Archives of Physical Medicine and Rehabilitation
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Ajouter le résultat dans votre panierEffects of the Robot-Assisted Gait Training Device Plus Physiotherapy in Improving Ambulatory Functions in Patients With Subacute Stroke With Hemiplegia: An Assessor-Blinded, Randomized Controlled Trial / Natapatchakrid Thimabut in Archives of Physical Medicine and Rehabilitation, Vol. 103, n° 5 (2022)
Titre : Effects of the Robot-Assisted Gait Training Device Plus Physiotherapy in Improving Ambulatory Functions in Patients With Subacute Stroke With Hemiplegia: An Assessor-Blinded, Randomized Controlled Trial Type de document : Article Auteurs : Natapatchakrid Thimabut ; Pattarapol Yotnuengnit ; Jittima Charoenlimprasert ; Thipwimon Sillapachai ; Satoshi Hirano ; Eiichi Saitoh ; Krisna Piravej Année de publication : 2022 Article en page(s) : p. 843-850 Note générale : https://doi.org/10.1016/j.apmr.2022.01.146 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Hémiplégie ; RéadaptationRésumé : Objective
To investigate the effects of the robot-assisted gait training (RAGT) device plus physiotherapy vs physiotherapy alone in improving ambulatory functions in patients with subacute stroke with hemiplegia.
Design
A prospective, assessor-blinded, randomized controlled trial.
Setting
Patients with subacute stroke with hemiplegia admitted at the Rehabilitation Center.
Participants
Twenty-six patients with subacute stroke with hemiplegia (N=26).
Intervention
All patients received 30 training sessions (5 d/wk for 6 wk), which included conventional physiotherapy training (60 minutes) and ambulation training (60 minutes). In the ambulation training session, the RAGT device group received robotic training (40 minutes) and ground ambulation training (20 minutes). The control group received only ground ambulation training (60 minutes). The outcomes were assessed at the initial session and at the end of the 15th and 30th sessions. Comparisons within groups and between groups were conducted.
Main Outcome Measures
Primary outcome variables were the FIM-walk score and the efficacy of FIM-walk.
Results
The RAGT device group showed greater improvements from baseline than control in (1) the FIM-walk score at the end of the 15th session (P=.012), (2) the efficacy of FIM-walk at the end of the 15th session (P=.008), (3) walking distance in the 6-minute walk test at the end of the 15th session (P=.018), (4) the Barthel Index for Activities of Daily Living (ADL) at the end of the 30th session (P<.001 and gait symmetry ratio at the end of session other parameters showed tendencies improvement in ragt device group but there were no significant differences.> Conclusions
RAGT devices plus physiotherapy showed early improvements in walking ability and Barthel ADL index compared with the ground level training plus physiotherapy in patients with subacute stroke with hemiplegia.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294401
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 843-850[article]
Titre : For-Profit and Not-for-Profit Inpatient Rehabilitation in Traumatic Brain Injury: Analysis of Demographics and Outcomes Type de document : Article Auteurs : Adam G. Lamm ; Richard Goldstein ; Chloe S. Slocum ; Julie K. Silver ; David C. Grabowski ; Jeffrey C. Schneider ; Ross Zafonte Année de publication : 2022 Article en page(s) : p. 851-857 Note générale : https://doi.org/10.1016/j.apmr.2021.11.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Centres de rééducation et de réadaptation ; Lésions traumatiques de l'encéphale ; Medicare (USA) ; Réadaptation ; Recherche en réadaptation ; Système de paiements préétablisRésumé : Objective
To describe differences in characteristics and outcomes of patients with traumatic brain injury by inpatient rehabilitation facility (IRF) profit status.
Design
Retrospective database review using the Uniform Data System for Medical Rehabilitation.
Setting
IRFs.
Participants
Individual discharges (N=53,630) from 877 distinct rehabilitation facilities for calendar years 2016 through 2018.
Intervention
Not applicable.
Main Outcome Measures
Patient demographic data (age, race, primary payer source), admission and discharge FIM, FIM gain, length of stay efficiency, acute hospital readmission from for-profit and not-for-profit IRFs within 30 days, and community discharges by facility profit status.
Results
Patients at for-profit facilities were significantly older (69.69 vs 64.12 years), with lower admission FIM scores (52 vs 57), shorter lengths of stay (13 vs 15 days), and higher discharge FIM scores (88 vs 86); for-profit facilities had higher rates of community discharges (76.8% vs 74.6%) but also had higher rates of readmission (10.3% vs 9.9%).
Conclusions
The finding that for-profit facilities admit older patients who are reportedly less functional on admission and more functional on discharge, with higher rates of community discharge but higher readmission rates than not-for-profit facilities is an unexpected and potentially anomalous finding. In general, older, less functional patients who stay for shorter periods of time would not necessarily be expected to make greater functional gains. These differences should be further studied to determine if differences in patient selection, coding and/or billing, or other unreported factors underlie these differences.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294402
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 851-857[article]
Titre : Electrical Dry Needling Plus Corticosteroid Injection for Osteoarthritis of the Knee: A Randomized Controlled Trial Type de document : Article Auteurs : Xuewei Wang ; Qing Sun ; Mi Wang ; Yanru Chen ; Qinge Wang ; Lixue Liu ; Yan Yuan Année de publication : 2022 Article en page(s) : p. 858-866 Note générale : https://doi.org/10.1016/j.apmr.2021.12.026 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai contrôlé randomisé ; Gonarthrose ; Points de déclenchement ; RéadaptationRésumé : Objective
To investigate the effects of electrical dry needling (DN) plus corticosteroid injection (CSI) on pain, physical function, and global change in patients with osteoarthritis of the knee (KOA).
Design
A prospective, single-blinded, randomized controlled trial.
Setting
Pain treatment clinic.
Participants
Sixty patients with KOA were randomly assigned to the electrical dry needling plus corticosteroid injection (electrical-DN+CSI) group or CSI group.
Interventions
The CSI group received glucocorticoid injection only once during the trial, and the electrical-DN+CSI group received glucocorticoid injection combined with 4 sessions of electrical-DN.
Main Outcomes Measures
The primary outcome was the numerical rating scale at 3 months. The secondary outcomes were the Western Ontario and McMaster Universities Osteoarthritis Index, the time to complete the Timed Up and Go test, and the score of the global rating of change scale at 3 months. A generalized linear mixed-effects model was used to analyze the repeated measurement data.
Results
Baseline characteristics and measurements were similar in the 2 groups. The group by time interaction effect was significant for all variables (P<.05 the electrical-dn group obtained a more significant reduction in pain intensity and improvement dysfunction than csi at months median global rating of change score for was better that> Conclusion
Electrical-DN therapy at myofascial trigger points combined with CSI is more effective at alleviating pain, improving dysfunction, and creating global change than CSI alone for patients with KOA. Electrical-DN may be an essential part of treatment for KOA rehabilitation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294403
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 858-866[article]
Titre : Effect of a Fascial Therapy Treatment on Quality of Life in Patients With Hemophilic Elbow Arthropathy: A Randomized Controlled Trial Type de document : Article Auteurs : Ruben Cuesta-Barriuso ; Javier Meroño-Gallut ; Elena Donoso-Úbeda ; Jose Antonio López-Pina ; Raul Pérez-Llanes Année de publication : 2022 Article en page(s) : p. 867-874 Note générale : https://doi.org/10.1016/j.apmr.2021.12.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthralgie ; Essai contrôlé randomisé ; Hémophilie ; Qualité de vie ; Réadaptation ; Techniques de physiothérapieRésumé : Objective
To evaluate the effect of fascial therapy on the perceived quality of life, pain intensity, and joint health in people with hemophilia.
Design
Single-blind randomized controlled trial.
Setting
Hemophilia Patient Associations.
Participants
Patients with hemophilia (N=69) were randomly allocated to an experimental group (fascial therapy protocol) or to a control group (no intervention whatsoever).
Interventions
The fascial therapy intervention lasted 3 consecutive weeks with one 45-minute weekly session.
Main Outcome Measures
The variables evaluated were perceived quality of life (Short Form Health Survey-36), pain intensity (visual analog scale) and joint health (Hemophilia Joint Health Score) at baseline and at 3 and 12 weeks.
Results
The mean values of the physical (38.64±9.41 and 41.92±12.16) and mental (45.77±6.25 and 55.02±9.73) components of the Short Form Health Survey-36 improved after the intervention in the experimental group, as well as those for pain intensity and joint health (P<.001 there were differences in the intergroup effect physical role variables emotional mental component intensity of pain and joint health> Conclusions
A fascial therapy protocol for patients with hemophilic elbow arthropathy can improve their perceived quality of life. Elbow pain intensity improved in patients treated with fascial therapy. This technique can improve elbow joint health.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294404
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 867-874[article]
Titre : Pain-Related Fear in Adults Living With Chronic Pain: Development and Psychometric Validation of a Brief Form of the Tampa Scale of Kinesiophobia Type de document : Article Auteurs : Etienne J. Bisson ; Laura Katz ; Kyle Vader ; Jennifer A. Bossio ; Rosemary Wilson ; Scott Duggan Année de publication : 2022 Article en page(s) : p. 875-881.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.09.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte ; Douleur chronique ; Mesure de la douleur ; Mouvement ; Peur ; Psychométrie ; RéadaptationRésumé : Objective
To develop and validate a brief version of the Tampa Scale of Kinesiophobia (TSK) while preserving content validity in a mixed chronic pain population.
Design
Cross-sectional study.
Setting
Tertiary care interdisciplinary chronic pain clinic.
Participants
Adults with chronic pain (N=933; mean age, 53.5±15.7 years; 63% women).
Intervention
Not applicable.
Main Outcome Measure
TSK-11 measured at intake. Self-reported data from a patient registry were extracted from November 2017 to October 2019.
Results
An exploratory factor analysis identified a 2-factor structure from the TSK-11 and item reduction resulted in a 7-item TSK (TSK-7) with 61.2% explained variance and Cronbach's alphas of 0.76 and 0.70 for each of the 2 factors. To maximally reduce the number of items without affecting internal consistency, a 5-item TSK (TSK-5) with 72% explained variance was also explored. Strong correlations were found between the newly developed brief TSK versions and TSK-11 (r>0.93), suggesting good concurrent validity. TSK-11, TSK-7, and TSK-5 had similar convergent validity with moderate correlations for pain catastrophizing (r=0.57, 0.58, 0.54), depression (r=0.45, 0.46, 0.42), pain interference (r=0.43, 0.44, 0.40), and pain acceptance (r=–0.57, –0.59, –0.55).
Conclusions
These 2 brief versions of the TSK may help to simplify questionnaires across chronic pain centers where multiple outcome measures are used for a complete biopsychosocial assessment of patients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294405
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 875-881.e1[article]
Titre : Skilled Nursing and Inpatient Rehabilitation Facility Use by Medicare Fee-for-Service Beneficiaries Discharged Home After a Stroke: Findings From the COMPASS Trial Type de document : Article Auteurs : Janet K. Freburger ; Amy M. Pastva ; Sylvia W. Coleman ; Kennedy M. Peter ; Anna M. Kucharska-Newton ; Anna M. Johnson ; Matthew A. Psioda ; Pamela W. Duncan ; Cheryl D. Bushnell ; Wayne D. Rosamond ; Sara B. Jones Année de publication : 2022 Article en page(s) : p. 882-890.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.10.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Centres de rééducation et de réadaptation ; Établissements de soins qualifiés ; RéadaptationRésumé : Objectives
To examine the effect of a comprehensive transitional care model on the use of skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) care in the 12 months after acute care discharge home following stroke; and to identify predictors of experiencing a SNF or IRF admission following discharge home after stroke.
Design
Cluster randomized pragmatic trial
Setting
Forty-one acute care hospitals in North Carolina.
Participants
2262 Medicare fee-for-service beneficiaries with transient ischemic attack or stroke discharged home. The sample was 80.3% White and 52.1% female, with a mean (SD) age of 74.9 (10.2) years and a mean ± SD National Institutes of Health stroke scale score of 2.3 (3.7).
Intervention
Comprehensive transitional care model (COMPASS-TC), which consisted of a 2-day follow-up phone call from the postacute care coordinator and 14-day in-person visit with the postacute care coordinator and advanced practice provider.
Main Outcome Measures
Time to first SNF or IRF and SNF or IRF admission (yes/no) in the 12 months following discharge home. All analyses utilized multivariable mixed models including a hospital-specific random effect to account for the non-independence of measures within hospital. Intent to treat analyses using Cox proportional hazards regression assessed the effect of COMPASS-TC on time to SNF/IRF admission. Logistic regression was used to identify clinical and non-clinical predictors of SNF/IRF admission.
Results
Only 34% of patients in the intervention arm received COMPASS-TC per protocol. COMPASS-TC was not associated with a reduced hazard of a SNF/ IRF admission in the 12 months post-discharge (hazard ratio, 1.20, with a range of 0.95-1.52) compared to usual care. This estimate was robust to additional covariate adjustment (hazard ratio, 1.23) (0.93-1.64). Both clinical and non-clinical factors (ie, insurance, geography) were predictors of SNF/IRF use.
Conclusions
COMPASS-TC was not consistently incorporated into real-world clinical practice. The use of a comprehensive transitional care model for patients discharged home after stroke was not associated with SNF or IRF admissions in a 12-month follow-up period. Non-clinical factors predictive of SNF/IRF use suggest potential issues with access to this type of care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294409
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 882-890.e2[article]
Titre : Characteristics, Outcomes, and Long-Term Survival of Patients With Heart Failure Undergoing Inpatient Cardiac Rehabilitation Type de document : Article Auteurs : Domenico Scrutinio ; Pietro Guida ; Andrea Passantino ; Simonetta Scalvini ; Maurizio Bussotti ; Giovanni Forni ; Raffaella Vaninetti ; Maria Teresa La Rovere Année de publication : 2022 Article en page(s) : p. 891-898.e4 Note générale : https://doi.org/10.1016/j.apmr.2021.10.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Défaillance cardiaque ; Réadaptation cardiaque ; Test de marcheRésumé : Objective
To investigate the association of cardiac rehabilitation (CR) participation with all-cause mortality after a hospitalization for heart failure (HF) and to describe the characteristics and functional and clinical outcomes of HF patients undergoing inpatient CR.
Design
Multicenter cohort study. The association between CR participation and all-cause mortality from discharge from the acute care setting was assessed using Cox regression analysis adjusting for established prognostic factors.
Setting
Six inpatient rehabilitation facilities.
Participants
A total of 3219 patients with HF admitted to inpatient CR between January 2013 and December 2016. Of these patients, 1455 had been transferred directly from acute care hospitals after a hospitalization for HF (CR-group 1) and 1764 had been admitted from the community due to worsening functional disability or worsening clinical conditions (CR-group 2). Serving as a control group were 633 patients not referred to CR after a hospitalization for HF served as control group (non–CR group).
Interventions
Cardiac rehabilitation.
Main Outcome Measures
Long-term mortality. Secondary outcomes were: (1) change in functional capacity, as assessed by change in 6-minute walking distance from admission to discharge; (2) clinical outcomes of the index inpatient rehabilitation admission, including in-hospital mortality and unplanned readmission to the acute care.
Results
Compared with the non–CR group, the adjusted hazard ratios of mortality at 1, 3, and 5 years for CR-group 1 patients were 0.82 (range, 0.68-0.97), 0.81 (range, 0.71-0.93), and 0.80 (range, 0.70-0.91). The 6-minute walking distance increased from 230-292 meters (P<.001 and of the patients gained>50 m improvement. Overall, 2.5% of the patients died in hospital and 4.7% of the patients experienced unplanned readmissions to acute care, with significant differences between group 1 and group 2.
Conclusions
Our data show that inpatient CR is effective in improving functional capacity and suggest that inpatient CR provided in the earliest period after a hospitalization for HF is associated with long-term improved survival.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294415
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 891-898.e4[article]
Titre : Failure to Compensate: Patients With Nerve Injury Use Their Injured Dominant Hand, Even When Their Nondominant Is More Dexterous Type de document : Article Auteurs : Benjamin A. Philip ; Madeline R. Thompson ; Nathan A. Baune ; Maureen Hyde ; Susan E. Mackinnon Année de publication : 2022 Article en page(s) : p. 899-907 Note générale : https://doi.org/10.1016/j.apmr.2021.10.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Latéralité fonctionnelle ; Lésions des nerfs périphériques ; Membre supérieur ; RéadaptationRésumé : Objective
To identify how individuals respond to unilateral upper extremity peripheral nerve injury via compensation (increased use of the nondominant hand). We hypothesized that injury to the dominant hand would have a greater effect on hand use (left vs right choices). We also hypothesized that compensation would not depend on current (postinjury) nondominant hand performance because many patients undergo rehabilitation that is not designed to alter hand use.
Design
Observational survey, single-arm.
Settings
Academic research institution and referral center.
Participants
A total of 48 adults (N=48) with unilateral upper extremity peripheral nerve injury. Another 14 declined participation. Referred sample, including all eligible patients from 16 months at 1 nerve injury clinic and 1 hand therapy clinic.
Interventions
Not applicable.
Main Outcome Measures
Hand use (% of actions with each hand) via Block Building Task. Dexterity via Jebsen-Taylor Hand Function.
Results
Participants preferred their dominant hand regardless of whether it was injured: hand usage (dominant/nondominant) did not differ from typical adults, regardless of injured side (P>.07), even though most participants (77%) were more dexterous with their uninjured nondominant hand (mean asymmetry index, −0.16±0.25). The Block Building Task was sensitive to hand dominance (P=2 × 10−4) and moderately correlated with Motor Activity Log amount scores (r2=0.33, P<.0001 compensation was associated only with dominant hand dexterity not on nondominant rehabilitation or other patient and injury factors>.1).
Conclusions
Patients with peripheral nerve injury with dominant hand injury do not compensate with their unaffected nondominant hand, even if it is more dexterous. For the subset of patients unlikely to recover function with the injured hand, they could benefit from rehabilitation that encourages compensation with the nondominant hand.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294416
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 899-907[article]
Titre : Rasch Properties of the Cognitive and Linguistic Scale and Optimization for Outcome Trajectory Modeling in Pediatric Acquired Brain Injury Type de document : Article Auteurs : Adrian M. Svingos ; Stacy J. Suskauer ; Beth S. Slomine ; Hsuan Wei Chen ; Michael E. Ellis-Stockley ; Rob J. Forsyth Année de publication : 2022 Article en page(s) : p. 908-914 Note générale : https://doi.org/10.1016/j.apmr.2021.10.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Lésions encéphaliques ; Linguistique ; Pédiatrie ; Psychométrie ; RéadaptationRésumé : Objectives
To (1) determine if items on the Cognitive and Linguistic Scale (CALS) follow a Rasch distribution and (2) explore the relationship between Rasch-derived Cognitive Ability Estimates and outcome trajectory parameters using a nonlinear mixed-effects modeling approach.
Design
Retrospective study.
Setting
Pediatric inpatient rehabilitation hospital.
Participants
A total of 252 children (N=252) aged of 2-21 years (median, 11.8 [IQR, 6.4-15.9] years) consecutively admitted to an inpatient rehabilitation brain injury unit (2008-2014) for a first inpatient admission after acquired brain injury.
Interventions
Not applicable.
Main Outcome Measures
Rasch-derived Cognitive Ability Estimates from the CALS and associated outcome trajectory parameters.
Results
The CALS demonstrates adequate interval-scale properties with removal of scores from the arousal and responsivity items. Rasch-derived Cognitive Ability Estimates were associated with age (
=0.025, P<.001 such that older age was associated with a faster rate of recovery and more complete ultimate recovery. slower initiation less overall cognitive>
=−0.31; P<.001> Conclusions
The Cognitive Ability Estimates derived from the CALS and associated outcome parameters (eg, rate of recovery) may serve as an ideal outcome measure for clinical trials evaluating interventions for acquired brain injury in a pediatric rehabilitation setting.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294417
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 908-914[article]
Titre : Demographic and Clinical Factors Are Associated With Frequent Short-Notice Cancellations in Veterans With Multiple Sclerosis on Disease Modifying Therapies Type de document : Article Auteurs : Elizabeth S. Gromisch ; Aaron P. Turner ; Steven L. Leipertz ; John Beauvais ; Jodie K. Haselkorn Année de publication : 2022 Article en page(s) : p. 915-920.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.10.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Adhésion et observance thérapeutiques ; Facteurs de risque ; Réadaptation ; Sclérose en plaquesRésumé : Objectives
(1) To identify the rate of short-notice canceled appointments in a large national sample of persons with multiple sclerosis (MS) and (2) examine the demographic and clinical factors associated with frequent cancellations.
Design
Retrospective cross-sectional cohort using electronic health records.
Setting
Veterans Health Administration.
Participants
Veterans with MS (N=3742) who were part of the Veterans Health Administraiton's MS Center of Excellence Data Repository and (1) had at least one outpatient appointment at the VA in 2013, (2) were alive in 2015, and (3) were prescribed a disease modifying therapy (DMT).
Interventions
Not applicable.
Main Outcome Measures
Frequent short-notice cancellations, defined as >20% of scheduled appointments canceled with less than 24-hour notification over a 24-month period. This threshold was based on the definition of ≤80% for suboptimal treatment adherence. Several demographics and clinical variables were examined as potential explanatory factors.
Results
Approximately 75% (n=2827) had at least 1 short-notice cancellation, with more than 3% (n=117) categorized as frequent cancelers. The odds of frequent cancellations were greater in women (odds ratio [OR], 1.81; P=.004) and among 18- to 44-year-olds (OR, 2.77; P=.004) and 45- to 64-year-olds (OR, 2.49; P=.003) compared to those over 65. The odds were lower among persons who lived Conclusions
Short-notice cancellations are common in persons with MS, although few have more than 20%. These findings highlight who is at greater risk for frequent cancellation and disruptions in their care. Although additional research is needed, the results provide insights into how clinics may approach handling frequent short-notice cancellations among persons with MS.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294418
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 915-920.e1[article]
Titre : Investigation of Sensorimotor Impairments in Individuals 4 Weeks to 6 Months After Mild Traumatic Brain Injury Type de document : Article Auteurs : Olivia Galea ; Shaun O'Leary ; Katrina Williams ; Julia Treleaven Année de publication : 2022 Article en page(s) : p. 921-928 Note générale : https://doi.org/10.1016/j.apmr.2021.10.029 Langues : Anglais (eng) Descripteurs : HE Vinci
Ataxie ; Lésions traumatiques de l'encéphale ; Troubles psychomoteursRésumé : Objective
To identify whether adults 4 weeks to 6 months post mild traumatic brain injury (mTBI) have sensorimotor impairments compared with controls without mTBI. A secondary aim was to determine if impairments were evident irrespective of participant perceived absence of symptoms.
Design
Observational cohort study.
Setting
Tertiary university and hospital.
Participants
Participants included 113 individuals (N=113) aged 18-60 years, consisting of 39 controls with no prior concussion history and 74 individuals 4 weeks to 6 months post mTBI, of which 35 considered themselves asymptomatic (ASYMP) and 37 symptomatic (SYMP).
Interventions
Not applicable.
Main Outcome Measures
Assessments of oculomotor, vestibulo-ocular reflex (VOR) control, balance, single- and dual-task tandem walk, and vestibular positional testing.
Results
Poorer balance and tandem walk performance as well as a higher frequency of positive oculomotor, VOR, and vestibular positional tests were evident in the mTBI group compared with controls. In particular ≥2 positive oculomotor findings were evident in 53.7% of the participants with mTBI compared with 10.8 % of controls. The mTBI group who considered themselves recovered (ASYMP) demonstrated significantly increased dual-task tandem walk time, and a higher proportion 53% had ≥2 positive oculomotor tests compared with controls.
Conclusions
Persistent sensorimotor impairments, particularly evidenced by disturbed oculomotor function and deficits in dual-task tandem walking were identified among adults 4 weeks to 6 months post mTBI. These disturbances were evident regardless of whether ongoing symptoms were reported. The findings support recommendations for routine clinical assessment of sensorimotor function post mTBI with implications for injury prevention.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294419
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 921-928[article]
Titre : Rehabilitation in Acute COVID-19 Patients: A Japanese Retrospective, Observational, Multi-Institutional Survey Type de document : Article Auteurs : Yuka Yamada ; Michiyuki Kawakami ; Syoichi Tashiro ; Maiko Omori ; Daisuke Matsuura ; Reon Abe ; Maiko Osada ; Hiroyuki Tashima ; Tadasuke Shimomura ; Naoki Mori ; Ayako Wada ; Tetsuya Tsuji Année de publication : 2022 Article en page(s) : p. 929-936 Note générale : https://doi.org/10.1016/j.apmr.2021.11.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; COVID-19 ; Démarche ; Japon ; RéadaptationRésumé : Objective
: To investigate the changes in activities of daily living (ADLs) and the conditions of rehabilitation for acute COVID-19 patients in Japan.
Design
: Retrospective, observational survey.
Setting
: Four tertiary hospitals with intensive care units and one secondary hospital in Japan.
Participants
: COVID-19 patients (N=478) admitted to 5 hospitals
Interventions
: Not applicable.
Main Outcome Measures
: Walking ability and swallowing status were assessed using the FIM locomotion item and Food Intake Scale at admission and discharge. The physiatrists of each hospital were also surveyed regarding the factors that influenced decisions to provide rehabilitation.
Results
: Excluding patients who died, the proportion of critical patients who could walk independently at discharge was 63%, and the proportion of those who were able to take 3 meals orally at discharge was 90%. Rehabilitation was provided to 13.4% of all patients and to 58.3% of patients with critical symptoms.
Conclusions
: After COVID-19 treatment, patients, especially those with critical symptoms, still have functional disabilities related to walking and swallowing. It is possible that sufficient rehabilitation could not be provided during the period studied.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294435
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 929-936[article]
Titre : Examination of Social Inferencing Skills in Men and Women After Traumatic Brain Injury Type de document : Article Auteurs : Dawn Neumann ; Ryan Mayfield ; Angelle M. Sander ; Jeong Hoon Jang ; Surya Sruthi Bhamidipalli ; Flora M. Hammond Année de publication : 2022 Article en page(s) : p. 937-943 Note générale : https://doi.org/10.1016/j.apmr.2021.10.028 Langues : Anglais (eng) Descripteurs : HE Vinci
Affect ; Caractères sexuels ; Cognition sociale ; Émotions ; Lésions encéphaliques ; RéadaptationRésumé : Objective
To examine sex differences in social inferencing deficits after traumatic brain injury (TBI) and to examine the odds of men and women being impaired while controlling for potential confounders.
Design
Cross-sectional survey.
Setting
Two TBI rehabilitation hospitals.
Participants
One hundred five participants with TBI (60 men, 45 women) and 105 controls without TBI (57 men, 48 women) (N=210).
Interventions
Not applicable.
Main Outcome Measures
The Awareness of Social Inference Test (TASIT), which includes (1) Emotion Evaluation Test (EET), (2) Social Inference-Minimal (SI-M) test, and (3) Social Inference-Enriched (SI-E) test.
Results
Within the control sample, men and women performed similarly on all 3 TASIT subtests. Within the group with TBI, men had significantly lower scores than women on EET (P=.03), SI-M (P=.01), and SI-E (P=.04). Using impairment cutoffs derived from the sample without TBI, we found significantly more men with TBI (30%) were impaired on the EET than women (16.7%); impairment was similar between men and women on SI-M and SI-E. When adjusting for executive functioning and education, the odds of being impaired on the EET did not significantly differ for men and women (odds ratio, 0.47; 95% CI, 0.16-1.40; P=.18).
Conclusions
Although more men with TBI have emotion perception deficits than women, the difference appears to be driven by education and executive functioning. Research is needed in larger samples with more definitive norms to better understand social inferencing impairments in men and women with TBI as well as translation to interpersonal behaviors.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294438
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 937-943[article]
Titre : Retrospective Chart Review Examining Differences and Timelines in Recommended and Delivered Wheelchair Equipment in a Midwestern Dedicated Seating Department Type de document : Article Auteurs : Cara E. Masselink ; Linda Shuster ; Kerri A. Morgan ; Donald L. Hoover Année de publication : 2022 Article en page(s) : p. 944-951 Note générale : https://doi.org/10.1016/j.apmr.2021.11.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Ergothérapie ; Fauteuils roulants ; Kinésithérapie (spécialité) ; Matériel médical durable ; RéadaptationRésumé : Objective
To compare recommended wheeled mobility equipment with delivered equipment, excluding custom seats and backs, considering demographic factors, such as sex, age, and funding source, as well as the timeline of the procurement process.
Design
Retrospective chart review.
Setting
Dedicated wheelchair seating department within a Midwestern rehabilitation hospital and associated complex rehabilitation technology durable medical equipment suppliers.
Participants
Wheelchair recommendations (N=546) made between January 1, 2017, and December 31, 2017, to physician-referred wheelchair users of all ages and diagnoses.
Interventions
Not applicable.
Main Outcome Measures
Recommended and delivered wheelchair equipment type and length of time between recommendation and delivery.
