Archives of Physical Medicine and Rehabilitation
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Ajouter le résultat dans votre panierEffects of High-Intensity Interval Training After Stroke (The HIIT Stroke Study) on Physical and Cognitive Function: A Multicenter Randomized Controlled Trial / Tor Ivar Gjellesvik in Archives of Physical Medicine and Rehabilitation, Vol. 102, n° 9 (2021)
Titre : Effects of High-Intensity Interval Training After Stroke (The HIIT Stroke Study) on Physical and Cognitive Function: A Multicenter Randomized Controlled Trial Type de document : Article Auteurs : Tor Ivar Gjellesvik ; Frank Becker ; Arnt Erik Tjønna ; Bent Indredavik ; Eivind Lundgaard ; Hedvig Solbakken ; Berit Brurok ; Tom Tørhaug ; Stian Lydersen ; Torunn Askim Année de publication : 2021 Article en page(s) : p. 1683-1691 Note générale : https://doi.org/10.1016/j.apmr.2021.05.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Cognition ; Entrainement fractionné de haute intensité ; RéadaptationRésumé : Objective
To assess the effects of high-intensity interval training (HIIT) on physical, mental, and cognitive functioning after stroke.
Design
The HIIT Stroke Study was a single-blind, multicenter, parallel-group randomized controlled trial.
Setting
Specialized rehabilitation units at 3 Norwegian hospitals.
Participants
Adult stroke survivors (N=70) 3 months to 5 years after a first-ever stroke. Mean age was 57.6±9.2 years and 58.7±9.2 years in the intervention and control groups, respectively.
Interventions
Participants were randomized to standard care in combination with 4×4 minutes of treadmill HIIT at 85%-95% of peak heart rate or standard care only.
Outcomes
Outcomes were measured using physical, mental, and cognitive tests and the FIM and Stroke Impact Scale. Linear mixed models were used to analyze differences between groups at posttest and 12-month follow-up.
Results
The intervention group showed a significant treatment effect (95% confidence interval [CI]) from baseline to posttest on a 6-minute walk test of 28.3 (CI, 2.80-53.77) meters (P=.030); Berg Balance Scale 1.27 (CI, 0.17-2.28) points (P=.025); and Trail Making Test Part B (TMT-B; −24.16 [CI, −46.35 to −1.98] s, P=.033). The intervention group showed significantly greater improvement on TMT-B at the 12-month follow-up (25.44 [CI, −49.01 to −1.87] s, P=.035). The control group showed significantly greater improvement in total Functional Independence Measure score with a treatment effect of −2.37 (CI, −4.30 to −0.44) points (P=.016) at 12-month follow-up. No significant differences were identified between groups on other outcomes at any time point.
Conclusions
HIIT combined with standard care improved walking distance, balance, and executive function immediately after the intervention compared with standard care only. However, only TMT-B remained significant at the 12-month follow-up.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=274030
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1683-1691[article]
Titre : Effects of Home-Based Physical Exercise on Days at Home, Health Care Utilization, and Functional Independence Among Patients With Hip Fractures: A Randomized Controlled Trial Type de document : Article Auteurs : Paula K. Soukkio ; Sara A. Suikkanen ; Eeva M. Aartolahti ; Hannu Kautiainen ; Sanna M. Kääriä ; Markku T. Hupli ; Kaisu H. Pitkälä ; Sarianna Sipilä ; Katriina T. Kukkonen-Harjula Année de publication : 2021 Article en page(s) : p. 1692-1699 Note générale : https://doi.org/10.1016/j.apmr.2021.04.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Coûts et analyse des coûts ; Exercice physique ; Fractures de la hanche ; Réadaptation ; Services de santé ; Sujet âgéRésumé : Objective
To evaluate the effects of a physical exercise program on days lived at home, the use and costs of health care and social services, mortality, and functional independence among patients with hip fractures.
Design
Randomized controlled trial with a parallel 2-group design consisting of a 12-month intervention and 12-month registry follow-up.
Setting
Home-based intervention.
Participants
Patients aged ≥60 years (N=121) with operated hip fracture and who were living at home were randomized into physical exercise (n=61) and usual care (n=60) groups.
Interventions
Supervised physical exercise twice a week.
Main Outcome Measures
The primary outcome was the number of days lived at home over 24 months. Secondary outcomes were the use and costs of health care and social services, mortality over 24 months, and Functional Independence Measure (FIM) over 12 months.
Results
Over 24 months, there was no significant difference between the groups in terms of days lived at home (incidence rate ratio, 1.01; 95% confidence interval [CI], 0.90-1.14) or mortality (hazard ratio, 1.01; 95% CI, 0.42-2.43). The mean total costs of health care and social services did not differ between the groups. The costs per person-year were 1.26-fold (95% CI, 0.87-1.86) greater in the physical exercise group than in the usual care group over 12 months and 1.08-fold (95% CI, 0.77-1.70) over 24 months. The mean difference between the change in FIM of the groups over 12 months was 4.5 points (95% CI, 0.5-8.5; P=.029) in favor of the physical exercise group.
Conclusions
Long-term home-based physical exercise had no effect on the number of days lived at home over 24 months among patients with hip fractures. The intervention was cost neutral over these 24 months. The FIM scores improved in both groups over 12 months, but the improvement was significantly greater in the physical exercise group than in the usual care 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=274043
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1692-1699[article]
Titre : Association Between Use of Rehabilitation in the Acute Care Hospital and Hospital Readmission or Mortality in Patients With Stroke Type de document : Article Auteurs : Janet K. Freburger ; Aileen Chou ; Tracey Euloth ; Beth Matcho Année de publication : 2021 Article en page(s) : p. 1700-1707.e4 Note générale : https://doi.org/10.1016/j.apmr.2021.02.026 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Réadaptation ; Réadmission du patient ; Services de santéRésumé : Objective
To examine the association between the number of physical and occupational therapist visits received in the acute care hospital and the risk of hospital readmission or death.
Design
Retrospective cohort study of electronic health records and administrative claims data collected for 2.25 years (January 1, 2016-March 30, 2018).
Setting
Twelve acute care hospitals in a large health care system in western Pennsylvania.
Participants
Adults (N=8279) discharged with a primary stroke diagnosis.
Interventions
The exposure was number of physical and occupational therapist visits during the acute care stay.
Main Outcome Measures
Generalized linear mixed models were estimated to examine the relationship between therapy use and 30- and 7-day hospital readmission or death (outcome), controlling for patient demographic and clinical characteristics.
Results
The 30- and 7-day readmission or death rates were 16.0% and 5.7%, respectively. The number of therapist visits was inversely related to the risk of 30-day readmission or death. Relative to no therapist visits, the odds of readmission or death were 0.70 (95% confidence interval [CI], 0.54-0.90) for individuals who received 1-2 visits, 0.59 (95% CI, 0.43-0.81) for 3-5 visits, and 0.57 (95% CI, 0.39-0.81) for >5 visits. A similar pattern was seen for the 7-day outcome, with slightly larger effect sizes. Effects were also greater in individuals with more mobility limitations on admission and for those discharged to a postacute care facility vs home.
Conclusions
There was an inverse relationship between the number of therapist visits and risk for readmission or death for patients with stroke discharged from an acute care hospital. Effects differed by time to the event (30d vs 7d), discharge location, and mobility limitations on admission.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=274060
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1700-1707.e4[article]
Titre : Associations of Multiple Chronic Conditions With Physical Performance and Falls Among Older Adults With Back Pain: A Longitudinal, Population-based Study Type de document : Article Auteurs : Sean D. Rundell ; Amol Karmarkar ; Michael Nash ; Kushang V. Patel Année de publication : 2021 Article en page(s) : p. 1708-1716 Note générale : https://doi.org/10.1016/j.apmr.2021.03.025 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Dorsalgie ; Multimorbidité ; Réadaptation ; VieillissementRésumé : To determine the association of chronic conditions measured at baseline with physical performance and falls over time among older adults with back pain. We examined both number and type (depression, anxiety, arthritis) of chronic conditions.
Design
Retrospective cohort study.
Setting
National Health and Aging Trends Study.
Participants
A total of 2438 community-dwelling Medicare beneficiaries aged ≥65 years with bothersome back pain (N=2438). The sample was mostly female (62%; 95% confidence interval [CI], 59%-64%) and aged 65-74 years (56%; 95% CI, 53%-58%).
Interventions
Not applicable.
Main Outcome Measures
Short Physical Performance Battery (SPPB) (range, 0-12, lower indicates worse function) and recurrent falls measured annually over 6 years.
Results
Multiple chronic conditions were highly prevalent (82%; 95% CI, 79%-84%) among those reporting back pain. Adjusted regressions using survey weights with Taylor series linearization method and containing interaction terms for comorbidity and time showed having 2-3 chronic conditions vs 0-1 was associated with lower SPPB scores, and differences grew over time (for example 0.61 points lower [95% CI, −0.88 to −0.34] and 1.22 points lower [95% CI, −1.76 to −0.67] in rounds 3 and 6, respectively). Having ≥4 chronic conditions was associated with lower SPPB scores at all time points vs 0-1 (point estimate range, −1.72 to −2.31). Arthritis alone; the combination of arthritis with depression; and the triad of arthritis, depression, and anxiety were associated with lower SPPB scores at all time points. Logistic regression models showed presence of 2-3 and ≥4 chronic conditions was associated with increased odds of recurrent falls in any given year (odds ratio, 1.91; 95% CI, 1.35-2.69 and odds ratio, 3.92; 95% CI, 2.81-5.46, respectively). Those with the triad of arthritis, depression, and anxiety had greater odds of recurrent falls vs none or 1 condition.
Conclusions
Among older adults with back pain, those with multiple chronic conditions, including co-occurrence of arthritis, depression, and anxiety, have greater risk for poor physical functioning and falls 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=274063
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1708-1716[article]
Titre : Relationship Between Nursing Home Compare Improvement in Function Quality Measure and Physical Recovery After Hip Replacement Type de document : Article Auteurs : Brian Downer ; Timothy A. Reistetter ; Yong-Fang Kuo ; Shuang Li ; Amol Karmarkar ; Ickpyo Hong ; James S. Goodwin ; Kenneth J. Ottenbacher Année de publication : 2021 Article en page(s) : p. 1717-1728.e7 Note générale : https://doi.org/10.1016/j.apmr.2021.03.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie ; Établissements de soins qualifiés ; Maisons de repos ; Qualité des soins de santé ; RéadaptationRésumé : Objective
To determine whether patients with a total or partial hip replacement admitted to a skilled nursing facility (SNF) after the improvement in function quality measure was added to Nursing Home Compare in July 2016 have greater physical recovery than patients admitted before July 2016.
Design
Pre (January 1, 2015-June 30, 2016) vs post (July 1, 2016-December 31, 2017) design.
Setting
Skilled nursing facilities (n=12,829).
Participants
Medicare fee-for-service beneficiaries (N=106,832) discharged from acute hospitals to SNF after hip replacement between January 1, 2015 and December 31, 2017.
Interventions
Not applicable.
Main Outcome Measures
The 5- and 14-day minimum data set assessments were used to calculate total scores for the quality measure, self-care, mobility, and balance. We calculated the average adjusted change per 10 days and any improvement between the 5- and 14-day assessments.
Results
The average adjusted change per 10 days for the quality measure total score for patients admitted before July 2016 and after July 2016 was 1.00 points (standard error, 0010) and 1.06 points (standard error, 0.010), respectively (P<.01 this was a relative increase of among patients admitted to snf before july error had any improvement in the quality measure total score compared with after adjusted change per days and percentage who scores for self-care mobility balance were all significantly higher> Conclusions
Patients admitted to a SNF after a hip replacement after July 2016 had greater physical recovery than patients admitted before the improvement in function quality measure was added to Nursing Home Compare.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=274065
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1717-1728.e7[article]
Titre : Suicide After Stroke in the United States Veteran Health Administration Population Type de document : Article Auteurs : Jordan M. Wyrwa ; Tyler M. Shirel ; Trisha A. Hostetter ; Alexandra L. Schneider ; Claire A. Hoffmire ; Kelly A. Stearns-Yoder ; Jeri E. Forster ; Nathan E. Odom Année de publication : 2021 Article en page(s) : p. 1729-1734 Note générale : https://doi.org/10.1016/j.apmr.2021.03.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Anciens combattants ; Réadaptation ; SuicideRésumé : Objective
To evaluate risk for suicide among veterans with a history of stroke, seeking care within the Veterans Health Administration (VHA), we analyzed existing clinical data.
Design
This retrospective cohort study was approved and performed in accordance with the local Institutional Review Board. Veterans were identified via the VHA's Corporate Data Warehouse. Initial eligibility criteria included confirmed veteran status and at least 90 days of VHA utilization between fiscal years 2001-2015. Cox proportional hazards models were used to assess the association between history of stroke and suicide. Among those veterans who died by suicide, the association between history of stroke and method of suicide was also investigated.
Setting
VHA.
Participants
Veterans with at least 90 days of VHA utilization between fiscal years 2001-2015 (N=1,647,671). Data from these 1,647,671 veterans were analyzed (1,405,762 without stroke and 241,909 with stroke).
Interventions
Not applicable.
Main Outcome Measures
Suicide and method of suicide.
Results
The fully adjusted model, which controlled for age, sex, mental health diagnoses, mild traumatic brain injury, and modified Charlson/Deyo Index (stroke-related diagnoses excluded), demonstrated a hazard ratio of 1.13 (95% confidence interval, 1.02-1.25; P=.02). The majority of suicides in both cohorts was by firearm, and a significantly larger proportion of suicides occurred by firearm in the group with stroke than the cohort without (81.2% vs 76.6%).
Conclusions
Findings suggest that veterans with a history of stroke are at increased risk for suicide, specifically by firearm, compared with veterans without a history of stroke. Increased efforts are needed to address the mental health needs and lethal means safety of veterans with a history of stroke, with the goal of improving function and decreasing negative psychiatric outcomes, such as suicide.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=274074
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1729-1734[article]
Titre : Differences in Societal Participation Across Diagnostic Groups: Secondary Analyses of 8 Studies Using the Utrecht Scale for Evaluation of Rehabilitation-Participation Type de document : Article Auteurs : Tanja I. Mol ; Coen A. van Bennekom ; Vera P. Schepers ; Nienke ter Hoeve ; Esther T. Kruitwagen-van Reenen ; Johanna M. Visser-Meily ; Marcel W. Post Année de publication : 2021 Article en page(s) : p. 1735-1745 Note générale : https://doi.org/10.1016/j.apmr.2021.02.024 Langues : Anglais (eng) Descripteurs : HE Vinci
Diagnostic ; Évaluation de résultat (soins) ; Mesures des résultats rapportés par les patients (PROM) ; Participation sociale ; RéadaptationRésumé : To determine differences in participation problems between diagnostic groups and to examine diagnosis as a determinant of participation with and without statistically accounting for confounders.
Design
Secondary analyses of data from 8 studies.
Setting
Community, the Netherlands.
Participants
Participants (N=1735) in diagnostic groups: stroke (n=534), subarachnoid hemorrhage (n=104), other acquired brain injury (n=163), progressive neurologic diseases (n=112), acute coronary syndrome (n=536), and spinal cord injury (n=286).
Interventions
Not applicable.
Main Outcome Measures
Participation was measured with the Utrecht Scale for Evaluation of Rehabilitation-Participation. This measure has 3 scales: Restrictions, Satisfaction, and Frequency. In this study, scores were also computed for 3 domains across these scales: Productivity, Leisure, and Social. Scores ranged from 0 (worst) up to 100 (best). Possible confounders were age, sex, level of education, marital status, and time since onset of the condition.
Results
Significant differences were found in levels of participation between diagnostic groups. Individuals with acute coronary syndrome showed better participation scores in all scales and domains compared with most or all other diagnostic groups, except for the Social domain. Individuals with progressive neurologic diseases showed the lowest (worst) Restriction and Satisfaction scores, whereas those with stroke showed the lowest Frequency scores. After correcting for confounders, diagnosis explained significant proportions of the variance of participation (Frequency, 6.4%; Restrictions, 15.1%; Satisfaction, 5.1%; Productivity, 13.2%; Leisure, 13.8%; Social, 6.9%).
Conclusions
Participation problems occurred in all 6 diagnostic groups within this study. Differences were found in participation between diagnostic groups, demonstrating diagnosis-specific participation profiles, including after correcting for confounders.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=274075
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1735-1745[article]
Titre : Longitudinal Examination of Leisure-Time Physical Activity (LTPA), Participation, and Social Inclusion Upon Joining a Community-based LTPA Program for Adults With Physical Disabilities Type de document : Article Auteurs : Shane N. Sweet ; Zhiyang Shi ; Meredith Rocchi ; Jean Ramsay ; Véronique Pagé ; Marie-Eve Lamontagne ; Heather L. Gainforth Année de publication : 2021 Article en page(s) : p. 1746-1754 Note générale : https://doi.org/10.1016/j.apmr.2021.02.025 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Isolement social ; Participation sociale ; Personnes handicapées ; Qualité de vie ; RéadaptationRésumé : Objective
First, to examine whether participants reported changes in (1) leisure-time physical activity (LTPA) participation and social inclusion variables and (2) well-being outcomes before and after joining a community-based LTPA program for adults with physical disabilities. Second, to explore the longitudinal relationship between LTPA and the other aforementioned outcomes.
Design
A double baseline longitudinal design with measurements at 4-6 weeks (baseline 1) and immediately (baseline 2) before and 2 and 4 months after joining the community-based LTPA program.
Setting
Community.
Participants
Adults (N=43) with a physical disability who reported no cognitive impairment, were new members of the community-based LTPA program, and spoke English or French.
Interventions
A community-based physical activity program for adults with physical disabilities. Participants were provided an individualized exercise program and accessed the program at designated times during the week.
Main Outcome Measures
Primary: LTPA (LTPA Questionnaire for People with Spinal Cord Injury), participation (Patient-Perceived Participation in Daily Activities Questionnaire), and social inclusion. Secondary: depression severity, self-esteem, resilience, and life satisfaction.
Results
After joining the program, participants reported an increase in total LTPA (meanbaseline2, 177.80±211.32; mean2months, 299.31±298.70; mean4months, 288.14±292.14), moderate-to-vigorous LTPA (meanbaseline2, 83.95±123.95; mean2months, 142.00±198.38; mean4months, 163.23±182.08), and participation in health (meanbaseline2, 6.24±1.16; mean2months, 6.58±1.25; mean4months, 6.97±0.82) and family-related activities (meanbaseline2, 12.18±2.43; mean2months, 12.60±2.30; mean4months, 13.47±2.01). A significant increase (β=3.46, P<.001 in social inclusion before joining the program was followed by a decrease p months later. improvements related to depression severity were noted>.05).
Conclusions
The results support the role of a community-based LTPA program in increasing LTPA levels and enhancing participation in some activities among adults with physical 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=274076
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1746-1754[article]
Titre : Upper Limb Energy Demand During Unilateral Arm Crank Submaximal Exercise Testing in Individuals With Chronic Stroke Type de document : Article Auteurs : Marluce Lopes Basílio ; Giane Amorim Ribeiro-Samora ; Danielle Aparecida Gomes Pereira ; Verônica Franco Parreira ; Louise Ada ; Luci Fuscaldi Teixeira-Salmela Année de publication : 2021 Article en page(s) : p. 1755-1763 Note générale : https://doi.org/10.1016/j.apmr.2021.03.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Epreuve d'effort ; Membre supérieur ; RéadaptationRésumé : Objective
To investigate upper limb (UL) energy demand during unilateral arm crank submaximal exercise testing in individuals with stroke compared with healthy controls and the relationship between UL energy demand and UL activity in individuals with stroke.
Design
Cross-sectional, observational study.
Setting
Research laboratory.
Participants
Individuals with chronic stroke (n=14) and controls (n=12), matched for age, sex, and body mass index (N=26).
Interventions
Not applicable.
Main Outcome Measures
UL energy demand was measured as peak oxygen consumption (V̇o2)/peak load during unilateral arm crank submaximal exercise testing. UL activity was measured using the Box and Block Test (BBT) and Grooved Pegboard Test (GPT).
Results
The energy demand of the paretic side compared with the nonparetic side of the stroke group was 0.43 mL/kg/min/W (95% confidence interval, 0.03-0.83, P=.005) greater than the dominant compared with the nondominant side of the control group. The median difference between sides in peak V̇o2/peak load was 52% for the group with stroke compared with 11% for the control group. Positive correlations between the median percentage difference between the paretic and the nonparetic side of peak V̇o2/peak load and BBT were 0.72 (P=.004) and of V̇o2/peak load and GPT was 0.77 (P=.002).
Conclusions
The higher energy demand of the paretic UL during unilateral arm crank submaximal exercise testing than the nonparetic and both UL of the controls together with the strong relationship between energy demand and UL activity suggest that the energy demand of the paretic UL has the potential to affect real-life UL activity after 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=274077
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1755-1763[article]
Titre : Systematic Review of Clinical Guidelines Related to Care of Individuals With Cerebral Palsy as Part of the World Health Organization Efforts to Develop a Global Package of Interventions for Rehabilitation Type de document : Article Auteurs : Diane Damiano ; Egmar Longo ; Ana Carolina de Campos ; Hans Forssberg ; Alexandra Rauch Année de publication : 2021 Article en page(s) : p. 1764-1774 Note générale : https://doi.org/10.1016/j.apmr.2020.11.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Paralysie cérébrale ; Réadaptation ; ThérapeutiqueRésumé : Objective
The World Health Organization’s (WHO) Rehabilitation 2030 initiative is working to develop a set of evidence-based interventions selected from clinical practice guidelines for Universal Health Coverage. As an initial step, the WHO Rehabilitation Programme and Cochrane Rehabilitation convened global content experts to conduct systematic reviews of clinical practice guidelines for 20 chronic health conditions, including cerebral palsy.
Data Sources
Six scientific databases (Pubmed, EMBASE, Scopus, Web of Science, PEDro, CINAHL), Google Scholar, guideline databases, and professional society websites were searched.
Study Selection
A search strategy was implemented to identify clinical practice guidelines for cerebral palsy across the lifespan published within 10 years in English. Standardized spreadsheets were provided for process documentation, data entry, and tabulation of the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool. Each step was completed by 2 or more group members, with disagreements resolved by discussion. Initially, 13 guidelines were identified. Five did not meet the AGREE II established threshold or criteria for inclusion. Further review by the WHO eliminated 3 more, resulting in 5 remaining guidelines.
Data Extraction
All 339 recommendations from the 5 final guidelines, with type (assessment, intervention, or service), strength, and quality of evidence, were extracted, and an International Classification of Functioning, Disability and Health Functioning (ICF) category was assigned to each.
Data Synthesis
Most guidelines addressed mobility functions, with comorbid conditions and lifespan considerations also included. However, most were at the level of body functions. No guideline focused specifically on physical or occupational therapies to improve activity and participation, despite their prevalence in rehabilitation.
Conclusions
Despite the great need for high quality guidelines, this review demonstrated the limited number and range of interventions and lack of explicit use of the ICF during development of guidelines identified here. A lack of guidelines, however, does not necessarily indicate a lack of evidence. Further evidence review and development based on identified gaps and stakeholder priorities 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=274079
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1764-1774[article]
Titre : Effectiveness of Botulinum Toxin A in Treatment of Hemiplegic Shoulder Pain: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Hui-Min Xie ; Ting-Ting Guo ; Xuan Sun ; Han-Xiao Ge ; Xue-Dan Chen ; Ke-Jia Zhao ; Li-Ning Zhang Année de publication : 2021 Article en page(s) : p. 1775-1787 Note générale : https://doi.org/10.1016/j.apmr.2020.12.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Douleur ; Littérature de revue comme sujet ; Réadaptation ; Toxines botuliniques ou botuliquesRésumé : Objective
To evaluate the effectiveness of botulinum toxin A (BTX-A) in the treatment of hemiplegic shoulder pain.
Data Sources
PubMed, EMBASE, Elsevier, Springer, Cochrane Library, Physiotherapy Evidence Database, CNKI, and VIP were researched from the earliest records to September 1, 2020.
Study Selection
Randomized controlled trials that compared shoulder BTX-A injections vs a control intervention in patients with a history of hemiplegic shoulder pain after stroke were selected. Among the 620 records screened, 9 trials with 301 eligible patients were included.
Data Extraction
Outcome data were pooled according to follow-up intervals (1, 2, 4, and 12 wk). The primary evaluation indices were pain reduction (visual analog scale [VAS] score) and range of motion (ROM) improvement. The second evaluation indices were upper limb functional improvement, spasticity improvement, and incidence of adverse events. Cochrane risk-of-bias was used to assess the methodological quality of studies independently by 2 evaluators.
Data Synthesis
Meta-analysis revealed a statistically significant decrease in the VAS score in the BTX group vs the control group at 1, 4, and 12 weeks postinjection (wk 1: standardized mean difference [SMD], 0.91; 95% confidence interval [CI], 0.27 to 1.54; wk 4: SMD, 1.63; 95% CI, 0.76 to 2.51; wk 12: SMD, 1.96; 95% CI, 1.44 to 2.47). Furthermore, the meta-analysis demonstrated a statistically significant increase in abduction at 1, 4, and 12 weeks postinjection (wk 1: SMD, 3.71; 95% CI, 0 to 7.41; wk 4: SMD, 8.8; 95% CI, 2.22 to 15.37; wk 12: SMD, 19.59; 95% CI, 9.05 to 30.13) and external rotation at 1, 2, 4 weeks postinjection (wk 1: SMD, 5.67; 95% CI, 0.88 to 10.47; wk 2: SMD, 9.62; 95% CI, 5.57 to 13; wk 4: SMD, 6.89; 95% CI, 2.45 to 11.33) in the BTX group.
Conclusions
BTX-A injection provided greater analgesic effects and increased shoulder abduction and external rotation ROM compared with steroid or placebo injection for the treatment of HSP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=274087
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1775-1787[article]
Titre : Behavior Change Techniques in Physical Activity Interventions for Multiple Sclerosis Type de document : Article Auteurs : Stephanie L. Silveira ; Trinh Huynh ; Ariel Kidwell ; Dena Sadeghi-Bahmani ; Robert W. Motl Année de publication : 2021 Article en page(s) : p. 1788-1800 Note générale : https://doi.org/10.1016/j.apmr.2021.01.071 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement en matière de santé ; Exercice physique ; Médecine comportementale ; Réadaptation ; Revue systématique ; Sclérose en plaquesRésumé : Objective
To identify and summarize the behavior change techniques (BCTs) included in behavior change interventions for promoting physical activity in persons with multiple sclerosis (MS).
Data Sources
PubMed, PsycINFO, Cumulative Index to Nursing and Allied Health Complete, Scopus, and Embase were initially searched in November 2019, and data extraction began in June 2020.
Study Selection
The inclusion criteria for studies were: adults older than 18 years with diagnosed MS, English language, clinical trial designs (ie, pre-post or randomized controlled trials), group or individual interventions, and home or community-based settings wherein physical activity was defined as a primary or secondary outcome. Exclusion criteria for studies included protocol manuscripts pending results, case studies, studies focused on populations with multiple chronic diseases, and interventions targeting multiple behaviors. Two researchers completed screening for study selection, and a third researcher served as a referee. Of the initially identified 8681 studies, 54 studies met selection criteria.
Data Extraction
Data extraction was completed by 3 researchers. Each article was coded by 2 of the 3 researchers, and a fourth researcher resolved discrepancies. Data extracted from each paper included study title, authors, country, year, sample size, study design, intervention details, physical activity outcomes, and BCTs.
Data Synthesis
Thirty-eight unique behavior change interventions were identified, and 53 of the 93 possible BCTs were included across the studies. The mean number of BCTs per study was 15, and studies and effect sizes across studies ranged from 0.04-1.49.
Conclusions
This review provides a comprehensive overview of BCTs as the active ingredients in behavior change interventions targeting physical activity in MS. Results from this study provide a compendium for future intervention development for increasing physical activity and improving overall health 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=274090
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1788-1800[article]
Titre : Influence of Multiple Sclerosis on Spatiotemporal Gait Parameters: A Systematic Review and Meta-Regression Type de document : Article Auteurs : Justin N. Chee ; Bing Ye ; Sarah Gregor ; David Berbrayer ; Alex Mihailidis ; Kara K. Patterson Année de publication : 2021 Article en page(s) : p. 1801-1815 Note générale : https://doi.org/10.1016/j.apmr.2020.12.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse spatio-temporelle ; Chutes accidentelles ; Démarche ; Réadaptation ; Sclérose en plaquesRésumé : Objective
To quantify the effect of multiple sclerosis (MS) on spatiotemporal gait characteristics accounting for disability severity and fall classification.
Data Sources
MEDLINE (1946-August 2018), Allied and Complementary Medicine Database (1985-2018 August), and PsycINFO (1806-August 2018) were searched for terms on MS and gait.
Study Selection
Dual independent screening was conducted to identify observational, cross-sectional studies that compared adults with MS grouped according to Expanded Disability Status Scale (EDSS) level or fall history, reported on spatiotemporal gait characteristics, and were published in English. The search retrieved 5891 results, of which 12 studies satisfied the inclusion criteria.
Data Extraction
Two authors worked independently to extract and verify data on publication details, study methodology, participant characteristics, gait outcomes, conclusions, and limitations. Risk of bias was assessed using the QualSyst critical appraisal tool. A random-effects meta-regression and meta-analysis were conducted on pooled data.
