[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 571-581

Titre :	Development of a Core Set for Knee Dysfunction Based on the International Classification of Functioning, Disability and Health: A Cross-sectional Study
Type de document :	Article
Auteurs :	Andersom Ricardo Fréz ; Sandra Regina Alouche ; Aline Cristiane Binda ; Gabrielle Watermann Vieira ; Bruna Aparecida Metinoski Bueno ; Cristina Maria Nunes Cabral
Année de publication :	2021
Article en page(s) :	p. 571-581
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.139
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Classification internationale du fonctionnement, du handicap et de la santé (ICF) ; Études transversales ; Genou
Résumé :	Objective To develop an International Classification of Functioning, Disability and Health core set for patients with knee dysfunction. Design Cross-sectional study. Setting The study was conducted at all levels of care (general community, primary care units, rehabilitation clinics/centers, hospital). Participants Participants (N=388) with knee dysfunction with or without clinical diagnosis of knee pathology, with or without complaint of pain, with or without instability, and/or with or without knee movement restriction of any type. Interventions Not applicable. Main Outcome Measures Participants were assessed using the core sets for acute and postacute musculoskeletal conditions, the subjective form from the International Knee Documentation Committee scale, the self-report of general health and functionality, and the general health and functionality classified by the researcher. To identify the categories that best explain knee dysfunction, linear regression analyses were performed. Results Twenty-four categories were identified from the 75 core set categories for acute and postacute musculoskeletal conditions. Eleven categories belong to the component body functions, 3 represent body structures, 7 represent activities and participation, and 3 represent environmental factors. Conclusions A core set for knee dysfunction that can be used at all levels of health care was proposed, which offers a system for disability assessment related to knee dysfunction, including environmental and social factors. These factors are important for a broad assessment because they include the multiple aspects of functionality, usually not considered in other knee dysfunction assessment instruments. Further analysis of the content and construct validity of the core set is required.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266333

[article] Development of a Core Set for Knee Dysfunction Based on the International Classification of Functioning, Disability and Health: A Cross-sectional Study [Article] / Andersom Ricardo Fréz ; Sandra Regina Alouche ; Aline Cristiane Binda ; Gabrielle Watermann Vieira ; Bruna Aparecida Metinoski Bueno ; Cristina Maria Nunes Cabral . - 2021 . - p. 571-581.
https://doi.org/10.1016/j.apmr.2020.10.139
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 571-581

Descripteurs :	HE Vinci Classification internationale du fonctionnement, du handicap et de la santé (ICF) ; Études transversales ; Genou
Résumé :	Objective To develop an International Classification of Functioning, Disability and Health core set for patients with knee dysfunction. Design Cross-sectional study. Setting The study was conducted at all levels of care (general community, primary care units, rehabilitation clinics/centers, hospital). Participants Participants (N=388) with knee dysfunction with or without clinical diagnosis of knee pathology, with or without complaint of pain, with or without instability, and/or with or without knee movement restriction of any type. Interventions Not applicable. Main Outcome Measures Participants were assessed using the core sets for acute and postacute musculoskeletal conditions, the subjective form from the International Knee Documentation Committee scale, the self-report of general health and functionality, and the general health and functionality classified by the researcher. To identify the categories that best explain knee dysfunction, linear regression analyses were performed. Results Twenty-four categories were identified from the 75 core set categories for acute and postacute musculoskeletal conditions. Eleven categories belong to the component body functions, 3 represent body structures, 7 represent activities and participation, and 3 represent environmental factors. Conclusions A core set for knee dysfunction that can be used at all levels of health care was proposed, which offers a system for disability assessment related to knee dysfunction, including environmental and social factors. These factors are important for a broad assessment because they include the multiple aspects of functionality, usually not considered in other knee dysfunction assessment instruments. Further analysis of the content and construct validity of the core set is required.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266333

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 582-590

Titre :	The Gait Disorientation Test: A New Method for Screening Adults With Dizziness and Imbalance
Type de document :	Article
Auteurs :	Colin R. Grove ; Bryan C. Heiderscheit ; Mark G. Pyle ; Brian J. Loyd ; Susan L. Whitney
Année de publication :	2021
Article en page(s) :	p. 582-590
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.010
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Maladies vestibulaires ; Navigation spatiale ; Réadaptation ; Sensibilité et spécificité ; Vestibulopathie bilatérale
Résumé :	Objective To develop and evaluate a new method for identifying gait disorientation due to vestibular dysfunction. Design The gait disorientation test (GDT) involves a timed comparison of the ability to walk 6.096 m with eyes open versus eyes closed. In this prospective study, participants were grouped based on vestibular function. All participants completed a clinical examination, self-report- and performance-based measures relevant to vestibular rehabilitation, and the tasks for the GDT. Vestibular-impaired participants underwent the criterion standard, videonystagmography and/or rotational chair testing. Setting Ambulatory clinic, tertiary referral center. Participants Participants (N=40) (20 vestibular-impaired, 30 women, 49.9±16.1years old) were enrolled from a convenience/referral sample of 52 adults. Main Outcome and Measure(s) We determined test-retest reliability using the intraclass correlation coefficient model 3,1; calculated the minimal detectable change (MDC); examined concurrent validity through Spearman correlation coefficients; assessed criterion validity with the area under the curve (AUC) from receiver operator characteristic analysis; and computed the sensitivity, specificity, diagnostic odds ratio (DOR), likelihood ratios for positive (LR+) and negative (LR−) tests, and posttest probabilities of a diagnosis of vestibulopathy. The 95% confidence interval demonstrates measurement uncertainty. Results Test-retest reliability was 0.887 (0.815, 0.932). The MDC was 3.7 seconds. Correlations with other measures ranged from 0.59 (0.34, 0.76) to −0.85 (−0.92, −0.74). The AUC was 0.910 (0.822, 0.998), using a threshold of 4.5 seconds. The sensitivity and specificity were 0.75 (0.51, 0.91) and 0.95 (0.75, 1), respectively. The DOR=57 (6, 541.47), LR+ =15 (2.18, 103.0), and LR− =0.26 (0.12, 0.9). Positive posttest probabilities were 89%-94%. Conclusions and Relevance The GDT has good reliability, excellent discriminative ability, strong convergent validity, and promising clinical utility.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266334

[article] The Gait Disorientation Test: A New Method for Screening Adults With Dizziness and Imbalance [Article] / Colin R. Grove ; Bryan C. Heiderscheit ; Mark G. Pyle ; Brian J. Loyd ; Susan L. Whitney . - 2021 . - p. 582-590.
https://doi.org/10.1016/j.apmr.2020.11.010
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 582-590

Descripteurs :	HE Vinci Maladies vestibulaires ; Navigation spatiale ; Réadaptation ; Sensibilité et spécificité ; Vestibulopathie bilatérale
Résumé :	Objective To develop and evaluate a new method for identifying gait disorientation due to vestibular dysfunction. Design The gait disorientation test (GDT) involves a timed comparison of the ability to walk 6.096 m with eyes open versus eyes closed. In this prospective study, participants were grouped based on vestibular function. All participants completed a clinical examination, self-report- and performance-based measures relevant to vestibular rehabilitation, and the tasks for the GDT. Vestibular-impaired participants underwent the criterion standard, videonystagmography and/or rotational chair testing. Setting Ambulatory clinic, tertiary referral center. Participants Participants (N=40) (20 vestibular-impaired, 30 women, 49.9±16.1years old) were enrolled from a convenience/referral sample of 52 adults. Main Outcome and Measure(s) We determined test-retest reliability using the intraclass correlation coefficient model 3,1; calculated the minimal detectable change (MDC); examined concurrent validity through Spearman correlation coefficients; assessed criterion validity with the area under the curve (AUC) from receiver operator characteristic analysis; and computed the sensitivity, specificity, diagnostic odds ratio (DOR), likelihood ratios for positive (LR+) and negative (LR−) tests, and posttest probabilities of a diagnosis of vestibulopathy. The 95% confidence interval demonstrates measurement uncertainty. Results Test-retest reliability was 0.887 (0.815, 0.932). The MDC was 3.7 seconds. Correlations with other measures ranged from 0.59 (0.34, 0.76) to −0.85 (−0.92, −0.74). The AUC was 0.910 (0.822, 0.998), using a threshold of 4.5 seconds. The sensitivity and specificity were 0.75 (0.51, 0.91) and 0.95 (0.75, 1), respectively. The DOR=57 (6, 541.47), LR+ =15 (2.18, 103.0), and LR− =0.26 (0.12, 0.9). Positive posttest probabilities were 89%-94%. Conclusions and Relevance The GDT has good reliability, excellent discriminative ability, strong convergent validity, and promising clinical utility.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266334

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 591-597

Titre :	Psychometric Properties of the Coma Near-Coma Scale for Adults in Disordered States of Consciousness: A Rasch Analysis
Type de document :	Article
Auteurs :	Jennifer A. Weaver ; John Liu ; Ann Guernon ; Theresa L. Bender Pape ; Trudy Mallinson
Année de publication :	2021
Article en page(s) :	p. 591-597
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.119
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Lésions encéphaliques ; Réadaptation ; Troubles de la conscience
Résumé :	Objectives To examine the construct validity and measurement precision of the Coma Near-Coma scale (CNC) in measuring neurobehavioral function (NBF) in patients with disorders of consciousness receiving postacute care rehabilitation. Design Rasch analysis of retrospective data. Participants Participants (N=48) with disordered consciousness who were admitted to postacute care rehabilitation. Interventions Not applicable. Main Outcome Measure CNC. Results Assessment with CNC repeated weekly until the participant was conscious or discharged from the postacute care facility (451 participant records). Rating scale steps were ordered for all items. Eight of the 10 CNC items evaluated in this study fit the measurement model (χ2=5332.58; df=11; P=.17); pain items formed a distinct construct. The ordering of the 8 items from most to least challenging makes clinical sense and compares favorably with other published hierarchies of NBF. Tactile items are more easily responded to. Visual and auditory items requiring higher cognitive processing were more challenging. In the full sample, the CNC achieved good measurement precision, with a person separation reliability of 0.87. Conclusions The items of the CNC reflect good construct validity and acceptable interrater reliability. The measurement precision achieved indicates that the CNC may be used to make decisions about groups of individuals but that these items may not be sufficiently precise for individual patient treatment decision-making.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266335

[article] Psychometric Properties of the Coma Near-Coma Scale for Adults in Disordered States of Consciousness: A Rasch Analysis [Article] / Jennifer A. Weaver ; John Liu ; Ann Guernon ; Theresa L. Bender Pape ; Trudy Mallinson . - 2021 . - p. 591-597.
https://doi.org/10.1016/j.apmr.2020.10.119
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 591-597

Descripteurs :	HE Vinci Lésions encéphaliques ; Réadaptation ; Troubles de la conscience
Résumé :	Objectives To examine the construct validity and measurement precision of the Coma Near-Coma scale (CNC) in measuring neurobehavioral function (NBF) in patients with disorders of consciousness receiving postacute care rehabilitation. Design Rasch analysis of retrospective data. Participants Participants (N=48) with disordered consciousness who were admitted to postacute care rehabilitation. Interventions Not applicable. Main Outcome Measure CNC. Results Assessment with CNC repeated weekly until the participant was conscious or discharged from the postacute care facility (451 participant records). Rating scale steps were ordered for all items. Eight of the 10 CNC items evaluated in this study fit the measurement model (χ2=5332.58; df=11; P=.17); pain items formed a distinct construct. The ordering of the 8 items from most to least challenging makes clinical sense and compares favorably with other published hierarchies of NBF. Tactile items are more easily responded to. Visual and auditory items requiring higher cognitive processing were more challenging. In the full sample, the CNC achieved good measurement precision, with a person separation reliability of 0.87. Conclusions The items of the CNC reflect good construct validity and acceptable interrater reliability. The measurement precision achieved indicates that the CNC may be used to make decisions about groups of individuals but that these items may not be sufficiently precise for individual patient treatment decision-making.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266335

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 598-603

Titre :	Cross-Validation of a Screening Tool to Distinguish Between Fallers and Nonfallers in Community-Dwelling Older Adults With Knee Osteoarthritis
Type de document :	Article
Année de publication :	2021
Article en page(s) :	p. 598-603
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.001
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Arthrose ; Chutes accidentelles ; Genou ; Gonarthrose ; Médecine physique et de réadaptation ; Prise de décision clinique ; Réadaptation
Résumé :	Objectives This study aimed to cross-validate a previously developed knee osteoarthritis falls (KOAF) screening tool to distinguish between fallers and nonfallers among community-dwelling older adults with knee osteoarthritis (OA). Design Cross-sectional survey study. Setting Three independent orthopedic clinics. Participants Older outpatients with knee OA (N=86; 71 women, 15 men; mean age, 75.2±6.2y). Interventions Not applicable. Main Outcome Measures The primary outcome was to identify fallers and nonfallers among outpatients with OA based on their history of falls within the past year. We investigated factors including sex, age, body mass index, Kellgren-Lawrence grade, affected side (bilateral or unilateral knee OA), number of comorbidities, pharmacotherapy, physical therapy, pain, and activity as individual predictors of falls. Participants performed the one-leg standing test and the 5 times sit-to-stand test to determine motor function. Sensitivity, specificity, likelihood ratio, and post-test probability of the KOAF screening tool were calculated using receiver operating characteristic (ROC) curve analysis. Results The results of the one-leg standing test and 5 times sit-to-stand test differed significantly between the 2 groups (P<.05 roc curve analysis showed that the area under was confidence interval p post-test probability of falls likelihood ratio when total score koaf screening tool points and less than point.> Conclusions Cross-validation results for the KOAF screening tool were better, confirming that the screening tool could distinguish between fallers and nonfallers with high accuracy. Our findings suggest that this simple screening tool could be readily used in clinical practice and could aid in clinical decision-making through providing choices for physical therapy evaluation and recommendations for physical therapy programs.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266347

[article] Cross-Validation of a Screening Tool to Distinguish Between Fallers and Nonfallers in Community-Dwelling Older Adults With Knee Osteoarthritis [Article] . - 2021 . - p. 598-603.
https://doi.org/10.1016/j.apmr.2020.12.001
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 598-603

Descripteurs :	HE Vinci Arthrose ; Chutes accidentelles ; Genou ; Gonarthrose ; Médecine physique et de réadaptation ; Prise de décision clinique ; Réadaptation
Résumé :	Objectives This study aimed to cross-validate a previously developed knee osteoarthritis falls (KOAF) screening tool to distinguish between fallers and nonfallers among community-dwelling older adults with knee osteoarthritis (OA). Design Cross-sectional survey study. Setting Three independent orthopedic clinics. Participants Older outpatients with knee OA (N=86; 71 women, 15 men; mean age, 75.2±6.2y). Interventions Not applicable. Main Outcome Measures The primary outcome was to identify fallers and nonfallers among outpatients with OA based on their history of falls within the past year. We investigated factors including sex, age, body mass index, Kellgren-Lawrence grade, affected side (bilateral or unilateral knee OA), number of comorbidities, pharmacotherapy, physical therapy, pain, and activity as individual predictors of falls. Participants performed the one-leg standing test and the 5 times sit-to-stand test to determine motor function. Sensitivity, specificity, likelihood ratio, and post-test probability of the KOAF screening tool were calculated using receiver operating characteristic (ROC) curve analysis. Results The results of the one-leg standing test and 5 times sit-to-stand test differed significantly between the 2 groups (P<.05 roc curve analysis showed that the area under was confidence interval p post-test probability of falls likelihood ratio when total score koaf screening tool points and less than point.> Conclusions Cross-validation results for the KOAF screening tool were better, confirming that the screening tool could distinguish between fallers and nonfallers with high accuracy. Our findings suggest that this simple screening tool could be readily used in clinical practice and could aid in clinical decision-making through providing choices for physical therapy evaluation and recommendations for physical therapy programs.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266347

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 604-610

Titre :	Responsiveness and Minimal Clinically Important Difference of the Motor Function Measure in Collagen VI-Related Dystrophies and Laminin Alpha2-Related Muscular Dystrophy
Type de document :	Article
Auteurs :	Laure Le Goff ; Katherine G. Meilleur ; Gina Norato ; Pascal Rippert ; Minal Jain ; Margaret Fink ; Reghan A. Foley ; Melissa Waite ; Sandra Donkervoort ; Carsten G. Bönnemann ; Carole Vuillerot
Année de publication :	2021
Article en page(s) :	p. 604-610
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.116
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Dystrophies musculaires ; Réadaptation
Résumé :	Objectives To investigate the responsiveness of the motor function measure (MFM) and determine the minimal clinically important difference (MCID) in individuals with 2 common types of congenital muscular dystrophy (CMD). Design Observational, prospective, single center, cohort study. Setting National Institute of Neurological Disorders and Stroke (NINDS) of the National Institutes of Health (NIH). Participants Individuals (N=44) with collagen VI-related dystrophies (COL6-RD, n=23) and 21 individuals laminin alpha2-related muscular dystrophy (LAMA2-RD, n=21) enrolled in a 4-year longitudinal natural history study. Interventions Not applicable. Main Outcome Measures Responsiveness of the MFM-32 and the Rasch-scaled MFM-25 and the MCID of the MFM-32 determined from a patient-reported anchor with 2 different methods, within-patient and between-patient. Results The original MFM-32 and Rasch-scaled MFM-25 performed similarly overall in both the COL6-RD and LAMA2-RD populations, with all subscores (D1, standing and transfers; D2, axial and proximal; D3, distal) showing a significant decrease over time, except MFM D1 and D3 for LAMA2-RD. The MFM D1 subscore was the most sensitive to change for ambulant individuals, whereas the MFM D2 subscore was the most sensitive to change for nonambulant individuals. The MCID for the MFM-32 total score was calculated as 2.5 and 3.9 percentage points according to 2 different methods. Conclusions The MFM showed strong responsiveness in individuals with LAMA2-RD and COL6-RD. Because a floor effect was identified more prominently with the Rasch-Scaled MFM-25, the use of the original MFM-32 as a quantitative variable with the assumption of scale linearity appears to be a good compromise. When designing clinical trials in congenital muscular dystrophies, the use of MCID for MFM should be considered to determine if a given intervention effects show not only a statistically significant change but also a clinically meaningful change.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266349