Results
Differences were found between the recommended and delivered equipment in manual wheelchairs, power mobility devices, seat backs, cushions, and power option equipment groups (P≤.001). Delivered manual wheelchairs were 7% more likely to be different than the recommendation for each year decrease in age (P≤.001), although the model lacked sufficient predictive accuracy for clinical application. The average length of time from equipment recommendation to delivery was about 6 months (mean, 176d). Standard and complex power mobility devices were associated with longer timelines (median, 137d and 173d, respectively; P=.001), although only complex power mobility device timelines were significantly associated with public funding sources (P=.02).
Conclusions
Wheelchair bases, positioning accessories, and power options may be delivered differently than originally recommended, and the process for procuring complex power mobility devices with public funding sources should be studied further. Health care professionals should consistently follow up on delivered equipment to ensure that expectations and needs of the wheelchair user are met. Reducing systemic barriers to interdisciplinary communication postrecommendation may improve patient outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294439
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 944-951[article]
Titre : Frailty and Falls in People Living With Multiple Sclerosis Type de document : Article Auteurs : Tobia Zanotto ; Irina Galperin ; Anat Mirelman ; Shahar Yehezkiyahu ; John Estes ; Lingjun Chen ; Keren Regev ; Tanja Schmitz-Hübsch ; Paul Friedemann ; Sharon G. Lynch ; Abiodun E. Akinwuntan ; Hannes Devos ; Jeffrey M. Hausdorff ; Jacob J. Sosnoff Année de publication : 2022 Article en page(s) : p. 952-957 Note générale : https://doi.org/10.1016/j.apmr.2021.10.025 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Réadaptation ; Sclérose en plaques ; VieillissementRésumé : Objective
To explore the association between frailty and history of falls in people living with multiple sclerosis (MS).
Design
Secondary analysis.
Setting
University research laboratories in the United States and Israel.
Participants
A total of 118 people (N=118) with relapsing-remitting MS (mean age, 48.9±10.0 years; 74.6% female; Expanded Disability Status Scale [EDSS] range, 1.0-6.0) were studied in this cross-sectional analysis.
Intervention
Not applicable.
Main Outcome Measures
A frailty index was calculated from 40 health deficits by following standard validated procedures. The number of falls (12-month history) was recorded.
Results
Overall, 33.9%, 29.7%, and 36.4% of participants were classified as nonfrail, moderately frail, and severely frail, respectively. The frailty index was significantly correlated (ρ=0.37, P<.001 with higher scores on the edss. in univariable negative binomial regression analysis frailty index was associated a number of falls rate ratio ci p after adjustment for age sex and edss remained strongly history> Conclusions
The current study identifies a significant relationship between frailty and history of falls in MS, independent of age, sex, and disease severity. These findings support the notion that frailty is a syndrome related to but independent of disability in MS.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294441
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 952-957[article]
Titre : Impaired Visual Emotion Recognition After Minor Ischemic Stroke Type de document : Article Auteurs : Wilma Smith-Spijkerboer ; Karen Meeske ; Job A.M. van der Palen ; Heleen M. den Hertog ; Anneke S. Smeets Schouten ; Moniek van Hout ; Lucille D.A. Dorresteijn Année de publication : 2022 Article en page(s) : p. 958-963 Note générale : https://doi.org/10.1016/j.apmr.2021.10.024 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Émotions ; Prévalence ; Réadaptation ; Reconnaissance facialeRésumé : Objective
To assess the prevalence of impaired visual emotion recognition in patients who have experienced a minor ischemic stroke in the subacute phase and to determine associated factors of impaired visual emotion recognition.
Design
A prospective observational study.
Setting
Stroke unit of a teaching hospital.
Participants
Patients with minor ischemic stroke (N=112).
Interventions
Not applicable.
Main Outcome Measures
Patients with minor stroke underwent a neuropsychological assessment in the subacute phase for visual emotion recognition by the Ekman 60 Faces Test and for general cognition. Univariable linear regression analyses were performed to identify associated factors of emotion recognition impairment.
Results
In 112 minor stroke patients, we found a prevalence of 25% of impaired visual emotion recognition. This was significantly correlated with impaired general cognition. Nevertheless, 10.9% of patients with normal general cognition still had impaired emotion recognition. Mood was negatively associated. Stroke localization, hemisphere side, and sex were not associated.
Conclusion
Impaired visual emotion recognition is found in about one-quarter of patients with minor ischemic stroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294442
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 958-963[article]
Titre : Accurate Prediction of Persistent Upper Extremity Impairment in Patients With Ischemic Stroke Type de document : Article Auteurs : Adam de Havenon ; Laura Heitsch ; Abimbola Sunmonu ; Robynne Braun ; Keith R. Lohse ; John W. Cole ; Eva Mistry ; Arne Lindgren ; Bradford B. Worrall ; Steven C. Cramer Année de publication : 2022 Article en page(s) : p. Steven C. Note générale : https://doi.org/10.1016/j.apmr.2021.10.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Paralysie ; RéadaptationRésumé : Objective
To develop a simple and effective risk score for predicting which stroke patients will have persistent impairment of upper extremity motor function at 90 days.
Design
Post hoc analysis of clinical trial patients hospitalized with acute ischemic stroke who were followed for 90 days to determine functional outcome.
Setting
Patient were hospitalized at facilities across the United States.
Participants
We created a harmonized cohort of individual patients (N=1653) from the NINDS tPA, ALIAS part 2, IMS-III, DEFUSE 3, and FAST-MAG trials. We split the cohort into balanced derivation and validation samples.
Interventions
Not applicable.
Main Outcome Measures
The primary outcome was persistent arm impairment, defined as a National Institutes of Health Stroke Scale (NIHSS) arm domain score of 2 to 4 at 90 days in patients who had a 24-hour NIHSS arm score of 1 or more. We used least absolute shrinkage and selection operator regression to determine the elements of the persistent upper extremity impairment (PUPPI) index, which we validated as a predictive tool.
Results
We included 1653 patients (827 derivation, 826 validation), of whom 803 (48.6%) had persistent arm impairment. The PUPPI index gives 1 point each for age 55 years or older and NIHSS values of worse arm (4), worse leg (>2), facial palsy (3), and total NIHSS (≥10). The optimal cutpoint for the PUPPI index was 3 or greater, at which the area under the curve was greater than 0.75 for the derivation and validation cohorts and when using NIHSS values from either 24 hours or in a subacute or discharge time window. Results were similar across different levels of stroke severity.
Conclusion
The PUPPI index uses readily available information to accurately predict persistent upper extremity motor impairment at 90 days poststroke. The PUPPI index can be administered in minutes and could be used as inclusion criterion in recovery-related clinical trials or, with additional development, as a prognostic tool for patients, caregivers, and clinicians.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294444
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. Steven C.[article]
Titre : Effect of Exercise on Fatigue in Multiple Sclerosis: A Network Meta-analysis Comparing Different Types of Exercise Type de document : Article Auteurs : Ana Torres-Costoso ; Vincente Martínez-Vizcaíno ; Sara Reina-Gutiérrez ; Celia Álvarez-Bueno ; María José Guzmán-Pavón ; Diana P. Pozuelo-Carrascosa ; Rubén Fernández-Rodríguez ; Mairena Sanchez-López ; Iván Cavero-Redondo Année de publication : 2022 Article en page(s) : p. 970-987.e18 Note générale : https://doi.org/10.1016/j.apmr.2021.08.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladies démyélinisantes ; Réadaptation ; Rééducation neurologique ; ScleroseRésumé : Objective
A network meta-analysis (NMA) of current evidence was conducted to determine if physical exercise has a positive influence on multiple sclerosis (MS) fatigue and type of exercise with the largest effect on fatigue also according to disease severity.
Data Sources
MEDLINE, Embase, SPORTDiscus, Physiotherapy Evidence Database, Cochrane Library, and Web of Science. The search strategy combined relevant terms related to (1) MS; (2) clinical trials; (3) exercise; and (4) fatigue from inception to February 2021.
Study Selection
Randomized controlled trials concerning the effectiveness of different types of exercise on total and physical fatigue in people with MS were included.
Data Extraction
The data were extracted into predesigned data extraction tables. Risk of bias was evaluated with the Cochrane Risk of Bias tool (RoB 2.0), and the Grading of Recommendations, Assessment, Development, and Evaluation tool was used to evaluate the quality of the evidence.
Data Synthesis
A total of 58 studies were examined. Data were pooled using a random-effects model. A ranking of 7 and 8 different exercise interventions for physical and total fatigue scores, respectively, was achieved. The highest effects for pairwise comparisons were for combined exercise and resistance training vs control (ranging between −0.74 and −1.24). In the NMA, combined exercise (−1.51; 95% confidence interval [CI], −2.01 to −1.01) and resistance training (−1.15; 95% CI, −1.81 to −0.49) compared with the control group achieved the highest effects for physical and total fatigue, respectively.
Conclusions
Exercise should be considered an effective fatigue management strategy. Among the different exercise modalities, combined exercise is the most effective exercise modality for improving both physical and total fatigue. Resistance training is also an effective exercise for total fatigue among people diagnosed with MS.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294446
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 970-987.e18[article]
Titre : Effectiveness of Mirror Therapy for Phantom Limb Pain: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Hui-Min Xie ; Ke-Xue Zhang ; Shuo Wang ; Ning Wang ; Na Wang ; Xia Li ; Li-Ping Huang Année de publication : 2022 Article en page(s) : p. 988-997 Note générale : https://doi.org/10.1016/j.apmr.2021.07.810 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Douleur ; Kinésithérapie (spécialité) ; Membre fantôme ; RéadaptationRésumé : Objective
To evaluate the effectiveness of mirror therapy (MT) for phantom limb pain (PLP).
Data Sources
PubMed, EMBASE, Ovid MEDLINE, Scopus, Cochrane Library, Physiotherapy Evidence Database, CNKI, and WanFang Data were used to search for studies published up to March 31, 2021.
Study Selection
Randomized controlled trials (RCTs) comparing the pain intensity of MT for PLP were performed. A total of 2094 articles were found. Among them, 10 were eligible for the final analysis.
Data Extraction
The quality of the RCTs was assessed using the Physiotherapy Evidence Database (PEDro) scale by 2 independent reviewers. Outcome data were pooled according to follow-up intervals (1, 3, 6, and 12mo). Duration times were used as a basis for distinguishing subgroups. The primary evaluation was by visual analog scale. The PEDro scale was used to assess the methodological quality of studies.
Data Synthesis
Meta-analysis revealed a statistically significant decrease in pain in the MT group vs the control group within 1 month (I2=0%; standardized mean difference [SMD]=−0.46, 95% confidence interval [CI], −0.79 to −0.13; P = .007). The patients with pain for longer than 1 year benefited more from MT (I2=0%; SMD=−0.46; 95% CI, −0.85 to −0.07; P = .02).
Conclusions
MT has beneficial effects for patients with PLP in the short-term, as evidenced by their improved pain scores. There was no evidence that MT had a long-term effect, but that may be a product of limited data. For patients with long-term PLP, MT may be an effective treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294447
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 988-997[article]
Titre : Exercise Therapy Is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Michel G. Mertens ; Lotte Meert ; Filip Struyf ; Ariane Schwank ; Mira Meeus Année de publication : 2022 Article en page(s) : p. 998-1012.e14 Note générale : https://doi.org/10.1016/j.apmr.2021.07.806 Langues : Anglais (eng) Descripteurs : HE Vinci
Epaule ; Kinésithérapie (spécialité) ; Méta-analyse ; Réadaptation ; Résultat thérapeutique ; Traitement par les exercices physiquesRésumé : Objective(s)
To determine (1) the effect of exercise therapy alone or in combination with other interventions compared with solely exercises and programs with or without exercises and (2) what kind of exercise therapy or combination with other interventions is most effective.
Data Sources
PubMed, Web of Science and Cochrane Central Register of Controlled Trials.
Study Selection
Studies were screened in a 2-phase approach by 2 independent reviewers (M.M. and L.M.). Reference lists of included studies and interesting systematic reviews were hand searched.
Data Extraction
Two independent reviewers (M.M. and L.M.) extracted information about origin, characteristics of study participants, eligibility criteria, characteristics of interventions, outcome measures and main results in a pre-defined template.
Data Synthesis
Thirty-three studies were included in the qualitative and 19 in the meta-analysis. Preliminary evidence was found for supervised exercises to be more beneficial than home exercises for ROM and function. Multimodal programs comprising exercises may result in little to no difference in ROM compared to solely exercises. Programs comprising muscle energy techniques show little to no difference in ROM when compared with programs with other exercises. Adding stretches to a multimodal program with exercises may increase ROM. There is uncertain evidence that there is a difference between those programs regarding function and pain. Preliminary evidence was found for several treatment programs including exercises to be beneficial for improvement in both passive and active ROM, function, pain, and muscle strength. No studies used patient satisfaction as an outcome measure.
Conclusions
ROM, function, and pain improve with both solely exercises and programs with exercises, but for ROM and pain there was little to no difference between programs and for function the evidence was uncertain. Adding exercises improve active ROM compared with a program without exercises, whereas adding physical modalities has no beneficial effect. Muscle energy techniques are a beneficial type of exercise therapy for improving function compared with other types of exercise. Unfortunately, no conclusion can be drawn about the results in the long-term and most effective dose of exercise therapy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294448
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 998-1012.e14[article]
Titre : A Systematic Review of the Effects of Community Transition Programs on Quality of Life and Hospital Readmissions for Adults With Traumatic Spinal Cord Injury Type de document : Article Auteurs : Raheleh Tschoepe ; Anna Benfield ; Rachael Posey ; Vicki Mercer Année de publication : 2022 Article en page(s) : 1013-1022.e12 Note générale : https://doi.org/10.1016/j.apmr.2021.08.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Qualité de vie ; Réadaptation ; Réadmission du patient ; Revue systématique ; Soins de transition ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate the effects of community transition programs for adults with traumatic spinal cord injury (tSCI) on hospital readmissions and quality of life (QOL).
Data Sources
Seven databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Google Scholar, the Joanna Briggs Institute database, OTseeker, and PEDro) and reference lists of relevant articles were searched from inception through March 2020.
Study Selection
Original research studies were included that (1) evaluated interventions designed to support individuals aged 18-65 years with newly acquired tSCI in navigating the transition from subacute care to the community and (2) reported data for QOL or hospital readmission outcomes. Searches identified 4694 studies, and 26 of these met the selection criteria.
Data Extraction
Two reviewers independently screened and assessed all studies, extracting information about study type, methodological strengths and weaknesses, participant and intervention characteristics, comparator, and significant results. Any discrepancies were resolved by a third reviewer.
Data Synthesis
Studies were grouped according to primary intervention: peer mentoring (n=8), telehealth (n=5), education (n=5), independent living (n=3), occupational therapy (n=1), counseling (n=1), and patient navigation (n=4). Reviewers used the Let Evidence Guide Every Decision appraisal tool rubric to grade the body of evidence for each intervention type. Moderate level evidence supports the positive effects of peer mentoring, and low level evidence indicates positive effects of telehealth, education, independent living, and occupational therapy interventions. Peer mentoring, telehealth, and patient navigation were the only intervention types that included hospital readmission outcomes. Of these, peer mentoring had the most evidence, with 3 of the 4 studies that included hospital readmission outcomes demonstrating statistically significant improvements.
Conclusions
In general, there is a paucity of high-quality evidence with sufficiently similar characteristics to demonstrate and compare benefits from program participation. When high quality studies have been conducted, they have obtained mixed results. Of the different intervention types, peer mentorship has the strongest supporting evidence. Further research is needed to identify specific intervention components that are most effective in improving QOL and reducing hospital readmission for specific subgroups of individuals recovering from tSCI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294450
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - 1013-1022.e12[article]
Titre : Effect of Social Determinants of Health Interventions on Adults Living With Disabilities: A Scoping Review Type de document : Article Auteurs : Joe Angelelli ; David McCartney ; Christian Roehmer ; Elizabeth C.S. Swart ; Eleanor Quinby ; Jessa Darwin ; Brad E. Dicianno Année de publication : 2022 Article en page(s) : p. 1023-1033.e11 Note générale : https://doi.org/10.1016/j.apmr.2021.06.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Déterminants sociaux de la santé ; Personnes handicapées ; Réadaptation ; Soins de longue duréeRésumé : Objective
To investigate social determinants of health (SDoH) interventions on individual health outcomes, population health, and cost for persons in the United States over age 18 living with disabilities and receiving long-term services and supports (LTSS) in noninstitutional settings.
Data Sources
A review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted of literature from PubMed, PsycINFO, REHABDATA, and Web of Science Core Collection published between January 1997 and July 2020.
Study Selection
Search terms were based on the primary SDoH domains identified by the Centers for Medicare and Medicaid's Accountable Health Communities Model. A total of 5082 abstracts were screened based on identification criteria of persons age 18 and above living in non-institutional, community-based settings receiving LTSS.
Data Extraction
During Level 2 review, articles were reviewed based on population focus, type of LTSS (personal assistance services, home care, adult day care, home modification, durable medical equipment, community transition services, caregiver supports and/or prevention services related to home- and community-based care), SDoH intervention and association with health outcomes, population health and/or cost. A total of 1037 abstracts underwent Level 2 review, yielding 131 publications or 1.3% for full review.
Data Synthesis
Studies (n=33) designed a priori to test outcomes of interventions were rated according to Grading Recommendations Assessment Development and Evaluation (GRADE) criteria. Qualifying articles that did not include interventions (n=98) were included in our summary of the literature but were not assessed by GRADE.
Conclusions
The preponderance of research surrounding SDoH and health outcomes has focused on older adults living with disabilities, and most interventions scored low or very low using GRADE criteria. Evidence is limited to the extent SDoH interventions are measured against outcomes for persons of all ages living with disabilities. Robust evaluation of models that feature SDoH interventions in partnership with community-based organizations is recommended as home and community-based care infrastructure expands in response to the American Rescue Plan Act of 2021.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294452
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 1023-1033.e11[article]
Titre : Is Sleep Disordered Breathing Confounding Rehabilitation Outcomes in Spinal Cord Injury Research? Type de document : Article Auteurs : Gino S. Panza ; Tommy Sutor ; Cameron M. Gee ; Marnie Graco ; Kevin K. McCully ; Anthony E. Chiodo ; Safwan, M. Badr ; Mark S. Nash Année de publication : 2022 Article en page(s) : p. 1034-1045 Note générale : https://doi.org/10.1016/j.apmr.2021.08.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Syndromes d'apnées du sommeil ; Traumatismes de la moelle épinièreRésumé : The purpose of this article is to highlight the importance of considering sleep-disordered breathing (SDB) as a potential confounder to rehabilitation research interventions in spinal cord injury (SCI). SDB is highly prevalent in SCI, with increased prevalence in individuals with higher and more severe lesions, and the criterion standard treatment with continuous positive airway pressure remains problematic. Despite its high prevalence, SDB is often untested and untreated in individuals with SCI. In individuals without SCI, SDB is known to negatively affect physical function and many of the physiological systems that negatively affect physical rehabilitation in SCI. Thus, owing to the high prevalence, under testing, low treatment adherence, and known negative effect on the physical function, it is contended that underdiagnosed SDB in SCI may be confounding physical rehabilitation research studies in individuals with SCI. Studies investigating the effect of treating SDB and its effect on physical rehabilitation in SCI were unable to be located. Thus, studies investigating the likely integrated relationship among physical rehabilitation, SDB, and proper treatment of SDB in SCI are needed. Owing to rapid growth in both sleep medicine and physical rehabilitation intervention research in SCI, the authors contend it is the appropriate time to begin the conversations and collaborations between these fields. We discuss a general overview of SDB and physical training modalities, as well as how SDB could be affecting these studies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294453
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 5 (2022) . - p. 1034-1045[article]
Paru le : 01/04/2022
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Titre : Demographic and Health Profiles of People Living With Traumatic Spinal Cord Injury in the United States During 2015-2019: Findings from the Spinal Cord Injury Model Systems Database Type de document : Article Auteurs : Yuying Chen ; Huacong Wen ; Navneet Kaur Baidwan ; Michael J. DeVivo Année de publication : 2022 Article en page(s) : p. 622-633 Note générale : https://doi.org/10.1016/j.apmr.2021.11.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Épidémiologie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To estimate the population profile of people living with traumatic spinal cord injury (TSCI) to help evaluate health care needs of this aging population.
Design
Cross-sectional study.
Setting
SCI Model Systems (SCIMS) centers in the United States.
Participants
Individuals (N=20,437) who: (1) incurred a TSCI between 1972 and 2019, (2) were initially treated at one of the SCIMS centers, and (3) were alive during the period from 2015 to 2019.
Interventions
Not applicable.
Main Outcome Measures
Demographics, injury characteristics, health conditions, and social participation, as compared with previous estimates in 2008 and general population statistics in 2017.
Results
People living with TSCI during the period from 2015-2019 (mean years since injury, 18y; 79.4% male, and 62.5% White) were older (51.6 vs 45.0y) and had a higher percentage of C1-C4 (21.9% vs 17.0%) and American Spinal Injury Association Impairment Scale D injuries (31.5% vs 26.0%) compared with the 2008 TSCI population profile. Although the proportion of people with a bachelor's degree or higher was similar between the TSCI and general US populations (30.7% vs 32.0%), the employment rate was lower in the TSCI population (24.0% vs 59.5%). People are affected by various medical problems over time post TSCI. The prevalence of pain and urinary tract infection remained high over postinjury years, at 86.1% and 52.6%, respectively. Rehospitalization and depression were most common during the first year (34.9% and 22.3%, respectively), and pressure injury was more common among those 20 years or more postinjury (>30.0%). Health conditions declined with advanced age, including self-perceived health, diabetes, and institutional residence. People who survived TSCI for years, however, had relatively good degrees of independence and social participation.
Conclusion
Study findings highlight the need for greater involvement of primary care providers and geriatricians in the continuity of care for SCI to promote healthy aging. Improvement in employment should also be the target in promoting social participation and quality of life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292878
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 622-633[article]
Titre : Cause of Death Trends Among Persons With Spinal Cord Injury in the United States: 1960-2017 Type de document : Article Auteurs : Michael J. DeVivo ; Yuying Chen ; Huacong Wen Année de publication : 2022 Article en page(s) : p. 634-641 Note générale : https://doi.org/10.1016/j.apmr.2021.09.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Cause de décès ; Épidémiologie ; Mortalité ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To identify trends in causes of death after spinal cord injury (SCI) that could enhance understanding of why life expectancy after SCI has not improved in the last 3 decades.
Design
Cohort study.
Setting
Twenty-nine SCI Model Systems and 3 Shriners Hospitals.
Participants
Individuals with traumatic SCI (N=49,266) enrolled in the SCI Collaborative Survival Study Database between 1973 and 2017.
Interventions
Not applicable.
Main Outcome Measures
Age-standardized cause-specific SCI mortality rates and 95% confidence intervals were calculated for 5 time intervals (1960-1979, 1980-1989, 1990-1999, 2000-2009, and 2010-2017).
Results
A total of 17,249 deaths occurred in 797,226 person-years of follow-up. Since 2010, the highest mortality rate was for respiratory diseases, followed by heart disease, cancer, infective and parasitic diseases (primarily septicemia), and unintentional injuries. Mortality rates for respiratory diseases, cancer, stroke, urinary diseases, and digestive diseases, initially decreased significantly but remained relatively stable since 1980, whereas essentially no progress occurred for infective and parasitic diseases. Mortality rates for heart disease, pulmonary embolus, and suicide decreased significantly throughout the entire study period, but were offset by increases in mortality rates for endocrine (primarily diabetes), nutritional, and metabolic diseases, as well as unintentional injuries. From 2010 to 2017, the overall age-standardized mortality rate was 3 times higher for individuals with SCI than the general population, ranging from 27% higher for cancer to 9 times higher for infective and parasitic diseases.
Conclusion
Improving life expectancy after SCI will require: (1) reducing mortality rates from respiratory diseases and septicemia that have remained high, (2) reversing current trends in diabetes and unintentional injury deaths, and (3) continuing to reduce mortality from heart disease and other leading causes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292882
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 634-641[article]
Titre : Trauma Indicators in Spinal Cord Injury Rehabilitation Outcomes: A Retrospective Cohort Analysis of the National Trauma Data Bank and National Spinal Cord Injury Database Type de document : Article Auteurs : Cristina Shea ; Chloe Slocum ; Richard Goldstein ; Mary Joan Roach ; Russell Griffin ; Yuying Chen ; Ross Zafonte Année de publication : 2022 Article en page(s) : p. 642-648.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.12.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate whether initial emergency department physiological measures and metrics of trauma severity predict functional outcomes and neurologic recovery in traumatic spinal cord injury.
Design
Retrospective analysis of a clinical database.
Setting
Merged multicenter data from the Spinal Cord Injury Model Systems (SCIMS) database and National Trauma Data Bank from 6 academic medical centers across the United States.
Participants
Patients (N=319) admitted to SCIMS rehabilitation centers within 1 year of injury. The majority of patients were men (76.2%), with a mean age of 44 years (SD, 19y). At rehabilitation admission, the most common neurologic level of injury was low cervical (C5-C8, 39.5%) and ASIA impairment scale (AIS) was A (34.4%).
Main Outcome Measures
Primary outcomes were FIM motor score at discharge from inpatient rehabilitation and change in FIM motor score between inpatient rehabilitation admission and discharge. We hypothesized that derangements in emergency department physiological measures, such as decreased blood pressure and oxygen saturation, as well as increased severity of trauma burden, would predict poorer functional outcomes.
Results
Linear regression analysis showed that neurologic level of injury and AIS predicted discharge FIM motor score. Systolic blood pressure, heart rate, oxygen saturation, need for assisted respiration, and presence of penetrating injury did not predict discharge motor FIM or FIM motor score improvement.
Conclusions
Initial emergency department physiological parameters did not prognosticate functional outcomes in this cohort.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292883
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 642-648.e2[article]
Titre : Characterizing Natural Recovery of People With Initial Motor Complete Tetraplegia Type de document : Article Auteurs : Steven Kirshblum ; Amanda Botticello ; John Benedetto ; Fatma Eren ; Jayne Donovan ; Ralph Marino Année de publication : 2022 Article en page(s) : p. 649-656 Note générale : https://doi.org/10.1016/j.apmr.2021.09.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Tétraplégie ; Traumatismes de la moelle épinièreRésumé : Objective
To determine the differences in neurologic recovery in persons with initial cervical American Spinal Cord Injury Association Impairment Scale (AIS) grades A and B over time.
Design
Retrospective analysis of data from people with traumatic cervical spinal cord injury (SCI) enrolled in the National Spinal Cord Injury Model Systems (SCIMS) database from 2011-2019.
Setting
SCIMS centers.
Participants
Individuals (N=187) with traumatic cervical (C1-C7 motor level) SCI admitted with initial AIS grade A and B injuries within 30 days of injury, age 16 years or older, upper extremity motor score (UEMS) ≤20 on both sides, and complete neurologic data at admission and follow-up between 6 months and 2 years.
Interventions
Not applicable.
Main Outcome Measures
Conversion in AIS grades, UEMS and lower extremity motor scores (LEMS), and sensory scores.
Results
Mean time to initial and follow-up examinations were 16.1±7.3 days and 377.5±93.4 days, respectively. Conversion from an initial cervical AIS grades A and B to motor incomplete status was 13.4% and 50.0%, respectively. The mean UEMS change for people with initial AIS grades A and B did not differ (7.8±6.5 and 8.8±6.1; P=.307), but people with AIS grade B experienced significantly higher means of LEMS change (2.3±7.4 and 8.8±13.9 (P≤.001). The increased rate of conversion to motor incomplete status from initial AIS grade B appears to be the primary driving factor of increased overall motor recovery. Individuals with initial AIS grade B had greater improvement in sensory scores.
Conclusions
While UEMS recovery is similar in persons with initial AIS grades A and B, the rate of conversion to motor incomplete status, LEMS, and sensory recovery are significantly different. This information is important for clinical as well as research considerations.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292884
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 649-656[article]
Titre : Rehabilitation Length of Stay, Body Mass Index, and Functional Improvement Among Adults With Traumatic Spinal Cord Injury Type de document : Article Auteurs : Yu-Hsiang Kao ; Yuying Chen ; Anne Deutsch ; Huacong Wen ; Tung-Sung Tseng Année de publication : 2022 Article en page(s) : p. 657-664 Note générale : https://doi.org/10.1016/j.apmr.2021.09.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Durée du séjour ; Indice de masse corporelle ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the modifying effect of body mass index (BMI) on the association between rehabilitation length of stay (LOS), severity of injury, and motor FIM (mFIM) improvement in patients with traumatic spinal cord injury (TSCI).
Design
Retrospective cohort study.
Setting
Seventeen SCI Model Systems (SCIMS) centers in the United States.
Participants
A total of 3413 patients (N=3413) who had a TSCI were admitted to an SCIMS between October 2011 and August 2018.
Interventions
Not applicable.
