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Heart rate recovery of individuals undergoing cardiac rehabilitation after acute coronary syndrome / Tiffany Astolfi in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 65-71 Titre : Heart rate recovery of individuals undergoing cardiac rehabilitation after acute coronary syndrome Type de document : texte imprimé Auteurs : Tiffany Astolfi ; Fabio Borrani ; Milos Savcic ; Vincent Gremeaux ; Grégoire Millet Année de publication : 2018 Article en page(s) : p. 65-71 Note générale : Doi : 10.1016/j.rehab.2017.10.005 Langues : Anglais (eng) Mots-clés : Autonomic nervous system  Heart rate recovery  Heart rate variability  Cardiac rehabilitation  Acute coronary syndrome Résumé : Background An efficient cardiac rehabilitation programme (CRP) can improve the functional ability of patients after acute coronary syndrome (ACS). Objective To examine the effect of a CRP on parasympathetic reactivation and heart rate recovery (HRR) measured after a 6-min walk test (6MWT), and correlation with 6MWT distance and well-being after ACS. Methods Eleven normoweight patients after ACS (BMI<25kg/m2; 10 males; mean [SD] age 61 [9] years) underwent an 8-week CRP. Before (pre-) and at weeks 4 (W4) and 8 (W8) during the CRP, they performed a 6MWT on a treadmill, followed by 10-min of seated passive recovery, with HRR and HR variability (HRV) recordings. HRR was measured at 1, 3, 5 and 10min after the 6MWT (HRR1, HRR3, HRR5, HRR10), then modelized by a mono-exponential function. Time-domain (square root of the mean of the sum of the squares of differences between adjacent normal R-R intervals [RMSSD]) and frequency-domain (with high- and low-frequency band powers) were used to analyse HRV. Participants completed a mental and physical well-being questionnaire at pre- and W8. Exhaustion after tests was assessed by the Borg scale. Pearson correlation was used to assess correlations. Results HRR3, HRR5 and HRR10 increased by 37%, 36% and 28%, respectively, between pre- and W8 (P<0.05), and were positively correlated with change in 6MWT distance (r=0.58, 0.66 and 0.76; P<0.05). Percentage change in HRR3 was positively correlated with change in well-being (r=0.70; P=0.01). Parasympathic reactivation (RMSSD) was improved only during the first 30sec of recovery (P=0.04). Conclusion Among patients undergoing a CRP after ACS, increased HRR after a 6MWT, especially at 3min, was positively correlated with 6MWT distance and improved well-being. HRR raw data seem more sensitive than post-exercise HRV analysis for monitoring functional and autonomic improvement after ACS. Permalink : ./index.php?lvl=notice_display&id=80448 [article] Heart rate recovery of individuals undergoing cardiac rehabilitation after acute coronary syndrome [texte imprimé] / Tiffany Astolfi ; Fabio Borrani ; Milos Savcic ; Vincent Gremeaux ; Grégoire Millet . - 2018 . - p. 65-71. Doi : 10.1016/j.rehab.2017.10.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 65-71 Mots-clés : Autonomic nervous system  Heart rate recovery  Heart rate variability  Cardiac rehabilitation  Acute coronary syndrome Résumé : Background An efficient cardiac rehabilitation programme (CRP) can improve the functional ability of patients after acute coronary syndrome (ACS). Objective To examine the effect of a CRP on parasympathetic reactivation and heart rate recovery (HRR) measured after a 6-min walk test (6MWT), and correlation with 6MWT distance and well-being after ACS. Methods Eleven normoweight patients after ACS (BMI<25kg/m2; 10 males; mean [SD] age 61 [9] years) underwent an 8-week CRP. Before (pre-) and at weeks 4 (W4) and 8 (W8) during the CRP, they performed a 6MWT on a treadmill, followed by 10-min of seated passive recovery, with HRR and HR variability (HRV) recordings. HRR was measured at 1, 3, 5 and 10min after the 6MWT (HRR1, HRR3, HRR5, HRR10), then modelized by a mono-exponential function. Time-domain (square root of the mean of the sum of the squares of differences between adjacent normal R-R intervals [RMSSD]) and frequency-domain (with high- and low-frequency band powers) were used to analyse HRV. Participants completed a mental and physical well-being questionnaire at pre- and W8. Exhaustion after tests was assessed by the Borg scale. Pearson correlation was used to assess correlations. Results HRR3, HRR5 and HRR10 increased by 37%, 36% and 28%, respectively, between pre- and W8 (P<0.05), and were positively correlated with change in 6MWT distance (r=0.58, 0.66 and 0.76; P<0.05). Percentage change in HRR3 was positively correlated with change in well-being (r=0.70; P=0.01). Parasympathic reactivation (RMSSD) was improved only during the first 30sec of recovery (P=0.04). Conclusion Among patients undergoing a CRP after ACS, increased HRR after a 6MWT, especially at 3min, was positively correlated with 6MWT distance and improved well-being. HRR raw data seem more sensitive than post-exercise HRV analysis for monitoring functional and autonomic improvement after ACS. Permalink : ./index.php?lvl=notice_display&id=80448

