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Assessment of innovation in prosthetic fitting for transfemoral amputees: A model for asking basic questions of physical and rehabilitation medicine? / Jean-Marie Casillas in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 277 Titre : Assessment of innovation in prosthetic fitting for transfemoral amputees: A model for asking basic questions of physical and rehabilitation medicine? Type de document : texte imprimé Auteurs : Jean-Marie Casillas Année de publication : 2018 Article en page(s) : p. 277 Note générale : Doi : 10.1016/j.rehab.2018.07.005 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80611 [article] Assessment of innovation in prosthetic fitting for transfemoral amputees: A model for asking basic questions of physical and rehabilitation medicine? [texte imprimé] / Jean-Marie Casillas . - 2018 . - p. 277. Doi : 10.1016/j.rehab.2018.07.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 277 Permalink : ./index.php?lvl=notice_display&id=80611

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Mobility and satisfaction with a microprocessor-controlled knee in moderately active amputees: A multi-centric randomized crossover trial / Céline Lansade in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 278-285 Titre : Mobility and satisfaction with a microprocessor-controlled knee in moderately active amputees: A multi-centric randomized crossover trial Type de document : texte imprimé Auteurs : Céline Lansade ; Eric Vicaut ; Jean Paysant ; Doménico Ménager ; Marie-Christine Cristina ; Frank Braatz ; Stephan Domayer ; Dominic Pérennou ; Gérard Chiesa Année de publication : 2018 Article en page(s) : p. 278-285 Note générale : Doi : 10.1016/j.rehab.2018.04.003 Langues : Anglais (eng) Mots-clés : Amputation  Balance  Mobility  Multi-centric  Randomized  Crossover Résumé : Objective Microprocessor-controlled knees are generally prescribed and reimbursed for active amputees. Recent studies suggested that this technology could be useful for amputees with moderate activity level. We compared the efficiency of a microprocessor-controlled knee (MPK, Kenevo, Otto Bock) and non-MPKs (NMPKs) in these indications. Methods A multi-centric randomized crossover trial was conducted in 16 hospitals from 3 European countries. Participants were randomized to an MPK-NMPK sequence, testing the MPK for 3 months and the NMPK for 1 month, or to an NMPK-MPK sequence, testing the NMPK for 1 month and the MPK for 3 months. Dynamic balance, the main criteria, was assessed with the Timed-Up and Go test (TUG), functional mobility with the Locomotor Capability Index (LCI-5), quality of life with the Medical Outcomes Study Short Form 36 v2 (SF-36v2) and satisfaction with the Quebec User Evaluation of Satisfaction with Assistive Technology 2.0. The occurrence of falls was monitored during the last month of trial. Analysis was by intent-to-treat and per-protocol (PP). Results We recruited 35 individuals with transfemoral amputation or knee disarticulation (27 males; mean age 65.6years [SD 10.1]). On PP analysis, dynamic balance and functional mobility were improved with the MPK, as shown by a reduced median TUG time (from 21.4s [Q1–Q3 19.3–26.6] to 17.9s [15.4–22.7], P=0.001) and higher mean global LCI-5 (from 40.4 [SD 7.6] to 42.8 [6.2], P=0.02). Median global satisfaction score increased (from 3.9 [Q1–Q3 3.8–4.4] to 4.7 [4.1–4.9], P=0.001) and quality of life was improved for the mental component summary of the SF-36v2 (median score from 53.3 [Q1–Q3 47.8–60.7] to 60.2 [51.6–62.6], P=0.03) and physical component summary but not significantly (mean score from 44.1 [SD 6.3] to 46.3 [7.0], P=0.08). Monitoring of adverse events including falls revealed no differences between both assessed devices. Conclusion This study enhances the level of evidence to argue equal opportunity for all individuals with transfemoral amputation or knee disarticulation, regardless of their mobility grade, to be provided with appropriate prostheses. Permalink : ./index.php?lvl=notice_display&id=80614 [article] Mobility and satisfaction with a microprocessor-controlled knee in moderately active amputees: A multi-centric randomized crossover trial [texte imprimé] / Céline Lansade ; Eric Vicaut ; Jean Paysant ; Doménico Ménager ; Marie-Christine Cristina ; Frank Braatz ; Stephan Domayer ; Dominic Pérennou ; Gérard Chiesa . - 2018 . - p. 278-285. Doi : 10.1016/j.rehab.2018.04.