Main Outcome Measures
The mFIM (12 items) improvement by discharge. Four rehabilitation LOS groups split by quartiles were created for each neurologic severity of injury group (C1-C4 level with American Spinal Injury Association Impairment Scale [AIS] ABC, C5-C8 AIS ABC, T1-S3 AIS ABC, AIS DE). The interrelationship among rehabilitation LOS, BMI, and mFIM improvement were examined using multivariate linear regressions. A stratified analysis was performed to examine the association between rehabilitation LOS and mFIM improvement by BMI status (underweight or normal weight, overweight, obesity) and neurologic groups.
Results
A total of 1099 (32.2%) and 821 (24.1%) patients were overweight and had obesity, respectively. Patients with obesity had less improvement in mFIM than those who were underweight or normal weight (unit of mFIM improvement, −3.71). After stratifying by BMI status, among patients with obesity, those with the longest rehabilitation LOS showed greater improvement in mFIM than those in the shortest LOS (unit of mFIM improvement=4.78).
Conclusions
Longer inpatient rehabilitation LOS may benefit patients with TSCI by increasing mFIM improvement by discharge. Obesity is negatively associated with mFIM improvement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292885
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 657-664[article]
Titre : Predicting Duration of Outpatient Physical Therapy Episodes for Individuals with Spinal Cord Injury Based on Locomotor Training Strategy Type de document : Article Auteurs : Mauricio Garnier-Villarreal ; Daniel Pinto ; Chaithanya Krishna Mummidisetty ; Arun Jayaraman ; Candy Tefertiller ; Susan Charlifue ; Heather B. Taylor ; Shuo-Hsiu Chang ; Nicholas McCombs ; Catherine L. Furbish ; Edelle C. Field-Fote ; Allen W. Heinemann Année de publication : 2022 Article en page(s) : p. 665-675 Note générale : https://doi.org/10.1016/j.apmr.2021.07.815 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche ; Dispositif d'exosquelette ; Épisode de soins ; Réadaptation ; Services de santé ; Techniques de physiothérapie ; Traumatismes de la moelle épinièreRésumé : Objective
To characterize individuals with spinal cord injuries (SCI) who use outpatient physical therapy or community wellness services for locomotor training and predict the duration of services, controlling for demographic, injury, quality of life, and service and financial characteristics. We explore how the duration of services is related to locomotor strategy.
Design
Observational study of participants at 4 SCI Model Systems centers with survival. Weibull regression model to predict the duration of services.
Setting
Rehabilitation and community wellness facilities at 4 SCI Model Systems centers.
Participants
Eligibility criteria were SCI or dysfunction resulting in motor impairment and the use of physical therapy or community wellness programs for locomotor/gait training. We excluded those who did not complete training or who experienced a disruption in training greater than 45 days. Our sample included 62 participants in conventional therapy and 37 participants in robotic exoskeleton training.
Interventions
Outpatient physical therapy or community wellness services for locomotor/gait training.
Main Outcome Measures
SCI characteristics (level and completeness of injury) and the duration of services from medical records. Self-reported perceptions of SCI consequences using the SCI-Functional Index for basic mobility and SCI-Quality of Life measurement system for bowel difficulties, bladder difficulties, and pain interference.
Results
After controlling for predictors, the duration of services for the conventional therapy group was an average of 63% longer than for the robotic exoskeleton group, however each visit was 50% shorter in total time. Men had an 11% longer duration of services than women had. Participants with complete injuries had a duration of services that was approximately 1.72 times longer than participants with incomplete injuries. Perceived improvement was larger in the conventional group.
Conclusions
Locomotor/gait training strategies are distinctive for individuals with SCI using a robotic exoskeleton in a community wellness facility as episodes are shorter but individual sessions are longer. Participants’ preferences and the ability to pay for ongoing services may be critical factors associated with the duration of outpatient services.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292886
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 665-675[article]
Titre : Toward Improving the Prediction of Functional Ambulation After Spinal Cord Injury Through the Inclusion of Limb Accelerations During Sleep and Personal Factors Type de document : Article Auteurs : Stéphanie K. Rigot ; Michael L. Boninger ; Dan Ding ; Gina McKernan ; Edelle C. Field-Fote ; Jeanne Hoffman ; Rachel Hibbs ; Lynn A. Worobey Année de publication : 2022 Article en page(s) : p. 676-687.e6 Note générale : https://doi.org/10.1016/j.apmr.2021.02.029 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Marche à pied ; Pronostic ; Réadaptation ; Récupération fonctionnelle ; Traumatismes de la moelle épinièreRésumé : Objective
To determine if functional measures of ambulation can be accurately classified using clinical measures; demographics; personal, psychosocial, and environmental factors; and limb accelerations (LAs) obtained during sleep among individuals with chronic, motor incomplete spinal cord injury (SCI) in an effort to guide future, longitudinal predictions models.
Design
Cross-sectional, 1-5 days of data collection.
Setting
Community-based data collection.
Participants
Adults with chronic (>1 year), motor incomplete SCI (N=27).
Interventions
Not applicable.
Main Outcome Measures
Ambulatory ability based on the 10-m walk test (10MWT) or 6-minute walk test (6MWT) categorized as nonambulatory, household ambulator (0.01-0.44 m/s, 1-204 m), or community ambulator (>0.44 m/s, >204 m). A random forest model classified ambulatory ability using input features including clinical measures of strength, sensation, and spasticity; demographics; personal, psychosocial, and environmental factors including pain, environmental factors, health, social support, self-efficacy, resilience, and sleep quality; and LAs measured during sleep. Machine learning methods were used explicitly to avoid overfitting and minimize the possibility of biased results.
Results
The combination of LA, clinical, and demographic features resulted in the highest classification accuracies for both functional ambulation outcomes (10MWT=70.4%, 6MWT=81.5%). Adding LAs, personal, psychosocial, and environmental factors, or both increased the accuracy of classification compared with the clinical/demographic features alone. Clinical measures of strength and sensation (especially knee flexion strength), LA measures of movement smoothness, and presence of pain and comorbidities were among the most important features selected for the models.
Conclusions
The addition of LA and personal, psychosocial, and environmental features increased functional ambulation classification accuracy in a population with incomplete SCI for whom improved prognosis for mobility outcomes is needed. These findings provide support for future longitudinal studies that use LA; personal, psychosocial, and environmental factors; and advanced analyses to improve clinical prediction rules for functional mobility outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292888
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 676-687.e6[article]
Titre : A Concordance Table to Convert FIM Basic Mobility and Self-Care Scale Scores to SCI-FI/AT Scores Type de document : Article Auteurs : Pengsheng Ni ; Kelly Spellman ; Ross Zafonte ; Huacong Wen ; Mary D. Slavin ; Alan M. Jette Année de publication : 2022 Article en page(s) : p. 688-695 Note générale : https://doi.org/10.1016/j.apmr.2021.06.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To estimate Spinal Cord Injury Functional Index Assistive Technology (SCI-FI/AT) scores from FIM motor items.
Design
Secondary data analysis.
Setting
Fourteen Spinal Cord Injury Model Systems (SCIMS) programs.
Participants
Persons with traumatic spinal cord injury (SCI) discharged from inpatient rehabilitation at 14 SCIMS programs (N=1237).
Interventions
Not applicable.
Main Outcome Measures
FIM motor items were matched to SCI-FI/AT domains and summary scores for each measure were developed. The kernel-based method was employed to develop a concordance table to estimate SCI-FI/AT domain summary scores from content-matched FIM motor item summary scores. We conducted analyses to compare agreement between actual SCI-FI/AT summary scores (actual SCI-FI/AT_S) and estimated SCI-FI/AT summary scores (est-SCI-FI/AT_S) for the total sample and for participants with different SCI injury categories.
Results
Nine FIM items matched SCI-FI/AT basic mobility and self-care domain content. Pearson correlations for actual and est-SCI-FI/AT_S scores (0.79) were adequate for using concordance linking methods. Intraclass correlation coefficient values (0.79; 95% confidence interval, 0.77-0.81) indicated moderate reliability. t tests revealed no significant differences between actual and est-SCI-FI/AT_S scores in the total sample. For almost 60% of the sample, actual and est-SCI-FI/AT_S score differences were
Conclusions
Despite differences between the FIM and SCI-FI/AT assessments, we developed a concordance table to estimate self-care and basic mobility SCI-FI/AT scores from content-matched FIM motor item scores. This concordance table allows researchers to merge FIM data with SCI-FI/AT data to analyze SCI functional outcomes at the group level. However, owing to greater differences between actual and estimated scores, the concordance table should be used with caution to interpret scores for those with cervical-level injuries AISs A, B, C.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292889
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 688-695[article]
Titre : Acute Spinal Cord Injury Is Associated With Prevalent Cardiometabolic Risk Factors Type de document : Article Auteurs : Ryan Solinsky ; Luisa Betancourt ; Mary Schmidt-Read ; Mendel Kupfer ; Marilyn Owens ; Jan M. Schwab ; Nathaniel B. Dusseau ; Yaga Szlachcic ; Linda Sutherland ; Andrew J. Taylor ; Mark S. Nash Année de publication : 2022 Article en page(s) : p. 696-701 Note générale : https://doi.org/10.1016/j.apmr.2021.04.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Facteurs de risque ; Obésité ; Réadaptation ; Syndrome métabolique X ; Traumatismes de la moelle épinièreRésumé : Objectives
To (1) describe the prevalence of cardiometabolic disease (CMD) at spinal cord injury (SCI) rehabilitation discharge; (2) compare this with controls without SCI; and (3) identify factors associated with increased CMD.
Design
Multicenter, prospective observational study.
Setting
Five National Institute on Disability, Independent Living, and Rehabilitation Research Model SCI Rehabilitation Centers.
Participants
SCI (n=95): patients aged 18-70 years, with SCI (neurologic levels of injury C2-L2, American Spinal Injury Association Impairment Scale grades A-D), and enrolled within 2 months of initial rehabilitation discharge. Control group (n=1609): age/sex/body mass index–matched entries in the National Health and Nutrition Examination Education Survey (2016-2019) (N=1704).
Interventions
None
Main Outcome Measures
Percentage of participants with SCI with CMD diagnosis, prevalence of CMD determinants within 2 months of rehabilitation discharge, and other significant early risk associations were analyzed using age, sex, body mass index, insulin resistance (IR) by fasting glucose and Homeostasis Model Assessment (v.2), fasting triglycerides, high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol, total cholesterol, and resting blood pressure (systolic and diastolic).
Results
Participants with SCI had significantly higher diastolic blood pressure and triglycerides than those without SCI, with lower fasting glucose and HDL-C. A total of 74.0% of participants with SCI vs 38.5% of those without SCI were obese when applying population-specific criteria (P<.05 low hdl-c was measured in of participants with sci vs those without ir not significantly different between groups. a total had cmd determinants which higher than interplay lipids and lipoproteins cholesterol:hdl-c ratio triglyceride:hdl-c were associated elevated risk for myocardial infarction stroke. the only significant variable age>
Conclusions
Individuals with SCI have an increased CMD risk compared with the general population; obesity, IR, and low HDL-C are the most common CMD risk determinants; age is significantly associated with early CMD.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292890
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 696-701[article]
Titre : Gut Microbiome Composition and Serum Metabolome Profile Among Individuals With Spinal Cord Injury and Normal Glucose Tolerance or Prediabetes/Type 2 Diabetes Type de document : Article Auteurs : Jia Lia ; Casey Morrow ; Stephen Barnes ; Landon Wilson ; Erika D. Womack ; Amie McLain ; Ceren Yarar-Fisher Année de publication : 2022 Article en page(s) : p. 702-710 Note générale : https://doi.org/10.1016/j.apmr.2021.03.043 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète de type 2 ; Interactions hôte-microbes ; Métabolomique ; Microbiome gastro-intestinal ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To compare the gut microbiome composition and serum metabolome profile among individuals with spinal cord injury (SCI) and normal glucose tolerance (NGT) or prediabetes/type 2 diabetes (preDM/T2D).
Design
Cross-sectional design.
Setting
Research university.
Participants
A total of 25 adults (N=25) with SCI were included in the analysis and categorized as NGT (n=16) or preDM/T2D (n=9) based on their glucose concentration at minute 120 during a 75-g oral glucose tolerance test. The American Diabetes Association diagnosis guideline was used for grouping participants.
Interventions
Not applicable.
Main Outcome Measures
A stool sample was collected and used to assess the gut microbiome composition (alpha and beta diversity, microbial abundance) via the 16s ribosomal RNA sequencing technique. A fasting serum sample was used for liquid chromatography–mass spectrometry–based untargeted metabolomics analysis, the results from which reflect the relative quantity of metabolites detected and identified. Gut microbiome and metabolomics data were analyzed by the Quantitative Insights into Microbial Ecology 2 and Metaboanalyst platforms, respectively.
Results
Gut microbiome alpha diversity (Pielou's evenness index, Shannon's index) and beta diversity (weighted UniFrac distances) differed between groups. Compared with participants with NGT, participants with preDM/T2D had less evenness in microbial communities. In particular, those with preDM/T2D had a lower abundance of the Clostridiales order and higher abundance of the Akkermansia genus, as well as higher serum levels of gut-derived metabolites, including indoxyl sulfate and phenylacetylglutamine (P
Conclusions
Our results provide evidence for altered gut microbiome composition and dysregulation of gut-derived metabolites in participants with SCI and preDM/T2D. Both indoxyl sulfate and phenylacetylglutamine have been implicated in the development of cardiovascular diseases in the able-bodied population. These findings may inform future investigations in the field of SCI and cardiometabolic health.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292891
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 702-710[article]
Titre : Mortality Beyond the First Year After Spinal Cord Injury: Does Body Mass Index Matter? Type de document : Article Auteurs : Huacong Wen ; Michael J. DeVivo ; Allen W. Heinemann ; James S. Krause ; Susan Robinson-Whelen ; Yuying Chen Année de publication : 2022 Article en page(s) : p. 711-721 Note générale : https://doi.org/10.1016/j.apmr.2021.08.026 Langues : Anglais (eng) Descripteurs : HE Vinci
Cause de décès ; Indice de masse corporelle ; Mortalité ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the association between body mass index (BMI [calculated as weight in kilograms divided by height in meters squared]) and mortality after the first year post spinal cord injury (SCI) overall and across demographic and injury characteristics.
Design
Cohort study.
Setting
Sixteen Spinal Cord Injury Model Systems (SCIMS) centers.
Participants
SCIMS Database participants age 20 years or older and having a BMI assessment during the 2007-2011 wave of data collection.
Interventions
Not applicable.
Main Outcome Measures
All-cause mortality rate. Life table method and log-rank test were used to estimate and compare mortality rates across BMI groups and other factors. Cox proportional hazard regression model was conducted to estimate hazard ratio (HR) and 95% confidence interval (CI).
Results
A total of 2346 participants (N=2346) with SCI were classified into 1 of the 8 BMI groups:
Conclusions
To improve life expectancy after SCI, health care professionals could focus on weight management among patients with relatively low and extremely high BMI, defined by demographic and injury-related characteristics. Future studies should explore factors that contribute to such a higher mortality after SCI, including pre-existing conditions, poor diet and/or nutrition, and cardiorespiratory fitness.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292893
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 711-721[article]
Titre : Emergency Department Visits, Related Hospitalizations, and Reasons for Emergency Department Utilization After Traumatic Spinal Cord Injury Type de document : Article Auteurs : Yue Cao ; Nicole D. DiPiro ; Edelle C. Field-Fote ; James S. Krause Année de publication : 2022 Article en page(s) : p. 722-728 Note générale : https://doi.org/10.1016/j.apmr.2021.02.030 Langues : Anglais (eng) Descripteurs : HE Vinci
Hôpitaux ; Hospitalisation ; Réadaptation ; Services des urgences médicales ; Traumatismes de la moelle épinièreRésumé : Objective
To identify the self-reported frequency of emergency department (ED) visits, ED-related hospitalizations, and reasons for ED visits among people with traumatic spinal cord injury (SCI) and compare them with general population data from the same geographic area.
Design
Cross-sectional.
Setting
A specialty hospital in the Southeastern United States.
Participants
The participants (N=648) were community-dwelling adults (18 years and older) with a traumatic SCI, who were at least 1 year postinjury. A comparison group of 9728 individuals from the general population was retrieved from the 2017 National Health Interview Survey (NHIS).
Interventions
Not applicable.
Main Outcome Measures
Participants completed self-report assessments on ED visits, ED hospitalizations, and reasons for ED visits in the past 12 months using items from the NHIS.
Results
A total of 37% of participants with SCI reported at least 1 ED visit, and 18% reported at least 1 ED hospitalization in the past 12 months. Among those having at least 1 ED visit, 49% were admitted to hospitals. After controlling for sex, age, and race/ethnicity, participants with SCI were 151% more likely to visit the ED (odds ratio [OR], 2.51) and 249% more likely to have at least 1 ED hospitalization than the NHIS sample (OR, 3.49). Persons with SCI had a higher percentage of ED visits because of severe health conditions, reported an ED was the closest provider, and were more likely to arrive by ambulance. NHIS participants were more likely to visit the ED because no other option was available.
Conclusions
Compared with those in the general population, individuals with SCI have substantially higher rates of ED visits, yet ED visits are not regularly assessed within the SCI Model Systems. ED visits may indicate the need for intervention beyond the acute condition leading directly to the ED visits and an opportunity to link individuals with resources needed to maintain function in the community.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292894
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 722-728[article]
Titre : Prevalence and Impact of Neuropathic and Nonneuropathic Pain in Chronic Spinal Cord Injury Type de document : Article Auteurs : Elizabeth R. Felix ; Diana D. Cardenas ; Thomas N. Bryce ; Susan Charlifue ; Tae Kyong Lee ; Bria MacIntyre ; Sara Mulroy ; Heather Taylor Année de publication : 2022 Article en page(s) : p. 729-737 Note générale : https://doi.org/10.1016/j.apmr.2021.06.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Douleur chronique ; Douleur nociceptive ; Nevralgie ; Réadaptation ; Sommeil ; Traumatismes de la moelle épinièreRésumé : Objective
To compare prevalence, intensity ratings, and interference ratings of neuropathic pain (NeuP) and nociceptive pain in people with chronic spinal cord injury (SCI)
Design
Cross-sectional survey.
Setting
Six SCI Model System centers in the United States.
Participants
Convenience sample of 391 individuals (N=391) with traumatic SCI, 18 years or older, 81% male, 57% White.
Interventions
Not applicable.
Main Outcome Measures
Survey based on the International Spinal Cord Injury Pain Basic Data Set and the Spinal Cord Injury Pain Instrument, including 0-10 numeric ratings of pain intensity and pain interference with daily activities, mood, and sleep
Results
A total of 80% of those surveyed reported having at least 1 pain problem; 58% reported 2 or more pain problems; 56% had probable NeuP; and 49% had non-NeuP. When comparing ratings for all pains (n=354 for NeuP, n=290 for non-NeuP) across participants, probable NeuPs were significantly more intense (6.9 vs 5.7) and interfered more with activities (5.2 vs 3.7), mood (4.9 vs 3.2), and sleep (5.4 vs 3.6) than non-NeuPs (all P<.001 however when comparing ratings for probable neups and non-neups within participants the subgroup of with both pain types only sleep interference were found to be significantly different between types. additionally we greater prevalence neup non-neup women compared men those paraplegia tetraplegia.>
Conclusions
Independent assessment of the pain conditions experienced by an individual with SCI is useful in understanding the differential effect that pain type has on quality of life. This is particularly important regarding sleep interference and should be kept in mind when determining treatment strategies for meeting patient-centered outcome goals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292895
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 729-737[article]
Titre : miR-338-5p Levels and Cigarette Smoking are Associated With Neuropathic Pain Severity in Individuals With Spinal Cord Injury: Preliminary Findings From a Genome-Wide microRNA Expression Profiling Screen Type de document : Article Auteurs : Jesse L. Kowalski ; Nguyen Nguyen ; Ricardo A. Battaglino ; Scott P. Falci ; Susan Charlifue ; Leslie R. Morse Année de publication : 2022 Article en page(s) : p. 738-746 Note générale : https://doi.org/10.1016/j.apmr.2021.09.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Fumer ; MicroARN ; Nevralgie ; Produits du tabac ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To identify microRNA biomarkers and clinical factors associated with neuropathic pain after spinal cord injury.
Design
Cross-sectional, secondary analysis of baseline data collected from ongoing clinical studies. Using a genome-wide microRNA screening approach, we studied differential microRNA expression in serum from 43 adults with spinal cord injury enrolled in ongoing clinical studies. Least squares regression was used to identify associations between microRNA expression, clinical factors, and neuropathic pain severity.
Setting
Community-dwelling individuals with spinal cord injury.
Participants
Participants (N=43) were at least 18 years old with spinal cord injury, with 28 reporting neuropathic pain and 15 reporting no neuropathic pain.
Interventions
Not applicable.
Main Outcome Measures
Pain presence, type, and intensity were assessed with the International Spinal Cord Injury Pain Basic Data Set. Serum microRNA normalized deep sequencing counts were quantified from blood samples. Participant demographic factors, injury characteristics, medication use, and health habits were collected via questionnaire.
Results
miR-338-5p expression and history of cigarette smoking were associated with and explained 37% of the variance in neuropathic pain severity (R2=0.37, F2,18=5.31, P=.02) independent of other clinical factors. No association was identified between miR-338-5p levels and nociceptive pain severity.
Conclusions
Our findings suggest that miR-338-5p and cigarette smoking may both play a role in the development or maintenance of neuropathic pain after spinal cord injury. While additional work is needed to confirm these findings, validated target analysis suggests a neuroprotective role of miR-338-5p in modulating neuroinflammation and neuronal apoptosis and that its downregulation may result in maladaptive neuroplastic mechanisms contributing to neuropathic pain after spinal cord injury.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292897
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 738-746[article]
Titre : Mediating Effects of Pain Interference on the Relationships Between Pain Intensity and Probable Major Depression Among Participants With Spinal Cord Injury Type de document : Article Auteurs : Chao Li ; Nicole D. DiPiro ; Jillian M.R. Clark ; James S. Krause Année de publication : 2022 Article en page(s) : p. 747-754 Note générale : https://doi.org/10.1016/j.apmr.2021.04.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Douleur ; Réadaptation ; Traumatismes de la moelle épinière ; Trouble dépressif majeurRésumé : Objective
To evaluate whether pain interference mediates the relationship between pain intensity and probable major depression (PMD) among persons with spinal cord injury (SCI), accounting for differences in the frequency of prescription medication use and resilience.
Design
Cross-sectional analysis using self-report assessment.
Setting
Medical university in the Southeastern United States.
Participants
There were a total of 4670 participants (N=4670), all of whom had traumatic SCI of at least 1-year duration, identified from the Southeastern Regional SCI Model System and 2 state-based surveillance systems.
Interventions
Not applicable.
Main Outcome Measures
The Patient Health Questionnaire-9 was used to define PMD. Covariates included demographic and injury characteristics, pain severity, pain interference, and resilience. Separate sets of multistage logistic regression analyses were conducted for 3 levels of prescription pain medication use (daily, occasional/weekly, none).
Results
Pain intensity was related to a greater risk of PMD (odds ratio [OR]daily pain medication user, 1.28; 95% confidence interval [CI], 1.21-1.35; ORoccasional/weekly pain medication user, 1.26; 95% CI, 1.16-1.36; ORnonpain medication user, 1.44; 95% CI, 1.33-1.56), but this relationship disappeared after consideration of pain interference (ORdaily pain medication user, 0.97; 95% CI, 0.90-1.04; ORoccasional/weekly pain medication user, 0.94; 95% CI, 0.84-1.05; ORnonpain medication user, 1.07; 95% CI, 0.95-1.20), which indicates pain interference was a mediator between pain intensity and PMD and there was no direct relationship between pain intensity and PMD. Resilience was protective of PMD in each model but was not a mediator.
Conclusions
Although pain intensity was associated with PMD, the relationship was mediated by pain interference. Resilience was an important protective factor. Therefore, clinicians should assess pain interference when screening for PMD and direct treatment at reducing pain interference. Building resilience may further reduce the risk of PMD.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292898
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 747-754[article]
Titre : Utilization of Complementary and Integrative Health Care by People With Spinal Cord Injury in the Spinal Cord Injury Model Systems: A Descriptive Study Type de document : Article Auteurs : Jennifer Coker ; Jeffrey C. Berliner ; Amanda Botticello ; Thomas N. Bryce ; Susan Charlifue ; David Chen ; David Estrada ; Kimberley R. Monden ; Heather Taylor ; Ross Zafonte ; Jeanne M. Zanca Année de publication : 2022 Article en page(s) : p. 755-763 Note générale : https://doi.org/10.1016/j.apmr.2021.04.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Médecine intégrative ; Réadaptation ; Thérapies complémentaires ; Traumatismes de la moelle épinièreRésumé : Objective
To characterize the use of complementary and integrative health care (CIH) by people with spinal cord injury.
Design
Cross-sectional self-report study.
Setting
Participants were recruited from 5 Spinal Cord Injury Model Systems (SCIMS) centers across the United States.
Interventions
Not applicable.
Participants
A total of 411 persons enrolled in the SCIMS completing their SCIMS follow-up interview between January 2017 and July 2019 (N = 411).
Main Outcome Measures
Participants completed a survey developed for this study that included questions about types of CIH currently and previously used, reasons for current and previous use, reasons for discontinuing use of CIH, and reasons for never using CIH since injury.
Results
Of the 411 respondents, 80.3% were current or previous users of CIH; 19.7% had not used CIH since injury. The most commonly used current types of CIH were multivitamins (40.0%) and massage (32.6%), whereas the most common previously used type of CIH was acupuncture (33.9%). General health and wellness (61.4%) and pain (31.2%) were the most common reasons for using CIH. The primary reason for discontinuing CIH was that it was not helpful (42.1%). The primary reason for not using CIH since injury was not knowing what options are available (40.7%).
Conclusions
These results point to the importance for rehabilitation clinicians to be aware that their patients may be using 1 or more CIH approaches. Providers should be open to starting a dialogue to ensure the health and safety of their patients because there is limited information on safety and efficacy of CIH approaches in this population. These results also set the stage for further analysis of this data set to increase our knowledge in this area.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292899
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 755-763[article]
Titre : Characterizing the Experience of Spasticity after Spinal Cord Injury: A National Survey Project of the Spinal Cord Injury Model Systems Centers Type de document : Article Auteurs : Edelle C. Field-Fote ; Catherine L. Furbish ; Natalie E. Tripp ; Jeanne M. Zanca ; Trevor A. Dyson-Hudson ; Steven Kirshblum ; Allen W. Heinemann ; David Chen ; Elizabeth Roy Felix ; Lynn Worobey ; Mary Schmidt-Read ; Ralph J. Marino ; Matthew J. Hayat Année de publication : 2022 Article en page(s) : p. 764-772.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.03.040 Langues : Anglais (eng) Descripteurs : HE Vinci
Dysréflexie autonome ; Mesures des résultats rapportés par les patients (PROM) ; Paralysie ; Paraplégie ; Réadaptation ; Spasme ; TétraplégieRésumé : Objective
To characterize the qualities that individuals with spinal cord injury (SCI) associate with their experience of spasticity and to describe the relationship between spasticity and perceived quality of life and the perceived value of spasticity management approaches.
Design
Online cross-sectional survey.
Setting
Multicenter collaboration among 6 Spinal Cord Injury Model Systems hospitals in the United States.
Participants
Individuals with SCI (N=1076).
Interventions
Not applicable.
Main Outcome Measures
Qualities of Spasticity Questionnaire, modified Spinal Cord Injury–Spasticity Evaluation Tool (mSCI-SET), and the modified Patient-Reported Impact of Spasticity Measure (mPRISM).
Results
Respondents indicated that spasms most often occurred in response to movement-related triggering events. However, spontaneous spasms (ie, no triggering event) were also reported to be among the most common types. Frequency of spasms appears to decline with age. The highest frequency of spasms was reported by 56% of respondents aged 55 years. Stiffness associated with spasticity was reported to be more common than spasms (legs, 65% vs 54%; trunk, 33% vs 18%; arms, 26% vs 15%). Respondents reported negative effects of spasticity more commonly than positive effects. Based on their association with negative scores on the mSCI-SET and the mPRISM, the 5 most problematic experiences reported were stiffness all day, interference with sleep, painful spasms, perceived link between spasticity and pain, and intensification of pain before a spasm. Respondents indicated spasticity was improved more by stretching (48%) and exercise (45%) than by antispasmodics (38%).
Conclusions
The experience of spasticity after SCI is complex and multidimensional, with consequences that affect mobility, sleep, comfort, and quality of life. Stiffness, rather than spasms, appears to be the most problematic characteristic of spasticity. Physical therapeutic interventions to treat spasticity warrant in-depth investigation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292900
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 764-772.e2[article]
Titre : Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems Type de document : Article Auteurs : Kimberley R. Monden ; Jennifer Coker ; Susan Charlifue ; Stephanie J. Bennett ; Christina Draganich ; David Coons ; Ralph J. Marino ; Jeffrey Berliner Année de publication : 2022 Article en page(s) : p. 773-778 Note générale : https://doi.org/10.1016/j.apmr.2021.03.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Tétraplégie ; Traumatismes de la moelle épinière ; Ventilation pulmonaireRésumé : Objective
To explore participants’ experiences after implantation of a diaphragmatic pacing system (DPS).
