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France-Canada: Technology at the heart of rehabilitation sciences / S. Nadeau in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 189-196 Titre : France-Canada: Technology at the heart of rehabilitation sciences Type de document : texte imprimé Auteurs : S. Nadeau ; F. Michaud ; D. Bourbonnais ; Dominic Pérennou Année de publication : 2018 Article en page(s) : p. 189-196 Note générale : Doi : 10.1016/j.rehab.2018.05.1298 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80589 [article] France-Canada: Technology at the heart of rehabilitation sciences [texte imprimé] / S. Nadeau ; F. Michaud ; D. Bourbonnais ; Dominic Pérennou . - 2018 . - p. 189-196. Doi : 10.1016/j.rehab.2018.05.1298 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 189-196 Permalink : ./index.php?lvl=notice_display&id=80589

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Ready! Set? Let's Train!: Feasibility of an intensive attention training program and its beneficial effect after childhood traumatic brain injury / Marilou Séguin in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 189-196 Titre : Ready! Set? Let's Train!: Feasibility of an intensive attention training program and its beneficial effect after childhood traumatic brain injury Type de document : texte imprimé Auteurs : Marilou Séguin ; Annie Lahaie ; Célia Matte-Gagné ; Miriam H. Beauchamp Année de publication : 2018 Article en page(s) : p. 189-196 Note générale : Doi : 10.1016/j.rehab.2017.05.001 Langues : Anglais (eng) Mots-clés : Cognitive rehabilitation program  Traumatic brain injury  Children  Attention  Executive functions Résumé : Background Attention deficits are common after pediatric Traumatic Brain Injury (TBI); they complicate return to activities of daily living and disrupt socioacademic reintegration. Yet, clinicians in rehabilitation settings have limited access to cognitive remediation protocols for which feasibility has been demonstrated. Objective The aim of this study was to evaluate the feasibility of intensive attention process training program Ready! Set? Let's Train! (RST), based on an adaptation of the Attention Process Training-I program. Materials and methods In a randomized controlled trial, participants with attention deficits were assigned to receive the attention process training intervention (RST) or Homework Assistance (HWA). Pre- and post-intervention assessments consisted of standardized attentional and executive tests and a behavior checklist. Results Analyses conducted for 17 participants (RST, n=8; HWA, n=9; mean age 14.70±2.17 years, 11 males) indicated the study was successful in that it showed improvements in working memory (F(14)=5.44, P=0.04; η2=0.19), inhibition (F(14)=10.18, P=0.007; η2=0.75) and cognitive flexibility (F(14)=5.36, P=0.04; η2=0.57). Conclusions These findings indicate positive support for combined process-specific and metacognitive strategy training for attention and executive functions. Permalink : ./index.php?lvl=notice_display&id=80590 [article] Ready! Set? Let's Train!: Feasibility of an intensive attention training program and its beneficial effect after childhood traumatic brain injury [texte imprimé] / Marilou Séguin ; Annie Lahaie ; Célia Matte-Gagné ; Miriam H. Beauchamp . - 2018 . - p. 189-196. Doi : 10.1016/j.rehab.2017.05.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 189-196 Mots-clés : Cognitive rehabilitation program  Traumatic brain injury  Children  Attention  Executive functions Résumé : Background Attention deficits are common after pediatric Traumatic Brain Injury (TBI); they complicate return to activities of daily living and disrupt socioacademic reintegration. Yet, clinicians in rehabilitation settings have limited access to cognitive remediation protocols for which feasibility has been demonstrated. Objective The aim of this study was to evaluate the feasibility of intensive attention process training program Ready! Set? Let's Train! (RST), based on an adaptation of the Attention Process Training-I program. Materials and methods In a randomized controlled trial, participants with attention deficits were assigned to receive the attention process training intervention (RST) or Homework Assistance (HWA). Pre- and post-intervention assessments consisted of standardized attentional and executive tests and a behavior checklist. Results Analyses conducted for 17 participants (RST, n=8; HWA, n=9; mean age 14.70±2.17 years, 11 males) indicated the study was successful in that it showed improvements in working memory (F(14)=5.44, P=0.04; η2=0.19), inhibition (F(14)=10.18, P=0.007; η2=0.75) and cognitive flexibility (F(14)=5.36, P=0.04; η2=0.57). Conclusions These findings indicate positive support for combined process-specific and metacognitive strategy training for attention and executive functions. Permalink : ./index.php?lvl=notice_display&id=80590

