Archives of Physical Medicine and Rehabilitation
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Ajouter le résultat dans votre panierIndividual Placement and Support Helps People With Spinal Cord Injury Find and Keep Jobs They Want / Lisa Ottomanelli ; Bridget A. Cotner ; Sarah J. Swanson ; Lynn Dirk ; Nora B. Arriola ; Joe Carlomagno ; Richard Toscano in Archives of Physical Medicine and Rehabilitation, Vol. 104, n° 8 (2023)
Titre : Individual Placement and Support Helps People With Spinal Cord Injury Find and Keep Jobs They Want Type de document : Texte imprimé Auteurs : Lisa Ottomanelli ; Bridget A. Cotner ; Sarah J. Swanson ; Lynn Dirk ; Nora B. Arriola ; Joe Carlomagno ; Richard Toscano Année de publication : 2023 Article en page(s) : 1359-1362 Note générale : https://doi.org/10.1016/j.apmr.2022.11.019 Langues : Français (fre) Disponible en ligne : Non En ligne : https://www.sciencedirect.com/science/article/pii/S0003999323000540 Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309356
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - 1359-1362[article]
Titre : Racial Disparities in Employment Status After Moderate/Severe Traumatic Brain Injuries in Southeast Michigan Type de document : Article Auteurs : Momodou G. Bah ; Alex Y. Chen ; Kristina Hart ; Zara Vahidy ; Jasmine Coles ; Rachel Mahas ; Sonia V. Eden Année de publication : 2023 Article en page(s) : p. 1173-1179 Note générale : https://doi.org/10.1016/j.apmr.2023.04.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Disparités en matière de santé, minorités et populations vulnérables ; Emploi ; Lésions encéphaliques ; Population d'origine continentale ; RéadaptationRésumé : Objective To examine the progress made in recent decades by assessing the employment rates of Black and non-Hispanic White (NHW) patients after traumatic brain injury (TBI), controlling for pre-TBI employment status and education status. Design Retrospective analysis in a cohort of patients treated in Southeast Michigan at major trauma centers in more recent years (February 2010 to December 2019). Setting Southeastern Michigan Traumatic Brain Injury Model System (TBIMS): 1 of 16 TBIMSs across the United States. Participants NHW (n=81) and Black (n=188) patients with moderate/severe TBI (N=269). Intervention Not applicable. Main Outcome Measures Employment status, which is separated into 2 categories: student plus competitive employment and noncompetitive employment. Results In 269 patients, NHW patients had more severe initial TBI, measured by percentage brain computed tomography with compression causing >5-mm midline shift (P<.001 controlling for pre-tbi employment status we found nhw participants who were students or had competitive prior to tbi higher rates of at follow-up. education no difference in and noncompetitive between black all follow-up years. conclusions patients before experience worse outcomes than their counterparts after years post tbi. further research is needed understand better the factors driving these disparities how social determinants health affect racial differences> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309357
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1173-1179[article]
Titre : Development of a 13-item Short Form for Fugl-Meyer Assessment of Upper Extremity Scale Using a Machine Learning Approach Type de document : Article Auteurs : Gong-Hong Lin ; Inga Wang ; Shih-Chieh Lee ; Chien-Yu Huang ; Yi-Ching Wang ; Ching-Lin Hsieh Année de publication : 2023 Article en page(s) : p. 1219-1226 Note générale : https://doi.org/10.1016/j.apmr.2023.01.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Apprentissage machine ; Aptitudes motrices ; Évaluation des résultats des patients ; Membre supérieur ; RéadaptationRésumé : Objective To develop and validate a short form of the Fugl-Meyer Assessment of Upper Extremity Scale (FMA-UE) using a machine learning approach (FMA-UE-ML). In addition, scores of items not included in the FMA-UE-ML were predicted. Design Secondary data from a previous study, which assessed individuals post-stroke using the FMA-UE at 4 time points: 5-30 days post-stroke screen, 2-month post-stroke baseline assessment, 6-month post-stroke assessment, and 12-month post-stroke assessment. Setting Rehabilitation units in hospitals. Participants A total of 408 individuals post-stroke (N=408). Interventions Not applicable. Main Outcome Measures The 30-item FMA-UE. Results We established 29 candidate versions of the FMA-UE-ML with different numbers of items, from 1 to 29, and examined their concurrent validity and responsiveness. We found that the responsiveness of the candidate versions obviously declined when the number of items was less than 13. Thus, the 13-item version was selected as the FMA-UE-ML. The concurrent validity was good (intra-class correlation coefficients ?0.99). The standardized response means of the FMA-UE-ML and FMA-UE were 0.54-0.88 and 0.52-0.91, respectively. The Pearson's rs between the change scores of the FMA-UE-ML and those of the FMA-UE were 0.96-0.98. The predicted item scores had acceptable to good accuracy (Kappa=0.50-0.92). Conclusions The FMA-UE-ML seems a promising short form to improve administrative efficiency while retaining good concurrent validity and responsiveness. In addition, the FAM-UE-ML can provide all item scores of the FMA-UE for 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=309358
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1219-1226[article]
Titre : Measurement Properties of the Mayo-Portland Adaptability Inventory (MPAI-4) and Related Measures: A Systematic Review Type de document : Article Auteurs : Rebecca Ataman ; Aliki Thomas ; Jacqueline Roberge-Dao ; Michelle McKerral ; Claudine Auger ; Walter Wittich ; Pascaline Kengne Talla ; Zachary Boychuck ; Sara Ahmed Année de publication : 2023 Article en page(s) : p. 1300-1313 Note générale : https://doi.org/10.1016/j.apmr.2022.12.196 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Mesures des résultats rapportés par les patients (PROM) ; Psychométrie ; Réadaptation ; Rééducation neurologiqueRésumé : Objective To assess the Mayo-Portland Adaptability Inventory?version 4 (MPAI-4) and related measures? measurement properties and the quality of evidence supporting these results; and identify the interpretability and feasibility of the MPAI-4 and related measures. Data Sources We conducted a systematic review according to COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. We searched 9 electronic databases and registries, and hand searched reference lists of included articles. Study Selection Two independent reviewers screened and selected all articles. From 605 retrieved articles, 48 were included. Data Extraction Two independent reviewers appraised the evidence quality and rated the extracted classical test theory and Rasch results from each study. Data Synthesis Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309359
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1300-1313[article]
Titre : Is Mobility Sufficient to Understand Community Participation of Adolescents and Young Adults With Cerebral Palsy? The Mediating and Moderating Roles of Contextual Factors Type de document : Article Auteurs : Priscilla R.P. Figueiredo ; Rodrigo A.A. Nóbrega ; Wendy J. Coster ; Lourdes C.C. Montenegro ; Rosana F. Sampaio ; Letícia P. Silva ; Marina B. Brandão ; Marisa C. Mancini Année de publication : 2023 Article en page(s) : p. 1227-1235 Note générale : https://doi.org/10.1016/j.apmr.2022.12.195 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Autonomie personnelle ; Paralysie cérébrale ; Participation communautaire ; RéadaptationRésumé : Objective To explore whether self-determination and family socioeconomic status (SES) mediate and/or moderate the relationship between mobility and community participation of adolescents and young adults with cerebral palsy (CP). Design Survey. Setting Online platform. Participants Of 55 eligible adolescents/young adults with CP, 50 agreed to participate and 2 were excluded. The final convenience sample included 48 individuals (N=48), aged 15-32 years, levels I-IV of the Gross Motor Function Classification System and I-II of the Communication Function Classification System. Main Outcome Measures The Temple University Community Participation Measure documented the amount, breadth, and insufficiency/sufficiency ratios of participation across 26 community settings. The ARC Self-determination Scale and the Mobility Scale of the Pediatric Evaluation of Disability Inventory?Computer Adaptive Test (PEDI-CAT) measured individuals? self-determination (ie, autonomy, psychological empowerment, self-realization) and mobility skills, respectively. The Brazilian Economic Classification Criteria?2021 assessed family SES. Results Analyses of mediating/moderating effects revealed that the influence of individuals? mobility skills on their breadth of community participation was mediated by autonomy. Family SES moderated the indirect effect of mobility on community participation breadth through autonomy. When the model was adjusted for participants? age, individuals with higher SES reported greater breadth in community participation than those from moderate and lower SES for all mobility levels. However, the magnitude of the differences among individuals of different SES levels diminished as mobility increased. Conclusions The mobility skills of youths with CP influence their community participation through autonomy. To foster greater engagement of these individuals in the community, rehabilitation professionals should focus not only on improvement of mobility skills but also on the promotion of self-determined behaviors, especially autonomy. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309360
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1227-1235[article]
Titre : Preoperative Predictors of Instrumental Activities of Daily Living Disability in Older Adults 6 Months After Knee Arthroplasty Type de document : Article Auteurs : Keigo Nanjo ; Takashi Ikeda ; Naoko Nagashio ; Tomoko Sakai ; Tetsuya Jinno Année de publication : 2023 Article en page(s) : p. 1260-1267 Note générale : https://doi.org/10.1016/j.apmr.2023.02.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Arthroplastie ; Arthroplastie prothétique de genou ; Gonarthrose ; Réadaptation ; Vitesse de marcheRésumé : Objective To investigate preoperative predictors of instrumental activities of daily living (IADL) disability in older adults 6 months after knee arthroplasty (KA). Design Prospective cohort study. Setting General hospital with an orthopedic surgery department. Participants Two hundred twenty (N=220) patients 65 years or older with total knee arthroplasty (TKA) or unicompartmental knee arthroplasty (UKA). Interventions Not applicable. Main Outcome Measures IADL status was evaluated for 6 activities. Participants chose ?able,? ?need help,? or ?unable? according to their capacity of executing these IADL. If they chose ?need help? or ?unable? for 1 or more items, they were defined as ?disabled.? Their usual gait speed (UGS), range of motion for the knee, isometric knee extension strength (IKES), pain status, depressive symptoms, pain catastrophizing, and self-efficacy were evaluated as predictors. Baseline and follow-up assessments were conducted 1 month before and 6 months after KA, respectively. Logistic regression analyses with IADL status as the dependent variable were performed at follow-up. All models were adjusted using age, sex, severity of the knee deformity, operation type (TKA or UKA), and preoperative IADL status as covariates. Results In total, 166 patients completed the follow-up assessment, and 83 (50.0%) reported IADL disability 6 months after KA. Preoperative UGS, IKES on the non-operated side, and self-efficacy were statistically significantly different between those with a disability at follow-up and those who did not and were therefore included in logistic regression models as independent variables. UGS (odds ratio, 3.22; 95% CI, 1.38-7.56; P=.007) was determined as a significant independent variable. Conclusions The present study demonstrated the importance of evaluating preoperative gait speed to predict the presence of IADL disability in older adults 6 months after KA. Patients with poorer preoperative mobility should be provided careful postoperative care and treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309361
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1260-1267[article]
Titre : Patients With Dupuytren Disease Use Excessive Grip Force When Lifting and Holding Small Objects, Independent of the Degree of Contracture Type de document : Article Auteurs : Elisabeth M. Haas-Lützenberger ; Katharina Pippich ; Kathrin Allgöwer ; Joachim Hermsdörfer ; Riccardo Giunta ; Maximilian M. Saller ; Elias Volkmer Année de publication : 2023 Article en page(s) : p. 1268-1273 Note générale : https://doi.org/10.1016/j.apmr.2023.02.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Contracture ; Examen clinique ; Force de la main ; Maladie de Dupuytren ; Troubles moteurs
Autres descripteurs
FlexionRésumé : Objective To identify the extent and quality of fine motor skill alteration in patients with Dupuytren disease (DD) using an instrumented device measuring grip forces, beyond the commonly used measurement of contracture. Design Case?control study. Setting University outpatient clinic. Participants Patients with DD (N=27) and a contracture >45° (Tubiana stage II, III, and IV) were included and compared with age-matched healthy control patients (N=27). Interventions Not applicable. Main Outcome Measures(s) All individuals were subjected to a set of specific tests using a new instrumented device (?manipulandum?). These included lifting, grasping, and then holding the ?manipulandum? with 4 different object characteristics (light and heavy weight, rough and smooth surface) along with a measurement of the precision grip strength. Standard measurements including the Nine-Hole Peg Test, a two-point discrimination, and the Disability of Arm, Shoulder and Hand score were evaluated in comparison. Results Although the measurements of precision grip, two-point discrimination, Nine-Hole Peg Test, and Disability of Arm, Shoulder and Hand score showed no statistically significant differences between both groups, patients with DD applied significantly greater forces when tested with the different subtests using the ?manipulandum.? Analysis of the 2-phase movement (lifting and holding the ?manipulandum?) revealed highly significant differences between the groups. Conclusions Patients with DD use excessive grip forces when lifting and holding the ?manipulandum? when compared with healthy control patients, independent of the degree of contracture. As no differences in precision grip strength were seen, the presented approach is useful to obtain additional important information about fine motor function in diseased hands. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309362
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1268-1273[article]
Titre : Rest-Activity Rhythm Characteristics Associated With Depression Symptoms in Stroke Survivors Type de document : Article Auteurs : Sarah T. Stahl ; Elizabeth R. Skidmore ; Emily Kringle ; Minmei Shih ; Carolyn Baum ; Joy Hammel ; Robert Krafty ; Naima Covassin ; Jingen Li ; Stephen F. Smagula Année de publication : 2023 Article en page(s) : p. 1203-1208 Note générale : https://doi.org/10.1016/j.apmr.2023.01.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Actigraphie ; Dépression ; Réadaptation ; SommeilRésumé : Objective To examine which 24-hour rest-activity rhythm (RAR) characteristics are associated with depression symptoms in stroke survivors. Design Cross-sectional observational study examining associations of RAR characteristics with the presence of depression symptoms adjusting for age, sex, race, and medical comorbidity. Setting Community setting. Participants Stroke survivors: (1) recruited locally (N women=35, N men=28) and (2) a nationally representative probability sample (the National Health and Nutrition Examination Survey [NHANES]; N women=156, N men=124). Interventions None. Measurements Objective RAR characteristics derived from accelerometer recordings including activity onset/offset times and non-parametric measures of RAR strength (relative amplitude), stability (interdaily stability), and fragmentation (intradaily variability). The presence of depression symptoms was categorized using Patient Health Questionnaire scores. Results In both samples, the only RAR characteristic associated with depression symptoms was intradaily variability (fragmentation): local sample, odds ratio=1.96 [95% confidence interval=1.05-3.63]; NHANES sample, odds ratio=1.34, [95% confidence interval=1.01-1.78]). In the NHANES sample, which included both mild and moderate/severe depression, the association between 24-hour sleep-wake fragmentation and depression symptoms was driven by moderate-to-severe cases. Conclusions Stroke survivors with higher levels of RAR fragmentation were more likely to have depression symptoms in both samples. These findings have implications, given prior studies in general samples linking RAR fragmentation with future depression and dementia risk. Research is needed to establish the potential consequences, mechanisms, and modifiability of RAR fragmentation in stroke survivors. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309363
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1203-1208[article]
Titre : Falls During Inpatient Rehabilitation After Spinal Cord Injury: Characterization, Clock-Hour Visualization, and Time to Event Predictors Type de document : Article Auteurs : Alejandro García-Rudolph ; Mark Andrew Wright ; Emilien Amar Devilleneuve ; Eulalia Castillo ; Elena Hernandez-Pena ; Eloy Opisso ; Josep María Tormos Année de publication : 2023 Article en page(s) : p. 1209-1218 Note générale : https://doi.org/10.1016/j.apmr.2023.01.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse de survie ; Chutes accidentelles ; Patients hospitalisés ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objectives To (1) determine fall characteristics (eg, cause, location, witnesses) of inpatients with spinal cord injury (SCI) and whether they were different for ambulatory persons vs wheelchair users; (2) visualize the total number of daily falls per clock-hour for different inpatients? features (eg, cause of injury, age); (3) compare clinical and demographic characteristics of inpatients who experienced a first fall event vs inpatients who did not experience such event; and (4) identify first fall event predictors. Design Retrospective observational cohort study. Setting Institution for inpatient neurologic rehabilitation. Participants Persons with SCI (N=1294) admitted to a rehabilitation facility between 2005 and 2022. Interventions Not applicable. Main Outcome Measures Functional independence measure (FIM), Hospital Anxiety and Depression Scale (HADS), American Spinal Injury Association Impairment Scale (AIS), and Spinal Cord Independence Measure (SCIM) at admission. Kaplan-Meier survival curves and Cox proportional hazards models were used. Results A total of 502 fall events were experienced by 369 ambulatory inpatients (19.8%) and wheelchair users (80.2%) in 63.9% of cases being alone, with cause, situation, and location significantly different in both groups. Clock-hour visualizations revealed an absolute peak at 12 AM (complete or incomplete injuries, with paraplegia or tetraplegia) but a relative peak at 9 AM mainly including incomplete patients with paraplegia. Of the (n=1294) included patients, 16.8% experienced at least 1 fall. Fallen patients reported higher levels of HADS depression, lower total SCIM, and longer time since injury to admission, with no differences in age, sex, educational level, FIM (quasi-significant), and AIS grade. Multivariable Cox proportional hazards identified time since injury to admission and AIS grade D as significant predictors of first fall event. Conclusions Falls identification, characterization, and clock-hour visualization can support decisions for mitigation strategies specifically addressed to inpatients with SCI. Fall predictors were identified as a first step for future research. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309364
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1209-1218[article]
Titre : Ultrasound-based Neuropathy Diagnosis in COVID-19 Patients in Post-intensive Care Rehabilitation Settings: A Retrospective Observational Study Type de document : Article Auteurs : Susanna Zavaroni ; Isabella Tristano ; Vittoria Casamenti ; Vincenzo Colonna ; Margherita Cereti ; Maria Mamone ; Umberto Prencipe ; Fernando Sanzone ; Massimiliano Murgia ; Salvatore Masala ; Alessia Beccacece ; Mario Vetrano ; Maria Chiara Vulpiani ; Jonathan Bemporad Année de publication : 2023 Article en page(s) : p. 1236-1242 Note générale : https://doi.org/10.1016/j.apmr.2023.02.002 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Echographie-doppler ; Nerf fibulaire commun ; Réadaptation ; Unités de soins intensifsRésumé : Objectives Using ultrasound (US) scanning to examine the correlation between increase of common fibular nerve's (CFN) cross sectional area (CSA) and functional impairment of foot dorsiflexor muscles as an early sign of peripheral neuropathy. Design Retrospective observational study. Setting In-patient rehabilitation unit between November 2020 and July 2021. Participants Twenty-six inpatients who underwent prolonged hospitalization in intensive care units (ICUs) and were diagnosed with critical illness myopathy and polyneuropathy after SARS-COV-2 infection (N=26). Physical examination and US scanning of the CFN and EMG/ENG were carried out on each patient. Interventions Not applicable. Main Outcome Measure(s) CFN's CSA at the peroneal head. Results We verified a significant increase in the CSA of the CFN measured at the peroneal head in more than 90% of the nerves tested. A cut off value of CFN's CSA of 0.20 cm was used to identify pathologic nerves. No correlations with other variables (body mass index, ICU days) were found. Conclusion US scanning of the CFN appears to be an early and specific test in the evaluation of CPN's abnormalities in post COVID-19 patients. US scanning is a reproducible, cost effective, safe, and easily administered bedside tool to diagnose a loss of motor function when abnormalities in peripheral nerves are present. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309365
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1236-1242[article]
Titre : Vagus Nerve Stimulation Paired With Upper-Limb Rehabilitation After Stroke: 2- and 3-Year Follow-up From the Pilot Study Type de document : Article Auteurs : Gerard E. Francisco ; Navzer D. Engineer ; Jesse Dawson ; Teresa J. Kimberley ; Steven C. Cramer ; Cecília N. Prudente ; David Pierce ; W. Brent Tarver ; Reema H. Adham Hinds ; Ann Van de Winckel ; Nuray Yozbatiran Année de publication : 2023 Article en page(s) : p. 1180-1187 Note générale : https://doi.org/10.1016/j.apmr.2023.02.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Membre supérieur ; Réadaptation ; Stimulation du nerf vagueRésumé : Objective To assess whether a long-term home-based intervention using Paired VNS therapy is feasible and whether the benefits of Paired VNS therapy are maintained beyond 1 year. Design A long-term follow-up study. Setting Three centers in the United States and 1 in the United Kingdom. Participants Adults with chronic ischemic stroke (n=15) with moderate to severe arm and hand impairment. Interventions Participants were implanted with a VNS device followed by 6 weeks of in-clinic therapy with Paired (Active) or control VNS followed by home-based rehabilitation through day 90 (blinded phase). The control VNS group then crossed over to receive 6 weeks of in-clinic Active VNS. Participants in both groups then continued a long-term home exercise program with self-administered Active VNS. Main Outcome Measures Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and Wolf Motor Function Test (WMFT) Functional scores were evaluated at the end of in-clinic therapy and day 90. Since both groups were subsequently receiving home-based rehabilitation with Active VNS during the long term, follow-up outcome assessments were pooled for the analyses at 6, 9, and 12 months, as previously reported. Here, we report pooled analysis of outcomes beyond 1 year. Results Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309366
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1180-1187[article]
Titre : Differences in Prosthetic Prescription Between Men and Women Veterans After Transtibial or Transfemoral Lower-Extremity Amputation: A Longitudinal Cohort Study (2005-2018) Type de document : Article Auteurs : Alyson J. Littman ; Alexander C. Peterson ; Anna Korpak ; Joseph M. Czerniecki ; Aaron P. Turner ; Daniel C. Norvell ; Rhonda M. Williams ; Keren Lehavot Année de publication : 2023 Article en page(s) : p. 1274-1281 Note générale : https://doi.org/10.1016/j.apmr.2023.02.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Anciens combattants ; Identité de genre ; Médiation ; Membre inférieur ; Prothèses et implants ; RéadaptationRésumé : Objective To evaluate whether prosthetic prescription differed by gender and the extent to which differences were mediated by measured factors. Design Retrospective longitudinal cohort study using data from Veterans Health Administration (VHA) administrative databases. Setting VHA patients throughout the United States. Participants The sample included 20,889 men and 324 women who had an incident transtibial or transfemoral amputation between 2005 and 2018. Interventions Not applicable. Main Outcome Measures Time to prosthetic prescription (up to 1 year). We used parametric survival analysis (an accelerated failure time model) to assess gender differences. We estimated mediation effects of amputation level, pain comorbidity burden, medical comorbidities, depression, and marital status on time to prescription. Results In the 1 year after amputation, the proportion of women (54.3%) and men (55.7%) prescribed a prosthesis was similar. However, after we controlled for age, race, ethnicity, enrollment priority, VHA region, and service-connected disability, the time to prosthetic prescription was significantly faster among men compared with women (acceleration factor=0.73; 95% confidence interval, 0.61-0.87). The difference in time to prosthetic prescription between men and women was significantly mediated by amputation level (23%), pain comorbidity burden (?14%), and marital status (5%) but not medical comorbidities or depression. Conclusions Although the proportion of patients with prosthetic prescription at 1-year postamputation was similar between men and women, women received prosthetic prescriptions more slowly than men, suggesting that more work is needed to understand barriers to timely prosthetic prescriptions among women, and how to intervene to reduce those barriers. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309367
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1274-1281[article]
Titre : Fatigue Influences Social Participation in Aphasia: A Cross-sectional and Retrospective Study Using Patient-Reported Measures Type de document : Article Auteurs : Yina M. Quique ; Sameer A. Ashaie ; Edna M. Babbitt ; Rosalind Hurwitz ; Leora R. Cherney Année de publication : 2023 Article en page(s) : p. 1282-1288 Note générale : https://doi.org/10.1016/j.apmr.2023.02.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Aphasie ; Fatigue ; Mesures des résultats rapportés par les patients (PROM) ; Participation sociale ; RéadaptationRésumé : Objective To examine associations between social participation, fatigue, and aphasia severity using patient-reported outcome measures and to examine associations between demographic/diagnostic variables and fatigue in people with aphasia. Design Retrospective analysis of patient-reported outcome measures using a Bayesian framework. Setting Urban rehabilitation research hospital. Participants 67 participants (N=67) with chronic aphasia (mean age=54.1 years) as a consequence of stroke. Interventions Not applicable. Main Outcome Measures Ability to Participate in Social Roles and Activities, Fatigue, and Global Health Questionnaire scales from the Patient-Reported Outcomes Measurement Information System initiative and the Western Aphasia Battery?Revised. We hypothesized an association between social participation and fatigue in people with aphasia. Results People with aphasia with higher fatigue levels tended to report less social participation. Also, people with aphasia who were a longer time post-stroke tended to report higher social participation. People with aphasia who reported better physical health were more likely to report higher social participation. Conclusions There is an association between fatigue and social participation in people with aphasia. Fatigue should be considered in clinical assessments and treatments for this population. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309368
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1282-1288[article]
Titre : Validity and Accuracy of Step Count as an Indicator of a Sedentary Lifestyle in People With Chronic Obstructive Pulmonary Disease Type de document : Article Auteurs : Sonia W.M. Cheng ; Jennifer A. Alison ; Emmanuel Stamatakis ; Sarah M. Dennis ; Zoe J. McKeough Année de publication : 2023 Article en page(s) : p. 1243-1252 Note générale : https://doi.org/10.1016/j.apmr.2023.01.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Accélérométrie ; Broncho-pneumopathie chronique obstructive ; Exercice physique ; Mode de vie sédentaire ; RéadaptationRésumé : Objective To determine the validity and accuracy of Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309369
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1243-1252[article]
