Dépouillements

Effect of subtypes of neglect on functional outcome in stroke patients / Simona Spaccavento in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 376-381 Titre : Effect of subtypes of neglect on functional outcome in stroke patients Type de document : texte imprimé Auteurs : Simona Spaccavento, Auteur ; Rosanna Falcone, Auteur ; Fara Cellamare, Auteur Année de publication : 2017 Article en page(s) : p. 376-381 Langues : Anglais (eng) Français (fre) Mots-clés : Accident cérébrovasculaire  Rééducation  Unilateral spatial neglect,Functional outcome,Stroke,Rehabilitation Résumé : Objective: Because of the loss of autonomy in daily-life activities, spatial neglect after stroke is one of the main causes of disability. According to the spatial domains, neglect can be divided into personal (body), peripersonal (reaching) and extrapersonal (far) space. We evaluated the effect of these subtypes of neglect on functional outcome of rehabilitation in stroke patients. Methods: A total of 1350 stroke patients were consecutively admitted into our neurorehabilitation unit from 2002 to 2016. We analyzed data for patients with a first ischemic or hemorrhagic right-hemispheric stroke in this observational retrospective study. The presence of neglect was evaluated by using structured tests for specific spatial domains. Patients underwent individual physical and occupational therapy, and those with neglect received specific therapy for 8 consecutive weeks consisting of visual scanning, reading and copying, copying line drawings on a dot matrix and describing scenes. The Functional Independence Measure (FIM) instrument was administered at both admission and discharge to assess functional autonomy. Rehabilitation effectiveness for FIM (percentage of potential improvement achieved) was calculated. Multiple regression analyses were performed. Results: Among 359 patients with right-brain damage, 130 showed left neglect, or unilateral spatial neglect (USN), and 229 only left hemiparesis, without neglect. Overall, 90 patients (69%) with USN showed peripersonal neglect, 89 (68%) extrapersonal neglect and 60 (46%) personal neglect. Functional motor and cognitive impairment was greater with than without USN as measured by FIM at admission and discharge and the rehabilitation hospital stay was longer. USN affected functional status at admission and rehabilitation effectiveness for FIM. Extrapersonal and peripersonal neglect significantly affected both function at admission and effectiveness. Conclusions: Our data confirm the negative prognostic effect of neglect on functional outcome in a large sample. We also show the importance of evaluating and training according to neglect subtype to improve functional independence. Permalink : ./index.php?lvl=notice_display&id=53839 [article] Effect of subtypes of neglect on functional outcome in stroke patients [texte imprimé] / Simona Spaccavento, Auteur ; Rosanna Falcone, Auteur ; Fara Cellamare, Auteur . - 2017 . - p. 376-381. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 376-381 Mots-clés : Accident cérébrovasculaire  Rééducation  Unilateral spatial neglect,Functional outcome,Stroke,Rehabilitation Résumé : Objective: Because of the loss of autonomy in daily-life activities, spatial neglect after stroke is one of the main causes of disability. According to the spatial domains, neglect can be divided into personal (body), peripersonal (reaching) and extrapersonal (far) space. We evaluated the effect of these subtypes of neglect on functional outcome of rehabilitation in stroke patients. Methods: A total of 1350 stroke patients were consecutively admitted into our neurorehabilitation unit from 2002 to 2016. We analyzed data for patients with a first ischemic or hemorrhagic right-hemispheric stroke in this observational retrospective study. The presence of neglect was evaluated by using structured tests for specific spatial domains. Patients underwent individual physical and occupational therapy, and those with neglect received specific therapy for 8 consecutive weeks consisting of visual scanning, reading and copying, copying line drawings on a dot matrix and describing scenes. The Functional Independence Measure (FIM) instrument was administered at both admission and discharge to assess functional autonomy. Rehabilitation effectiveness for FIM (percentage of potential improvement achieved) was calculated. Multiple regression analyses were performed. Results: Among 359 patients with right-brain damage, 130 showed left neglect, or unilateral spatial neglect (USN), and 229 only left hemiparesis, without neglect. Overall, 90 patients (69%) with USN showed peripersonal neglect, 89 (68%) extrapersonal neglect and 60 (46%) personal neglect. Functional motor and cognitive impairment was greater with than without USN as measured by FIM at admission and discharge and the rehabilitation hospital stay was longer. USN affected functional status at admission and rehabilitation effectiveness for FIM. Extrapersonal and peripersonal neglect significantly affected both function at admission and effectiveness. Conclusions: Our data confirm the negative prognostic effect of neglect on functional outcome in a large sample. We also show the importance of evaluating and training according to neglect subtype to improve functional independence. Permalink : ./index.php?lvl=notice_display&id=53839

