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A comprehensive picture of 4-year outcome of severe brain injuries. Results from the PariS-TBI study / Claire Jourdan in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 100-106 Titre : A comprehensive picture of 4-year outcome of severe brain injuries. Results from the PariS-TBI study Type de document : texte imprimé Auteurs : Claire Jourdan, Auteur ; Pascale Pradat-Diehl, Auteur ; Éléonore Bayen, Auteur Année de publication : 2016 Article en page(s) : p. 100-106 Langues : Anglais (eng) Français (fre) Mots-clés : Accident cérébrovasculaire  Traumatisme crânien  Qualité vie  Étude  Brain injuries,Craniocerebral trauma,Quality of life,International classification of functioning,disability and health Résumé : Objectives: Survivors of severe traumatic brain injury have a great variety of impairments and participation restrictions. Detailed descriptions of their long-term outcome are critical. We aimed to assess brain injury outcome for subjects with traumatic brain injury in terms of the International classification of functioning, disability and health. Materials and methods: Four-year follow-up of an inception cohort of adults with severe traumatic brain injury by using face-to-face interviews with patients and proxies. Results: Among 245 survivors at 4 years, 147 were evaluated (80% male, mean age: 32.5+14.2 years at injury); 46 (32%) presented severe disability, 58 (40%) moderate disability, and 40 (28%) good recovery. Most frequent somatic problems were fatigue, headaches, other pain, and balance. One quarter of subjects had motor impairments. Rates of cognitive complaints ranged from 25 to 68%, the most frequent being memory, irritability, slowness and concentration. With the Hospital Anxiety and Depression Scale, 43% had anxiety and 25% depression. Overall, 79% were independent in daily living activities and 40 to 50% needed help for outdoor or organizational activities on the BICRO-39. Most had regular contacts with relatives or close friends but few contacts with colleagues or new acquaintances. Subjects spent little time in productive activities such as working, studying, looking after children or voluntary work. Quality of life on the QOLIBRI scale was associated with disability level (P <0.0001). Conclusion: Management of late brain injury needs to focus on cognitive difficulties, particularly social skills, to enhance patient participation in life. Permalink : ./index.php?lvl=notice_display&id=44277 [article] A comprehensive picture of 4-year outcome of severe brain injuries. Results from the PariS-TBI study [texte imprimé] / Claire Jourdan, Auteur ; Pascale Pradat-Diehl, Auteur ; Éléonore Bayen, Auteur . - 2016 . - p. 100-106. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 100-106 Mots-clés : Accident cérébrovasculaire  Traumatisme crânien  Qualité vie  Étude  Brain injuries,Craniocerebral trauma,Quality of life,International classification of functioning,disability and health Résumé : Objectives: Survivors of severe traumatic brain injury have a great variety of impairments and participation restrictions. Detailed descriptions of their long-term outcome are critical. We aimed to assess brain injury outcome for subjects with traumatic brain injury in terms of the International classification of functioning, disability and health. Materials and methods: Four-year follow-up of an inception cohort of adults with severe traumatic brain injury by using face-to-face interviews with patients and proxies. Results: Among 245 survivors at 4 years, 147 were evaluated (80% male, mean age: 32.5+14.2 years at injury); 46 (32%) presented severe disability, 58 (40%) moderate disability, and 40 (28%) good recovery. Most frequent somatic problems were fatigue, headaches, other pain, and balance. One quarter of subjects had motor impairments. Rates of cognitive complaints ranged from 25 to 68%, the most frequent being memory, irritability, slowness and concentration. With the Hospital Anxiety and Depression Scale, 43% had anxiety and 25% depression. Overall, 79% were independent in daily living activities and 40 to 50% needed help for outdoor or organizational activities on the BICRO-39. Most had regular contacts with relatives or close friends but few contacts with colleagues or new acquaintances. Subjects spent little time in productive activities such as working, studying, looking after children or voluntary work. Quality of life on the QOLIBRI scale was associated with disability level (P <0.0001). Conclusion: Management of late brain injury needs to focus on cognitive difficulties, particularly social skills, to enhance patient participation in life. Permalink : ./index.php?lvl=notice_display&id=44277