Titre : Effectiveness of Therapeutic Exercise Models on Cancer-Related Fatigue in Patients With Cancer Undergoing Chemotherapy: A Systematic Review and Network Meta-analysis Type de document : Article Auteurs : Aida Herranz-Gómez ; Ferran Cuenca-Martínez ; Luis Suso-Martí ; Clovis Varangot-Reille ; Miriam Prades-Monfort ; Joaquin Calatayud ; José Casaña Année de publication : 2023 Article en page(s) : p. 1331-1342 Note générale : https://doi.org/10.1016/j.apmr.2023.01.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Chimiothérapie ; Fatigue ; Oncologie médicale ; Réadaptation ; Traitement par les exercices physiquesRésumé : Objective To assess and compare the effectiveness of different exercise modalities in reducing cancer-related fatigue (CRF) in patients with cancer undergoing chemotherapy. Exercise intensities for selected exercise types were also compared. Data Sources We conducted a search in MEDLINE, Embase, CINAHL, Scopus, SPORTDiscus, and Web of Science from inception to October 15, 2021. Study Selection Randomized controlled trials concerning the effectiveness of exercise modalities on CRF in patients with cancer undergoing chemotherapy were included. Data Extraction Study characteristics were extracted using a structured protocol. Methodological quality was assessed employing the PEDro scale and risk of bias was assessed using the Revised Cochrane Risk of Bias Tool for Randomized Trials. The certainty of evidence was assessed based on Grading of Recommendations, Assessment, Development and Evaluation. The measure of effect used was the adjusted standardized mean difference (SMD) or Hedge's g, together with the corresponding 95% confidence intervals (CI). Data Synthesis Forty-seven studies were included. Data were pooled employing a random-effects model. There was a trend that adding low-intensity aerobic and resistance exercise (SMD=1.28, 95% CI -0.18; 2.75, P=.086), or moderate-intensity aerobic and resistance exercise (SMD=0.85; 95% CI -0.12; 1.82, P=.087), was more effective than adding flexibility training to usual care (UC). There was also a trend that UC alone was less effective than adding moderate-intensity aerobic and resistance exercise (SMD=-0.47, 95% CI -0.96, 0.02, P=.060) to UC. Conclusions The addition of low- to moderate-intensity aerobic and/or resistance exercise demonstrated a positive trend for improvement in CRF in patients with cancer undergoing chemotherapy, when compared with UC alone or UC with flexibility training. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309370
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1331-1342[article]
Titre : Therapy Choices for Children With Difficulties Using 1 Hand After a Brain Injury Type de document : Article Année de publication : 2023 Article en page(s) : p. 1363-1366 Note générale : https://doi.org/10.1016/j.apmr.2023.02.026 Langues : Anglais (eng) Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309371
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1363-1366[article]
Titre : Associations Between Physical Activity and Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Meredith Newman ; Erin Hannink ; Karen L. Barker Année de publication : 2023 Article en page(s) : p. 1314-1330 Note générale : https://doi.org/10.1016/j.apmr.2023.01.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Exercice physique ; Os et tissu osseux ; Réadaptation ; Scoliose ; SportsRésumé : Objective To investigate the associations between adolescent idiopathic scoliosis (AIS) and physical activity (PA). Data Sources MEDLINE, EMBASE, AMED, SPORTDiscus, Cochrane Library, and CINAHL electronic databases were searched from inception to August 2022/plus citation tracking. Study Selection Observational studies of participants with radiographically confirmed AIS with ?10° lateral spinal curvature (Cobb method) and comparator groups without AIS that measured PA were selected by 2 reviewers. Data Extraction Data were extracted independently and cross-checked by 2 reviewers. Risk of bias was evaluated using Newcastle Ottawa Scales and overall confidence in the evidence using the GRADE approach. Data Synthesis Sixteen studies with 9627 participants (9162, 95% women) were included. A history of vigorous PA significantly reduced the odds of being newly diagnosed with AIS by 24% (odds ratio [OR] 0.76, 95% confidence interval [CI] 0.65-0.89) (high certainty). Moderate PA reduced odds by 13% (moderate certainty) and light PA increased odds by 9% (low certainty), but neither analysis was statistically significant. Ballet or gymnastics (OR 1.47, 95% CI 3.08 (1.90, 5.00) were the only individual sports significantly associated with AIS diagnosis (moderate certainty). Case-control studies of people with and without AIS provided greater evidence that having AIS reduces vigorous PA and sports participation, and less evidence light PA and walking are affected. Conclusion Adolescents who participate in more vigorous PA are less likely to be diagnosed with AIS. Ballet and gymnastics are associated with AIS diagnosis, but the direction of this association is uncertain. People with AIS are likely to do less vigorous physical and sporting activity compared with those without AIS, which could negatively affect health and quality of life. Further research is warranted into the inter-relations between PA and AIS, studies need to be of sufficient size, include men, and evaluate vigorous including higher-impact PA compared with moderate or light PA. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309372
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1314-1330[article]
Titre : Manual Wheelchair Configuration in Unilateral Upper- and Lower-Extremity Propulsion: A Randomized Crossover Study to Assess Effects of Rear Wheel Axle Position and Frame Type Type de document : Article Auteurs : Candace Tefertiller ; Janell Jones ; Mitch Sevigny ; Margaret Dahlin Année de publication : 2023 Article en page(s) : p. 1188-1194 Note générale : https://doi.org/10.1016/j.apmr.2023.03.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Autonomie ; Autonomie personnelle ; Fauteuils roulants ; Mobilité ; RéadaptationRésumé : Objective To evaluate independence and exertion when using a lightweight wheelchair in comparison with ultra-lightweight wheelchairs (rigid and folding) for individuals with brain injury using a hemipropulsion technique. Design Randomized cross-over. Setting Rehabilitation hospital. Participants Individuals diagnosed with brain injury resulting in hemiplegia using a hemipropulsion technique to mobilize in a manual wheelchair for at least 4 hours per day were recruited for this study. Interventions Eighteen participants were randomly assigned to complete skills and endurance testing in 3 different wheelchair configurations over a 3-week period: lightweight wheelchair; ultra-lightweight folding wheelchair; and ultra-lightweight rigid wheelchair. Main Outcome Measures The primary outcome in this study was the percentage capacity score from the modified Wheelchair Skills Test 4.1. Secondary outcomes included the Wheelchair Propulsion Test, 100-m Push Test, heart rate, and rate of perceived exertion. Results Significant differences were found in the Wheelchair Skills Test (total score, low rolling resistance score, and the goal attainment score) favoring the ultra-lightweight wheelchairs over the lightweight wheelchair (P=.002, .001, and .016, respectively). Time to complete the 100-m push test was significantly faster for the ultra-lightweight rigid frame in comparison with the lightweight frame (P=.001; 30.89 seconds faster). Significance differences were not seen with the Wheelchair Propulsion Test measures across any of the wheelchair frames. Heart rate change and of perceived exertion were significantly lower for the ultra-lightweight rigid group in comparison with the lightweight group (P=.006 and .013, respectively). Conclusions These data suggest that using an ultra-light weight wheelchair may lead to improved ability to complete wheelchair skills needed for successful mobility and a decrease in the actual and perceived physiological burden associated with propulsion in comparison to a lightweight wheelchair. A rigid frame may also enable faster mobility in comparison to a folding frame when hemi-propelling. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309373
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1188-1194[article]
Titre : Three Ways to Improve Arm Function in the Chronic Phase After Stroke by Robotic Priming Combined With Mirror Therapy, Arm Training, and Movement-Oriented Therapy Type de document : Article Auteurs : Yi-chun Li ; Keh-Chung Lin ; Chia-Ling Chen ; Grace Yao ; Ya-ju Chang, ; Ya-yun Lee ; Chien-ting Liu ; Wen-Shiang Chen Année de publication : 2023 Article en page(s) : p. 1195-1202 Note générale : https://doi.org/10.1016/j.apmr.2023.02.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Amorçage par répétition ; Réadaptation ; Robotique ; Techniques d'exercices physiques ; Thérapie par le miroir pour l'amélioration de la fonction motriceRésumé : Objective To examine the effects of bilateral robotic priming combined with mirror therapy (R-mirr) vs bilateral robotic priming combined with bilateral arm training (R-bilat), relative to the control approach of bilateral robotic priming combined with movement-oriented training (R-mov) in patients with stroke. Design A single-blind, preliminary, randomized controlled trial. Setting Four outpatient rehabilitation settings. Participants Outpatients with stroke and mild to moderate motor impairment (N=63). Interventions Patients received 6 weeks of clinic-based R-mirr, R-bilat, or R-mov for 90 min/d, 3 d/wk, plus a transfer package at home for 5 d/wk. Main Outcome Measures Fugl-Meyer Assessment Upper Extremity subscale (FMA-UE), ABILHAND, and Stroke Impact Scale v3.0 scores before, immediately after, and 3 months after treatment as well as lateral pinch strength and accelerometry before and immediately after treatment. Results The posttest results favored R-mirr over R-bilat and R-mov on the FMA-UE score (P<.05 follow-up analysis revealed that significant improvement in fma-ue score was retained at the r-mirr over r-bilat or r-mov improvements were not observed and on other outcomes. conclusions between-group differences only detected for primary outcome fma-ue. more effective enhancing upper limb motor effect has potential to be maintained months of follow-up.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309374
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1195-1202[article]
Titre : Positive Self-perceptions of Aging Increase Physical Resilience to Facilitate Social Re-engagement of Older Adults Who Fall: Analysis Based on Health and Retirement Study Data Type de document : Article Auteurs : Zeyi Zhang ; Jingjing Wang ; Bin Ma ; Jingyi Wang ; Yuanmin Jia ; Ou Chen Année de publication : 2023 Article en page(s) : p. 1253-1259 Note générale : https://doi.org/10.1016/j.apmr.2023.02.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Participation sociale ; Réadaptation ; Résilience psychologique ; Rétablissement de la santé mentale ; VieillissementRésumé : Objective To determine whether self-perceptions of aging (SPAs) predict physical resilience after a fall and whether SPA and physical resilience affect subsequent social engagement in older adults with a fall. Design Prospective cohort study. Setting General community. Participants Older adults who reported a fall within 2 years after baseline data collection (N=1707, mean age 72.9 years, 60.9% women). Main Outcome Measure Physical resilience indicates the ability to resist or recover from functional decline from a stressor. The change in frailty status from directly after the fall to up to 2 years of follow-up was used to generate 4 physical resilience phenotypes. Social engagement was dichotomized based on the presence at 1 of the 5 social activities at least once a month. The 8-item Attitudes Toward Own Aging Scale was used to assess SPA at baseline. Multinomial logistic regression and nonlinear mediation analysis were used. Results Positive prefall SPA predicted more resilient phenotypes after a fall. Both positive SPA and physical resilience affected subsequent social engagement. Physical resilience partially mediated the association between SPA and social re-engagement (mediated percentage of 14.5%, P=.004). This mediation effect was fully driven by those with previous falls. Conclusion Positive SPA promotes physical resilience in older adults with a fall, both of which affect subsequent social engagement. Physical resilience partially mediated the effect of SPA on social engagement but only for previous fallers. Multidimensional recovery incorporating psychological, physiological, and social aspects should be stressed in the rehabilitation of older adults who fall. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309375
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1253-1259[article]
Titre : Promoting Evidence-Based Practice: The Influence of Novel Structural Change to Accelerate Translational Rehabilitation Type de document : Article Auteurs : Miriam Rafferty ; Laura Stoff ; Justin D. Smith ; Piper Hansen ; Melissa Briody ; Carmen Diaz ; Leslie O'Donnell ; Allen W. Heinemann ; C. Hendricks Brown ; Richard L. Lieber Année de publication : 2023 Article en page(s) : p. 1289-1299 Note générale : https://doi.org/10.1016/j.apmr.2023.02.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Centres de rééducation et de réadaptation ; Communication interdisciplinaire ; Equipe soignante ; Hôpitaux ; Médecine physique et de réadaptation ; Pratique factuelle (EBP) ; Recherche en réadaptation ; Recherche médicale translationnelle ; Science de la mise en oeuvre ; Système de santé apprenant ; TéléréadaptationRésumé : Objective To evaluate changes in clinicians? use of evidence-based practice (EBP), openness toward EBP, and their acceptance of organizational changes after a rehabilitation hospital transitioned to a new facility designed to accelerate clinician-researcher collaborations. Design Three repeated surveys of clinicians before, 7-9 months, and 2.5 years after transition to the new facility. Setting Inpatient rehabilitation hospital. Participants Physicians, nurses, therapists, and other health care professionals (n=410, 442, and 448 respondents at Times 1, 2, and 3, respectively). Interventions Implementation of physical (architecture, design) and team-focused (champions, leaders, incentives) changes in a new model of care to promote clinician-researcher collaborations. Main Outcome Measures Adapted versions of the Evidence-Based Practice Questionnaire (EBPQ), the Evidence-Based Practice Attitudes Scale (EBPAS), and the Organizational Change Recipients? Beliefs Scale (OCRBS) were used. Open-ended survey questions were analyzed through exploratory content analysis. Results Response rates at Times 1, 2, and 3 were 67% (n=410), 69% (n=422), and 71% (n=448), respectively. After accounting for familiarity with the model of care, there was greater reported use of EBP at Time 3 compared with Time 2 (adjusted meant2=3.51, standard error (SE)=0.05; adj. meant3=3.64, SE=0.05; P=.043). Attitudes toward EBPs were similar over time. Acceptance of the new model of care was lower at Time 2 compared with Time 1, but rebounded at Time 3 (adjusted meant1=3.44, SE=0.04; adj. meant2=3.19, SE=0.04; P<.0001 adj. meant3="3.51," se="0.04;" p analysis of open-ended responses suggested that clinicians optimism for the model care was greater over time but continued quality improvement should focus on cultivating communication between and researchers. conclusions accelerating clinician-researcher collaborations in a rehabilitation setting requires sustained effort successful implementation beyond novel physical changes. organizations must be responsive to changing concerns adapt sustain collaborative translational medicine allow sufficient probably years such transitions occur.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309376
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 8 (2023) . - p. 1289-1299[article]
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Titre : Alternative Structure Models of the Traumatic Brain Injury Rehabilitation Needs Survey: A Veterans Affairs TBI Model Systems Study Type de document : Article Auteurs : Marc A. Silva ; Shannon R. Miles ; Therese M. O'Neil-Pirozzi ; David B. Arciniegas ; Farina Klocksieben ; Clara E. Dismuke-Greer ; William C. Walker ; Risa Nakase-Richardson Année de publication : 2023 Article en page(s) : p. 1062-1071 Note générale : https://doi.org/10.1016/j.apmr.2023.01.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Anciens combattants ; Besoins et demandes de services de santé ; Enquêtes et questionnaires ; Lésions encéphaliques ; Lésions traumatiques de l'encéphale ; Personnel militaire ; RéadaptationRésumé : Objective To explore the factor structure of the Rehabilitation Needs Survey (RNS). Design Secondary analysis of observational cohort study who were 5-years post-traumatic brain injury (TBI). Setting Five Inpatient Rehabilitation Facilities. Participants Veterans enrolled in the TBI Model Systems longitudinal study who completed the RNS at 5-year follow-up (N=378). Main Outcome Measure(s) RNS. Results Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309338
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1062-1071[article]
Titre : Ten-Year Cohort Study of Emotional Distress Trajectories After Moderate-Severe Traumatic Brain Injury Type de document : Article Auteurs : Jai Carmichael ; Amelia J. Hicks ; Kate Rachel Gould ; Jennie Ponsford ; Gershon Spitz Année de publication : 2023 Article en page(s) : p. 1081-1090 Note générale : https://doi.org/10.1016/j.apmr.2023.02.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Dépression ; Lésions traumatiques de l'encéphale ; Rachis ; RéadaptationRésumé : Objective To characterize trajectories of emotional distress across the first decade after moderate-severe traumatic brain injury (TBI) and explore relations with personal and injury-related factors. Design Cohort study with follow-ups at 1, 2, 3, 5, and 10 years post-injury. Setting Community. Participants Participants were sampled from a larger longitudinal study of 4300 individuals recruited from consecutive inpatient TBI admissions to a rehabilitation hospital between 1985 and 2021 (N=4300). We analyzed data from 596 unique individuals (13.86% of total dataset; 70.81% male; Mage=40.11 years, SDage=17.49 years; 7.59% non-English-speaking background) with moderate-severe TBI who had complete data on all personal and injury-related variables (collected on admission) and emotional data at 3 or more time-points. There were 464 participants at the 1-year post-injury time-point, 485 at 2 years, 454 at 3 years, 450 at 5 years, and 248 at 10 years. Interventions Not applicable. Main Outcome Measure The Hospital Anxiety and Depression Scale (HADS). Results Visualization of the individual HADS symptoms (line graph) showed that the most highly endorsed symptoms at each time-point were feeling slowed down and restlessness. On average, each symptom reduced across the first decade post-TBI, with an overall mild level of emotional distress at 10 years. However, visualization of participants? individual trajectories based on the HADS total score (Sankey diagram) revealed significant heterogeneity. Using latent class analysis, we identified 5 distinct trajectory types based on the HADS total score: ?Gradual Improving? (38.93%), ?Resilience? (36.41%), ?Gradual Worsening? (10.40%), and 2 non-linear trajectories of ?Worsening-Remitting? (8.22%) and ?Improving-Relapsing? (6.04%). Middle age at injury, lower Glasgow Coma Scale score, comorbid spinal and limb injuries, and receipt of pre-injury mental health treatment predicted earlier and/or worsening post-injury emotional distress. Conclusions Emotional distress across the first decade after moderate-severe TBI is dynamic, heterogeneous, and often chronic, underscoring a need for ongoing monitoring and responsive treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309339
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1081-1090[article]
Titre : Barriers and Facilitators to the Adoption of Evidence-Based Interventions for Adults Within Occupational and Physical Therapy Practice Settings: A Systematic Review Type de document : Article Auteurs : Adam R. Kinney ; Kelly A. Stearns-Yoder ; Adam S. Hoffberg ; Addie Middleton ; Jennifer A. Weaver ; Eric J. Roseen ; Lisa A. Juckett ; Lisa A. Brenner Année de publication : 2023 Article en page(s) : p. 1132-1151 Note générale : https://doi.org/10.1016/j.apmr.2023.03.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Ergothérapie ; Kinésithérapie (spécialité) ; Médecine physique et de réadaptation ; Réadaptation ; Science de la mise en oeuvreRésumé : Objective Synthesize data regarding barriers and facilitators of adoption (ie, adoption determinants) of evidence-based occupational (OT) and physical therapy (PT) interventions within real-world practice. Whether evidence varied across disciplines, settings, and use of theoretical frameworks was also examined. Data Sources Literature published from database inception to December 9, 2022, in OVID MEDLINE, EMBASE, OVID PsycINFO, Web of Science Core Collection, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, and Google Scholar. Study Selection Original research including: (1) stakeholder insight into adoption determinants; (2) discrete evidence-based interventions delivered/supervised by an OT and/or PT; (3) intervention recipients aged 18 or older; and (4) data regarding adoption determinants. Two reviewers independently screened and evaluated studies for inclusion, with a third resolving discrepancies. Of the 3036 articles identified, 45 articles were included. Data Extraction Data were extracted by a primary reviewer, independently evaluated by a second reviewer, and conflicts were resolved via group consensus. Data Synthesis A descriptive synthesis approach was used to categorize adoption determinants according to constructs from the Consolidated Framework for Implementation Research. 87% of studies were published after 2014. Many studies: described PT interventions (82%); were within the outpatient setting (44%); had data gathered after implementing the intervention (71%); and did not report use of a theoretical framework to inform data collection (62%). Lack of available resources (64%) and knowledge/beliefs about the intervention (53%) were the most common barrier and facilitator, respectively. Variability in adoption determinants was observed according to discipline, setting, and use of a theoretical framework. Conclusions Findings suggest a recent surge of scientific investment in understanding adoption determinants for evidence-based OT and PT interventions. Such knowledge can inform efforts aimed at improving OT and PT quality, thereby enhancing patient outcomes. However, our review highlighted gaps with significant implications for the delivery of evidence-based OT and PT within real-world practice settings. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309340
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1132-1151[article]
Titre : A Patient's Guide to Visual Perception Changes That Occur With Parkinson Disease Type de document : Article Auteurs : Sadie Walker ; Kalea Colletta ; Hannes Devos ; Bruce Gaynes ; Rachael L. Ellison ; Rama Alsakaji ; Kelsey Watters ; Alexander Todfield ; Jasvinder Chawla ; Sandra Kletzel Année de publication : 2023 Article en page(s) : p. 1165-1169 Note générale : https://doi.org/10.1016/j.apmr.2022.09.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Guide de bonnes pratiques ; Maladie de Parkinson ; Perception visuelleDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309341
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1165-1169[article]
Titre : Venous Thromboembolism: Exploring Incidence and Utility of Screening in Individuals With Brain Injury Type de document : Article Auteurs : Christina Draganich ; Andrew Park ; Mitch Sevigny ; Susan Charlifue ; David Coons ; Michael Makley ; Raul Alvarez ; James Fenton ; Jeffrey Berliner Année de publication : 2023 Article en page(s) : p. 1035-1040 Note générale : https://doi.org/10.1016/j.apmr.2023.01.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Échographie ; Lésions encéphaliques ; Réadaptation ; Thromboembolisme veineuxRésumé : Objective To determine the incidence of VTE in the population with brain injuries (BIs) using ultrasonography, and to assess the risk of pulmonary embolism (PE) development and/or bleeding complications related to anticoagulation. Design Retrospective study. Setting Acute rehabilitation hospital. Participants 238 individuals with moderate to severe BI who were routinely screened for VTE with ultrasonography on admission to rehabilitation (N=238). Interventions Not applicable. Main Outcome Measures Retrospective chart review was performed to identify individuals who were diagnosed with VTE at the following 3 time points: in acute care prior to admission to rehabilitation, at the time of admission diagnosed via screening examination, and after admission to rehabilitation. Additionally, risk factors for VTE, PE, and incidence of bleeding complications related to therapeutic anticoagulation were assessed. Results 123 deep vein thromboses (DVTs) were identified with 38.2% in acute care (n=47), 69.1% on admission to rehabilitation (n=85), and 7.3% during the course of rehabilitation stay (n=9). Risk factors for development of VTE included age at injury, body mass index, injury etiology, history of neurosurgical procedure, and surgery during inpatient rehabilitation. Of those who were placed on therapeutic anticoagulation due to admission diagnosis of VTE (n=50), 2% developed recurrent DVT and 2% had bleeding complications. There was zero incidence of PE. Conclusion We demonstrated a high prevalence of VTEs identified on screening ultrasonography on admission to inpatient rehabilitation among individuals with moderate to severe BIs, and low complications related to anticoagulation. Given the findings of this study, prospective research in ultrasonography screening for VTE in moderate to severe BI is needed. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309342
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1035-1040[article]
Titre : Clinical Utility of Plantar Pressure Measurements as Screening in Patients With Parkinson Disease With and Without Freezing of Gait History Type de document : Article Auteurs : Ya-Fen Zou ; Yun-Ru Lai ; Wen-Chan Chiu ; Chia-Yi Lien ; Chih-Cheng Huang ; Ben-Chung Cheng ; Wei-Che Lin ; Yueh-Sheng Chen ; Chiun-Chieh Yu ; Yi-Fang Chiang ; Chia-Te Kung ; Chien-Feng Kung ; Cheng-Hsien Lu Année de publication : 2023 Article en page(s) : p. 1091-1098 Note générale : https://doi.org/10.1016/j.apmr.2023.02.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche ; Maladie de Parkinson ; RéadaptationMots-clés : Gait Parkinson disease Résumé : Objective To test the feasibility of objective assessments using the TekScan MatScan pressure mat plantar pressure measurement as a time-effective screening service for Parkinson disease (PD) with and without freezing of gait (FOG) history. Design Prospective cross-sectional study. Setting Largest medical center in southern Taiwan. Interventions Not applicable. Main Outcome Measures Plantar pressure measurements including average peak pressure (PP), contact area (CA), and pressure-time integral (PTI) in static and dynamic conditions as well as clinical scores during off-medication states. Participants A total of 103 patients with PD and 22 age- and sex-matched volunteers without PD (N=125). Results Plantar pressure assessment including PP, CA, and PTI on the total foot areas between participants with PD and controls without PD in the static conditions are similar. Patients with PD presented higher PTI on total foot areas as well as hallux, midfoot area, and medial and lateral heels during dynamic conditions than controls without PD. The PP, CA, and PTI during the static condition and CA during the dynamic condition on the hallux showed statistical significance between PD with and without FOG history. Stepwise logistic regression after controlling with age and body mass index showed only PTI on hallux (static conditions) was significantly associated with the presence of FOG. The receiver operating characteristic curve analysis in diagnostic accuracy for FOG in PTI was statistically significant (P=.002; area under the curve, 0.71). Conclusions FOG screening using the TekScan MatScan pressure mat plantar pressure measurement could serve as a time-effective screening service at the outpatient clinic. Based on our study, PTI may be valuable in auxiliary diagnosis. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309343
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1091-1098[article]
Titre : The Influence of Substance Use on Traumatic Brain Injury Recovery and Rehabilitation Outcomes: The Outcome-ABI Study Type de document : Article Auteurs : Eric Xie ; Michael Pellegrini ; Zhibin Chen ; Laura Jolliff ; Maria Crotty ; Julie Ratcliffe ; Jacqui Morarty ; Terence J. O'Brien ; Natasha A. Lannin Année de publication : 2023 Article en page(s) : p. 1115-1123 Note générale : https://doi.org/10.1016/j.apmr.2023.03.015 Langues : Anglais (eng) Descripteurs : HE Vinci
État fonctionnel ; Lésions traumatiques de l'encéphale ; Qualité de vie ; Réadaptation ; Troubles liés à une substanceRésumé : Objective This study characterized substance use (alcohol, illicit drugs, amphetamines) in patients with traumatic brain injury (TBI) receiving rehabilitation to determine potential benefit of rehabilitation and whether substance use influenced outcomes in moderate?severe TBI. Design Prospective, longitudinal study of adults with moderate or severe TBI receiving inpatient rehabilitation. Setting Specialist-staffed acquired brain injury rehabilitation center in Melbourne, Australia. Participants A total of 153 consecutive inpatients with TBI admitted between January 2016 and December 2017 (24 months). Interventions All inpatients with TBI (n=153) received specialist-provided brain injury rehabilitation in accordance with evidence-based guideline care at one 42-bed rehabilitation center. Main Outcome Measures Data were collected at time of TBI, upon rehabilitation admission, and discharge and 12 months? post-TBI. Recovery was measured by posttraumatic amnesia posttraumatic amnesia length-days and change in Glasgow Coma Scale (admission?discharge). Functional independence was measured on the FIM, Functional Assessment Measure, and Mayo Portland Adaptability Index. Quality of life (QOL) was measured on the EuroQOL-5D-5L and Quality of Life After Brain Injury (QOLIBRI) instruments. Results Inpatients with history of illicit drug use (n=54) reported lower QOL and adjustment at 12 months? post-TBI compared with those with no history (QOLIBRI social relationships: ratio of means=0.808, P=.028; Mayo Portland Adaptability Index adjustment: incidence rate ratio, 1.273; P=.032). Amphetamine use at time of injury (n=10) was associated with quicker recovery (posttraumatic amnesia length-days: incidence rate ratio, 0.173; P<.01 however lower qol at months post-tbi was noted in those with a history of amphetamine use compared without bothered feelings: ratio means p=".036)." conclusions all participants made improvements rehabilitation substance associated reported qol. these findings add insight to the associations between and acute recovery potentially suggestive short-term recovery-promoting effect amphetamines but highlighting importance address long-term sequalae.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309344
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1115-1123[article]