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Effect of visuospatial neglect on spatial navigation and heading after stroke / Gayatri Aravind in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 197-206 Titre : Effect of visuospatial neglect on spatial navigation and heading after stroke Type de document : texte imprimé Auteurs : Gayatri Aravind ; Anouk Lamontagne Année de publication : 2018 Article en page(s) : p. 197-206 Note générale : Doi : 10.1016/j.rehab.2017.05.002 Langues : Anglais (eng) Mots-clés : Visual neglect  Cerebrovascular accident  Steering  Obstacle circumvention  Virtual Reality Résumé : Background Visuospatial neglect (VSN) impairs the control of locomotor heading in post-stroke individuals, which may affect their ability to safely avoid moving objects while walking. Objective We aimed to compare VSN+ and VSN− stroke individuals in terms of changes in heading and head orientation in space while avoiding obstacles approaching from different directions and reorienting toward the final target. Methods Stroke participants with VSN (VSN+) and without VSN (VSN−) walked in a virtual environment avoiding obstacles that approached contralesionally, head-on or ipsilesionally. Measures of obstacle avoidance (onset-of-heading change, maximum mediolateral deviation) and target alignment (heading and head-rotation errors with respect to target) were compared across groups and obstacle directions. Results In total, 26 participants with right-hemisphere stroke participated (13 VSN+ and 13 VSN−; 24 males; mean age 60.3 years, range 48 to 72 years). A larger proportion of VSN+ (75%) than VSN− (38%) participants collided with contralesional and head-on obstacles. For VSN− participants, deviating to the same side as the obstacle was a safe strategy to avoid diagonal obstacles and deviating to the opposite-side led to occasional collisions. VSN+ participants deviated ipsilesionally, displaying same-side and opposite-side strategies for ipsilesional and contralesional obstacles, respectively. Overall, VSN+ participants showed greater distances at onset-of-heading change, smaller maximum mediolateral deviation and larger errors in target alignment as compared with VSN− participants. Conclusion The ipsilesional bias arising from VSN influences the modulation of heading in response to obstacles and, along with the adoption of the “riskier” strategies, contribute to the higher number colliders and poor goal-directed walking abilities in stroke survivors with VSN. Future research should focus on developing assessment and training tools for complex locomotor tasks such as obstacle avoidance in this population. Permalink : ./index.php?lvl=notice_display&id=80591 [article] Effect of visuospatial neglect on spatial navigation and heading after stroke [texte imprimé] / Gayatri Aravind ; Anouk Lamontagne . - 2018 . - p. 197-206. Doi : 10.1016/j.rehab.2017.05.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 197-206 Mots-clés : Visual neglect  Cerebrovascular accident  Steering  Obstacle circumvention  Virtual Reality Résumé : Background Visuospatial neglect (VSN) impairs the control of locomotor heading in post-stroke individuals, which may affect their ability to safely avoid moving objects while walking. Objective We aimed to compare VSN+ and VSN− stroke individuals in terms of changes in heading and head orientation in space while avoiding obstacles approaching from different directions and reorienting toward the final target. Methods Stroke participants with VSN (VSN+) and without VSN (VSN−) walked in a virtual environment avoiding obstacles that approached contralesionally, head-on or ipsilesionally. Measures of obstacle avoidance (onset-of-heading change, maximum mediolateral deviation) and target alignment (heading and head-rotation errors with respect to target) were compared across groups and obstacle directions. Results In total, 26 participants with right-hemisphere stroke participated (13 VSN+ and 13 VSN−; 24 males; mean age 60.3 years, range 48 to 72 years). A larger proportion of VSN+ (75%) than VSN− (38%) participants collided with contralesional and head-on obstacles. For VSN− participants, deviating to the same side as the obstacle was a safe strategy to avoid diagonal obstacles and deviating to the opposite-side led to occasional collisions. VSN+ participants deviated ipsilesionally, displaying same-side and opposite-side strategies for ipsilesional and contralesional obstacles, respectively. Overall, VSN+ participants showed greater distances at onset-of-heading change, smaller maximum mediolateral deviation and larger errors in target alignment as compared with VSN− participants. Conclusion The ipsilesional bias arising from VSN influences the modulation of heading in response to obstacles and, along with the adoption of the “riskier” strategies, contribute to the higher number colliders and poor goal-directed walking abilities in stroke survivors with VSN. Future research should focus on developing assessment and training tools for complex locomotor tasks such as obstacle avoidance in this population. Permalink : ./index.php?lvl=notice_display&id=80591