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An alternative treatment for contractures of the elderly institutionalized persons: Microinvasive percutaneous needle tenotomy of the finger flexors / Alexis Schnitzler in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 83-86 Titre : An alternative treatment for contractures of the elderly institutionalized persons: Microinvasive percutaneous needle tenotomy of the finger flexors Type de document : texte imprimé Auteurs : Alexis Schnitzler, Auteur ; Aurélie Diebold, Auteur ; Bernard Parratte, Auteur Année de publication : 2016 Article en page(s) : p. 83-86 Langues : Anglais (eng) Français (fre) Mots-clés : Personne âgée  Maison accueil personne âgée  Main  Muscle  Contractures,Tenotomy,Needle,Finger flexors Résumé : Background: Almost 10% of older adults in nursing homes have a fixed flexion deformity of the fingers (claw hand). Such contractures have important functional consequences, often leading to hygiene difficulties. Medical treatment (such as botulinum toxin injections, physiotherapy or positioning) is not always effective and surgery is often not possible in such fragile patients. Microinvasive tenotomy with a large needle could be a useful alternative because it can be carried out in an ambulatory setting under local anaesthesia. Methods: A single center, retrospective study involving the 2012–2014 database from the day-hospital unit of a neuro-orthopaedic department in France. All patients who underwent percutaneous needle tenotomy of the finger or thumb flexors were included. Outcomes included Goal Attainment Scaling (GAS) and the distance in centimeters between the palm and the pulp of the most flexed digit (PPD). Results: Eighteen patients underwent tenotomy (13 women; mean age: 76+14 years); all patients lived in a nursing home. The limb to be treated was nonfunctional in all patients. The principal goal was determined by consensus with the patients and their health-care teams and was most often to facilitate hand hygiene. Eight patients had at least one secondary goal. In total, 10 patients underwent microinvasive tenotomy for 4 fingers, 5 patients 1 to 4 fingers and 3 patients only the thumb. At 3 months after treatment, goals were achieved for 11 patients, 5 patients progressed toward the goal without attaining it, and for 2 patients, scores were worse. The T-scores of the GAS and the PPD were significantly increased at 3 months (P =0.0326 and P =0.0002, respectively). No serious adverse events occurred. Conclusion: Large-needle tenotomy seems safe and effective for treating claw hand in fragile older patients. Permalink : ./index.php?lvl=notice_display&id=44278 [article] An alternative treatment for contractures of the elderly institutionalized persons: Microinvasive percutaneous needle tenotomy of the finger flexors [texte imprimé] / Alexis Schnitzler, Auteur ; Aurélie Diebold, Auteur ; Bernard Parratte, Auteur . - 2016 . - p. 83-86. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 83-86 Mots-clés : Personne âgée  Maison accueil personne âgée  Main  Muscle  Contractures,Tenotomy,Needle,Finger flexors Résumé : Background: Almost 10% of older adults in nursing homes have a fixed flexion deformity of the fingers (claw hand). Such contractures have important functional consequences, often leading to hygiene difficulties. Medical treatment (such as botulinum toxin injections, physiotherapy or positioning) is not always effective and surgery is often not possible in such fragile patients. Microinvasive tenotomy with a large needle could be a useful alternative because it can be carried out in an ambulatory setting under local anaesthesia. Methods: A single center, retrospective study involving the 2012–2014 database from the day-hospital unit of a neuro-orthopaedic department in France. All patients who underwent percutaneous needle tenotomy of the finger or thumb flexors were included. Outcomes included Goal Attainment Scaling (GAS) and the distance in centimeters between the palm and the pulp of the most flexed digit (PPD). Results: Eighteen patients underwent tenotomy (13 women; mean age: 76+14 years); all patients lived in a nursing home. The limb to be treated was nonfunctional in all patients. The principal goal was determined by consensus with the patients and their health-care teams and was most often to facilitate hand hygiene. Eight patients had at least one secondary goal. In total, 10 patients underwent microinvasive tenotomy for 4 fingers, 5 patients 1 to 4 fingers and 3 patients only the thumb. At 3 months after treatment, goals were achieved for 11 patients, 5 patients progressed toward the goal without attaining it, and for 2 patients, scores were worse. The T-scores of the GAS and the PPD were significantly increased at 3 months (P =0.0326 and P =0.0002, respectively). No serious adverse events occurred. Conclusion: Large-needle tenotomy seems safe and effective for treating claw hand in fragile older patients. Permalink : ./index.php?lvl=notice_display&id=44278