[article] Responsiveness and Minimal Clinically Important Difference of the Motor Function Measure in Collagen VI-Related Dystrophies and Laminin Alpha2-Related Muscular Dystrophy [Article] / Laure Le Goff ; Katherine G. Meilleur ; Gina Norato ; Pascal Rippert ; Minal Jain ; Margaret Fink ; Reghan A. Foley ; Melissa Waite ; Sandra Donkervoort ; Carsten G. Bönnemann ; Carole Vuillerot . - 2021 . - p. 604-610.
https://doi.org/10.1016/j.apmr.2020.10.116
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 604-610

Descripteurs :	HE Vinci Dystrophies musculaires ; Réadaptation
Résumé :	Objectives To investigate the responsiveness of the motor function measure (MFM) and determine the minimal clinically important difference (MCID) in individuals with 2 common types of congenital muscular dystrophy (CMD). Design Observational, prospective, single center, cohort study. Setting National Institute of Neurological Disorders and Stroke (NINDS) of the National Institutes of Health (NIH). Participants Individuals (N=44) with collagen VI-related dystrophies (COL6-RD, n=23) and 21 individuals laminin alpha2-related muscular dystrophy (LAMA2-RD, n=21) enrolled in a 4-year longitudinal natural history study. Interventions Not applicable. Main Outcome Measures Responsiveness of the MFM-32 and the Rasch-scaled MFM-25 and the MCID of the MFM-32 determined from a patient-reported anchor with 2 different methods, within-patient and between-patient. Results The original MFM-32 and Rasch-scaled MFM-25 performed similarly overall in both the COL6-RD and LAMA2-RD populations, with all subscores (D1, standing and transfers; D2, axial and proximal; D3, distal) showing a significant decrease over time, except MFM D1 and D3 for LAMA2-RD. The MFM D1 subscore was the most sensitive to change for ambulant individuals, whereas the MFM D2 subscore was the most sensitive to change for nonambulant individuals. The MCID for the MFM-32 total score was calculated as 2.5 and 3.9 percentage points according to 2 different methods. Conclusions The MFM showed strong responsiveness in individuals with LAMA2-RD and COL6-RD. Because a floor effect was identified more prominently with the Rasch-Scaled MFM-25, the use of the original MFM-32 as a quantitative variable with the assumption of scale linearity appears to be a good compromise. When designing clinical trials in congenital muscular dystrophies, the use of MCID for MFM should be considered to determine if a given intervention effects show not only a statistically significant change but also a clinically meaningful change.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266349

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 611-618

Titre :	Asymmetry and Variability Should Be Included in the Assessment of Gait Function in Poststroke Hemiplegia With Independent Ambulation During Early Rehabilitation
Type de document :	Article
Auteurs :	Woo-Sub Kim ; Hanboram Choi ; Jung-Woo Jung ; Joon Sik Yoon ; Ju Hyong Jeoung
Année de publication :	2021
Article en page(s) :	p. 611-618
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.115
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Démarche ; Réadaptation
Résumé :	Objective To extract independent features from spatiotemporal data of poststroke gait. Design Retrospective observational study. Setting Motion analysis laboratory in the rehabilitation department of a university hospital. Participants Convenience sample from inpatients in subacute recovery stage post stroke. Of 98 patients post stroke who underwent gait assessment, 69 patients post stroke were included in the data analysis (N=69). They could walk more than 10 m without personal assist or assistive devices. Interventions Not applicable. Main Outcome Measures Spatiotemporal parameters during level walking and their asymmetry and variability were obtained by insole foot pressure measurement system. Results Of independent components extracted by principal component analysis, 3 independent components explained 81.9% of total variance of spatiotemporal poststroke gait data. The first component has associations with walking speed and proportion of double support phase, and it explains 46.6% of total variance. The second component has association with temporal asymmetry, and it explains 21.1% of total variance. The third component has association with temporal variability, and it explains 14.2% of total variance. Principal component scores did not show significant differences between stroke types and among stroke lesions. Conclusions Temporal asymmetry and variability should be included in the assessment of poststroke gait during early rehabilitation. They are independent of each other and provide characteristics of poststroke gait that are independent to the walking speed. They are helpful for rehabilitation planning and developing treatment strategy in poststroke gait rehabilitation.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266370

[article] Asymmetry and Variability Should Be Included in the Assessment of Gait Function in Poststroke Hemiplegia With Independent Ambulation During Early Rehabilitation [Article] / Woo-Sub Kim ; Hanboram Choi ; Jung-Woo Jung ; Joon Sik Yoon ; Ju Hyong Jeoung . - 2021 . - p. 611-618.
https://doi.org/10.1016/j.apmr.2020.10.115
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 611-618

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Démarche ; Réadaptation
Résumé :	Objective To extract independent features from spatiotemporal data of poststroke gait. Design Retrospective observational study. Setting Motion analysis laboratory in the rehabilitation department of a university hospital. Participants Convenience sample from inpatients in subacute recovery stage post stroke. Of 98 patients post stroke who underwent gait assessment, 69 patients post stroke were included in the data analysis (N=69). They could walk more than 10 m without personal assist or assistive devices. Interventions Not applicable. Main Outcome Measures Spatiotemporal parameters during level walking and their asymmetry and variability were obtained by insole foot pressure measurement system. Results Of independent components extracted by principal component analysis, 3 independent components explained 81.9% of total variance of spatiotemporal poststroke gait data. The first component has associations with walking speed and proportion of double support phase, and it explains 46.6% of total variance. The second component has association with temporal asymmetry, and it explains 21.1% of total variance. The third component has association with temporal variability, and it explains 14.2% of total variance. Principal component scores did not show significant differences between stroke types and among stroke lesions. Conclusions Temporal asymmetry and variability should be included in the assessment of poststroke gait during early rehabilitation. They are independent of each other and provide characteristics of poststroke gait that are independent to the walking speed. They are helpful for rehabilitation planning and developing treatment strategy in poststroke gait rehabilitation.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266370

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 619-625

Titre :	Validation of the Activities-Specific Balance Confidence Scale With 5-Option Response Format in Slovene Lower-Limb Prosthetic Users
Type de document :	Article
Auteurs :	Franco Franchignoni ; Andrej Bavec ; Urska Zupanc ; Andrea Giordano ; Caterina Albensi ; Helena Burger
Année de publication :	2021
Article en page(s) :	p. 619-625
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.126
Langues :	Anglais (eng)
Résumé :	Objective To examine the psychometric properties of the Activities-specific Balance Confidence (ABC) scale administered in the Slovene version with a simplified 5-option response format (ABC-5/SLO) using Rasch analysis. Design Methodological research on data gathered in a cross-sectional study. Setting Outpatient university rehabilitation clinic. Participants A convenience sample of adults with unilateral lower-limb amputation (N=138; 75% men) longer than 6 months who regularly wear a prosthesis. Intervention Not applicable. Main Outcome Measures We evaluated functioning of rating scale categories, internal construct validity, reliability indices, and dimensionality using the ABC-5/SLO (0=no confidence to 4=complete confidence). Results The ABC-5/SLO rating scale fulfilled the category functioning criteria. All items fit the underlying scale construct (balance confidence) except item 8 (“walk outside the house to a car parked in the driveway”), which was overfitting. The person abilities-item difficulty matching (targeting) was good. The person separation reliability was .92, and the item separation reliability was .99. Analysis of the standardized Rasch residuals showed the scale’s unidimensionality and absence of high item dependency (residual correlations, <.30 the correlation between abc-5 and prosthetic mobility questionnaire measures was high as expected. minor signs of item redundancy were found.> Conclusions The simplified ABC-5/SLO scale is a valid and reliable measure of balance confidence for individuals with lower-limb amputation. It is possible to transform the ordinal summed raw scores of the ABC-5/SLO into interval-level measurements using a nomogram.
Disponible en ligne :	Non
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266373

[article] Validation of the Activities-Specific Balance Confidence Scale With 5-Option Response Format in Slovene Lower-Limb Prosthetic Users [Article] / Franco Franchignoni ; Andrej Bavec ; Urska Zupanc ; Andrea Giordano ; Caterina Albensi ; Helena Burger . - 2021 . - p. 619-625.
https://doi.org/10.1016/j.apmr.2020.10.126
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 619-625

Résumé :	Objective To examine the psychometric properties of the Activities-specific Balance Confidence (ABC) scale administered in the Slovene version with a simplified 5-option response format (ABC-5/SLO) using Rasch analysis. Design Methodological research on data gathered in a cross-sectional study. Setting Outpatient university rehabilitation clinic. Participants A convenience sample of adults with unilateral lower-limb amputation (N=138; 75% men) longer than 6 months who regularly wear a prosthesis. Intervention Not applicable. Main Outcome Measures We evaluated functioning of rating scale categories, internal construct validity, reliability indices, and dimensionality using the ABC-5/SLO (0=no confidence to 4=complete confidence). Results The ABC-5/SLO rating scale fulfilled the category functioning criteria. All items fit the underlying scale construct (balance confidence) except item 8 (“walk outside the house to a car parked in the driveway”), which was overfitting. The person abilities-item difficulty matching (targeting) was good. The person separation reliability was .92, and the item separation reliability was .99. Analysis of the standardized Rasch residuals showed the scale’s unidimensionality and absence of high item dependency (residual correlations, <.30 the correlation between abc-5 and prosthetic mobility questionnaire measures was high as expected. minor signs of item redundancy were found.> Conclusions The simplified ABC-5/SLO scale is a valid and reliable measure of balance confidence for individuals with lower-limb amputation. It is possible to transform the ordinal summed raw scores of the ABC-5/SLO into interval-level measurements using a nomogram.
Disponible en ligne :	Non
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266373

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 626-632

Titre :	Reliability and Validity of the Lower Extremity Motor Activity Log for Measuring Real-World Leg Use in Adults With Multiple Sclerosis
Type de document :	Article
Auteurs :	Sarah M. dos Anjos ; Victor W. Mark ; Christina M. Rodriguez ; David M. Morris ; Jean E. Crago ; Danna K. King ; Gitendra Uswatte ; Edward Taub
Année de publication :	2021
Article en page(s) :	p. 626-632
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.125
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Activité motrice ; Membre inférieur ; Réadaptation ; Sclérose en plaques
Résumé :	Objectives To determine the test-retest reliability and validity of the Lower Extremity Motor Activity Log (LE-MAL) for assessing LE use in the community in adults with multiple sclerosis (MS). Design Prospective analysis of measures conducted by trained examiners. Setting Participants were evaluated by telephone on several measures of LE use. Participants Adults with MS (N=43). Interventions Not applicable. Main Outcome Measures The LE-MAL has 3 subscales (Assistance, Functional Performance, and Confidence). It was administered twice, at least 2 weeks apart. The Multiple Sclerosis Walking Scale (MSWS-12), Patient Determined Disease Steps (PDDS), and Mobility Scale were only administered during the first call. Results The test-retest reliability of the composite and the 3 subscale LE-MAL scores were high (intraclass correlation, >0.94). The composite and subscale LE-MAL scores were strongly correlated with the MSWS-12, PDDS, and Mobility Scale scores (r=–0.56 to –0.77; P<.001> Conclusion This initial study suggests that the LE-MAL reliably and validly measures LE use in the community in adults with MS.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266376

[article] Reliability and Validity of the Lower Extremity Motor Activity Log for Measuring Real-World Leg Use in Adults With Multiple Sclerosis [Article] / Sarah M. dos Anjos ; Victor W. Mark ; Christina M. Rodriguez ; David M. Morris ; Jean E. Crago ; Danna K. King ; Gitendra Uswatte ; Edward Taub . - 2021 . - p. 626-632.
https://doi.org/10.1016/j.apmr.2020.10.125
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 626-632

Descripteurs :	HE Vinci Activité motrice ; Membre inférieur ; Réadaptation ; Sclérose en plaques
Résumé :	Objectives To determine the test-retest reliability and validity of the Lower Extremity Motor Activity Log (LE-MAL) for assessing LE use in the community in adults with multiple sclerosis (MS). Design Prospective analysis of measures conducted by trained examiners. Setting Participants were evaluated by telephone on several measures of LE use. Participants Adults with MS (N=43). Interventions Not applicable. Main Outcome Measures The LE-MAL has 3 subscales (Assistance, Functional Performance, and Confidence). It was administered twice, at least 2 weeks apart. The Multiple Sclerosis Walking Scale (MSWS-12), Patient Determined Disease Steps (PDDS), and Mobility Scale were only administered during the first call. Results The test-retest reliability of the composite and the 3 subscale LE-MAL scores were high (intraclass correlation, >0.94). The composite and subscale LE-MAL scores were strongly correlated with the MSWS-12, PDDS, and Mobility Scale scores (r=–0.56 to –0.77; P<.001> Conclusion This initial study suggests that the LE-MAL reliably and validly measures LE use in the community in adults with MS.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266376

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 633-644

Titre :	An Evaluation of the Structural Validity of the Work Limitation Questionnaire Using the Rasch Model
Type de document :	Article
Auteurs :	Ze Lu ; Joy C. MacDermid ; L. Packham Tara ; Dianne Bryant ; Kenneth Faber
Année de publication :	2021
Article en page(s) :	p. 633-644
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.009
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Efficacité au travail ; Présentéisme ; Réadaptation ; Travail
Résumé :	Objective To investigate the targeting, scaling, and structural validity of the Work Limitation Questionnaire (WLQ) using Rasch analysis. Design Secondary data analysis. Setting Tertiary care hospital. Participants The data were sourced from an upper limb specialty clinic of injured workers using the convenience sampling method and from a national randomized controlled trial investigating 2 surgical options for rotator cuff repair by formal, randomized selection (N=315). Interventions Not applicable. Main Outcome Measures Work Limitation Questionnaire 25-item version (WLQ-25). The WLQ contains 25 items measuring a client’s ability to perform specific job demands on a 5-point ordinal response scale ranging from 0 (difficulty none of the time) to 4 (difficulty all the time). The average of all 25 items is used as the total score, ranging from 0 to 4, where higher index scores indicate greater difficulty performing daily work. Subscales were used to assess time management, physical demands (PD), mental-interpersonal demands, and output demands. Results The Rasch analyses performed on the dataset included the test of fit of residuals, ordering of item thresholds, Person separation index, differential item functioning (DIF), dependency, and unidimensionality. The partial credit model was selected for the current Rasch analysis because the likelihood ratio test was significant at both the overall questionnaire and the subscale level (P<.001 the wlq-25 did not fit with rasch model df="125;" p and most of thresholds were disordered. a series steps undertaken to improve statistic including item reduction items response merging dif was absent in revised scale based on sex age full- or part-time employment type employment. only subscales namely pd mental demands interpersonal demonstrated acceptable model.> Conclusions The WLQ-25 demonstrated substantial misfit from the Rasch model, which could not be fully mediated. The revised PD, mental demands, and interpersonal demands subscales could be used to assess these constructs.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266381

[article] An Evaluation of the Structural Validity of the Work Limitation Questionnaire Using the Rasch Model [Article] / Ze Lu ; Joy C. MacDermid ; L. Packham Tara ; Dianne Bryant ; Kenneth Faber . - 2021 . - p. 633-644.
https://doi.org/10.1016/j.apmr.2020.11.009
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 633-644

Descripteurs :	HE Vinci Efficacité au travail ; Présentéisme ; Réadaptation ; Travail
Résumé :	Objective To investigate the targeting, scaling, and structural validity of the Work Limitation Questionnaire (WLQ) using Rasch analysis. Design Secondary data analysis. Setting Tertiary care hospital. Participants The data were sourced from an upper limb specialty clinic of injured workers using the convenience sampling method and from a national randomized controlled trial investigating 2 surgical options for rotator cuff repair by formal, randomized selection (N=315). Interventions Not applicable. Main Outcome Measures Work Limitation Questionnaire 25-item version (WLQ-25). The WLQ contains 25 items measuring a client’s ability to perform specific job demands on a 5-point ordinal response scale ranging from 0 (difficulty none of the time) to 4 (difficulty all the time). The average of all 25 items is used as the total score, ranging from 0 to 4, where higher index scores indicate greater difficulty performing daily work. Subscales were used to assess time management, physical demands (PD), mental-interpersonal demands, and output demands. Results The Rasch analyses performed on the dataset included the test of fit of residuals, ordering of item thresholds, Person separation index, differential item functioning (DIF), dependency, and unidimensionality. The partial credit model was selected for the current Rasch analysis because the likelihood ratio test was significant at both the overall questionnaire and the subscale level (P<.001 the wlq-25 did not fit with rasch model df="125;" p and most of thresholds were disordered. a series steps undertaken to improve statistic including item reduction items response merging dif was absent in revised scale based on sex age full- or part-time employment type employment. only subscales namely pd mental demands interpersonal demonstrated acceptable model.> Conclusions The WLQ-25 demonstrated substantial misfit from the Rasch model, which could not be fully mediated. The revised PD, mental demands, and interpersonal demands subscales could be used to assess these constructs.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266381