Data Synthesis
All studies received quality ratings of very good to excellent and collectively examined 1513 individuals with MS. With every 1-point increase in EDSS, significant changes (P<.05 were observed in gait speed m confidence interval step length ci time seconds variability stride cadence steps per minute stance phase duration cycle and double support recent fallers exhibited an reduction compared with nonfallers> Conclusions
This review provides the most accurate reference values to-date that can be used to assess the effectiveness of MS gait training programs and therapeutic techniques for individuals who differ on disability severity and fall classification. Some gait adaptations could be part of adopting a more cautious gait strategy and should be factored into the design of future 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=274092
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1801-1815[article]
Titre : Current State of Knowledge on Digital Rectal Stimulation in Individuals With Traumatic and Nontraumatic Spinal Cord Injury: A Scoping Review Type de document : Article Auteurs : Joanne Wincentak ; Ying Xu ; Louise Rudden ; Dilshad Kassam-Lallani ; Amy Mullin ; Cindy Truong ; Kim Krog ; Shauna Kingsnorth Année de publication : 2021 Article en page(s) : p. 1816-1825 Note générale : https://doi.org/10.1016/j.apmr.2020.12.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Intestin neurogénique ; Littérature de revue comme sujet ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objectives
To map and characterize the nature of the evidence on the use of digital rectal stimulation for bowel management in individuals with spinal cord injury (SCI).
Data Sources
Five electronic databases were searched (ie, MEDLINE, EMBASE, CINAHL, Cochrane CENTRAL, and Cochrane Incontinence Group) from 1990 to November 2019.
Study Selection
Articles that provided information on the use of digital rectal stimulation either alone or in combination with treatments were included. Title and abstract screening was split between 2 reviewers after reaching consensus on the first 100 studies screened. Full-texts were reviewed independently by 2 reviewers. Discrepancies were resolved by a third reviewer.
Data Extraction
The data extraction form was developed by 2 reviewers and piloted. Data were extracted by one reviewer and checked for accuracy by a second reviewer.
Data Synthesis
A total of 4841 studies were screened, including 425 full text articles; 33 articles were identified. Thirty-two studies focused solely on individuals with SCI and 1 study explored the experiences of caregivers of individuals with SCI. The majority of participants were aged between 30 and 59 years old. Most studies used quantitative methods (n=30, 91%). Fourteen of the studies (42%) were cross-sectional. Within experimental or quasiexperimental designs, digital rectal stimulation was commonly studied as an adjunct to other methods such as suppositories or enemas. Incontinence and defecation time were the most commonly examined outcomes.
Conclusion
There were few studies found that focus on digital rectal stimulation. Further studies examining experience, effectiveness, complications, and long-term outcomes are warranted.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=274093
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1816-1825[article]
Titre : Dosage and Effectiveness of Aerobic Training on Cardiorespiratory Fitness, Functional Capacity, Balance, and Fatigue in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Luis Andreu-Caravaca ; Domingo J. Ramos-Campo ; Linda H. Chung ; Jacobo Á. Rubio-Arias Année de publication : 2021 Article en page(s) : p. 1826-1839 Note générale : https://doi.org/10.1016/j.apmr.2021.01.078 Langues : Anglais (eng) Descripteurs : HE Vinci
Aptitude physique ; Entrainement d'endurance ; Exercice physique ; Maladies du système nerveux ; RéadaptationRésumé : Objectives
To evaluate the benefits of aerobic training (AT) programs on cardiorespiratory fitness, functional capacity, balance, and fatigue in individuals with multiple sclerosis (MS) and to identify the optimal dosage of AT programs for individuals with MS via a systematic review with meta-analysis.
Data sources
Two electronic databases were searched until March 2020 (PubMed-Medline and Web of Science).
Study Selection
Studies examining the effect of AT program on cardiorespiratory fitness, functional capacity, balance, and fatigue were included.
Data Extraction
After applying the inclusion and exclusion criteria, we included 43 studies. A total sample of 1070 individuals with MS (AT group, n=680; control group, n=390) were analyzed.
Data Synthesis
The AT group demonstrated a significant increase in cardiorespiratory fitness (standardized mean difference [SMD], 0.29; P=.002), functional capacity (timed Up and Go Test: SMD, –1.14; P<.001 gait speed: smd p walking endurance: and balance after training. fatigue perception also decreased however no significant differences were observed when compared with the control group in either cardiorespiratory fitness or perception. nevertheless we between at groups speed endurance favoring participants who performed at. regarding subgroup analysis subgroups any of variables studied except for which a greater increase posttraining was program applied continuous method exercises by> Conclusions
Aerobic training improves gait speed, walking endurance, and balance. Cardiorespiratory fitness and fatigue perception also improved after AT, but we found no differences with the control group. In addition, subgroup analysis suggested that training using continuous and walking methods could optimize gait speed.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=274094
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 9 (2021) . - p. 1826-1839[article]
Paru le : 01/08/2021
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Titre : Robotic Locomotor Training Leads to Cardiovascular Changes in Individuals With Incomplete Spinal Cord Injury Over a 24-Week Rehabilitation Period: A Randomized Controlled Pilot Study Type de document : Article Auteurs : Robert W. Evans ; Claire L. Shackleton ; Sacha West ; Wayne Derman ; Laurie HG Rauch ; Ed Baalbergen ; Yumna Albertus Année de publication : 2021 Article en page(s) : p. 1447-1456 Note générale : https://doi.org/10.1016/j.apmr.2021.03.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Dispositif d'exosquelette ; Exercice physique ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To describe the effect of robotic locomotor training (RLT) and activity-based training (ABT) on cardiovascular indices during various physiological positions in individuals with spinal cord injury.
Design
Randomized controlled pilot study.
Setting
Private practice: Therapy & Beyond Centre - Walking with Brandon Foundation, Sports Science Institute of South Africa, Cape Town, South Africa.
Participants
Participants with chronic traumatic motor incomplete tetraplegia (N=16) who resided in the Western Cape, South Africa.
Intervention
Robotic locomotor training (Ekso GT) and activity-based training over a 24-week intervention.
Main Outcome Measures
Brachial and ankle blood pressure, heart rate, heart rate variability, and cardiovascular efficiency during 4 physiological positions.
Results
No differences between groups or over time were evident in resting systolic and diastolic blood pressure, ankle systolic pressure, ankle brachial pressure index, and heart rate variability. Standing heart rate at 24 weeks was significantly higher in the ABT group (95.58±12.61 beats/min) compared with the RLT group (75.14±14.96 beats/min) (P=.05). In the RLT group, no significant changes in heart rate variability (standard deviation R-R interval and root mean square of successive differences) was found between the standing and 6-minute walk test physiological positions throughout the intervention. Cardiovascular efficiency in the RLT group during the 6-minute walk test improved from 11.1±2.6 at baseline to 7.5±2.8 beats per meter walked at 6 weeks and was maintained from 6 to 24 weeks.
Conclusions
Large effect sizes and significant differences between groups found in this pilot study support the clinical effectiveness of RLT and ABT for changing cardiovascular indices as early as 6 weeks and up to 24 weeks of rehabilitation. RLT may be more effective than ABT in improving cardiac responses to orthostatic stress. Based on heart rate variability metrics, the stimulus of standing has comparable effects to RLT on the parasympathetic nervous system. Cardiovascular efficiency of exoskeleton walking improved, particularly over the first 6 weeks. Both the RLT and ABT interventions were limited in their effect on brachial and ankle blood pressure. A randomized controlled trial with a larger sample size is warranted to further examine 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=272280
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1447-1456[article]
Titre : Effectiveness of Continuous Chest Wall Vibration With Concurrent Aerobic Training on Dyspnea and Functional Exercise Capacity in Patients With Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial Type de document : Article Auteurs : Simone Pancera ; Riccardo Buraschi ; Luca Nicola Cesare Bianchi ; Roberto Porta ; Stefano Negrini Année de publication : 2021 Article en page(s) : p. 1457-1464 Note générale : https://doi.org/10.1016/j.apmr.2021.03.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; Dyspnée ; Muscles respiratoires ; Réadaptation ; Traitement par les exercices physiquesRésumé : Objective
To investigate the effects of continuous chest wall vibration with concurrent aerobic training in addition to a 4-week pulmonary rehabilitation program on dyspnea and functional exercise capacity in patients with chronic obstructive pulmonary disease (COPD).
Design
Randomized, single-blind, placebo-controlled trial.
Setting
The Cardiopulmonary Rehabilitation Unit of a tertiary referral subacute rehabilitation center.
Participants
A sample of 146 consecutive patients with COPD (Global Initiative for Chronic Obstructive Lung Disease II-III-IV) were assessed for eligibility. The final sample of 40 patients (N=40) was randomized into 3 groups (intervention, sham intervention, control).
Interventions
All groups carried out 5 sessions per week for 4 weeks of standard pulmonary rehabilitation treatment. The 2 daily 30-minute sessions included aerobic training and resistance training or airway clearance techniques. The intervention group performed the aerobic training with the addition of continuous chest wall vibration applied during cycling, whereas the sham intervention group received continuous chest wall vibration as a placebo during cycling.
Main Outcome Measures
Six-minute walk distance (6MWD) and Barthel Index based on dyspnea (BID).
Results
A total of 36 participants completed the study (69±7 years; forced expiratory volume in 1 second percentage of predicted, 40.15%±15.97%). Intention to treat analysis showed no significant differences between groups for 6MWD and BID. However, the increase in 6MWD was a clinically important difference in the intervention group (42.57±43.87m, P=.003), with a moderate effect size (d=0.58).
Conclusions
Continuous chest wall vibration with concurrent aerobic training in addition to a standard pulmonary rehabilitation program might improve functional exercise capacity compared with usual care, but there were no effects on dyspnea, respiratory muscle function, or quality of life in patients with COPD.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272283
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1457-1464[article]
Titre : Treatment of Breast Cancer–Related Lymphedema Using Negative Pressure Massage: A Pilot Randomized Controlled Trial Type de document : Article Auteurs : Riikka Lampinen ; Jeannette Q. Lee ; Janella Leano ; Christine Miaskowski ; Judy Mastick ; Lisa Brinker ; Kimberly Topp ; Betty Smoot Année de publication : 2021 Article en page(s) : p. 1465-1472.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.03.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Drainage lymphatique manuel ; Lymphoedème après cancer du sein ; Massage ; RéadaptationRésumé : Objective
To evaluate the efficacy of negative pressure massage treatment (NPMT) compared with manual lymphatic drainage (MLD) in women with chronic breast cancer–related lymphedema (LE). We hypothesized that NPMT would result in greater improvements in LE and upper limb function.
Design
Pilot single-blinded randomized controlled trial.
Setting
Health sciences university.
Participants
Of 64 women screened, 28 met eligibility requirements (ie, >18y of age; completed active treatment for breast cancer; had unilateral arm LE for ≥1y; were not receiving LE care; had stable LE) and were randomized to the NPMT (n=15) and control groups (n=13).
Interventions
The intervention group received NPMT and the control group received MLD; both received twelve 60-minute sessions over 4-6 weeks.
Main Outcome Measures
Bioimpedance (lymphedema index [L-Dex] units]), limb volume (mL) calculated from limb circumference, and Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) score.
Results
Outcomes were analyzed for 28 women. Compared to the MLD group, the NPMT group demonstrated greater improvement with a large effect size in L-Dex scores (P=.001; standardized mean difference [SMD]=−1.15; 95% confidence interval, −1.96 to −0.35) and interlimb volume differences (P=.038; SMD=−0.83; 95% confidence interval, −1.60 to −0.05). Differences in DASH scores were not statistically significant (P=.067).
Conclusions
Compared to MLD, treatment with NPMT resulted in greater improvement in L-Dex scores and interlimb volume differences in women with a duration of unilateral upper limb LE of >1 year. Our findings need to be confirmed in a larger randomized controlled trial.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272284
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1465-1472.e2[article]
Titre : Race/Ethnic and Stroke Subtype Differences in Poststroke Functional Recovery After Acute Rehabilitation Type de document : Article Auteurs : Kent P. Simmonds ; Zhehui Luo ; Mathew Reeves Année de publication : 2021 Article en page(s) : p. Mathew Note générale : https://doi.org/10.1016/j.apmr.2021.01.090 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Centres de rééducation et de réadaptation ; Disparités d'accès aux soins ; Épidémiologie ; Etudes longitudinales ; Populations d'origine continentale ; RéadaptationRésumé : Objective
Significant racial/ethnic disparities in poststroke function exist, but whether these disparities vary by stroke subtype is unknown. Study goals were to (1) determine if racial/ethnic disparities in the recovery of poststroke function varied by stroke subtype and (2) identify confounding factors associated with these racial/ethnic disparities.
Design
Secondary analysis of the 1-year Stroke Recovery in Underserved Populations Cohort Study.
Setting
Eleven inpatient rehabilitation facilities (IRFs) across the United States.
Participants
A total of 1066 patients (n=868 with ischemic stroke and n=198 with hemorrhagic stroke, N=1066) who self-identified as White (n=813), Black (n=183), or Hispanic (n=70).
Interventions
Not applicable.
Main Outcome Measures
FIM scores at IRF admission, discharge, 3 months, and 12 months were modeled using multivariable mixed effects longitudinal regression.
Results
Compared with White patients, Black (−6.1 and −4.6) and Hispanic (−10.1 and −9.9) patients had significantly lower FIM scores at 3 and 12 months, respectively. A significant (P<.01 interaction indicated that disparities varied by stroke subtype. the subtype differences were most prominent for black-white because in hemorrhagic present at irf admission months ischemic additionally magnitude of was over times larger than age primarily influenced but factors hispanic-white not identified. sensitivity analyses showed there racial cognitive motor function and results robust to adjustments missing data attrition.> Conclusions
There are significant differences between stroke subtypes in the timing and magnitude of Black-White disparities in poststroke function. Age was a major confounding factor for Black-White disparities (particularly for hemorrhagic stroke). Overall, Hispanic patients had the lowest levels of poststroke function, and more work is needed to identify significant factors that influence Hispanic-White 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=273351
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. Mathew[article]
Titre : Energy Expenditure and Oxygen Consumption During Activities of Daily Living in People With Multiple Sclerosis and Healthy Subjects: An Ecological Approach to Estimate Real-Life Fatigue and Fatigability Type de document : Article Auteurs : Andrea Manca ; Lucia Ventura ; Gianluca Martinez ; Antonella Cano ; Gabriele Matta ; Elena Aiello ; Franca Deriu Année de publication : 2021 Article en page(s) : p. 1482-1489 Note générale : https://doi.org/10.1016/j.apmr.2020.12.024 Langues : Anglais (eng) Descripteurs : HE Vinci
Calorimétrie indirecte ; Consommation d'oxygène ; Métabolisme énergétique ; Réadaptation ; Sclérose en plaques ; SpirométrieRésumé : Objective
To compare oxygen consumption and energy expenditure (EE) of the activities of daily living (ADL) in people with multiple sclerosis (PwMS) and healthy subjects.
Design
Cross-sectional observational study.
Setting
Outpatient care facilities.
Participants
Twenty-four moderately impaired PwMS and 21 healthy controls (N=45).
Intervention
Not applicable.
Main Outcome Measures
Oxygen consumption, EE rate, and total EE assessed by portable open-circuit spirometry during the accomplishment of a comprehensive set of 14 ADL. Body composition was also assessed with bioelectrical impedance analysis. Body cell mass was used to normalize metabolic rates between groups.
Results
PwMS exhibited significantly higher oxygen consumption than controls in transfer and mobility tasks (walking with stairs: +10.4%, P=.04; without stairs: +15.2%, P=.002; driving: +10.4%, P=.04) and higher EE rates for walking (+13.6%, P=.01). ADL completion took significantly longer in PwMS. Consequently, when total EE to complete each ADL was considered, PwMS used significantly more energy in 10 of the 14 ADL. Of these, “climb stairs” and walking with or without stairs showed the largest differences (+100%, +99.5%, +79.3%, respectively; all P values<.0005 followed by p=".002)," and> Conclusions
Moderately disabled PwMS display oxygen consumption and EE rates during ADL that are comparable to those of matched healthy subjects, except for the activities that involve walking. Although metabolic rates were not different for the majority of ADL, PwMS showed higher total EE to complete the same activities at a comparable work intensity, which may contribute to the burden of “real-life” tiredness and fatigue typically described in this population. Importantly, the subjective Modified Fatigue Impact Scale score significantly correlated to EE and oxygen consumption of selected ADL, such as “make a bed,” “driving,” “clean surfaces,” and “climb stairs.” The joint employment of open-circuit spirometry during ADL and body composition analysis allows an accurate metabolic characterization of PwMS, who frequently complain of fatigue.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273361
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1482-1489[article]
Titre : Reductions in Cardiac Structure and Function 24 Months After Spinal Cord Injury: A Cross-Sectional Study Type de document : Article Auteurs : Matthew R. Ely ; Tamanna K. Singh ; Aaron L. Baggish ; Andrew J. Taylor Année de publication : 2021 Article en page(s) : p. 1490-1498 Note générale : https://doi.org/10.1016/j.apmr.2021.01.070 Langues : Anglais (eng) Descripteurs : HE Vinci
Atrophie ; Echocardiographie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To determine the alterations in cardiac structure and function that occur in the months after spinal cord injury (SCI).
Study Design
Cross-sectional
Setting
Rehabilitation Hospital
Participants
Volunteers (N=29; 4 women, 25 men) between 3 and 24 months after SCI.
Main Outcome Measures
Transthoracic echocardiography was performed on each volunteer. The relationships between time since injury and neurologic and sensory levels of injury to cardiac structure and function were assessed via multiple linear regression.
Results
Time since injury was most strongly associated with reductions in left ventricular end diastolic volume (r2=0.156; P=.034), end systolic volume (r2=0.141; P=.045), and mass (r2=0.138; P=.047). These structural changes were paralleled by reduced stroke volume (r2=0.143; P=.043) and cardiac output (r2=0.317; P=<.001 the reductions in left ventricular structure and systolic function were not differentially affected by neurologic or sensory levels of injury> Conclusions
These results suggest progressive reductions in left ventricular structure and systolic function between 3 and 24 months after SCI that occur independent of neurologic and sensory levels of 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=273362
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1490-1498[article]
Titre : The Functional Independence of Patients With Stroke Sequelae: How Important Is the Speed, Oxygen Consumption, and Energy Cost of Walking? Type de document : Article Auteurs : Maxence Compagnat ; Stéphane Mandigout ; Anaick Perrochon ; Justine Lacroix ; Nicolas Vuillerme ; Jean Yves Salle ; Jean Christophe Daviet Année de publication : 2021 Article en page(s) : p. 1499-1506 Note générale : https://doi.org/10.1016/j.apmr.2021.01.085 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Consommation d'oxygène ; Réadaptation ; Vitesse de marcheRésumé : Objective
To evaluate the association between self-selected walking speed (Sfree), oxygen consumption at Sfree (Vo2free), the oxygen cost of walking (Cw) at Sfree, and mobility independence and independence for activities of daily living in individuals poststroke.
Design
Cross-sectional study.
Setting
Hospital.
Participants
Individuals with stroke who were able to walk without human assistance were included. We included 90 individuals (N=90; mean age, 63.5±14.0y).
Interventions
Not applicable.
Main Outcome Measures
Cw was captured during walking from measurements of Sfree and Vo2free. We assessed mobility independence based on the modified Functional Ambulation Classification (mFAC) and independence in activities of daily living by the Barthel Index (BI). Multiple linear regression analyses were performed to evaluate the independence of Cw, Vo2free, and Sfree from the determination of BI and mFAC among the various characteristics of the population (age, stroke delay, body mass index, motor function, spasticity).
Results
We reported Cw=0.36 mL/kg/m (interquartile range [IQR]=0.28 mL/kg/m), Sfree=0.60±0.32 m/s, Vo2free=11.2 mL/kg/min (IQR=1.8 mL/kg/min). The multiple linear regression analyses showed that Cw and Sfree were independently associated with the BI (P<.01 and the mfac scores. vo2free was not found to be an explanatory variable of functional independence>.05).
Conclusions
Cw was independently associated with functional independence. This association appears to be primarily determined by Sfree and not Vo2free, underscoring the importance of evaluating and acting on Sfree to improve the functional independence of individuals with stroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273363
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1499-1506[article]
Titre : Very Long-Term Outcomes in Children Admitted in a Disorder of Consciousness After Severe Traumatic Brain Injury Type de document : Article Auteurs : Sandra Rodgin ; Stacy J. Suskauer ; Julia Chen ; Elana Katz ; Kimberly C. Davis ; Beth S. Slomine Année de publication : 2021 Article en page(s) : p. 1507-1513 Note générale : https://doi.org/10.1016/j.apmr.2021.01.084 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Lésions encéphaliques ; Réadaptation ; Troubles de la conscienceRésumé : Objectives
To investigate functional outcomes and state of consciousness at 1 year and ≥2 years postinjury in children who sustained a traumatic brain injury and were in a disorder of consciousness (DOC), either vegetative state (VS) or minimally conscious state (MCS), upon admission to inpatient rehabilitation.
Design
Retrospective chart review.
Setting
Pediatric inpatient rehabilitation unit.
Participants
Children aged 2-18 years (N=37) who were admitted to inpatient rehabilitation with admission scores Interventions
Not applicable.
Main Outcome Measures
Glasgow Outcome Scale- Extended, Pediatric Revision (GOS-E Peds), and state of consciousness based on previously established guidelines.
Results
At admission, 16 children were in VS (43.2%) and 21 (56.8%) were in MCS. Children admitted in VS had a significantly longer time from injury to inpatient rehabilitation admission, lower CALS admission scores, were more likely to be in a DOC ≥28 days, and had greater disability at both follow-up time points. At the 1-year follow-up, 3 patients were in VS, 7 were in MCS, and 27 had emerged from MCS. By the time of the most recent follow-up (≥2y), 2 more patients had emerged from MCS. Across the cohort, GOS-E Peds scores at 1 year ranged from VS (GOS-E Peds, 7) to upper moderate disability (GOS-E Peds, 3). Most patients were functioning in the lower severe disability category (GOS-E Peds, 6) at 1 year (43.2%) and at the time of the most recent follow-up (43.2%). Twenty-seven patients (73.0%) showed stable GOS-E Peds scores between the 2 time points, 6 (16.2%) improved, and 4 (10.8%) were deceased.
Conclusions
Although a majority of patients emerged from a DOC by 1 year postinjury, most continued to demonstrate notable functional impairment at the 1-year follow-up that persisted to the most recent follow-up. A small subset demonstrated important improvements between 1 year and the most recent follow-up (2 patients emerged, 6 patients showed improvement in GOS-E Peds 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=273366
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1507-1513[article]
Titre : Determinants of Discharge Disposition From Acute Care for Survivors of Hypoxic-Ischemic Brain Injury: Results From a Large Population-Based Cohort Data Set Type de document : Article Auteurs : Binu Jacob ; Vincy Chan ; David Stock ; Angela Colantonio ; Nora Cullen Année de publication : 2021 Article en page(s) : p. 1514-1523 Note générale : https://doi.org/10.1016/j.apmr.2021.01.083 Langues : Anglais (eng) Descripteurs : HE Vinci
Études de cohortes ; Hypoxie-ischémie du cerveau ; RéadaptationRésumé : Objective
To identify determinants of discharge disposition from acute care among survivors of hypoxic-ischemic brain injury (HIBI), stratified by sex.
Design
Population-based retrospective cohort study using provincial data in Ontario, Canada. The determinants were grouped into predisposing, need, and enabling factors using the Anderson Behavioral Model.
Setting
Acute care.
Participants
Survivors of HIBI aged ≥20 years at the time of hospitalization and discharged alive from acute care between April 1, 2002, and March 31, 2017. There were 7492 patients with HIBI, of whom 28% (N=2077) survived their acute care episode.
Interventions
Not applicable.
Main Outcome Measures
Discharge disposition from acute care, categorized as complex continuing care (CCC), long-term care (LTC), inpatient rehabilitation (IR), home with support, home without support, and transferred to another acute care.
Results
The discharge dispositions for the 2077 survivors were IR 23.4% (n=487), CCC 19.5% (n=404), LTC 6.2% (n=128), home without support 31.2% (n=647), home with support 15.1% (n=314), and other 4.6%. Multinomial multivariable logistic regression analysis using home without support as the reference category revealed that female patients were significantly more likely than male patients to be discharged to LTC/CCC. Those who were older, were frail, and had longer stay in acute care or special care unit (SCU) were more likely to be discharged to LTC/CCC. The only significant determinant for IR was longer stay in acute care. Survivors with cardiac-related injury were less likely to be discharged to LTC/CCC. Income was a significant factor for male patients but not for female patients in the sex-stratified analysis. The following variables were investigated but were not significant determinants in this study: need factors (comorbidity score, prior psychiatric disorders, health care utilization) and enabling factors (income quintile, rural area of residence).
Conclusions
Predisposing (age, sex) and need factors (frailty, acute care days, SCU days, type of injury) were significant determinants of discharge disposition from acute care after HIBI. In spite of a system with universal coverage, sex differences were found, with more female patients being discharged to CCC/LTC rather than IR, controlling for age and other confounders. These findings should be considered in appropriate discharge planning from acute care for survivors of HIBI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273367
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1514-1523[article]
Titre : Risk Factors of Readmissions in Geriatric Rehabilitation Patients: RESORT Type de document : Article Auteurs : Ching S. Wan ; Esmee M. Reijnierse ; Andrea B. Maier Année de publication : 2021 Article en page(s) : p. 1524-1532 Note générale : https://doi.org/10.1016/j.apmr.2021.01.082 Langues : Anglais (eng) Descripteurs : HE Vinci
Facteurs de risque ; Gériatrie ; Réadaptation ; Réadmission du patient ; Sujet âgéRésumé : Objective
To evaluate the risk factors associated with 30- and 90-day hospital readmissions in geriatric rehabilitation inpatients.
Design
Observational, prospective longitudinal inception cohort.
Setting
Tertiary hospital in Victoria, Australia.
Participants
Geriatric rehabilitation inpatients of the REStORing Health of Acutely Unwell AdulTs (RESORT) cohort evalutated by a comprehensive geriatric assessment including potential readmission risk factors (ie, demographic, social support, lifestyle, functional performance, quality of life, morbidity, length of stay in an acute ward). Of 693 inpatients, 11 died during geriatric rehabilitation. The mean age of the remaining 682 inpatients was 82.2±7.8 years, and 56.7% were women.
Interventions
Not applicable.
Main Outcome Measures
Thirty- and 90-day readmissions after discharge from geriatric inpatient rehabilitation.
Results
The 30- and 90-day unplanned all-cause readmission rates were 11.6% and 25.2%, respectively. Risk factors for 30- and 90-day readmissions were as follows: did not receive tertiary education, lower quality of life, higher Charlson Comorbidity Index and Cumulative Illness Rating Scale (CIRS) scores, and a higher number of medications used in the univariable models. Formal care was associated with increased risk for 90-day readmissions. In multivariable models, CIRS score was a significant risk factor for 30-day readmissions, whereas high fear of falling and CIRS score were significant risk factors for 90-day readmissions.
Conclusions
High fear of falling and CIRS score were independent risk factors for readmission in geriatric rehabilitation inpatients. These variables should be included in hospital readmission risk prediction model developments for geriatric rehabilitation inpatients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273368
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1524-1532[article]
Titre : Patients With Higher Treatment Outcome Expectations Are More Satisfied With the Results of Nonoperative Treatment for Thumb Base Osteoarthritis: A Cohort Study Type de document : Article Auteurs : Lisa Hoogendam ; Mark J.W. van der Oest ; Robbert M. Wouters ; Eleni-Rosalina Andrinopoulou ; Guus M. Vermeulen ; Harm P. Slijper ; Jarry T. Porsius ; Ruud W. Selles ; Hand-Wrist Study Group Année de publication : 2021 Article en page(s) : p. 1533-1540 Note générale : https://doi.org/10.1016/j.apmr.2021.01.080 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Articulations carpométacarpiennes ; Mesures des résultats rapportés par les patients (PROM) ; Motivation ; Psychologie ; RéadaptationRésumé : Objective
To investigate how satisfaction with treatment outcome is associated with patient mindset and Michigan Hand Outcome Questionnaire (MHQ) scores at baseline and 3 months in patients receiving nonoperative treatment for first carpometacarpal joint (CMC-1) osteoarthritis (OA).
Design
Cohort study
Setting
A total of 20 outpatient locations of a clinic for hand surgery and hand therapy in the Netherlands.
Participants
Patients (N=308) receiving nonoperative treatment for CMC-1 OA, including exercise therapy, an orthosis, or both, between September 2017 and February 2019.
Interventions
Nonoperative treatment (ie, exercise therapy, an orthosis, or both)
Main Outcome Measures
Satisfaction with treatment outcomes was measured after 3 months of treatment. We measured total MHQ score at baseline and at 3 months. As baseline mindset factors, patients completed questionnaires on treatment outcome expectations, illness perceptions, pain catastrophizing, and psychological distress. We used multivariable logistic regression analysis and mediation analysis to identify factors associated with satisfaction with treatment outcomes.
Results
More positive pretreatment outcome expectations were associated with a higher probability of being satisfied with treatment outcomes at 3 months (odds ratio, 1.15; 95% confidence interval, 1.07-1.25). Only a relatively small part (33%) of this association was because of a higher total MHQ score at 3 months. None of the other mindset and hand function variables at baseline were associated with satisfaction with treatment outcomes.
Conclusions
This study demonstrates that patients with higher pretreatment outcome expectations are more likely to be satisfied with treatment outcomes after 3 months of nonoperative treatment for CMC-1 OA. This association could only partially be explained by a better functional outcome at 3 months for patients who were satisfied. Health care providers treating patients nonoperatively for CMC-1 OA should be aware of the importance of expectations and may take this into account in pretreatment counseling.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273374
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1533-1540[article]
Titre : Reproducibility and Convergent Validity of the Sitting-Rising Test in People With Multiple Sclerosis Type de document : Article Auteurs : Temima Greenberg ; Rotem Soll ; Mark Dolev ; Alon Kalron Année de publication : 2021 Article en page(s) : p. 1541-1546 Note générale : https://doi.org/10.1016/j.apmr.2021.01.079 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Psychométrie ; Réadaptation ; Sclérose en plaquesRésumé : Objective
To evaluate the test-retest reproducibility and convergent validity of the sitting-rising test (SRT) in people with multiple sclerosis (PwMS).