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A prospective study examining the influence of cardiac rehabilitation on the sedentary time of highly sedentary, physically inactive patients / A. Biswas in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 207-214 Titre : A prospective study examining the influence of cardiac rehabilitation on the sedentary time of highly sedentary, physically inactive patients Type de document : texte imprimé Auteurs : A. Biswas ; P.I. Oh ; G.E. Faulkner ; D.A. Alter Année de publication : 2018 Article en page(s) : p. 207-214 Note générale : Doi : 10.1016/j.rehab.2017.06.003 Langues : Anglais (eng) Mots-clés : Cardiac rehabilitation  Cardiovascular diseases  Sedentary lifestyle  Exercise Résumé : Objectives Prolonged sedentary time is recognized as a distinct health risk, and mortality risks are expected to be greatest for individuals with low exercise levels. It is unknown whether participation in exercise-based cardiac rehabilitation (CR) programs influences sedentary behaviour particularly among those patients expected to be at greatest mortality risk. This study examined the influence of CR participation on sedentary behaviour and identified the proportion and characteristics (socio-demographic and clinical) of patients who do not meet exercise recommendations and have prolonged sedentary times. Methods A prospective study was conducted among patients of an exercise-based CR program and assessments performed at baseline and 3 months. Physical activity and sedentary behaviour information were collected by self-report, and convergent validity was examined on an accelerometer-wearing subsample. Results Of 468 CR patients approached, 130 participants were recruited with an average sedentary time of 8hours/day. Sedentary behaviour remained consistent at follow-up (relative change= −2.4%, P=0.07) notwithstanding a greater proportion meeting exercise recommendations (relative change= 57.4%). 19.2% of participants were classified to have prolonged sedentary time and not meet exercise recommendations at baseline. No significant differences were found between the characteristics of high-risk individuals and lower risk subgroups. Findings were consistent among the accelerometer-derived subgroup and the overall sample despite poor to moderate convergent validity. Conclusions These results suggest that the exercise-focus of CR may not reduce sedentary behaviours. Future studies are needed to determine whether sedentary behaviour-specific reduction strategies are more effective than traditional exercise-based strategies and lead to meaningful improvements in clinical outcomes. Permalink : ./index.php?lvl=notice_display&id=80592 [article] A prospective study examining the influence of cardiac rehabilitation on the sedentary time of highly sedentary, physically inactive patients [texte imprimé] / A. Biswas ; P.I. Oh ; G.E. Faulkner ; D.A. Alter . - 2018 . - p. 207-214. Doi : 10.1016/j.rehab.2017.06.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 207-214 Mots-clés : Cardiac rehabilitation  Cardiovascular diseases  Sedentary lifestyle  Exercise Résumé : Objectives Prolonged sedentary time is recognized as a distinct health risk, and mortality risks are expected to be greatest for individuals with low exercise levels. It is unknown whether participation in exercise-based cardiac rehabilitation (CR) programs influences sedentary behaviour particularly among those patients expected to be at greatest mortality risk. This study examined the influence of CR participation on sedentary behaviour and identified the proportion and characteristics (socio-demographic and clinical) of patients who do not meet exercise recommendations and have prolonged sedentary times. Methods A prospective study was conducted among patients of an exercise-based CR program and assessments performed at baseline and 3 months. Physical activity and sedentary behaviour information were collected by self-report, and convergent validity was examined on an accelerometer-wearing subsample. Results Of 468 CR patients approached, 130 participants were recruited with an average sedentary time of 8hours/day. Sedentary behaviour remained consistent at follow-up (relative change= −2.4%, P=0.07) notwithstanding a greater proportion meeting exercise recommendations (relative change= 57.4%). 19.2% of participants were classified to have prolonged sedentary time and not meet exercise recommendations at baseline. No significant differences were found between the characteristics of high-risk individuals and lower risk subgroups. Findings were consistent among the accelerometer-derived subgroup and the overall sample despite poor to moderate convergent validity. Conclusions These results suggest that the exercise-focus of CR may not reduce sedentary behaviours. Future studies are needed to determine whether sedentary behaviour-specific reduction strategies are more effective than traditional exercise-based strategies and lead to meaningful improvements in clinical outcomes. Permalink : ./index.php?lvl=notice_display&id=80592

