type de document : Article Auteurs : Anne E. Palermo ; Neva J. Kirk-Sanchez ; Kelsey L. Garcia ; Mark S. Nash ; Lawrence P. Cahalin Année de publication : 2022 Article en page(s) : p.1303-1310 Note générale : https://doi.org/10.1016/j.apmr.2021.11.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Muscle diaphragme ; Pressions respiratoires maximales ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the relationship between inspiratory muscle performance (IMP) and functional sitting balance (FSB) in persons with chronic spinal cord injury (SCI). We hypothesized that a moderate correlation would be found between IMP and FSB and that individuals with better balance would have better IMP.
Design
The SCI-specific modification of the Function in Sitting Test (FIST-SCI) measured FSB. The IMP measures included (1) maximal inspiratory pressure (MIP), (2) sustained MIP (SMIP), and (3) inspiratory duration. Upper extremity motor score (UEMS) and level of injury (LOI) were taken from International Standards for Neurological Classification of Spinal Cord Injury examinations. Spearman correlational analyses assessed relationships among these factors in the sample (N=37). Mann-Whitney U tests explored differences between 2 comparison group pairs (tetraplegia group [TG] vs paraplegia group [PG]; independent transfer group [ITG] vs assisted transfer group [ATG]). Regression analysis examined variables predictive of FSB in the TG.
Setting
Research facility.
Participants
Volunteers with tetraplegia (n=21, American Spinal Injury Association Impairment Scale (AIS) A=8, B=7, C=6) and paraplegia (n=16, AIS A=9, B=4, C=3) (N=37).
Intervention
Not applicable.
Main Outcome Measures
IMP, LOI, UEMS, FIST-SCI.
Results
UEMS, MIP, SMIP, and LOI had moderate to high correlations with FIST-SCI scores (ρ=0.720 (P<.001 respectively uems mip and fist-sci scores were higher in the pg itg than tg atg vs. p values="<.001," .008 .002 .032 further smip predicted balance accounting for of total variance>
Conclusions
The relationship between IMP and balance appears preserved after SCI. FSB was predicted, in part, via UEMS and SMIP in the TG. Future research should focus on the effect of SCI-based breathing interventions on FSB.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=297017
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p.1303-1310[article]
Titre : Emulating 3 Clinical Trials That Compare Stroke Rehabilitation at Inpatient Rehabilitation Facilities With Skilled Nursing Facilities Type de document : Article Auteurs : Kent P. Simmonds ; James Burke ; Allan J. Kozlowski ; Michael Andary ; Zhehui Luo ; Mathew J. Reeves Année de publication : 2022 Article en page(s) : p. 1311-1319 Note générale : https://doi.org/10.1016/j.apmr.2021.12.029 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Épidémiologie ; Politique de santé ; Réadaptation ; Recherche comparative sur l'efficacitéRésumé : Objective
To inform the design of a potential future randomized controlled trial (RCT), we emulated 3 trials where patient-level outcomes were compared after stroke rehabilitation at inpatient rehabilitation facilities (IRFs) with skilled nursing facilities (SNFs).
Design
Trials were emulated using a 1:1 matched propensity score analysis. The 3 trials differed because facilities from rehabilitation networks with different case volumes were compared. Rehabilitation network case volumes were based on the number of patients with stroke that each hospital discharged to each specific IRF or SNF. Trial 1 included 60,529 patients from all networks, trial 2 included 34,444 patients from networks with medium and large case volumes (ie, ≥5 patients), and trial 3 included 19,161 patients from networks with large case volumes (ie, ≥10 patients). The E values were calculated to estimate the minimum strength that an unmeasured confounder would need to be to nullify the results.
Setting
A national sample of IRFs and SNFs from across the United States.
Participants
Fee-for-service Medicare patients with acute stroke who received IRF or SNF based rehabilitation.
Interventions
Not applicable.
Main Outcome Measures
One-year successful community discharge (home for >30 consecutive days) and all-cause mortality.
Results
Overall, 29,500, 15,156, and 7450 patients were matched for trials 1, 2, and 3. For 1-year successful community discharge, absolute risk differences for IRF patients were 0.21 (95% CI, 0.20-0.22), 0.17 (95% CI, 0.16-0.19), and 0.12 (95% CI, 0.10-0.14) in trials 1, 2, and 3, respectively. For 1-year all-cause mortality, corresponding risk differences were −0.11 (95% CI, −0.12 to −0.11), −0.11 (95% CI, −0.12 to −0.09), and −0.08 (95% CI, −0.10 to −0.06). The E values indicated that a moderately sized unmeasured confounder, with a relative risk of 1.6-2.0 would nullify differences in successful community discharge.
Conclusions
IRF patients had superior outcomes, but differences were attenuated when IRFs and SNFs from larger rehabilitation networks were compared. The vulnerability of the findings to unmeasured confounding supports the need for an RCT.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=297018
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1311-1319[article]
Titre : Physical Performance and Cognition as Predictors of Instrumental Activities of Daily Living After Stroke: A Prospective Multicenter Cohort Study Type de document : Article Auteurs : Marte Stine Einstad ; Pernille Thingstad ; Stian Lydersen ; Mari Gunnes ; Ingvild Saltvedt Année de publication : 2022 Article en page(s) : p. 1320-1326 Note générale : https://doi.org/10.1016/j.apmr.2022.01.153 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Cognition ; Performance fonctionnelle physique ; RéadaptationDisponible 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=297019
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1320-1326[article]
Titre : Ecological Momentary Assessment of Real-World Functional Behaviors in Individuals With Stroke: A Longitudinal Observational Study Type de document : Article Auteurs : Quoc Bui ; Katherine J. Kaufman ; Vy Pham ; Eric J. Lenze ; Jin-Moo Lee ; David C. Mohr ; Mandy W.M. Fong ; Christopher L. Metts ; Stephanie E. Tomazin Année de publication : 2022 Article en page(s) : p. 1327-1337 Note générale : https://doi.org/10.1016/j.apmr.2022.02.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation écologique instantanée ; Réadaptation ; TélémédecineRésumé : Objective
To validate and characterize real-world functional behaviors in individuals after stroke.
Design
Longitudinal observational study using ecological momentary assessment (EMA) as a real-time assessment of functional behaviors in natural contexts. Wilcoxon rank-sum tests, Fisher exact tests, and Spearman correlations were used to analyze data.
Setting
Community.
Participants
Individuals with mild to moderate stroke (N=212).
Interventions
Not applicable.
Main Outcome Measures
Individuals were assessed 5 times daily for 14 days with EMA surveys to determine what, with whom, and where individuals were doing activities and appraise mental, somatic, and cognitive symptoms. Individuals also completed standardized assessments during laboratory visits, including Lawton Instrumental Activities of Daily Living Scale, Activity Card Sort, Patient-Reported Outcome Measurement Information System, and Quality of Life in Neurological Disorders.
Results
Most individuals (median age, 60 years; 55% male) were ischemic stroke (90%) and had mild stroke severity (median National Institutes of Health Stroke Scale, 2). A total of 14,140 EMA surveys were analyzed. Individuals were home 78% of the time; primarily participated in passive, unproductive activities (27%), especially watching television and resting; and participated least in physical activities (4%). EMA was sensitive to indicators of poststroke disability; unemployed individuals reported fewer vocational activities but more activities of daily living (ADL) and passive activities than employed counterparts. Users of mobility devices and individuals with cognitive problems spent significantly less time on vocational activities and more on ADL than nonusers and those without cognitive problems. Our data supported the validity of EMA methods in stroke, with small to moderate correlations of EMA with in-laboratory measures of daily functioning (r=−0.30 to 0.35, P<.05 and very large correlations between ema in-laboratory measures of symptoms especially those measuring same constructs to p>
Conclusions
Our findings reveal that EMA tracked poststroke functioning precisely. EMA may be beneficial in examining poststroke functional recovery, in monitoring patients for home-based interventions, and for longitudinal 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=297020
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1327-1337[article]
Titre : Effect of an Interdisciplinary Stroke Consult Service on the Transition to Postacute Rehabilitation Type de document : Article Auteurs : Aardhra M. Venkatachalam ; Audra Rabroker ; Suzanne Stone ; Maunica R. Manchi ; Samarpita Sengupta ; Nneka L. Ifejika Année de publication : 2022 Article en page(s) : p. 1338-1344 Note générale : https://doi.org/10.1016/j.apmr.2022.03.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Accident vasculaire cérébral (AVC) ; Établissements de soins qualifiés ; Réadaptation ; Transfert de patientRésumé : Objective
To evaluate the effect of a physiatry-led stroke consult service on access and time to intensive postacute rehabilitation.
Design
Prospective observational study.
Setting
Urban Joint Commission Comprehensive Stroke Center.
Participants
Adult (older than 18 years) acute stroke hospital discharges between January 1, 2018, and December 31, 2020 (N=1190).
Interventions
Weekday huddle rounds were interdisciplinary, which created a pathway to ensure patients with stroke received comprehensive rehabilitation care followed by a virtual rounding tool, allowing clinicians to evaluate plan of care facilitation using the electronic medical record.
Main Outcome Measures
Proportion of acute stroke discharges to home, inpatient rehabilitation facility (IRF), or skilled nursing facility (SNF) and onset days to IRF transfer.
Results
During the 3-year study period, sociodemographic characteristics, stroke severity at admission, and mortality rates did not change significantly.
Discharges of patients with acute stroke patient to IRFs increased 5.9%, from 24.2% in 2018 to 30.1% in 2020. A total of 11% of patients were discharged to SNF in 2018 compared with 8.7% in 2020. Proportion of patients with acute stroke discharged to home decreased 4.9%, from 49.6% in 2018 to 44.7% (P=.0325). For patients with ischemic stroke, the average onset days to IRF transfer decreased 7.5% between 2018 and 2020, from 8 days to 7.4 days. For patients with hemorrhagic stroke, the average onset days decreased 17.5%, from 12 days in 2018 to 9.9 days in 2020. The decrease in onset days were not statistically significant for either stroke type (P=.3794).
Conclusions
Implementation of huddle rounds and a virtual rounding tool by a physiatry-led stroke consult service significantly increased referrals to IRFs, with a concomitant decrease in referrals to SNFs or directly home. Next steps include validating model efficacy, with the goal of implementation at stroke centers 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=297021
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1338-1344[article]
Titre : Depressive Symptomatology and Functional Status Among Stroke Survivors: A Network Analysis Type de document : Article Auteurs : Stephen C.L. Lau ; Lisa Tabor Connor ; Jin-Moo Lee ; Carolyn M. Baum Année de publication : 2022 Article en page(s) : p. 1345-1351 Note générale : https://doi.org/10.1016/j.apmr.2022.01.143 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Dépression ; RéadaptationRésumé : Objective
To (1) characterize poststroke depressive symptom network and identify the symptoms most central to depression and (2) examine the symptoms that bridge depression and functional status.
Design
Secondary data analysis of the Stroke Recovery in Underserved Population database. Networks were estimated using regularized partial correlation models. Topology, network stability and accuracy, node centrality and predictability, and bridge statistics were investigated.
Setting
Eleven inpatient rehabilitation facilities across 9 states of the United States.
Participants
Patients with stroke (N=1215) who received inpatient rehabilitation.
Interventions
Not applicable.
Main Outcome Measures
The Center for Epidemiologic Studies Depression Scale and FIM were administered at discharge from inpatient rehabilitation.
Results
Depressive symptoms were positively intercorrelated within the network, with stronger connections between symptoms within the same domain. “Sadness” (expected influence=1.94), “blues” (expected influence=1.14), and “depressed” (expected influence=0.97) were the most central depressive symptoms, whereas “talked less than normal” (bridge expected influence=−1.66) emerged as the bridge symptom between depression and functional status. Appetite (R2=0.23) and sleep disturbance (R2=0.28) were among the least predictable symptoms, whose variance was less likely explained by other symptoms in the network.
Conclusions
Findings illustrate the potential of network analysis for discerning the complexity of poststroke depressive symptomology and its interplay with functional status, uncovering priority treatment targets and promoting more precise clinical practice. This study contributes to the need for expansion in the understanding of poststroke psychopathology and challenges clinicians to use targeted intervention strategies to address depression in stroke 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=297022
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1345-1351[article]
Titre : Predictive Equations Overestimate Resting Metabolic Rate in Survivors of Chronic Stroke Type de document : Article Auteurs : Alice S. Ryan ; Maria Novitskaya ; Alice L. Treuth Année de publication : 2022 Article en page(s) : p. 1352-1359 Note générale : https://doi.org/10.1016/j.apmr.2022.01.155 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Métabolisme énergétique ; Muscles ; Réadaptation ; VieillissementRésumé : Objective
To measure resting metabolic rate (RMR) in survivors of chronic (>3 months prior) stroke (mean ± SEM age, 61±7.5 years) and to compare to predicted RMR using predictive equations in adults without stroke.
Design
Cross-sectional study.
Setting
Hospital.
Participants
Survivors of stroke (N=71).
Intervention
Not applicable.
Main Outcome Measures
RMR was measured by indirect calorimetry. Participants underwent a total body dual-energy x-ray absorptiometry scan and treadmill test for peak oxygen consumption (V̇o2peak). RMR was calculated using 9 established equations.
Results
RMR measured (1552±319 kcal/d) was significantly lower than 9 predicted RMR values (all P<.001 with the best being mcardle-katch kcal livingston and mifflin institute of medicine national academies had largest discrepancy measured rmr. predicted rmr determined equations was between greater than appendicular lean mass p total v were associated>
Conclusions
RMR predictive equations established in adults without stroke are not appropriate for the population with stroke population, indicating the need to measure RMR until a more accurate predictive equation is developed. This could support modifications to nutritional intake guidelines in patients with conditions of muscle atrophy. If measurement of RMR is not feasible, the Katch-McArdle equation should be used to estimate RMR in a patient with stroke because on average it provides the lowest percentage overestimate compared with other equations.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=297023
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1352-1359[article]
Titre : Patient Activation During the First 6 Months After the Start of Stroke Rehabilitation Type de document : Article Auteurs : Winke van Meijeren-Pont ; Sietske Tamminga ; Marta Fiocco ; Alessandra Gonzalez Avila ; Gerard Volker ; Steffi M.J. Janssen ; Thea P.M. Vliet Vlieland ; Daniella M. Oosterveer ; SCORE Study Group Année de publication : 2022 Article en page(s) : p. 1360-1367 Note générale : https://doi.org/10.1016/j.apmr.2022.02.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Participation des patients ; RéadaptationRésumé : Objective
To examine patient activation from the start of stroke rehabilitation and its course up until the 6-month follow-up.
Design
Inception cohort study with a follow-up of 6 months.
Setting
Multidisciplinary rehabilitation facility.
Participants
A total of 478 patients (N=478) with stroke who received inpatient or outpatient rehabilitation, with a median age of 63.0 years (interquartile range, 56.0-70.0 years) with 308 (64.2%) being men. The study was completed by 439 patients (91.8%).
Interventions
Not applicable.
Main Outcome Measures
Patient activation was measured with the Patient Activation Measure (PAM) (score 0-100, 4 levels, where a higher score and level denotes more patient activation). The PAM was measured at the start of the rehabilitation (baseline) and 3 and 6 months thereafter and was analyzed using the multivariate mixed model analysis.
Results
At baseline, the mean PAM score was 60.2±14.3, with the number of patients in PAM levels 1, 2, 3, and 4 being 76 (17.8%), 85 (19.9%), 177 (41.4%), and 90 (21.0%), respectively. The multivariate mixed-model analysis demonstrated that the PAM score increased over time (baseline 60.2±14.3 vs 3 months 60.7±14.8 vs 6 months 61.9±18.0; P.007). Between baseline and 6 months, 122 patients (41.4%) remained at the same PAM level, 105 patients (35.6%) increased, and 68 patients (23.1%) decreased. At all time points, >35% of patients were in level 1 or 2.
Conclusions
PAM scores increased slightly over time from the start of rehabilitation up to the 6-month follow-up. However, more than one-third of patients remained at low levels (ie, level 1 and 2) of patient activation, which indicates that specific interventions during rehabilitation to increase patient activation might be of value.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=297024
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1360-1367[article]
Titre : Perceptions About the Efficacy and Acceptability of Telephone and Video-Delivered Allied Health Care for Adults With Disabilities During the COVID-19 Pandemic: A Cross-sectional National Survey Type de document : Article Auteurs : Belinda J. Lawford ; Ranna S. Hinman ; Renata Morello ; Kathryn Oliver ; Alicia Spittle ; Kim Bennell Année de publication : 2022 Article en page(s) : p. 1368-1378 Note générale : https://doi.org/10.1016/j.apmr.2021.12.017 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Ergothérapie ; Pathologie de la parole et du langage (spécialité) ; Psychologie ; Réadaptation ; Techniques de physiothérapie ; Télémédecine ; TéléphoneRésumé : Objective
To investigate and compare perceptions about the efficacy and acceptability of allied health care delivered via telephone and video call for adults with disabilities during the COVID-19 pandemic.
Design
Cross-sectional national survey.
Setting
Participants who accessed occupational therapy, physiotherapy, psychology, or speech pathology care via telephone or via video call from June to September 2020.
Participants
Five hundred eighty-one adults with permanent or significant disabilities, or their carers, partners, or family members, who were funded by the Australian National Disability Insurance Scheme.
Interventions
Not applicable.
Main Outcome Measures
Experiences (eg, safety, efficacy, ease of use) with telephone and video-delivered care. Data were analyzed by calculating response proportions and chi-square tests to evaluate differences in experiences between allied health professions and between telephone and video modalities.
Results
Responses were obtained for 581 adults with disabilities. There was no evidence of differences between experiences with telephone or video-delivered services or across allied health professions. Overall, 47%-56% of respondents found telehealth technology easy to use (vs 17%-26% who found it difficult), 51%-55% felt comfortable communicating (vs 24%-27% who felt uncomfortable), 51%-67% were happy with the privacy and/or security (vs 6%-9% who were unhappy), 74% were happy with the safety (vs 5%-7% who were unhappy), and 56%-64% believed the care they received was effective (vs 17% who believed it was ineffective). Despite this, 48%-51% were unlikely to choose to use telephone or video consultations in the future (vs 32%-36% who were likely).
Conclusions
Adults with disabilities in Australia had generally positive experiences receiving allied health care via telehealth during the COVID-19 pandemic, although some experienced difficulties using and communicating via the technology. Findings indicated no differences between satisfaction with telephone or video modalities, or between physiotherapy, speech pathology, occupational therapy, or psychology 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=297025
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1368-1378[article]
Titre : Healthcare Disruptions and Use of Telehealth Services Among People With Multiple Sclerosis During the COVID-19 Pandemic Type de document : Article Auteurs : Michelle H. Chen ; Yael Goverover ; Amanda Botticello ; John DeLuca ; Helen M. Genova Année de publication : 2022 Article en page(s) : p. 1379-1386 Note générale : https://doi.org/10.1016/j.apmr.2021.12.028 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Prestations des soins de santé ; Réadaptation ; Sclérose en plaques ; TélémédecineRésumé : Objective
The current study examined health care disruptions and use of telehealth services among people with multiple sclerosis (pwMS) during the COVID-19 pandemic.
Design
Cross-sectional survey.
Setting
General community.
Participants
Participants (N=163) included 70 pwMS and 93 healthy controls (HCs). The majority of respondents were from the United States (88%).
Interventions
Not applicable.
Main Outcome Measures
Rates of health care disruptions (eg, missing/canceling appointments, experiencing delays) and telehealth use for MS and non-MS medical care and mental health care.
Results
In this U.S. majority, predominantly White, and high socioeconomic status sample, 38% to 50% of pwMS reported experiencing disruptions in their MS and non-MS medical care and 20% to 33% reported disruptions in their mental health care; this was significantly lower than the rates observed among HCs. Compared with HCs, pwMS were more likely to use telehealth than in-person services, especially for mental health care. The majority of pwMS and HCs reported being satisfied with telehealth services. Individuals with higher degrees of functional limitation experienced more health care disruptions and were more likely to use telehealth services than individuals with lower degrees of functional limitation.
Conclusions
Despite high health care disruption rates, pwMS frequently used and were highly satisfied with telehealth services during the COVID-19 pandemic. Due to physical limitations commonly observed in the MS population that may preclude travel, telehealth services should be continued even after resolution of the pandemic to expand access and reduce health care disparities.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=297028
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1379-1386[article]
Titre : Spinal Cord Stimulation Research in the Restoration of Motor, Sensory, and Autonomic Function for Individuals Living With Spinal Cord Injuries: A Scoping Review Type de document : Article Auteurs : James J. Laskin ; Zeina Waheed ; Nancy P. Thorogood ; Tom E. Nightingale ; Vanessa K. Noonan Année de publication : 2022 Article en page(s) : p. 1387-1397 Note générale : https://doi.org/10.1016/j.apmr.2022.01.161 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Stimulation de la moelle épinière ; Traumatismes de la moelle épinièreRésumé : Objective
To describe the status of spinal cord stimulation (SCS) research for the improvement of motor, sensory, and autonomic function for individuals living with a spinal cord injury (SCI).
Data Sources
This scoping review identified original research published before March 31, 2021, via literature searches using MEDLINE, Embase, PubMed, Science Direct, Cumulative Index to Nursing and Allied Health, Sport Discus, and Web of Science, as well as a targeted search for well-known principal investigators. Search terms included permutations of “spinal cord stimulation,” “epidural spinal cord stimulation,” “transcutaneous spinal cord stimulation,” “magnetic spinal cord stimulation,” and “neuromodulation.”
Study Selection
Studies were included if they (1) were in English, (2) presented original research on humans living with a SCI, and (3) investigated at least 1 of the 3 forms of SCS.
Data Extraction
Extracted data included authors, publication year, participant characteristics, purpose, study design, stimulation (device, location, parameters), primary outcomes, and adverse events.
Data Synthesis
As a scoping review the extracted data were tabulated and presented descriptively. Themes and gaps in the literature were identified and reported. Of the 5754 articles screened, 103 articles were included (55 epidural, 36 transcutaneous, 12 magnetic). The primary research design was a case study or series with only a single randomized controlled trial. Motor recovery was the most common primary outcome for epidural and transcutaneous SCS studies, whereas bowel and bladder outcomes were most common for magnetic SCS studies. Seventy percent of the studies included 10 or fewer participants, and 18 articles documented at least 1 adverse event. Incomplete stimulation parameter descriptions were noted across many studies. No articles mentioned direct engagement of consumers or advocacy groups.
