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Effect of exercise training on left ventricular mechanics after acute myocardial infarction–an exploratory study / Gordon McGregor 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. 119-124 Titre : Effect of exercise training on left ventricular mechanics after acute myocardial infarction–an exploratory study Type de document : texte imprimé Auteurs : Gordon McGregor ; Eric Stöhr ; David Oxborough ; Peter Kimani ; Rob Shave Année de publication : 2018 Article en page(s) : p. 119-124 Note générale : Doi : 10.1016/j.rehab.2018.01.003 Langues : Anglais (eng) Mots-clés : Longitudinal strain  Left ventricular twist  Left ventricular remodelling Résumé : Background Cardiac rehabilitation (CR) exercise training is beneficial after myocardial infarction (MI). Whilst the peripheral adaptations to training are well defined, little is known regarding the effect on left ventricular (LV) remodelling, particularly LV function. Efficient LV ejection and filling is achieved through deformation and rotation of the myocardium in systole and diastole – LV mechanics. The response of LV mechanics to CR exercise training in MI patients is unknown. Methods In this observational exploratory study, 36 (of 40 enrolled) male, MI patients completed either 10-weeks of twice-weekly gym based cardiovascular exercise at 60–80% VO2peak (n=18), or a non-exercise control period (n=18). Cardiopulmonary exercise testing and speckle tracking echocardiography were performed at baseline and 10 weeks. Results Compared to the non-exercise group, VO2peak improved with CR exercise training (Difference: +4.28 [95% CI: 1.34 to 7.23] ml.kg−1.min−1, P=0.01). Neither conventional LV structural or functional indices, nor LV global longitudinal strain, significantly changed in either group. In contrast, LV twist and twist velocity decreased in the exercise group and increased in the non-exercise group (Difference: −3.95° [95% CI: −7.92 to 0.03°], P=0.05 and −19.2°.s−1 [95% CI: −35.9 to −2.7°.s−1], P=0.02, respectively). Conclusion In MI patients who completed CR exercise training, LV twist and twist velocity decreased, whereas these parameters increased in patients who did not exercise. These preliminary data may indicate reverse LV functional remodelling and improved functional reserve. The assessment of LV twist may serve as an indicator of the therapeutic ben Permalink : ./index.php?lvl=notice_display&id=80458 [article] Effect of exercise training on left ventricular mechanics after acute myocardial infarction–an exploratory study [texte imprimé] / Gordon McGregor ; Eric Stöhr ; David Oxborough ; Peter Kimani ; Rob Shave . - 2018 . - p. 119-124. Doi : 10.1016/j.rehab.2018.01.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 119-124 Mots-clés : Longitudinal strain  Left ventricular twist  Left ventricular remodelling Résumé : Background Cardiac rehabilitation (CR) exercise training is beneficial after myocardial infarction (MI). Whilst the peripheral adaptations to training are well defined, little is known regarding the effect on left ventricular (LV) remodelling, particularly LV function. Efficient LV ejection and filling is achieved through deformation and rotation of the myocardium in systole and diastole – LV mechanics. The response of LV mechanics to CR exercise training in MI patients is unknown. Methods In this observational exploratory study, 36 (of 40 enrolled) male, MI patients completed either 10-weeks of twice-weekly gym based cardiovascular exercise at 60–80% VO2peak (n=18), or a non-exercise control period (n=18). Cardiopulmonary exercise testing and speckle tracking echocardiography were performed at baseline and 10 weeks. Results Compared to the non-exercise group, VO2peak improved with CR exercise training (Difference: +4.28 [95% CI: 1.34 to 7.23] ml.kg−1.min−1, P=0.01). Neither conventional LV structural or functional indices, nor LV global longitudinal strain, significantly changed in either group. In contrast, LV twist and twist velocity decreased in the exercise group and increased in the non-exercise group (Difference: −3.95° [95% CI: −7.92 to 0.03°], P=0.05 and −19.2°.s−1 [95% CI: −35.9 to −2.7°.s−1], P=0.02, respectively). Conclusion In MI patients who completed CR exercise training, LV twist and twist velocity decreased, whereas these parameters increased in patients who did not exercise. These preliminary data may indicate reverse LV functional remodelling and improved functional reserve. The assessment of LV twist may serve as an indicator of the therapeutic ben Permalink : ./index.php?lvl=notice_display&id=80458