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Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study / Manuel J. Escalona in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 215-223 Titre : Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study Type de document : texte imprimé Auteurs : Manuel J. Escalona ; Rachel Brosseau ; Martin Vermette ; Alain Steve Comtois ; Cyril Duclos ; Mylène Aubertin-Leheudre ; Dany H. Gagnon Année de publication : 2018 Article en page(s) : p. 215-223 Note générale : Doi : 10.1016/j.rehab.2017.12.008 Langues : Anglais (eng) Mots-clés : Spinal cord injuries  Exercise  Rehabilitation  Technology  Physical fitness  Oxygen consumption Résumé : Background Many wheelchair users adopt a sedentary lifestyle, which results in progressive physical deconditioning with increased risk of musculoskeletal, cardiovascular and endocrine/metabolic morbidity and mortality. Engaging in a walking program with an overground robotic exoskeleton may be an effective strategy for mitigating these potential negative health consequences and optimizing fitness in this population. However, additional research is warranted to inform the development of adapted physical activity programs incorporating this technology. Objectives To determine cardiorespiratory demands during sitting, standing and overground walking with a robotic exoskeleton and to verify whether such overground walking results in at least moderate-intensity physical exercise. Methods We enrolled 13 long-term wheelchair users with complete motor spinal cord injury in a walking program with an overground robotic exoskeleton. Cardiorespiratory measures and rate of perceived exertion (RPE) were recorded by using a portable gas analyzer system during sitting, standing and four 10m walking tasks with the robotic exoskeleton. Each participant also performed an arm crank ergometer test to determine maximal cardiorespiratory ability (i.e., peak heart rate and O2 uptake [HRpeak, VO2peak]). Results Cardiorespiratory measures increased by a range of 9%–35% from sitting to standing and further increased by 22%–52% from standing to walking with the robotic exoskeleton. During walking, median oxygen cost (O2Walking), relative HR (%HRpeak), relative O2 consumption (%VO2peak) and respiratory exchange ratio (RER) reached 0.29mL/kg/m, 82.9%, 41.8% and 0.9, respectively, whereas median RPE reached 3.2/10. O2Walking was moderately influenced by total number of sessions and steps taken with the robotic exoskeleton since the start of the walking program. Conclusion Overground walking with the robotic exoskeleton over a short distance allowed wheelchair users to achieve a moderate-intensity level of exercise. Hence, an overground locomotor training program with a robotic exoskeleton may have cardiorespiratory health benefits in the population studied. Permalink : ./index.php?lvl=notice_display&id=80593 [article] Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study [texte imprimé] / Manuel J. Escalona ; Rachel Brosseau ; Martin Vermette ; Alain Steve Comtois ; Cyril Duclos ; Mylène Aubertin-Leheudre ; Dany H. Gagnon . - 2018 . - p. 215-223. Doi : 10.1016/j.rehab.2017.12.008 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 215-223 Mots-clés : Spinal cord injuries  Exercise  Rehabilitation  Technology  Physical fitness  Oxygen consumption Résumé : Background Many wheelchair users adopt a sedentary lifestyle, which results in progressive physical deconditioning with increased risk of musculoskeletal, cardiovascular and endocrine/metabolic morbidity and mortality. Engaging in a walking program with an overground robotic exoskeleton may be an effective strategy for mitigating these potential negative health consequences and optimizing fitness in this population. However, additional research is warranted to inform the development of adapted physical activity programs incorporating this technology. Objectives To determine cardiorespiratory demands during sitting, standing and overground walking with a robotic exoskeleton and to verify whether such overground walking results in at least moderate-intensity physical exercise. Methods We enrolled 13 long-term wheelchair users with complete motor spinal cord injury in a walking program with an overground robotic exoskeleton. Cardiorespiratory measures and rate of perceived exertion (RPE) were recorded by using a portable gas analyzer system during sitting, standing and four 10m walking tasks with the robotic exoskeleton. Each participant also performed an arm crank ergometer test to determine maximal cardiorespiratory ability (i.e., peak heart rate and O2 uptake [HRpeak, VO2peak]). Results Cardiorespiratory measures increased by a range of 9%–35% from sitting to standing and further increased by 22%–52% from standing to walking with the robotic exoskeleton. During walking, median oxygen cost (O2Walking), relative HR (%HRpeak), relative O2 consumption (%VO2peak) and respiratory exchange ratio (RER) reached 0.29mL/kg/m, 82.9%, 41.8% and 0.9, respectively, whereas median RPE reached 3.2/10. O2Walking was moderately influenced by total number of sessions and steps taken with the robotic exoskeleton since the start of the walking program. Conclusion Overground walking with the robotic exoskeleton over a short distance allowed wheelchair users to achieve a moderate-intensity level of exercise. Hence, an overground locomotor training program with a robotic exoskeleton may have cardiorespiratory health benefits in the population studied. Permalink : ./index.php?lvl=notice_display&id=80593

