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An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse / Delphine Claus in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 68-73 Titre : An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse Type de document : texte imprimé Auteurs : Delphine Claus, Auteur ; Jean Chazal, Auteur ; Emmanuel Coudeyre, Auteur Année de publication : 2017 Article en page(s) : p. 68-73 Langues : Anglais (eng) Français (fre) Mots-clés : Lombalgie  Attitude  Peur  Chirurgie orthopédique  Brochure  Disque intervertébral  Booklet,Self-care,Fear-avoidance beliefs,Low back pain,Discectomy Résumé : Objective: We aimed to assess the impact of a booklet integrating the biopsychosocial model of chronic pain management on reducing disability among patients undergoing lumbar discetomy. Methods: In a prospective, controlled, time-series study with an alternate-month design, we enrolled 129 patients from a tertiary care university hospital after they underwent uncomplicated lumbar discectomy for the first time. The intervention group received the biopsychosocial evidence-based booklet and the control group a biomedical-based booklet; the booklets differed only in information content. Patients were blinded to treatment group. The main outcome was disability at 2 months (measured by the Quebec back-pain disability scale [QBPDS]). Secondary outcomes were fear and avoidance beliefs measured by the Fear-Avoidance Beliefs Questionnaire (FABQ). All data were collected by self-reporting questionnaires. Results: At 2 months, disability did not differ between the 2 groups (QBPDS score 32.4+22.8 vs 36.1+18.7, P =0.36). FABQ physical activity score was lower with the evidenced-based booklet as compared with controls (8.0+7.14 vs 11.2+6.3, P =0.008). Conclusions: Providing an evidence-based booklet had no effect at 2 months after surgery on disability but reduced fear-avoidance beliefs about physical activity. This booklet could be an effective tool for health care professionals in helping with patient education. Permalink : ./index.php?lvl=notice_display&id=51669 [article] An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse [texte imprimé] / Delphine Claus, Auteur ; Jean Chazal, Auteur ; Emmanuel Coudeyre, Auteur . - 2017 . - p. 68-73. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 68-73 Mots-clés : Lombalgie  Attitude  Peur  Chirurgie orthopédique  Brochure  Disque intervertébral  Booklet,Self-care,Fear-avoidance beliefs,Low back pain,Discectomy Résumé : Objective: We aimed to assess the impact of a booklet integrating the biopsychosocial model of chronic pain management on reducing disability among patients undergoing lumbar discetomy. Methods: In a prospective, controlled, time-series study with an alternate-month design, we enrolled 129 patients from a tertiary care university hospital after they underwent uncomplicated lumbar discectomy for the first time. The intervention group received the biopsychosocial evidence-based booklet and the control group a biomedical-based booklet; the booklets differed only in information content. Patients were blinded to treatment group. The main outcome was disability at 2 months (measured by the Quebec back-pain disability scale [QBPDS]). Secondary outcomes were fear and avoidance beliefs measured by the Fear-Avoidance Beliefs Questionnaire (FABQ). All data were collected by self-reporting questionnaires. Results: At 2 months, disability did not differ between the 2 groups (QBPDS score 32.4+22.8 vs 36.1+18.7, P =0.36). FABQ physical activity score was lower with the evidenced-based booklet as compared with controls (8.0+7.14 vs 11.2+6.3, P =0.008). Conclusions: Providing an evidence-based booklet had no effect at 2 months after surgery on disability but reduced fear-avoidance beliefs about physical activity. This booklet could be an effective tool for health care professionals in helping with patient education. Permalink : ./index.php?lvl=notice_display&id=51669

