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Feasibility of a shorter Goal Attainment Scaling method for a pediatric spasticity clinic — The 3-milestones GAS / Agata Krasny-Pacini in Annals of physical and rehabilitation medicine, Vol. 60, n° 4 (July 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 249-257 Titre : Feasibility of a shorter Goal Attainment Scaling method for a pediatric spasticity clinic — The 3-milestones GAS Type de document : texte imprimé Auteurs : Agata Krasny-Pacini, Auteur ; Fernand Pauly, Auteur ; J. Hiebel, Auteur Année de publication : 2017 Article en page(s) : p. 249-257 Langues : Anglais (eng) Français (fre) Mots-clés : Famille  Enfant  Échelle  Goal setting,Goal Attainment Scaling,Family,Children,Botulinum toxin Résumé : Background: Goal Attainment Scaling (GAS) is a method for writing personalized evaluation scales to quantify progress toward defined goals. It is useful in rehabilitation but is hampered by the experience required to adequately “predict” the possible outcomes relating to a particular goal before treatment and the time needed to describe all 5 levels of the scale. Here we aimed to investigate the feasibility of using GAS in a clinical setting of a pediatric spasticity clinic with a shorter method, the “3-milestones” GAS (goal setting with 3 levels and goal rating with the classical 5 levels). Secondary aims were to (1) analyze the types of goals children's therapists set for botulinum toxin treatment and (2) compare the score distribution (and therefore the ability to predict outcome) by goal type. Methods: Therapists were trained in GAS writing and prepared GAS scales in the regional spasticity-management clinic they attended with their patients and families. The study included all GAS scales written during a 2-year period. GAS score distribution across the 5 GAS levels was examined to assess whether the therapist could reliably predict outcome and whether the 3-milestones GAS yielded similar distributions as the original GAS method. Results: In total, 541 GAS scales were written and showed the expected score distribution. Most scales (55%) referred to movement quality goals and fewer (29%) to family goals and activity domains. Conclusion: The 3-milestones GAS method was feasible within the time constraints of the spasticity clinic and could be used by local therapists in cooperation with the hospital team. Permalink : ./index.php?lvl=notice_display&id=51674 [article] Feasibility of a shorter Goal Attainment Scaling method for a pediatric spasticity clinic — The 3-milestones GAS [texte imprimé] / Agata Krasny-Pacini, Auteur ; Fernand Pauly, Auteur ; J. Hiebel, Auteur . - 2017 . - p. 249-257. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 249-257 Mots-clés : Famille  Enfant  Échelle  Goal setting,Goal Attainment Scaling,Family,Children,Botulinum toxin Résumé : Background: Goal Attainment Scaling (GAS) is a method for writing personalized evaluation scales to quantify progress toward defined goals. It is useful in rehabilitation but is hampered by the experience required to adequately “predict” the possible outcomes relating to a particular goal before treatment and the time needed to describe all 5 levels of the scale. Here we aimed to investigate the feasibility of using GAS in a clinical setting of a pediatric spasticity clinic with a shorter method, the “3-milestones” GAS (goal setting with 3 levels and goal rating with the classical 5 levels). Secondary aims were to (1) analyze the types of goals children's therapists set for botulinum toxin treatment and (2) compare the score distribution (and therefore the ability to predict outcome) by goal type. Methods: Therapists were trained in GAS writing and prepared GAS scales in the regional spasticity-management clinic they attended with their patients and families. The study included all GAS scales written during a 2-year period. GAS score distribution across the 5 GAS levels was examined to assess whether the therapist could reliably predict outcome and whether the 3-milestones GAS yielded similar distributions as the original GAS method. Results: In total, 541 GAS scales were written and showed the expected score distribution. Most scales (55%) referred to movement quality goals and fewer (29%) to family goals and activity domains. Conclusion: The 3-milestones GAS method was feasible within the time constraints of the spasticity clinic and could be used by local therapists in cooperation with the hospital team. Permalink : ./index.php?lvl=notice_display&id=51674

