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Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis / Sharareh Sharififar in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)
[article]
Titre : Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Sharareh Sharififar ; Jonathan Shuster ; Mark D. Bishop Année de publication : 2018 Article en page(s) : p. 339-344 Note générale : Doi : 10.1016/j.rehab.2018.06.005 Langues : Anglais (eng) Mots-clés : Sensory Stimulation Stroke Function Résumé : Background
Clinical studies have shown that sensory input improves motor function when added to active training after neurological injuries in the spinal cord.
Objective
We aimed to determine the effect on motor function of extremities of adding an electrical sensory modality without motor recruitment before or with routine rehabilitation for hemiparesis after stroke by a comprehensive systematic review and meta-analysis.
Methods
We searched databases including MEDLINE via PubMed and the Cochrane Central Register of Controlled Trials from 1978 to the end of November 2017 for reports of randomized controlled trials or controlled studies of patients with a clinical diagnosis of stroke who underwent 1) transcutaneous electrical nerve stimulation (TENS) or peripheral electromyography-triggered sensory stimulation over a peripheral nerve and associated muscles or 2) acupuncture to areas that produced sensory effects, without motor recruitment, along with routine rehabilitation. Outcome measures were motor impairment, activity, and participation outcomes defined by the International Classification of Functioning, Disability and Health.
Results
The search yielded 11studies with data that could be included in a meta-analysis. Electrical sensory inputs, when paired with routine therapy, improved peak torque dorsiflexion (mean difference [MD] 2.44 Nm, 95% confidence interval [CI] 0.26–4.63). On subgroup analysis, the combined therapy yielded a significant difference in terms of sensory stimulation without motor recruitment only on the Timed Up and Go test in the chronic phase of stroke (MD 3.51sec, 95% CI 3.05–3.98). The spasticity score was reduced but not significantly (MD−0.83 points, 95% CI -1.77−0.10).
Conclusion
Electrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.Permalink : ./index.php?lvl=notice_display&id=80635
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 339-344[article] Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis [texte imprimé] / Sharareh Sharififar ; Jonathan Shuster ; Mark D. Bishop . - 2018 . - p. 339-344.
Doi : 10.1016/j.rehab.2018.06.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 339-344
Mots-clés : Sensory Stimulation Stroke Function Résumé : Background
Clinical studies have shown that sensory input improves motor function when added to active training after neurological injuries in the spinal cord.
Objective
We aimed to determine the effect on motor function of extremities of adding an electrical sensory modality without motor recruitment before or with routine rehabilitation for hemiparesis after stroke by a comprehensive systematic review and meta-analysis.
Methods
We searched databases including MEDLINE via PubMed and the Cochrane Central Register of Controlled Trials from 1978 to the end of November 2017 for reports of randomized controlled trials or controlled studies of patients with a clinical diagnosis of stroke who underwent 1) transcutaneous electrical nerve stimulation (TENS) or peripheral electromyography-triggered sensory stimulation over a peripheral nerve and associated muscles or 2) acupuncture to areas that produced sensory effects, without motor recruitment, along with routine rehabilitation. Outcome measures were motor impairment, activity, and participation outcomes defined by the International Classification of Functioning, Disability and Health.
Results
The search yielded 11studies with data that could be included in a meta-analysis. Electrical sensory inputs, when paired with routine therapy, improved peak torque dorsiflexion (mean difference [MD] 2.44 Nm, 95% confidence interval [CI] 0.26–4.63). On subgroup analysis, the combined therapy yielded a significant difference in terms of sensory stimulation without motor recruitment only on the Timed Up and Go test in the chronic phase of stroke (MD 3.51sec, 95% CI 3.05–3.98). The spasticity score was reduced but not significantly (MD−0.83 points, 95% CI -1.77−0.10).