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Rehabilitation improves walking kinematics in children with a knee varus: Randomized controlled trial / Amir Ali Jafarnezhadgero 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. 125-134 Titre : Rehabilitation improves walking kinematics in children with a knee varus: Randomized controlled trial Type de document : texte imprimé Auteurs : Amir Ali Jafarnezhadgero ; Mahdi Majlesi ; Hojat Etemadi ; D.G.E. Robertson Année de publication : 2018 Article en page(s) : p. 125-134 Note générale : Doi : 10.1016/j.rehab.2018.01.007 Langues : Anglais (eng) Mots-clés : Genu varus  Gait  Lower limb  Joint angle Résumé : Background Previous studies have demonstrated increased medial stresses in knee varus alignment. Selecting a suitable treatment strategy for individuals with knee malalignment should be a priority. Objectives We aimed to investigate the effects of a 16-week corrective exercise continuum (CEC) program on 3-D joint angles of the dominant and non-dominant lower limbs in children with genu varus during walking. Methods Overall, 28 male children with genu varus (age range 9–14 years) volunteered to participate in this study. They were randomly divided into 2 equal groups (experimental and control). The participants of the experimental group received CEC for 16 weeks. 3-D gait analysis involved using a Vicon Motion System. Paired and independent sample t-tests were used for within- and between-group comparisons, respectively. Results For the experimental group, comparison of pre- and post-test joint kinematics of the dominant lower limb revealed that CEC decreased the peak ankle dorsiflexion angle by 26% (P=0.020), peak foot internal rotation angle by 53% (P=0.001), peak knee internal rotation angle by 40% (P=0.011), peak hip abduction by 47% (P=0.010), and peak hip external rotation angle by 60% (P=0.001). In contrast, peak knee external rotation angle of the dominant limb was increased after the training program by 46% (P=0.044). For the non-dominant lower limb, CEC decreased the peak ankle inversion by 63% (P<0.01), peak ankle eversion by 91% (P<0.01), peak foot internal rotation by 50% (P<0.01), peak knee internal rotation by 29%; P=0.042), peak hip abduction angle by 38% (P<0.01), and peak hip external rotation angle by 60% (P<0.01). Conclusions CEC therapy reduced excessive foot and knee internal rotations as well as excessive hip external rotation during walking in children with genu varus. Permalink : ./index.php?lvl=notice_display&id=80459 [article] Rehabilitation improves walking kinematics in children with a knee varus: Randomized controlled trial [texte imprimé] / Amir Ali Jafarnezhadgero ; Mahdi Majlesi ; Hojat Etemadi ; D.G.E. Robertson . - 2018 . - p. 125-134. Doi : 10.1016/j.rehab.2018.01.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 125-134 Mots-clés : Genu varus  Gait  Lower limb  Joint angle Résumé : Background Previous studies have demonstrated increased medial stresses in knee varus alignment. Selecting a suitable treatment strategy for individuals with knee malalignment should be a priority. Objectives We aimed to investigate the effects of a 16-week corrective exercise continuum (CEC) program on 3-D joint angles of the dominant and non-dominant lower limbs in children with genu varus during walking. Methods Overall, 28 male children with genu varus (age range 9–14 years) volunteered to participate in this study. They were randomly divided into 2 equal groups (experimental and control). The participants of the experimental group received CEC for 16 weeks. 3-D gait analysis involved using a Vicon Motion System. Paired and independent sample t-tests were used for within- and between-group comparisons, respectively. Results For the experimental group, comparison of pre- and post-test joint kinematics of the dominant lower limb revealed that CEC decreased the peak ankle dorsiflexion angle by 26% (P=0.020), peak foot internal rotation angle by 53% (P=0.001), peak knee internal rotation angle by 40% (P=0.011), peak hip abduction by 47% (P=0.010), and peak hip external rotation angle by 60% (P=0.001). In contrast, peak knee external rotation angle of the dominant limb was increased after the training program by 46% (P=0.044). For the non-dominant lower limb, CEC decreased the peak ankle inversion by 63% (P<0.01), peak ankle eversion by 91% (P<0.01), peak foot internal rotation by 50% (P<0.01), peak knee internal rotation by 29%; P=0.042), peak hip abduction angle by 38% (P<0.01), and peak hip external rotation angle by 60% (P<0.01). Conclusions CEC therapy reduced excessive foot and knee internal rotations as well as excessive hip external rotation during walking in children with genu varus. Permalink : ./index.php?lvl=notice_display&id=80459

