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Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials / Louis-David Beaulieu in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)
[article]
Titre : Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials Type de document : texte imprimé Auteurs : Louis-David Beaulieu ; Marie-Hélène Milot Année de publication : 2018 Article en page(s) : p. 224-234 Note générale : Doi : 10.1016/j.rehab.2017.04.003 Langues : Anglais (eng) Mots-clés : Transcranial magnetic stimulation Stroke Upper-limb physical training Systematic review Brain plasticity Clinical outcome Résumé : Background
Physical training is known to be an effective intervention to improve sensorimotor impairments after stroke. However, the link between brain plastic changes, assessed by transcranial magnetic stimulation (TMS), and sensorimotor recovery in response to physical training is still misunderstood. We systematically reviewed reports of randomized controlled trials (RCTs) involving the use of TMS over the primary motor cortex (M1) to probe brain plasticity after upper-limb physical training interventions in people with stroke.
Methods
We searched 5 databases for articles published up to October 2016, with additional studies identified by hand-searching. RCTs had to investigate pre/post-intervention changes in at least one TMS outcome measure. Two independent raters assessed the eligibility of potential studies and reviewed the selected articles’ quality by using 2 critical appraisal scales.
Results
In total, 14 reports of RCTs (pooled participants=358; mean 26±12 per study) met the selection criteria. Overall, 11 studies detected plastic changes with TMS in the presence of clinical improvements after training, and these changes were more often detected in the affected hemisphere by using map area and motor evoked potential (MEP) latency outcome measures. Plastic changes mostly pointed to increased M1/corticospinal excitability and potential interhemispheric rebalancing of M1 excitability, despite sometimes controversial results among studies. Also, the strength of the review observations was affected by heterogeneous TMS methods and upper-limb interventions across studies as well as several sources of bias within the selected studies.
Conclusions
The current evidence encourages the use of TMS outcome measures, especially MEP latency and map area to investigate plastic changes in the brain after upper-limb physical training post-stroke. However, more studies involving rigorous and standardized TMS procedures are needed to validate these observations.Permalink : ./index.php?lvl=notice_display&id=80594
in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 224-234[article] Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials [texte imprimé] / Louis-David Beaulieu ; Marie-Hélène Milot . - 2018 . - p. 224-234.
Doi : 10.1016/j.rehab.2017.04.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 224-234
Mots-clés : Transcranial magnetic stimulation Stroke Upper-limb physical training Systematic review Brain plasticity Clinical outcome Résumé : Background
Physical training is known to be an effective intervention to improve sensorimotor impairments after stroke. However, the link between brain plastic changes, assessed by transcranial magnetic stimulation (TMS), and sensorimotor recovery in response to physical training is still misunderstood. We systematically reviewed reports of randomized controlled trials (RCTs) involving the use of TMS over the primary motor cortex (M1) to probe brain plasticity after upper-limb physical training interventions in people with stroke.
Methods
We searched 5 databases for articles published up to October 2016, with additional studies identified by hand-searching. RCTs had to investigate pre/post-intervention changes in at least one TMS outcome measure. Two independent raters assessed the eligibility of potential studies and reviewed the selected articles’ quality by using 2 critical appraisal scales.
Results
In total, 14 reports of RCTs (pooled participants=358; mean 26±12 per study) met the selection criteria. Overall, 11 studies detected plastic changes with TMS in the presence of clinical improvements after training, and these changes were more often detected in the affected hemisphere by using map area and motor evoked potential (MEP) latency outcome measures. Plastic changes mostly pointed to increased M1/corticospinal excitability and potential interhemispheric rebalancing of M1 excitability, despite sometimes controversial results among studies. Also, the strength of the review observations was affected by heterogeneous TMS methods and upper-limb interventions across studies as well as several sources of bias within the selected studies.
Conclusions
The current evidence encourages the use of TMS outcome measures, especially MEP latency and map area to investigate plastic changes in the brain after upper-limb physical training post-stroke. However, more studies involving rigorous and standardized TMS procedures are needed to validate these observations.Permalink : ./index.php?lvl=notice_display&id=80594 Exemplaires (1)
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Exclu du prêtRetour au sport après traitement chirurgical des ruptures proximales des tendons ischiojambiers : revue de la littérature / N. LEFEVRE in Journal de traumatologie du sport, Volume 31 numéro 1 (Mars 2014)
[article]
Titre : Retour au sport après traitement chirurgical des ruptures proximales des tendons ischiojambiers : revue de la littérature Titre original : Return to sport after surgical repair of proximal hamstring ruptures: A systematic review Type de document : texte imprimé Auteurs : N. LEFEVRE, Auteur ; Y BOHU, Auteur Année de publication : 2014 Article en page(s) : p.28-36 Langues : Français (fre) Mots-clés : Rupture proximale des ischiojambiers Réparation chirurgicale Retour au sport Revue de la littérature Proximal hamstring rupture Surgical repair Return to sport Systematic review Résumé : Résumé
Objectif
La rupture proximale des tendons ischiojambiers est une pathologie rare et peu connue. Cependant, plusieurs études ont été publiées ces dernières années. Une revue systématique de la littérature a été réalisée selon un protocole de sélection bibliographique strict et dont l’objectif principal était le taux de retour au sport après traitement.
