Factors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study / Clémence Bulteel 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. 325-311 Titre : Factors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study Type de document : texte imprimé Auteurs : Clémence Bulteel ; Alice Le Bonniec ; Marion Gounelle ; Annick Schifano ; Olivier Jonquet ; Arnaud Dupeyron ; Isabelle Laffont ; Florence Cousson-Gelie ; Anthony Gélis Année de publication : 2020 Article en page(s) : p. 325-311 Note générale : doi.org/10.1016/j.rehab.2019.06.009 Langues : Anglais (eng) Mots-clés : Spinal cord injuries  Sleep apnea  Continuous positive airway pressure  Treatment adherence  Qualitative research Résumé : Background In individuals with spinal cord injury (SCI) and sleep apnea (SA), adherence to continuous positive airway pressure (CPAP) therapy seems unsatisfactory despite technical and educational support implemented when starting treatment. Objective We aimed to design comprehensive model of adherence to CPAP therapy in individuals with SCI and SA. Methods This was a prospective qualitative study based on semi-directed interviews and using the grounded theory as an analytic method. The theoretical framework was the social cognitive theory of Bandura. Participants were recruited from an SCI referral centre. Individuals with SCI using or having used a CPAP device for SA were included. Data were collected by semi-directed interviews on the experience of individuals with SCI regarding SA and being fitted with a CPAP device and were coded and organized into categories of experience and category relationships. Results Among the 17 individuals included; 9 had tetraplegia; the median age was 62 (Q1–Q3 47–66) years and median time since injury was 16 (Q1–Q3 1.75–21) years. Four categories of data were identified: 1) from symptoms to validation of SA diagnosis, 2) CPAP device fitting process, 3) representations of SA, and 4) level of adherence to the treatment. In addition to the factors already observed in the general population, the proposed model identified specific adherence factors in individuals with SCI, such as physical and relational dependence on a third party, increased daily care burden and increased presence of medical devices in the daily environment. Conclusion SA and its management present certain specificities in individuals with SCI that the physician must take into account to optimize therapeutic proposals, follow-up modalities and device adherence. Permalink : ./index.php?lvl=notice_display&id=90878 [article] Factors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study [texte imprimé] / Clémence Bulteel ; Alice Le Bonniec ; Marion Gounelle ; Annick Schifano ; Olivier Jonquet ; Arnaud Dupeyron ; Isabelle Laffont ; Florence Cousson-Gelie ; Anthony Gélis . - 2020 . - p. 325-311. doi.org/10.1016/j.rehab.2019.06.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 325-311 Mots-clés : Spinal cord injuries  Sleep apnea  Continuous positive airway pressure  Treatment adherence  Qualitative research Résumé : Background In individuals with spinal cord injury (SCI) and sleep apnea (SA), adherence to continuous positive airway pressure (CPAP) therapy seems unsatisfactory despite technical and educational support implemented when starting treatment. Objective We aimed to design comprehensive model of adherence to CPAP therapy in individuals with SCI and SA. Methods This was a prospective qualitative study based on semi-directed interviews and using the grounded theory as an analytic method. The theoretical framework was the social cognitive theory of Bandura. Participants were recruited from an SCI referral centre. Individuals with SCI using or having used a CPAP device for SA were included. Data were collected by semi-directed interviews on the experience of individuals with SCI regarding SA and being fitted with a CPAP device and were coded and organized into categories of experience and category relationships. Results Among the 17 individuals included; 9 had tetraplegia; the median age was 62 (Q1–Q3 47–66) years and median time since injury was 16 (Q1–Q3 1.75–21) years. Four categories of data were identified: 1) from symptoms to validation of SA diagnosis, 2) CPAP device fitting process, 3) representations of SA, and 4) level of adherence to the treatment. In addition to the factors already observed in the general population, the proposed model identified specific adherence factors in individuals with SCI, such as physical and relational dependence on a third party, increased daily care burden and increased presence of medical devices in the daily environment. Conclusion SA and its management present certain specificities in individuals with SCI that the physician must take into account to optimize therapeutic proposals, follow-up modalities and device adherence. Permalink : ./index.php?lvl=notice_display&id=90878