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Long-term exercise adherence after public health training in at-risk adults / Saida Trine Gro Riktrup Hansen in Annals of physical and rehabilitation medicine, Vol. 60, n° 4 (July 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 237-243 Titre : Long-term exercise adherence after public health training in at-risk adults Type de document : texte imprimé Auteurs : Saida Trine Gro Riktrup Hansen, Auteur ; Tina Juul Sørensen, Auteur ; Henning Langberg, Auteur Année de publication : 2017 Article en page(s) : p. 237-243 Langues : Anglais (eng) Français (fre) Mots-clés : Éducation santé  Promotion santé  Prévention santé  Activité physique  Exercise,Health behavior,Health promotion,Public health practice,Exercise referral scheme Résumé : Objectives: Sustainment of healthy exercise behavior is essential in preventing cardiovascular disease and diabetes. Few studies have explored long-term exercise adherence after an exercise referral scheme. The objective of this study was to examine 12-month exercise adherence after an exercise intervention program. Methods: This was a pragmatic follow-up study in at-risk people performed between June 2012 and January 2014. The main outcome measure was self-reported single-item exercise adherence. Secondary outcomes were change in exercise level, quality of life rated on a visual analog scale and self-rated health. Predictors of long-term exercise adherence were assessed by logistic regression, estimating crude odds-ratios (OR) and 95% confidence intervals (95% CIs) and adjusting for age, gender, education, smoking, moderate and vigorous exercise. Results: In total, 214 adults (mean age 58.8+11.97 years, 71% women) participated in the study and received a 12-week training intervention: 62% had hypertension, 64% dyslipidemia and 15% impaired glucose tolerance. Attrition rate was 84% (n =179). During the 12-month follow-up, 48% (n =85) reported long-term exercise adherence. The main predictors of long-term exercise adherence were participation in sport activities at baseline (adjusted odds-ratio [aOR] 4.22, 95% CI 1.72–10.40), self-rated health (aOR 2.60, 1.00–6.75) and quality of life (aOR 2.39, 1.03–5.54). Long-term non-adherence was associated with low education (<10 years; aOR 3.27, 1.14–9.43) and age<50 years (aOR 3.53, 1.32–9.43). Conclusions: In this pragmatic study, long-term exercise adherence was associated with participation in sport activities and self-rated health at baseline. Permalink : ./index.php?lvl=notice_display&id=51678 [article] Long-term exercise adherence after public health training in at-risk adults [texte imprimé] / Saida Trine Gro Riktrup Hansen, Auteur ; Tina Juul Sørensen, Auteur ; Henning Langberg, Auteur . - 2017 . - p. 237-243. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 237-243 Mots-clés : Éducation santé  Promotion santé  Prévention santé  Activité physique  Exercise,Health behavior,Health promotion,Public health practice,Exercise referral scheme Résumé : Objectives: Sustainment of healthy exercise behavior is essential in preventing cardiovascular disease and diabetes. Few studies have explored long-term exercise adherence after an exercise referral scheme. The objective of this study was to examine 12-month exercise adherence after an exercise intervention program. Methods: This was a pragmatic follow-up study in at-risk people performed between June 2012 and January 2014. The main outcome measure was self-reported single-item exercise adherence. Secondary outcomes were change in exercise level, quality of life rated on a visual analog scale and self-rated health. Predictors of long-term exercise adherence were assessed by logistic regression, estimating crude odds-ratios (OR) and 95% confidence intervals (95% CIs) and adjusting for age, gender, education, smoking, moderate and vigorous exercise. Results: In total, 214 adults (mean age 58.8+11.97 years, 71% women) participated in the study and received a 12-week training intervention: 62% had hypertension, 64% dyslipidemia and 15% impaired glucose tolerance. Attrition rate was 84% (n =179). During the 12-month follow-up, 48% (n =85) reported long-term exercise adherence. The main predictors of long-term exercise adherence were participation in sport activities at baseline (adjusted odds-ratio [aOR] 4.22, 95% CI 1.72–10.40), self-rated health (aOR 2.60, 1.00–6.75) and quality of life (aOR 2.39, 1.03–5.54). Long-term non-adherence was associated with low education (<10 years; aOR 3.27, 1.14–9.43) and age<50 years (aOR 3.53, 1.32–9.43). Conclusions: In this pragmatic study, long-term exercise adherence was associated with participation in sport activities and self-rated health at baseline. Permalink : ./index.php?lvl=notice_display&id=51678

