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Douleurs : nouvelles compréhensions sur ces réalités inexplicables / Michel Gedda in Kinésithérapie, la revue, 186 (Juin 2017)
[article]
Titre : Douleurs : nouvelles compréhensions sur ces réalités inexplicables Type de document : texte imprimé Auteurs : Michel Gedda ; Nathan Risch ; François Pointeau ; et al. Année de publication : 2017 Article en page(s) : p. 3-70 Note générale : Dossier Langues : Français (fre) Mots-clés : Kinésithérapie Douleur Communication Conditionnement Conduction, Éducation thérapeutique du patient Facilitation Inhibition Modèle conceptuel Modulation Nociception Polymodalité Sensibilisation centrale Sensibilisation périphérique Voies ascendantes nociceptives Thérapie manuelle Résumé : Sommaire :
°Douleurs : nouvelles compréhensions sur ces réalités inexplicables ....3
°Nociception ....5
°Modulation et dérèglements neurophysiologiques des voies de la douleur ....16
°Facteurs psychosociaux, douleur et kinésithérapie ....33
°Définition et évaluation de la douleur ....44
°Approches thérapeutiques de la douleur en kinésithérapie ....Permalink : ./index.php?lvl=notice_display&id=49176
in Kinésithérapie, la revue > 186 (Juin 2017) . - p. 3-70[article] Douleurs : nouvelles compréhensions sur ces réalités inexplicables [texte imprimé] / Michel Gedda ; Nathan Risch ; François Pointeau ; et al. . - 2017 . - p. 3-70.
Dossier
Langues : Français (fre)
in Kinésithérapie, la revue > 186 (Juin 2017) . - p. 3-70
Mots-clés : Kinésithérapie Douleur Communication Conditionnement Conduction, Éducation thérapeutique du patient Facilitation Inhibition Modèle conceptuel Modulation Nociception Polymodalité Sensibilisation centrale Sensibilisation périphérique Voies ascendantes nociceptives Thérapie manuelle Résumé : Sommaire :
°Douleurs : nouvelles compréhensions sur ces réalités inexplicables ....3
°Nociception ....5
°Modulation et dérèglements neurophysiologiques des voies de la douleur ....16
°Facteurs psychosociaux, douleur et kinésithérapie ....33
°Définition et évaluation de la douleur ....44
°Approches thérapeutiques de la douleur en kinésithérapie ....Permalink : ./index.php?lvl=notice_display&id=49176 Exemplaires (1)
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Exclu du prêtModulating the internal model of verticality by virtual reality and body-weight support walking: A pilot study / Anaïs Odin in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)
[article]
Titre : Modulating the internal model of verticality by virtual reality and body-weight support walking: A pilot study Type de document : texte imprimé Auteurs : Anaïs Odin ; Dominique Faletto-Passy ; Franck Assaban ; Dominic Pérennou Année de publication : 2018 Article en page(s) : p. 292-299 Note générale : Doi : 10.1016/j.rehab.2018.07.003 Langues : Anglais (eng) Mots-clés : Verticality perception Sense of upright Body-weight support walking Virtual tilted room Virtual reality Modulation Lateropulsion Résumé : Background and objective
The study aimed at inducing a visual vertical (VV) bias by immersion in a virtual tilted room (VTR, visual cues), then testing the effect of 30% body-weight support walking (BWSW, somaesthetic cues) to correct this bias.
Methods
We included 20 healthy participants (median age 54 years; 12 females) who wore the Oculus-Rift® Head Mounted Display to produce the virtual reality and generate the VV. VV (8 trials) was tested at baseline, then in 3 postural conditions (walking, sitting and BWSW), by 2 visual conditions (darkness and VTR), according to a pseudo-randomized blocked design. The VTR was tilted 18° clockwise. Data for 3 participants with virtual reality sickness were discarded, and those for 17 participants underwent non-parametric statistical analysis by 2 main criteria: VV and head orientation.
Results
The VTR induced a pronounced tilt of the vertical toward the tilted side under the baseline condition (median 11.4° [Q1–Q3 6.1–13.4]; P<0.01), with a large effect size (r=0.88). The effect was systematic, with great inter-individual variability (2–17°), and was similar under every postural condition (P<0.001), with a post-effect lasting 6min and suppressed under BWSW. In darkness, VV was more upright during BWSW than sitting (P<0.05), with a medium effect size (r=0.49). The VTR induced a slight head tilt of median 3.3° [2.8–5.9] toward the tilted side under every postural condition (P<0.001), with a large effect size (r=0.87). In darkness, the head was upright only at baseline and under BWSW.