Exemplaires (1)

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

Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review / Atefeh Aboutorabi in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 393-402 Titre : Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review Type de document : texte imprimé Auteurs : Atefeh Aboutorabi, Auteur ; Mokhtar Arazpour, Auteur ; Monireh Ahmadi Bani, Auteur Année de publication : 2017 Article en page(s) : p. 393-402 Langues : Anglais (eng) Français (fre) Mots-clés : Orthèse  Cheville  Pied  Équilibration  Infirmité motrice cérébrale  Ankle foot orthoses,Orthosis,AFO,Gait,Children with cerebral palsy,CP Résumé : Background: Ankle foot orthoses (AFOs) are orthotic devices that can be used to normalize the walking pattern of children with cerebral palsy (CP). One of the aims of orthotic management is to produce a more normal gait pattern by positioning joints in the proper position to reduce pathological reflex or spasticity. Objective: To conduct a systematic review of the literature and establish the effect of treatment with various types of AFOs on gait patterns of children with CP. Methods: PubMed, Scopus, ISI Web of knowledge, Cochrane Library, EMBASE and Google Scholar were searched for articles published between 2007 and 2015 of studies of children with CP wearing the following AFOs: hinged (HAFO), solid (SAFO), floor reaction (FRO), posterior leaf spring (PLS) and dynamic (DAFO). Studies that combined treatment options were excluded. Outcomes investigated were a change in gait pattern and subsequent walking ability. The PEDro scale used to assess the methodological quality of relevant studies. Results: We included 17 studies investigating a total of 1139 children with CP. The PEDro score was poor for most studies (3/10). Only 4 studies, of 209 children in total, were randomized controlled trials, for a good PEDro score (5, 7, 9/10) and an appropriate level of evidence. One study used a case-based series and the remainder a cross-sectional design. In general, the use of AFOs improved speed and stride length. The HAFO was effective for improving gait parameters and decreasing energy expenditure with hemiplegic CP as compared with the barefoot condition. It also improved stride length, speed of walking, single limb support and gait symmetry with hemiplegic CP. The plastic SAFO and FRO were effective in reducing energy expenditure with diplegic CP. With diplegic CP, the HAFO and SAFO improved gross motor function. Conclusion: For children with CP, use of specific types of AFOs improved gait parameters, including ankle and knee range of motion, walking speed and stride length. AFOs reduced energy expenditure in children with spastic CP. However, further studies with good PEDro scores are required for more conclusive evidence regarding the effectiveness of AFOs in children with CP. Permalink : ./index.php?lvl=notice_display&id=53840 [article] Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review [texte imprimé] / Atefeh Aboutorabi, Auteur ; Mokhtar Arazpour, Auteur ; Monireh Ahmadi Bani, Auteur . - 2017 . - p. 393-402. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 393-402 Mots-clés : Orthèse  Cheville  Pied  Équilibration  Infirmité motrice cérébrale  Ankle foot orthoses,Orthosis,AFO,Gait,Children with cerebral palsy,CP Résumé : Background: Ankle foot orthoses (AFOs) are orthotic devices that can be used to normalize the walking pattern of children with cerebral palsy (CP). One of the aims of orthotic management is to produce a more normal gait pattern by positioning joints in the proper position to reduce pathological reflex or spasticity. Objective: To conduct a systematic review of the literature and establish the effect of treatment with various types of AFOs on gait patterns of children with CP. Methods: PubMed, Scopus, ISI Web of knowledge, Cochrane Library, EMBASE and Google Scholar were searched for articles published between 2007 and 2015 of studies of children with CP wearing the following AFOs: hinged (HAFO), solid (SAFO), floor reaction (FRO), posterior leaf spring (PLS) and dynamic (DAFO). Studies that combined treatment options were excluded. Outcomes investigated were a change in gait pattern and subsequent walking ability. The PEDro scale used to assess the methodological quality of relevant studies. Results: We included 17 studies investigating a total of 1139 children with CP. The PEDro score was poor for most studies (3/10). Only 4 studies, of 209 children in total, were randomized controlled trials, for a good PEDro score (5, 7, 9/10) and an appropriate level of evidence. One study used a case-based series and the remainder a cross-sectional design. In general, the use of AFOs improved speed and stride length. The HAFO was effective for improving gait parameters and decreasing energy expenditure with hemiplegic CP as compared with the barefoot condition. It also improved stride length, speed of walking, single limb support and gait symmetry with hemiplegic CP. The plastic SAFO and FRO were effective in reducing energy expenditure with diplegic CP. With diplegic CP, the HAFO and SAFO improved gross motor function. Conclusion: For children with CP, use of specific types of AFOs improved gait parameters, including ankle and knee range of motion, walking speed and stride length. AFOs reduced energy expenditure in children with spastic CP. However, further studies with good PEDro scores are required for more conclusive evidence regarding the effectiveness of AFOs in children with CP. Permalink : ./index.php?lvl=notice_display&id=53840