Design
Observational study comprising a test-retest design.
Setting
Multiple Sclerosis Center, Rehabilitation Hospital at Sheba Medical Center, Tel-Hashomer, Israel.
Participants
A total of 50 PwMS (32 women, 18 men, N=50), mean age 44.8±7.6 years and mean disease duration of 13.8±8.5 years since diagnosis, were enrolled in the study. The median Expanded Disability Status Scale score was 4.5, indicating a mild-moderate neurologic disability.
Interventions
Not applicable.
Main Outcome Measures
SRT, posturography measures, 10-repetion sit-to-stand test (10STS), timed Up and Go (TUG) test, hand grip strength, strength of hip flexion/extension/abduction, knee flexion/extension, and Fall Status Questionnaire.
Results
The intraclass correlation coefficient value for the intrarater test-retest reproducibility (7- to 10-day interval between tests) of the SRT test, was 0.931 (95% confidence interval, 0.796-0.977). Strong correlations were found between the SRT, TUG test (ρ=−0.709), and 10STS (ρ=−0.719), and moderate correlations were found between the SRT and postural control measures (ρ∼0.4). Moderate correlations were found between the SRT and the hip and knee strength (combined) of the weaker limb (ρ=0.344). No differences were found in the SRT score between fallers and nonfallers.
Conclusions
The current study supports the convergent validity and test-retest reproducibility of the SRT in PwMS.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273375
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1541-1546[article]
Titre : Stakeholder Perspectives on Engaging With Cerebral Palsy Research Studies After Onset of COVID-19 in the United States Type de document : Article Auteurs : Divya Joshi ; Nayo Hill ; Alexandra Hruby ; Shreya Viswanathan ; Carson Ingo ; Heidi Roth ; Theresa Sukal-Moulton Année de publication : 2021 Article en page(s) : p. 1547-1555 Note générale : https://doi.org/10.1016/j.apmr.2021.02.017 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Pandémies ; Paralysie cérébrale ; RéadaptationRésumé : Objective
To investigate the effect of the coronavirus disease 2019 (COVID-19) pandemic on perspectives toward participation in cerebral palsy (CP) research.
Design
An online survey with questions relating to the comfort levels of research participation was filled out by people who had CP or had a child with CP.
Setting
The online survey was administered through Research Electronic Data Capture platform.
Participants
A total of 233 (n=233) individuals with CP (42.5%; n=99) or with a child with CP (57.1%; n=133) consented and at least partially completed the online survey (n=210 complete; n=23 partially complete). All participants resided in the United States.
Interventions
Not applicable.
Main Outcome Measures
Readiness to participate was analyzed in the context of the time point for research participation during COVID-19 and whether or not the study offered direct benefits to participants.
Results
Participants were consistently willing to participate sooner in studies that offered direct benefit than in those that did not. Adults responding for themselves had sooner time points for studies without direct benefit compared with parents answering for a child (P=.030). Gross Motor Function Classification System level, but not age or CP type, affected the time point for studies without direct benefit (P=.017). Personal values influenced selected time point for studies without direct benefit (P=.007), whereas environmental factors affected the time point for studies with direct benefit (P=.002). Local COVID-19 incidence rates were not associated with time points for either research type; however, respondents expected precautions to be taken if they chose to participate.
Conclusions
As the pandemic evolves, researchers should consider the perspectives of potential participants as well as ethical and safety factors when reinitiating in-person CP 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=273376
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1547-1555[article]
Titre : Barriers and Facilitators to Employment: A Comparison of Participants With Multiple Sclerosis and Spinal Cord Injury Type de document : Article Auteurs : James S. Krause ; Chao Li ; Deborah Backus ; Melinda Jarnecke ; Karla Reed ; Jameka Rembert ; Phillip Rumrill ; Clara E. Dismuke-Greer Année de publication : 2021 Article en page(s) : p. 1556-1561 Note générale : https://doi.org/10.1016/j.apmr.2021.02.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Emploi ; Réadaptation ; Réadaptation professionnelle ; Sclérose en plaques ; Traumatismes de la moelle épinièreRésumé : Objective
To compare self-reported barriers and facilitators to employment among employed and unemployed participants with multiple sclerosis (MS) and spinal cord injury (SCI).
Design
Cross-sectional study using self-report assessment obtained by mail or online.
Setting
Medical university in the southeastern United States.
Participants
Participants (N=2624) identified from either a specialty hospital or a state-based surveillance system in the southeastern United States, including 1234 with MS and 1390 with SCI. All participants were aged Interventions
Not applicable.
Main Outcome Measures
Self-reported barriers and facilitators to employment.
Results
Overall, the MS participants reported more barriers, particularly stress, cognition, and fatigue, whereas those with SCI were more likely to report not having the proper education and training, resources, transportation, and attendant care. Follow-up analyses broken down by employment status indicated that several barriers and facilitators were significantly related to diagnosis for either employed or unemployed participants, but not both. Among those employed, participants with SCI were more likely to report they could not do the same types of jobs as they could pre-SCI and those with MS were more likely to state that they did not know much about jobs for people with disabilities (no differences were noted for these variables among unemployed participants). Unemployed individuals with SCI were more likely to report that the jobs for which they were trained were not accessible.
Conclusions
The primary barriers for individuals with MS revolve around the condition itself, whereas the barriers for SCI appear to be more related to modifiable factors. Vocational rehabilitation specialists need to identify diagnostic-specific barriers to promote employment 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=273379
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1556-1561[article]
Titre : Effects of Air Stacking on Dyspnea and Lung Function in Neuromuscular Diseases Type de document : Article Auteurs : Giulia Michela Pellegrino ; Massimo Corbo ; Fabiano Di Marco ; Pasquale Pompilio ; Raffaele Dellacà ; Paolo Banfi ; Riccardo Pellegrino ; Giuseppe Francesco Sferrazza Papa Année de publication : 2021 Article en page(s) : p. 1562-1567 Note générale : https://doi.org/10.1016/j.apmr.2021.01.092 Langues : Anglais (eng) Descripteurs : HE Vinci
Dyspnée ; Maladies neuromusculaires ; Muscles respiratoires ; Réadaptation ; TouxRésumé : Objective
To investigate whether the decrease in dyspnea in neuromuscular diseases after air stacking (AS) occurs mostly in patients with decreased inspiratory muscle force and ensuing chest wall restriction or heterogeneous ventilation across the lungs.
Design
Interventional, before-after study.
Setting
A neurorehabilitation inpatient and outpatient center.
Participants
Fifteen consecutive adult patients affected by neuromuscular diseases (N=15).
Interventions
AS treatment.
Main Outcome Measures
Patients had vital capacity (VC) and sniff nasal inspiratory pressure (SNIP) measured. We measured Borg score, oxygen saturation, and ventilation heterogeneity across the lung as estimated from the difference between respiratory resistance at 5 and 19 Hz (R5-19) with the forced oscillation technique before and 5, 30, 60, and 120 minutes after applying AS.
Results
Before AS, Borg score was significantly related to R5-19 (r2 0.46, P<.05 but not to vc predicted snip and time since symptom onset. after as average borg score gradually decreased whereas inspiratory flow resistance at hz r5-19 reactance tended improve despite reaching statistical significance. the decrease in dyspnea minutes significantly correlated with baseline p r2 respectively onset clinical severity for patients affected by amyotrophic lateral sclerosis.> Conclusions
These findings suggest that dyspnea in neuromuscular diseases is related to heterogeneous ventilation rather than inspiratory muscle force and/or lung volumes decrease. Restoring ventilation distribution across the lungs with AS appears to improve dyspnea.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273420
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1562-1567[article]
Titre : Return to Driving After Moderate-to-Severe Traumatic Brain Injury: A Traumatic Brain Injury Model System Study Type de document : Article Auteurs : Thomas A. Novack ; Yue Zhang ; Richard Kennedy ; Lisa J. Rapport ; Thomas K. Watanabe ; Kimberley R. Monden ; Laura E. Dreer ; Thomas F. Bergquist ; Charles Bombardier ; Robert Brunner ; Yelena Goldin ; Jennifer Marwitz ; Janet P. Niemeier Année de publication : 2021 Article en page(s) : p. 1568-1575 Note générale : https://doi.org/10.1016/j.apmr.2021.02.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Conduite automobile ; Lésions encéphaliques ; Lésions traumatiques de l'encéphale ; RéadaptationRésumé : Objective
Describe who is able to return to driving (RTD) after moderate-to-severe traumatic brain injury (TBI), when this occurs, who maintains that activity, and the association with outcome.
Design
Cross-sectional descriptive study.
Setting
Eight follow-up sites of the TBI Model Systems (TBIMS) program.
Participants
618 participants enrolled in the TBIMS and 88 caregivers (N=706).
Interventions
Not applicable.
Main Outcome Measures
A survey was completed from 1-30 years postinjury focusing on RTD. Descriptors included demographic information, injury severity, and current employment status. Outcome was assessed at the time of the interview, including depression, quality of life, functional status, and community participation.
Results
Of 706 respondents, 78% (N = 552) RTD, but 14% (N = 77) of these did not maintain that activity. Of those who RTD, 43% (N = 192) did so within 6 months of the injury and 92% did so within 24 months postinjury. The percentage of people driving after TBI did not differ significantly based on age at time of injury or follow-up. There were significant differences between drivers and nondrivers with respect to severity of injury, seizures, race, education, employment, rural vs urban setting, marital status, and family income. We performed a multivariate logistic regression to examine the association between driving status and demographic variables, adjusting for other variables in the model. The strongest associations were with current employment, family income, race, seizures, and severity of injury. Driving was associated with greater community participation, better functional outcomes, fewer symptoms of depression, and greater life satisfaction.
Conclusions
Over a span of 30 years, three-quarters of people experiencing moderate-to-severe TBI return to driving a personal vehicle, although not everyone maintains this activity. Employment, race, family income, and seizures are strongly associated with RTD.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273424
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1568-1575[article]
Titre : The Lower Extremity Physical Function Patient-Reported Outcome Measure Was Reliable, Valid, and Efficient for Patients With Musculoskeletal Impairments Type de document : Article Auteurs : Daniel Deutscher ; Michael A. Kallen ; Deanna Hayes ; Mark W. Werneke ; Jerome E. Mioduski ; Carole A Tucker ; Karon F. Cook Année de publication : 2021 Article en page(s) : p. 1576-1587 Note générale : https://doi.org/10.1016/j.apmr.2021.02.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre inférieur ; Mesures des résultats rapportés par les patients (PROM) ; Performance fonctionnelle physique ; RéadaptationRésumé : Objective
To calibrate the Lower Extremity Functional Scale (LEFS) items into a regional lower extremity physical function (LEPF) item bank and assess reliability, validity, and efficiency of computerized adaptive test (CAT) and short form (SF) administration modes.
Design
Retrospective cohort.
Setting
Data were collected from patients treated in outpatient rehabilitation clinics for musculoskeletal impairments of the hip, knee, foot, and ankle that responded to all 20 LEFS items at intake.
Participants
Patients aged 14 years or older who started an episode of care during January 2016-October 2019 and identified the lower extremity region as the source of a primary musculoskeletal complaint. Total cohort included 78,186 patients (mean age, 53±19y, range, 14-89y).
Interventions
Not applicable.
Main Outcome Measures
Item response theory (IRT) model assumptions of unidimensionality, local item independence, item fit, and presence of differential item functioning (DIF) were studied. LEPF-CAT– and LEPF-SF–generated scores were evaluated.
Results
An 18-item solution was supported for its unidimensionality and fit to the IRT model, with reliability estimates >0.9 for all administration modes. No DIF impact on LEPF scores was identified. Scores discriminated between multiple patient groups in clinically logical ways and were highly responsive to change, with negligible floor or ceiling effects. CAT scores were generated using an average of 4.9 items (median, 4).
Conclusions
The LEPF scores were reliable, valid, and efficient for assessing perceived physical function of patients with musculoskeletal impairments of the hip, knee, foot, and ankle; thus, it was found suitable for research and routine clinical administration. These findings are limited to the type of patients included in this study, with further validation needed to assess their generalizability.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273439
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1576-1587[article]
Titre : Role of Self-efficacy in the Predictive Relationship of Motor Ability to Functional Performance After Task-Related Training in Stroke: A Secondary Analysis of Longitudinal Data Type de document : Article Auteurs : Hui-ing MA ; Pei-Hsuan Hung ; Szu-Hung Lin ; I-Ching Chuang ; Ching-Yi Wu Année de publication : 2021 Article en page(s) : p. 1588-1594 Note générale : https://doi.org/10.1016/j.apmr.2021.03.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Auto-efficacité ; Membre supérieur ; Performance fonctionnelle physique ; RéadaptationRésumé : Objective
To determine whether self-efficacy (SE) mediates or moderates the relationship between motor ability at pretest and functional use of the affected arm at posttest in task-related training for stroke.
Design
Retrospective, observational cohort study.
Setting
Outpatient rehabilitation settings.
Participants
Eighty patients with chronic stroke (N=80).
Interventions
The training was delivered to the participants for 60-90 min/session, 3-5 sessions/wk for 4-6 weeks. The training involved specific robot-assisted, mirror, or combined therapy, followed by functional task practice for approximately 30 minutes in each session.
Main Outcome Measures
The outcome measure was the perceived amount of functional arm use and quality of movement evaluated by the Motor Activity Log (MAL) at posttest. The predictor was scores on the Fugl-Meyer Assessment (FMA)–Upper Extremity subscale at pretest. The tested mediator and moderator were scores on the Stroke Self-Efficacy Questionnaire (SSEQ) at pretest and posttest.
Results
The SSEQ scores at pretest and posttest moderated the predictive relationship of pretest FMA to posttest MAL. The interaction between pretest FMA and SSEQ accounted for an additional 3.14%-5.37% of the variance in the posttest MAL. The predictive relationship between FMA and MAL was its greatest when the SSEQ was high, with a less amplified positive relationship at low levels of SSEQ.
Conclusions
The results suggest the evaluation of SE at pretest for a better prediction of an individual patient's functional arm use after an intervention and recommend aiming at SE during training to make the most of motor ability transferred to functional use. Future research may compare the effectiveness of task-related training with and without SE building to verify the findings of this study.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273440
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1588-1594[article]
Titre : Clinical Benefits and System Design of FES-Rowing Exercise for Rehabilitation of Individuals with Spinal Cord Injury: A Systematic Review Type de document : Article Auteurs : Gongkai Ye ; Emerson Paul Grabke ; Maureen Pakosh ; Julio C. Furlan ; Kei Masani Année de publication : 2021 Article en page(s) : p. 1595-1605 Note générale : https://doi.org/10.1016/j.apmr.2021.01.075 Langues : Anglais (eng) Descripteurs : HE Vinci
Electrotherapie ; Réadaptation ; Traitement par les exercices physiques ; Traumatismes de la moelle épinièreRésumé : Objective
To comprehensively and critically appraise the clinical benefits and engineering designs of functional electrical stimulation (FES)-rowing for management of individuals with spinal cord injury (SCI).
Data Sources
Electronic database searches were conducted in Cumulative Index to Nursing & Allied Health Literature, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Excerpta Medica database, Emcare, Medline, PubMed, Scopus, and Web of Science databases from inception to May 12, 2020.
Study Selection
Search terms used were synonyms of “spinal cord injury” for Population and “Electric Stimulation (Therapy)/ and rowing” for Intervention. Two reviewers independently assessed articles based on the following inclusion criteria: recruited individuals with SCI; had aerobic FES-rowing exercise as study intervention; reported cardiovascular, muscular, bone mineral density, or metabolic outcomes; and examined engineering design of FES-rowing systems. Of the 256 titles that were retrieved in the primary search, 24 were included in this study.
Data Extraction
Study characteristics, quality, participants’ characteristics, test descriptions, and results were independently extracted by 2 reviewers. The quality of studies was assessed with the Downs and Black checklist.
Data Synthesis
Comparison of peak oxygen consumption (V̇o2peak) rates showed that V̇o2peak during FES-rowing was significantly higher than arm-only exercise; FES-rowing training improved V̇o2peak by 11.2% on average (95% confidence interval, 7.25-15.1), with a 4.1% (95% confidence interval, 2.23-5.97) increase in V̇o2peak per month of training. FES-rowing training reduced bone density loss with increased time postinjury. The rowing ergometer used in 2 studies provided motor assistance during rowing. Studies preferred manual stimulation control (n=20) over automatic (n=4).
Conclusions
Our results suggest FES-rowing is a viable exercise for individuals with SCI that can improve cardiovascular performance and reduce bone density loss. Further randomized controlled trials are needed to better understand the optimal set-up for FES-rowing that maximizes the rehabilitation 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=273441
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1595-1605[article]
Titre : Tools to Assess the Risk of Bias and Reporting Quality of Randomized Controlled Trials in Rehabilitation Type de document : Article Auteurs : Susan Armijo-olivo ; Michele Patrini ; Ana Izabela S. de Oliveira-Souza ; Liz Dennett ; Chiara Arienti ; Mustafa Dahchi ; Stefano Negrini Année de publication : 2021 Article en page(s) : p. 1606-1613 Note générale : https://doi.org/10.1016/j.apmr.2021.04.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Biais (épidémiologie) ; Essais cliniques comme sujet ; Méthodes ; RéadaptationRésumé : Objectives
(1) To determine whether new tools and items have been developed to evaluate the risk of bias (RoB) and reporting of randomized controlled trials (RCTs) in rehabilitation; (2) to determine which items are included in the existing reporting guidelines, and to create a matrix of items to report and conduct trials in rehabilitation as the first step for a starting a rigorous validation process.
Data Sources
Searches were conducted in MEDLINE, EMBASE, and Cumulative Index to Nursing and Allied Health databases.
Study Selection
Studies should describe a newly developed tool to evaluate the RoB or quality of reporting for RCTs in the area of rehabilitation.
Data extraction
(1) First, we extracted items from new tools identified by the electronic search strategies and then (2) we looked at the items provided by the Consolidated Standards of Reporting Trials statement and its relevant extensions. We determined whether these items were already included in our matrix of items. Items were classified based on methodological domains they accomplish, biases they were able to target, and whether they guide reporting or conduct.
Data Synthesis
Among the 1596 citations found, 23 articles were potentially relevant. From these, only 3 new scales (National Institute for Complementary Medicine Acupuncture Network, Quality of reports on spa and balneotherapy [SPAC], Assessment of Study Quality and Reporting in Exercise) were found. In addition, the newly updated Cochrane RoB tool (RoB 2.0) was included. Our matrix contained 122 unique items for any rehabilitation area, 46 items (37.7%) were related to conduct, and 58 (47.5%) were related to the reporting; 18 (14.8%) were related to both. Overall, 76 new items were added among all domains.
Conclusions
Many individual and diverse items have been used to guide the reporting and conduct of rehabilitation trials. This indicates a great variability in number of items and an apparent lack of consensus on a core set of items to be used in rehabilitation. Future research should look into developing a core set of items for the rehabilitation field.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273442
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1606-1613[article]
Titre : Methodological Issues in Rehabilitation Research: A Scoping Review Type de document : Article Auteurs : Chiara Arienti ; Susan Armijo-olivo ; Silvia Minozzi ; Lisa Tjosvold ; Stefano Giuseppe Lazzarini ; Michele Patrini ; Stefano Negrini Année de publication : 2021 Article en page(s) : p. 1614-1622.e14 Note générale : https://doi.org/10.1016/j.apmr.2021.04.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Méthodes ; Pratique factuelle ; RéadaptationRésumé : Objective
To identify, synthesize, and categorize the methodological issues faced by the rehabilitation field.
Data Sources
A scoping review was conducted using studies identified in MEDLINE, the Cochrane Library, EMBASE, Web of Science, Scopus, Physiotherapy Evidence Database, and Google Scholar up to August 2018.
Study Selection
We included all type of publications describing methodological issues in rehabilitation research where rehabilitation is described as a multimodal process. The methodological issues have been categorized and classified.
Data Extraction
The synthesis included qualitative and quantitative analysis. To focus the attention on rehabilitation, we post hoc divided in “specific issues” (highly related to, even if not exclusive of, rehabilitation research) and “generic issues” (common in biomedical research).
Data Synthesis
Seventy-one publications were included: 68% were narrative reviews, 15% systematic reviews, 7% editorials, 4% meta-epidemiologic studies, and 5% others. Specific methodological issues include the following: problematic application of randomized controlled trials (32%), absent definition of core outcome sets (28%), poor interventions description (22%), weak methodological (conducting) and reporting quality (21%), scarce clinical practice applicability (14%), lack of blinding assessor (10%), inadequate randomization methods or inadequate allocation concealment (8%), and inadequate participants description and recruitment (8%). “Generic” issues included the following: data and statistical description (31%), authors’ methodological training (7%), peer review process (6%, n=4), funding declaration (6%), ethical statement (3%), protocol registration (3%), and conflict of interest declaration (1%).
Conclusions
Methodological and reporting issues might influence the quality of the evidence produced in rehabilitation research. The next steps to move forward in the field of rehabilitation could be to evaluate the influence of all these issues on the validity of trial results through meta-epidemiologic studies and to develop specific checklists to provide guidance to authors to improve the reporting and conduct of trials in this field.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273443
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1614-1622.e14[article]
Titre : Overview of Reviews Using the Template for Intervention Description and Replication (TIDieR) as a Measure of Trial Intervention Reporting Quality Type de document : Article Auteurs : Marcel P. Dijkers Année de publication : 2021 Article en page(s) : p. 1623-1632 Note générale : https://doi.org/10.1016/j.apmr.2020.09.397 Langues : Anglais (eng) Descripteurs : HE Vinci
Essais cliniques comme sujet ; Plan de recherche ; Rapport de recherche ; Réadaptation ; Revue systématiqueRésumé : Objective
To evaluate the quality of descriptions of interventions in health care research reports, based on a synthesis of reviews that used the Template for Intervention Description and Replication (TIDieR) to rate the completeness and quality of intervention reporting.
Design
Overview of published reviews. In a systematic search of the literature, 56 review articles were retrieved that had evaluated 3454 primary studies (index articles) using all or most of the 12 TIDieR items, applied to experimental treatment only or treatment and comparator both, separately. If available, percentages “reported completely” were extracted based on the index article, the index article supplemented by related information, and these 2 supplemented by e-mailing the author. Information on the review’s methodology was also extracted.
Setting
Not applicable.
Participants
Not applicable.
Interventions
Not applicable.
Main Outcome Measures
Percentage of primary studies receiving “adequately reported” ratings on each of the 12 TIDieR items.
Results
While for treatment arms TIDieR items 1 (name of treatment) and 2 (why of treatment) are generally judged to be reported adequately, the percentage is between 25% and 75% for most other items and is as low as 10% for item 10 (modifications). Comparators are reported even more poorly. Use of additional publications on a trial increased percentages “reported adequately” marginally; e-mailing resulted in significant increases in completeness of reporting. Rehabilitation trials were reported better than nonrehabilitation trials for some TIDieR items and worse for others.
Conclusions
Reporting on the interventions and comparators of trials is substandard. More extensive use of supplemental digital content and of versions of TIDieR customized for specific domains of research may improve the situation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=273444
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1623-1632[article]
Titre : Effects of Aerobic Exercise on Serum Biomarkers of Neuroplasticity and Brain Repair in Stroke: A Systematic Review Type de document : Article Auteurs : Neeraj S. Limaye ; Lilian Braighi Carvalho ; Sharon Kramer Année de publication : 2021 Article en page(s) : p. 1633-1644 Note générale : https://doi.org/10.1016/j.apmr.2021.04.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Plasticité neuronale ; RéadaptationRésumé : Objective
To provide a novel overview of the literature and to summarize the evidence for the effects of aerobic exercise (AE) on serum biomarkers neuroplasticity and brain repair in survivors of stroke.
Data Sources
We conducted a systematic review and searched MEDLINE, Embase, and Cochrane CENTRAL using terms related to AE, neuroplasticity, brain repair, and stroke.
Study Selection
Titles, abstracts, and selected full texts were screened by 2 independent reviewers against the following inclusion criteria: including adult survivors of stroke, completing an AE intervention working within the AE capacity, and measuring at least 1 blood biomarker outcome of interest.
Data Extraction
Two independent reviewers extracted data and assessed risk of bias using Risk of Bias in Nonrandomized Studies–of Interventions and Cochrane's Risk of Bias 2 tools.
Data Synthesis
Nine studies (n=215 participants) were included, reporting on the following outcomes: brain-derived neurotrophic factor (BDNF), insulin-like growth factor 1 (IGF-1), vascular endothelial growth factor (VEGF), cortisol, interleukin 6, and myeloperoxidase. A single bout of high-intensity interval training significantly increased BDNF, IGF-1, and VEGF levels, and a 40-45–minute, 24-session, continuous 8-week AE training program significantly increased BDNF levels. No significant difference in response to any other AE intervention was found in other serum biomarkers.
Conclusions
AE can significantly increase BDNF, IGF-1, and VEGF across different AE protocols in survivors of stroke. However, more research is needed to determine the optimal exercise intensity and modalities, specifically in survivors of acute and subacute stroke, and how this may relate to functional 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=273445
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 8 (2021) . - p. 1633-1644[article]
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Titre : Association of Occupational and Physical Therapy With Duration of Prescription Opioid Use After Hip or Knee Arthroplasty: A Retrospective Cohort Study of Medicare Enrollees Type de document : Article Auteurs : Kevin T. Pritchard ; Jacques Baillargeon ; Mukaila A. Raji ; Lin-Na Chou ; Yong-Fang Kuo Année de publication : 2021 Article en page(s) : p. 1257-1266 Note générale : https://doi.org/10.1016/j.apmr.2021.01.086 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésiques ; Analgésiques morphiniques ; Arthroplastie ; Ergothérapie ; Gestion de la douleur ; Réadaptation ; Techniques de physiothérapieRésumé : Objective
To establish whether nonpharmacologic interventions, such as occupational and physical therapy, were associated with a shorter duration of prescription opioid use after hip or knee arthroplasty.
Design
This retrospective cohort study used data from a national 5% Medicare sample database between January 1, 2010 and December 31, 2015.
Setting
Home health or outpatient.
Participants
Adults 66 years or older with an inpatient total hip (n=4272) or knee (n=9796) arthroplasty (N=14,068).
Interventions
We dichotomized patients according to whether they had received any nonpharmacologic pain intervention within 1 year after hospital discharge (eg, occupational or physical therapy evaluation). Using Cox proportional hazards, we treated exposure to nonpharmacologic interventions as time dependent to determine if skilled therapy was associated with duration of opioid use.
Main Outcome Measures
Duration of prescription opioid use.
Results
Median time to begin nonpharmacologic interventions was 91 days (95% confidence interval [CI], 74-118d) for hip and 27 days (95% CI, 27-28d) for knee arthroplasty. Median time to discontinue prescription opioids was 16 days (hip: 95% CI, 15-16d) and 30 days (knee: 95% CI, 29-31d). Nonpharmacologic interventions delivered with home health increased the likelihood of discontinuing opioids after hip (hazard ratio [HR], 1.15; 95% CI, 1.01-1.30) and knee (HR, 1.10; 95% CI, 1.03-1.17) arthroplasty. A sensitivity analysis found these estimates to be robust and conservative.
Conclusions
Occupational and physical therapy with home health was associated with a shorter duration of prescription opioid use after hip and knee arthroplasty. Occupational and physical therapy can address pain and sociobehavioral factors associated with postsurgical opioid use.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272192
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1257-1266[article]
Titre : Effect of a Psychologically Informed Intervention to Treat Adolescents With Patellofemoral Pain: A Randomized Controlled Trial Type de document : Article Auteurs : Mitchell Selhorst ; Alicia Fernandez-Fernandez ; Laura Schmitt ; Jessica Hoehn Année de publication : 2021 Article en page(s) : p. 1267-1273 Note générale : https://doi.org/10.1016/j.apmr.2021.03.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Psychologie ; Réadaptation ; Syndrome fémoropatellaireRésumé : Objective
To determine whether the addition of a brief psychologically informed video to traditional physical therapy influenced function (primary aim), pain, and psychological beliefs (secondary aims) among adolescents with patellofemoral pain (PFP).
Design
Double-blind randomized controlled trial.
Setting
Outpatient physical therapy clinics of a single pediatric hospital.
Participants
Sixty-six adolescents with PFP (14.8±1.7 years old, 65% female).
Intervention
Adolescents were randomly assigned to view a brief psychologically informed video (n=34) or control video (n=32). The psychologically informed video targeted pain-related fear and pain catastrophizing, and the control video related basic anatomy and factors involved in PFP.
Main Outcome Measures
The primary outcome was change in function (Anterior Knee Pain Scale). Secondary outcomes were change in psychological beliefs (fear-avoidance beliefs, kinesiophobia, pain catastrophizing) and pain. Outcomes were assessed at baseline, immediately post intervention, at 2 weeks, at 6 weeks, and at 3 months.
Results
Using a 2-way mixed analysis of variance, change in function in the intervention group was greater than the control group, with a moderate treatment effect noted (P=.001, partial η2=0.1). Post hoc testing revealed that there was a significant interaction between the intervention and time from baseline to 2 weeks, but no interaction was noted between 2 weeks and 3 months. The psychologically informed video significantly reduced maladaptive psychological beliefs (P=.01, η2=0.32). No significant between-group differences in pain were noted.