Méthode
Une recherche bibliographique a été réalisée dans Pubmed (dernière mise à jour faite le 15 février 2013). De plus, dans chaque publication, les références ont été vérifiées et les articles potentiellement incluables dans l’analyse ont été recherchés manuellement. Les critères d’inclusion étaient les études en anglais ou en français concernant les ruptures aiguës ou chroniques proximales des tendons ischiojambiers, de niveau d’évidence 1 à 4 et rapportant des résultats cliniques d’au moins cinq patients. Les critères d’exclusion étaient les revues de la littérature, les opinions d’expert et les études non cliniques. Le critère de jugement principal était le retour au sport (oui/non).
Résultats
Dix-sept études publiées entre 1995 et 2012 ont été incluses dans l’analyse. Le nombre total de patients était de 406, dont 393 traités chirurgicalement et 13 selon un traitement conservateur. Le taux de retour au sport a été rapporté dans 16 études. Concernant le traitement conservateur, 58 % des patients ont repris le sport dont 25 % à un niveau équivalent à celui d’avant le traumatisme. Pour le traitement chirurgical, le taux moyen était de 82,9 % (69,6–100) dont 81,3 % (55–100) au même niveau. Le délai moyen de retour au sport était de 6,3 (1–36) mois.
Conclusion
La réparation chirurgicale des ruptures proximales des ischiojambiers a considérablement amélioré le pronostic fonctionnel des patients mais elle demeure une pathologie grave pouvant compromettre leur avenir sportif.
Abstract
Objective
Rupture of the proximal hamstring tendons is a rare and little known injury. However, several studies have been published in recent years. A systematic review of the literature was performed according to a strict review protocol and whose main objective was the rate of return to sport after treatment.
Method
An electronically search was performed in Medline. The last search was conducted on 15 February 2013. In addition, the references of the selected articles were hand-searched for relevant citations. The inclusion criteria were studies in English or French, for acute or chronic ruptures of the proximal hamstring tendons, level of evidence 1–4 and related clinical outcomes of at least five patients. Exclusion criteria were literature reviews, expert opinions and non-clinical studies. The primary endpoint was the return to sport (yes/no).
Results
Seventeen studies published between 1995 and 2012 were included in the analysis. The total number of patients was 406, 393 underwent surgical repair and 13 were treated by conservative treatment. The rate of return to sport was reported in 16 studies. For conservative treatment, 58% of patients returned to sports with 25% to a level equivalent to prior trauma. For the surgical treatment, the average was 82.9% (69.6–100) with 81.3% (55–100) at the same level. The average time to return to sport was 6.3 (1–36) months.
Conclusion
Surgical repair of the proximal hamstring ruptures has significantly improved the functional outcomes of patients but it remains a serious condition that can compromise their sporting future.Permalink : ./index.php?lvl=notice_display&id=34501
in Journal de traumatologie du sport > Volume 31 numéro 1 (Mars 2014) . - p.28-36[article] Retour au sport après traitement chirurgical des ruptures proximales des tendons ischiojambiers : revue de la littérature = Return to sport after surgical repair of proximal hamstring ruptures: A systematic review [texte imprimé] / N. LEFEVRE, Auteur ; Y BOHU, Auteur . - 2014 . - p.28-36.
Langues : Français (fre)
in Journal de traumatologie du sport > Volume 31 numéro 1 (Mars 2014) . - p.28-36
Mots-clés : Rupture proximale des ischiojambiers Réparation chirurgicale Retour au sport Revue de la littérature Proximal hamstring rupture Surgical repair Return to sport Systematic review Résumé : Résumé
Objectif
La rupture proximale des tendons ischiojambiers est une pathologie rare et peu connue. Cependant, plusieurs études ont été publiées ces dernières années. Une revue systématique de la littérature a été réalisée selon un protocole de sélection bibliographique strict et dont l’objectif principal était le taux de retour au sport après traitement.