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Executive function after severe childhood traumatic brain injury – Age-at-injury vulnerability periods: The TGE prospective longitudinal study / Agata Krasny-Pacini in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 74-82 Titre : Executive function after severe childhood traumatic brain injury – Age-at-injury vulnerability periods: The TGE prospective longitudinal study Type de document : texte imprimé Auteurs : Agata Krasny-Pacini, Auteur ; Sabine Lancien, Auteur ; Mathilde Chevignard, Auteur Année de publication : 2017 Article en page(s) : p. 74-82 Langues : Anglais (eng) Français (fre) Mots-clés : Traumatisme crânien  Enfant  Échantillon représentatif  Étude prospective  Fonction exécutive  Traumatic brain injury,Executive functions,Child,Cohort,Longitudinal prospective study,Outcome,Vulnerability periods,Follow-up Résumé : Background: Executive function (EF) impairment is a major predictor of overall outcome after traumatic brain injury (TBI). TBI severity is a factor of poor outcome, but most studies include a majority of children with mild and moderate TBI. The aims of this study were to estimate EF impairment after severe childhood TBI and to explore factors predicting EF outcome. The secondary aim was to compare recovery trajectories by age-at-injury groups. Methods: This was a prospective longitudinal study of children with severe TBI who were tested for EFs by performance-based tests and questionnaires at 3, 12 and 24 months. Results: Children with TBI (n =65) showed significant impairment in working memory, inhibition, attention and global EF, with little or no recovery at 24 months. For flexibility and performance-based EF score, children were impaired at 3 months only and showed normal scores by 12 months. No impairment was found in planning. At 3 and 24 months, Glasgow Coma Scale score and parental education predicted global EF. Coma length was not a significant predictor of outcome. Age at injury predicted progress in EF, but the relationship was not linear; children 10–12 years old at injury showed better outcome than older and younger children. Conclusions: EFs are impaired after severe TBI in childhood. The relationship between age at injury and outcome is not linear. Relying on only performance-based EF tests can underestimate EF impairment. Permalink : ./index.php?lvl=notice_display&id=51673 [article] Executive function after severe childhood traumatic brain injury – Age-at-injury vulnerability periods: The TGE prospective longitudinal study [texte imprimé] / Agata Krasny-Pacini, Auteur ; Sabine Lancien, Auteur ; Mathilde Chevignard, Auteur . - 2017 . - p. 74-82. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 74-82 Mots-clés : Traumatisme crânien  Enfant  Échantillon représentatif  Étude prospective  Fonction exécutive  Traumatic brain injury,Executive functions,Child,Cohort,Longitudinal prospective study,Outcome,Vulnerability periods,Follow-up Résumé : Background: Executive function (EF) impairment is a major predictor of overall outcome after traumatic brain injury (TBI). TBI severity is a factor of poor outcome, but most studies include a majority of children with mild and moderate TBI. The aims of this study were to estimate EF impairment after severe childhood TBI and to explore factors predicting EF outcome. The secondary aim was to compare recovery trajectories by age-at-injury groups. Methods: This was a prospective longitudinal study of children with severe TBI who were tested for EFs by performance-based tests and questionnaires at 3, 12 and 24 months. Results: Children with TBI (n =65) showed significant impairment in working memory, inhibition, attention and global EF, with little or no recovery at 24 months. For flexibility and performance-based EF score, children were impaired at 3 months only and showed normal scores by 12 months. No impairment was found in planning. At 3 and 24 months, Glasgow Coma Scale score and parental education predicted global EF. Coma length was not a significant predictor of outcome. Age at injury predicted progress in EF, but the relationship was not linear; children 10–12 years old at injury showed better outcome than older and younger children. Conclusions: EFs are impaired after severe TBI in childhood. The relationship between age at injury and outcome is not linear. Relying on only performance-based EF tests can underestimate EF impairment. Permalink : ./index.php?lvl=notice_display&id=51673