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Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies / Clémence Palazzo in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 107-113 Titre : Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies Type de document : texte imprimé Auteurs : Clémence Palazzo, Auteur ; Evelyne Klinger, Auteur ; Véronique Dorner, Auteur Année de publication : 2016 Article en page(s) : p. 107-113 Langues : Anglais (eng) Français (fre) Mots-clés : Lombalgie  Activité physique  Adherence,Home-based exercise,Rehabilitation,Low back pain,Virtual reality Résumé : Objective: To assess views of patients with chronic low back pain (cLBP) concerning barriers to home-based exercise program adherence and to record expectations regarding new technologies. Design: Qualitative study based on semi-structured interviews. Participants: A heterogeneous sample of 29 patients who performed a home-based exercise program for cLBP learned during supervised physiotherapy sessions in a tertiary care hospital. Interventions: Patients were interviewed at home by the same trained interviewer. Interviews combined a funnel-shaped structure and an itinerary method. Results: Barriers to adherence related to the exercise program (number, effectiveness, complexity and burden of exercises), the healthcare journey (breakdown between supervised sessions and home exercise, lack of follow-up and difficulties in contacting care providers), patient representations (illness and exercise perception, despondency, depression and lack of motivation), and the environment (attitudes of others, difficulties in planning exercise practice). Adherence could be enhanced by increasing the attractiveness of exercise programs, improving patient performance (following a model or providing feedback), and the feeling of being supported by care providers and other patients. Regarding new technologies, relatively younger patients favored visual and dynamic support that provided an enjoyable and challenging environment and feedback on their performance. Relatively older patients favored the possibility of being guided when doing exercises. Whatever the tool proposed, patients expected its use to be learned during a supervised session and performance regularly checked by care providers; they expected adherence to be discussed with care providers. Conclusions: For patients with cLBP, adherence to home-based exercise programs could be facilitated by increasing the attractiveness of the programs, improving patient performance and favoring a feeling of being supported. New technologies meet these challenges and seem attractive to patients but are not a substitute for the human relationship between patients and care providers. Permalink : ./index.php?lvl=notice_display&id=44279 [article] Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies [texte imprimé] / Clémence Palazzo, Auteur ; Evelyne Klinger, Auteur ; Véronique Dorner, Auteur . - 2016 . - p. 107-113. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 107-113 Mots-clés : Lombalgie  Activité physique  Adherence,Home-based exercise,Rehabilitation,Low back pain,Virtual reality Résumé : Objective: To assess views of patients with chronic low back pain (cLBP) concerning barriers to home-based exercise program adherence and to record expectations regarding new technologies. Design: Qualitative study based on semi-structured interviews. Participants: A heterogeneous sample of 29 patients who performed a home-based exercise program for cLBP learned during supervised physiotherapy sessions in a tertiary care hospital. Interventions: Patients were interviewed at home by the same trained interviewer. Interviews combined a funnel-shaped structure and an itinerary method. Results: Barriers to adherence related to the exercise program (number, effectiveness, complexity and burden of exercises), the healthcare journey (breakdown between supervised sessions and home exercise, lack of follow-up and difficulties in contacting care providers), patient representations (illness and exercise perception, despondency, depression and lack of motivation), and the environment (attitudes of others, difficulties in planning exercise practice). Adherence could be enhanced by increasing the attractiveness of exercise programs, improving patient performance (following a model or providing feedback), and the feeling of being supported by care providers and other patients. Regarding new technologies, relatively younger patients favored visual and dynamic support that provided an enjoyable and challenging environment and feedback on their performance. Relatively older patients favored the possibility of being guided when doing exercises. Whatever the tool proposed, patients expected its use to be learned during a supervised session and performance regularly checked by care providers; they expected adherence to be discussed with care providers. Conclusions: For patients with cLBP, adherence to home-based exercise programs could be facilitated by increasing the attractiveness of the programs, improving patient performance and favoring a feeling of being supported. New technologies meet these challenges and seem attractive to patients but are not a substitute for the human relationship between patients and care providers. Permalink : ./index.php?lvl=notice_display&id=44279

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Contribution of isokinetic muscle strengthening in the rehabilitation of obese subjects / Sameh Ghroubi in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 87-93 Titre : Contribution of isokinetic muscle strengthening in the rehabilitation of obese subjects Type de document : texte imprimé Auteurs : Sameh Ghroubi, Auteur ; Wassia Kossemtini, Auteur ; Sawssan Mahersi, Auteur Année de publication : 2016 Article en page(s) : p. 87-93 Langues : Anglais (eng) Français (fre) Mots-clés : Obésité  Activité physique  Sport  Muscle  Obesity,Physical exercise,Isokinetic,Assessment,Exercising Résumé : Aims: Our objective was to evaluate the specific effect of isokinetic muscle strength enhancement in the rehabilitation of obese subjects by comparing two groups (isokinetic muscle exercising associated with aerobic exercising or only aerobic exercising). Patients and methods: This was a randomized, prospective study from January 2008 to December 2009 involving 40 obese patients randomized into two groups. The first group G1 (n =20) followed a program of aerobic training and isokinetic exercising of the extensor and flexor muscles of lower limbs and spine. The second group G2 (n =20) followed only a program of aerobic exercising. All patients completed their rehabilitation protocols comprising 3 sessions per week for two months. The parameters evaluated before and after the program were anthropometric parameters (weight, stature, body mass index, body fat and lean body mass percentages), cardiovascular parameters by stress test on electromagnetic ergo-cycle, an assessment of muscle strength by isokinetic dynamometer and an assessment of psychological status and quality of life. Results: We recruited 36 women and 4 men. Initially, the 2 groups were comparable. After training, in both groups we noted an improvement in anthropometric parameters, with an average weight loss of 1.83kg/week (P <0.001), an improvement in cardiovascular parameters with a decrease in heart rate at rest and under effort, and in systolic and diastolic arterial blood pressure values at rest and under effort (P <0.01 in both group), an improvement in parameters of muscle strength with increase in moment of maximum strength of extensor and flexor knee and spine muscles for all three test speeds, and an improvement in psychological status and in quality of life. The improvement of all these parameters was statistically greater in G1 (P <0.05). Conclusion: Isokinetic muscle strengthening increases the effects of aerobic exercising in the obese by improving muscle strength, increasing lean body mass and reducing body fat. Permalink : ./index.php?lvl=notice_display&id=44281 [article] Contribution of isokinetic muscle strengthening in the rehabilitation of obese subjects [texte imprimé] / Sameh Ghroubi, Auteur ; Wassia Kossemtini, Auteur ; Sawssan Mahersi, Auteur . - 2016 . - p. 87-93. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 87-93 Mots-clés : Obésité  Activité physique  Sport  Muscle  Obesity,Physical exercise,Isokinetic,Assessment,Exercising Résumé : Aims: Our objective was to evaluate the specific effect of isokinetic muscle strength enhancement in the rehabilitation of obese subjects by comparing two groups (isokinetic muscle exercising associated with aerobic exercising or only aerobic exercising). Patients and methods: This was a randomized, prospective study from January 2008 to December 2009 involving 40 obese patients randomized into two groups. The first group G1 (n =20) followed a program of aerobic training and isokinetic exercising of the extensor and flexor muscles of lower limbs and spine. The second group G2 (n =20) followed only a program of aerobic exercising. All patients completed their rehabilitation protocols comprising 3 sessions per week for two months. The parameters evaluated before and after the program were anthropometric parameters (weight, stature, body mass index, body fat and lean body mass percentages), cardiovascular parameters by stress test on electromagnetic ergo-cycle, an assessment of muscle strength by isokinetic dynamometer and an assessment of psychological status and quality of life. Results: We recruited 36 women and 4 men. Initially, the 2 groups were comparable. After training, in both groups we noted an improvement in anthropometric parameters, with an average weight loss of 1.83kg/week (P <0.001), an improvement in cardiovascular parameters with a decrease in heart rate at rest and under effort, and in systolic and diastolic arterial blood pressure values at rest and under effort (P <0.01 in both group), an improvement in parameters of muscle strength with increase in moment of maximum strength of extensor and flexor knee and spine muscles for all three test speeds, and an improvement in psychological status and in quality of life. The improvement of all these parameters was statistically greater in G1 (P <0.05). Conclusion: Isokinetic muscle strengthening increases the effects of aerobic exercising in the obese by improving muscle strength, increasing lean body mass and reducing body fat. Permalink : ./index.php?lvl=notice_display&id=44281

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Effect of submental sensitive transcutaneous electrical stimulation on virtual lesions of the oropharyngeal cortex / Emmanuelle Cugy in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 94-99 Titre : Effect of submental sensitive transcutaneous electrical stimulation on virtual lesions of the oropharyngeal cortex Type de document : texte imprimé Auteurs : Emmanuelle Cugy, Auteur ; Julie Kerouac-Laplante, Auteur ; Anne-Marie Leroi, Auteur Année de publication : 2016 Article en page(s) : p. 94-99 Langues : Anglais (eng) Français (fre) Mots-clés : Cerveau  Accident cérébrovasculaire  Stimulation  Rééducation fonctionnelle  Électrothérapie  Swallowing disorders,Electric stimulation therapy,Stroke,Motor-evoked potential,Videofluoroscopy,Rehabilitation Résumé : Objective: The aim of this study was to assess the effect of submental sensitive transcutaneous electrical stimulation (SSTES) on pharyngeal cortical representation after the creation of an oropharyngeal cortical virtual lesion in healthy subjects. Methods: Motor-evoked potential amplitude of the mylohyoid muscles was measured with transcranial magnetic stimulation (TMS), the oropharyngeal cortex was mapped by cartography, and videofluoroscopic parameters of swallowing function were measured before and after SSTES (at the end of SSTES [0min] and at 30 and 60min), after the creation of a cortical virtual lesion (repetitive TMS, 1Hz, 20min on the dominant swallowing hemisphere). Results: Nine subjects completed the study. After 20min of SSTES, motor-evoked potential amplitude increased (P <0.05), as did swallow reaction time after repetitive TMS, as seen on videofluoroscopy, which was reversed after electrical stimulation. On cortical mapping, the number of points with a cortical response increased in the dominant lesioned hemisphere (P <0.05), remaining constant at 60min (P <0.05). Conclusion: SSTES may be effective for producing cortical plasticity for mylohyoid muscles and reverses oropharyngeal cortical inhibition in healthy subjects. It could be a simple non-invasive way to treat post-stroke dysphagia. Permalink : ./index.php?lvl=notice_display&id=44282 [article] Effect of submental sensitive transcutaneous electrical stimulation on virtual lesions of the oropharyngeal cortex [texte imprimé] / Emmanuelle Cugy, Auteur ; Julie Kerouac-Laplante, Auteur ; Anne-Marie Leroi, Auteur . - 2016 . - p. 94-99. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 94-99 Mots-clés : Cerveau  Accident cérébrovasculaire  Stimulation  Rééducation fonctionnelle  Électrothérapie  Swallowing disorders,Electric stimulation therapy,Stroke,Motor-evoked potential,Videofluoroscopy,Rehabilitation Résumé : Objective: The aim of this study was to assess the effect of submental sensitive transcutaneous electrical stimulation (SSTES) on pharyngeal cortical representation after the creation of an oropharyngeal cortical virtual lesion in healthy subjects. Methods: Motor-evoked potential amplitude of the mylohyoid muscles was measured with transcranial magnetic stimulation (TMS), the oropharyngeal cortex was mapped by cartography, and videofluoroscopic parameters of swallowing function were measured before and after SSTES (at the end of SSTES [0min] and at 30 and 60min), after the creation of a cortical virtual lesion (repetitive TMS, 1Hz, 20min on the dominant swallowing hemisphere). Results: Nine subjects completed the study. After 20min of SSTES, motor-evoked potential amplitude increased (P <0.05), as did swallow reaction time after repetitive TMS, as seen on videofluoroscopy, which was reversed after electrical stimulation. On cortical mapping, the number of points with a cortical response increased in the dominant lesioned hemisphere (P <0.05), remaining constant at 60min (P <0.05). Conclusion: SSTES may be effective for producing cortical plasticity for mylohyoid muscles and reverses oropharyngeal cortical inhibition in healthy subjects. It could be a simple non-invasive way to treat post-stroke dysphagia. Permalink : ./index.php?lvl=notice_display&id=44282

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Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma / Xavier Biardeau in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 125-129 Titre : Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma Type de document : texte imprimé Auteurs : Xavier Biardeau, Auteur ; Jacques Corcos, Auteur Année de publication : 2016 Article en page(s) : p. 125-129 Langues : Anglais (eng) Français (fre) Mots-clés : Infection urinaire  Appareil urogénital [pathologie]  Cathétérisme explorateur  Cathéter  Revue de littérature  Prévention santé  Self-catheterization,Complications,Prevention,Treatment,Genitourinary tract infection,Urethral trauma Résumé : Intermittent catheterization is considered the standard of care in most neurologic patients with lower urinary tract disorders. However, in this context, genitourinary tract infection and urethral trauma represent specific challenges. Such conditions have been found to significantly deteriorate quality of life and complicate subsequent treatments. Only optimal prevention associated with appropriate treatment allows for the long-term continuation of such bladder management. Here, we discuss the diagnosis and therapeutic and preventive approaches associated with genitourinary tract infection and urethral trauma in this specific population. This “state-of-the-art” article results from a literature review (MEDLINE articles and scientific society guidelines) and the authors’ experience. It was structured in a didactic way to facilitate comprehension and promote the implementation of advice and recommendations in daily practice. Genitourinary tract infection and urethral trauma associated with intermittent catheterization in neurologic patients should be managed with a global approach, including patient and caregiver education, optimal catheterization with hydrophilic-coated or pre-lubricated catheters and adequate use of antibiotic therapy. Permalink : ./index.php?lvl=notice_display&id=44286 [article] Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma [texte imprimé] / Xavier Biardeau, Auteur ; Jacques Corcos, Auteur . - 2016 . - p. 125-129. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 125-129 Mots-clés : Infection urinaire  Appareil urogénital [pathologie]  Cathétérisme explorateur  Cathéter  Revue de littérature  Prévention santé  Self-catheterization,Complications,Prevention,Treatment,Genitourinary tract infection,Urethral trauma Résumé : Intermittent catheterization is considered the standard of care in most neurologic patients with lower urinary tract disorders. However, in this context, genitourinary tract infection and urethral trauma represent specific challenges. Such conditions have been found to significantly deteriorate quality of life and complicate subsequent treatments. Only optimal prevention associated with appropriate treatment allows for the long-term continuation of such bladder management. Here, we discuss the diagnosis and therapeutic and preventive approaches associated with genitourinary tract infection and urethral trauma in this specific population. This “state-of-the-art” article results from a literature review (MEDLINE articles and scientific society guidelines) and the authors’ experience. It was structured in a didactic way to facilitate comprehension and promote the implementation of advice and recommendations in daily practice. Genitourinary tract infection and urethral trauma associated with intermittent catheterization in neurologic patients should be managed with a global approach, including patient and caregiver education, optimal catheterization with hydrophilic-coated or pre-lubricated catheters and adequate use of antibiotic therapy. Permalink : ./index.php?lvl=notice_display&id=44286

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Muscle strengthening for hemiparesis after stroke: A meta-analysis / Sophie Wist in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 114-124 Titre : Muscle strengthening for hemiparesis after stroke: A meta-analysis Type de document : texte imprimé Auteurs : Sophie Wist, Auteur ; Julie Clivaz, Auteur ; Martin Sattelmayer, Auteur Année de publication : 2016 Article en page(s) : p. 114-124 Langues : Anglais (eng) Français (fre) Mots-clés : Accident cérébrovasculaire  Muscle  Équilibration  Bibliographie  Stroke,Strength,Gait,Balance,Treatment Résumé : Introduction: Muscle weakness is a common consequence of stroke and can result in a decrease in physical activity. Changes in gait performance can be observed, especially a reduction in gait speed, and increased gait asymmetry, and energy cost is also reported. Objective: The aim was to determine whether strengthening of the lower limbs can improve strength, balance and walking abilities in patients with chronic stroke. Method: Five databases (Pubmed, Cinhal, Cochrane, Web of Science, Embase) were searched to identify eligible studies. Randomized controlled trials were included and the risk of bias was evaluated for each study. Pooled standardized mean differences were calculated using a random effects model. The PRISMA statement was followed to increase clarity of reporting. Results: Ten studies, including 355 