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Long-term functional outcomes after primary surgical repair of acute and chronic patellar tendon rupture: Series of 25 patients / Karima Belhaj in Annals of physical and rehabilitation medicine, Vol. 60, n° 4 (July 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 244-248 Titre : Long-term functional outcomes after primary surgical repair of acute and chronic patellar tendon rupture: Series of 25 patients Type de document : texte imprimé Auteurs : Karima Belhaj, Auteur ; Hicham El Hyaoui, Auteur ; A. Tahir, Auteur Année de publication : 2017 Article en page(s) : p. 244-248 Langues : Anglais (eng) Français (fre) Mots-clés : Tendon  Rééducation fonctionnelle  Patellar tendon rupture,Chronic rupture,Acute rupture,Outcome,Rehabilitation Résumé : Objective: We aimed to evaluate the clinical outcomes after surgical repair of patellar tendon rupture (PTR) and compare the evolution of 2 types of rupture (acute and chronic) after the same rehabilitation protocol. Methods: This was a prospective cohort study of patients with PTR treated between January 2006 and January 2014 in the department of trauma surgery, Ibn Rochd university hospital, Casablanca. Results: We evaluated 25 patients (21 men) after a median follow-up of 75 months (range 29–120). The mean age was 34.7+8.59 years. Overall, 17 patients had acute rupture and 8 chronic rupture. Fifteen healthy volunteers (13 men) were recruited as a control group. Mean Knee Society Score (KSS) knee score was significantly higher after than before surgery (82.28+12.297 vs 20.64+7.6; P <0.0001) as was KSS function score (88.40+17.483 vs 23.40+8.98; P <0.0001). Pain measured on a visual analog scale was significantly lower after than before surgery (1.96+1.24 vs 6.60+1.26; P <0.0001). ROM and KSS knee and function scores were significantly lower on the operated than non-operated side after surgery. For both types of PTR, only knee extensor muscle strength was significantly lower on the operated than non-operated side and as compared with healthy volunteer knees. Conclusions: Surgical repair of PTR with reinforcement and an early rehabilitation program demonstrate good results after a long follow-up. However, chronic PTR may need longer or a different rehabilitation protocol of the knee-extensor apparatus. Permalink : ./index.php?lvl=notice_display&id=51679 [article] Long-term functional outcomes after primary surgical repair of acute and chronic patellar tendon rupture: Series of 25 patients [texte imprimé] / Karima Belhaj, Auteur ; Hicham El Hyaoui, Auteur ; A. Tahir, Auteur . - 2017 . - p. 244-248. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 244-248 Mots-clés : Tendon  Rééducation fonctionnelle  Patellar tendon rupture,Chronic rupture,Acute rupture,Outcome,Rehabilitation Résumé : Objective: We aimed to evaluate the clinical outcomes after surgical repair of patellar tendon rupture (PTR) and compare the evolution of 2 types of rupture (acute and chronic) after the same rehabilitation protocol. Methods: This was a prospective cohort study of patients with PTR treated between January 2006 and January 2014 in the department of trauma surgery, Ibn Rochd university hospital, Casablanca. Results: We evaluated 25 patients (21 men) after a median follow-up of 75 months (range 29–120). The mean age was 34.7+8.59 years. Overall, 17 patients had acute rupture and 8 chronic rupture. Fifteen healthy volunteers (13 men) were recruited as a control group. Mean Knee Society Score (KSS) knee score was significantly higher after than before surgery (82.28+12.297 vs 20.64+7.6; P <0.0001) as was KSS function score (88.40+17.483 vs 23.40+8.98; P <0.0001). Pain measured on a visual analog scale was significantly lower after than before surgery (1.96+1.24 vs 6.60+1.26; P <0.0001). ROM and KSS knee and function scores were significantly lower on the operated than non-operated side after surgery. For both types of PTR, only knee extensor muscle strength was significantly lower on the operated than non-operated side and as compared with healthy volunteer knees. Conclusions: Surgical repair of PTR with reinforcement and an early rehabilitation program demonstrate good results after a long follow-up. However, chronic PTR may need longer or a different rehabilitation protocol of the knee-extensor apparatus. Permalink : ./index.php?lvl=notice_display&id=51679