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Diagnosis, follow-up and management of sleep-disordered breathing in children with osteogenesis imperfecta / Antoine Léotard 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. 135-139 Titre : Diagnosis, follow-up and management of sleep-disordered breathing in children with osteogenesis imperfecta Type de document : texte imprimé Auteurs : Antoine Léotard ; J. Taytard ; Marion Aouate ; Michèle Boule ; V. Forin ; P. Lallemant-Dudek Année de publication : 2018 Article en page(s) : p. 135-139 Note générale : Doi : 10.1016/j.rehab.2018.02.001 Langues : Anglais (eng) Mots-clés : Osteogenesis imperfecta  Polysomnography  Sleep-disordered breathing  Motor function  Walking autonomy Résumé : Objectives Osteogenesis imperfecta (OI) is the most common genetic skeletal disorder. Extraskeletal findings are common but an association with sleep-disordered breathing (SDB) has never been described. The aim of this study was to investigate clinical features of children with OI and suspected SDB. Methods A retrospective study of clinical records, signs of SDB and polysomnographic recordings of children with OI was performed. We paid particular attention to symptoms that could be associated with SDB in this population – scoliosis, kyphosis, vertebral arthrodesis, chest wall deformities, basilar impression, autonomy – as well as data already known to be associated with obstructive sleep apnea such as body mass index and upper-airway impairment. Results We reviewed the clinical charts of 188 patients referred to our genetic skeletal disorders reference center for OI. Among the 15 patients (8%) with polysomnographic recordings, 12 (6.4%) had sleep-disordered breathing. We found a negative correlation between the Brief Assessment of Motor Function score and Apnea Hypopnea Index (r=−0.68; p=0.01) and Desaturation Index (r=−0.62; p=0.02). The Apnea Hypopnea Index was higher for non-walkers than walkers (mean [SD]: 6.5 [3.6] vs. 2.4 [1.5]; p=0.02) and with type III versus IV OI. Two patients were started on continuous positive airway pressure ventilation, with clinical improvement. Conclusion For OI children, symptoms suggesting obstructive sleep disorders should be searched for systematically, especially in children with compromised autonomy, high body mass index, trunk deformations, and severe OI type. Permalink : ./index.php?lvl=notice_display&id=80460 [article] Diagnosis, follow-up and management of sleep-disordered breathing in children with osteogenesis imperfecta [texte imprimé] / Antoine Léotard ; J. Taytard ; Marion Aouate ; Michèle Boule ; V. Forin ; P. Lallemant-Dudek . - 2018 . - p. 135-139. Doi : 10.1016/j.rehab.2018.02.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 135-139 Mots-clés : Osteogenesis imperfecta  Polysomnography  Sleep-disordered breathing  Motor function  Walking autonomy Résumé : Objectives Osteogenesis imperfecta (OI) is the most common genetic skeletal disorder. Extraskeletal findings are common but an association with sleep-disordered breathing (SDB) has never been described. The aim of this study was to investigate clinical features of children with OI and suspected SDB. Methods A retrospective study of clinical records, signs of SDB and polysomnographic recordings of children with OI was performed. We paid particular attention to symptoms that could be associated with SDB in this population – scoliosis, kyphosis, vertebral arthrodesis, chest wall deformities, basilar impression, autonomy – as well as data already known to be associated with obstructive sleep apnea such as body mass index and upper-airway impairment. Results We reviewed the clinical charts of 188 patients referred to our genetic skeletal disorders reference center for OI. Among the 15 patients (8%) with