Design
Cross-sectional, observational study using self-report questionnaires.
Setting
Participants were recruited from 6 Spinal Cord Injury Model System centers across the United States (Craig Hospital, CO; Jefferson/Magee Rehabilitation Hospital, PA; Kessler Rehabilitation Center, NJ; University of Miami, FL; The Shirly Ryan Ability Lab, IL; Shepherd Center, GA).
Interventions
Not applicable.
Participants
Men and women (N=28) with tetraplegia were enrolled in the study between November 2012 and January 2015.
Main Outcome Measures
Participants completed self-report questionnaires focused on their DPS usage and mechanical ventilation, as well as their experiences and satisfaction with the DPS.
Results
DPS is a well-tolerated and highly successful device to help individuals living with spinal cord injury who are dependent on ventilators achieve negative pressure, ventilator-free breathing. A small percentage of participants reported complications, including broken pacing wires and surgery to replace or reposition wires.
Conclusions
This study provides insight into the usage patterns of DPS and both the potential negative and positive effects that DPS can have on the life of the user. Knowledge gained from this study can provide a foundation for further discussion about the benefits and potential risks of using a DPS to inform an individual's decision to pursue a DPS implant.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292901
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 773-778[article]
Titre : Factors Influencing Incidence of Wheelchair Repairs and Consequences Among Individuals with Spinal Cord Injury Type de document : Article Auteurs : Lynn A. Worobey ; Allen W. Heinemann ; Kim Anderson ; Denise Fyffe ; Trevor A. Dyson-Hudson ; Theresa Berner ; Michael L. Boninger Année de publication : 2022 Article en page(s) : p. 779-789 Note générale : https://doi.org/10.1016/j.apmr.2021.01.094 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Panne d'appareillage ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate the frequency and consequences of wheelchair repairs, looking at the relationship to usage, components, out-of-pocket costs, number of days affecting the user, and factors associated with the need for repairs or consequences.
Design
Survey, cross-sectional.
Setting
Nine spinal cord injury (SCI) Model Systems centers.
Participants
Wheelchair users with SCI (N=533).
Interventions
Not applicable.
Main Outcome Measures
Cost and incidence of wheelchair repairs and consequences and wheelchair usage within the past 6 months.
Results
A total of 310 participants (56%) reported repairs, 127 (42%) of whom experienced at least 1 adverse consequence lasting a median of 5 days (interquartile range [IQR], 2-17.3 days). Repair rates were highest for the seating system, electronics, and tires. Participants were most often stranded at home or forced to use a backup chair. Median out-of-pocket costs were $150 (IQR, $50-$620). Active users, based on type of mobility and terrain, experienced more repairs and consequences than less active users. Repairs were more common among those who were Black (odds ratio [OR], 2.42) or power wheelchair (PWC) users (OR, 1.84), whereas consequences were more common among those who were Black (OR, 2.27), PWC (OR, 2.08) or power assist users (OR, 2.76), and those who had public insurance (OR, 1.70).
Conclusions
Wheelchair repairs continue to affect more than 50% of wheelchair users with significant financial and personal cost. High repair rates limited participation inside and outside of the home. Consequences lasted longer than 2 weeks for many and may be minimized by a working backup chair. Disparities exist based on participant and wheelchair factors; repairs and adverse consequences appear to hit those most vulnerable with the least financial resources. Costs may be a barrier to repair completion for some individuals. This ongoing problem of high repair rates and their associated effects requires action such as higher standards, access to quicker service, and better training of users on wheelchair maintenance and repair.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292902
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 779-789[article]
Titre : Effectiveness of Group Wheelchair Maintenance Training for People with Spinal Cord Injury: A Randomized Controlled Trial Type de document : Article Auteurs : Lynn A. Worobey ; Gina McKernan ; Maria Toro ; Jonathan Pearlman ; Rachel E. Cowan ; Allen W. Heinemann ; Trevor A. Dyson-Hudson ; Jessica Presperin Pedersen ; Matthew Mesoros ; Michael L. Boninger Année de publication : 2022 Article en page(s) : p. 790-797 Note générale : https://doi.org/10.1016/j.apmr.2021.02.031 Langues : Anglais (eng) Descripteurs : HE Vinci
Enseignement ; Fauteuils roulants ; Maintenance ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To assess the effectiveness of group wheelchair maintenance training and investigate participant characteristics associated with responsiveness to training.
Design
Randomized controlled trial with an immediate group and a waitlist control group (WLCG) who received the intervention after a 6-month delay.
Setting
Four Spinal Cord Injury Model Systems Centers.
Participants
Manual (MWC; n=80) and power wheelchair (PWC; n=67) users with spinal cord injury (N=147).
Interventions
Two 90-minute structured wheelchair maintenance training program classes with 12-20 people per class and separate classes for MWC and PWC users. Each class included in-person hands-on demonstrations and practice of wheelchair maintenance.
Main Outcome Measures
Separate analysis was completed for MWC and PWC users using the Wheelchair Maintenance Training Questionnaire (WMT-Q) capacity (ability to complete), performance (frequency of completion) and knowledge at baseline, 1 month, 6 months, 6 months pretraining (WLCG only), and 1 year (immediate only).
Results
After the intervention, participants in both the immediate and WLCG improved in maintenance capacity (MWC and PWC, P<.001 and performance pwc p with training. only users improved knowledge of wheelchair maintenance for both wlcgs there was no difference between the pretraining time point baseline. mwc who responded to training had lower wmt-q scores all domains whereas this case users.>
Conclusions
Group wheelchair skills training is effective at improving capacity to complete maintenance and performance of maintenance activities for MWC and PWC users, even in a cohort of experienced wheelchair users. For MWC users, improvements were tied to lower WMT-Q scores at baseline, whereas PWC users improved in capacity and performance independent of baseline score. Delivering this training in a structured group format has a lower cost, which might improve adoption into clinical practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292903
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 790-797[article]
Titre : Efficacy of a Remote Train-the-Trainer Model for Wheelchair Skills Training Administered by Clinicians: A Cohort Study With Pre- vs Posttraining Comparisons Type de document : Article Auteurs : Lynn A. Worobey ; Lee R. Kirby ; Rachel E. Cowan ; Trevor A. Dyson-Hudson ; Mary Shea ; Allen W. Heinemann ; Jessica Presperin Pedersen ; Michael L. Boninger Année de publication : 2022 Article en page(s) : p. 798-806 Note générale : https://doi.org/10.1016/j.apmr.2021.03.042 Langues : Anglais (eng) Descripteurs : HE Vinci
Aptitudes motrices ; Fauteuils roulants ; Infirmières spécialistes cliniques ; RéadaptationRésumé : Objective
To test the hypotheses that remote training improves trainer confidence and when these trainers train others the capacity and confidence of the trainees improves.
Design
Cohort study with pre- vs posttraining comparisons.
Setting
Four spinal cord injury model systems centers.
Participants
Convenience sample of 7 clinician trainers and 19 able-bodied trainees (N=26).
Interventions
Part 1 focused on trainer skill acquisition with self-study of the Wheelchair Skills Program Manual and instructional videos focused on motor learning, spotting, and 10 intermediate and advanced wheelchair skills. Trainers practiced in pairs, receiving asynchronous feedback on video recordings from a remote instructor. Part 2 included additional video modules targeted at “how to” assess and train others in 4 wheelchair skills: gets over obstacle, ascends low curb, ascends high curb with caregiver assistance, and performs stationary wheelie. Upon completion, the trainers each provided 1:1 in-person training for 2-3 trainees.
Main Outcome Measures
Trainer confidence was assessed using the Self-Efficacy on Assessing, Training, and Spotting Test for Manual Wheelchairs. Trainee capacity (“Can you do it?”) and confidence (“How confident are you?”) were evaluated using the Wheelchair Skills Test Questionnaire (WST-Q).
Results
Trainer confidence increased for assessment (P=.003) and training (P=.002) but not spotting (P=.056). Trainee 4-item median (interquartile range) WST-Q scores significantly increased with training for capacity (13% [6-31] to 88% [75-88], P<.001 and confidence to p>
Conclusions
Remote training improves trainers’ confidence with respect to wheelchair skills testing and training and the wheelchair skills capacity and confidence of their trainees.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292904
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 798-806[article]
Titre : Effectiveness of a Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial Type de document : Article Auteurs : Stéphanie K. Rigot ; Kaitlin M. DiGiovine ; Michael L. Boninger ; Rachel Hibbs ; Ian Smith ; Lynn A. Worobey Année de publication : 2022 Article en page(s) : p. 807-815.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.05.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Maladies de la moelle épinière ; Réadaptation ; TéléréadaptationRésumé : Objective
To determine the effectiveness of a web-based, direct-to-user transfer training program in improving transfer quality and maintaining improvements for up to 1 month after training as compared with a control group.
Design
Randomized controlled trial with participants randomized to an immediate intervention group (IIG) or waitlist control group (WLCG) that received the training after a 6-month delay.
Setting
Wherever the participants accessed the web-based training, likely the home environment.
Participants
Convenience sample of full-time wheelchair users (N=72; IIG, n=34; WLCG, n=38 for between-group analysis, n=48 for combined within-group analysis) with spinal cord injury or disorder who were able to independently perform a lateral scoot transfer.
Interventions
Self-paced, web-based transfer training module.
Main Outcome Measures
Transfer Assessment Instrument Questionnaire (TAI-Q) score at baseline, 1 month, and 6 months postbaseline (WLCG only), immediately posttraining, and 1 month posttraining. The TAI-Q is an 18-item self-assessment that covers several aspects of a quality transfer.
Results
The IIG significantly increased particpants’ baseline TAI-Q score from 6.91±0.98 to 7.79±1.12 (P<.001 by month posttraining. the wlcg also increased from baseline to postbaseline assessment p=".014)," potentially learning effects secondary self-assessment with tai-q. extent of change over time did not differ significantly between iig and however significant improvements in tai-q scores were still evident after training for those a lower pretraining score more shoulder pain most likely benefit training.>
Conclusions
Repeated TAI-Q self-assessments likely contributed to improved transfer quality, with web-based training having an additive effect. Wheelchair users are likely to benefit from transfer training and self-assessment of transfer quality in their home environments. This has the potential to decrease injury risk while avoiding barriers to in-person training.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292905
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 807-815.e1[article]
Titre : Intra- and Interrater Reliability of Remote Assessment of Transfers by Wheelchair Users Using the Transfer Assessment Instrument (Version 4.0) Type de document : Article Auteurs : Lynn A. Worobey ; Rachel Hibbs ; Stéphanie K. Rigot ; Michael L. Boninger ; Randall Huzinec ; Jong H. Sung ; Laura A. Rice Année de publication : 2022 Article en page(s) : p. 816-821 Note générale : https://doi.org/10.1016/j.apmr.2020.12.032 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Fauteuils roulants ; Mouvement ; Réadaptation ; Reproductibilité des résultatsRésumé : Objective
To evaluate the reliability, standard error of measurement, minimum detectable change, and item-level consistency of the Transfer Assessment Instrument (TAI) version 4.0 when used to evaluate transfer quality remotely.
Design
Participants transferred from their wheelchair to a mat table (transfer 1), repeated this after a 10-minute delay to assess intrarater reliability (transfer 2), and repeated this 1-2 days later to assess test-retest reliability (transfer 3). Each transfer was scored in person by 4 raters and asynchronously by a remote clinician rater.
Setting
2017 National Veterans Wheelchair Games.
Participants
Convenience sample of 44 full-time wheelchair users (N=44).
Interventions
Not applicable.
Main Outcome Measures
TAI total score, subscores (wheelchair setup, body setup, flight/landing), and item scores (15 items).
Results
Moderate to excellent reliability was found when scoring remotely for TAI total and subscores for intrarater (intraclass correlation coefficient (ICC(3,1)=0.687-0.854), test-retest (ICC(3,1)=0.695-0.836), and interrater reliability (ICC(3,5)=0.746-0.962). Remote rater total score and flight/landing subscore were greater (indicating higher transfer quality) compared to the average in-person raters (P=.021 and P=.005, respectively). There were no differences between transfers 1-3 in remote rater scores. Item-level percentage agreement between the remote rater and in-person exceeded the 75% cutoff for clinical utility for all items.
Conclusions
The TAI is a reliable outcome measure for assessing transfer technique remotely.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292906
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 816-821[article]
Titre : Who Moves After SCI? Individual, Health, and Neighborhood Predictors of Residential Mobility Among Participants in the National Spinal Cord Injury Model Systems Database Type de document : Article Auteurs : Lauren Murphy ; Jennifer Bogner ; Michael L. Boninger ; Thomas N. Bryce ; Yuying Chen ; Allen W. Heinemann ; Mary Joan Roach Année de publication : 2022 Article en page(s) : p. 822-831 Note générale : https://doi.org/10.1016/j.apmr.2021.03.039 Langues : Anglais (eng) Descripteurs : HE Vinci
Caractéristiques de l'habitat ; Dynamique des populations ; Environnement ; Pauvreté ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate residential mobility among community-living adults with spinal cord injury (SCI) and the individual, health, and neighborhood factors associated with the propensity to relocate.
Design
Retrospective analysis of data from the National SCI Model Systems (SCIMS) Database collected between 2006 and 2018 and linked with the American Community Survey 5-year estimates.
Setting
Community.
Interventions
Not applicable.
Participants
People with traumatic SCI (N=4599) who participated in 2 waves of follow-up and had residential geographic identifiers at the census tract level.
Main Outcome Measures
Moving was a binary measure reflecting change in residential locations over a 5-year interval. Move distance distinguished nonmovers from local movers (different tracts within the same county) and long-distance movers (to different county or state). Move quality included 4 categories: stayed/low poverty tract, stayed/high poverty tract, moved/low poverty tract, and moved/high poverty tract.
Results
One in 4 people moved within a 5-year interval (n=1175). Of the movers, 55% relocated to a different census tract within the same county and 45% relocated to a different county or state. Thirty-five percent of all movers relocated to a high poverty census tract. Racial and ethnic minorities, people from low-income households, and younger adults were more likely to move, move locally, and relocate to a high poverty neighborhood. High poverty and racial/ethnic segregation in the origin neighborhood predicted an increased risk for remaining in or moving to a high poverty neighborhood.
Conclusions
Although people with SCI relocated at a lower rate than has been reported in the general population, moving was a frequent occurrence postinjury. People from vulnerable groups were more likely to remain in or relocate to socioeconomically disadvantaged neighborhoods, thus increasing the risk for health disparities and poorer long-term outcomes among minorities and people from low-income households. These findings inform policy makers’ considerations of housing, health care, and employment initiatives for individuals with SCI and other chronic disabilities.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292907
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 822-831[article]
Titre : Changes in Internet Use Over Time Among Individuals with Traumatic Spinal Cord Injury Type de document : Article Auteurs : Stéphanie K. Rigot ; Lynn A. Worobey ; Michael L. Boninger ; Susan Robinson-Whelen ; Mary Joan Roach ; Allen W. Heinemann ; Gina McKernan Année de publication : 2022 Article en page(s) : p. 832-839.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.04.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Accès à Internet ; Réadaptation ; TélémédecineDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292908
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 832-839.e2[article]
Paru le : 01/03/2022
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Titre : How Do Fluctuations in Pain, Fatigue, Anxiety, Depressed Mood, and Perceived Cognitive Function Relate to Same-Day Social Participation in Individuals With Spinal Cord Injury? Type de document : Article Auteurs : Duygu Kuzu ; Jonathan P. Troost ; Noelle E. Carlozzi ; Dawn M. Ehde ; Ivan R Molton ; Anna L. Kratz Année de publication : 2022 Article en page(s) : p. 385-393 Note générale : https://doi.org/10.1016/j.apmr.2021.07.809 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Dépression ; Fatigue ; Participation sociale ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
This study aimed to examine same-day associations of pain, fatigue, depressed mood, anxiety, and perceived cognitive function with social participation in the daily lives of adults with spinal cord injury (SCI).
Design
Observational study used a combination of baseline surveys and 7 end-of-day (EOD) diaries.
Setting
General community.
Participants
Individuals with SCI (N=168; mean age, 49.8y; 63% male, 37% female).
Main Outcome Measures
Patient-Reported Outcomes Measurement Information System short form measures (Ability to Participate in Social Roles and Activities, Pain Intensity, Depression, Anxiety, Cognitive Function Abilities) were adapted for daily administrations as EOD diaries.
Result
Results of multivariable model showed that daily increases in fatigue (B=−0.10; P=.004) and depressive symptoms (B=−0.25; P=<.001 and decreases in perceived cognitive function p="<.001)" were significantly related to worse same-day social participation. daily fluctuations anxiety pain unrelated> Conclusions
This is the first study that shows within-person associations of common SCI symptoms with social participation in the daily lives of adults with SCI. Results from the current study may help to develop more effective individualized treatments of symptoms and symptom effect aimed at improving social participation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291672
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 385-393[article]
Titre : Determining the Prevalence, Implementation Approaches, and Opinions of Above Cuff Vocalization: A Survey of Health Care Professionals Type de document : Article Auteurs : Claire S. Mills ; Emilia Michou ; Mark C. Bellamy ; Heidi J. Siddle ; Cathy A. Brennan ; Chris Bojke Année de publication : 2022 Article en page(s) : p. 394-401 Note générale : https://doi.org/10.1016/j.apmr.2021.08.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication ; Déglutition ; Enquêtes et questionnaires ; Réadaptation ; Soins de réanimation ; Trachéostomie ; VoixRésumé : Objective
To conduct an international survey to investigate the use of above cuff vocalization (ACV) and how practice and opinion differs.
Design
Observational, cross-sectional online survey.
Setting
Critical care, acute, rehabilitation, long-term care, and community.
Participants
Health care professionals involved in tracheostomy care or weaning (N=243).
Interventions
Not applicable.
Main Outcome Measures
Tracheostomy management, prevalence, personal experiences and opinions, and barriers to use. Quantitative data were reported descriptively, and content analysis was conducted with qualitative data.
Results
The survey was completed by 243 health care professionals from 9 professional groups and 25 countries, with most responses from the United Kingdom (54%) and speech and language therapists (55%). ACV was used in 39% of services (n=93). Sixty percent (n=50/83) of health care professionals with direct experience of ACV had used it with Conclusions
ACV uptake varies internationally with no standardized approach to ACV delivery. Diversity of opinions on approaches and benefits exist. Serious complications are infrequent, but minor complications are common. Future research is needed to establish optimal ACV implementation to maximize benefits and minimize risks.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291674
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 394-401[article]
Titre : Cognitive Performance After Facial Botulinum Toxin Treatment in a Cohort of Neurologic Patients: An Exploratory Study Type de document : Article Auteurs : Kirsten Platho-Elwischger ; Michaela Schmoeger ; Ulrike Willinger ; Carmen Abdel-Aziz ; Jennifer Algner ; Sandra Pretscherer ; Eduard Auff ; Gottfried Kranz ; Oliver Turnbull ; Thomas Sycha Année de publication : 2022 Article en page(s) : p. 402-408 Note générale : https://doi.org/10.1016/j.apmr.2021.08.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Muscles de la face ; Réadaptation ; Toxines botuliniques ou botuliquesRésumé : Objective
To investigate higher cognitive functions after mimicry changes after facial botulinum toxin (BTX) injections, we tested verbal and nonverbal reasoning in patients with blepharospasm or hemifacial spasm before and after their long-term botulinum toxin treatment.
Design
Explorative, nonrandomized, clinical trial.
Setting
Patients receiving ambulatory care and control participants from the general community.
Participants
Volunteer sample (N=84) of patients (n=21) with blepharospasm or hemifacial spasm who received facial BTX injections. Control participants included patients (n=30) with cervical dystonia who received cervical BTX injections and individuals without neurological disorders (n=33).
Interventions
The 2 groups receiving injections were tested before and 3 weeks after their treatment. The group without neurological disorders received no injections.
Main Outcome Measures
Verbal and nonverbal reasoning scores.
Results
The key unexpected finding was that patients who received facial BTX injections perform significantly worse in nonverbal reasoning tasks, when compared with those who did not receive injections (P=.022). There was no significant difference in the baseline reasoning scores and at follow-up for verbal reasoning between the 3 groups. There was no correlation between toxin dose and reasoning scores (verbal: P=.132; nonverbal: P=.294).
Conclusions
Because of potential confounders, the results do not yet allow any conclusion on causality. Further research is needed to confirm our findings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291683
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 402-408[article]
Titre : Effect of Severe Distal Tibia, Ankle, and Mid- to Hindfoot Trauma on Meeting Physical Activity Guidelines 18 Months After Injury Type de document : Article Auteurs : Kevin H. McLaughlin ; Stuart L. Mitchell ; Kristin R. Archer ; Hiral Master ; Saam Morshed ; Joshua L. Gary ; Clifford B. Jones ; Ellen J. MacKenzie ; Lisa Reider Année de publication : 2022 Article en page(s) : p. 409-417.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.07.805 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Facteurs de risque ; RéadaptationRésumé : Objective
To examine the effect of severe lower extremity trauma on meeting Physical Activity Guidelines for Americans (PAGA) 18 months after injury and perform an exploratory analysis to identify demographic, clinical, and psychosocial factors associated with meeting PAGA.
Design
Secondary analysis of observational cohort study.
Setting
A total of 34 United States trauma centers
Participants
A total of 328 adults with severe distal tibia, ankle and mid- to hindfoot injuries treated with limb reconstruction (N=328).
Interventions
None.
Main Outcome Measures
The Paffenbarger Physical Activity Questionnaire was used to assess physical activity levels 18 months after injury. Meeting PAGA was defined as combined moderate- and vigorous-intensity activity ≥150 minutes per week or vigorous-intensity activity ≥75 minutes per week.
Results
Fewer patients engaged in moderate- or vigorous-intensity activity after injury compared with before injury (moderate: 44% vs 66%, P<.001 vigorous: vs p patients spent minutes per week in combined moderate- to vigorous-intensity activity before injury compared with postinjury confidence interval the adjusted odds of meeting paga were lower for depression ratio ci women and black or hispanic prior more likely meet after> Conclusions
Patients spend significantly less time in moderate- to vigorous-intensity physical activity after injury. Patients with depression are less likely to meet PAGA. Although the causal relationship is unclear, results highlight the importance of screening for depression.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291685
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 409-417.e2[article]
Titre : In a Pandemic That Limits Contact, Can Videoconferencing Enable Interdisciplinary Persistent Pain Services and What Are the Patient's Perspectives? Type de document : Article Auteurs : Jarryd Brown ; Darren Doherty ; Andrew P. Claus ; Kelly Gilbert ; Mandy Nielsen Année de publication : 2022 Article en page(s) : p. 418-423 Note générale : https://doi.org/10.1016/j.apmr.2021.10.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication par vidéoconférence ; COVID-19 ; Réadaptation ; Satisfaction des patients ; TélémédecineRésumé : Objective
To explore patients' thoughts and satisfaction with using videoconferencing during the COVID-19 pandemic. The current study aimed to gather (1) patient feedback and satisfaction with videoconferencing across all health professions as well as divided into a subgroup for each profession, (2) patient preferences for either videoconference or face-to-face consultations during the pandemic lockdown, and (3) whether patients would consider using videoconferencing once face-to-face appointments were available.
Design
An observational cross-sectional, mixed methods study design.
Setting
Tertiary-level persistent pain center.
Participants
Sixty-five patients aged 18 to 85 years with persistent pain lasting more than 12 months.
Interventions
Not applicable.
Main Outcome Measures
Data were collected using a patient survey. Descriptive statistics were used to report findings from 5-point Likert scales. Qualitative analysis was guided by content analysis to organize and categorize the open-ended survey response text.
Results
Videoconferencing platform features including audiovisual, usability, and privacy worked well for most patients (≥90%). Two-thirds of those surveyed reported the videoconferencing sessions as equal to face-to-face attendance (68%). In the context of the pandemic, almost as many preferred videoconferencing (65%), whereas 26% preferred face-to-face attendance and 9% were unsure. Preferences for videoconferencing over face-to-face in context to the pandemic varied depending on the health discipline involved: pharmacy (83%), occupational therapy (78%), psychology (61%), pain specialist physician (59%), and physiotherapy (53%). Even outside of a pandemic situation, 80% would consider using videoconferencing in the future. Qualitative analysis on an open-ended question asking patients for any further comments regarding their experience with the videoconference consultation, found 3 main categories: (1) overall satisfaction with videoconferencing, (2) technology qualities and (3) clinical interaction.
Conclusion
In the context of a pandemic, videoconferencing for interdisciplinary persistent pain management services was effective and preferred, and most patients would continue its use into the future. Alternative or mixed modes of support may be needed for the 26% who currently prefer onsite attendance, when that mode of delivery is not available.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291688
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 418-423[article]
Titre : Predictors of Acute Transfer and Mortality Within 6 Months From Admission to an Inpatient Rehabilitation Facility for Patients With Brain Tumors Type de document : Article Auteurs : Sasha E. Knowlton ; Alexandra I. Gundersen ; Julia M. Reilly ; Can Ozan Tan ; Jeffrey C. Schneider ; Shirley L. Shih Année de publication : 2022 Article en page(s) : p. 424-429 Note générale : https://doi.org/10.1016/j.apmr.2021.10.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Patients hospitalisés ; Réadaptation ; Tumeurs du cerveauRésumé : Objective
To obtain useful information for clinicians in evaluating patients with brain tumors for transfer to and subsequent care in inpatient rehabilitation facilities (IRFs).
Design
Retrospective chart review.
Setting
Inpatient rehabilitation facility.
Participants
A total of 208 adults with either initial or recurrent brain tumors who were admitted to an IRF between January 2017 and December 2018 after an acute hospitalization.
Interventions
None
Main Outcome Measures
Transfer from an IRF to an acute care hospital and mortality within 6 months from admission to an IRF.
Results
Of the 208 patients who met inclusion criteria, 20.2% were transferred to an acute care hospital during the IRF stay, which was associated with prior chemotherapy, steroid use, and laterality of tumor. In total, 36.9% of patients with brain tumors died within 6 months of an IRF admission that was associated with recurrent tumor diagnosis, prior chemotherapy, prior neurosurgical intervention, prior neurostimulant use, use of steroids, isocitrate dehydrogenase and O6-methyl-guanyl-methyl-transferase biomarkers, and laterality and location of tumor.
Conclusions
Patients with brain tumors have a notable potential for acute hospital transfer and mortality within 6 months of IRF stay, with several tumor- and treatment-related risk factors. This information can help identify functional goals, identify high risk patients, enable closer clinical monitoring, and facilitate focused care discussions at IRFs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291690
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 424-429[article]
Titre : Reliability Validity and Responsiveness of the Spinal Cord Independence Measure 4th Version in a Multicultural Setup Type de document : Article Auteurs : Amiram Catz ; Malka Itzkovich ; Keren Elkayam ; Dianne Michaeli ; Ilana Gelernter ; Yoav Benjamini ; Harvinder Singh Chhabra ; Luigi Tesio ; Einat Engel-Haber ; Emiliana Bizzarini ; Claudio Pilati ; Giulio Del Popolo ; Ilaria Baroncini ; Nan Liu ; Paulo Margalho ; Thabata Pasquini Soeira ; Bobeena Chandy ; Vadim Bluvshtein Année de publication : 2022 Article en page(s) : p. 430-440.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.07.811 Langues : Anglais (eng) Descripteurs : HE Vinci
Culture ; Diversité culturelle ; Poids et mesures ; Réadaptation ; Reproductibilité des résultats ; Traumatismes de la moelle épinièreRésumé : Objective
To examine the fourth version of the Spinal Cord Independence Measure for reliability and validity.
Design
Partly blinded comparison with the criterion standard Spinal Cord Independence Measure III, and between examiners and examinations.
Setting
A multicultural cohort from 19 spinal cord injury units in 11 countries.
Participants
A total of 648 patients with spinal cord injury.
Intervention
Assessment with Spinal Cord Independence Measure (SCIM IV) and Spinal Cord Independence Measure (SCIM III) on admission to inpatient rehabilitation and before discharge.
Main outcome measures
SCIM IV interrater reliability, internal consistency, correlation with and difference from SCIM III, and responsiveness.
Results
Total agreement between examiners was above 80% on most SCIM IV tasks. All Kappa coefficients were above 0.70 and statistically significant (P<.001 pearson coefficients of the correlation between examiners were above and intraclass cronbach alpha was for entire scim iv subscales usually decreased when an item eliminated. reliability values lower subscale respiration sphincter management on admission than at discharge. iii mean very close them responsiveness not significantly different from that in most comparisons.> Conclusions
The validity, reliability, and responsiveness of SCIM IV, which was adjusted to assess specific patient conditions or situations that SCIM III does not address, and which includes more accurate definitions of certain scoring criteria, are very good and quite similar to those of SCIM III. SCIM IV can be used for clinical and research trials, including international multi-center studies, and its group scores can be compared with those of SCIM III.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291692
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 430-440.e1[article]
Titre : Inspiratory Muscle Performance and Anthropometric Measures—Novel Assessments Related to Pulmonary Function in People with Spinal Cord Injury: A Pilot Study Type de document : Article Auteurs : Anne E. Palermo ; Emily Janyszek ; Abigail Young ; Allison Villane ; Neva J. Kirk-Sanchez ; Lawrence P. Cahalin ; Mark S. Nash Année de publication : 2022 Article en page(s) : p. 441-450 Note générale : https://doi.org/10.1016/j.apmr.2021.09.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Respiration ; Tests de la fonction respiratoire ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate the feasibility and validity of using the novel axillary:umbilical (A:U) ratio and sustained maximal inspiratory pressure (SMIP) as supplementary measures in the assessment of respiratory function in people with spinal cord injury.