Titre : Effect of Post-traumatic Amnesia Duration on Traumatic Brain Injury (TBI) First Year Hospital Costs: A Veterans Affairs Traumatic Brain Injury Model Systems Study Type de document : Article Auteurs : Clara E. Dismuke-Greer ; Emily J. Almeida ; Marc A. Silva ; Kristen Dams-O'Connor ; George Rocek ; Leah M. Phillips ; Ariana Del Negro ; William C. Walker ; Risa Nakase-Richardson Année de publication : 2023 Article en page(s) : p. 1007-1015 Note générale : https://doi.org/10.1016/j.apmr.2023.03.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Anciens combattants ; Coûts et analyse des coûts ; Lésions encéphaliques ; Personnel militaire ; RéadaptationRésumé : Objective To examine the association between severity of traumatic brain injury (TBI) as measured by duration of post-traumatic amnesia (PTA) and first year hospitalization costs for service members and veterans (SMVs) treated for TBI at Polytrauma Rehabilitation Centers (PRCs) within the Veterans Health Administration (VHA). Design Multivariable models of merged datasets from the VA TBI Model Systems (VA TBIMS) national database containing TBI clinical characterization including PTA with VHA hospital cost data. Setting Five VA PRCs. Participants VA TBIMS participants with known PTA who received inpatient rehabilitation within 1 year of their TBI at any of 5 PRCs between 2010 and 2020 (N=717). Interventions N/A. Main Outcome Measures Total, acute care, rehabilitation, intensive care unit (ICU), and surgery costs across all VA hospitals. Results A total of 717 SMVs (mean age 36.9 years, 94.1% men, 76.8% non-Hispanic White, 7.8% active duty) met inclusion criteria for the unadjusted analyses. Unadjusted mean total hospital costs in the first-year post TBI were approximately $201,214 higher for those with PTA duration ?24 hours ($351,157) than PTA Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309345
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1007-1015[article]
Titre : Cross-Walk Comparison of the DVBIC-TBICoE and LIMBIC-CENC Combat-Related Concussion Prospective Longitudinal Study Datasets Type de document : Article Auteurs : Treven C. Pickett ; William C. Walker ; Sara M. Lippa ; Rael T. Lange ; Tracey A. Brickell ; Travis A. Dittmer ; Johanna M. Smith ; David X. Cifu ; Louis M. French Année de publication : 2023 Article en page(s) : p. 1072-1080.e1 Note générale : https://doi.org/10.1016/j.apmr.2023.02.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Autorapport ; Études de cohortes ; Etudes prospectives ; Lésions traumatiques de l'encéphale ; Personnel militaire ; Qualité de vie ; Réadaptation ; Santé militaire ; Tests neuropsychologiques ; Troubles de stress post-traumatiqueRésumé : Objective To describe and compare cohorts between 2 large, longitudinal, federally-funded TBI studies of Service members and veterans across demographic, self-report, and neuropsychological variables. Design Analysis of data from the DVBIC-TBICoE and LIMBIC-CENC prospective longitudinal studies (PLS). Setting Recruitment locations spanning Department of Defense and Veterans Affairs hospitals across the U.S. Participants 1463 participants (N=1463) enrolled in the DVBIC-TBICoE study and divided among non-injured (NIC) (n=191), injured control (IC) (n=349), mild TBI (mTBI) (n=682), and (severe, moderate, penetrating, and complicated mild traumatic brain injury (smcTBI) (n=241) subgroups. 1550 participants enrolled in the LIMBIC-CENC study and divided between IC (n=285) and mTBI (n=1265) subgroups. IC and mTBI study groups were compared across demographic and military characteristics, self-reported symptoms, and neuropsychological test scores. Interventions None. Main Outcome Measures Neurobehavioral Symptom Inventory, PTSD Checklist-Military Version, TBI quality of life, Test of Premorbid Functioning, Wechsler Adult Intelligence Scale-IV Visual Puzzles, Symbol Search, Coding, Letter-Number Sequencing, and Digit Span, Trail Making Test, Delis-Kaplan Executive Functioning System Verbal Fluency, Letter Fluency, and Category Fluency, California Verbal Learning Test-II, and Grooved Pegboard. Results Compared with DVBIC-TBICoE, LIMBIC-CENC participants have higher enrollment age, education level, proportion of Black race, and time from injury as well as less combat deployments and are less likely to be married. The distribution of military service branches also differed. Further, symptom profiles differed between cohorts. LIMBIC-CENC participants endorsed higher posttraumatic stress disorder symptomatology. DVBIC-TBICoE study IC participants endorsed higher somatosensory and vestibular symptoms (medium effect sizes). Other symptom measure differences had very small effect sizes (?0.2). Differences were found on many cognitive test results, but are difficult to interpret given the demographic differences and generally very small effect sizes. Conclusions The heavy use of National Institutes of Health common data elements in both studies and collaboration with the DVBIC-TBICoE study team on development of the LIMBIC-CENC assessment battery enabled this comparative analysis. Results highlight unique differences in study cohorts and add perspective and interpretability for assimilating past and future findings. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309346
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1072-1080.e1[article]
Titre : Validation of the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness With the Coma Recovery Scale-Revised Type de document : Article Auteurs : Wendy L. Magee ; Ajit Narayanan ; Rebecca O'Connor ; Fiona Haughey ; Erin Wegener ; Bernice H.L. Chu ; Mark Delargy ; Dee Gray ; Alika D. Seu ; Richard J. Siegert ; Rosanne J. Tyas ; Kudret C. Yelden ; Caroline Schnakers Année de publication : 2023 Article en page(s) : p. 1107-1114 Note générale : https://doi.org/10.1016/j.apmr.2023.03.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Conscience immédiate ; Évaluation de résultat (soins) ; Lésions encéphaliques ; Musique ; Réadaptation ; Troubles de la conscienceRésumé : Objective To examine (1) the concurrent validity of the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) with the criterion standard Coma Recovery Scale-Revised (CRS-R) for outcomes of awareness in patients with prolonged disorders of consciousness (PDoC), (2) the relationship between MATADOC items and CRS-R function subscales in similar domains, and (3) determine if items/function subscales measure different constructs. Design A prospective multicentric blinded study with repeated concurrent measures. Setting Three inpatient rehabilitation units. Participants Convenience sample of 74 adults with PDoC (N=74). Main Outcome Measures The MATADOC protocol elicits behavioral responsiveness using live music in 5 tasks. A total score ranges 0-10 scoring behaviors across 14-items. The CRS-R uses a language-based protocol and scores observed responses ranging from 0-23 in 6 function subscales. Both measures were delivered at 4 concurrent time points over 2 weeks. Results Fair (?=0.238, P=.006) ranging to moderate (?=0.419, P<.001 significant agreement was found between crs-r and matadoc diagnostic outcomes. fair-borderline moderate for overall outcomes across all categories p=".001)." there measures motor scores visual .001 but no item subscale assessing auditory responsiveness. exploratory factor analysis of items showed factors suggesting that measure the same underlying latent variable in different ways could complement each other diagnosis intervention purposes. this supported by scale which increased reliability when scales are used together rather than separately. conclusions unlike music-based localization complexity response categorizes these behaviors as conscious reflexive. may supplement having a particular role interdisciplinary programming providing more robust assessment responsiveness because using nonverbal musical stimuli.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309347
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1107-1114[article]
Titre : Rehabilitation of Social Communication Skills in Patients With Acquired Brain Injury With Intensive and Standard Group Interactive Structured Treatment: A Randomized Controlled Trial Type de document : Article Auteurs : Silje Merethe Hansen Ingebretsen ; Melanie Kirmess ; Milada Cvancarova Småstuen ; Lenore Hawley ; Jody Newman ; Jan Stubberud Année de publication : 2023 Article en page(s) : p. 1016-1025 Note générale : https://doi.org/10.1016/j.apmr.2023.02.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Lésions encéphaliques ; Pratique factuelle (EBP) ; Réadaptation ; Relations interpersonnellesRésumé : Objective To determine the efficacy of group interactive structured treatment (standard GIST) for improving social communication difficulties in a wider acquired brain injury (ABI) population compared to a waitlist control (WL). Secondary objectives were to (a) explore GIST across delivery formats by comparing the results to an intensive inpatient version of GIST (intensive GIST) and (b) compare the within-subject results for WL and intensive GIST. Design Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309348
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1016-1025[article]
Titre : Falls Prevention, Home Safety, and Rehabilitation Services for People With Parkinson Disease: A Client and Caregiver Guide Type de document : Article Auteurs : Patricia C. Heyn ; Diana Chen Wong ; Mark A. Hirsch ; E.E.H. van Wegen ; Art Hein ; Pallavi Sood Année de publication : 2023 Article en page(s) : p. 1161-1164 Note générale : https://doi.org/10.1016/j.apmr.2022.11.020 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Logement (habitation) ; Maladie de Parkinson ; Prévention ; SécuritéDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309349
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1161-1164[article]
Titre : Coping With Chronic Pain After Traumatic Brain Injury: Role of Race/Ethnicity and Effect on Participation Outcomes in a TBI Model Systems Sample Type de document : Article Auteurs : Angelle M. Sander ; Kelsey Christensen ; Karina Loyo ; Michael Williams ; Luis Leon-Novelo ; Esther Ngan ; Stephanie Agtarap ; Aaron M. Martin ; Dawn Neumann ; Flora M. Hammond ; Robin Hanks ; Jeanne Hoffman Année de publication : 2023 Article en page(s) : p. 1099-1106 Note générale : https://doi.org/10.1016/j.apmr.2023.03.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Lésions encéphaliques ; Lésions traumatiques de l'encéphale ; RéadaptationRésumé : Objective To investigate catastrophizing and self-efficacy for managing pain among Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics with chronic pain after traumatic brain injury (TBI), and whether coping interacts with race/ethnicity to predict participation outcomes. Setting Community after discharge from inpatient rehabilitation. Participants 621 individuals with moderate to severe TBI and chronic pain, who completed follow-up as part of a national longitudinal study of TBI and also participated in a collaborative study on chronic pain. Design Multicenter, cross-sectional, survey study. Main Measures Catastrophizing subscale from the Coping With Pain Scale; Pain Self-Efficacy Questionnaire; Participation Assessment With Recombined Tools-Objective. Results After controlling for relevant sociodemographic variables, a significant interaction was observed between race/ethnicity and insurance status, such that Blacks who had public health insurance reported greater catastrophizing in response to pain compared with Whites. Race/ethnicity and self-efficacy for managing pain were unrelated. Greater catastrophizing was associated with lower participation but did not interact with race/ethnicity. Blacks reported lower participation relative to Whites, independent of catastrophizing. Conclusions Black individuals who have TBI and chronic pain, and who have public insurance, may be vulnerable to difficulties managing pain. They are more likely to cope by catastrophizing, and catastrophizing is related to worse participation outcomes. The results suggest that access to care may affect response to chronic pain after TBI. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309350
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1099-1106[article]
Titre : Societal Participation of People With Traumatic Brain Injury Before and During the COVID-19 Pandemic: A NIDILRR Traumatic Brain Injury Model Systems Study Type de document : Article Auteurs : Umesh M. Venkatesan ; Leah M. Adams ; Amanda R. Rabinowitz ; Stephanie Agtarap ; Charles H. Bombardier ; Tamara Bushnik ; Nancy D. Chiaravalloti ; Shannon B. Juengst ; Sheryl Katta-Charles ; Paul B. Perrin ; Shanti M. Pinto ; Alan H. Weintraub ; Gale G. Whiteneck ; Flora M. Hammond Année de publication : 2023 Article en page(s) : p. 1041-1053 Note générale : https://doi.org/10.1016/j.apmr.2023.01.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; COVID-19 ; Dépression ; Intégration communautaire ; Lésions encéphaliques ; Qualité de vie ; Réadaptation ; Relations interpersonnelles ; Satisfaction personnelleRésumé : Objective To examine the effect of the COVID-19 pandemic on societal participation in people with moderate-to-severe traumatic brain injury (TBI). Design Cross-sectional retrospective cohort. Setting National TBI Model Systems centers, United States. Participants TBI Model Systems enrollees (N=7003), ages 16 and older and 1-30 years postinjury, interviewed either prepandemic (PP) or during the pandemic (DP). The sample was primarily male (72.4%) and White (69.5%), with motor vehicle collisions as the most common cause of injury (55.1%). Interventions Not applicable. Main Outcome Measure The 3 subscales of the Participation Assessment with Recombined Tools-Objective: Out and About (community involvement), Productivity, and Social Relations. Results Out and About, but not Productivity or Social Relations, scores were appreciably lower among DP participants compared to PP participants (medium effect). Demographic and clinical characteristics showed similar patterns of association with participation domains across PP and DP. When their unique contributions were examined in regression models, age, self-identified race, education level, employment status, marital status, income level, disability severity, and life satisfaction were variably predictive of participation domains, though most effects were small or medium in size. Depression and anxiety symptom severities each showed small zero-order correlations with participation domains across PP and DP but had negligible effects in regression analyses. Conclusions Consistent with the effect of COVID-19 on participation levels in the general population, people with TBI reported less community involvement during the pandemic, potentially compounding existing postinjury challenges to societal integration. The pandemic does not appear to have altered patterns of association between demographic/clinical characteristics and participation. Assessing and addressing barriers to community involvement should be a priority for TBI treatment providers. Longitudinal studies of TBI that consider pandemic-related effects on participation and other societally linked outcomes will help to elucidate the potential longer-term effect the pandemic has on behavioral health in this population. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309351
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1041-1053[article]
Titre : Traumatic Brain Injury Positive Strategies for Families: A Pilot Randomized Controlled Trial of an Online Parent-Training Program Type de document : Article Auteurs : Christina M. Karns ; Shari L. Wade ; Jody Slocumb ; Tom Keating ; Jeff M. Gau ; Beth S. Slomine ; Stacy J. Suskauer ; Ann Glang Année de publication : 2023 Article en page(s) : p. 1026-1034 Note générale : https://doi.org/10.1016/j.apmr.2023.03.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Aidants ; Comportement ; Fardeau des soignants ; Lésions traumatiques de l'encéphale ; Réadaptation ; TélémédecineRésumé : Objective To determine program satisfaction and preliminary efficacy of Traumatic Brain Injury Positive Strategies (TIPS), a web-based training for parenting strategies after child brain injury. Design A randomized controlled trial with parallel assignment to TIPS intervention or usual-care control (TAU). The three testing time-points were pretest, posttest within 30 days of assignment, and 3-month follow-up. Reported in accordance with CONSORT extensions to randomized feasibility and pilot trials Setting Online. Participants Eighty-three volunteers recruited nationally who were 18 years of age or older, U.S. residents, English speaking and reading, had access to high-speed internet, and were living with and caring for a child who was hospitalized overnight with a brain injury (ages 3-18 years, able to follow simple commands; N=83). Interventions Eight interactive behavioral training modules on parent strategies. The usual-care control was an informational website. Main Outcome Measures The proximal outcomes were User Satisfaction, Usefulness, Usability, Feature Preference, Strategy Utilization and Effectiveness, and Learning and Self-Efficacy for TIPS program participants. The primary outcomes were: Strategy Knowledge, Application, and Strategy-Application Confidence; Family Impact Module of Pediatric Quality of Life Inventory (PedsQL); and Caregiver Self-Efficacy Scale. The secondary outcomes were TIPS vs TCore PedsQL and Health Behavior Inventory (HBI) Results Pre- and posttest assessments were completed by 76 of 83 caregivers; 74 completed their 3-month follow-up. Linear growth models indicated that relative to TAU, TIPS yielded greater increases in Strategy Knowledge over the 3-month study (d=.61). Other comparisons did not reach significance. Outcomes were not moderated by child age, SES, or disability severity measured by Cognitive Function Module of PedsQL. All TIPS participants were satisfied with the program. Conclusions Of the 10 outcomes tested, only TBI knowledge significantly improved relative to TAU. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309352
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1026-1034[article]
Titre : Coma Recovery Scale-Revised Predicts Disability Rating Scale in Acute Rehabilitation of Severe Traumatic Brain Injury Type de document : Article Auteurs : Susan Onami ; Duc Tran ; Christine Koh-Pham ; Wendy Shih ; Bradley Chi ; Jiahao Peng ; David Shavlik ; Pramil Singh ; Joseph Giacino Année de publication : 2023 Article en page(s) : p. 1054-1061 Note générale : https://doi.org/10.1016/j.apmr.2023.01.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Coma ; Echelle d'évaluation ; Lésions traumatiques de l'encéphale ; Personnes handicapées ; Pronostic ; RéadaptationRésumé : Objective To explore the prognostic value of the Coma Recovery Scale-Revised (CRS-R) in predicting disability outcomes in patients with severe traumatic brain injury using the Disability Rating Scale (DRS). Design Secondary analysis including linear and logistic regressions were performed. Setting Data were collected in a previous clinical trial. Participants One hundred eighty-four participants across 3 countries (N=184). Main Outcome Measures Disability Rating Scales. Results Analyses showed an inverse relation between CRS-R scores obtained at baseline and change in DRS scores at 6 weeks. Similarly, changes in CRS-R scores between baseline and 4 weeks were also found to have an inverse relation to change in DRS scores at 6 weeks. Conclusions This study generates a tool that can be used to predict the probability that a patient with severe traumatic brain injury lands in 1 of 3 disability categories. The CRS-R may be useful in prognostication of disability in patients with severe traumatic brain injury. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=309353
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1054-1061[article]
Titre : The Underappreciated Placebo Effects and Responses in Randomized Controlled Trials on Neck Pain: A Systematic Review With Meta-analysis Type de document : Article Auteurs : Tengyue Hu ; Youlin Long ; Leting Wei ; Yurong Zheng ; Yi Tong ; Mei Yuan ; Chang Liu ; Xinyi Wang ; Yifei Lin ; Qiong Guo ; Jin Huang ; Liang Du Année de publication : 2023 Article en page(s) : p. 1124-1131 Note générale : https://doi.org/10.1016/j.apmr.2022.10.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Mesure de la douleur ; RéadaptationRésumé : Objective To quantify placebo effects and responses in randomized controlled trials (RCTs) on neck pain and explore how they would influence the treatment of neck pain. Data Sources We searched MEDLINE (PubMed), EMBASE (Ovid), CINAHL (EBSCO), Physiotherapy Evidence Database (PEDro), and World Health Organization International Clinical Trials Registry Platform from the inception of August 15, 2021, to identify relevant RCTs. Study Selection and Data Extraction The abstracts and full texts of potential studies were independently screened, and data extraction was also independently performed by 2 researchers. Scales of the score measuring neck pain and the scores both at baseline and the endpoint were extracted. Data Synthesis A total of 60 RCTs were included. The mean improvement in the pain score after placebo treatment was 15.65 (mean difference [MD]=-15.65, 95% confidence interval; CI [-19.19, -12.12]; P<.05 which we defined as the placebo response. in active groups it was ci p and no-treatment using mds from effect calculated to account for of pain score improvement group. conclusions scores patients with neck were reduced after treatment placebos but magnitude reduction not clinically significant enough. amount treated interventions caused by placebo. considerable significance still 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=309354
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 7 (2023) . - p. 1124-1131[article]
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Titre : Intensive Outpatient Program Response Among Service Members With Mild Traumatic Brain Injury: Change Between Distinct Post-Concussive Symptom Subgroups Type de document : Article Auteurs : Adam R. Kinney ; Rachel Sayko Adams ; Jesus J. Caban ; Thomas J. DeGraba ; Treven Pickett ; Peter Hoover Année de publication : 2023 Article en page(s) : p. 892-901 Note générale : https://doi.org/10.1016/j.apmr.2022.12.191 Langues : Anglais (eng) Descripteurs : HE Vinci
Épilepsie post-traumatique ; Lésions encéphaliques ; Personnel militaire ; Réadaptation ; Syndrome post-commotionnel ; Troubles de stress traumatiqueRésumé : Objective Among service members (SMs) with mild traumatic brain injury (mTBI) admitted to an intensive outpatient program (IOP), we identified qualitatively distinct subgroups based on post-concussive symptoms (PCSs) and characterized changes between subgroups from admission to discharge. Further, we examined whether co-morbid posttraumatic stress disorder (PTSD) influenced changes between subgroups. Design Quasi-experimental. Latent transition analysis identified distinctive subgroups of SMs and examined transitions between subgroups from admission to discharge. Logistic regression examined the effect of PTSD on transition to the Minimal subgroup (low probability of any moderate-very severe PCS) while adjusting for admission subgroup designation. Setting National Intrepid Center of Excellence (NICoE) at Walter Reed National Military Medical Center. Participants 1141 active duty SMs with persistent PCS despite prior treatment (N=1141). Interventions NICoE 4-week interdisciplinary IOP. Main Outcome Measure(s) Subgroups identified using Neurobehavioral Symptom Inventory items at admission and discharge. Results Model fit indices supported a 7-class solution. The 7 subgroups of SMs were distinguished by diverging patterns of probability for specific PCS. The Minimal subgroup was most prevalent at discharge (39.4%), followed by the Sleep subgroup (high probability of sleep problems, low probability of other PCS; 26.8%). 41% and 25% of SMs admitted within the Affective (ie, predominantly affective PCS) and Sleep subgroups remained within the same group at discharge, respectively. The 19% of SMs with co-morbid PTSD were less likely to transition to the Minimal subgroup (odds ratio=0.28; P<.001 and were more likely to remain in their admission subgroup at discharge with ptsd vs without conclusions most of sms achieved symptom resolution after participation the iop transitioning subgroups characterized by reduced burden. admitted affective sleep as well those have continuing clinical needs revealing priority targets for resource allocation follow-up treatment.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308047
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 892-901[article]
Titre : Functional Recovery During Inpatient Rehabilitation in Children With Anoxic or Hypoxic Brain Injury Type de document : Article Auteurs : Jackson M. Gray ; Megan E. Kramer ; Stacy J. Suskauer ; Beth S. Slomine Année de publication : 2023 Article en page(s) : p. 918-924 Note générale : https://doi.org/10.1016/j.apmr.2023.01.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Enfant (6-12 ans) ; Hypoxie ; Hypoxie-ischémie du cerveau ; Lésions encéphaliques ; RéadaptationRésumé : Objectives To (1) describe characteristics of children with anoxic or hypoxic brain injuries (AnHBI) who presented to an inpatient rehabilitation unit, (2) explore functional outcomes of children with AnHBI at discharge, and (3) examine differences between children with AnHBI associated with cardiac arrest (CA) vs those with respiratory arrest (RA) only. Design Retrospective cohort study. Setting Pediatric inpatient rehabilitation hospital in the Northeast United States. Participants A total of 46 children and adolescents ages 11 months to 18 years admitted to an inpatient rehabilitation brain injury unit (1994-2018) for a first inpatient admission after AnHBI. Interventions Not applicable. Main Outcome Measures Pediatric Cerebral Performance Category Scale (PCPC), Pediatric Overall Performance Category, and Functional Independence Measure for Children developmental functional quotients (WeeFIM DFQs) total and subscale scores. Results Most children had no disability before injury (PCPC=normal, n=37/46) and displayed significant functional impairments at admission to inpatient rehabilitation (PCPC=normal/mild, n=1/46). WeeFIM and PCPC scores improved significantly during inpatient rehabilitation (WeeFIM DFQ Total, P=.003; PCPC, P<.001 although many children continued to demonstrate significant impairments at discharge n="5/46)." functioning was better for the ra-only group relative ca admission dfq total p=".006)" and ongoing gains in were noted months after compared with cognitive conclusions this of anhbi who received inpatient rehabilitation functional status improves significantly between discharge. by display a minority had favorable neurologic outcomes have worse than those ra-only. given small sample size future research should examine recovery during larger multisite cohort include longer-term follow-up patterns over time.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308048
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 918-924[article]
Titre : Cost-Effectiveness of a Cardiac Rehabilitation Program Specifically Designed for Patients With Obesity Within the OPTICARE XL Randomized Controlled Trial Type de document : Article Auteurs : L.A. Visser ; I. den Uijl ; W.K. Redekop ; M. Sunamura ; M. Lenzen ; E. Boersma ; R.W.M. Brouwers ; H.M.C. Kemps ; Hendrika J.G. van den Berg-Emons ; N. ter Hoeve Année de publication : 2023 Article en page(s) : p. 855-862 Note générale : https://doi.org/10.1016/j.apmr.2023.02.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse coût-bénéfice ; Obésité ; Réadaptation ; Réadaptation cardiaqueRésumé : Objective To assess the cost-effectiveness of a cardiac rehabilitation (CR) program specifically designed for cardiac patients with obesity vs standard CR. Design Cost-effectiveness analysis based on observations in a randomized controlled trial. Setting Three regional CR centers in the Netherlands. Participants Cardiac patients (N=201) with obesity (BMI?30 kg/m2) referred to CR. Interventions Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308049
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 855-862[article]
Titre : Exercise Training Does Not Attenuate Cardiac Atrophy or Loss of Function in Individuals With Acute Spinal Cord Injury: A Pilot Study Type de document : Article Auteurs : Matthew R. Ely ; Grant D. Schleifer ; Tamanna K. Singh ; Aaron L. Baggish ; J. Andrew Taylor Année de publication : 2023 Article en page(s) : p. 909-917 Note générale : https://doi.org/10.1016/j.apmr.2022.12.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Atrophie ; Coeur ; Echocardiographie ; Exercice physique ; RéadaptationRésumé : Objective To investigate the effects of 2 modes of exercise training, upper-body alone, and the addition of electrical stimulation of the lower body, to attenuate cardiac atrophy and loss of function in individuals with acute spinal cord injury (SCI). Design Randomized controlled trial. Setting Rehabilitation Hospital. Participants Volunteers (N=27; 5 women, 22 men) who were .05). Conclusions These results indicate that within the subacute phase of recovery from SCI there is a linear loss of left ventricular cardiac structure and systolic function that is not attenuated by current rehabilitative aerobic exercise practices. Reductions in cardiac structure and function may increase the risk of cardiovascular disease in individuals with SCI and warrants further interventions to prevent cardiac decline. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308050
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 909-917[article]
Titre : Identifying Health-Related Quality of Life Domains After Upper Extremity Transplantation Type de document : Article Auteurs : David S. Tulsky ; Pamela A. Kisala ; Callie E. Tyner ; Jerry Slotkin ; Christina Kaufman ; Christopher L. Dearth ; Annamarie D. Horan ; Simon G. Talbot ; Jaimie T. Shores ; Kodi Azari ; Curtis Cetrulo ; Gerald Brandacher ; Carisa M. Cooney ; David Victorson ; Mary Dooley ; L. Scott Levin ; CDR Scott M. Tintle Année de publication : 2023 Article en page(s) : p. 878-891 Note générale : https://doi.org/10.1016/j.apmr.2023.01.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Allotransplantation composite vascularisée ; Amputation chirurgicale ; Main ; Membre supérieur ; Mesures des résultats rapportés par les patients (PROM) ; Qualité de vie ; Réadaptation ; Reconstructions chirurgicales ; TransplantsRésumé : Objective To identify the most important health-related quality of life (HRQOL) domains and patient-reported outcomes after upper extremity transplantation (UET) in individuals with upper extremity amputation. Design Verbatim audio-recordings of individual interviews and focus groups were analyzed using qualitative, grounded theory-based methods to identify important domains of HRQOL and provide guidance for outcomes measurement after UET. Setting Individual interviews were conducted by phone. Focus groups were conducted at 5 upper extremity vascularized composite allotransplantation (VCA) centers in the US and at an international conference of VCA experts. Participants Individual phone interviews were conducted with 5 individuals with lived experience of UET. Thirteen focus groups were conducted with a total of 59 clinical professionals involved in UET. Interventions Not applicable. Main Outcome Measures Not applicable. Results Twenty-eight key HRQOL domains were identified, including physical functioning and medical complications, positive and negative emotional functioning, and social participation, relations, and independence. We identified key constructs for use in evaluation of the potentially substantial physical, medical, social, and emotional effects of UET. Conclusions This study provides an overview of the most important issues affecting HRQOL after UET, including several topics that are unique to individuals with UET. This information will be used to establish systematic, comprehensive, and longitudinal measurement of post-UET HRQOL 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=308051