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Imagerie mentale, thérapie en miroir

Public ISBD Titre : Imagerie mentale, thérapie en miroir : applications en rééducation Type de document : texte imprimé Auteurs : Philippe Codine (1953-....), Directeur de publication, rédacteur en chef ; Isabelle Laffont, Directeur de publication, rédacteur en chef ; Jérôme Froger, Directeur de publication, rédacteur en chef ; Entretiens de rééducation et réadaptation fonctionnelles (2007; Montpellier), Auteur Editeur : Montpellier : Sauramps médical Année de publication : DL 2012 Collection : Acquisitions en médecine physique et de réadaptation, ISSN 2259-1133 Importance : 1 vol. (123 p.) Présentation : ill. Format : 24 cm ISBN/ISSN/EAN : 978-2-84023-767-9 Prix : 32 EUR Note générale : Issu d'un des thèmes des 40e Entretiens de médecine physique et de réadaptation, Montpellier, le 7 mars 2012 Notes bibliogr. Langues : Français (fre) Index. décimale : K 616.8 Kinésithérapie. Neurologie Résumé : La réalisation effective d’un mouvement et sa seule évocation mentale, qui caractérise l’imagerie motrice, s’accompagnent de l’activation de certaines zones cérébrales identiques. Ceci laisse supposer que la pratique de l’imagerie motrice, de façon régulière et méthodique, est susceptible d’améliorer la fonction motrice imaginée. Ceci a été mis en pratique depuis de nombreuses années par les sportifs afin d’améliorer leurs performances. Cette approche s’est ensuite étendue au domaine de la rééducation fonctionnelle où elle est utilisée notamment dans la prise en charge des AVC, de la maladie de Parkinson, des blessés médullaires, de l’amyotrophie d’immobilisation. La thérapie en miroir restitue, au niveau cérébral, l’image d’un membre sain alors qu’il est en réalité absent, enraidi ou paralysé. Cette technique initialement utilisée pour réduire les douleurs de membre fantôme est actuellement appliquée au traitement des douleurs chroniques, des AVC. Cet ouvrage envisage les divers aspects de ces nouvelles modalités thérapeutiques, leurs bases neurophysiologiques, leurs indications et limites, leurs modalités d’application. Permalink : ./index.php?lvl=notice_display&id=90914 Imagerie mentale, thérapie en miroir : applications en rééducation [texte imprimé] / Philippe Codine (1953-....), Directeur de publication, rédacteur en chef ; Isabelle Laffont, Directeur de publication, rédacteur en chef ; Jérôme Froger, Directeur de publication, rédacteur en chef ; Entretiens de rééducation et réadaptation fonctionnelles (2007; Montpellier), Auteur . - Montpellier : Sauramps médical, DL 2012 . - 1 vol. (123 p.) : ill. ; 24 cm. - (Acquisitions en médecine physique et de réadaptation, ISSN 2259-1133) . ISBN : 978-2-84023-767-9 : 32 EUR Issu d'un des thèmes des 40e Entretiens de médecine physique et de réadaptation, Montpellier, le 7 mars 2012 Notes bibliogr. Langues : Français (fre) Index. décimale : K 616.8 Kinésithérapie. Neurologie Résumé : La réalisation effective d’un mouvement et sa seule évocation mentale, qui caractérise l’imagerie motrice, s’accompagnent de l’activation de certaines zones cérébrales identiques. Ceci laisse supposer que la pratique de l’imagerie motrice, de façon régulière et méthodique, est susceptible d’améliorer la fonction motrice imaginée. Ceci a été mis en pratique depuis de nombreuses années par les sportifs afin d’améliorer leurs performances. Cette approche s’est ensuite étendue au domaine de la rééducation fonctionnelle où elle est utilisée notamment dans la prise en charge des AVC, de la maladie de Parkinson, des blessés médullaires, de l’amyotrophie d’immobilisation. La thérapie en miroir restitue, au niveau cérébral, l’image d’un membre sain alors qu’il est en réalité absent, enraidi ou paralysé. Cette technique initialement utilisée pour réduire les douleurs de membre fantôme est actuellement appliquée au traitement des douleurs chroniques, des AVC. Cet ouvrage envisage les divers aspects de ces nouvelles modalités thérapeutiques, leurs bases neurophysiologiques, leurs indications et limites, leurs modalités d’application. Permalink : ./index.php?lvl=notice_display&id=90914