Design
Pilot study with a single day of data collection. All measurements were taken with participants in their personal wheelchairs to best represent normal functioning and positioning for each individual.
Setting
Research institution.
Participants
A convenience sample of 30 community dwelling volunteers with chronic spinal cord injury (C2-T12, American Spinal Injury Association Impairment Scale A-D) participated.
Interventions
Not applicable.
Main Outcome Measures
Participants underwent anthropometric measurements (trunk height, abdominal circumference, axillary circumference) and assessment of inspiratory muscle performance, incluidng maximal inspiratory pressure, SMIP, and inspiratory duration, as well as standard pulmonary function tests.
Results
The A:U ratio and SMIP were recorded for all participants. The SMIP was significantly related to more respiratory performance measures than the maximal inspiratory pressure (P<.05 and the a:u ratio was significantly related to more respiratory performance measures than any other anthropometric measure additionally an cutoff point detected individuals with a peak expiratory flow of their predicted value sensitivity specificity respectively under curve:> Conclusions
It is feasible to capture the A:U Ratio and SMIP in individuals with spinal cord injury. Further, the strong significant relationships of SMIP and the A:U ratio to respiratory performance measures suggests their clinical importance in the pulmonary assessment and risk stratification of people with chronic spinal cord injury.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291693
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 441-450[article]
Titre : Spontaneous Swallowing Frequency, Dysphagia, and Drooling in Children With Cerebral Palsy Type de document : Article Auteurs : Michael A. Crary ; Giselle Carnaby ; Lies Mathijs ; Sofie Maes ; Greet Gelin ; Els Ortibus ; Nathalie Rommel Année de publication : 2022 Article en page(s) : p. 451-458 Note générale : https://doi.org/10.1016/j.apmr.2021.09.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Déglutition ; Latéralité fonctionnelle ; Paralysie cérébrale ; Ptyalisme ; Réadaptation ; Troubles de la déglutitionRésumé : Objective
To evaluate relationships between spontaneous swallowing frequency, dysphagia, and drooling in children with cerebral palsy. Spontaneous swallowing frequency was predicted to be inversely related to both dysphagia and drooling among children with cerebral palsy. A secondary objective compared patterns among spontaneous swallowing frequency, drooling, and age in healthy children vs children presenting with cerebral palsy.
Design
Cross sectional study.
Setting
Children with cerebral palsy were tested at a Cerebral Palsy Reference Center in a university hospital. Healthy children were tested in their home setting.
Participants
Twenty children with cerebral palsy were recruited from the local registry for cerebral palsy children and purposive sampling among parents. A group of 30 healthy children was recruited by purposive sampling among family, friends, and the local community. Children below 1 year of age up to 5 years of age were included in the healthy group. This age range was targeted to maximize the potential for drooling in this group.
Main Outcome Measures
Both groups provided data on spontaneous swallowing frequency (swallows per minute, or SPM), dysphagia, and drooling. Motor impairment was documented in the children with cerebral palsy.
Results
SPM was significantly lower in children with cerebral palsy. Among children with cerebral palsy, SPM correlated significantly with dysphagia severity and trended toward a significant correlation with drooling at rest. In this subgroup, SPM was not correlated with age or degree of motor impairment. Dysphagia was significantly correlated with drooling at rest and both dysphagia and drooling at rest were correlated with degree of motor impairment. The 2 groups did not differ in the degree of drooling at rest. Among healthy children, age but not SPM demonstrated a significant inverse correlation with drooling quotient at rest.
Conclusions
Spontaneous swallowing frequency is related to dysphagia and drooling in children with cerebral palsy. The pattern of relationships among spontaneous swallowing frequency and drooling is different between children with cerebral palsy and younger healthy children.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291694
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 451-458[article]
Titre : Convergent Validity and Test-Retest Reliability of Multimodal Ultrasonography and Related Clinical Measures in People With Chronic Stroke Type de document : Article Auteurs : Tiev Miller ; Michael T.C. Ying ; Raymond C.K. Chung ; Marco Y.C. Pang Année de publication : 2022 Article en page(s) : p. 459-472.e4 Note générale : https://doi.org/10.1016/j.apmr.2021.09.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Échographie ; Echographie-doppler ; Imagerie d'élasticité tissulaire ; Réadaptation ; Reproductibilité des résultats ; Spasticité musculaireRésumé : Objective
To assess the test-retest reliability of diagnostic ultrasonography measurements of the bilateral biceps brachii (BB), brachial artery, medial gastrocnemius (MG), and popliteal artery in survivors of stroke and their convergent validity with related clinical comparators.
Design
Cross-sectional study.
Setting
All procedures were conducted in a university laboratory.
Participants
Sixty-five community dwelling adults (N=65; 26 women, 39 men) with an average age of 60.9±7.7 years and stroke duration of 5.7±3.9 years participated in this study.
Interventions
Not applicable.
Main Outcome Measures
Measures of muscle structure (ie, thickness, cross-sectional area, fascicle length, pennation angle), stiffness, and intramuscular blood perfusion were conducted using B-mode, elastography and color flow Doppler ultrasonography modes, respectively. Convergent validity was assessed by examining correlations between ultrasonography measures and assessments of related constructs (ie, dynamic stiffness, isometric peak torque, spasticity, and systemic vascular function using myotonometry, dynamometry, the Composite Spasticity Scale, and the Ankle-Brachial Index, respectively). A 2-way random-effects intraclass correlation coefficient (ICC) model (ICC2,3) was used to determine agreement between intersession measures among a smaller cohort of participants with stroke (n=20).
Results
ICC estimates ranged from moderate to excellent for muscle stiffness (paretic: ICC=0.74-0.89; nonparetic: ICC=0.66-0.88), structure (paretic: ICC=0.87-0.99; nonparetic: ICC=0.81-0.98), and blood perfusion measures (paretic: ICC=0.74-0.84; nonparetic: ICC=0.73-0.88). Weak to moderate associations were found between myotonometry and elastography measures of the bilateral BB (r=0.29-0.52, P≤.05) and MG muscles (r=0.31-0.69, P≤.05). The correlations between elastography measures and spasticity scores for the paretic upper (r=0.35-0.63, P≤.05) and lower limbs (r=0.25-0.37, P≤.05) were also weak to moderate.
Conclusions
Elastography demonstrated mostly weak to moderate correlation with measures of stiffness using myotonometry as well as scores of paretic upper and lower limb spasticity. The results also indicate acceptable intersession reliability for muscle and vascular measures using several ultrasonography modalities among individuals 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=291716
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 459-472.e4[article]
Titre : Aberrant Lumbopelvic Movements Predict Prospective Functional Decline in Older Adults with Chronic Low Back Pain Type de document : Article Auteurs : Patrick J. Knox ; Ryan T. Pohlig ; Jenifer M. Pugliese ; Peter C. Coyle ; Jaclyn M. Sions ; Gregory E. Hicks Année de publication : 2022 Article en page(s) : p. 473-480.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.08.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Gériatrie ; Lombalgie ; Performance fonctionnelle physique ; RéadaptationRésumé : Objective
To investigate if clinically observable aberrant lumbopelvic movements are associated with physical function at 12-month follow-up in older adults with chronic low back pain (CLBP), both directly and indirectly through baseline physical function.
Design
Secondary analysis of a yearlong prospective cohort study.
Setting
Clinical Research Laboratory.
Participants
Community-dwelling older adults with CLBP (N=250).
Interventions
Not applicable.
Main Outcome Measures
Data from 239 participants were analyzed. Participants were screened at baseline for aberrant lumbopelvic movements during active trunk flexion; total observable aberrant movements were recorded and summed (range 0-4). Latent constructs of physical function were developed from an array of perception-based and performance-based outcome measures at baseline and 12 months, respectively. Structural Equation Modeling was used to assess the direct effect of baseline aberrant movement score on the latent construct of 12-month physical function, and its indirect effect through baseline physical function.
Results
Aberrant movements were present in most participants (64.7%) and had a significant negative total effect on 12-month physical function (γ= -0.278, P<.001 aberrant movement score direct effect and indirect through baseline functioning were significantly negatively associated with physical function at after adjusting for covariates p=".038;" respectively> Conclusions
Aberrant lumbopelvic movements are associated with decreased physical function at 12-month follow-up in older adults with CLBP, independent of baseline physical function and covariates. Future studies should evaluate if screening for aberrant movements may inform prognostic and interventional efforts in this patient population.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291717
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 473-480.e1[article]
Titre : Spinal Curvatures, Deformities, and the Level of Disability in People with Bilateral Spastic Cerebral Palsy Living in South Africa; A 6-Year Follow-Up Study During Adulthood Type de document : Article Auteurs : Robert P. Lamberts ; Maaike M. Eken ; Jacques du Toit ; Elsabe Botha ; Richard V.P. de Villiers ; Nelleke G. Langerak Année de publication : 2022 Article en page(s) : p. 481-487 Note générale : https://doi.org/10.1016/j.apmr.2021.09.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Chirurgie générale ; Douleur ; Paralysie cérébrale ; Rachis ; Réadaptation ; VieillissementRésumé : Objective
Determine if spinal curvatures, deformities, as well as level of disability (due to back pain) changes with aging in adults with bilateral spastic cerebral palsy after receiving orthopedic interval surgery approach treatment in childhood.
Design
Consecutive case-series
Setting
Urban South Africa
Participants
Twenty-seven ambulatory adults with cerebral palsy
Main Outcome Measures
Spinal curvatures (scoliosis, thoracic kyphosis and lumbar lordosis) and deformities (spondylolysis and spondylolisthesis) were determined with X-rays, while the level of disability was assessed with the Oswestry Disability Index.
Results
The prevalence of spinal abnormalities were: 30% scoliosis (mild: Conclusions
No clinically meaningful changes in spinal curvatures, deformities and level of disability due to pain were seen during the 6 years follow-up period in adults with cerebral palsy who have been treated with interval surgery approach in childhood.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291718
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 481-487[article]
Titre : Safe Approach for Flexor Digitorum Profundus I and II Using the Palmaris Longus Tendon Type de document : Article Auteurs : Chae Hyeon Ryou ; Se Young Shin ; Nackhwan Kim ; Ki Hoon Kim ; Dong Hwee Kim ; Hang Jae Lee Année de publication : 2022 Article en page(s) : p. 488-493 Note générale : https://doi.org/10.1016/j.apmr.2021.08.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Échographie ; Electromyographie ; RéadaptationRésumé : Objective
To investigate a safe and accurate approach to achieve needle insertion for electromyography (EMG) of the flexor digitorum profundus (FDP) I and II muscles by identifying the anatomic relationship between the palmaris longus (PL) tendon, FDP muscle, and neurovascular bundle using ultrasonography.
Design
Descriptive study
Setting
Department of physical medicine and rehabilitation.
Participants
Healthy individuals (age, 20-70y) without any diseases (N=29; 15 men, 14 women; 58 forearms).
Interventions
Ultrasonography.
Main Outcome Measures
The FDP I and II muscles were transversely scanned on the volar aspect of the forearm at the junction of the middle and distal third between the medial epicondyle and ulnar styloid process. The distances and angles from the medial border of the PL tendon to FDP I, FDP II, and median nerve were measured.
Results
The probability of damage to the neurovascular structures and the accuracy of entering the FDP I and II muscles were calculated for 3 imaginary needle insertion angles (61.7°, 100.6°, and 90°). When the needle was inserted at an angle of 61.7°, it reached FDP I with an accuracy of 91.4%. Upon needle insertions at 90° and 100.6°, the needle reached FDP II with accuracies of 90% and 89.6%, respectively. In all 3 cases (61.7°, 90°, and 100.6°), there was no chance of penetrating the blood vessels or nerves.
Conclusion
EMG of FDP I and II can be performed precisely and safely with the anterior approach at the distal one-third between the medial epicondyle and ulnar styloid process using the PL 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=291720
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 488-493[article]
Titre : Physiological Localization by Sensory and Motor Inching Studies and Structural Abnormalities Detected by Ultrasonographic Changes in Carpal Tunnel Syndrome Type de document : Article Auteurs : Chernkhuan Stonsaovapak ; Supapich Nimithpornchai ; Jun Kimura ; Krisna Piravej Année de publication : 2022 Article en page(s) : p. 494-504.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.08.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Echographie-doppler ; Électrodiagnostic ; Neuropathie du nerf médian ; Réadaptation
Autres descripteurs
Conduction nerveuseRésumé : Objective
To study mild to moderate carpal tunnel syndrome (CTS), compare median nerve entrapment sites detected by electrophysiological inching studies with ultrasonographic abnormalities of cross-sectional area (CSA), and correlate focal points of conduction delays detected by sensory and motor inching recorded from the third digit and second lumbrical muscle.
Design
Analytic cross-sectional study.
Setting
Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Participants
Hands from 10 participants without CTS (n=15) and hands with mild to moderate CTS from 29 participants (n=40) were selected by convenience sampling (N=55).
Interventions
Not applicable.
Main Outcome Measures
Correlation of electrophysiological entrapment site localization by inching study with anatomic entrapment site detected by ultrasound (US).
Results
In all 40 hands tested, a sharply localized latency was found to increase across a 1-cm segment, most commonly 2-3 cm distal to the distal wrist crease for both sensory and motor studies, showing a good match between the 2 with Pearson correlation coefficient value (r=0.72). US revealed a narrowing CSA of the median nerve at 1-2 cm distal to the distal wrist crease.
Conclusions
This study showed a high correlation for focal point conduction delay detected by sensory and motor nerve conduction study. Recording from the second lumbricalis facilitated motor inching along the straight course of the nerve instead of the arcuate recurrent branch innervating the abductor pollicis brevis, the muscle traditionally used. US examination also revealed a localized narrowing of the median nerve CSA at 1-2 cm distal to the distal wrist crease, a possible site for anatomic entrapment. The most enlarged CSA was seen at the distal wrist crease, a level corresponding to the inlet of the carpal tunnel.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291721
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 494-504.e1[article]
Titre : Local Heat Applications as a Treatment of Physical and Functional Parameters in Acute and Chronic Musculoskeletal Disorders or Pain Type de document : Article Auteurs : Ron Clijsen ; Rahel Stoop ; Erich Hohenauer ; Dirk Aerenhouts ; Peter Clarys ; Carlina Deflorin ; Jan Taeymans Année de publication : 2022 Article en page(s) : p. 505-522 Note générale : https://doi.org/10.1016/j.apmr.2021.06.015
Under a Creative Commons licenseLangues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Littérature de revue comme sujet ; Maladies ostéomusculaires ; Méta-analyse ; Qualité de vie ; Réadaptation ; Techniques de physiothérapie ; Température élevéeRésumé : Objectives
The aim of this systematic review and meta-analysis was to evaluate the effectiveness of local heat applications (LHAs) in individuals with acute or chronic musculoskeletal disorders.
Data Sources
An electronic search was conducted on MEDLINE, Cochrane Controlled Register of Trials, Current Nursing and Allied Health Literature, and the Physiotherapy Evidence databases up to December 2019.
Study Selection
Studies incorporating adults with any kind of musculoskeletal issues treated by LHA compared with any treatment other than heat were included.
Data Extraction
Two authors independently performed the methodological quality assessment using the Cochrane Risk of Bias tool.
Data Synthesis
LHA showed beneficial immediate effects to reduce pain vs no treatment (P<.001 standard therapy pharmacologic and placebo physical function was restored after lha compared with no treatment whereas disability improved directly quality of life exercise range motion increased stiffness decreased p the immediate superior effects on muscular strength could be observed cold> Conclusions
Individuals with acute musculoskeletal disorders might benefit from using LHA as an adjunct therapy. However, the studies included in this meta-analysis demonstrated a high heterogeneity and mostly an unclear risk of bias.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291722
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 505-522[article]
Titre : Effects of Virtual Reality Intervention on Neural Plasticity in Stroke Rehabilitation: A Systematic Review Type de document : Article Auteurs : Jie Hao ; Haoyu Xie ; Kimberly Harp ; Zhen Chen ; Ka-Chun Siu Année de publication : 2022 Article en page(s) : p. 523-541 Note générale : https://doi.org/10.1016/j.apmr.2021.06.024 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Neuroimagerie ; Plasticité neuronale ; Réadaptation ; Thérapie par réalité virtuelleRésumé : Objective
To systematically review and examine the current literature regarding the effects of virtual reality (VR)–based rehabilitation on neural plasticity changes in survivors of stroke.
Data Sources
We searched 6 bioscience and engineering databases, including Medline via EBSCO, Embase, PsycINFO, IEEE Explore, Cumulative Index of Nursing and Allied Health, and Scopus.
Study Selection
We selected studies reporting on the pre-post assessment of a VR intervention with neural plasticity measures published between 2000 and 2021.
Data Extraction
Two independent reviewers conducted study selection, data extraction, and quality assessment. They assessed methodological quality of controlled trials using the Physiotherapy Evidence Database scale and evaluated risk of bias of pre-post intervention and case studies using the National Institutes of Health Quality Assessment Tool.
Data Synthesis
We included 27 studies (n=232). We rated 7 randomized-controlled trials as good quality and 2 clinical-controlled trials as moderate. Based on the risk of bias assessment, we graded 1 pre-post study and 1 case study as good quality, 1 pre-post study and 1 case study as poor, and the other 14 studies as fair. After the VR intervention, main neurophysiological findings across studies include: (1) improved interhemispheric balance; (2) enhanced cortical connectivity; (3) increased cortical mapping of the affected limb muscles; (4) the improved neural plasticity measures were correlated to the enhanced behavior outcomes; (5) increased activation of regions in frontal cortex; and (6) the mirror neuron system may be involved.
Conclusions
VR-induced changes in neural plasticity for survivors of stroke. Positive correlations between the neural plasticity changes and functional recovery elucidates the mechanisms of VR-based therapeutic effects in stroke rehabilitation. This review prompts systematic understanding of the neurophysiological mechanisms of VR-based stroke rehabilitation and summarizes the emerging evidence for ongoing innovation of VR systems and application 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=291754
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 523-541[article]
Titre : Community-Based Exercise Programs for Cancer Survivors: A Scoping Review of Program Characteristics Using the Consolidated Framework for Implementation Research Type de document : Article Auteurs : Sarah E. Neil-Sztramko ; Jenna Smith-Turchyn ; Angela Fong ; Kaitlyn Kauffeldt ; Jennifer R. Tomasone Année de publication : 2022 Article en page(s) : p. 542-558.e10 Note générale : https://doi.org/10.1016/j.apmr.2021.06.026
Under a Creative Commons licenseLangues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Réadaptation ; Recherche médicale translationnelle ; Science de la mise en oeuvre ; TumeursRésumé : Objective
To describe the characteristics of exercise programs for survivors of cancer conducted outside of a research laboratory (ie, home-based or community-based settings).
Data Sources
A systematic search of published literature was conducted using Medline, Pubmed, Cumulative Index of Nursing and Allied Health Literature, PsycINFO, SPORTdiscus, and Embase from 1980 to January 2021. Where conference abstracts were identified, authors were contacted for other articles.
Study Selection
Two independent reviewers screened titles and abstracts and full texts of potentially relevant studies to determine eligibility, with discrepancies resolved by discussion. Included studies were reports of exercise programs or interventions in which participants exercise at home or in a community-based setting and including individuals diagnosed with cancer either undergoing treatment or who had completed treatment.
Data Extraction
Data were extracted using the Oxford Implementation Index and coded under the 5 domains of the Consolidated Framework for Implementation Research (CFIR). Extraction and coding were completed by 2 independent reviewers, with discrepancies resolved through discussion. Data were synthesized narratively according to CFIR.
Data Synthesis
A total of 58 publications describing 34 individual programs from around the world were included. Of these, only 14 publications had the specific goal of reporting on program implementation and development. A variety of intervention characteristics and characteristics of individuals involved in the intervention were described. Reporting of factors related to the CFIR domains of inner setting, outer setting, and implementation process were minimal.
Conclusions
This review summarizes the characteristics of existing programs that have been reported in the literature and finds that partnerships and collaboration occur in the inner and outer settings and as part of the process of implementation. This review highlights key knowledge gaps to be answered to support the development of future community-based 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=291761
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 542-558.e10[article]
Titre : Cross-sectional Analysis of Recommendations for the Treatment of Hip and Knee Osteoarthritis in Clinical Guidelines Type de document : Article Auteurs : Daniela Bichsel ; Fabian D. Liechti ; Judith M. Schlapbach ; Maria M. Wertli Année de publication : 2022 Article en page(s) : p. 559-569.e5 Note générale : https://doi.org/10.1016/j.apmr.2021.07.801 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésie ; Arthroplastie ; Arthrose ; Coxarthrose ; Douleur ; Genou ; Gonarthrose ; Hanche ; RéadaptationRésumé : Objective
To compare guideline recommendations for hip and knee osteoarthritis (OA) and their level of evidence.
Data Sources
MEDLINE, Embase, the Cochrane Library, and websites of professional societies were searched in June 2020 using keywords such as knee or hip osteoarthritis, degenerative arthritis, guideline, and practice guideline.
Study Selection
General treatment guidelines for OA of the hip or knee published in English. After 461 abstracts were screened, 31 publications (17 guidelines from 10 professional societies) were included for analysis.
Data Extraction
Three reviewers assessed the quality of the guidelines according to the Appraisal of Guidelines for Research and Evaluation II tool. The rating of evidence and strength of recommendation was extracted and standardized into the Grading of Recommendations Assessment, Development, and Evaluation criteria.
Data Synthesis
Of the 17 guidelines included, 6 (35%) were of high quality, 10 (59%) of moderate quality, and 1 (6%) of low quality. Guidelines published after 2017 were of good quality. Although guidelines generally agreed on a nonsurgical multimodal concept, including patient education, exercise, and weight loss in obese, some recommendations remained vague and the level of evidence varied widely. In pharmacologic treatment, oral nonsteroidal anti-inflammatory drugs were the mainstay for pain management. Guidelines published after 2017 were more cautious in their recommendation for the use of paracetamol and strong opioids. Disagreement was observed for chondroitin sulfate, glucosamine, and intra-articular hyaluronic acid injections. Recommendations were conflicting for the use of insoles, braces, and transcutaneous electrical stimulation. The main indications for hip/knee arthroplasty were severe, persisting pain and loss of function despite nonsurgical treatment. No guideline defined a minimum time of conservative treatment before surgery.
Conclusions
We found a wide variation in evidence and strength of recommendations for OA treatment. Recommendations on when to refer patients for surgery remained unclear.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291762
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 3 (2022) . - p. 559-569.e5[article]
Paru le : 01/02/2022
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Titre : Overview of the Spinal Cord Injury-Functional Index (SCI-FI): Structure and Recent Advances Type de document : Article Auteurs : David S. Tulsky ; Pamela A. Kisala Année de publication : 2022 Article en page(s) : p. 185-190 Note générale : https://doi.org/10.1016/j.apmr.2021.10.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Autosoins ; Mesures des résultats rapportés par les patients (PROM) ; Mobilité réduite ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : The Spinal Cord Injury–Functional Index (SCI-FI) is a system of patient-reported outcome measures of functional activities developed specifically with and for individuals with spinal cord injury (SCI). The SCI-FI was designed to overcome limitations in measurement of the full range of activities and breadth of content of physical functioning commonly used in SCI research. Generic measurement tools of physical function (ie, those focused on the general population) tend to overemphasize mobility and do not contain enough items at the lower end of the functional range (eg, items appropriate for individuals with tetraplegia). The SCI-FI consists of 9 item response theory–calibrated item banks that represent relevant and meaningful item content for individuals with SCI, span a wide range of functional abilities, and subdivide physical functioning into important subdomains, including basic mobility, self-care, and fine motor function. Since the original publication of the SCI-FI in 2012, there have been significant advances in and publications on the reliability and psychometric properties of the measures. The manuscripts presented in this special section clarify the SCI-FI structure and present new research on the SCI-FI measurement system. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290363
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 185-190[article]
Titre : Validation of the Spinal Cord Injury–Functional Index for Use in Community-Dwelling Individuals With SCI Type de document : Article Auteurs : Callie E. Tyner ; Pamela A. Kisala ; Allen W. Heinemann ; Denise Fyffe ; Denise G. Tate ; Mary D. Slavin ; Alan M. Jette ; David S. Tulsky Année de publication : 2022 Article en page(s) : p. 191-198 Note générale : https://doi.org/10.1016/j.apmr.2020.12.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Psychométrie ; Qualité de vie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To evaluate the psychometric properties of the Spinal Cord Injury–Functional Index (SCI-FI) instruments in a community-dwelling sample.
Design
Cross-sectional study.
Setting
Community setting.
Participants
Individuals (N=269) recruited from 6 SCI Model Systems sites.
Interventions
Not applicable.
Main Outcome Measures
Participants completed computer adaptive test and short form versions of 4 SCI-FI/Capacity (C) banks (ie, Ambulation, Basic Mobility, Fine Motor, Self-Care) and 1 SCI-FI/Assistive Technology (AT) bank (Wheelchair Mobility) at baseline and after 2 weeks. The Self-Report Functional Measure (SRFM) and the clinician-rated motor FIM were used to evaluate evidence of convergent validity.
Results
Pearson correlations, intraclass correlation coefficients, minimal detectable change, and Bland-Altman plots supported the test-retest reliability of the SCI-FI instruments. Correlations were large with the SRFM (.69-.89) and moderate-to-large for the FIM instrument (.44-.64), supporting convergent validity. Known-groups validity was demonstrated by a significant main effect of injury level on all instruments and a main effect of injury completeness on the SCI-FI/C instruments. A ceiling effect was detected for individuals with incomplete paraplegia on the Fine Motor/C and Self-Care/C Short Forms.
Conclusion
Findings support the test-retest reliability, convergent validity, and known-groups validity of the SCI-FI/C instruments and the SCI-FI/AT Wheelchair Mobility instruments for use by community-dwelling individuals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290364
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 191-198[article]
Titre : Spinal Cord Injury–Functional Index/Capacity: Responsiveness to Change Over Time Type de document : Article Auteurs : Pamela A. Kisala ; Aaron J. Boulton ; Mary D. Slavin ; Matthew L. Cohen ; Tamra Keeney ; Pengsheng Ni ; Denise Tate ; Allen W. Heinemann ; Susan Charlifue ; Denise C. Fyffe ; Elizabeth R. Felix ; Alan M. Jette ; David S. Tulsky Année de publication : 2022 Article en page(s) : p. 199-206 Note générale : https://doi.org/10.1016/j.apmr.2021.10.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Mesures des résultats rapportés par les patients (PROM) ; Psychométrie ; Qualité de vie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To establish responsiveness of 3 Spinal Cord Injury–Functional Index/Capacity (SCI-FI/C) item banks in the first year after spinal cord injury (SCI).
Design
Longitudinal patient-reported outcomes assessment replicated through secondary analysis of an independent data set.
Setting
A total of 8 SCI Model Systems rehabilitation hospitals in the United States.
Participants
Study 1 participants included 184 adults with recent (≤4 months) traumatic SCI and 221 community-dwelling adults (>1 year post injury) (N=405). Study 2 participants were 418 individuals with recent SCI (≤4 months) (N=418).
Interventions
In study 1, SCI-FI/C computer adaptive tests were presented in a standardized interview format either in person or by phone call at baseline and 6-month follow-up. Responsiveness was examined by comparing 6-month changes in SCI-FI scores within and across samples (recently injured vs community-dwelling) because only the recent injury sample was expected to exhibit change over time. Effect sizes were also computed. In study 2, the study 1 results were cross-validated in a second sample with recent SCI 1 year after baseline measurement. Study 2 also compared the SCI-FI/C measures’ responsiveness to that of the Self-reported Functional Measure (SRFM) and stratified results by injury diagnosis and completeness.
Main Outcome Measures
The SCI-FI Basic Mobility/C, Self-care/C and Fine Motor/C item banks (study 1 and study 2); Self-reported Functional Measure SRFM (study 2 only).