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 645-655

Titre :	Changes in the Activity Measure for Post-Acute Care Domains in Persons With Stroke During the First Year After Discharge From Inpatient Rehabilitation
Type de document :	Article
Auteurs :	Michael W. O'Dell ; Abhishek Jaywant ; Megan Frantz ; Ruchi Patel ; Erica Kwong ; Karen Wen ; Michael Taub ; Marc Campo ; Joan Toglia
Année de publication :	2021
Article en page(s) :	p. 645-655
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.020
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Réadaptation ; Soins de suite
Résumé :	Objective To describe functional changes after inpatient stroke rehabilitation using the Activity Measure for Post-Acute Care (AM-PAC), an assessment measure sensitive to change and with a low risk of ceiling effect. Design Retrospective, longitudinal cohort study. Setting Inpatient rehabilitation unit of an urban academic medical center. Participants Among 433 patients with stroke admitted from 2012-2016, a total of 269 (62%) were included in our database and 89 of 269 patients (33.1%) discharged from inpatient stroke rehabilitation had complete data. Patients with and without complete data were very similar. The group had a mean age of 68.0±14.2 years, National Institutes of Health Stroke Score of 8.0±8.0, and rehabilitation length of stay of 14.7±7.4 days, with 84% having an ischemic stroke and 22.5% having a recurrent stroke. Intervention None. Main Outcome Measures Changes in function across the first year after discharge (DC) were measured in a variety of ways. Continuous mean scores for the basic mobility (BM), daily activity (DA), and applied cognitive domains of the AM-PAC were calculated at and compared between inpatient DC and 6 (6M) and 12 months (12M) post DC. Categorical changes among individuals were classified as “improved,” “unchanged,” or “declined” between the 3 time points based on the minimal detectable change, (estimated) minimal clinically important difference, and a change ≥1 AM-PAC functional stage (FS). Results For the continuous analyses, the Friedman test was significant for all domains (P≤.002), with Wilcoxon signed-rank test significant for all domains from DC to 6M (all P<.001 but with no change in bm and da between>.60) and a decline in applied cognition (P=.002). Despite group improvements from DC to 6M, for categorical changes at an individual level 10%-20% declined and 50%-70% were unchanged. Despite insignificant group differences from 6M-12M, 15%-25% improved and 20%-30% declined in the BM and DA domains. Conclusions Despite group gains from DC to 6M and an apparent “plateau” after 6M post stroke, there was substantial heterogeneity at an individual level. Our results underscore the need to consider individual-level outcomes when evaluating progress or outcomes in stroke rehabilitation.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266386

[article] Changes in the Activity Measure for Post-Acute Care Domains in Persons With Stroke During the First Year After Discharge From Inpatient Rehabilitation [Article] / Michael W. O'Dell ; Abhishek Jaywant ; Megan Frantz ; Ruchi Patel ; Erica Kwong ; Karen Wen ; Michael Taub ; Marc Campo ; Joan Toglia . - 2021 . - p. 645-655.
https://doi.org/10.1016/j.apmr.2020.11.020
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 645-655

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Réadaptation ; Soins de suite
Résumé :	Objective To describe functional changes after inpatient stroke rehabilitation using the Activity Measure for Post-Acute Care (AM-PAC), an assessment measure sensitive to change and with a low risk of ceiling effect. Design Retrospective, longitudinal cohort study. Setting Inpatient rehabilitation unit of an urban academic medical center. Participants Among 433 patients with stroke admitted from 2012-2016, a total of 269 (62%) were included in our database and 89 of 269 patients (33.1%) discharged from inpatient stroke rehabilitation had complete data. Patients with and without complete data were very similar. The group had a mean age of 68.0±14.2 years, National Institutes of Health Stroke Score of 8.0±8.0, and rehabilitation length of stay of 14.7±7.4 days, with 84% having an ischemic stroke and 22.5% having a recurrent stroke. Intervention None. Main Outcome Measures Changes in function across the first year after discharge (DC) were measured in a variety of ways. Continuous mean scores for the basic mobility (BM), daily activity (DA), and applied cognitive domains of the AM-PAC were calculated at and compared between inpatient DC and 6 (6M) and 12 months (12M) post DC. Categorical changes among individuals were classified as “improved,” “unchanged,” or “declined” between the 3 time points based on the minimal detectable change, (estimated) minimal clinically important difference, and a change ≥1 AM-PAC functional stage (FS). Results For the continuous analyses, the Friedman test was significant for all domains (P≤.002), with Wilcoxon signed-rank test significant for all domains from DC to 6M (all P<.001 but with no change in bm and da between>.60) and a decline in applied cognition (P=.002). Despite group improvements from DC to 6M, for categorical changes at an individual level 10%-20% declined and 50%-70% were unchanged. Despite insignificant group differences from 6M-12M, 15%-25% improved and 20%-30% declined in the BM and DA domains. Conclusions Despite group gains from DC to 6M and an apparent “plateau” after 6M post stroke, there was substantial heterogeneity at an individual level. Our results underscore the need to consider individual-level outcomes when evaluating progress or outcomes in stroke rehabilitation.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266386

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 656-663

Titre :	Integrated Knowledge Translation Guiding Principles for Conducting and Disseminating Spinal Cord Injury Research in Partnership
Type de document :	Article
Auteurs :	Heather L. Gainforth ; Femke Hoekstra ; Rhyann McKay ; Christopher B. McBride ; Shane N. Sweet ; Kathleen A. Martin Ginis ; Kim Anderson ; John Chernesky ; Teren Clarke ; Susan Forwell ; Jocelyn Maffin ; Lowell T. McPhail ; Ben W. Mortenson ; Gayle Scarrow ; Lee Schaefer ; Kathryn M. Sibley ; Peter Athanasopoulos ; Rhonda Willms
Année de publication :	2021
Article en page(s) :	p. 656-663
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.393
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Consensus ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objective To address a gap between spinal cord injury (SCI) research and practice by rigorously and systematically co-developing integrated knowledge translation (IKT) guiding principles for conducting and disseminating SCI research in partnership with research users. Design The process was guided by the internationally accepted The Appraisal of Guidelines for REsearch & Evaluation (AGREE) II Instrument for evaluating the development of clinical practice guidelines. Setting North American SCI research system (ie, SCI researchers, research users, funders). Participants The multidisciplinary expert panel (n=17) and end users (n=35) included individuals from a North American partnership of SCI researchers, research users, and funders who have expertise in research partnerships. Interventions Not applicable. Main Outcome Measures Clarity, usefulness, and appropriateness of the principles. Results Data regarding 125 principles of partnered research were systematically collected from 4 sources (review of reviews, scoping review, interviews, Delphi consensus exercise). A multidisciplinary expert panel held a 2-day meeting to establish consensus, select guiding principles, and draft the guidance. The panel reached 100% consensus on the principles and guidance document. The final document includes a preamble, 8 guiding principles, and a glossary. Survey data showed that the principles and guidance document were perceived by potential end users as clear, useful, and appropriate. Conclusions The IKT Guiding Principles represent the first rigorously co-developed, consensus-based guidance to support meaningful SCI research partnerships. The principles are a foundational tool with the potential to improve the relevance and impact of SCI research, mitigate tokenism, and advance the science of IKT.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266419

[article] Integrated Knowledge Translation Guiding Principles for Conducting and Disseminating Spinal Cord Injury Research in Partnership [Article] / Heather L. Gainforth ; Femke Hoekstra ; Rhyann McKay ; Christopher B. McBride ; Shane N. Sweet ; Kathleen A. Martin Ginis ; Kim Anderson ; John Chernesky ; Teren Clarke ; Susan Forwell ; Jocelyn Maffin ; Lowell T. McPhail ; Ben W. Mortenson ; Gayle Scarrow ; Lee Schaefer ; Kathryn M. Sibley ; Peter Athanasopoulos ; Rhonda Willms . - 2021 . - p. 656-663.
https://doi.org/10.1016/j.apmr.2020.09.393
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 656-663

Descripteurs :	HE Vinci Consensus ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objective To address a gap between spinal cord injury (SCI) research and practice by rigorously and systematically co-developing integrated knowledge translation (IKT) guiding principles for conducting and disseminating SCI research in partnership with research users. Design The process was guided by the internationally accepted The Appraisal of Guidelines for REsearch & Evaluation (AGREE) II Instrument for evaluating the development of clinical practice guidelines. Setting North American SCI research system (ie, SCI researchers, research users, funders). Participants The multidisciplinary expert panel (n=17) and end users (n=35) included individuals from a North American partnership of SCI researchers, research users, and funders who have expertise in research partnerships. Interventions Not applicable. Main Outcome Measures Clarity, usefulness, and appropriateness of the principles. Results Data regarding 125 principles of partnered research were systematically collected from 4 sources (review of reviews, scoping review, interviews, Delphi consensus exercise). A multidisciplinary expert panel held a 2-day meeting to establish consensus, select guiding principles, and draft the guidance. The panel reached 100% consensus on the principles and guidance document. The final document includes a preamble, 8 guiding principles, and a glossary. Survey data showed that the principles and guidance document were perceived by potential end users as clear, useful, and appropriate. Conclusions The IKT Guiding Principles represent the first rigorously co-developed, consensus-based guidance to support meaningful SCI research partnerships. The principles are a foundational tool with the potential to improve the relevance and impact of SCI research, mitigate tokenism, and advance the science of IKT.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266419

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 664-674

Titre :	Core Domains for Research on Hospital Inactivity in Acutely Ill Older Adults: A Delphi Consensus Study
Type de document :	Article
Auteurs :	Claire E. Baldwin ; Anna C. Phillips ; Sarah M. Edney ; Lucy K. Lewis
Année de publication :	2021
Article en page(s) :	p. 664-674
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.136
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Consensus ; Évaluation des résultats des patients ; Exercice physique ; Hospitalisation ; Maladie aigüe ; Mesures des résultats rapportés par les patients (PROM) ; Mode de vie sédentaire ; Personne âgée fragile
Résumé :	Objective To identify core domains for research studies of physical activity and sedentary behavior during hospitalization for older adults with an acute medical illness. Design A 4-Round Delphi consensus process. Round 1 invited responses to open-ended questions to generate items for the core domains research. In rounds 2-4, participants were invited to use a Likert scale (1-9) to rate the importance of each core domain for research studies of physical activity and/or sedentary behavior in hospitalized older adults with an acute medical illness. Setting Online surveys. Participants A total of 49 participants were invited to each round (international researchers, clinicians, policy makers and patients). Response rates across rounds 1-4 were 94%, 88%, 83% and 81%, respectively. Interventions None. Main Outcome Measures Consensus was defined a priori as ≥70% of respondents rating an item as “critical” (score≥7) and ≤15% of respondents rating an item as “not important” (score≤3). Results In round 2, a total of 9 of 25 core domains reached consensus agreement (physical functioning, general, role functioning, emotional functioning, global quality of life, hospital, psychiatric, cognitive functioning, carer burden). In round 3, an additional 8 reached consensus (adverse events, perceived health status, musculoskeletal, social functioning, vascular, cardiac, mortality, economic). Round 4 participants provided further review and a final rating of all 17 core domains that met consensus in previous rounds. Four core domains were rated as “critically important” to evaluate: physical functioning, social functioning, emotional functioning, and hospital outcomes. Conclusions This preliminary work provides international and expert consensus-based core domains for development toward a core-outcome set for research, with the ultimate goal of fostering consistency in outcomes and reporting to accelerate research on effective strategies to address physical activity and/or sedentary behavior in older adults while hospitalized.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266420

[article] Core Domains for Research on Hospital Inactivity in Acutely Ill Older Adults: A Delphi Consensus Study [Article] / Claire E. Baldwin ; Anna C. Phillips ; Sarah M. Edney ; Lucy K. Lewis . - 2021 . - p. 664-674.
https://doi.org/10.1016/j.apmr.2020.10.136
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 664-674

Descripteurs :	HE Vinci Consensus ; Évaluation des résultats des patients ; Exercice physique ; Hospitalisation ; Maladie aigüe ; Mesures des résultats rapportés par les patients (PROM) ; Mode de vie sédentaire ; Personne âgée fragile
Résumé :	Objective To identify core domains for research studies of physical activity and sedentary behavior during hospitalization for older adults with an acute medical illness. Design A 4-Round Delphi consensus process. Round 1 invited responses to open-ended questions to generate items for the core domains research. In rounds 2-4, participants were invited to use a Likert scale (1-9) to rate the importance of each core domain for research studies of physical activity and/or sedentary behavior in hospitalized older adults with an acute medical illness. Setting Online surveys. Participants A total of 49 participants were invited to each round (international researchers, clinicians, policy makers and patients). Response rates across rounds 1-4 were 94%, 88%, 83% and 81%, respectively. Interventions None. Main Outcome Measures Consensus was defined a priori as ≥70% of respondents rating an item as “critical” (score≥7) and ≤15% of respondents rating an item as “not important” (score≤3). Results In round 2, a total of 9 of 25 core domains reached consensus agreement (physical functioning, general, role functioning, emotional functioning, global quality of life, hospital, psychiatric, cognitive functioning, carer burden). In round 3, an additional 8 reached consensus (adverse events, perceived health status, musculoskeletal, social functioning, vascular, cardiac, mortality, economic). Round 4 participants provided further review and a final rating of all 17 core domains that met consensus in previous rounds. Four core domains were rated as “critically important” to evaluate: physical functioning, social functioning, emotional functioning, and hospital outcomes. Conclusions This preliminary work provides international and expert consensus-based core domains for development toward a core-outcome set for research, with the ultimate goal of fostering consistency in outcomes and reporting to accelerate research on effective strategies to address physical activity and/or sedentary behavior in older adults while hospitalized.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266420

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 675-686

Titre :	Rasch Analysis of Social Attitude Barriers and Facilitators to Participation for Individuals with Disabilities
Type de document :	Article
Auteurs :	Alex W.K. Wong ; Sofia F. Garcia ; Elizabeth A. Hahn ; Patrick Semik ; Jin-Shei Lai ; Susan Magasi ; Joy Hammel ; Kristian P Nitsch ; Ana Miskovic ; Allen W. Heinemann
Année de publication :	2021
Article en page(s) :	p. 675-686
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.390
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Attitude ; Environnement ; Lésions traumatiques de l'encéphale ; Mesures des résultats rapportés par les patients (PROM) ; Participation communautaire ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objectives To develop item banks of social attitude barriers and facilitators to participation and validate them with established instruments. Design We used the Rasch model to identify misfitting items and rating scale problems, calibrate items, and develop KeyForms and short forms. Correlations between the Social Attitude Barriers and Facilitators item banks with the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health domain and National Institutes of Health Toolbox Emotional Battery Social Relationships domain were computed to evaluate convergent and divergent validity. Setting Community-dwelling individuals traveled to 3 academic medical centers for testing. Participants Participants (N=558) who had a primary impairment of stroke, spinal cord injury, or traumatic brain injury (mean age, 47.0±16.0y) completed 31 social attitude facilitator and 51 barrier items using a 5-point rating scale. Interventions Not applicable. Main Outcome Measures Item banks to measure social attitude barriers and facilitators for individuals with disabilities. Results After combining the “never” and “rarely” rating scale categories, 30 Facilitator items fit the Rasch model and demonstrated person reliability of 0.93. After collapsing the “never” and “rarely” rating scale categories, 45 Barrier items fit the Rasch model and demonstrated person reliability of 0.95. Ceiling and floor effects were negligible for both item banks. Facilitators and Barriers item banks were negatively correlated, and these banks were moderately correlated with PROMIS and Toolbox measures, providing evidence of convergent and divergent validity. Conclusions Findings support the reliability and validity of the Social Attitude Facilitators and Barriers item banks. These item banks allow investigators and clinicians to measure perceptions of social attitudes, providing information that can guide individual interventions to reduce barriers and promote facilitators. Moderate correlations between the Social Attitude banks and PROMIS and Toolbox variables provide support for the measurement and theory of environmental influences on social health and 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=266422

[article] Rasch Analysis of Social Attitude Barriers and Facilitators to Participation for Individuals with Disabilities [Article] / Alex W.K. Wong ; Sofia F. Garcia ; Elizabeth A. Hahn ; Patrick Semik ; Jin-Shei Lai ; Susan Magasi ; Joy Hammel ; Kristian P Nitsch ; Ana Miskovic ; Allen W. Heinemann . - 2021 . - p. 675-686.
https://doi.org/10.1016/j.apmr.2020.09.390
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 675-686

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Attitude ; Environnement ; Lésions traumatiques de l'encéphale ; Mesures des résultats rapportés par les patients (PROM) ; Participation communautaire ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objectives To develop item banks of social attitude barriers and facilitators to participation and validate them with established instruments. Design We used the Rasch model to identify misfitting items and rating scale problems, calibrate items, and develop KeyForms and short forms. Correlations between the Social Attitude Barriers and Facilitators item banks with the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health domain and National Institutes of Health Toolbox Emotional Battery Social Relationships domain were computed to evaluate convergent and divergent validity. Setting Community-dwelling individuals traveled to 3 academic medical centers for testing. Participants Participants (N=558) who had a primary impairment of stroke, spinal cord injury, or traumatic brain injury (mean age, 47.0±16.0y) completed 31 social attitude facilitator and 51 barrier items using a 5-point rating scale. Interventions Not applicable. Main Outcome Measures Item banks to measure social attitude barriers and facilitators for individuals with disabilities. Results After combining the “never” and “rarely” rating scale categories, 30 Facilitator items fit the Rasch model and demonstrated person reliability of 0.93. After collapsing the “never” and “rarely” rating scale categories, 45 Barrier items fit the Rasch model and demonstrated person reliability of 0.95. Ceiling and floor effects were negligible for both item banks. Facilitators and Barriers item banks were negatively correlated, and these banks were moderately correlated with PROMIS and Toolbox measures, providing evidence of convergent and divergent validity. Conclusions Findings support the reliability and validity of the Social Attitude Facilitators and Barriers item banks. These item banks allow investigators and clinicians to measure perceptions of social attitudes, providing information that can guide individual interventions to reduce barriers and promote facilitators. Moderate correlations between the Social Attitude banks and PROMIS and Toolbox variables provide support for the measurement and theory of environmental influences on social health and 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=266422