Méthode
Une recherche bibliographique a été réalisée dans Pubmed (dernière mise à jour faite le 15 février 2013). De plus, dans chaque publication, les références ont été vérifiées et les articles potentiellement incluables dans l’analyse ont été recherchés manuellement. Les critères d’inclusion étaient les études en anglais ou en français concernant les ruptures aiguës ou chroniques proximales des tendons ischiojambiers, de niveau d’évidence 1 à 4 et rapportant des résultats cliniques d’au moins cinq patients. Les critères d’exclusion étaient les revues de la littérature, les opinions d’expert et les études non cliniques. Le critère de jugement principal était le retour au sport (oui/non).
Résultats
Dix-sept études publiées entre 1995 et 2012 ont été incluses dans l’analyse. Le nombre total de patients était de 406, dont 393 traités chirurgicalement et 13 selon un traitement conservateur. Le taux de retour au sport a été rapporté dans 16 études. Concernant le traitement conservateur, 58 % des patients ont repris le sport dont 25 % à un niveau équivalent à celui d’avant le traumatisme. Pour le traitement chirurgical, le taux moyen était de 82,9 % (69,6–100) dont 81,3 % (55–100) au même niveau. Le délai moyen de retour au sport était de 6,3 (1–36) mois.
Conclusion
La réparation chirurgicale des ruptures proximales des ischiojambiers a considérablement amélioré le pronostic fonctionnel des patients mais elle demeure une pathologie grave pouvant compromettre leur avenir sportif.
Abstract
Objective
Rupture of the proximal hamstring tendons is a rare and little known injury. However, several studies have been published in recent years. A systematic review of the literature was performed according to a strict review protocol and whose main objective was the rate of return to sport after treatment.
Method
An electronically search was performed in Medline. The last search was conducted on 15 February 2013. In addition, the references of the selected articles were hand-searched for relevant citations. The inclusion criteria were studies in English or French, for acute or chronic ruptures of the proximal hamstring tendons, level of evidence 1–4 and related clinical outcomes of at least five patients. Exclusion criteria were literature reviews, expert opinions and non-clinical studies. The primary endpoint was the return to sport (yes/no).
Results
Seventeen studies published between 1995 and 2012 were included in the analysis. The total number of patients was 406, 393 underwent surgical repair and 13 were treated by conservative treatment. The rate of return to sport was reported in 16 studies. For conservative treatment, 58% of patients returned to sports with 25% to a level equivalent to prior trauma. For the surgical treatment, the average was 82.9% (69.6–100) with 81.3% (55–100) at the same level. The average time to return to sport was 6.3 (1–36) months.
Conclusion
Surgical repair of the proximal hamstring ruptures has significantly improved the functional outcomes of patients but it remains a serious condition that can compromise their sporting future.Permalink : ./index.php?lvl=notice_display&id=34501 Exemplaires (1)
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Exclu du prêtA systematic review of porcine models in translational pain research / Suzan Meijs in LabAnimal, Vol. 21 N°12 (December 2021)
[article]
Titre : A systematic review of porcine models in translational pain research Type de document : texte imprimé Auteurs : Suzan Meijs ; Martin Schmelz ; Sigal Meilin ; Winnie Jensen Année de publication : 2021 Article en page(s) : p. 8-24 Langues : Anglais (eng) Mots-clés : Animals Models, Animal Pain / veterinary Pain Measurement Proteomics Swine Translational Research, Biomedical Systematic Review Résumé : Translating basic pain research from rodents to humans has proven to be a challenging task. Efforts have been made to develop preclinical large animal models of pain, such as the pig. However, no consistent overview and comparison of pig models of pain are currently available. Therefore, in this review, our primary aim was to identify the available pig models in pain research and compare these models in terms of intensity and duration. First, we systematically searched Proquest, Scopus and Web of Science and compared the duration for which the pigs were significantly sensitized as well as the intensity of mechanical sensitization. We searched models within the specific field of pain and adjacent fields in which pain induction or assessment is relevant, such as pig production. Second, we compared assessment methodologies in surrogate pain models in humans and pigs to identify areas of overlap and possible improvement. Based on the literature search, 23 types of porcine pain models were identified; 13 of which could be compared quantitatively. The induced sensitization lasted from hours to months and intensities ranged from insignificant to the maximum attainable. We also found a near to complete overlap of assessment methodologies between human and pig models within the area of peripheral neurophysiology, which allows for direct comparison of results obtained in the two species. In spite of this overlap, further development of pain assessment methodologies is still needed. We suggest that central nervous system electrophysiology, such as electroencephalography, electrocorticography or intracortical recordings, may pave the way for future objective pain assessment. Permalink : ./index.php?lvl=notice_display&id=99011
in LabAnimal > Vol. 21 N°12 (December 2021) . - p. 8-24[article] A systematic review of porcine models in translational pain research [texte imprimé] / Suzan Meijs ; Martin Schmelz ; Sigal Meilin ; Winnie Jensen . - 2021 . - p. 8-24.