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Effects of superficial heating and insulation on walking speed in people with hereditary and spontaneous spastic paraparesis: A randomised crossover study / A. Denton in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 72-77 Titre : Effects of superficial heating and insulation on walking speed in people with hereditary and spontaneous spastic paraparesis: A randomised crossover study Type de document : texte imprimé Auteurs : A. Denton ; A. Hough ; Jennifer A. Freeman ; Jonathan F. Marsden Année de publication : 2018 Article en page(s) : p. 72-77 Note générale : Doi : 10.1016/j.rehab.2017.12.001 Langues : Anglais (eng) Mots-clés : Hyperthermia induced  Walking  Spastic paraparesis Résumé : Objectives Cooling of the lower limb in people with Hereditary and Spontaneous Spastic Paraparesis (pwHSSP) has been shown to affect walking speed and neuromuscular impairments. The investigation of practical strategies, which may help to alleviate these problems is important. The potential of superficial heat to improve walking speed has not been explored in pwHSSP. Primary objective was to explore whether the application of superficial heat (hot packs) to lower limbs in pwHSSP improves walking speed. Secondary objective was to explore whether wearing insulation after heating would prolong any benefits. Methods A randomised crossover study design with 21 pwHSSP. On two separate occasions two hot packs and an insulating wrap (Neo-G™) were applied for 30minutes to the lower limbs of pwHSSP. On one occasion the insulating wrap was maintained for a further 30minutes and on the other occasion it was removed. Measures of temperature (skin, room and core), walking speed (10 metre timed walk) and co-ordination (foot tap time) were taken at baseline (T1), after 30 mins (T2) and at one hour (T3). Results All 21 pwHSSP reported increased lower limb stiffness and decreased walking ability when their legs were cold. After thirty minutes of heating, improvements were seen in walking speed (12.2%, P<0.0001, effect size 0.18) and foot tap time (21.5%, P<0.0001, effect size 0.59). Continuing to wear insulation for a further 30minutes gave no additional benefit; with significant improvements in walking speed maintained at one hour (9.9%, P>0.001) in both conditions. Conclusions Application of 30minutes superficial heating moderately improved walking speed in pwHSSP with effects maintained at 1hour. The use of hot packs applied to lower limbs should be the focus of further research for the clinical management of pwHSSP who report increased stiffness of limbs in cold weather and do not have sensory deficits. Permalink : ./index.php?lvl=notice_display&id=80449 [article] Effects of superficial heating and insulation on walking speed in people with hereditary and spontaneous spastic paraparesis: A randomised crossover study [texte imprimé] / A. Denton ; A. Hough ; Jennifer A. Freeman ; Jonathan F. Marsden . - 2018 . - p. 72-77. Doi : 10.1016/j.rehab.2017.12.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 72-77 Mots-clés : Hyperthermia induced  Walking  Spastic paraparesis Résumé : Objectives Cooling of the lower limb in people with Hereditary and Spontaneous Spastic Paraparesis (pwHSSP) has been shown to affect walking speed and neuromuscular impairments. The investigation of practical strategies, which may help to alleviate these problems is important. The potential of superficial heat to improve walking speed has not been explored in pwHSSP. Primary objective was to explore whether the application of superficial heat (hot packs) to lower limbs in pwHSSP improves walking speed. Secondary objective was to explore whether wearing insulation after heating would prolong any benefits. Methods A randomised crossover study design with 21 pwHSSP. On two separate occasions two hot packs and an insulating wrap (Neo-G™) were applied for 30minutes to the lower limbs of pwHSSP. On one occasion the insulating wrap was maintained for a further 30minutes and on the other occasion it was removed. Measures of temperature (skin, room and core), walking speed (10 metre timed walk) and co-ordination (foot tap time) were taken at baseline (T1), after 30 mins (T2) and at one hour (T3). Results All 21 pwHSSP reported increased lower limb stiffness and decreased walking ability when their legs were cold. After thirty minutes of heating, improvements were seen in walking speed (12.2%, P<0.0001, effect size 0.18) and foot tap time (21.5%, P<0.0001, effect size 0.59). Continuing to wear insulation for a further 30minutes gave no additional benefit; with significant improvements in walking speed maintained at one hour (9.9%, P>0.001) in both conditions. Conclusions Application of 30minutes superficial heating moderately improved walking speed in pwHSSP with effects maintained at 1hour. The use of hot packs applied to lower limbs should be the focus of further research for the clinical management of pwHSSP who report increased stiffness of limbs in cold weather and do not have sensory deficits. Permalink : ./index.php?lvl=notice_display&id=80449