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 687-693

Titre :	Physical Activity Barriers in Danish Manual Wheelchair Users: A Cross-sectional Study
Type de document :	Article
Auteurs :	Uffe Laessoe ; Rachel E. Cowan
Année de publication :	2021
Article en page(s) :	p. 687-693
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.384
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Aptitude physique ; Exercice physique ; Fauteuils roulants ; Promotion de la santé ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objective To identify physical activity barrier prevalence and severity among manual wheelchair users (MWCUs) and test whether barrier impact is associated with self-reported physical activity level (PAL). Design Cross-sectional survey. The Barriers to Physical Activity Questionnaire for People with Mobility Impairments (BPAQ-MI) was translated from English to Danish and administered online. The BPAQ-MI includes barriers within 4 domains and 8 subdomains and queries if an item hindered physical activity participation in the last 3 months (yes/no). If “yes,” participants graded barrier severity from very small (1) to very big (5). Barrier impact scores were summed within and across domains. Setting General community. Participants Danish MWCUs (N=181; 52.5% female, mean age, 48±14y.). Interventions Not applicable. Main Outcome Measures PAL was rated from not active (1) to extremely active (10). Individual barrier prevalence (frequency, %) and severity (median [interquartile range]) was computed. Unadjusted (Spearman rank correlations, domains, subdomains) and adjusted (multivariate linear regression, subdomains) associations between PAL and barrier impact were computed. Results The 5 most prevalent barriers were reported by ≥49.6% of participants (2 intrapersonal and 3 community). The 5 most severe barriers all had a median of 5 (1 organizational and 4 community). Unadjusted analysis showed that PAL was inversely associated with total intrapersonal (r=−0.487, P<.01 and overall p impact the intrapersonal subdomains. adjustment for shared variance revealed only subdomain score was independently associated with pal> Conclusions Intrapersonal barriers were highly prevalent. Health-related barriers were inversely related to PAL. When organizational and community barriers were present, they were rated as particularly severe. These results provide novel information that can guide the design of future interventions aiming to increase MWCUs PALs.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266423

[article] Physical Activity Barriers in Danish Manual Wheelchair Users: A Cross-sectional Study [Article] / Uffe Laessoe ; Rachel E. Cowan . - 2021 . - p. 687-693.
https://doi.org/10.1016/j.apmr.2020.09.384
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 687-693

Descripteurs :	HE Vinci Aptitude physique ; Exercice physique ; Fauteuils roulants ; Promotion de la santé ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objective To identify physical activity barrier prevalence and severity among manual wheelchair users (MWCUs) and test whether barrier impact is associated with self-reported physical activity level (PAL). Design Cross-sectional survey. The Barriers to Physical Activity Questionnaire for People with Mobility Impairments (BPAQ-MI) was translated from English to Danish and administered online. The BPAQ-MI includes barriers within 4 domains and 8 subdomains and queries if an item hindered physical activity participation in the last 3 months (yes/no). If “yes,” participants graded barrier severity from very small (1) to very big (5). Barrier impact scores were summed within and across domains. Setting General community. Participants Danish MWCUs (N=181; 52.5% female, mean age, 48±14y.). Interventions Not applicable. Main Outcome Measures PAL was rated from not active (1) to extremely active (10). Individual barrier prevalence (frequency, %) and severity (median [interquartile range]) was computed. Unadjusted (Spearman rank correlations, domains, subdomains) and adjusted (multivariate linear regression, subdomains) associations between PAL and barrier impact were computed. Results The 5 most prevalent barriers were reported by ≥49.6% of participants (2 intrapersonal and 3 community). The 5 most severe barriers all had a median of 5 (1 organizational and 4 community). Unadjusted analysis showed that PAL was inversely associated with total intrapersonal (r=−0.487, P<.01 and overall p impact the intrapersonal subdomains. adjustment for shared variance revealed only subdomain score was independently associated with pal> Conclusions Intrapersonal barriers were highly prevalent. Health-related barriers were inversely related to PAL. When organizational and community barriers were present, they were rated as particularly severe. These results provide novel information that can guide the design of future interventions aiming to increase MWCUs PALs.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266423

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 694-701

Titre :	Depressive Symptoms and Suicidal Ideation in Progressive Multiple Sclerosis Compared With Relapsing-Remitting Multiple Sclerosis: Results From a Cross-sectional Survey
Type de document :	Article
Auteurs :	Lindsey M. Knowles ; Elizabeth C. Esselman ; Aaron P. Turner ; Kala M. Phillips ; Tracy E. Herring ; Kevin N. Alschuler ; Dawn M. Ehde
Année de publication :	2021
Article en page(s) :	p. 694-701
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.385
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Dépression ; Réadaptation ; Sclérose en plaques ; Suicide
Résumé :	Objectives To (1) describe depressive symptom severity and suicidal ideation (SI) in persons with progressive multiple sclerosis (MS); (2) compare depressive symptom severity and SI in persons with progressive MS and persons with relapsing-remitting multiple sclerosis (RRMS); and (3) identify common and unique risk factors for greater depressive symptom severity and SI in persons with progressive MS compared with individuals with RRMS. Design Observational, cross-sectional survey study. Setting Community. Participants Adults with MS (N=573). Interventions Not applicable. Main Outcome Measures The dependent variables were depression symptoms and any SI measured by the Patient Health Questionnaire-9. Comparisons between groups used t tests and chi-square analyses, and risk factors were tested by examining the interaction of MS subtype (progressive MS and RRMS) and each risk factor in multiple regression models with bootstrapping. Results Persons with progressive MS did not differ from persons with RRMS in levels of depressive symptoms or SI. Both groups reported mild depressive symptoms and approximately 10% endorsed SI. Common risk factors for greater depressive symptom severity were younger age, greater disability, greater speech and swallowing problems, and lower household income. Common risk factors for SI were shorter disease duration, greater disability, and greater speech and swallowing problems. Conclusions In this sample, there were no group differences between persons with progressive MS and persons with RRMS in depressive symptom severity and SI. Although both groups reported mild depressive symptoms on average, nearly 1 in 4 persons met criteria for probable major depression, which underscores the importance of screening for and treating depressive disorders in all 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=266424

[article] Depressive Symptoms and Suicidal Ideation in Progressive Multiple Sclerosis Compared With Relapsing-Remitting Multiple Sclerosis: Results From a Cross-sectional Survey [Article] / Lindsey M. Knowles ; Elizabeth C. Esselman ; Aaron P. Turner ; Kala M. Phillips ; Tracy E. Herring ; Kevin N. Alschuler ; Dawn M. Ehde . - 2021 . - p. 694-701.
https://doi.org/10.1016/j.apmr.2020.09.385
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 694-701

Descripteurs :	HE Vinci Dépression ; Réadaptation ; Sclérose en plaques ; Suicide
Résumé :	Objectives To (1) describe depressive symptom severity and suicidal ideation (SI) in persons with progressive multiple sclerosis (MS); (2) compare depressive symptom severity and SI in persons with progressive MS and persons with relapsing-remitting multiple sclerosis (RRMS); and (3) identify common and unique risk factors for greater depressive symptom severity and SI in persons with progressive MS compared with individuals with RRMS. Design Observational, cross-sectional survey study. Setting Community. Participants Adults with MS (N=573). Interventions Not applicable. Main Outcome Measures The dependent variables were depression symptoms and any SI measured by the Patient Health Questionnaire-9. Comparisons between groups used t tests and chi-square analyses, and risk factors were tested by examining the interaction of MS subtype (progressive MS and RRMS) and each risk factor in multiple regression models with bootstrapping. Results Persons with progressive MS did not differ from persons with RRMS in levels of depressive symptoms or SI. Both groups reported mild depressive symptoms and approximately 10% endorsed SI. Common risk factors for greater depressive symptom severity were younger age, greater disability, greater speech and swallowing problems, and lower household income. Common risk factors for SI were shorter disease duration, greater disability, and greater speech and swallowing problems. Conclusions In this sample, there were no group differences between persons with progressive MS and persons with RRMS in depressive symptom severity and SI. Although both groups reported mild depressive symptoms on average, nearly 1 in 4 persons met criteria for probable major depression, which underscores the importance of screening for and treating depressive disorders in all 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=266424

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 702-708

Titre :	Gait Function in Adults Aged 50 Years and Older With Spina Bifida
Type de document :	Article
Auteurs :	Kerstin Lundberg Larsen ; Ingvild K. Maalen-Johansen ; Linda Rennie ; Ingeborg B. Lidal
Année de publication :	2021
Article en page(s) :	p. 702-708
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.118
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Adulte ; Analyse de démarche ; Réadaptation ; Spina bifida ; Vieillissement
Résumé :	Objective To study gait function among individuals with spina bifida (SB) aged 50 years or older. Design A cross-sectional study conducted in 2017. Setting Home-dwelling participants from all regions in Norway. Participants Individuals between the ages of 51 and 76 years (N=26; 16 women) categorized as independent walkers (n=9), walkers with aids (n=10) and nonwalkers (n=7). Interventions Not applicable. Main Outcome Measures Questionnaire, pain assessment, anthropometry, Falls Efficacy Scale International (FES-I), objective gait analysis, 6-minute walk test (6MWT), and timed Up and Go (TUG). Results Walking speed correlated with SB severity (ρ=–.59; P=.008). Individuals who walked slower than 0.81 m/s had a higher body mass index (BMI) than those who walked faster (P=.008). Independent walkers walked slower than healthy age-matched walkers (P=.046); spatiotemporal variables showed that this was owing to shorter steps rather than cadence. The mean TUG was 10.6±2.6 seconds in independent walkers and 20.2±6.5 in walkers with aids (P<.01 the mean was meters in independent walkers and with aids pain intensity rating scale but difference not statistically significant. fes-i significantly lower among than> Conclusions Participants commonly experienced an early onset deterioration in gait function, and walking speed was influenced by SB severity and BMI. This highlights the importance of early monitoring and weight management during follow-up for SB.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266425

[article] Gait Function in Adults Aged 50 Years and Older With Spina Bifida [Article] / Kerstin Lundberg Larsen ; Ingvild K. Maalen-Johansen ; Linda Rennie ; Ingeborg B. Lidal . - 2021 . - p. 702-708.
https://doi.org/10.1016/j.apmr.2020.10.118
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 702-708

Descripteurs :	HE Vinci Adulte ; Analyse de démarche ; Réadaptation ; Spina bifida ; Vieillissement
Résumé :	Objective To study gait function among individuals with spina bifida (SB) aged 50 years or older. Design A cross-sectional study conducted in 2017. Setting Home-dwelling participants from all regions in Norway. Participants Individuals between the ages of 51 and 76 years (N=26; 16 women) categorized as independent walkers (n=9), walkers with aids (n=10) and nonwalkers (n=7). Interventions Not applicable. Main Outcome Measures Questionnaire, pain assessment, anthropometry, Falls Efficacy Scale International (FES-I), objective gait analysis, 6-minute walk test (6MWT), and timed Up and Go (TUG). Results Walking speed correlated with SB severity (ρ=–.59; P=.008). Individuals who walked slower than 0.81 m/s had a higher body mass index (BMI) than those who walked faster (P=.008). Independent walkers walked slower than healthy age-matched walkers (P=.046); spatiotemporal variables showed that this was owing to shorter steps rather than cadence. The mean TUG was 10.6±2.6 seconds in independent walkers and 20.2±6.5 in walkers with aids (P<.01 the mean was meters in independent walkers and with aids pain intensity rating scale but difference not statistically significant. fes-i significantly lower among than> Conclusions Participants commonly experienced an early onset deterioration in gait function, and walking speed was influenced by SB severity and BMI. This highlights the importance of early monitoring and weight management during follow-up for SB.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266425

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 709-734

Titre :	Identifying Instruments to Assess Care Quality for Individuals With Custom Ankle Foot Orthoses: A Scoping Review
Type de document :	Article
Auteurs :	Stefania Fatone ; Sara Jerousek ; Billie C.S. Slater ; Anne Deutsch ; Sherri L. LaVela ; Michelle Peterson ; Nicole T. Soltys ; Vari McPherson ; Allen W. Heinemann
Année de publication :	2021
Article en page(s) :	p. 709-734
Note générale :	https://doi.org/10.1016/j.apmr.2020.06.029
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Évaluation de résultat (soins) ; Orthèses de maintien ; Qualité des soins de santé ; Réadaptation
Résumé :	Objectives We conducted 2 complementary scoping reviews to identify instruments that assess the experience and outcomes of custom ankle-foot orthosis (AFO) care in individuals with neurologic and traumatic conditions and to determine to what extent they might be psychometrically sound for AFO users. A stakeholder advisory committee considered to what extent the identified and psychometrically sound instruments might be feasible for use in developing quality measures for custom AFO users. Data Sources Both scoping reviews were conducted using PubMed, the Cumulative Index to Nursing and Allied Health Literature, Embase, and Cochrane Systematic Reviews. The following were used for the first scoping review only: Cochrane Central Register of Controlled Trials and the Physiotherapy Evidence Database. Study Selection The initial scoping review yielded 79 articles with 82 instruments, 16 of which were used in 4 or more studies. The second scoping review yielded 57 articles reporting psychometric properties. Data Extraction Psychometric properties for populations who use AFOs were summarized for 15 of the 16 instruments. The advisory committee eliminated 2 insrtruments, noted overlap between 4 instruments in terms of the constructs measured, and suggested 6 potential contemporary substitutes. Data Synthesis Most instruments assessed activity (specifically mobility) and pertained to the National Quality Forum domain of “Health-Related Quality of Life.” The 10-meter walk test, 6-minute walk test, Berg Balance Scale, Timed Up and Go, and Rivermead Mobility Index were reported to have adequate reliability and validity, and were considered feasible for administration in a clinical setting. Conclusions Complementary scoping reviews demonstrated that some instruments with reasonable psychometric properties are available that are feasible to use in developing quality measures for custom AFO care. However, experience of care instruments suitable for this population were not identified but are needed for a comprehensive evaluation of care quality for AFO users.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266426

[article] Identifying Instruments to Assess Care Quality for Individuals With Custom Ankle Foot Orthoses: A Scoping Review [Article] / Stefania Fatone ; Sara Jerousek ; Billie C.S. Slater ; Anne Deutsch ; Sherri L. LaVela ; Michelle Peterson ; Nicole T. Soltys ; Vari McPherson ; Allen W. Heinemann . - 2021 . - p. 709-734.
https://doi.org/10.1016/j.apmr.2020.06.029
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 709-734

Descripteurs :	HE Vinci Évaluation de résultat (soins) ; Orthèses de maintien ; Qualité des soins de santé ; Réadaptation
Résumé :	Objectives We conducted 2 complementary scoping reviews to identify instruments that assess the experience and outcomes of custom ankle-foot orthosis (AFO) care in individuals with neurologic and traumatic conditions and to determine to what extent they might be psychometrically sound for AFO users. A stakeholder advisory committee considered to what extent the identified and psychometrically sound instruments might be feasible for use in developing quality measures for custom AFO users. Data Sources Both scoping reviews were conducted using PubMed, the Cumulative Index to Nursing and Allied Health Literature, Embase, and Cochrane Systematic Reviews. The following were used for the first scoping review only: Cochrane Central Register of Controlled Trials and the Physiotherapy Evidence Database. Study Selection The initial scoping review yielded 79 articles with 82 instruments, 16 of which were used in 4 or more studies. The second scoping review yielded 57 articles reporting psychometric properties. Data Extraction Psychometric properties for populations who use AFOs were summarized for 15 of the 16 instruments. The advisory committee eliminated 2 insrtruments, noted overlap between 4 instruments in terms of the constructs measured, and suggested 6 potential contemporary substitutes. Data Synthesis Most instruments assessed activity (specifically mobility) and pertained to the National Quality Forum domain of “Health-Related Quality of Life.” The 10-meter walk test, 6-minute walk test, Berg Balance Scale, Timed Up and Go, and Rivermead Mobility Index were reported to have adequate reliability and validity, and were considered feasible for administration in a clinical setting. Conclusions Complementary scoping reviews demonstrated that some instruments with reasonable psychometric properties are available that are feasible to use in developing quality measures for custom AFO care. However, experience of care instruments suitable for this population were not identified but are needed for a comprehensive evaluation of care quality for AFO users.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266426

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 735-751

Titre :	Ballistic Resistance Training: Feasibility, Safety, and Effectiveness for Improving Mobility in Adults With Neurologic Conditions: A Systematic Review
Type de document :	Article
Auteurs :	Thomas Cordner ; Thorlene Egerton ; Katharine Schubert ; Tanya Wijesinghe ; Gavin Williams
Année de publication :	2021
Article en page(s) :	p. 735-751
Note générale :	https://doi.org/10.1016/j.apmr.2020.06.023
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Démarche ; Entraînement en résistance ; Rééducation neurologique ; Sécurité
Résumé :	Objectives To determine whether ballistic resistance training is feasible, safe, and effective in improving muscle strength, power generation, and mobility in adults with neurologic conditions. Data Sources Nine electronic databases were searched from inception to March 2019 in addition to the reference lists of included articles. Study Selection Articles were independently screened by 2 authors and were included if they were full-text; English-language articles published in a peer-reviewed journal; investigated ballistic resistance training for adults with a neurologic condition; and reported on feasibility, safety, strength, power, or mobility. Data Extraction Two authors independently extracted data. Study quality was assessed using the McMaster critical review form and the Physiotherapy Evidence Database scale. Data Synthesis The search identified 1540 articles, with 13 articles describing 9 studies meeting the criteria for inclusion. Five studies were randomized controlled trials and 4 were cohort studies. Ballistic resistance training was feasible and safe with only 1 intervention-related adverse event reported. Findings indicated improvements in strength for hip abduction, leg press, knee flexion, and ankle dorsiflexion, but not for hip flexion, hip extension, knee extension, or ankle plantarflexion. Muscle power generation improved for hip flexion, hip abduction, leg press, knee extension, and knee flexion, but not for ankle plantarflexion. Treatment effect was positive for self-selected walking speed, with a standardized mean difference (SMD) of 0.69 (95% confidence interval [CI], 0.01-1.38) from 3 studies. However, fastest comfortable walking speed results were inconclusive with a SMD from 4 studies of 0.45 (95% CI, –0.01 to 0.91). Conclusions Ballistic training is safe and feasible for people with a neurologic condition. The effects on muscle strength, power generation, and mobility were found to be positive but not conclusive.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266428

[article] Ballistic Resistance Training: Feasibility, Safety, and Effectiveness for Improving Mobility in Adults With Neurologic Conditions: A Systematic Review [Article] / Thomas Cordner ; Thorlene Egerton ; Katharine Schubert ; Tanya Wijesinghe ; Gavin Williams . - 2021 . - p. 735-751.
https://doi.org/10.1016/j.apmr.2020.06.023
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 735-751