Conclusion
Electrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.Permalink : ./index.php?lvl=notice_display&id=80635 Exemplaires (1)
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Exclu du prêtEfficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis / Siew-Li Goh in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)
[article]
Titre : Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Siew-Li Goh ; Monica S.M. Persson ; Joanne Stocks ; Yunfei Hou ; Jianhao Lin ; Michelle C. Hall ; Michael Doherty ; Weiya Zhang Année de publication : 2019 Article en page(s) : p. 356-365 Note générale : doi.org/10.1016/j.rehab.2019.04.006 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Exercise Meta-analysis Determinants Physical therapy Pain Function Quality of Life Résumé : Background
Exercise is an effective treatment for osteoarthritis. However, the effect may vary from one patient (or study) to another.
Objective
To evaluate the efficacy of exercise and its potential determinants for pain, function, performance, and quality of life (QoL) in knee and hip osteoarthritis (OA).
Methods
We searched 9 electronic databases (AMED, CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, PEDro, PubMed, SPORTDiscus and Google Scholar) for reports of randomised controlled trials (RCTs) comparing exercise-only interventions with usual care. The search was performed from inception up to December 2017 with no language restriction. The effect size (ES), with its 95% confidence interval (CI), was calculated on the basis of between-group standardised mean differences. The primary endpoint was at or nearest to 8 weeks. Other outcome time points were grouped into intervals, from < 1 month to ≥ 18 months, for time-dependent effects analysis. Potential determinants were explored by subgroup analyses. Level of significance was set at P ≤ 0.10.
Results
Data from 77 RCTs (6472 participants) confirmed statistically significant exercise benefits for pain (ES 0.56, 95% CI 0.44–0.68), function (0.50, 0.38–0.63), performance (0.46, 0.35–0.57), and QoL (0.21, 0.11–0.31) at or nearest to 8 weeks. Across all outcomes, the effects appeared to peak around 2 months and then gradually decreased and became no better than usual care after 9 months. Better pain relief was reported by trials investigating participants who were younger (mean age < 60 years), had knee OA, and were not awaiting joint replacement surgery.
Conclusions
Exercise significantly reduces pain and improves function, performance and QoL in people with knee and hip OA as compared with usual care at 8 weeks. The effects are maximal around 2 months and thereafter slowly diminish, being no better than usual care at 9 to 18 months. Participants with younger age, knee OA and not awaiting joint replacement may benefit more from exercise therapy. These potential determinants, identified by study-level analyses, may have implied ecological bias and need to be confirmed with individual patient data.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300624 Permalink : ./index.php?lvl=notice_display&id=84153
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 356-365[article] Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis [texte imprimé] / Siew-Li Goh ; Monica S.M. Persson ; Joanne Stocks ; Yunfei Hou ; Jianhao Lin ; Michelle C. Hall ; Michael Doherty ; Weiya Zhang . - 2019 . - p. 356-365.
doi.org/10.1016/j.rehab.2019.04.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 356-365
Mots-clés : Knee osteoarthritis Exercise Meta-analysis Determinants Physical therapy Pain Function Quality of Life Résumé : Background
Exercise is an effective treatment for osteoarthritis. However, the effect may vary from one patient (or study) to another.
Objective
To evaluate the efficacy of exercise and its potential determinants for pain, function, performance, and quality of life (QoL) in knee and hip osteoarthritis (OA).
Methods
We searched 9 electronic databases (AMED, CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, PEDro, PubMed, SPORTDiscus and Google Scholar) for reports of randomised controlled trials (RCTs) comparing exercise-only interventions with usual care. The search was performed from inception up to December 2017 with no language restriction. The effect size (ES), with its 95% confidence interval (CI), was calculated on the basis of between-group standardised mean differences. The primary endpoint was at or nearest to 8 weeks. Other outcome time points were grouped into intervals, from < 1 month to ≥ 18 months, for time-dependent effects analysis. Potential determinants were explored by subgroup analyses. Level of significance was set at P ≤ 0.10.