polysomnographic recordings, 12 (6.4%) had sleep-disordered breathing. We found a negative correlation between the Brief Assessment of Motor Function score and Apnea Hypopnea Index (r=−0.68; p=0.01) and Desaturation Index (r=−0.62; p=0.02). The Apnea Hypopnea Index was higher for non-walkers than walkers (mean [SD]: 6.5 [3.6] vs. 2.4 [1.5]; p=0.02) and with type III versus IV OI. Two patients were started on continuous positive airway pressure ventilation, with clinical improvement. Conclusion For OI children, symptoms suggesting obstructive sleep disorders should be searched for systematically, especially in children with compromised autonomy, high body mass index, trunk deformations, and severe OI type. Permalink : ./index.php?lvl=notice_display&id=80460

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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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Reproducibility of sub-acromial impingement tests, including a new clinical manoeuver / Antoine Ferenczi 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. 151-155 Titre : Reproducibility of sub-acromial impingement tests, including a new clinical manoeuver Type de document : texte imprimé Auteurs : Antoine Ferenczi ; Agnès Ostertag ; Sandra Lasbleiz ; David Petrover ; Alain P. Yelnik ; P. Richette ; T. Bardin ; Philippe Orcel ; Johann Beaudreuil Année de publication : 2018 Article en page(s) : p. 151-155 Note générale : Doi : 10.1016/j.rehab.2018.01.005 Langues : Anglais (eng) Mots-clés : Clinical test  Sub-acromial impingement  Degenerative rotator cuff disease  Reproducibility Résumé : Background The Neer, Hawkins, and Yocum clinical tests detect sub-acromial impingement as a pathogenic process of degenerative rotator cuff disease. Their reproducibility has been little investigated. Objectives We tested the reproducibility of the Neer, Hawkins, and Yocum clinical tests for detecting this sub-acromial impingement and also an original clinical manoeuver, the countertest with elevation with lateral rotation (CELR), which is a test of sub-acromial impingement. Methods Patients with shoulder pain due to degenerative rotator cuff disease were prospectively included. They were assessed with the Neer, Hawkins and Yocum tests as well as the CELR twice at a 1 week interval. Intra- and inter-observer reproducibility was assessed by percentage agreement and the kappa coefficient of concordance with 95% confidence intervals (CIs). Concordance was poor with kappa ≤0.4, moderate >0.4, and good >0.61. It was considered suitable for clinical use with kappa >0.4. Results We included 34 patients (mean [SD] age 60 [11] years; 26 females). For intra-observer reproducibility, agreement was 80% to 88%. By the kappa coefficient, intra-observer reproducibility was poor for the Neer test and moderate for the Hawkins test (0.56 [95% CI 0;0.9]) and Yocum test (0.48 [0;0.8]) and CELR (0.6 [0.2;0.9]). For inter-observer reproducibility, agreement was 73% to 88%. By the kappa coefficient, inter-observer reproducibility was poor for the Yocum test, moderate for the Hawkins test (0.54 [0.2;0.8]) and CELR (0.58 [0.2;0.8]), and good for the Neer test (0.64 [0.2;0.9]). Conclusion The Hawkins test and CELR had a balanced profile of reproducibility suitable for clinical practice. We underline the potential interest of CELR, an original manoeuver. Permalink : ./index.php?lvl=notice_display&id=80462 [article] Reproducibility of sub-acromial impingement tests, including a new clinical manoeuver [texte imprimé] / Antoine Ferenczi ; Agnès Ostertag ; Sandra Lasbleiz ; David Petrover ; Alain P. Yelnik ; P. Richette ; T. Bardin ; Philippe Orcel ; Johann Beaudreuil . - 2018 . - p. 151-155. Doi : 10.1016/j.rehab.2018.01.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 151-155 Mots-clés : Clinical test  Sub-acromial impingement  Degenerative rotator cuff disease  Reproducibility Résumé : Background The Neer, Hawkins, and Yocum clinical tests detect sub-acromial impingement as a pathogenic process of degenerative rotator cuff disease. Their reproducibility has been little investigated. Objectives We tested the reproducibility of the Neer, Hawkins, and Yocum clinical tests for detecting this sub-acromial impingement and also an original clinical manoeuver, the countertest with elevation with lateral rotation (CELR), which is a test of sub-acromial impingement. Methods Patients