Descripteurs :	HE Vinci Démarche ; Entraînement en résistance ; Rééducation neurologique ; Sécurité
Résumé :	Objectives To determine whether ballistic resistance training is feasible, safe, and effective in improving muscle strength, power generation, and mobility in adults with neurologic conditions. Data Sources Nine electronic databases were searched from inception to March 2019 in addition to the reference lists of included articles. Study Selection Articles were independently screened by 2 authors and were included if they were full-text; English-language articles published in a peer-reviewed journal; investigated ballistic resistance training for adults with a neurologic condition; and reported on feasibility, safety, strength, power, or mobility. Data Extraction Two authors independently extracted data. Study quality was assessed using the McMaster critical review form and the Physiotherapy Evidence Database scale. Data Synthesis The search identified 1540 articles, with 13 articles describing 9 studies meeting the criteria for inclusion. Five studies were randomized controlled trials and 4 were cohort studies. Ballistic resistance training was feasible and safe with only 1 intervention-related adverse event reported. Findings indicated improvements in strength for hip abduction, leg press, knee flexion, and ankle dorsiflexion, but not for hip flexion, hip extension, knee extension, or ankle plantarflexion. Muscle power generation improved for hip flexion, hip abduction, leg press, knee extension, and knee flexion, but not for ankle plantarflexion. Treatment effect was positive for self-selected walking speed, with a standardized mean difference (SMD) of 0.69 (95% confidence interval [CI], 0.01-1.38) from 3 studies. However, fastest comfortable walking speed results were inconclusive with a SMD from 4 studies of 0.45 (95% CI, –0.01 to 0.91). Conclusions Ballistic training is safe and feasible for people with a neurologic condition. The effects on muscle strength, power generation, and mobility were found to be positive but not conclusive.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266428

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 752-761

Titre :	Effectiveness of Exercise on Fatigue and Sleep Quality in Fibromyalgia: A Systematic Review and Meta-analysis of Randomized Trials
Type de document :	Article
Auteurs :	Fernando Estévez-López ; Cristina Maestre-Cascales ; Deborrah Russell ; Inmaculada C. Álvarez-Gallardo ; María Rodriguez-Ayllon ; Ciara M. Hughes ; Gareth W. Davison ; Borja Sañudo ; Joseph G. McVeigh
Année de publication :	2021
Article en page(s) :	p. 752-761
Note générale :	https://doi.org/10.1016/j.apmr.2020.06.019
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Douleur chronique ; Éducation physique et entraînement physique ; Exercice physique ; Fatigue ; Fibromyalgie ; Réadaptation ; Sommeil
Résumé :	Objectives To determine the effects of exercise on fatigue and sleep quality in fibromyalgia (primary aim) and to identify which type of exercise is the most effective in achieving these outcomes (secondary aim). Data Sources PubMed and Web of Science were searched from inception until October 18, 2018. Study Selection Eligible studies contained information on population (fibromyalgia), intervention (exercise), and outcomes (fatigue or sleep). Randomized controlled trials (RCT) testing the effectiveness of exercise compared with usual care and randomized trials (RT) comparing the effectiveness of 2 different exercise interventions were included for the primary and secondary aims of the present review, respectively. Two independent researchers performed the search, screening, and final eligibility of the articles. Of 696 studies identified, 17 RCTs (n=1003) were included for fatigue and 12 RCTs (n=731) for sleep. Furthermore, 21 RTs compared the effectiveness of different exercise interventions (n=1254). Data Extraction Two independent researchers extracted the key information from each eligible study. Data Synthesis Separate random-effect meta-analyses were performed to examine the effects from RCTs and from RTs (primary and secondary aims). Standardized mean differences (SMD) effect sizes were calculated using Hedges’ adjusted g. Effect sizes of 0.2, 0.4, and 0.8 were considered small, moderate, and large. Compared with usual care, exercise had moderate effects on fatigue and a small effect on sleep quality (SMD, –0.47; 95% confidence interval [CI], –0.67 to –0.27; P<.001 and smd ci to p=".04)." rts in which fatigue was the primary outcome were most beneficial for lowering fatigue. additionally meditative exercise programs effective improving sleep quality.> Conclusions Exercise is moderately effective for lowering fatigue and has small effects on enhancing sleep quality in fibromyalgia. Meditative exercise programs may be considered for improving sleep quality in fibromyalgia.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266430

[article] Effectiveness of Exercise on Fatigue and Sleep Quality in Fibromyalgia: A Systematic Review and Meta-analysis of Randomized Trials [Article] / Fernando Estévez-López ; Cristina Maestre-Cascales ; Deborrah Russell ; Inmaculada C. Álvarez-Gallardo ; María Rodriguez-Ayllon ; Ciara M. Hughes ; Gareth W. Davison ; Borja Sañudo ; Joseph G. McVeigh . - 2021 . - p. 752-761.
https://doi.org/10.1016/j.apmr.2020.06.019
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 752-761

Descripteurs :	HE Vinci Douleur chronique ; Éducation physique et entraînement physique ; Exercice physique ; Fatigue ; Fibromyalgie ; Réadaptation ; Sommeil
Résumé :	Objectives To determine the effects of exercise on fatigue and sleep quality in fibromyalgia (primary aim) and to identify which type of exercise is the most effective in achieving these outcomes (secondary aim). Data Sources PubMed and Web of Science were searched from inception until October 18, 2018. Study Selection Eligible studies contained information on population (fibromyalgia), intervention (exercise), and outcomes (fatigue or sleep). Randomized controlled trials (RCT) testing the effectiveness of exercise compared with usual care and randomized trials (RT) comparing the effectiveness of 2 different exercise interventions were included for the primary and secondary aims of the present review, respectively. Two independent researchers performed the search, screening, and final eligibility of the articles. Of 696 studies identified, 17 RCTs (n=1003) were included for fatigue and 12 RCTs (n=731) for sleep. Furthermore, 21 RTs compared the effectiveness of different exercise interventions (n=1254). Data Extraction Two independent researchers extracted the key information from each eligible study. Data Synthesis Separate random-effect meta-analyses were performed to examine the effects from RCTs and from RTs (primary and secondary aims). Standardized mean differences (SMD) effect sizes were calculated using Hedges’ adjusted g. Effect sizes of 0.2, 0.4, and 0.8 were considered small, moderate, and large. Compared with usual care, exercise had moderate effects on fatigue and a small effect on sleep quality (SMD, –0.47; 95% confidence interval [CI], –0.67 to –0.27; P<.001 and smd ci to p=".04)." rts in which fatigue was the primary outcome were most beneficial for lowering fatigue. additionally meditative exercise programs effective improving sleep quality.> Conclusions Exercise is moderately effective for lowering fatigue and has small effects on enhancing sleep quality in fibromyalgia. Meditative exercise programs may be considered for improving sleep quality in fibromyalgia.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266430

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 762-775

Titre :	Core Stability Exercises in Addition to Usual Care Physiotherapy Improve Stability and Balance After Stroke: A Systematic Review and Meta-analysis
Type de document :	Article
Auteurs :	Kate Gamble ; April Chiu ; Casey Peiris
Année de publication :	2021
Article en page(s) :	p. 762-775
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.388
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Équilibre postural ; Réadaptation ; Traitement par les exercices physiques
Résumé :	Objective To systematically review the effect of core stability exercises in addition to usual care physiotherapy on patient outcomes after stroke. Data Sources Cumulative Index to Nursing and Allied Health, MEDLINE, Physiotherapy Evidence Database (PEDro), PubMed, and EMBASE were searched to November 2018. Study Selection Eleven randomized controlled trials that compared usual care physiotherapy with usual care physiotherapy with additional core stability exercises in people with stroke were included. The initial search yielded 1876 studies. Data Extraction Two independent reviewers applied inclusion and exclusion criteria and extracted data on methodological quality using the PEDro scale, participant characteristics, intervention details, outcome measures, and results. Data Synthesis Postintervention means and SDs were pooled to calculate either the standardized mean difference (SMD) or the mean difference (MD) and 95% CIs using a random-effects model and inverse variance methods. There was moderate quality evidence to suggest the addition of core stability exercises to usual care physiotherapy improved trunk control (SMD, 0.94; 95% CI, 0.44-1.44; I2=69%), functional dynamic balance (SMD, 1.23; 95% CI, 0.5-1.97; I2=71%), and walking speed (MD, 0.27m/s; 95% CI, 0.01-0.52; I2=40%) in people with acute and chronic stroke. No significant effect was found when assessing functional ambulation categories or the timed Up and Go test, and mixed results were found for global functioning. Conclusions The addition of core stability exercises to usual care physiotherapy after stroke may lead to improved trunk control and dynamic balance. Therefore, core stability exercises should be included in rehabilitation if improvements in these domains will help clients achieve their goals. Future trials should consider incorporating outcomes of body kinematics during functional tasks to assess movement quality and assess participation 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=266432

[article] Core Stability Exercises in Addition to Usual Care Physiotherapy Improve Stability and Balance After Stroke: A Systematic Review and Meta-analysis [Article] / Kate Gamble ; April Chiu ; Casey Peiris . - 2021 . - p. 762-775.
https://doi.org/10.1016/j.apmr.2020.09.388
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 762-775

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Équilibre postural ; Réadaptation ; Traitement par les exercices physiques
Résumé :	Objective To systematically review the effect of core stability exercises in addition to usual care physiotherapy on patient outcomes after stroke. Data Sources Cumulative Index to Nursing and Allied Health, MEDLINE, Physiotherapy Evidence Database (PEDro), PubMed, and EMBASE were searched to November 2018. Study Selection Eleven randomized controlled trials that compared usual care physiotherapy with usual care physiotherapy with additional core stability exercises in people with stroke were included. The initial search yielded 1876 studies. Data Extraction Two independent reviewers applied inclusion and exclusion criteria and extracted data on methodological quality using the PEDro scale, participant characteristics, intervention details, outcome measures, and results. Data Synthesis Postintervention means and SDs were pooled to calculate either the standardized mean difference (SMD) or the mean difference (MD) and 95% CIs using a random-effects model and inverse variance methods. There was moderate quality evidence to suggest the addition of core stability exercises to usual care physiotherapy improved trunk control (SMD, 0.94; 95% CI, 0.44-1.44; I2=69%), functional dynamic balance (SMD, 1.23; 95% CI, 0.5-1.97; I2=71%), and walking speed (MD, 0.27m/s; 95% CI, 0.01-0.52; I2=40%) in people with acute and chronic stroke. No significant effect was found when assessing functional ambulation categories or the timed Up and Go test, and mixed results were found for global functioning. Conclusions The addition of core stability exercises to usual care physiotherapy after stroke may lead to improved trunk control and dynamic balance. Therefore, core stability exercises should be included in rehabilitation if improvements in these domains will help clients achieve their goals. Future trials should consider incorporating outcomes of body kinematics during functional tasks to assess movement quality and assess participation 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=266432

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 776-788

Titre :	Rehabilitation Interventions in the Multidisciplinary Management of Patients With Sclerotic Graft-Versus-Host Disease of the Skin and Fascia
Type de document :	Article
Auteurs :	Paula Molés-Poveda ; Leora E. Comis ; Galen O. Joe ; Sandra A. Mitchell ; Dominique C. Pichard ; Rachel K. Rosenstein ; Beth Solomon ; Steven Z. Pavletic ; Edward W. Cowen
Année de publication :	2021
Article en page(s) :	p. 776-788
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.141
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Ergothérapie ; Kinésithérapie (spécialité) ; Maladie du greffon contre l'hôte ; Réadaptation
Résumé :	Graft-versus-host disease (GVHD) is a multisystemic disorder that affects 30%-80% of patients who undergo allogeneic hematopoietic stem cell transplantation 10%-15% of GVHD patients develop sclerotic features affecting the skin or deeper tissues, leading to functional limitations and poor quality of life. There is limited literature regarding the indications and efficacy of specific rehabilitative interventions in sclerotic GVHD (sclGVHD). In this article, we summarize the current evidence supporting rehabilitation intervention in sclGVHD and offer our approach to the multidisciplinary management of this disease. In addition, we review techniques that have been employed in other sclerotic skin diseases (eg, iontophoresis, extracorporeal shock waves, botulinum toxin A, adipose derived stromal vascular fraction), but that require further validation in the sclGVHD setting. Ultimately, optimal care for this complex disease requires a multidisciplinary approach that includes a rehabilitation and adaptive program tailored to each patient’s needs.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266434

[article] Rehabilitation Interventions in the Multidisciplinary Management of Patients With Sclerotic Graft-Versus-Host Disease of the Skin and Fascia [Article] / Paula Molés-Poveda ; Leora E. Comis ; Galen O. Joe ; Sandra A. Mitchell ; Dominique C. Pichard ; Rachel K. Rosenstein ; Beth Solomon ; Steven Z. Pavletic ; Edward W. Cowen . - 2021 . - p. 776-788.
https://doi.org/10.1016/j.apmr.2020.10.141
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 776-788

Descripteurs :	HE Vinci Ergothérapie ; Kinésithérapie (spécialité) ; Maladie du greffon contre l'hôte ; Réadaptation
Résumé :	Graft-versus-host disease (GVHD) is a multisystemic disorder that affects 30%-80% of patients who undergo allogeneic hematopoietic stem cell transplantation 10%-15% of GVHD patients develop sclerotic features affecting the skin or deeper tissues, leading to functional limitations and poor quality of life. There is limited literature regarding the indications and efficacy of specific rehabilitative interventions in sclerotic GVHD (sclGVHD). In this article, we summarize the current evidence supporting rehabilitation intervention in sclGVHD and offer our approach to the multidisciplinary management of this disease. In addition, we review techniques that have been employed in other sclerotic skin diseases (eg, iontophoresis, extracorporeal shock waves, botulinum toxin A, adipose derived stromal vascular fraction), but that require further validation in the sclGVHD setting. Ultimately, optimal care for this complex disease requires a multidisciplinary approach that includes a rehabilitation and adaptive program tailored to each patient’s needs.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266434

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 789-795

Titre :	A Brief Intervention to Support Implementation of Telerehabilitation by Community Rehabilitation Services During COVID-19: A Feasibility Study
Type de document :	Article
Auteurs :	Narelle S. Cox ; Katharine Scrivener ; Anne E. Holland ; Laura Jolliffe ; Alison Wighton ; Sean Nelson ; Laura McCredie ; Natasha A. Lannin
Année de publication :	2021
Article en page(s) :	p. 789-795
Note générale :	https://doi.org/10.1016/j.apmr.2020.12.007
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Coronavirus ; COVID-19 ; Ergothérapie ; Kinésithérapie (spécialité) ; Réadaptation ; Science de la mise en oeuvre ; Téléassistance ; Télémédecine
Résumé :	The coronavirus disease 2019 (COVID-19) pandemic has necessitated adoption of telerehabilitation in services where face-to-face consultations were previously standard. We aimed to understand barriers to implementing a telerehabilitation clinical service and design a behavior support strategy for clinicians to implement telerehabilitation. A hybrid implementation study design included pre- and post-intervention questionnaires, identification of key barriers to implementation using the theoretical domains framework, and development of a targeted intervention. Thirty-one clinicians completed baseline questionnaires identifying key barriers to the implementation of telerehabilitation. Barriers were associated with behavior domains of knowledge, environment, social influences, and beliefs. A 6-week brief intervention focused on remote clinician support, and education was well received but achieved little change in perceived barriers to implementation. The brief intervention to support implementation of telerehabilitation during COVID-19 achieved clinical practice change, but barriers remain. Longer follow-up may determine the sustainability of a brief implementation strategy, but needs to consider pandemic-related stressors.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266436

[article] A Brief Intervention to Support Implementation of Telerehabilitation by Community Rehabilitation Services During COVID-19: A Feasibility Study [Article] / Narelle S. Cox ; Katharine Scrivener ; Anne E. Holland ; Laura Jolliffe ; Alison Wighton ; Sean Nelson ; Laura McCredie ; Natasha A. Lannin . - 2021 . - p. 789-795.
https://doi.org/10.1016/j.apmr.2020.12.007
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 4 (2021) . - p. 789-795

Descripteurs :	HE Vinci Coronavirus ; COVID-19 ; Ergothérapie ; Kinésithérapie (spécialité) ; Réadaptation ; Science de la mise en oeuvre ; Téléassistance ; Télémédecine
Résumé :	The coronavirus disease 2019 (COVID-19) pandemic has necessitated adoption of telerehabilitation in services where face-to-face consultations were previously standard. We aimed to understand barriers to implementing a telerehabilitation clinical service and design a behavior support strategy for clinicians to implement telerehabilitation. A hybrid implementation study design included pre- and post-intervention questionnaires, identification of key barriers to implementation using the theoretical domains framework, and development of a targeted intervention. Thirty-one clinicians completed baseline questionnaires identifying key barriers to the implementation of telerehabilitation. Barriers were associated with behavior domains of knowledge, environment, social influences, and beliefs. A 6-week brief intervention focused on remote clinician support, and education was well received but achieved little change in perceived barriers to implementation. The brief intervention to support implementation of telerehabilitation during COVID-19 achieved clinical practice change, but barriers remain. Longer follow-up may determine the sustainability of a brief implementation strategy, but needs to consider pandemic-related stressors.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=266436

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 351-358

Titre :	Identification of Functional Limitations and Discharge Destination in Patients With COVID-19
Type de document :	Article
Auteurs :	Pamela Roberts ; Jeffrey Wertheimer ; Eunice Park ; Miriam Nuño ; Richard Riggs
Année de publication :	2021
Article en page(s) :	p. 351-358
Note générale :	https://doi.org/10.1016/j.apmr.2020.11.005
Langues :	Anglais (eng)
Descripteurs :	HE Vinci COVID-19 ; Réadaptation
Résumé :	Objectives The objectives of this study were to identify functional limitations in patients with coronavirus 2019 (COVID-19) admitted to acute care hospitals; to evaluate functional limitations by demographic, medical, and encounter characteristics; and to examine functional limitations in relation to discharge destination. Design and Setting:This is a cross-sectional, retrospective study of adult patients with COVID-19 who were discharged from 2 different types of hospitals (academic medical center and a community hospital) within 1 health care system from January 1 to April 30, 2020. Participants Patients were identified from the Cedars-Sinai COVID-19 data registry who had a new-onset positive test for severe acute respiratory syndrome coronavirus 2. A total of 273 patients were identified, which included 230 patients who were discharged alive and 43 patients who died and were excluded from the study sample. Interventions Not applicable. Main Outcome Measures Functional limitations in patients with COVID-19 in acute care hospitals and the predictors for discharge disposition. Results A total of 230 records were analyzed including demographic, encounter, medical, and functional variables. In a propensity score–matched cohort based on age and comorbidity, 88.2% had functional physical health deficits, 72.5% had functional mental health deficits, and 17.6% experienced sensory deficits. In the matched cohort, individuals discharged to an institution experienced greater physical (62.7% vs 25.5%, P<.001 and mental health vs p=".006)" deficits than patients discharged home. marital status ratio physical function were associated with an increase odds of discharge to institution.> Conclusions This research highlights that functional status is a strong predictor for discharge destination to an institution for patients with COVID-19. Patients who were older, in the acute care hospital longer, and with comorbidities were more likely to be discharged to an institution. Rehabilitation is a significant aspect of the health care system for these vulnerable patients. The challenges of adjusting the role of rehabilitation providers and systems during the pandemic needs further exploration. Moreover, additional research is needed to look more closely at the many facets and timing of functional status needs, to shed light in use of interdisciplinary rehabilitation services, and to guide providers and health care systems in facilitating optimal recovery and 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=265717

[article] Identification of Functional Limitations and Discharge Destination in Patients With COVID-19 [Article] / Pamela Roberts ; Jeffrey Wertheimer ; Eunice Park ; Miriam Nuño ; Richard Riggs . - 2021 . - p. 351-358.
https://doi.org/10.1016/j.apmr.2020.11.005
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 351-358

Descripteurs :	HE Vinci COVID-19 ; Réadaptation
Résumé :	Objectives The objectives of this study were to identify functional limitations in patients with coronavirus 2019 (COVID-19) admitted to acute care hospitals; to evaluate functional limitations by demographic, medical, and encounter characteristics; and to examine functional limitations in relation to discharge destination. Design and Setting:This is a cross-sectional, retrospective study of adult patients with COVID-19 who were discharged from 2 different types of hospitals (academic medical center and a community hospital) within 1 health care system from January 1 to April 30, 2020. Participants Patients were identified from the Cedars-Sinai COVID-19 data registry who had a new-onset positive test for severe acute respiratory syndrome coronavirus 2. A total of 273 patients were identified, which included 230 patients who were discharged alive and 43 patients who died and were excluded from the study sample. Interventions Not applicable. Main Outcome Measures Functional limitations in patients with COVID-19 in acute care hospitals and the predictors for discharge disposition. Results A total of 230 records were analyzed including demographic, encounter, medical, and functional variables. In a propensity score–matched cohort based on age and comorbidity, 88.2% had functional physical health deficits, 72.5% had functional mental health deficits, and 17.6% experienced sensory deficits. In the matched cohort, individuals discharged to an institution experienced greater physical (62.7% vs 25.5%, P<.001 and mental health vs p=".006)" deficits than patients discharged home. marital status ratio physical function were associated with an increase odds of discharge to institution.> Conclusions This research highlights that functional status is a strong predictor for discharge destination to an institution for patients with COVID-19. Patients who were older, in the acute care hospital longer, and with comorbidities were more likely to be discharged to an institution. Rehabilitation is a significant aspect of the health care system for these vulnerable patients. The challenges of adjusting the role of rehabilitation providers and systems during the pandemic needs further exploration. Moreover, additional research is needed to look more closely at the many facets and timing of functional status needs, to shed light in use of interdisciplinary rehabilitation services, and to guide providers and health care systems in facilitating optimal recovery and 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=265717

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 359-362

Titre :	Nerve Compression Injuries After Prolonged Prone Position Ventilation in Patients With SARS-CoV-2: A Case Series
Type de document :	Article
Auteurs :	Luigia Brugliera ; Massimo Filippi ; Ubaldo Del Carro ; Calogera Butera ; Francesca Bianchi ; Paola Castellazzi ; Paolo Cimino ; Paolo Capodaglio ; Giacomo Monti ; Pietro Mortini ; Luca G. Pradotto ; Lorenzo Priano ; Alfio Spina ; Sandro Iannaccone
Année de publication :	2021
Article en page(s) :	p. 359-362
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.131
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Coronavirus ; Décubitus ventral ; Plexus brachial ; Réadaptation ; Virus du SRAS
Résumé :	Background Prone positioning improves oxygenation in adult respiratory distress syndrome. This procedure has been widely used during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. However, this procedure can also be responsible for nerve damage and plexopathy. Methods We retrospectively reviewed a series of 7 infectious patients with coronavirus disease 2019 who underwent prone positioning ventilation at the San Raffaele Hospital of Milan, Italy, during the SARS-CoV-2 pandemic. Results Clinical and neurophysiological data of 7 patients with nerve compression injuries have been reported. Conclusions Health care workers should take into consideration the risk factors for prone positioning–related plexopathy and nerve damage, especially in patients with coronavirus disease 2019, to prevent this type of complication.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265719

[article] Nerve Compression Injuries After Prolonged Prone Position Ventilation in Patients With SARS-CoV-2: A Case Series [Article] / Luigia Brugliera ; Massimo Filippi ; Ubaldo Del Carro ; Calogera Butera ; Francesca Bianchi ; Paola Castellazzi ; Paolo Cimino ; Paolo Capodaglio ; Giacomo Monti ; Pietro Mortini ; Luca G. Pradotto ; Lorenzo Priano ; Alfio Spina ; Sandro Iannaccone . - 2021 . - p. 359-362.
https://doi.org/10.1016/j.apmr.2020.10.131
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 359-362

Descripteurs :	HE Vinci Coronavirus ; Décubitus ventral ; Plexus brachial ; Réadaptation ; Virus du SRAS
Résumé :	Background Prone positioning improves oxygenation in adult respiratory distress syndrome. This procedure has been widely used during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. However, this procedure can also be responsible for nerve damage and plexopathy. Methods We retrospectively reviewed a series of 7 infectious patients with coronavirus disease 2019 who underwent prone positioning ventilation at the San Raffaele Hospital of Milan, Italy, during the SARS-CoV-2 pandemic. Results Clinical and neurophysiological data of 7 patients with nerve compression injuries have been reported. Conclusions Health care workers should take into consideration the risk factors for prone positioning–related plexopathy and nerve damage, especially in patients with coronavirus disease 2019, to prevent this type of complication.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265719

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 363-370

Titre :	Treating Heel Pain in Adults: A Randomized Controlled Trial of Hard vs Modified Soft Custom Orthotics and Heel Pads
Type de document :	Article
Auteurs :	Deborah A.R. Seligman ; Deirdre Dawson ; David L. Streiner ; David J. Seligman ; Aileen Davis
Année de publication :	2021
Article en page(s) :	p. 363-370
Note générale :	https://doi.org/10.1016/j.apmr.2020.10.124
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Fasciite plantaire ; Orthèses ; Orthèses de pied ; Pied ; Réadaptation
Résumé :	Objectives This study compared the effectiveness of soft vs hard orthotics in treating heel pain and plantar fasciitis in adults. It also compared the level of function after orthotic use, cost, and number of visits for orthotics and explored whether age was a factor in orthotic effectiveness. Design Randomized controlled trial. Before randomization, patients were stratified by age (younger vs older adults) in blocks of 4 to ensure that there were an equal number of participants in each group (soft vs hard orthotics). Setting An orthotic clinic in a community-based hospital and a private orthotic clinic. Participants The participants were adults aged 18 years or older (N=44) with heel pain and plantar fasciitis. Intervention Participants received hard or soft customized orthotics. Main Outcome Measures Participants rated their pain intensity and pain interference before and after orthotic use using subscales from the Brief Pain Inventory. Function was similarly measured using the Late Life Function and Disability Instrument: Function component. Analyses of age, cost, and number of visits were also compared. Results There was a reduction in pain intensity (P=.010) and pain interference (P<.001 but no change in function over time and difference between the groups who received hard vs soft orthotics. age had effect on orthotic effectiveness. orthotics were less expensive required fewer visits for fabrication> Conclusion Both soft and hard orthotics provided effective pain relief, but soft orthotics are less expensive.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265722

[article] Treating Heel Pain in Adults: A Randomized Controlled Trial of Hard vs Modified Soft Custom Orthotics and Heel Pads [Article] / Deborah A.R. Seligman ; Deirdre Dawson ; David L. Streiner ; David J. Seligman ; Aileen Davis . - 2021 . - p. 363-370.
https://doi.org/10.1016/j.apmr.2020.10.124
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 363-370

Descripteurs :	HE Vinci Fasciite plantaire ; Orthèses ; Orthèses de pied ; Pied ; Réadaptation
Résumé :	Objectives This study compared the effectiveness of soft vs hard orthotics in treating heel pain and plantar fasciitis in adults. It also compared the level of function after orthotic use, cost, and number of visits for orthotics and explored whether age was a factor in orthotic effectiveness. Design Randomized controlled trial. Before randomization, patients were stratified by age (younger vs older adults) in blocks of 4 to ensure that there were an equal number of participants in each group (soft vs hard orthotics). Setting An orthotic clinic in a community-based hospital and a private orthotic clinic. Participants The participants were adults aged 18 years or older (N=44) with heel pain and plantar fasciitis. Intervention Participants received hard or soft customized orthotics. Main Outcome Measures Participants rated their pain intensity and pain interference before and after orthotic use using subscales from the Brief Pain Inventory. Function was similarly measured using the Late Life Function and Disability Instrument: Function component. Analyses of age, cost, and number of visits were also compared. Results There was a reduction in pain intensity (P=.010) and pain interference (P<.001 but no change in function over time and difference between the groups who received hard vs soft orthotics. age had effect on orthotic effectiveness. orthotics were less expensive required fewer visits for fabrication> Conclusion Both soft and hard orthotics provided effective pain relief, but soft orthotics are less expensive.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265722

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 371-377

Titre :	Outcomes 1 and 2 Years After Moderate to Severe Traumatic Brain Injury: An International Comparative Study
Type de document :	Article
Auteurs :	Jennie Ponsford ; Cynthia Harrison-Felix ; Jessica M. Ketchum ; Gershon Spitz ; Cate A. Miller ; John D. Corrigan
Année de publication :	2021
Article en page(s) :	p. 371-377
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.387
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Évaluation de résultat (soins) ; Lésions traumatiques de l'encéphale ; Réadaptation
Résumé :	Objective This study compared traumatic brain injury (TBI) outcomes from 2 cohorts: the National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems (TBIMS) in the United States and Longitudinal Head Injury Outcome Study conducted in Victoria, Australia, by the Monash Epworth Rehabilitation Research Centre (MERRC). Design Cohort study with 1- and 2-year follow-up. Setting Acute trauma care and inpatient rehabilitation with follow-up. Participants Patients (N=1056) with moderate-severe TBI admitted in 2000-2012 to inpatient rehabilitation after motor vehicle–related collisions, who completed follow-up, were matched using 1:2 matching algorithm based on age at injury, days of posttraumatic amnesia, and years education, resulting in groups of 352 (MERRC) and 704 patients (TBIMS). Intervention The cohorts had received acute trauma care and inpatient rehabilitation for a median 38 (MERRC) or 33 days (TBIMS). The MERRC group also had routine access to community-based support and rehabilitation for return to work or school, attendant care, and home help as justified, funded by an accident compensation system, whereas the TBIMS cohort had variable access to these services. Main Outcome Measures Outcomes were assessed 1 and 2 years post injury in terms of employment, living situation, marital status, and Glasgow Outcome Scale-Extended (GOS-E) scores. Results At 2 years post injury, MERRC participants were more likely to be competitively employed. At both 1 and 2 years post injury, MERRC participants were more likely to be married and living independently. On GOS-E, the TBIMS group had higher percentages of patients in Lower Severe Disability/Vegetative State and Upper Good Recovery than MERRC participants, whereas the MERRC cohort had higher percentages of Lower Moderate Disability than TBIMS. Conclusions Findings may suggest that routine provision of community-based supports could confer benefits for long-term TBI outcomes. Further studies documenting rehabilitation services are needed to explore this.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265724

[article] Outcomes 1 and 2 Years After Moderate to Severe Traumatic Brain Injury: An International Comparative Study [Article] / Jennie Ponsford ; Cynthia Harrison-Felix ; Jessica M. Ketchum ; Gershon Spitz ; Cate A. Miller ; John D. Corrigan . - 2021 . - p. 371-377.
https://doi.org/10.1016/j.apmr.2020.09.387
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 371-377

Descripteurs :	HE Vinci Évaluation de résultat (soins) ; Lésions traumatiques de l'encéphale ; Réadaptation
Résumé :	Objective This study compared traumatic brain injury (TBI) outcomes from 2 cohorts: the National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems (TBIMS) in the United States and Longitudinal Head Injury Outcome Study conducted in Victoria, Australia, by the Monash Epworth Rehabilitation Research Centre (MERRC). Design Cohort study with 1- and 2-year follow-up. Setting Acute trauma care and inpatient rehabilitation with follow-up. Participants Patients (N=1056) with moderate-severe TBI admitted in 2000-2012 to inpatient rehabilitation after motor vehicle–related collisions, who completed follow-up, were matched using 1:2 matching algorithm based on age at injury, days of posttraumatic amnesia, and years education, resulting in groups of 352 (MERRC) and 704 patients (TBIMS). Intervention The cohorts had received acute trauma care and inpatient rehabilitation for a median 38 (MERRC) or 33 days (TBIMS). The MERRC group also had routine access to community-based support and rehabilitation for return to work or school, attendant care, and home help as justified, funded by an accident compensation system, whereas the TBIMS cohort had variable access to these services. Main Outcome Measures Outcomes were assessed 1 and 2 years post injury in terms of employment, living situation, marital status, and Glasgow Outcome Scale-Extended (GOS-E) scores. Results At 2 years post injury, MERRC participants were more likely to be competitively employed. At both 1 and 2 years post injury, MERRC participants were more likely to be married and living independently. On GOS-E, the TBIMS group had higher percentages of patients in Lower Severe Disability/Vegetative State and Upper Good Recovery than MERRC participants, whereas the MERRC cohort had higher percentages of Lower Moderate Disability than TBIMS. Conclusions Findings may suggest that routine provision of community-based supports could confer benefits for long-term TBI outcomes. Further studies documenting rehabilitation services are needed to explore this.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265724

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 378-385

Titre :	Factors Affecting Participation in Physical Therapy During Posttraumatic Amnesia
Type de document :	Article
Auteurs :	Courtney Spiteri ; Jennie Ponsford ; Gavin Williams ; Michelle Kahn ; Adam McKay
Année de publication :	2021
Article en page(s) :	p. 378-385
Note générale :	https://doi.org/10.1016/j.apmr.2020.06.024
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Amnésie ; Douleur ; Fatigue ; Kinésithérapie (spécialité) ; Lésions encéphaliques ; Réadaptation
Résumé :	Objectives To examine the effect of agitation, cognitive impairment, fatigue, and pain on physical therapy participation and outcomes during posttraumatic amnesia (PTA) after traumatic brain injury (TBI). Design Prospective longitudinal study. Setting Inpatient rehabilitation hospital. Participants Participants (N=77) with moderate-to-severe TBI who were deemed to be experiencing PTA using the Westmead Post-Traumatic Amnesia Scale. Interventions Not applicable. Main Outcome Measures The Pittsburgh Rehabilitation Participation Scale and time in therapy (min) were recorded twice daily after routine physical therapy sessions during PTA. The FIM-motor (select items related to physical therapy) score rated on admission and after emergence from PTA was used to calculate FIM-motor change. Results Agitation was associated with lower participation in therapy. The presence of agitation and pain both predicted lower FIM-motor change at emergence from PTA. Higher levels of cognitive impairment and fatigue were also associated with lower participation and less time in therapy. Conclusions The presence of agitation, fatigue, pain, and cognitive impairment impede rehabilitation success during PTA. This study strengthens the case for implementing environmental and behavioral recommendations, such as conducting therapy earlier in the day within a familiar space (ie, on the ward) and tailoring session duration to patient needs. This is with the aim of minimizing fatigue, agitation, and pain, while promoting cognitive recovery and arousal during PTA to maximize physical gains. Further research is warranted to examine the factors associated with rehabilitation success across other therapeutic disciplines.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265725

[article] Factors Affecting Participation in Physical Therapy During Posttraumatic Amnesia [Article] / Courtney Spiteri ; Jennie Ponsford ; Gavin Williams ; Michelle Kahn ; Adam McKay . - 2021 . - p. 378-385.
https://doi.org/10.1016/j.apmr.2020.06.024
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 378-385

Descripteurs :	HE Vinci Amnésie ; Douleur ; Fatigue ; Kinésithérapie (spécialité) ; Lésions encéphaliques ; Réadaptation
Résumé :	Objectives To examine the effect of agitation, cognitive impairment, fatigue, and pain on physical therapy participation and outcomes during posttraumatic amnesia (PTA) after traumatic brain injury (TBI). Design Prospective longitudinal study. Setting Inpatient rehabilitation hospital. Participants Participants (N=77) with moderate-to-severe TBI who were deemed to be experiencing PTA using the Westmead Post-Traumatic Amnesia Scale. Interventions Not applicable. Main Outcome Measures The Pittsburgh Rehabilitation Participation Scale and time in therapy (min) were recorded twice daily after routine physical therapy sessions during PTA. The FIM-motor (select items related to physical therapy) score rated on admission and after emergence from PTA was used to calculate FIM-motor change. Results Agitation was associated with lower participation in therapy. The presence of agitation and pain both predicted lower FIM-motor change at emergence from PTA. Higher levels of cognitive impairment and fatigue were also associated with lower participation and less time in therapy. Conclusions The presence of agitation, fatigue, pain, and cognitive impairment impede rehabilitation success during PTA. This study strengthens the case for implementing environmental and behavioral recommendations, such as conducting therapy earlier in the day within a familiar space (ie, on the ward) and tailoring session duration to patient needs. This is with the aim of minimizing fatigue, agitation, and pain, while promoting cognitive recovery and arousal during PTA to maximize physical gains. Further research is warranted to examine the factors associated with rehabilitation success across other therapeutic disciplines.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265725

