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Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study / Manuel J. Escalona in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)
[article]
Titre : Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study Type de document : texte imprimé Auteurs : Manuel J. Escalona ; Rachel Brosseau ; Martin Vermette ; Alain Steve Comtois ; Cyril Duclos ; Mylène Aubertin-Leheudre ; Dany H. Gagnon Année de publication : 2018 Article en page(s) : p. 215-223 Note générale : Doi : 10.1016/j.rehab.2017.12.008 Langues : Anglais (eng) Mots-clés : Spinal cord injuries Exercise Rehabilitation Technology Physical fitness Oxygen consumption Résumé : Background
Many wheelchair users adopt a sedentary lifestyle, which results in progressive physical deconditioning with increased risk of musculoskeletal, cardiovascular and endocrine/metabolic morbidity and mortality. Engaging in a walking program with an overground robotic exoskeleton may be an effective strategy for mitigating these potential negative health consequences and optimizing fitness in this population. However, additional research is warranted to inform the development of adapted physical activity programs incorporating this technology.
Objectives
To determine cardiorespiratory demands during sitting, standing and overground walking with a robotic exoskeleton and to verify whether such overground walking results in at least moderate-intensity physical exercise.
Methods
We enrolled 13 long-term wheelchair users with complete motor spinal cord injury in a walking program with an overground robotic exoskeleton. Cardiorespiratory measures and rate of perceived exertion (RPE) were recorded by using a portable gas analyzer system during sitting, standing and four 10m walking tasks with the robotic exoskeleton. Each participant also performed an arm crank ergometer test to determine maximal cardiorespiratory ability (i.e., peak heart rate and O2 uptake [HRpeak, VO2peak]).
Results
Cardiorespiratory measures increased by a range of 9%–35% from sitting to standing and further increased by 22%–52% from standing to walking with the robotic exoskeleton. During walking, median oxygen cost (O2Walking), relative HR (%HRpeak), relative O2 consumption (%VO2peak) and respiratory exchange ratio (RER) reached 0.29mL/kg/m, 82.9%, 41.8% and 0.9, respectively, whereas median RPE reached 3.2/10. O2Walking was moderately influenced by total number of sessions and steps taken with the robotic exoskeleton since the start of the walking program.
Conclusion
Overground walking with the robotic exoskeleton over a short distance allowed wheelchair users to achieve a moderate-intensity level of exercise. Hence, an overground locomotor training program with a robotic exoskeleton may have cardiorespiratory health benefits in the population studied.Permalink : ./index.php?lvl=notice_display&id=80593
in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 215-223[article] Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study [texte imprimé] / Manuel J. Escalona ; Rachel Brosseau ; Martin Vermette ; Alain Steve Comtois ; Cyril Duclos ; Mylène Aubertin-Leheudre ; Dany H. Gagnon . - 2018 . - p. 215-223.
Doi : 10.1016/j.rehab.2017.12.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 215-223
Mots-clés : Spinal cord injuries Exercise Rehabilitation Technology Physical fitness Oxygen consumption Résumé : Background
Many wheelchair users adopt a sedentary lifestyle, which results in progressive physical deconditioning with increased risk of musculoskeletal, cardiovascular and endocrine/metabolic morbidity and mortality. Engaging in a walking program with an overground robotic exoskeleton may be an effective strategy for mitigating these potential negative health consequences and optimizing fitness in this population. However, additional research is warranted to inform the development of adapted physical activity programs incorporating this technology.
Objectives
To determine cardiorespiratory demands during sitting, standing and overground walking with a robotic exoskeleton and to verify whether such overground walking results in at least moderate-intensity physical exercise.
Methods
We enrolled 13 long-term wheelchair users with complete motor spinal cord injury in a walking program with an overground robotic exoskeleton. Cardiorespiratory measures and rate of perceived exertion (RPE) were recorded by using a portable gas analyzer system during sitting, standing and four 10m walking tasks with the robotic exoskeleton. Each participant also performed an arm crank ergometer test to determine maximal cardiorespiratory ability (i.e., peak heart rate and O2 uptake [HRpeak, VO2peak]).
Results
Cardiorespiratory measures increased by a range of 9%–35% from sitting to standing and further increased by 22%–52% from standing to walking with the robotic exoskeleton. During walking, median oxygen cost (O2Walking), relative HR (%HRpeak), relative O2 consumption (%VO2peak) and respiratory exchange ratio (RER) reached 0.29mL/kg/m, 82.9%, 41.8% and 0.9, respectively, whereas median RPE reached 3.2/10. O2Walking was moderately influenced by total number of sessions and steps taken with the robotic exoskeleton since the start of the walking program.