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 878-891[article]
Titre : The Language of Research: Creating Spaces to Better Understand How We Speak and How We Are Heard Type de document : Article Auteurs : Brittany Curtis ; Mary Wilson ; Kristy Wittmeier ; Elizabeth Hammond ; Carrie Costello ; Liz Bannister ; Kelly Russell Année de publication : 2023 Article en page(s) : p. 982-987 Note générale : https://doi.org/10.1016/j.apmr.2023.01.024 Langues : Anglais (eng) Descripteurs : HE Vinci
Colonialisme ; Langue d'origine ; Racisme ; RéadaptationRésumé : Anti-Indigenous racism education and cultural safety training can help cultivate greater awareness and hold the potential to encourage Western-trained researchers to work in solidarity with Indigenous partners to resist the structural status quo. The purpose of this article is to provide an overview and author reflections on an immersive educational series ?The Language of Research: How Do We Speak? How Are We Heard??. The series was developed by a Canadian group that included an Indigenous Knowledge Keeper, non-Indigenous researchers, and parent partners, all of whom have training or experience in Westernized research and/or health care. The 6-session virtual series was made available through a provincial pediatric neurodevelopment and rehabilitation research group in Canada. Participation was open to a broad audience, including but not limited to researchers, clinicians, families, and health-care professionals. This learning opportunity was developed as a starting point for ongoing integration of an anti-racism perspective within our provincial research group and began through conversation about how words or language typically used in Western approaches to research, (?recruit,? ?consent,? ?participant?) could be unwelcoming, exclusionary, and harmful. Topics that were explored during the sessions included Using Descriptive Language/Communication; Relationships and Connection; and, Trust, Healing, and Allyship. The article aims to contribute to the ongoing dialogue related to disrupting racism and decolonizing research in the fields of neurodevelopment and rehabilitation. Reflections about the series are offered by the authorship team throughout the article, to solidify and share learning. We acknowledge this is only one of many steps in our learning. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308052
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 982-987[article]
Titre : Tactile Perception of the Hand in Children With an Upper Neonatal Brachial Plexus Palsy Type de document : Article Auteurs : Sonja M. Buitenhuis ; Willem Pondaag ; Ron Wolterbeek ; Martijn J.A. Malessy Année de publication : 2023 Article en page(s) : p. 872-877 Note générale : https://doi.org/10.1016/j.apmr.2022.11.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Obstétrique ; Paralysie ; Paralysie néonatale du plexus brachial ; Plexus brachial ; Réadaptation ; SensationRésumé : Objective To investigate factors that cause impairment of hand function in children with an upper Neonatal Brachial Plexus Palsy (NBPP), we performed an in-depth analysis of tactile hand sensibility, especially the ability to correctly localize a sensory stimulus on their fingers. Design A cross-sectional investigation of children with NBPP, compared with healthy controls. The thickest Semmes-Weinstein (SW) monofilament was pressed on the radial or ulnar part of each fingertip (10 regions), while a screen prevented seeing the hand. Setting Tertiary referral center for nerve lesions in an academic hospital in The Netherlands. The control group was recruited at their school. Participants Forty-one children with NBPP (mean age 10.0 y) and 25 controls (mean age 9.5 y; N=41). Interventions Not applicable. Main Outcomes Measures Correct localization of the applied stimuli was evaluated, per region, per finger, and per dermatome with a test score. The affected side of the NBPP group was compared with the non-dominant hand of the controls. Results The ability to localize stimuli on the tips of the fingers in children with an upper NBPP was significantly diminished in all fingers, except for the little finger, as compared with healthy controls. Mean localization scores were 6.6 (thumb) and 6.3 (index finger) in the NBPP group and 7.6 in both fingers for controls (maximum score possible is 8.0). Localization scores were significant lower in regions attributed to dermatomes C6 (P<.001 and c7 but not to c8 conclusion children with an upper nbpp showed a diminished incorrect ability localize sensory stimuli their fingers. this finding is likely of the factors underlying impairment hand function should be addressed focused therapy.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308053
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 872-877[article]
Titre : The Excess Costs of Hospitalization for Acute Stroke in People With Communication Impairment: A Stroke123 Data Linkage Substudy Type de document : Article Auteurs : Emily L. Brogan ; Joosup Kim ; Rohan S. Grimley ; Sarah J. Wallace ; Caroline Baker ; Tharshanah Thayabaranathan ; Nadine E. Andrew ; Monique F. Kilkenny ; Erin Godecke ; Miranda L. Rose ; Dominique A. Cadilhac Année de publication : 2023 Article en page(s) : p. 942-949 Note générale : https://doi.org/10.1016/j.apmr.2023.01.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Aphasie ; Coûts et analyse des coûts ; Dysarthrie ; Mémorisation et recherche des informations ; RéadaptationRésumé : Objective To describe the costs of hospital care for acute stroke for patients with aphasia or dysarthria. Design Observational study from the Stroke123 project. Setting Data from patients admitted with stroke (2009-2013) from 22 hospitals in Queensland participating in the Australian Stroke Clinical Registry (AuSCR) were linked to administrative datasets. Participants Communication impairments were identified using International Classification of Diseases, 10th Revision, Australian Modification codes. Overall, 1043 of 4195 (25%) patients were identified with aphasia (49% were women; median age 78 years; 83% with ischemic stroke), and 1005 (24%) with dysarthria (42% were women; median age 76 years; 85% with ischemic stroke). Interventions Not applicable. Main Outcome Measures Linked patient-level, hospital clinical costing related to the stroke, were adjusted to 2013/2014 Australian dollars (AU$, US$ conversion x 0.691) using recommended national price indices and multivariable regression analysis with clustering by hospital performed. Results Compared with patients without aphasia, the median hospital costs/patient were greater for those with aphasia for medical (aphasia AU$2273 vs AU$1727, P<.001 nursing au vs p and allied health services similarly costs were greater for patients with dysarthria compared those without dysarthria. adjusted median total aphasia confidence interval to conclusions people communication impairment after stroke incur hospital in particular medical resources.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308054
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 942-949[article]
Titre : Effectiveness of a Telerehabilitation Evidence-Based Tablet App for Rehabilitation in Traumatic Bone and Soft Tissue Injuries of the Hand, Wrist, and Fingers Type de document : Article Auteurs : Alejandro Suero-Pineda ; Angel Oliva-Pascual-Vaca ; Manuel Rodríguez-Piñero Durán ; Pablo Rodríguez Sánchez-Laulhé ; María Ángeles García-Frasquet ; Jesús Blanquero Année de publication : 2023 Article en page(s) : p. 932-941 Note générale : https://doi.org/10.1016/j.apmr.2023.01.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Applications mobiles ; Kinésithérapie (spécialité) ; Réadaptation ; Ressources en santé ; Téléréadaptation ; Traitement par les exercices physiquesRésumé : Objective To assess whether feedback-guided exercises performed on a tablet touchscreen improve clinical recovery and reduce health care usage more than the conventional home exercise program prescribed on paper in patients with bone and soft tissue injuries of the wrist, hand, and/or fingers treated by public health services. Design A multicenter assessor-blinded, parallel, 2-group controlled trial. Setting Trauma and rehabilitation services of 4 hospitals. Participants Six hundred sixty-three patients with limited functional ability due to bone and soft tissue injuries of the wrist, hand, and/or fingers (N=663). Interventions The experimental group received a home exercise program using a tablet-based application with feedback, monitoring, and progression; the control group received an evidence-based home exercise program on paper. Main Outcome Measures The primary outcome was functional ability through Patient Rated Wrist Evaluation for wrist conditions and the short version of Disabilities of the Arm, Shoulder and Hand for all other hand pathologies. Secondary outcomes included dexterity, pain intensity, grip strength, and health care usage (number of patients referred to rehabilitation service and number of clinical appointments). Results The experimental group showed a significant improvement on the Patient Rated Wrist Evaluation (P=.001) and the short version of Disabilities of the Arm, Shoulder and Hand (P=.001) with medium effect sizes (?2=0.066-0.067) when compared with the control group. Regarding health care usage, the experimental group presented a reduction of 41% in the rate of referrals to face-to-face rehabilitation service consultations, a reduction of rehabilitation consultations (mean difference=?1.64; 95% confidence interval, ?2.64 to ?0.65) and physiotherapy sessions (mean difference=?8.52, 95% confidence interval, ?16.92 to ?0.65) compared to the control group. Conclusions In patients with bone and soft tissue injuries of the wrist, hand, and/or fingers, prescribing feedback-guided exercises performed on a tablet touchscreen was more effective for improving patients? functional ability and reduced the number of patients referred to rehabilitation consultation and number of clinical appointments. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308055
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 932-941[article]
Titre : The Efficacy of the Speed of Processing Training Program in Improving Functional Outcome: From Restoration to Generalization Type de document : Article Auteurs : Yael Goverover ; Silvana Costa ; John DeLuca ; Nancy Chiaravalloti Année de publication : 2023 Article en page(s) : p. 925-931 Note générale : https://doi.org/10.1016/j.apmr.2023.01.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Cognition ; Essais cliniques comme sujet ; Qualité de vie ; Réadaptation ; Résultat thérapeutique ; Sclérose en plaquesRésumé : Objective To examine the efficacy of Speed of Processing Training (SOPT) in improving everyday functional outcomes in persons with multiple sclerosis (MS). Design Randomized controlled trial. Setting A nonprofit rehabilitation research institution and the community. Participants In total, 60 participants with MS with impaired processing speed were randomly assigned to SOPT (n=33) or an active control group (n=27). Intervention SOPT, a restorative computerized cognitive intervention involving 10 treatment sessions consisting of visual tasks designed to improve speed and accuracy of information processing Main Outcome Measures Outcomes included performance on the Timed Instrumental Activities of Daily Living (TIADL) and self-report of functional behavior, quality of life, and affect. Results The treatment group showed improvement in the total TIADL score and 2 subtests compared with the active control group. Participants in the treatment group who demonstrated improved cognitive performance after the intervention also showed improved performance on one TIADL subtest. Quality of life, affective symptomatology, and self-reported functional status were not changed after the intervention. Conclusions Improvement in underlying cognitive or perceptual deficits is thought to promote recovery and everyday performance as per the restorative approach to cognitive rehabilitation. However, this study showed only selected improvements in everyday functional outcomes for 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=308056
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 925-931[article]
Titre : Interactive Combinations Between Gait Speed and Physical Function at Acute Phase Can Predict the Physical Activity at 2 Years After Total Knee Arthroplasty Using Classification and Regression Tree Analysis Type de document : Article Auteurs : Gakuto Kitamura ; Manabu Nankaku ; Takuma Yuri ; Shinichi Kuriyama ; Shinichiro Nakamura ; Kohei Nishitani ; Ryosuke Ikeguchi ; Shuichi Matsuda Année de publication : 2023 Article en page(s) : p. 902-908 Note générale : https://doi.org/10.1016/j.apmr.2022.12.190 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Exercice physique ; Réadaptation ; Vitesse de marcheRésumé : Objective To clarify the interactive combinations of various clinical factors associated with physical activity (PA) at 2 years after total knee arthroplasty (TKA) using classification and regression tree (CART) analysis. Design A retrospective cohort study. Setting A single university hospital. Participants 286 patients who underwent TKA (N=286). Main Outcome Measures PA was assessed preoperatively, 3 weeks, and 2 years after TKA. Physical functions, namely, 10 m walking test (10MWT), timed Up and Go test, 1-leg standing time, isometric knee extension and flexion strength, knee joint stability, knee pain, femora-tibial angle, and the passive knee extension and flexion angle, were measured before surgery as a baseline and 3 weeks after TKA as acute phase. CART analysis was conducted to clarify the interactive combinations that accurately predict the PA at 2 years after TKA. Results The results of CART analysis indicated that gait speed (?1.05 m/s) at the acute phase after TKA was the primal predictor for the postoperative PA at 2 years. The highest postoperative PA at 2 years was determined by gait speed (?1.05 m/s) and PA (>74.5) at the acute phase. The PA at baseline and at acute phase, as well as the body mass index were also selected as predictors of postoperative PA at 2 years. Conclusion The present study suggested that acquiring gait speed (?1.05 m/s) and PA (>74.5) in the postoperative acute phase is the predictive of a high PA at 2 years after TKA. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308057
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 902-908[article]
Titre : Post-processing Peak Oxygen Uptake Data Obtained During Cardiopulmonary Exercise Testing in Individuals With Spinal Cord Injury: A Scoping Review and Analysis of Different Post-processing Strategies Type de document : Article Auteurs : Abdullah A. Alrashidi ; Tom E. Nightingale ; Gurjeet S. Bhangu ; Virgile Bissonnette-Blais ; Andrei V. Krassioukov Année de publication : 2023 Article en page(s) : p. 965-981 Note générale : https://doi.org/10.1016/j.apmr.2022.11.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Capacité cardiorespiratoire ; Epreuve d'effort ; Réadaptation ; Traumatismes de la moelle épinièreRésumé : Objectives To review the evidence regarding the most common practices adopted with cardiopulmonary exercise testing (CPET) in individuals with spinal cord injury (SCI), with the following specific aims to (1) determine the most common averaging strategies of peak oxygen uptake (V?o2peak), (2) review the endpoint criteria adopted to determine a valid V?o2peak, and (3) investigate the effect of averaging strategies on V?o2peak values in a convenience sample of individuals with SCI (between the fourth cervical and sixth thoracic spinal segments). Data Sources Searches for this scoping review were conducted in MEDLINE (PubMed), EMBASE, and Web Science. Study Selection Studies were included if (1) were original research on humans published in English, (2) recruited adults with traumatic and non-traumatic SCI, and (3) V?o2peak reported and measured directly during CPET to volitional exhaustion. Full-text review identified studies published before April 2021 for inclusion. Data Extraction Extracted data included authors name, journal name, publication year, participant characteristics, and comprehensive information relevant to CPET. Data Synthesis We extracted data from a total of 197 studies involving 4860 participants. We found that more than 50% of studies adopted a 30-s averaging strategy. A wide range of endpoint criteria were used to confirm the attainment of maximal effort. In the convenience sample of individuals with SCI (n=30), the mean V?o2peak decreased as epoch (ie, time) lengths increased. Reported V?o2peak values differed significantly (P<.001 between averaging strategies with epoch length explaining of the variability. conclusions adoption accepted and standardized methods for processing analyzing cpet data are needed to ensure high-quality reproducible research inform population-specific normative values individuals 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=308058
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 965-981[article]
Titre : Racial and Ethnic Disparities of Social Participation After Tetraplegia Injury: A Regression Analysis Type de document : Article Auteurs : Stephanie Kubiak ; Elliot Sklar Année de publication : 2023 Article en page(s) : p. 863-871 Note générale : https://doi.org/10.1016/j.apmr.2023.01.023 Langues : Anglais (eng) Descripteurs : HE Vinci
Dispositifs d'assistance au mouvement ; Ergothérapie ; Ethnies ; Participation sociale ; Races ; TétraplégieRésumé : Objective The first aim of this study was to determine whether the use of computers, internet, and computer assistive technology (AT) increased social participation after tetraplegia spinal cord injury. The second aim was to determine whether racial or ethnic disparities of technology use were experienced. Design A secondary analysis of data collected by the National Spinal Cord Injury Models Systems Study (NSCIMS), an ongoing observational cohort study, was performed on a sample of 3096 participants who experienced a traumatic tetraplegic injury. Participants Participants included were at least 1-year posttraumatic tetraplegia injury and participated in NSCIMS between 2011 and 2016 (N=3096). Setting NSCIMS observational data were originally collected via in-person or phone interviews. Interventions Not applicable. Main Outcome Measure(s) A binary logistic regression was conducted to determine whether self-reported use of computers or similar device, the internet, computer AT, race, ethnicity, and other demographics predicted high (?80) vs low/medium ( Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308059
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 863-871[article]
Titre : Effects of Dual Task Training on Dual Task Gait Performance and Cognitive Function in Individuals With Parkinson Disease: A Meta-analysis and Meta-regression Type de document : Article Auteurs : Pei-Ling Wong ; Shih-Jung Cheng ; Yea-Ru Yang ; Ray-Yau Wang Année de publication : 2023 Article en page(s) : p. 950-964 Note générale : https://doi.org/10.1016/j.apmr.2022.11.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Kinésithérapie (spécialité) ; Maladie de Parkinson ; Marche à pied ; RéadaptationRésumé : Objective To explore the effects of dual task (DT) training on DT gait performance and cognitive function in individuals with Parkinson disease (PD) and to examine factors that might influence the effects of DT training. Data Sources PubMed, Wiley Online Library, Cochrane Library, CINAHL, and Medline were searched for articles published from January 2006 to December 2021. Study Selection Randomized controlled trials comparing DT training with usual care or general exercise were included. Data Extraction The outcomes studied were DT gait parameters including speed, step and stride length, cadence, step and stride time variability, dual-task cost on gait speed, and Trail Making Tests presented as standardized mean differences (SMDs). The Grading of Recommendations, Assessment, Development, and Evaluation was used to evaluate the quality of evidence. Data Synthesis Ten randomized controlled trials with 466 participants were included in the meta-analysis. The included studies presented, in general, with a low to high risk of bias. Meta-analyses used a random-effects model for all analyses. The meta-analysis showed the DT training effects on DT gait speed (SMD=0.825, P=.012), DT step and stride length (SMD=0.400, P=.015), Trail Making Tests-part A (TMT-A; SMD=0.533, P=.010), and Trail Making Tests-part B (SMD=0.516, P=.012) compared with the control group. Only the effect on TMT-A was maintained at the follow-up assessment. The results of meta-regression showed that participants with slower initial single task gait speed improved more after DT training on DT step and stride length. Conclusions The DT training improved more in DT gait speed with moderate-quality evidence as compared with usual care or conventional physical training in individuals with PD. The beneficial effects of DT training on DT step and stride length, attention, and executive function were also demonstrated in this meta-analysis. Furthermore, the improvement in the DT walking step and stride length was related to the participant's initial single task gait speed. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=308060
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 6 (2023) . - p. 950-964[article]
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Titre : Comparative Effectiveness of Corticosteroid Dosages for Ultrasound-Guided Glenohumeral Joint Hydrodilatation in Adhesive Capsulitis: A Randomized Controlled Trial Type de document : Article Auteurs : Jia-Chi Wang ; Po-Cheng Hsu ; Kevin A. Wang ; Wei-Ting Wu ; Ke-Vin Chang Année de publication : 2023 Article en page(s) : p. 745-752 Note générale : https://doi.org/10.1016/j.apmr.2022.11.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Bursite ; Douleur ; Échographie ; Epaule ; StéroïdesRésumé : Objective To investigate the efficacy of hydrodilatation with 40 mg triamcinolone acetonide (TA) compared with the same procedure with 10 mg TA in patients with adhesive capsulitis (AC) of the shoulders. Design Prospective, double-blind, randomized controlled trial with 12 weeks of follow-up. Setting Tertiary care rehabilitation center. Participants Eighty-four patients diagnosed with AC (N=84). Interventions Ultrasound guidance using (A) hydrodilatation with 4 mL of TA (40 mg)+4 mL 2% lidocaine hydrochloride+12 mL normal saline or (B) hydrodilatation with 1 mL of TA (10 mg)+4 mL 2% lidocaine hydrochloride+15 mL normal saline through the posterior glenohumeral recess. Main Outcome Measures Shoulder Pain and Disability Index (SPADI), visual analog scale (VAS) for pain, and range of motion (ROM) at baseline and at 6 and 12 weeks after injection. Results Both groups experienced improvements in the SPADI score, VAS scores for pain, and ROM throughout the study period. However, group-by-time interactions were not significant for any outcome measurement at any follow-up time point. No adverse events were reported in either group. Conclusion Ultrasound-guided hydrodilatation with 40 and 10 mg TA yielded similar improvements in SPADI, VAS score, and ROM at the 12-week follow-up. Considering the potential detrimental effects of corticosteroids on the adjacent cartilage and tendons, a low dose of TA would be preferable for ultrasound-guided hydrodilatation for AC. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306118
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 745-752[article]
Titre : Electrical Stimulation Exercise Recommendations for Individuals With Spinal Cord Injury Type de document : Article Auteurs : David R. Dolbow ; Ashraf S. Gorgey ; Tommy W. Sutor ; Kristin Musselman ; Vanesa Bochkezanian ; Glen M. Davis Année de publication : 2023 Article en page(s) : p. 847-851 Note générale : https://doi.org/10.1016/j.apmr.2022.11.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Recommandation pour la pratique clinique ; Stimulation électrique ; Traumatismes de la moelle épinièreDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306119
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 847-851[article]
Titre : TBIBank: An International Shared Database to Enhance Research, Teaching and Automated Language Analysis for Traumatic Brain Injury Populations Type de document : Article Auteurs : Elise Elbourn ; Brian MacWhinney ; Davida Fromm ; Emma Power ; Joanne Steel ; Leanne Togher Année de publication : 2023 Article en page(s) : p. 824-829 Note générale : https://doi.org/10.1016/j.apmr.2022.12.192 Langues : Anglais (eng) Descripteurs : HE Vinci
Base de données ; Lésions traumatiques de l'encéphale ; Réadaptation ; Troubles de la communication ; Troubles du langageRésumé : Traumatic brain injury (TBI) has been established as a priority research area for public health, affecting an estimated 69 million individuals worldwide each year. Large-scale collaborative datasets may help to better understand this heterogenous and chronic health condition. In this paper, we present TBIBank; an innovative digital health resource that aims to establish a shared database for the study of communication disorders after TBI. We provide an overview of the current database, the standard discourse protocol used for the main TBIBank corpus, and the automated language analyses that can enable diagnostic profiling, comparative evaluation of treatment effects and profiling of recovery patterns. We also highlight the e-learning component of the digital health resource as a research translation tool. We conclude with a discussion of the potential research, clinical, and educational applications of TBIBank and future directions for expanding this digital resource. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306120
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 824-829[article]
Titre : Comparison of Rehabilitation Training at Different Timepoints to Restore Shoulder Function in Patients With Breast Cancer After Lymph Node Dissection: A Randomized Controlled Trial Type de document : Article Auteurs : Qing Shu ; Yanan Yang ; Yuwei Shao ; Hui Teng ; Rong Liao ; Zhengfa Li ; Gaosong Wu ; Jinxuan Hou ; Jun Tian Année de publication : 2023 Article en page(s) : p. 728-737 Note générale : https://doi.org/10.1016/j.apmr.2023.01.021 Langues : Anglais (eng) Descripteurs : HE Vinci
Epaule ; Essai contrôlé randomisé ; Facteurs temps ; Lymphoedème après cancer du sein ; RéadaptationRésumé : Objective To investigate whether advancing the initiation of rehabilitation training compared with the time recommended by the guidelines after breast cancer (BC) surgery is beneficial to the recovery of shoulder function and quality of life. Design Prospective, observational, single center, randomized controlled trial. Setting The study was conducted between September 2018 and December 2019, with a 12-week supervised intervention and 6-week home-exercise period concluding in May 2020. Participants Two hundred BC patients received axillary lymph node dissection (N=200). Interventions Participants were recruited and randomly allocated into 4 groups (A, B, C, and D). Group A started range of motion (ROM) training at 7 days postoperative and progressive resistance training (PRT) at 4 weeks postoperative; group B started ROM training at 7 days postoperative and PRT at 3 weeks postoperative; group C started ROM training at 3 days postoperative and PRT at 4 weeks postoperative; and group D started ROM training at 3 days postoperative and PRT at 3 weeks postoperative. Main Outcome Measures The primary outcome measure was Constant-Murley Score. Secondary outcome measures included ROM, shoulder strength, grip, European Organization Research and Treatment of Cancer breast cancer-specific quality-of-life questionnaire module (EORTC QLQ-BR23), and SF-36. Incidence of adverse reactions (drainage and pain) and complications (ecchymosis, subcutaneous hematoma, lymphedema) were also assessed. Results Participants who started ROM training at 3 days postoperative obtained more benefits in mobility, shoulder function, and EORTC QLQ-BR23 score, while patients who started PRT at 3 weeks postoperative saw improvements in shoulder strength and SF-36. Incidence of adverse reactions and complications were low in all 4 groups, with no significant differences among the 4 groups. Conclusions Advancing ROM training initiation to 3 days postoperative or PRT to 3 weeks postoperative can better restore shoulder function after BC surgery and lead to faster quality of life improvement. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306121
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 728-737[article]
Titre : Examining Dose Frameworks to Improve Aphasia Rehabilitation Research Type de document : Article Auteurs : Sam Harvey ; Miranda L. Rose ; Emily Brogan ; John E. Pierce ; Erin Godecke ; Sonia L.E. Brownsett ; Leonid Churilov ; David Copland ; Michael Walsh Dickey ; Jade Dignam ; Natasha A. Lannin ; Lyndsey Nickels ; Julie Bernhardt ; Kathryn S. Hayward Année de publication : 2023 Article en page(s) : p. 830-838 Note générale : https://doi.org/10.1016/j.apmr.2022.12.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Aphasie ; RéadaptationRésumé : The effect of treatment dose on recovery of post-stroke aphasia is not well understood. Inconsistent conceptualization, measurement, and reporting of the multiple dimensions of dose hinders efforts to evaluate dose-response relations in aphasia rehabilitation research. We review the state of dose conceptualization in aphasia rehabilitation and compare the applicability of 3 existing dose frameworks to aphasia rehabilitation research?the Frequency, Intensity, Time, and Type (FITT) principle, the Cumulative Intervention Intensity (CII) framework, and the Multidimensional Dose Articulation Framework (MDAF). The MDAF specifies dose in greater detail than the CII framework and the FITT principle. On this basis, we selected the MDAF to be applied to 3 diverse examples of aphasia rehabilitation research. We next critically examined applicability of the MDAF to aphasia rehabilitation research and identified the next steps needed to systematically conceptualize, measure, and report the multiple dimensions of dose, which together can progress understanding of the effect of treatment dose on outcomes for people with aphasia after stroke. Further consideration is required to enable application of this framework to aphasia interventions that focus on participation, personal, and environmental interventions and to understand how the construct of episode difficulty applies across therapeutic activities used in aphasia interventions. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306122