Conclusions
This review identified a need for more robust study designs, larger sample sizes, comparative studies, improved reporting of stimulation parameters, adverse event data, and alignment of outcomes with the priorities of the community with 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=297030
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1387-1397[article]
Titre : Effects of Perceptually Regulated Exercise Training on Cardiorespiratory Fitness and Peak Power Output in Adults With Spinal Cord Injury: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Sydney E. Valentino ; Michael J. Hutchinson ; Victoria L. Goosey-Tolfrey ; Maureen J. MacDonald Année de publication : 2022 Article en page(s) : p. 1398-1409 Note générale : https://doi.org/10.1016/j.apmr.2022.03.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Paraplégie ; Réadaptation ; TétraplégieRésumé : Objective
To analyze and summarize the effect of regulating exercise training interventions with subjective measures of intensity on cardiorespiratory fitness, measured by peak oxygen uptake (V̇O2peak) and peak power output (POpeak) in adults with spinal cord injury (SCI).
Data Sources
Four databases (MEDLINE, Embase, PsycINFO, SPORTDiscus) were searched from inception up until September 1, 2020, and updated November 18, 2021.
Study Selection
Searches combined keywords relating to the topics: SCI, subjective measures of exercise intensity, and exercise.
Data Extraction
Two reviewers independently conducted eligibility screening, data extraction, and assessed the risk of bias. Nine studies were included in the systematic review and meta-analysis, resulting in the inclusion of data from 95 adults with SCI representing both sexes and a diverse range of age, time since injury, lesion level, and lesion completeness classifications.
Data Synthesis
Data were extracted and added to summary tables with 3 outcomes: V̇O2peak, POpeak, and Other. Mean and SD values for V̇O2peak and POpeak were extracted from pre- and post-perceptually regulated exercise training.
Conclusions
All studies used ratings of perceived exertion scale to prescribe exercise intensity. Seven of 8 studies concluded an improvement in V̇O2peak, and 5 studies of 7 concluded an improvement in POpeak. In the outcome Other, 5 studies concluded an improvement, and 3 studies concluded no change. There was evidence for an improvement in cardiorespiratory fitness, measured by V̇O2peak and POpeak after perceptually regulated exercise training in adults with SCI (Grading of Recommendations, Assessment, Development, and Evaluation ratings: Low) (mean difference [MD], 2.92mL/kg/min; 95% confidence interval [CI], 1.30-4.54; P=.0004 and MD, 9.8W; 95% CI, 5.5-14.3; P<.0001 respectively this review provides critically appraised cumulative evidence on the use of perceptually regulated exercise training in individuals with 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=297032
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1398-1409[article]
Titre : Maintenance of Cardiorespiratory Fitness in People With Stroke: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Natasha Machado ; Matthew Wingfield ; Sharon Kramer ; John Olver ; Gavin Williams ; Liam Johnson Année de publication : 2022 Article en page(s) : p. 1410-1421.e6 Note générale : https://doi.org/10.1016/j.apmr.2022.01.151 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Angiopathies intracrâniennes ; Capacité cardiorespiratoire ; Études de suivi ; Réadaptation ; Revue systématiqueRésumé : To determine if improvements in cardiorespiratory fitness are maintained in the short-, medium- and long-term after a cardiorespiratory fitness intervention in people with stroke.
Data Sources
MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, (CENTRAL) Cochrane, Web of Science, Sports Discus, and Physiotherapy Evidence Database were searched from inception.
Study Selection
Randomized controlled trials and cohort studies including (1) people with stroke; (2) cardiorespiratory fitness interventions; (3) a direct measure of cardiorespiratory fitness; and (4) short- (0 to 6 months) follow-up data.
Data Extraction
Two reviewers independently screened full texts and extracted data, including study methods, participant demographic information, stroke type and severity, outcome measures, intervention information, follow-up time points, and results, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A lower limit of −1.0 mL•kg−1•min−1 was used to determine maintenance (ie, no change) of cardiorespiratory fitness.
Data Synthesis
Fourteen studies (N=324 participants) were included. Participants completed cardiorespiratory fitness training 2-5 days per week over 4-13 weeks at moderate to high intensity (40%-70% heart rate reserve [HRR]; n=4 studies), high intensity (60% to
Conclusions
People with stroke maintain cardiorespiratory fitness after a cardiorespiratory fitness intervention in the short-, medium-, and longer-term. However, little is known about the impact of participant and intervention characteristics on the long-term maintenance of cardiorespiratory fitness.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=297033
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1410-1421.e6[article]
Titre : Effects of Virtual Reality Rehabilitation Training on Cognitive Function and Activities of Daily Living of Patients With Poststroke Cognitive Impairment: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Xinming Chen ; Fang Liu ; Shaohong Lin ; Liqiang Yu ; Ruhui Lin Année de publication : 2022 Article en page(s) : p. 1422-1435 Note générale : https://doi.org/10.1016/j.apmr.2022.03.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Dysfonctionnement cognitif ; Essai contrôlé randomisé ; Méta-analyse ; Réadaptation ; Réalité de synthèse ; Revue systématiqueRésumé : Objective
To determine the effects of virtual reality (VR) rehabilitation training on the cognitive function and activities of daily living (ADL) of patients with poststroke cognitive impairment (PSCI).
Data Sources
Four Chinese databases and 6 English databases were systematically searched for studies published until August 31, 2021, by using Medical Subject Headings of the National Library of Medicine terms such as virtual reality, cognition disorders, cognitive dysfunction, and stroke and free terms such as virtual environment, VR, cognition impairment, cerebrovascular accident, and PSCI.
Study Selection
Randomized controlled trials treating PSCI with VR training were included. The control groups received conventional treatments such as conventional rehabilitation training and drug therapy; the experimental groups received VR rehabilitation training. The outcome measures were cognitive function and ADL.
Data Extraction
Two researchers independently extracted key information from eligible studies. The methodological quality of the studies was evaluated using the Cochrane Handbook for Systematic Reviews of Interventions v5.1.0. Meta-analysis was performed using RevMan v5.4. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines.
Data Synthesis
Twenty-one studies (1149 participants) were included. Meta-analyses found that compared with the control group, VR rehabilitation training increased Mini-Mental State Examination, Montreal Cognitive Assessment, Loewenstein Occupational Therapy Cognitive Assessment, Rivermead Behavioral Memory Test Second Edition, Barthel Index, Modified Barthel Index, and FIM scores; event-related potential 300 (P300) amplitude; and the N-acetylaspartate/creatinine (Cr) ratio on proton magnetic resonance spectroscopy (1H-MRS) and reduced P300 latency; Trail Making Test scores; and the choline-containing compounds/Cr ratio on 1H-MRS (all P<.05 these results indicated that vr training improved cognitive function and adl in psci.>
Conclusions
VR rehabilitation training promotes the rehabilitation of cognitive function and recovery of ADL in patients with PSCI and may be a good complementary approach to conventional cognitive 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=297034
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1422-1435[article]
Titre : Effects of Transcranial Direct Current Stimulation on Poststroke Dysphagia: A Systematic Review and Meta-analysis of Randomized Controlled Trials Type de document : Article Auteurs : Na Zhao ; Weiming Sun ; Zebu Xiao ; Chunyun Fan ; Bowen Zeng ; Kaiying Xu ; Meng Liao ; Wei Lu Année de publication : 2022 Article en page(s) : p. 1436-1447 Note générale : https://doi.org/10.1016/j.apmr.2022.03.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai contrôlé randomisé ; Méta-analyse ; Réadaptation ; Stimulation transcrânienne par courant continu ; Troubles de la déglutitionRésumé : Objective
This review aimed to systematically evaluate the effect of transcranial direct current stimulation (tDCS) on poststroke dysphagia.
Data Sources
PubMed, Cochrane Library (CENTRAL), Web of Science, VIP, CNKI, and Wanfang databases were systematically searched up to June 2021.
Study Selection
Randomized controlled trials (RCTs) on the effects of tDCS on poststroke dysphagia.
Data Extraction
The extracted data included the author, country of publication, time of publication, key elements of bias risk assessment (such as RCTs and blind methods), sample size and basic information (age, course of disease, stroke location), intervention measures, treatment methods of tDCS (stimulation location, intensity, duration), relevant outcome indicators, and relevant data (SDs).The Cochrane Risk of Bias Assessment Tool and Physiotherapy Evidence Database Scale were used to assess the risk of bias.
Data Synthesis
Sixteen RCTs were included in this meta-analysis. Overall, the results revealed a large and statistically significant pooled effect size (0.80; confidence interval [CI], 0.45-1.14; P<.001 the subgroup that explored course of disease yielded a large and significant effect size for chronic phase group ci p stimulation intensity ma showed moderate sizes vs in analyses affected unaffected hemisphere result had more obvious effect. analysis stroke location tdcs was effective dysphagia after unilateral hemispheric bulbar paralysis brainstem but not ataxic basal ganglia stroke. however revealed>
Conclusions
This meta-analysis demonstrated the height and significant beneficial effect of tDCS on improving poststroke dysphagia.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=297036
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1436-1447[article]
Titre : Differential Effects of the COVID-19 Pandemic on Physical Activity Involvements and Exercise Habits in People With and Without Chronic Diseases: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Tommy K.Y. Ng ; Chris K.C. Kwok ; Gabriel Y.K. Ngan ; Horace K.H. Wong ; Fadi Al Zoubi ; Christy C. Tomkins-Lane ; Suk-Yu Yau ; Dino Samartzis ; Sabina M. Pinto ; Siu-Ngor Fu ; Heng Li ; Arnold Y.L. Wong Année de publication : 2022 Article en page(s) : p. 1448-1465.e6 Note générale : https://doi.org/10.1016/j.apmr.2022.03.011 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Exercice physique ; Mode de vie sédentaire ; Réadaptation ; SARS-CoV-2Résumé : Objective
To conduct a systematic review and meta-analysis to summarize evidence regarding differential changes in physical activity (PA) involvements and exercise habits in people with and without chronic diseases during the COVID-19 outbreak.
Data Sources
MEDLINE, Embase, SPORTDiscus, Cumulative Index to Nursing and Allied Health, PsycINFO, Cochrane Library, and Physiotherapy Evidence Database were searched from November 2019 to May 2021.
Study Selection
Two reviewers independently screened cross-sectional and longitudinal studies that investigated changes in PA-related outcomes in people with and without chronic diseases during the pandemic.
Data Extraction
PA-related outcomes and sedentary time were extracted from the included studies. Relevant risk of bias were assessed. Meta-analyses were conducted for each PA-related outcome, if applicable. Quality of evidence of each PA-related outcome was evaluated by Grading of Recommendations Assessment, Development, and Evaluation.
Data Synthesis
Of 1226 identified citations, 36 articles (28 with and 8 without chronic diseases) with 800,256 participants were included. Moderate evidence from wearable sensors supported a significant reduction in pooled estimates of step count (standardized mean differences [SMD]=−2.79, P<.01 very limited to evidence substantiated significant decreases in self-reported pa-related outcomes and increases sedentary behaviors among people with without chronic diseases. specifically pooled estimates of metabolic equivalent-minute per week p=".02)" pa duration were significantly decreased while time showed the general population large effects suggested no changes a country lockdown.>
Conclusions
During the pandemic, objective and self-reported assessments showed significant reductions in PA in people with and without chronic diseases globally. This mainly occurred in countries with lockdowns. Although many countries have adopted the “live with the coronavirus” policy, authorities should implement population-based strategies to revert the potential lockdown-related long-term deleterious effects on people's health.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=297041
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1448-1465.e6[article]
Titre : Addressing the Shadow Pandemic: COVID-19 Related Impacts, Barriers, Needs, and Priorities to Health Care and Support for Women Survivors of Intimate Partner Violence and Brain Injury Type de document : Article Auteurs : Danielle Toccalino ; Halina L. Haag ; Maria Jennifer Estrella ; Stephanie Cowle ; Pamela Fuselli ; Michael J. Ellis ; Judith Gargaro ; Angela Colantonio Année de publication : 2022 Article en page(s) : p. 1466-1476 Note générale : https://doi.org/10.1016/j.apmr.2021.12.012 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Lésions traumatiques de l'encéphale ; Réadaptation ; Violence conjugaleRésumé : Intimate partner violence (IPV) affects 1 in 3 women and has intensified during the COVID-19 pandemic. Although most injuries are to the head, face, and neck, leaving survivors vulnerable to sustaining traumatic brain injury (TBI), the intersection of IPV and TBI remains largely unrecognized. This article reports on COVID-19–related effects, barriers, needs, and priorities to health care and support services for women survivors of IPV-TBI. Using a participatory research model, we engaged 30 stakeholders in virtual meetings drawn from an IPV-TBI Knowledge to Practice Network in two virtual meetings. Stakeholders included women survivors, service providers, researchers, and decision makers across the IPV, TBI, and healthcare sectors. Data were gathered through small group breakout sessions facilitated by the research team using semistructured discussion guides. Sessions were recorded, transcribed verbatim, and analyzed using thematic analysis techniques. Stakeholders were given the opportunity to contribute to the analysis and knowledge transfer through member checking activities. Ethics approval was obtained through the University of Toronto. Stakeholders shared that COVID-19 has increased rates and severity of IPV and barriers to services and help-seeking. These effects have been exacerbated by infrastructure difficulties in rural and remote areas, including limited access to services. They noted the need to carefully consider implications of virtual care such as safety, privacy, and usability. Requests from survivors for peer support have increased significantly, indicating a need for more formalized and better-supported peer roles. Stakeholders further noted that an overwhelming lack of awareness of the intersection of IPV-TBI continues. Increasing education and awareness among health care and IPV service providers, survivors, and the public remains a priority. The COVID-19 pandemic has intensified IPV-TBI, increased challenges for women survivors, and accentuated the continued lack of IPV-TBI awareness. Key recommendations for health care and rehabilitation to address this priority are discussed. 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=297048
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 7 (2022) . - p. 1466-1476[article]
Paru le : 01/06/2022
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Titre : A Postacute Care Function Process Quality Measure for the Collection of Standardized Self-Care and Mobility Data: Development, Implementation, and Quality Measure Scores Type de document : Article Auteurs : Anne Deutsch ; Lauren Palmer ; Tara McMullen ; Tri Le ; Matt Toth ; Molly Marino ; Molly Vaughan ; Carole Schwartz ; Alrick Edwards Année de publication : 2022 Article en page(s) : p. 1061-1069 Note générale : https://doi.org/10.1016/j.apmr.2022.01.148 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Établissements de soins qualifiés ; Hôpitaux ; Indicateurs qualité santé ; Organismes de prise en charge à domicile ; Réadaptation ; Soins de longue durée ; Soins de santé primaires ; Soins de suiteRésumé : Objective
To describe the development of and quality measure scores for the cross-setting postacute care function process quality measure that requires the collection of standardized self-care and mobility data at admission and discharge and at least 1 function goal.
Design
Description of the development and implementation of the quality measure and the associated standardized self-care and mobility data elements. Descriptive analyses of quality measure scores for the first calendar year using data from the Minimum Data Set, the Inpatient Rehabilitation Facility Patient Assessment Instrument, the Long-Term Care Hospitals (LTCH) Continuity Assessment Record and Evaluation Data Set, and Outcome and Assessment Information Set.
Setting
15,127 skilled nursing facilities (SNFs), 1129 inpatient rehabilitation facilities (IRFs), 414 LTCHs, and 10,352 home health agencies (HHAs) in the United States.
Participants
In total there were 9,216,943 stays/quality episodes (N = 9,216,943), including 2,084,774 SNF Medicare fee-for-service patient stays, 493,209 IRF Medicare patient stays, 161,714 patient stays, and 6,477,246 Medicare and Medicaid quality episodes.
Interventions
Not applicable.
Main Outcome Measures
Scores for the cross-setting postacute care function process quality measure.
Results
The mean process quality measure scores for SNFs, IRFs, LTCHs, and HHAs were 95.5%, 99.7%, 99.1%, and 95.8, respectively. The 10th percentile scores for SNFs, IRFs, LTCHs, and HHAs were 88.5%, 99.3%, 98.4%, and 89.4, respectively, indicating that at least 90% of postacute care providers submitted the standardized data for a large proportion of their patients. Mean quality measure scores did not vary by provider characteristics.
Conclusions
Most SNFs, IRFs, LTCHs, and HHAs submitted the self-care and mobility data, resulting in high quality measure scores during the first year of implementation. The availability of the standardized self-care and mobility data across postacute care settings offers the opportunity to compare the characteristics and functional outcomes of patients treated in postacute 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=295075
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1061-1069[article]
Titre : Inpatient Rehabilitation Facility Patients’ Functional Abilities and Validity Testing of the Standardized Self-Care and Mobility Data Elements Type de document : Article Auteurs : Anne Deutsch ; Lauren Palmer ; Molly Vaughan ; Carole Schwartz ; Tara McMullen Année de publication : 2022 Article en page(s) : p. 1070-1084.e3 Note générale : https://doi.org/10.1016/j.apmr.2022.01.147 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Autosoins ; Mobilité ; Réadaptation ; Recherche sur la validité socialeRésumé : Objective
To describe the abilities of Medicare patients in inpatient rehabilitation facilities (IRFs) at admission and discharge using the standardized self-care and mobility data elements and examine the validity of the data elements. These data are used in the Center for Medicare & Medicaid's IRF payment and quality reporting programs.
Design
Descriptive study reporting IRF patients’ self-care and mobility scores. We also examined content validity and the associations between admission scores and length of stay (LOS), discharge scores and discharge destination, and change scores and the number of comorbidities.
Setting
Patients discharged from 1129 IRFs in 2017.
Participants
IRF Medicare fee-for-service and Medicare Advantage patient stays (N = 493,209).
Interventions
Not applicable.
Main Outcome Measure(s)
Self-care and mobility item scores, IRF LOS, discharge destination, and categories of the number of comorbidities.
Results
For each self-care and mobility activity, patients in IRFs overall made substantial improvements in function between admission and discharge. For example, the percentage of patients independent with eating and toilet transfers increased from 29.04% to 66.68% and 0.80% to 39.87%, respectively, between admission and discharge. Activities represented in the standardized data elements are included in other functional assessment instruments addressing content validity. Analyses showed a monotonic relationship between admission scores and LOS and between discharge scores and discharge to community percentages with only a few exceptions. Self-care and mobility scale change scores decreased as the number of comorbidities increased across categories.
Conclusions
Patients in IRFs overall show functional improvement across each of the activities as defined by the standardized self-care and mobility data elements. The results showing the associations between patient functioning and 3 metrics (LOS, discharge to community rates, and number of comorbidities) support the validity of the data elements measuring functional abilities in the IRF Medicare 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=295077
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1070-1084.e3[article]
Titre : Change in Self-Care Quality Measure for Inpatient Rehabilitation Facilities: Exclusion Criteria and Risk-Adjustment Model Type de document : Article Auteurs : Anne Deutsch ; Tara McMullen ; Molly Vaughan ; Lauren Palmer ; Sophia Kwon ; Melvin J. Ingber Année de publication : 2022 Article en page(s) : p. 1085-1095 Note générale : https://doi.org/10.1016/j.apmr.2022.02.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Centres de rééducation et de réadaptation ; Résultat thérapeutiqueRésumé : Objective
To describe the exclusion criteria and risk-adjustment model developed for the quality measure Change in Self-Care. The exclusion criteria and risk adjustment model are used to calculate Change in Self-Care scores, allowing scores to be compared across inpatient rehabilitation facilities (IRFs).
Design
This national cohort study examined admission demographic and clinical factors associated with IRF patients’ self-care change scores using standardized self-care data for Medicare patients discharged in calendar year 2017.
Setting
A total of 1129 IRFs in the United States.
Participants
A total of 493,209 (N=493,209) Medicare Fee-for-Service and Medicare Advantage IRF patient stays
Interventions
Not applicable.
Main Outcome Measures
Self-care change scores using admission and discharge standardized assessment data elements from the Inpatient Rehabilitation Facility–Patient Assessment Instrument.
Results
Approximately 53% of patients were female, and 67% were between 65 and 84 years old. The final risk-adjustment model contained 93 clinically relevant risk adjusters and explained 23.1% of variance in self-care change scores. Risk adjusters that had the greatest effect on change scores and included IRF primary diagnosis group (ie, binary risk adjusters representing 13 diagnoses), prior self-care functioning, and age older than 90 years. When split by deciles of expected scores, the ratio of the average expected and observed change scores was within 2% of 1.0 across 8 groups and within 8% at the extremes, showing good predictive accuracy.
Conclusions
The risk adjustment model quantifies the relationship between IRF patients’ demographic and clinical characteristics and their self-care score changes. The exclusion criteria and model are used to risk-adjust the IRF Change in Self-Care quality measure.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.come/science/ [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295079
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1085-1095[article]
Titre : Change in Mobility Quality Measure for Inpatient Rehabilitation Facilities: Exclusion Criteria and the Risk Adjustment Model Type de document : Article Auteurs : Molly Vaughan ; Anne Deutsch ; Tara McMullen ; Lauren Palmer ; Sophia Kwon ; Melvin J. Ingber Année de publication : 2022 Article en page(s) : p. 1096-1104 Note générale : https://doi.org/10.1016/j.apmr.2022.03.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Ajustement du risque ; Réadaptation ; Résultat thérapeutiqueRésumé : Objective
To describe the exclusion criteria and updated risk adjustment model developed for the Change in Mobility quality measure in the inpatient rehabilitation facility (IRF) quality reporting program. Facility-level quality measures focused on patient outcomes usually require risk adjustment to account for varied admission characteristics of patients across facilities.
Design
This cohort study analyzed admission demographic and clinical factors associated with mobility change scores using the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data for Medicare patients discharged from IRFs in calendar year 2017.
Setting
A total of 1129 IRFs in the United States.
Participants
A total of 493,209 (N=493, 209) Medicare fee-for-service and Medicare Advantage IRF patient stays discharged in calendar year 2017.
Interventions
Not applicable.
Main Outcome Measures
Mobility change scores using admission and discharge standardized assessment data from the IRF-PAI.
Results
Approximately 53% of patients in the study were female, 67% were aged 65-84 years, and nearly 80% were White. In the final risk adjustment model, 105 covariates were included, explaining 20% of variance in mobility change scores. Key risk adjusters included IRF primary diagnosis group, prior indoor ambulation functioning, age older than 90 years, and 14 of the comorbidities. The model showed good calibration across the range of deciles of predicted IRF mobility change scores; the ratio of the average expected to observed change scores ranged from 0.93-1.03, with all but 1 within ±0.03.
Conclusions
The updated risk adjustment model uses IRF patients' demographic and clinical characteristics to predict their mobility change scores. The exclusion criteria and resulting risk model are used to calculate the risk adjusted Change in Mobility quality measure scores, enabling comparisons of Change in Mobility scores across IRFs.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=295081
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1096-1104[article]
Titre : Inpatient Rehabilitation Facility Change in Self-Care and Change in Mobility Quality Measures: Development and Reliability and Validity Testing Type de document : Article Auteurs : Anne Deutsch ; Lauren Palmer ; Molly Vaughan ; Tara McMullen ; Amol Karmarkar ; Sophia Kwon ; Melvin J. Ingber Année de publication : 2022 Article en page(s) : p. 1105-1112 Note générale : https://doi.org/10.1016/j.apmr.2021.12.031 Langues : Anglais (eng) Descripteurs : HE Vinci
Ajustement du risque ; Réadaptation ; Résultat thérapeutiqueRésumé : Objective
To describe the development, implementation and reliability and validity testing of the inpatient rehabilitation facility (IRF) Change in Self-Care and Change in Mobility quality measures.