Exemplaires (1)

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

High tech-low cost, the growing place of WII in rehabilitation / Emmanuel Coudeyre in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 361-362 Titre : High tech-low cost, the growing place of WII in rehabilitation Type de document : texte imprimé Auteurs : Emmanuel Coudeyre, Auteur Année de publication : 2017 Article en page(s) : p. 361-362 Note générale : Editorial Langues : Anglais (eng) Français (fre) Mots-clés : Innovation technologique  Rééducation fonctionnelle Résumé : In this issue, Rizzo et al. publish a preliminary study comparing the Nintendo WII to a conventional rehabilitation protocol for shoulder impingement syndrome. To our knowledge, this is the first study using a WII for shoulder rehabilitation ever published. The WII intervention led to significant improvements in shoulder range of motion, pain and disability and quality of life but not strength. In the control group, conventional therapy only significantly improved strength. The originality of this study was the use of the WII as an upper-limb training device that can be harmful for healthy subjects. The main limitation was the small sample size (n =14), with 50% attrition in the control group. We can consider that the high attrition rate in the control group may reinforce the interest of gaming, which favors the WII intervention. Permalink : ./index.php?lvl=notice_display&id=53841 [article] High tech-low cost, the growing place of WII in rehabilitation [texte imprimé] / Emmanuel Coudeyre, Auteur . - 2017 . - p. 361-362. Editorial Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 361-362 Mots-clés : Innovation technologique  Rééducation fonctionnelle Résumé : In this issue, Rizzo et al. publish a preliminary study comparing the Nintendo WII to a conventional rehabilitation protocol for shoulder impingement syndrome. To our knowledge, this is the first study using a WII for shoulder rehabilitation ever published. The WII intervention led to significant improvements in shoulder range of motion, pain and disability and quality of life but not strength. In the control group, conventional therapy only significantly improved strength. The originality of this study was the use of the WII as an upper-limb training device that can be harmful for healthy subjects. The main limitation was the small sample size (n =14), with 50% attrition in the control group. We can consider that the high attrition rate in the control group may reinforce the interest of gaming, which favors the WII intervention. Permalink : ./index.php?lvl=notice_display&id=53841

Exemplaires (1)

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

Prevalence of pain in 240 non-ambulatory children with severe cerebral palsy / Isabelle Poirot in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 371-375 Titre : Prevalence of pain in 240 non-ambulatory children with severe cerebral palsy Type de document : texte imprimé Auteurs : Isabelle Poirot, Auteur ; Valérie Laudy, Auteur ; Muriel Rabilloud, Auteur Année de publication : 2017 Article en page(s) : p. 371-375 Langues : Anglais (eng) Français (fre) Mots-clés : Infirmité motrice cérébrale  Douleur  Enfant  Cerebral palsy,Pain,Children Résumé : Background: Several studies have given frequencies of pain in children with cerebral palsy, but comparing the findings is difficult. We aimed to estimate the prevalence of pain in non-ambulatory children with cerebral palsy and describe their characteristics by presence or absence of pain. Methods:Data were extracted from an ongoing longitudinal national cohort following non-ambulatory children with severe cerebral palsy aged 3 to 10years over 10years. We described and compared data for the first 240 children at inclusion by presence or absence of pain. Pain was assessed by a visual analog scale and the Douleur Enfant San Salvadour scales and by investigator interview. Results: Overall, 65 children experienced pain, for a prevalence of 27.1% (95% confidence interval 22–33%). All children experiencing pain had orthopaedic pain and 45.6% had pain from another origin. The main pain sites were hips (43.4%) and feet (26.9%). Joint mobilisation was the source of pain for 58.3% of children experiencing pain, and sitting was identified as painful for 10.3%. Pain was greater with scoliosis (43.1% vs 24.1% with and without pain; P =0.006) and spasticity treatment (32.3% vs 17.2%; P =0.020). Conclusion: Children with cerebral palsy frequently experience pain and also early pain, mostly articular and orthopedic. The assessment of pain should be systematic because of its high prevalence. Interventions to prevent scoliosis, hip luxation, and foot deformities and to reduce spasticity, such as the use of analgesics before joint mobilization exercises, may reduce the prevalence of this pain. Permalink : ./index.php?lvl=notice_display&id=53842 [article] Prevalence of pain in 240 non-ambulatory children with severe cerebral palsy [texte imprimé] / Isabelle Poirot, Auteur ; Valérie Laudy, Auteur ; Muriel Rabilloud, Auteur . - 2017 . - p. 371-375. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 371-375 Mots-clés : Infirmité motrice cérébrale  Douleur  Enfant  Cerebral palsy,Pain,Children Résumé : Background: Several studies have given frequencies of pain in children with cerebral palsy, but comparing the findings is difficult. We aimed to estimate the prevalence of pain in non-ambulatory children with cerebral palsy and describe their characteristics by presence or absence of pain. Methods:Data were extracted from an ongoing longitudinal national cohort following non-ambulatory children with severe cerebral palsy aged 3 to 10years over 10years. We described and compared data for the first 240 children at inclusion by presence or absence of pain. Pain was assessed by a visual analog scale and the Douleur Enfant San Salvadour scales and by investigator interview. Results: Overall, 65 children experienced pain, for a prevalence of 27.1% (95% confidence interval 22–33%). All children experiencing pain had orthopaedic pain and 45.6% had pain from another origin. The main pain sites were hips (43.4%) and feet (26.9%). Joint mobilisation was the source of pain for 58.3% of children experiencing pain, and sitting was identified as painful for 10.3%. Pain was greater with scoliosis (43.1% vs 24.1% with and without pain; P =0.006) and spasticity treatment (32.3% vs 17.2%; P =0.020). Conclusion: Children with cerebral palsy frequently experience pain and also early pain, mostly articular and orthopedic. The assessment of pain should be systematic because of its high prevalence. Interventions to prevent scoliosis, hip luxation, and foot deformities and to reduce spasticity, such as the use of analgesics before joint mobilization exercises, may reduce the prevalence of this pain. Permalink : ./index.php?lvl=notice_display&id=53842

Exemplaires (1)