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No beneficial effect of bracing after anterior cruciate ligament reconstruction in a cohort of 969 athletes followed in rehabilitation / Philippe Bordes in Annals of physical and rehabilitation medicine, Vol. 60, n° 4 (July 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 230-236 Titre : No beneficial effect of bracing after anterior cruciate ligament reconstruction in a cohort of 969 athletes followed in rehabilitation Type de document : texte imprimé Auteurs : Philippe Bordes, Auteur ; Éric Laboute, Auteur ; Anne Bertolotti, Auteur Année de publication : 2017 Article en page(s) : p. 230-236 Langues : Anglais (eng) Français (fre) Mots-clés : Genou  Ligament  Chirurgie orthopédique  Knee brace,Anterior cruciate ligament reconstruction,Rehabilitation,Postoperative complications Résumé : Objective: Compare the clinical outcomes of different knee braces in the early phase of rehabilitation after anterior cruciate ligament reconstruction (ACLR) in athletes. Materials and methods: We conducted a retrospective database study of athletes during early rehabilitation in a tertiary referral hospital between 1 February 2008 and 30 October 2010 after ACLR using bone patellar tendon bone (BPTB) or hamstring autograft. Differences in mid-patellar knee circumference, pain, and range of motion were assessed at admission. All patients followed the same rehabilitation protocol. Patients who had complications preventing them from following the assigned rehabilitation program were analyzed separately. Patients who completed their rehabilitation program were also assessed for thigh muscle atrophy, extension deficit≥2°, quality of walking, PPLP1 and subjective IKDC scores. The type and frequency of complications and their frequency was documented. The above-mentioned parameters were analyzed in 3 different groups: rigid brace in full extension, articulated brace (0°–90° for first 3 weeks then 0–120°) or no brace. Results: The analysis included 969 patients. Rehabilitation started at 4.5+2.9 days after surgery and ended at 32.4+3.0 days postoperative. At the beginning, flexion was lower in patients with a rigid brace (P <0.01). There was no difference in the frequency or severity of complications between the three study groups, nor was there a significant difference in the clinical outcomes listed above. Conclusion: Postoperative bracing after ACLR has not beneficial effect on clinical outcomes and the complication rate. Patients who wore the rigid brace had limited flexion early on. Permalink : ./index.php?lvl=notice_display&id=51680 [article] No beneficial effect of bracing after anterior cruciate ligament reconstruction in a cohort of 969 athletes followed in rehabilitation [texte imprimé] / Philippe Bordes, Auteur ; Éric Laboute, Auteur ; Anne Bertolotti, Auteur . - 2017 . - p. 230-236. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 230-236 Mots-clés : Genou  Ligament  Chirurgie orthopédique  Knee brace,Anterior cruciate ligament reconstruction,Rehabilitation,Postoperative complications Résumé : Objective: Compare the clinical outcomes of different knee braces in the early phase of rehabilitation after anterior cruciate ligament reconstruction (ACLR) in athletes. Materials and methods: We conducted a retrospective database study of athletes during early rehabilitation in a tertiary referral hospital between 1 February 2008 and 30 October 2010 after ACLR using bone patellar tendon bone (BPTB) or hamstring autograft. Differences in mid-patellar knee circumference, pain, and range of motion were assessed at admission. All patients followed the same rehabilitation protocol. Patients who had complications preventing them from following the assigned rehabilitation program were analyzed separately. Patients who completed their rehabilitation program were also assessed for thigh muscle atrophy, extension deficit≥2°, quality of walking, PPLP1 and subjective IKDC scores. The type and frequency of complications and their frequency was documented. The above-mentioned parameters were analyzed in 3 different groups: rigid brace in full extension, articulated brace (0°–90° for first 3 weeks then 0–120°) or no brace. Results: The analysis included 969 patients. Rehabilitation started at 4.5+2.9 days after surgery and ended at 32.4+3.0 days postoperative. At the beginning, flexion was lower in patients with a rigid brace (P <0.01). There was no difference in the frequency or severity of complications between the three study groups, nor was there a significant difference in the clinical outcomes listed above. Conclusion: Postoperative bracing after ACLR has not beneficial effect on clinical outcomes and the complication rate. Patients who wore the rigid brace had limited flexion early on. Permalink : ./index.php?lvl=notice_display&id=51680