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Functional outcome in chronic heart failure after exercise training: Possible predictive value of heart rate variability / Roberto Ricca-Mallada in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 87-94 Titre : Functional outcome in chronic heart failure after exercise training: Possible predictive value of heart rate variability Type de document : texte imprimé Auteurs : Roberto Ricca-Mallada, Auteur ; Eduardo Roberto Migliaro, Auteur ; Gabriela Silvera, Auteur Année de publication : 2017 Article en page(s) : p. 87-94 Langues : Anglais (eng) Français (fre) Mots-clés : Cardiopathie  Variable épidémiologique  Exercise,Heart failure,Heart rate variability,Parasympathetic indexes,Clinical value Résumé : Background: Controlled exercise training (ET) is a valuable therapeutic addition to pharmacological treatment in most patients with chronic heart failure (CHF), reducing long-term mortality, preventing cardiac remodelling and improving functional capacity. Despite the fact that the mechanism underlying its benefits might be multifactorial, a sustained improvement in autonomic balance is usually attributed as a major effect. Nevertheless, not all eligible subjects show the same response to ET, probably due to several differences in the subpopulations enrolled. We hypothesize that some heart rate variability (HRV) indexes could be valid tools to optimize the selection and follow-up of CHF patients receiving ET intervention. Methods: Forty patients with CHF and left ventricular ejection fraction (LVEF)≤40% under complete evidence-based pharmacological treatment were included; 20 were assigned to a program of controlled ET on a 3-times/week basis during 24 weeks, training group (TG) and 20 received a standard follow-up program, control group (CG). In each patient, full clinical assessments, echocardiography, HRV analysis and 6-minute-walk test were performed at the beginning and the end of the study. Results: After 24 weeks, patients in the TG showed a significant improvement in LVEF, 6-minute walk test, functional class of symptoms and HRV parasympathetic related indices (HF and rMSSD). Patients in the CG did not exhibit any improvement in the aforementioned indices and experienced more adverse events. Moreover, an initial value of HF<150 ms2/Hz or rMSSD<20ms predicted better outcomes of the ET program, including improvements in systolic function, the distance walked in 6minutes, and the functional class of symptoms, along with a reduction in clinical events. Conclusions: In CHF patients, HRV indexes related to parasympathetic function are valid and clinically useful tools to select and follow-up those candidates that could experience superior functional improvement after ET. Permalink : ./index.php?lvl=notice_display&id=51675 [article] Functional outcome in chronic heart failure after exercise training: Possible predictive value of heart rate variability [texte imprimé] / Roberto Ricca-Mallada, Auteur ; Eduardo Roberto Migliaro, Auteur ; Gabriela Silvera, Auteur . - 2017 . - p. 87-94. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 87-94 Mots-clés : Cardiopathie  Variable épidémiologique  Exercise,Heart failure,Heart rate variability,Parasympathetic indexes,Clinical value Résumé : Background: Controlled exercise training (ET) is a valuable therapeutic addition to pharmacological treatment in most patients with chronic heart failure (CHF), reducing long-term mortality, preventing cardiac remodelling and improving functional capacity. Despite the fact that the mechanism underlying its benefits might be multifactorial, a sustained improvement in autonomic balance is usually attributed as a major effect. Nevertheless, not all eligible subjects show the same response to ET, probably due to several differences in the subpopulations enrolled. We hypothesize that some heart rate variability (HRV) indexes could be valid tools to optimize the selection and follow-up of CHF patients receiving ET intervention. Methods: Forty patients with CHF and left ventricular ejection fraction (LVEF)≤40% under complete evidence-based pharmacological treatment were included; 20 were assigned to a program of controlled ET on a 3-times/week basis during 24 weeks, training group (TG) and 20 received a standard follow-up program, control group (CG). In each patient, full clinical assessments, echocardiography, HRV analysis and 6-minute-walk test were performed at the beginning and the end of the study. Results: After 24 weeks, patients in the TG showed a significant improvement in LVEF, 6-minute walk test, functional class of symptoms and HRV parasympathetic related indices (HF and rMSSD). Patients in the CG did not exhibit any improvement in the aforementioned indices and experienced more adverse events. Moreover, an initial value of HF<150 ms2/Hz or rMSSD<20ms predicted better outcomes of the ET program, including improvements in systolic function, the distance walked in 6minutes, and the functional class of symptoms, along with a reduction in clinical events. Conclusions: In CHF patients, HRV indexes related to parasympathetic function are valid and clinically useful tools to select and follow-up those candidates that could experience superior functional improvement after ET. Permalink : ./index.php?lvl=notice_display&id=51675