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

Relationships between respiratory parameters, exercise capacity and psychosocial factors in people with chronic obstructive pulmonary disease / Taofeek Oluwole Awotidebe in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 387-392 Titre : Relationships between respiratory parameters, exercise capacity and psychosocial factors in people with chronic obstructive pulmonary disease Type de document : texte imprimé Auteurs : Taofeek Oluwole Awotidebe, Auteur ; O.F. Awopeju, Auteur ; Lukman Adeleke Bisiriyu, Auteur Année de publication : 2017 Article en page(s) : p. 387-392 Langues : Anglais (eng) Français (fre) Mots-clés : Bronchopneumopathie obstructive  Symptôme respiratoire  Psychosociologie  Chronic obstructive pulmonary disease,Respiratory parameters,Exercise capacity,Psychosocial factors Résumé : Background: Chronic obstructive pulmonary disease (COPD) affects respiratory functioning and psychosocial factors. However, little is known about perceived ability of people with COPD to engage in a regular exercise program. This study assessed respiratory parameters, exercise capacity, psychosocial factors and their relations in people with COPD. Methods: This cross-sectional study involved patients with COPD recruited from a Nigerian university teaching hospital. Respiratory parameters including forced expiratory volume in 1sec (FEV1 ) and forced vital capacity (FVC) were assessed by using a spirometer and FEV1 /FVC ratio was calculated. Participants were sitting upright in a comfortable chair and wearing a nose clip for measurements. The procedure was performed in accordance with the American Thoracic Society criteria. Exercise capacity was assessed by the 6-min walk test (6MWT). Gait speed was assessed by the distance covered in 6min. Perceived exercise self-efficacy (PESE) and rating of perceived exertion (RPE) were assessed by exercise self-efficacy and Borg scales, respectively. Data were analysed using descriptive and inferential statistics. Alpha level was set at P <0.05. Results: The mean age of the 125 participants was 62.0+7.1years (60% male). The mean values for FEV1 , FVC and FEV1 /FVC were 1.8+0.6L, 2.4+0.5L and 58.0+8.8%, respectively, and the mean 6MWT and PESE values were 291.1+41.6m 63.1+11.2%. Exercise capacity was correlated with mean values for the respiratory parameters FEV1 (r =0.29; P =0.035), FVC (r =0.32; P =0.045) and FEV1 /FVC ratio (r =0.37; P =0.007), and both exercise capacity and PESE were correlated with gait speed (r =0.96, P =0.001 and r =0.57; P =0.042) and RPE (r =0.42, P =0.050 and r =−0.44; P =0.032), but PESE was not correlated with respiratory parameter values (P >0.05). Conclusion: Participants with COPD demonstrated reduced respiratory parameter values and low exercise capacity but moderate PESE. We found significant correlations between exercise capacity and respiratory parameter values, but PESE was correlated with only gait speed and RPE. The study has implications for respiratory health promotion and exercise adherence. Permalink : ./index.php?lvl=notice_display&id=53843 [article] Relationships between respiratory parameters, exercise capacity and psychosocial factors in people with chronic obstructive pulmonary disease [texte imprimé] / Taofeek Oluwole Awotidebe, Auteur ; O.F. Awopeju, Auteur ; Lukman Adeleke Bisiriyu, Auteur . - 2017 . - p. 387-392. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 387-392 Mots-clés : Bronchopneumopathie obstructive  Symptôme respiratoire  Psychosociologie  Chronic obstructive pulmonary disease,Respiratory parameters,Exercise capacity,Psychosocial factors Résumé : Background: Chronic obstructive pulmonary disease (COPD) affects respiratory functioning and psychosocial factors. However, little is known about perceived ability of people with COPD to engage in a regular exercise program. This study assessed respiratory parameters, exercise capacity, psychosocial factors and their relations in people with COPD. Methods: This cross-sectional study involved patients with COPD recruited from a Nigerian university teaching hospital. Respiratory parameters including forced expiratory volume in 1sec (FEV1 ) and forced vital capacity (FVC) were assessed by using a spirometer and FEV1 /FVC ratio was calculated. Participants were sitting upright in a comfortable chair and wearing a nose clip for measurements. The procedure was performed in accordance with the American Thoracic Society criteria. Exercise capacity was assessed by the 6-min walk test (6MWT). Gait speed was assessed by the distance covered in 6min. Perceived exercise self-efficacy (PESE) and rating of perceived exertion (RPE) were assessed by exercise self-efficacy and Borg scales, respectively. Data were analysed using descriptive and inferential statistics. Alpha level was set at P <0.05. Results: The mean age of the 125 participants was 62.0+7.1years (60% male). The mean values for FEV1 , FVC and FEV1 /FVC were 1.8+0.6L, 2.4+0.5L and 58.0+8.8%, respectively, and the mean 6MWT and PESE values were 291.1+41.6m 63.1+11.2%. Exercise capacity was correlated with mean values for the respiratory parameters FEV1 (r =0.29; P =0.035), FVC (r =0.32; P =0.045) and FEV1 /FVC ratio (r =0.37; P =0.007), and both exercise capacity and PESE were correlated with gait speed (r =0.96, P =0.001 and r =0.57; P =0.042) and RPE (r =0.42, P =0.050 and r =−0.44; P =0.032), but PESE was not correlated with respiratory parameter values (P >0.05). Conclusion: Participants with COPD demonstrated reduced respiratory parameter values and low exercise capacity but moderate PESE. We found significant correlations between exercise capacity and respiratory parameter values, but PESE was correlated with only gait speed and RPE. The study has implications for respiratory health promotion and exercise adherence. Permalink : ./index.php?lvl=notice_display&id=53843

Exemplaires (1)

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

Reliability of pelvic floor muscle electromyography tested on healthy women and women with pelvic floor muscle dysfunction / Irene Koenig in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 382-386 Titre : Reliability of pelvic floor muscle electromyography tested on healthy women and women with pelvic floor muscle dysfunction Type de document : texte imprimé Auteurs : Irene Koenig, Auteur ; Lorenz Radlinger, Auteur ; Helena Luginbuehl, Auteur Année de publication : 2017 Article en page(s) : p. 382-386 Langues : Anglais (eng) Français (fre) Mots-clés : Femme  Muscle  Appareil urogénital [pathologie]  Analyse  Électrodiagnostic  Analysis,Female,Pelvic floor,Reproducibility Résumé : Objectives: Electromyography (EMG) is a well-established method to quantify the relative pelvic floor muscle (PFM) activity. PFM EMG has shown good reliability in healthy women. However, its reliability has not been tested in women with PFM dysfunction. The reliability of EMG analysis methods concerning EMG normalization needs to be determined to assess specific therapeutic interventions. Therefore, the aim of this study was to investigate the intra-session reliability of PFM EMG variables by using 3 different analysis methods in women with PFM dysfunction. Methods: EMG data analysis involved women who were healthy, had weak PFM and had stress urinary incontinence (SUI). We evaluated the reliability of EMG during rest and maximum voluntary contraction and compared muscle activity onset by visual determination and by calculation. All variables were checked for normality (Shapiro-Wilk). Descriptive statistics (mean, SD), systematic error within repeated measures (Wilcoxon) and reliability indexes were tested and presented descriptively (intraclass correlation coefficient [ICC], standard error of measurement [SEM], SEM%, minimal difference [MD], MD%). Results: For 20 women who were healthy, 17 with weak PFM and 50 with SUI, ICC values were high for all variables (0.780–0.994), and SEM and MD values were relatively high (SEM%: 7.5–15.7; MD%: 21.0–43.8). Conclusion: We need reliable methods to analyse clinical intervention studies. PFM EMG variables had high ICCs, but relatively high SEM and MD values modified the reliability. All EMG analysis methods were comparable in healthy women, but only the visual-onset determination was dependable in women with PFM dysfunction. Permalink : ./index.php?lvl=notice_display&id=53844 [article] Reliability of pelvic floor muscle electromyography tested on healthy women and women with pelvic floor muscle dysfunction [texte imprimé] / Irene Koenig, Auteur ; Lorenz Radlinger, Auteur ; Helena Luginbuehl, Auteur . - 2017 . - p. 382-386. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 382-386 Mots-clés : Femme  Muscle  Appareil urogénital [pathologie]  Analyse  Électrodiagnostic  Analysis,Female,Pelvic floor,Reproducibility Résumé : Objectives: Electromyography (EMG) is a well-established method to quantify the relative pelvic floor muscle (PFM) activity. PFM EMG has shown good reliability in healthy women. However, its reliability has not been tested in women with PFM dysfunction. The reliability of EMG analysis methods concerning EMG normalization needs to be determined to assess specific therapeutic interventions. Therefore, the aim of this study was to investigate the intra-session reliability of PFM EMG variables by using 3 different analysis methods in women with PFM dysfunction. Methods: EMG data analysis involved women who were healthy, had weak PFM and had stress urinary incontinence (SUI). We evaluated the reliability of EMG during rest and maximum voluntary contraction and compared muscle activity onset by visual determination and by calculation. All variables were checked for normality (Shapiro-Wilk). Descriptive statistics (mean, SD), systematic error within repeated measures (Wilcoxon) and reliability indexes were tested and presented descriptively (intraclass correlation coefficient [ICC], standard error of measurement [SEM], SEM%, minimal difference [MD], MD%). Results: For 20 women who were healthy, 17 with weak PFM and 50 with SUI, ICC values were high for all variables (0.780–0.994), and SEM and MD values were relatively high (SEM%: 7.5–15.7; MD%: 21.0–43.8). Conclusion: We need reliable methods to analyse clinical intervention studies. PFM EMG variables had high ICCs, but relatively high SEM and MD values modified the reliability. All EMG analysis methods were comparable in healthy women, but only the visual-onset determination was dependable in women with PFM dysfunction. Permalink : ./index.php?lvl=notice_display&id=53844