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 386-394

Titre :	Using Machine Learning to Predict Rehabilitation Outcomes in Postacute Hip Fracture Patients
Type de document :	Article
Auteurs :	Guy Shtar ; Lior Rokach ; Bracha Shapira ; Ran Nissan ; Avital Hershkovitz
Année de publication :	2021
Article en page(s) :	p. 386-394
Note générale :	https://doi.org/10.1016/j.apmr.2020.08.011
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Apprentissage machine ; Fractures de la hanche ; Réadaptation ; Soins de suite
Résumé :	Objective To use machine learning-based methods in designing a predictive model of rehabilitation outcomes for postacute hip fracture patients. Design A retrospective analysis using linear models, AdaBoost, CatBoost, ExtraTrees, K-Nearest Neighbors, RandomForest, Support vector machine, XGBoost, and voting of all models to develop and validate a predictive model. Setting A university-affiliated 300-bed major postacute geriatric rehabilitation center. Participants Consecutive hip fracture patients (N=1625) admitted to an postacute rehabilitation department. Main Outcome Measures The FIM instrument, motor FIM (mFIM), and the relative functional gain on mFIM (mFIM effectiveness) as a continuous and binary variable. Ten predictive models were created: base models (linear/logistic regression), and 8 machine learning models (AdaBoost, CatBoost, ExtraTrees, K-Nearest Neighbors, RandomForest, Support vector machine, XGBoost, and a voting ensemble). R2 was used to evaluate their performance in predicting a continuous outcome variable, and the area under the receiver operating characteristic curve was used to evaluate the binary outcome. A paired 2-tailed t test compared the results of the different models. Results Machine learning-based models yielded better results than the linear and logistic regression models in predicting rehabilitation outcomes. The 3 most important predictors of the mFIM effectiveness score were the Mini Mental State Examination (MMSE), prefracture mFIM scores, and age. The 3 most important predictors of the discharge mFIM score were the admission mFIM, MMSE, and prefracture mFIM scores. The most contributing factors for favorable outcomes (mFIM effectiveness > median) with higher prediction confidence level were high MMSE (25.7±2.8), high prefacture mFIM (81.5±7.8), and high admission mFIM (48.6±8) scores. We present a simple prediction instrument for estimating the expected performance of postacute hip fracture patients. Conclusions The use of machine learning models to predict rehabilitation outcomes of postacute hip fracture patients is superior to linear and logistic regression models. The higher the MMSE, prefracture mFIM, and admission mFIM scores are, the higher the confidence levels of the predicted parameters.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265729

[article] Using Machine Learning to Predict Rehabilitation Outcomes in Postacute Hip Fracture Patients [Article] / Guy Shtar ; Lior Rokach ; Bracha Shapira ; Ran Nissan ; Avital Hershkovitz . - 2021 . - p. 386-394.
https://doi.org/10.1016/j.apmr.2020.08.011
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 386-394

Descripteurs :	HE Vinci Apprentissage machine ; Fractures de la hanche ; Réadaptation ; Soins de suite
Résumé :	Objective To use machine learning-based methods in designing a predictive model of rehabilitation outcomes for postacute hip fracture patients. Design A retrospective analysis using linear models, AdaBoost, CatBoost, ExtraTrees, K-Nearest Neighbors, RandomForest, Support vector machine, XGBoost, and voting of all models to develop and validate a predictive model. Setting A university-affiliated 300-bed major postacute geriatric rehabilitation center. Participants Consecutive hip fracture patients (N=1625) admitted to an postacute rehabilitation department. Main Outcome Measures The FIM instrument, motor FIM (mFIM), and the relative functional gain on mFIM (mFIM effectiveness) as a continuous and binary variable. Ten predictive models were created: base models (linear/logistic regression), and 8 machine learning models (AdaBoost, CatBoost, ExtraTrees, K-Nearest Neighbors, RandomForest, Support vector machine, XGBoost, and a voting ensemble). R2 was used to evaluate their performance in predicting a continuous outcome variable, and the area under the receiver operating characteristic curve was used to evaluate the binary outcome. A paired 2-tailed t test compared the results of the different models. Results Machine learning-based models yielded better results than the linear and logistic regression models in predicting rehabilitation outcomes. The 3 most important predictors of the mFIM effectiveness score were the Mini Mental State Examination (MMSE), prefracture mFIM scores, and age. The 3 most important predictors of the discharge mFIM score were the admission mFIM, MMSE, and prefracture mFIM scores. The most contributing factors for favorable outcomes (mFIM effectiveness > median) with higher prediction confidence level were high MMSE (25.7±2.8), high prefacture mFIM (81.5±7.8), and high admission mFIM (48.6±8) scores. We present a simple prediction instrument for estimating the expected performance of postacute hip fracture patients. Conclusions The use of machine learning models to predict rehabilitation outcomes of postacute hip fracture patients is superior to linear and logistic regression models. The higher the MMSE, prefracture mFIM, and admission mFIM scores are, the higher the confidence levels of the predicted parameters.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265729

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 395-405

Titre :	Ecological Momentary Assessment of Social Interactions: Associations With Depression, Anxiety, Pain, and Fatigue in Individuals With Mild Stroke
Type de document :	Article
Auteurs :	Anna J. Neff ; Yejin Lee ; Christopher L. Metts ; Alex W.K. Wong
Année de publication :	2021
Article en page(s) :	p. 395-405
Note générale :	https://doi.org/10.1016/j.apmr.2020.08.007
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Anxiété ; Dépression ; Évaluation écologique instantanée ; Fatigue ; Réadaptation ; Relations interpersonnelles
Résumé :	Objectives To examine real-time relationships between social interactions and poststroke mood and somatic symptoms in participants’ daily environments. Design Prospective observational study using smartphone-based ecological momentary assessment (EMA) surveys 5 times a day for 2 weeks. Multilevel models were used to analyze data for concurrent and lagged associations. Setting Community. Participants Adults (N=48) with mild stroke. Interventions Not applicable. Main Outcome Measures EMA measures of self-appraisal of social interactions (confidence, satisfaction, and success), as well as mood (depression and anxiety) and somatic (pain and fatigue) symptoms. Results In concurrent associations, increased depressed mood was associated with reduced ratings of all aspects of social interactions. Fatigue was associated with reduced ratings of social satisfaction and success. In lagged associations, increased anxious mood preceded increased subsequent social confidence. Higher average social satisfaction, confidence, and success were related to lower momentary fatigue, anxious mood, and depressed mood at the next time point. Regarding clinicodemographic factors, being employed was concurrently related to increased social interactions. An increased number of comorbidities predicted higher somatic, but not mood, symptoms at the next time point. Conclusions This study provides preliminary evidence of dynamic relationships between social interactions and somatic and mood symptoms in individuals with mild stroke. Interventions to not only address the sequelae of symptoms, but also to promote participation in social activities in poststroke life should be explored.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265730

[article] Ecological Momentary Assessment of Social Interactions: Associations With Depression, Anxiety, Pain, and Fatigue in Individuals With Mild Stroke [Article] / Anna J. Neff ; Yejin Lee ; Christopher L. Metts ; Alex W.K. Wong . - 2021 . - p. 395-405.
https://doi.org/10.1016/j.apmr.2020.08.007
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 395-405

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Anxiété ; Dépression ; Évaluation écologique instantanée ; Fatigue ; Réadaptation ; Relations interpersonnelles
Résumé :	Objectives To examine real-time relationships between social interactions and poststroke mood and somatic symptoms in participants’ daily environments. Design Prospective observational study using smartphone-based ecological momentary assessment (EMA) surveys 5 times a day for 2 weeks. Multilevel models were used to analyze data for concurrent and lagged associations. Setting Community. Participants Adults (N=48) with mild stroke. Interventions Not applicable. Main Outcome Measures EMA measures of self-appraisal of social interactions (confidence, satisfaction, and success), as well as mood (depression and anxiety) and somatic (pain and fatigue) symptoms. Results In concurrent associations, increased depressed mood was associated with reduced ratings of all aspects of social interactions. Fatigue was associated with reduced ratings of social satisfaction and success. In lagged associations, increased anxious mood preceded increased subsequent social confidence. Higher average social satisfaction, confidence, and success were related to lower momentary fatigue, anxious mood, and depressed mood at the next time point. Regarding clinicodemographic factors, being employed was concurrently related to increased social interactions. An increased number of comorbidities predicted higher somatic, but not mood, symptoms at the next time point. Conclusions This study provides preliminary evidence of dynamic relationships between social interactions and somatic and mood symptoms in individuals with mild stroke. Interventions to not only address the sequelae of symptoms, but also to promote participation in social activities in poststroke life should be explored.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265730

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 406-412

Titre :	Pharmacologic Treatment and Early Rehabilitation Outcomes in Pediatric Patients With Anti-NMDA Receptor Encephalitis
Type de document :	Article
Auteurs :	Gabrielle Alvarez ; Alyssa Krentzel ; Joshua Vova ; Laura Blackwell ; Robyn Howarth
Année de publication :	2021
Article en page(s) :	p. 406-412
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.381
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Encéphalite à anticorps anti-récepteur N-méthyl-D-aspartate ; Pédiatrie ; Réadaptation
Résumé :	Objectives To describe the immunotherapy and pharmacologic treatments administered to pediatric patients with N-methyl-D-aspartate receptor encephalitis (NMDARE) during inpatient rehabilitation as well as to examine clinical and demographic variables associated with early functional outcomes. Design Retrospective chart review and post hoc analysis. Setting Pediatric inpatient rehabilitation unit. Participants Pediatric patients (N=26; mean age, 10.79±5.17y) admitted to an inpatient rehabilitation unit with a confirmed diagnosis of NMDARE. Interventions Inpatient rehabilitation; pharmacologic treatments. Main Outcome Measure FIM for Children (WeeFIM) Developmental Functional Quotient (DFQ). Results All patients received first-line immunotherapies to treat NMDARE, and 69% also received second-line immunotherapies. Patients were prescribed an average of 8 medications for symptom management (range, 3-15 per patient), most often for the treatment of agitation (100%), psychiatric symptoms (92%), and seizures (65%). Sixty-five percent of patients demonstrated an improvement in Total WeeFIM DFQ over the course of inpatient rehabilitation, with 35% demonstrating limited to no change in Total WeeFIM DFQ (“unfavorable early outcome”). Those with unfavorable early outcome were significantly younger than those showing more favorable outcome. Pharmacologic treatment for seizures, movement disorders, and decreased arousal or level of consciousness were each associated with unfavorable early outcome independent of age differences. Conclusion Findings highlight the symptomatic heterogeneity and polypharmacy involved in the care and treatment of patients with NMDARE, with patients receiving a variety of immunotherapies and medications for symptom management. The presence of (and treatment for) seizures, movement disorders, and deteriorated neurologic status may each be associated with poor early outcomes in this population. Further investigation is needed to better classify presentations and treatments for this disease and to determine how differences are associated with long-term 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=265731

[article] Pharmacologic Treatment and Early Rehabilitation Outcomes in Pediatric Patients With Anti-NMDA Receptor Encephalitis [Article] / Gabrielle Alvarez ; Alyssa Krentzel ; Joshua Vova ; Laura Blackwell ; Robyn Howarth . - 2021 . - p. 406-412.
https://doi.org/10.1016/j.apmr.2020.09.381
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 406-412

Descripteurs :	HE Vinci Encéphalite à anticorps anti-récepteur N-méthyl-D-aspartate ; Pédiatrie ; Réadaptation
Résumé :	Objectives To describe the immunotherapy and pharmacologic treatments administered to pediatric patients with N-methyl-D-aspartate receptor encephalitis (NMDARE) during inpatient rehabilitation as well as to examine clinical and demographic variables associated with early functional outcomes. Design Retrospective chart review and post hoc analysis. Setting Pediatric inpatient rehabilitation unit. Participants Pediatric patients (N=26; mean age, 10.79±5.17y) admitted to an inpatient rehabilitation unit with a confirmed diagnosis of NMDARE. Interventions Inpatient rehabilitation; pharmacologic treatments. Main Outcome Measure FIM for Children (WeeFIM) Developmental Functional Quotient (DFQ). Results All patients received first-line immunotherapies to treat NMDARE, and 69% also received second-line immunotherapies. Patients were prescribed an average of 8 medications for symptom management (range, 3-15 per patient), most often for the treatment of agitation (100%), psychiatric symptoms (92%), and seizures (65%). Sixty-five percent of patients demonstrated an improvement in Total WeeFIM DFQ over the course of inpatient rehabilitation, with 35% demonstrating limited to no change in Total WeeFIM DFQ (“unfavorable early outcome”). Those with unfavorable early outcome were significantly younger than those showing more favorable outcome. Pharmacologic treatment for seizures, movement disorders, and decreased arousal or level of consciousness were each associated with unfavorable early outcome independent of age differences. Conclusion Findings highlight the symptomatic heterogeneity and polypharmacy involved in the care and treatment of patients with NMDARE, with patients receiving a variety of immunotherapies and medications for symptom management. The presence of (and treatment for) seizures, movement disorders, and deteriorated neurologic status may each be associated with poor early outcomes in this population. Further investigation is needed to better classify presentations and treatments for this disease and to determine how differences are associated with long-term 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=265731

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 413-422

Titre :	Effect of Intensive Physiotherapy Training for Children With Congenital Zika Syndrome: A Retrospective Cohort Study
Type de document :	Article
Auteurs :	Gabriela Lopes Gama ; Melania Maria Ramos de Amorim ; Renan Alves da Silva Júnior ; Agda Cristina de Sousa Santos ; Paula Lisiane Assunção ; Jousilene de Sales Tavares ; Thamyris de Sales Regis ; Janiele de Sales Tavares ; Adriana Melo
Année de publication :	2021
Article en page(s) :	p. 413-422
Note générale :	https://doi.org/10.1016/j.apmr.2020.08.016
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Activité motrice ; Infection par le virus Zika ; Réadaptation ; Troubles des habiletés motrices
Résumé :	Objective To investigate the effect of intensive physiotherapy training on the motor function of children with congenital Zika syndrome (CZS). Design A retrospective cohort study. Setting A support center for children with microcephaly. Participants Children (N=7) aged 14 to 18 months old who were diagnosed with CZS and previously monitored more than 1 year. Interventions A 2-stage protocol repeated uninterruptedly for 1 year. In the first stage, the children were submitted to 1 hour of conventional physiotherapy and 1 hour of suit therapy 5 times a week for 4 weeks. The second stage consisted of 1 hour of suit therapy 3 times a week for 2 weeks. Main Outcome Measures Gross motor function measure (GMFM) and body weight. Results Six evaluations were conducted approximately 3 months apart. An increase in the overall GMFM score was observed between the first and second (P=.046), first and third (P=.018), first and fourth (P=.018), first and fifth (P=.043), and first and sixth evaluations (P=.018). Differences in the scores of the individual GMFM dimensions were found only for dimension A (lying and rolling) between the first and fourth evaluations (P=.027) and for dimension B (sitting) between the first and third (P=.018), first and fourth (P=.046), and first and sixth evaluations (P=.027). No difference was found in body weight between the first and sixth evaluations (P=.009). During follow-up, only 1 child required hospitalization, and another had increased irritability. Conclusions Children with CZS were able to perform 2 hours of motor physiotherapy daily with no serious complications, resulting in an increase or stabilization in GMFM scores.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265732

[article] Effect of Intensive Physiotherapy Training for Children With Congenital Zika Syndrome: A Retrospective Cohort Study [Article] / Gabriela Lopes Gama ; Melania Maria Ramos de Amorim ; Renan Alves da Silva Júnior ; Agda Cristina de Sousa Santos ; Paula Lisiane Assunção ; Jousilene de Sales Tavares ; Thamyris de Sales Regis ; Janiele de Sales Tavares ; Adriana Melo . - 2021 . - p. 413-422.
https://doi.org/10.1016/j.apmr.2020.08.016
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 413-422

Descripteurs :	HE Vinci Activité motrice ; Infection par le virus Zika ; Réadaptation ; Troubles des habiletés motrices
Résumé :	Objective To investigate the effect of intensive physiotherapy training on the motor function of children with congenital Zika syndrome (CZS). Design A retrospective cohort study. Setting A support center for children with microcephaly. Participants Children (N=7) aged 14 to 18 months old who were diagnosed with CZS and previously monitored more than 1 year. Interventions A 2-stage protocol repeated uninterruptedly for 1 year. In the first stage, the children were submitted to 1 hour of conventional physiotherapy and 1 hour of suit therapy 5 times a week for 4 weeks. The second stage consisted of 1 hour of suit therapy 3 times a week for 2 weeks. Main Outcome Measures Gross motor function measure (GMFM) and body weight. Results Six evaluations were conducted approximately 3 months apart. An increase in the overall GMFM score was observed between the first and second (P=.046), first and third (P=.018), first and fourth (P=.018), first and fifth (P=.043), and first and sixth evaluations (P=.018). Differences in the scores of the individual GMFM dimensions were found only for dimension A (lying and rolling) between the first and fourth evaluations (P=.027) and for dimension B (sitting) between the first and third (P=.018), first and fourth (P=.046), and first and sixth evaluations (P=.027). No difference was found in body weight between the first and sixth evaluations (P=.009). During follow-up, only 1 child required hospitalization, and another had increased irritability. Conclusions Children with CZS were able to perform 2 hours of motor physiotherapy daily with no serious complications, resulting in an increase or stabilization in GMFM scores.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265732