Langues : Anglais (eng)
in LabAnimal > Vol. 21 N°12 (December 2021) . - p. 8-24
Mots-clés : Animals Models, Animal Pain / veterinary Pain Measurement Proteomics Swine Translational Research, Biomedical Systematic Review Résumé : Translating basic pain research from rodents to humans has proven to be a challenging task. Efforts have been made to develop preclinical large animal models of pain, such as the pig. However, no consistent overview and comparison of pig models of pain are currently available. Therefore, in this review, our primary aim was to identify the available pig models in pain research and compare these models in terms of intensity and duration. First, we systematically searched Proquest, Scopus and Web of Science and compared the duration for which the pigs were significantly sensitized as well as the intensity of mechanical sensitization. We searched models within the specific field of pain and adjacent fields in which pain induction or assessment is relevant, such as pig production. Second, we compared assessment methodologies in surrogate pain models in humans and pigs to identify areas of overlap and possible improvement. Based on the literature search, 23 types of porcine pain models were identified; 13 of which could be compared quantitatively. The induced sensitization lasted from hours to months and intensities ranged from insignificant to the maximum attainable. We also found a near to complete overlap of assessment methodologies between human and pig models within the area of peripheral neurophysiology, which allows for direct comparison of results obtained in the two species. In spite of this overlap, further development of pain assessment methodologies is still needed. We suggest that central nervous system electrophysiology, such as electroencephalography, electrocorticography or intracortical recordings, may pave the way for future objective pain assessment. Permalink : ./index.php?lvl=notice_display&id=99011 Réservation
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DisponibleThe contribution of allotment gardening to health and wellbeing: A systematic review of the literature / Chris Genter in The British Journal of Occupational Therapy, Volume 78 Numéro 10 (Octobre 2015)
[article]
Titre : The contribution of allotment gardening to health and wellbeing: A systematic review of the literature Type de document : texte imprimé Auteurs : Chris Genter, Auteur ; Anne Roberts, Auteur ; Janet Richardson, Auteur Année de publication : 2015 Article en page(s) : p.593-605 Langues : Anglais (eng) Mots-clés : Allotment gardening health and wellbeing systematic review Résumé : Introduction Allotment gardening is a popular pastime which anecdotally contributes to health and wellbeing, although the extent of supportive research evidence is unclear. This systematic review investigates the question: Does allotment gardening contribute to health and wellbeing?
Method A systematic search was conducted, including the terms ‘allotment’, ‘garden’, ‘health’ and ‘wellbeing’. Abstracts of identified papers were compared with inclusion criteria, and 10 papers were finally selected. Critical appraisal and data extraction were conducted simultaneously. Qualitative research papers predominated and were analysed thematically. Resultant themes were compared and integrated with the findings of quantitative research papers.
Findings Thematic analysis of the qualitative and quantitative papers’ findings revealed five distinct health and wellbeing themes. Allotment gardening provides a stress-relieving refuge, contributes to a healthier lifestyle, creates social opportunities, provides valued contact with nature, and enables self-development.
Conclusion This review suggests that allotment gardening does indeed impact health and wellbeing. It is therefore recommended as occupational therapy for people with health problems, and as a health promoting occupation for the general population. Research particularly focused on the impact of group and therapeutic allotment gardening, so further investigations are recommended to explore the health promoting influences of everyday allotment gardening for individuals.En ligne : http://bjo.sagepub.com/content/78/10/593.abstract Permalink : ./index.php?lvl=notice_display&id=40840
in The British Journal of Occupational Therapy > Volume 78 Numéro 10 (Octobre 2015) . - p.593-605[article] The contribution of allotment gardening to health and wellbeing: A systematic review of the literature [texte imprimé] / Chris Genter, Auteur ; Anne Roberts, Auteur ; Janet Richardson, Auteur . - 2015 . - p.593-605.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 Numéro 10 (Octobre 2015) . - p.593-605
Mots-clés : Allotment gardening health and wellbeing systematic review Résumé : Introduction Allotment gardening is a popular pastime which anecdotally contributes to health and wellbeing, although the extent of supportive research evidence is unclear. This systematic review investigates the question: Does allotment gardening contribute to health and wellbeing?