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Five-day course of paired associative stimulation fails to improve motor function in stroke patients / Mohamed Tarri in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 78-84 Titre : Five-day course of paired associative stimulation fails to improve motor function in stroke patients Type de document : texte imprimé Auteurs : Mohamed Tarri ; Nabila Brimhat ; David Gasq ; Benoît Lepage ; Isabelle Loubinoux ; Xavier De Boissezon ; P. Marque ; Evelyne Castel-Lacanal Année de publication : 2018 Article en page(s) : p. 78-84 Note générale : Doi : 10.1016/j.rehab.2017.11.002 Langues : Anglais (eng) Mots-clés : Paired associative stimulation  Stroke  Transcranial magnetic stimulation  Cortical plasticity, Recovery Résumé : Background Non-invasive brain stimulation has been studied as a therapeutic adjunct for upper-limb recovery in patients with stroke. One type of stimulation, paired associative stimulation (PAS), has effects on plasticity in both patients and healthy participants. Lasting several hours, these effects are reversible and topographically specific. Objective The goal was to investigate the presence of a lasting increase in motor cortex plasticity for extensor wrist muscles — extensor carpi radialis (ECR) — and an improvement in upper-limb function after 5 days of daily PAS in patients at the subacute post-stroke stage. Methods A total of 24 patients (mean [SD] age 50.1 [12.1] years, weeks since stroke 10.1 [5.3]) were included in a double-blind, placebo-controlled trial and randomly assigned to the PAS or sham group (n=13 and n=11). For the PAS group, patients underwent a 5-day course of electrical peripheral stimulation combined with magnetic cortical stimulation applied to the ECR muscle in a single daily session at 0.1Hz for 30min; patients with sham treatment received minimal cortical stimulation. Both patient groups underwent 2 hr of conventional physiotherapy. Variations in the motor evoked potential (MEP) surface area of the ECR muscle and Fugl–Meyer Assessment–Upper-Limb motor scores were analysed up to day 12. Results The 2 groups did not differ in electrophysiological or motor parameters. Repeated PAS sessions seemed to affect only patients with low initial cortical excitability. We found considerable variability in PAS effects between patients and across the sessions. Conclusion We failed to induce a lasting effect with PAS in the present study. PAS does not seem to be the main method for post-stroke brain stimulation. Perhaps recruitment of patients could be more selective, possibly targeting those with a wide altered ipsilesional corticomotor pathway. Permalink : ./index.php?lvl=notice_display&id=80450 [article] Five-day course of paired associative stimulation fails to improve motor function in stroke patients [texte imprimé] / Mohamed Tarri ; Nabila Brimhat ; David Gasq ; Benoît Lepage ; Isabelle Loubinoux ; Xavier De Boissezon ; P. Marque ; Evelyne Castel-Lacanal . - 2018 . - p. 78-84. Doi : 10.1016/j.rehab.2017.11.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 78-84 Mots-clés : Paired associative stimulation  Stroke  Transcranial magnetic stimulation  Cortical plasticity, Recovery Résumé : Background Non-invasive brain stimulation has been studied as a therapeutic adjunct for upper-limb recovery in patients with stroke. One type of stimulation, paired associative stimulation (PAS), has effects on plasticity in both patients and healthy participants. Lasting several hours, these effects are reversible and topographically specific. Objective The goal was to investigate the presence of a lasting increase in motor cortex plasticity for extensor wrist muscles — extensor carpi radialis (ECR) — and an improvement in upper-limb function after 5 days of daily PAS in patients at the subacute post-stroke stage. Methods A total of 24 patients (mean [SD] age 50.1 [12.1] years, weeks since stroke 10.1 [5.3]) were included in a double-blind, placebo-controlled trial and randomly assigned to the PAS or sham group (n=13 and n=11). For the PAS group, patients underwent a 5-day course of electrical peripheral stimulation combined with magnetic cortical stimulation applied to the ECR muscle in a single daily session at 0.1Hz for 30min; patients with sham