Design
We describe the activities involved in developing and implementing the 2 facility-level quality measures, including public comment opportunities. We examined facility-level reliability using split-half testing and Pearson product-moment correlations, Spearman rank correlations, and intraclass correlation coefficients (ICC2,1). We examined validity by comparing facility-level quality measure scores and facility disease-specific certification status.
Setting
All 1117 IRFs in the United States with at least 20 Medicare stays that ended in 2017.
Participants
Facility-level quality measure scores (N=1117) were derived from data from 427,517 (self-care) and 427,956 (mobility) Medicare fee-for-service and Medicare Advantage IRF patient stays in 2017.
Interventions
Not applicable.
Main Outcome Measures
Facility-level Change in Self-Care and Change in Mobility quality measure scores and facility Disease-Specific Certification for Stroke Rehabilitation from The Joint Commission were used in validity analysis.
Results
The split-half quality measure scores showed strong, positive correlations for the facility-level self-care (Pearson=0.903, Spearman=0.884, ICC=0.903, P<.0001 and mobility spearman="0.884," icc="0.903," p quality measure scores providing evidence of reliability. iccs remained strong when stratifying by provider volume. irfs with stroke certification had slightly higher mean median than without the tended to have a percentage certified irfs.>
Conclusions
Our analyses support the reliability and validity of the Change in Self-Care and Change in Mobility quality measure scores in IRFs.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=295083
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1105-1112[article]
Titre : Predictors of Outpatient Pulmonary Rehabilitation Uptake, Adherence, Completion, and Treatment Response Among Male U.S. Veterans With Chronic Obstructive Pulmonary Disease Type de document : Article Auteurs : Patricia M. Bamonti ; Julia T. Boyle ; Christina L. Goodwin ; Emily S. Wan ; Amy K. Silberbogen ; Elizabeth B. Finer ; Marilyn L. Moy Année de publication : 2022 Article en page(s) : p. 1113-1121.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.10.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; RéadaptationRésumé : Objective
To examine predictors of uptake (never start), adherence (drop out), and completion of pulmonary rehabilitation (PR), as well as PR treatment response based on minimal clinically important difference (MCID) on the 6-minute walk test (6MWT) distance and Chronic Respiratory Questionnaire–Self-Report (CRQ-SR).
Design
Retrospective, cohort study.
Setting
Veterans Health Administration.
Participants
U.S. veterans with chronic obstructive pulmonary disease (COPD) (N=253) referred to PR between 2010 and 2018.
Interventions
Outpatient PR program.
Main Outcome Measures
Participants completed baseline (time 1) measures of depression (Beck Depression Inventory-II), health-related quality of life (CRQ-SR), self-efficacy (Exercise Self-Regulatory Efficacy Scale [Ex-SRES]), and COPD knowledge. Exercise capacity was assessed with the 6MWT. Participants who completed all 18 sessions of PR repeated assessments (time 2). Logistic regression models examined predictors of uptake, adherence, and completion of PR as well as treatment response based on MCID.
Results
Participants were referred to PR with 24.90% never starting, 28.90% dropping out, and 46.20% completing. No differences emerged between never starters and dropouts. Having a history of any cancer increased the likelihood of completing PR (vs never starting; odds ratio [OR], 3.18; P=.003). Greater CRQ-SR dyspnea score, indicating less dyspnea, was associated with increased likelihood of completing PR (OR, 1.12; P=.006). Past smoking compared with current smoking was associated with increased likelihood of completion (OR, 3.89; P≤.002). Those without a history of alcohol use disorder had increased likelihood of completing PR (OR, 2.23; P=.048). Greater baseline 6MWT distance was associated with lower likelihood of achieving MCID in 6MWT (OR, 0.99; P<.001 greater ex-sres was associated with decreased likelihood of achieving mcid p=".023).<br">
Conclusions
Findings suggest that early psychoeducation on dyspnea management and smoking and alcohol cessation may increase completion of PR.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=295084
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1113-1121.e1[article]
Titre : Determining the Interrater Reliability of the SOFMER Activity Score (version 2) for Individuals in Rehabilitation Centers Type de document : Article Auteurs : Lorraine Charvolin ; Pascal Rippert ; Sylvain Roche ; Muriel Rabilloud ; Marie-Doriane Morard ; Julie Di Marco ; Mickael Dinomais ; Margaux Pouyfaucon ; Rémi Gimat ; Dominique Pérennou ; Laetitia Houx ; Jean Iwaz ; Gilles Rode ; Carole Vuillerot Année de publication : 2022 Article en page(s) : p. 1122-1130 Note générale : https://doi.org/10.1016/j.apmr.2021.11.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Centres de rééducation et de réadaptation ; Réadaptation ; Reproductibilité des résultatsRésumé : Objective
To assess the interrater reliability of the SOFMER Activity Score (SAS) (version 2 [v2], an 8-item [4 motor and 4 cognitive] and 5-level scale) and improve its scoring system before conducting further validation steps.
Design
Cross-sectional, prospective, observational, noninterventional, and multicentric study.
Setting
The study was conducted between November 2018 and September 2019 in 4 French rehabilitation centers (2 public university hospitals for adults and 2 private not-for-profit rehabilitation centers for children).
Participants
The study included 101 participants (N=101; mean age, 44.5±25.4 years; 28.7% younger than 18 and 18.8% older than 65 years). The female/male sex ratio was 0.6. The causes for admission to the center were mainly neurologic (65%) or orthopedic (24%).
Interventions
None.
Main Outcome Measures
Activity limitation was rated with the SAS the same day by 2 independent multidisciplinary teams. The interrater reliabilities of the score items were assessed using weighted kappa coefficients.
Results
All weighted kappa coefficients ranged between 0.83 and 0.92, indicating “good” to “excellent” interrater reliability. Interteam score disagreements occurred in 227 of 808 scores (28%). The reason for most disagreements was unnoticed human or material aid during the observation period.
Conclusions
The results demonstrate the high interrater reliability of the SASv2 and allow carrying out further validation steps after minor changes to item scoring instructions and clearer definitions of some items that help improving scoring standardization. The SASv2 may then become a consistent measure of activity level for clinical research or burden of care investigations.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=295085
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1122-1130[article]
Titre : Effect of Time-Dose-Matched Virtual Reality Therapy on Upper Limb Dysfunction in Patients Poststroke: A Meta-Analysis of Randomized Controlled Trials Type de document : Article Auteurs : Yi Li ; Jiashang Huang ; Xiaohong Li ; Jia Qiao ; Xin Huang ; Lining Yang ; Heping Yu Année de publication : 2022 Article en page(s) : p. 1131-1143.e7 Note générale : https://doi.org/10.1016/j.apmr.2021.09.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Méta-analyse ; Réadaptation ; Réalité de synthèseRésumé : Objective
To investigate the efficacy and acceptability of virtual reality (VR) with time-dose-matched conventional therapy (CT) in patients poststroke with upper limb dysfunction.
Data Sources
Cochrane, PubMed, Web of Science, Embase, and ProQuest were systematically searched up to May 24, 2021.
Study Selection
Randomized controlled trials comparing VR with time-dose-matched CT in patients poststroke with upper limb dysfunction were included.
Data Extraction
The extracted data included efficacy (mean change in structure/function, activity, and participation scores), acceptability (dropouts for all reasons), adverse events, and characteristics of the included studies. The Cochrane risk of bias assessment tool was used to assess the risk of bias.
Data Synthesis
Thirty-one randomized controlled trails were included. VR was superior to time-dose-matched CT in terms of the World Health Organization's International Classification of Functioning, Disability and Health structure/function, with a standardized mean difference (SMD) of 0.35, but not activity and participation. Subgroup analyses demonstrated that virtual environment was superior to CT in structure/function (SMD=0.38) and activity (SMD=0.27), whereas there were no significant differences between commercial gaming and CT in any World Health Organization International Classification of Functioning, Disability and Health domain. VR mixed with CT was more effective than time-dose-matched CT in structure/function (SMD=0.56), whereas VR only was not significantly different from CT. There were no significant differences in the incidence of adverse events and dropout rates between VR and CT.
Conclusions
The results suggest that VR is superior to time-dose-matched CT in terms of recovery of upper extremity motor function, especially when a virtual environment is used or VR is mixed with CT. However, VR (VR only or mixed with CT) does not improve patients’ daily activity performance and participation compared with CT. Overall, VR appears to be safe and acceptable as CT. Large-scale definitive trials are needed to verify or refute 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=295086
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1131-1143.e7[article]
Titre : Physical Impairment and Function in Children and Adolescents With Sickle Cell Disease: A Systematic Review Type de document : Article Auteurs : Victoria Marchese ; Kelly Rock ; Andria Harpold ; Abigail Salazar ; Mary Williams ; Andrea G. Shipper Année de publication : 2022 Article en page(s) : p. 1144-1167.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.08.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Aptitude physique ; Aptitudes motrices ; Drépanocytose ; Enfant (6-12 ans) ; Pédiatrie ; Performance fonctionnelle physique ; RéadaptationRésumé : Objective
To examine physical impairments and physical function in children and adolescents with sickle cell disease (SCD).
Data Sources
PubMed, Embase (embase.com), Cumulative Index to Nursing and Allied Health (EBSCO), Cochrane Central Register of Controlled Trials (Wiley), and Dissertations and Theses (ProQuest) were searched from January 1, 1990, to September 25, 2020. References retrieved were required to include a term for SCD and a term for physical impairments or physical function. Results were limited to articles with children and adolescents and in the English language.
Study Selection
A total of 3054 nonduplicate articles were independently screened by 2 reviewers, resulting in 240 articles for full-text review. The full-text review, performed by 2 independent reviewers, resulted in 67 articles.
Data Extraction
Data were extracted from each full text to a custom Excel document by a single reviewer and were verified by a secondary reviewer.
Data Synthesis
The studies identified in this systematic review offer evidence that children and adolescents with SCD demonstrate physical impairments and physical function limitations compared with control participants as noted by varying percentages in deficits up to 19%-58% in muscle and bone composition and/or symptoms, muscle strength, cardiopulmonary function, motor performance, physical activity, and physical function domains of quality of life questionnaires.
Conclusions
Children and adolescents with SCD present with physical impairments and physical function limitations. Scientists and clinicians should consider developing collaborative standards to define and objectively measure physical impairment and function in this population to comprehensively examine the underlying factors that contribute to physical impairments and 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=295087
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1144-1167.e2[article]
Titre : Effects of Electrical Stimulation Training on Body Composition Parameters After Spinal Cord Injury: A Systematic Review Type de document : Article Auteurs : Amira Hassan Bekhet ; Alhadi M. Jahan ; Vanesa Bochkezanian ; Kristin E. Musselman ; Amr A. Elsareih ; Ashraf Gorgey Année de publication : 2022 Article en page(s) : p. 1168-1178 Note générale : https://doi.org/10.1016/j.apmr.2021.09.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Composition corporelle ; Electrotherapie ; Réadaptation ; Rééducation neurologique ; Traumatismes de la moelle épinièreRésumé : Objective
To determine the effects of neuromuscular electrical stimulation (NMES) or functional electrical stimulation (FES), or both, training on different body composition parameters in individuals with spinal cord injury.
Data sources
Three independent reviewers searched PubMed, Web of Science, Scopus, Cochrane Central, and Virtual Health Library until March 2020.
Study selection
Studies were included if they applied NMES/FES on the lower limb muscles after spinal cord injury, reported stimulation parameters (frequency, pulse duration, and amplitude of current), and body composition parameters, which included muscle cross-sectional area (CSA), fat-free mass, lean mass (LM), fat mass, visceral adipose tissue, and intramuscular fat.
Data synthesis
A total of 46 studies were included in the final analysis with a total sample size of 414 subjects. NMES loading exercise and FES cycling exercise were commonly used for training. Increases in muscle CSA ranged from 5.7-75%, with an average of 26% (n=33). Fifteen studies reported changes (both increase and decrease) in LM or fat-free mas ranged from -4% to 35%, with an average of less than 5%. Changes in fat mass (n=10) were modest. The effect on ectopic adipose tissue is inconclusive, with 2 studies showing an average reduction in intramuscular fat by 9.9%. Stimulation parameters ranged from 200-1000 μs for pulse duration, 2-60 Hz for the frequency, and 10-200 mA in amplitude. Finally, increase in weekly training volumes after NMES loading exercise resulted in a remarkable increase in percentage changes in LM or muscle CSA.
Conclusions
NMES/FES is an effective rehabilitation strategy for muscle hypertrophy and increasing LM. Weekly training volumes are associated with muscle hypertrophy after NMES loading exercise. Furthermore, positive muscle adaptations occur despite the applied stimulation parameters. Finally, the included studies reported wide range of stimulation parameters without reporting rationale for such selection.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=295089
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1168-1178[article]
Titre : Respiratory Muscle Training Reduces Respiratory Complications and Improves Swallowing Function After Stroke: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Weisong Zhang ; Huijuan Pan ; Ya Zong ; Jixian Wang ; Qing Xie Année de publication : 2022 Article en page(s) : p. 1179-1191 Note générale : https://doi.org/10.1016/j.apmr.2021.10.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercices respiratoires ; Réadaptation ; Revue systématique ; Troubles de la déglutitionRésumé : Objective
To investigate whether respiratory muscle training is capable of reducing the occurrence of respiratory complications and improving dysphagia (swallowing or cough function) after stroke.
Data Sources
Cochrane Library, Excerpta Medical Database (EMBASE), PUBMED, and Web of Science were searched for studies published in English; the China Biology Medicine (CBM), China Science and Technology Journal Database (VIP), China National Knowledge Infrastructure (CNKI), and Wanfang Database were searched for studies published in Chinese up to August 10, 2021.
Study Selection
Eleven randomized control trials (RCTs) (N=523) met the inclusion criteria were included in this systematic review.
Data Extraction
Data and information were extracted by two reviewers independently and disagreements was resolved by consensus with a third coauthor. Primary outcome was the occurrence of respiratory complications, secondary outcomes would be represented by swallowing and cough function. The quality of each included RCT were assessed by Cochrane risk-of-bias criteria and the GRADE evidence profile was provided to present information about the body of evidence and judgments about the certainty of underlying evidence for each outcome.
Data Synthesis
Respiratory muscle training reduced the risk of respiratory complications (relative risk, 0.51; 95% confidence interval [CI], 0.28-0.93; I2=0%; P=.03; absolute risk difference, 0.068; number need to treat, 14.71) compared with no or sham respiratory intervention. It also decreased the liquid-type Penetration-Aspiration Scale scores by 0.81 (95% CI, –1.19 to –0.43; I2=39%; P<.0001 there was no significant association between respiratory muscle training and functional oral intake scale scores cough function: increased fois by ci to i2="55%;" p=".32)," decreased peak expiratory flow of voluntary l per minute reflex>.99).
Conclusion
This meta-analysis provided evidence that respiratory muscle training is effective in reducing the risk of respiratory complications and improving dysphagia by reducing penetration or aspiration during swallowing liquid bolus after stroke. However, there was no sufficient evidence to determine that respiratory muscle training improves cough function. Additional multicenter studies using larger patient cohorts are required to validate and support these findings. Furthermore, long-term follow-up studies should be performed to measure outcomes, while avoiding bias due to confounding factors such as heterogeneity of the etiologies of dysphagia.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=295090
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1179-1191[article]
Titre : Benefits of Exergame Training for Female Patients With Fibromyalgia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Type de document : Article Auteurs : Jinlong Wu ; Ziyan Chen ; Kangyong Zheng ; Weiwei Huang ; Fang Liu ; Jian Lin ; Zhanbing Ren Année de publication : 2022 Article en page(s) : p. 1192-1200.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.10.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Fibromyalgie ; Méta-analyse en réseau ; RéadaptationRésumé : Objective
The objective of this systematic review and meta-analysis was to evaluate the effects of exergame training on female patients with fibromyalgia syndrome (FMS). Outcome measurements mainly include overall functioning, pain perception, quality of life, exercise capacity, health perception, kinesiophobia, and fatigue severity.
Data Sources
Five electronic databases (PubMed, Web of Science, PsycInfo, Scopus, and Cochrane Library) were searched from inception until June 24, 2021. In addition to searches, review the reference lists of relevant papers by hand was also conducted. Cochrane Collaboration's tool for assessing risk of bias was used to evaluate the risk of bias in the included studies.
Study Selection
Articles were collected with the following study inclusion criteria: (1) randomized controlled trial (RCT) design; (2) participants were female patients with FMS aged older than 18 years; (3) participants in experimental groups received exergame training using any modality; and (4) outcome measures included overall functioning, quality of life, exercise capacity, health perception, kinesiophobia, and fatigue severity.
Data Extraction
The data were independently extracted by 2 researchers. The extracted data related to the document characteristics (first author, publication year, and country) participant characteristics (number and age of participants in the experimental and control groups), and interventions (intervention content, frequency, and duration, and measurement tools).
Data Synthesis
Nine RCTs including 466 female patients with FMS were included in the analysis. Exergame training had significant positive effects on overall functioning (standardized mean difference [SMD], −0.52; 95% confidence interval [CI], −0.77 to 0.27; P<.0001 pain perception ci to p=".04)," quality of life exercise capacity health and fatigue severity however exergame training did not have significant effects on kinesiophobia>
Conclusions
Exergame training has beneficial effects on the overall functioning, pain perception, quality of life, exercise capacity, health perception and fatigue severity of female patients with FMS. Exergame training is a potential non-drug therapy for the treatment of patients with FMS.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=295091
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1192-1200.e2[article]
Titre : Measurements of Best, Worst, and Average Socket Comfort Are More Reliable Than Current Socket Comfort in Established Lower Limb Prosthesis Users Type de document : Article Auteurs : Sara J. Morgan ; Robert L. Askew ; Brian J. Hafner Année de publication : 2022 Article en page(s) : p. 1201-1204 Note générale : https://doi.org/10.1016/j.apmr.2021.10.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputés ; Enquêtes de santé ; Enquêtes et questionnaires ; Évaluation de résultat (soins) ; Membres artificiels ; Réadaptation ; Reproductibilité des résultatsRésumé : Objective
To evaluate test-retest reliability and related measurement properties of items developed to assess best, worst, and average prosthetic socket comfort.
Design
Methodological research to assess test-retest reliability of 4 individual socket comfort survey items. Socket comfort items were included in a self-report paper survey, which was administered to participants 2 to 3 days apart.
Setting
General community.
Participants
A minimum convenience sample of participants (N=63) was targeted for this study; 72 lower limb prosthesis users (>1y postamputation) completed the survey and were included in the final dataset.
Interventions
Not applicable.
Main Outcome Measure
The expanded socket comfort score (ESCS) was adapted from the original socket comfort score (SCS). The original SCS is a single-item self-report instrument developed to assess a lower limb prosthesis user's current socket comfort. Three additional items were designed to assess the user's best, worst, and average socket comfort over the previous 7 days.
Results
Best, worst, and average socket comfort items demonstrated better reliability, as indicated by higher intraclass correlation coefficients. As such, these items also exhibited lower measurement error and smaller minimal detectable change values than the item that measured current socket comfort. However, test-retest coefficients for all 4 ESCS items were below the level desired for evaluation of within-individual changes of socket comfort.
Conclusions
Items that assess best, worst, and average comfort provide a more stable measurement of socket fit than the existing SCS instrument. Although administration of all 4 ESCS items may provide more comprehensive assessment of a lower limb prosthesis user's socket fit, administrators should expect variations in scores over time owing to the variable nature of the underlying construct over time. Future research should examine whether the ESCS provides an improved overall assessment of socket fit.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=295092
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 6 (2022) . - p. 1201-1204[article]
Paru le : 01/05/2022
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Titre : Effects of the Robot-Assisted Gait Training Device Plus Physiotherapy in Improving Ambulatory Functions in Patients With Subacute Stroke With Hemiplegia: An Assessor-Blinded, Randomized Controlled Trial Type de document : Article Auteurs : Natapatchakrid Thimabut ; Pattarapol Yotnuengnit ; Jittima Charoenlimprasert ; Thipwimon Sillapachai ; Satoshi Hirano ; Eiichi Saitoh ; Krisna Piravej Année de publication : 2022 Article en page(s) : p. 843-850 Note générale : https://doi.org/10.1016/j.apmr.2022.01.146 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Hémiplégie ; RéadaptationRésumé : Objective
To investigate the effects of the robot-assisted gait training (RAGT) device plus physiotherapy vs physiotherapy alone in improving ambulatory functions in patients with subacute stroke with hemiplegia.
Design
A prospective, assessor-blinded, randomized controlled trial.
Setting
Patients with subacute stroke with hemiplegia admitted at the Rehabilitation Center.
Participants
Twenty-six patients with subacute stroke with hemiplegia (N=26).
Intervention
All patients received 30 training sessions (5 d/wk for 6 wk), which included conventional physiotherapy training (60 minutes) and ambulation training (60 minutes). In the ambulation training session, the RAGT device group received robotic training (40 minutes) and ground ambulation training (20 minutes). The control group received only ground ambulation training (60 minutes). The outcomes were assessed at the initial session and at the end of the 15th and 30th sessions. Comparisons within groups and between groups were conducted.
Main Outcome Measures
Primary outcome variables were the FIM-walk score and the efficacy of FIM-walk.
Results
The RAGT device group showed greater improvements from baseline than control in (1) the FIM-walk score at the end of the 15th session (P=.012), (2) the efficacy of FIM-walk at the end of the 15th session (P=.008), (3) walking distance in the 6-minute walk test at the end of the 15th session (P=.018), (4) the Barthel Index for Activities of Daily Living (ADL) at the end of the 30th session (P<.001 and gait symmetry ratio at the end of session other parameters showed tendencies improvement in ragt device group but there were no significant differences.> Conclusions
RAGT devices plus physiotherapy showed early improvements in walking ability and Barthel ADL index compared with the ground level training plus physiotherapy in patients with subacute stroke with hemiplegia.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=294401
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 843-850[article]
Titre : For-Profit and Not-for-Profit Inpatient Rehabilitation in Traumatic Brain Injury: Analysis of Demographics and Outcomes Type de document : Article Auteurs : Adam G. Lamm ; Richard Goldstein ; Chloe S. Slocum ; Julie K. Silver ; David C. Grabowski ; Jeffrey C. Schneider ; Ross Zafonte Année de publication : 2022 Article en page(s) : p. 851-857 Note générale : https://doi.org/10.1016/j.apmr.2021.11.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Centres de rééducation et de réadaptation ; Lésions traumatiques de l'encéphale ; Medicare (USA) ; Réadaptation ; Recherche en réadaptation ; Système de paiements préétablisRésumé : Objective
To describe differences in characteristics and outcomes of patients with traumatic brain injury by inpatient rehabilitation facility (IRF) profit status.