Conclusions
Incorporating a brief one-time psychologically informed video into standard physical therapy care significantly reduced pain-related fear, reduced pain catastrophizing, and improved function among adolescents with PFP. The immediate effect noted on function did not continue throughout the course 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=272193
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1267-1273[article]
Titre : Self-Management to Improve Function After Amputation: A Randomized Controlled Trial of the VETPALS Intervention Type de document : Article Auteurs : Aaron P. Turner ; Stephen T. Wegener ; Rhonda M. Williams ; Dawn M. Ehde ; Daniel C. Norvell ; David N. Yanez ; Joseph M. Czerniecki ; Vetpals Study Group Année de publication : 2021 Article en page(s) : p. 1274-1282 Note générale : https://doi.org/10.1016/j.apmr.2021.02.027 Langues : Anglais (eng) Descripteurs : HE Vinci
Appareil locomoteur ; Essai contrôlé randomisé ; Moignons d'amputation ; Qualité de vie ; Systèmes de soutien psychosocialRésumé : Objective
To (1) evaluate the effects of a group-based self-management treatment intervention (VETPALS) on physical and psychosocial functioning (primary outcomes) and quality of life (secondary outcome) in individuals with amputation and (2) examine the feasibility and acceptability of the intervention in a large national health care system.
Design
Randomized controlled trial with masked outcome assessment.
Setting
Five Veterans Affairs medical centers geographically dispersed across the United States.
Participants
147 individuals with amputation during the past 2 years due to chronic limb threatening ischemia (N=147).
Interventions
Participants were randomized into VETPALS (N =71) or education control (N=76). VETPALS consisted of a 4-hour workshop and 4 additional 2-hour sessions addressing self-management skills, health and activity, managing emotions, communication and social support, and maintaining goals and gains. Education control consisted of the provision of amputation-related educational materials and provider follow-up if requested.
Main Outcome Measures
Primary outcomes were physical functioning (Short Musculoskeletal Functional Assessment) and psychosocial functioning (Patient Health Questionnaire-9). Secondary outcomes were quality of life (global) and quality of life (satisfaction with health) from the World Health Organization Quality of Life Scale (brief). Assessment was conducted at baseline, 6 weeks (treatment completion), and 6 months (follow-up).
Results
Participants randomized to VETPALS reported significantly improved psychosocial functioning and quality of life (satisfaction with health) relative to controls at 6 months (B=1.84; 95% confidence interval, 0.37,3.31 and B=−0.61; 95% confidence interval, −1.11,-0.12, respectively). There were no differences in physical functioning over time between VETPALS and education control at either time point. Follow-up multiple imputation sensitivity analyses produced an identical pattern of results. Among VETPALS participants, treatment initiation was low (56%), but treatment retention (93% attended 4 of 5 classes) and overall satisfaction (100% reported very helpful or better and would recommend to a friend) were high.
Conclusions
Group-based self-management improves psychosocial functioning for individuals with amputation due to chronic limb threatening ischemia. In-person participation is challenging for this population, but individuals who successfully initiate treatment typically persist and are highly satisfied.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272194
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1274-1282[article]
Titre : Delivering Virtual Cancer Rehabilitation Programming During the First 90 Days of the COVID-19 Pandemic: A Multimethod Study Type de document : Article Auteurs : Christian J. Lopez ; Beth Edwards ; David M. Langelier ; Eugene K. Langelier ; Aleksandra Chafranskaia ; Jennifer M. Jones Année de publication : 2021 Article en page(s) : p. 1283-1293 Note générale : https://doi.org/10.1016/j.apmr.2021.02.002 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Réadaptation ; Survie (démographie) ; Survivants du cancer ; Télémédecine ; TumeursRésumé : Objective
To describe the adaptations made to implement virtual cancer rehabilitation at the onset of the coronavirus disease 2019 pandemic, as well as understand the experiences of patients and providers adapting to virtual care.
Design
Multimethod study.
Setting
Cancer center.
Participants
A total of 1968 virtual patient visits were completed during the study period. Adult survivors of cancer (n=12) and oncology health care providers (n=12) participated in semi-structured interviews.
Interventions
Not applicable.
Main Outcome Measures
Framework-driven categorization of program modifications, qualitative interviews with patients and providers, and a comparison of process outcomes with the previous 90 days of in-person care via referrals, completed visits and attendance, method of delivery, weekly capacities, and wait times.
Results
The majority of program visits could be adapted to virtual delivery, with format, setting, and content modifications. Virtual care demonstrated an increase or maintenance in the number of completed visits by appointment type compared with in-person care, with attendance ranging from 80%-93%. For most appointment types, capacities increased, whereas wait times decreased slightly. Overall, 168 patients (11% of all assessments and follow-ups) assessed virtually were identified by providers as requiring an in-person appointment because of reassessment of musculoskeletal and/or neurologic impairment (n=109, 65%) and lymphedema (n=59, 35%). The interviews (n=24) revealed that virtual care was an acceptable alternative in some circumstances, with the ability to (1) increase access to care; (2) provide a sense of reassurance during a time of isolation; and (3) provide confidence in learning skills to self-manage impairments.
Conclusions
Many appointments can be successfully adapted to virtual formats to deliver cancer rehabilitation programming. Based on our findings, we provide practical recommendations that can be implemented by providers and programs to facilitate the adoption and delivery of virtual 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=272195
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1283-1293[article]
Titre : Extracorporeal Shock Wave Therapy Combined With Oral Medication and Exercise for Chronic Low Back Pain: A Randomized Controlled Trial Type de document : Article Auteurs : Parisa Taheri ; Saeed Khosrawi ; Mitra Ramezani Année de publication : 2021 Article en page(s) : p. 1294-1299 Note générale : https://doi.org/10.1016/j.apmr.2020.12.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Lombalgie ; Réadaptation ; Traitement par ondes de choc extracorporellesRésumé : Objective
To compare extracorporeal shock wave therapy combined with oral medication and an exercise program vs sham treatment with medication and exercise for the treatment of chronic low back pain (CLBP).
Design
Randomized controlled trial.
Setting
Outpatient clinic at a university hospital.
Participants
Eligibility criteria were age older than 18 years and duration of CLBP exceeding 3 months. Exclusion criteria were concurrent treatment or history of surgery for CLBP, cancer, fractures, infections, and disk degeneration.
Intervention
The intervention group received extracorporeal shock wave therapy once a week for 4 weeks along with oral medications and an exercise program. The control group received sham extracorporeal shock wave therapy along with oral medications and an exercise program.
Main Outcome Measures
Visual analog scale and Oswestry Disability Index (ODI) were used to assess pain and disability at baseline and after 3 months.
Results
The pain score in the intervention group (N=16) was 6.6 at baseline and 3.0 after 1 month (P<.0001 and after months in the control group pain score was at baseline month odi scores decreased significantly both groups compared with values month: p third mean did not differ between> Conclusion
Extracorporeal shock wave therapy combined with oral medication and exercise was safe and effective in the short-term treatment of chronic low back pain.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272196
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1294-1299[article]
Titre : Comparison of Activity-Based Home Program and Cawthorne-Cooksey Exercises in Patients With Chronic Unilateral Peripheral Vestibular Disorders Type de document : Article Auteurs : Bilgehan Tekin ; Gonca Bumin ; Songül Aksoy ; Riza Önder Günaydin Année de publication : 2021 Article en page(s) : p. 1300-1307 Note générale : https://doi.org/10.1016/j.apmr.2020.12.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Ergothérapeutes ; Réadaptation ; Sensation vertigineuse ; VertigeRésumé : Objective
This study aimed to investigate the effects of an activity-based home program and an exercise-based home program on dizziness severity, balance, and independent level of daily life activities in patients with dizziness due to chronic unilateral peripheral vestibular disorders.
Design
A single-blind randomized controlled trial.
Setting
University dizziness management clinics.
Participants
Individuals (N=75) between 18 and 65 years of age who had chronic unilateral peripheric vestibular disorders and vestibular rehabilitation indication.
Intervention
Participants were randomly divided into 3 groups: an activity-based home program (group 1/activity group), an exercise-based home program (group 2/exercise group), and a control group (group 3). After an initial assessment, all groups participated in the patient education program. In addition, the activity-based home program was administered to the first group, while the Cawthorne-Cooksey home exercise program was administered to the second group.
Main Outcome Measures
Visual analog scale (VAS), Vestibular Disorders Activities of Daily Living Scale (VADL), and computerized dynamic posturography before and immediately after the treatment program.
Results
A statistically significant improvement was found in the activity and exercise groups in terms of VAS, VADL, Sensory Organization Test (SOT) 5, SOT 6, and SOT (composite) scores compared with the control group (P<.05 a statistically significant improvement was found in the activity group terms of instrumental subscale vadl sot and scores compared with exercise group.> Conclusions
The activity-based home program was more effective in improving the home management task, the occupational task, and balance than the exercise-based home treatment program in patients with chronic peripheral vestibular 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=272199
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1300-1307[article]
Titre : Persistent Symptoms and Disability After COVID-19 Hospitalization: Data From a Comprehensive Telerehabilitation Program Type de document : Article Auteurs : Victor Figueiredo Leite ; Danielle Bianchini Rampim ; Valeria Conceição Jorge ; Maria do Carmo Correia de Lima ; Leandro Gonçalves Cezarino ; Cleber Nunes da Rocha ; Rodrigo Barbosa Esper Année de publication : 2021 Article en page(s) : p. 1308-1316 Note générale : https://doi.org/10.1016/j.apmr.2021.03.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; COVID-19 ; Dyspnée ; Personnes handicapées ; Réadaptation ; Téléréadaptation ; Troubles de la déglutition ; Troubles mentauxRésumé : Objective
To report symptoms, disability, and rehabilitation referral rates after coronavirus disease 2019 (COVID-19) hospitalization in a large, predominantly older population.
Design
Cross-sectional study, with postdischarge telemonitoring of individuals hospitalized with confirmed COVID-19 at the first month after hospital discharge, as part of a comprehensive telerehabilitation program.
Setting
Private verticalized health care network specialized in the older population.
Participants
Individuals hospitalized because of COVID-19. We included 1696 consecutive patients, aged 71.8±13.0 years old and 56.1% female. Comorbidities were present in 82.3% of the cases (N=1696).
Interventions
Not applicable.
Main Outcome Measures
Dependence for basic activities of daily living (ADL) and instrumental activities of daily living (IADL) using the Barthel Index and Lawton's Scale. We compared the outcomes between participants admitted to the intensive care unit (ICU) vs those admitted to the ward.
Results
Participant were followed up for 21.8±11.7 days after discharge. During postdischarge assessment, independence for ADL was found to be lower in the group admitted to the ICU than the ward group (61.1% [95% confidence interval (CI), 55.8%-66.2%] vs 72.7% [95% CI, 70.3%-75.1%], P<.001 dependence for iadl was also more frequent in the icu group ci vs p individuals admitted to required oxygen therapy presented shortness of breath during routine and nonroutine activities had difficulty standing up minutes rehabilitation treatment plan consisted mostly exercise booklets which were offered participants. most referred professionals psychologists physical therapists dietitians speech-language pathologists> Conclusions
Individuals hospitalized because of COVID-19 present high levels of disability, dyspnea, dysphagia, and dependence for both ADL and IADL. Those admitted to the ICU presented more advanced disability parameters.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272202
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1308-1316[article]
Titre : Crosswalking the Patient-Reported Outcomes Measurement Information System Physical Function, Pain Interference, and Pain Intensity Scores to the Roland-Morris Disability Questionnaire and the Oswestry Disability Index Type de document : Article Auteurs : Maria Orlando Edelen ; Anthony Rodriguez ; Patricia Herman ; Ron D. Hays Année de publication : 2021 Article en page(s) : p. 1317-1323 Note générale : https://doi.org/10.1016/j.apmr.2021.02.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Lombalgie ; Mesures des résultats rapportés par les patients (PROM) ; Performance fonctionnelle physique ; RéadaptationRésumé : Objective
To link scores from 2 condition-specific measures for chronic low back pain (CLBP), the Oswestry Disability Index (ODI) and the Roland-Morris Disability Questionnaire (RMDQ), to Patient Reported Outcomes Measurement Information System (PROMIS) physical function, pain interference, and pain intensity scores.
Design
Ordinary least squares regression analyses of existing data to link the PROMIS scores with the ODI and RMDQ.
Setting
Not applicable.
Participants
Samples of adults with CLBP (N=2279) obtained from the Center for Excellence in Research for Complementary and Integrative Health (CERC) Study (n=1677), the Assessment of Chiropractic Treatment for Low Back Pain and Smoking Cessation in Military Active Duty Personnel (ACT) (n=384), and the pain subsample of the PROMIS 1 Wave 2 Pain and Depression study (PROMIS 1 W2) (n=218).
Interventions
Not applicable.
Main Outcome Measures
PROMIS physical function, pain interference, and pain intensity (CERC, ACT, and PROMIS 1 W2), ODI (CERC and PROMIS 1 W2), and RMDQ (ACT and PROMIS 1 W2).
Results
In predicting PROMIS scores, the ODI model R2 values ranged from 0.26-0.56 and the RMDQ model R2 values ranged from 0.13-0.50. ODI and RMDQ models were the least precise in predicting the PROMIS pain intensity score (R2 value range, 0.13-0.41) relative to the other PROMIS scores. Models with the 3 PROMIS scores as predictors yielded R2 values ranging from 0.64-0.68 and 0.46-0.58 for the ODI and RMDQ, respectively. Models using combined data from 2 studies (ie, PROMIS 1 W2 and ACT, or PROMIS 1 W2 and CERC) tended to be more precise than models using only a single study sample.
Conclusions
Model results reported here can be used to translate PROMIS physical function, pain interference, and pain intensity scores to and from the ODI and RMDQ. The empirical linkages can facilitate comparisons across CLBP interventions and broaden interpretation of study results.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272203
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1317-1323[article]
Titre : Exploring Associations of Preoperative Physical Performance With Postoperative Outcomes After Lumbar Spinal Fusion: A Machine Learning Approach Type de document : Article Auteurs : Esther R. Janssen ; Biche Osong ; Johan van Soest ; Andre Dekker ; Nico L. van Meeteren ; Paul C. Willems ; Ilona M. Punt Année de publication : 2021 Article en page(s) : p. 1324-1330.e3 Note générale : https://doi.org/10.1016/j.apmr.2021.02.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Aptitude physique ; Capacité cardiorespiratoire ; Force musculaire ; Réadaptation ; Techniques d'aide à la décision ; Vertèbres lombalesRésumé : Objective
To explore the association between preoperative physical performance with short- and long-term postoperative outcomes in patients undergoing lumbar spinal fusion (LSF).
Design
Retrospective cohort.
Setting
University hospital.
Participants
Seventy-seven patients (N=77) undergoing elective LSF were preoperatively screened on patient demographics, patient-reported outcome measures, and physical performance measures (movement control, back muscle endurance strength and extensor strength, aerobic capacity, flexibility).
Interventions
Not applicable.
Main Outcome Measures
Associations between preoperative variables and inpatient functional recovery, hospital length of stay (LOS), and 1- to 2-year postoperative pain reduction were explored using random forest analyses assessing the relative influence of the variable on the outcome.
Results
Aerobic capacity was associated with fast functional recovery 5 days (median z scores=7.1 and 12.0). Flexibility (median z score=4.3) and back muscle endurance strength (median z score=7.8) were associated with fast functional recovery 5 days (median z score=8.6). Flexibility (median z score=5.1) and back muscle endurance strength (median z score=13.5) were associated with short LOS 7 days. Maximum back extensor strength (median z score=3.8) was associated with 1- to 2-year postoperative pain reduction and aerobic capacity (median z score=2.8) was tentative.
Conclusions
Physical performance measures were associated with both short- and long-term outcomes after LSF. Adding these measures to prediction models predicting outcomes after LSF may increase their accuracy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272207
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1324-1330.e3[article]
Titre : Trunk Muscle Characteristics: Differences Between Sedentary Adults With and Without Unilateral Lower Limb Amputation Type de document : Article Auteurs : Jaclyn M. Sions ; Emma H. Beisheim ; Mark A. Hoggarth ; James M. Elliott ; Gregory E. Hicks ; Ryan T. Pohlig ; Mayank Seth Année de publication : 2021 Article en page(s) : p. 1331-1339 Note générale : https://doi.org/10.1016/j.apmr.2021.02.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Amyotrophies ; Atrophie ; Dos ; Échographie ; Imagerie par résonance magnétique ; Membres artificiels ; Muscles paravertébraux ; Réadaptation ; Reproductibilité des résultatsRésumé : Objective
The primary purpose of this study was to compare trunk muscle characteristics between adults with and without unilateral lower limb amputation (LLA) to determine the presence of modifiable trunk muscle deficits (ie, impaired activity, reduced volume, increased intramuscular fat) evaluated by ultrasonography (US) and magnetic resonance imaging (MRI). We hypothesized that compared with adults without LLA (controls), individuals with transfemoral or transtibial LLA would demonstrate reduced multifidi activity, worse multifidi and erector spinae morphology, and greater side-to-side trunk muscle asymmetries.
Design
Cross-sectional imaging study.
Setting
Research laboratory and imaging center.
Participants
Sedentary adults (n=38 total) with LLA (n=9 transfemoral level; n=14 transtibial level) and controls without LLA (n=15).
Interventions
Not applicable.
Main Outcome Measures
We examined bilateral multifidi activity using US at levels L3/L4-L5/S1. MRI was performed using 3-dimensional quantitative fat-water imaging; bilateral L1-L5 multifidi and erector spinae were manually traced, and muscle volume (normalized to body weight) and percentage intramuscular fat were determined. Between-group and side-to-side differences were evaluated.
Results
Compared with adults without LLA, participants with LLA demonstrated reduced sound-side multifidi activity; those with transfemoral LLA had larger amputated-side multifidi volume, whereas those with transtibial LLA had greater sound- and amputated-side erector spinae intramuscular fat (P<.050 with transfemoral lla side-to-side differences in erector spinae volume as well multifidi and intramuscular fat were found> Conclusions
Impaired trunk muscle activity and increased intramuscular fat may be modifiable targets for intervention after LLA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272209
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1331-1339[article]
Titre : Effects of Handrail and Cane Support on Energy Cost of Walking in People With Different Levels and Causes of Lower Limb Amputation Type de document : Article Auteurs : Han Houdijk ; Ilse J. Blokland ; Suci A. Nazier ; Saskia V. Castenmiller ; Iris van den Heuvel ; Trienke Ijmker Année de publication : 2021 Article en page(s) : p. 1340-1346.e3 Note générale : https://doi.org/10.1016/j.apmr.2021.02.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Consommation d'oxygène ; Démarche ; Membre inférieur ; Membres artificiels ; RéadaptationRésumé : Objective
The energy cost of walking with a lower limb prosthesis is higher than able-bodied walking and depends on both cause and level of amputation. This increase might partly be related to problems with balance control. In this study we investigated to what extent energy cost can be reduced by providing support through a handrail or cane and how this depends on level and cause of amputation.
Design
Quasi-experimental study.
Setting
Rehabilitation gait laboratory.
Participants
Twenty-six people with a lower limb amputation were included: 9 with vascular and 17 with nonvascular causes, 16 at transtibial, and 10 at transfemoral or knee disarticulation level (N=26).
Interventions
Participants walked on a treadmill with and without handrail support and overground with and without a cane.
Main Outcome Measures
Energy cost was assessed using respirometry.
Results
On the treadmill, handrail support resulted in a 6% reduction in energy cost on average. This effect was attributed to an 11% reduction in those with an amputation attributable to vascular causes, whereas the nonvascular group did not show a significant difference. No interaction with level of amputation was found. Overground, no main effect of cane support was found, although an interaction effect with cause of amputation demonstrated a small nonsignificant decrease in energy cost (3%) in the vascular group and a significant increase (6%) in the nonvascular group when walking with a cane. The effect of support was positively correlated with self-selected walking speed.
Conclusions
This study demonstrates that providing external support can contribute to a reduction in energy cost in people with an amputation due to vascular causes with reduced walking ability while walking in the more challenging condition of the treadmill. Although it is speculated that this effect might be related to problems with balance control, this will need further 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=272214
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1340-1346.e3[article]
Titre : Physical Therapy Use, Costs, and Value for Latent Classes of Good vs Poor Outcome in Patients Who Catastrophize About Their Pain Prior to Knee Arthroplasty Type de document : Article Auteurs : Christine M. Orndahl ; Robert A. Perera ; Anna Hung ; Levent Dumenci ; Daniel L. Riddle Année de publication : 2021 Article en page(s) : p. 1347-1351 Note générale : https://doi.org/10.1016/j.apmr.2021.02.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie ; Catastrophisation ; Douleur ; Genou ; RéadaptationRésumé : Objective
To examine use, costs, and value of physical therapy (PT) among subgroups.
Design
We conducted an observational study of data from a randomized trial of a pain coping skills intervention. Good and poor outcome subgroups were determined based on Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC) Pain and Physical Function scores. The use and costs of PT care as well as changes in WOMAC Pain and Physical Function scores over 4 time periods during a 1-year follow-up were reported. We compared the number of PT visits, total PT costs, and cost per 1-unit improvement in WOMAC scores for the 2 latent subgroups.
Setting
Five academic medical centers.
Participants
Patients who catastrophized about their pain prior to knee arthroplasty (N=384).
Interventions
Pain coping skills training, arthritis education, and usual care.
Main Outcome Measures
The WOMAC Pain Scale was the primary outcome.
Results
The value of PT was lower and the cost of PT was higher for poor vs good outcome subgroups beginning 2 months after knee arthroplasty. For example, during the 2- to 6-month period, participants in the poor outcome subgroup incurred a PT cost of $5181.22 per 1-unit improvement in WOMAC Pain compared with $437.87 per 1-unit improvement in WOMAC Pain for the good outcome subgroup (P<.001 from the to period womac scores worsened for poor outcome subgroup indicating no benefit pt.> Conclusions
Patients in 2 latent classes demonstrated clinically important differences in value of PT. Future research should identify rehabilitation-based interventions that reduce utilization and enhance effectiveness for patients at high risk for poor outcome.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272217
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1347-1351[article]
Titre : Star-Shape Kinesio Taping Is Not Better Than a Minimal Intervention or Sham Kinesio Taping for Pain Intensity and Postural Control in Chronic Low Back Pain: A Randomized Controlled Trial Type de document : Article Auteurs : Fabrício José Jassi ; Tiago Tsunoda Del Antônio ; Beatriz Oliveira Azevedo ; Renato Moraes ; Steven Z. George ; Thais Cristina Chaves Année de publication : 2021 Article en page(s) : p. 1352-1360.e3 Note générale : https://doi.org/10.1016/j.apmr.2021.03.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Bande adhésive de contention ; Douleur ; Équilibre postural ; Lombalgie ; RéadaptationRésumé : Objective
This study investigated the effects of star-shape Kinesio taping (KT) compared with both sham KT and minimal intervention (MI) on pain intensity and postural control.
Design
Randomized controlled trial.
Setting
Outpatient physical therapy.
Participants
A total of 120 people with chronic low back pain (CLBP) aged 18-60 years (N=120).
Interventions
Star-shape KT, sham KT (no tension), and MI (educational booklet for self-management counseling).
Main Outcome Measures
The primary outcome measures were pain intensity and center of pressure (COP) mean sway speed, and disability score (Oswestry Disability Index) was a secondary outcome. The outcomes were obtained immediately after initial KT application, on the seventh day of intervention and at the 1-month follow-up. Linear mixed-model analyses using Bonferroni post hoc analyses were applied to investigate between-group differences. The model included treatment, time, and treatment×time interaction as fixed effects.
Results
Pain intensity was significantly lower for the star-shape KT group than for the MI group (mean difference [MD], −1.35; 95% confidence interval [CI], −2.63 to −0.07) immediately after the intervention and on the seventh day of intervention (MD, −1.32; 95% CI, −2.56 to −0.07). No difference in pain intensity between star-shape KT vs sham-KT groups was observed. In addition, no significant between-group differences were observed for the COP mean sway speed and disability score at any of the follow-up times.
Conclusions
Our results showed no meaningful effect of star-shape KT intervention on pain intensity and postural control in people with CLBP compared with MI or sham KT. The observed reduction of 1.3 units between star-shape KT and MI groups was statistically different, but it could not be considered clinically relevant. The results of this trial suggest that benefits from KT are more likely attributable to contextual factors rather than specific taping parameters.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272223
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1352-1360.e3[article]
Titre : Short-Term Effect of Peer Volunteers in Providing Inpatient Rehabilitative Exercises for Patients After Total Knee Arthroplasty Type de document : Article Auteurs : Eng Chuan Neoh ; Matthew Rong Jie Tay ; Jaclyn Tan ; Joshua Tan ; Ying Tong Lim ; Acharyya Sanchalika ; Ling Fong Chong ; Kelvin Guoping Tan Année de publication : 2021 Article en page(s) : p. 1361-1367 Note générale : https://doi.org/10.1016/j.apmr.2021.03.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Amplitude articulaire ; Arthroplastie prothétique de genou ; Bénévoles ; Gonarthrose ; Kinésithérapie (spécialité) ; Médecine physique et de réadaptation ; Réadaptation ; Traitement par les exercices physiquesRésumé : Objective
To investigate the short-term outcomes at discharge of patients who receive additional postoperative rehabilitative exercises by peer volunteers after total knee arthroplasty (TKA).
Design
Retrospective cohort study.
Setting
Tertiary teaching hospital.
Participants
A total of 476 adult patients who had undergone a primary elective unilateral TKA (N=467).
Interventions
An intervention group received a standardized postoperative rehabilitative exercise protocol taught and supervised by peer volunteers in additional to standard physiotherapy (n=309) compared with a control group receiving standard physiotherapy alone (n=167).
Main Outcome Measures
Discharge outcomes were the pain score using the Numeric Rating Scale pain score, passive knee flexion and extension range of motion (ROM), length of hospitalization, ability to perform an unassisted straight leg raise of the operated leg, ambulation distance, ability in independent walking, walking aids required, discharge destination, and adverse events.
Results
On multivariate analysis, patients in the intervention group had an increased discharge passive knee flexion ROM of 7.89 degrees (95% confidence interval, 5.47-10.33; P<.001 there were no significant differences for the other outcome measures between intervention and control group.> Conclusions
A rehabilitative exercise program by peer volunteers is feasible and safe after TKA in addition to standard physiotherapy and is associated with improved knee flexion ROM on discharge.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272225
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1361-1367[article]
Titre : Levels of Physical Activity and Sedentary Behavior During and After Hospitalization: A Systematic Review Type de document : Article Auteurs : Asher G. Kirk ; Kate J. Behm ; Lara A. Kimmel ; Christina L. Ekegren Année de publication : 2021 Article en page(s) : p. 1368-1378 Note générale : https://doi.org/10.1016/j.apmr.2020.11.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Hospitalisation ; Littérature de revue comme sujet ; Réadaptation ; Revue systématiqueRésumé : Objectives
To systematically review and synthesize the evidence on physical activity and sedentary behavior during and after hospitalization.
Data Sources
Electronic databases and reference lists of relevant articles were searched from 2000 to April 2020.
Study Selection
Studies which continuously monitored physical activity and/or sedentary behavior in hospitalized adults across 2 settings (ie, without a break in measurement between settings). Monitoring could occur from an acute to a subacute or rehabilitation hospital setting, an acute setting to home, or from a subacute or rehabilitation setting to home.
Date Extraction
Data extraction and methodological quality assessments were independently performed by 2 reviewers using standardized checklists.
Data Synthesis
A total of 15 of the 5579 studies identified were included. The studies were composed of heterogenous patient populations. All studies monitored patients with either an accelerometer and/or pedometer and reported a variety of measures, including steps per day, sedentary time, and activity counts. The majority of studies (12 of 15) showed that patients engaged in 1.3 to 5.9 times more physical activity and up to 67% less daily sedentary behavior at home after discharge from acute or subacute settings.
Conclusions
Patients engaged in more physical activity and less sedentary behavior at home compared to both the acute and subacute hospital settings. This may reflect the natural course of recovery or the effect of setting on activity levels. Enabling early discharge home through the implementation of home-hospitalization models may result in increased patient physical activity and reduced sedentary behavior. Further experimental studies are required investigating the effect of home-based models of care on physical activity and sedentary behavior.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272228
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1368-1378[article]
Titre : Efficacy of Vestibular Rehabilitation in Patients With Neurologic Disorders: A Systematic Review Type de document : Article Auteurs : Marco Tramontano ; Valentina Russo ; Grazia Fernanda Spitoni ; Irene Ciancarelli ; Stefano Paolucci ; Leonardo Manzari ; Giovanni Morone Année de publication : 2021 Article en page(s) : p. 1379-1389 Note générale : https://doi.org/10.1016/j.apmr.2020.11.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Équilibre postural ; Lésions encéphaliques ; Maladie de Parkinson ; Sclérose en plaques ; Techniques de physiothérapieRésumé : Objective
The aim of this systematic review is to critically assess the effectiveness of vestibular rehabilitation (VR) administered either alone or in combination with other neurorehabilitation strategies in patients with neurologic disorders.
Data Sources
An electronic search was conducted by 2 independent reviewers in the following databases: MEDLINE (PubMed), the Physiotherapy Evidence Database, and the Cochrane Database of Systematic Reviews.
Study Selection
All clinical studies carried out on adult patients with a diagnosis of neurologic disorders who performed VR provided alone or in combination with other therapies were included.
Data Extraction
Screening of titles, abstracts, and full texts and data extraction were undertaken independently by pairs of reviewers. Included studies were quality appraised using a modified version of the Newcastle-Ottawa Scale.
Data Synthesis
The summary of results was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Twelve studies were included in the review. All the included studies, with 1 exception, report that improvements provided by customized VR in subject affected by a central nervous system diseases are greater than traditional rehabilitation programs alone.
Conclusions
Because of the lack of high-quality studies and heterogeneity of treatments protocols, clinical practice recommendations on the efficacy of VR cannot be made. Results show that VR programs are safe and could easily be implemented with standard neurorehabilitation protocols in patients affected by neurologic disorders. Hence, more high-quality randomized controlled trials of VR in patients with neurologic disorders 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=272233
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1379-1389[article]
Titre : Understanding Telerehabilitation Technology to Evaluate Stakeholders’ Adoption of Telerehabilitation Services: A Systematic Literature Review and Directions for Further Research Type de document : Article Auteurs : Naghmeh Niknejad ; Waidah Ismail ; Mahadi Bahari ; Behzad Nazari Année de publication : 2021 Article en page(s) : p. 1390-1403 Note générale : https://doi.org/10.1016/j.apmr.2020.12.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Revue systématique ; Satisfaction des patients ; TéléréadaptationRésumé : Objectives
To examine the adoption of telerehabilitation services from the stakeholders’ perspective and to investigate recent advances and future challenges.