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Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial / Sébastien Girold in Annals of physical and rehabilitation medicine, Vol. 60, n° 4 (July 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 223-229 Titre : Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial Type de document : texte imprimé Auteurs : Sébastien Girold, Auteur ; Magalie Le Gal, Auteur ; Jérome Rousseau, Auteur Année de publication : 2017 Article en page(s) : p. 223-229 Langues : Anglais (eng) Français (fre) Mots-clés : Rééducation fonctionnelle  Appareil circulatoire [pathologie]  Mouvement corporel  Test  Randomisation  Rehabilitation,Cardiovascular disease,Nordic walking,6-min walk test Résumé : Background: With Nordic walking, or walking with poles, one can travel a greater distance and at a higher rate than with walking without poles, but whether the activity is beneficial for patients with cardiovascular disease is unknown. Objective: This randomized controlled trial was undertaken to determine whether Nordic walking was more effective than walking without poles on walk distance to support rehabilitation training for patients with acute coronary syndrome (ACS) and peripheral arterial occlusive disease (PAOD). Methods: Patients were recruited in a private specialized rehabilitation centre for cardiovascular diseases. The entire protocol, including patient recruitment, took place over 2 months, from September to October 2013. We divided patients into 2 groups: Nordic Walking Group (NWG, n =21) and Walking Group without poles (WG, n =21). All patients followed the same program over 4 weeks, except for the walk performed with or without poles. The main outcome was walk distance on the 6-min walk test. Secondary outcomes were maximum heart rate during exercise and walk distance and power output on a treadmill stress test. Results: We included 42 patients (35 men; mean age 57.2+11 years and BMI 26.5+4.5kg/m2). At the end of the training period, both groups showed improved walk distance on the 6-min walk test and treatment stress test as well as power on the treadmill stress test (P <0.05). The NWG showed significantly greater walk distance than the WG (P <0.05). Both ACS and PAOD groups showed improvement, but improvement was significant for only PAOD patients. Conclusions: After a 4-week training period, Nordic walking training appeared more efficient than training without poles for increasing walk distance on the 6-min walk test for patients with ACS and PAOD. Permalink : ./index.php?lvl=notice_display&id=51681 [article] Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial [texte imprimé] / Sébastien Girold, Auteur ; Magalie Le Gal, Auteur ; Jérome Rousseau, Auteur . - 2017 . - p. 223-229. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 223-229 Mots-clés : Rééducation fonctionnelle  Appareil circulatoire [pathologie]  Mouvement corporel  Test  Randomisation  Rehabilitation,Cardiovascular disease,Nordic walking,6-min walk test Résumé : Background: With Nordic walking, or walking with poles, one can travel a greater distance and at a higher rate than with walking without poles, but whether the activity is beneficial for patients with cardiovascular disease is unknown. Objective: This randomized controlled trial was undertaken to determine whether Nordic walking was more effective than walking without poles on walk distance to support rehabilitation training for patients with acute coronary syndrome (ACS) and peripheral arterial occlusive disease (PAOD). Methods: Patients were recruited in a private specialized rehabilitation centre for cardiovascular diseases. The entire protocol, including patient recruitment, took place over 2 months, from September to October 2013. We divided patients into 2 groups: Nordic Walking Group (NWG, n =21) and Walking Group without poles (WG, n =21). All patients followed the same program over 4 weeks, except for the walk performed with or without poles. The main outcome was walk distance on the 6-min walk test. Secondary outcomes were maximum heart rate during exercise and walk distance and power output on a treadmill stress test. Results: We included 42 patients (35 men; mean age 57.2+11 years and BMI 26.5+4.5kg/m2). At the end of the training period, both groups showed improved walk distance on the 6-min walk test and treatment stress test as well as power on the treadmill stress test (P <0.05). The NWG showed significantly greater walk distance than the WG (P <0.05). Both ACS and PAOD groups showed improvement, but improvement was significant for only PAOD patients. Conclusions: After a 4-week training period, Nordic walking training appeared more efficient than training without poles for increasing walk distance on the 6-min walk test for patients with ACS and PAOD. Permalink : ./index.php?lvl=notice_display&id=51681

