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

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

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Arm elevation involves cervical spine 3-D rotations / Alexandra Roren in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 372-375 Titre : Arm elevation involves cervical spine 3-D rotations Type de document : texte imprimé Auteurs : Alexandra Roren ; Christelle Nguyen ; Jennifer Zauderer ; Sessi Acapo ; François Rannou ; Agnès Roby-Brami ; Marie-Martine Lefèvre-Colau Année de publication : 2020 Article en page(s) : p. 372-375 Note générale : doi.org/10.1016/j.rehab.2019.09.005 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90886 [article] Arm elevation involves cervical spine 3-D rotations [texte imprimé] / Alexandra Roren ; Christelle Nguyen ; Jennifer Zauderer ; Sessi Acapo ; François Rannou ; Agnès Roby-Brami ; Marie-Martine Lefèvre-Colau . - 2020 . - p. 372-375. doi.org/10.1016/j.rehab.2019.09.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 372-375 Permalink : ./index.php?lvl=notice_display&id=90886

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Évaluation de la proprioception chez le patient cervicalgique / Éric Savignat in Kinésithérapie, la revue, 63 (mars 2007)

Public ISBD [article]  inKinésithérapie, la revue > 63 (mars 2007) . - p. 23-26 Titre : Évaluation de la proprioception chez le patient cervicalgique : utilisation du test de repositionnnement cervicocéphalique (TRC) Type de document : texte imprimé Auteurs : Éric Savignat ; Alexandra Roren Année de publication : 2007 Article en page(s) : p. 23-26 Langues : Français (fre) Mots-clés : Proprioception  Rachis cervical Résumé : Les techniques dites « proprioceptives » font partie des programmes kinésithérapiques couramment utilisés notamment lors d’atteintes rhumatologiques ou traumatologiques. Pourtant, quelle que soit l’articulation lésée, les capacités sensori-motrices des patients sont difficiles à objectiver par le rééducateur et les outils spécifiques, validés et adaptés à la pratique courante sont peu nombreux. Permalink : ./index.php?lvl=notice_display&id=15062 [article] Évaluation de la proprioception chez le patient cervicalgique : utilisation du test de repositionnnement cervicocéphalique (TRC) [texte imprimé] / Éric Savignat ; Alexandra Roren . - 2007 . - p. 23-26. Langues : Français (fre) in Kinésithérapie, la revue > 63 (mars 2007) . - p. 23-26 Mots-clés : Proprioception  Rachis cervical Résumé : Les techniques dites « proprioceptives » font partie des programmes kinésithérapiques couramment utilisés notamment lors d’atteintes rhumatologiques ou traumatologiques. Pourtant, quelle que soit l’articulation lésée, les capacités sensori-motrices des patients sont difficiles à objectiver par le rééducateur et les outils spécifiques, validés et adaptés à la pratique courante sont peu nombreux. Permalink : ./index.php?lvl=notice_display&id=15062