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 278-285 Mots-clés : Amputation  Balance  Mobility  Multi-centric  Randomized  Crossover Résumé : Objective Microprocessor-controlled knees are generally prescribed and reimbursed for active amputees. Recent studies suggested that this technology could be useful for amputees with moderate activity level. We compared the efficiency of a microprocessor-controlled knee (MPK, Kenevo, Otto Bock) and non-MPKs (NMPKs) in these indications. Methods A multi-centric randomized crossover trial was conducted in 16 hospitals from 3 European countries. Participants were randomized to an MPK-NMPK sequence, testing the MPK for 3 months and the NMPK for 1 month, or to an NMPK-MPK sequence, testing the NMPK for 1 month and the MPK for 3 months. Dynamic balance, the main criteria, was assessed with the Timed-Up and Go test (TUG), functional mobility with the Locomotor Capability Index (LCI-5), quality of life with the Medical Outcomes Study Short Form 36 v2 (SF-36v2) and satisfaction with the Quebec User Evaluation of Satisfaction with Assistive Technology 2.0. The occurrence of falls was monitored during the last month of trial. Analysis was by intent-to-treat and per-protocol (PP). Results We recruited 35 individuals with transfemoral amputation or knee disarticulation (27 males; mean age 65.6years [SD 10.1]). On PP analysis, dynamic balance and functional mobility were improved with the MPK, as shown by a reduced median TUG time (from 21.4s [Q1–Q3 19.3–26.6] to 17.9s [15.4–22.7], P=0.001) and higher mean global LCI-5 (from 40.4 [SD 7.6] to 42.8 [6.2], P=0.02). Median global satisfaction score increased (from 3.9 [Q1–Q3 3.8–4.4] to 4.7 [4.1–4.9], P=0.001) and quality of life was improved for the mental component summary of the SF-36v2 (median score from 53.3 [Q1–Q3 47.8–60.7] to 60.2 [51.6–62.6], P=0.03) and physical component summary but not significantly (mean score from 44.1 [SD 6.3] to 46.3 [7.0], P=0.08). Monitoring of adverse events including falls revealed no differences between both assessed devices. Conclusion This study enhances the level of evidence to argue equal opportunity for all individuals with transfemoral amputation or knee disarticulation, regardless of their mobility grade, to be provided with appropriate prostheses. Permalink : ./index.php?lvl=notice_display&id=80614

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Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study / Wanalee Klomjai in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 286-291 Titre : Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study Type de document : texte imprimé Auteurs : Wanalee Klomjai ; Benchaporn Aneksan ; Anuchai Pheungphrarattanatrai ; Thanwarat Chantanachai ; Nattha Choowong ; Soontaree Bunleukhet ; Paradee Auvichayapat ; Yongchai Nilanon ; Vimonwan Heingkaew Année de publication : 2018 Article en page(s) : p. 286-291 Note générale : Doi : 10.1016/j.rehab.2018.04.005 Langues : Anglais (eng) Mots-clés : tDCS  Lower limb  Stroke  Physical therapy  Rehabilitation Résumé : Anodal stimulation increases cortical excitably, whereas cathodal stimulation decreases cortical excitability. Dual transcranial direct current stimulation (tDCS; anodal over the lesioned hemisphere, cathodal over the non-lesioned hemisphere) was found to enhance motor learning. The corresponding tDCS-induced changes were reported to reduce the inhibition exerted by the unaffected hemisphere on the affected hemisphere and restore the normal balance of the interhemispheric inhibition. Most studies were devoted to the possible modification of upper-limb motor function after tDCS; however, almost no study has demonstrated its effects on lower-limb function and gait, which are also commonly disordered in stroke patients with motor deficits. In this randomized sham-controlled crossover study, we included 19 patients with sub-acute stroke. Participants were randomly allocated to receive real or sham dual-tDCS followed by conventional physical therapy with an intervention interval of at least 1 week. Dual-tDCS was applied over the lower-limb M1 at 2-mA intensity for 20min. Lower-limb performance was assessed by the Timed Up and Go (TUG) and Five-Times-Sit-To-Stand (FTSTS) tests and muscle strength was assessed by peak knee torque of extension. We found a significant increase in time to perform the FTSST for the real group, with improvements significantly greater than for the sham group; the TUG score was significantly increased but not higher than for the sham group. An after-effect on FTSTS was found at approximately 1 week after the real intervention. Muscle strength was unchanged in both limbs for both real and sham groups. Our results suggest that a single session of dual-tDCS before conventional physical therapy could improve sit-to-stand performance, which appeared to be improved over conventional physical therapy alone. However, strength performance was not increased after the combination treatment. Permalink : ./index.php?lvl=notice_display&id=80617 [article] Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study [texte imprimé] / Wanalee Klomjai ; Benchaporn Aneksan ; Anuchai Pheungphrarattanatrai ; Thanwarat Chantanachai ; Nattha Choowong ; Soontaree Bunleukhet ; Paradee Auvichayapat ; Yongchai Nilanon ; Vimonwan Heingkaew . - 2018 . - p. 286-291. Doi : 10.1016/j.rehab.2018.04.