Results
Data from 77 RCTs (6472 participants) confirmed statistically significant exercise benefits for pain (ES 0.56, 95% CI 0.44–0.68), function (0.50, 0.38–0.63), performance (0.46, 0.35–0.57), and QoL (0.21, 0.11–0.31) at or nearest to 8 weeks. Across all outcomes, the effects appeared to peak around 2 months and then gradually decreased and became no better than usual care after 9 months. Better pain relief was reported by trials investigating participants who were younger (mean age < 60 years), had knee OA, and were not awaiting joint replacement surgery.
Conclusions
Exercise significantly reduces pain and improves function, performance and QoL in people with knee and hip OA as compared with usual care at 8 weeks. The effects are maximal around 2 months and thereafter slowly diminish, being no better than usual care at 9 to 18 months. Participants with younger age, knee OA and not awaiting joint replacement may benefit more from exercise therapy. These potential determinants, identified by study-level analyses, may have implied ecological bias and need to be confirmed with individual patient data.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300624 Permalink : ./index.php?lvl=notice_display&id=84153 Exemplaires (1)
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Exclu du prêtAre clients' performances on the Rowland Universal Dementia Assessment Scale associated with their functional performance? A preliminary investigation / Laura Joliffe in The British Journal of Occupational Therapy, Volume 78 numéro 1 (Janvier 2015)
[article]
Titre : Are clients' performances on the Rowland Universal Dementia Assessment Scale associated with their functional performance? A preliminary investigation Type de document : texte imprimé Auteurs : Laura Joliffe, Auteur ; Ted Brown, Auteur ; Leesa Fielding, Auteur Année de publication : 2015 Article en page(s) : p.16-23 Langues : Anglais (eng) Mots-clés : Cognition Function Assessment Dementia Rowland Universal Dementia Assessment Scale Functional Independence Measure Résumé : Introduction The process of selecting the most appropriate cognitive assessments to use with clients presenting with symptoms of dementia is an important consideration. Are cognitive assessment results associated with the functional performance of clients presenting suspected cognitive decline? The purpose of this study was to investigate whether the Rowland Universal Dementia Assessment Scale was associated with the functional performance of clients with suspected dementia.
Method A within-subjects quantitative research design was employed whereby a sample of 30 participants suspected of having dementia were recruited from three acute care hospital sites in the Melbourne metropolitan region. The Rowland Universal Dementia Assessment Scale was used to assess participants' cognitive abilities, while the Functional Independence Measure was the functional scale used. Linear regression analyses were completed.
Results The six Rowland Universal Dementia Assessment Scale items were found to be significantly linked with the Functional Independence Measure total score (adjusted R 2 = 0.298, p < 0.05), the Functional Independence Measure ‘cognition’ subscale score (adjusted R 2 = 0.349, p < 0.05) and the Functional Independence Measure ‘physical’ subscale score (adjusted R 2 = 0.244; p < 0.05).
Conclusion The Rowland Universal Dementia Assessment Scale appears to be associated with the functional performance of clients with suspected dementia. The findings provide an insight into the link between cognition and everyday functional performance.Permalink : ./index.php?lvl=notice_display&id=35920
in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.16-23[article] Are clients' performances on the Rowland Universal Dementia Assessment Scale associated with their functional performance? A preliminary investigation [texte imprimé] / Laura Joliffe, Auteur ; Ted Brown, Auteur ; Leesa Fielding, Auteur . - 2015 . - p.16-23.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 1 (Janvier 2015) . - p.16-23
Mots-clés : Cognition Function Assessment Dementia Rowland Universal Dementia Assessment Scale Functional Independence Measure Résumé : Introduction The process of selecting the most appropriate cognitive assessments to use with clients presenting with symptoms of dementia is an important consideration. Are cognitive assessment results associated with the functional performance of clients presenting suspected cognitive decline? The purpose of this study was to investigate whether the Rowland Universal Dementia Assessment Scale was associated with the functional performance of clients with suspected dementia.
Method A within-subjects quantitative research design was employed whereby a sample of 30 participants suspected of having dementia were recruited from three acute care hospital sites in the Melbourne metropolitan region. The Rowland Universal Dementia Assessment Scale was used to assess participants' cognitive abilities, while the Functional Independence Measure was the functional scale used. Linear regression analyses were completed.