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 830-838[article]
Titre : Prevalence and Predictors of Ambulatory Care Physicians? Documentation of Mobility Limitations in Older Adults Type de document : Article Auteurs : Valerie Shuman ; Jennifer S. Brach ; Jonathan F. Bean ; Janet K. Freburger Année de publication : 2023 Article en page(s) : p. 719-727 Note générale : https://doi.org/10.1016/j.apmr.2022.11.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Documentation ; Médecins ; Médecins de premier recours ; Mobilité réduite ; Réadaptation ; Sujet âgéRésumé : Objective To determine how often physicians document mobility limitations in visits with older adults, and which patient, physician, and practice characteristics associate with documented mobility limitations. Design We completed a cross-sectional analysis of National Ambulatory Medical Care Surveys, years 2012-2016. Multivariate analyses were conducted to identify patient, physician, and practice-level factors associated with mobility limitation documentation. Setting Ambulatory care visits. Participants We analyzed visits with adults 65 years and older. Final sample size represented 1.3 billion weighted visits. Intervention Not applicable. Main Outcome Measure We defined the presence/absence of a mobility limitation by whether any International Classification of Diseases (ICD)-9 or ICD-10 code related to mobility limitations, injury codes, or the patient's ?reasons for visit? were documented in the visits. Results The overall prevalence of mobility limitation documentation was 2.4%. The most common codes were falls-related. Patient-level factors more likely to be associated with mobility limitation documentation were visits by individuals over 85 years of age, relative to 65-69 years, (odds ratio 2.32, 95% confidence interval 1.76-3.07]; with a comorbid diagnosis of arthritis (odds ratio 1.35, 1.18-2.01); and with a comorbid diagnosis of cerebrovascular disease (odds ratio 1.60, 1.13-2.26). Patient-level factors less likely to be associated with mobility limitation documentation were visits by men (odds ratio 0.80, 0.64-0.99); individuals with a cancer diagnosis (odds ratio 0.76, 0.58-0.99); and by individuals seeking care for a chronic problem (relative to a new problem [odds ratio 0.36, 0.29-0.44]). Physician-level factors associated with an increased likelihood of mobility limitation documentation were visits to neurologists (odds ratios 4.48, 2.41-8.32) and orthopedists (odds ratio 2.67, 1.49-4.79) compared with primary care physicians. At the practice-level, mobility documentation varied based on the percentage of practice revenue from Medicare. Conclusions Mobility limitations are under-documented and may be primarily captured when changes in function are overt. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306123
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 719-727[article]
Titre : An Equation With Clinical Applicability and Adequate Validity to Predict the Maximum Oxygen Consumption of Individuals Post-stroke Type de document : Article Auteurs : Paula da Cruz Peniche ; Larissa Tavares Aguiar ; Maria Teresa Ferreira dos Reis ; Christina Danielli Coelho de Morais Faria Année de publication : 2023 Article en page(s) : p. 769-775 Note générale : https://doi.org/10.1016/j.apmr.2022.11.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Capacité cardiorespiratoire ; Consommation d'oxygène ; Réadaptation ; Test de marcheRésumé : Objective To develop an equation with clinical applicability and adequate validity to predict the maximum oxygen consumption (V?o2max) of individuals post-stroke. Design A cross-sectional study. Setting A university laboratory. Participants Individuals post-stroke in the chronic phase (at least 6 months post-stroke). Step-1 (equation development): n=50, aged 55+12 years; Step-2 (validity investigation): n=20, aged 58+8 years (N=50 [step 1], N=20 [step 2]). Interventions Not applicable. Main Outcome Measure(s) Step-1 (equation development): multiple linear regression analysis was performed. Dependent variable: V?o2max (mL/kg/min) in the cardiopulmonary exercise test. Independent variables: age (years), sex (1-women, 2-men), body mass index (BMI) (kg/m2), and distance (meters) in the Six-Minute Walk Test (6MWT) (6MWT-Equation) or in the Incremental Shuttle Walk Test (ISWT) (ISWT-Equation). Step-2 (validity investigation): agreement between the V?o2max measured and predicted was evaluated with the intraclass correlation coefficient (ICC) with 95% confidence interval (CI) and the Bland-Altman method (?=5%). Results In step-1 (equation development), the 4 independent variables for each equation were retained (6MWT-Equation: R2=0.68, P<.001 iswt-equation: r2="0.58," p in step-2 investigation the showed an icc of ci="0.30," and a mean bias ml iswt-equation imprecise adequate validity. conclusions equation with clinical applicability validity investigated sample was developed to predict v individuals post-stroke chronic phase future studies larger should investigate its external> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306124
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 769-775[article]
Titre : Short-Term Health Outcomes of a Structured Pulmonary Rehabilitation Program Implemented Within Rural Canadian Sites Compared With an Established Urban Site: A Pre-Post Intervention Observational Study Type de document : Article Auteurs : Evelyn Etruw ; Desi Fuhr ; Virginia Huynh ; Tina Jourdain ; Lesly Deuchar ; Heather Sharpe ; Roberta Dubois ; Ron Damant ; Michael K. Stickland Année de publication : 2023 Article en page(s) : p. 753-760 Note générale : https://doi.org/10.1016/j.apmr.2022.10.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Asthme ; Broncho-pneumopathie chronique obstructive ; Dilatation des bronches ; Maladies pulmonaires ; Pneumopathies interstitielles ; Qualité de vie ; Réadaptation ; Test de marcheRésumé : Objectives To evaluate congruence in program delivery and short-term health outcomes of a structured pulmonary rehabilitation (S-PR) program implemented at 11 Canadian rural pulmonary rehabilitation (PR) sites compared with an urban reference site. Design Multi-center, pre- and post-intervention, comparative, observational study. Setting Eleven rural Canadian PR sites and 1 urban reference PR site. Participants Adults with chronic respiratory diseases (CRDs) referred to PR. Intervention Clinicians at the reference site worked with local clinicians to implement the S-PR program in rural sites. A PR survey evaluated site congruence with the S-PR components, with congruence defined as delivering program components ?80% in alignment with the S-PR program. Participants were enrolled in 16 sessions of group education and supervised exercise, offered twice or thrice a week. Health outcomes were tracked using a quality assurance database. Outcome Measures Main outcomes were congruence in program delivery and changes in the 6-minute walk (6MW) distance and COPD Assessment Test (CAT). Results A total of 555 participants (rural n=204 and reference n=351) were included in the analyses. There was congruence in exercise and group education; however, individual education varied. Following the S-PR program, 6MW distance increased, with greater changes observed at rural sites (51+67 m at rural sites vs 30+46 m at the reference site). CAT score was reduced by -2.6+5.4 points with no difference between reference and rural sites. Changes in 6MW distance and CAT scores were similar for participants at sites that were congruent vs noncongruent with the individual education component, and similar for patients with COPD, asthma, bronchiectasis, and interstitial lung disease. Conclusion The S-PR program components can be implemented with good congruence in Canadian rural settings, resulting in similar short-term health outcomes as in an established urban site and across CRDs. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306125
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 753-760[article]
Titre : Comparison of the Short-Term Clinical Effectiveness of 5% Dextrose Water, Platelet-rich Plasma and Corticosteroid Injections for Carpal Tunnel Syndrome: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials Type de document : Article Auteurs : Nan Gao ; Lizhao Yan ; Fangxing Ai ; Jiamin Kang ; Lixia Wang ; Yuxiong Weng Année de publication : 2023 Article en page(s) : p. 799-811 Note générale : https://doi.org/10.1016/j.apmr.2022.11.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Glucose ; Hormones corticosurrénaliennes ; Lésions des nerfs périphériques ; Nerf médian ; Plasma riche en plaquettes ; Réadaptation ; Revue systématique ; Syndrome du canal carpienRésumé : Objective To compare the short-term effectiveness of corticosteroids, 5% dextrose (D5W), and platelet-rich plasma (PRP) injections for treating carpal tunnel syndrome (CTS). Data Sources Four databases (MEDLINE [PubMed], Embase, the Cochrane Controlled Trials Register, and Web of Science [WOS]) were researched from inception to the first of April 2022. Study Selection Two authors independently screened the literature to identify the RCTs meeting the included criteria, which involved comparing corticosteroid, 5% dextrose water (D5W), and PRP injection with each other or placebo-controlled for treating CTS. Data Extraction The 2 reviewers independently conducted information extraction, the utcomes included were the changes in Symptom Severity Scale, Functional Status Scale, and Visual Analog Scale at short-term follow-up after drug injection treatment and any adverse events reported. Data Synthesis Twelve randomized controlled trials with 749 patients (817 hands) were included. The results of this study suggested that PRP injection was the most likely to relieve symptoms, improve functions, and alleviate pain, with the surface under the cumulative ranking curve being 91.5%, 92.7%, and 80.8%, respectively, after D5W injection (74.4%, 72.2%, 72.1%), and corticosteroid injection (33.7%, 31.9%, 46.2%). The injection of 3 drugs was significantly better than that of a placebo. Conclusions From the results of the network meta-analysis, PRP injection is the most recommended treatment among the injection of corticosteroid, D5W, and PRP. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306126
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 799-811[article]
Titre : Mind-Body Exercise Performed by Physical Therapists for Reducing Pain and Disability in Low Back Pain: A Systematic Review With Meta-analysis Type de document : Article Auteurs : John R. Gilliam ; Steven Z. George ; Katherine S. Norman ; Stephanie Hendren ; Pradeep K. Sahu ; Sheri P. Silfies Année de publication : 2023 Article en page(s) : p. 776-789 Note générale : https://doi.org/10.1016/j.apmr.2022.10.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Lombalgie ; Méta-analyse ; Réadaptation ; Techniques d'exercices physiquesRésumé : Objective To assess the effectiveness of mind-body (MB) exercise interventions provided by physical therapists for reducing pain and disability in people with low back pain (LBP). Data Sources MEDLINE, Embase, CINAHL, and the Cochrane Library were searched for articles published in English between December 2010 and June 2020. Study Selection Randomized controlled trials evaluating the effects of Pilates, yoga, and tai chi interventions performed by physical therapists on pain or disability outcomes in adults with musculoskeletal LBP were included. Data Extraction Data were extracted by 2 independent reviewers. Quality of evidence and risk of bias were assessed using the Grading of Recommendations Assessment, Development, and Evaluation framework and Cochrane risk of bias tools, respectively. Data Synthesis 21,230 exercise trials were identified; 161 progressed to full-text review. Eight trials, 7 reporting on Pilates and 1 reporting on yoga, were included. Short-term outcomes for pain (SMD: -0.93; 95% confidence interval [CI]: -1.65 to -0.021) and disability (SMD: -0.74 95% CI: -1.36 to -0.012) indicated MB exercise was more effective than control intervention. Tests for subgroup differences between studies with exercise vs non-exercise control groups revealed a moderating effect on short-term outcomes where larger effects were observed in studies with non-exercise comparators. Long-term outcomes for pain (SMD: -0.60; 95% CI:-1.43 to 0.23) and disability (SMD: -1.05; 95% CI:-3.51 to 1.41) suggested that MB exercise is not more effective than control interventions for pain or disability. Quality of the evidence ranged from very low to low. Conclusions Physical therapist-delivered MB exercise interventions, which overwhelmingly consisted of Pilates, were more effective than control in the short and long-term for pain and in the short-term for disability, with differences in the short-term effects lessened when compared with an active intervention. Pilates interventions delivered by physical therapists represent a viable tool for the clinical management of chronic LBP. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306127
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 776-789[article]
Titre : The Moderating Role of Motivation in the Real-Time Associations of Fatigue, Cognitive Complaints, and Pain With Depressed Mood Among Stroke Survivors: An Ecological Momentary Assessment Study Type de document : Article Auteurs : Stephen C.L. Lau ; Lisa Tabor Connor ; Elizabeth R. Skidmore ; Allison A. King ; Jin-Moo Lee ; Carolyn M. Baum Année de publication : 2023 Article en page(s) : p. 761-768 Note générale : https://doi.org/10.1016/j.apmr.2022.11.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Autonomie personnelle ; Dépression ; Évaluation écologique instantanée (EMA) ; Motivation ; RéadaptationRésumé : Objective Stroke symptoms fluctuate during the day as stroke survivors participate in daily activities. Understanding the real-time associations among stroke symptoms and depressed mood, as well as the role of motivation for daily activities, informs, and post-stroke symptom management in the context of everyday living. This study aimed to (1) investigate the real-time associations of fatigue, cognitive complaints, and pain with depressed mood and (2) examine the role of motivation for daily activity participation as a potential moderator of these associations in stroke survivors. Design A prospective cohort study involving 7 days of ecological momentary assessment (EMA), during which participants completed 8 EMA surveys per day. Multilevel modeling was used to analyze data. Setting Community. Participants Forty community-dwelling stroke survivors (N=40). Interventions Not applicable. Main Outcome Measures EMA measures of depressed mood, stroke symptoms (physical and mental fatigue, cognitive complaints, and pain), and motivation (autonomous motivation, controlled motivation). Results Higher levels of within- and between-person physical fatigue, mental fatigue, cognitive complaints, and pain were momentarily associated with greater depressed mood (Ps<.001 within-person autonomous motivation significantly buffered the momentary associations of physical fatigue p mental and pain with depressed mood. conclusions findings indicate cognitive complaints mood in stroke survivors. underpinning daily activity participation was found to buffer promoting for may be viable preventing mitigating poststroke depression.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306128
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 761-768[article]
Titre : Efficacy of Therapeutic Exercise on Activities of Daily Living and Cognitive Function Among Older Residents in Long-term Care Facilities: A Systematic Review and Meta-analysis of Randomized Controlled Trials Type de document : Article Auteurs : Akio Okamae ; Tatsuya Ogawa ; Hyuma Makizako ; Daisuke Matsumoto ; Tomoya Ishigaki ; Midori Kamiya ; Toshinori Miyashita ; Hikaru Ihira ; Yoshiaki Taniguchi ; Shogo Misu ; Takeshi Ohnuma ; Tomohisa Chibana ; Natsu Morikawa ; Tome Ikezoe Année de publication : 2023 Article en page(s) : p. 812-823 Note générale : https://doi.org/10.1016/j.apmr.2022.11.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Cognition ; Réadaptation ; Soins de longue durée ; Traitement par les exercices physiquesRésumé : Objectives This study aimed to systematically analyze the efficacy of therapeutic exercise on activities of daily living (ADL) and cognitive function among older residents in long-term care facilities. Data Sources PubMed, Cochrane Central of Register Trials, Physiotherapy Evidence Database, OTseeker, and Ichushi-Web were searched from inception until December 2018. Study Selection Databases were searched to identify randomized controlled trials (RCTs) of therapeutic exercise for long-term care facility residents aged 60 years and older, focusing on ADL and cognitive function as outcomes. Data Extraction Two independent reviewers extracted the key information from each eligible study. Two reviewers independently screened and assessed all studies for eligibility, extracting information on study participants, details of interventions, outcome characteristics, and significant outcomes. Any discrepancies were resolved by a third reviewer. Data Synthesis A total of 11 RCTs with 1280 participants were eligible for analyses. Therapeutic exercise had a significant benefit on ADL (standard mean difference [SMD]=0. 22, 95% confidence interval [CI]: 0.02, 0.42, P=.03). Subgroup analyses indicated that interventions conducted ?3 days per week [SMD=0.42, 95% CI 0.02, 0.82, P=.04] had a significant benefit on ADL. For cognitive function, group exercise and ?3 days/week of intervention had a significant benefit (group exercise: mean difference [MD]=3.36, 95% CI 0.91, 5.80, P=.007; ?3 days/week of intervention: MD=2.28, 95% CI 0.07, 4.49, P=.04). Conclusions Therapeutic exercise conducted 3 or more days per week may be effective for improving ADL and cognitive function among older residents in long-term care facilities. This meta-analysis suggested that group exercise for cognitive functions was effective. However, the effective method of intervention delivery for ADL was unclear. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306129
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 812-823[article]
Titre : The Effect of a New Payment System on Physiotherapeutic Management of Patients With Low Back Pain in Primary Care Type de document : Article Auteurs : Jasper Bier ; Arianne Verhagen ; Raymond Ostelo ; Alessandro Chiarotto ; Bart Koes Année de publication : 2023 Article en page(s) : p. 738-744 Note générale : https://doi.org/10.1016/j.apmr.2023.01.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Assurance maladie ; Kinésithérapeutes ; Lombalgie ; Réadaptation ; Système de paiements préétablisRésumé : Objective To evaluate differences regarding the number of treatment sessions, costs, and outcomes (including relapses) between a regular payment-per-session system and the recently introduced product payment system in The Netherlands. Design Prospective cohort study. Setting Dutch physical therapy practices in primary care over a 2-year period. Participants 16,103 patients with low back pain (LBP). Intervention The new product payment system is compared with the regular payment-per-session system. Main Outcome Measures Pain, disability, recovery, number of physical therapy sessions, therapy duration, costs (per episode), and LBP relapse. Results At baseline, we found greater pain and disability scores associated with an increased risk profile in both payment systems. With regard to the payment systems, we found greater costs (?283.8 vs ?210.8) and a greater percentage of relapse (4.5% vs 2.8%) for the product payment system compared with the payment-per-session system. Comparing the 2 payment systems within each risk strata, we found no significant differences, except for a decrease in pain in the medium-risk stratum. Concerning the therapy characteristics, we found that in the payment-per-session group, the therapy took 6 days longer for low-risk patients (median 27 vs 21 days) and 7 days shorter for high-risk patients (median 42 vs 49 days) compared with the product payment group. Moreover, the mean number of sessions in the payment-per-session group was greater for low-risk patients (5.4 vs 4.8 sessions) and lower for high-risk patients (7.7 vs 8.1 sessions) compared with the payment-per-session group. Finally, the costs were significantly greater in all strata of the product payment group compared with the payment-per-session group. Conclusions The 2 payment systems are largely comparable regarding patient outcomes, therapy duration, and treatment sessions. Both the average cost per patient per LBP episode and the number of relapses in the product payment system are statistically significantly greater than in the payment-per-session system. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306130
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 738-744[article]
Titre : Post-Operative Outcomes of Pre-Thoracic Surgery Respiratory Muscle Training vs Aerobic Exercise Training: A Systematic Review and Network Meta-analysis Type de document : Article Auteurs : Rajesh Kunadharaju ; Arjun Saradna ; Andrew Ray ; Han Yu ; Wenyan Ji ; Michelle Zafron ; Martin Jeffery Mador Année de publication : 2023 Article en page(s) : p. 790-798 Note générale : https://doi.org/10.1016/j.apmr.2022.10.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications postopératoires ; Durée du séjour ; Exercice physique ; Exercices respiratoires ; Pneumopathie infectieuse ; RéadaptationRésumé : Objective To compare the postoperative outcomes of preoperative respiratory muscle training (RMT) with a device to preoperative aerobic exercise training (AET) in patients undergoing thoracic surgeries (cardiac and lung). Data Sources PubMed, EMBASE, Cochrane, and Web of Science were comprehensively searched upon inception to 9/2020. Study Selection All randomized control studies, including preoperative RMT and preoperative AET compared with a non-training control group, were included. Data Extraction The meta-analysis was performed for outcomes including postoperative pulmonary complications (PPC), pneumonia, postoperative respiratory failure (PRF), hospital length of stay (HLOS), and mortality. We performed a network meta-analysis based on Bayesian random-effects regression models. Data Synthesis A total of 25 studies, 2070 patients were included in this meta-analysis. Pooled data for the patients who performed RMT with a device showed a reduction in PPCs, pneumonia, PRF with odds ratio (OR) of 0.35 (P value .006), 0.38 (P value .002), and 0.22 (P value .008), respectively. Pooled data for the patients who performed AET showed reduction in PPC, pneumonia with a OR of 0.33 (P value <.00001 and or of value .01 respectively. hlos was decreased by days performing rmt .0008 aet compared with the usual group. no significant difference in all-cause mortality care both intervention groups. incidence prf group alone groups p=".21;" based on rank probability plots analysis network meta-analysis ranked similarly primary outcome ppc secondary outcomes pneumonia hlos. conclusions thoracic surgeries preoperative is comparable to prevent reduce it can be considered patients resource-limited settings.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=306131
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 5 (2023) . - p. 790-798[article]
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Titre : Rehabilitation Treatment Specification System: Identifying Barriers, Facilitators, and Strategies for Implementation in Research, Education, and Clinical Care Type de document : Article Auteurs : Jarrad H. Van Stan ; Jain Holmes ; Lauren Wengerd ; Lisa A. Juckett ; John Whyte ; Shanti M. Pinto ; Leanna W. Katz ; Jeremy Wolfberg Année de publication : 2023 Article en page(s) : p. 562-568 Langues : Anglais (eng) Descripteurs : HE Vinci
Education ; Méthodes ; Réadaptation ; Recherche ; Science de la mise en oeuvre ; ThérapeutiqueRésumé : Objective To explore rehabilitation professionals' experiences and perspectives of barriers and facilitators to implementing the Rehabilitation Treatment Specification System (RTSS) in research, education, and clinical care. Design A cross-sectional survey with free text and binary responses was completed by rehabilitation professionals. Survey data were analyzed with a deductive approach of directed content analysis using 2 implementation science frameworks: Consolidated Framework for Implementation Research (CFIR) and the Expert Recommendations for Implementing Change (ERIC). Setting Rehabilitation professionals across research, educational, and clinical settings. Participants One hundred and eleven rehabilitation professionals?including speech-language pathologists, occupational therapists, physical therapists, physicians, psychologists, researchers, and clinic directors?who explored possible uses or applications of the RTSS for clinical care, education, or research (N=111). Interventions Not applicable. Main Outcome Measures Frequency of reported CFIR barriers and facilitators, as well as keywords related to CFIR and ERIC constructs. Results The barriers and facilitating strategies differed according to the end-users? intended use, that is, research, education, or clinical. Overall, the 4 most frequently encountered CFIR barriers were the RTSS's complexity, a lack of available RTSS resources, reduced access to knowledge and information about the RTSS, and limited knowledge and beliefs about the RTSS. The ERIC-CFIR matching tool identified 7 ERIC strategies to address these barriers, which include conducting educational meetings, developing and distributing educational materials, accessing new funding, capturing and sharing local knowledge, identifying and preparing champions, and promoting adaptability. Conclusions When attempting to use the RTSS, rehabilitation professionals commonly encountered barriers to understanding and skillfully using the framework. Theory-driven implementation strategies have been identified that have potential for addressing the RTSS's complexity and lack of educational and skill-building resources. Future work can develop the identified implementation strategies and evaluate their effects on RTSS implementation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304737
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 562-568[article]
Titre : A Systematic Review and Meta-analysis of the Effect of Active Video Games on Postural Balance Type de document : Article Auteurs : Caio Victor Sousa ; Kelly Lee ; Dar Alon ; Dagmar Sternad ; Amy S. Lu Année de publication : 2023 Article en page(s) : p. 631-644 Langues : Anglais (eng) Descripteurs : HE Vinci
Équilibre postural ; Exercice ; Exercices de rééducation ; Jeu vidéo ; Méta-analyse ; Réadaptation ; Réalité de synthèse ; Revue systématique ; TéléréadaptationRésumé : Objective To conduct a comprehensive systematic review and meta-analysis of the effects of active video game (AVG) interventions on postural balance across all ages in populations with and without neurologic impairments, using all types of platforms. Data Source Six databases (PubMed, PsycINFO, Sport Discus, MEDLINE, Web of Science, and Google Scholar) were reviewed by December 31, 2020. Study Selection The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO: CRD42020204191). For inclusion, a study must be original, published in English peer-reviewed venues and employed AVGs as the sole or primary intervention to enhance, maintain, or regain postural balance. At least 2 within- or between-subjects conditions must be included with ?10 participants per condition. Data Extraction Three reviewers independently performed data extraction and assessed the risk of bias. Data Synthesis 129 studies were identified, with 102 eligible for meta-analysis. The total number of tested participants was 6407 (60.0% women, Mage=55.1 years, range=3-99 years, SD=22.6). The average intervention duration was 35.6 min/session with 3.1 sessions/week for 7.6 weeks. The overall effect favored AVG interventions (Hedges? g=0.469; 95% confidence interval [CI]=0.407-0.531). Although the overall study quality was relatively low, the analysis expectedly indicated significantly larger effects (P<.001 for avg-interventions over passive controls g="0.627;" ci="0.466-0.788)," but importantly also favored conventional treatment all clinical populations responded positively although with different effect sizes children experienced larger effects closely followed by seniors the largest intervention on balance improvements was seen in healthy people without a medical condition conclusions avgs can produce postural and better maintenance. could benefit from avg interventions.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304738
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 631-644[article]