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 286-291 Mots-clés : tDCS  Lower limb  Stroke  Physical therapy  Rehabilitation Résumé : Anodal stimulation increases cortical excitably, whereas cathodal stimulation decreases cortical excitability. Dual transcranial direct current stimulation (tDCS; anodal over the lesioned hemisphere, cathodal over the non-lesioned hemisphere) was found to enhance motor learning. The corresponding tDCS-induced changes were reported to reduce the inhibition exerted by the unaffected hemisphere on the affected hemisphere and restore the normal balance of the interhemispheric inhibition. Most studies were devoted to the possible modification of upper-limb motor function after tDCS; however, almost no study has demonstrated its effects on lower-limb function and gait, which are also commonly disordered in stroke patients with motor deficits. In this randomized sham-controlled crossover study, we included 19 patients with sub-acute stroke. Participants were randomly allocated to receive real or sham dual-tDCS followed by conventional physical therapy with an intervention interval of at least 1 week. Dual-tDCS was applied over the lower-limb M1 at 2-mA intensity for 20min. Lower-limb performance was assessed by the Timed Up and Go (TUG) and Five-Times-Sit-To-Stand (FTSTS) tests and muscle strength was assessed by peak knee torque of extension. We found a significant increase in time to perform the FTSST for the real group, with improvements significantly greater than for the sham group; the TUG score was significantly increased but not higher than for the sham group. An after-effect on FTSTS was found at approximately 1 week after the real intervention. Muscle strength was unchanged in both limbs for both real and sham groups. Our results suggest that a single session of dual-tDCS before conventional physical therapy could improve sit-to-stand performance, which appeared to be improved over conventional physical therapy alone. However, strength performance was not increased after the combination treatment. Permalink : ./index.php?lvl=notice_display&id=80617

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Modulating the internal model of verticality by virtual reality and body-weight support walking: A pilot study / Anaïs Odin in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 292-299 Titre : Modulating the internal model of verticality by virtual reality and body-weight support walking: A pilot study Type de document : texte imprimé Auteurs : Anaïs Odin ; Dominique Faletto-Passy ; Franck Assaban ; Dominic Pérennou Année de publication : 2018 Article en page(s) : p. 292-299 Note générale : Doi : 10.1016/j.rehab.2018.07.003 Langues : Anglais (eng) Mots-clés : Verticality perception  Sense of upright  Body-weight support walking  Virtual tilted room  Virtual reality  Modulation  Lateropulsion Résumé : Background and objective The study aimed at inducing a visual vertical (VV) bias by immersion in a virtual tilted room (VTR, visual cues), then testing the effect of 30% body-weight support walking (BWSW, somaesthetic cues) to correct this bias. Methods We included 20 healthy participants (median age 54 years; 12 females) who wore the Oculus-Rift® Head Mounted Display to produce the virtual reality and generate the VV. VV (8 trials) was tested at baseline, then in 3 postural conditions (walking, sitting and BWSW), by 2 visual conditions (darkness and VTR), according to a pseudo-randomized blocked design. The VTR was tilted 18° clockwise. Data for 3 participants with virtual reality sickness were discarded, and those for 17 participants underwent non-parametric statistical analysis by 2 main criteria: VV and head orientation. Results The VTR induced a pronounced tilt of the vertical toward the tilted side under the baseline condition (median 11.4° [Q1–Q3 6.1–13.4]; P<0.01), with a large effect size (r=0.88). The effect was systematic, with great inter-individual variability (2–17°), and was similar under every postural condition (P<0.001), with a post-effect lasting 6min and suppressed under BWSW. In darkness, VV was more upright during BWSW than sitting (P<0.05), with a medium effect size (r=0.49). The VTR induced a slight head tilt of median 3.3° [2.8–5.9] toward the tilted side under every postural condition (P<0.001), with a large effect size (r=0.87). In darkness, the head was upright only at baseline and under BWSW. Conclusion Being immersed in a tilted environment induces a powerful bias in verticality perception (11°). Contrary to our hypothesis, BWSW did not attenuate the effect induced by the VTR, probably because of the power of this effect. However, BWSW was the only postural condition able to suppress post-effects induced by the VTR, thereby leading to the head and VV oriented upright. BWSW may improve verticality representation, presumably by bringing augmented information about the direction of the Earth vertical. These findings represent an avenue for rehabilitation of patients with postural disorders caused by a wrong verticality representation. Technological improvements will be necessary to attenuate the virtual reality discomfort. Permalink : ./index.php?lvl=notice_display&id=80620 [article] Modulating the internal model of verticality by virtual reality and body-weight support walking: A pilot study [texte imprimé] / Anaïs Odin ; Dominique Faletto-Passy ; Franck Assaban ; Dominic Pérennou . - 2018 . - p. 292-299. Doi : 10.1016/j.rehab.2018.07.