Design
Retrospective database review using the Uniform Data System for Medical Rehabilitation.
Setting
IRFs.
Participants
Individual discharges (N=53,630) from 877 distinct rehabilitation facilities for calendar years 2016 through 2018.
Intervention
Not applicable.
Main Outcome Measures
Patient demographic data (age, race, primary payer source), admission and discharge FIM, FIM gain, length of stay efficiency, acute hospital readmission from for-profit and not-for-profit IRFs within 30 days, and community discharges by facility profit status.
Results
Patients at for-profit facilities were significantly older (69.69 vs 64.12 years), with lower admission FIM scores (52 vs 57), shorter lengths of stay (13 vs 15 days), and higher discharge FIM scores (88 vs 86); for-profit facilities had higher rates of community discharges (76.8% vs 74.6%) but also had higher rates of readmission (10.3% vs 9.9%).
Conclusions
The finding that for-profit facilities admit older patients who are reportedly less functional on admission and more functional on discharge, with higher rates of community discharge but higher readmission rates than not-for-profit facilities is an unexpected and potentially anomalous finding. In general, older, less functional patients who stay for shorter periods of time would not necessarily be expected to make greater functional gains. These differences should be further studied to determine if differences in patient selection, coding and/or billing, or other unreported factors underlie these differences.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=294402
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 851-857[article]
Titre : Electrical Dry Needling Plus Corticosteroid Injection for Osteoarthritis of the Knee: A Randomized Controlled Trial Type de document : Article Auteurs : Xuewei Wang ; Qing Sun ; Mi Wang ; Yanru Chen ; Qinge Wang ; Lixue Liu ; Yan Yuan Année de publication : 2022 Article en page(s) : p. 858-866 Note générale : https://doi.org/10.1016/j.apmr.2021.12.026 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai contrôlé randomisé ; Gonarthrose ; Points de déclenchement ; RéadaptationRésumé : Objective
To investigate the effects of electrical dry needling (DN) plus corticosteroid injection (CSI) on pain, physical function, and global change in patients with osteoarthritis of the knee (KOA).
Design
A prospective, single-blinded, randomized controlled trial.
Setting
Pain treatment clinic.
Participants
Sixty patients with KOA were randomly assigned to the electrical dry needling plus corticosteroid injection (electrical-DN+CSI) group or CSI group.
Interventions
The CSI group received glucocorticoid injection only once during the trial, and the electrical-DN+CSI group received glucocorticoid injection combined with 4 sessions of electrical-DN.
Main Outcomes Measures
The primary outcome was the numerical rating scale at 3 months. The secondary outcomes were the Western Ontario and McMaster Universities Osteoarthritis Index, the time to complete the Timed Up and Go test, and the score of the global rating of change scale at 3 months. A generalized linear mixed-effects model was used to analyze the repeated measurement data.
Results
Baseline characteristics and measurements were similar in the 2 groups. The group by time interaction effect was significant for all variables (P<.05 the electrical-dn group obtained a more significant reduction in pain intensity and improvement dysfunction than csi at months median global rating of change score for was better that> Conclusion
Electrical-DN therapy at myofascial trigger points combined with CSI is more effective at alleviating pain, improving dysfunction, and creating global change than CSI alone for patients with KOA. Electrical-DN may be an essential part of treatment for KOA 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=294403
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 858-866[article]
Titre : Effect of a Fascial Therapy Treatment on Quality of Life in Patients With Hemophilic Elbow Arthropathy: A Randomized Controlled Trial Type de document : Article Auteurs : Ruben Cuesta-Barriuso ; Javier Meroño-Gallut ; Elena Donoso-Úbeda ; Jose Antonio López-Pina ; Raul Pérez-Llanes Année de publication : 2022 Article en page(s) : p. 867-874 Note générale : https://doi.org/10.1016/j.apmr.2021.12.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthralgie ; Essai contrôlé randomisé ; Hémophilie ; Qualité de vie ; Réadaptation ; Techniques de physiothérapieRésumé : Objective
To evaluate the effect of fascial therapy on the perceived quality of life, pain intensity, and joint health in people with hemophilia.
Design
Single-blind randomized controlled trial.
Setting
Hemophilia Patient Associations.
Participants
Patients with hemophilia (N=69) were randomly allocated to an experimental group (fascial therapy protocol) or to a control group (no intervention whatsoever).
Interventions
The fascial therapy intervention lasted 3 consecutive weeks with one 45-minute weekly session.
Main Outcome Measures
The variables evaluated were perceived quality of life (Short Form Health Survey-36), pain intensity (visual analog scale) and joint health (Hemophilia Joint Health Score) at baseline and at 3 and 12 weeks.
Results
The mean values of the physical (38.64±9.41 and 41.92±12.16) and mental (45.77±6.25 and 55.02±9.73) components of the Short Form Health Survey-36 improved after the intervention in the experimental group, as well as those for pain intensity and joint health (P<.001 there were differences in the intergroup effect physical role variables emotional mental component intensity of pain and joint health> Conclusions
A fascial therapy protocol for patients with hemophilic elbow arthropathy can improve their perceived quality of life. Elbow pain intensity improved in patients treated with fascial therapy. This technique can improve elbow joint health.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=294404
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 867-874[article]
Titre : Pain-Related Fear in Adults Living With Chronic Pain: Development and Psychometric Validation of a Brief Form of the Tampa Scale of Kinesiophobia Type de document : Article Auteurs : Etienne J. Bisson ; Laura Katz ; Kyle Vader ; Jennifer A. Bossio ; Rosemary Wilson ; Scott Duggan Année de publication : 2022 Article en page(s) : p. 875-881.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.09.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte ; Douleur chronique ; Mesure de la douleur ; Mouvement ; Peur ; Psychométrie ; RéadaptationRésumé : Objective
To develop and validate a brief version of the Tampa Scale of Kinesiophobia (TSK) while preserving content validity in a mixed chronic pain population.
Design
Cross-sectional study.
Setting
Tertiary care interdisciplinary chronic pain clinic.
Participants
Adults with chronic pain (N=933; mean age, 53.5±15.7 years; 63% women).
Intervention
Not applicable.
Main Outcome Measure
TSK-11 measured at intake. Self-reported data from a patient registry were extracted from November 2017 to October 2019.
Results
An exploratory factor analysis identified a 2-factor structure from the TSK-11 and item reduction resulted in a 7-item TSK (TSK-7) with 61.2% explained variance and Cronbach's alphas of 0.76 and 0.70 for each of the 2 factors. To maximally reduce the number of items without affecting internal consistency, a 5-item TSK (TSK-5) with 72% explained variance was also explored. Strong correlations were found between the newly developed brief TSK versions and TSK-11 (r>0.93), suggesting good concurrent validity. TSK-11, TSK-7, and TSK-5 had similar convergent validity with moderate correlations for pain catastrophizing (r=0.57, 0.58, 0.54), depression (r=0.45, 0.46, 0.42), pain interference (r=0.43, 0.44, 0.40), and pain acceptance (r=–0.57, –0.59, –0.55).
Conclusions
These 2 brief versions of the TSK may help to simplify questionnaires across chronic pain centers where multiple outcome measures are used for a complete biopsychosocial assessment of 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=294405
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 875-881.e1[article]
Titre : Skilled Nursing and Inpatient Rehabilitation Facility Use by Medicare Fee-for-Service Beneficiaries Discharged Home After a Stroke: Findings From the COMPASS Trial Type de document : Article Auteurs : Janet K. Freburger ; Amy M. Pastva ; Sylvia W. Coleman ; Kennedy M. Peter ; Anna M. Kucharska-Newton ; Anna M. Johnson ; Matthew A. Psioda ; Pamela W. Duncan ; Cheryl D. Bushnell ; Wayne D. Rosamond ; Sara B. Jones Année de publication : 2022 Article en page(s) : p. 882-890.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.10.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Centres de rééducation et de réadaptation ; Établissements de soins qualifiés ; RéadaptationRésumé : Objectives
To examine the effect of a comprehensive transitional care model on the use of skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) care in the 12 months after acute care discharge home following stroke; and to identify predictors of experiencing a SNF or IRF admission following discharge home after stroke.
Design
Cluster randomized pragmatic trial
Setting
Forty-one acute care hospitals in North Carolina.
Participants
2262 Medicare fee-for-service beneficiaries with transient ischemic attack or stroke discharged home. The sample was 80.3% White and 52.1% female, with a mean (SD) age of 74.9 (10.2) years and a mean ± SD National Institutes of Health stroke scale score of 2.3 (3.7).
Intervention
Comprehensive transitional care model (COMPASS-TC), which consisted of a 2-day follow-up phone call from the postacute care coordinator and 14-day in-person visit with the postacute care coordinator and advanced practice provider.
Main Outcome Measures
Time to first SNF or IRF and SNF or IRF admission (yes/no) in the 12 months following discharge home. All analyses utilized multivariable mixed models including a hospital-specific random effect to account for the non-independence of measures within hospital. Intent to treat analyses using Cox proportional hazards regression assessed the effect of COMPASS-TC on time to SNF/IRF admission. Logistic regression was used to identify clinical and non-clinical predictors of SNF/IRF admission.
Results
Only 34% of patients in the intervention arm received COMPASS-TC per protocol. COMPASS-TC was not associated with a reduced hazard of a SNF/ IRF admission in the 12 months post-discharge (hazard ratio, 1.20, with a range of 0.95-1.52) compared to usual care. This estimate was robust to additional covariate adjustment (hazard ratio, 1.23) (0.93-1.64). Both clinical and non-clinical factors (ie, insurance, geography) were predictors of SNF/IRF use.
Conclusions
COMPASS-TC was not consistently incorporated into real-world clinical practice. The use of a comprehensive transitional care model for patients discharged home after stroke was not associated with SNF or IRF admissions in a 12-month follow-up period. Non-clinical factors predictive of SNF/IRF use suggest potential issues with access to this type of 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=294409
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 882-890.e2[article]
Titre : Characteristics, Outcomes, and Long-Term Survival of Patients With Heart Failure Undergoing Inpatient Cardiac Rehabilitation Type de document : Article Auteurs : Domenico Scrutinio ; Pietro Guida ; Andrea Passantino ; Simonetta Scalvini ; Maurizio Bussotti ; Giovanni Forni ; Raffaella Vaninetti ; Maria Teresa La Rovere Année de publication : 2022 Article en page(s) : p. 891-898.e4 Note générale : https://doi.org/10.1016/j.apmr.2021.10.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Défaillance cardiaque ; Réadaptation cardiaque ; Test de marcheRésumé : Objective
To investigate the association of cardiac rehabilitation (CR) participation with all-cause mortality after a hospitalization for heart failure (HF) and to describe the characteristics and functional and clinical outcomes of HF patients undergoing inpatient CR.
Design
Multicenter cohort study. The association between CR participation and all-cause mortality from discharge from the acute care setting was assessed using Cox regression analysis adjusting for established prognostic factors.
Setting
Six inpatient rehabilitation facilities.
Participants
A total of 3219 patients with HF admitted to inpatient CR between January 2013 and December 2016. Of these patients, 1455 had been transferred directly from acute care hospitals after a hospitalization for HF (CR-group 1) and 1764 had been admitted from the community due to worsening functional disability or worsening clinical conditions (CR-group 2). Serving as a control group were 633 patients not referred to CR after a hospitalization for HF served as control group (non–CR group).
Interventions
Cardiac rehabilitation.
Main Outcome Measures
Long-term mortality. Secondary outcomes were: (1) change in functional capacity, as assessed by change in 6-minute walking distance from admission to discharge; (2) clinical outcomes of the index inpatient rehabilitation admission, including in-hospital mortality and unplanned readmission to the acute care.
Results
Compared with the non–CR group, the adjusted hazard ratios of mortality at 1, 3, and 5 years for CR-group 1 patients were 0.82 (range, 0.68-0.97), 0.81 (range, 0.71-0.93), and 0.80 (range, 0.70-0.91). The 6-minute walking distance increased from 230-292 meters (P<.001 and of the patients gained>50 m improvement. Overall, 2.5% of the patients died in hospital and 4.7% of the patients experienced unplanned readmissions to acute care, with significant differences between group 1 and group 2.
Conclusions
Our data show that inpatient CR is effective in improving functional capacity and suggest that inpatient CR provided in the earliest period after a hospitalization for HF is associated with long-term improved survival.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=294415
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 891-898.e4[article]
Titre : Failure to Compensate: Patients With Nerve Injury Use Their Injured Dominant Hand, Even When Their Nondominant Is More Dexterous Type de document : Article Auteurs : Benjamin A. Philip ; Madeline R. Thompson ; Nathan A. Baune ; Maureen Hyde ; Susan E. Mackinnon Année de publication : 2022 Article en page(s) : p. 899-907 Note générale : https://doi.org/10.1016/j.apmr.2021.10.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Latéralité fonctionnelle ; Lésions des nerfs périphériques ; Membre supérieur ; RéadaptationRésumé : Objective
To identify how individuals respond to unilateral upper extremity peripheral nerve injury via compensation (increased use of the nondominant hand). We hypothesized that injury to the dominant hand would have a greater effect on hand use (left vs right choices). We also hypothesized that compensation would not depend on current (postinjury) nondominant hand performance because many patients undergo rehabilitation that is not designed to alter hand use.
Design
Observational survey, single-arm.
Settings
Academic research institution and referral center.
Participants
A total of 48 adults (N=48) with unilateral upper extremity peripheral nerve injury. Another 14 declined participation. Referred sample, including all eligible patients from 16 months at 1 nerve injury clinic and 1 hand therapy clinic.
Interventions
Not applicable.
Main Outcome Measures
Hand use (% of actions with each hand) via Block Building Task. Dexterity via Jebsen-Taylor Hand Function.
Results
Participants preferred their dominant hand regardless of whether it was injured: hand usage (dominant/nondominant) did not differ from typical adults, regardless of injured side (P>.07), even though most participants (77%) were more dexterous with their uninjured nondominant hand (mean asymmetry index, −0.16±0.25). The Block Building Task was sensitive to hand dominance (P=2 × 10−4) and moderately correlated with Motor Activity Log amount scores (r2=0.33, P<.0001 compensation was associated only with dominant hand dexterity not on nondominant rehabilitation or other patient and injury factors>.1).
Conclusions
Patients with peripheral nerve injury with dominant hand injury do not compensate with their unaffected nondominant hand, even if it is more dexterous. For the subset of patients unlikely to recover function with the injured hand, they could benefit from rehabilitation that encourages compensation with the nondominant hand.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=294416
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 899-907[article]
Titre : Rasch Properties of the Cognitive and Linguistic Scale and Optimization for Outcome Trajectory Modeling in Pediatric Acquired Brain Injury Type de document : Article Auteurs : Adrian M. Svingos ; Stacy J. Suskauer ; Beth S. Slomine ; Hsuan Wei Chen ; Michael E. Ellis-Stockley ; Rob J. Forsyth Année de publication : 2022 Article en page(s) : p. 908-914 Note générale : https://doi.org/10.1016/j.apmr.2021.10.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Lésions encéphaliques ; Linguistique ; Pédiatrie ; Psychométrie ; RéadaptationRésumé : Objectives
To (1) determine if items on the Cognitive and Linguistic Scale (CALS) follow a Rasch distribution and (2) explore the relationship between Rasch-derived Cognitive Ability Estimates and outcome trajectory parameters using a nonlinear mixed-effects modeling approach.
Design
Retrospective study.
Setting
Pediatric inpatient rehabilitation hospital.
Participants
A total of 252 children (N=252) aged of 2-21 years (median, 11.8 [IQR, 6.4-15.9] years) consecutively admitted to an inpatient rehabilitation brain injury unit (2008-2014) for a first inpatient admission after acquired brain injury.
Interventions
Not applicable.
Main Outcome Measures
Rasch-derived Cognitive Ability Estimates from the CALS and associated outcome trajectory parameters.
Results
The CALS demonstrates adequate interval-scale properties with removal of scores from the arousal and responsivity items. Rasch-derived Cognitive Ability Estimates were associated with age (
=0.025, P<.001 such that older age was associated with a faster rate of recovery and more complete ultimate recovery. slower initiation less overall cognitive>
=−0.31; P<.001> Conclusions
The Cognitive Ability Estimates derived from the CALS and associated outcome parameters (eg, rate of recovery) may serve as an ideal outcome measure for clinical trials evaluating interventions for acquired brain injury in a pediatric rehabilitation setting.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294417
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 908-914[article]
Titre : Demographic and Clinical Factors Are Associated With Frequent Short-Notice Cancellations in Veterans With Multiple Sclerosis on Disease Modifying Therapies Type de document : Article Auteurs : Elizabeth S. Gromisch ; Aaron P. Turner ; Steven L. Leipertz ; John Beauvais ; Jodie K. Haselkorn Année de publication : 2022 Article en page(s) : p. 915-920.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.10.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Adhésion et observance thérapeutiques ; Facteurs de risque ; Réadaptation ; Sclérose en plaquesRésumé : Objectives
(1) To identify the rate of short-notice canceled appointments in a large national sample of persons with multiple sclerosis (MS) and (2) examine the demographic and clinical factors associated with frequent cancellations.
Design
Retrospective cross-sectional cohort using electronic health records.
Setting
Veterans Health Administration.
Participants
Veterans with MS (N=3742) who were part of the Veterans Health Administraiton's MS Center of Excellence Data Repository and (1) had at least one outpatient appointment at the VA in 2013, (2) were alive in 2015, and (3) were prescribed a disease modifying therapy (DMT).
Interventions
Not applicable.
Main Outcome Measures
Frequent short-notice cancellations, defined as >20% of scheduled appointments canceled with less than 24-hour notification over a 24-month period. This threshold was based on the definition of ≤80% for suboptimal treatment adherence. Several demographics and clinical variables were examined as potential explanatory factors.
Results
Approximately 75% (n=2827) had at least 1 short-notice cancellation, with more than 3% (n=117) categorized as frequent cancelers. The odds of frequent cancellations were greater in women (odds ratio [OR], 1.81; P=.004) and among 18- to 44-year-olds (OR, 2.77; P=.004) and 45- to 64-year-olds (OR, 2.49; P=.003) compared to those over 65. The odds were lower among persons who lived Conclusions
Short-notice cancellations are common in persons with MS, although few have more than 20%. These findings highlight who is at greater risk for frequent cancellation and disruptions in their care. Although additional research is needed, the results provide insights into how clinics may approach handling frequent short-notice cancellations among persons with 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=294418
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 915-920.e1[article]
Titre : Investigation of Sensorimotor Impairments in Individuals 4 Weeks to 6 Months After Mild Traumatic Brain Injury Type de document : Article Auteurs : Olivia Galea ; Shaun O'Leary ; Katrina Williams ; Julia Treleaven Année de publication : 2022 Article en page(s) : p. 921-928 Note générale : https://doi.org/10.1016/j.apmr.2021.10.029 Langues : Anglais (eng) Descripteurs : HE Vinci
Ataxie ; Lésions traumatiques de l'encéphale ; Troubles psychomoteursRésumé : Objective
To identify whether adults 4 weeks to 6 months post mild traumatic brain injury (mTBI) have sensorimotor impairments compared with controls without mTBI. A secondary aim was to determine if impairments were evident irrespective of participant perceived absence of symptoms.
Design
Observational cohort study.
Setting
Tertiary university and hospital.
Participants
Participants included 113 individuals (N=113) aged 18-60 years, consisting of 39 controls with no prior concussion history and 74 individuals 4 weeks to 6 months post mTBI, of which 35 considered themselves asymptomatic (ASYMP) and 37 symptomatic (SYMP).
Interventions
Not applicable.
Main Outcome Measures
Assessments of oculomotor, vestibulo-ocular reflex (VOR) control, balance, single- and dual-task tandem walk, and vestibular positional testing.
Results
Poorer balance and tandem walk performance as well as a higher frequency of positive oculomotor, VOR, and vestibular positional tests were evident in the mTBI group compared with controls. In particular ≥2 positive oculomotor findings were evident in 53.7% of the participants with mTBI compared with 10.8 % of controls. The mTBI group who considered themselves recovered (ASYMP) demonstrated significantly increased dual-task tandem walk time, and a higher proportion 53% had ≥2 positive oculomotor tests compared with controls.
Conclusions
Persistent sensorimotor impairments, particularly evidenced by disturbed oculomotor function and deficits in dual-task tandem walking were identified among adults 4 weeks to 6 months post mTBI. These disturbances were evident regardless of whether ongoing symptoms were reported. The findings support recommendations for routine clinical assessment of sensorimotor function post mTBI with implications for injury prevention.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=294419
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 921-928[article]
Titre : Rehabilitation in Acute COVID-19 Patients: A Japanese Retrospective, Observational, Multi-Institutional Survey Type de document : Article Auteurs : Yuka Yamada ; Michiyuki Kawakami ; Syoichi Tashiro ; Maiko Omori ; Daisuke Matsuura ; Reon Abe ; Maiko Osada ; Hiroyuki Tashima ; Tadasuke Shimomura ; Naoki Mori ; Ayako Wada ; Tetsuya Tsuji Année de publication : 2022 Article en page(s) : p. 929-936 Note générale : https://doi.org/10.1016/j.apmr.2021.11.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; COVID-19 ; Démarche ; Japon ; RéadaptationRésumé : Objective
: To investigate the changes in activities of daily living (ADLs) and the conditions of rehabilitation for acute COVID-19 patients in Japan.
Design
: Retrospective, observational survey.
Setting
: Four tertiary hospitals with intensive care units and one secondary hospital in Japan.
Participants
: COVID-19 patients (N=478) admitted to 5 hospitals
Interventions
: Not applicable.
Main Outcome Measures
: Walking ability and swallowing status were assessed using the FIM locomotion item and Food Intake Scale at admission and discharge. The physiatrists of each hospital were also surveyed regarding the factors that influenced decisions to provide rehabilitation.
Results
: Excluding patients who died, the proportion of critical patients who could walk independently at discharge was 63%, and the proportion of those who were able to take 3 meals orally at discharge was 90%. Rehabilitation was provided to 13.4% of all patients and to 58.3% of patients with critical symptoms.