Titre : Diet, Physical Activity, and Stress Among Wheelchair Users With Multiple Sclerosis: Examining Individual and Co-Occurring Behavioral Risk Factors Type de document : Article Auteurs : Stephanie L. Silveira ; Brenda Jeng ; Gary Cutter ; Robert W. Motl Année de publication : 2023 Article en page(s) : p. 590-596.e1 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement en matière de santé ; Facteurs de risque ; Fauteuils roulants ; Qualité de vie ; Réadaptation ; Sclérose en plaquesRésumé : Objective This study examined individual and co-occurring behavioral risk factors (diet, exercise, and stress) in wheelchair users with multiple sclerosis (MS) and potential association with MS symptoms (ie, fatigue, depression, anxiety, pain, sleep, and health-related quality of life [HRQOL]). Design Survey. Setting General Community. Participants One hundred twenty-three wheelchair users with MS completed this study (N=123). Interventions Not applicable. Main Outcome Measures Participants were mailed instructions for accessing online questionnaires (demographic and clinical characteristics, Godin Leisure-Time Exercise Questionnaire, Perceived Stress Scale, Automated Self-Administered 24-Hour Dietary Assessment Tool, and MS symptoms). Results Standard cut-points were used to categorize behavioral risk factors and then identify the extent and distribution of these behaviors both individually and co-occurring. We then analyzed the associations between behavioral risk factors and MS symptoms using bivariate correlation analyses and Mann-Whitney U tests. The mean age of participants was 60.6+10.0 years, 76% identified as women, 82% had a progressive disease course, and the mean MS duration was 23.0+9.7 years. Seven participants were classified as having 0 negative health behaviors, 41 participants had 1 negative health behavior, 49 participants had 2 negative health behaviors, and 26 participants had 3 negative health behaviors. The number of negative health behaviors was significantly correlated with HRQOL (physical, r=.30; psychological, r=.47), sleep (r=.25), depressive symptoms (r=.36), and anxiety (r=.43). Mann-Whitney U tests indicated greater fatigue, depression, and anxiety as well as lower sleep quality and HRQOL among participants who reported 2 or 3 behavioral risk factors compared with 0 or 1 behavioral risk factor. Conclusions Future research should examine the design and implementation of multiple health behavior change interventions targeting co-occurring behavioral risk factors among wheelchair users 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=304739
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 590-596.e1[article]
Titre : Measurement Properties of Clinical Instruments for Assessing Manual Wheelchair Mobility in Individuals With Spinal Cord Injury: Systematic Review Type de document : Article Auteurs : Gabriel Ribeiro de Freitas ; Libak Abou ; Aline de Lima ; Laura A. Rice ; Jocemar Ilha Année de publication : 2023 Article en page(s) : p. 656-672 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Fauteuils roulants ; Réadaptation ; Reproductibilité des résultats ; Traumatismes de la moelle épinièreRésumé : Objective To evaluate the measurement properties of clinical instruments used to assess manual wheelchair mobility in individuals with spinal cord injury (SCI). Data Sources This systematic review was conducted according to the Consensus-Based Standards for the Selection of Health Measurement Instruments guidance and Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The search was conducted up to December 2021 on MEDLINE/PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Biblioteca Regional de Medicina, and Cumulative Index to Nursing and Allied Health databases without time restriction. Study Selection Peer-reviewed original research articles that examined any clinical wheelchair mobility and/or skill assessment instrument among adults with SCI and reported data on at least one measurement property or described the development procedure were evaluated independently by two reviewers. Data Extraction Data were independently extracted according to Consensus-Based Standards for the Selection of Health Measurement Instruments methodology. Measurement property results from each study were independently rated by two reviewers as sufficient, insufficient, indeterminate, or inconsistent. The evidence for each measurement property was rated as high, moderate, low, or very low (Grading of Recommendations, Assessment, Development, and Evaluation). Recommendations for highly-rated instruments were performed. Data Synthesis Twenty-nine studies with 21 instruments were identified. The methodological quality of studies ranged from insufficient to sufficient, and the quality of evidence ranged from very low to high. Six instruments reported content validity. Reliability and construct validity were the most studied measurement properties. Structural validity and invariance for cross-cultural measurement were not reported. The highly rated instruments were the Wheelchair Outcome Measure and Wheelchair Skills Test Questionnaire. Conclusions Although numerous instruments for assessing wheelchair mobility and/or skills among individuals with SCI were identified, not many measurement properties have been sufficiently established. The Wheelchair Outcome Measure and Wheelchair Skills Test Questionnaire show the current best potential to be recommended for clinical and research use. Further studies are needed to strengthen or change these recommendations. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304740
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 656-672[article]
Titre : Development and Rasch Validation of an Observational Assessment Tool of Upper Limb Functional Impairment in Stroke Survivors: Functional Assessment Test for Upper Limb Type de document : Article Auteurs : Giulio Gasperini ; Matteo Rota ; Eleonora Guanziroli ; Luciano Bissolotti ; Fabrizio Balestrieri ; Carmelo Chisari ; Antonio Currà ; Alessandra Del Felice ; Nico Farina ; Paolo Manganotti ; Marzia Millevolte ; Domenico A. Restivo ; Andrea Santamato ; Francesco Sciarrini ; Alessandro Specchia ; Carlo Trompetto ; Stefano Calza ; Franco Molteni Année de publication : 2023 Article en page(s) : p. 597-604 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Membre supérieur ; Psychométrie ; RéadaptationRésumé : Objective To develop and validate a quick observational clinical tool, the Functional ASsessment Test for Upper Limb (FAST-UL), for the evaluation of upper limb impairment in goal-directed functional-oriented motor tasks after stroke. Design Observational, cross-sectional, psychometric study. Setting Inpatient and outpatient rehabilitation clinic. Participants A total of 188 post-stroke survivors (mean age 65.2+17.7 years, 61% men, 48% with ischemic stroke and 66% in the sub-acute phase; N=188). Interventions Not applicable. Main Outcome Measures Principal component analysis and Rasch analysis through a Partial Credit Model were used to assess the structure and psychometric properties of the 5 items of the FAST-UL (Hand to Mouth [HtM], Reach to Target, Prono-Supination, Grasp and Release, and Pinch and Release [PaR]). Results The Cronbach's ? equal to 0.96 was indicative of an acceptable internal consistency; the reliability, as measured through the Person Separation Reliability equal to 0.87, was good. The FAST-UL tool was unidimensional. All the FAST-UL items were found to fit well the Rasch measurement model. The easiest to perform FAST-UL item was the HtM movement while the most difficult was the PaR movement. Conclusions The FAST-UL is a quick, easy-to-administer observational assessment tool of upper limb motor impairment in post-stroke survivors with good item-level psychometric properties. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304741
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 597-604[article]
Titre : Circumstances of Falls During Sit-to-Stand Transfers in Older People: A Cohort Study of Video-Captured Falls in Long-Term Care Type de document : Article Auteurs : Vicki Komisar ; Kimberley S. van Schooten ; Olivia M.G. Aguiar ; Nataliya Shishov ; Stephen N. Robinovitch Année de publication : 2023 Article en page(s) : p. 533-540 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Chutes accidentelles ; Locomotion ; Phénomènes biomécaniques ; Soins de longue durée ; VieillissementRésumé : Objective To characterize the circumstances of falls during sit-to-stand transfers in long-term care (LTC), including the frequency, direction, stepping and grasping responses, and injury risk, based on video analysis of real-life falls. Design Cohort study. Setting LTC. Participants We analyzed video footage of 306 real-life falls by 183 LTC residents that occurred during sit-to-stand transfers, collected from 2007 to 2020. The mean age was 83.7 years (SD=9.0 years), and 93 were female (50.8%). Intervention Not applicable. Main Outcome Measures We used Generalized Estimating Equations to test for differences in the odds that a resident would fall at least once during the rising vs stabilization phases of sit-to-stand and to test the association between the phase of the transfer when the fall occurred (rising vs stabilization) and the following outcomes: (1) the initial fall direction; (2) the occurrence, number, and direction of stepping responses; (3) grasping of environmental supports; and (4) documented injury. Results Falls occurred twice as often in the rising phase than in the stabilization phase of the transfer (64.0% and 36.0%, respectively). Falls during rising were more often directed backward, while falls during stabilization were more likely to be sideways (odds ratio [OR]=1.95; 95% confidence interval [CI]=1.07-3.55). Falls during rising were more often accompanied by grasping responses, while falls during stabilization were more likely to elicit stepping responses (grasping: OR=0.30; 95% CI=0.14-0.64; stepping: OR=8.29; 95% CI=4.54-15.11). Injuries were more likely for falls during the stabilization phase than the rising phase of the transfer (OR=1.73; 95% CI=1.04-2.87). Conclusion Most falls during sit-to-stand transfers occurred from imbalance during the rising phase of the transfer. However, falls during the subsequent stabilization phase were more likely to cause injury. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304742
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 533-540[article]
Titre : Influence of Acceptance and Commitment Therapy Core Processes on Anxiety and Stress in Persons With Spinal Cord Injury: A Cross-sectional Study Type de document : Article Auteurs : Megan A. Dorenkamp ; Brigid Waldron-Perrine ; Robin Hanks Année de publication : 2023 Article en page(s) : p. 612-618 Langues : Anglais (eng) Descripteurs : HE Vinci
Adaptation ; Anxiété ; Psychologie ; Réadaptation ; Thérapie d'acceptation et d'engagement (ACT) ; Traumatismes de la moelle épinièreRésumé : Objective To explore the relationship between the core Acceptance and Commitment Therapy (ACT) processes (mindfulness, self as context, acceptance, defusion, values, and committed action) and anxiety and stress in a sample of individuals with spinal cord injury (SCI). Design Variance accounted for by ACT on anxiety and stress as outcome variables was examined using multiple linear regression. Setting Study measures were completed via online survey. Participants 159 participants with a SCI completed self-report study measures relevant to the ACT core processes as well as measures of depression, anxiety, and perceived stress. Main Outcome Measures Outcome measures included the Spinal Cord Injury?Quality of Life Anxiety subdomain and the Perceived Stress Scale. Results Higher reported engagement with acceptance (?=0.238, P=.004), pursuit of values (?=0.187, P<.008 and defusion p related to less anxious distress. perceived stress was predicted by depression the act core processes as a whole conclusions : results of our study indicate that considerable variance in anxiety individuals with sci is accounted for act. lower levels were components whole. uniquely pursuit values acceptance indicating these may be particularly beneficial treatment sci. provide targeted opportunities via tailored act-based interventions.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304743
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 612-618[article]
Titre : Mild Neurocognitive Disorder, Social Engagement, and Falls Among Older Primary Care Patients Type de document : Article Auteurs : Lien T. Quach ; Mette M. Pedersen ; Elisa F. Ogawa ; Rachel E. Ward ; David R. Gagnon ; Avron Spiro ; Jeffrey A. Burr ; Jane A. Driver ; Michael Gaziano ; Amar Dhand ; Jonathan F. Bean Année de publication : 2023 Article en page(s) : p. 541-546 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Dysfonctionnement cognitif ; Participation sociale ; RéadaptationRésumé : Objectives (1) To estimate the association between social engagement (SE) and falls; (2) To examine the relation between mild neurocognitive disorder (MNCD) and falls by different levels of SE. Design We performed a secondary data analysis using prospective cohort study design. Setting Primary care. Participants A total of 425 older adult primary care patients at risk for mobility decline (N=425). As previously reported, at baseline, 42% of participants exhibit MNCD. Main Outcome Measures The outcome variable was the number of falls during 2 years of follow-up. Exposure variables at baseline included (1) MNCD identified using a cut-off of 1.5 SD below the age-adjusted mean on at least 2 measures within a cognitive performance battery and (2) SE, which was assessed using the social component of the Late-Life Function and Disability Instrument. High SE was defined as having a score ? median value (?49 out of 100). All models were adjusted for age, sex, education, marital status, comorbidities, and pain status. Results Over 2 years of follow-up, 48% of participants fell at least once. MNCD was associated with a higher rate of falls, adjusting for the covariates (Incidence Rate Ratio=1.6, 95% confidence interval: 1.1-2.3). There was no significant association between MNCD and the rate of falls among people with high SE. In participants with low SE (having a score less than 49.5 out 100), MNCD was associated with a higher rate of falls as compared with participants with no neurocognitive disorder (No-NCD). Conclusions Among participants with low SE, MNCD was associated with a higher rate of falls, but not among participants with high SE. The findings suggest that high SE may be protective against falls among older primary care patients with MNCD. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304744
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 541-546[article]
Titre : Prognosis of Individual-Level Mobility and Daily Activities Recovery From Acute Care to Community, Part 2: A Proof-of-Concept Single Group Prospective Cohort Study Type de document : Article Auteurs : Allan J. Kozlowski ; Cally Gooch ; Mathew J. Reeves ; John F. Butzer Année de publication : 2023 Article en page(s) : p. 580-589 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Analyse de régression ; Pronostic ; Réadaptation ; Récupération fonctionnelleRésumé : Objective To demonstrate a proof-of-concept for prognostic models of post-stroke recovery on activity level outcomes. Design Longitudinal cohort with repeated measures from acute care, inpatient rehabilitation, and post-discharge follow-up to 6 months post-stroke. Setting Enrollment from a single Midwest USA inpatient rehabilitation facility with community follow-up. Participants One-hundred fifteen persons recovering from stroke admitted to an acute rehabilitation facility (N=115). Interventions Not applicable. Main Outcome Measure(s) Activity Measure for Post-Acute Care Basic Mobility and Daily Activities domains administered as 6 Clicks and patient-reported short forms. Results The final Basic Mobility model defined a group-averaged trajectory rising from a baseline (pseudo-intercept) T score of 35.5 (P<.001 to a plateau t score of points at negative exponential rate individual baseline scores varied by age acute care tissue plasminogen activator and length stay. walking speed lower extremity motricity index scores. the final daily activities model defined group-averaged trajectory rising from stay self-care upper berg balance scale conclusions as proof-of-concept activity-level recovery can be predicted patient-level trajectories generated electronic medical record data but models require attention completeness accuracy elements collected on fully representative patient sample.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304745
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 580-589[article]
Titre : Effects of Conservative Interventions on Static and Dynamic Balance in Individuals With Chronic Ankle Instability: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Yuta Koshino ; Takumi Kobayashi Année de publication : 2023 Article en page(s) : p. 673-685 Langues : Anglais (eng) Descripteurs : HE Vinci
Articulation talocrurale ; Cheville ; Entorses et foulures ; Équilibre postural ; Réadaptation ; Traitement par les exercices physiquesRésumé : Objective To determine which conservative interventions are effective for static and dynamic balance in patients with chronic ankle instability (CAI). Data Sources PubMed, Cochrane Library, Web of Sciences, and CINAHL databases were searched up to March 20, 2022. Study Selection Randomized controlled trials investigating the effects of conservative interventions on static and/or dynamic balance in patients with CAI compared with those of different conservative interventions or controls were included. Data Extraction Two independent reviewers extracted the data. Certainty of the evidence was assessed using the GRADE approach. Data Synthesis Forty-eight studies (1906 participants) were included. Whole-body vibration training (WBVT) was significantly more effective than controls for both static (standardized mean difference, 1.13; 95% confidence interval [CI], 0.58-1.68; moderate-certainty evidence) and dynamic balance (0.56; CI, 0.24-0.88; low-certainty evidence). Balance training (BT) and joint mobilization were significantly more effective than controls for dynamic balance (0.77; CI, 0.41-1.14; and 0.75; CI, 0.35-1.14, respectively), but not for static balance (very low to low-certainty evidence). Adding other interventions to BT had no significant effect on either type of balance compared with that of BT alone (moderate to low-certainty evidence). Strength training (ST) and taping had no significant effect on either type of balance (very low- to low-certainty evidence). Multimodal interventions were significantly effective in improving dynamic balance (0.76; CI, 0.32-1.20; low-certainty evidence). Adding transcranial direct current stimulation to ST was significantly more effective for dynamic balance than ST (0.81; CI, 0.08-1.53; moderate-certainty evidence). The effects on balance were not significantly different among BT, ST, and WBVT (very low- to low-certainty evidence). Conclusions The significantly effective interventions reviewed may be treatment options for balance impairments associated with CAI. However, interventions should be chosen carefully, as much of the certainty of evidence is very low to low. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304746
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 673-685[article]
Titre : Applying Behavior Change Techniques to Support Client Outcomes in Outpatient Neurorehabilitation: A Clinician Guide Type de document : Article Année de publication : 2023 Article en page(s) : p. 711-715 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Guides de bonnes pratiques cliniques comme sujet ; Rééducation neurologiqueDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304747
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 711-715[article]
Titre : A Comparison of Acute Ischemic Stroke Patients Discharged to Inpatient Rehabilitation vs a Skilled Nursing Facility: The Paul Coverdell National Acute Stroke Program Type de document : Article Auteurs : Priyadarshini Pattath ; Erika C. Odom ; Xin Tong ; Xiaoping Yin ; Sallyann M. Coleman King Année de publication : 2023 Article en page(s) : p. 605-611 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Établissements de soins qualifiés ; Réadaptation après un accident vasculaire cérébralRésumé : Objective To compare the sociodemographic, clinical, and hospital related factors associated with discharge of acute ischemic stroke (AIS) survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services. Design Retrospective descriptive study from the Paul Coverdell National Acute Stroke Program (PCNASP) participating hospitals during 2016 to 2019. Setting 9 Participating states from PCNASP in United States. Participants 130,988 patients with AIS from 569 hospitals (N=337,857). Interventions Not applicable. Main Outcome Measure Discharge to IRF and SNF. Results Patients discharged to a SNF had longer length of hospital stay, more comorbidities, and higher modified Rankin scores compared with patients discharged to an IRF. Nine characteristics were associated with being less likely to be discharged to an IRF than an SNF: older age (85+ years old, adjusted odds ratio [AOR]=0.20 [confidence interval [CI]=0.18-0.21]), identifying as non-Hispanic Black (AOR=0.85 [CI=0.81-0.89]), identifying as Hispanic (AOR=0.80 [CI=0.74-0.87]), having Medicaid or Medicare (AOR=0.73 [CI=0.70-0.77]), being able to ambulate with assistance from another person (AOR=0.93 [CI=0.89-0.97]), being unable to ambulate (AOR=0.73 [CI=0.62-0.87]) and having comorbidities, prior stroke (AOR=0.69 [CI=0.66-0.73]), diabetes (AOR=0.85 [CI=0.82-0.88]), and myocardial infraction or coronary artery disease (AOR=0.94 [CI=0.90-0.97]). Four characteristics were associated with being more likely to be discharged to an IRF than an SNF: being a man (AOR=1.20 [CI=1.16-1.24]), and having a slight disability (Rankin Score 2) (AOR=1.41 [CI=1.29-1.54]), being at larger hospitals (200-399 beds: AOR=1.31 [CI=1.23-1.40]; 400+ beds: AOR=1.29 [CI=1.20-1.38]), and being at a hospital with stroke unit (AOR=1.12 [CI=1.07-1.17]). Conclusion This study found differences in demographic, clinical, and hospital characteristics of AIS patients discharged for rehabilitation to an IRF vs SNF. The characteristics of patients receiving rehabilitation services may be helpful for researchers and hospitals making policies related to stroke discharge and practices that optimize patient outcomes. Populations experiencing inequities in access to rehabilitation services should be identified, and those who qualify for rehabilitation in IRF should receive this care in preference to rehabilitation in SNF. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304748
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 605-611[article]
Titre : Prognosis of Individual-Level Mobility and Self-Care Stroke Recovery During Inpatient Rehabilitation, Part 1: A Proof-of-Concept Single Group Retrospective Cohort Study Type de document : Article Auteurs : Allan J. Kozlowski ; Cally Gooch ; Mathew J. Reeves ; John F. Butzer Année de publication : 2023 Article en page(s) : p. 569-579 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Analyse de régression ; Pronostic ; Réadaptation ; Récupération fonctionnelleRésumé : Objective To demonstrate feasibility of generating predictive short-term individual trajectory recovery models after acute stroke by extracting clinical data from an electronic medical record (EMR) system. Design Single-group retrospective patient cohort design. Setting Stroke rehabilitation unit at an independent inpatient rehabilitation facility (IRF). Participants Cohort of 1408 inpatients with acute ischemic or hemorrhagic stroke with a mean + SD age of 66 (14.5) years admitted between April 2014 and October 2019 (N=1408). Interventions Not applicable. Main Outcome Measures 0-100 Rasch-scaled Functional Independence Measure (FIM) Mobility and Self-Care subscales. Results Unconditional models were best-fit on FIM Mobility and Self-Care subscales by spline fixed-effect functions with knots at weeks 1 and 2, and random effects on the baseline (FIM 0-100 Rasch score at IRF admission), initial rate (slope at time zero), and second knot (change in slope pre-to-post week 2) parameters. The final Mobility multivariable model had intercept associations with Private/Other Insurance, Ischemic Stroke, Serum Albumin, Motricity Index Lower Extremity, and FIM Cognition; and initial slope associations with Ischemic Stroke, Private/Other and Medicaid Insurance, and FIM Cognition. The final Self-Care multivariable model had intercept associations with Private/Other Insurance, Ischemic Stroke, Living with One or More persons, Serum Albumin, and FIM Cognition; and initial slope associations with Ischemic Stroke, Private/Other and Medicaid Insurance, and FIM Cognition. Final models explained 52% and 27% of the variance compared with unconditional Mobility and Self-Care models. However, some EMR data elements had apparent coding errors or missing data, and desired elements from acute care were not available. Also, unbalanced outcome data may have biased trajectories. Conclusions We demonstrate the feasibility of developing individual-level prognostic models from EMR data; however, some data elements were poorly defined, subject to error, or missing for some or all cases. Development of prognostic models from EMR will require improvements in EMR data collection and standardization. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304749
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 569-579[article]
Titre : Users' Perceptions About Lower Extremity Orthotic Devices: A Systematic Review Type de document : Article Auteurs : Julie M. Orlando ; Bai Li ; Barry Bodt ; Michele A. Lobo Année de publication : 2023 Article en page(s) : p. 645-655 Langues : Anglais (eng) Descripteurs : HE Vinci
Attitude ; Conception d'appareillage ; Membre inférieur ; Orthèses ; Orthèses de maintien ; Perception ; RéadaptationRésumé : Objective To systematically review perceptions from adults, children, and caregivers in scientific and open sources to determine how well lower extremity orthotic devices (LEODs) meet users? functional, expressive, aesthetic, and accessibility (FEA2) needs. Data Sources Scientific source searches were conducted in the National Library of Medicine (PubMed/MEDLINE) and Web of Science; open source searches were conducted in Google Search Engine in April 2020. Study Selection Inclusion criteria were reporting of users? perceptions about a LEOD, experimental or observational study design, including qualitative studies, and full text in English. Studies were excluded if the device only provided compression or perception data could not be extracted. One hundred seventy three scientific sources of 3440 screened were included (total of 1108 perceptions); 36 open sources of 150 screened were included (total of 508 perceptions). Data Extraction Users? perceptions were independently coded by 2 trained, reliable coders. Data Synthesis Across both source types, there were more perceptions about functional needs, and perceptions were more likely to be positive related to functional than expressive, aesthetic, or accessibility needs. Perceptions about expression, aesthetics, and accessibility were more frequently reported and more negative in open vs scientific sources. Users? perceptions varied depending on users? diagnosis and device type. Conclusions There is significant room for improvement in how LEODs meet users? FEA2 needs, even in the area of function, which is often the primary focus when designing rehabilitation devices. Satisfaction with LEODs may be improved by addressing users? unmet needs. Individuals often choose not to use prescribed LEODs even when LEODs improve their function. This systematic review identifies needs for LEODs that are most important to users and highlights how well existing LEODs address those needs. Attention to these needs in the design, prescription, and implementation of LEODs may increase device utilization. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304750
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 645-655[article]
Titre : Skeletal Muscle Dysfunction in People With Multiple Sclerosis: A Physiological Target for Improving Physical Function and Mobility Type de document : Article Auteurs : T. Bradley Willingham ; Kevin McCully ; Deborah Backus Année de publication : 2023 Article en page(s) : p. 694-706 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladies auto-immunes ; Marche à pied ; Métabolisme ; RéadaptationRésumé : Impaired mobility is amongst the most debilitating symptoms reported by people with multiple sclerosis (MS). Historically, it has been viewed that walking impairments in people with MS are directly caused by the physical damage to the neurons in the central nervous system (CNS) which results from the immunopathology of MS. However, research from over the past 4 decades has revealed that physical function in people with MS is also affected by skeletal muscle dysfunction characterized by a reduced capacity to produce, regulate, and sustain the force-generating muscle contractions that propel human movement. While the immediate CNS damage caused by MS can alter the neural activation of muscle by disrupting neuromotor transmission, chronic reductions in mobility and extreme fatigue can lead to physically inactive lifestyles that negatively affect skeletal muscle through mechanisms of deconditioning. Consequently, people with MS can experience alterations in activation patterns, muscle mass and tissue composition, contractility, metabolism, and perfusion that contribute to reductions in muscle function that ultimately impair key physical functions such as walking. This article provides an overview of the cellular mechanisms that contribute to skeletal muscle dysfunction in people with MS and a discussion of the current evidence suggesting that skeletal muscle may be a key physiological target for interventions aiming to improve mobility in this population. We specifically highlight recent evidence demonstrating the potential for rehabilitation and exercise interventions to induce muscle plasticity in people with MS who have moderate to severe levels of disability. In conclusion, we discuss future directions in basic science and clinical research that may advance our understanding of muscle dysfunction in MS and lead to the development of more precise and effective treatment strategies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304751
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 694-706[article]