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Home-based cycling program tailored to older people with lumbar spinal stenosis: Barriers and facilitators / Charlotte Pauwels in Annals of physical and rehabilitation medicine, Vol. 61, n°3 (Mai 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 144-150 Titre : Home-based cycling program tailored to older people with lumbar spinal stenosis: Barriers and facilitators Type de document : texte imprimé Auteurs : Charlotte Pauwels ; Alexandra Roren ; Adrien Gautier ; Jonathan Linières ; François Rannou ; Serge Poiraudeau ; Christelle Nguyen Année de publication : 2018 Article en page(s) : p. 144-150 Note générale : Doi : 10.1016/j.rehab.2018.02.005 Langues : Anglais (eng) Mots-clés : Burden of illness  Spinal stenosis  Radicular claudication  Cycling  Rehabilitation  Clinical trial Résumé : Background Lumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain. Objectives To assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS). Methods We conducted a retrospective mixed-method study. Patients≥50 years old followed up for LSS from November 2015 to June 2016 in a French tertiary care center were screened. The intervention consisted of a single supervised session followed by home-based sessions of cycling, with dose (number of sessions and duration, distance and power per session) self-determined by patient preference. The primary outcome was assessed by a qualitative approach using semi-structured interviews at baseline and 3 months and was the identification of barriers and facilitators to the intervention. Secondary outcomes were assessed by a quantitative approach and were adherence monitored by a USB stick connected to the bicycle, burden of treatment assessed by the Exercise Therapy Burden Questionnaire (ETBQ) and clinical efficacy assessed by change in lumbar pain, radicular pain, disability, spine-specific activity limitation and maximum walking distance at 3 months. Results Overall, 15 patients were included and data for 12 were analyzed at 3 months. At baseline, the mean age was 70.9 years (95% CI: 64.9–76.8) and 9/15 patients (60.0%) were women. Barriers to cycling were fear of pain and fatigue, a too large bicycle, burden of hospital follow-up and lack of time and motivation. Facilitators were clinical improvement, surveillance and ease-of-use of the bicycle. Adherence remained stable overtime. The burden of treatment was low [mean ETBQ score: 21.0 (95% confidence interval: 11.5–30.5)]. At 3 months, 7/12 patients (58.3%) self-reported clinical improvement, with reduced radicular pain and disability [mean absolute differences: −27.5 (−43.3 to −11.7), P<0.01 and −17.5 (−32.1 to −2.9), P=0.01, respectively]. Conclusions For people with LSS, home-based cycling is a feasible intervention. Permalink : ./index.php?lvl=notice_display&id=80461 [article] Home-based cycling program tailored to older people with lumbar spinal stenosis: Barriers and facilitators [texte imprimé] / Charlotte Pauwels ; Alexandra Roren ; Adrien Gautier ; Jonathan Linières ; François Rannou ; Serge Poiraudeau ; Christelle Nguyen . - 2018 . - p. 144-150. Doi : 10.1016/j.rehab.2018.02.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 144-150 Mots-clés : Burden of illness  Spinal stenosis  Radicular claudication  Cycling  Rehabilitation  Clinical trial Résumé : Background Lumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain. Objectives To assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS). Methods We conducted a retrospective mixed-method study. Patients≥50 years old followed up for LSS from November 2015 to June 2016 in a French tertiary care center were screened. The intervention consisted of a single supervised session followed by home-based sessions of cycling, with dose (number of sessions and duration, distance and power per session) self-determined by patient preference. The primary outcome was assessed by a qualitative approach using semi-structured interviews at baseline and 3 months and was the identification of barriers and facilitators to the intervention. Secondary outcomes were assessed by a quantitative approach and were adherence monitored by a USB stick connected to the bicycle, burden of treatment assessed by the Exercise Therapy Burden Questionnaire (ETBQ) and clinical efficacy assessed by change in lumbar pain, radicular pain, disability, spine-specific activity limitation and maximum walking distance at 3 months. Results Overall, 15 patients were included and data for 12 were analyzed at 3 months. At baseline, the mean age was 70.9 years (95% CI: 64.9–76.8) and 9/15 patients (60.0%) were women. Barriers to cycling were fear of pain and fatigue, a too large bicycle, burden of hospital follow-up and lack of time and motivation. Facilitators were clinical improvement, surveillance and ease-of-use of the bicycle. Adherence remained stable overtime. The burden of treatment was low [mean ETBQ score: 21.0 (95% confidence interval: 11.5–30.5)]. At 3 months, 7/12 patients (58.3%) self-reported clinical improvement, with reduced radicular pain and disability [mean absolute differences: −27.5 (−43.3 to −11.7), P<0.01 and −17.5 (−32.1 to −2.9), P=0.01, respectively]. Conclusions For people with LSS, home-based cycling is a feasible intervention. Permalink : ./index.php?lvl=notice_display&id=80461