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 423-430

Titre :	Comparative Effect of Liuzijue Qigong and Conventional Respiratory Training on Trunk Control Ability and Respiratory Muscle Function in Patients at an Early Recovery Stage From Stroke: A Randomized Controlled Trial
Type de document :	Article
Auteurs :	Yanan Zheng ; Ying Zhang ; Hongli Li ; Lei Qiao ; Weijie Fu ; Long Yu ; Gaiyan Li ; Jianzhong Yang ; Weidong Ni ; Zhijie Yong ; Yanmin Wang ; Hang Fan
Année de publication :	2021
Article en page(s) :	p. 423-430
Note générale :	https://doi.org/10.1016/j.apmr.2020.07.007
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Muscles respiratoires ; Qigong ; Réadaptation ; Traitement conservateur
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265734

[article] Comparative Effect of Liuzijue Qigong and Conventional Respiratory Training on Trunk Control Ability and Respiratory Muscle Function in Patients at an Early Recovery Stage From Stroke: A Randomized Controlled Trial [Article] / Yanan Zheng ; Ying Zhang ; Hongli Li ; Lei Qiao ; Weijie Fu ; Long Yu ; Gaiyan Li ; Jianzhong Yang ; Weidong Ni ; Zhijie Yong ; Yanmin Wang ; Hang Fan . - 2021 . - p. 423-430.
https://doi.org/10.1016/j.apmr.2020.07.007
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 423-430

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Muscles respiratoires ; Qigong ; Réadaptation ; Traitement conservateur
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265734

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 431-439

Titre :	Cognitive Profiles Among Individuals With Spinal Cord Injuries: Predictors and Relations With Psychological Well-being
Type de document :	Article
Auteurs :	Elizabeth C. Pasipanodya ; Benjamin Dirlikov ; Kathleen Castillo ; Kazuko L. Shem
Année de publication :	2021
Article en page(s) :	p. 431-439
Note générale :	https://doi.org/10.1016/j.apmr.2020.06.022
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Analyse de structure latente ; Cognition ; Dépression ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objectives To examine predictors of profiles of cognitive functioning among individuals receiving acute inpatient spinal cord injury (SCI) rehabilitation, as well as associations between their cognitive functioning and psychological well-being (life satisfaction and depression) 6 months after the baseline assessment. Design Prospective observational study design, with 2 assessments approximately 6 months apart. Setting A rehabilitation unit at a level 1 trauma hospital during acute SCI hospitalization and outpatient setting after discharge. Participants Individuals (N=89) with SCI. Intervention None. Main Outcome Measures Cognitive functioning (assessed by the Repeatable Battery for the Assessment of Neuropsychological Status), life satisfaction (measured by the Life Satisfaction Index A), and depressive symptoms (measured by the Patient Health Questionnaire-9). Results Latent profile analysis identified 3 classes of individuals with similar patterns of cognitive functioning: class1 (average levels of cognitive performance across all assessed domains; n=48), class 2 (average cognitive performance, except in recall and memory; n=23), and class 3 (low cognitive functioning across multiple domains of cognition; n=18). Fewer years of education, history of smoking, history of substance use other than alcohol, and greater postconcussion symptoms were associated with higher odds of classification in class 3 (P<.05 six months post baseline individuals in class reported significantly lower levels of life satisfaction than p=".045)" and marginally higher depressive symptoms> Conclusions The impact of impaired cognition during acute rehabilitation may persist after discharge and influence the psychological well-being of individuals with SCI. Identifying individuals with cognitive dysfunction and attending to modifiable risk factors and may help ameliorate maladjustment after 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=265755

[article] Cognitive Profiles Among Individuals With Spinal Cord Injuries: Predictors and Relations With Psychological Well-being [Article] / Elizabeth C. Pasipanodya ; Benjamin Dirlikov ; Kathleen Castillo ; Kazuko L. Shem . - 2021 . - p. 431-439.
https://doi.org/10.1016/j.apmr.2020.06.022
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 431-439

Descripteurs :	HE Vinci Analyse de structure latente ; Cognition ; Dépression ; Réadaptation ; Traumatismes de la moelle épinière
Résumé :	Objectives To examine predictors of profiles of cognitive functioning among individuals receiving acute inpatient spinal cord injury (SCI) rehabilitation, as well as associations between their cognitive functioning and psychological well-being (life satisfaction and depression) 6 months after the baseline assessment. Design Prospective observational study design, with 2 assessments approximately 6 months apart. Setting A rehabilitation unit at a level 1 trauma hospital during acute SCI hospitalization and outpatient setting after discharge. Participants Individuals (N=89) with SCI. Intervention None. Main Outcome Measures Cognitive functioning (assessed by the Repeatable Battery for the Assessment of Neuropsychological Status), life satisfaction (measured by the Life Satisfaction Index A), and depressive symptoms (measured by the Patient Health Questionnaire-9). Results Latent profile analysis identified 3 classes of individuals with similar patterns of cognitive functioning: class1 (average levels of cognitive performance across all assessed domains; n=48), class 2 (average cognitive performance, except in recall and memory; n=23), and class 3 (low cognitive functioning across multiple domains of cognition; n=18). Fewer years of education, history of smoking, history of substance use other than alcohol, and greater postconcussion symptoms were associated with higher odds of classification in class 3 (P<.05 six months post baseline individuals in class reported significantly lower levels of life satisfaction than p=".045)" and marginally higher depressive symptoms> Conclusions The impact of impaired cognition during acute rehabilitation may persist after discharge and influence the psychological well-being of individuals with SCI. Identifying individuals with cognitive dysfunction and attending to modifiable risk factors and may help ameliorate maladjustment after 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=265755

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 440-447

Titre :	Magnitude and Variability of Stroke Patient-Proxy Disagreement Across Multiple Health Domains
Type de document :	Article
Auteurs :	Brittany R. Lapin ; Nicolas R. Thompson ; Andrew Schuster ; Irene L. Katzan
Année de publication :	2021
Article en page(s) :	p. 440-447
Note générale :	https://doi.org/10.1016/j.apmr.2020.09.378
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Évaluation des résultats des patients ; Mandataire ; Réadaptation
Résumé :	Objectives To quantify the extent and variability of bias introduced when caregivers, or proxies, complete patient-reported outcome measures (PROM) on behalf of stroke patients. Design Cross-sectional survey study conducted between July 2018 and November 2019. Setting Ambulatory clinic of a cerebrovascular center or rehabilitation unit. Participants A consecutive sample of stroke patients (N=200) and their proxies who were able and willing to complete PROMs. Proxies completed PROMs as they believed the patient would answer. Interventions Not applicable. Main Outcome Measures PROMs included Neuro-QoL cognitive function, PROMIS physical function, social role satisfaction, anxiety, fatigue, pain interference, sleep disturbance, Patient Health Questionnaire-9 translated to PROMIS Depression, and PROMIS Global Health. Results The study included 200 stroke patients (age, 62.2±13.3; 41.5% women) and their proxies (age 56.5±13.9; 70% women, 72% spouses). Proxies reported worse functioning and more symptoms across all PROM domains compared with patients (average difference, 0.3-3.0 T score points). Reliability between dyad responses was moderate across all domains (intraclass correlation coefficients (2,1), 0.49-0.76) and effect sizes were small (d=0.04-0.35). Cognitive function, anxiety, and depression had the lowest agreement, whereas physical function, pain, and sleep had the highest agreement based on the Bland-Altman method. At the individual level, a large proportion of dyads had meaningfully different scores across domains (range, 40%-57%; dyads differed >5 T score points). Few predictors of disagreement were identified through multinomial regression models. Conclusions At the aggregate level, small differences were detected between stroke patient-proxy pairs, with lower agreement on more subjective domains. At the individual level, a large proportion of dyads reported meaningfully different scores on all domains, affecting the interpretability of proxy responses on PROMs in a clinical 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=265758

[article] Magnitude and Variability of Stroke Patient-Proxy Disagreement Across Multiple Health Domains [Article] / Brittany R. Lapin ; Nicolas R. Thompson ; Andrew Schuster ; Irene L. Katzan . - 2021 . - p. 440-447.
https://doi.org/10.1016/j.apmr.2020.09.378
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 440-447

Descripteurs :	HE Vinci Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Évaluation des résultats des patients ; Mandataire ; Réadaptation
Résumé :	Objectives To quantify the extent and variability of bias introduced when caregivers, or proxies, complete patient-reported outcome measures (PROM) on behalf of stroke patients. Design Cross-sectional survey study conducted between July 2018 and November 2019. Setting Ambulatory clinic of a cerebrovascular center or rehabilitation unit. Participants A consecutive sample of stroke patients (N=200) and their proxies who were able and willing to complete PROMs. Proxies completed PROMs as they believed the patient would answer. Interventions Not applicable. Main Outcome Measures PROMs included Neuro-QoL cognitive function, PROMIS physical function, social role satisfaction, anxiety, fatigue, pain interference, sleep disturbance, Patient Health Questionnaire-9 translated to PROMIS Depression, and PROMIS Global Health. Results The study included 200 stroke patients (age, 62.2±13.3; 41.5% women) and their proxies (age 56.5±13.9; 70% women, 72% spouses). Proxies reported worse functioning and more symptoms across all PROM domains compared with patients (average difference, 0.3-3.0 T score points). Reliability between dyad responses was moderate across all domains (intraclass correlation coefficients (2,1), 0.49-0.76) and effect sizes were small (d=0.04-0.35). Cognitive function, anxiety, and depression had the lowest agreement, whereas physical function, pain, and sleep had the highest agreement based on the Bland-Altman method. At the individual level, a large proportion of dyads had meaningfully different scores across domains (range, 40%-57%; dyads differed >5 T score points). Few predictors of disagreement were identified through multinomial regression models. Conclusions At the aggregate level, small differences were detected between stroke patient-proxy pairs, with lower agreement on more subjective domains. At the individual level, a large proportion of dyads reported meaningfully different scores on all domains, affecting the interpretability of proxy responses on PROMs in a clinical 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=265758

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 448-455

Titre :	Reliability and Validity of Pupillary Response During Dual-Task Balance in Parkinson Disease
Type de document :	Article
Auteurs :	Melike Kahya ; Kelly E. Lyons ; Rajesh Pahwa ; Abiodun Emmanuel Akinwuntan ; Jianghua He ; Hannes Devos
Année de publication :	2021
Article en page(s) :	p. 448-455
Note générale :	https://doi.org/10.1016/j.apmr.2020.08.008
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Équilibre postural ; Maladie de Parkinson ; Réadaptation ; Reproductibilité des résultats
Résumé :	Objective To investigate the reliability and validity of pupillary response during dual-task balance conditions in individuals with Parkinson disease (PD). Design Cross-sectional study. Setting University of Kansas Medical Center Parkinson's Disease and Movement Disorder Center. Participants Participants (N=68) included individuals with PD (n=33) and healthy controls (n=35). Interventions Not applicable. Main Outcome Measures Pupillary response was the main outcome measure that was measured during the following conditions: single-task balance eyes open, single-task balance eyes occluded, dual-task eyes open, and dual-task eyes occluded. After each condition, the National Aeronautics and Space Administration-Task Load Index (NASA-TLX) was administered to assess self-reported cognitive workload. To examine the test-retest reliability of the pupillary response, the conditions were administered twice for each individual within 2 hours. Intraclass correlation coefficients (ICC) were used to analyze the test-retest reliability of pupillary response in each condition for both groups. Pearson’s r correlation was used to assess the convergent validity of pupillary response against the NASA-TLX. Results The test-retest reliability was excellent for both groups in almost all conditions (ICC>0.75). There were no correlations between pupillary response and the NASA-TLX. However, increased mental demand (a subitem of the NASA-TLX) significantly correlated with increased pupillary response in individuals with PD (r=0.38; P=.03). Conclusions Pupillary response showed excellent test-retest reliability and validity during dual-task balance for individuals with PD and healthy controls. Overall, these results suggest that pupillary response represents a stable index of cognitive workload during dual-task balance in individuals with PD.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265759

[article] Reliability and Validity of Pupillary Response During Dual-Task Balance in Parkinson Disease [Article] / Melike Kahya ; Kelly E. Lyons ; Rajesh Pahwa ; Abiodun Emmanuel Akinwuntan ; Jianghua He ; Hannes Devos . - 2021 . - p. 448-455.
https://doi.org/10.1016/j.apmr.2020.08.008
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 448-455

Descripteurs :	HE Vinci Équilibre postural ; Maladie de Parkinson ; Réadaptation ; Reproductibilité des résultats
Résumé :	Objective To investigate the reliability and validity of pupillary response during dual-task balance conditions in individuals with Parkinson disease (PD). Design Cross-sectional study. Setting University of Kansas Medical Center Parkinson's Disease and Movement Disorder Center. Participants Participants (N=68) included individuals with PD (n=33) and healthy controls (n=35). Interventions Not applicable. Main Outcome Measures Pupillary response was the main outcome measure that was measured during the following conditions: single-task balance eyes open, single-task balance eyes occluded, dual-task eyes open, and dual-task eyes occluded. After each condition, the National Aeronautics and Space Administration-Task Load Index (NASA-TLX) was administered to assess self-reported cognitive workload. To examine the test-retest reliability of the pupillary response, the conditions were administered twice for each individual within 2 hours. Intraclass correlation coefficients (ICC) were used to analyze the test-retest reliability of pupillary response in each condition for both groups. Pearson’s r correlation was used to assess the convergent validity of pupillary response against the NASA-TLX. Results The test-retest reliability was excellent for both groups in almost all conditions (ICC>0.75). There were no correlations between pupillary response and the NASA-TLX. However, increased mental demand (a subitem of the NASA-TLX) significantly correlated with increased pupillary response in individuals with PD (r=0.38; P=.03). Conclusions Pupillary response showed excellent test-retest reliability and validity during dual-task balance for individuals with PD and healthy controls. Overall, these results suggest that pupillary response represents a stable index of cognitive workload during dual-task balance in individuals with PD.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265759

[article] 
inArchives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 456-462

Titre :	Control of Linear Head and Trunk Acceleration During Gait After Unilateral Vestibular Deficits
Type de document :	Article
Auteurs :	Brian J. Loyd ; Jane Saviers-Steiger ; Annie Fangman ; Serene S. Paul ; Peter C. Fino ; Mark E. Lester ; Leland E. Dibble
Année de publication :	2021
Article en page(s) :	p. 456-462
Note générale :	https://doi.org/10.1016/j.apmr.2020.08.005
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Démarche ; Équilibre postural ; Posture ; Réadaptation
Résumé :	Objective To use clinically available inertial measurement units to quantify the control of linear accelerations at the head and trunk during gait in different sensory conditions in individuals with unilateral vestibular loss. Design Observational study. Setting Outpatient research laboratory. Participants Individuals (n=13; mean age, 47.6±13.7y; 69% women) 6 weeks after vestibular schwannoma resection surgery and vestibular healthy participants (n=16; mean age, 29.7±5.9y; 56% women). Intervention Not applicable. Main Outcome Measures Walking speed normalized, root mean square values of cranial-caudal, medial-lateral, and anterior-posterior directed linear accelerations at the head and the trunk while walking in 2 visual sensory conditions (eyes open and eyes closed). Results Linear mixed models for each root mean square value were fit on the effects of group, condition, and group by condition. The group by condition effect was used to examine the primary hypothesis that individuals with vestibular loss would experience greater change in triplanar root mean square values at the head and trunk from the eyes open to eyes closed condition compared with the vestibular healthy group. The group by condition effect was found to be significant at the head in the cranial-caudal (β=0.39; P=.002), medial-lateral (β=0.41; P<.001 and anterior-posterior p directions. the group by condition effect was also significant in cranial-caudal medial-lateral directions at trunk.> Conclusions Participants who underwent vestibular schwannoma resection were more impaired in their ability to control accelerations at the head and trunk without visual sensory information than vestibular healthy participants. These impairments were detectable using clinically available inertial measurement units.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265761

[article] Control of Linear Head and Trunk Acceleration During Gait After Unilateral Vestibular Deficits [Article] / Brian J. Loyd ; Jane Saviers-Steiger ; Annie Fangman ; Serene S. Paul ; Peter C. Fino ; Mark E. Lester ; Leland E. Dibble . - 2021 . - p. 456-462.
https://doi.org/10.1016/j.apmr.2020.08.005
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 3 (2021) . - p. 456-462

Descripteurs :	HE Vinci Démarche ; Équilibre postural ; Posture ; Réadaptation
Résumé :	Objective To use clinically available inertial measurement units to quantify the control of linear accelerations at the head and trunk during gait in different sensory conditions in individuals with unilateral vestibular loss. Design Observational study. Setting Outpatient research laboratory. Participants Individuals (n=13; mean age, 47.6±13.7y; 69% women) 6 weeks after vestibular schwannoma resection surgery and vestibular healthy participants (n=16; mean age, 29.7±5.9y; 56% women). Intervention Not applicable. Main Outcome Measures Walking speed normalized, root mean square values of cranial-caudal, medial-lateral, and anterior-posterior directed linear accelerations at the head and the trunk while walking in 2 visual sensory conditions (eyes open and eyes closed). Results Linear mixed models for each root mean square value were fit on the effects of group, condition, and group by condition. The group by condition effect was used to examine the primary hypothesis that individuals with vestibular loss would experience greater change in triplanar root mean square values at the head and trunk from the eyes open to eyes closed condition compared with the vestibular healthy group. The group by condition effect was found to be significant at the head in the cranial-caudal (β=0.39; P=.002), medial-lateral (β=0.41; P<.001 and anterior-posterior p directions. the group by condition effect was also significant in cranial-caudal medial-lateral directions at trunk.> Conclusions Participants who underwent vestibular schwannoma resection were more impaired in their ability to control accelerations at the head and trunk without visual sensory information than vestibular healthy participants. These impairments were detectable using clinically available inertial measurement units.
Disponible en ligne :	Oui
En ligne :	https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Permalink :	https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=265761