Results
In study 1, changes in SCI-FI/C scores between baseline and 6-month follow-up were statistically significant (P<.01 for recently injured individuals. sci-fi basic mobility self-care and fine motor item banks demonstrated small to medium effect sizes in the sample. community-dwelling sample all effects were negligible size study results similar as expected responsive change individuals whereas was only with tetraplegia incomplete paraplegia. srfm a responsiveness> Conclusions
The SCI-FI Basic Mobility/C and Self-care/C banks demonstrate adequate sensitivity to change at 6 months and 1 year for all individuals with SCI, while the SCI-FI/C Fine Motor item bank is sensitive to change in individuals with tetraplegia or incomplete paraplegia. All SCI-FI/C banks demonstrate stability in a sample not expected to change. Results provide support for the use of these measures for research or clinical 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=290367
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 199-206[article]
Titre : Linking the Spinal Cord Injury–Functional Index (SCI-FI) to the PROMIS Physical Functioning Item Bank Type de document : Article Auteurs : Aaron J. Boulton ; Pamela A. Kisala ; Pengsheng Ni ; David S. Tulsky Année de publication : 2022 Article en page(s) : p. 207-214 Note générale : https://doi.org/10.1016/j.apmr.2021.02.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Mesures des résultats rapportés par les patients (PROM) ; Mobilité réduite ; Psychométrie ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objective
To link 3 Spinal Cord Injury–Functional Index (SCI-FI) item banks (Basic Mobility, Fine Motor Function, Self-Care) to the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) metric.
Design
Observational study
Setting
Six SCI Model Systems rehabilitation hospitals in the United States.
Participants
Adults with SCI (n=855) and healthy individuals (n=730) (N=1585).
Interventions
Not applicable.
Main Outcome Measures
Three SCI-FI item banks (Basic Mobility, Fine Motor Function, Self-Care), PROMIS PF v1.0 item bank.
Results
SCI-FI item banks (including 30 items from the PROMIS PF item bank) were administered to 855 adults with SCI as part of the original SCI-FI development study. The data were used to attempt to link 3 SCI-FI banks to the PROMIS PF metric via 2 item-response theory methods: fixed-parameter calibration and separate calibration. Sixteen items common to SCI-FI and PROMIS and verified as free of differential item functioning were used as anchor items to implement the methods. Of the 3 banks, only SCI-FI Basic Mobility could be linked with sufficient precision to PROMIS PF. Comparisons of actual vs linked PROMIS PF scores and test characteristic curves suggested the fixed-parameter method provided slightly more precision than the separate calibration method.
Conclusions
The linkage between PROMIS PF and SCI-FI Basic Mobility was considered satisfactory for group-level usage. Score equivalents computed from SCI-FI Basic Mobility will be useful for researchers comparing functional levels in SCI to those observed in other clinical and nonclinical groups (eg, in comparative effectiveness 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=290369
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 207-214[article]
Titre : Physical Function Recovery Trajectories After Spinal Cord Injury Type de document : Article Auteurs : David S. Tulsky ; Aaron J. Boulton ; Pamela A. Kisala ; Allen W. Heinemann ; Susan Charlifue ; Claire Z. Kalpakjian ; Allan J. Kozlowski ; Elizabeth R. Felix ; Denise C. Fyffe ; Mary D. Slavin ; Denise G. Tate Année de publication : 2022 Article en page(s) : p. 215-223 Note générale : https://doi.org/10.1016/j.apmr.2021.09.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Évaluation de résultat (soins) ; Mobilité réduite ; Réadaptation ; Récupération fonctionnelle ; Traumatismes de la moelle épinièreRésumé : Objective
To explore trajectories of functional recovery that occur during the first 2 years after spinal cord injury (SCI).
Design
Observational cohort study.
Setting
Eight SCI Model System sites.
Participants
A total of 479 adults with SCI completed 4 Spinal Cord Injury–Functional Index (SCI-FI) item banks within 4 months of injury and again at 2 weeks, 3, 6, 12, and 24 months after baseline assessment (N=479).
Intervention
None.
Main Outcome Measures
SCI-FI Basic Mobility/Capacity (C), Fine Motor Function/C, Self-care/C, and Wheelchair Mobility/Assistive Technology (AT) item banks.
Results
Growth mixture modeling was used to identify groups with similar trajectory patterns. For the Basic Mobility/C and Wheelchair Mobility/AT domains, models specifying 2 trajectory groups were selected. For both domains, a majority class exhibited average functional levels and gradual improvement, primarily in the first 6 months. A smaller group of individuals made gradual improvements but had greater initial functional limitations. The Self Care/C domain exhibited a similar pattern; however, a third, small class emerged that exhibited substantial improvement in the first 6 months. Finally, for individuals with tetraplegia, trajectories of Fine Motor Function/C scores followed 2 patterns, with individuals reporting generally low initial scores and then making either modest or large improvements. In individual growth curve models, injury/demographic factors predicted initial functional levels but less so regarding rates of recovery.
Conclusions
Trajectories of functional recovery followed a small number of change patterns, although variation around these patterns emerged. During the first 2 years after initial hospitalization, SCI-FI scores showed modest improvements; however, substantial improvements were noted for a small number of individuals with severe limitations in fine motor and self-care function. Future studies should further explore the personal, medical, and environmental characteristics that influence functional trajectories during these first 2 years and beyond.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290378
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 215-223[article]
Titre : Applying a Bookmarking Approach to Setting Clinically Relevant Interpretive Standards for the Spinal Cord Injury–Functional Index/Capacity Basic Mobility and Self-Care Item Bank Scores Type de document : Article Auteurs : Pamela A. Kisala ; David Victorson ; Ratna Nandakumar ; Andrew Shermeyer ; Denise Fyffe ; Allen W. Heinemann ; Trevor A. Dyson-Hudson ; David S. Tulsky Année de publication : 2022 Article en page(s) : p. 224-236 Note générale : https://doi.org/10.1016/j.apmr.2020.08.026 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Mesures des résultats rapportés par les patients (PROM) ; Mobilité réduite ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objectives
To develop clinically relevant interpretive standards for the Spinal Cord Injury–Functional Index/Capacity (SCI-FI/C) Basic Mobility and Self-Care item bank scores.
Design
Modified “bookmarking” standard-setting methodology, including 2 stakeholder consensus meetings with individuals with spinal cord injury (SCI) and SCI clinicians, respectively, and a final, combined (consumers and clinicians) “convergence” meeting.
Setting
Two SCI Model System centers in the United States.
Participants
Fourteen adults who work with individuals with traumatic SCI and 14 clinicians who work with individuals with SCI.
Main Outcome Measures
Placement of bookmarks between vignettes based on SCI-FI Basic Mobility and Self-Care T scores. Bookmarks were placed between vignettes representing “No Problems,” “Mild Problems,” “Moderate Problems,” and “Severe Problems” for each item bank.
Results
Each consensus group resulted in a single set of scoring cut points for the SCI-FI/C Basic Mobility and Self-Care item banks. The cut points were similar but not identical between the consumer and clinician groups, necessitating a final convergence meeting. For SCI-FI/C Basic Mobility, the convergence group agreed on cut scores of 61.25 (no problems/mild problems), 51.25 (mild problems/moderate problems), and 41.25 (moderate problems/severe problems). For SCI-FI/C Self-Care, the convergence group agreed on cut scores of 56.25 (no/mild), 51.25 (mild/moderate), and 38.75 (moderate/severe).
Conclusions
The results of this study provide straightforward interpretive guidelines for SCI researchers and clinicians using the SCI-FI/C Basic Mobility and Self-Care instruments. These results are appropriate for the full bank, computer adaptive test, and short-form versions of the SCI-FI/C Basic Mobility and Self-Care item banks.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290379
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 224-236[article]
Titre : Effect of Hypertonic Dextrose Injection on Pain and Shoulder Disability in Patients with Chronic Supraspinatus Tendinosis: A Randomized Double-Blind Controlled Study Type de document : Article Auteurs : Che-Li Lin ; Yi-Wen Chen ; Chin-Wen Wu ; Tsan-Hon Liou ; Shih-Wei Huang Année de publication : 2022 Article en page(s) : p. 237-244 Note générale : https://doi.org/10.1016/j.apmr.2021.07.812 Langues : Anglais (eng) Descripteurs : HE Vinci
Coiffe des rotateurs ; Prolothérapie ; Réadaptation ; TendinopathieRésumé : Objectives
To investigate the effect of hypertonic dextrose injection on pain and disability in patients with chronic supraspinatus tendinosis. The secondary aim was to evaluate its effect on the tendon range of motion (ROM) and morphology.
Design
Randomized double-blind placebo-controlled trial.
Setting
Outpatient clinic.
Participants
Individuals (N=57) with symptomatic chronic supraspinatus tendinosis.
Interventions
Participants were randomly administered ultrasound-guided injections of 20% hypertonic dextrose (study group, n=29) or 5% normal saline (control group, n=28).
Main Outcome Measures
The primary outcome measure was visual analog scale (VAS) scores for pain and Shoulder Pain and Disability Index (SPADI) scores. Secondary outcomes included the ROM and ultrasound examination findings of the supraspinatus tendon at baseline and at 2, 6, and 12 weeks postintervention.
Results
The study group exhibited significant improvements in the VAS (mean difference [MD], −2.1; 95% confidence interval [CI], −2.7 to −1.4; P<.001 and spadi ci to p scores compared with baseline at week however the effect was not sustained flexion rom increased weeks baseline. thickness of supraspinatus tendon improved .50 .26-.74 .61 .37-.84 ratio histograms also .19 .06-.32 .26 .10-.41> Conclusion
Hypertonic dextrose injection could provide short-term pain and disability relief in patients with chronic supraspinatus tendinosis. Ultrasound imaging at week 6 revealed changed tendon morphology.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290380
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 237-244[article]
Titre : Transcranial Direct Current Stimulation Associated With Functional Exercise Program for Treating Fibromyalgia: A Randomized Controlled Trial Type de document : Article Auteurs : Monayane G.L. Matias ; Daniel Germano Maciel ; Ingrid M. França ; Mikhail S. Cerqueira ; Tatiana C.L.A. Silva ; Alexandre H. Okano ; Rodrigo Pegado ; Wouber H. Brito Vieira Année de publication : 2022 Article en page(s) : p. 245-254 Note générale : https://doi.org/10.1016/j.apmr.2021.06.029 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Fibromyalgie ; Réadaptation ; Stimulation transcrânienne par courant continu ; Traitement par les exercices physiquesRésumé : Objective
To investigate the effects of transcranial direct current stimulation (tDCS) associated with functional exercise on pain, functional performance, psychological symptoms, and quality of life of patients with fibromyalgia (FM).
Design
Randomized controlled trial. Participants were randomized by blocks into 2 groups: tDCS associated with functional exercise (n=17) and sham-tDCS associated with functional exercise (n=14).
Setting
Laboratory of neuromuscular performance in the department of physical therapy.
Participants
Women with FM (N=31) according to American College of Rheumatology-2010 criteria.
Interventions
Anodal tDCS or sham-tDCS was applied over the left motor cortex for 5 consecutive days during the first week of intervention (2 mA; 20min). All volunteers also engaged in 8 weeks of functional exercises 3 times per week.
Main Outcome Measures
Pain intensity, functional performance, psychological symptoms, and quality of life were assessed pre-exercise and immediately after the first, fourth, and eighth weeks of intervention.
Results
Pain intensity, functional performance, psychological symptoms, and quality of life increased significantly in both groups (P<.05 however no significant differences between groups were found in all outcomes>.05).
Conclusion
tDCS associated with functional exercises did not enhance the effects of physical exercise on pain, functional performance, psychological symptoms, and quality of life of patients with FM.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290381
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 245-254[article]
Titre : Approaches to Promote Reduction in Sedentary Behavior in Patients With Minor Ischemic Stroke: A Randomized Controlled Trial Type de document : Article Auteurs : Ryota Ashizawa ; Hiroya Honda ; Koki Take ; Kohei Yoshizawa ; Yoshihiro Ooba ; Yuto Kameyama ; Yoshinobu Yoshimoto Année de publication : 2022 Article en page(s) : p. 255-262.e4 Note générale : https://doi.org/10.1016/j.apmr.2021.08.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Essai contrôlé randomisé ; Mode de vie sédentaire ; RéadaptationRésumé : Objective
The purpose of this study was to determine whether an approach that promotes reduction in sedentary behavior (SB) during hospitalization and after hospital discharge reduces SB in patients with minor ischemic stroke (MIS) compared with an approach that promotes an increase in physical activity levels.
Design
Randomized controlled trial design.
Setting
During hospitalization and after hospital discharge.
Participants
We randomly assigned patients (N=61) with MIS (average age, 71.3±8.3y; 65.6% men) admitted to an acute hospital to either the intervention group (reduced SB, n=31) or the control group (increased physical activity levels, n=30).
Interventions
During hospitalization, the intervention group received education on reducing SB, goal setting for SB after hospital discharge, and self-monitoring of SB and step count. In contrast, the control group received education on increasing physical activity levels and self-monitoring of step count. Patients in both groups wore an accelerometer during hospitalization until 3 months after hospital discharge. The intervention group received self-monitoring of SB and step count, stickers including information about reducing their SB, and phone calls once every 2 weeks for encouragement and feedback. The control group only wore the accelerometer.
Main Outcome Measures
The primary outcome was SB (in percentage) at 3 months after hospital discharge.
Results
There was an interaction between the 2 groups for SB. Compared with the control group, the intervention group showed a significantly reduced SB (intervention group: baseline, 70.5%; 3 months after hospital discharge, 48.6%; control group: baseline, 71.5%; 3 months after hospital discharge, 57.5%; F value=5.981; P=.018).
Conclusions
The results suggested that an approach that promotes SB reduction during hospitalization and after hospital discharge is effective in reducing SB in patients with MIS 3 months after hospital 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=290382
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 255-262.e4[article]
Titre : Daily Variation in Sleep Quality is Associated With Health-Related Quality of Life in People With Spinal Cord Injury Type de document : Article Auteurs : Noelle E. Carlozzi ; Jenna Freedman ; Jonathan P. Troost ; Traci Carson ; Ivan R Molton ; Dawn M. Ehde ; Kayvan Najarian ; Jennifer A. Miner ; Nicholas R. Boileau Année de publication : 2022 Article en page(s) : p. 263-273.e4 Note générale : https://doi.org/10.1016/j.apmr.2021.07.803 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation écologique instantanée ; Qualité de vie ; Réadaptation ; Sommeil ; Traumatismes de la moelle épinièreRésumé : Objective
Although sleep difficulties are common after spinal cord injury (SCI), little is known about how day-to-day fluctuations in sleep quality affects health-related quality of life (HRQOL) among these individuals. We examined the effect of sleep quality on same-day HRQOL using ecological momentary assessment methods over a 7-day period.
Design
Repeated-measures study involving 7 days of home monitoring; participants completed HRQOL measures each night and ecological momentary assessment ratings 3 times throughout the day; multilevel models were used to analyze data.
Setting
Two academic medical centers.
Participants
A total of 170 individuals with SCI (N=170).
Interventions
Not applicable.
Main Outcome Measures
Daily sleep quality was rated on a scale of 0 (worst) to 10 (best) each morning. Participants completed end-of-day diaries each night that included several HRQOL measures (Sleep Disturbance, Sleep-related Impairment, Fatigue, Cognitive Abilities, Pain Intensity, Pain Interference, Ability to Participate in Social Roles and Activities, Depression, Anxiety) and ecological momentary assessment ratings of HRQOL (pain, fatigue, subjective thinking) 3 times throughout each day.
Results
Multilevel models indicated that fluctuations in sleep quality (as determined by end-of-day ratings) were significantly related to next-day ratings of HRQOL; sleep quality was related to other reports of sleep (Sleep Disturbance; Sleep-related Impairment; Fatigue) but not to other aspects of HRQOL. For ecological momentary assessment ratings, nights of poor sleep were related to worse pain, fatigue, and thinking. Generally, sleep quality showed consistent associations with fatigue and thinking across the day, but the association between sleep quality and these ecological momentary assessment ratings weakened over the course of the day.
Conclusions
Findings highlight the important association between sleep and HRQOL for people with SCI. Future work targeting sleep quality improvement may have positive downstream effects for improving HRQOL in people with SCI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290383
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 263-273.e4[article]
Titre : Prevalence and Related Factors for Poststroke Complex Regional Pain Syndrome: A Retrospective Cross-Sectional Cohort Study Type de document : Article Auteurs : Jong Geol Do ; Jae Hyeong Choi ; Chul-Hyun Park ; Kyung Jae Yoon ; Yong-Taek Lee Année de publication : 2022 Article en page(s) : p. 274-281 Note générale : https://doi.org/10.1016/j.apmr.2021.08.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Prévalence ; Réadaptation ; Syndrome douloureux régional complexeRésumé : Objective
The objective of this study was to evaluate the prevalence of poststroke complex regional pain syndrome (CRPS) to estimate related factors for poststroke CRPS in patients with first-ever stroke.
Design
This was a retrospective cross-sectional cohort study of adult patients (age >18y) with stroke who were admitted to rehabilitation unit from December 2014 to May 2018 in Korea.
Setting
Single acute rehabilitation unit of university hospital.
Participants
Participants (N=313) diagnosed with first-ever stroke were identified from the stroke rehabilitation registry of our institute.
Interventions
Not applicable.
Main Outcome Measures
Prevalence of poststroke CRPS based on clinical features and 3-phase bone scintigraphy and the related factors of poststroke CRPS.
Results
A total of 313 records were analyzed, including demographic, clinical characteristics, and functional variables. Poststroke CRPS was found in 8.94% (28 of 313) patients with first-ever stroke. Logistic regression analysis showed that Fugl Meyer Assessment of Upper Extremity (FMA-UE) score was a significant associated factor for the presence of CRPS (odds ratio, 0.96; 95% confidence interval, 0.94-0.98; P=.003). The cutoff value of 76 points for FMA-UE score yielded moderate accuracy in identifying of poststroke CRPS (92.6% sensitivity, 65.8% specificity, and 0.85 area under the curve).
Conclusions
The prevalence of poststroke CRPS was 8.94% in patients with first-ever stroke. The FMA-UE score was associated with the poststroke CRPS. Therefore, in patients with low FMA-UE score, prevention and high suspicion of post-stroke CRPS is necessary.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290385
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 274-281[article]
Titre : Increased Risk of Carpal Tunnel Syndrome in People With Spinal Cord Injury: A Nationwide Longitudinal Follow-Up Study Type de document : Article Auteurs : Yi-Hsiang Chiu ; Kuo-Cheng Yeh ; Shin-Liang Pan Année de publication : 2022 Article en page(s) : p. 282-288 Note générale : https://doi.org/10.1016/j.apmr.2021.07.804 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Syndrome du canal carpien ; Syndromes de compression nerveuse ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate the long-term risk of carpal tunnel syndrome (CTS) in people with spinal cord injury (SCI).
Design
Retrospective cohort study.
Setting
Taiwan's Longitudinal Health Insurance Database 2005, containing data about 1 million people randomly sampled from among those registered in the National Health Insurance Program as of 2005.
Participants
The SCI group consisted of 1681 subjects with SCI, and the comparison group comprised 6724 propensity score-matched subjects without SCI (N=8405). The variables included in propensity-score matching were age, sex, comorbid conditions, and socioeconomic status.
Interventions
Not applicable.
Main Outcome Measures
The occurrence of newly diagnosed CTS, defined by at least 1 hospital discharge or 2 outpatient visits with a diagnosis of CTS.
Results
The incidence density of CTS in the SCI group was 7.55 per 1000 person-years (95% confidence interval [CI], 6.03-9.33), and in the comparison group, 4.61 per 1000 person-years (95% CI, 4.08-5.19). The hazard ratio (HR) of CTS for the SCI group was therefore 1.59 (95% CI, 1.24-2.03). Additionally, the HR of CTS for the cervical-SCI subgroup, 1.90 (95% CI, 1.21-2.97) was considerably higher than that of its noncervical counterpart, 1.47 (95% CI, 1.09-1.98).
Conclusions
People with both cervical and noncervical SCI have an increased risk of developing CTS, as compared with those without SCI. Moreover, the CTS risk appears to be higher for individuals with cervical SCI than their noncervical SCI counterparts.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290386
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 282-288[article]
Titre : Effects of Wii Fit Rehabilitation on Lower Extremity Functional Status in Adults With Severe Burns: A Randomized Controlled Trial Type de document : Article Auteurs : Maged A. Basha ; Nabil M. Abdel-Aal ; Fatma Alzahraa H. Kamel Année de publication : 2022 Article en page(s) : p. 289-296 Note générale : https://doi.org/10.1016/j.apmr.2021.08.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Brûlures ; Réadaptation ; Réalité de synthèseRésumé : Objectives
To investigate the effects of the Wii Fit rehabilitation program in addition to a standard physical therapy program (SPTP) on lower extremity functional status and functional mobility in adults with severe burns after hospital discharge.
Design
A single-blinded, parallel groups, randomized controlled trial.
Settings
Outpatient rehabilitation center.
Participants
Thirty-four patients (N=34), aged 31.3±7.3 years old, with lower extremity deep partial-thickness and full-thickness burn and total body surface area of more than 40% were allocated randomly into 2 equal groups.
Interventions
The Wii Fit group received the Wii Fit program for 30 minutes in addition to SPTP for 60 minutes, whereas the SPTP group received SPTP only. The intervention was 3 sessions a week for 12 weeks.
Main Outcome Measures
The primary outcome measurements were the functional status and functional mobility, which were assessed by the high mobility assessment tool, Lower Limb Functional Index, and timed Up and Go test. The secondary outcomes included exercise capacity, muscle strength, and balance measured by the 6-minute walk test, isokinetic muscle strength assessment, and stability index. All the outcome measures were collected at the baseline and after 12 weeks of intervention.
Results
After 12 weeks of intervention, there were statistically significant differences between groups in all outcome measures in favor of the Wii Fit group (P<.001 also statistically significant differences were found in all the measured outcomes after weeks of intervention each group> Conclusions
Patients with lower extremity burns who received the Wii Fit program in addition to the SPTP had better improvements in lower limb functional status, functional mobility, exercise capacity, muscle strength, and balance than patients who received SPTP alone. The Wii Fit program was a useful adjunctive therapy in rehabilitating adults with lower extremity burn 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=290388
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 289-296[article]
Titre : Quality of Carpal Tunnel Syndrome Patient Education Handouts Available on the Internet: A Systematic Analysis of Content and Design Type de document : Article Auteurs : Yiyang Fang ; Nancy A. Baker ; Julianna Dole ; Shawn C. Roll Année de publication : 2022 Article en page(s) : p. 297-304 Note générale : https://doi.org/10.1016/j.apmr.2021.08.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Compétence informationnelle en santé ; Éducation du patient comme sujet ; Réadaptation ; Syndrome du canal carpienRésumé : Objective
To evaluate the quality of carpal tunnel syndrome (CTS) patient education handouts and identify the best resources for patients and clinicians.
Design
A document content analysis of handouts identified through a systematic internet search using 8 search terms on Google and Bing and a hand search of professional association websites.
Setting
Not applicable.
Participants
Documents (N=56) were identified from the top 50 search results across 16 individual searches. Included documents provided general patient education for CTS; descriptive websites, videos, and research studies were excluded.
Interventions
Not applicable.
Main Outcome Measures
Content analysis was conducted using the Information Score (IS) tool to evaluate completeness of information (0%-100%) and misleading treatment recommendations were identified. Design analysis was conducted using the Patient Material Assessment Tool for Printable Materials (PEMAT-P) (0%-100%) and 2 widely used readability formulas, Flesch Reading Ease and Flesch Kincaid Grade Level. Using these results, all handouts were rated with a summative 12-point scale.
Results
Of 805 unique search results, we included 56 CTS handouts. The average IS was 74.6%±17.9%, and 78.6% of the handouts mentioned non–evidence-based treatment recommendations. The average PEMAT-P score was 70.2%±10.9%, and the average readability grade level was 7.7±1.7. Only 3 handouts were identified as high quality based on the 12-point summative scores, 22 handouts had mixed quality, and 17 handouts had low quality on both content and design.
Conclusions
Findings of this study suggest a lack of high-quality and easily understandable CTS patient education handouts. Most handouts contained unreliable treatment information. Improvements are needed to ensure patients’ ability to understand and manage this condition.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290390
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 297-304[article]
Titre : Who is at Risk of Loneliness? A Cross-sectional Recursive Partitioning Approach in a Population-based Cohort of Persons With Spinal Cord Injury Type de document : Article Auteurs : Hannah Tough ; Mirja Gross-Hemmi ; Silvia Stringhini ; Inge Eriks-Hoogland ; Christine Fekete Année de publication : 2022 Article en page(s) : p. 305-312 Note générale : https://doi.org/10.1016/j.apmr.2021.08.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Facteurs socioéconomiques ; Réadaptation ; Solitude ; Traumatismes de la moelle épinièreRésumé : Objective
To develop a more thorough understanding of the risk factors for loneliness in persons with a physical impairment, using a population-based sample of persons with spinal cord injury (SCI), based on regression modeling and a recursive partitioning approach.
Design
Cross-sectional, observational cohort.
Setting
Community, Switzerland.
Participants
Community-dwelling persons with spinal cord injury (N=1283) 16 years or older.
Interventions
Not applicable.
Main Outcome Measures
Loneliness was assessed using a modified version of the UCLA Three-Item Loneliness Scale.
Results
Those with the most disadvantaged socioeconomic characteristics in terms of education, income, subjective social position, employment status, and financial hardship demonstrated the highest risk for loneliness. Of the sociodemographic characteristics, only age had an association with loneliness, whereby persons aged 31-45 had the highest propensity for experiencing loneliness. We also saw that those with higher lesion levels and less functional independence were associated with higher levels of loneliness. In conditional inference tree analysis subjective social position, financial hardship, and functional independence had the highest discriminative power, with nationality and living arrangement having a less important role.
Conclusions
Our findings highlight the vulnerability of persons with SCI with unfavorable socioeconomic status to loneliness. Furthermore, our findings show that persons who are more constrained because of functional limitations may face restrictions to social participation and therefore be at a higher risk of loneliness. This population-based evidence contributes to the better targeting of services aimed at alleviating loneliness for persons with a lower socioeconomic position and those with more functional limitations in everyday life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290391
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 305-312[article]
Titre : Trajectories of Persistent Postconcussion Symptoms and Factors Associated With Symptom Reporting After Mild Traumatic Brain Injury Type de document : Article Auteurs : Linda Fordal ; Jonas Stenberg ; Grant L. Iverson ; Simen B. Saksvik ; Migle Karaliute ; Anne Vik ; Alexander Olsen ; Toril Skandsen Année de publication : 2022 Article en page(s) : p. 313-322 Note générale : https://doi.org/10.1016/j.apmr.2021.09.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Etudes longitudinales ; Pronostic ; Réadaptation ; Rééducation neurologique ; Syndrome post-commotionnelRésumé : Objective
To examine the trajectories of persistent postconcussion symptoms (PPCS) after mild traumatic brain injury (MTBI) and to investigate which injury-related and personal factors are associated with symptom reporting.
Design
Prospective longitudinal cohort study. Follow-up at 3 and 12 months postinjury.
Setting
A level 1 trauma center and an emergency outpatient clinic.
Participants
Patients with MTBI (n=358), trauma controls (n=75), and community controls (n=78).
Main outcome measures
Symptoms were assessed with the British Columbia Postconcussion Symptom Inventory (BC-PSI). Participants were categorized as having moderate to severe PPCS (msPPCS) when reporting ≥3 moderate/severe symptoms or a BC-PSI total score of ≥13. BC-PSI total scores were compared between the groups and were further used to create cutoffs for reliable change by identifying uncommon and very uncommon change in symptoms in the community control group. Associations between symptom reporting and 25 injury-related and personal factors were examined.
Results
The MTBI group had a similar prevalence of msPPCS at 3 and 12 months (21%) and reported more symptoms than the control groups. Analyses of individual trajectories, however, revealed considerable change in both msPPCS and BC-PSI total scores in the MTBI group, where both worsening and improvement was common. Intracranial lesions on computed tomography were associated with a greater likelihood of improving from 3 to 12 months. Those with msPPCS at both assessments were more likely to be women and to have these personal preinjury factors: reduced employment, pain, poor sleep, low resilience, high neuroticism and pessimism, and a psychiatric history.
Conclusions
Group analyses suggest a stable prevalence of msPPCS the first year postinjury. However, there was considerable intraindividual change. Several personal factors were associated with maintaining symptoms throughout the first year.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290393
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 313-322[article]
Titre : Concussion Characteristics and Early Postinjury Outcomes Between College Students and Intercollegiate Athletes Type de document : Article Auteurs : Melissa N. Anderson ; Landon B. Lempke ; Rachel S. Johnson ; Robert C. Lynall ; Julianne D. Schmidt Année de publication : 2022 Article en page(s) : p. 323-330 Note générale : https://doi.org/10.1016/j.apmr.2021.09.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Migraines ; Réadaptation ; Tests de l'état mental et de la démence ; Trouble déficitaire de l'attention avec hyperactivitéRésumé : Objective
To describe concussion characteristics among general college students and compare postinjury outcomes to intercollegiate student athletes.
Design
Retrospective cohort.
Setting
Large university in the Southeast region of the United States.