Data Sources
A systematic review of English articles indexed by PubMed, Thomson Institute of Scientific Information’s Web of Science, and Elsevier’s Scopus between 1998 and 2020.
Study Selection
The first author (N.N.) screened all titles and abstracts based on the eligibility criteria. Experimental and empirical articles such as randomized and nonrandomized controlled trials, pre-experimental studies, case studies, surveys, feasibility studies, qualitative descriptive studies, and cohort studies were all included in this review.
Data Extraction
The first, second, and fourth authors (N.N., W.I., B.N.) independently extracted data using data fields predefined by the third author (M.B.). The data extracted through this review included study objective, study design, purpose of telerehabilitation, telerehabilitation equipment, patient/sample, age, disease, data collection methods, theory/framework, and adoption themes.
Data Synthesis
A telerehabilitation adoption process model was proposed to highlight the significance of the readiness stage and to classify the primary studies. The articles were classified based on 6 adoption themes, namely users’ perception, perspective, and experience; users’ satisfaction; users’ acceptance and adherence; TeleRehab usability; individual readiness; and users’ motivation and awareness.
Results
A total of 133 of 914 articles met the eligibility criteria. The majority of papers were randomized controlled trials (27%), followed by surveys (15%). Almost 49% of the papers examined the use of telerehabilitation technology in patients with nervous system problems, 23% examined physical disability disorders, 10% examined cardiovascular diseases, and 8% inspected pulmonary diseases.
Conclusion
Research on the adoption of telerehabilitation is still in its infancy and needs further attention from researchers working in health care, especially in resource-limited countries. Indeed, studies on the adoption of telerehabilitation are essential to minimize implementation failure, as these studies will help to inform health care personnel and clients about successful adoption strategies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272234
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1390-1403[article]
Titre : Cost Analyses of Prosthetic Devices: A Systematic Review Type de document : Article Auteurs : Claire A. Donnelley ; Corin Shirley ; Ericka P. von Kaeppler ; Alexander Hetherington ; Patrick D. Albright ; Saam Morshed ; David W. Shearer Année de publication : 2021 Article en page(s) : p. 1404-1415.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.02.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputés ; Analyse coût-bénéfice ; Pays en voie de développement ; Prothèses et implants ; RéadaptationRésumé : Objective
To synthesize extant literature on the cost-effectiveness of prosthetic interventions and explore applicability to low- and middle-income country (LMIC) settings.
Data Sources
A systematic literature review using subject headings including “prosthetics,” “amputation,” and “cost analysis” was performed with PubMed, Embase, and Web of Science search engines, yielding 1194 articles. An additional 22 articles were identified via backward citation searching for 1144 total after duplicate removal. The search was last run in May of 2019.
Study Selection
Studies were included if they conducted an economic analysis of an upper or lower extremity prosthetic device. Studies were excluded if (1) full text was unavailable in English; (2) study was a systematic review or meta-analysis; or (3) study did not have a prosthetic comparison group. Using DistillerSR software, 2 authors independently conducted title and abstract screening. One author conducted full-text screening. The proportion of initially identified studies that met final inclusion criteria was 1% (12 of 1144).
Data Extraction
Data were dually extracted by 2 authors and reviewed by 3 additional authors.
Data Synthesis
All included studies (N=12) examined lower extremity amputations comparing advanced technology. No studies were conducted in LMICs. Comparable data between studies demonstrated (1) the cost-effectiveness of microprocessor- over nonmicroprocessor-controlled knees for transfemoral amputation in high-income settings; (2) equivocal findings regarding osseointegrated vs socket-suspended prostheses; and (3) increased cost for ICEX and modular socket systems over patellar tendon–bearing socket systems with no functional improvement.
Conclusions
There are few prosthetic cost analyses in the literature. Additional analyses are needed to determine the direct and indirect costs associated with prosthetic acquisition, fitting, and maintenance; the costs of amputee rehabilitation; and long-term economic and quality-of-life benefits. Such studies may guide future prosthetic and rehabilitative care, especially in resource-austere settings where prosthetic needs are greatest.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=272235
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 7 (2021) . - p. 1404-1415.e2[article]
Paru le : 01/06/2021
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Titre : Can Yoga or Physical Therapy for Chronic Low Back Pain Improve Depression and Anxiety Among Adults From a Racially Diverse, Low-Income Community? A Secondary Analysis of a Randomized Controlled Trial Type de document : Article Auteurs : Christopher Joyce ; Eric J. Roseen ; Julie J. Keysor ; Douglas K. Gross ; Larry Culpepper ; Robert B. Saper Année de publication : 2021 Article en page(s) : p. 1049-1058 Note générale : https://doi.org/10.1016/j.apmr.2021.01.072 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Dépression ; Lombalgie ; Réadaptation ; Techniques de physiothérapie ; YogaRésumé : Objective
To determine and compare the effect of yoga, physical therapy (PT), and education on depressive and anxious symptoms in patients with chronic low back pain (CLBP).
Design
Secondary analysis of a randomized controlled trial.
Setting
Academic safety net hospital and 7 community health centers.
Participants
A total of 320 adults with CLBP.
Intervention
Yoga classes, PT sessions, or an educational book.
Outcome Measure
Depression and anxiety were measured using the Patient Health Questionnaire and Generalized Anxiety Disorder 7-item Scale, respectively, at baseline, 12, and 52 weeks. We identified baseline and midtreatment (6-wk) factors associated with clinically meaningful improvements in depressive (≥3 points) or anxious (≥2 points) symptoms at 12 weeks.
Results
Participants (female=64%; mean age, 46.0±10.7 years) were predominantly non-White (82%), low-income ( Conclusions
In our secondary analysis we found that depression and anxiety, common in this sample of underserved adults with CLBP, may improve modestly with PT and yoga. However, effects were not superior to education. Improvements in pain and function are associated with a decrease in depressive symptoms. More research is needed to optimize the integration of physical and psychological well-being in PT and yoga.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269665
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1049-1058[article]
Titre : Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand Burns: A Randomized Controlled Trial Type de document : Article Auteurs : Fatma Alzahraa H. Kamel ; Maged A. Basha Année de publication : 2021 Article en page(s) : p. 1059-1066 Note générale : https://doi.org/10.1016/j.apmr.2021.01.087 Langues : Anglais (eng) Descripteurs : HE Vinci
Brûlures ; Réadaptation ; Réalité de synthèseRésumé : Objective
To assess the efficacy of a motion-sensing, hands-free gaming device and task-oriented training (TOT) programs on improving hand function, activity performance, and satisfaction in pediatric hand burns.
Design
A randomized controlled trial.
Setting
Outpatient rehabilitation center.
Participants
Fifty children with deep partial-thickness or full-thickness hand burns. (N=50; mean age, 10.70±1.64y; range, 7-14y)
Interventions
Children were randomized into 1 of the following 3 groups: the motion-sensing, hands-free gaming device group that used interactive video games plus traditional rehabilitation (TR); the TOT group that used real materials plus TR; and the control group that only received TR, all groups received the interventions 3 days per week for 8 weeks.
Main Outcome Measures
We assessed the children at the baseline and after 8 weeks of intervention. The primary outcome measures were the Jebsen-Taylor Hand Function Test, Duruoz Hand Index (DHI), and Canadian Occupational Performance Measure (COPM). The secondary outcome measures were range of motion (ROM) of the digits, grip strength, and pinch strengths (tip, palmer, and lateral pinch).
Results
There was a significant increase in all measurements of the motion-sensing, hands-free gaming device and TOT groups compared with that of the control group postintervention (P<.05 there was no significant change in jebsen-taylor hand function test copm performance rom grip strength and tip lateral pinch strengths between the motion-sensing hands-free gaming device group tot>.05), whereas there was a significant increase in DHI, COPM satisfaction, and palmer pinch strength (P<.05 in the motion-sensing hands-free gaming device group compared with tot postintervention.> Conclusions
The motion-sensing, hands-free gaming device and TOT programs resulted in significant improvement in hand function, activity performance and satisfaction, ROM of the digits, grip strength, and pinch strengths in pediatric hand burns compared with the traditional hand rehabilitation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269668
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1059-1066[article]
Titre : Do Patients With COVID-19 Benefit from Rehabilitation? Functional Outcomes of the First 100 Patients in a COVID-19 Rehabilitation Unit Type de document : Article Auteurs : Violaine Piquet ; Cédric Luczak ; Fabien Seiler ; Jordan Monaury ; Alexandre Martini ; Anthony B. Ward ; Jean-Michel Gracies ; Damien Motavasseli Année de publication : 2021 Article en page(s) : p. 1067-1074 Note générale : https://doi.org/10.1016/j.apmr.2021.01.069 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Pandémies ; RéadaptationRésumé : Objective
To determine the benefits associated with brief inpatient rehabilitation for coronavirus 2019 (COVID-19) patients.
Design
Retrospective chart review.
Setting
A newly created specialized rehabilitation unit in a tertiary care medical center.
Participants
Consecutive sample of patients (N=100) with COVID-19 infection admitted to rehabilitation.
Intervention
Inpatient rehabilitation for postacute care COVID-19 patients.
Main Outcome Measures
Measurements at admission and discharge comprised a Barthel Activities of Daily Living Index (including baseline value before COVID-19 infection), time to perform 10 sit-to-stands with associated cardiorespiratory changes, and grip strength (dynamometry). Correlations between these outcomes and the time spent in the intensive care unit (ICU) were explored.
Results
Upon admission to rehabilitation, 66% of the patients were men, the age was 66±22 years, mean delay from symptom onset was 20.4±10.0 days, body mass index was 26.0±5.4 kg/m2, 49% had hypertension, 29% had diabetes, and 26% had more than 50% pulmonary damage on computed tomographic scans. The mean length of rehabilitation stay was 9.8±5.6 days. From admission to discharge, the Barthel index increased from 77.3±26.7 to 88.8±24.5 (P<.001 without recovering baseline values p there was a improvement in sit-to-stand frequency to hz decrease post-test respiratory rate and increase grip strength kg at both admission discharge barthel score correlated with which negatively time spent the icu> Conclusions
Inpatient rehabilitation for COVID-19 patients was associated with substantial motor, respiratory, and functional improvement, especially in severe cases, although there remained mild persistent autonomy loss upon discharge. After acute stages, COVID-19, primarily a respiratory disease, might convert into a motor impairment correlated with the time spent in intensive care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269669
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1067-1074[article]
Titre : Disability and the COVID-19 Pandemic: A Survey of Individuals With Traumatic Brain Injury Type de document : Article Auteurs : Emily L. Morrow ; Nirav N. Patel ; Melissa C. Duff Année de publication : 2021 Article en page(s) : p. 1075-1083 Note générale : https://doi.org/10.1016/j.apmr.2021.01.064 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Lésions traumatiques de l'encéphale ; RéadaptationRésumé : Objectives
To identify the consequences of the coronavirus 2019 (COVID-19) pandemic for individuals with traumatic brain injury (TBI), with particular attention to unique effects for individuals with chronic disability.
Design
Individuals with and without a history of TBI completed a web-based survey.
Setting
Participants were recruited from the Vanderbilt Brain Injury Patient Registry in Nashville, TN, and completed the survey from their homes between May and June 2020, during social distancing related to the COVID-19 pandemic.
Participants
Participants (N=47) in the chronic phase of moderate-severe TBI (>6mo postinjury) and 51 noninjured comparison (NC) peers completed the survey.
Interventions
Not applicable.
Main Outcome Measures
Participants, or respondents, answered a mix of multiple choice and free text questions about how the COVID-19 pandemic has affected their work, education, medical care, social communication, sources of information and decision making, and mental and physical well-being. Individuals with TBI also answered questions about how TBI has affected their experiences of the pandemic.
Results
As a group, respondents with TBI reported less pandemic-related behavior change (eg, daily habits, virtual social visits, and masking) than NC peers. Both NCs and respondents with TBI identified health care providers as trusted sources of public health information. One-third of individuals with TBI indicated that brain injury has made coping with the pandemic more difficult, and respondents identified mental health challenges and social isolation as key barriers.
Conclusions
These results suggest that health care providers should look for ways to provide tailored education and reduce social isolation for individuals with disability during the ongoing COVID-19 pandemic. We discuss several direct suggestions from participant responses.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269672
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1075-1083[article]
Titre : Swallowing and Voice Outcomes in Patients Hospitalized With COVID-19: An Observational Cohort Study Type de document : Article Auteurs : Sally K. Archer ; Christina M. Iezzi ; Louisa Gilpin Année de publication : 2021 Article en page(s) : p. 1084-1090 Note générale : https://doi.org/10.1016/j.apmr.2021.01.063 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Pathologie de la parole et du langage (spécialité) ; Réadaptation ; Trachéostomie ; Troubles de la déglutitionRésumé : Objective
To evaluate the presentations and outcomes of inpatients with coronavirus disease 2019 (COVID-19) presenting with dysphonia and dysphagia to investigate trends and inform potential pathways for ongoing care.
Design
Observational cohort study.
Setting
An inner-city National Health Service Hospital Trust in London, United Kingdom.
Participants
All adult inpatients hospitalized with COVID-19 (N=164) who were referred to Speech and Language Therapy (SLT) for voice and/or swallowing assessment for 2 months starting in April 2020.
Interventions
SLT assessment, advice, and therapy for dysphonia and dysphagia.
Main Outcome Measures
Evidence of delirium, neurologic presentation, intubation, tracheostomy, and proning history were collected, along with type of SLT provided and discharge outcomes. Therapy outcome measures were recorded for swallowing and tracheostomy pre- and post-SLT intervention and Grade Roughness Breathiness Asthenia Strain Scale for voice.
Results
Patients (N=164; 104 men) aged 56.8±16.7 years were included. Half (52.4%) had a tracheostomy, 78.7% had been intubated (mean, 15±6.6d), 13.4% had new neurologic impairment, and 69.5% were delirious. Individualized compensatory strategies were trialed in all and direct exercises with 11%. Baseline assessments showed marked impairments in dysphagia and voice, but there was significant improvement in all during the study (P<.0001 on average patients started some oral intake days after initial slt assessment range and were eating drinking normally discharge but of those with dysphagia dysphonia remained impaired at hospital discharge. a total tracheostomized decannulated the median time to decannulation was among completed input while inpatients transferred another had voice required community follow-up for dysphagia.> Conclusions
Inpatients with COVID-19 present with significant impairments of voice and swallowing, justifying responsive SLT. Prolonged intubations and tracheostomies were the norm, and a minority had new neurologic presentations. Patients typically improved with assessment that enabled treatment with individualized compensatory strategies. Services preparing for COVID-19 should target resources for tracheostomy weaning and to enable responsive management of dysphagia and dysphonia with robust referral pathways.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269674
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1084-1090[article]
Titre : Qualitative Examination of Voting Empowerment and Participation Among People Living With Traumatic Brain Injury Type de document : Article Auteurs : Flora M. Hammond ; Christine S. Davis ; Mark A. Hirsch ; Julia M. Snow ; Martha E. Kropf ; Lisa Schur ; Douglas Kruse ; Andrew M. Ball Année de publication : 2021 Article en page(s) : p. 1091-1101 Note générale : https://doi.org/10.1016/j.apmr.2020.12.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Lésions encéphaliques ; Participation communautaire ; Politique ; Réadaptation ; Recherche qualitativeRésumé : Objective
To examine political participation after traumatic brain injury (TBI).
Design
Qualitative, participatory research via interviews and observations. Each participant was interviewed to discuss their experience of voting in 2007 or 2008. Data were coded using Grounded Theory to develop themes, metacodes, and theories.
Setting
Community.
Participants
A total of 57 individuals with history of TBI and 28 family members (N=85).
Main Outcome Measures
Not applicable.
Results
Four themes emerged from the data: (1) people with TBI have barriers to voting; (2) the voting process can be improved for people with TBI; (3) voting is the responsibility of members of society; and (4) voting is one way we have a voice in society.
Conclusions
The data support the importance of voting as an American right regardless of the presence of disability. While persons with TBI report voting represents their freedom and voice, there may be barriers that can threaten or limit their voice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269675
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1091-1101[article]
Titre : Personal Factors Associated With Postconcussion Symptoms 3 Months After Mild Traumatic Brain Injury Type de document : Article Auteurs : Toril Skandsen ; Jonas Stenberg ; Turid Follestad ; Migle Karaliute ; Simen B. Saksvik ; Cathrine E. Einarsen ; Hanna Lillehaug ; Asta K. Håberg ; Anne Håberg ; Alexander Olsen ; Grant L. Iverson Année de publication : 2021 Article en page(s) : p. 1102-1112 Note générale : https://doi.org/10.1016/j.apmr.2020.10.106 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Réadaptation ; Syndrome post-commotionnelRésumé : Objective
To describe personal factors in patients with mild traumatic brain injury (MTBI) and 2 control groups and to explore how such factors were associated with postconcussion symptoms (PCSs).
Design
Prospective cohort study.
Setting
Level 1 trauma center and outpatient clinic.
Participants
Participants (N=541) included patients with MTBI (n=378), trauma controls (n=82), and community controls (n=81).
Main Outcome Measures
Data on preinjury health and work status, personality, resilience, attention deficit/hyperactivity, and substance use. Computed tomography (CT) findings and posttraumatic amnesia were recorded. Symptoms were assessed at 3 months with the British Columbia Postconcussion Symptom Inventory and labeled as PCS+ if ≥3 symptoms were reported or the total score was ≥13. Predictive models were fitted with penalized logistic regression using the least absolute shrinkage and selection operator (lasso) in the MTBI group, and model fit was assessed with optimism-corrected area under the curve (AUC) of the receiver operating characteristic curve.
Results
There were few differences in personal factors between the MTBI group and the 2 control groups without MTBI. Rates of PCS+ were 20.8% for the MTBI group, 8.0% for trauma controls, and 1.3% for community controls. In the MTBI group, there were differences between the PCS+ and PCS− group on most personal factors and injury-related variables in univariable comparisons. In the lasso models, the optimism-corrected AUC for the full model was 0.79, 0.73 for the model only including personal factors, and 0.63 for the model only including injury variables. Working less than full time before injury, having preinjury pain and poor sleep quality, and being female were among the selected predictors, but also resilience and some personality traits contributed in the model. Intracranial abnormalities on CT were also a risk factor for PCS.
Conclusions
Personal factors convey important prognostic information in patients with MTBI. A vulnerable work status and preinjury health problems might indicate a need for follow-up and targeted interventions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269678
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1102-1112[article]
Titre : Development and Validation of the WHO Rehabilitation Competency Framework: A Mixed Methods Study Type de document : Article Auteurs : Jody-Anne Mills ; Alarcos Cieza ; Stephanie D. Short ; James W. Middleton Année de publication : 2021 Article en page(s) : p. 1113-1123 Note générale : https://doi.org/10.1016/j.apmr.2020.10.129 Langues : Anglais (eng) Descripteurs : HE Vinci
Compétence clinique ; Compétence professionnelle ; Education ; Main-d'oeuvre en santé ; Modèle de compétence attendue ; RéadaptationRésumé : Objectives
To identify the competencies, behaviors, activities, and tasks required by the rehabilitation workforce, and their core values and beliefs, and to validate these among rehabilitation professionals and service users.
Design
Mixed methods study, involving a content analysis of rehabilitation-related competency frameworks, a modified Delphi study, and a consultation-based questionnaire of service users.
Setting
Desk-based research.
Participants
Participants who completed the first (N=77; 47%) and second (N=68; 67%) iterations of the modified Delphi study. Thirty-seven individuals participated in the service user consultation. Collectively, the participants of the mixed methods study represented a significant range of rehabilitation professions from a broad range of countries, as well as both high- and low-income settings.
Interventions
Not applicable.
Main Outcome Measures
Not applicable.
Results
The mixed methods study resulted in the inclusion of 4 core values, 4 core beliefs, 17 competencies, 56 behaviors, 20 activities, and 62 tasks in the Rehabilitation Competency Framework. The content analysis of rehabilitation-related competency frameworks produced an alpha list of competencies, behaviors, activities and tasks (“statements”), which were categorized into 5 domains. The final iteration of the modified Delphi study revealed an average of 95% agreement with the statements, whereas the service user consultation indicated an average of 87% agreement with the statements included in the questionnaire.
Conclusions
Despite the diverse composition of the rehabilitation workforce, this mixed methods study demonstrated that a strong consensus on competencies and behaviors that are shared across professions, specializations, and settings, and for activities and tasks that collectively capture the scope of rehabilitation practice. The development of the Rehabilitation Competency Framework is a pivotal step toward the twin goals of building workforce capability to improve quality of care and strengthening a common rehabilitation workforce identity that will bolster its visibility and influence at a systems-level.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269679
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1113-1123[article]
Titre : The Relationship Between Fall Risk and Hospital-Based Therapy Utilization Is Moderated by Demographic Characteristics and Insurance Type Type de document : Article Auteurs : Adam R. Kinney ; James E. Graham ; Julia Sharp ; Amanda Hoffman ; Matt P. Malcolm Année de publication : 2021 Article en page(s) : p. 1124-1133 Note générale : https://doi.org/10.1016/j.apmr.2020.12.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Ergothérapie ; Hôpitaux ; Kinésithérapie (spécialité) ; Réadaptation ; Recherche sur les services de santéRésumé : Objective
To investigate whether indicators of patient need (comorbidity burden, fall risk) predict acute care rehabilitation utilization, and whether this relation varies across patient characteristics (ie, demographic characteristics, insurance type).
Design
Secondary analysis of electronic health records data.
Setting
Five acute care hospitals.
Participants
Adults (N=110,209) admitted to 5 regional hospitals between 2014 and 2018.
Interventions
Not applicable.
Main Outcome Measures
Occupational therapy (OT) and physical therapy (PT) utilization. Logistic regression models determined whether indicators of patient need predicted OT and PT utilization. Interactions between indicators of need and both demographic factors (eg, minority status, presence of significant other) and insurance type were included to investigate whether the relation between patient need and therapy access varied across patient characteristics.
Results
Greater comorbidity burden was associated with a higher likelihood of receiving OT and PT. Relative to those with low fall risk, those with moderate and high fall risk were more likely to receive OT and PT. The relation between fall risk and therapy utilization differed across patient characteristics. Among patients with higher levels of fall risk, those with a significant other were less likely to receive OT and PT; significant other status did not explain therapy utilization among patients with low fall risk. Among those with high fall risk, patients with VA insurance and minority patients were more likely to receive PT than those with private insurance and nonminority patients, respectively. Insurance type and minority status did not appear to explain PT utilization among those with lower fall risk.
Conclusions
Patients with greater comorbidity burden and fall risk were more likely to receive acute care rehabilitation. However, the relation between fall risk and utilization was moderated by insurance type, having a significant other, and race/ethnicity. Understanding the implications of these utilization patterns requires further research.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269680
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1124-1133[article]
Titre : Falls Efficacy Is Associated With Better Gait and Functional Outcomes After Rehabilitation in Older Patients Type de document : Article Auteurs : Giulia Belloni ; Laurence Seematter-Bagnoud ; Hélène Krief ; Kamiar Aminian ; Christophe J. Büla Année de publication : 2021 Article en page(s) : p. 1134-1139 Note générale : https://doi.org/10.1016/j.apmr.2020.12.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Réadaptation ; Sujet âgé ; Vitesse de marcheRésumé : Objective
To examine the relationship between falls efficacy and the change in gait speed and functional status in older patients undergoing postacute rehabilitation.
Design
Prospective cohort study.
Setting
Postacute rehabilitation facility.
Participants
Patients (N=180) aged 65 years and older (mean age ± SD, 81.3±7.1y).
Interventions
Not applicable.
Main Outcome Measures
Data on demographics; functional, cognitive, and affective status; and falls efficacy using a 10-item version of the Falls Efficacy Scale (FES; range, 0-100) were collected upon admission. Data about gait speed and functional status (Barthel Index and Basic Activities of Daily Living [BADL]) were measured at admission and discharge. In addition, BADL performance was self-reported 1 month after discharge.
Results
Compared with admission, all rehabilitation outcomes improved at discharge: gait speed (0.41±0.15 m/s vs 0.50±0.16 m/s; P<.001 barthel index score vs p and badl adjusting for baseline status other potential confounders fes independently predicted gait speed coefficient: confidence interval ci at discharge with higher predicting greater improvement. was also associated self-reported performance the follow-up> Conclusions
In older patients, higher falls efficacy predicted better gait and functional rehabilitation outcomes, independently of baseline performance. These results suggest that interventions aiming at falls efficacy improvement during rehabilitation might also contribute to enhancing gait speed and functional status in patients admitted to this setting.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269686
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1134-1139[article]
Titre : Fear of Falling, Community Participation, and Quality of Life Among Community-Dwelling People Who Use Wheelchairs Full Time Type de document : Article Auteurs : JongHun Sung ; Sa Shen ; Elizabeth W. Peterson ; Jacob J. Sosnoff ; Deborah Backus ; Laura A. Rice Année de publication : 2021 Article en page(s) : p. 1140-1146 Note générale : https://doi.org/10.1016/j.apmr.2020.11.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Participation communautaire ; Qualité de vie ; RéadaptationRésumé : Objectives
To examine the differences in community participation and quality of life (QOL) among individuals who use wheelchairs full time with and without fear of falling (FOF).
Design
Cross-sectional study design.
Setting
University research laboratory.
Participants
Individuals (N=85) who use a manual or power wheelchair full time who are living with various health conditions and have a history of at least 1 fall in the past 12 months (age, 45.4±15.8y; disability duration, 21.5±13.6y) were included. Forty-six (54%) were manual wheelchair users.
Interventions
Not applicable.
Main Outcome Measures
To quantify FOF, participants responded (yes/no) to the question: “Are you worried or concerned that you might fall?” Community participation and QOL were indexed by the Community Participation Indicator (CPI) and the World Health Organization Quality of Life-Brief version (WHOQOL-BREF), respectively. A multivariate analysis of variance (MANOVA) was performed to examine the differences in CPI and WHOQOL-BREF scores among wheelchair users who reported FOF and no FOF.
Results
A total of 54 participants (63.5%) reported that they were worried or concerned about falling. The MANOVA revealed significant differences in overall CPI (F2,82=4.714; P=.012; Wilks’ λ=0.897) and WHOQOL-BREF (F4,63=3.32; P=.016; Wilks’ λ=.826) scores. Participants who reported FOF demonstrated significantly lower CPI and WHOQOL-BREF scores compared with those who did not report FOF.
Conclusions
FOF and associated activity curtailment are prevalent and may be a factor influencing full time wheelchair users’ community participation and QOL. Prospective research is needed to better understand how FOF influences community participation and QOL among individuals who use wheelchairs full time. Findings would support the development of interventions, specifically for individuals who use wheelchairs full time, to reduce FOF and improve community participation and QOL.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269688
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1140-1146[article]
Titre : Traumatic Spinal Cord Injury and Risk of Early and Late Onset Alzheimer’s Disease and Related Dementia: Large Longitudinal Study Type de document : Article Auteurs : Elham Mahmoudi ; Paul Lin ; Mark D. Peterson ; Michelle A. Meade ; Denise G. Tate ; Neil Kamdar Année de publication : 2021 Article en page(s) : p. 1147-1154 Note générale : https://doi.org/10.1016/j.apmr.2020.12.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Démence ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
Traumatic spinal cord injury (TSCI) is a life altering event most often causing permanent physical disability. Little is known about the risk of developing Alzheimer disease and related dementia (ADRD) among middle-aged and older adults living with TSCI. Time to diagnosis of and adjusted hazard for ADRD was assessed.
Design
Cohort study.
Setting
Using 2007-2017 claims data from the Optum Clinformatics Data Mart, we identified adults (45+) with diagnosis of TSCI (n=7019). Adults without TSCI diagnosis were included as comparators (n=916,516). Using age, sex, race/ethnicity, cardiometabolic, psychological, and musculoskeletal chronic conditions, US Census division, and socioeconomic variables, we propensity score matched persons with and without TSCI (n=6083). Incidence estimates of ADRD were compared at 4 years of enrollment. Survival models were used to quantify unadjusted, fully adjusted, and propensity-matched unadjusted and adjusted hazard ratios (HRs) for incident ADRD.
Participants
Adults with and without TSCI (N=6083).
Intervention
Not applicable.
Main Outcomes Measures
Diagnosis of ADRD.
Results
Both middle-aged and older adults with TSCI had higher incident ADRD compared to those without TSCI (0.5% vs 0.2% and 11.7% vs 3.3% among 45-64 and 65+ y old unmatched cohorts, respectively) (0.5% vs 0.3% and 10.6% vs 6.2% among 45-64 and 65+ y old matched cohorts, respectively). Fully adjusted survival models indicated that adults with TSCI had a greater hazard for ADRD (among 45-64y old: unmatched HR: 3.19 [95% confidence interval, 95% CI, 2.30-4.44], matched HR: 1.93 [95% CI, 1.06-3.51]; among 65+ years old: unmatched HR: 1.90 [95% CI, 1.77-2.04], matched HR: 1.77 [1.55-2.02]).