treatment received minimal cortical stimulation. Both patient groups underwent 2 hr of conventional physiotherapy. Variations in the motor evoked potential (MEP) surface area of the ECR muscle and Fugl–Meyer Assessment–Upper-Limb motor scores were analysed up to day 12. Results The 2 groups did not differ in electrophysiological or motor parameters. Repeated PAS sessions seemed to affect only patients with low initial cortical excitability. We found considerable variability in PAS effects between patients and across the sessions. Conclusion We failed to induce a lasting effect with PAS in the present study. PAS does not seem to be the main method for post-stroke brain stimulation. Perhaps recruitment of patients could be more selective, possibly targeting those with a wide altered ipsilesional corticomotor pathway. Permalink : ./index.php?lvl=notice_display&id=80450

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Social participation and psychosocial outcomes of young adults with chronic physical conditions: Comparing recipients and non-recipients of disability benefits / Marjolijn I. Bal in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 85-91 Titre : Social participation and psychosocial outcomes of young adults with chronic physical conditions: Comparing recipients and non-recipients of disability benefits Type de document : texte imprimé Auteurs : Marjolijn I. Bal ; Jane N.T. Sattoe ; Harald S. Miedema ; AnneLoes van Staa Année de publication : 2018 Article en page(s) : p. 85-91 Note générale : Doi : 10.1016/j.rehab.2017.12.005 Langues : Anglais (eng) Mots-clés : Chronic conditions  Physical disabilities  Adolescent  Psychosocial development  Social Participation  Quality of life Résumé : Background Little is known about any differences between young people with chronic physical conditions who do and do not apply for disability benefits in young adulthood for providing insights for future policy and rehabilitation care. Objective We aimed to identify predictors during adolescence of receiving disability benefits in young adulthood and to compare recipients and non-recipients of benefits in social participation and psychosocial outcomes in young adulthood. Methods Follow-up study of 18 to 25 year olds with various chronic conditions who at adolescent age completed a web-based survey (n=518; T0). The outcome was receiving disability benefits (yes or no). Associations with background characteristics, social participation, and impact of the chronic condition were explored with stepwise multivariate modelling, using T0 variables. Differences between recipients and non-recipients were explored using chi-square tests and t-tests. Results Receiving disability benefits in young adulthood was associated with greater extent of physical disability, receiving less special education, absenteeism at school/work, and low health-related quality of life during adolescence. In young adulthood, recipients of benefits reported higher perceived impact of the chronic condition on their school/work career and lower quality of life than non-recipients. Social participation varied across domains. Conclusion This study provides important insights into the characteristics of a vulnerable subgroup of young people with chronic physical conditions. Disability benefit recipients experienced more impact of their chronic condition and reported a lower health-related quality of life over time than non-recipients. Rehabilitation professionals are encouraged to use patient-reported outcomes to address the lived experiences and screen the need for psychosocial support of this vulnerable subgroup of young people with chronic physical conditions. Permalink : ./index.php?lvl=notice_display&id=80451 [article] Social participation and psychosocial outcomes of young adults with chronic physical conditions: Comparing recipients and non-recipients of disability benefits [texte imprimé] / Marjolijn I. Bal ; Jane N.T. Sattoe ; Harald S. Miedema ; AnneLoes van Staa . - 2018 . - p. 85-91. Doi : 10.1016/j.rehab.2017.12.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 85-91 Mots-clés : Chronic conditions  Physical disabilities  Adolescent  Psychosocial development  Social Participation  Quality of life Résumé : Background Little is known about any differences between young people with chronic physical conditions who do and do not apply for disability benefits in young adulthood for providing insights for future policy and rehabilitation care. Objective We aimed to identify predictors during adolescence of receiving disability benefits in young adulthood and to compare recipients and non-recipients of benefits in social participation and psychosocial outcomes in young adulthood. Methods Follow-up study of 18 to 25 year olds with various chronic conditions who at adolescent age completed