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Immunogenicity induced by botulinum toxin injections for limb spasticity: A systematic review / Laure Mathevon in Annals of physical and rehabilitation medicine, Vol. 62, n°4 (Juillet 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 241-251 Titre : Immunogenicity induced by botulinum toxin injections for limb spasticity: A systematic review Type de document : texte imprimé Auteurs : Laure Mathevon ; Arnaud Declemy ; Isabelle Laffont ; Dominic Pérennou Année de publication : 2019 Article en page(s) : p. 241-251 Note générale : doi.org/10.1016/j.rehab.2019.03.004 Langues : Anglais (eng) Mots-clés : Limb spasticity  Botulinum toxin  Immunogenicity  Resistance to treatment  Neutralizing antibody Résumé : Background The imputability of neutralizing antibodies (NABs) in secondary non-response (SnR) to botulinum toxin (BoNT) injections for limb spasticity is still debated. Objective This systematic literature review aimed to determine the prevalence of NABs after BoNT injections for limb spasticity and analyze their determinants and their causal role in SnR. Methods We searched MEDLINE via PubMed, Cochrane and Embase databases for articles published during 1990–2018. Two independent reviewers extracted the data and assessed the quality of studies with a specific scale (according to PRISMA and STROBE guidelines). Because the techniques used to detect NABs did not influence the results, we calculated the global (all studies) sensitivity and specificity of NAB positivity to reveal SnR. Results We included 14 articles published from 2002 to 2018 (including an epublication) describing 5 randomized controlled trials and 5 interventional and 4 observational studies. The quality was satisfactory (mean score 18/28 arbitrary units). NAB detection was the primary criterion in 5 studies and a secondary criterion in 9. In total, 1234 serum samples for 1234 participants (91% with stroke) were tested after injection. NAB prevalence was about 1%, with no significant difference among formulations. NAB positivity seemed favoured by long-duration therapy with high doses and a short interval between injections. The identification of non-response by NAB positivity had poor global sensitivity (56%) but very high specificity (99.6%). No consensual criteria were used to diagnose non-response to BoNT injection. Conclusions NAB prevalence is much lower after BoNT treatment for limb spasticity than cervical dystonia. Consensual criteria must be defined to diagnose non-response to BoNT injection. Because immunogenicity is not the most common cause of non-response to BoNT injection, NABs should be sought in individuals with SnR with no other cause explaining the treatment inefficacy. A test with 100% specificity is recommended. In cases for which immunogenicity is the most likely cause of non-response to BoNT injections, some biological arguments suggest trying another BoNT, but no clinical evidence supports this strategy. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300417 Permalink : ./index.php?lvl=notice_display&id=84129 [article] Immunogenicity induced by botulinum toxin injections for limb spasticity: A systematic review [texte imprimé] / Laure Mathevon ; Arnaud Declemy ; Isabelle Laffont ; Dominic Pérennou . - 2019 . - p. 241-251. doi.org/10.1016/j.rehab.2019.03.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 241-251 Mots-clés : Limb spasticity  Botulinum toxin  Immunogenicity  Resistance to treatment  Neutralizing antibody Résumé : Background The imputability of neutralizing antibodies (NABs) in secondary non-response (SnR) to botulinum toxin (BoNT) injections for limb spasticity is still debated. Objective This systematic literature review aimed to determine the prevalence of NABs after BoNT injections for limb spasticity and analyze their determinants and their causal role in SnR. Methods We searched MEDLINE via PubMed, Cochrane and Embase databases for articles published during 1990–2018. Two independent reviewers extracted the data and assessed the quality of studies with a specific scale (according to PRISMA and STROBE guidelines). Because the techniques used to detect NABs did not influence the results, we calculated the global (all studies) sensitivity and specificity of NAB positivity to reveal SnR. Results We included 14 articles published from 2002 to 2018 (including an epublication) describing 5 randomized controlled trials and 5 interventional and 4 observational studies. The quality was satisfactory (mean score 18/28 arbitrary units). NAB detection was the primary criterion in 5 studies and a secondary criterion in 9. In total, 1234 serum samples for 1234 participants (91% with stroke) were tested after injection. NAB prevalence was about 1%, with no significant difference among formulations. NAB positivity seemed favoured by long-duration therapy with high doses and a short interval between injections. The identification of non-response by NAB positivity had poor global sensitivity (56%) but very high specificity (99.6%). No consensual criteria were used to diagnose non-response to BoNT injection. Conclusions NAB prevalence is much lower after BoNT treatment for limb spasticity than cervical dystonia. Consensual criteria must be defined to diagnose non-response to BoNT injection. Because immunogenicity is not the most common cause of non-response to BoNT injection, NABs should be sought in individuals with SnR with no other cause explaining the treatment inefficacy. A test with 100% specificity is recommended. In cases for which immunogenicity is the most likely cause of non-response to BoNT injections, some biological arguments suggest trying another BoNT, but no clinical evidence supports this strategy. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300417 Permalink : ./index.php?lvl=notice_display&id=84129