Conclusions
Adults with TSCI are at a heightened risk for ADRD. Improved clinical screening and early interventions aiming to preserve cognitive function are of paramount importance for this patient cohort.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269689
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1147-1154[article]
Titre : Effects of Lower Thoracic Spinal Cord Stimulation on Bowel Management in Individuals With Spinal Cord Injury Type de document : Article Auteurs : Anthony F. DiMarco ; Robert T. Geertman ; Kutaiba Tabbaa ; Gregory A. Nemunaitis ; Krzysztof E. Kowalski Année de publication : 2021 Article en page(s) : p. 1155-1164 Note générale : https://doi.org/10.1016/j.apmr.2020.09.394 Langues : Anglais (eng) Descripteurs : HE Vinci
Intestin ; Réadaptation ; Tétraplégie ; Traumatismes de la moelle épinièreRésumé : Objective
To systematically determine whether use of the spinal cord stimulation (SCS) system to restore cough may improve bowel management (BM) in individuals with spinal cord injury (SCI).
Design
Experimental studies (clinical trial).
Setting
Inpatient hospital setting for electrode insertion; outpatient setting for measurement of respiratory pressures; home setting for application of SCS.
Participants
Participants (N=5) with cervical SCI.
Intervention
A fully implantable SCS cough system was surgically placed in each subject. SCS was applied at home, 2-3 times/d, on a chronic basis, every time bowel regimen was performed and as needed for secretion management. Stimulus parameters were set at values resulting in near maximum airway pressure generation, which was used as an index of expiratory muscle strength. Participants also used SCS during their bowel routine.
Main Outcome Measures
Airway pressure generation achieved with SCS. Weekly completion of Bowel Routine Log including BM time, mechanical measures, and medications used.
Results
Mean pressure during spontaneous efforts was 30±8 cmH2O. After a period of reconditioning, SCS resulted in pressure of 146±21 cmH2O. The time required for BM routines was reduced from 118±34 minutes to 18±2 minutes (P<.05 and was directly related to the magnitude of pressure development during scs. mechanical methods for bm were completely eliminated in patients. no patients experienced fecal incontinence as result each participant also reported marked overall improvement associated with bm.> Conclusions
Our results of this pilot study suggest that SCS to restore cough may be a useful method to improve BM and life quality for both patients with SCI and their caregivers. Our results indicate that the improvement in BM is secondary to restoration of intra-abdominal pressure development.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269690
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1155-1164[article]
Titre : Effects of Bilateral Transcutaneous Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Spinal Cord Injury: A Urodynamic Study Type de document : Article Auteurs : Kornkamon Kamboonlert ; Sirikwan Panyasriwanit ; Natthiya Tantisiriwat ; Wasuwat Kitisomprayoonkul Année de publication : 2021 Article en page(s) : p. 1165-1169 Note générale : https://doi.org/10.1016/j.apmr.2020.10.130 Langues : Anglais (eng) Descripteurs : HE Vinci
Neurostimulation électrique transcutanée (TENS) ; Réadaptation ; Traumatismes de la moelle épinière ; Vessie neurologique ; Vessie urinaireRésumé : Objective
To study the short-term effect of bilateral transcutaneous tibial nerve stimulation (TTNS) on urodynamic study (UDM) parameters in spinal cord injury (SCI) patients with neurogenic detrusor overactivity (NDO).
Design
Single-blinded sham-controlled study.
Setting
Rehabilitation center.
Participants
SCI patients with NDO (N=17) were recruited. Fifteen patients (mean age, 40±18y) completed the study. Most of the patients had chronic incomplete SCI.
Interventions
UDM was performed 3 times. The first UDM was performed after taking anticholinergics for 1 hour to assess the effects of medication. After stopping anticholinergics for a 5 half-lives, the second UDM was performed immediately after a 20-minute sham TTNS (switch on for 30s at the beginning, switch off for 20min, and switch on for 30s before stopping). The third UDM was performed immediately after a 20-minute bilateral TTNS.
Main Outcome Measures
Reflex volume (mL), cystometric capacity (mL), maximum pressure detrusor (mmH2O), and bladder compliance (mL/mmH2O).
Results
UDM tracings were interpreted by 2 blinded assessors. This study used per-protocol analysis and repeated measures Analysis of variance with Bonferroni post hoc analysis. When compared with sham stimulation, bilateral TTNS and anticholinergics produced greater increases in reflex volume (136.1±99.88, 212.2±112.82, and 226.3±111.52 mL; P<.001 cystometric capacity and ml p compliance no significant differences were found in reflex volume or between bilateral ttns anticholinergics>.05). The maximum pressure detrusor was not significantly different between groups (P>.05).
Conclusion
Bilateral TTNS may be an effective short-term intervention to improve UDM parameters in SCI with NDO. Further study is necessary to determine the long-term effects and benefits of combined bilateral TTNS with anticholinergics.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269717
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1165-1169[article]
Titre : Postural Control Performance on the Functional Reach Test: Validity of the Kids-Balance Evaluation Systems Test (Kids-BESTest) Criteria Type de document : Article Auteurs : Rosalee M. Dewar ; Kylie Tucker ; Andrew P. Claus ; Robert S. Ware ; Leanne M. Johnston Année de publication : 2021 Article en page(s) : p. 1170-1179 Note générale : https://doi.org/10.1016/j.apmr.2020.12.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Équilibre postural ; Paralysie cérébrale ; RéadaptationRésumé : Objective
Evaluate the validity of the Kids-Balance Evaluation Systems Test (Kids-BESTest) clinical criteria for the Functional Reach Test (FRT) forward and lateral with laboratory measures of postural control in children with cerebral palsy (CP).
Design
Psychometric study of face, concurrent, and content validity.
Setting
Clinical laboratory.
Participants
Children (N=58) aged 7-18 years (ambulant CP n=17, typically developing [TD] n=41).
Intervention
Not applicable.
Main Outcome Measures
Stability limits in standing were assessed using the Kids-BESTest items for FRT forwards (FRTFORWARD), FRT lateral preferred (FRTLATERAL(P)), and FRT lateral nonpreferred (FRTLATERAL(NP)). Force platforms and kinematic markers were used to collect information on center of pressure (CoP) and joint movement during reach. Analyses included face validity (Kids-BESTest scores compared between CP and TD groups), concurrent validity (agreement between Kids-BESTest scores and digitally derived scores), and content validity (relations between Kids-BESTest scores with kinematic and CoP data).
Results
Face validity of Kids-BESTest criteria was demonstrated with lower scores for CP compared to TD groups for FRTFORWARD (P<.001 and frtlateral equal scores for concurrent validity agreement between kids-bestest digitally derived was good to excellent p frtforward both groups. content the cp group were correlated with cop-rangeforward during cop-rangelateral kinematic data correlations moderate-high range of hip flexion ankle plantar trunk lateral>
Conclusion
The FRTFORWARD demonstrated face, concurrent, and content validity. The FRTLATERAL(P/NP) demonstrated concurrent validity, but partial face and content validity. To improve validity of Kids-BESTest FRT criteria, additional descriptors have been added under the scoring criteria to enable clinicians to quantify observed reach strategies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269718
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1170-1179[article]
Titre : Optimal Multifield Functional Electrical Stimulation Parameters for the “Turn on the Light” Task and Related Upper Limb Kinematics Repeatability in Poststroke Subjects Type de document : Article Auteurs : S.P. Sousa Andreia ; Inês Albuquerque Mesquita ; Cláudia Isabel Costa da Silva ; Augusta Silva ; Rui Macedo ; Eukene Imatz-Ojanguren ; Erik Hernandez ; Thierry Keller ; Juliana Moreira ; Pedro Filipe Pereira da Fonseca ; Rubim Santos Année de publication : 2021 Article en page(s) : p. 1180-1190 Note générale : https://doi.org/10.1016/j.apmr.2020.10.135 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Dispositifs d'assistance au mouvement ; Membre supérieur ; Mouvement ; Réadaptation ; Stimulation électriqueRésumé : Objective
To characterize the optimal functional electrical stimulation (FES) parameters that assist the turn on the light task (TOTL) on poststroke participants and to analyze the related upper limb (UL) kinematics repeatability.
Design
Cross-sectional study.
Setting
Human movement research center.
Participants
Poststroke individuals (N=11) with history of a single unilateral stroke that resulted in a motor control dysfunction of the contralesional UL.
Interventions
FES based on surface multifield technology applied to the contralesional wrist and finger extensors during the TOTL.
Main Outcome Measures
FES outcome metrics (virtual electrodes, stimulation duration, intensity) and kinematic metrics (end-point kinematics [absolute and relative duration, mean and peak velocities, relative instant of peak velocity, index of curvature, number of movement units] and joint kinematics [shoulder, elbow, wrist end position and range of movement]). Outcome measures were assessed 2 times with a 72-hour maximum time interval.
Conclusion
It was possible to establish reliable FES parameters that assisted the TOTL on poststroke participants. These stimulation parameters led to high to very high repeatability in terms of UL kinematics for most of the cases.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269720
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1180-1190[article]
Titre : Systematic Review of Clinical Practice Guidelines for Individuals With Amputation: Identification of Best Evidence for Rehabilitation to Develop the WHO’s Package of Interventions for Rehabilitation Type de document : Article Auteurs : Arne Heyns ; Sofie Jacobs ; Stefano Negrini ; Michele Patrini ; Alexandra Rauch Année de publication : 2021 Article en page(s) : p. 1191-1197 Note générale : https://doi.org/10.1016/j.apmr.2020.11.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Directives ; Réadaptation ; Revue systématiqueRésumé : Objectives
To report the results of the systematic search performed to identify interventions and related evidence for rehabilitation of individuals with amputation based on the current evidence from clinical practice guidelines (CPG).
Data Sources
Pubmed, Pedro, CINAHL, Embase, Google Scholar, and multiple guideline databases (date restriction, 2008-2018).
Study Selection
Exclusion criteria were no CPG, not reporting on rehabilitation, published before 2008, developed for health conditions other than amputation, presence of conflict of interest (financial or nonfinancial), lack of information on the strength of the recommendation, and lack of quality assessed by the “Appraisal of Guidelines for Research and Evaluation.”
Data Extraction
Data extraction was done using a standardized form, which comprised information on the recommendation, the strength of recommendation and the quality of the evidence used to inform the recommendation.
Data Synthesis
We included 4 guidelines, providing a total of 217 recommendations (20 on assessments, 131 on interventions, and 66 on service provision). Most recommendations concerned pain management, education, pre- and postoperative management, and residual limb care. The strength of recommendation was generally weak to intermediate. The level of evidence mostly compromised expert opinions, with only 6.9% (15 of 217) being provided by randomized controlled trials, systematic reviews, or meta-analyses.
Conclusions
The field of amputation is well covered for recommended interventions, but the level of evidence is generally low and is based mostly on expert opinion. Some important domains are not covered (eg, vocation and education, sexual and/or intimate relationships, activities of daily living or leisure activities, education concerning socket/liner fitting). There is also a lack of description of the contents of training and rehabilitation programs. This should be taken into account for the development of future guidelines.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269721
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1191-1197[article]
Titre : TBI as a Risk Factor for Substance Use Behaviors: A Meta-analysis Type de document : Article Auteurs : Davis J. VanderVeen Année de publication : 2021 Article en page(s) : p. 1198-1209 Note générale : https://doi.org/10.1016/j.apmr.2020.10.112 Langues : Anglais (eng) Descripteurs : HE Vinci
Lésions traumatiques de l'encéphale ; Méta-analyse ; RéadaptationRésumé : Objective
To quantify the relationship between substance use behaviors before and after traumatic brain injury (TBI), to identify populations that may benefit more from targeted interventions to reduce the effect of substance use on TBI recovery, and to establish areas for further study.
Data Sources
Studies were identified via literature searches using MEDLINE, PsychInfo, PsychArticles, PubMed, and GoogleScholar (published before January 2019), as well as reference section reviews and forward searches. Searches were conducted using search terms for TBI and substance use behaviors.
Study Selection
Studies were included if they (1) contained both a measure of TBI and a measure of substance use behaviors; (2) reported an effect size representing the relationship between substance use behaviors before and after TBI, compared TBI vs non-TBI groups on substance use behaviors controlling for pre-TBI substance use, or compared groups with differing TBI severity on subsequent substance use behaviors controlling for pre-TBI substance use; (3) were written in English; and (4) were human subjects research. Studies examining effects of substance use intervention for people sustaining TBI were excluded from this study.
Data Extraction
Study variables included substance use behaviors, TBI severity, time since TBI, military status, age, race, and sex.
Data Synthesis
Substance use behaviors had a small but statistically significant decrease after moderate-severe TBI. After moderate-severe TBI, there was a statistically significant decline in both substance use (d=−0.29, P<.01 and negative substance use consequences p=".01)." there was no significant change in behaviors after mild tbi.>
Conclusions
Substance use behaviors had a small decrease after moderate to severe TBI and no significant change after mild TBI. Study findings suggest the need for accurate assessment to identify those at greatest risk for problematic substance use behaviors after TBI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269723
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1198-1209[article]
Titre : Reliability and Validity of Clinical Tests for Measuring Strength or Endurance of Cervical Muscles: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Luiz Fernando Approbato Selistre ; Cristiane de Sousa Melo ; Marcos Amaral de Noronha Année de publication : 2021 Article en page(s) : p. 1210-1227 Note générale : https://doi.org/10.1016/j.apmr.2020.11.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Douleur chronique ; Force musculaire ; Reproductibilité des résultatsRésumé : Objective
To evaluate the reliability and validity of clinical tests for measuring cervical muscle strength or endurance in participants with and without neck pain.
Data Source
Systematic review and meta-analysis on reliability and validity. Literature search was conducted on January 28, 2020, using 5 databases: MEDLINE, Cumulative Index to Nursing and Allied Health, EMBASE, SPORTDiscus, and Scopus.
Study Selection
We included studies that investigated the reliability or validity of clinical tests for measuring cervical muscle strength or endurance in participants with nonspecific chronic neck pain, with or without irradiation, or healthy participants. We included only those that were viable for daily practice and of low cost.
Data Extraction
Data were extracted as follows: (1) author and year of publication, (2) demographic values and health condition, (3) reported clinical tests, (4) inclusion and exclusion criteria, (5) description of test, (6) interrater reliability, and (7) intrarater reliability. For validity studies we also extracted the (8) reference method and (9) validity estimates.
Data Synthesis
Methodological quality was assessed with the Quality Appraisal of Diagnostic Reliability and the Guidelines for Reporting Reliability and Agreement Studies. Data on reliability and validity were extracted from included articles and then analyzed.
Results
Thirty-one studies were included. Cervical flexor and extensor endurance test, craniocervical flexion test (CCFT), AND cervical muscle strength using a handheld dynamometer (HHD) showed moderate to good intra- and interrater reliability (intraclass correlation coefficients ranging from 0.64-0.90). Concurrent validity was measured by only 2 studies, which do not provide adequate evidence for a recommendation.
Conclusions
The cervical flexor and extensor endurance tests, CCFT, and HHD for measuring cervical strength presented an acceptable interrater and intrarater reliability.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=269726
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 6 (2021) . - p. 1210-1227[article]
Paru le : 01/05/2021
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Titre : Effect of a Novel Perturbation-Based Pinch Task Training on Sensorimotor Performance of Upper Extremity for Patients With Chronic Stroke: A Pilot Randomized Controlled Trial Type de document : Article Auteurs : Hsiu-Yun Hsu ; Ta-Shen Kuan ; Ching-Liang Tsai ; Po-Ting Wu ; Yao-Lung Kuo ; Fong-Chin Su ; Li-Chieh Kuo Année de publication : 2021 Article en page(s) : p. 811-818 Note générale : https://doi.org/10.1016/j.apmr.2020.11.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Réadaptation ; SensationRésumé : Objective
To investigate the effects of perturbation-based pinch task training on the sensorimotor performance of the upper extremities of patients with chronic stroke via a novel vibrotactile therapy system.
Design
A single-blinded randomized controlled trial.
Setting
A university hospital.
Participants
Patients with chronic stroke (N=19) randomly assigned into either an experimental group or a control group completed the study.
Interventions
In addition to 10 minutes of traditional sensorimotor facilitation, each participant in the experimental group received 20 minutes of perturbation-based pinch task training in each treatment session, and the controls received 20 minutes of task-specific motor training twice a week for 6 weeks.
Main Outcome Measures
The scores for the primary outcome, Semmes-Weinstein monofilament (SWM), and those for the secondary outcomes, Fugl-Meyer Assessment (FMA), amount of use, quality of movement (QOM) on the Motor Activity Log (MAL) scale, and box and block test (BBT), were recorded. All outcome measures were recorded at pretreatment, post treatment, and 12-week follow-up.
Results
There were statistically significant between-group differences in the training-induced improvements revealed in the SWM results (P=.04) immediately after training and in the BBT results (P=.05) at the 12-week follow-up. The changes in muscle tone and in the QOM, SWM, and BBT scores indicated statistically significant improvements after 12 sessions of treatment for the experimental group. For the control group, a significant statistical improvement was found in the wrist (P<.001 and coordination component of the fma score.>
Conclusions
This study indicated that the perturbation-based pinch task training has beneficial effects on sensory restoration of the affected thumb in patients with chronic stroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267491
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 811-818[article]
Titre : Proximal vs Distal Approach of Ultrasound-guided Suprascapular Nerve Block for Patients With Adhesive Capsulitis of the Shoulder: Prospective Randomized Controlled Trial Type de document : Article Auteurs : Kyu Hwan Bae ; Ki Chol Park ; Gu Min Jeong ; Tae Kang Lim Année de publication : 2021 Article en page(s) : p. 819-827 Note générale : https://doi.org/10.1016/j.apmr.2020.11.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Bloc nerveux ; Bursite ; Échographie ; Réadaptation ; ScapulalgieRésumé : Objectives
To evaluate the early clinical outcomes of ultrasound (US)-guided suprascapular nerve block (SSNB) using a proximal approach compared with a distal approach for outpatient treatment of adhesive capsulitis.
Design
Randomized controlled trial.
Setting
Outpatient clinic
Participants
Participants (N=47) with symptomatic adhesive capsulitis.
Interventions
Participants were randomly assigned to either US-guided SSNB using a proximal approach (n=23, proximal group) or a distal approach (n=24, distal group).
Main Outcome Measures
The primary outcome measure was the visual analog scale (VAS) for pain at week 12. Secondary outcomes included the American Shoulder Elbow Surgeon’s (ASES) score, University California Los Angeles score, Short Form-36 mental and physical component summaries, and range of motion. All patients completed clinical follow-up at 2, 6, and 12 weeks after treatment. On US images, depth and insertion angle of needle during injection were measured.
Results
The VAS significantly improved in both groups at week 12. After treatment, no significant differences were found in early clinical outcomes (weeks 2, 6, and 12) between groups (all P>.05), except that ASES at 2 weeks showed a significantly higher score in the distal group than in the proximal group (87.1±4.8 and 83.0±6.3, respectively; P=.014). The mean depth and insertion angle of needle was significantly lower (depth: 13.4±3.9 and 30.6±4.3 mm, respectively; P<.001 insertion angle: and p in the proximal group than distal group.>
Conclusions
This study demonstrated that proximal approach of US-guided SSNB provided favorable short-term outcomes of pain and functional improvement and that outcomes were comparable to those of the distal approach in adhesive capsulitis. The suprascapular nerve was located more superficially and easily identified in the proximal approach, suggesting that this method might improve the accuracy of injection.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267499
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 819-827[article]
Titre : Opioid Use Among Individuals With Spinal Cord Injury: Prevalence Estimates Based on State Prescription Drug Monitoring Program Data Type de document : Article Auteurs : Nicole D. DiPiro ; David Murday ; Elizabeth H. Corley ; Thomas V. DiPiro ; James S. Krause Année de publication : 2021 Article en page(s) : p. 828-834 Note générale : https://doi.org/10.1016/j.apmr.2020.10.128 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésiques ; Analgésiques morphiniques ; Programmes de surveillance des médicaments d'ordonnance ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To identify the prevalence of opioid use in individuals with chronic spinal cord injury (SCI) living in South Carolina.
Design
Cohort study.
Setting
Data from 2 statewide population-based databases, an SCI Registry and the state prescription drug monitoring program, were linked and analyzed.
Participants
The study included individuals (N=503) with chronic (>1y) SCI who were injured between 2013 and 2014 in South Carolina and who survived at least 3 years postinjury.
Interventions
Not applicable.
Main Outcome Measures
Filled opioid prescriptions over a 2-year period (months 13-36 after injury). The main outcomes were total number of days with an opioid prescription over the 2-year period, length of coverage period [(final day of prescription coverage+the days supplied)–first day of prescription coverage], average daily morphine milligram equivalents (MME) over the coverage period, and concurrent days covered by an opioid and a prescription for benzodiazepines, sedatives, or hypnotics.
Results
A total of 53.5% of the cohort (269 individuals) filled at least 1 opioid prescription during their second or third year after SCI. In total, there were 3386 opioid fills during the 2-year study. On average, the total number of opioid prescription days was 293±367. The average coverage period was 389±290 days, and the average daily MME during the coverage period was 41±70 MME. Of those who filled an opioid prescription, 23% had high-risk fills (>50 MME), and 38% had concurrent prescriptions for benzodiazepines, sedatives, or hypnotics.
Conclusions
The prevalence of opioid use was high among individuals with chronic SCI, exceeding rates observed in the general population. Also concerning were the rates of high-risk fills, based on average daily MME and concurrent benzodiazepine, sedative, or hypnotic prescriptions. These findings, taken together with those of earlier studies, should be used by providers to assess and monitor opioid use, decrease concurrent high-risk medication use, and attenuate the risk of adverse outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267501
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 828-834[article]
Titre : A Consensus Statement for the Management and Rehabilitation of Communication and Swallowing Function in the ICU: A Global Response to COVID-19 Type de document : Article Auteurs : Amy Freeman-Sanderson ; Elizabeth C. Ward ; Anna Miles ; Irene de Pedro Netto ; Sallyanne Duncan ; Yoko Inamoto ; Jackie McRae ; Natasha Pillay ; Stacey A. Skoretz ; Margaret Walshe ; Martin B. Brodsky Année de publication : 2021 Article en page(s) : p. 835-842 Note générale : https://doi.org/10.1016/j.apmr.2020.10.113 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication ; COVID-19 ; Réadaptation ; SARS-CoV-2 ; Soins de réanimation ; Télémédecine ; Troubles de la déglutitionRésumé : Objective
To identify core practices for workforce management of communication and swallowing functions in coronavirus disease 2019 (COVID-19) positive patients within the intensive care unit (ICU).
Design
A modified Delphi methodology was used, with 3 electronic voting rounds. AGREE II and an adapted COVID-19 survey framework from physiotherapy were used to develop survey statements. Sixty-six statements pertaining to workforce planning and management of communication and swallowing function in the ICU were included.
Setting
Electronic modified Delphi process.
Participants
Speech-language pathologists (SLPs) (N=35) from 6 continents representing 12 countries.
Interventions
Not applicable.
Main Outcome Measures
The main outcome was consensus agreement, defined a priori as ≥70% of participants with a mean Likert score ≥7.0 (11-point scale: 0=strongly disagree, 10=strongly agree). Prioritization rank order of statements in a fourth round was also conducted.
Results
SLPs with a median of 15 years of ICU experience, working primarily in clinical (54%), academic (29%), or managerial positions (17%), completed all voting rounds. After the third round, 64 statements (97%) met criteria. Rank ordering identified issues of high importance.
Conclusions
A set of global consensus statements to facilitate planning and delivery of rehabilitative care for patients admitted to the ICU during the COVID-19 pandemic were agreed by an international expert SLP group. Statements focused on considerations for workforce preparation, resourcing and training, and the management of communication and swallowing functions. These statements support and provide direction for all members of the rehabilitation team to use for patients admitted to the ICU during a global pandemic.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267506
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 835-842[article]
Titre : Prevalence and Risk Factors of Adhesive Capsulitis in Asian Breast Cancer Patients Undergoing an Outpatient Community Cancer Rehabilitation Program Type de document : Article Auteurs : Chin Jung Wong ; Matthew Rong Jie Tay ; Hui Zhen Aw Année de publication : 2021 Article en page(s) : p. 843-848 Note générale : https://doi.org/10.1016/j.apmr.2020.10.105 Langues : Anglais (eng) Descripteurs : HE Vinci
Lymphoedeme ; Réadaptation ; Services de santé communautaires ; Survie (démographie) ; Tumeurs du seinRésumé : Objectives
To investigate the prevalence and risk factors for adhesive capsulitis in postoperative breast cancer patients up to 5 years after surgery who were attending an outpatient community cancer rehabilitation program, and to determine whether any significant relationship exists between arm lymphedema and adhesive capsulitis.
Design
Cross-sectional observational study.
Setting
National cancer rehabilitation center.
Participants
Asian women (N=135) who underwent breast surgery and were referred for an outpatient community cancer rehabilitation program.
Interventions
Not applicable.
Main Outcome Measures
Presence of adhesive capsulitis, lymphedema.
Results
The prevalence of adhesive capsulitis and lymphedema in this population was 22.2% and 33.3%, respectively. A history of mastectomy (odds ratio [OR], 3.93; 95% confidence interval [CI], 1.23-12.63; P=.021), mastectomy with reconstruction (OR, 2.72; 95% CI, 1.27-30.54; P=.024), and lymphedema (OR, 7.92; 95% CI, 2.73-22.95; P<.001 were found to be significantly associated with adhesive capsulitis on multivariate analysis.> Conclusions
Adhesive capsulitis and lymphedema are common in breast cancer survivors. The design of cancer rehabilitation programs for breast cancer survivors should include surveillance and management of adhesive capsulitis, especially in the presence of lymphedema.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267552
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 843-848[article]
Titre : Poststroke Fatigue at Admission is Associated With Independence Levels of Activities of Daily Living at Discharge From Subacute Rehabilitation Wards Type de document : Article Auteurs : Kazuaki Oyake ; Yohei Otaka ; Daisuke Matsuura ; Kaoru Honaga ; Naoki Mori ; Kunitsugu Kondo Année de publication : 2021 Article en page(s) : p. 849-855 Note générale : https://doi.org/10.1016/j.apmr.2020.10.117 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Angiopathies intracrâniennes ; Pronostic ; RéadaptationRésumé : Objective
To determine whether poststroke fatigue at admission is associated with the degree of independence in activities of daily living in patients with stroke at discharge from subacute rehabilitation wards.
Design
Retrospective cohort study.
Setting
Subacute rehabilitation hospital.
Participants
A consecutive sample of patients (N=156) with stroke who were admitted to a subacute rehabilitation ward between December 2012 and November 2013 were enrolled in the study.
Interventions
Not applicable.
Main Outcome Measures
Poststroke fatigue was assessed using the Fatigue Severity Scale within 2 weeks of admission. Poststroke fatigue was defined as the mean score of 4 points or more from among 9 items in the Fatigue Severity Scale. Functional outcome was assessed by using FIM motor items.
Results
Fifty-six (35.9%) of the 156 participants had poststroke fatigue at admission. The scores of the FIM motor items at admission and discharge were significantly lower in the fatigue group than in the nonfatigue group (P<.05 multiple regression analysis with potentially confounding variables revealed that poststroke fatigue was a significant independent factor for discharge fim motor items score> Conclusion
Poststroke fatigue at admission was significantly associated with functional outcome at discharge from subacute rehabilitation wards. Our findings emphasize that rehabilitation professionals need to manage poststroke fatigue in addition to providing the interventions to improve daily activities in patients with subacute stroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com./science/ [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267553
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 849-855[article]
Titre : Shoulder Pain Is Associated With Rate of Rise and Jerk of the Applied Forces During Wheelchair Propulsion in Individuals With Paraplegic Spinal Cord Injury Type de document : Article Auteurs : Benjamin J.H. Beirens ; Fransiska M. Bossuyt ; Ursina Arnet ; Lucas H. van der Woude ; Wiebe H.K. de Vries Année de publication : 2021 Article en page(s) : p. 856-864 Note générale : https://doi.org/10.1016/j.apmr.2020.10.114 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Réadaptation ; Scapulalgie ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate the association between propulsion biomechanics, including variables that describe smoothness of the applied forces, and shoulder pain in individuals with spinal cord injury (SCI).
Design
Cross-sectional, observational study.
Setting
Non-university research institution.
Participants
Community dwelling, wheelchair dependent participants (N=30) with chronic paraplegia between T2 and L1, with and without shoulder pain (age, 48.6±9.3y; 83% men).
Interventions
Not applicable.
Main Outcome Measures
Rate of rise and jerk of applied forces during wheelchair propulsion. Participants were stratified in groups with low, moderate, and high pain based on their Wheelchair User Shoulder Pain Index score on the day of measurement.
Results
A mixed-effect multilevel analysis showed that wheelchair users in the high pain group propelled with a significantly greater rate of rise and jerk, measures that describe smoothness of the applied forces, compared with individuals with less or no pain, when controlling for all covariables.
Conclusions
Individuals with severe shoulder pain propelled with less smooth strokes compared to individuals with less or no pain. This supports a possible association between shoulder pain and rate of rise and jerk of the applied forces during wheelchair propulsion.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267566
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 856-864[article]
Titre : Effect of Different Forms of Activity-Based Recovery Training on Bladder, Bowel, and Sexual Function After Spinal Cord Injury Type de document : Article Auteurs : Charles H. Hubscher ; Jennifer Wyles ; Anthony Gallahar ; Kristen Johnson ; Andrea Willhite ; Susan J. Harkema ; April N. Herrity Année de publication : 2021 Article en page(s) : p. 865-873 Note générale : https://doi.org/10.1016/j.apmr.2020.11.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Intestin neurogénique ; Réadaptation ; Traumatismes de la moelle épinière ; Troubles sexuels d'origine physiologique ; Vessie urinaireRésumé : Objectives
To investigate whether the urogenital and bowel functional gains previously demonstrated post-locomotor step training after chronic spinal cord injury could have been derived due to weight-bearing alone or from exercise in general.
Design
Prospective cohort study; pilot trial with small sample size.
Setting
Urogenital and bowel scientific core facility at a rehabilitation institute and spinal cord injury research center in the United States.
Participants
Men and women (N=22) with spinal cord injury (American Spinal Injury Association Impairment Scale grades of A-D) participated in this study.