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 292-299 Mots-clés : Verticality perception  Sense of upright  Body-weight support walking  Virtual tilted room  Virtual reality  Modulation  Lateropulsion Résumé : Background and objective The study aimed at inducing a visual vertical (VV) bias by immersion in a virtual tilted room (VTR, visual cues), then testing the effect of 30% body-weight support walking (BWSW, somaesthetic cues) to correct this bias. Methods We included 20 healthy participants (median age 54 years; 12 females) who wore the Oculus-Rift® Head Mounted Display to produce the virtual reality and generate the VV. VV (8 trials) was tested at baseline, then in 3 postural conditions (walking, sitting and BWSW), by 2 visual conditions (darkness and VTR), according to a pseudo-randomized blocked design. The VTR was tilted 18° clockwise. Data for 3 participants with virtual reality sickness were discarded, and those for 17 participants underwent non-parametric statistical analysis by 2 main criteria: VV and head orientation. Results The VTR induced a pronounced tilt of the vertical toward the tilted side under the baseline condition (median 11.4° [Q1–Q3 6.1–13.4]; P<0.01), with a large effect size (r=0.88). The effect was systematic, with great inter-individual variability (2–17°), and was similar under every postural condition (P<0.001), with a post-effect lasting 6min and suppressed under BWSW. In darkness, VV was more upright during BWSW than sitting (P<0.05), with a medium effect size (r=0.49). The VTR induced a slight head tilt of median 3.3° [2.8–5.9] toward the tilted side under every postural condition (P<0.001), with a large effect size (r=0.87). In darkness, the head was upright only at baseline and under BWSW. Conclusion Being immersed in a tilted environment induces a powerful bias in verticality perception (11°). Contrary to our hypothesis, BWSW did not attenuate the effect induced by the VTR, probably because of the power of this effect. However, BWSW was the only postural condition able to suppress post-effects induced by the VTR, thereby leading to the head and VV oriented upright. BWSW may improve verticality representation, presumably by bringing augmented information about the direction of the Earth vertical. These findings represent an avenue for rehabilitation of patients with postural disorders caused by a wrong verticality representation. Technological improvements will be necessary to attenuate the virtual reality discomfort. Permalink : ./index.php?lvl=notice_display&id=80620

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Descriptive pilot study of vividness and temporal equivalence during motor imagery training after quadriplegia / Sébastien Mateo in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 300-308 Titre : Descriptive pilot study of vividness and temporal equivalence during motor imagery training after quadriplegia Type de document : texte imprimé Auteurs : Sébastien Mateo ; Karen T. Reilly ; Christian Collet ; Gilles Rode Année de publication : 2018 Article en page(s) : p. 300-308 Note générale : Doi : 10.1016/j.rehab.2018.06.003 Langues : Anglais (eng) Mots-clés : Mental practice  Tetraplegia  Tenodesis grasp  Rehabilitation  Vividness  Mental chronometry Résumé : Background Motor imagery (MI) training is often used to improve physical practice (PP), and the functional equivalence between imagined and practiced movements is widely considered essential for positive training outcomes. Objective We previously showed that a 5-week MI training program improved tenodesis grasp in individuals with C6–C7 quadriplegia. Here we investigated whether functional equivalence changed during the course of this training program. Methods In this descriptive pilot study, we retrospectively analyzed data for 6 individuals with C6–C7 quadriplegia (spinal cord injured [SCI]) and 6 healthy age-matched controls who trained for 5 weeks in visual and kinesthetic motor imagery or visualization of geometric shapes (controls). Before training, we assessed MI ability by using the Kinesthetic and Visual Imagery Questionnaire (KVIQ). We analyzed functional equivalence by vividness measured on a visual analog scale (0–100) and MI/PP time ratios computed from imagined and physically practiced movement durations measured during MI training. These analyses were re-run considering that half of the participants with quadriplegia were good imagers and the other half