Method A systematic search was conducted, including the terms ‘allotment’, ‘garden’, ‘health’ and ‘wellbeing’. Abstracts of identified papers were compared with inclusion criteria, and 10 papers were finally selected. Critical appraisal and data extraction were conducted simultaneously. Qualitative research papers predominated and were analysed thematically. Resultant themes were compared and integrated with the findings of quantitative research papers.
Findings Thematic analysis of the qualitative and quantitative papers’ findings revealed five distinct health and wellbeing themes. Allotment gardening provides a stress-relieving refuge, contributes to a healthier lifestyle, creates social opportunities, provides valued contact with nature, and enables self-development.
Conclusion This review suggests that allotment gardening does indeed impact health and wellbeing. It is therefore recommended as occupational therapy for people with health problems, and as a health promoting occupation for the general population. Research particularly focused on the impact of group and therapeutic allotment gardening, so further investigations are recommended to explore the health promoting influences of everyday allotment gardening for individuals.En ligne : http://bjo.sagepub.com/content/78/10/593.abstract Permalink : ./index.php?lvl=notice_display&id=40840 Exemplaires (1)
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Exclu du prêtThe Treatment Of Infected Tibial Nonunion By Bone Transport Using The Ilizarov External Fixator And A Systematic Review Of Infected Tibial Nonunion Treated By Ilizarov Methods / Peng YIN in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)
[article]
Titre : The Treatment Of Infected Tibial Nonunion By Bone Transport Using The Ilizarov External Fixator And A Systematic Review Of Infected Tibial Nonunion Treated By Ilizarov Methods Type de document : texte imprimé Auteurs : Peng YIN, Auteur Année de publication : 2014 Article en page(s) : p.426-435 Langues : Anglais (eng) Mots-clés : bone transport infected nonunion bone defects Ilizarov methods systematic review Résumé : This study was designed to evaluate the effectiveness of the treatment of infected tibial nonunion by bone transport using the Ilizarov external fixator. We retrospectively reviewed 66 patients with infected tibial nonunion treated by bone transport using the Ilizarov external fixator. Our study included 62 males and 4 females with a mean of age 37.06 years. The average length of the bone defects after radical debridement was 6.27 cm (range 3-13 cm). The mean follow-up after removal of the apparatus was 25.91 months (18-46 months). 6 patients were lost to follow-up. All the patients achieved bone union and no recurrence of infection was observed. The mean external fixation index was 1.38 months/cm (range 1.15-1.58 months/cm). According to Association for the Study and Application of the Method of Ilizarov (ASAMI) classification, bone results were excellent in 44, good in 15, fair in 5 and poor in 2 ; functional results were excellent in 24, good in 26, fair in 10 and no poor. Conclusions : Our study and the current evidence suggested that Ilizarov methods in the treatment of infected tibial nonunion acquired satisfied effects in bone results and functional results. Radical debridement is the key step to control bone infection. Permalink : ./index.php?lvl=notice_display&id=34659
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.426-435[article] The Treatment Of Infected Tibial Nonunion By Bone Transport Using The Ilizarov External Fixator And A Systematic Review Of Infected Tibial Nonunion Treated By Ilizarov Methods [texte imprimé] / Peng YIN, Auteur . - 2014 . - p.426-435.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.426-435
Mots-clés : bone transport infected nonunion bone defects Ilizarov methods systematic review Résumé : This study was designed to evaluate the effectiveness of the treatment of infected tibial nonunion by bone transport using the Ilizarov external fixator. We retrospectively reviewed 66 patients with infected tibial nonunion treated by bone transport using the Ilizarov external fixator. Our study included 62 males and 4 females with a mean of age 37.06 years. The average length of the bone defects after radical debridement was 6.27 cm (range 3-13 cm). The mean follow-up after removal of the apparatus was 25.91 months (18-46 months). 6 patients were lost to follow-up. All the patients achieved bone union and no recurrence of infection was observed. The mean external fixation index was 1.38 months/cm (range 1.15-1.58 months/cm). According to Association for the Study and Application of the Method of Ilizarov (ASAMI) classification, bone results were excellent in 44, good in 15, fair in 5 and poor in 2 ; functional results were excellent in 24, good in 26, fair in 10 and no poor. Conclusions : Our study and the current evidence suggested that Ilizarov methods in the treatment of infected tibial nonunion acquired satisfied effects in bone results and functional results. Radical debridement is the key step to control bone infection. Permalink : ./index.php?lvl=notice_display&id=34659 Exemplaires (1)
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Exclu du prêt