with shoulder pain due to degenerative rotator cuff disease were prospectively included. They were assessed with the Neer, Hawkins and Yocum tests as well as the CELR twice at a 1 week interval. Intra- and inter-observer reproducibility was assessed by percentage agreement and the kappa coefficient of concordance with 95% confidence intervals (CIs). Concordance was poor with kappa ≤0.4, moderate >0.4, and good >0.61. It was considered suitable for clinical use with kappa >0.4. Results We included 34 patients (mean [SD] age 60 [11] years; 26 females). For intra-observer reproducibility, agreement was 80% to 88%. By the kappa coefficient, intra-observer reproducibility was poor for the Neer test and moderate for the Hawkins test (0.56 [95% CI 0;0.9]) and Yocum test (0.48 [0;0.8]) and CELR (0.6 [0.2;0.9]). For inter-observer reproducibility, agreement was 73% to 88%. By the kappa coefficient, inter-observer reproducibility was poor for the Yocum test, moderate for the Hawkins test (0.54 [0.2;0.8]) and CELR (0.58 [0.2;0.8]), and good for the Neer test (0.64 [0.2;0.9]). Conclusion The Hawkins test and CELR had a balanced profile of reproducibility suitable for clinical practice. We underline the potential interest of CELR, an original manoeuver. Permalink : ./index.php?lvl=notice_display&id=80462

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Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism / Davy Laroche 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. 156-163 Titre : Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism Type de document : texte imprimé Auteurs : Davy Laroche ; Morgane Mangin ; Delphine Besson ; Alexandre Naaim ; Anaïs Gouteron ; Jean-Marie Casillas Année de publication : 2018 Article en page(s) : p. 156-163 Note générale : Doi : 10.1016/j.rehab.2017.12.009 Langues : Anglais (eng) Mots-clés : Anaerobic test  Blood lactate measurement  Exercise test  NIRS muscle  Oxygen debt  Step test Résumé : Background Although the initial anaerobic component of exercise adaptation is unavoidable, no specific functional test is available for use in routine non-sporting practice to evaluate it. Objective To assess the bioenergetic and biomechanical properties of the Short and Fast Step Test (SFST), which consists of walking up and down a step as many times as possible in 1minute and to analyse its ability to explore the initial anaerobic component of effort in comparison to a reference self-paced step test. Methods Overall, 31 healthy subjects (19 women; mean [SD] age, 32.4 [10.2] years) completed a test–retest of a self-paced step test and the SFST, with pre- and post-test measurement of blood lactate concentration and continuous recording of VO2 and modelling of excess post-exercise oxygen consumption (EPOC), near-infrared spectroscopy (NIRS) of the quadriceps and mechanical power (estimated by the number of steps climbed and 3-D motion analysis). Results Both step tests were well tolerated. The reliability of the bioenergetics parameters, number of raised steps, mechanical power and NIRS tissue saturation index was good. Indirect mechanical power (estimated from number of steps) was correlated with direct power (computed from the centre of mass). Lactate accumulation was significantly increased during exercise with only the SFST (mean [SD] increase, 3.86 [3.26]mmolL−1 from resting values, P<0.05). EPOC was higher with the SFST than the self-paced step test (P<0.05). Only the SFST showed significant correlations between number of steps climbed and EPOC (r=0.84; P<0.001) and decreased tissue saturation index (NIRS) and EPOC area (r=−0.39; P<0.05). Conclusions SFST is feasible, well tolerated, reliable and responsive to explore a brief exercise involving anaerobic metabolism at submaximal intensity. The number of steps taken in 1minute seems a suitable parameter for practical application. Permalink : ./index.php?lvl=notice_display&id=80463 [article] Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism [texte imprimé] / Davy Laroche ; Morgane Mangin ; Delphine Besson ; Alexandre Naaim ; Anaïs Gouteron ; Jean-Marie Casillas . - 2018 . - p. 156-163. Doi : 10.1016/j.rehab.2017.12.