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Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome / François Feuvrier in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 195-201 Titre : Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome Type de document : texte imprimé Auteurs : François Feuvrier ; Benoît Sijobert ; Christine Azevedo ; Karolina Griffiths ; Sandrine Alonso ; Arnaud Dupeyron ; Isabelle Laffont ; Jérôme Froger Année de publication : 2020 Article en page(s) : p. 195-201 Note générale : doi.org/10.1016/j.rehab.2019.03.007 Langues : Anglais (eng) Mots-clés : Inertial measurement unit  Kinematic parameters  Foot-drop  Stroke  Functional electrostimulation Résumé : Background Functional electrical stimulation (FES) can be used for compensation of foot-drop for post-stroke individuals by pre-programmed fixed stimulation; however, this stimulation seems no more effective than mechanical ankle foot orthoses. Objective We evaluated the metrological quality of inertial sensors for movement reconstruction as compared with the gold-standard motion capturing system, to couple FES with inertial sensors to improve dorsiflexion on the paretic side, by using an adaptive stimulation taking into account individuals’ performance post-stroke. Methods Adults with ischemic or hemorrhagic stroke presenting foot-drop and able to walk 10 m, were included from May 2016 to June 2017. Those with passive ankle dorsiflexion < 0° with the knee stretched were excluded. Synchronous gait was analyzed with the VICON© system as the gold standard and inertial measurement units (IMUs) worn by participants. The main outcome was the dorsiflexion angle at the heel strike and mid-swing phase obtained from IMUs and the VICON system. Secondary outcomes were: stride length, walking speed, maximal ankle dorsiflexion velocity and fatigue detection. Results We included 26 participants [18 males; mean age 58 (range 45–84) years]. During heel strike, the dorsiflexion angle measurements demonstrated a root mean square error (RMSE) of 5.5°; a mean average error (MAE) of 3.9°; Bland-Altman bias of − 0.1° with limits of agreement − 10.9° to + 10.7° and good intra-class correlation coefficient (ICC) at 0.87 between the 2 techniques. During the mid-swing phase, the RMSE was 5.6; MAE 3.7°; Bland-Altman bias − 0.9° with limits of agreement − 11.7° to + 9.8° and ICC 0.88. Good agreement was demonstrated for secondary outcomes and fatigue detection. Conclusions IMU-based reconstruction algorithms were effective in measuring ankle dorsiflexion with small biases and good ICCs in adults with ischemic or hemorrhagic stroke presenting foot-drop. The precision obtained is sufficient to observe the fatigue influence on the dorsiflexion and therefore to use IMUs to adapt FES. Permalink : ./index.php?lvl=notice_display&id=90795 [article] Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome [texte imprimé] / François Feuvrier ; Benoît Sijobert ; Christine Azevedo ; Karolina Griffiths ; Sandrine Alonso ; Arnaud Dupeyron ; Isabelle Laffont ; Jérôme Froger . - 2020 . - p. 195-201. doi.org/10.1016/j.rehab.2019.03.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 195-201 Mots-clés : Inertial measurement unit  Kinematic parameters  Foot-drop  Stroke  Functional electrostimulation Résumé : Background Functional electrical stimulation (FES) can be used for compensation of foot-drop for post-stroke individuals by pre-programmed fixed stimulation; however, this stimulation seems no more effective than mechanical ankle foot orthoses. Objective We evaluated the metrological quality of inertial sensors for movement reconstruction as compared with the gold-standard motion capturing system, to couple FES with inertial sensors to improve dorsiflexion on the paretic side, by using an adaptive stimulation taking into account individuals’ performance post-stroke. Methods Adults with ischemic or hemorrhagic stroke presenting foot-drop and able to walk 10 m, were included from May 2016 to June 2017. Those with passive ankle dorsiflexion < 0° with the knee stretched were excluded. Synchronous gait was analyzed with the VICON© system as the gold standard and inertial measurement units (IMUs) worn by participants. The main outcome was the dorsiflexion angle at the heel strike and mid-swing phase obtained from IMUs and the VICON system. Secondary outcomes were: stride length, walking speed, maximal ankle dorsiflexion velocity and fatigue detection. Results We included 26 participants [18 males; mean age 58 (range 45–84) years]. During heel strike, the dorsiflexion angle measurements demonstrated a root mean square error (RMSE) of 5.5°; a mean average error (MAE) of 3.9°; Bland-Altman bias of − 0.1° with limits of agreement − 10.9° to + 10.7° and good intra-class correlation coefficient (ICC) at 0.87 between the 2 techniques. During the mid-swing phase, the RMSE was 5.6; MAE 3.7°; Bland-Altman bias − 0.9° with limits of agreement − 11.7° to + 9.8° and ICC 0.88. Good agreement was demonstrated for secondary outcomes and fatigue detection. Conclusions IMU-based reconstruction algorithms were effective in measuring ankle dorsiflexion with small biases and good ICCs in adults with ischemic or hemorrhagic stroke presenting foot-drop. The precision obtained is sufficient to observe the fatigue influence on the dorsiflexion and therefore to use IMUs to adapt FES. Permalink : ./index.php?lvl=notice_display&id=90795