Conclusions
: After COVID-19 treatment, patients, especially those with critical symptoms, still have functional disabilities related to walking and swallowing. It is possible that sufficient rehabilitation could not be provided during the period studied.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=294435
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 929-936[article]
Titre : Examination of Social Inferencing Skills in Men and Women After Traumatic Brain Injury Type de document : Article Auteurs : Dawn Neumann ; Ryan Mayfield ; Angelle M. Sander ; Jeong Hoon Jang ; Surya Sruthi Bhamidipalli ; Flora M. Hammond Année de publication : 2022 Article en page(s) : p. 937-943 Note générale : https://doi.org/10.1016/j.apmr.2021.10.028 Langues : Anglais (eng) Descripteurs : HE Vinci
Affect ; Caractères sexuels ; Cognition sociale ; Émotions ; Lésions encéphaliques ; RéadaptationRésumé : Objective
To examine sex differences in social inferencing deficits after traumatic brain injury (TBI) and to examine the odds of men and women being impaired while controlling for potential confounders.
Design
Cross-sectional survey.
Setting
Two TBI rehabilitation hospitals.
Participants
One hundred five participants with TBI (60 men, 45 women) and 105 controls without TBI (57 men, 48 women) (N=210).
Interventions
Not applicable.
Main Outcome Measures
The Awareness of Social Inference Test (TASIT), which includes (1) Emotion Evaluation Test (EET), (2) Social Inference-Minimal (SI-M) test, and (3) Social Inference-Enriched (SI-E) test.
Results
Within the control sample, men and women performed similarly on all 3 TASIT subtests. Within the group with TBI, men had significantly lower scores than women on EET (P=.03), SI-M (P=.01), and SI-E (P=.04). Using impairment cutoffs derived from the sample without TBI, we found significantly more men with TBI (30%) were impaired on the EET than women (16.7%); impairment was similar between men and women on SI-M and SI-E. When adjusting for executive functioning and education, the odds of being impaired on the EET did not significantly differ for men and women (odds ratio, 0.47; 95% CI, 0.16-1.40; P=.18).
Conclusions
Although more men with TBI have emotion perception deficits than women, the difference appears to be driven by education and executive functioning. Research is needed in larger samples with more definitive norms to better understand social inferencing impairments in men and women with TBI as well as translation to interpersonal behaviors.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=294438
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 937-943[article]
Titre : Retrospective Chart Review Examining Differences and Timelines in Recommended and Delivered Wheelchair Equipment in a Midwestern Dedicated Seating Department Type de document : Article Auteurs : Cara E. Masselink ; Linda Shuster ; Kerri A. Morgan ; Donald L. Hoover Année de publication : 2022 Article en page(s) : p. 944-951 Note générale : https://doi.org/10.1016/j.apmr.2021.11.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Ergothérapie ; Fauteuils roulants ; Kinésithérapie (spécialité) ; Matériel médical durable ; RéadaptationRésumé : Objective
To compare recommended wheeled mobility equipment with delivered equipment, excluding custom seats and backs, considering demographic factors, such as sex, age, and funding source, as well as the timeline of the procurement process.
Design
Retrospective chart review.
Setting
Dedicated wheelchair seating department within a Midwestern rehabilitation hospital and associated complex rehabilitation technology durable medical equipment suppliers.
Participants
Wheelchair recommendations (N=546) made between January 1, 2017, and December 31, 2017, to physician-referred wheelchair users of all ages and diagnoses.
Interventions
Not applicable.
Main Outcome Measures
Recommended and delivered wheelchair equipment type and length of time between recommendation and delivery.
Results
Differences were found between the recommended and delivered equipment in manual wheelchairs, power mobility devices, seat backs, cushions, and power option equipment groups (P≤.001). Delivered manual wheelchairs were 7% more likely to be different than the recommendation for each year decrease in age (P≤.001), although the model lacked sufficient predictive accuracy for clinical application. The average length of time from equipment recommendation to delivery was about 6 months (mean, 176d). Standard and complex power mobility devices were associated with longer timelines (median, 137d and 173d, respectively; P=.001), although only complex power mobility device timelines were significantly associated with public funding sources (P=.02).
Conclusions
Wheelchair bases, positioning accessories, and power options may be delivered differently than originally recommended, and the process for procuring complex power mobility devices with public funding sources should be studied further. Health care professionals should consistently follow up on delivered equipment to ensure that expectations and needs of the wheelchair user are met. Reducing systemic barriers to interdisciplinary communication postrecommendation may improve patient outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294439
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 944-951[article]
Titre : Frailty and Falls in People Living With Multiple Sclerosis Type de document : Article Auteurs : Tobia Zanotto ; Irina Galperin ; Anat Mirelman ; Shahar Yehezkiyahu ; John Estes ; Lingjun Chen ; Keren Regev ; Tanja Schmitz-Hübsch ; Paul Friedemann ; Sharon G. Lynch ; Abiodun E. Akinwuntan ; Hannes Devos ; Jeffrey M. Hausdorff ; Jacob J. Sosnoff Année de publication : 2022 Article en page(s) : p. 952-957 Note générale : https://doi.org/10.1016/j.apmr.2021.10.025 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Réadaptation ; Sclérose en plaques ; VieillissementRésumé : Objective
To explore the association between frailty and history of falls in people living with multiple sclerosis (MS).
Design
Secondary analysis.
Setting
University research laboratories in the United States and Israel.
Participants
A total of 118 people (N=118) with relapsing-remitting MS (mean age, 48.9±10.0 years; 74.6% female; Expanded Disability Status Scale [EDSS] range, 1.0-6.0) were studied in this cross-sectional analysis.
Intervention
Not applicable.
Main Outcome Measures
A frailty index was calculated from 40 health deficits by following standard validated procedures. The number of falls (12-month history) was recorded.
Results
Overall, 33.9%, 29.7%, and 36.4% of participants were classified as nonfrail, moderately frail, and severely frail, respectively. The frailty index was significantly correlated (ρ=0.37, P<.001 with higher scores on the edss. in univariable negative binomial regression analysis frailty index was associated a number of falls rate ratio ci p after adjustment for age sex and edss remained strongly history> Conclusions
The current study identifies a significant relationship between frailty and history of falls in MS, independent of age, sex, and disease severity. These findings support the notion that frailty is a syndrome related to but independent of disability 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=294441
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 952-957[article]
Titre : Impaired Visual Emotion Recognition After Minor Ischemic Stroke Type de document : Article Auteurs : Wilma Smith-Spijkerboer ; Karen Meeske ; Job A.M. van der Palen ; Heleen M. den Hertog ; Anneke S. Smeets Schouten ; Moniek van Hout ; Lucille D.A. Dorresteijn Année de publication : 2022 Article en page(s) : p. 958-963 Note générale : https://doi.org/10.1016/j.apmr.2021.10.024 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Émotions ; Prévalence ; Réadaptation ; Reconnaissance facialeRésumé : Objective
To assess the prevalence of impaired visual emotion recognition in patients who have experienced a minor ischemic stroke in the subacute phase and to determine associated factors of impaired visual emotion recognition.
Design
A prospective observational study.
Setting
Stroke unit of a teaching hospital.
Participants
Patients with minor ischemic stroke (N=112).
Interventions
Not applicable.
Main Outcome Measures
Patients with minor stroke underwent a neuropsychological assessment in the subacute phase for visual emotion recognition by the Ekman 60 Faces Test and for general cognition. Univariable linear regression analyses were performed to identify associated factors of emotion recognition impairment.
Results
In 112 minor stroke patients, we found a prevalence of 25% of impaired visual emotion recognition. This was significantly correlated with impaired general cognition. Nevertheless, 10.9% of patients with normal general cognition still had impaired emotion recognition. Mood was negatively associated. Stroke localization, hemisphere side, and sex were not associated.
Conclusion
Impaired visual emotion recognition is found in about one-quarter of patients with minor ischemic stroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294442
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 958-963[article]
Titre : Accurate Prediction of Persistent Upper Extremity Impairment in Patients With Ischemic Stroke Type de document : Article Auteurs : Adam de Havenon ; Laura Heitsch ; Abimbola Sunmonu ; Robynne Braun ; Keith R. Lohse ; John W. Cole ; Eva Mistry ; Arne Lindgren ; Bradford B. Worrall ; Steven C. Cramer Année de publication : 2022 Article en page(s) : p. Steven C. Note générale : https://doi.org/10.1016/j.apmr.2021.10.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Paralysie ; RéadaptationRésumé : Objective
To develop a simple and effective risk score for predicting which stroke patients will have persistent impairment of upper extremity motor function at 90 days.
Design
Post hoc analysis of clinical trial patients hospitalized with acute ischemic stroke who were followed for 90 days to determine functional outcome.
Setting
Patient were hospitalized at facilities across the United States.
Participants
We created a harmonized cohort of individual patients (N=1653) from the NINDS tPA, ALIAS part 2, IMS-III, DEFUSE 3, and FAST-MAG trials. We split the cohort into balanced derivation and validation samples.
Interventions
Not applicable.
Main Outcome Measures
The primary outcome was persistent arm impairment, defined as a National Institutes of Health Stroke Scale (NIHSS) arm domain score of 2 to 4 at 90 days in patients who had a 24-hour NIHSS arm score of 1 or more. We used least absolute shrinkage and selection operator regression to determine the elements of the persistent upper extremity impairment (PUPPI) index, which we validated as a predictive tool.
Results
We included 1653 patients (827 derivation, 826 validation), of whom 803 (48.6%) had persistent arm impairment. The PUPPI index gives 1 point each for age 55 years or older and NIHSS values of worse arm (4), worse leg (>2), facial palsy (3), and total NIHSS (≥10). The optimal cutpoint for the PUPPI index was 3 or greater, at which the area under the curve was greater than 0.75 for the derivation and validation cohorts and when using NIHSS values from either 24 hours or in a subacute or discharge time window. Results were similar across different levels of stroke severity.
Conclusion
The PUPPI index uses readily available information to accurately predict persistent upper extremity motor impairment at 90 days poststroke. The PUPPI index can be administered in minutes and could be used as inclusion criterion in recovery-related clinical trials or, with additional development, as a prognostic tool for patients, caregivers, and clinicians.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=294444
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. Steven C.[article]
Titre : Effect of Exercise on Fatigue in Multiple Sclerosis: A Network Meta-analysis Comparing Different Types of Exercise Type de document : Article Auteurs : Ana Torres-Costoso ; Vincente Martínez-Vizcaíno ; Sara Reina-Gutiérrez ; Celia Álvarez-Bueno ; María José Guzmán-Pavón ; Diana P. Pozuelo-Carrascosa ; Rubén Fernández-Rodríguez ; Mairena Sanchez-López ; Iván Cavero-Redondo Année de publication : 2022 Article en page(s) : p. 970-987.e18 Note générale : https://doi.org/10.1016/j.apmr.2021.08.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladies démyélinisantes ; Réadaptation ; Rééducation neurologique ; ScleroseRésumé : Objective
A network meta-analysis (NMA) of current evidence was conducted to determine if physical exercise has a positive influence on multiple sclerosis (MS) fatigue and type of exercise with the largest effect on fatigue also according to disease severity.
Data Sources
MEDLINE, Embase, SPORTDiscus, Physiotherapy Evidence Database, Cochrane Library, and Web of Science. The search strategy combined relevant terms related to (1) MS; (2) clinical trials; (3) exercise; and (4) fatigue from inception to February 2021.
Study Selection
Randomized controlled trials concerning the effectiveness of different types of exercise on total and physical fatigue in people with MS were included.
Data Extraction
The data were extracted into predesigned data extraction tables. Risk of bias was evaluated with the Cochrane Risk of Bias tool (RoB 2.0), and the Grading of Recommendations, Assessment, Development, and Evaluation tool was used to evaluate the quality of the evidence.
Data Synthesis
A total of 58 studies were examined. Data were pooled using a random-effects model. A ranking of 7 and 8 different exercise interventions for physical and total fatigue scores, respectively, was achieved. The highest effects for pairwise comparisons were for combined exercise and resistance training vs control (ranging between −0.74 and −1.24). In the NMA, combined exercise (−1.51; 95% confidence interval [CI], −2.01 to −1.01) and resistance training (−1.15; 95% CI, −1.81 to −0.49) compared with the control group achieved the highest effects for physical and total fatigue, respectively.
Conclusions
Exercise should be considered an effective fatigue management strategy. Among the different exercise modalities, combined exercise is the most effective exercise modality for improving both physical and total fatigue. Resistance training is also an effective exercise for total fatigue among people diagnosed with 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=294446
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 970-987.e18[article]
Titre : Effectiveness of Mirror Therapy for Phantom Limb Pain: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Hui-Min Xie ; Ke-Xue Zhang ; Shuo Wang ; Ning Wang ; Na Wang ; Xia Li ; Li-Ping Huang Année de publication : 2022 Article en page(s) : p. 988-997 Note générale : https://doi.org/10.1016/j.apmr.2021.07.810 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Douleur ; Kinésithérapie (spécialité) ; Membre fantôme ; RéadaptationRésumé : Objective
To evaluate the effectiveness of mirror therapy (MT) for phantom limb pain (PLP).
Data Sources
PubMed, EMBASE, Ovid MEDLINE, Scopus, Cochrane Library, Physiotherapy Evidence Database, CNKI, and WanFang Data were used to search for studies published up to March 31, 2021.
Study Selection
Randomized controlled trials (RCTs) comparing the pain intensity of MT for PLP were performed. A total of 2094 articles were found. Among them, 10 were eligible for the final analysis.
Data Extraction
The quality of the RCTs was assessed using the Physiotherapy Evidence Database (PEDro) scale by 2 independent reviewers. Outcome data were pooled according to follow-up intervals (1, 3, 6, and 12mo). Duration times were used as a basis for distinguishing subgroups. The primary evaluation was by visual analog scale. The PEDro scale was used to assess the methodological quality of studies.
Data Synthesis
Meta-analysis revealed a statistically significant decrease in pain in the MT group vs the control group within 1 month (I2=0%; standardized mean difference [SMD]=−0.46, 95% confidence interval [CI], −0.79 to −0.13; P = .007). The patients with pain for longer than 1 year benefited more from MT (I2=0%; SMD=−0.46; 95% CI, −0.85 to −0.07; P = .02).
Conclusions
MT has beneficial effects for patients with PLP in the short-term, as evidenced by their improved pain scores. There was no evidence that MT had a long-term effect, but that may be a product of limited data. For patients with long-term PLP, MT may be an effective treatment.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=294447
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 988-997[article]
Titre : Exercise Therapy Is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Michel G. Mertens ; Lotte Meert ; Filip Struyf ; Ariane Schwank ; Mira Meeus Année de publication : 2022 Article en page(s) : p. 998-1012.e14 Note générale : https://doi.org/10.1016/j.apmr.2021.07.806 Langues : Anglais (eng) Descripteurs : HE Vinci
Epaule ; Kinésithérapie (spécialité) ; Méta-analyse ; Réadaptation ; Résultat thérapeutique ; Traitement par les exercices physiquesRésumé : Objective(s)
To determine (1) the effect of exercise therapy alone or in combination with other interventions compared with solely exercises and programs with or without exercises and (2) what kind of exercise therapy or combination with other interventions is most effective.
Data Sources
PubMed, Web of Science and Cochrane Central Register of Controlled Trials.
Study Selection
Studies were screened in a 2-phase approach by 2 independent reviewers (M.M. and L.M.). Reference lists of included studies and interesting systematic reviews were hand searched.
Data Extraction
Two independent reviewers (M.M. and L.M.) extracted information about origin, characteristics of study participants, eligibility criteria, characteristics of interventions, outcome measures and main results in a pre-defined template.
Data Synthesis
Thirty-three studies were included in the qualitative and 19 in the meta-analysis. Preliminary evidence was found for supervised exercises to be more beneficial than home exercises for ROM and function. Multimodal programs comprising exercises may result in little to no difference in ROM compared to solely exercises. Programs comprising muscle energy techniques show little to no difference in ROM when compared with programs with other exercises. Adding stretches to a multimodal program with exercises may increase ROM. There is uncertain evidence that there is a difference between those programs regarding function and pain. Preliminary evidence was found for several treatment programs including exercises to be beneficial for improvement in both passive and active ROM, function, pain, and muscle strength. No studies used patient satisfaction as an outcome measure.
Conclusions
ROM, function, and pain improve with both solely exercises and programs with exercises, but for ROM and pain there was little to no difference between programs and for function the evidence was uncertain. Adding exercises improve active ROM compared with a program without exercises, whereas adding physical modalities has no beneficial effect. Muscle energy techniques are a beneficial type of exercise therapy for improving function compared with other types of exercise. Unfortunately, no conclusion can be drawn about the results in the long-term and most effective dose of exercise therapy.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=294448
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 998-1012.e14[article]
Titre : A Systematic Review of the Effects of Community Transition Programs on Quality of Life and Hospital Readmissions for Adults With Traumatic Spinal Cord Injury Type de document : Article Auteurs : Raheleh Tschoepe ; Anna Benfield ; Rachael Posey ; Vicki Mercer Année de publication : 2022 Article en page(s) : 1013-1022.e12 Note générale : https://doi.org/10.1016/j.apmr.2021.08.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Qualité de vie ; Réadaptation ; Réadmission du patient ; Revue systématique ; Soins de transition ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate the effects of community transition programs for adults with traumatic spinal cord injury (tSCI) on hospital readmissions and quality of life (QOL).
Data Sources
Seven databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Google Scholar, the Joanna Briggs Institute database, OTseeker, and PEDro) and reference lists of relevant articles were searched from inception through March 2020.
Study Selection
Original research studies were included that (1) evaluated interventions designed to support individuals aged 18-65 years with newly acquired tSCI in navigating the transition from subacute care to the community and (2) reported data for QOL or hospital readmission outcomes. Searches identified 4694 studies, and 26 of these met the selection criteria.
Data Extraction
Two reviewers independently screened and assessed all studies, extracting information about study type, methodological strengths and weaknesses, participant and intervention characteristics, comparator, and significant results. Any discrepancies were resolved by a third reviewer.
Data Synthesis
Studies were grouped according to primary intervention: peer mentoring (n=8), telehealth (n=5), education (n=5), independent living (n=3), occupational therapy (n=1), counseling (n=1), and patient navigation (n=4). Reviewers used the Let Evidence Guide Every Decision appraisal tool rubric to grade the body of evidence for each intervention type. Moderate level evidence supports the positive effects of peer mentoring, and low level evidence indicates positive effects of telehealth, education, independent living, and occupational therapy interventions. Peer mentoring, telehealth, and patient navigation were the only intervention types that included hospital readmission outcomes. Of these, peer mentoring had the most evidence, with 3 of the 4 studies that included hospital readmission outcomes demonstrating statistically significant improvements.
Conclusions
In general, there is a paucity of high-quality evidence with sufficiently similar characteristics to demonstrate and compare benefits from program participation. When high quality studies have been conducted, they have obtained mixed results. Of the different intervention types, peer mentorship has the strongest supporting evidence. Further research is needed to identify specific intervention components that are most effective in improving QOL and reducing hospital readmission for specific subgroups of individuals recovering from tSCI.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=294450
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - 1013-1022.e12[article]
Titre : Effect of Social Determinants of Health Interventions on Adults Living With Disabilities: A Scoping Review Type de document : Article Auteurs : Joe Angelelli ; David McCartney ; Christian Roehmer ; Elizabeth C.S. Swart ; Eleanor Quinby ; Jessa Darwin ; Brad E. Dicianno Année de publication : 2022 Article en page(s) : p. 1023-1033.e11 Note générale : https://doi.org/10.1016/j.apmr.2021.06.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Déterminants sociaux de la santé ; Personnes handicapées ; Réadaptation ; Soins de longue duréeRésumé : Objective
To investigate social determinants of health (SDoH) interventions on individual health outcomes, population health, and cost for persons in the United States over age 18 living with disabilities and receiving long-term services and supports (LTSS) in noninstitutional settings.
Data Sources
A review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted of literature from PubMed, PsycINFO, REHABDATA, and Web of Science Core Collection published between January 1997 and July 2020.
Study Selection
Search terms were based on the primary SDoH domains identified by the Centers for Medicare and Medicaid's Accountable Health Communities Model. A total of 5082 abstracts were screened based on identification criteria of persons age 18 and above living in non-institutional, community-based settings receiving LTSS.
Data Extraction
During Level 2 review, articles were reviewed based on population focus, type of LTSS (personal assistance services, home care, adult day care, home modification, durable medical equipment, community transition services, caregiver supports and/or prevention services related to home- and community-based care), SDoH intervention and association with health outcomes, population health and/or cost. A total of 1037 abstracts underwent Level 2 review, yielding 131 publications or 1.3% for full review.
Data Synthesis
Studies (n=33) designed a priori to test outcomes of interventions were rated according to Grading Recommendations Assessment Development and Evaluation (GRADE) criteria. Qualifying articles that did not include interventions (n=98) were included in our summary of the literature but were not assessed by GRADE.
Conclusions
The preponderance of research surrounding SDoH and health outcomes has focused on older adults living with disabilities, and most interventions scored low or very low using GRADE criteria. Evidence is limited to the extent SDoH interventions are measured against outcomes for persons of all ages living with disabilities. Robust evaluation of models that feature SDoH interventions in partnership with community-based organizations is recommended as home and community-based care infrastructure expands in response to the American Rescue Plan Act of 2021.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=294452
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 1023-1033.e11[article]
Titre : Is Sleep Disordered Breathing Confounding Rehabilitation Outcomes in Spinal Cord Injury Research? Type de document : Article Auteurs : Gino S. Panza ; Tommy Sutor ; Cameron M. Gee ; Marnie Graco ; Kevin K. McCully ; Anthony E. Chiodo ; Safwan, M. Badr ; Mark S. Nash Année de publication : 2022 Article en page(s) : p. 1034-1045 Note générale : https://doi.org/10.1016/j.apmr.2021.08.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Syndromes d'apnées du sommeil ; Traumatismes de la moelle épinièreRésumé : The purpose of this article is to highlight the importance of considering sleep-disordered breathing (SDB) as a potential confounder to rehabilitation research interventions in spinal cord injury (SCI). SDB is highly prevalent in SCI, with increased prevalence in individuals with higher and more severe lesions, and the criterion standard treatment with continuous positive airway pressure remains problematic. Despite its high prevalence, SDB is often untested and untreated in individuals with SCI. In individuals without SCI, SDB is known to negatively affect physical function and many of the physiological systems that negatively affect physical rehabilitation in SCI. Thus, owing to the high prevalence, under testing, low treatment adherence, and known negative effect on the physical function, it is contended that underdiagnosed SDB in SCI may be confounding physical rehabilitation research studies in individuals with SCI. Studies investigating the effect of treating SDB and its effect on physical rehabilitation in SCI were unable to be located. Thus, studies investigating the likely integrated relationship among physical rehabilitation, SDB, and proper treatment of SDB in SCI are needed. Owing to rapid growth in both sleep medicine and physical rehabilitation intervention research in SCI, the authors contend it is the appropriate time to begin the conversations and collaborations between these fields. We discuss a general overview of SDB and physical training modalities, as well as how SDB could be affecting these 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=294453
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 1034-1045[article]
Paru le : 01/04/2022
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Titre : Demographic and Health Profiles of People Living With Traumatic Spinal Cord Injury in the United States During 2015-2019: Findings from the Spinal Cord Injury Model Systems Database Type de document : Article Auteurs : Yuying Chen ; Huacong Wen ; Navneet Kaur Baidwan ; Michael J. DeVivo Année de publication : 2022 Article en page(s) : p. 622-633 Note générale : https://doi.org/10.1016/j.apmr.2021.11.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Épidémiologie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To estimate the population profile of people living with traumatic spinal cord injury (TSCI) to help evaluate health care needs of this aging population.