Conclusion
Overground walking with the robotic exoskeleton over a short distance allowed wheelchair users to achieve a moderate-intensity level of exercise. Hence, an overground locomotor training program with a robotic exoskeleton may have cardiorespiratory health benefits in the population studied.Permalink : ./index.php?lvl=notice_display&id=80593 Exemplaires (1)
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Exclu du prêt“Don’t Think Paralysis Takes Away Your Womanhood” : Sexual Intimacy After Spinal Cord Injury / Heather A. Fritz in American Journal of Occupational Therapy, Vol. 69/2 (Mars/Avril 2015)
[article]
Titre : “Don’t Think Paralysis Takes Away Your Womanhood” : Sexual Intimacy After Spinal Cord Injury Type de document : texte imprimé Auteurs : Heather A. Fritz, Auteur ; Heather Dillaway, Auteur ; Cathy LYSACK, Auteur Année de publication : 2015 Article en page(s) : p.1-10 Langues : Anglais (eng) Mots-clés : Sexualité Femme Comportement sexuel Moelle épinière ParalysieInterpersonal relations Sexual behavior Sexuality Spinal cord injuries Women Résumé : Sexuality and intimacy are important components of health and well-being. Issues surrounding sexuality and intimacy are equally important for men and women living with physical disabilities, including spinal cord injury (SCI). Yet, women’s sexuality after SCI remains largely unexamined. This article presents the findings from an in-depth qualitative investigation of the sexual and reproductive health experiences of 20 women with SCI in or around Detroit, MI. Findings echo existing literature documenting the sexual consequences of life after SCI and suggest new areas of inquiry important for better addressing sexual concerns across the lifespan. Specifically, findings suggest a need to consider the variable effects of SCI on sexual intimacy in relation to a person’s developmental trajectory, the appropriate timing of sexual education, the need to expand conceptualizations of sexual intimacy, and the ways SCI may affect sexuality in later life. Permalink : ./index.php?lvl=notice_display&id=35873
in American Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-10[article] “Don’t Think Paralysis Takes Away Your Womanhood” : Sexual Intimacy After Spinal Cord Injury [texte imprimé] / Heather A. Fritz, Auteur ; Heather Dillaway, Auteur ; Cathy LYSACK, Auteur . - 2015 . - p.1-10.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-10
Mots-clés : Sexualité Femme Comportement sexuel Moelle épinière ParalysieInterpersonal relations Sexual behavior Sexuality Spinal cord injuries Women Résumé : Sexuality and intimacy are important components of health and well-being. Issues surrounding sexuality and intimacy are equally important for men and women living with physical disabilities, including spinal cord injury (SCI). Yet, women’s sexuality after SCI remains largely unexamined. This article presents the findings from an in-depth qualitative investigation of the sexual and reproductive health experiences of 20 women with SCI in or around Detroit, MI. Findings echo existing literature documenting the sexual consequences of life after SCI and suggest new areas of inquiry important for better addressing sexual concerns across the lifespan. Specifically, findings suggest a need to consider the variable effects of SCI on sexual intimacy in relation to a person’s developmental trajectory, the appropriate timing of sexual education, the need to expand conceptualizations of sexual intimacy, and the ways SCI may affect sexuality in later life. Permalink : ./index.php?lvl=notice_display&id=35873 Exemplaires (1)
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Exclu du prêtFactors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study / Clémence Bulteel in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
[article]
Titre : Factors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study Type de document : texte imprimé Auteurs : Clémence Bulteel ; Alice Le Bonniec ; Marion Gounelle ; Annick Schifano ; Olivier Jonquet ; Arnaud Dupeyron ; Isabelle Laffont ; Florence Cousson-Gelie ; Anthony Gélis Année de publication : 2020 Article en page(s) : p. 325-311 Note générale : doi.org/10.1016/j.rehab.2019.06.009 Langues : Anglais (eng) Mots-clés : Spinal cord injuries Sleep apnea Continuous positive airway pressure Treatment adherence Qualitative research Résumé : Background
In individuals with spinal cord injury (SCI) and sleep apnea (SA), adherence to continuous positive airway pressure (CPAP) therapy seems unsatisfactory despite technical and educational support implemented when starting treatment.
Objective
We aimed to design comprehensive model of adherence to CPAP therapy in individuals with SCI and SA.
Methods
This was a prospective qualitative study based on semi-directed interviews and using the grounded theory as an analytic method. The theoretical framework was the social cognitive theory of Bandura. Participants were recruited from an SCI referral centre. Individuals with SCI using or having used a CPAP device for SA were included. Data were collected by semi-directed interviews on the experience of individuals with SCI regarding SA and being fitted with a CPAP device and were coded and organized into categories of experience and category relationships.