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Gait and energy consumption in adolescent idiopathic scoliosis: A literature review / Aliyeh Daryabor in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 107-116 Titre : Gait and energy consumption in adolescent idiopathic scoliosis: A literature review Type de document : texte imprimé Auteurs : Aliyeh Daryabor, Auteur ; Mokhtar Arazpour, Auteur ; Guive Sharifi, Auteur Année de publication : 2017 Article en page(s) : p. 107-116 Langues : Anglais (eng) Français (fre) Mots-clés : Scoliose  Équilibration  Énergie physiologique  Scoliosis,Walking,Gait parameters,Energy consumption Résumé : Background: Adolescent idiopathic scoliosis (AIS) is a progressive growth disease that affects spinal anatomy, mobility, and left-right trunk symmetry. The disease can modify human gait. Objective: We aimed to review articles describing the measurement of gait parameters and energy consumption in AIS during walking without any intervention. Study design: Literature review. Methods: The search strategy was based on the Population Intervention Comparison Outcome method and included all relevant articles published from 1996 to 2015. Articles were searched in MEDLINE via PubMed, Science Direct, Google Scholar, and ISI Web of Knowledge databases. Results: We selected 33 studies investigating the effect of scoliosis deformity on gait parameters and energy expenditure during walking. Most of the studies concluded no significant differences in walking speed, cadence and step width in scoliosis patients and normal participants. However, patients showed decreased hip and pelvic motion, excessive energy cost of walking, stepping pattern asymmetry and ground reaction force asymmetry. Conclusion: We lack consistent evidence of the effect of scoliosis on temporal spatial and kinematic parameters in AIS patients as compared with normal people. However, further research is needed to assess the effect of scoliosis on gait and energy consumption. Permalink : ./index.php?lvl=notice_display&id=51676 [article] Gait and energy consumption in adolescent idiopathic scoliosis: A literature review [texte imprimé] / Aliyeh Daryabor, Auteur ; Mokhtar Arazpour, Auteur ; Guive Sharifi, Auteur . - 2017 . - p. 107-116. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 107-116 Mots-clés : Scoliose  Équilibration  Énergie physiologique  Scoliosis,Walking,Gait parameters,Energy consumption Résumé : Background: Adolescent idiopathic scoliosis (AIS) is a progressive growth disease that affects spinal anatomy, mobility, and left-right trunk symmetry. The disease can modify human gait. Objective: We aimed to review articles describing the measurement of gait parameters and energy consumption in AIS during walking without any intervention. Study design: Literature review. Methods: The search strategy was based on the Population Intervention Comparison Outcome method and included all relevant articles published from 1996 to 2015. Articles were searched in MEDLINE via PubMed, Science Direct, Google Scholar, and ISI Web of Knowledge databases. Results: We selected 33 studies investigating the effect of scoliosis deformity on gait parameters and energy expenditure during walking. Most of the studies concluded no significant differences in walking speed, cadence and step width in scoliosis patients and normal participants. However, patients showed decreased hip and pelvic motion, excessive energy cost of walking, stepping pattern asymmetry and ground reaction force asymmetry. Conclusion: We lack consistent evidence of the effect of scoliosis on temporal spatial and kinematic parameters in AIS patients as compared with normal people. However, further research is needed to assess the effect of scoliosis on gait and energy consumption. Permalink : ./index.php?lvl=notice_display&id=51676

