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Determining the minimal clinically important difference of the hand function sort questionnaire in vocational rehabilitation / Zineb Benhissen in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)
[article]
Titre : Determining the minimal clinically important difference of the hand function sort questionnaire in vocational rehabilitation Type de document : texte imprimé Auteurs : Zineb Benhissen ; Michel Konzelmann ; Philippe Vuistiner ; Bertrand Leger ; François Luthi ; Charles Benaïm Année de publication : 2019 Article en page(s) : p. 155-160 Note générale : https://doi.org/10.1016/j.rehab.2018.11.003 Langues : Anglais (eng) Mots-clés : Treatment outcome Surveys and questionnaires Upper extremity Recovery of function Rehabilitation Résumé : Objective
To estimate the Minimal Clinically Important Difference (MCID) of the French version of the Hand Function Sort questionnaire (HFS-F). As a comparison, the MCID of the Disabilities of the Arm, Shoulder, and Hand (DASH) was also estimated.
Materials and methods
We included French-speaking patients hospitalized in a multidisciplinary rehabilitation program for chronic pain of the upper limb after an accident. HFS-F and DASH scores were collected at admission and discharge; the Patient Global Impression of Change measure (PGIC; 7 levels) was collected at discharge. The MCID was estimated by 2 methods: the anchor-based method (receiver operating characteristic [ROC], delta (Δ) mean of scores) and the objective method based on the distribution of scores (standard error of measurement, SEM).
Result
We included 225 patients. By the anchor-based method, the MCID for the HFS-F and DASH was +26 (SD 35) (P < 10−4) and −13 (SD 13) (P < 10−4), respectively, and by the ROC curve, it was +10 to +12 for the Δ-HFS-F and −7.5 to −5 for the Δ-DASH. The area under the ROC curve (AUC) was 0.726 [0.638–0.781] for Δ-HFS-F and 0.768 [0.701–0.83] for Δ-DASH. The correlations between the anchor and delta scores were > 0.38 (P < 10−4). The SEM was 16.2 for the HFS-F and −4.3 for the DASH.
Conclusions
Values below the SEM must be rejected. Our anchor was significantly correlated with the outcome. Therefore, we propose an MCID for the HFS-F of 26, corresponding to approximately 10% progression of the score.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314969 Permalink : ./index.php?lvl=notice_display&id=84113
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 155-160[article] Determining the minimal clinically important difference of the hand function sort questionnaire in vocational rehabilitation [texte imprimé] / Zineb Benhissen ; Michel Konzelmann ; Philippe Vuistiner ; Bertrand Leger ; François Luthi ; Charles Benaïm . - 2019 . - p. 155-160.
https://doi.org/10.1016/j.rehab.2018.11.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 155-160
Mots-clés : Treatment outcome Surveys and questionnaires Upper extremity Recovery of function Rehabilitation Résumé : Objective
To estimate the Minimal Clinically Important Difference (MCID) of the French version of the Hand Function Sort questionnaire (HFS-F). As a comparison, the MCID of the Disabilities of the Arm, Shoulder, and Hand (DASH) was also estimated.
Materials and methods
We included French-speaking patients hospitalized in a multidisciplinary rehabilitation program for chronic pain of the upper limb after an accident. HFS-F and DASH scores were collected at admission and discharge; the Patient Global Impression of Change measure (PGIC; 7 levels) was collected at discharge. The MCID was estimated by 2 methods: the anchor-based method (receiver operating characteristic [ROC], delta (Δ) mean of scores) and the objective method based on the distribution of scores (standard error of measurement, SEM).
Result
We included 225 patients. By the anchor-based method, the MCID for the HFS-F and DASH was +26 (SD 35) (P < 10−4) and −13 (SD 13) (P < 10−4), respectively, and by the ROC curve, it was +10 to +12 for the Δ-HFS-F and −7.5 to −5 for the Δ-DASH. The area under the ROC curve (AUC) was 0.726 [0.638–0.781] for Δ-HFS-F and 0.768 [0.701–0.83] for Δ-DASH. The correlations between the anchor and delta scores were > 0.38 (P < 10−4). The SEM was 16.2 for the HFS-F and −4.3 for the DASH.
Conclusions
Values below the SEM must be rejected. Our anchor was significantly correlated with the outcome. Therefore, we propose an MCID for the HFS-F of 26, corresponding to approximately 10% progression of the score.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314969 Permalink : ./index.php?lvl=notice_display&id=84113 Exemplaires (1)
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Exclu du prêtEffectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial / Stéphanie Dehem in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)
[article]
Titre : Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial Type de document : texte imprimé Auteurs : Stéphanie Dehem ; Maxime Gilliaux ; Gaëtan G. Stoquart ; Christine Detrembleur ; Géraldine Jacquemin ; Sara Palumbo ; Anne Frederick ; Thierry Lejeune Année de publication : 2019 Article en page(s) : p. 313-320 Note générale : doi.org/10.1016/j.rehab.2019.04.002 Langues : Anglais (eng) Mots-clés : Stroke Upper extremity Robotics Rehabilitation Recovery of function Résumé : Background
Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF).
Objective
This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains.
Methods
We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction.
Results
In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups.
Conclusion
For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation.Permalink : ./index.php?lvl=notice_display&id=84140
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 313-320[article] Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial [texte imprimé] / Stéphanie Dehem ; Maxime Gilliaux ; Gaëtan G. Stoquart ; Christine Detrembleur ; Géraldine Jacquemin ; Sara Palumbo ; Anne Frederick ; Thierry Lejeune . - 2019 . - p. 313-320.
doi.org/10.1016/j.rehab.2019.04.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 313-320
Mots-clés : Stroke Upper extremity Robotics Rehabilitation Recovery of function Résumé : Background
Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF).
Objective
This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains.
Methods
We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction.
Results
In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups.
Conclusion
For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation.Permalink : ./index.php?lvl=notice_display&id=84140 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt