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Anatomical specificities of the degenerated cervical spine: a narrative review of clinical implications, with special focus on targeted spinal injections / Christelle Nguyen in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 276-281 Titre : Anatomical specificities of the degenerated cervical spine: a narrative review of clinical implications, with special focus on targeted spinal injections Type de document : texte imprimé Auteurs : Christelle Nguyen, Auteur ; Katherine Sanchez, Auteur ; Alexandra Roren, Auteur Année de publication : 2016 Article en page(s) : p. 276-281 Langues : Anglais (eng) Français (fre) Mots-clés : Cou  Disque intervertébral  Arthrose  Cervical spine,Uncarthrosis,Degenerative disc disease,Spondylosis,Spinal injections Résumé : Background: Cervical radiculopathy is most often related to foraminal stenosis due to osteoarthritic changes of the uncovertebral joints anteriorly or zygapophyseal joints posteriorly, rather than disc herniation. Objectives: To describe anatomical specificities of the degenerated cervical spine. Methods: A critical narrative review was conducted. Articles were non-systematically selected and based on authors’ expertise, self-knowledge, and reflective practice. Results: Vertebral bodies of the lower cervical spine are characterized by 2 lateral prismatic bony protuberances, the uncinate processes, located on C3 to C7 superior vertebral endplates, that are involved in the stabilization of the cervical spine. Degenerative changes at the lower cervical spine can affect different anatomical structures: the intervertebral disc, uncovertebral joints, and facet joints. The incidence and severity of changes increase with age. Furthermore, uncovertebral osteoarthritis is characterized by the presence of transverse fissures in the annulus fibrosus. Discussion: These specific anatomical features of the cervical spine may have clinical implications, including more targeted spinal injections for managing disabling persistent or recurrent symptoms related to cervical spine degenerative changes such as cervical radicular pain. Permalink : ./index.php?lvl=notice_display&id=45205 [article] Anatomical specificities of the degenerated cervical spine: a narrative review of clinical implications, with special focus on targeted spinal injections [texte imprimé] / Christelle Nguyen, Auteur ; Katherine Sanchez, Auteur ; Alexandra Roren, Auteur . - 2016 . - p. 276-281. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 276-281 Mots-clés : Cou  Disque intervertébral  Arthrose  Cervical spine,Uncarthrosis,Degenerative disc disease,Spondylosis,Spinal injections Résumé : Background: Cervical radiculopathy is most often related to foraminal stenosis due to osteoarthritic changes of the uncovertebral joints anteriorly or zygapophyseal joints posteriorly, rather than disc herniation. Objectives: To describe anatomical specificities of the degenerated cervical spine. Methods: A critical narrative review was conducted. Articles were non-systematically selected and based on authors’ expertise, self-knowledge, and reflective practice. Results: Vertebral bodies of the lower cervical spine are characterized by 2 lateral prismatic bony protuberances, the uncinate processes, located on C3 to C7 superior vertebral endplates, that are involved in the stabilization of the cervical spine. Degenerative changes at the lower cervical spine can affect different anatomical structures: the intervertebral disc, uncovertebral joints, and facet joints. The incidence and severity of changes increase with age. Furthermore, uncovertebral osteoarthritis is characterized by the presence of transverse fissures in the annulus fibrosus. Discussion: These specific anatomical features of the cervical spine may have clinical implications, including more targeted spinal injections for managing disabling persistent or recurrent symptoms related to cervical spine degenerative changes such as cervical radicular pain. Permalink : ./index.php?lvl=notice_display&id=45205

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Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study / Abhishek Srivastava in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 235-241 Titre : Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study Type de document : texte imprimé Auteurs : Abhishek Srivastava, Auteur ; Arun B. Taly, Auteur ; Anupam Gupta, Auteur Année de publication : 2016 Article en page(s) : p. 235-241 Langues : Anglais (eng) Français (fre) Mots-clés : Accident cérébrovasculaire  Rééducation fonctionnelle  Mouvement corporel  Bodyweight-support treadmill training,Chronic stroke survivors,Gait training,Stroke rehabilitation Résumé : Objective: To evaluate the role of bodyweight-supported treadmill training (BWSTT) for chronic stroke survivors. Design: Prospective, randomized controlled study. Methods: Patients with a first episode of supratentorial arterial stroke of more than 3months’ duration were randomly allocated to 3 groups: overground gait training, treadmill training without bodyweight support, and BWSTT (20 sessions, 30min/day, 5days/week for 4weeks). The primary outcome was overground walking speed and endurance and secondary outcome was improvement by the Scandinavian Stroke Scale (SSS) and locomotion by the Functional Ambulation Category (FAC). We analyzed data within groups (pre-training vs post-training and pre-training vs 3-month follow-up) and between groups (at post-training and 3-month follow-up). Results: We included 45 patients (36 males, mean post-stroke duration 16.51+15.14months); 40 (89.9%) completed training and 34 (75.5%) were followed up at 3months. All primary and secondary outcome measures showed significant improvement (P <0.05) in the 3 groups at the end of training, which was sustained at 3-month follow-up (other than walking endurance in group I). Outcomes were better with BWSTT but not significantly (P >0.05). Conclusion: BWSTT offers improvement in gait but has no significant advantage over conventional gait-training strategies for chronic stroke survivors. Permalink : ./index.php?lvl=notice_display&id=45206 [article] Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study [texte imprimé] / Abhishek Srivastava, Auteur ; Arun B. Taly, Auteur ; Anupam Gupta, Auteur . - 2016 . - p. 235-241. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 235-241 Mots-clés : Accident cérébrovasculaire  Rééducation fonctionnelle  Mouvement corporel  Bodyweight-support treadmill training,Chronic stroke survivors,Gait training,Stroke rehabilitation Résumé : Objective: To evaluate the role of bodyweight-supported treadmill training (BWSTT) for chronic stroke survivors. Design: Prospective, randomized controlled study. Methods: Patients with a first episode of supratentorial arterial stroke of more than 3months’ duration were randomly allocated to 3 groups: overground gait training, treadmill training without bodyweight support, and BWSTT (20 sessions, 30min/day, 5days/week for 4weeks). The primary outcome was overground walking speed and endurance and secondary outcome was improvement by the Scandinavian Stroke Scale (SSS) and locomotion by the Functional Ambulation Category (FAC). We analyzed data within groups (pre-training vs post-training and pre-training vs 3-month follow-up) and between groups (at post-training and 3-month follow-up). Results: We included 45 patients (36 males, mean post-stroke duration 16.51+15.14months); 40 (89.9%) completed training and 34 (75.5%) were followed up at 3months. All primary and secondary outcome measures showed significant improvement (P <0.05) in the 3 groups at the end of training, which was sustained at 3-month follow-up (other than walking endurance in group I). Outcomes were better with BWSTT but not significantly (P >0.05). Conclusion: BWSTT offers improvement in gait but has no significant advantage over conventional gait-training strategies for chronic stroke survivors. Permalink : ./index.php?lvl=notice_display&id=45206

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High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder / Preston M. Wolin in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 242-247 Titre : High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder Type de document : texte imprimé Auteurs : Preston M. Wolin, Auteur ; Amy Ingraffia-Welp, Auteur ; Carlos E. Moreyra, Auteur Année de publication : 2016 Article en page(s) : p. 242-247 Langues : Anglais (eng) Français (fre) Mots-clés : Épaule  Rééducation fonctionnelle  Adhesive capsulitis,Shoulder,Stretching,High intensity stretching,Physical therapy Résumé : Background: Some patients with postoperative adhesive capsulitis reach a plateau in their recovery with a standard protocol of physical therapy (PT), which puts them at risk for further surgical intervention. Objectives: We aimed to evaluate therapy for postoperative adhesive capsulitis of the shoulder in 2 groups of patients: (1) those who used a high-intensity stretch (HIS) device after reaching a plateau in their recovery with a standard protocol of traditional PT (PT+HIS) and (2) those who showed no plateau in their recovery with a standard protocol of traditional PT alone (PT only). Methods: We retrospectively reviewed the records for 60 patients (51 males; mean age 46.7+12.6years) with postoperative adhesive capsulitis who received treatment between March 2007 and May 2010. Forward elevation and combined internal/external rotation at the initial postoperative visit and final visit were measured. The measurements from group 2 patients were used as an observational benchmark. Results: The PT+HIS (n =42) and PT-only (n =18) patients did not differ in total follow-up time. Initial elevation was worse for PT+HIS than PT-only patients (22.1° lower, P =0.02), but the final elevation was equivalent. Initial rotation was worse for PT+HIS than PT-only patients (16.6° lower, P =0.04), but the final rotation was higher for PT+HIS patients (10.6° higher, P =0.04). Gains in elevation and rotation were greater for the PT+HIS than PT-only patients (P =0.04 and P =0.01). Conclusions: Patients with postoperative adhesive capsulitis of the shoulder who are unable to reach their PT treatment goals with a standard protocol of PT may benefit from the addition of HIS to their treatment regimen. HIS could be a valuable adjunct to PT for treating postoperative adhesive capsulitis in appropriate patients. Permalink : ./index.php?lvl=notice_display&id=45210 [article] High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder [texte imprimé] / Preston M. Wolin, Auteur ; Amy Ingraffia-Welp, Auteur ; Carlos E. Moreyra, Auteur . - 2016 . - p. 242-247. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 242-247 Mots-clés : Épaule  Rééducation fonctionnelle  Adhesive capsulitis,Shoulder,Stretching,High intensity stretching,Physical therapy Résumé : Background: Some patients with postoperative adhesive capsulitis reach a plateau in their recovery with a standard protocol of physical therapy (PT), which puts them at risk for further surgical intervention. Objectives: We aimed to evaluate therapy for postoperative adhesive capsulitis of the shoulder in 2 groups of patients: (1) those who used a high-intensity stretch (HIS) device after reaching a plateau in their recovery with a standard protocol of traditional PT (PT+HIS) and (2) those who showed no plateau in their recovery with a standard protocol of traditional PT alone (PT only). Methods: We retrospectively reviewed the records for 60 patients (51 males; mean age 46.7+12.6years) with postoperative adhesive capsulitis who received treatment between March 2007 and May 2010. Forward elevation and combined internal/external rotation at the initial postoperative visit and final visit were measured. The measurements from group 2 patients were used as an observational benchmark. Results: The PT+HIS (n =42) and PT-only (n =18) patients did not differ in total follow-up time. Initial elevation was worse for PT+HIS than PT-only patients (22.1° lower, P =0.02), but the final elevation was equivalent. Initial rotation was worse for PT+HIS than PT-only patients (16.6° lower, P =0.04), but the final rotation was higher for PT+HIS patients (10.6° higher, P =0.04). Gains in elevation and rotation were greater for the PT+HIS than PT-only patients (P =0.04 and P =0.01). Conclusions: Patients with postoperative adhesive capsulitis of the shoulder who are unable to reach their PT treatment goals with a standard protocol of PT may benefit from the addition of HIS to their treatment regimen. HIS could be a valuable adjunct to PT for treating postoperative adhesive capsulitis in appropriate patients. Permalink : ./index.php?lvl=notice_display&id=45210

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Patient-preference disability assessment for disabling knee osteoarthritis: Validity and responsiveness of the McMaster-Toronto Arthritis Patient Preference Disability Questionnaire / Katherine Sanchez in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 255-262 Titre : Patient-preference disability assessment for disabling knee osteoarthritis: Validity and responsiveness of the McMaster-Toronto Arthritis Patient Preference Disability Questionnaire Type de document : texte imprimé Auteurs : Katherine Sanchez, Auteur ; Clémence Palazzo, Auteur ; Cécile Escalas, Auteur Année de publication : 2016 Article en page(s) : p. 255-262 Langues : Anglais (eng) Français (fre) Mots-clés : Genou  Ostéoporose  Handicap  Questionnaire  Knee,Osteoarthritis,Handicap,Disability assessment,Validity,Responsiveness,McMaster Toronto Arthritis Patient Preference Disability Questionnaire Résumé : Background: The McMaster-Toronto Arthritis Patient Preference Disability Questionnaire (MACTAR) measurement of function may be more comprehensive and add useful information about disability than traditional fixed-item questionnaires, especially about issues that really matter to the patient, for developing personalized medicine. Objectives: We aimed to assess priorities in disability and restriction in participation in patients with disabling knee osteoarthritis (OA) by the MACTAR and evaluate its validity and responsiveness. Methods: We evaluated 127 in- and outpatients with knee OA in two tertiary care teaching hospitals between August 2010 and July 2012 by using the MACTAR, the Western Ontario and McMaster Universities Osteoarthritis Index, Lequesne scale, Fear Avoidance Beliefs Questionnaire, a life satisfaction score and pain, global assessment of disease activity and functional impairment scores on a numerical rating scale. Validity was assessed by Pearson correlation and responsiveness by the standardized response mean (SRM) and effect size (ES). Results: Patients ranked 35 different activities by the MACTAR; the 3 domains of the International Classification of Functioning, Disability and Health most often identified were mobility (cited 233 times, 52.3%); community, social and civic life (cited 122 times, 27.4%); and domestic life (cited 64 times, 14.4%). The MACTAR score was best correlated with functional impairment (r =0.5). Convergent and divergent validity was as expected. In all, 108 patients completed a 6-month follow-up evaluation: 27 patients shifted their priorities at 6 months, for a decrease in SRM and ES. The SRM (0.64) and ES (0.92) for the MACTAR without shifts in priorities were the highest among the outcome measures tested; for patients considering their condition improved, the values were 0.85 and 1.17, respectively. Conclusions: For assessing priorities in disability and restriction in participation among patients with knee OA, the MACTAR has acceptable validity and responsiveness. Permalink : ./index.php?lvl=notice_display&id=45218 [article] Patient-preference disability assessment for disabling knee osteoarthritis: Validity and responsiveness of the McMaster-Toronto Arthritis Patient Preference Disability Questionnaire [texte imprimé] / Katherine Sanchez, Auteur ; Clémence Palazzo, Auteur ; Cécile Escalas, Auteur . - 2016 . - p. 255-262. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 255-262 Mots-clés : Genou  Ostéoporose  Handicap  Questionnaire  Knee,Osteoarthritis,Handicap,Disability assessment,Validity,Responsiveness,McMaster Toronto Arthritis Patient Preference Disability Questionnaire Résumé : Background: The McMaster-Toronto Arthritis Patient Preference Disability Questionnaire (MACTAR) measurement of function may be more comprehensive and add useful information about disability than traditional fixed-item questionnaires, especially about issues that really matter to the patient, for developing personalized medicine. Objectives: We aimed to assess priorities in disability and restriction in participation in patients with disabling knee osteoarthritis (OA) by the MACTAR and evaluate its validity and responsiveness. Methods: We evaluated 127 in- and outpatients with knee OA in two tertiary care teaching hospitals between August 2010 and July 2012 by using the MACTAR, the Western Ontario and McMaster Universities Osteoarthritis Index, Lequesne scale, Fear Avoidance Beliefs Questionnaire, a life satisfaction score and pain, global assessment of disease activity and functional impairment scores on a numerical rating scale. Validity was assessed by Pearson correlation and responsiveness by the standardized response mean (SRM) and effect size (ES). Results: Patients ranked 35 different activities by the MACTAR; the 3 domains of the International Classification of Functioning, Disability and Health most often identified were mobility (cited 233 times, 52.3%); community, social and civic life (cited 122 times, 27.4%); and domestic life (cited 64 times, 14.4%). The MACTAR score was best correlated with functional impairment (r =0.5). Convergent and divergent validity was as expected. In all, 108 patients completed a 6-month follow-up evaluation: 27 patients shifted their priorities at 6 months, for a decrease in SRM and ES. The SRM (0.64) and ES (0.92) for the MACTAR without shifts in priorities were the highest among the outcome measures tested; for patients considering their condition improved, the values were 0.85 and 1.17, respectively. Conclusions: For assessing priorities in disability and restriction in participation among patients with knee OA, the MACTAR has acceptable validity and responsiveness. Permalink : ./index.php?lvl=notice_display&id=45218

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Post-acute referral of stroke victims in a French urban area: Results of a specific program / Hélène Cassoudesalle in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 248-254 Titre : Post-acute referral of stroke victims in a French urban area: Results of a specific program Type de document : texte imprimé Auteurs : Hélène Cassoudesalle, Auteur ; Hervé Petit, Auteur ; A. Nozères, Auteur Année de publication : 2016 Article en page(s) : p. 248-254 Langues : Anglais (eng) Français (fre) Mots-clés : Accident cérébrovasculaire  Rééducation fonctionnelle  Soins  Hôpital public  Gironde  Stroke,Rehabilitation units,Care organization Résumé : Objective: The main objective of this study was to describe the distribution of referrals offered to patients assessed in the “Post-Acute Stroke program” of Bordeaux University Hospital (France). This program was developed in 2008 to organize the dispensation of care in rehabilitation units specialized in neurological diseases. Material and methods: This was a single-centre observational study. Between July 2008 and December 2012, data on the number of stroke patients hospitalized at the Bordeaux University Hospital and their post-acute referral were collected from the local hospital discharge database. Some of these patients were assessed by Physical Rehabilitation and Medicine physicians participating in the program. Proposed and actual referrals, time from admission to assessment and functional status were also collected. Results: Among 4189 stroke patients, 1465 (35%) survivors were assessed, of whom 932 (22.2%) were discharged to inpatient rehabilitation facilities. There were no patients discharged to this type of unit without an assessment. Among the 1465 patients who were assessed, 57.2% were referred to specialized rehabilitation units, 6.3% were discharged to non-specialized rehabilitation units and 26% returned home directly. The median total length of stay in acute units varied from 10 to 15days depending on referral orientation. Conclusion: Patients that were assessed were more likely to be transferred to specialized rehabilitation units than to non-specialized rehabilitation units. The Post-Acute Stroke program has the particularity of combining private and public specialized rehabilitation units in a common collaborative referral system while retaining the control and flexibility of personalised referral for each patient in the light of local care availability. Permalink : ./index.php?lvl=notice_display&id=45219 [article] Post-acute referral of stroke victims in a French urban area: Results of a specific program [texte imprimé] / Hélène Cassoudesalle, Auteur ; Hervé Petit, Auteur ; A. Nozères, Auteur . - 2016 . - p. 248-254. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 248-254 Mots-clés : Accident cérébrovasculaire  Rééducation fonctionnelle  Soins  Hôpital public  Gironde  Stroke,Rehabilitation units,Care organization Résumé : Objective: The main objective of this study was to describe the distribution of referrals offered to patients assessed in the “Post-Acute Stroke program” of Bordeaux University Hospital (France). This program was developed in 2008 to organize the dispensation of care in rehabilitation units specialized in neurological diseases. Material and methods: This was a single-centre observational study. Between July 2008 and December 2012, data on the number of stroke patients hospitalized at the Bordeaux University Hospital and their post-acute referral were collected from the local hospital discharge database. Some of these patients were assessed by Physical Rehabilitation and Medicine physicians participating in the program. Proposed and actual referrals, time from admission to assessment and functional status were also collected. Results: Among 4189 stroke patients, 1465 (35%) survivors were assessed, of whom 932 (22.2%) were discharged to inpatient rehabilitation facilities. There were no patients discharged to this type of unit without an assessment. Among the 1465 patients who were assessed, 57.2% were referred to specialized rehabilitation units, 6.3% were discharged to non-specialized rehabilitation units and 26% returned home directly. The median total length of stay in acute units varied from 10 to 15days depending on referral orientation. Conclusion: Patients that were assessed were more likely to be transferred to specialized rehabilitation units than to non-specialized rehabilitation units. The Post-Acute Stroke program has the particularity of combining private and public specialized rehabilitation units in a common collaborative referral system while retaining the control and flexibility of personalised referral for each patient in the light of local care availability. Permalink : ./index.php?lvl=notice_display&id=45219

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Recurrence of heterotopic ossification after removal in patients with traumatic brain injury: A systematic review / Waleed Almangour in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 263-269 Titre : Recurrence of heterotopic ossification after removal in patients with traumatic brain injury: A systematic review Type de document : texte imprimé Auteurs : Waleed Almangour, Auteur ; Alexis Schnitzler, Auteur ; Marjorie Salga, Auteur Année de publication : 2016 Article en page(s) : p. 263-269 Langues : Anglais (eng) Français (fre) Mots-clés : Traumatisme crânien  Revue de littérature  Traumatic brain injury,Head injury,Heterotopic ossification,Recurrence Résumé : Objective: A systematic review of the literature to determine whether in patients with neurological heterotopic ossification (NHO) after traumatic brain injury, the extent of the neurological sequelae, the timing of surgery and the extent of the initial NHO affect the risk of NHO recurrence. Data sources: We searched MEDLINE via PubMed and Cochrane library for articles published up to June 2015. Results were compared with epidemiological studies using data from the BANKHO database of 357 patients with central nervous system (CNS) lesions who underwent 539 interventions for troublesome HO. Results: A large number of studies were published in the 1980s and 1990s, most showing poor quality despite being performed by experienced surgical teams. Accordingly, results were contradictory and practices heterogeneous. Results with the BANKHO data showed troublesome NHO recurrence not associated with aetiology, sex, age at time of CNS lesion, multisite HO, or “early” surgery (before 6months). Equally, recurrence was not associated with neurological sequelae or disease extent around the joint. Conclusions: The recurrence of NHO is not affected by delayed surgery, neurological sequelae or disease extent around the joint. Surgical excision of NHO should be performed as soon as comorbid factors are under control and the NHO is sufficiently constituted for excision. Permalink : ./index.php?lvl=notice_display&id=45220 [article] Recurrence of heterotopic ossification after removal in patients with traumatic brain injury: A systematic review [texte imprimé] / Waleed Almangour, Auteur ; Alexis Schnitzler, Auteur ; Marjorie Salga, Auteur . - 2016 . - p. 263-269. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 263-269 Mots-clés : Traumatisme crânien  Revue de littérature  Traumatic brain injury,Head injury,Heterotopic ossification,Recurrence Résumé : Objective: A systematic review of the literature to determine whether in patients with neurological heterotopic ossification (NHO) after traumatic brain injury, the extent of the neurological sequelae, the timing of surgery and the extent of the initial NHO affect the risk of NHO recurrence. Data sources: We searched MEDLINE via PubMed and Cochrane library for articles published up to June 2015. Results were compared with epidemiological studies using data from the BANKHO database of 357 patients with central nervous system (CNS) lesions who underwent 539 interventions for troublesome HO. Results: A large number of studies were published in the 1980s and 1990s, most showing poor quality despite being performed by experienced surgical teams. Accordingly, results were contradictory and practices heterogeneous. Results with the BANKHO data showed troublesome NHO recurrence not associated with aetiology, sex, age at time of CNS lesion, multisite HO, or “early” surgery (before 6months). Equally, recurrence was not associated with neurological sequelae or disease extent around the joint. Conclusions: The recurrence of NHO is not affected by delayed surgery, neurological sequelae or disease extent around the joint. Surgical excision of NHO should be performed as soon as comorbid factors are under control and the NHO is sufficiently constituted for excision. Permalink : ./index.php?lvl=notice_display&id=45220

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The effects of mirror therapy on pain and motor control of phantom limb in amputees: A systematic review / Jessie Barbin in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 270-275 Titre : The effects of mirror therapy on pain and motor control of phantom limb in amputees: A systematic review Type de document : texte imprimé Auteurs : Jessie Barbin, Auteur ; V. Seetha, Auteur ; Jean-Marie Casillas, Auteur Année de publication : 2016 Article en page(s) : p. 270-275 Langues : Anglais (eng) Français (fre) Mots-clés : Douleur  Membre  Revue sommaire  Mirror therapy,Phantom Limb,Amputee Résumé : Background and objective: Phantom limb pain (PLP) is a major problem after limb amputation. Mirror therapy (MT) is a non-pharmacological treatment using representations of movement, the efficacy of which in reducing PLP remains to be clarified. Here, we present the first systematic review on MT efficacy in PLP and phantom limb movement (PLM) in amputees (lower or upper limb). Methods: A search on Medline, Cochrane Database and Embase, crossing the keywords “Phantom Limb” and “Mirror Therapy” found studies which were read and analyzed according the PRISMA statement. Results: Twenty studies were selected, 12 on the subject of MT and PLP, 3 on MT and PLM, 5 on MT and both (PLP and PLM). Among these 20 studies, 5 were randomized controlled trials (163 patients), 6 prospective studies (55 patients), 9 case studies (40 patients) and methodologies were heterogeneous. Seventeen of the 18 studies reported the efficacy of MT on PLP, but with low levels of evidence. One randomized controlled trial did not show any significant effect of MT. As to the effect of MT on PLM, the 8 studies concerned reported effectiveness of MT: 4 with a low level of evidence and 4 with a high level of evidence. An alternative to visual illusion seems to be tactile or auditory stimulation. Conclusion: We cannot recommend MT as a first intention treatment in PLP. The level of evidence is insufficient. Further research is needed to assess the effect of MT on pain, prosthesis use, and body representation, and to standardize protocols. Permalink : ./index.php?lvl=notice_display&id=45225 [article] The effects of mirror therapy on pain and motor control of phantom limb in amputees: A systematic review [texte imprimé] / Jessie Barbin, Auteur ; V. Seetha, Auteur ; Jean-Marie Casillas, Auteur . - 2016 . - p. 270-275. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 270-275 Mots-clés : Douleur  Membre  Revue sommaire  Mirror therapy,Phantom Limb,Amputee Résumé : Background and objective: Phantom limb pain (PLP) is a major problem after limb amputation. Mirror therapy (MT) is a non-pharmacological treatment using representations of movement, the efficacy of which in reducing PLP remains to be clarified. Here, we present the first systematic review on MT efficacy in PLP and phantom limb movement (PLM) in amputees (lower or upper limb). Methods: A search on Medline, Cochrane Database and Embase, crossing the keywords “Phantom Limb” and “Mirror Therapy” found studies which were read and analyzed according the PRISMA statement. Results: Twenty studies were selected, 12 on the subject of MT and PLP, 3 on MT and PLM, 5 on MT and both (PLP and PLM). Among these 20 studies, 5 were randomized controlled trials (163 patients), 6 prospective studies (55 patients), 9 case studies (40 patients) and methodologies were heterogeneous. Seventeen of the 18 studies reported the efficacy of MT on PLP, but with low levels of evidence. One randomized controlled trial did not show any significant effect of MT. As to the effect of MT on PLM, the 8 studies concerned reported effectiveness of MT: 4 with a low level of evidence and 4 with a high level of evidence. An alternative to visual illusion seems to be tactile or auditory stimulation. Conclusion: We cannot recommend MT as a first intention treatment in PLP. The level of evidence is insufficient. Further research is needed to assess the effect of MT on pain, prosthesis use, and body representation, and to standardize protocols. Permalink : ./index.php?lvl=notice_display&id=45225

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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