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History of traumatic brain injury in prison populations: A systematic review / Eric Durand in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 95-101 Titre : History of traumatic brain injury in prison populations: A systematic review Type de document : texte imprimé Auteurs : Eric Durand, Auteur ; Alexis Ruet, Auteur ; Mathilde Chevignard, Auteur Année de publication : 2017 Article en page(s) : p. 95-101 Langues : Anglais (eng) Français (fre) Mots-clés : Traumatisme crânien  Épilepsie  Neuropsychologie  Prison  Prisonnier  Traumatic brain injury,Epilepsy,Prison,Prisoner,Neuropsychology Résumé : Traumatic brain injury (TBI) can lead to cognitive, behavioural and social impairments. The relationship between criminality and a history of TBI has been addressed on several occasions. Objective: The objective of this review was to present an update on current knowledge concerning the existence of a history of TBI in prison populations. Methods: PubMed and PsycINFO databases were searched for relevant papers, using the PRISMA guidelines. We selected papers describing TBI prevalence among incarcerated individuals and some that also discussed the validity of such studies. Results: Thirty-three papers were selected. The majority of the papers were on prison populations in Australia (3/33), Europe (5/33) and the USA (22/33). The selected studies found prevalence rates of the history of TBI ranging from 9.7% and 100%, with an average of 46% (calculated on a total population of 9342). However, the level of evidence provided by the literature was poor according to the French national health authority scale. The majority of the prisoners were males with an average age of 37. In most of the papers (25/33), prevalence was evaluated using a questionnaire. The influence of TBI severity on criminality could not be analysed because of a lack of data in the majority of papers. Twelve papers mentioned that several comorbidities (mental health problems, use of alcohol…) were frequently found among prisoners with a history of TBI. Two papers established the validity of the use of questionnaires to screen for a history of TBI. Conclusion: These results confirmed the high prevalence of a history of TBI in prison populations. However, they do not allow conclusions to be drawn about a possible link between criminality and TBI. Specific surveys need to be performed to study this issue. The authors suggest ways of improving the screening and healthcare made available to these patients. Permalink : ./index.php?lvl=notice_display&id=51677 [article] History of traumatic brain injury in prison populations: A systematic review [texte imprimé] / Eric Durand, Auteur ; Alexis Ruet, Auteur ; Mathilde Chevignard, Auteur . - 2017 . - p. 95-101. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 95-101 Mots-clés : Traumatisme crânien  Épilepsie  Neuropsychologie  Prison  Prisonnier  Traumatic brain injury,Epilepsy,Prison,Prisoner,Neuropsychology Résumé : Traumatic brain injury (TBI) can lead to cognitive, behavioural and social impairments. The relationship between criminality and a history of TBI has been addressed on several occasions. Objective: The objective of this review was to present an update on current knowledge concerning the existence of a history of TBI in prison populations. Methods: PubMed and PsycINFO databases were searched for relevant papers, using the PRISMA guidelines. We selected papers describing TBI prevalence among incarcerated individuals and some that also discussed the validity of such studies. Results: Thirty-three papers were selected. The majority of the papers were on prison populations in Australia (3/33), Europe (5/33) and the USA (22/33). The selected studies found prevalence rates of the history of TBI ranging from 9.7% and 100%, with an average of 46% (calculated on a total population of 9342). However, the level of evidence provided by the literature was poor according to the French national health authority scale. The majority of the prisoners were males with an average age of 37. In most of the papers (25/33), prevalence was evaluated using a questionnaire. The influence of TBI severity on criminality could not be analysed because of a lack of data in the majority of papers. Twelve papers mentioned that several comorbidities (mental health problems, use of alcohol…) were frequently found among prisoners with a history of TBI. Two papers established the validity of the use of questionnaires to screen for a history of TBI. Conclusion: These results confirmed the high prevalence of a history of TBI in prison populations. However, they do not allow conclusions to be drawn about a possible link between criminality and TBI. Specific surveys need to be performed to study this issue. The authors suggest ways of improving the screening and healthcare made available to these patients. Permalink : ./index.php?lvl=notice_display&id=51677