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Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications / Marie-Martine Lefèvre-Colau in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 46-53 Titre : Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications Type de document : texte imprimé Auteurs : Marie-Martine Lefèvre-Colau ; Christelle Nguyen ; Clémence Palazzo ; Frédéric Srour ; Guillaume Paris ; V. Vuillemin ; Serge Poiraudeau ; Agnès Roby-Brami ; Alexandra Roren Année de publication : 2018 Article en page(s) : p. 46-53 Note générale : Doi : 10.1016/j.rehab.2017.09.002 Langues : Anglais (eng) Mots-clés : Shoulder  Kinematics  Scapula  Degenerative shoulders pathology  Subacromial impingement syndrome  Adhesive capsulitis  Osteoarthritis  Rehabilitation Résumé : Background The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints. Methods This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience. Results For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt. These scapular kinematic modifications could decrease the subacromial space and favor rotator-cuff tendon injury. For patients with shoulder pain and restricted mobility, the studies showed a significant increase in scapular lateral rotation generally seen as a compensation mechanism of GH decreased range of motion. For patients with multidirectional GH instability, the studies found an antero-inferior decentering of the humeral head, decreased scapular lateral rotation and increased scapular internal rotation. Conclusion The clinical or instrumented assessment of the shoulder complex with a degenerative pathology must include the analysis of scapula-clavicle and trunk movements complementing the GH assessment. Depending on the individual clinical case, scapular dyskinesis could be the cause or the consequence of the shoulder degenerative pathology. For most degenerative shoulder pathologies, the rehabilitation program should take into account the whole shoulder complex and include first a scapular and trunk postural-correcting strategy, then scapulothoracic muscle rehabilitation (especially serratus anterior and trapezius inferior and medium parts) and finally neuromotor techniques to recover appropriate upper-limb kinematic schemas for daily and/or sports activities. Permalink : ./index.php?lvl=notice_display&id=80439 [article] Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications [texte imprimé] / Marie-Martine Lefèvre-Colau ; Christelle Nguyen ; Clémence Palazzo ; Frédéric Srour ; Guillaume Paris ; V. Vuillemin ; Serge Poiraudeau ; Agnès Roby-Brami ; Alexandra Roren . - 2018 . - p. 46-53. Doi : 10.1016/j.rehab.2017.09.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 46-53 Mots-clés : Shoulder  Kinematics  Scapula  Degenerative shoulders pathology  Subacromial impingement syndrome  Adhesive capsulitis  Osteoarthritis  Rehabilitation Résumé : Background The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints. Methods This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience. Results For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt. These scapular kinematic modifications could decrease the subacromial space and favor rotator-cuff tendon injury. For patients with shoulder pain and restricted mobility, the studies showed a significant increase in scapular lateral rotation generally seen as a compensation mechanism of GH decreased range of motion. For patients with multidirectional GH instability, the studies found an antero-inferior decentering of the humeral head, decreased scapular lateral rotation and increased scapular internal rotation. Conclusion The clinical or instrumented assessment of the shoulder complex with a degenerative pathology must include the analysis of scapula-clavicle and trunk movements complementing the GH assessment. Depending on the individual clinical case, scapular dyskinesis could be the cause or the consequence of the shoulder degenerative pathology. For most degenerative shoulder pathologies, the rehabilitation program should take into account the whole shoulder complex and include first a scapular and trunk postural-correcting strategy, then scapulothoracic muscle rehabilitation (especially serratus anterior and trapezius inferior and medium parts) and finally neuromotor techniques to recover appropriate upper-limb kinematic schemas for daily and/or sports activities. Permalink : ./index.php?lvl=notice_display&id=80439

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Recent advances in kinematics of the shoulder complex in healthy people / Marie-Martine Lefèvre-Colau in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)

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Rééducation après arthroplastie totale du genou / Emmanuel BOURDILLON in Kinésithérapie scientifique, 480 (Septembre 2007)

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Règles de prescription et techniques de massokinésithérapie dans les affections de l'appareil locomoteur / C. Daste in EMC : Appareil locomoteur, vol.36 N°4 (Novembre 2022)

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