Titre : AMPREDICT PROsthetics - Predicting Prosthesis Mobility to Aid in Prosthetic Prescription and Rehabilitation Planning Type de document : Article Auteurs : Daniel C. Norvell ; Mary Lou Thompson ; Aaron Baraff ; Wayne T. Biggs ; Alison W. Henderson ; Kathryn P. Moore ; Aaron P. Turner ; Rhonda Williams ; Charles C. Maynard ; Joseph M. Czerniecki Année de publication : 2023 Article en page(s) : p. 523-532 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Maladie artérielle périphérique ; Membre inférieur ; Prothese ; Prothèses et implants ; RéadaptationRésumé : Objective To develop and validate a patient-specific multivariable prediction model that uses variables readily available in the electronic medical record to predict 12-month mobility at the time of initial post-amputation prosthetic prescription. The prediction model is designed for patients who have undergone their initial transtibial (TT) or transfemoral (TF) amputation because of complications of diabetes and/or peripheral artery disease. Design Multi-methodology cohort study that identified patients retrospectively through a large Veteran's Affairs (VA) dataset then prospectively collected their patient-reported mobility. Setting The VA Corporate Data Warehouse, the National Prosthetics Patient Database, participant mailings, and phone calls. Participants Three-hundred fifty-seven veterans who underwent an incident dysvascular TT or TF amputation and received a qualifying lower limb prosthesis between March 1, 2018, and November 30, 2020 (N=357). Interventions Not applicable. Main Outcome Measure The Amputee Single Item Mobility Measure (AMPSIMM) was divided into a 4-category outcome to predict wheelchair mobility (0-2), and household (3), basic community (4), or advanced community ambulation (5-6). Results Multinomial logistic lasso regression, a machine learning methodology designed to select variables that most contribute to prediction while controlling for overfitting, led to a final model including 23 predictors of the 4-category AMPSIMM outcome that effectively discriminates household ambulation from basic community ambulation and from advanced community ambulation?levels of key clinical importance when estimating future prosthetic demands. The overall model performance was modest as it did not discriminate wheelchair from household mobility as effectively. Conclusions The AMPREDICT PROsthetics model can assist providers in estimating individual patients? future mobility at the time of prosthetic prescription, thereby aiding in the formulation of appropriate mobility goals, as well as facilitating the prescription of a prosthetic device that is most appropriate for anticipated functional goals. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304752
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 523-532[article]
Titre : Depression, Anxiety, and Suicidality in Individuals With Chronic Traumatic Brain Injury Before and During the COVID-19 Pandemic: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study Type de document : Article Auteurs : Sheryl Katta-Charles ; Leah M. Adams ; Nancy D. Chiaravalloti ; Flora M. Hammond ; Paul B. Perrin ; Amanda R. Rabinowitz ; Umesh M. Venkatesan ; Alan H. Weintraub ; Charles H. Bombardier Année de publication : 2023 Article en page(s) : p. 619-630 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; COVID-19 ; Dépression ; Lésions encéphaliques ; Pandémies ; RéadaptationRésumé : Objective To examine the prevalence, severity, and correlates of depression, anxiety, and suicidal ideation in people with traumatic brain injury (TBI) assessed before and during the COVID-19 pandemic. Design Retrospective cohort study using data collected through the Traumatic Brain Injury Model Systems (TBIMS) network at 1, 2, 5, 10, 15, 20, 25, or 30 years post TBI. Setting United States?based TBIMS rehabilitation centers with telephone assessment of community residing participants. Participants Adults (72.4% male; mean age, 47.2 years) who enrolled in the TBIMS National Database and completed mental health questionnaires prepandemic (January 1, 2017 to February 29, 2020; n=5000) or during pandemic (April 1, 2022 to June 30, 2021; n=2009) (N=7009). Interventions Not applicable. Main Outcome Measures Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 questionnaire. Results Separate linear and logistic regressions were constructed with demographic, psychosocial, injury-related, and functional characteristics, along with a binary indicator of COVID-19 pandemic period (prepandemic vs during pandemic), as predictors of mental health outcomes. No meaningful differences in depression, anxiety, or suicidal ideation were observed before vs during the COVID-19 pandemic. Correlations between predictors and mental health outcomes were similar before and during the pandemic. Conclusions Contrary to our predictions, the prevalence, severity, and correlates of mental health conditions were similar before and during the COVID-19 pandemic. Results may reflect generalized resilience and are consistent with the most recent findings from the general population that indicate only small, transient increases in psychological distress associated with the pandemic. While unworsened, depression, anxiety, and suicidal ideation remain prevalent and merit focused treatment and research efforts. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304753
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 619-630[article]
Titre : Determining the Marginal Cost Differences of a Telehealth Versus an In-person Occupational Therapy Evaluation Session for Stroke Survivors Using Time-driven Activity-based Costing Type de document : Article Auteurs : Corey Morrow ; Michelle Woodbury ; Annie N. Simpson ; Eyad Almallouhi ; Kit N. Simpson Année de publication : 2023 Article en page(s) : p. 547-553 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Coûts et analyse des coûts ; Kinésithérapie (spécialité) ; Réadaptation ; TélémédecineRésumé : Objective To estimate the marginal cost differences and care delivery process of a telerehabilitation vs outpatient session. Design This study used a time-driven activity-based costing approach including (1) observation of rehabilitation sessions and creation of manual time stamps, (2) structured and recorded interviews with 2 occupational therapists familiar with outpatient therapy and 2 therapists familiar with telerehabilitation, (3) collection of standard wages for providers, and (4) the creation of an iterative flowchart of both an outpatient and telerehabilitation session care delivery process. Setting Telerehabilitation and outpatient therapy evaluation. Participants Three therapists familiar with care deliver for telerehabilitation or outpatient therapy (N=3). Interventions Not applicable. Main Outcome Measures Marginal cost difference between telerehabilitation and outpatient therapy evaluations. Results Overall, telerehabilitation ($225.41) was more costly than outpatient therapy ($168.29) per session for a cost difference of $57.12. Primary time drivers of this finding were initial phone calls (0 minutes for OP therapists vs 35 minutes for TR) and post documentation (5 minutes for OP vs 30 minutes for TR) demands for telerehabilitation. Conclusions Telerehabilitation is an emerging platform with the potential to reduce costs, improve health care inequities, and facilitate better patient outcomes. Improvements in documentation practices, staffing, technology, and reimbursement structuring would allow for a more successful translation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304754
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 547-553[article]
Titre : Compliance With In-Home Self-Managed Rehabilitation Post-Stroke is Largely Independent of Scheduling Approach Type de document : Article Auteurs : Samantha Peznola ; Lynne V. Gauthier ; Mark C. Claypool ; Benjamin Roop ; Adam C. Lammert Année de publication : 2023 Article en page(s) : p. 554-561 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Analyse de regroupements ; Jeu ; Observance par le patient ; Réadaptation ; Soins à domicileRésumé : Objective To investigate how participants self-schedule their engagement with domestic rehabilitation gaming platform, and how their scheduling behavior in turn influence overall compliance. Design Cohort of individuals randomized to receive in-home rehabilitation gaming during a multi-site randomized controlled trial. Setting In-home self-managed rehabilitation. Participants Eighty community-dwelling participants who were >6 months post-stroke and had mild to moderate upper extremity impairment (N=80). Interventions Participants were prescribed 15 hours of independent in-home self-scheduled game play for upper extremity mobility over 3 weeks. Main Outcome Measures Total number of hours of active game play was objectively measured by the rehabilitation gaming system. Cluster analysis identified scheduling patterns from the following scheduling characteristics: total number of sessions, average session length, and consistency of play schedule. Results Four distinct scheduling profiles were revealed, 3 of which were associated with complete or near-complete compliance, while a fourth (inconsistent schedule of short, infrequent sessions) was associated with very poor compliance. Poor compliance could be predicted within the first 7 days of the program with 78% accuracy based on the same play pattern metrics used to identify player profiles. Conclusions Our findings support client autonomy in selecting the home practice schedule that works best for them, as compliance can successfully be achieved through a variety of different scheduling patterns. The objective measurements of compliance provided through rehabilitation gaming can assist therapists to identify individuals early on who exhibit scheduling behavior that is predictive of poor compliance. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=304755
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 4 (2023) . - p. 554-561[article]
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Titre : Internet of Things (IoT) Enables Robot-Assisted Therapy as a Home Program for Training Upper Limb Functions in Chronic Stroke: A Randomized Control Crossover Study Type de document : Article Auteurs : Li-Chieh Kuo ; Kang-Chin Yang ; Yu-Ching Lin ; Yu-Chen Lin ; Chien-Hsien Yeh ; Fong-Chin Su ; Hsiu-Yun Hsu Année de publication : 2023 Article en page(s) : p. 363-371 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Internet ; Réadaptation ; Réseau ; Robotique ; Technologie numérique ; TéléréadaptationRésumé : Objective To compare the effects of using an Internet of things (IoT)-assisted tenodesis-induced-grip exoskeleton robot (TIGER) and task-specific motor training (TSMT) as home programs for the upper-limb (UL) functions of patients with chronic stroke to overturn conventional treatment modes for stroke rehabilitation. Design A randomized 2-period crossover study. Setting A university hospital. Participants Eighteen chronic stroke patients were recruited and randomized to receive either the IoT-assisted TIGER first or TSMT first at the beginning of the experiment (N=18). Intervention In addition to the standard hospital-based therapy, participants were allocated to receive a 30-minute home-based, self-administered program of either IoT-assisted TIGER first or TSMT first twice daily for 4 weeks, with the order of both treatments reversed after a 12-week washout period. The exercise mode of the TIGER training included continuous passive motion and the functional mode of gripping pegs. The TSMT involved various movement components of the wrist and hand. Main Outcome Measures The outcome measures included the box and block test (BBT), the Fugl-Meyer assessment for upper extremity (FMA-UE), the motor activity log, the Semmes-Weinstein Monofilament test, the range of motion (ROM) of the wrist joint, and the modified Ashworth scale. Results Significant treatment-by-time interaction effects emerged in the results for the BBT (F(1.31)=5.212 and P=.022), the FMA-UE (F(1.31)=6.807 and P=.042), and the ROM of the wrist extension (F(1.31)=8.618 and P=.009). The participants who trained at home with the IoT-assisted TIGER showed more improvement of their UL functions. Conclusions The IoT-assisted TIGER training has the potential for restoring the UL functions of stroke patients. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303844
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 363-371[article]
Titre : International Recommendations to Manage Poststroke Equinovarus Foot Deformity Validated by a Panel of Experts Using Delphi Type de document : Article Auteurs : Marjorie Salga ; Laure Gatin ; Thierry Deltombe ; Thierry Gustin ; Stefano Carda ; Philippe Marque ; Paul Winston ; Rajiv Reebye ; Theodore Wein ; Alberto Esquenazi ; Mary-Ann Keenan ; Franco Molteni ; Paolo Zerbinati ; Alessandro Picelli ; Flavia Coroian ; Bertrand Coulet ; Nadine Sturbois-Nachef ; Christian Fontaine ; Alain Yelnik ; Bernard Parratte ; Prakash Henry ; Srikant Venkatakrishnan ; Philippe Rigoard ; Romain David ; Philippe Denormandie ; Alexis Schnitzler ; Étienne Allart ; François Genet Année de publication : 2023 Article en page(s) : p. 372-379 Langues : Anglais (eng) Descripteurs : HE Vinci
Association sportive ; Football ; Hypertonie musculaire ; Méthode Delphi ; RéadaptationRésumé : Objective To establish international recommendations for the management of spastic equinovarus foot deformity. Design Delphi method. Setting International study. Participants A total of 24 international experts (N=24) in neuro-orthopedic deformities, from different specialties (Physical and Rehabilitation Medicine physicians, neurologists, geriatricians, orthopedic surgeons, neurosurgeons, plastic surgeons). Interventions Experts answered 3 rounds of questions related to important aspects of diagnosis, assessment, and treatment of spastic equinovarus foot deformity. Main Outcome Measures A consensus was established when at least 80% of experts agreed on a statement Results A total of 52 items reached consensus. Experts recommend assessing effect of the deformity on functional activities before treatment. Before treatment, it is crucial to differentiate spastic muscle overactivity from soft tissue contractures, identify which muscles are involved in the deformity, and evaluate the activity of antagonist muscles. Motor nerve blocks, 2-dimensional video analysis, and radiologic examinations are often required to complement a clinical examination. The treatment of equinovarus foot depends on the correctability of the deformity and the patient's ability to stand or walk. The preoperative assessment should include an interdisciplinary consultation that must finalize a formal agreement between physicians and the patient, which will define personalized attainable goals before surgery. Conclusion The establishment of guidelines on managing equinovarus foot will help physicians and surgeons, specialists, and nonspecialists to diagnoses and assess the deformity and direct patients to a network of experts to optimize patient functional recovery and improve their autonomy. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303845
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 372-379[article]
Titre : Can Virtual Reality-Assisted Therapy Offer Additional Benefits to Patients With Vestibular Disorders Compared With Conventional Vestibular Physical Therapy? A Meta-analysis Type de document : Article Auteurs : Hong-Yuan Chu ; Ning Song ; Zhi-Rui Zhou ; Zhi-Fei Li ; Xu Yang Année de publication : 2023 Article en page(s) : p. 490-501 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladies vestibulaires ; Réadaptation ; Réalité de synthèse ; Sensation vertigineuse ; VertigeRésumé : Objective To determine whether virtual reality-assisted therapy (VRAT) significantly improves the treatment of peripheral or central vestibular disorders when compared with conventional vestibular physical therapy (CVPT) alone. Indicators of vestibular symptoms are used to determine this. Data Sources Two reviewers independently searched PubMed, EMBASE, ClinicalTrials.gov, Web of Science, and the Cochrane Collaboration database from January 2010 to January 2022 for studies reporting on VRAT in vestibular disorders. Study Selection Randomized controlled trials (RCTs) were included that mainly focused on the following measures: the Dizziness Handicap Inventory (DHI), Simulator Sickness Questionnaire, visual analog scale, and balance measures such as the Activities-specific Balance Confidence Scale (ABC), timed Up and Go test, sensory organization test, and center of pressure. The primary outcome was assessment of symptomatic changes before and after VRAT. Data Extraction Two authors independently conducted the literature search and selection. After screening, meta-analysis was performed on the RCTs using RevMan 5.3 software. Data Synthesis The results showed that VRAT produced significantly greater improvement than CVPT alone in scores of DHI-Total (standardized mean difference [SMD]: -7.09, 95% confidence interval [CI]: [-12.17, -2.00], P=.006), DHI-Functional (SMD=-3.66, 95% CI: [-6.34, -0.98], P=.007), DHI-Physical (SMD=-3.14, 95% CI: [-5.46, -0.83], P=.008), and DHI-Emotional (SMD=-3.10, 95% CI: [-5.13, -1.08], P=.003). ABC scores did not show improvement (SMD: 0.58, 95% CI: [-3.69, 4.85], P=.79). Subgroup analysis showed that DHI-Total between-group differences were insignificant for central vestibular disorders (SMD=-1.47, 95% CI: [-8.71, -5.78], P=.69), although peripheral disorders showed significant improvements (SMD=-9.58, 95% CI: [-13.92, -5.25], P<.0001 however the included studies showed high heterogeneity>75%). Conclusions VRAT may offer additional benefits for rehabilitation from vestibular diseases, especially peripheral disorders, when compared with CVPT alone. However, because of high heterogeneity and limited data, additional studies with a larger sample size and more sensitive and specific measurements are required to conclusively determine the evidence-based utility of virtual reality. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303846
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 490-501[article]
Titre : Essential Role of Social Context and Self-Efficacy in Daily Paretic Arm/Hand Use After Stroke: An Ecological Momentary Assessment Study With Accelerometry Type de document : Article Auteurs : Yi-An Chen ; Rebecca Lewthwaite ; Nicolas Schweighofer ; John R. Monterosso ; Beth E. Fisher ; Carolee Winstein Année de publication : 2023 Article en page(s) : p. 390-402 Langues : Anglais (eng) Descripteurs : HE Vinci
Accélérométrie ; Accident vasculaire cérébral (AVC) ; Auto-efficacité ; Environnement social ; Évaluation écologique instantanée (EMA) ; Membre supérieur ; RéadaptationRésumé : Objective To determine the momentary effect of social-cognitive factors, in addition to motor capability, on post-stroke paretic arm/hand use in the natural environment. Design A 5-day observational study in which participants were sent 6 Ecological Momentary Assessment (EMA) prompts/day. Setting Participants? daily environment. Participants Community-dwelling, chronic stroke survivors with right-dominant, mild-moderate upper extremity paresis (N=30). Interventions Not applicable. Main Outcome Measures Time duration of bimanual and unimanual paretic arm/hand use indexed by accelerometry; social-cognitive factors (social context, self-efficacy, mood) captured by EMA; motor capability of the paretic limb measured by Fugl-Meyer Upper Extremity Motor Assessment (FM). Results After accounting for participants? motor capability, we found that momentary social context (alone or not) and self-efficacy significantly predicted post-stroke paretic arm/hand use behavior in the natural environment. When participants were not alone, paretic arm/hand movement increased both with and without the less-paretic limb (bimanual and unimanual movements, P=.018 and P<.001 respectively importantly participants were more likely to use their paretic arm if they had greater self-efficacy for limb ema repeated-measures provide a real-time approach that captures the natural dynamic ebb and flow of social-cognitive factors effect on daily use. we also observed people with motor impairments increase unimanual movements when are not alone regardless capability. conclusions in addition capability stroke survivors momentary social context play role behavior. our findings suggest development personalized rehabilitative interventions which target these promote this study highlights benefits information unravel complexities biopsychosocial interface post-stroke upper extremity recovery.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303847
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 390-402[article]
Titre : Ten-Item Lower Extremity Functional Scale (LEFS-10): Instrument Reduction Based on Brazilian Patients With Lower Limb Dysfunction Type de document : Article Auteurs : Cid André Fidelis-de-Paula-Gomes ; Mariana Quixabeira Guimarães-Almeida ; André Pontes-Silva ; Jhonata Botelho Protázio ; Gabriel Henrique Santin Apahaza ; Cesário da Silva Souza ; Mariana Arias Avila ; Almir Vieira Dibai-filho Année de publication : 2023 Article en page(s) : p. 438-443 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse statistique factorielle ; EVALUATION FONCTIONNELLE ; Maladies ostéomusculaires ; Membre inférieur ; Réadaptation ; Reproductibilité des résultatsMots-clés : Functional status Musculoskeletal diseases Reproducibility of results Factor analysis Statistical Résumé : Objective To propose a short version of the lower extremity functional scale (LEFS), to compare our short version with the different structures proposed for the LEFS by the specialized literature, and to verify the criterion validity of the best structure of the LEFS identified in our study. Design Cross-sectional observational study. Setting Physiotherapy clinics. Participants We included 140 patients with lower limb dysfunction (N=140). Interventions None. Main Outcome Measures We used confirmatory factor analysis (CFA), ?2/degree of freedom (DF), comparative fit index (CFI), Tucker-Lewis index (TLI), root mean square error of approximation (RMSEA), standardized root mean squared residual (SRMR), Akaike information criterion (AIC), and Bayesian information criterion (BIC). The method of reducing the number of items of the LEFS considered the modification indices and factor loadings. Results The body site most affected by pain was the knee (71.4%), and the most common diagnoses were knee osteoarthritis (55%) and anterior knee pain (11.4%). LEFS reduction generated a 1-dimensional structure of the LEFS with 10 items (LEFS-10). When compared with other structures, the LEFS-10 presented the best fit indices (?2/DF=1.88, CFI=0.975, TLI=0.968, RMSEA=0.079, and SRMR=0.058) and the lowest values of AIC (3287.063) and BIC (3345.896). LEFS-10 presents a high correlation (Spearman's correlation coefficient [?]=0.911, P<.001 with the lefs. conclusion lefs-10 is proposal for a short version of instrument most adequate internal structure in addition to being satisfactorily correlated longer instrument.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303848
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 438-443[article]
Titre : Accuracy of Resting Energy Expenditure Estimation Equations in Polio Survivors Type de document : Article Auteurs : François Genet ; Marjorie Salga ; Gratiane De Brier ; Arnaud-Xavier Jouvion ; Guillaume Genêt ; Frédéric Lofaso ; Hélène Prigent ; Maxime Obrecht ; Sophie Dziri ; Laurent Théfenne Année de publication : 2023 Article en page(s) : p. 418-424 Langues : Anglais (eng) Descripteurs : HE Vinci
Calorimétrie ; métabolisme basal ; Métabolisme énergétique ; Obésité ; Poliomyelite ; RéadaptationRésumé : Objective To evaluate the accuracy of 4 equations validated for the general population to determine resting energy expenditure (REE) in polio survivors. Design A descriptive, ambispective, single-center observational cohort study of minimal risk care. Setting Tertiary university care hospital. Participants DATAPOL database of polio survivors followed up in a specialist department (N=298). Interventions None. Main Outcomes Measures REE measurement by indirect calorimetry and estimated REE using 4 equations and comparing the values with indirect calorimetry. Analysis of correlations between measured REE and weight, height, and body mass index (BMI) and indicators of severity of polio sequelae. Results Of the 298 polio cases in the database between January 2014 and May 2017, 41 were included (19 men and 22 women). Mean+SD BMI was 26.0+5.6 kg/m2 (56.1% below 25). Measured REE correlated significantly and positively with weight and weaker with BMI. Correlations between measured and estimated REE were strong (between 0.49 and 0.59); correlations were strongest for the simplified World Health Organization and the Harris and Benedict equations. However, the equations systematically overestimated REE by more than 20%, especially in men. We calculated a correction factor for the World Health Organization scale: ?340.3 kcal/d for women and ?618.8 kcal/d for men. Conclusion Analysis of REE is important for polio survivors; The use of estimation equations could lead to the prescription of a nonadapted diet. We determined a correction factor that should be validated in prospective studies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303849
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 418-424[article]
Titre : Torque and Discomfort During Electrically Evoked Muscle Contractions in Healthy Young Adults: Influence of Stimulation Current and Pulse Frequency Type de document : Article Auteurs : Anders Gravholt ; Jon Herskind ; Christoffer Tiedemann Kloster ; Lars G. Hvid ; Kristian Overgaard Année de publication : 2023 Article en page(s) : p. 444-450 Langues : Anglais (eng) Descripteurs : HE Vinci
Contraction isométrique ; Jeune adulte (19-24 ans) ; Moment de torsion ; Pain ; Réadaptation ; Stimulation électriqueRésumé : Objective To investigate (1) how current and pulse frequency of electrical stimulation (ES) as well as contraction mode (isometric, concentric, and eccentric) influence torque output and discomfort and (2) how familiarization by repeated ES sessions influences ratings of perceived discomfort. Design An experimental study, 3 sessions. Setting A university laboratory. Participants Eight healthy participants (5 men, 3 women; mean age 25.2 years; N=8). Interventions Participants completed 3 trial days, each including 17 electrically evoked thigh muscle contractions. On each trial day, the first 6 contractions consisted of 2 isometric, 2 concentric, and 2 eccentric muscle contractions randomly ordered with a fixed stimulation current and pulse frequency (200 mA, 20 Hz), while the remaining 11 muscle contractions were all isometric with randomly ordered combinations of current (100-250 mA) and pulse frequency (20-100 Hz). Main Outcome Measures Torque and perceived discomfort were measured for each ES-evoked contraction. Results Overall, the findings revealed that a higher stimulation frequency was associated with an increased torque without increased discomfort, while higher currents were associated with increases of both torque and discomfort. Contraction type did not influence level of discomfort, despite eccentric contractions eliciting higher torque compared with concentric and isometric contractions (P<.001 finally a significant familiarization to es was observed after just of identical stimulation sessions. conclusions the outlined data suggest that elicit high torque levels while minimizing discomfort in young subjects eccentric muscle contractions evoked with low current and pulse frequency are preferable. furthermore single session significantly lowers rating perceived during es.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303850
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 444-450[article]
Titre : Shoulder Kinematics of Axillary Web Syndrome in Women Treated for Breast Cancer Type de document : Article Auteurs : Renata Braudy ; Brittany Atoms ; Jenna Coghlan ; Meaghan Staples ; David Moga ; Ryan Tollefsrud ; Rebekah L Lawrence ; Paula Ludewig ; Linda Koehler Année de publication : 2023 Article en page(s) : p. 403-409 Langues : Anglais (eng) Descripteurs : HE Vinci
Noeuds lymphatiques ; Phénomènes biomécaniques ; Réadaptation ; Scapula ; Tumeurs du seinRésumé : Objective To better understand how the shoulder moves in breast cancer survivors with axillary web syndrome (AWS), we compared 3-dimensional (3D) shoulder kinematics during shoulder elevation among breast cancer survivors with and without AWS 5 years postoperatively. Although research consistently shows decreased shoulder range of motion with AWS, we do not understand the underlying biomechanics. Design Nested case control study. Setting University Academic Breast Center. Participants Twenty-five women who had surgery 5 years previously for unilateral breast cancer with the removal of at least 1 lymph node participated in this study (N=25). Twelve participants had AWS; 13 women did not have AWS. Interventions Not applicable. Main Outcome Measures Three-dimensional shoulder kinematic data during shoulder forward flexion, scapular plane abduction, and coronal plane abduction were collected using 3D electromagnetic motion tracking. Kinematic data were extracted at 30°, 60°, 90°, and 120° of arm elevation for scapular upward rotation, internal rotation, and posterior tilt as well as for glenohumeral external rotation. Results Women with AWS demonstrated 15.2° less scapular upward rotation at 120° humerothoracic elevation (95% confidence interval [-25.2, -5.2], P=.005), regardless of plane. No significant between-group differences were found for any other angle of scapular upward rotation, nor for scapular internal rotation, scapular posterior tilt, or glenohumeral axial rotation at any angle. Conclusions Five years after surgery for breast cancer, women diagnosed with AWS have altered scapulohumeral kinematics that may place them at an increased risk of shoulder pain based on existing kinematic literature in healthy cohorts. This information can help guide rehabilitation programs for breast cancer survivors to facilitate pain-free upper extremity function after treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303851
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 403-409[article]
Titre : Barriers and Facilitators to Accessing Rehabilitation Health Care: A Veterans Affairs Traumatic Brain Injury Model Systems Qualitative Study Type de document : Article Auteurs : Bridget A. Cotner ; Risa Nakase-Richardson ; Danielle R. O'Connor ; Marc A. Silva ; Flora M. Hammond ; Noelle E. Carlozzi ; Jacob A. Finn ; Joyce Chung ; Jeanne M. Hoffman Année de publication : 2023 Article en page(s) : p. 380-389 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Aidants ; Anciens combattants ; Lésions encéphaliques ; Personnel militaire ; Réadaptation ; Recherche qualitativeRésumé : Objective To compare barriers and facilitators to accessing health care services among service members and veterans (SMVs) by traumatic brain injury (TBI) severity groups. Design Qualitative descriptive study guided by an access to health care services conceptual framework. Setting Five Veterans Affairs (VA) polytrauma rehabilitation centers. Participants SMVs (N=55, including 10 caregivers as proxies) ?2 years post-TBI recruited from the VA TBI Model Systems and grouped by TBI severity (mild/moderate, severe). Main Outcome Measures Barriers and facilitators accessing care. Results The main facilitators included ease of communicating with providers to help SMVs identify and utilize appropriate health care, family advocates who promoted engagement in health care, ability to use government and community facilities, and online resources or equipment. Distance to services was uniformly identified as a main barrier for both patient groups. However, facilitators and barriers to health care access differed by TBI severity. SMVs with severe TBI highlighted the role of nonprofit organizations in promoting health care engagement and the availability of VA specialty residential programs in meeting health care needs. Having unrecognized health care needs in chronic stages and communication difficulties with providers were more commonplace for those with greater TBI severity and affected quality of care. Those with mild/moderate TBI highlighted challenges associated with paying for services in the community and scheduling of services. Conclusions Barriers and facilitators exist across multiple dimensions of a health care access framework and vary by TBI severity. Results suggest possible mechanistic links between health care access and SMV health outcomes. Findings support current policy and practice efforts to facilitate health care access for SMVs with TBI but highlight the need for tailored approaches for those with greater disability. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303852