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Orthoses for osteoarthritis: A narrative review / Johann Beaudreuil in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 102-106 Titre : Orthoses for osteoarthritis: A narrative review Type de document : texte imprimé Auteurs : Johann Beaudreuil, Auteur Année de publication : 2017 Article en page(s) : p. 102-106 Langues : Anglais (eng) Français (fre) Mots-clés : Orthèse  Système ostéoarticulaire [pathologie]  Main  Genou  Hanche  Randomisation  Pratique médicale  Orthosis,Osteoarthritis,Hand,Knee,Hip,Recommendations,Randomized trial,Clinical practice Résumé : Orthoses for osteoarthritis represent splints, taping, sleeves, unloading knee braces and insoles. This review of the effectiveness of these orthoses involved a search for articles published up to 2015 in MEDLINE via PubMed, with a focus on Osteoarthritis Research Society International, American College of Rheumatology and European League Against Rheumatology international recommendations. Evidence for splinting effectiveness in patients with thumb-base osteoarthritis is now provided. Splints for thumb-base osteoarthritis decrease pain and functional disability. Weaker evidence was found for knee bracing, including taping, sleeves and unloading braces. Low rate of observance and safety results should be considered before using current unloading knee braces for knee osteoarthritis. For insoles, data remain controversial. Orthoses for interphalangeal or hip osteoarthritis have not been investigated in a randomized trial. Regardless, if indicated in daily clinical practice, bracing must be checked by a healthcare professional to insure the suitability of the device. Patients using bracing must be educated. Patient education should include knowledge of the aims and modalities of the treatment as well as knowledge of potential side effects. Patients should be encouraged to contact the therapist if adjustment is needed, with poor tolerance or with questions about the device. Permalink : ./index.php?lvl=notice_display&id=51683 [article] Orthoses for osteoarthritis: A narrative review [texte imprimé] / Johann Beaudreuil, Auteur . - 2017 . - p. 102-106. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 102-106 Mots-clés : Orthèse  Système ostéoarticulaire [pathologie]  Main  Genou  Hanche  Randomisation  Pratique médicale  Orthosis,Osteoarthritis,Hand,Knee,Hip,Recommendations,Randomized trial,Clinical practice Résumé : Orthoses for osteoarthritis represent splints, taping, sleeves, unloading knee braces and insoles. This review of the effectiveness of these orthoses involved a search for articles published up to 2015 in MEDLINE via PubMed, with a focus on Osteoarthritis Research Society International, American College of Rheumatology and European League Against Rheumatology international recommendations. Evidence for splinting effectiveness in patients with thumb-base osteoarthritis is now provided. Splints for thumb-base osteoarthritis decrease pain and functional disability. Weaker evidence was found for knee bracing, including taping, sleeves and unloading braces. Low rate of observance and safety results should be considered before using current unloading knee braces for knee osteoarthritis. For insoles, data remain controversial. Orthoses for interphalangeal or hip osteoarthritis have not been investigated in a randomized trial. Regardless, if indicated in daily clinical practice, bracing must be checked by a healthcare professional to insure the suitability of the device. Patients using bracing must be educated. Patient education should include knowledge of the aims and modalities of the treatment as well as knowledge of potential side effects. Patients should be encouraged to contact the therapist if adjustment is needed, with poor tolerance or with questions about the device. Permalink : ./index.php?lvl=notice_display&id=51683