Conclusion
Being immersed in a tilted environment induces a powerful bias in verticality perception (11°). Contrary to our hypothesis, BWSW did not attenuate the effect induced by the VTR, probably because of the power of this effect. However, BWSW was the only postural condition able to suppress post-effects induced by the VTR, thereby leading to the head and VV oriented upright. BWSW may improve verticality representation, presumably by bringing augmented information about the direction of the Earth vertical. These findings represent an avenue for rehabilitation of patients with postural disorders caused by a wrong verticality representation. Technological improvements will be necessary to attenuate the virtual reality discomfort.Permalink : ./index.php?lvl=notice_display&id=80620
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 292-299[article] Modulating the internal model of verticality by virtual reality and body-weight support walking: A pilot study [texte imprimé] / Anaïs Odin ; Dominique Faletto-Passy ; Franck Assaban ; Dominic Pérennou . - 2018 . - p. 292-299.
Doi : 10.1016/j.rehab.2018.07.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 292-299
Mots-clés : Verticality perception Sense of upright Body-weight support walking Virtual tilted room Virtual reality Modulation Lateropulsion Résumé : Background and objective
The study aimed at inducing a visual vertical (VV) bias by immersion in a virtual tilted room (VTR, visual cues), then testing the effect of 30% body-weight support walking (BWSW, somaesthetic cues) to correct this bias.
Methods
We included 20 healthy participants (median age 54 years; 12 females) who wore the Oculus-Rift® Head Mounted Display to produce the virtual reality and generate the VV. VV (8 trials) was tested at baseline, then in 3 postural conditions (walking, sitting and BWSW), by 2 visual conditions (darkness and VTR), according to a pseudo-randomized blocked design. The VTR was tilted 18° clockwise. Data for 3 participants with virtual reality sickness were discarded, and those for 17 participants underwent non-parametric statistical analysis by 2 main criteria: VV and head orientation.
Results
The VTR induced a pronounced tilt of the vertical toward the tilted side under the baseline condition (median 11.4° [Q1–Q3 6.1–13.4]; P<0.01), with a large effect size (r=0.88). The effect was systematic, with great inter-individual variability (2–17°), and was similar under every postural condition (P<0.001), with a post-effect lasting 6min and suppressed under BWSW. In darkness, VV was more upright during BWSW than sitting (P<0.05), with a medium effect size (r=0.49). The VTR induced a slight head tilt of median 3.3° [2.8–5.9] toward the tilted side under every postural condition (P<0.001), with a large effect size (r=0.87). In darkness, the head was upright only at baseline and under BWSW.
Conclusion
Being immersed in a tilted environment induces a powerful bias in verticality perception (11°). Contrary to our hypothesis, BWSW did not attenuate the effect induced by the VTR, probably because of the power of this effect. However, BWSW was the only postural condition able to suppress post-effects induced by the VTR, thereby leading to the head and VV oriented upright. BWSW may improve verticality representation, presumably by bringing augmented information about the direction of the Earth vertical. These findings represent an avenue for rehabilitation of patients with postural disorders caused by a wrong verticality representation. Technological improvements will be necessary to attenuate the virtual reality discomfort.Permalink : ./index.php?lvl=notice_display&id=80620 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 prêtNociception / Nathan Risch in FMT mag, 124 (Septembre 2017)
[article]
Titre : Nociception Type de document : texte imprimé Auteurs : Nathan Risch ; François Pointeau ; Nolwenn Poquet Année de publication : 2017 Article en page(s) : p. 52-69 Langues : Français (fre) Mots-clés : conduction facilitation inhibition mode biopsychosocial modulation neuromatrice nociception polymodalité transduction voies ascendantes nociceptives Permalink : ./index.php?lvl=notice_display&id=50554
in FMT mag > 124 (Septembre 2017) . - p. 52-69[article] Nociception [texte imprimé] / Nathan Risch ; François Pointeau ; Nolwenn Poquet . - 2017 . - p. 52-69.
Langues : Français (fre)
in FMT mag > 124 (Septembre 2017) . - p. 52-69Exemplaires (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