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Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials / Louis-David Beaulieu in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 224-234 Titre : Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials Type de document : texte imprimé Auteurs : Louis-David Beaulieu ; Marie-Hélène Milot Année de publication : 2018 Article en page(s) : p. 224-234 Note générale : Doi : 10.1016/j.rehab.2017.04.003 Langues : Anglais (eng) Mots-clés : Transcranial magnetic stimulation  Stroke  Upper-limb physical training  Systematic review  Brain plasticity  Clinical outcome Résumé : Background Physical training is known to be an effective intervention to improve sensorimotor impairments after stroke. However, the link between brain plastic changes, assessed by transcranial magnetic stimulation (TMS), and sensorimotor recovery in response to physical training is still misunderstood. We systematically reviewed reports of randomized controlled trials (RCTs) involving the use of TMS over the primary motor cortex (M1) to probe brain plasticity after upper-limb physical training interventions in people with stroke. Methods We searched 5 databases for articles published up to October 2016, with additional studies identified by hand-searching. RCTs had to investigate pre/post-intervention changes in at least one TMS outcome measure. Two independent raters assessed the eligibility of potential studies and reviewed the selected articles’ quality by using 2 critical appraisal scales. Results In total, 14 reports of RCTs (pooled participants=358; mean 26±12 per study) met the selection criteria. Overall, 11 studies detected plastic changes with TMS in the presence of clinical improvements after training, and these changes were more often detected in the affected hemisphere by using map area and motor evoked potential (MEP) latency outcome measures. Plastic changes mostly pointed to increased M1/corticospinal excitability and potential interhemispheric rebalancing of M1 excitability, despite sometimes controversial results among studies. Also, the strength of the review observations was affected by heterogeneous TMS methods and upper-limb interventions across studies as well as several sources of bias within the selected studies. Conclusions The current evidence encourages the use of TMS outcome measures, especially MEP latency and map area to investigate plastic changes in the brain after upper-limb physical training post-stroke. However, more studies involving rigorous and standardized TMS procedures are needed to validate these observations. Permalink : ./index.php?lvl=notice_display&id=80594 [article] Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials [texte imprimé] / Louis-David Beaulieu ; Marie-Hélène Milot . - 2018 . - p. 224-234. Doi : 10.1016/j.rehab.2017.04.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 224-234 Mots-clés : Transcranial magnetic stimulation  Stroke  Upper-limb physical training  Systematic review  Brain plasticity  Clinical outcome Résumé : Background Physical training is known to be an effective intervention to improve sensorimotor impairments after stroke. However, the link between brain plastic changes, assessed by transcranial magnetic stimulation (TMS), and sensorimotor recovery in response to physical training is still misunderstood. We systematically reviewed reports of randomized controlled trials (RCTs) involving the use of TMS over the primary motor cortex (M1) to probe brain plasticity after upper-limb physical training interventions in people with stroke. Methods We searched 5 databases for articles published up to October 2016, with additional studies identified by hand-searching. RCTs had to investigate pre/post-intervention changes in at least one TMS outcome measure. Two independent raters assessed the eligibility of potential studies and reviewed the selected articles’ quality by using 2 critical appraisal scales. Results In total, 14 reports of RCTs (pooled participants=358; mean 26±12 per study) met the selection criteria. Overall, 11 studies detected plastic changes with TMS in the presence of clinical improvements after training, and these changes were more often detected in the affected hemisphere by using map area and motor evoked potential (MEP) latency outcome measures. Plastic changes mostly pointed to increased M1/corticospinal excitability and potential interhemispheric rebalancing of M1 excitability, despite sometimes controversial results among studies. Also, the strength of the review observations was affected by heterogeneous TMS methods and upper-limb interventions across studies as well as several sources of bias within the selected studies. Conclusions The current evidence encourages the use of TMS outcome measures, especially MEP latency and map area to investigate plastic changes in the brain after upper-limb physical training post-stroke. However, more studies involving rigorous and standardized TMS procedures are needed to validate these observations. Permalink : ./index.php?lvl=notice_display&id=80594