Interventions
Approximately 80 daily 1-hour sessions of either stand training or nonweight-bearing arm crank ergometry. Comparisons were made with previously published locomotor training data (step; N=7).
Main Outcome Measures
Assessments at both pre- and post-training timepoints included cystometry for bladder function and International Data Set Questionnaires for bowel and sexual functions.
Results
Cystometry measurements revealed a significant decrease in bladder pressure and limited improvement in compliance with nonweight-bearing exercise but not with standing. Although International Data Set questionnaires revealed profound bowel dysfunction and marked deficits in sexual function pretraining, no differences were identified poststand or after nonweight-bearing exercise.
Conclusions
These pilot trial results suggest that, although stand and weight-bearing alone do not benefit pelvic organ functions after spinal cord injury, exercise in general may contribute at least partially to the lowering of bladder pressure and the increase in compliance that was seen previously with locomotor training, potentially through metabolic, humoral, and/or cardiovascular mechanisms. Thus, to maximize activity-based recovery training benefits for functions related to storage and emptying, an appropriate level of sensory input to the spinal cord neural circuitries controlling bladder and bowel requires task-specific stepping.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267570
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 865-873[article]
Titre : Sensorimotor, Cognitive, and Affective Functions Contribute to the Prediction of Falls in Old Age and Neurologic Disorders: An Observational Study Type de document : Article Auteurs : Kimberley S. van Schooten ; Morag E. Taylor ; Jacqueline C.T. Close ; Jennifer C. Davis ; Serena S. Paul ; Colleen Canning ; Mark D. Latt ; Phu Hoang ; Nicole A. Kochan ; Perminder S. Sachdev ; Henry Brodaty ; Catherine M. Dean ; Femke Hulzinga ; Stephen R. Lord ; Kim Delbaere Année de publication : 2021 Article en page(s) : p. 874-880 Note générale : https://doi.org/10.1016/j.apmr.2020.10.134 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Cognition ; Cortex sensorimoteur ; Dépression ; RéadaptationRésumé : Objective
To determine whether impairments across cognitive and affective domains provide additional information to sensorimotor deficits for fall prediction among various populations.
Design
We pooled data from 5 studies for this observational analysis of prospective falls.
Setting
Community or low-level care facility.
Participants
Older people (N=1090; 74.0±9.4y; 579 female); 500 neurologically intact (NI) older people and 3 groups with neurologic disorders (cognitive impairment, n=174; multiple sclerosis (MS), n=111; Parkinson disease, n=305).
Interventions
None.
Main Outcome Measures
Sensorimotor function was assessed with the Physiological Profile Assessment, cognitive function with tests of executive function, affect with questionnaires of depression, and concern about falling with falls efficacy questionnaires.
These variables were associated with fall incidence rates, obtained prospectively over 6-12 months.
Results
Poorer sensorimotor function was associated with falls (incidence rate ratio [95% CI], 1.46 [1.28-1.66]). Impaired executive function was the strongest predictor of falls overall (2.91 [2.27-3.73]), followed by depressive symptoms (2.07 [1.56-2.75]) and concern about falling (2.02 [1.61-2.55]). Associations were similar among groups, except for a weaker relationship with executive impairment in NI persons and a stronger relationship with concern about falling in persons with MS. Multivariable analyses showed that executive impairment, poorer sensorimotor performance, depressive symptoms, and concern about falling were independently associated with falls.
Conclusions
Deficits in cognition (executive function) and affect (depressive symptoms) and concern about falling are as important as sensorimotor function for fall prediction. These domains should be included in fall risk assessments for older people and clinical groups.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267571
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 874-880[article]
Titre : Association of Therapy Time Per Day With Functional Outcomes and Rate of Recovery in Older Adults After Elective Joint Replacement Surgery Type de document : Article Auteurs : Alison M. Cogan ; Jennifer A. Weaver ; David A. Ganz ; Leslie Davidson ; Keith R. Cole ; Trudy Mallinson Année de publication : 2021 Article en page(s) : p. 881-887 Note générale : https://doi.org/10.1016/j.apmr.2020.10.123 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie ; Gériatrie ; Gestion de la douleur ; RéadaptationRésumé : Objectives
To explore the association between therapy minutes per length of stay (LOS) day (TMLD), functional outcomes, and rate of functional recovery among older adults after elective hip or knee replacement surgery across postacute (PAC) settings.
Design
Secondary analysis of data collected for an observational cohort study from 2005 to 2010.
Setting
Four inpatient rehabilitation facilities (IRF) and 7 skilled nursing facilities (SNF).
Participants
Adults aged 65 years or older (N=162) with Medicare fee-for-service insurance and a primary diagnosis of elective hip or knee replacement.
Interventions
Not applicable.
Main Outcome Measures
FIM mobility and self-care measures at discharge.
Results
The TMLD was divided into high, medium, and low categories. Participants were grouped into low, medium, and high gain rate groups based on their average change in mobility and self-care FIM measures per LOS day. Gain rate and TMLD groups were crossmapped to create 9 gain-TMLD groups separately for mobility and self-care. There were no significant differences in admission mobility or self-care measures by gain rate and TMLD trajectory or by facility type (IRF or SNF). TMLD was not significantly associated with discharge mobility measures. Participants in high gain trajectories attained independence with mobility and self-care tasks at discharge regardless of TMLD. Those in low gain trajectories needed supervision or assistance on all mobility tasks. Older age and greater pain at discharge were significantly associated with lower odds of being in the medium or high gain rate groups.
Conclusions
For clinicians and facility managers who must care for patients with constrained resources, the shift to value-based reimbursement for rehabilitation services in PAC settings has reinvigorated the question of whether the duration of therapy provided influences patient outcomes. Three hours of daily therapy after joint replacement surgery may exceed what is necessary for recovery. Postsurgical pain management remains a significant challenge in older adults.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267572
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 881-887[article]
Titre : Twenty-Five-Year Cross-sequential Analysis of Self-reported Problems: Findings From 5 Cohorts From the Spinal Cord Injury Longitudinal Aging Study Type de document : Article Auteurs : Chao Li ; Jillian M.R. Clark ; James S. Krause Année de publication : 2021 Article en page(s) : p. 888-894 Note générale : https://doi.org/10.1016/j.apmr.2020.11.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Autorapport ; Isolement social ; Réadaptation ; Traumatismes de la moelle épinière ; VieillissementRésumé : Objective
To evaluate how self-reported problems change over time among people with spinal cord injury (SCI).
Design
Cross-sequential analysis.
Setting
Medical university in the Southeastern United States.
Participants
Participants included 1997 individuals with traumatic SCI of at least 1-year duration who were identified from participation in the SCI Longitudinal Aging Study from 1993-2018.
Interventions
None.
Main Outcome Measures
The outcomes analyzed were 6 problem factors defined as health, social isolation, emotional distress, environmental barriers, money, and lack of opportunities. A series of cross-sequential models, using PROC MIXED procedure, were developed to evaluate the initial and change of the 6 problem factors over the 6 times of measurements in 25 years.
Results
Years post injury was negatively associated with initial status of problems of social isolation, emotional distress, environmental barriers, and lack of opportunities because participants with more years post injury at baseline reported lower scores on each factor. Longitudinally, with increased years post injury, higher scores were observed on the health problem factor. However, problems of social isolation, emotional distress, environmental barriers, money, and lack of opportunities decreased over time with increasing years post injury.
Conclusions
Participants had more health problems with increasing years after SCI, but fewer problems of social isolation, emotional distress, environmental barriers, money, and lack of opportunities.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267573
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 888-894[article]
Titre : Classification of Stroke Patients With Dysphagia Into Subgroups Based on Patterns of Submental Muscle Strength and Skill Impairment Type de document : Article Auteurs : Karen B. Ng ; Richard D. Jones ; Esther Guiu Hernandez ; Phoebe Macrae ; Maggie-Lee Huckabee Année de publication : 2021 Article en page(s) : p. 895-904 Note générale : https://doi.org/10.1016/j.apmr.2020.11.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Déglutition ; Réadaptation ; Troubles de la déglutitionRésumé : Objectives
To identify and characterize subgroups of stroke patients with clinical signs of dysphagia, based on swallowing-related strength and skill impairments of the submental muscle group.
Design
Prospective observational study.
Setting
Inpatient rehabilitation centers and community dwellings.
Participants
Individuals (N=114), including stroke patients with dysphagia (n=55) and 2 control groups including myopathic patients with dysphagia (n=19) and healthy volunteers (n=40) were included in this study.
Interventions
Not applicable.
Main Outcome Measures
Novel clinical assessment of strength (force generation) and skill (spatial and temporal precision of muscle activation) of the submental muscle group during swallowing and nonswallowing behaviors, using surface electromyography and dynamometry.
Results
Hierarchical cluster analysis revealed 4 clusters, which could be broadly characterized as cluster 1: intact strength and skill, cluster 2: poor strength and poor nonswallowing skill, cluster 3: poor strength, and cluster 4: poor strength and poor swallowing skill. Membership in cluster was significantly associated with medical diagnosis (P<.001 the majority of healthy and myopathic participants were assigned to clusters respectively whereas stroke patients found in all clusters. skill outcome measures more predictive cluster assignment than strength measures.> Conclusions
Although healthy and myopathic participants demonstrated predominantly homogeneous swallowing patterns of submental muscle function within their etiology, several subgroups were identified within stroke, possibly reflecting different subtypes of swallowing function. Future research should focus on the nature and rehabilitation needs of these subtypes. Assessment of skill in swallowing may be an important but overlooked aspect of rehabilitation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267574
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 895-904[article]
Titre : Effects of Ultrasound-Guided Peritendinous and Intrabursal Corticosteroid Injections on Shoulder Tendon Elasticity: A Post Hoc Analysis of a Randomized Controlled Trial Type de document : Article Auteurs : Po-Cheng Hsu ; Ke-Vin Chang ; Wei-Ting Wu ; Jia-Chi Wang ; Lèvent Ozçakar Année de publication : 2021 Article en page(s) : p. 905-913 Note générale : https://doi.org/10.1016/j.apmr.2020.11.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Coiffe des rotateurs ; Corticostérone ; Epaule ; Imagerie d'élasticité tissulaire ; RéadaptationRésumé : Objectives
The study aimed to investigate whether the shoulder tendons changed their elasticity after ultrasound-guided peritendinous or intrabursal corticosteroid injections.
Design
Post hoc secondary analysis of a double-blinded, randomized controlled study with 3 months of follow-up.
Setting
Outpatient rehabilitation clinic.
Participants
Patients with subacromial impingement syndrome (N=60).
Interventions
Patients with unilateral shoulder pain were randomly assigned to receive standard ultrasound-guided subacromial or dual-target corticosteroid injections. The supraspinatus tendons were exposed to 40 mg triamcinolone acetonide in the formal group, whereas the long head of the biceps brachii tendons (LHBT) and supraspinatus tendons were individually infiltrated by 20 mg triamcinolone acetonide in the latter group. Patients’ bilateral shoulders were divided into group 1 (n=30, receiving standard subacromial injections), group 2 (n=30, receiving dual-target injections), and group 3 (n=60, without injections).
Main Outcome Measures
Strain ratio of LHBT and supraspinatus tendons using ultrasound elastography.
Results
The repeated-measures analysis of variance revealed no intragroup difference of the strain ratio of the LHBT (P=.412 for group 1, P=.936 for group 2, P=.131 for group 3) and supraspinatus tendon (P=.309 for group 1, P=.067 for group 2, P=.860 for group 3) across the 3 time points. Treating group 3 as the reference, the linear mixed model revealed no significant changes in tendon elasticity after either the standard subacromial injection (P=.205 for the LHBT and P=.529 for the supraspinatus tendon) or the dual-target injection (P=.961 for the LHBT and P=.831 for the supraspinatus tendon).
Conclusions
Elasticity of the LHBT and supraspinatus tendons is unlikely to change after a single dose of peritendinous or intrabursal corticosteroid injections. Future studies with a shorter follow-up interval are needed to validate whether corticosteroid injections can cause transient changes of the tendon’s elasticity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267575
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 905-913[article]
Titre : Unilateral Strength Training of the Less Affected Hand Improves Cortical Excitability and Clinical Outcomes in Patients With Subacute Stroke: A Randomized Controlled Trial Type de document : Article Auteurs : Nasrin Salehi Dehno ; Fahimeh Kamali ; Abdolhamid Shariat ; Shapour Jaberzadeh Année de publication : 2021 Article en page(s) : p. 914-924 Note générale : https://doi.org/10.1016/j.apmr.2020.12.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Excitabilité corticale ; Membre supérieur ; RéadaptationRésumé : Objectives
To investigate whether unilateral strength training helps improve cortical excitability and clinical outcomes after stroke.
Design
Randomized controlled trial.
Setting
Rehabilitation sciences research center.
Participants
Patients with subacute stroke (N=26) were randomly assigned to a control group (n=13) or the experimental group (n=13).
Interventions
Participants in both groups received conventional physiotherapy. The experimental group also received unilateral strength training of the less affected wrist extensors. Interventions were applied for 4 weeks (12 sessions, 3 d/wk).
Main Outcome Measures
Cortical excitability in both the ipsilesional hemisphere (ipsiH) and contralesional hemisphere (contraH) was assessed by measuring resting motor threshold (RMT), active motor threshold (AMT), motor evoked potential (MEP), and cortical silent period (CSP) at baseline and after the 4-week intervention period. Clinical outcomes were obtained by evaluating wrist extension strength in both the more affected and less affected hands, upper extremity motor function, activities of daily living (ADL), and spasticity.
Results
The experimental group showed greater MEP amplitude (P=.001) in the ipsiH and shorter CSP duration in both the ipsiH (P=.042) and contraH (P=.038) compared with the control group. However, the reductions in RMT and AMT in both hemispheres were not significantly different between groups. Improvements in wrist extension strength in the more affected (P=.029) and less affected (P=.001) hand, upper extremity motor function (P=.04), and spasticity (P=.014) were greater in the experimental group. No significant difference in ADLs was detected between groups.
Conclusions
A combination of unilateral strength training and conventional physiotherapy appears to be a beneficial therapeutic modality for improving cortical excitability and some clinical outcomes in patients with stroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267576
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 914-924[article]
Titre : Effect of Aerobic Exercise on Cardiopulmonary Responses and Predictors of Change in Individuals With Parkinson's Disease Type de document : Article Auteurs : Amanda L. Penko ; Nicole M. Zimmerman ; Michael Crawford ; Susan M. Linder ; Jay L. Alberts Année de publication : 2021 Article en page(s) : p. 925-931 Note générale : https://doi.org/10.1016/j.apmr.2020.12.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Consommation d'oxygène ; Epreuve d'effort ; Exercice physique ; Maladie de Parkinson ; RéadaptationRésumé : Objective
To determine the effect of aerobic exercise on maximal and submaximal cardiopulmonary responses and predictors of change in individuals with Parkinson's disease (PD).
Design
Single-center, parallel-group, rater-blind study.
Setting
Research laboratory.
Participants
Individuals with mild to moderate PD (N=100).
Intervention
Participants were enrolled in a trial evaluating the effect of cycling on PD and randomized to either voluntary exercise (VE), forced exercise (FE), or a no exercise control group. The exercise groups were time and intensity matched and exercised 3×/wk for 8 weeks on a stationary cycle.
Main Outcome Measures
Cardiopulmonary responses were collected via gas analysis during a maximal graded exercise test at baseline and post intervention.
Results
Exercise attendance was 97% and 93% for the FE and VE group, respectively. Average exercise heart rate reserve was 67%±11% for FE and 70%±10% for VE. No significant difference was present for change in peak oxygen consumption (VO2peak) post intervention, even though the FE group had a 5% increase in VO2peak. Both the FE and VE groups had significantly higher percentage oxygen consumption per unit time (
o2) at ventilator threshold (VT) than the control group compared with baseline values (P=.04). Mean
O2 at VT was 5% (95% CI, 0.1%-11%) higher in the FE group (P=.04) and 7% (2%, 12%) higher in VE group compared with controls. A stepwise linear regression model revealed that lower age, higher exercise cadence, and lower baseline VO2peak were most predictive of improved VO2peak. The overall model was found to be significant (P<.01> Conclusions
Peak and submaximal cardiopulmonary function may improve after aerobic exercise in individuals with PD. Lower age, higher exercise cadence, and lower baseline VO2peak were most predictive of improved VO2peak in this exercise cohort. The improvements observed in aerobic capacity were gained after a relatively short aerobic cycling intervention.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267577
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 925-931[article]
Titre : Overground Robotic Program Preserves Gait in Individuals With Multiple Sclerosis and Moderate to Severe Impairments: A Randomized Controlled Trial Type de document : Article Auteurs : Rakel Berriozabalgoitia ; Iraia Bidaurrazaga-Letona ; Erika Otxoa ; Miriam Urquiza ; Jon Irazusta ; Ana Rodriguez-Larrad Année de publication : 2021 Article en page(s) : p. 932-939 Note générale : https://doi.org/10.1016/j.apmr.2020.12.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche ; Fatigue ; Qualité de vie ; Réadaptation ; Sclérose en plaques ; Vitesse de marcheRésumé : Objective
To determine how overground robotic (OR) training added to ongoing rehabilitation affects gait speed, lower extremity function, functional mobility, and fatigue in individuals with multiple sclerosis (MS) and moderate to severe gait impairments.
Design
Randomized controlled trial.
Setting
Outpatient setting at the Multiple Sclerosis Association of Bizkaia, an association serving MS patients in Bizkaia, Spain.
Participants
Individuals with MS (N=36) participated in this interventional study. Inclusion criteria were age of 18 years or older, Expanded Disability Status Scale score between 4.5 and 7, and the need for assistive devices for walking outdoors.
Interventions
The control group (CG) engaged in an ongoing rehabilitation program consisting of weekly 1-hour individualized sessions. The intervention group (OR group) also participated in this program in addition to a twice-weekly individualized and progressive OR gait training intervention for 3 months, aiming to reach a maximum of 40 minutes by the end of the 3-month period.
Main Outcome Measures
Primary outcome was the 10-meter walking test (10MWT). Secondary variables included the Short Physical Performance Battery, the timed Up and Go (TUG) test, and the Modified Fatigue Impact Scale.
Results
The OR group maintained 10MWT performance and significantly improved on the TUG test (P=.049, medium effect size) without increasing fatigue perception. The CG demonstrated a decline on the 10MWT (P=.044, small effect size) and reduced fatigue (P=.024, medium effect size). No time per group interaction was observed for any variable.
Conclusion
The evaluated intervention could preserve gait speed and significantly improve functional mobility without increasing perceived fatigue in participants. Thus, OR exoskeletons could be considered a tool to deliver intensive practice of good-quality gait training in individuals with MS and moderate to severe gait impairments. Further studies are necessary to confirm these preliminary results.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267606
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 932-939[article]
Titre : Effectiveness of a Functional Rehabilitation Program for Upper Limb Apraxia in Poststroke Patients: A Randomized Controlled Trial Type de document : Article Auteurs : María Encarnación Aguilar-Ferrándiz ; Sonia Toledano-Moreno ; María Carmen García-Ríos ; Rosa María Tapia-Haro ; Francisco Javier Barrero-Hernández ; Antonio Casas-Barragán Année de publication : 2021 Article en page(s) : p. 940-950 Note générale : https://doi.org/10.1016/j.apmr.2020.12.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Apraxies ; Membre supérieur ; Qualité de vie ; RéadaptationRésumé : Objective
To analyze the effectiveness of a home-based restorative and compensatory upper limb apraxia (ULA) rehabilitation program.
Design
Randomized controlled trial.
Setting
Neurology Unit of San Cecilio Hospital and 2 private and specialized health care centers.
Participants
Community dwelling participants (N=38) between the ages of 25 and 95 years old (sex ratio, 1:1) with unilateral mild-to-moderate poststroke lesions (time of evolution since stroke, 12.03±8.98mo) and secondary ULA.
Interventions
Participants were randomly assigned to an 8-week combined ULA functional rehabilitation group (n=19) 3 days per week for 30 minutes or to a traditional health care education protocol group (n=19) once a month for 8 weeks. Both interventions were conducted at home.
Main Outcome Measures
Sociodemographic and clinical data, Barthel Index (primary outcome), Lawton and Brody Scale, observation and scoring activities of daily living, the De Renzi tests for ideational and ideomotor apraxia and imitating gestures test, recognition of gestures, test for upper limb apraxia , and stroke-specific quality of life scale were assessed at 3 time points: baseline, posttreatment (8wk), and follow-up (8wk).
Results
There were statistically significant differences among the groups regarding ideomotor apraxia, imitating gestures, global recognition of gestures, intransitive gestures, and comprehension of gesture production (P<.05 in favor of the experimental group. however no statistically significant differences were found between groups regarding functionality or quality life>.05). Regarding the within-group effect, statistically significant differences were found in all neuropsychological outcomes at posttreatment and follow-up (P<.05> Conclusion
A functional rehabilitation program was found to be superior to a traditional health care education program and resulted in improvements in neuropsychological functioning in ULA poststroke. Conventional education showed an insufficient effect on apraxia recovery. Further studies with larger sample sizes are needed to determine the effect of rehabilitation strategies on functionality and quality of life of poststroke ULA patients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267607
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 940-950[article]
Titre : One-Year Efficacy of Platelet-Rich Plasma for Moderate-to-Severe Carpal Tunnel Syndrome: A Prospective, Randomized, Double-Blind, Controlled Trial Type de document : Article Auteurs : Si-Ru Chen ; Yu-Ping Shen ; Tsung-Yen Ho ; Tsung-Ying Li ; Yu-Chi Su ; Yu-Ching Chou ; Liang-Cheng Chen ; Yung-Tsan Wu Année de publication : 2021 Article en page(s) : p. 951-958 Note générale : https://doi.org/10.1016/j.apmr.2020.12.025 Langues : Anglais (eng) Descripteurs : HE Vinci
Plasma riche en plaquettes ; Réadaptation ; Syndrome du canal carpienRésumé : Objective
To assess the therapeutic effect of platelet-rich plasma (PRP) for moderate-to-severe carpal tunnel syndrome (CTS).
Design
A prospective, randomized, double-blinded, controlled trial (1-year follow-up).
Setting
Outpatient of local medical center settings.
Participants
Patients (N=26) who were diagnosed with bilateral moderate-to-severe CTS (total 52 wrists) were included. For each patient, one wrist was randomized into either the PRP or control group and the contralateral wrist of the same patient was allocated to another group.
Twenty-four patients were included in the final data analysis.
Interventions
The wrists in the PRP group received a single ultrasound-guided dose of PRP injection (3.5mL), and the control group received a single ultrasound-guided injection with normal saline (3.5mL).
Main Outcome Measures
The Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) scores were used as the primary outcome. Secondary outcomes encompassed the cross-sectional area of the median nerve and electrophysiological study. Assessments were conducted prior to injection and 1, 3, 6, and 12 months postinjection.
Results
Compared to the control group, the PRP group exhibited significant improvements in BCTQ severity scores at all time points, BCTQ functional scores at the sixth month, and cross-sectional area at the 12th month postinjection (P<.0125> Conclusions
A single dose of ultrasound-guided perineural PRP injection can provide therapeutic effect for 1 year postinjection.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267608
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 951-958[article]
Titre : Effectiveness of Dry Needling Therapy on Pain, Hip Muscle Strength, and Physical Function in Patients With Hip Osteoarthritis: A Randomized Controlled Trial Type de document : Article Auteurs : Luis Ceballos-Laita ; Sandra Jiménez-del-Barrio ; Javier Marín-Zurdo ; Alejandro Moreno-Calvo ; Javier Marín-Boné ; María Isabel Albarova-Corral ; Elena Estébanez-de-Miguel Année de publication : 2021 Article en page(s) : p. 959-966 Note générale : https://doi.org/10.1016/j.apmr.2021.01.077 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Hanche ; Points de déclenchement ; RéadaptationRésumé : Objective
To investigate the short-term effects of dry needling (DN) on physical function, pain, and hip muscle strength in patients with hip osteoarthritis (OA).
Design
A double-blind, placebo-control, randomized controlled trial.
Setting
Private practice physiotherapy clinic.
Participants
Patients with unilateral hip OA (N=45) were randomly allocated to a DN group, sham DN group, or control group.
Interventions
Patients in the DN and sham groups received 3 treatment sessions. Three active myofascial trigger points (MTrPs) were treated in each session with DN or a sham needle procedure. The treatment was applied in active MTrPs of the iliopsoas, rectus femoris, tensor fasciae latae, and gluteus minimus muscles.
Main Outcome Measures
Physical function was assessed with the Western Ontario and McMaster Universities (WOMAC) physical function subscale, the timed Up and Go test, and the 40-meter self-paced walk test. Intensity of hip pain related to physical function was evaluated using the visual analog scale and WOMAC pain subscale. The maximal isometric force of hip muscles was recorded with a handheld dynamometer.
Results
Significant group by time interactions were shown for physical function, pain, and hip muscle force variables. Post hoc tests revealed a significant reduction in hip pain and significant improvements in physical function and hip muscle strength in the DN group compared with the sham and control groups. The DN group showed within- and between-groups large effect sizes (d>0.8).
Conclusions
DN therapy in active MTrPs of the hip muscles reduced pain and improved hip muscle strength and physical function in patients with hip OA. DN in active MTrPs of the hip muscles should be considered for the management of hip 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=267636
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 959-966[article]
Titre : A Comparative Study of Treatment Interventions for Patellar Tendinopathy: A Randomized Controlled Trial Type de document : Article Auteurs : María Pilar López-Royo ; José Ríos-Díaz ; Rita María Galán-Díaz ; Pablo Herrero ; Eva María Gómez-Trullén Année de publication : 2021 Article en page(s) : p. 967-975 Note générale : https://doi.org/10.1016/j.apmr.2021.01.073 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Ligament patellaire ; Réadaptation ; TendinopathieRésumé : Objectives
To determine the additional effect of dry needling (DN) or percutaneous needle electrolysis (PNE) combined with eccentric exercise (EE) and determine which is the most effective for patients with patellar tendinopathy (PT).
Design
Blinded, randomized controlled trial, with follow-up at 10 and 22 weeks.
Settings
Recruitment was performed in sport clubs. Diagnosis and intervention were conducted at San Jorge University.
Participants
Patients (N=48) with PT with pain for at least 3 months between the ages of 18 and 45 years.
Interventions
Three interventions were carried out: DN and EE, PNE and EE, and EE with sham needle as the control group.
Main Outcome Measures
Disability was measured using the Victorian Institute of Sports Assessment Questionnaire, patellar tendon. Visual analog scale was used to measure pain over time, the Short Form-36 was used to measure quality of life, and ultrasound was used to measure structural abnormalities.
Results
A total of 48 participants (42 men, 6 women; average age, 32.46y; SD, 7.14y) were enrolled. The improvement in disability and pain in each group between baseline and post-treatment and baseline and follow-up was significant (P≤.05), without differences among groups.
Conclusion
DN or PNE combined with an EE program has not shown to be more effective than a program of only EE to improve disability and pain in patients with PT in the short (10wk) and medium (22wk) terms. Clinical improvements were not associated with structural changes in the tendon.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267643
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 967-975[article]
Titre : Effect of Lung Volume Recruitment on Pulmonary Function in Progressive Childhood-Onset Neuromuscular Disease: A Systematic Review Type de document : Article Auteurs : Rachel O'Sullivan ; Judith Carrier ; Helen Cranney ; Rebecca Hemming Année de publication : 2021 Article en page(s) : p. 976-983 Note générale : https://doi.org/10.1016/j.apmr.2020.07.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Amyotrophie spinale ; Amyotrophies spinales infantiles ; Exercices respiratoires ; Maladie neuromusculaire ; Médecine physique et de réadaptation ; Mesure des volumes pulmonaires ; Myopathie de Duchenne ; Réadaptation ; Tests de la fonction respiratoireRésumé : Objectives
The focus of this systematic review was to consider whether lung volume recruitment (LVR) has an effect on pulmonary function test parameters in individuals with progressive childhood-onset neuromuscular diseases. The review was registered on PROSPERO (No. CRD42019119541).
Data Sources
A systematic search of the CINAHL, MEDLINE, AMED, EMCARE, Scopus, and Open Grey databases was undertaken in January 2019 considering LVR in the respiratory management of childhood-onset neuromuscular diseases.
Study Selection
Studies were included if either manual resuscitator bags or volume-controlled ventilators were used to perform LVR with participants older than 6 years of age. Critical appraisal tools from the Joanna Briggs Institute were used to assess the quality of studies. Nine studies were identified, 6 of which were of sufficient quality to be included in the review.
Data Extraction
Data extraction used a tool adapted from the Cochrane effective practice and organization of care group.
Data Synthesis
Results were compiled using a narrative synthesis approach focused on peak cough flow, forced vital capacity, and maximum inspiratory capacity outcomes.
Conclusions
Limited evidence suggests an immediate positive effect of LVR on peak cough flow and a potential long-term effect on the rate of forced vital capacity decline. Considering the accepted correlation between forced vital capacity and morbidity, this review suggests that LVR be considered for individuals with childhood-onset neuromuscular diseases once forced vital capacity starts to deteriorate. This review is limited by small sample sizes and the overall paucity of evidence considering LVR in this population group. Controlled trials with larger sample sizes are urgently 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=267646
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 976-983[article]
Titre : Systems Approach Is Needed for In-Hospital Mobility: A Qualitative Metasynthesis of Patient and Clinician Perspectives Type de document : Article Auteurs : Julie Stutzbach ; Jacqueline Jones ; Anna Taber ; John Recicar ; Robert E. Burke ; Jennifer Stevens-Lapsley Année de publication : 2021 Article en page(s) : p. 984-998 Note générale : https://doi.org/10.1016/j.apmr.2020.09.370 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Hôpitaux ; Kinésithérapeutes ; Mobilité réduite ; Patients hospitalisés ; Personne âgée fragile ; Personnel infirmier ; Réadaptation ; Recherche qualitativeRésumé : Objective
To describe how different key stakeholders (ie, interprofessional clinical care team and patients) perceive their role in promoting in-hospital mobility by systematically synthesizing qualitative literature.