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Predicting falls with the cognitive timed up-and-go dual task in frail older patients / Charlotte Cardon-Verbecq in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 83-86 Titre : Predicting falls with the cognitive timed up-and-go dual task in frail older patients Type de document : texte imprimé Auteurs : Charlotte Cardon-Verbecq, Auteur ; Marine Loustau, Auteur ; Emilie Guitard, Auteur Année de publication : 2017 Article en page(s) : p. 83-86 Langues : Anglais (eng) Français (fre) Mots-clés : Chute  Personne âgée  Test  Malnutrition  Fonction cognitive  TUG,Dual task TUG,Falls,Older age,Malnutrition,Handgrip strength,Frailty Résumé : Background: The cognitive timed up-and-go dual task (CogTUG) has been proposed to improve the performance of the timed up-and-go (TUG) test for predicting falls in older patients and as a screening tool for early detection of frailty. We aimed to determine whether the CogTUG score is associated with a history of falls in frail older outpatients with gait disorders. Methods: This retrospective study involved outpatients >75 years old with or without previous falls who were admitted from 2012 to 2014 to a geriatric day hospital for gait disorders. Patients took the TUG and CogTUG tests on the day of comprehensive geriatric assessment. Results: Among the 161 patients included (157 analyzed; mean age 84.4+6.2 years; 72% women), 84 (53.5%) had fallen in the previous year: 105 (66.9%) were considered pre-frail and 52 (33.1%) frail. As compared with non-fallers, fallers had lower Tinetti balance scores (P= 0.0004) and handgrip strength (P= 0.03), more lost weight (P= 0.04), and they took longer to perform the TUG test (P= 0.04). Fallers and non-fallers did not differ in time taken to perform the CogTUG test (30.7+11.2 vs. 28.5+10.2s, P= 0.20). History of falls was associated with only weight loss (odds ratio 3.43; 95% CI 1.13–11.30, P= 0.03) and handgrip strength (0.88; 0.78–0.97, P= 0.02) on multivariate analysis. Conclusion: Unlike TUG scores, the CogTUG score was not associated a history of falls in frail older outpatients with gait disorders. Our results underline that weight loss and low muscle strength are related to falls. Permalink : ./index.php?lvl=notice_display&id=51686 [article] Predicting falls with the cognitive timed up-and-go dual task in frail older patients [texte imprimé] / Charlotte Cardon-Verbecq, Auteur ; Marine Loustau, Auteur ; Emilie Guitard, Auteur . - 2017 . - p. 83-86. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 83-86 Mots-clés : Chute  Personne âgée  Test  Malnutrition  Fonction cognitive  TUG,Dual task TUG,Falls,Older age,Malnutrition,Handgrip strength,Frailty Résumé : Background: The cognitive timed up-and-go dual task (CogTUG) has been proposed to improve the performance of the timed up-and-go (TUG) test for predicting falls in older patients and as a screening tool for early detection of frailty. We aimed to determine whether the CogTUG score is associated with a history of falls in frail older outpatients with gait disorders. Methods: This retrospective study involved outpatients >75 years old with or without previous falls who were admitted from 2012 to 2014 to a geriatric day hospital for gait disorders. Patients took the TUG and CogTUG tests on the day of comprehensive geriatric assessment. Results: Among the 161 patients included (157 analyzed; mean age 84.4+6.2 years; 72% women), 84 (53.5%) had fallen in the previous year: 105 (66.9%) were considered pre-frail and 52 (33.1%) frail. As compared with non-fallers, fallers had lower Tinetti balance scores (P= 0.0004) and handgrip strength (P= 0.03), more lost weight (P= 0.04), and they took longer to perform the TUG test (P= 0.04). Fallers and non-fallers did not differ in time taken to perform the CogTUG test (30.7+11.2 vs. 28.5+10.2s, P= 0.20). History of falls was associated with only weight loss (odds ratio 3.43; 95% CI 1.13–11.30, P= 0.03) and handgrip strength (0.88; 0.78–0.97, P= 0.02) on multivariate analysis. Conclusion: Unlike TUG scores, the CogTUG score was not associated a history of falls in frail older outpatients with gait disorders. Our results underline that weight loss and low muscle strength are related to falls. Permalink : ./index.php?lvl=notice_display&id=51686

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