Participants
A total of 179 (N=179) college students’ (female=120; 67.0%; 23.9±3.9 years) and 49 athletes’ (female=28, 57.1%;19.3±1.3 years) medical records were examined. Participants self-reported injury mechanism, health history information, and completed clinical assessments acutely ( Main Outcome Measures
Descriptive statistics were calculated for each group. Concussion outcomes between students with and without certain health history diagnoses were assessed using separate t tests. We conducted univariate regression analyses to determine if sex, age, and time from concussion to first clinical assessment were significant predictors of clinical outcomes. Statistically significant variables were included as covariates in a series of 1-way analyses of covariance to identify differences in balance, symptom severity, total symptom presence, and neurocognitive domain performance between students and athletes. Fisher exact tests were used to compare health history information between groups (α Results
Among students, 24% reported sustaining a concussion while participating in recreational sports, and 27% of impacts occurred to the back of the head. Students had higher proportions of headache, migraine, anxiety, and depression (P<.05 students reported greater total symptom presence and performed worse on the computerized neurocognitive test domain score for complex attention relative to athletes.> Conclusions
These findings highlight the need for better access to medical care for non– National Collegiate Athletic Association sanctioned athletes because of a large proportion of concussions in the student sample being sustained during sports participation. Identifying common injury mechanisms can provide clinicians with powerful information to improve evaluation and treatment models.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290395
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 323-330[article]
Titre : Differences in Cardiometabolic Comorbidities Between Black and White Persons Living With Multiple Sclerosis Type de document : Article Auteurs : Catherine Chase ; Erika Connell ; Sabrina N. Elliott ; Laura-Katherine Jones ; Oluwagbemiga Larinde ; Ashley M. Musachia ; Elizabeth Ann Smith ; Stacey S. Cofield ; Brooks C. Wingo Année de publication : 2022 Article en page(s) : p. 331-335 Note générale : https://doi.org/10.1016/j.apmr.2021.10.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Hypertension arterielle ; Obésité ; Populations d'origine continentale ; Réadaptation ; Sclérose en plaquesRésumé : Objective
To determine differences in obesity, type 2 diabetes, and hypertension in Black patients compared with White patients with multiple sclerosis (MS).
Design
Cross-sectional database review.
Setting
Large academic medical center research records database.
Participants
A total of 3191 patient cases (N=3191; 77% female, 34% Black) identified by MS diagnosis within the medical record.
Interventions
Not applicable.
Main Outcome Measures
Diagnosis codes for type 2 diabetes and hypertension. Body mass index (BMI), race, age, and sex were collected. Analysis of variance (continuous variables) and chi-square analyses (categorical variables) were conducted to determine differences in obesity, diabetes, and hypertension between race and sex. Logistic regression was conducted to determine odds ratios (ORs) of developing diabetes and hypertension based on race, sex, BMI, and age.
Results
Black patients were more than twice as likely to be diagnosed as having diabetes (OR, 2.15 [95% CI, 1.70-2.72]; P<.0001 or hypertension ci p compared with white patients. sex did not present a greater likelihood of being diagnosed as having diabetes however men were times more likely be women increased age and bmi also significantly associated diagnosis bmi: obese vs normal: hypertension:> Conclusions
Black patients with MS are significantly more likely to have cardiometabolic conditions than White patients. These conditions have been associated with poorer health outcomes for people with MS and may have some effect on the differences in MS disease course reported in Black 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=290397
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 331-335[article]
Titre : Dysphagia Characteristics of Patients Post SARS-CoV-2 During Inpatient Rehabilitation Type de document : Article Auteurs : Kathleen Webler ; Julia Carpenter ; Valerie Hamilton ; Miriam Rafferty ; Leora R. Cherney Année de publication : 2022 Article en page(s) : p. 336-341 Note générale : https://doi.org/10.1016/j.apmr.2021.10.007 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Pathologie de la parole et du langage (spécialité) ; Réadaptation ; SARS-CoV-2 ; Troubles de la déglutition ; Virus du SRASRésumé : Objective
To investigate dysphagia in patients recovering from SARS-CoV-2 admitted to acute inpatient rehabilitation by summarizing clinical swallow evaluation and videofluoroscopic swallow study findings.
Design
Retrospective cohort study.
Setting
Urban inpatient rehabilitation hospital.
Participants
The first inpatients admitted with SARS-CoV-2 (N=40) who participated in a videofluoroscopic swallow study.
Interventions
Not applicable.
Main Outcome Measures
Patient characteristics upon admission (duration of intubation, tracheostomy status, comorbidities, videofluoroscopic swallow study (VFSS) completion at previous level of care); admission International Dysphagia Diet level (IDDSI); Mann Assessment of Swallowing Ability (MASA), Functional Oral Intake Scale (FOIS), dysphagia severity rating; penetration aspiration scale (PAS) rated during VFSS; and IDDSI level recommended after completion of VFSS.
Results
Twenty percent of patients had been evaluated by videofluoroscopy in acute care. Nineteen of 37 (51%) individuals were upgraded to IDDSI level 7 regular diet with level 0 thin liquids and achieved a FOIS of 7 after the completion of the VFSS. Five individuals (13%) received a diet downgrade or remained on the same diet recommendations from their admission. Total numerical score (TNS) of less than 170 on the MASA predicted presence of aspiration in 27% of patients (6 of 22). Seventy-two percent of the sample (16 of 22) had a TNS less than 170 but did not demonstrate any instances of aspiration. The odds of patients having a PAS of 3 or greater increased by approximately 15% (odds ratio, 1.15; 95% confidence interval, 1.03-1.27; P=.013). Thus, with each additional day of intubation during acute care stay, there was a 15% greater likelihood of having airway invasion.
Conclusions
Instrumental swallow evaluations are imperative to diagnose and treat dysphagia in the post-coronavirus disease population. Because of the heterogeneity of this population, high incidence of prolonged intubation, and limitations of the clinical swallowing evaluation, instrumental assessments need to be performed on a more consistent basis as infection prevention protocols evolve.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290399
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 336-341[article]
Titre : Effects of Home-Based Walking on Cancer-Related Fatigue in Patients With Breast Cancer: A Meta-analysis of Randomized Controlled Trials Type de document : Article Auteurs : Yang Yuan ; Lu Lin ; Ning Zhang ; Congyan Xie ; Jinghong Liang ; Yishu Qi ; Bei Dong ; Li Tian Année de publication : 2022 Article en page(s) : p. 342-352 Note générale : https://doi.org/10.1016/j.apmr.2021.06.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Fatigue ; Marche à pied ; Méta-analyse en réseau ; Réadaptation ; Tumeurs du sein triple-négativesRésumé : Objective
This study was designed to critically evaluate the effect of home-based walking on cancer-related fatigue (CRF) in patients with breast cancer (BC) receiving anticancer treatment.
Data Sources
Eight databases were systematically searched from inception to March 2021 for randomized controlled trials (RCTs) without language restrictions.
Study Selection
Two reviewers (Y.Y. and Z.N.) scanned the titles and abstracts and then read the full texts of potentially eligible trials to screen the literature. Inclusion criteria were studies of home-based walking (HBW) intervention in adult patients with BC, using fatigue as a primary or secondary outcome, and containing extractable fatigue scores.
Data Extraction
Two reviewers (Y.Y. and Z.N.) critically and independently assessed the risk of bias using Cochrane Collaboration criteria and extracted correlated data using the designed extraction form. The standardized mean difference (SMD) was used when the outcome assessment tools were different. All of the analyses were performed using Review Manager 5.3.
Data Synthesis
Eight RCTs including 764 patients (HBW: 377, control: 387) meeting the inclusion criteria for the meta-analysis were identified. HBW had a significant effect on CRF in patients with BC receiving multiple anticancer treatments (SMD=−0.61; 95% confidence interval [CI], −0.86 to −0.36; P<.001 hbw without other exercises ci to p=".003)," walking for a gradually increased duration and no restrictions on intensity demonstrated substantial effects crf. of the included studies only reported adverse events.> Conclusions
HBW can be considered as an alternative therapy for relieving CRF in patients with BC undergoing anticancer treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290400
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 342-352[article]
Titre : Effects of Complex Physical Therapy and Multimodal Approaches on Lymphedema Secondary to Breast Cancer: A Systematic Review and Meta-analysis of Randomized Controlled Trials Type de document : Article Auteurs : Flávia Belavenuto Rangon ; Jéssica da Silva ; Almir Vieira Dibai-Filho ; Rinaldo Roberto de Jesus Guirro ; Elaine Caldeira de Oliveira Guirro Année de publication : 2022 Article en page(s) : p. 353-363 Note générale : https://doi.org/10.1016/j.apmr.2021.06.027 Langues : Anglais (eng) Descripteurs : HE Vinci
Lymphoedeme ; Réadaptation ; Thérapeutique ; Tumeurs du seinRésumé : Objective
What are the immediate, short-term, and long-term effects of complex physical therapy and multimodal approaches on lymphedema secondary to breast cancer?
Data Sources
Four electronic databases (MEDLINE, Embase, Cochrane Library, Physiotherapy Evidence Database) were searched from inception up to August 2020.
Study Selection
Randomized controlled trials comparing complex physical therapy and multimodal approaches to the conservative treatment of lymphedema secondary to breast cancer.
Data Extraction
Two independent researchers performed data extraction and assessed the risk of bias, respectively, using the predefined form and Cochrane Collaboration of Risk of Bias. The determination of evidence quality was carried out using the Grading of Recommendations Assessment, Development, and Evaluation tools.
Data Synthesis
Fourteen studies were identified for the systematic review and 11 studies for the meta-analysis with standardized mean difference (SMD), 95% CI, and random-effect model. The common outcomes involved total volume, pain, and physical function of the upper limb. Complex physical therapy has shown a favorable tendency to control outcomes in the short- and long-term. The meta-analysis indicated a small effect for volume reduction (SMD, −0.18; 95% confidence interval [CI], −0.35 to 0.00) and a moderate effect for short-term pain reduction (SMD, −0.61; 95% CI, −1.19 to –0.02).
Conclusions
High-quality evidence suggests a more significant effect of complex physical therapy on multimodal approaches to the control of the upper limb total volume, substantiating the absence of changes in the current clinical practice in the management of lymphedema secondary to breast cancer. Future research should aim to identify concrete effect of therapeutic modalities in the immediate-, short-, and long-term.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290401
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 353-363[article]
Titre : Clinical Efficacy of Botulinum Toxin in the Treatment of Plantar Fasciitis: A Systematic Review and Meta-analysis of Randomized Controlled Trials Type de document : Article Auteurs : Carlos Acosta-Olivo ; Luis E. Simental-Mendía ; Félix Vilchez-Cavazos ; Víctor M. Peña-Martínez ; Jorge Elizondo-Rodíguez ; Mario Simental-Mendía Année de publication : 2022 Article en page(s) : p. 364-371.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.10.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Fasciite plantaire ; Méta-analyse ; Réadaptation ; Revue systématique ; Toxines botuliniques ou botuliquesRésumé : Objective
To evaluate the efficacy of botulinum toxin A (BTX-A) for the treatment of plantar fasciitis through a meta-analysis of randomized controlled trials (RCTs) focusing on pain and functional outcomes since current literature has supported a potential benefit of BTX-A.
Data Sources
The MEDLINE, EMBASE, Web of Science, and Scopus databases were searched until December 2020 for RCTs reporting the effects of BTX-A injections on plantar fasciitis. The complementary literature search included Cochrane Central Register of Controlled Trials, Clinicaltrials.gov, and greylit.org.
Study Selection
Only RCTs assessing the effect of BTX-A injections on pain, functional improvement, or plantar fascia thickness in patients with plantar fasciitis were included. Multiple researchers carried out the screening process of the 413 records.
Data extraction
Data were extracted independently and in duplicate using a standardized data extraction format. Information was contrasted by a third observer.
Data Synthesis
BTX-A injections resulted in significant pain relief (mean difference, −2.07 [95% CI, −3.21 to −0.93]; P=.0004; I2=97%) and functional improvement (standardized mean difference, 1.15 [95% CI, 0.39-1.91]; P=.003; I2=87%). A subanalysis indicated that pain relief was sustained at 12 months while functional improvement remained significant after 0-6 months. The results were not affected by a single study after sensitivity analysis. The site of injection and the use or not of ultrasound-guided injections may account for potential sources of interstudy heterogeneity.
Conclusions
This meta-analysis suggests both a statistically significant and a clinically meaningful improvement on plantar fasciitis symptoms after BTX-A treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290402
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 2 (2022) . - p. 364-371.e2[article]
Paru le : 01/01/2022
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Titre : Incentives for Uptake of and Adherence to Outpatient Stroke Rehabilitation Services: A 3-Arm Randomized Controlled Trial Type de document : Article Auteurs : David Bruce Matchar ; Sherry Hsueh Yi Young ; Rita Sim ; Christine Jia Ying Yu ; Xiaoxi Yan ; Deidre Anne De Silva ; Bibhas Chakraborty Année de publication : 2022 Article en page(s) : p. 1-7.e4 Note générale : https://doi.org/10.1016/j.apmr.2021.08.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Motivation ; Observance par le patient ; Patients en consultation externe ; Réadaptation ; TransportRésumé : Objective
To determine if rehabilitation uptake and adherence can be increased by providing coordinated transportation (increased convenience) and eliminating out-of-pocket costs (reduced expense).
Design
Three-arm randomized controlled trial.
Setting
Stroke units of 2 Singapore tertiary hospitals.
Participants
Singaporeans or permanent residents 21 years or older who were diagnosed as having stroke and were discharged home with physician's recommendation to continue outpatient rehabilitation (N=266).
Interventions
A Transportation Incentives arm (T), which provides free transportation services, a Transportation & Sessions Incentives arm (T&S), offering free transportation and prescribed stroke rehabilitation sessions, and a control arm, Education (E), consisting of a stroke rehabilitation educational program.
Main Outcome Measures
The primary study outcome was uptake of outpatient rehabilitation services (ORS) among patients poststroke and key predefined secondary outcomes being number of sessions attended and adherence to prescribed sessions.
Results
Uptake rate of ORS was 73.0% for E (confidence interval [CI], 63.8%-82.3%), 81.8% for T (CI, 73.8%-89.8%), and 84.3% for T&S (CI, 76.7%-91.8%). Differences of T and T&S vs E were not statistically significant (P=.22 and P=.10, respectively). However, average number of rehabilitation sessions attended were significantly higher in both intervention arms: 5.50±7.65 for T and 7.51±9.52 for T&S vs 3.26±4.22 for control arm (E) (T vs E: P=.017; T&S vs E: P<.001 kaplan-meier analysis indicated that persistence was higher for t compared with e>
Conclusions
This study has demonstrated a possibility in increasing the uptake of and persistence to stroke ORS with free transportation and sessions. Incentivizing survivors of stroke to take up ORS is a new strategy worthy of further exploration for future policy change in financing ORS or other long-term care services.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290181
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 1-7.e4[article]
Titre : Parent Experience and Cost Savings Associated With a Novel Tele-physiatry Program for Children Living in Rural and Underserved Communities Type de document : Article Auteurs : Loren Davidson ; Sarah C. Haynes ; Amanda Favila-Meza ; Jeffrey S. Hoch ; Daniel J. Tancredi ; Alanna D. Bares ; Jamie Mouzoon ; James P. Marcin Année de publication : 2022 Article en page(s) : p. 8-13 Note générale : https://doi.org/10.1016/j.apmr.2021.07.807 Langues : Anglais (eng) Descripteurs : HE Vinci
Disparités d'accès aux soins ; Enfants handicapés ; Médecine physique et de réadaptation ; Population rurale ; Réadaptation ; TélémédecineRésumé : Objective
The aim of this study was to investigate parent and therapist experience and cost savings from the payer perspective associated with a novel tele-physiatry program for children living in rural and underserved communities.
Design
We designed a noninferiority, cluster-randomized crossover study at 4 school-based clinics to evaluate parent experience and perceived quality of care between a telemedicine-based approach in which the physiatrist conducts the visit remotely with an in-person therapist and a traditional in-person physiatrist clinic.
Setting
Four school-based clinics in Northern California.
Participants
A total of 268 encounters (124 telemedicine and 144 in-person) were completed by 200 unique patients (N=200).
Interventions
Not applicable.
Main Outcome Measures
Parent and therapist experience scores.
Results
For parents and therapists, experience and perceived quality of care were high with no significant differences between telemedicine and in-person encounters. For parents whose children received a telemedicine encounter, 40 (54.8%) reported no preference for their child's subsequent encounter, 21 (28.8%) preferred a physiatrist telemedicine visit, and 12 (16.4%) preferred a physiatrist in-person visit. From the payer perspective, costs were $100 higher for in-person clinics owing to physician mileage reimbursement.
Conclusions
We found that school-based tele-physiatry for children with special health care needs is not inferior to in-person encounters with regard to parent and provider experience and perceived quality of care. Tele-physiatry was also associated with an average cost savings of $100 per clinic to the payer.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290189
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 8-13[article]
Titre : Reduced Requests for Medical Rehabilitation Because of the SARS-CoV-2 Pandemic: A Difference-in-Differences Analysis Type de document : Article Auteurs : Matthias Bethge ; David Fauser ; Pia Zollmann ; Marco Streibelt Année de publication : 2022 Article en page(s) : 14-19.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.07.791 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladie chronique ; Pandémies ; Réadaptation ; SARS-CoV-2Résumé : Objective
To examine the extent to which medical rehabilitation requests decreased because of the pandemic in Germany.
Design
Data were retrieved from the German Pension Insurance, which is the main provider for rehabilitation of working-age people in Germany. Our data represented all medical rehabilitation requests in 2019 and 2020. These requests have to be approved to use a rehabilitation program. We used a difference-in-differences model to determine the reduction in rehabilitation requests attributable to the pandemic.
Setting
General community.
Participants
We included 1,621,840 rehabilitation requests from working-age people across Germany in 2019 and 1,391,642 rehabilitation requests in 2020 (N=3,013,482).
Intervention
Medical rehabilitation in inpatient or outpatient facilities.
Main Outcome Measures
Number of medical rehabilitation requests.
Results
The number of medical rehabilitation requests decreased by 14.5% because of the pandemic (incidence rate ratio, 0.855; 95% confidence interval, 0.851-0.859). The decline in requests was more pronounced among women and in Western Germany than among men and in Eastern Germany. The reduction in requests affected non-postacute rehabilitations more clearly than postacute rehabilitation services. After the pandemic declaration by the German Bundestag in March 2020, the reduction in requests was initially strongly associated with the regional incidence of infection. This association weakened in the following months.
Conclusions
The reduction in requests will have a significant effect on the number of completed rehabilitation services. For many people with chronic diseases, failure to provide medical rehabilitation increases the risk of disease progression.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290190
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - 14-19.e2[article]
Titre : Reference Values for 7 Different Protocols of Simple Functional Tests: A Multicenter Study Type de document : Article Auteurs : Karina Couto Furlanetto ; Natielly Soares Correia ; Rafael Mesquita ; Andrea Akemi Morita ; Daniel Pereira do Amaral ; Daniela Gardano Bucharles Mont'Alverne ; Daniel Martins Pereira ; Fabio Pitta ; Simone Dal Corso Année de publication : 2022 Article en page(s) : p. 20-28.e5 Note générale : https://doi.org/10.1016/j.apmr.2021.08.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Aptitude physique ; Epreuve d'effort ; Marche à pied ; Performance fonctionnelle physique ; Réadaptation ; Reproductibilité des résultats ; Valeurs de référenceRésumé : Objectives
To establish reference values and equations (ages 20-80y) for 7 simple functional tests based on a multicenter study.
Design
Cross-sectional data collection in 4 research centers across different regions of a continental dimension country.
Setting
Healthy subjects from general community were assessed in different research laboratories.
Participants
Data collection of 296 volunteer subjects (N=296; 45% men; aged 50±18y, forced expiratory volume in the first second 95±13% pred, body mass index 26.9±4.5 kg/m2) aged 20-80 years; representing both sexes; with the ability to understand and perform all proposed assessments; and with no severe and/or unstable condition that could limit functional assessments occurred simultaneously in all centers.
Interventions
Not applicable.
Main Outcome Measures
All participants randomly performed the following 7 functional tests twice: (1) the 4-meter gait speed test at usual walking speed; (2) the 4-meter gait speed test at maximal walking speed; (3) the Sit-to-Stand test performed with 5 repetitions; (4) the Sit-to-Stand test performed in 30 seconds; (5) the Sit-to-Stand test performed in 1 minute; (6) the Timed Up and Go test at usual speed; and (7) the Timed Up and Go test at maximal speed. Spirometry, quality of life, depression, anxiety, physical activity, and comorbidities were also assessed to better characterize the sample. The best performance of each test was used to propose reference values for men and women and reference equations for all.
Results
Participants similarly distributed by age groups from the 4 centers were included. All tests were correlated with age (0.34
Conclusions
Reference values and equations for 7 widely used simple functional tests were provided in this study and might help researchers and clinicians to identify and quantify functional impairments using easy-to-perform assessments.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290228
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 20-28.e5[article]
Titre : Development of the WHO STARS: A Tool for the Systematic Assessment of Rehabilitation Situation Type de document : Article Auteurs : Pauline Kleinitz ; Carla Sabariego ; Alarcos Cieza Année de publication : 2022 Article en page(s) : p. 29-43 Note générale : https://doi.org/10.1016/j.apmr.2021.04.025 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Santé mondialeRésumé : Objective
To present the development process of the World Health Organization (WHO) Systematic Assessment of Rehabilitation Situation (STARS).
Design
A conceptualization phase to establish its objective and identify the content for comprehensively describing rehabilitation in countries, a second phase to draft, and a third phase to refine the tool. Reviews of existing health system assessment (HSA) tools used in other areas of health as well as expert consultations occurred.
Setting
The WHO initiated the development of STARS because there is currently no comprehensive HSA tool for rehabilitation that supports stakeholders describing their country situation and identifying priority actions.
Participants
The WHO rehabilitation team, experts representing rehabilitation professions and from all WHO regions, and government and rehabilitation consumer groups.
Interventions
Conceptualizing, drafting, consulting, and reviewing of the WHO STARS.
Main Outcomes Measures
Development of a tool that is comprehensive and able to support countries to describe rehabilitation and identify priorities.
Results
STARS was developed in a participatory process, uses a logic model to structure the 50 components of rehabilitation selected for assessment, and assesses both capacity and performance.
Conclusions
STARS is the first HSA shaped to rehabilitation, has been developed by the WHO in a participatory process based on several expert consultations, and has the potential to meaningfully support governments to better understand the status of rehabilitation in their countries, define priorities for action to strengthen rehabilitation, and facilitate the monitoring of system level changes. Moreover, STARS information can be used in research to support evidence-informed policy and 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=290229
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 29-43[article]
Titre : Accuracy of an Algorithm in Predicting Upper Limb Functional Capacity in a United States Population Type de document : Article Auteurs : Jessica Barth ; Kimberly J. Waddell ; Marghuretta D. Bland ; Catherine E. Lang Année de publication : 2022 Article en page(s) : p. 44-51 Note générale : https://doi.org/10.1016/j.apmr.2021.07.808 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Analyse multifactorielle ; Ergothérapie ; Kinésithérapie (spécialité) ; Membre supérieur ; RéadaptationRésumé : Objective
To determine the accuracy of an algorithm, using clinical measures only, on a sample of persons with first-ever stroke in the United States (US). It was hypothesized that algorithm accuracy would fall in a range of 70%-80%.
Design
Secondary analysis of prospective, observational, longitudinal cohort; 2 assessments were done: (1) within 48 hours to 1 week poststroke and (2) at 12 weeks poststroke.
Setting
Recruited from a large acute care hospital and followed over the first 6 months after stroke.
Participants
Adults with first-ever stroke (N=49) with paresis of the upper limb (UL) at ≤48 hours who could follow 2-step commands and were expected to return to independent living at 6 months.
Intervention
Not applicable.
Main Outcome Measures
The overall accuracy of the algorithm with clinical measures was quantified by comparing predicted (expected) and actual (observed) categories using a correct classification rate.
Results
The overall accuracy (61%) and weighted κ (62%) were significant. Sensitivity was high for the Excellent (95%) and Poor (81%) algorithm categories. Specificity was high for the Good (82%), Limited (98%), and Poor (95%) categories. Positive predictive value (PPV) was high for Poor (82%) and negative predictive value (NPV) was high for all categories. No differences in participant characteristics were found between those with accurate or inaccurate predictions.
Conclusions
The results of the present study found that use of an algorithm with clinical measures only is better than chance alone (chance=25% for each of the 4 categories) at predicting a category of UL capacity at 3 months post troke. The moderate to high values of sensitivity, specificity, PPV, and NPV demonstrates some clinical utility of the algorithm within health care settings in the US.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290230
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 44-51[article]
Titre : Examining the Item-Level Factor Structure of the Behavior Rating Inventory of Executive Function-Adult Version Within a Traumatic Brain Injury Sample Type de document : Article Auteurs : Pey-Shan Wen ; Kay J. Waid-Ebbs ; Shelley C. Heaton ; Amy K. Starosciak ; Sergio Gonzalez-Arias Année de publication : 2022 Article en page(s) : p. 52-61 Note générale : https://doi.org/10.1016/j.apmr.2021.07.789 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse statistique factorielle ; Fonctions exécutives ; Lésions traumatiques de l'encéphale ; Psychométrie ; RéadaptationRésumé : Objective
To conduct the first item-level exploration of scale and index structure of the self-report Behavior Rating Inventory of Executive Function-Adult version (BRIEF-A) in traumatic brain injury (TBI).
Design
This was an observational cross-sectional study design using secondary data. We conducted exploratory factor analyses (EFA) to explore the index structure and scale structure of the BRIEF-A. We conducted EFA with all 70 items of the BRIEF-A to examine the index structure. Based on the finding of index structure, we conducted EFA on the 30 items of the Behavioral Regulation Index (BRI) and the 40 items of the Metacognitive Index (MI).
Setting
Data were collected through 5 studies in outpatient and community settings in the southeast United States.
Participants
Individuals (N=338) aged 18-89 years with a history of mild to severe TBI who were able to speak English fluently.
Interventions
Not applicable.
Main Outcome Measures
The BRIEF-A.
Results
The 2-factor structure aligned with the BRIEF-A manual at the index level. Scale structure for the MI (40 items) resulted in 1 factor, whereas the BRI (30 items) could be represented by either a 2- or 3-factor structure. The 2-factor structure of the BRI is more parsimonious and matched other factor analyses derived from the sum of scale items.
Conclusions
We confirmed the manual designated index structure (BRI and MI) of the BRIEF-A but took precautions against using the 9 scales. Instead, we recommend using the 2 designated index scores and 2 newly identified composite scores representing Behavioral Control Trait and Emotional Control Trait.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290232
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 52-61[article]
Titre : Lateral Corticospinal Tract and Dorsal Column Damage: Predictive Relationships With Motor and Sensory Scores at Discharge From Acute Rehabilitation After Spinal Cord Injury Type de document : Article Auteurs : Andrew C. Smith ; Denise R. O'Dell ; Stephanie R. Albin ; Jeffrey C. Berliner ; David Dungan ; Eli Robinson ; James M. Elliott ; Julio Carballido-Gamio ; Jennifer Stevens-Lapsley ; Kenneth A. Weber II Année de publication : 2022 Article en page(s) : p. 62-68 Note générale : https://doi.org/10.1016/j.apmr.2021.07.792 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie par résonance magnétique ; Moelle cervicale ; Réadaptation ; Tractus pyramidaux ; Traumatismes de la moelle épinièreRésumé : Objective
To determine if lateral corticospinal tract (LCST) integrity demonstrates a significant predictive relationship with future ipsilateral lower extremity motor function (LEMS) and if dorsal column (DC) integrity demonstrates a significant predictive relationship with future light touch (LT) sensory function post spinal cord injury (SCI) at time of discharge from inpatient rehabilitation.
Design
Retrospective analyses of imaging and clinical outcomes.
Setting
University and academic hospital.
Participants
A total of 151 participants (N=151) with SCI.
Interventions
Inpatient rehabilitation.
Main Outcome Measures
LEMS and LT scores at discharge from inpatient rehabilitation.
Results
In 151 participants, right LCST spared tissue demonstrated a significant predictive relationship with right LEMS percentage recovered (β=0.56; 95% confidence interval [CI], 0.37-0.73; R=0.43; P<.001 left lcst spared tissue demonstrated a significant predictive relationship with lems percentage recovered ci r="0.51;" p dc lt when subgrouping the participants into motor complete vs incomplete sci relationships were no longer but sensory remained significant. those who had voluntary function some also significantly greater than did not recover function.>
Conclusions
LCST demonstrated significant moderate predictive relationships with lower extremity motor function at the time of discharge from inpatient rehabilitation, in an ipsilesional manner. DC integrity demonstrated a significant moderate predictive relationship with recovered function of LT. With further development, these neuroimaging methods might be used to predict potential deficits after SCI and to provide corresponding 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=290234
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 62-68[article]
Titre : Relations Among Suicidal Ideation, Depressive Symptoms, and Functional Independence During the 10 Years After Traumatic Brain Injury: A Model Systems Study Type de document : Article Auteurs : Paul B. Perrin ; Daniel W. Klyce ; Lauren B. Fisher ; Shannon B. Juengst ; Flora M. Hammond ; Kelli W. Gary ; Janet P. Niemeier ; Thomas F. Bergquist ; Charles H. Bombardier ; Amanda R. Rabinowitz ; Ross Zafonte Année de publication : 2022 Article en page(s) : p. 69-74 Note générale : https://doi.org/10.1016/j.apmr.2021.07.790 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Idéation suicidaire ; Lésions traumatiques de l'encéphale ; RéadaptationRésumé : Objective
To investigate relative causality in relations among suicidal ideation (SI), depressive symptoms, and functional independence over the first 10 years after traumatic brain injury (TBI).