Design
Cross-sectional study.
Setting
SCI Model Systems (SCIMS) centers in the United States.
Participants
Individuals (N=20,437) who: (1) incurred a TSCI between 1972 and 2019, (2) were initially treated at one of the SCIMS centers, and (3) were alive during the period from 2015 to 2019.
Interventions
Not applicable.
Main Outcome Measures
Demographics, injury characteristics, health conditions, and social participation, as compared with previous estimates in 2008 and general population statistics in 2017.
Results
People living with TSCI during the period from 2015-2019 (mean years since injury, 18y; 79.4% male, and 62.5% White) were older (51.6 vs 45.0y) and had a higher percentage of C1-C4 (21.9% vs 17.0%) and American Spinal Injury Association Impairment Scale D injuries (31.5% vs 26.0%) compared with the 2008 TSCI population profile. Although the proportion of people with a bachelor's degree or higher was similar between the TSCI and general US populations (30.7% vs 32.0%), the employment rate was lower in the TSCI population (24.0% vs 59.5%). People are affected by various medical problems over time post TSCI. The prevalence of pain and urinary tract infection remained high over postinjury years, at 86.1% and 52.6%, respectively. Rehospitalization and depression were most common during the first year (34.9% and 22.3%, respectively), and pressure injury was more common among those 20 years or more postinjury (>30.0%). Health conditions declined with advanced age, including self-perceived health, diabetes, and institutional residence. People who survived TSCI for years, however, had relatively good degrees of independence and social participation.
Conclusion
Study findings highlight the need for greater involvement of primary care providers and geriatricians in the continuity of care for SCI to promote healthy aging. Improvement in employment should also be the target in promoting social participation and 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=292878
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 622-633[article]
Titre : Cause of Death Trends Among Persons With Spinal Cord Injury in the United States: 1960-2017 Type de document : Article Auteurs : Michael J. DeVivo ; Yuying Chen ; Huacong Wen Année de publication : 2022 Article en page(s) : p. 634-641 Note générale : https://doi.org/10.1016/j.apmr.2021.09.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Cause de décès ; Épidémiologie ; Mortalité ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To identify trends in causes of death after spinal cord injury (SCI) that could enhance understanding of why life expectancy after SCI has not improved in the last 3 decades.
Design
Cohort study.
Setting
Twenty-nine SCI Model Systems and 3 Shriners Hospitals.
Participants
Individuals with traumatic SCI (N=49,266) enrolled in the SCI Collaborative Survival Study Database between 1973 and 2017.
Interventions
Not applicable.
Main Outcome Measures
Age-standardized cause-specific SCI mortality rates and 95% confidence intervals were calculated for 5 time intervals (1960-1979, 1980-1989, 1990-1999, 2000-2009, and 2010-2017).
Results
A total of 17,249 deaths occurred in 797,226 person-years of follow-up. Since 2010, the highest mortality rate was for respiratory diseases, followed by heart disease, cancer, infective and parasitic diseases (primarily septicemia), and unintentional injuries. Mortality rates for respiratory diseases, cancer, stroke, urinary diseases, and digestive diseases, initially decreased significantly but remained relatively stable since 1980, whereas essentially no progress occurred for infective and parasitic diseases. Mortality rates for heart disease, pulmonary embolus, and suicide decreased significantly throughout the entire study period, but were offset by increases in mortality rates for endocrine (primarily diabetes), nutritional, and metabolic diseases, as well as unintentional injuries. From 2010 to 2017, the overall age-standardized mortality rate was 3 times higher for individuals with SCI than the general population, ranging from 27% higher for cancer to 9 times higher for infective and parasitic diseases.
Conclusion
Improving life expectancy after SCI will require: (1) reducing mortality rates from respiratory diseases and septicemia that have remained high, (2) reversing current trends in diabetes and unintentional injury deaths, and (3) continuing to reduce mortality from heart disease and other leading causes.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=292882
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 634-641[article]
Titre : Trauma Indicators in Spinal Cord Injury Rehabilitation Outcomes: A Retrospective Cohort Analysis of the National Trauma Data Bank and National Spinal Cord Injury Database Type de document : Article Auteurs : Cristina Shea ; Chloe Slocum ; Richard Goldstein ; Mary Joan Roach ; Russell Griffin ; Yuying Chen ; Ross Zafonte Année de publication : 2022 Article en page(s) : p. 642-648.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.12.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate whether initial emergency department physiological measures and metrics of trauma severity predict functional outcomes and neurologic recovery in traumatic spinal cord injury.
Design
Retrospective analysis of a clinical database.
Setting
Merged multicenter data from the Spinal Cord Injury Model Systems (SCIMS) database and National Trauma Data Bank from 6 academic medical centers across the United States.
Participants
Patients (N=319) admitted to SCIMS rehabilitation centers within 1 year of injury. The majority of patients were men (76.2%), with a mean age of 44 years (SD, 19y). At rehabilitation admission, the most common neurologic level of injury was low cervical (C5-C8, 39.5%) and ASIA impairment scale (AIS) was A (34.4%).
Main Outcome Measures
Primary outcomes were FIM motor score at discharge from inpatient rehabilitation and change in FIM motor score between inpatient rehabilitation admission and discharge. We hypothesized that derangements in emergency department physiological measures, such as decreased blood pressure and oxygen saturation, as well as increased severity of trauma burden, would predict poorer functional outcomes.
Results
Linear regression analysis showed that neurologic level of injury and AIS predicted discharge FIM motor score. Systolic blood pressure, heart rate, oxygen saturation, need for assisted respiration, and presence of penetrating injury did not predict discharge motor FIM or FIM motor score improvement.
Conclusions
Initial emergency department physiological parameters did not prognosticate functional outcomes in this cohort.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292883
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 642-648.e2[article]
Titre : Characterizing Natural Recovery of People With Initial Motor Complete Tetraplegia Type de document : Article Auteurs : Steven Kirshblum ; Amanda Botticello ; John Benedetto ; Fatma Eren ; Jayne Donovan ; Ralph Marino Année de publication : 2022 Article en page(s) : p. 649-656 Note générale : https://doi.org/10.1016/j.apmr.2021.09.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Tétraplégie ; Traumatismes de la moelle épinièreRésumé : Objective
To determine the differences in neurologic recovery in persons with initial cervical American Spinal Cord Injury Association Impairment Scale (AIS) grades A and B over time.
Design
Retrospective analysis of data from people with traumatic cervical spinal cord injury (SCI) enrolled in the National Spinal Cord Injury Model Systems (SCIMS) database from 2011-2019.
Setting
SCIMS centers.
Participants
Individuals (N=187) with traumatic cervical (C1-C7 motor level) SCI admitted with initial AIS grade A and B injuries within 30 days of injury, age 16 years or older, upper extremity motor score (UEMS) ≤20 on both sides, and complete neurologic data at admission and follow-up between 6 months and 2 years.
Interventions
Not applicable.
Main Outcome Measures
Conversion in AIS grades, UEMS and lower extremity motor scores (LEMS), and sensory scores.
Results
Mean time to initial and follow-up examinations were 16.1±7.3 days and 377.5±93.4 days, respectively. Conversion from an initial cervical AIS grades A and B to motor incomplete status was 13.4% and 50.0%, respectively. The mean UEMS change for people with initial AIS grades A and B did not differ (7.8±6.5 and 8.8±6.1; P=.307), but people with AIS grade B experienced significantly higher means of LEMS change (2.3±7.4 and 8.8±13.9 (P≤.001). The increased rate of conversion to motor incomplete status from initial AIS grade B appears to be the primary driving factor of increased overall motor recovery. Individuals with initial AIS grade B had greater improvement in sensory scores.
Conclusions
While UEMS recovery is similar in persons with initial AIS grades A and B, the rate of conversion to motor incomplete status, LEMS, and sensory recovery are significantly different. This information is important for clinical as well as research considerations.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=292884
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 649-656[article]
Titre : Rehabilitation Length of Stay, Body Mass Index, and Functional Improvement Among Adults With Traumatic Spinal Cord Injury Type de document : Article Auteurs : Yu-Hsiang Kao ; Yuying Chen ; Anne Deutsch ; Huacong Wen ; Tung-Sung Tseng Année de publication : 2022 Article en page(s) : p. 657-664 Note générale : https://doi.org/10.1016/j.apmr.2021.09.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Durée du séjour ; Indice de masse corporelle ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the modifying effect of body mass index (BMI) on the association between rehabilitation length of stay (LOS), severity of injury, and motor FIM (mFIM) improvement in patients with traumatic spinal cord injury (TSCI).
Design
Retrospective cohort study.
Setting
Seventeen SCI Model Systems (SCIMS) centers in the United States.
Participants
A total of 3413 patients (N=3413) who had a TSCI were admitted to an SCIMS between October 2011 and August 2018.
Interventions
Not applicable.
Main Outcome Measures
The mFIM (12 items) improvement by discharge. Four rehabilitation LOS groups split by quartiles were created for each neurologic severity of injury group (C1-C4 level with American Spinal Injury Association Impairment Scale [AIS] ABC, C5-C8 AIS ABC, T1-S3 AIS ABC, AIS DE). The interrelationship among rehabilitation LOS, BMI, and mFIM improvement were examined using multivariate linear regressions. A stratified analysis was performed to examine the association between rehabilitation LOS and mFIM improvement by BMI status (underweight or normal weight, overweight, obesity) and neurologic groups.
Results
A total of 1099 (32.2%) and 821 (24.1%) patients were overweight and had obesity, respectively. Patients with obesity had less improvement in mFIM than those who were underweight or normal weight (unit of mFIM improvement, −3.71). After stratifying by BMI status, among patients with obesity, those with the longest rehabilitation LOS showed greater improvement in mFIM than those in the shortest LOS (unit of mFIM improvement=4.78).
Conclusions
Longer inpatient rehabilitation LOS may benefit patients with TSCI by increasing mFIM improvement by discharge. Obesity is negatively associated with mFIM improvement.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=292885
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 657-664[article]
Titre : Predicting Duration of Outpatient Physical Therapy Episodes for Individuals with Spinal Cord Injury Based on Locomotor Training Strategy Type de document : Article Auteurs : Mauricio Garnier-Villarreal ; Daniel Pinto ; Chaithanya Krishna Mummidisetty ; Arun Jayaraman ; Candy Tefertiller ; Susan Charlifue ; Heather B. Taylor ; Shuo-Hsiu Chang ; Nicholas McCombs ; Catherine L. Furbish ; Edelle C. Field-Fote ; Allen W. Heinemann Année de publication : 2022 Article en page(s) : p. 665-675 Note générale : https://doi.org/10.1016/j.apmr.2021.07.815 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche ; Dispositif d'exosquelette ; Épisode de soins ; Réadaptation ; Services de santé ; Techniques de physiothérapie ; Traumatismes de la moelle épinièreRésumé : Objective
To characterize individuals with spinal cord injuries (SCI) who use outpatient physical therapy or community wellness services for locomotor training and predict the duration of services, controlling for demographic, injury, quality of life, and service and financial characteristics. We explore how the duration of services is related to locomotor strategy.
Design
Observational study of participants at 4 SCI Model Systems centers with survival. Weibull regression model to predict the duration of services.
Setting
Rehabilitation and community wellness facilities at 4 SCI Model Systems centers.
Participants
Eligibility criteria were SCI or dysfunction resulting in motor impairment and the use of physical therapy or community wellness programs for locomotor/gait training. We excluded those who did not complete training or who experienced a disruption in training greater than 45 days. Our sample included 62 participants in conventional therapy and 37 participants in robotic exoskeleton training.
Interventions
Outpatient physical therapy or community wellness services for locomotor/gait training.
Main Outcome Measures
SCI characteristics (level and completeness of injury) and the duration of services from medical records. Self-reported perceptions of SCI consequences using the SCI-Functional Index for basic mobility and SCI-Quality of Life measurement system for bowel difficulties, bladder difficulties, and pain interference.
Results
After controlling for predictors, the duration of services for the conventional therapy group was an average of 63% longer than for the robotic exoskeleton group, however each visit was 50% shorter in total time. Men had an 11% longer duration of services than women had. Participants with complete injuries had a duration of services that was approximately 1.72 times longer than participants with incomplete injuries. Perceived improvement was larger in the conventional group.
Conclusions
Locomotor/gait training strategies are distinctive for individuals with SCI using a robotic exoskeleton in a community wellness facility as episodes are shorter but individual sessions are longer. Participants’ preferences and the ability to pay for ongoing services may be critical factors associated with the duration of outpatient 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=292886
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 665-675[article]
Titre : Toward Improving the Prediction of Functional Ambulation After Spinal Cord Injury Through the Inclusion of Limb Accelerations During Sleep and Personal Factors Type de document : Article Auteurs : Stéphanie K. Rigot ; Michael L. Boninger ; Dan Ding ; Gina McKernan ; Edelle C. Field-Fote ; Jeanne Hoffman ; Rachel Hibbs ; Lynn A. Worobey Année de publication : 2022 Article en page(s) : p. 676-687.e6 Note générale : https://doi.org/10.1016/j.apmr.2021.02.029 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Marche à pied ; Pronostic ; Réadaptation ; Récupération fonctionnelle ; Traumatismes de la moelle épinièreRésumé : Objective
To determine if functional measures of ambulation can be accurately classified using clinical measures; demographics; personal, psychosocial, and environmental factors; and limb accelerations (LAs) obtained during sleep among individuals with chronic, motor incomplete spinal cord injury (SCI) in an effort to guide future, longitudinal predictions models.
Design
Cross-sectional, 1-5 days of data collection.
Setting
Community-based data collection.
Participants
Adults with chronic (>1 year), motor incomplete SCI (N=27).
Interventions
Not applicable.
Main Outcome Measures
Ambulatory ability based on the 10-m walk test (10MWT) or 6-minute walk test (6MWT) categorized as nonambulatory, household ambulator (0.01-0.44 m/s, 1-204 m), or community ambulator (>0.44 m/s, >204 m). A random forest model classified ambulatory ability using input features including clinical measures of strength, sensation, and spasticity; demographics; personal, psychosocial, and environmental factors including pain, environmental factors, health, social support, self-efficacy, resilience, and sleep quality; and LAs measured during sleep. Machine learning methods were used explicitly to avoid overfitting and minimize the possibility of biased results.
Results
The combination of LA, clinical, and demographic features resulted in the highest classification accuracies for both functional ambulation outcomes (10MWT=70.4%, 6MWT=81.5%). Adding LAs, personal, psychosocial, and environmental factors, or both increased the accuracy of classification compared with the clinical/demographic features alone. Clinical measures of strength and sensation (especially knee flexion strength), LA measures of movement smoothness, and presence of pain and comorbidities were among the most important features selected for the models.
Conclusions
The addition of LA and personal, psychosocial, and environmental features increased functional ambulation classification accuracy in a population with incomplete SCI for whom improved prognosis for mobility outcomes is needed. These findings provide support for future longitudinal studies that use LA; personal, psychosocial, and environmental factors; and advanced analyses to improve clinical prediction rules for functional mobility outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292888
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 676-687.e6[article]
Titre : A Concordance Table to Convert FIM Basic Mobility and Self-Care Scale Scores to SCI-FI/AT Scores Type de document : Article Auteurs : Pengsheng Ni ; Kelly Spellman ; Ross Zafonte ; Huacong Wen ; Mary D. Slavin ; Alan M. Jette Année de publication : 2022 Article en page(s) : p. 688-695 Note générale : https://doi.org/10.1016/j.apmr.2021.06.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To estimate Spinal Cord Injury Functional Index Assistive Technology (SCI-FI/AT) scores from FIM motor items.
Design
Secondary data analysis.
Setting
Fourteen Spinal Cord Injury Model Systems (SCIMS) programs.
Participants
Persons with traumatic spinal cord injury (SCI) discharged from inpatient rehabilitation at 14 SCIMS programs (N=1237).
Interventions
Not applicable.
Main Outcome Measures
FIM motor items were matched to SCI-FI/AT domains and summary scores for each measure were developed. The kernel-based method was employed to develop a concordance table to estimate SCI-FI/AT domain summary scores from content-matched FIM motor item summary scores. We conducted analyses to compare agreement between actual SCI-FI/AT summary scores (actual SCI-FI/AT_S) and estimated SCI-FI/AT summary scores (est-SCI-FI/AT_S) for the total sample and for participants with different SCI injury categories.
Results
Nine FIM items matched SCI-FI/AT basic mobility and self-care domain content. Pearson correlations for actual and est-SCI-FI/AT_S scores (0.79) were adequate for using concordance linking methods. Intraclass correlation coefficient values (0.79; 95% confidence interval, 0.77-0.81) indicated moderate reliability. t tests revealed no significant differences between actual and est-SCI-FI/AT_S scores in the total sample. For almost 60% of the sample, actual and est-SCI-FI/AT_S score differences were
Conclusions
Despite differences between the FIM and SCI-FI/AT assessments, we developed a concordance table to estimate self-care and basic mobility SCI-FI/AT scores from content-matched FIM motor item scores. This concordance table allows researchers to merge FIM data with SCI-FI/AT data to analyze SCI functional outcomes at the group level. However, owing to greater differences between actual and estimated scores, the concordance table should be used with caution to interpret scores for those with cervical-level injuries AISs A, B, C.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=292889
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 688-695[article]
Titre : Acute Spinal Cord Injury Is Associated With Prevalent Cardiometabolic Risk Factors Type de document : Article Auteurs : Ryan Solinsky ; Luisa Betancourt ; Mary Schmidt-Read ; Mendel Kupfer ; Marilyn Owens ; Jan M. Schwab ; Nathaniel B. Dusseau ; Yaga Szlachcic ; Linda Sutherland ; Andrew J. Taylor ; Mark S. Nash Année de publication : 2022 Article en page(s) : p. 696-701 Note générale : https://doi.org/10.1016/j.apmr.2021.04.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Facteurs de risque ; Obésité ; Réadaptation ; Syndrome métabolique X ; Traumatismes de la moelle épinièreRésumé : Objectives
To (1) describe the prevalence of cardiometabolic disease (CMD) at spinal cord injury (SCI) rehabilitation discharge; (2) compare this with controls without SCI; and (3) identify factors associated with increased CMD.
Design
Multicenter, prospective observational study.
Setting
Five National Institute on Disability, Independent Living, and Rehabilitation Research Model SCI Rehabilitation Centers.
Participants
SCI (n=95): patients aged 18-70 years, with SCI (neurologic levels of injury C2-L2, American Spinal Injury Association Impairment Scale grades A-D), and enrolled within 2 months of initial rehabilitation discharge. Control group (n=1609): age/sex/body mass index–matched entries in the National Health and Nutrition Examination Education Survey (2016-2019) (N=1704).
Interventions
None
Main Outcome Measures
Percentage of participants with SCI with CMD diagnosis, prevalence of CMD determinants within 2 months of rehabilitation discharge, and other significant early risk associations were analyzed using age, sex, body mass index, insulin resistance (IR) by fasting glucose and Homeostasis Model Assessment (v.2), fasting triglycerides, high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol, total cholesterol, and resting blood pressure (systolic and diastolic).
Results
Participants with SCI had significantly higher diastolic blood pressure and triglycerides than those without SCI, with lower fasting glucose and HDL-C. A total of 74.0% of participants with SCI vs 38.5% of those without SCI were obese when applying population-specific criteria (P<.05 low hdl-c was measured in of participants with sci vs those without ir not significantly different between groups. a total had cmd determinants which higher than interplay lipids and lipoproteins cholesterol:hdl-c ratio triglyceride:hdl-c were associated elevated risk for myocardial infarction stroke. the only significant variable age>
Conclusions
Individuals with SCI have an increased CMD risk compared with the general population; obesity, IR, and low HDL-C are the most common CMD risk determinants; age is significantly associated with early CMD.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=292890
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 696-701[article]
Titre : Gut Microbiome Composition and Serum Metabolome Profile Among Individuals With Spinal Cord Injury and Normal Glucose Tolerance or Prediabetes/Type 2 Diabetes Type de document : Article Auteurs : Jia Lia ; Casey Morrow ; Stephen Barnes ; Landon Wilson ; Erika D. Womack ; Amie McLain ; Ceren Yarar-Fisher Année de publication : 2022 Article en page(s) : p. 702-710 Note générale : https://doi.org/10.1016/j.apmr.2021.03.043 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète de type 2 ; Interactions hôte-microbes ; Métabolomique ; Microbiome gastro-intestinal ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To compare the gut microbiome composition and serum metabolome profile among individuals with spinal cord injury (SCI) and normal glucose tolerance (NGT) or prediabetes/type 2 diabetes (preDM/T2D).
Design
Cross-sectional design.
Setting
Research university.
Participants
A total of 25 adults (N=25) with SCI were included in the analysis and categorized as NGT (n=16) or preDM/T2D (n=9) based on their glucose concentration at minute 120 during a 75-g oral glucose tolerance test. The American Diabetes Association diagnosis guideline was used for grouping participants.
Interventions
Not applicable.
Main Outcome Measures
A stool sample was collected and used to assess the gut microbiome composition (alpha and beta diversity, microbial abundance) via the 16s ribosomal RNA sequencing technique. A fasting serum sample was used for liquid chromatography–mass spectrometry–based untargeted metabolomics analysis, the results from which reflect the relative quantity of metabolites detected and identified. Gut microbiome and metabolomics data were analyzed by the Quantitative Insights into Microbial Ecology 2 and Metaboanalyst platforms, respectively.