patients, reporting on the subject of progressive resistance training, specific task training, functional electrical stimulation and aerobic cycling at high-intensity were analysed. These interventions showed a statistically significant effect on strength and the Timed Up-and-Go test, and a non-significant effect on walking and the Berg Balance Scale. Conclusion: Progressive resistance training seemed to be the most effective treatment to improve strength. When it is appropriately targeted, it significantly improves strength. Permalink : ./index.php?lvl=notice_display&id=44287 [article] Muscle strengthening for hemiparesis after stroke: A meta-analysis [texte imprimé] / Sophie Wist, Auteur ; Julie Clivaz, Auteur ; Martin Sattelmayer, Auteur . - 2016 . - p. 114-124. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 114-124 Mots-clés : Accident cérébrovasculaire  Muscle  Équilibration  Bibliographie  Stroke,Strength,Gait,Balance,Treatment Résumé : Introduction: Muscle weakness is a common consequence of stroke and can result in a decrease in physical activity. Changes in gait performance can be observed, especially a reduction in gait speed, and increased gait asymmetry, and energy cost is also reported. Objective: The aim was to determine whether strengthening of the lower limbs can improve strength, balance and walking abilities in patients with chronic stroke. Method: Five databases (Pubmed, Cinhal, Cochrane, Web of Science, Embase) were searched to identify eligible studies. Randomized controlled trials were included and the risk of bias was evaluated for each study. Pooled standardized mean differences were calculated using a random effects model. The PRISMA statement was followed to increase clarity of reporting. Results: Ten studies, including 355 patients, reporting on the subject of progressive resistance training, specific task training, functional electrical stimulation and aerobic cycling at high-intensity were analysed. These interventions showed a statistically significant effect on strength and the Timed Up-and-Go test, and a non-significant effect on walking and the Berg Balance Scale. Conclusion: Progressive resistance training seemed to be the most effective treatment to improve strength. When it is appropriately targeted, it significantly improves strength. Permalink : ./index.php?lvl=notice_display&id=44287

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Some reflections on the past, present, and future of Physical and Rehabilitation Medicine (on the occasion of the 30th SOFMER congress) / Walter R. Frontera in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 79-82 Titre : Some reflections on the past, present, and future of Physical and Rehabilitation Medicine (on the occasion of the 30th SOFMER congress) Type de document : texte imprimé Auteurs : Walter R. Frontera, Auteur Année de publication : 2016 Article en page(s) : p. 79-82 Langues : Anglais (eng) Français (fre) Mots-clés : Rééducation fonctionnelle  Congrès  Hérault Résumé : In the context of an important national congress and, when colleagues meet to discuss the latest developments in our field of interest, it is of relevance to reflect on the evolution and development of the medical specialty of physical and rehabilitation medicine (PRM). This reflection naturally includes a review of the past, an analysis of the present, and the necessary and inevitable speculation about the future. I had the privilege to share my thoughts on this topic with the 30th Congress of the Société française de médecine physique et de réadaptation held in Montpellier, France on October 8–10, 2015. This article is a summary of that presentation with some additional considerations. Permalink : ./index.php?lvl=notice_display&id=44289 [article] Some reflections on the past, present, and future of Physical and Rehabilitation Medicine (on the occasion of the 30th SOFMER congress) [texte imprimé] / Walter R. Frontera, Auteur . - 2016 . - p. 79-82. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 79-82 Mots-clés : Rééducation fonctionnelle  Congrès  Hérault Résumé : In the context of an important national congress and, when colleagues meet to discuss the latest developments in our field of interest, it is of relevance to reflect on the evolution and development of the medical specialty of physical and rehabilitation medicine (PRM). This reflection naturally includes a review of the past, an analysis of the present, and the necessary and inevitable speculation about the future. I had the privilege to share my thoughts on this topic with the 30th Congress of the Société française de médecine physique et de réadaptation held in Montpellier, France on October 8–10, 2015. This article is a summary of that presentation with some additional considerations. Permalink : ./index.php?lvl=notice_display&id=44289

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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