Results The six Rowland Universal Dementia Assessment Scale items were found to be significantly linked with the Functional Independence Measure total score (adjusted R 2 = 0.298, p < 0.05), the Functional Independence Measure ‘cognition’ subscale score (adjusted R 2 = 0.349, p < 0.05) and the Functional Independence Measure ‘physical’ subscale score (adjusted R 2 = 0.244; p < 0.05).
Conclusion The Rowland Universal Dementia Assessment Scale appears to be associated with the functional performance of clients with suspected dementia. The findings provide an insight into the link between cognition and everyday functional performance.Permalink : ./index.php?lvl=notice_display&id=35920 Exemplaires (1)
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Exclu du prêtEngagement in Instrumental Activities of Daily Living, Social Activities, and Use of Everyday Technology in Older Adults with and without Cognitive Impairment / Louise Nygard in The British Journal of Occupational Therapy, Volume 77 numéro 11 (Novembre 2014)
[article]
Titre : Engagement in Instrumental Activities of Daily Living, Social Activities, and Use of Everyday Technology in Older Adults with and without Cognitive Impairment Type de document : texte imprimé Auteurs : Louise Nygard, Auteur Année de publication : 2014 Article en page(s) : p.565-573 Langues : Anglais (eng) Mots-clés : Ageing assessment cognitive disorders dementia function Résumé : Introduction: Little is known about how subtle activity limitations may be manifested and clinically detected in people with mild cognitive impairment, but these people have been found to experience greater challenges with everyday technology use. The aim of this study was to investigate levels and profiles of engagement in activities, and their associations with perceived difficulty in technology use, for people with mild cognitive impairment, and to compare this group to people with Alzheimer's disease and to controls.
Method: Samples with mild cognitive impairment (n = 37), Alzheimer's disease (n = 37), and controls (n = 44) were included. Based on raw data from the Frenchay Activity Index, a Rasch model was used to generate linear measures. Analysis of variance and differential item functioning were used.
Results: The analysis yielded a profile of decreased engagement in specific activities even in mild cognitive impairment. The association between activity engagement and difficulty with everyday technology use was stronger in people with mild cognitive impairment and Alzheimer's disease than in controls.
Conclusion: Taken together, engagement in outdoor activities showed the greatest decrease of all activity types for the group with mild cognitive impairment, suggesting that participation in life outside the home is threatened. The results also suggest that challenges in managing technology are restricting people with cognitive impairment more than they restrict controls.Permalink : ./index.php?lvl=notice_display&id=35406
in The British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.565-573[article] Engagement in Instrumental Activities of Daily Living, Social Activities, and Use of Everyday Technology in Older Adults with and without Cognitive Impairment [texte imprimé] / Louise Nygard, Auteur . - 2014 . - p.565-573.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 77 numéro 11 (Novembre 2014) . - p.565-573
Mots-clés : Ageing assessment cognitive disorders dementia function Résumé : Introduction: Little is known about how subtle activity limitations may be manifested and clinically detected in people with mild cognitive impairment, but these people have been found to experience greater challenges with everyday technology use. The aim of this study was to investigate levels and profiles of engagement in activities, and their associations with perceived difficulty in technology use, for people with mild cognitive impairment, and to compare this group to people with Alzheimer's disease and to controls.
Method: Samples with mild cognitive impairment (n = 37), Alzheimer's disease (n = 37), and controls (n = 44) were included. Based on raw data from the Frenchay Activity Index, a Rasch model was used to generate linear measures. Analysis of variance and differential item functioning were used.
Results: The analysis yielded a profile of decreased engagement in specific activities even in mild cognitive impairment. The association between activity engagement and difficulty with everyday technology use was stronger in people with mild cognitive impairment and Alzheimer's disease than in controls.