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Assessment of sexual function in women with neurological disorders: A review / Frédérique Courtois in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) Titre : Assessment of sexual function in women with neurological disorders: A review Type de document : texte imprimé Auteurs : Frédérique Courtois ; Marina Gérard ; Kathleen Charvier ; David B. Vodusek ; Gérard Amarenco Année de publication : 2018 Note générale : Doi : 10.1016/j.rehab.2017.04.004 Langues : Anglais (eng) Mots-clés : Physiological assessment  Electrophysiology  Sexual questionnaires  Women  neurological conditions  Multiple sclerosis  Spinal cord injury  Stroke  Parkinson  Traumatic brain injury Résumé : Background Although the rehabilitation of sexual function has been identified as a top priority among women presenting neurological conditions, sexual function is rarely assessed in this clinical group. Objectives To review published assessment tools of sexual dysfunction in women with neurological conditions including multiple sclerosis (MS), spinal cord injury (SCI), Parkinson disease, stroke, traumatic brain injury. Methods A systematic literature review was conducted with Medline via PubMed, PubMed Central, and Medline databases. Results There are three reliable methods to assess sexual dysfunctions in women with neurological conditions: physiological assessments of reflexes and perineal sensitivity testing, self-reporting questionnaires on sexual function and sexual satisfaction, and electrophysiological assessments. Physiological assessments of sacral and thoracolumbar reflexes have mainly been conducted among women with SCI. When performed, they reveal the existence of a psychogenic and/or reflex sexual potential in those women. Other forms of physiological assessments include vulvar sensitivity testing in women with SCI, quantitative sensory testing and pudendal somatosensory evoked potentials in MS populations. A few validated self-reporting measures are also available to assess sexual potential and sexual satisfaction, although mostly in women with SCI and MS. Conclusion Despite high prevalence rates and important clinical implications, sexual dysfunction is not systematically assessed in women presenting various neurological conditions. Several well-validated tools exist for such assessments, which could be used for sexual rehabilitation in these patients. The implementation of systematic assessments of sexual potential is feasible and renewed efforts should be made to do so in clinical practice. Permalink : ./index.php?lvl=notice_display&id=80595 [article] Assessment of sexual function in women with neurological disorders: A review [texte imprimé] / Frédérique Courtois ; Marina Gérard ; Kathleen Charvier ; David B. Vodusek ; Gérard Amarenco . - 2018. Doi : 10.1016/j.rehab.2017.04.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) Mots-clés : Physiological assessment  Electrophysiology  Sexual questionnaires  Women  neurological conditions  Multiple sclerosis  Spinal cord injury  Stroke  Parkinson  Traumatic brain injury Résumé : Background Although the rehabilitation of sexual function has been identified as a top priority among women presenting neurological conditions, sexual function is rarely assessed in this clinical group. Objectives To review published assessment tools of sexual dysfunction in women with neurological conditions including multiple sclerosis (MS), spinal cord injury (SCI), Parkinson disease, stroke, traumatic brain injury. Methods A systematic literature review was conducted with Medline via PubMed, PubMed Central, and Medline databases. Results There are three reliable methods to assess sexual dysfunctions in women with neurological conditions: physiological assessments of reflexes and perineal sensitivity testing, self-reporting questionnaires on sexual function and sexual satisfaction, and electrophysiological assessments. Physiological assessments of sacral and thoracolumbar reflexes have mainly been conducted among women with SCI. When performed, they reveal the existence of a psychogenic and/or reflex sexual potential in those women. Other forms of physiological assessments include vulvar sensitivity testing in women with SCI, quantitative sensory testing and pudendal somatosensory evoked potentials in MS populations. A few validated self-reporting measures are also available to assess sexual potential and sexual satisfaction, although mostly in women with SCI and MS. Conclusion Despite high prevalence rates and important clinical implications, sexual dysfunction is not systematically assessed in women presenting various neurological conditions. Several well-validated tools exist for such assessments, which could be used for sexual rehabilitation in these patients. The implementation of systematic assessments of sexual potential is feasible and renewed efforts should be made to do so in clinical practice. Permalink : ./index.php?lvl=notice_display&id=80595

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At-home and in-group delivery of constraint-induced movement therapy in children with hemiparesis: A systematic review / Emilie Durand in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 245-265 Titre : At-home and in-group delivery of constraint-induced movement therapy in children with hemiparesis: A systematic review Type de document : texte imprimé Auteurs : Emilie Durand ; Pascale Plante ; Andrey-Anne Pelletier ; Johanie Rondeau ; Frédérique Simard ; Julien Voisin Année de publication : 2018 Article en page(s) : p. 245-265 Note générale : Doi : 10.1016/j.rehab.2017.10.004 Langues : Anglais (eng) Mots-clés : CIMT  Group  Home  Child  Hemiparesis  Functioning Résumé : Background Constraint-induced movement therapy (CIMT) is increasingly recognized as an effective therapy for children with hemiparesis. However, the effectiveness