Data Sources
PubMed, Ovid MEDLINE, Ovid PsychInfo, and Cumulative Index to Nursing and Allied Health were searched using terms relevant to mobility, hospitalization, and qualitative research. A total of 510 unique articles were retrieved and screened for eligibility.
Study Selection
Eligible qualitative studies included stakeholder perspectives on in-hospital mobility, including patients, nursing staff, rehabilitation staff, and physicians. Eleven articles remained after inclusion/exclusion criteria were applied.
Data Extraction
At least 2 authors independently read, coded, and derived themes from each study. We used a team-based inductive approach to thematic synthesis informed by critical realism and the socioecological model. Reciprocal translation unified convergent and divergent constructs across primary studies. Investigator triangulation enhanced interpretation.
Data Synthesis
Three primary themes emerged: (1) patient, family, and clinician expectations shape roles in in-hospital mobility; (2) stakeholders’ role in mobility depends on hospital environment, infrastructure, culture, and resources; and (3) teamwork creates successful in-hospital mobility, but lack of coordination and cooperation leads to delay in mobilizing. Studies suggested that while mobility is an essential construct in the professional role of clinicians and in the personal identity of patients, the ability of stakeholders to realize their role in mobility is highly dependent on the hospital physical and cultural environment, administrative support, clarity in professional roles, and teamwork.
Conclusions
Interventions designed to address the problem of low hospital mobility should take a systems approach and consider allocation of resources, clarity around professional responsibilities, and elevation of patient and clinician expectations surrounding mobility.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267649
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 984-998[article]
Titre : Addressing Sexuality Among People Living With Chronic Disease and Disability: A Systematic Mixed Methods Review of Knowledge, Attitudes, and Practices of Health Care Professionals Type de document : Article Auteurs : Margaret McGrath ; Michelle Anne Low ; Emma Power ; Annie McCluskey Année de publication : 2021 Article en page(s) : p. 999-1010 Note générale : https://doi.org/10.1016/j.apmr.2020.09.379 Langues : Anglais (eng) Descripteurs : HE Vinci
Attitude ; Maladie chronique ; Réadaptation ; SexualitéRésumé : Objective
To systematically review health care professionals’ practices and attitudes toward addressing sexuality with people who are living with chronic disease and disability.
Data Sources
Scopus, PubMed, PsycINFO, Cumulative Index to Nursing and Allied Health, Allied and Complementary Medicine Database, and MEDLINE were searched to August 2020 for English language publications. Reference lists of relevant publications were also searched.
Study Selection
Eligible studies reported on knowledge, attitudes, and behaviors of health care professionals about addressing sexuality in the context of chronic disease and disability. The search yielded 2492 records; 187 full texts were assessed for eligibility and 114 documents were included (103 unique studies). Study quality was rated using the Mixed Methods Appraisal Tool.
Data Extraction
Characteristics of included studies were recorded independently by 2 authors. Differences were resolved through discussion or by a third author.
Data Synthesis
A sequential, exploratory mixed studies approach was used for synthesis. Pooled analysis showed that 14.2% (95% CI, 10.6-18.9 [I2=94.8%, P<.001 of health professionals report routinely asking questions or providing information about sexuality. reported limited confidence competence and comfort when initiating conversations sexuality responding to patient questions. sexual rehabilitation typically focused on the effect disease disability medication function. broader dimensions were rarely addressed.> Conclusion
Despite recognizing the value of sexuality to health and well-being, most health professionals regardless of clinical context fail to routinely include assessment of sexuality in their practice. Professionals have limited knowledge and confidence when addressing sexuality and experience significant discomfort when raising this topic with people living with chronic disease and disability. Multicomponent implementation programs are needed to improve health professionals’ knowledge, competence, and comfort when addressing sexuality for people living with chronic disease and 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=267651
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 999-1010[article]
Titre : Systematic Review and Meta-Analysis of the Effectiveness of Mental Practice for the Upper Limb After Stroke: Imagined or Real Benefit? Type de document : Article Auteurs : Rachel C. Stockley ; Kathryn Jarvis ; Paul Boland ; Andrew J. Clegg Année de publication : 2021 Article en page(s) : p. 1011-1027 Note générale : https://doi.org/10.1016/j.apmr.2020.09.391 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Réadaptation ; Revue systématiqueRésumé : Objectives
This systematic review sought to determine the effectiveness of mental practice (MP) on the activity limitations of the upper limb in individuals after stroke, as well as when, in whom, and how MP should be delivered.
Data Sources
Ten electronic databases were searched from November 2009 to May 2020. Search terms included: Arm, Practice, Stroke rehabilitation, Imagination, Paresis, Recovery of function, and Stroke. Studies from a Cochrane review of MP (up to November 2009) were automatically included. The review was registered with the PROSPERO database of systematic reviews (reference no.: CRD42019126044).
Study Selection
Randomized controlled trials of adults after stroke using MP for the upper limb were included if they compared MP to usual care, conventional therapy, or no treatment and reported activity limitations of the upper limb as outcomes. Independent screening was conducted by 2 reviewers.
Data Extraction
One reviewer extracted data using a tool based on the Template for Intervention Description and Replication. Data extraction was independently verified by a second reviewer. Quality was assessed using the PEDro tool.
Data Synthesis
Fifteen studies (n=486) were included and 12 (n=328) underwent meta-analysis. MP demonstrated significant benefit on upper limb activities compared with usual treatment (standardized mean difference [SMD], 0.6; 95% confidence interval [CI], 0.32-0.88). Subgroup analyses demonstrated that MP was most effective in the first 3 months after stroke (SMD, 1.01; 95% CI, 0.53-1.50) and in individuals with the most severe upper limb deficits (weighted mean difference, 7.33; 95% CI, 0.94-13.72).
Conclusions
This review demonstrates that MP is effective in reducing activity limitations of the upper limb after stroke, particularly in the first 3 months after stroke and in individuals with the most severe upper limb dysfunction. There was no clear pattern of the ideal dosage of MP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=267654
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 5 (2021) . - p. 1011-1027[article]
Paru le : 01/04/2021
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Titre : Development of a Core Set for Knee Dysfunction Based on the International Classification of Functioning, Disability and Health: A Cross-sectional Study Type de document : Article Auteurs : Andersom Ricardo Fréz ; Sandra Regina Alouche ; Aline Cristiane Binda ; Gabrielle Watermann Vieira ; Bruna Aparecida Metinoski Bueno ; Cristina Maria Nunes Cabral Année de publication : 2021 Article en page(s) : p. 571-581 Note générale : https://doi.org/10.1016/j.apmr.2020.10.139 Langues : Anglais (eng) Descripteurs : HE Vinci
Classification internationale du fonctionnement, du handicap et de la santé (ICF) ; Études transversales ; GenouRésumé : Objective
To develop an International Classification of Functioning, Disability and Health core set for patients with knee dysfunction.
Design
Cross-sectional study.
Setting
The study was conducted at all levels of care (general community, primary care units, rehabilitation clinics/centers, hospital).
Participants
Participants (N=388) with knee dysfunction with or without clinical diagnosis of knee pathology, with or without complaint of pain, with or without instability, and/or with or without knee movement restriction of any type.
Interventions
Not applicable.
Main Outcome Measures
Participants were assessed using the core sets for acute and postacute musculoskeletal conditions, the subjective form from the International Knee Documentation Committee scale, the self-report of general health and functionality, and the general health and functionality classified by the researcher. To identify the categories that best explain knee dysfunction, linear regression analyses were performed.
Results
Twenty-four categories were identified from the 75 core set categories for acute and postacute musculoskeletal conditions. Eleven categories belong to the component body functions, 3 represent body structures, 7 represent activities and participation, and 3 represent environmental factors.
Conclusions
A core set for knee dysfunction that can be used at all levels of health care was proposed, which offers a system for disability assessment related to knee dysfunction, including environmental and social factors. These factors are important for a broad assessment because they include the multiple aspects of functionality, usually not considered in other knee dysfunction assessment instruments. Further analysis of the content and construct validity of the core set is required.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266333
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 571-581[article]
Titre : The Gait Disorientation Test: A New Method for Screening Adults With Dizziness and Imbalance Type de document : Article Auteurs : Colin R. Grove ; Bryan C. Heiderscheit ; Mark G. Pyle ; Brian J. Loyd ; Susan L. Whitney Année de publication : 2021 Article en page(s) : p. 582-590 Note générale : https://doi.org/10.1016/j.apmr.2020.11.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladies vestibulaires ; Navigation spatiale ; Réadaptation ; Sensibilité et spécificité ; Vestibulopathie bilatéraleRésumé : Objective
To develop and evaluate a new method for identifying gait disorientation due to vestibular dysfunction.
Design
The gait disorientation test (GDT) involves a timed comparison of the ability to walk 6.096 m with eyes open versus eyes closed. In this prospective study, participants were grouped based on vestibular function. All participants completed a clinical examination, self-report- and performance-based measures relevant to vestibular rehabilitation, and the tasks for the GDT. Vestibular-impaired participants underwent the criterion standard, videonystagmography and/or rotational chair testing.
Setting
Ambulatory clinic, tertiary referral center.
Participants
Participants (N=40) (20 vestibular-impaired, 30 women, 49.9±16.1years old) were enrolled from a convenience/referral sample of 52 adults.
Main Outcome and Measure(s)
We determined test-retest reliability using the intraclass correlation coefficient model 3,1; calculated the minimal detectable change (MDC); examined concurrent validity through Spearman correlation coefficients; assessed criterion validity with the area under the curve (AUC) from receiver operator characteristic analysis; and computed the sensitivity, specificity, diagnostic odds ratio (DOR), likelihood ratios for positive (LR+) and negative (LR−) tests, and posttest probabilities of a diagnosis of vestibulopathy. The 95% confidence interval demonstrates measurement uncertainty.
Results
Test-retest reliability was 0.887 (0.815, 0.932). The MDC was 3.7 seconds. Correlations with other measures ranged from 0.59 (0.34, 0.76) to −0.85 (−0.92, −0.74). The AUC was 0.910 (0.822, 0.998), using a threshold of 4.5 seconds. The sensitivity and specificity were 0.75 (0.51, 0.91) and 0.95 (0.75, 1), respectively. The DOR=57 (6, 541.47), LR+ =15 (2.18, 103.0), and LR− =0.26 (0.12, 0.9). Positive posttest probabilities were 89%-94%.
Conclusions and Relevance
The GDT has good reliability, excellent discriminative ability, strong convergent validity, and promising clinical utility.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266334
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 582-590[article]
Titre : Psychometric Properties of the Coma Near-Coma Scale for Adults in Disordered States of Consciousness: A Rasch Analysis Type de document : Article Auteurs : Jennifer A. Weaver ; John Liu ; Ann Guernon ; Theresa Louise Bender Pape ; Trudy Mallinson Année de publication : 2021 Article en page(s) : p. 591-597 Note générale : https://doi.org/10.1016/j.apmr.2020.10.119 Langues : Anglais (eng) Descripteurs : HE Vinci
Lésions encéphaliques ; Réadaptation ; Troubles de la conscienceRésumé : Objectives
To examine the construct validity and measurement precision of the Coma Near-Coma scale (CNC) in measuring neurobehavioral function (NBF) in patients with disorders of consciousness receiving postacute care rehabilitation.
Design
Rasch analysis of retrospective data.
Participants
Participants (N=48) with disordered consciousness who were admitted to postacute care rehabilitation.
Interventions
Not applicable.
Main Outcome Measure
CNC.
Results
Assessment with CNC repeated weekly until the participant was conscious or discharged from the postacute care facility (451 participant records). Rating scale steps were ordered for all items. Eight of the 10 CNC items evaluated in this study fit the measurement model (χ2=5332.58; df=11; P=.17); pain items formed a distinct construct. The ordering of the 8 items from most to least challenging makes clinical sense and compares favorably with other published hierarchies of NBF. Tactile items are more easily responded to. Visual and auditory items requiring higher cognitive processing were more challenging. In the full sample, the CNC achieved good measurement precision, with a person separation reliability of 0.87.
Conclusions
The items of the CNC reflect good construct validity and acceptable interrater reliability. The measurement precision achieved indicates that the CNC may be used to make decisions about groups of individuals but that these items may not be sufficiently precise for individual patient treatment decision-making.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266335
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 591-597[article]
Titre : Cross-Validation of a Screening Tool to Distinguish Between Fallers and Nonfallers in Community-Dwelling Older Adults With Knee Osteoarthritis Type de document : Article Année de publication : 2021 Article en page(s) : p. 598-603 Note générale : https://doi.org/10.1016/j.apmr.2020.12.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Chutes accidentelles ; Genou ; Gonarthrose ; Médecine physique et de réadaptation ; Prise de décision clinique ; RéadaptationRésumé : Objectives
This study aimed to cross-validate a previously developed knee osteoarthritis falls (KOAF) screening tool to distinguish between fallers and nonfallers among community-dwelling older adults with knee osteoarthritis (OA).
Design
Cross-sectional survey study.
Setting
Three independent orthopedic clinics.
Participants
Older outpatients with knee OA (N=86; 71 women, 15 men; mean age, 75.2±6.2y).
Interventions
Not applicable.
Main Outcome Measures
The primary outcome was to identify fallers and nonfallers among outpatients with OA based on their history of falls within the past year. We investigated factors including sex, age, body mass index, Kellgren-Lawrence grade, affected side (bilateral or unilateral knee OA), number of comorbidities, pharmacotherapy, physical therapy, pain, and activity as individual predictors of falls. Participants performed the one-leg standing test and the 5 times sit-to-stand test to determine motor function. Sensitivity, specificity, likelihood ratio, and post-test probability of the KOAF screening tool were calculated using receiver operating characteristic (ROC) curve analysis.
Results
The results of the one-leg standing test and 5 times sit-to-stand test differed significantly between the 2 groups (P<.05 roc curve analysis showed that the area under was confidence interval p post-test probability of falls likelihood ratio when total score koaf screening tool points and less than point.> Conclusions
Cross-validation results for the KOAF screening tool were better, confirming that the screening tool could distinguish between fallers and nonfallers with high accuracy. Our findings suggest that this simple screening tool could be readily used in clinical practice and could aid in clinical decision-making through providing choices for physical therapy evaluation and recommendations for physical therapy programs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266347
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 598-603[article]
Titre : Responsiveness and Minimal Clinically Important Difference of the Motor Function Measure in Collagen VI-Related Dystrophies and Laminin Alpha2-Related Muscular Dystrophy Type de document : Article Auteurs : Laure Le Goff ; Katherine G. Meilleur ; Gina Norato ; Pascal Rippert ; Minal Jain ; Margaret Fink ; Reghan A. Foley ; Melissa Waite ; Sandra Donkervoort ; Carsten G. Bönnemann ; Carole Vuillerot Année de publication : 2021 Article en page(s) : p. 604-610 Note générale : https://doi.org/10.1016/j.apmr.2020.10.116 Langues : Anglais (eng) Descripteurs : HE Vinci
Dystrophies musculaires ; RéadaptationRésumé : Objectives
To investigate the responsiveness of the motor function measure (MFM) and determine the minimal clinically important difference (MCID) in individuals with 2 common types of congenital muscular dystrophy (CMD).
Design
Observational, prospective, single center, cohort study.
Setting
National Institute of Neurological Disorders and Stroke (NINDS) of the National Institutes of Health (NIH).
Participants
Individuals (N=44) with collagen VI-related dystrophies (COL6-RD, n=23) and 21 individuals laminin alpha2-related muscular dystrophy (LAMA2-RD, n=21) enrolled in a 4-year longitudinal natural history study.
Interventions
Not applicable.
Main Outcome Measures
Responsiveness of the MFM-32 and the Rasch-scaled MFM-25 and the MCID of the MFM-32 determined from a patient-reported anchor with 2 different methods, within-patient and between-patient.
Results
The original MFM-32 and Rasch-scaled MFM-25 performed similarly overall in both the COL6-RD and LAMA2-RD populations, with all subscores (D1, standing and transfers; D2, axial and proximal; D3, distal) showing a significant decrease over time, except MFM D1 and D3 for LAMA2-RD. The MFM D1 subscore was the most sensitive to change for ambulant individuals, whereas the MFM D2 subscore was the most sensitive to change for nonambulant individuals. The MCID for the MFM-32 total score was calculated as 2.5 and 3.9 percentage points according to 2 different methods.
Conclusions
The MFM showed strong responsiveness in individuals with LAMA2-RD and COL6-RD. Because a floor effect was identified more prominently with the Rasch-Scaled MFM-25, the use of the original MFM-32 as a quantitative variable with the assumption of scale linearity appears to be a good compromise. When designing clinical trials in congenital muscular dystrophies, the use of MCID for MFM should be considered to determine if a given intervention effects show not only a statistically significant change but also a clinically meaningful change.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266349
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 604-610[article]
Titre : Asymmetry and Variability Should Be Included in the Assessment of Gait Function in Poststroke Hemiplegia With Independent Ambulation During Early Rehabilitation Type de document : Article Auteurs : Woo-Sub Kim ; Hanboram Choi ; Jung-Woo Jung ; Joon Sik Yoon ; Ju Hyong Jeoung Année de publication : 2021 Article en page(s) : p. 611-618 Note générale : https://doi.org/10.1016/j.apmr.2020.10.115 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Démarche ; RéadaptationRésumé : Objective
To extract independent features from spatiotemporal data of poststroke gait.
Design
Retrospective observational study.
Setting
Motion analysis laboratory in the rehabilitation department of a university hospital.
Participants
Convenience sample from inpatients in subacute recovery stage post stroke. Of 98 patients post stroke who underwent gait assessment, 69 patients post stroke were included in the data analysis (N=69). They could walk more than 10 m without personal assist or assistive devices.
Interventions
Not applicable.
Main Outcome Measures
Spatiotemporal parameters during level walking and their asymmetry and variability were obtained by insole foot pressure measurement system.
Results
Of independent components extracted by principal component analysis, 3 independent components explained 81.9% of total variance of spatiotemporal poststroke gait data. The first component has associations with walking speed and proportion of double support phase, and it explains 46.6% of total variance. The second component has association with temporal asymmetry, and it explains 21.1% of total variance. The third component has association with temporal variability, and it explains 14.2% of total variance. Principal component scores did not show significant differences between stroke types and among stroke lesions.
Conclusions
Temporal asymmetry and variability should be included in the assessment of poststroke gait during early rehabilitation. They are independent of each other and provide characteristics of poststroke gait that are independent to the walking speed. They are helpful for rehabilitation planning and developing treatment strategy in poststroke gait 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=266370
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 611-618[article]
Titre : Validation of the Activities-Specific Balance Confidence Scale With 5-Option Response Format in Slovene Lower-Limb Prosthetic Users Type de document : Article Auteurs : Franco Franchignoni ; Andrej Bavec ; Urska Zupanc ; Andrea Giordano ; Caterina Albensi ; Helena Burger Année de publication : 2021 Article en page(s) : p. 619-625 Note générale : https://doi.org/10.1016/j.apmr.2020.10.126 Langues : Anglais (eng) Résumé : Objective
To examine the psychometric properties of the Activities-specific Balance Confidence (ABC) scale administered in the Slovene version with a simplified 5-option response format (ABC-5/SLO) using Rasch analysis.
Design
Methodological research on data gathered in a cross-sectional study.
Setting
Outpatient university rehabilitation clinic.
Participants
A convenience sample of adults with unilateral lower-limb amputation (N=138; 75% men) longer than 6 months who regularly wear a prosthesis.
Intervention
Not applicable.
Main Outcome Measures
We evaluated functioning of rating scale categories, internal construct validity, reliability indices, and dimensionality using the ABC-5/SLO (0=no confidence to 4=complete confidence).
Results
The ABC-5/SLO rating scale fulfilled the category functioning criteria. All items fit the underlying scale construct (balance confidence) except item 8 (“walk outside the house to a car parked in the driveway”), which was overfitting. The person abilities-item difficulty matching (targeting) was good. The person separation reliability was .92, and the item separation reliability was .99. Analysis of the standardized Rasch residuals showed the scale’s unidimensionality and absence of high item dependency (residual correlations, <.30 the correlation between abc-5 and prosthetic mobility questionnaire measures was high as expected. minor signs of item redundancy were found.> Conclusions
The simplified ABC-5/SLO scale is a valid and reliable measure of balance confidence for individuals with lower-limb amputation. It is possible to transform the ordinal summed raw scores of the ABC-5/SLO into interval-level measurements using a nomogram.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266373
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 619-625[article]
Titre : Reliability and Validity of the Lower Extremity Motor Activity Log for Measuring Real-World Leg Use in Adults With Multiple Sclerosis Type de document : Article Auteurs : Sarah M. dos Anjos ; Victor W. Mark ; Christina M. Rodriguez ; David M. Morris ; Jean E. Crago ; Danna K. King ; Gitendra Uswatte ; Edward Taub Année de publication : 2021 Article en page(s) : p. 626-632 Note générale : https://doi.org/10.1016/j.apmr.2020.10.125 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité motrice ; Membre inférieur ; Réadaptation ; Sclérose en plaquesRésumé : Objectives
To determine the test-retest reliability and validity of the Lower Extremity Motor Activity Log (LE-MAL) for assessing LE use in the community in adults with multiple sclerosis (MS).
Design
Prospective analysis of measures conducted by trained examiners.
Setting
Participants were evaluated by telephone on several measures of LE use.
Participants
Adults with MS (N=43).
Interventions
Not applicable.
Main Outcome Measures
The LE-MAL has 3 subscales (Assistance, Functional Performance, and Confidence). It was administered twice, at least 2 weeks apart. The Multiple Sclerosis Walking Scale (MSWS-12), Patient Determined Disease Steps (PDDS), and Mobility Scale were only administered during the first call.
Results
The test-retest reliability of the composite and the 3 subscale LE-MAL scores were high (intraclass correlation, >0.94). The composite and subscale LE-MAL scores were strongly correlated with the MSWS-12, PDDS, and Mobility Scale scores (r=–0.56 to –0.77; P<.001> Conclusion
This initial study suggests that the LE-MAL reliably and validly measures LE use in the community in adults 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=266376
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 626-632[article]
Titre : An Evaluation of the Structural Validity of the Work Limitation Questionnaire Using the Rasch Model Type de document : Article Auteurs : Ze Lu ; Joy C. MacDermid ; L. Packham Tara ; Dianne Bryant ; Kenneth Faber Année de publication : 2021 Article en page(s) : p. 633-644 Note générale : https://doi.org/10.1016/j.apmr.2020.11.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Efficacité au travail ; Présentéisme ; Réadaptation ; TravailRésumé : Objective
To investigate the targeting, scaling, and structural validity of the Work Limitation Questionnaire (WLQ) using Rasch analysis.
Design
Secondary data analysis.
Setting
Tertiary care hospital.
Participants
The data were sourced from an upper limb specialty clinic of injured workers using the convenience sampling method and from a national randomized controlled trial investigating 2 surgical options for rotator cuff repair by formal, randomized selection (N=315).
Interventions
Not applicable.
Main Outcome Measures
Work Limitation Questionnaire 25-item version (WLQ-25). The WLQ contains 25 items measuring a client’s ability to perform specific job demands on a 5-point ordinal response scale ranging from 0 (difficulty none of the time) to 4 (difficulty all the time). The average of all 25 items is used as the total score, ranging from 0 to 4, where higher index scores indicate greater difficulty performing daily work. Subscales were used to assess time management, physical demands (PD), mental-interpersonal demands, and output demands.
Results
The Rasch analyses performed on the dataset included the test of fit of residuals, ordering of item thresholds, Person separation index, differential item functioning (DIF), dependency, and unidimensionality. The partial credit model was selected for the current Rasch analysis because the likelihood ratio test was significant at both the overall questionnaire and the subscale level (P<.001 the wlq-25 did not fit with rasch model df="125;" p and most of thresholds were disordered. a series steps undertaken to improve statistic including item reduction items response merging dif was absent in revised scale based on sex age full- or part-time employment type employment. only subscales namely pd mental demands interpersonal demonstrated acceptable model.> Conclusions
The WLQ-25 demonstrated substantial misfit from the Rasch model, which could not be fully mediated. The revised PD, mental demands, and interpersonal demands subscales could be used to assess these constructs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266381
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 633-644[article]
Titre : Changes in the Activity Measure for Post-Acute Care Domains in Persons With Stroke During the First Year After Discharge From Inpatient Rehabilitation Type de document : Article Auteurs : Michael W. O'Dell ; Abhishek Jaywant ; Megan Frantz ; Ruchi Patel ; Erica Kwong ; Karen Wen ; Michael Taub ; Marc Campo ; Joan Toglia Année de publication : 2021 Article en page(s) : p. 645-655 Note générale : https://doi.org/10.1016/j.apmr.2020.11.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Réadaptation ; Soins de suiteRésumé : Objective
To describe functional changes after inpatient stroke rehabilitation using the Activity Measure for Post-Acute Care (AM-PAC), an assessment measure sensitive to change and with a low risk of ceiling effect.
Design
Retrospective, longitudinal cohort study.
Setting
Inpatient rehabilitation unit of an urban academic medical center.
Participants
Among 433 patients with stroke admitted from 2012-2016, a total of 269 (62%) were included in our database and 89 of 269 patients (33.1%) discharged from inpatient stroke rehabilitation had complete data. Patients with and without complete data were very similar. The group had a mean age of 68.0±14.2 years, National Institutes of Health Stroke Score of 8.0±8.0, and rehabilitation length of stay of 14.7±7.4 days, with 84% having an ischemic stroke and 22.5% having a recurrent stroke.
Intervention
None.
Main Outcome Measures
Changes in function across the first year after discharge (DC) were measured in a variety of ways. Continuous mean scores for the basic mobility (BM), daily activity (DA), and applied cognitive domains of the AM-PAC were calculated at and compared between inpatient DC and 6 (6M) and 12 months (12M) post DC. Categorical changes among individuals were classified as “improved,” “unchanged,” or “declined” between the 3 time points based on the minimal detectable change, (estimated) minimal clinically important difference, and a change ≥1 AM-PAC functional stage (FS).
Results
For the continuous analyses, the Friedman test was significant for all domains (P≤.002), with Wilcoxon signed-rank test significant for all domains from DC to 6M (all P<.001 but with no change in bm and da between>.60) and a decline in applied cognition (P=.002). Despite group improvements from DC to 6M, for categorical changes at an individual level 10%-20% declined and 50%-70% were unchanged. Despite insignificant group differences from 6M-12M, 15%-25% improved and 20%-30% declined in the BM and DA domains.
Conclusions
Despite group gains from DC to 6M and an apparent “plateau” after 6M post stroke, there was substantial heterogeneity at an individual level. Our results underscore the need to consider individual-level outcomes when evaluating progress or outcomes 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=266386
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 645-655[article]
Titre : Integrated Knowledge Translation Guiding Principles for Conducting and Disseminating Spinal Cord Injury Research in Partnership Type de document : Article Auteurs : Heather L. Gainforth ; Femke Hoekstra ; Rhyann McKay ; Christopher B. McBride ; Shane N. Sweet ; Kathleen A. Martin Ginis ; Kim Anderson ; John Chernesky ; Teren Clarke ; Susan Forwell ; Jocelyn Maffin ; Lowell T. McPhail ; Ben W. Mortenson ; Gayle Scarrow ; Lee Schaefer ; Kathryn M. Sibley ; Peter Athanasopoulos ; Rhonda Willms Année de publication : 2021 Article en page(s) : p. 656-663 Note générale : https://doi.org/10.1016/j.apmr.2020.09.393 Langues : Anglais (eng) Descripteurs : HE Vinci
Consensus ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To address a gap between spinal cord injury (SCI) research and practice by rigorously and systematically co-developing integrated knowledge translation (IKT) guiding principles for conducting and disseminating SCI research in partnership with research users.
Design
The process was guided by the internationally accepted The Appraisal of Guidelines for REsearch & Evaluation (AGREE) II Instrument for evaluating the development of clinical practice guidelines.
Setting
North American SCI research system (ie, SCI researchers, research users, funders).
Participants
The multidisciplinary expert panel (n=17) and end users (n=35) included individuals from a North American partnership of SCI researchers, research users, and funders who have expertise in research partnerships.
Interventions
Not applicable.
Main Outcome Measures
Clarity, usefulness, and appropriateness of the principles.
Results
Data regarding 125 principles of partnered research were systematically collected from 4 sources (review of reviews, scoping review, interviews, Delphi consensus exercise). A multidisciplinary expert panel held a 2-day meeting to establish consensus, select guiding principles, and draft the guidance. The panel reached 100% consensus on the principles and guidance document. The final document includes a preamble, 8 guiding principles, and a glossary. Survey data showed that the principles and guidance document were perceived by potential end users as clear, useful, and appropriate.
Conclusions
The IKT Guiding Principles represent the first rigorously co-developed, consensus-based guidance to support meaningful SCI research partnerships. The principles are a foundational tool with the potential to improve the relevance and impact of SCI research, mitigate tokenism, and advance the science of IKT.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266419
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 656-663[article]
Titre : Core Domains for Research on Hospital Inactivity in Acutely Ill Older Adults: A Delphi Consensus Study Type de document : Article Auteurs : Claire E. Baldwin ; Anna C. Phillips ; Sarah M. Edney ; Lucy K. Lewis Année de publication : 2021 Article en page(s) : p. 664-674 Note générale : https://doi.org/10.1016/j.apmr.2020.10.136 Langues : Anglais (eng) Descripteurs : HE Vinci
Consensus ; Évaluation des résultats des patients ; Exercice physique ; Hospitalisation ; Maladie aigüe ; Mesures des résultats rapportés par les patients (PROM) ; Mode de vie sédentaire ; Personne âgée fragileRésumé : Obje