Results
Gut microbiome alpha diversity (Pielou's evenness index, Shannon's index) and beta diversity (weighted UniFrac distances) differed between groups. Compared with participants with NGT, participants with preDM/T2D had less evenness in microbial communities. In particular, those with preDM/T2D had a lower abundance of the Clostridiales order and higher abundance of the Akkermansia genus, as well as higher serum levels of gut-derived metabolites, including indoxyl sulfate and phenylacetylglutamine (P
Conclusions
Our results provide evidence for altered gut microbiome composition and dysregulation of gut-derived metabolites in participants with SCI and preDM/T2D. Both indoxyl sulfate and phenylacetylglutamine have been implicated in the development of cardiovascular diseases in the able-bodied population. These findings may inform future investigations in the field of SCI and cardiometabolic health.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=292891
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 702-710[article]
Titre : Mortality Beyond the First Year After Spinal Cord Injury: Does Body Mass Index Matter? Type de document : Article Auteurs : Huacong Wen ; Michael J. DeVivo ; Allen W. Heinemann ; James S. Krause ; Susan Robinson-Whelen ; Yuying Chen Année de publication : 2022 Article en page(s) : p. 711-721 Note générale : https://doi.org/10.1016/j.apmr.2021.08.026 Langues : Anglais (eng) Descripteurs : HE Vinci
Cause de décès ; Indice de masse corporelle ; Mortalité ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the association between body mass index (BMI [calculated as weight in kilograms divided by height in meters squared]) and mortality after the first year post spinal cord injury (SCI) overall and across demographic and injury characteristics.
Design
Cohort study.
Setting
Sixteen Spinal Cord Injury Model Systems (SCIMS) centers.
Participants
SCIMS Database participants age 20 years or older and having a BMI assessment during the 2007-2011 wave of data collection.
Interventions
Not applicable.
Main Outcome Measures
All-cause mortality rate. Life table method and log-rank test were used to estimate and compare mortality rates across BMI groups and other factors. Cox proportional hazard regression model was conducted to estimate hazard ratio (HR) and 95% confidence interval (CI).
Results
A total of 2346 participants (N=2346) with SCI were classified into 1 of the 8 BMI groups:
Conclusions
To improve life expectancy after SCI, health care professionals could focus on weight management among patients with relatively low and extremely high BMI, defined by demographic and injury-related characteristics. Future studies should explore factors that contribute to such a higher mortality after SCI, including pre-existing conditions, poor diet and/or nutrition, and cardiorespiratory fitness.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=292893
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 711-721[article]
Titre : Emergency Department Visits, Related Hospitalizations, and Reasons for Emergency Department Utilization After Traumatic Spinal Cord Injury Type de document : Article Auteurs : Yue Cao ; Nicole D. DiPiro ; Edelle C. Field-Fote ; James S. Krause Année de publication : 2022 Article en page(s) : p. 722-728 Note générale : https://doi.org/10.1016/j.apmr.2021.02.030 Langues : Anglais (eng) Descripteurs : HE Vinci
Hôpitaux ; Hospitalisation ; Réadaptation ; Services des urgences médicales ; Traumatismes de la moelle épinièreRésumé : Objective
To identify the self-reported frequency of emergency department (ED) visits, ED-related hospitalizations, and reasons for ED visits among people with traumatic spinal cord injury (SCI) and compare them with general population data from the same geographic area.
Design
Cross-sectional.
Setting
A specialty hospital in the Southeastern United States.
Participants
The participants (N=648) were community-dwelling adults (18 years and older) with a traumatic SCI, who were at least 1 year postinjury. A comparison group of 9728 individuals from the general population was retrieved from the 2017 National Health Interview Survey (NHIS).
Interventions
Not applicable.
Main Outcome Measures
Participants completed self-report assessments on ED visits, ED hospitalizations, and reasons for ED visits in the past 12 months using items from the NHIS.
Results
A total of 37% of participants with SCI reported at least 1 ED visit, and 18% reported at least 1 ED hospitalization in the past 12 months. Among those having at least 1 ED visit, 49% were admitted to hospitals. After controlling for sex, age, and race/ethnicity, participants with SCI were 151% more likely to visit the ED (odds ratio [OR], 2.51) and 249% more likely to have at least 1 ED hospitalization than the NHIS sample (OR, 3.49). Persons with SCI had a higher percentage of ED visits because of severe health conditions, reported an ED was the closest provider, and were more likely to arrive by ambulance. NHIS participants were more likely to visit the ED because no other option was available.
Conclusions
Compared with those in the general population, individuals with SCI have substantially higher rates of ED visits, yet ED visits are not regularly assessed within the SCI Model Systems. ED visits may indicate the need for intervention beyond the acute condition leading directly to the ED visits and an opportunity to link individuals with resources needed to maintain function in the community.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=292894
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 722-728[article]
Titre : Prevalence and Impact of Neuropathic and Nonneuropathic Pain in Chronic Spinal Cord Injury Type de document : Article Auteurs : Elizabeth R. Felix ; Diana D. Cardenas ; Thomas N. Bryce ; Susan Charlifue ; Tae Kyong Lee ; Bria MacIntyre ; Sara Mulroy ; Heather Taylor Année de publication : 2022 Article en page(s) : p. 729-737 Note générale : https://doi.org/10.1016/j.apmr.2021.06.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Douleur chronique ; Douleur nociceptive ; Nevralgie ; Réadaptation ; Sommeil ; Traumatismes de la moelle épinièreRésumé : Objective
To compare prevalence, intensity ratings, and interference ratings of neuropathic pain (NeuP) and nociceptive pain in people with chronic spinal cord injury (SCI)
Design
Cross-sectional survey.
Setting
Six SCI Model System centers in the United States.
Participants
Convenience sample of 391 individuals (N=391) with traumatic SCI, 18 years or older, 81% male, 57% White.
Interventions
Not applicable.
Main Outcome Measures
Survey based on the International Spinal Cord Injury Pain Basic Data Set and the Spinal Cord Injury Pain Instrument, including 0-10 numeric ratings of pain intensity and pain interference with daily activities, mood, and sleep
Results
A total of 80% of those surveyed reported having at least 1 pain problem; 58% reported 2 or more pain problems; 56% had probable NeuP; and 49% had non-NeuP. When comparing ratings for all pains (n=354 for NeuP, n=290 for non-NeuP) across participants, probable NeuPs were significantly more intense (6.9 vs 5.7) and interfered more with activities (5.2 vs 3.7), mood (4.9 vs 3.2), and sleep (5.4 vs 3.6) than non-NeuPs (all P<.001 however when comparing ratings for probable neups and non-neups within participants the subgroup of with both pain types only sleep interference were found to be significantly different between types. additionally we greater prevalence neup non-neup women compared men those paraplegia tetraplegia.>
Conclusions
Independent assessment of the pain conditions experienced by an individual with SCI is useful in understanding the differential effect that pain type has on quality of life. This is particularly important regarding sleep interference and should be kept in mind when determining treatment strategies for meeting patient-centered outcome goals.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=292895
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 729-737[article]
Titre : miR-338-5p Levels and Cigarette Smoking are Associated With Neuropathic Pain Severity in Individuals With Spinal Cord Injury: Preliminary Findings From a Genome-Wide microRNA Expression Profiling Screen Type de document : Article Auteurs : Jesse L. Kowalski ; Nguyen Nguyen ; Ricardo A. Battaglino ; Scott P. Falci ; Susan Charlifue ; Leslie R. Morse Année de publication : 2022 Article en page(s) : p. 738-746 Note générale : https://doi.org/10.1016/j.apmr.2021.09.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Fumer ; MicroARN ; Nevralgie ; Produits du tabac ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To identify microRNA biomarkers and clinical factors associated with neuropathic pain after spinal cord injury.
Design
Cross-sectional, secondary analysis of baseline data collected from ongoing clinical studies. Using a genome-wide microRNA screening approach, we studied differential microRNA expression in serum from 43 adults with spinal cord injury enrolled in ongoing clinical studies. Least squares regression was used to identify associations between microRNA expression, clinical factors, and neuropathic pain severity.
Setting
Community-dwelling individuals with spinal cord injury.
Participants
Participants (N=43) were at least 18 years old with spinal cord injury, with 28 reporting neuropathic pain and 15 reporting no neuropathic pain.
Interventions
Not applicable.
Main Outcome Measures
Pain presence, type, and intensity were assessed with the International Spinal Cord Injury Pain Basic Data Set. Serum microRNA normalized deep sequencing counts were quantified from blood samples. Participant demographic factors, injury characteristics, medication use, and health habits were collected via questionnaire.
Results
miR-338-5p expression and history of cigarette smoking were associated with and explained 37% of the variance in neuropathic pain severity (R2=0.37, F2,18=5.31, P=.02) independent of other clinical factors. No association was identified between miR-338-5p levels and nociceptive pain severity.
Conclusions
Our findings suggest that miR-338-5p and cigarette smoking may both play a role in the development or maintenance of neuropathic pain after spinal cord injury. While additional work is needed to confirm these findings, validated target analysis suggests a neuroprotective role of miR-338-5p in modulating neuroinflammation and neuronal apoptosis and that its downregulation may result in maladaptive neuroplastic mechanisms contributing to neuropathic pain after spinal cord 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=292897
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 738-746[article]
Titre : Mediating Effects of Pain Interference on the Relationships Between Pain Intensity and Probable Major Depression Among Participants With Spinal Cord Injury Type de document : Article Auteurs : Chao Li ; Nicole D. DiPiro ; Jillian M.R. Clark ; James S. Krause Année de publication : 2022 Article en page(s) : p. 747-754 Note générale : https://doi.org/10.1016/j.apmr.2021.04.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Douleur ; Réadaptation ; Traumatismes de la moelle épinière ; Trouble dépressif majeurRésumé : Objective
To evaluate whether pain interference mediates the relationship between pain intensity and probable major depression (PMD) among persons with spinal cord injury (SCI), accounting for differences in the frequency of prescription medication use and resilience.
Design
Cross-sectional analysis using self-report assessment.
Setting
Medical university in the Southeastern United States.
Participants
There were a total of 4670 participants (N=4670), all of whom had traumatic SCI of at least 1-year duration, identified from the Southeastern Regional SCI Model System and 2 state-based surveillance systems.
Interventions
Not applicable.
Main Outcome Measures
The Patient Health Questionnaire-9 was used to define PMD. Covariates included demographic and injury characteristics, pain severity, pain interference, and resilience. Separate sets of multistage logistic regression analyses were conducted for 3 levels of prescription pain medication use (daily, occasional/weekly, none).
Results
Pain intensity was related to a greater risk of PMD (odds ratio [OR]daily pain medication user, 1.28; 95% confidence interval [CI], 1.21-1.35; ORoccasional/weekly pain medication user, 1.26; 95% CI, 1.16-1.36; ORnonpain medication user, 1.44; 95% CI, 1.33-1.56), but this relationship disappeared after consideration of pain interference (ORdaily pain medication user, 0.97; 95% CI, 0.90-1.04; ORoccasional/weekly pain medication user, 0.94; 95% CI, 0.84-1.05; ORnonpain medication user, 1.07; 95% CI, 0.95-1.20), which indicates pain interference was a mediator between pain intensity and PMD and there was no direct relationship between pain intensity and PMD. Resilience was protective of PMD in each model but was not a mediator.
Conclusions
Although pain intensity was associated with PMD, the relationship was mediated by pain interference. Resilience was an important protective factor. Therefore, clinicians should assess pain interference when screening for PMD and direct treatment at reducing pain interference. Building resilience may further reduce the risk of PMD.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=292898
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 747-754[article]
Titre : Utilization of Complementary and Integrative Health Care by People With Spinal Cord Injury in the Spinal Cord Injury Model Systems: A Descriptive Study Type de document : Article Auteurs : Jennifer Coker ; Jeffrey C. Berliner ; Amanda Botticello ; Thomas N. Bryce ; Susan Charlifue ; David Chen ; David Estrada ; Kimberley R. Monden ; Heather Taylor ; Ross Zafonte ; Jeanne M. Zanca Année de publication : 2022 Article en page(s) : p. 755-763 Note générale : https://doi.org/10.1016/j.apmr.2021.04.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Médecine intégrative ; Réadaptation ; Thérapies complémentaires ; Traumatismes de la moelle épinièreRésumé : Objective
To characterize the use of complementary and integrative health care (CIH) by people with spinal cord injury.
Design
Cross-sectional self-report study.
Setting
Participants were recruited from 5 Spinal Cord Injury Model Systems (SCIMS) centers across the United States.
Interventions
Not applicable.
Participants
A total of 411 persons enrolled in the SCIMS completing their SCIMS follow-up interview between January 2017 and July 2019 (N = 411).
Main Outcome Measures
Participants completed a survey developed for this study that included questions about types of CIH currently and previously used, reasons for current and previous use, reasons for discontinuing use of CIH, and reasons for never using CIH since injury.
Results
Of the 411 respondents, 80.3% were current or previous users of CIH; 19.7% had not used CIH since injury. The most commonly used current types of CIH were multivitamins (40.0%) and massage (32.6%), whereas the most common previously used type of CIH was acupuncture (33.9%). General health and wellness (61.4%) and pain (31.2%) were the most common reasons for using CIH. The primary reason for discontinuing CIH was that it was not helpful (42.1%). The primary reason for not using CIH since injury was not knowing what options are available (40.7%).
Conclusions
These results point to the importance for rehabilitation clinicians to be aware that their patients may be using 1 or more CIH approaches. Providers should be open to starting a dialogue to ensure the health and safety of their patients because there is limited information on safety and efficacy of CIH approaches in this population. These results also set the stage for further analysis of this data set to increase our knowledge in this area.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=292899
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 755-763[article]
Titre : Characterizing the Experience of Spasticity after Spinal Cord Injury: A National Survey Project of the Spinal Cord Injury Model Systems Centers Type de document : Article Auteurs : Edelle C. Field-Fote ; Catherine L. Furbish ; Natalie E. Tripp ; Jeanne M. Zanca ; Trevor A. Dyson-Hudson ; Steven Kirshblum ; Allen W. Heinemann ; David Chen ; Elizabeth Roy Felix ; Lynn Worobey ; Mary Schmidt-Read ; Ralph J. Marino ; Matthew J. Hayat Année de publication : 2022 Article en page(s) : p. 764-772.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.03.040 Langues : Anglais (eng) Descripteurs : HE Vinci
Dysréflexie autonome ; Mesures des résultats rapportés par les patients (PROM) ; Paralysie ; Paraplégie ; Réadaptation ; Spasme ; TétraplégieRésumé : Objective
To characterize the qualities that individuals with spinal cord injury (SCI) associate with their experience of spasticity and to describe the relationship between spasticity and perceived quality of life and the perceived value of spasticity management approaches.
Design
Online cross-sectional survey.
Setting
Multicenter collaboration among 6 Spinal Cord Injury Model Systems hospitals in the United States.
Participants
Individuals with SCI (N=1076).
Interventions
Not applicable.
Main Outcome Measures
Qualities of Spasticity Questionnaire, modified Spinal Cord Injury–Spasticity Evaluation Tool (mSCI-SET), and the modified Patient-Reported Impact of Spasticity Measure (mPRISM).
Results
Respondents indicated that spasms most often occurred in response to movement-related triggering events. However, spontaneous spasms (ie, no triggering event) were also reported to be among the most common types. Frequency of spasms appears to decline with age. The highest frequency of spasms was reported by 56% of respondents aged 55 years. Stiffness associated with spasticity was reported to be more common than spasms (legs, 65% vs 54%; trunk, 33% vs 18%; arms, 26% vs 15%). Respondents reported negative effects of spasticity more commonly than positive effects. Based on their association with negative scores on the mSCI-SET and the mPRISM, the 5 most problematic experiences reported were stiffness all day, interference with sleep, painful spasms, perceived link between spasticity and pain, and intensification of pain before a spasm. Respondents indicated spasticity was improved more by stretching (48%) and exercise (45%) than by antispasmodics (38%).
Conclusions
The experience of spasticity after SCI is complex and multidimensional, with consequences that affect mobility, sleep, comfort, and quality of life. Stiffness, rather than spasms, appears to be the most problematic characteristic of spasticity. Physical therapeutic interventions to treat spasticity warrant in-depth 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=292900
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 764-772.e2[article]
Titre : Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems Type de document : Article Auteurs : Kimberley R. Monden ; Jennifer Coker ; Susan Charlifue ; Stephanie J. Bennett ; Christina Draganich ; David Coons ; Ralph J. Marino ; Jeffrey Berliner Année de publication : 2022 Article en page(s) : p. 773-778 Note générale : https://doi.org/10.1016/j.apmr.2021.03.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Tétraplégie ; Traumatismes de la moelle épinière ; Ventilation pulmonaireRésumé : Objective
To explore participants’ experiences after implantation of a diaphragmatic pacing system (DPS).
Design
Cross-sectional, observational study using self-report questionnaires.
Setting
Participants were recruited from 6 Spinal Cord Injury Model System centers across the United States (Craig Hospital, CO; Jefferson/Magee Rehabilitation Hospital, PA; Kessler Rehabilitation Center, NJ; University of Miami, FL; The Shirly Ryan Ability Lab, IL; Shepherd Center, GA).
Interventions
Not applicable.
Participants
Men and women (N=28) with tetraplegia were enrolled in the study between November 2012 and January 2015.
Main Outcome Measures
Participants completed self-report questionnaires focused on their DPS usage and mechanical ventilation, as well as their experiences and satisfaction with the DPS.
Results
DPS is a well-tolerated and highly successful device to help individuals living with spinal cord injury who are dependent on ventilators achieve negative pressure, ventilator-free breathing. A small percentage of participants reported complications, including broken pacing wires and surgery to replace or reposition wires.
Conclusions
This study provides insight into the usage patterns of DPS and both the potential negative and positive effects that DPS can have on the life of the user. Knowledge gained from this study can provide a foundation for further discussion about the benefits and potential risks of using a DPS to inform an individual's decision to pursue a DPS implant.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=292901
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 773-778[article]
Titre : Factors Influencing Incidence of Wheelchair Repairs and Consequences Among Individuals with Spinal Cord Injury Type de document : Article Auteurs : Lynn A. Worobey ; Allen W. Heinemann ; Kim Anderson ; Denise Fyffe ; Trevor A. Dyson-Hudson ; Theresa Berner ; Michael L. Boninger Année de publication : 2022 Article en page(s) : p. 779-789 Note générale : https://doi.org/10.1016/j.apmr.2021.01.094 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Panne d'appareillage ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate the frequency and consequences of wheelchair repairs, looking at the relationship to usage, components, out-of-pocket costs, number of days affecting the user, and factors associated with the need for repairs or consequences.
Design
Survey, cross-sectional.
Setting
Nine spinal cord injury (SCI) Model Systems centers.
Participants
Wheelchair users with SCI (N=533).
Interventions
Not applicable.
Main Outcome Measures
Cost and incidence of wheelchair repairs and consequences and wheelchair usage within the past 6 months.
Results
A total of 310 participants (56%) reported repairs, 127 (42%) of whom experienced at least 1 adverse consequence lasting a median of 5 days (interquartile range [IQR], 2-17.3 days). Repair rates were highest for the seating system, electronics, and tires. Participants were most often stranded at home or forced to use a backup chair. Median out-of-pocket costs were $150 (IQR, $50-$620). Active users, based on type of mobility and terrain, experienced more repairs and consequences than less active users. Repairs were more common among those who were Black (odds ratio [OR], 2.42) or power wheelchair (PWC) users (OR, 1.84), whereas consequences were more common among those who were Black (OR, 2.27), PWC (OR, 2.08) or power assist users (OR, 2.76), and those who had public insurance (OR, 1.70).
Conclusions
Wheelchair repairs continue to affect more than 50% of wheelchair users with significant financial and personal cost. High repair rates limited participation inside and outside of the home. Consequences lasted longer than 2 weeks for many and may be minimized by a working backup chair. Disparities exist based on participant and wheelchair factors; repairs and adverse consequences appear to hit those most vulnerable with the least financial resources. Costs may be a barrier to repair completion for some individuals. This ongoing problem of high repair rates and their associated effects requires action such as higher standards, access to quicker service, and better training of users on wheelchair maintenance and repair.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=292902
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 779-789[article]
Titre : Effectiveness of Group Wheelchair Maintenance Training for People with Spinal Cord Injury: A Randomized Controlled Trial Type de document : Article Auteurs : Lynn A. Worobey ; Gina McKernan ; Maria Toro ; Jonathan Pearlman ; Rachel E. Cowan ; Allen W. Heinemann ; Trevor A. Dyson-Hudson ; Jessica Presperin Pedersen ; Matthew Mesoros ; Michael L. Boninger Année de publication : 2022 Article en page(s) : p. 790-797 Note générale : https://doi.org/10.1016/j.apmr.2021.02.031 Langues : Anglais (eng) Descripteurs : HE Vinci
Enseignement ; Fauteuils roulants ; Maintenance ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To assess the effectiveness of group wheelchair maintenance training and investigate participant characteristics associated with responsiveness to training.
Design
Randomized controlled trial with an immediate group and a waitlist control group (WLCG) who received the intervention after a 6-month delay.
Setting
Four Spinal Cord Injury Model Systems Centers.
Participants
Manual (MWC; n=80) and power wheelchair (PWC; n=67) users with spinal cord injury (N=147).
Interventions
Two 90-minute structured wheelchair maintenance training program classes with 12-20 people per class and separate classes for MWC and PWC users. Each class included in-person hands-on demonstrations and practice of wheelchair maintenance.
Main Outcome Measures
Separate analysis was completed for MWC and PWC users using the Wheelchair Maintenance Training Questionnaire (WMT-Q) capacity (ability to complete), performance (frequency of completion) and knowledge at baseline, 1 month, 6 months, 6 months pretraining (WLCG only), and 1 year (immediate only).
Results
After the intervention, participants in both the immediate and WLCG improved in maintenance capacity (MWC and PWC, P<.001 and performance pwc p with training. only users improved knowledge of wheelchair maintenance for both wlcgs there was no difference between the pretraining time point baseline. mwc who responded to training had lower wmt-q scores all domains whereas this case users.>
Conclusions
Group wheelchair skills training is effective at improving capacity to complete maintenance and performance of maintenance activities for MWC and PWC users, even in a cohort of experienced wheelchair users. For MWC users, improvements were tied to lower WMT-Q scores at baseline, whereas PWC users improved in capacity and performance independent of baseline score. Delivering this training in a structured group format has a lower cost, which might improve adoption into clinical practice.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=292903
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 790-797[article]
Titre : Efficacy of a Remote Train-the-Trainer Model for Wheelchair Skills Training Administered by Clinicians: A Cohort Study With Pre- vs Posttraining Comparisons Type de document : Article Auteurs : Lynn A. Worobey ; Lee R. Kirby ; Rachel E. Cowan ; Trevor A. Dyson-Hudson ; Mary Shea ; Allen W. Heinemann ; Jessica Presperin Pedersen ; Michael L. Boninger Année de publication : 2022 Article en page(s) : p. 798-806 Note générale : https://doi.org/10.1016/j.apmr.2021.03.042 Langues : Anglais (eng) Descripteurs : HE Vinci
Aptitudes motrices ; Fauteuils roulants ; Infirmières spécialistes cliniques ; RéadaptationRésumé : Objective
To test the hypotheses that remote training improves trainer confidence and when these trainers train others the capacity and confidence of the trainees improves.
Design
Cohort study with pre- vs posttraining comparisons.