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Return to drive after non-evolutive brain damage: French recommendations / Anne-Claire D'APOLITO in Annals of physical and rehabilitation medicine, Vol. 60, n° 4 (July 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 263-269 Titre : Return to drive after non-evolutive brain damage: French recommendations Type de document : texte imprimé Auteurs : Anne-Claire D'APOLITO, Auteur ; Michel Enjalbert, Auteur ; Jean-Luc Leguiet, Auteur Année de publication : 2017 Article en page(s) : p. 263-269 Langues : Anglais (eng) Français (fre) Mots-clés : Norme soins  Accident cérébrovasculaire  Traumatisme crânien  Conduite automobile  Automobile driving,Recommendations,Acquired brain damage,Traumatic brain injury,Stroke Résumé : Return to drive after brain damage is a crucial question either for patients than health professionals. The Société française de medicine physique et de réadaptation (SOFMER) and Comète France association developed recommandations for patient's identification, evaluation and accompaniment as part of their project to resume to drive. The place of rehabilitation process and patient's focus has been also discussed. Aims: Using a literature review, the aim was to define clinical pathways to determine people who need a fitness to drive evaluation after a non-evolutive brain damage as well as the assessment process. Method: Following the method for Clinical practice guidelines, 1388 abstracts were identified, among which 379 were analysed and confronted with the working group's experience. The draft propositions were submitted to a review group before being validated by the High French Health Autority. Result: No article enabled the development of recommendations above the “expert opinion”. The detection of sensory (visual), sensitive, motor and/or cognitive sequelaes is needed before return to drive. It is not recommended to return to drive in case of unilateral spatial neglect. Different assessment strategies, function of sequeale's gravity, are proposed after stroke or brain injury. In case of sequeale, the assessment process (clinical, cognitive, on road evaluation) has to be pluriprofessional. The results are the subject of a pluriprofessional synthesis, shared with the patient and, if possible, in the presence of a close. An accompaniment to maintain the best mobility of the person is needed, whatever the assessment result. Permalink : ./index.php?lvl=notice_display&id=51689 [article] Return to drive after non-evolutive brain damage: French recommendations [texte imprimé] / Anne-Claire D'APOLITO, Auteur ; Michel Enjalbert, Auteur ; Jean-Luc Leguiet, Auteur . - 2017 . - p. 263-269. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 263-269 Mots-clés : Norme soins  Accident cérébrovasculaire  Traumatisme crânien  Conduite automobile  Automobile driving,Recommendations,Acquired brain damage,Traumatic brain injury,Stroke Résumé : Return to drive after brain damage is a crucial question either for patients than health professionals. The Société française de medicine physique et de réadaptation (SOFMER) and Comète France association developed recommandations for patient's identification, evaluation and accompaniment as part of their project to resume to drive. The place of rehabilitation process and patient's focus has been also discussed. Aims: Using a literature review, the aim was to define clinical pathways to determine people who need a fitness to drive evaluation after a non-evolutive brain damage as well as the assessment process. Method: Following the method for Clinical practice guidelines, 1388 abstracts were identified, among which 379 were analysed and confronted with the working group's experience. The draft propositions were submitted to a review group before being validated by the High French Health Autority. Result: No article enabled the development of recommendations above the “expert opinion”. The detection of sensory (visual), sensitive, motor and/or cognitive sequelaes is needed before return to drive. It is not recommended to return to drive in case of unilateral spatial neglect. Different assessment strategies, function of sequeale's gravity, are proposed after stroke or brain injury. In case of sequeale, the assessment process (clinical, cognitive, on road evaluation) has to be pluriprofessional. The results are the subject of a pluriprofessional synthesis, shared with the patient and, if possible, in the presence of a close. An accompaniment to maintain the best mobility of the person is needed, whatever the assessment result. Permalink : ./index.php?lvl=notice_display&id=51689