a web-based survey (n=518; T0). The outcome was receiving disability benefits (yes or no). Associations with background characteristics, social participation, and impact of the chronic condition were explored with stepwise multivariate modelling, using T0 variables. Differences between recipients and non-recipients were explored using chi-square tests and t-tests. Results Receiving disability benefits in young adulthood was associated with greater extent of physical disability, receiving less special education, absenteeism at school/work, and low health-related quality of life during adolescence. In young adulthood, recipients of benefits reported higher perceived impact of the chronic condition on their school/work career and lower quality of life than non-recipients. Social participation varied across domains. Conclusion This study provides important insights into the characteristics of a vulnerable subgroup of young people with chronic physical conditions. Disability benefit recipients experienced more impact of their chronic condition and reported a lower health-related quality of life over time than non-recipients. Rehabilitation professionals are encouraged to use patient-reported outcomes to address the lived experiences and screen the need for psychosocial support of this vulnerable subgroup of young people with chronic physical conditions. Permalink : ./index.php?lvl=notice_display&id=80451

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A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis / Emmanuel Coudeyre in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 92-98 Titre : A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis Type de document : texte imprimé Auteurs : Emmanuel Coudeyre ; Christelle Nguyen ; Aurore Chabaud ; Bruno Pereira ; Johann Beaudreuil ; Jean-Marie Coudreuse ; Philippe Déat ; Frédéric Sailhan ; Alain Lorenzo ; François Rannou Année de publication : 2018 Article en page(s) : p. 92-98 Note générale : Doi : 10.1016/j.rehab.2018.01.001 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis  Orthosis  Braces  Decision-making tool  Guidelines Résumé : Objective To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. Methods A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA. A first DMT draft was presented to the task force in a 1-day meeting in January 2016. The first version of the DMT was criticized and discussed regarding everyday practice issues. Every step was discussed and amended until consensus agreement was achieved within the task force. Then 4 successive consultation rounds occurred by electronic communication, first with primary- and secondary-care physicians, then with international experts. All corrections and suggestions by each member were shared with the rest of the task force and included to reach final consensus. The final version was validated by the steering committee. Results The definition and indication of several types of knee orthoses (sleeve, patello-femoral, hinged or unicompartmental offloading braces) were detailed. Orthoses may be proposed in addition to first-line non-pharmacological treatment if patient acceptance is considered good. At every step, a specific clinical assessment is needed. Discussion/conclusion Based on the latest high-level evidence, practice guidelines, and an expert panel, a DMT to facilitate daily practice prescription of knee orthoses for OA patients was designed. An evaluation of DMT implementation in a wide range of health professionals is still needed. Permalink : ./index.php?lvl=notice_display&id=80452 [article] A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis [texte imprimé] / Emmanuel Coudeyre ; Christelle Nguyen ; Aurore Chabaud ; Bruno Pereira ; Johann Beaudreuil ; Jean-Marie Coudreuse ; Philippe Déat ; Frédéric Sailhan ; Alain Lorenzo ; François Rannou . - 2018 . - p. 92-98. Doi : 10.1016/j.rehab.2018.01.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 92-98 Mots-clés : Knee osteoarthritis  Orthosis  Braces  Decision-making tool  Guidelines Résumé : Objective To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. Methods A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA. A first DMT draft was presented to the task force in a 1-day meeting in January 2016. The first version of the DMT was criticized and discussed regarding everyday practice issues. Every step was discussed and amended until consensus agreement was achieved within the task force. Then 4 successive consultation rounds occurred by electronic communication, first with primary- and secondary-care physicians, then with international experts. All corrections and suggestions by each member were shared with the rest of the task force and included to reach final consensus. The final version was validated by the steering committee. Results The definition and indication of several types of knee orthoses (sleeve, patello-femoral, hinged or unicompartmental offloading braces) were detailed. Orthoses may be proposed in addition to first-line non-pharmacological treatment if patient acceptance is considered good. At every step, a specific clinical assessment is needed. Discussion/conclusion Based on the latest high-level evidence, practice guidelines, and an expert panel, a DMT to facilitate daily practice prescription of knee orthoses for OA patients was designed. An evaluation of DMT implementation in a wide range of health professionals is still needed. Permalink : ./index.php?lvl=notice_display&id=80452