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Music, rhythm, rehabilitation and the brain: From pleasure to synchronization of biological rhythms / Isabelle Laffont in Annals of physical and rehabilitation medicine, Vol. 61, n°6 (Novembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°6 (Novembre 2018) . - p. 363-364 Titre : Music, rhythm, rehabilitation and the brain: From pleasure to synchronization of biological rhythms Type de document : texte imprimé Auteurs : Isabelle Laffont ; Simone Dalla Bella Année de publication : 2018 Article en page(s) : p. 363-364 Note générale : Doi : 10.1016/j.rehab.2018.10.001 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=82381 [article] Music, rhythm, rehabilitation and the brain: From pleasure to synchronization of biological rhythms [texte imprimé] / Isabelle Laffont ; Simone Dalla Bella . - 2018 . - p. 363-364. Doi : 10.1016/j.rehab.2018.10.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°6 (Novembre 2018) . - p. 363-364 Permalink : ./index.php?lvl=notice_display&id=82381

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Rééducation et syndrome cérébelleux

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Rehabilitation of the upper arm early after stroke: Video games versus conventional rehabilitation. A randomized controlled trial / Isabelle Laffont in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

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Spasticity: To treat or not to treat? / Alain P. Yelnik in Annals of physical and rehabilitation medicine, Vol. 62, n°4 (Juillet 2019)  

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