Results
Among the 17 individuals included; 9 had tetraplegia; the median age was 62 (Q1–Q3 47–66) years and median time since injury was 16 (Q1–Q3 1.75–21) years. Four categories of data were identified: 1) from symptoms to validation of SA diagnosis, 2) CPAP device fitting process, 3) representations of SA, and 4) level of adherence to the treatment. In addition to the factors already observed in the general population, the proposed model identified specific adherence factors in individuals with SCI, such as physical and relational dependence on a third party, increased daily care burden and increased presence of medical devices in the daily environment.
Conclusion
SA and its management present certain specificities in individuals with SCI that the physician must take into account to optimize therapeutic proposals, follow-up modalities and device adherence.Permalink : ./index.php?lvl=notice_display&id=90878
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 325-311[article] Factors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study [texte imprimé] / Clémence Bulteel ; Alice Le Bonniec ; Marion Gounelle ; Annick Schifano ; Olivier Jonquet ; Arnaud Dupeyron ; Isabelle Laffont ; Florence Cousson-Gelie ; Anthony Gélis . - 2020 . - p. 325-311.
doi.org/10.1016/j.rehab.2019.06.009
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 325-311
Mots-clés : Spinal cord injuries Sleep apnea Continuous positive airway pressure Treatment adherence Qualitative research Résumé : Background
In individuals with spinal cord injury (SCI) and sleep apnea (SA), adherence to continuous positive airway pressure (CPAP) therapy seems unsatisfactory despite technical and educational support implemented when starting treatment.
Objective
We aimed to design comprehensive model of adherence to CPAP therapy in individuals with SCI and SA.
Methods
This was a prospective qualitative study based on semi-directed interviews and using the grounded theory as an analytic method. The theoretical framework was the social cognitive theory of Bandura. Participants were recruited from an SCI referral centre. Individuals with SCI using or having used a CPAP device for SA were included. Data were collected by semi-directed interviews on the experience of individuals with SCI regarding SA and being fitted with a CPAP device and were coded and organized into categories of experience and category relationships.
Results
Among the 17 individuals included; 9 had tetraplegia; the median age was 62 (Q1–Q3 47–66) years and median time since injury was 16 (Q1–Q3 1.75–21) years. Four categories of data were identified: 1) from symptoms to validation of SA diagnosis, 2) CPAP device fitting process, 3) representations of SA, and 4) level of adherence to the treatment. In addition to the factors already observed in the general population, the proposed model identified specific adherence factors in individuals with SCI, such as physical and relational dependence on a third party, increased daily care burden and increased presence of medical devices in the daily environment.
Conclusion
SA and its management present certain specificities in individuals with SCI that the physician must take into account to optimize therapeutic proposals, follow-up modalities and device adherence.Permalink : ./index.php?lvl=notice_display&id=90878 Exemplaires (1)
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Exclu du prêtRéappropriation de l'espace résidentiel des familles où vit une personne lésée médullaire / Sylvie Jutras in Canadian Journal of Occupational Therapy, 82(3) (Juin 2015)
[article]
Titre : Réappropriation de l'espace résidentiel des familles où vit une personne lésée médullaire Titre original : Reappropriation of residential space of families with a person with a spinal cord injury Type de document : texte imprimé Auteurs : Sylvie Jutras, Auteur ; Simon Coulombe, Auteur ; Delphine Labbé, Auteur Année de publication : 2015 Article en page(s) : p. 169-180 Langues : Français (fre) Mots-clés : Adaptation de l'environnement Lésions médullaires Domicile Fonctionnement familial Comportement territorialEnvironmental adaptation Family functioning Housing Spinal cord injuries Territorial behaviour Résumé : Description À ce jour, on ignore comment les adaptations domiciliaires modifient l’expérience résidentielle des personnes vivant avec des incapacités et celle des familles.
But. Décrire le processus de réappropriation résidentielle de personnes lésées médullaires et de leur famille.
Méthodologie Des entrevues de 31 personnes lésées médullaires et 31 proches ont permis de décrire les adaptations apportées, la satisfaction à leur égard, le comportement territorial et le fonctionnement familial.
Résultats Les adaptations visaient l'autonomie et la mobilité. Les adaptations physiques étaient satisfaisantes, surtout pour leur commodité et le sentiment de sécurité. Le comportement territorial soutenait les besoins de contrôle et de liberté. Un processus plus abouti de réappropriation est constaté chez les familles au fonctionnement plus efficace.