Design
Prospective longitudinal design with data collected through the Traumatic Brain Injury Model Systems (TBIMS) network at acute rehabilitation hospitalization as well as 1, 2, 5, and 10 years after injury.
Setting
United States Level I/II trauma centers and inpatient rehabilitation centers with telephone follow-up.
Participants
Individuals enrolled into the TBIMS National Database (N=9539) with at least 1 SI score at any follow-up data collection (72.1% male; mean age, 39.39y).
Interventions
Not applicable.
Main Outcome Measures
Patient Health Questionnaire-9 and FIM at years 1, 2, 5, and 10 post injury.
Results
A cross-lagged panel structural equation model, which is meant to indirectly infer causality through longitudinal correlational data, suggested that SI, depressive symptoms, and functional independence each significantly predicted themselves over time. Within the model, bivariate correlations among variables were all significant within each time point. Between years 1 and 2 and between years 2 and 5, depressive symptoms had a larger effect on SI than SI had on depressive symptoms. Between years 5 and 10, there was reciprocal causality between the 2 variables. Functional independence more strongly predicted depressive symptoms than the reverse between years 1 and 2 as well as years 2 and 5, but its unique effects on SI over time were extremely marginal or absent after controlling for depressive symptoms.
Conclusions
A primary goal for rehabilitation and mental health providers should be to monitor and address elevated symptoms of depression as quickly as possible before they translate into SI, particularly for individuals with TBI who have reduced functional independence. Doing so may be a key to breaking the connection between low functional independence and SI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290245
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 69-74[article]
Titre : Investigating Inducible Muscle Overactivity in Acquired Brain Injury and the Impact of Botulinum Toxin A Type de document : Article Auteurs : Ian J. Baguley ; Hannah L Barden ; Karen Byth Année de publication : 2022 Article en page(s) : p. 75-82.e1 Note générale : https://doi.org/10.1016/j.apmr.2021.07.802 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Adulte ; Lésions encéphaliques ; Membre supérieur ; Réadaptation ; Spasticité musculaire ; Toxines botuliniques ou botuliquesRésumé : Objective
To investigate the pattern of change in muscle overactivity during repetitive grasp/release using dynamic computerized dynamometry (DCD; objective 1) and the effect of botulinum toxin A (BTX-A; objective 2).
Design
Secondary analysis of an observational cohort study.
Setting
Hospital outpatient spasticity management service.
Participants
A convenience sample (N=65), comprising adults with upper motor neuron syndrome affecting the arm after acquired brain injury (ABI; n=38) and participants without ABI (n=27).
Interventions
After clinical assessment, a subgroup of participants with ABI (n=28) underwent BTX-A injections as part of their spasticity management.
Main Outcome Measures
Post hoc DCD data processing extracted the values of minimum force generation between 10 sequential contractions. The pattern of change was analyzed.
Results
The ABI injected group exerted greater force at baseline than both other groups (ABI injected=1.04 kg, ABI noninjected=0.74 kg, participants without ABI=0.53 kg; P=.011). After the first contraction, minimum force values increased for all groups and were greatest in the ABI injected group. With subsequent cycles, the group without ABI showed a linear pattern of decreasing force generation, whereas both ABI groups showed a quadratic increasing pattern, which was of greater magnitude in the ABI injected group. After injection, values for the ABI injected group showed a 51% reduction in inducible muscle overactivity (P=.003) to magnitudes similar to those of the ABI noninjected group.
Conclusions
This study showed that hand relaxation deteriorated during repetitive movements in people with spasticity, a feature hypothesized to adversely influence everyday hand function. After BTX-A injection, the magnitude but not the pattern of this inducible muscle overactivity improved.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290246
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 75-82.e1[article]
Titre : Depression in Older Adults 12 Months After Traumatic Brain Injury: A TRACK-TBI Study Type de document : Article Auteurs : Jesse S. Passler ; Angelle M. Sander ; Nancy R. Temkin ; Jason Barber ; Raquel C. Gardner ; Geoffrey T. Manley Année de publication : 2022 Article en page(s) : p. 83-89 Note générale : https://doi.org/10.1016/j.apmr.2021.08.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Études de cohortes ; Lésions traumatiques de l'encéphale ; Réadaptation ; VieillissementRésumé : Objective
To investigate depression at 12 months after traumatic brain injury (TBI) in older adults compared with younger adults.
Design
Prospective longitudinal cohort study of persons with medically documented mild, moderate, and severe TBI at 12 months postinjury.
Setting
Eighteen participating Level 1 trauma centers in the United States.
Participants
Participants with TBI (N=1505) and primary outcome data at 12-month follow-up.
Interventions
Not applicable.
Main Outcome Measures
Patient Health Questionnaire-9 (PHQ-9).
Results
PHQ-9 total scores were significantly lower for older adults (age≥65y; M=3.2) compared with younger adults (age
Conclusions
At 12 months post-TBI, older adults endorse lower depressive symptoms than their younger counterparts and are less likely to experience major depression; however, over one-fourth of older adults endorsed symptoms consistent with depression, warranting evaluation and treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290248
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 83-89[article]
Titre : Health Care Resource Utilization and Costs for Adults With Mild Traumatic Brain Injury With Chronic Vestibular Impairment Type de document : Article Auteurs : Alison M. Cogan ; Theresa Bender Pape ; Jason Yeaw ; Mitch DeKoven ; Ruthwik Anupindi ; Neil Jordan Année de publication : 2022 Article en page(s) : p. 90-97.e8 Note générale : https://doi.org/10.1016/j.apmr.2021.08.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Coûts des soins de santé ; Coûts et analyse des coûts ; Équilibre postural ; RéadaptationRésumé : Objective
To quantify the economic burden of all-cause health care resource utilization (HCRU) among adults with and without chronic vestibular impairment (CVI) after a mild traumatic brain injury (mTBI).
Design
Retrospective matched cohort study.
Setting
IQVIA Integrated Data Warehouse.
Participants
People with mTBI+CVI (n=20,441) matched on baseline age, sex, year of mTBI event, and Charlson Comorbidity Index (CCI) score to people with mTBI only (n=20,441) (N=40,882).
Interventions
Not applicable.
Main Outcome Measures
All-cause health HCRU and costs at 12 and 24 months post mTBI diagnosis.
Results
People with mTBI+CVI had significantly higher all-cause HCRU and costs at both time points than those with mTBI only. Multivariable regression analysis showed that, when controlling for baseline variables, costs of care were 1.5 times higher for mTBI+CVI than mTBI only.
Conclusions
People who developed CVI after mTBI had greater overall HCRU and costs for up to 2 years after the injury event compared with people who did not develop CVI after controlling for age, sex, region, and CCI score. Further research on access to follow-up services and effectiveness of interventions to address CVI is 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=290249
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 90-97.e8[article]
Titre : Life Satisfaction in Individuals With Long-Term Traumatic Spinal Cord Injury: An Investigation of Associated Biopsychosocial Factors Type de document : Article Auteurs : Jillian M.R. Clark ; James S. Krause Année de publication : 2022 Article en page(s) : p. 98-105 Note générale : https://doi.org/10.1016/j.apmr.2021.09.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Qualité de vie ; Réadaptation ; Soutien social ; Traumatismes de la moelle épinièreRésumé : Objective
To investigate relationships between self-reported biological, psychological, and social factors and global, vocational, and home life satisfaction in individuals with traumatic spinal cord injury (SCI) an average of more than 30 years postinjury.
Design
Cross-sectional analyses of self-report assessment data.
Setting
Specialty and university hospitals in the southeastern and midwestern United States.
Participants
Individuals with a history of traumatic SCI (n=546) who responded to the most recent data collection period of the SCI Longitudinal Aging Study (2018-2019) and who were at least 2 years postinjury and at least 18 years or older at initial study enrollment.
Interventions
Not applicable.
Main Outcome Measures
Global life satisfaction, home life satisfaction, and vocational life satisfaction as measured by the Life Situation Questionnaire-Revised.
Results
Taken together, the biopsychosocial variables explained 55.1% of the variance in global life satisfaction. Less severe depressive symptoms, greater emotional social support, and greater instrumental social support were significantly associated with greater global life satisfaction. Together, the independent variables explained 50.7% of the variance in home life satisfaction. Being in a relationship, having less severe depressive symptoms, having greater emotional social support, and having greater instrumental social support were significantly associated with home life satisfaction. Together, the independent variables explained 44.8% of the variance in vocational satisfaction. Being White, non-Hispanic, having more years of education, being in a relationship, having less severe depressive symptoms, and having greater emotional social support were significantly associated with greater vocational satisfaction.
Conclusion
These results support the need to assess psychological symptoms and available social support as potential modifiable factors related to several domains of life satisfaction in this aging population. Improving psychological symptoms and strengthening available social support may relate to improved life satisfaction.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290255
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 98-105[article]
Titre : Person-Centered Rehabilitation Model: Framing the Concept and Practice of Person-Centered Adult Physical Rehabilitation Based on a Scoping Review and Thematic Analysis of the Literature Type de document : Article Auteurs : Tiago S. Jesus ; Christina Papadimitriou ; Felicity A. Bright ; Nicola M. Kayes ; Cátia S. Pinho ; Cheryl A. Cott Année de publication : 2022 Article en page(s) : p. 106-120 Note générale : https://doi.org/10.1016/j.apmr.2021.05.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Littérature de revue comme sujet ; Modèles théoriques ; Réadaptation ; Soins centrés sur le patientRésumé : Objective
To develop a cross-professional model framing the concept and practice of person-centered rehabilitation (PCR) in adult populations, based on a scoping review and thematic analysis of the literature.
Data Sources
Key databases (PubMed, Scopus, Cumulative Index to Nursing and Allied Health), snowballing searches, and experts’ consultation were the data sources for English-language empirical or conceptual articles published from January 2007-February 2020.
Study Selection
Two independent reviewers selected adult-based articles addressing at least 1 of the 6 categories of PCR-related content, a priori specified in the published review protocol. From 6527 unique references, 147 were finally included in the analysis. Of those, 26 were exclusively conceptual articles.
Data Extraction
Two independent reviewers extracted textual data on what PCR entails conceptually or as a practice. No quality appraisals were performed as is typical in scoping reviews.
Data Synthesis
A thematic analysis produced thematic categories that were combined into an emergent model (the PCR Model), which was reviewed by 5 external experts. PCR was framed as a way of thinking about and providing rehabilitation services “with” the person. PCR is embedded in rehabilitation structures and practice across 3 levels: (1) the person-professional dyad; (2) the microsystem level (typically an interprofessional team, involving significant others); and (3) a macrosystem level (organization within which rehabilitation is delivered). Thematic categories are articulated within each level, detailing both the conceptual and practice attributes of PCR.
Conclusions
The PCR Model can inform both clinical and service organization practices. The PCR Model may benefit from further developments including obtaining wider stakeholders’ input, determining relevance in different cultural and linguistic groups, and further operationalization and testing in implementation projects.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290257
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 106-120[article]
Titre : Person-Centered Goal Setting: A Systematic Review of Intervention Components and Level of Active Engagement in Rehabilitation Goal-Setting Interventions Type de document : Article Auteurs : Eunyoung Kang ; Moon Young Kim ; Kim L. Lipsey ; Erin R. Foster Année de publication : 2022 Article en page(s) : p. 121-130.e3 Note générale : https://doi.org/10.1016/j.apmr.2021.06.025 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte ; Objectifs ; Participation des patients ; Planification des soins du patient ; Planification en santé ; Réadaptation ; Revue systématique ; Soins centrés sur le patientRésumé : Objective
This systematic review aims to examine (1) what components are used in current person-centered goal-setting interventions for adults with health conditions in rehabilitation and (2) the extent to which the engagement of people in their rehabilitation goal setting is encouraged.
Data Sources
PubMed/MEDLINE, Embase, Cumulative Index of Nursing and Allied Health Literature, Scopus, and Web of Science from inception to November 2020.
Study Selection
Primary inclusion criteria were peer-reviewed articles that evaluated person-centered goal-setting interventions for adults with health conditions in rehabilitation. Two independent reviewers screened 28,294 records, and 22 articles met inclusion criteria.
Data Extraction
Two reviewers independently completed data extraction and quality assessment using the Physiotherapy Evidence Database (PEDRo) scale based on the original authors’ descriptions, reports, and protocol publications. Any discrepancies were resolved by consensus or in consultation with another senior reviewer.
Data Synthesis
Using narrative synthesis, we found that current person-centered goal setting has variability in their inclusion of intervention components. A considerable number of components are underimplemented in current practice, with formulation of coping plan and follow-up being most commonly left out. The active engagement of people does appear to be promoted within the components that are included in the interventions. Nine studies were high-quality defined as a total PEDro scale score of 6 or above.
Conclusions
Although current person-centered goal setting encourages the active engagement of people, many of these interventions lack components considered important for supporting goal achievement and optimal outcomes. Future practice may be improved by incorporating a comprehensive set of goal-setting components and encouraging the active engagement of people throughout the entire goal-setting process. Together, these practices may facilitate the achievement of meaningful rehabilitation goals and improve rehabilitation outcomes for adults with health conditions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290258
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 121-130.e3[article]
Titre : Telephone-Delivered Physiotherapy Interventions Improve Physical Function for Adults With a Chronic Condition: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Praja Vaikuntharajan ; Matthew Tobis ; Julie Richardson Année de publication : 2022 Article en page(s) : p. 131-144.e14 Note générale : https://doi.org/10.1016/j.apmr.2021.05.022 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai contrôlé randomisé ; Marche à pied ; Méta-analyse ; Performance fonctionnelle physique ; Réadaptation ; Revue systématique ; TéléphoneRésumé : Objective
To investigate the efficacy of telephone-delivered physiotherapy interventions to improve lower extremity physical function and walking in adults aged ≥45 years with a chronic condition.
Data Sources
A literature search was conducted using health databases (MEDLINE, PsychINFO, EMBASE, The Allied and Complementary Medicine Database, Web of Science, Cochrane Library, Cumulative Index of Nursing and Allied Health Literature) up to April 26, 2020. Reference lists of relevant studies were explored to identify additional studies.
Study Selection
The original search resulted in 3465 studies. Five other studies were included from hand searches. After duplicates were removed, 2820 studies remained. Title and abstract screening was completed independently by 2 authors and resulted in the exclusion of 2596 studies. The full-texts of the remaining 224 articles were assessed and 204 studies were excluded. Twenty articles were examined.
Data Extraction
Data were extracted independently by 2 authors, including study, population, and intervention details; assessment timings; outcome characteristics; appropriateness of statistical methods; adverse events; and reasons for loss to follow-up. Study quality was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation approach.
Data Synthesis
Twenty studies were included in the systematic review. One study was not meta-analyzed owing to insufficient data. Telephone-delivered physiotherapy had a small to moderate effect on distance walked compared with control groups with no exercise intervention (standardized mean difference [SMD], 0.28; 95% confidence interval [CI], 0.00-0.56; I2, 45%) and no effect when compared with control groups with an exercise intervention not delivered by telephone (SMD, 0.08; 95% CI, –0.19 to 0.36; I2, 0%).
Conclusion
Telephone-delivered physiotherapy may be an effective method to improve walking. Further research is required to validate these findings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290260
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 131-144.e14[article]
Titre : Are Nonpharmacologic Interventions Delivered Through Synchronous Telehealth as Effective and Safe as In-Person Interventions for the Management of Patients With Nonacute Musculoskeletal Conditions? A Systematic Rapid Review Type de document : Article Auteurs : Melissa Corso ; Carol Cancelliere ; Silvano Mior ; Louis-Rachid Salmi ; Christine Cedraschi ; Margareta Nordin ; Anne Taylor-Vaisey ; Pierre Côté Année de publication : 2022 Article en page(s) : p.145-154.e11 Note générale : https://doi.org/10.1016/j.apmr.2021.09.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Appareil locomoteur ; Réadaptation ; Sécurité ; TélémédecineRésumé : Objective
To determine whether nonpharmacologic interventions delivered through synchronous telehealth are as effective and safe compared with in-person interventions for the management of patients with musculoskeletal conditions in improving pain, functioning, self-reported recovery, psychological outcomes, or health-related quality of life using rapid review methods.
Data Sources
We searched MEDLINE, CINAHL, Embase, and Cochrane Central Register of Controlled Trials from 2010 to August 2020 for randomized controlled trials (RCTs) published in English or French; we updated our search in January 2021.
Study Selection
One reviewer screened citations in 2 phases (phase 1: title/abstract; phase 2: full-text) selecting RCTs comparing synchronous telehealth with in-person care for the management of musculoskeletal conditions. A random 10% sample was screened by 2 independent reviewers with minimum 95% agreement prior to full screening. One reviewer critically appraised and one reviewer validated appraisal for eligible RCTs.
Data Extraction
One author extracted participant characteristics, setting, sample size, interventions, comparisons, follow-up period, and outcome data. A second author validated data extraction.
Data Synthesis
We summarized the findings narratively. Low- to moderate-quality evidence suggests that synchronous telehealth (ie, videoconference or telephone calls) alone or in combination with in-person care leads to similar outcomes as in-person care alone for nonspecific low back pain, generalized osteoarthritis, hip or knee osteoarthritis, and nonacute headaches in adults.
Conclusions
Synchronous telehealth may be an option for the management of nonacute musculoskeletal conditions in adults. However, our results may not be generalizable to rural or low socioeconomic populations. Future research should investigate the outcomes associated the use of new technologies, such as videoconference.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290261
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p.145-154.e11[article]
Titre : Psychometric Properties of Brief-Balance Evaluation Systems Test Among Multiple Populations: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Cathy W.T. Lo ; Chung-Ying Lin ; William W.N Tsang ; Chun Hoi Yan ; Arnold Y.L. Wong Année de publication : 2022 Article en page(s) : p. 155-175.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.04.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Appréciation des risques ; Chutes accidentelles ; Équilibre postural ; Réadaptation ; Reproductibilité des résultatsRésumé : Objective
To synthesize evidence regarding the psychometric properties of the Brief-Balance Evaluation Systems Test (BESTest) in assessing postural controls across various populations.
Data Sources
Articles were searched in 9 databases from inception to March 2020.
Study Selection
Two reviewers independently screened titles, abstracts, and full-text articles to include studies that reported at least 1 psychometric property of the Brief-BESTest. There were no language restrictions.
Data Extraction
The 2 independent reviewers extracted data (including psychometric properties of Brief-BESTest) from the included studies. The methodological quality of the included studies was appraised by the Consensus-based Standards for the Selection of Health Status Measurement Instruments checklist, and the quality of statistical outcomes was assessed by the Terwee et al method. A best-evidence synthesis for each measurement property of the Brief-BESTest in each population was conducted.
Data Synthesis
Twenty-four studies encompassing 13 populations were included. There was moderate to strong positive evidence to support the internal consistency (Cronbach α>0.82), criterion validity (ρ≥0.73, r≥0.71), and construct validity (ρ≥0.66, r≥0.50, area under curve>0.72) of the Brief-BESTest in different populations. Moderate to strong positive evidence supported the responsiveness of the Brief-BESTest in detecting changes in postural controls of patients 4 weeks after total knee arthroplasty or patients with subacute stroke after 4-week rehabilitation. However, there was strong negative evidence for the structural validity of this scale in patients with various neurologic conditions. The evidence for the reliability of individual items and measurement errors remains unknown.
Conclusions
The Brief-BESTest is a valid (criterion- and construct-related) tool to assess postural control in multiple populations. However, further studies on the reliability of individual items and minimal clinically important difference of the Brief-BESTest are warranted before recommending it as an alternative to the BESTest and Mini-BESTest in clinical research/practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290263
in Archives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 155-175.e2[article]
Paru le : 01/12/2021
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Titre : Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial Type de document : Article Auteurs : Sara Suikkanen ; Paula Soukkio ; Eeva M. Aartolahti ; Sanna M. Kääriä ; Hannu Kautiainen ; Markku T. Hupli ; Kaisu H. Pitkälä ; Sarianna Sipilä ; Katriina T. Kukkonen-Harjula Année de publication : 2021 Article en page(s) : p. 2283-2290 Note générale : https://doi.org/10.1016/j.apmr.2021.06.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Fragilité ; Performance fonctionnelle physique ; Réadaptation ; Techniques de physiothérapie ; VieillissementRésumé : Objectives
To investigate the effects of a 12-month home-based exercise program on functioning and falls among persons with signs of frailty.
Design
A randomized controlled trial with a 1:1 allocation.
Setting
Home-based.
Participants
Home-dwelling persons aged 65 years or older meeting at least 1 frailty phenotype criteria (N=300). The mean age of the participants was 82.2±6.3 years, 75% were women, 61% met 1-2 frailty criteria, and 39% met ≥3 criteria.
Interventions
A 12-month, individually tailored, progressive, and physiotherapist-supervised physical exercise twice a week (n=150) vs usual care (n=149).
Main Outcome Measures
FIM, Short Physical Performance Battery (SPPB), handgrip strength, instrumental activities of daily living (IADL), and self-reported falls and physical activity (other than intervention). Assessed 4 times at home over 12 months.
Results
FIM deteriorated in both groups over 12 months, −4.1 points (95% confidence interval [CI], −5.6 to −2.5) in the exercise group and −6.9 (95% CI, −8.4 to −2.3) in the usual care group (group P=.014, time P<.001 interaction p=".56)." the mean improvement in sppb was significantly greater exercise group ci than usual care to time reported fewer falls per person-year rate ratio there no significant difference between groups over months terms of handgrip strength iadl function or self-reported physical activity.>
Conclusions
One year of physical exercise improved physical performance and decreased the number of falls among people with signs of frailty. FIM differed between the groups at 12 months, but exercise did not prevent deterioration of FIM, IADL, or handgrip strength.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=289808
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 12 (2021) . - p. 2283-2290[article]
Titre : Measuring Discharge Outcomes, Length of Stay, and Functional ADL Score During COVID-19 in Inpatient Rehabilitation Hospitals Type de document : Article Auteurs : Caitlin Hartsgrove ; Jenieve Guevarra-Fernandez ; Jamila A. Kendall ; Gabrielle Delauter ; Steven C. Kirshblum Année de publication : 2021 Article en page(s) : p. 2291-2299 Note générale : https://doi.org/10.1016/j.apmr.2021.07.003Get rights and content Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; COVID-19 ; Durée du séjour ; Médecine physique et de réadaptation ; Réadaptation ; SARS-CoV-2 ; Sortie du patientRésumé : Objective
To measure discharge disposition, length of stay (LOS), and functional activities of daily living (ADL) scores for patients admitted to acute inpatient rehabilitation hospitals (IRHs) during the coronavirus disease 2019 (COVID-19) pandemic and to compare these parameters with a period prior to the pandemic.
Design
Retrospective cohort study via systematic retrospective chart review of consecutive patients admitted to IRHs from January 1-February 19, 2020 (pre–COVID-19T), and COVID-19 time period/patients admitted from April 1, 2020-May 9, 2020 (COVID-19T).
Setting
System of 3 IRHs in the Northeastern United States.
Participants
Pre–COVID-19T, n=739; COVID-19T, n=335, of whom n=139 were positive for COVID-19 (COVID+) and n=196 were negative (COVID−) (N=1074).
Interventions
Not applicable.
Main Outcome Measures
Discharge disposition, LOS, and functional ADL scores.
Results
COVID-19T patients were younger (P=.03) and less likely to be White (P=.03). These patients also had a higher case mix index (CMI; P<.01 longer acute care los and irh patients who were covid covid-19t less likely to be white had lower cmi higher admission discharge functional adl scores p compared with those there no differences in outcomes between pre cohorts including when stratified for covid-19 status on than though not significant>
Conclusions
There were no differences in discharge outcomes for any group. IRH LOS was significantly increased during the pandemic, but there were no statistically significant differences between the COVID+ and COVID− cohorts within COVID-19T. Functional ADL scores were significantly lower during COVID-19T, but COVID status was not a significant predictor. This suggests that COVID+ status was not a barrier to discharge or functional outcomes. This supports the importance of IRHs to restore function and discharge patients to home, even with a more medically complex COVID-19 pandemic population.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=289811
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 12 (2021) . - p. 2291-2299[article]
Titre : Activity Measure for Post-Acute Care “6-Clicks” for the Prediction of Short-term Clinical Outcomes in Individuals Hospitalized With COVID-19: A Retrospective Cohort Study Type de document : Article Auteurs : Michael A. Tevald ; Malachy J. Clancy ; Kelly Butler ; Megan Drollinger ; Joe Adler ; Daniel Malone Année de publication : 2021 Article en page(s) : p. 2300-2308.e3 Note générale : https://doi.org/10.1016/j.apmr.2021.08.006 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Durée du séjour ; Morbidité ; Mortalité ; Pronostic ; RéadaptationRésumé : Objective
To determine the ability of the Activity Measure for Post-Acute Care (AM-PAC) "6-Clicks" assessments of mobility and activity to predict key clinical outcomes in patients hospitalized with coronavirus disease 2019 (COVID-19).
Design
Retrospective cohort study.
Setting
An academic health system in the United States consisting of 5 inpatient hospitals.
Participants
Adult patients (N=1486) urgently or emergently admitted who tested positive for COVID-19 and had at least 1 AM-PAC assessment.
Interventions
Not applicable.
Main Outcome Measures
Discharge destination, hospital length of stay, in-hospital mortality, and readmission.
Results
A total of 1486 admission records were included in the analysis. After controlling for covariates, initial and final mobility (odds ratio, 0.867 and 0.833, respectively) and activity scores (odds ratio, 0.892 and 0.862, respectively) were both independent predictors of discharge destination with a high accuracy of prediction (area under the curve [AUC]=0.819-0.847). Using a threshold score of 17.5, sensitivity ranged from 0.72-0.79, whereas specificity ranged from 0.74-0.83. Both initial AM-PAC mobility and activity scores were independent predictors of mortality (odds ratio, 0.885 and 0.877, respectively). Initial mobility, but not activity, scores were predictive of prolonged length of stay (odds ratio, 0.957 and 0.980, respectively). However, the accuracy of prediction for both outcomes was weak (AUC=0.659-0.679). AM-PAC scores did not predict rehospitalization.
Conclusions
Functional status as measured by the AM-PAC “6-Clicks” mobility and activity scores are independent predictors of key clinical outcomes individual hospitalized with COVID-19.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=289813
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 12 (2021) . - p. 2300-2308.e3[article]
Titre : Combining the AM-PAC “6-Clicks” and the Morse Fall Scale to Predict Individuals at Risk for Falls in an Inpatient Rehabilitation Hospital Type de document : Article Auteurs : Keith R. Lohse ; Danica R. Dummer ; Heather A. Hayes ; Randy J. Carson ; Robin L. Marcus Année de publication : 2021 Article en page(s) : p. 2309-2315 Note générale : https://doi.org/10.1016/j.apmr.2021.07.800 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Réadaptation ; Services de santéRésumé : Objective
To determine the effect of adding the Activity Measure for Post-Acute Care (AM-PAC) Inpatient ‘6-Clicks’ Short Forms to the Morse Fall Scale (MFS) to assess fall risk. Falls that occur in a rehabilitation hospital result in increased morbidity and mortality, increased cost, and negatively affect reimbursement. Identifying individuals at high risk for falls would enable targeted fall prevention strategies and facilitate appropriate resource allocation to address this critical patient safety issue.
Design
We used a retrospective observational design and repeated k-fold cross-validation (10 repeats and 10 folds) of logistic regression models with falls regressed onto: MFS alone, AM-PAC basic mobility and applied cognitive scales alone, and MFS and AM-PAC combined.
Setting
Inpatient rehabilitation hospital.
Participants
After exclusions, 2007 patients from an inpatient setting (N=2007; 131 experienced a fall). Primary diagnoses included 602 individuals with stroke (30%), 502 with brain injury (25%), 321 with spinal cord injury (16%), and 582 with other diagnoses (29%).
Interventions
Not applicable.
Main Outcome Measures
Experience of a fall during inpatient stay.
Results
The MFS at admission was associated with falls (area under the curve [AUC], 0.64). Above and beyond the MFS, AM-PAC applied cognitive and basic mobility at admission were also significantly associated with falls (combined model AUC, 0.70). Although MFS and applied cognition showed linear associations, there was evidence for a nonlinear association with AM-PAC basic mobility.
Conclusions
The AM-PAC basic mobility and AM-PAC applied cognitive scales showed associations with falls above and beyond the MFS. More work is needed to validate model predictions in an independent sample with truly longitudinal data; prediction accuracy would also need to be substantially improved. However, the current data do suggest that the AM-PAC has the potential to reduce the burden of fall management by focusing resources on a smaller cohort of patients identified as having a high fall risk.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=289814
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 12 (2021) . - p. 2309-2315[article]