Conclusion: Taken together, engagement in outdoor activities showed the greatest decrease of all activity types for the group with mild cognitive impairment, suggesting that participation in life outside the home is threatened. The results also suggest that challenges in managing technology are restricting people with cognitive impairment more than they restrict controls.Permalink : ./index.php?lvl=notice_display&id=35406 Exemplaires (1)
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Exclu du prêtUnderstanding activity participation among individuals with Wolfram syndrome / Emily Bumpus in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)
[article]
Titre : Understanding activity participation among individuals with Wolfram syndrome Type de document : texte imprimé Auteurs : Emily Bumpus ; Tamara Hershey ; Tasha Doty ; Samantha Ranck ; Meredith Gronski ; Fumihko Urano ; Erin R. Foster Année de publication : 2018 Article en page(s) : p. 348-357 Langues : Anglais (eng) Mots-clés : Wolfram syndrome participation occupational therapy neurodegeneration function Résumé : Introduction
Wolfram syndrome is a rare genetic disease associated with a variety of progressive metabolic and neurologic impairments. Previous research has focused on Wolfram syndrome-related impairments and biomarkers for disease progression; however, information about how Wolfram syndrome impacts participation in daily activities is lacking.
Method
Wolfram syndrome (n = 45; 20 children, 25 adults) participants completed an online questionnaire about activity participation. Thirty-six non-Wolfram syndrome comparison participants (11 children; 25 adults) completed a portion of the questionnaire. Symptom data from a subset of Wolfram syndrome participants (n = 20) were also examined in relation to participation data.
Results
Wolfram syndrome children and adults had lower participation than non-Wolfram syndrome children and adults in almost all activity domains, and social and exercise-related activities were the most problematic. In the subset of Wolfram syndrome adults with symptom data, poorer vision, balance, gait, hearing, and overall symptom severity were related to lower participation.
Conclusion
Wolfram syndrome appears to negatively impact participation in a variety of activities, and this effect may increase as people age and/or Wolfram syndrome progresses. The most functionally pertinent Wolfram syndrome symptoms are those associated with neurodegeneration, especially vision loss and walking and balance problems. This study revealed symptoms and activity domains that are most relevant for people with Wolfram syndrome and, thus, can inform current practice and treatment development research.Permalink : ./index.php?lvl=notice_display&id=80154
in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 348-357[article] Understanding activity participation among individuals with Wolfram syndrome [texte imprimé] / Emily Bumpus ; Tamara Hershey ; Tasha Doty ; Samantha Ranck ; Meredith Gronski ; Fumihko Urano ; Erin R. Foster . - 2018 . - p. 348-357.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 348-357
Mots-clés : Wolfram syndrome participation occupational therapy neurodegeneration function Résumé : Introduction
Wolfram syndrome is a rare genetic disease associated with a variety of progressive metabolic and neurologic impairments. Previous research has focused on Wolfram syndrome-related impairments and biomarkers for disease progression; however, information about how Wolfram syndrome impacts participation in daily activities is lacking.
Method
Wolfram syndrome (n = 45; 20 children, 25 adults) participants completed an online questionnaire about activity participation. Thirty-six non-Wolfram syndrome comparison participants (11 children; 25 adults) completed a portion of the questionnaire. Symptom data from a subset of Wolfram syndrome participants (n = 20) were also examined in relation to participation data.
Results
Wolfram syndrome children and adults had lower participation than non-Wolfram syndrome children and adults in almost all activity domains, and social and exercise-related activities were the most problematic. In the subset of Wolfram syndrome adults with symptom data, poorer vision, balance, gait, hearing, and overall symptom severity were related to lower participation.
Conclusion
Wolfram syndrome appears to negatively impact participation in a variety of activities, and this effect may increase as people age and/or Wolfram syndrome progresses. The most functionally pertinent Wolfram syndrome symptoms are those associated with neurodegeneration, especially vision loss and walking and balance problems. This study revealed symptoms and activity domains that are most relevant for people with Wolfram syndrome and, thus, can inform current practice and treatment development research.Permalink : ./index.php?lvl=notice_display&id=80154 Exemplaires (1)
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