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Hand dysfunction in type 2 diabetes mellitus: Systematic review with meta-analysis / Shubha Gundmi in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 99-104 Titre : Hand dysfunction in type 2 diabetes mellitus: Systematic review with meta-analysis Type de document : texte imprimé Auteurs : Shubha Gundmi ; Arun G. Maiya ; Anil K. Bhat ; N. Ravishankar ; Manjunatha H. Hande ; K.V. Rajagopal Année de publication : 2018 Article en page(s) : p. 99-104 Note générale : Doi : 10.1016/j.rehab.2017.12.006 Langues : Anglais (eng) Mots-clés : Type 2 diabetes mellitus  Hand  Dysfunction  Strength, Dexterity Résumé : Background People with type 2 diabetes mellitus frequently show complications in feet and hands. However, the literature has mostly focused on foot complications. The disease can affect the strength and dexterity of the hands, thereby reducing function. Objectives This systematic review and meta-analysis focused on identifying the existing evidence on how type 2 diabetes mellitus affects hand strength, dexterity and function. Methods We searched MEDLINE via PubMed, CINHAL, Scopus and Web of Science, and the Cochrane central register of controlled trials for reports of studies of grip and pinch strength as well as hand dexterity and function evaluated by questionnaires comparing patients with type 2 diabetes mellitus and healthy controls that were published between 1990 and 2017. Data are reported as standardized mean difference (SMD) or mean difference (MD) and 95% confidence intervals (CIs). Results Among 2077 records retrieved, only 7 full-text articles were available for meta-analysis. For both the dominant and non-dominant hand, type 2 diabetes mellitus negatively affected grip strength (SMD: −1.03; 95% CI: −2.24 to 0.18 and −1.37, −3.07 to 0.33) and pinch strength (−1.09, −2.56 to 0.38 and −1.12, −2.73 to 0.49), although not significantly. Dexterity of the dominant hand did not differ between diabetes and control groups but was poorer for the non-dominant hand, although not significantly. Hand function was worse for diabetes than control groups in 2 studies (MD: −8.7; 95% CI: −16.88 to −1.52 and 4.69, 2.03 to 7.35). Conclusion This systematic review with meta-analysis suggested reduced hand function, specifically grip and pinch strength, for people with type 2 diabetes mellitus versus healthy controls. However, the sample size for all studies was low. Hence, we need studies with adequate sample size and randomized controlled trials to provide statistically significant results. Permalink : ./index.php?lvl=notice_display&id=80453 [article] Hand dysfunction in type 2 diabetes mellitus: Systematic review with meta-analysis [texte imprimé] / Shubha Gundmi ; Arun G. Maiya ; Anil K. Bhat ; N. Ravishankar ; Manjunatha H. Hande ; K.V. Rajagopal . - 2018 . - p. 99-104. Doi : 10.1016/j.rehab.2017.12.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 99-104 Mots-clés : Type 2 diabetes mellitus  Hand  Dysfunction  Strength, Dexterity Résumé : Background People with type 2 diabetes mellitus frequently show complications in feet and hands. However, the literature has mostly focused on foot complications. The disease can affect the strength and dexterity of the hands, thereby reducing function. Objectives This systematic review and meta-analysis focused on identifying the existing evidence on how type 2 diabetes mellitus affects hand strength, dexterity and function. Methods We searched MEDLINE via PubMed, CINHAL, Scopus and Web of Science, and the Cochrane central register of controlled trials for reports of studies of grip and pinch strength as well as hand dexterity and function evaluated by questionnaires comparing patients with type 2 diabetes mellitus and healthy controls that were published between 1990 and 2017. Data are reported as standardized mean difference (SMD) or mean difference (MD) and 95% confidence intervals (CIs). Results Among 2077 records retrieved, only 7 full-text articles were available for meta-analysis. For both the dominant and non-dominant hand, type 2 diabetes mellitus negatively affected grip strength (SMD: −1.03; 95% CI: −2.24 to 0.18 and −1.37, −3.07 to 0.33) and pinch strength (−1.09, −2.56 to 0.38 and −1.12, −2.73 to 0.49), although not significantly. Dexterity of the dominant hand did not differ between diabetes and control groups but was poorer for the non-dominant hand, although not significantly. Hand function was worse for diabetes than control groups in 2 studies (MD: −8.7; 95% CI: −16.88 to −1.52 and 4.69, 2.03 to 7.35). Conclusion This systematic review with meta-analysis suggested reduced hand function, specifically grip and pinch strength, for people with type 2 diabetes mellitus versus healthy controls. However, the sample size for all studies was low. Hence, we need studies with adequate sample size and randomized controlled trials to provide statistically significant results. Permalink : ./index.php?lvl=notice_display&id=80453

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No effect of fampridine on real-life physical activity in people with multiple sclerosis / Yoshimasa Sagawa in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 105-107 Titre : No effect of fampridine on real-life physical activity in people with multiple sclerosis Type de document : texte imprimé Auteurs : Yoshimasa Sagawa ; E. Watelain ; Thierry Moulin ; Pierre Decavel Année de publication : 2018 Article en page(s) : p. 105-107 Note générale : Doi : 10.1016/j.rehab.2017.10.006 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80454 [article] No effect of fampridine on real-life physical activity in people with multiple sclerosis [texte imprimé] / Yoshimasa Sagawa ; E. Watelain ; Thierry Moulin ; Pierre Decavel . - 2018 . - p. 105-107. Doi : 10.1016/j.rehab.2017.10.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 105-107 Permalink : ./index.php?lvl=notice_display&id=80454

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Physical therapy improves lower limb muscle strength but not function in individuals with amyotrophic lateral sclerosis: A case series study / Naoki Kato in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 108-110 Titre : Physical therapy improves lower limb muscle strength but not function in individuals with amyotrophic lateral sclerosis: A case series study Type de document : texte imprimé Auteurs : Naoki Kato ; Goichi Hashida ; Mizuki Kobayashi Année de publication : 2018 Article en page(s) : p. 108-110 Note générale : Doi : 10.1016/j.rehab.2017.09.007 Langues : Anglais (eng) Mots-clés : Amyotrophic lateral sclerosis  Physical therapy  Muscle strength Permalink : ./index.php?lvl=notice_display&id=80455 [article] Physical therapy improves lower limb muscle strength but not function in individuals with amyotrophic lateral sclerosis: A case series study [texte imprimé] / Naoki Kato ; Goichi Hashida ; Mizuki Kobayashi . - 2018 . - p. 108-110. Doi : 10.1016/j.rehab.2017.09.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 108-110 Mots-clés : Amyotrophic lateral sclerosis  Physical therapy  Muscle strength Permalink : ./index.php?lvl=notice_display&id=80455

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Effect of a single early EEG neurofeedback training on remediation of spatial neglect in the acute phase / Alessio Facchin in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 113-114 Titre : Effect of a single early EEG neurofeedback training on remediation of spatial neglect in the acute phase Type de document : texte imprimé Auteurs : Alessio Facchin ; Nicoletta Beschin Année de publication : 2018 Article en page(s) : p. 113-114 Note générale : Doi : 10.1016/j.rehab.2017.11.001 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80456 [article] Effect of a single early EEG neurofeedback training on remediation of spatial neglect in the acute phase [texte imprimé] / Alessio Facchin ; Nicoletta Beschin . - 2018 . - p. 113-114. Doi : 10.1016/j.rehab.2017.11.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 113-114 Permalink : ./index.php?lvl=notice_display&id=80456

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Pathways back to driving after acquired brain injury: Patients do not always follow medical advice! / L. Moreau in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 115-117 Titre : Pathways back to driving after acquired brain injury: Patients do not always follow medical advice! Type de document : texte imprimé Auteurs : L. Moreau ; Isabelle Hauret ; M. Tetard Année de publication : 2018 Article en page(s) : p. 115-117 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80457 [article] Pathways back to driving after acquired brain injury: Patients do not always follow medical advice! [texte imprimé] / L. Moreau ; Isabelle Hauret ; M. Tetard . - 2018 . - p. 115-117. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 115-117 Permalink : ./index.php?lvl=notice_display&id=80457

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