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 156-163 Mots-clés : Anaerobic test  Blood lactate measurement  Exercise test  NIRS muscle  Oxygen debt  Step test Résumé : Background Although the initial anaerobic component of exercise adaptation is unavoidable, no specific functional test is available for use in routine non-sporting practice to evaluate it. Objective To assess the bioenergetic and biomechanical properties of the Short and Fast Step Test (SFST), which consists of walking up and down a step as many times as possible in 1minute and to analyse its ability to explore the initial anaerobic component of effort in comparison to a reference self-paced step test. Methods Overall, 31 healthy subjects (19 women; mean [SD] age, 32.4 [10.2] years) completed a test–retest of a self-paced step test and the SFST, with pre- and post-test measurement of blood lactate concentration and continuous recording of VO2 and modelling of excess post-exercise oxygen consumption (EPOC), near-infrared spectroscopy (NIRS) of the quadriceps and mechanical power (estimated by the number of steps climbed and 3-D motion analysis). Results Both step tests were well tolerated. The reliability of the bioenergetics parameters, number of raised steps, mechanical power and NIRS tissue saturation index was good. Indirect mechanical power (estimated from number of steps) was correlated with direct power (computed from the centre of mass). Lactate accumulation was significantly increased during exercise with only the SFST (mean [SD] increase, 3.86 [3.26]mmolL−1 from resting values, P<0.05). EPOC was higher with the SFST than the self-paced step test (P<0.05). Only the SFST showed significant correlations between number of steps climbed and EPOC (r=0.84; P<0.001) and decreased tissue saturation index (NIRS) and EPOC area (r=−0.39; P<0.05). Conclusions SFST is feasible, well tolerated, reliable and responsive to explore a brief exercise involving anaerobic metabolism at submaximal intensity. The number of steps taken in 1minute seems a suitable parameter for practical application. Permalink : ./index.php?lvl=notice_display&id=80463

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Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism / Agata Krasny-Pacini 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. 164-179 Titre : Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism Type de document : texte imprimé Auteurs : Agata Krasny-Pacini ; Jonathan Evans Année de publication : 2018 Article en page(s) : p. 164-179 Note générale : Doi : 10.1016/j.rehab.2017.12.009 Langues : Anglais (eng) Mots-clés : Anaerobic test  Blood lactate measurement  Exercise test  NIRS muscle  Oxygen debt  Step test Résumé : Background Although the initial anaerobic component of exercise adaptation is unavoidable, no specific functional test is available for use in routine non-sporting practice to evaluate it. Objective To assess the bioenergetic and biomechanical properties of the Short and Fast Step Test (SFST), which consists of walking up and down a step as many times as possible in 1minute and to analyse its ability to explore the initial anaerobic component of effort in comparison to a reference self-paced step test. Methods Overall, 31 healthy subjects (19 women; mean [SD] age, 32.4 [10.2] years) completed a test–retest of a self-paced step test and the SFST, with pre- and post-test measurement of blood lactate concentration and continuous recording of VO2 and modelling of excess post-exercise oxygen consumption (EPOC), near-infrared spectroscopy (NIRS) of the quadriceps and mechanical power (estimated by the number of steps climbed and 3-D motion analysis). Results Both step tests were well tolerated. The reliability of the bioenergetics parameters, number of raised steps, mechanical power and NIRS tissue saturation index was good. Indirect mechanical power (estimated from number of steps) was correlated with direct power (computed from the centre of mass). Lactate accumulation was significantly increased during exercise with only the SFST (mean [SD] increase, 3.86 [3.26]mmolL−1 from resting values, P<0.05). EPOC was higher with the SFST than the self-paced step test (P<0.05). Only the SFST showed significant correlations between number of steps climbed and EPOC (r=0.84; P<0.001) and decreased tissue saturation index (NIRS) and EPOC area (r=−0.39; P<0.05). Conclusions SFST is feasible, well tolerated, reliable and responsive to explore a brief exercise involving anaerobic metabolism at submaximal intensity. The number of steps taken in 1minute seems a suitable parameter for practical application. Permalink : ./index.php?lvl=notice_display&id=80464 [article] Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism [texte imprimé] / Agata Krasny-Pacini ; Jonathan Evans . - 2018 . - p. 164-179. Doi : 10.1016/j.rehab.2017.12.