Setting
Four spinal cord injury model systems centers.
Participants
Convenience sample of 7 clinician trainers and 19 able-bodied trainees (N=26).
Interventions
Part 1 focused on trainer skill acquisition with self-study of the Wheelchair Skills Program Manual and instructional videos focused on motor learning, spotting, and 10 intermediate and advanced wheelchair skills. Trainers practiced in pairs, receiving asynchronous feedback on video recordings from a remote instructor. Part 2 included additional video modules targeted at “how to” assess and train others in 4 wheelchair skills: gets over obstacle, ascends low curb, ascends high curb with caregiver assistance, and performs stationary wheelie. Upon completion, the trainers each provided 1:1 in-person training for 2-3 trainees.
Main Outcome Measures
Trainer confidence was assessed using the Self-Efficacy on Assessing, Training, and Spotting Test for Manual Wheelchairs. Trainee capacity (“Can you do it?”) and confidence (“How confident are you?”) were evaluated using the Wheelchair Skills Test Questionnaire (WST-Q).
Results
Trainer confidence increased for assessment (P=.003) and training (P=.002) but not spotting (P=.056). Trainee 4-item median (interquartile range) WST-Q scores significantly increased with training for capacity (13% [6-31] to 88% [75-88], P<.001 and confidence to p>
Conclusions
Remote training improves trainers’ confidence with respect to wheelchair skills testing and training and the wheelchair skills capacity and confidence of their trainees.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=292904
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 798-806[article]
Titre : Effectiveness of a Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial Type de document : Article Auteurs : Stéphanie K. Rigot ; Kaitlin M. DiGiovine ; Michael L. Boninger ; Rachel Hibbs ; Ian Smith ; Lynn A. Worobey Année de publication : 2022 Article en page(s) : p. 807-815.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.05.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Maladies de la moelle épinière ; Réadaptation ; TéléréadaptationRésumé : Objective
To determine the effectiveness of a web-based, direct-to-user transfer training program in improving transfer quality and maintaining improvements for up to 1 month after training as compared with a control group.
Design
Randomized controlled trial with participants randomized to an immediate intervention group (IIG) or waitlist control group (WLCG) that received the training after a 6-month delay.
Setting
Wherever the participants accessed the web-based training, likely the home environment.
Participants
Convenience sample of full-time wheelchair users (N=72; IIG, n=34; WLCG, n=38 for between-group analysis, n=48 for combined within-group analysis) with spinal cord injury or disorder who were able to independently perform a lateral scoot transfer.
Interventions
Self-paced, web-based transfer training module.
Main Outcome Measures
Transfer Assessment Instrument Questionnaire (TAI-Q) score at baseline, 1 month, and 6 months postbaseline (WLCG only), immediately posttraining, and 1 month posttraining. The TAI-Q is an 18-item self-assessment that covers several aspects of a quality transfer.
Results
The IIG significantly increased particpants’ baseline TAI-Q score from 6.91±0.98 to 7.79±1.12 (P<.001 by month posttraining. the wlcg also increased from baseline to postbaseline assessment p=".014)," potentially learning effects secondary self-assessment with tai-q. extent of change over time did not differ significantly between iig and however significant improvements in tai-q scores were still evident after training for those a lower pretraining score more shoulder pain most likely benefit training.>
Conclusions
Repeated TAI-Q self-assessments likely contributed to improved transfer quality, with web-based training having an additive effect. Wheelchair users are likely to benefit from transfer training and self-assessment of transfer quality in their home environments. This has the potential to decrease injury risk while avoiding barriers to in-person 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=292905
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 807-815.e1[article]
Titre : Intra- and Interrater Reliability of Remote Assessment of Transfers by Wheelchair Users Using the Transfer Assessment Instrument (Version 4.0) Type de document : Article Auteurs : Lynn A. Worobey ; Rachel Hibbs ; Stéphanie K. Rigot ; Michael L. Boninger ; Randall Huzinec ; Jong H. Sung ; Laura A. Rice Année de publication : 2022 Article en page(s) : p. 816-821 Note générale : https://doi.org/10.1016/j.apmr.2020.12.032 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Fauteuils roulants ; Mouvement ; Réadaptation ; Reproductibilité des résultatsRésumé : Objective
To evaluate the reliability, standard error of measurement, minimum detectable change, and item-level consistency of the Transfer Assessment Instrument (TAI) version 4.0 when used to evaluate transfer quality remotely.
Design
Participants transferred from their wheelchair to a mat table (transfer 1), repeated this after a 10-minute delay to assess intrarater reliability (transfer 2), and repeated this 1-2 days later to assess test-retest reliability (transfer 3). Each transfer was scored in person by 4 raters and asynchronously by a remote clinician rater.
Setting
2017 National Veterans Wheelchair Games.
Participants
Convenience sample of 44 full-time wheelchair users (N=44).
Interventions
Not applicable.
Main Outcome Measures
TAI total score, subscores (wheelchair setup, body setup, flight/landing), and item scores (15 items).
Results
Moderate to excellent reliability was found when scoring remotely for TAI total and subscores for intrarater (intraclass correlation coefficient (ICC(3,1)=0.687-0.854), test-retest (ICC(3,1)=0.695-0.836), and interrater reliability (ICC(3,5)=0.746-0.962). Remote rater total score and flight/landing subscore were greater (indicating higher transfer quality) compared to the average in-person raters (P=.021 and P=.005, respectively). There were no differences between transfers 1-3 in remote rater scores. Item-level percentage agreement between the remote rater and in-person exceeded the 75% cutoff for clinical utility for all items.
Conclusions
The TAI is a reliable outcome measure for assessing transfer technique remotely.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=292906
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 816-821[article]
Titre : Who Moves After SCI? Individual, Health, and Neighborhood Predictors of Residential Mobility Among Participants in the National Spinal Cord Injury Model Systems Database Type de document : Article Auteurs : Lauren F. Murphy ; Jennifer Bogner ; Michael L. Boninger ; Thomas N. Bryce ; Yuying Chen ; Allen W. Heinemann ; Mary Joan Roach Année de publication : 2022 Article en page(s) : p. 822-831 Note générale : https://doi.org/10.1016/j.apmr.2021.03.039 Langues : Anglais (eng) Descripteurs : HE Vinci
Caractéristiques de l'habitat ; Dynamique des populations ; Environnement ; Pauvreté ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate residential mobility among community-living adults with spinal cord injury (SCI) and the individual, health, and neighborhood factors associated with the propensity to relocate.
Design
Retrospective analysis of data from the National SCI Model Systems (SCIMS) Database collected between 2006 and 2018 and linked with the American Community Survey 5-year estimates.
Setting
Community.
Interventions
Not applicable.
Participants
People with traumatic SCI (N=4599) who participated in 2 waves of follow-up and had residential geographic identifiers at the census tract level.
Main Outcome Measures
Moving was a binary measure reflecting change in residential locations over a 5-year interval. Move distance distinguished nonmovers from local movers (different tracts within the same county) and long-distance movers (to different county or state). Move quality included 4 categories: stayed/low poverty tract, stayed/high poverty tract, moved/low poverty tract, and moved/high poverty tract.
Results
One in 4 people moved within a 5-year interval (n=1175). Of the movers, 55% relocated to a different census tract within the same county and 45% relocated to a different county or state. Thirty-five percent of all movers relocated to a high poverty census tract. Racial and ethnic minorities, people from low-income households, and younger adults were more likely to move, move locally, and relocate to a high poverty neighborhood. High poverty and racial/ethnic segregation in the origin neighborhood predicted an increased risk for remaining in or moving to a high poverty neighborhood.
Conclusions
Although people with SCI relocated at a lower rate than has been reported in the general population, moving was a frequent occurrence postinjury. People from vulnerable groups were more likely to remain in or relocate to socioeconomically disadvantaged neighborhoods, thus increasing the risk for health disparities and poorer long-term outcomes among minorities and people from low-income households. These findings inform policy makers’ considerations of housing, health care, and employment initiatives for individuals with SCI and other chronic disabilities.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=292907
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 822-831[article]
Titre : Changes in Internet Use Over Time Among Individuals with Traumatic Spinal Cord Injury Type de document : Article Auteurs : Stéphanie K. Rigot ; Lynn A. Worobey ; Michael L. Boninger ; Susan Robinson-Whelen ; Mary Joan Roach ; Allen W. Heinemann ; Gina McKernan Année de publication : 2022 Article en page(s) : p. 832-839.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.04.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Accès à Internet ; Réadaptation ; TélémédecineDisponible 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=292908
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 832-839.e2[article]
Paru le : 01/03/2022
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Titre : How Do Fluctuations in Pain, Fatigue, Anxiety, Depressed Mood, and Perceived Cognitive Function Relate to Same-Day Social Participation in Individuals With Spinal Cord Injury? Type de document : Article Auteurs : Duygu Kuzu ; Jonathan P. Troost ; Noelle E. Carlozzi ; Dawn M. Ehde ; Ivan R Molton ; Anna L. Kratz Année de publication : 2022 Article en page(s) : p. 385-393 Note générale : https://doi.org/10.1016/j.apmr.2021.07.809 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Dépression ; Fatigue ; Participation sociale ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
This study aimed to examine same-day associations of pain, fatigue, depressed mood, anxiety, and perceived cognitive function with social participation in the daily lives of adults with spinal cord injury (SCI).
Design
Observational study used a combination of baseline surveys and 7 end-of-day (EOD) diaries.
Setting
General community.
Participants
Individuals with SCI (N=168; mean age, 49.8y; 63% male, 37% female).
Main Outcome Measures
Patient-Reported Outcomes Measurement Information System short form measures (Ability to Participate in Social Roles and Activities, Pain Intensity, Depression, Anxiety, Cognitive Function Abilities) were adapted for daily administrations as EOD diaries.
Result
Results of multivariable model showed that daily increases in fatigue (B=−0.10; P=.004) and depressive symptoms (B=−0.25; P=<.001 and decreases in perceived cognitive function p="<.001)" were significantly related to worse same-day social participation. daily fluctuations anxiety pain unrelated> Conclusions
This is the first study that shows within-person associations of common SCI symptoms with social participation in the daily lives of adults with SCI. Results from the current study may help to develop more effective individualized treatments of symptoms and symptom effect aimed at improving social participation.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=291672
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 385-393[article]
Titre : Determining the Prevalence, Implementation Approaches, and Opinions of Above Cuff Vocalization: A Survey of Health Care Professionals Type de document : Article Auteurs : Claire S. Mills ; Emilia Michou ; Mark C. Bellamy ; Heidi J. Siddle ; Cathy A. Brennan ; Chris Bojke Année de publication : 2022 Article en page(s) : p. 394-401 Note générale : https://doi.org/10.1016/j.apmr.2021.08.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication ; Déglutition ; Enquêtes et questionnaires ; Réadaptation ; Soins de réanimation ; Trachéostomie ; VoixRésumé : Objective
To conduct an international survey to investigate the use of above cuff vocalization (ACV) and how practice and opinion differs.
Design
Observational, cross-sectional online survey.
Setting
Critical care, acute, rehabilitation, long-term care, and community.
Participants
Health care professionals involved in tracheostomy care or weaning (N=243).
Interventions
Not applicable.
Main Outcome Measures
Tracheostomy management, prevalence, personal experiences and opinions, and barriers to use. Quantitative data were reported descriptively, and content analysis was conducted with qualitative data.
Results
The survey was completed by 243 health care professionals from 9 professional groups and 25 countries, with most responses from the United Kingdom (54%) and speech and language therapists (55%). ACV was used in 39% of services (n=93). Sixty percent (n=50/83) of health care professionals with direct experience of ACV had used it with Conclusions
ACV uptake varies internationally with no standardized approach to ACV delivery. Diversity of opinions on approaches and benefits exist. Serious complications are infrequent, but minor complications are common. Future research is needed to establish optimal ACV implementation to maximize benefits and minimize risks.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=291674
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 394-401[article]
Titre : Cognitive Performance After Facial Botulinum Toxin Treatment in a Cohort of Neurologic Patients: An Exploratory Study Type de document : Article Auteurs : Kirsten Platho-Elwischger ; Michaela Schmoeger ; Ulrike Willinger ; Carmen Abdel-Aziz ; Jennifer Algner ; Sandra Pretscherer ; Eduard Auff ; Gottfried Kranz ; Oliver Turnbull ; Thomas Sycha Année de publication : 2022 Article en page(s) : p. 402-408 Note générale : https://doi.org/10.1016/j.apmr.2021.08.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Muscles de la face ; Réadaptation ; Toxines botuliniques ou botuliquesRésumé : Objective
To investigate higher cognitive functions after mimicry changes after facial botulinum toxin (BTX) injections, we tested verbal and nonverbal reasoning in patients with blepharospasm or hemifacial spasm before and after their long-term botulinum toxin treatment.
Design
Explorative, nonrandomized, clinical trial.
Setting
Patients receiving ambulatory care and control participants from the general community.
Participants
Volunteer sample (N=84) of patients (n=21) with blepharospasm or hemifacial spasm who received facial BTX injections. Control participants included patients (n=30) with cervical dystonia who received cervical BTX injections and individuals without neurological disorders (n=33).
Interventions
The 2 groups receiving injections were tested before and 3 weeks after their treatment. The group without neurological disorders received no injections.
Main Outcome Measures
Verbal and nonverbal reasoning scores.
Results
The key unexpected finding was that patients who received facial BTX injections perform significantly worse in nonverbal reasoning tasks, when compared with those who did not receive injections (P=.022). There was no significant difference in the baseline reasoning scores and at follow-up for verbal reasoning between the 3 groups. There was no correlation between toxin dose and reasoning scores (verbal: P=.132; nonverbal: P=.294).
Conclusions
Because of potential confounders, the results do not yet allow any conclusion on causality. Further research is needed to confirm our 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=291683
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 402-408[article]
Titre : Effect of Severe Distal Tibia, Ankle, and Mid- to Hindfoot Trauma on Meeting Physical Activity Guidelines 18 Months After Injury Type de document : Article Auteurs : Kevin H. McLaughlin ; Stuart L. Mitchell ; Kristin R. Archer ; Hiral Master ; Saam Morshed ; Joshua L. Gary ; Clifford B. Jones ; Ellen J. MacKenzie ; Lisa Reider Année de publication : 2022 Article en page(s) : p. 409-417.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.07.805 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Facteurs de risque ; RéadaptationRésumé : Objective
To examine the effect of severe lower extremity trauma on meeting Physical Activity Guidelines for Americans (PAGA) 18 months after injury and perform an exploratory analysis to identify demographic, clinical, and psychosocial factors associated with meeting PAGA.
Design
Secondary analysis of observational cohort study.
Setting
A total of 34 United States trauma centers
Participants
A total of 328 adults with severe distal tibia, ankle and mid- to hindfoot injuries treated with limb reconstruction (N=328).
Interventions
None.
Main Outcome Measures
The Paffenbarger Physical Activity Questionnaire was used to assess physical activity levels 18 months after injury. Meeting PAGA was defined as combined moderate- and vigorous-intensity activity ≥150 minutes per week or vigorous-intensity activity ≥75 minutes per week.
Results
Fewer patients engaged in moderate- or vigorous-intensity activity after injury compared with before injury (moderate: 44% vs 66%, P<.001 vigorous: vs p patients spent minutes per week in combined moderate- to vigorous-intensity activity before injury compared with postinjury confidence interval the adjusted odds of meeting paga were lower for depression ratio ci women and black or hispanic prior more likely meet after> Conclusions
Patients spend significantly less time in moderate- to vigorous-intensity physical activity after injury. Patients with depression are less likely to meet PAGA. Although the causal relationship is unclear, results highlight the importance of screening for 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=291685
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 409-417.e2[article]
Titre : In a Pandemic That Limits Contact, Can Videoconferencing Enable Interdisciplinary Persistent Pain Services and What Are the Patient's Perspectives? Type de document : Article Auteurs : Jarryd Brown ; Darren Doherty ; Andrew P. Claus ; Kelly Gilbert ; Mandy Nielsen Année de publication : 2022 Article en page(s) : p. 418-423 Note générale : https://doi.org/10.1016/j.apmr.2021.10.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication par vidéoconférence ; COVID-19 ; Réadaptation ; Satisfaction des patients ; TélémédecineRésumé : Objective
To explore patients' thoughts and satisfaction with using videoconferencing during the COVID-19 pandemic. The current study aimed to gather (1) patient feedback and satisfaction with videoconferencing across all health professions as well as divided into a subgroup for each profession, (2) patient preferences for either videoconference or face-to-face consultations during the pandemic lockdown, and (3) whether patients would consider using videoconferencing once face-to-face appointments were available.
Design
An observational cross-sectional, mixed methods study design.
Setting
Tertiary-level persistent pain center.
Participants
Sixty-five patients aged 18 to 85 years with persistent pain lasting more than 12 months.
Interventions
Not applicable.
Main Outcome Measures
Data were collected using a patient survey. Descriptive statistics were used to report findings from 5-point Likert scales. Qualitative analysis was guided by content analysis to organize and categorize the open-ended survey response text.
Results
Videoconferencing platform features including audiovisual, usability, and privacy worked well for most patients (≥90%). Two-thirds of those surveyed reported the videoconferencing sessions as equal to face-to-face attendance (68%). In the context of the pandemic, almost as many preferred videoconferencing (65%), whereas 26% preferred face-to-face attendance and 9% were unsure. Preferences for videoconferencing over face-to-face in context to the pandemic varied depending on the health discipline involved: pharmacy (83%), occupational therapy (78%), psychology (61%), pain specialist physician (59%), and physiotherapy (53%). Even outside of a pandemic situation, 80% would consider using videoconferencing in the future. Qualitative analysis on an open-ended question asking patients for any further comments regarding their experience with the videoconference consultation, found 3 main categories: (1) overall satisfaction with videoconferencing, (2) technology qualities and (3) clinical interaction.
Conclusion
In the context of a pandemic, videoconferencing for interdisciplinary persistent pain management services was effective and preferred, and most patients would continue its use into the future. Alternative or mixed modes of support may be needed for the 26% who currently prefer onsite attendance, when that mode of delivery is not available.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=291688
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 418-423[article]
Titre : Predictors of Acute Transfer and Mortality Within 6 Months From Admission to an Inpatient Rehabilitation Facility for Patients With Brain Tumors Type de document : Article Auteurs : Sasha E. Knowlton ; Alexandra I. Gundersen ; Julia M. Reilly ; Can Ozan Tan ; Jeffrey C. Schneider ; Shirley L. Shih Année de publication : 2022 Article en page(s) : p. 424-429 Note générale : https://doi.org/10.1016/j.apmr.2021.10.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Patients hospitalisés ; Réadaptation ; Tumeurs du cerveauRésumé : Objective
To obtain useful information for clinicians in evaluating patients with brain tumors for transfer to and subsequent care in inpatient rehabilitation facilities (IRFs).
Design
Retrospective chart review.
Setting
Inpatient rehabilitation facility.
Participants
A total of 208 adults with either initial or recurrent brain tumors who were admitted to an IRF between January 2017 and December 2018 after an acute hospitalization.
Interventions
None
Main Outcome Measures
Transfer from an IRF to an acute care hospital and mortality within 6 months from admission to an IRF.
Results
Of the 208 patients who met inclusion criteria, 20.2% were transferred to an acute care hospital during the IRF stay, which was associated with prior chemotherapy, steroid use, and laterality of tumor. In total, 36.9% of patients with brain tumors died within 6 months of an IRF admission that was associated with recurrent tumor diagnosis, prior chemotherapy, prior neurosurgical intervention, prior neurostimulant use, use of steroids, isocitrate dehydrogenase and O6-methyl-guanyl-methyl-transferase biomarkers, and laterality and location of tumor.
Conclusions
Patients with brain tumors have a notable potential for acute hospital transfer and mortality within 6 months of IRF stay, with several tumor- and treatment-related risk factors. This information can help identify functional goals, identify high risk patients, enable closer clinical monitoring, and facilitate focused care discussions at IRFs.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=291690
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 424-429[article]
Titre : Reliability Validity and Responsiveness of the Spinal Cord Independence Measure 4th Version in a Multicultural Setup Type de document : Article Auteurs : Amiram Catz ; Malka Itzkovich ; Keren Elkayam ; Dianne Michaeli ; Ilana Gelernter ; Yoav Benjamini ; Harvinder Singh Chhabra ; Luigi Tesio ; Einat Engel-Haber ; Emiliana Bizzarini ; Claudio Pilati ; Giulio Del Popolo ; Ilaria Baroncini ; Nan Liu ; Paulo Margalho ; Thabata Pasquini Soeira ; Bobeena Chandy ; Vadim Bluvshtein Année de publication : 2022 Article en page(s) : p. 430-440.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.07.811 Langues : Anglais (eng) Descripteurs : HE Vinci
Culture ; Diversité culturelle ; Poids et mesures ; Réadaptation ; Reproductibilité des résultats ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the fourth version of the Spinal Cord Independence Measure for reliability and validity.
Design
Partly blinded comparison with the criterion standard Spinal Cord Independence Measure III, and between examiners and examinations.
Setting
A multicultural cohort from 19 spinal cord injury units in 11 countries.
Participants
A total of 648 patients with spinal cord injury.
Intervention
Assessment with Spinal Cord Independence Measure (SCIM IV) and Spinal Cord Independence Measure (SCIM III) on admission to inpatient rehabilitation and before discharge.
Main outcome measures
SCIM IV interrater reliability, internal consistency, correlation with and difference from SCIM III, and responsiveness.
Results
Total agreement between examiners was above 80% on most SCIM IV tasks. All Kappa coefficients were above 0.70 and statistically significant (P<.001 pearson coefficients of the correlation between examiners were above and intraclass cronbach alpha was for entire scim iv subscales usually decreased when an item eliminated. reliability values lower subscale respiration sphincter management on admission than at discharge. iii mean very close them responsiveness not significantly different from that in most comparisons.> Conclusions
The validity, reliability, and responsiveness of SCIM IV, which was adjusted to assess specific patient conditions or situations that SCIM III does not address, and which includes more accurate definitions of certain scoring criteria, are very good and quite similar to those of SCIM III. SCIM IV can be used for clinical and research trials, including international multi-center studies, and its group scores can be compared with those of SCIM III.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=291692
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 430-440.e1[article]
Titre : Inspiratory Muscle Performance and Anthropometric Measures—Novel Assessments Related to Pulmonary Function in People with Spinal Cord Injury: A Pilot Study Type de document : Article Auteurs : Anne E. Palermo ; Emily Janyszek ; Abigail Young ; Allison Villane ; Neva J. Kirk-Sanchez ; Lawrence P. Cahalin ; Mark S. Nash Année de publication : 2022 Article en page(s) : p. 441-450 Note générale : https://doi.org/10.1016/j.apmr.2021.09.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Respiration ;