Exemplaires (1)

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

Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study / John-Ross Rizzo in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 363-370 Titre : Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study Type de document : texte imprimé Auteurs : John-Ross Rizzo, Auteur ; Edward J. Li, Auteur ; Peter Thai, Auteur Année de publication : 2017 Article en page(s) : p. 363-370 Langues : Anglais (eng) Français (fre) Mots-clés : Épaule  Innovation technologique  Rééducation  Symptôme  Étude  Shoulder impingement syndrome,Shoulder pain,Rehabilitation,Gaming,Motivation Résumé : Objective : To determine the feasibility and efficacy of using a structured Nintendo Wii protocol to improve range of motion, strength, and quality of life in patients with shoulder impingement syndrome. Methods : A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n =8) or conventional therapy (n =6). Pain-free shoulder range of motion, strength, shoulder pain and disability, and quality of life were assessed pre- and post-treatment. Results : All 8 patients completed the Wii protocol, and 3 completed conventional therapy. The Wii protocol conferred significant improvements in shoulder range of motion, pain and disability, and quality of life but not strength, whereas conventional therapy conferred a significant improvement in strength. Conclusions : As compared to conventional treatment, the structured Wii protocol implemented in this pilot study was a viable adjunct to therapy for shoulder impingement syndrome. Gaming may have a supplemental benefit by increasing motivation, pleasure, and/or adherence. Further investigation in larger cohorts is warranted. Permalink : ./index.php?lvl=notice_display&id=53845 [article] Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study [texte imprimé] / John-Ross Rizzo, Auteur ; Edward J. Li, Auteur ; Peter Thai, Auteur . - 2017 . - p. 363-370. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 363-370 Mots-clés : Épaule  Innovation technologique  Rééducation  Symptôme  Étude  Shoulder impingement syndrome,Shoulder pain,Rehabilitation,Gaming,Motivation Résumé : Objective : To determine the feasibility and efficacy of using a structured Nintendo Wii protocol to improve range of motion, strength, and quality of life in patients with shoulder impingement syndrome. Methods : A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n =8) or conventional therapy (n =6). Pain-free shoulder range of motion, strength, shoulder pain and disability, and quality of life were assessed pre- and post-treatment. Results : All 8 patients completed the Wii protocol, and 3 completed conventional therapy. The Wii protocol conferred significant improvements in shoulder range of motion, pain and disability, and quality of life but not strength, whereas conventional therapy conferred a significant improvement in strength. Conclusions : As compared to conventional treatment, the structured Wii protocol implemented in this pilot study was a viable adjunct to therapy for shoulder impingement syndrome. Gaming may have a supplemental benefit by increasing motivation, pleasure, and/or adherence. Further investigation in larger cohorts is warranted. Permalink : ./index.php?lvl=notice_display&id=53845

Exemplaires (1)

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