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 164-179 Mots-clés : Anaerobic test  Blood lactate measurement  Exercise test  NIRS muscle  Oxygen debt  Step test Résumé : Background Although the initial anaerobic component of exercise adaptation is unavoidable, no specific functional test is available for use in routine non-sporting practice to evaluate it. Objective To assess the bioenergetic and biomechanical properties of the Short and Fast Step Test (SFST), which consists of walking up and down a step as many times as possible in 1minute and to analyse its ability to explore the initial anaerobic component of effort in comparison to a reference self-paced step test. Methods Overall, 31 healthy subjects (19 women; mean [SD] age, 32.4 [10.2] years) completed a test–retest of a self-paced step test and the SFST, with pre- and post-test measurement of blood lactate concentration and continuous recording of VO2 and modelling of excess post-exercise oxygen consumption (EPOC), near-infrared spectroscopy (NIRS) of the quadriceps and mechanical power (estimated by the number of steps climbed and 3-D motion analysis). Results Both step tests were well tolerated. The reliability of the bioenergetics parameters, number of raised steps, mechanical power and NIRS tissue saturation index was good. Indirect mechanical power (estimated from number of steps) was correlated with direct power (computed from the centre of mass). Lactate accumulation was significantly increased during exercise with only the SFST (mean [SD] increase, 3.86 [3.26]mmolL−1 from resting values, P<0.05). EPOC was higher with the SFST than the self-paced step test (P<0.05). Only the SFST showed significant correlations between number of steps climbed and EPOC (r=0.84; P<0.001) and decreased tissue saturation index (NIRS) and EPOC area (r=−0.39; P<0.05). Conclusions SFST is feasible, well tolerated, reliable and responsive to explore a brief exercise involving anaerobic metabolism at submaximal intensity. The number of steps taken in 1minute seems a suitable parameter for practical application. Permalink : ./index.php?lvl=notice_display&id=80464

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Satisfaction and long-term use of orthopedic shoes in people with chronic stroke / M. Kerzoncuf 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. 180-182 Titre : Satisfaction and long-term use of orthopedic shoes in people with chronic stroke Type de document : texte imprimé Auteurs : M. Kerzoncuf ; M. Jaouen ; J. Mancini ; A. Delarque ; L. Bensoussan ; J.-M. Viton Année de publication : 2018 Article en page(s) : p. 180-182 Note générale : Doi : 10.1016/j.rehab.2018.02.002 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80465 [article] Satisfaction and long-term use of orthopedic shoes in people with chronic stroke [texte imprimé] / M. Kerzoncuf ; M. Jaouen ; J. Mancini ; A. Delarque ; L. Bensoussan ; J.-M. Viton . - 2018 . - p. 180-182. Doi : 10.1016/j.rehab.2018.02.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 180-182 Permalink : ./index.php?lvl=notice_display&id=80465

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Chronic exertional compartment syndrome in hands successfully treated with botulinum toxin-A: A case / Cyril Orta 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. 183-185 Titre : Chronic exertional compartment syndrome in hands successfully treated with botulinum toxin-A: A case Type de document : texte imprimé Auteurs : Cyril Orta ; Julien Petit ; Vincent Gremeaux Année de publication : 2018 Article en page(s) : p. 183-185 Langues : Anglais (eng) Mots-clés : Chronic exertional compartment syndrome  Botulinum toxin  Hand  Evaluation Permalink : ./index.php?lvl=notice_display&id=80466 [article] Chronic exertional compartment syndrome in hands successfully treated with botulinum toxin-A: A case [texte imprimé] / Cyril Orta ; Julien Petit ; Vincent Gremeaux . - 2018 . - p. 183-185. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 183-185 Mots-clés : Chronic exertional compartment syndrome  Botulinum toxin  Hand  Evaluation Permalink : ./index.php?lvl=notice_display&id=80466

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