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 380-389[article]
Titre : One-Third of Systematic Reviews in Rehabilitation Applied the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) System to Evaluate Certainty of Evidence: A Meta-Research Study Type de document : Article Auteurs : Silvia Gianola ; Silvia Bargeri ; Giulia Nembrini ; Arianna Varvello ; Carole Lunny ; Greta Castellini Année de publication : 2023 Article en page(s) : p. 410-417 Langues : Anglais (eng) Descripteurs : HE Vinci
Approche GRADE ; Médecine factuelle ; Méta-analyse ; Politique de santé ; Réadaptation ; Revue systématiqueRésumé : Objective To determine how many systematic reviews (SRs) of the literature in rehabilitation assess the certainty of evidence (CoE) and how many apply the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to do this. Data Sources For this meta-research study, we searched PubMed and Cochrane Database of Systematic Reviews databases for SRs on rehabilitation published in 2020. Study Selection and Data Extraction Two reviewers independently selected the SRs and extracted the data. Reporting characteristics and appropriate use of the GRADE system were assessed. Data Synthesis The search retrieved 827 records: 29% (239/827) SRs evaluated CoE, 68% (163/239) of which applied the GRADE system. GRADE was used by SRs of randomized controlled trials (RCTs, 88%; 144/163), non-randomized intervention studies (NRIS, 2%; 3/163), and both RCT and NRIS (10%; 16/163). In the latter case, a separate GRADE assessment according to the study design was not provided in 75% (12/16). The reasons for GRADE judgment were reported in 82% (134/163) of SRs. Conclusions One-third of SRs in rehabilitation assessed CoE with the GRADE system. GRADE assessment was presented transparently by most SRs. Journal editors and funders should encourage the uptake of the GRADE system when considering SRs in rehabilitation for publication. The authors should pre-define GRADE assessment in a registered and/or published protocol. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303853
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 410-417[article]
Titre : Ten Reasons Why You Should Walk and How to Get Started! Type de document : Article Auteurs : Julie D Ries ; Elena Philippou ; Hannes Devos ; Ahmed Negm ; Shanti M. Pinto ; Preeti Pushpalata Zanwar ; Patricia C Heyn Année de publication : 2023 Article en page(s) : p. 517-519 Langues : Anglais (eng) Descripteurs : HE Vinci
Marche à piedDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303854
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 517-519[article]
Titre : Use of Virtual Reality in Burn Rehabilitation: A Systematic Review and Meta-analysis Type de document : Article Auteurs : Xiaodong Lan ; Ziming Tan ; Tao Zhou ; Zhenjia Huang ; Zhiyong Huang ; Chao Wang ; Zhenwei Chen ; Yan Ma ; Tao Kang ; Yan Gu ; Dehuai Wang ; Yuesheng Huang Année de publication : 2023 Article en page(s) : p. 502-513 Langues : Anglais (eng) Descripteurs : HE Vinci
Brûlures ; Réadaptation ; Réalité de synthèse ; Revue systématiqueRésumé : Objectives We systematically reviewed published clinical trials to evaluate the effectiveness of virtual reality (VR) technology on functional improvement, pain relief, and reduction of mental distress among burn patients undergoing rehabilitation. Data Sources Systematic searches were conducted in 4 databases, including PubMed, the Cochrane Library, Embase, and Web of Science, from inception to August 2021. Study Selection Randomized controlled trials (RCTs) evaluating any type of VR for the rehabilitation in burn patients with dysfunction were included. Data Extraction Two reviewers evaluated the eligibility, and another 2 reviewers used the Cochrane risk of bias assessment tool to assess the risk of bias. The extracted data included the main results of rehabilitation evaluation (quality of life [QOL], work performance, range of motion [ROM] of joints, hand grip and pinch strength, pain, fun, anxiety), the application performance of VR (realness and presence), adverse effects (fatigue and nausea), and characteristics of the included studies. Heterogeneity was evaluated using the chi-square tests and I2 statistics. Random- or fixed-effects models were conducted to pool the effect sizes expressed as standardized mean differences (SMDs). Data Synthesis Sixteen RCTs with 535 burn patients were included. VR-based interventions were superior to usual rehabilitation in QOL and work performance of burn patients and produced positive effect on the average gain of ROM (SMD=0.72) as well. VR was not associated with improved hand grip and pinch strength (SMD=0.50, 1.22, respectively) but was associated with reduced intensity, affective, and cognitive components of pain (SMD=?1.26, ?0.71, ?1.01, respectively) compared with control conditions. Ratings of fun in rehabilitation therapy were higher (SMD=2.38), and anxiety scores were lower (SMD=?0.73) than in control conditions. Conclusions VR-based burn rehabilitation significantly improves the QOL and work performance of burn patients, increases the ROM gain in the joints, reduces the intensity and unpleasantness of pain and the time spent thinking about pain, increases the fun in the rehabilitation therapy, reduces the anxiety caused by the treatment, and has no obvious adverse effects. However, it did not significantly improve hand grip or pinch strength. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303855
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 502-513[article]
Titre : Effects of Therapeutic Intervention on Spatiotemporal Gait Parameters in Adults With Neurologic Disorder: Systematic Review and Meta-analysis Type de document : Article Auteurs : Alka Bishnoi ; Meghna Shankar ; Rachel Lee ; Yang Hu ; Manuel E. Hernandez Année de publication : 2023 Article en page(s) : p. 451-474 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Démarche ; Intervention précoce (formation) ; Kinésithérapie (spécialité) ; Maladie de Parkinson ; Maladies du système nerveux ; Personne âgée fragile ; RéadaptationRésumé : Objective This systematic review and meta-analysis aimed to review and quantify the changes in gait parameters after therapeutic intervention in adults with neurologic disorders. Data Sources A keyword search was performed in 4 databases: PubMed, CINAHL, Scopus, and Web of Science (01/2000-12/2021). We performed the search algorithm including all possible combinations of keywords. Full-text articles were examined further using forward/backward search methods. Study Selection Studies were thoroughly screened using the following inclusion criteria: Study design: randomized controlled trial; adults ?55 years old with a neurologic disorder; therapeutic intervention; spatiotemporal gait characteristics; and language: English. Data Extraction A standardized data extraction form was used to collect the following methodological outcome variables from each of the included studies: author, year, population, age, sample size, and spatiotemporal gait parameters such as cadence, step length, step width, or double limb support. A meta-analysis was performed among trials presenting with similar characteristics, including study population and outcome measure. If heterogeneity was >50%, a random plot analysis was used; otherwise, a fixed plot analysis was done. Data Synthesis We included 25 out of 34 studies in our meta-analysis that examined gait in adults with neurologic disorders. All analyses used effect sizes and standard error and a P<.05 by threshold was considered statistically significant. overall we found that sensory and electrical stimulation had the most significant effect on step length z="5.44*," es: gait speed in adults with parkinson disease although balance or physical activity interventions were not to be effective modifying pd they showed a speed. further cadence relative for stroke conventional therapy conclusion such as auditory somatosensory while walking pd. also did improve spatial parameters other stroke.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303856
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 451-474[article]
Titre : The Efficacy of Physical Therapy Modalities in Patients With Hemophilia: A Systematic Review of Randomized Controlled Trials With Meta-analysis Type de document : Article Auteurs : Shorouk Elshennawy ; Ahmed Ali Zahreldin ; Hossam Mortada ; Menna Hozien ; Ahmed S.A. Youssef ; Amira Galal ; Mostafa Shahien ; Amr Elfeky ; Abdelrahman Elaraby ; Maged Hamed Année de publication : 2023 Article en page(s) : p. 475-489 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Hémophilie ; Kinésithérapie (spécialité) ; RéadaptationRésumé : Objective To evaluate the efficacy of different physical therapy interventions that could validate decisions taken by health care providers in the field of rehabilitation of patients with hemophilia according to the International Classification of Functioning, Disability and Health (ICF), including body functions and structures, activity, and participation. Data Sources Seven databases?PubMed, Cochrane Library, Scopus, Web of Science, Physiotherapy Evidence Database, Google Scholar, and Clinicaltrials.gov?were systematically searched for randomized controlled trials evaluating any physical therapy modality to manage hemophilia. Study Selection After abstract and full-text filtration, a methodological quality assessment was performed using the Physiotherapy Evidence Database scale for the studies that met the eligibility criteria. Data Extraction Relevant data were extracted from eligible studies and outcomes were categorized according to the ICF. Data Synthesis Using Review Manager and Microsoft Excel, a quantitative analysis using standardized mean differences with the 95% confidence interval was completed. Statistical heterogeneity between studies was explored using the I2 test. A fixed effect model was applied to all data analyses. If heterogeneity was statistically significant, the Der Simonian and Laird random effects models were used instead. Results 35 randomized controlled trials with 1216 participants were included in this systematic review; 13 of them dealt with pediatric patients. Most of the studies were of good quality; 12 studies were of low quality. Meta-analysis showed a significant difference in favor of manual therapy, laser, and therapeutic exercises on selected outcomes of body function and structure, activity, and participation categories of the ICF model. Conclusion This systematic review recommends using manual therapy and therapeutic exercise modalities to improve join health status in combination with educational sessions to improve the quality of life of patients with hemophilic arthropathy. For pediatric patients with hemophilic arthropathy, using laser therapy is promising for improving functional capacity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303857
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 475-489[article]
Titre : Initial Evidence for Reliable and Valid Use of Scores on the 8-Item Econ-QOL Short Form to Measure Economic Quality of Life in Caregivers of Persons With Traumatic Brain Injury Type de document : Article Auteurs : Noelle E. Carlozzi ; Christopher Graves ; Jonathan P. Troost ; Michael A. Kallen ; David S. Tulsky ; Robin A. Hanks ; Phillip A. Ianni ; Jennifer A. Miner ; Angelle M. Sander Année de publication : 2023 Article en page(s) : p. 430-437 Langues : Anglais (eng) Descripteurs : HE Vinci
Aidants ; Anciens combattants ; Économie ; Enquêtes et questionnaires ; Lésions traumatiques de l'encéphale ; Mesures des résultats rapportés par les patients (PROM) ; Psychométrie ; Qualité de vie ; Réadaptation ; Reproductibilité des résultatsRésumé : Objective To provide reliability and validity data to support the clinical utility of Economic Quality of Life Measure (Econ-QOL) scores in caregivers of civilians and service members/veterans with traumatic brain injury (TBI). Design Cross-sectional survey study. Setting Three academic medical centers and a Veterans Affairs treatment facility. Participants 376 caregivers of civilians (n=213) and service members/veterans (n=163) with TBI (N=376). Interventions N/A. Main Outcome Measures Econ-QOL and several patient-reported outcome measures (Traumatic Brain Injury Caregiver Quality of Life Caregiver-Specific Anxiety and Caregiver Strain, Patient-Reported Outcomes Measurement Information System sleep-related impairment, Neurological Quality of Life Measurement System positive affect and well-being) and measures of financial status (self-reported income). Results Internal consistency reliability of the Econ-QOL Short Form scores were excellent (all Cronbach's alphas ?.92). There were no floor or ceiling effects for scores. There was evidence of convergent and discriminant validity, with the Econ-QOL scores having the strongest relationships with self-reported income (convergent validity evidence) and weak relationships with the other measures (discriminant validity evidence). Individuals with scores that were ?below or possibly below? the poverty line (according to 2016 federal government poverty level thresholds) reported worse economic quality of life relative to those individuals who were definitely above the poverty line, supporting known-groups validity. Conclusions This article establishes the clinical utility of scores on the Econ-QOL Short Form in caregivers of persons with TBI and provides evidence that it is valid and appropriate to use such scores not only in a variety of different disability populations (eg, spinal cord injury, stroke) but also in caregivers. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303858
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 430-437[article]
Titre : Crosswalking the National Institutes of Health Impact Stratification Score to the PEG Type de document : Article Auteurs : Ron D. Hays ; Nabeel Qureshi ; Maria Edelen ; Anthony Rodriguez ; Mary Slaughter ; Patricia M. Herman Année de publication : 2023 Article en page(s) : p. 425-429 Langues : Anglais (eng) Descripteurs : HE Vinci
Mesure de la douleur ; Mesures des résultats rapportés par les patients (PROM) ; Qualité de vieRésumé : Objective To crosswalk the National Institutes of Health (NIH) Pain Consortium's Research Task Force proposed Impact Stratification Score (ISS) to the PEG (Pain Intensity, Interference With Enjoyment of Life, Interference With General Activity) Scale. Design Cross-sectional data collected in 2021. Ordinary least squares regression analyses of ISS and PEG. Setting Amazon Mechanical Turk workers. Participants 1931 adults with back pain with an average age of 41 (range, 19-77); 48% were female, 16% Hispanic, 7% non-Hispanic Black, 5% non-Hispanic Asian, and 71% non-Hispanic White (N=1931). Interventions Not applicable. Main Outcome Measures The Patient-Reported Outcomes Measurement Information System (PROMIS)-29+2 v2.1 survey that includes the ISS, and the 3-item PEG. Results The ISS and PEG had a correlation coefficient of 0.74. The ISS accounted for 55% of the adjusted variance in the PEG and the standardized average deviation between observed and predicted scores (normalized mean absolute error) was 0.53. Likewise, the PEG explained 55% of the variance in the ISS with a normalized mean absolute error of 0.52. Conclusions This study provides a crosswalk between the ISS and PEG that can be used to predict one from the other. The regression equations can facilitate comparisons in studies that use different measures. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303859
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 3 (2023) . - p. 425-429[article]
Paru le : 01/02/2023
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Titre : Retrospective Examination of Service Dog Training Program Participation and Mental Healthcare Utilization Type de document : Article Auteurs : Rebecca N. Schulz ; Kalyn C. Jannace ; Elizabeth J. Hisle-Gorman ; Paul F. Pasquina Année de publication : 2023 Article en page(s) : 237-244 Note générale : https://doi.org/10.1016/j.apmr.2022.07.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Acceptation des soins par les patients ; Médecine militaire ; Psychoanaleptiques ; Réadaptation ; Thérapie assistée par l'animal ; Troubles anxieux ; Troubles de l'humeur ; Troubles de stress traumatique aigus ; Troubles du rythme circadien du sommeilRésumé : Objective To investigate the association between Service Dog Training Program (SDTP) participation and mental health care utilization. Design Retrospective cohort study. Setting Outpatient rehabilitation clinic at a large military treatment facility. Participants Military Health System beneficiaries who attended at least 1 SDTP session at a large military treatment facility (N=597). SDTP program enrollment records identified participants. Intervention The SDTP, a unique application of animal-assisted therapy, is intended to improve the mental and cognitive health for individuals with war-related trauma. Main Outcome Measures Negative binomial regression calculated the associations between the SDTP participation rate and 2 mental health care utilization outcomes: mental health encounter days and psychotropic medication months? supply. Results Most of the 597 participants were male, enlisted service members, and aged 25-34 years. Approximately 46% had a posttraumatic stress disorder diagnosis, 21% had a traumatic brain injury diagnosis, 47% had an opioid prescription, and 58% had a sleep aid prescription pre-SDTP participation. Participation was categorized into low (?1 sessions), medium (>1 and ?2 sessions), and high (>2 sessions) monthly participation. In adjusted analysis, high monthly SDTP participation was associated with 18% fewer post-SDTP mental health encounter days (rate ratio [RR], 0.82; 95% confidence interval [CI], 0.68-0.96) than low monthly SDTP participation. High monthly SDTP participation was also associated with a 22% fewer post-SDTP psychotropic prescription months? supply (RR, 0.78; 95% CI, 0.64-0.95) than low monthly SDTP participation in adjusted analysis. Conclusions Results suggest that participants who attend more than 2 SDTP sessions monthly encounter mental health care differently post SDTP than participants who attended 1 or fewer monthly sessions. Adjunct therapies, such as the SDTP, may offer patients a nonstigmatizing way to engage in mental health care. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303583
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 2 (2023) . - 237-244[article]
Titre : Longitudinal Associations Between Falls and Risk of Gait Decline: Results From the Central Control of Mobility and Aging Study Type de document : Article Auteurs : Oshadi Jayakody ; Helena M. Blumen ; Emmeline Ayers ; Joe Verghese Année de publication : 2023 Article en page(s) : 245-250 Note générale : https://doi.org/10.1016/j.apmr.2022.08.975 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Etudes longitudinales ; Marche à pied ; Réadaptation ; Vitesse de marcheRésumé : Objective To examine whether falls are associated with longitudinal changes in different gait domains and onset of clinical gait abnormalities. Design Longitudinal study. Setting General community. Participants Ambulatory older adults free of dementia (N=428; mean age, 77.8+6.4 years). Interventions Not applicable. Main Outcome Measures Gait was assessed with a computerized walkway. Pace, rhythm, and variability (outcome measures) were derived from individual gait measures, using principal component analysis. Clinical gait abnormalities (neurologic, nonneurologic, mixed) were visually assessed by clinicians. Linear mixed-effects models were used to examine the associations between falls (the exposure variable coded as none, single, and multiple) and changes in gait domains. Multinomial logistic regression was used to examine associations between falls and the onset of clinical gait abnormalities. Models were adjusted for sex, education, age, body mass index, number of comorbidities, gait speed at the first follow-up, and time between the last fall and the first follow-up gait assessment. Results Pace declined while rhythm and variability increased at a faster rate (P<.05 among participants with multiple falls in the first year of follow-up compared no falls. risk for clinical gait abnormalities between those a single fall or was not different. conclusions predict future decline domains aging. interventions to prevent after should be investigated.> Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303584
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 2 (2023) . - 245-250[article]
Titre : Measurement Properties and Minimal Important Change of the World Health Organization Disability Assessment Schedule 2.0 in Persons With Low Back Pain: A Systematic Review Type de document : Article Auteurs : Jessica J. Wong ; Astrid DeSouza ; Sheilah Hogg-Johnson ; Wouter De Groote ; Danielle Southerst ; Melissa Belchos ; Nadège Lemeunier ; Stephanie Alexopulos ; Hamid Varmazyar ; Silvano A. Mior ; Paula J. Stern ; Margareta C. Nordin ; Anne Taylor-Vaisey ; Alarcos Cieza ; Pierre Côté Année de publication : 2023 Article en page(s) : 287-301 Note générale : https://doi.org/10.1016/j.apmr.2022.06.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Classification internationale du fonctionnement, du handicap et de la santé (ICF) ; Dorsalgie ; Enquêtes et questionnaires ; Lombalgie ; Organisation mondiale de la santé (OMS) ; RéadaptationRésumé : Objective To determine the measurement properties and minimal important change (MIC) of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) short (12 questions) and full (36 questions) versions in persons with nonspecific low back pain (LBP). Data Sources MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, APA PsycInfo, and Cochrane Central Register of Controlled Trials (inception to May 2021). Study Selection Eligible studies assessed measurement properties or MIC of WHODAS 2.0 in persons with LBP. Data Extraction Paired reviewers screened articles, extracted data, and assessed risk of bias using Consensus-Based Standards for Selection of Health Measurement Instruments (COSMIN) and COSMIN-Outcome Measures in Rheumatology checklists. Data Synthesis We descriptively synthesized results stratified by measurement property and LBP duration (subacute: 6 weeks to 3 months; chronic: ?3 months). Results Note de contenu : Under a Creative Commons license Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303585
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 2 (2023) . - 287-301[article]
Titre : Subacromial Motion Metrics in Painful Shoulder Impingement: A Dynamic Quantitative Ultrasonography Analysis Type de document : Article Auteurs : Wei-Ting Wu ; Che-Yu Lin ; Yi-Chung Shu ; Lan-Rong Chen ; Lèvent Ozçakar ; Ke-Vin Chang Année de publication : 2023 Article en page(s) : 260-269 Note générale : https://doi.org/10.1016/j.apmr.2022.08.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie diagnostique ; Pain ; Réadaptation ; Sports ; Syndrome de conflit sous-acromialRésumé : Objectives To explore the subacromial motion metrics in patients with and without subacromial impingement syndrome (SIS) and to investigate whether the abnormality was associated with rotator cuff pathologies. Design This cross-sectional observational study used dynamic quantitative ultrasonography imaging for shoulder joint assessment. Setting Outpatient rehabilitation clinic. Participants Individuals with SIS on at least 1 shoulder (n=32) and asymptomatic controls (n=32) (N=64). Interventions Not applicable. Main Outcome Measures Frame-by-frame, the humeral greater tuberosity against the lateral edge of the acromion was traced to obtain the minimal vertical acromiohumeral distance (AHD). The rotation angle and radius of the humerus were computed using the least-squares curve fitting method. Results Approximately two-thirds of the shoulders with SIS did not have any sonographically identifiable rotator cuff pathologies. There was a consistent trend of nonsignificantly increased humeral rotation angles in painful shoulders. The generalized estimating equation demonstrated that the decreased minimal vertical AHD was associated with painful subacromial impingement (? coefficient: ?0.123cm, 95% confidence interval [CI], ?0.199 to ?0.047). The area under the curve for the minimal vertical AHD to discriminate painful or impinged shoulders ranged from 0.624-0.676. The increased rotation angle (? coefficient: 10.516°; 95% CI, 3.103-17.929) and decreased rotation radius (? coefficient: ?2.903cm; 95% CI, ?5.693 to ?0.111) were shown to be significantly related to the presence of supraspinatus tendinopathy. Conclusions Shoulders with SIS were characterized by a decreased minimal vertical AHD during dynamic examination. Abnormal subacromial metrics can develop in patients with mild (or no) rotator cuff pathologies. More prospective cohort studies are warranted to investigate the changes in subacromial motion metrics in populations at risk for painful or impinged shoulders. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303586
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 2 (2023) . - 260-269[article]
Titre : Update on the Efficacy of Cognitive Rehabilitation After Moderate to Severe Traumatic Brain Injury: A Scoping Review Type de document : Article Auteurs : Adeline Julien ; Lola Danet ; Mallaury Loisel ; David Brauge ; Jérémie Pariente ; Patrice Péran ; Mélanie Planton Année de publication : 2023 Article en page(s) : 315-330 Note générale : https://doi.org/10.1016/j.apmr.2022.07.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Lésions encéphaliques ; Littérature de revue comme sujet ; Réadaptation ; Remédiation cognitiveRésumé : Objectives : To identify, categorize, and analyze the methodological issues of cognitive rehabilitation of patients with moderate to severe traumatic brain injury and its efficacy. Data Sources Pubmed and PsycINFO were searched for studies published between 2015 and 2021 using keywords for cognitive intervention and traumatic brain injury. Study Selection Two independent reviewers selected articles concerning cognitive rehabilitation for adults with traumatic brain injury. Of 458 studies, 97 full-text articles were assessed and 46 met the inclusion criteria. Data Extraction Data were analyzed by 1 reviewer according to criteria concerning the methodological quality of studies. Data Synthesis Results showed a large scope of 7 cognitive domains targeted by interventions, delivered mostly in individual sessions (83%) with an integrative cognitive approach (48%). Neuroimaging tools as a measure of outcome remained scarce, featuring in only 20% of studies. Forty-three studies reported significant effects of cognitive rehabilitation, among which 7 fulfilled a high methodological level of evidence. Conclusions : Advances and shortcomings in cognitive rehabilitation have both been highlighted and led us to develop methodological key points for future studies. The choice of outcome measures, the selection of control interventions, and the use of combined rehabilitation should be investigated in further studies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303587
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 2 (2023) . - 315-330[article]
Titre : Virtual Reality for Cognitive Rehabilitation: A Beginner's Guide for Clinicians Type de document : Article Auteurs : Hannes Devos ; Christi Ng ; Flavia H. Santos ; Pallavi Sood ; Xiaolei Hu ; Preeti Zanwar ; Elisa F. Ogawa ; Patricia Heyn Année de publication : 2023 Article en page(s) : 355-358 Note générale : https://doi.org/10.1016/j.apmr.2022.10.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Réadaptation ; Réalité de synthèseDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303588
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 2 (2023) . - 355-358[article]
Titre : Associations Between Basic Psychological Need Satisfaction and Motivation Underpinning Daily Activity Participation Among Community-Dwelling Survivors of Stroke: An Ecological Momentary Assessment Study Type de document : Article Auteurs : Stephen C.L. Lau ; Lisa Tabor Connor ; Carolyn M. Baum Année de publication : 2023 Article en page(s) : 229-236 Note générale : https://doi.org/10.1016/j.apmr.2022.07.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Évaluation écologique instantanée (EMA) ; Motivation ; RéadaptationRésumé : Objective Grounded in the self-determination theory (SDT), this study aimed to examine the real-time associations between basic psychological need satisfaction and motivation underpinning daily activity participation among survivors of stroke. Design Repeated-measures observational study involving 7 days of ambulatory monitoring; participants completed ecological momentary assessment (EMA) surveys via smartphones 8 times daily. Multilevel models were used to analyze EMA data for concurrent (same survey) and lagged (next survey) associations. Setting General community. Participants Forty community-dwelling survivors of stroke (N=40). Interventions Not applicable. Main Outcome Measures EMA measures of basic psychological needs (autonomy, competence, relatedness) and motivation (autonomous motivation, controlled motivation). Results In concurrent analyses, increased autonomy (B=0.21; 95% confidence interval, 0.16-0.26; P<.001 competence confidence interval p=".021)," and relatedness were momentarily associated with higher autonomous motivation. conversely increased autonomy to lower controlled contrary sdt was motivation in lagged analyses no momentary associations detected between basic psychological needs>.05). Conclusions Findings suggest that basic psychological need satisfaction is momentarily associated with motivation for daily activity participation. Additional research is warranted to examine the associations of different orientations of relatedness with autonomous and controlled motivation. Supporting basic psychological needs may foster autonomous motivation of survivors of stroke to enhance daily activity participation after stroke. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=303589
in Archives of Physical Medicine and Rehabilitation > Vol. 104, n° 2 (2023) . - 229-236[article]