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Role of pain in measuring shoulder strength abduction and flexion with the Constant–Murley score / Cyrille Burrus in Annals of physical and rehabilitation medicine, Vol. 60, n° 4 (July 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 258-262 Titre : Role of pain in measuring shoulder strength abduction and flexion with the Constant–Murley score Type de document : texte imprimé Auteurs : Cyrille Burrus, Auteur ; Olivier Dériaz, Auteur ; François Luthi, Auteur Année de publication : 2017 Article en page(s) : p. 258-262 Langues : Anglais (eng) Français (fre) Mots-clés : Épaule  Renforcement musculaire  Douleur  Échelle  Échelle douleur  Shoulder,Functional assessment,Strength measures,Induced pain,Constant–Murley score Résumé : Objectives: The Constant–Murley score (CS) has been used for more than 25 years to assess shoulder function. Strength by itself accounts for 25% of the total score. The measurement at 90° abduction seems to be sometimes limited by pain, particularly with tendinopathy or subacromial impingement. We compared the assessment of isometric strength in anterior forward flexion and abduction and its effect on pain and total CS. Methods: Strength was assessed by CS at both 90° forward flexion and abduction in the scapular plane by using an Isobex dynamometer, the first position tested being randomized. Pain was assessed on a 100-mm visual analog scale (VAS) and total CS was assessed. Results: We included 54 patients with unilateral shoulder problems; 50% had rotator cuff injury. Mean strength on the affected side was 4.7+2.5kg in forward flexion and 4.6+2.8kg in abduction. Induced pain and total CS did not differ between the 2 positions tested. Conclusions: Strength can be measured by the CS in forward flexion or abduction, because the measurement does not affect strength, pain intensity or total score. The choice of direction for measurement should be based on the underlying pathology, related contraindications and patient preference. Permalink : ./index.php?lvl=notice_display&id=51691 [article] Role of pain in measuring shoulder strength abduction and flexion with the Constant–Murley score [texte imprimé] / Cyrille Burrus, Auteur ; Olivier Dériaz, Auteur ; François Luthi, Auteur . - 2017 . - p. 258-262. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 258-262 Mots-clés : Épaule  Renforcement musculaire  Douleur  Échelle  Échelle douleur  Shoulder,Functional assessment,Strength measures,Induced pain,Constant–Murley score Résumé : Objectives: The Constant–Murley score (CS) has been used for more than 25 years to assess shoulder function. Strength by itself accounts for 25% of the total score. The measurement at 90° abduction seems to be sometimes limited by pain, particularly with tendinopathy or subacromial impingement. We compared the assessment of isometric strength in anterior forward flexion and abduction and its effect on pain and total CS. Methods: Strength was assessed by CS at both 90° forward flexion and abduction in the scapular plane by using an Isobex dynamometer, the first position tested being randomized. Pain was assessed on a 100-mm visual analog scale (VAS) and total CS was assessed. Results: We included 54 patients with unilateral shoulder problems; 50% had rotator cuff injury. Mean strength on the affected side was 4.7+2.5kg in forward flexion and 4.6+2.8kg in abduction. Induced pain and total CS did not differ between the 2 positions tested. Conclusions: Strength can be measured by the CS in forward flexion or abduction, because the measurement does not affect strength, pain intensity or total score. The choice of direction for measurement should be based on the underlying pathology, related contraindications and patient preference. Permalink : ./index.php?lvl=notice_display&id=51691

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