of CIMT outside the standard rehabilitation protocol in clinical settings is less known. The aim of this systematic review was to investigate the effectiveness of CIMT conducted at home or in a group. Methods We searched CINAHL, PubMed and ScienceDirect in August 2017 to select articles of studies investigating the impact of CIMT performed at home and in a group on affected upper-limb ability, occupational performance, and quality of life of children. Quality was evaluated with the PEDro scale. Results Among 374 reports of studies, 30 met the criteria; 15 examined CIMT at home and 15 in a group. CIMT with the 2 delivery models, at home or in a group, had a positive effect on the affected upper-limb ability and occupational performance. The quality of evidence was high for both these outcomes. However, the evidence was weaker and the results too limited to conclude on the impact on quality of life. The data also suggested that the glove may not be the best type of constraint. Conclusions CIMT performed at home or in a group may be a promising intervention for rehabilitation for children with hemiparesis, but more studies on the impact on quality of life are warranted. Permalink : ./index.php?lvl=notice_display&id=80607 [article] At-home and in-group delivery of constraint-induced movement therapy in children with hemiparesis: A systematic review [texte imprimé] / Emilie Durand ; Pascale Plante ; Andrey-Anne Pelletier ; Johanie Rondeau ; Frédérique Simard ; Julien Voisin . - 2018 . - p. 245-265. Doi : 10.1016/j.rehab.2017.10.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 245-265 Mots-clés : CIMT  Group  Home  Child  Hemiparesis  Functioning Résumé : Background Constraint-induced movement therapy (CIMT) is increasingly recognized as an effective therapy for children with hemiparesis. However, the effectiveness of CIMT outside the standard rehabilitation protocol in clinical settings is less known. The aim of this systematic review was to investigate the effectiveness of CIMT conducted at home or in a group. Methods We searched CINAHL, PubMed and ScienceDirect in August 2017 to select articles of studies investigating the impact of CIMT performed at home and in a group on affected upper-limb ability, occupational performance, and quality of life of children. Quality was evaluated with the PEDro scale. Results Among 374 reports of studies, 30 met the criteria; 15 examined CIMT at home and 15 in a group. CIMT with the 2 delivery models, at home or in a group, had a positive effect on the affected upper-limb ability and occupational performance. The quality of evidence was high for both these outcomes. However, the evidence was weaker and the results too limited to conclude on the impact on quality of life. The data also suggested that the glove may not be the best type of constraint. Conclusions CIMT performed at home or in a group may be a promising intervention for rehabilitation for children with hemiparesis, but more studies on the impact on quality of life are warranted. Permalink : ./index.php?lvl=notice_display&id=80607

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Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation: A systematic review / Natacha Bourget in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 262-269 Titre : Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation: A systematic review Type de document : texte imprimé Auteurs : Natacha Bourget ; Anne Deblock-Bellamy ; Andreanne K. Blanchette ; Sèbiyo Charles Batcho Année de publication : 2018 Article en page(s) : p. 262-269 Langues : Anglais (eng) Mots-clés : Participation measure  Reintegration to Normal Living Index  Psychometric properties  Rehabilitation Résumé : Background Reintegration to Normal Living Index (RNLI) is a generic 11-item questionnaire-based instrument that measures the degree to which individuals achieve reintegration to normal social activities. Objectives This systematic review aimed to provide an overview of the use of this questionnaire in rehabilitation (objective 1) and to analyze its psychometric properties (objective 2). Methods We searched the literature in 4 electronic databases (MEDLINE via PubMed, Embase, CINAHL and Web of Science) for articles published in English or French between 1988 and 2017. Studies that used RNLI or investigated at least one of its psychometric properties were included and analyzed according to the PRISMA statement. Data extraction and critical methodological appraisal of the articles were independently performed by 2 authors. Results A total of 117 studies met the inclusion criteria for objective 1. Half of these studies were conducted in North America (50.4%), mainly with stroke patients. The RNLI was used according to 7 different response formats. The 0–10 visual analog scale and 3-point Likert scale were the most commonly used response formats. For objective 2, 10 studies had evaluated the psychometric properties of the RNLI. Their results suggested good test–retest reliability (intraclass coefficient: 0.83–0.87); good internal consistency (Cronbach α: 0.73–0.97); poor to good construct validity, with Pearson's or Spearman's correlation coefficients between the RNLI and scores for many other well-known questionnaires ranging from 0.25 to 0.77. Other types of psychometric properties (e.g., responsiveness) were poorly investigated. Conclusion Despite the increasing use of RNLI in clinical studies, some aspects of its psychometric properties are still poorly evaluated. In addition to the validity and reliability shown in different studies, further studies are needed to investigate other measurement properties such as responsiveness. Permalink : ./index.php?lvl=notice_display&id=80608 [article] Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation: A systematic review [texte imprimé] / Natacha Bourget ; Anne Deblock-Bellamy ; Andreanne K. Blanchette ; Sèbiyo Charles Batcho . - 2018 . - p. 262-269. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 262-269 Mots-clés : Participation measure  Reintegration to Normal Living Index  Psychometric properties  Rehabilitation Résumé : Background Reintegration to Normal Living Index (RNLI) is a generic 11-item questionnaire-based instrument that measures the degree to which individuals achieve reintegration to normal social activities. Objectives This systematic review aimed to provide an overview of the use of this questionnaire in rehabilitation (objective 1) and to analyze its psychometric properties (objective 2). Methods We searched the literature in 4 electronic databases (MEDLINE via PubMed, Embase, CINAHL and Web of Science) for articles published in English or French between 1988 and 2017. Studies that used RNLI or investigated at least one of its psychometric properties were included and analyzed according to the PRISMA statement. Data extraction and critical methodological appraisal of the articles were independently performed by 2 authors. Results A total of 117 studies met the inclusion criteria for objective 1. Half of these studies were conducted in North America (50.4%), mainly with stroke patients. The RNLI was used according to 7 different response formats. The 0–10 visual analog scale and 3-point Likert scale were the most commonly used response formats. For objective 2, 10 studies had evaluated the psychometric properties of the RNLI. Their results suggested good test–retest reliability (intraclass coefficient: 0.83–0.87); good internal consistency (Cronbach α: 0.73–0.97); poor to good construct validity, with Pearson's or Spearman's correlation coefficients between the RNLI and scores for many other well-known questionnaires ranging from 0.25 to 0.77. Other types of psychometric properties (e.g., responsiveness) were poorly investigated. Conclusion Despite the increasing use of RNLI in clinical studies, some aspects of its psychometric properties are still poorly evaluated. In addition to the validity and reliability shown in different studies, further studies are needed to investigate other measurement properties such as responsiveness. Permalink : ./index.php?lvl=notice_display&id=80608

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Systematic flexion-based approach for patients with radiological signs of lumbar spinal stenosis: Myth or reality? A retrospective study / Christian Longtin in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 270-272 Titre : Systematic flexion-based approach for patients with radiological signs of lumbar spinal stenosis: Myth or reality? A retrospective study Type de document : texte imprimé Auteurs : Christian Longtin ; Yannick Busseau ; Mathieu Jetté ; Gabriel Cabana-Boucher ; Christopher Ouellet ; Olivier Tri-Thinh Lamb ; Pierre Allard ; Yannick Tousignant-Laflamme Année de publication : 2018 Article en page(s) : p. 270-272 Note générale : Doi : 10.1016/j.rehab.2017.03.005 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80609 [article] Systematic flexion-based approach for patients with radiological signs of lumbar spinal stenosis: Myth or reality? A retrospective study [texte imprimé] / Christian Longtin ; Yannick Busseau ; Mathieu Jetté ; Gabriel Cabana-Boucher ; Christopher Ouellet ; Olivier Tri-Thinh Lamb ; Pierre Allard ; Yannick Tousignant-Laflamme . - 2018 . - p. 270-272. Doi : 10.1016/j.rehab.2017.03.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 270-272 Permalink : ./index.php?lvl=notice_display&id=80609

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Leisure time physical activity, perception of impact of pain and life satisfaction after spinal cord injury / Samantha Taran in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 273-275 Titre : Leisure time physical activity, perception of impact of pain and life satisfaction after spinal cord injury Type de document : texte imprimé Auteurs : Samantha Taran ; Jessica Conti ; François Routhier ; Amy E. Latimer-Cheung ; Luc Noreau ; Shane N. Sweet Année de publication : 2018 Article en page(s) : p. 273-275 Note générale : Doi : 10.1016/j.rehab.2018.02.007 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80610 [article] Leisure time physical activity, perception of impact of pain and life satisfaction after spinal cord injury [texte imprimé] / Samantha Taran ; Jessica Conti ; François Routhier ; Amy E. Latimer-Cheung ; Luc Noreau ; Shane N. Sweet . - 2018 . - p. 273-275. Doi : 10.1016/j.rehab.2018.02.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 273-275 Permalink : ./index.php?lvl=notice_display&id=80610

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