Conséquences Les comportements territoriaux et l’efficacité du fonctionnement familial méritent d’être pris en considération dans les interventions des ergothérapeutes auprès des familles.Permalink : ./index.php?lvl=notice_display&id=35958
in Canadian Journal of Occupational Therapy > 82(3) (Juin 2015) . - p. 169-180[article] Réappropriation de l'espace résidentiel des familles où vit une personne lésée médullaire = Reappropriation of residential space of families with a person with a spinal cord injury [texte imprimé] / Sylvie Jutras, Auteur ; Simon Coulombe, Auteur ; Delphine Labbé, Auteur . - 2015 . - p. 169-180.
Langues : Français (fre)
in Canadian Journal of Occupational Therapy > 82(3) (Juin 2015) . - p. 169-180
Mots-clés : Adaptation de l'environnement Lésions médullaires Domicile Fonctionnement familial Comportement territorialEnvironmental adaptation Family functioning Housing Spinal cord injuries Territorial behaviour Résumé : Description À ce jour, on ignore comment les adaptations domiciliaires modifient l’expérience résidentielle des personnes vivant avec des incapacités et celle des familles.
But. Décrire le processus de réappropriation résidentielle de personnes lésées médullaires et de leur famille.
Méthodologie Des entrevues de 31 personnes lésées médullaires et 31 proches ont permis de décrire les adaptations apportées, la satisfaction à leur égard, le comportement territorial et le fonctionnement familial.
Résultats Les adaptations visaient l'autonomie et la mobilité. Les adaptations physiques étaient satisfaisantes, surtout pour leur commodité et le sentiment de sécurité. Le comportement territorial soutenait les besoins de contrôle et de liberté. Un processus plus abouti de réappropriation est constaté chez les familles au fonctionnement plus efficace.
Conséquences Les comportements territoriaux et l’efficacité du fonctionnement familial méritent d’être pris en considération dans les interventions des ergothérapeutes auprès des familles.Permalink : ./index.php?lvl=notice_display&id=35958 Exemplaires (1)
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Exclu du prêtThe Prepared Mind / Susan L. Garber in American Journal of Occupational Therapy, Vol. 70/6 (Novembre-décembre 2016)
[article]
Titre : The Prepared Mind Type de document : texte imprimé Auteurs : Susan L. Garber Année de publication : 2016 Article en page(s) : p. 7006150010p1-7006150010p17 Langues : Anglais (eng) Mots-clés : decubitus ulcer engineering occupational therapist spinal cord injuries rehabilitation pressure ulcer prevention wheelchair mobility Résumé : Every day, in clinics and hospitals around the world, occupational therapists care for patients with serious problems requiring viable solutions. Each patient is unique, and his or her problem does not necessarily correspond to existing practice models. Practitioners must adapt standard approaches to provide effective outcomes, yet problems exist for which few or no beneficial approaches have been identified. Such clinical issues require solutions to be generated de novo from the practitioner’s body of knowledge and past experience. Yet, no single new intervention can be used without prior validation of its efficacy. Only a therapist with a prepared mind can accept such challenges, recognize what is known and not yet known, design studies to acquire that needed knowledge, and translate it into successful clinical treatment strategies. The occupational therapist with a prepared mind is one willing to seize unexpected opportunities and construct new paradigms of practice. Innovation through scientific inquiry requires a prepared mind. Permalink : ./index.php?lvl=notice_display&id=47054
in American Journal of Occupational Therapy > Vol. 70/6 (Novembre-décembre 2016) . - p. 7006150010p1-7006150010p17[article] The Prepared Mind [texte imprimé] / Susan L. Garber . - 2016 . - p. 7006150010p1-7006150010p17.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 70/6 (Novembre-décembre 2016) . - p. 7006150010p1-7006150010p17
Mots-clés : decubitus ulcer engineering occupational therapist spinal cord injuries rehabilitation pressure ulcer prevention wheelchair mobility Résumé : Every day, in clinics and hospitals around the world, occupational therapists care for patients with serious problems requiring viable solutions. Each patient is unique, and his or her problem does not necessarily correspond to existing practice models. Practitioners must adapt standard approaches to provide effective outcomes, yet problems exist for which few or no beneficial approaches have been identified. Such clinical issues require solutions to be generated de novo from the practitioner’s body of knowledge and past experience. Yet, no single new intervention can be used without prior validation of its efficacy. Only a therapist with a prepared mind can accept such challenges, recognize what is known and not yet known, design studies to acquire that needed knowledge, and translate it into successful clinical treatment strategies. The occupational therapist with a prepared mind is one willing to seize unexpected opportunities and construct new paradigms of practice. Innovation through scientific inquiry requires a prepared mind. Permalink : ./index.php?lvl=notice_display&id=47054 Exemplaires (1)
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Exclu du prêt