were poor imagers based on KVIQ scores. To investigate generalization of training effects, we analyzed MI/PP ratios for an untrained pointing task before (3 baseline measures), immediately after, and 2 months after training. Results During MI training, imagery vividness increased significantly. Only the good imagers evolved toward temporal equivalence during training. Good imagers were also the only participants who showed changes in temporal equivalence on the untrained pointing task. Conclusion This is the first study reporting improvement in functional equivalence during an MI training program that improved tenodesis grasp in individuals with C6–C7 quadriplegia. We recommend that clinical MI programs focus primarily on vividness and suggest that feedback about movement duration could potentially improve temporal equivalence, which could in turn lead to further improvement in PP. Permalink : ./index.php?lvl=notice_display&id=80624 [article] Descriptive pilot study of vividness and temporal equivalence during motor imagery training after quadriplegia [texte imprimé] / Sébastien Mateo ; Karen T. Reilly ; Christian Collet ; Gilles Rode . - 2018 . - p. 300-308. Doi : 10.1016/j.rehab.2018.06.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 300-308 Mots-clés : Mental practice  Tetraplegia  Tenodesis grasp  Rehabilitation  Vividness  Mental chronometry Résumé : Background Motor imagery (MI) training is often used to improve physical practice (PP), and the functional equivalence between imagined and practiced movements is widely considered essential for positive training outcomes. Objective We previously showed that a 5-week MI training program improved tenodesis grasp in individuals with C6–C7 quadriplegia. Here we investigated whether functional equivalence changed during the course of this training program. Methods In this descriptive pilot study, we retrospectively analyzed data for 6 individuals with C6–C7 quadriplegia (spinal cord injured [SCI]) and 6 healthy age-matched controls who trained for 5 weeks in visual and kinesthetic motor imagery or visualization of geometric shapes (controls). Before training, we assessed MI ability by using the Kinesthetic and Visual Imagery Questionnaire (KVIQ). We analyzed functional equivalence by vividness measured on a visual analog scale (0–100) and MI/PP time ratios computed from imagined and physically practiced movement durations measured during MI training. These analyses were re-run considering that half of the participants with quadriplegia were good imagers and the other half were poor imagers based on KVIQ scores. To investigate generalization of training effects, we analyzed MI/PP ratios for an untrained pointing task before (3 baseline measures), immediately after, and 2 months after training. Results During MI training, imagery vividness increased significantly. Only the good imagers evolved toward temporal equivalence during training. Good imagers were also the only participants who showed changes in temporal equivalence on the untrained pointing task. Conclusion This is the first study reporting improvement in functional equivalence during an MI training program that improved tenodesis grasp in individuals with C6–C7 quadriplegia. We recommend that clinical MI programs focus primarily on vividness and suggest that feedback about movement duration could potentially improve temporal equivalence, which could in turn lead to further improvement in PP. Permalink : ./index.php?lvl=notice_display&id=80624

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Predicting the oxygen cost of walking in hemiparetic stroke patients / M. Compagnat in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 3009-314 Titre : Predicting the oxygen cost of walking in hemiparetic stroke patients Type de document : texte imprimé Auteurs : M. Compagnat ; S. Mandigout ; D. Chaparro ; Jean-Yves Salle ; Jean-Christophe Daviet Année de publication : 2018 Article en page(s) : p. 3009-314 Note générale : Doi : 10.1016/j.rehab.2018.03.001 Langues : Anglais (eng) Mots-clés : Stroke  Walking  Oxygen cost  Speed Résumé : Objective To verify the relation between spontaneous walking speed (Sfree) and oxygen cost of walking at Sfree (Cwfree) in post-stroke hemiparetic patients and to test the validity of a prediction model to estimate Cwfree based on Sfree. Design We included 26 participants (mean age 65.1 years [SD 15.7]) with mild to moderate disability after stroke who walked at Sfree using mobility aids if necessary for 6min. The Cwfree was measured at a stabilized metabolic rate by indirect calorimetry with the Metamax 3B spiroergometry device. The relation between Sfree and Cwfree was analyzed by the correlation coefficient (r) and coefficient of determination (R2). The Cwfree prediction model was developed from a regression equation, then tested on a second population of 29 patients (mean age 62.1 years [SD 13.4]) with the same inclusion and exclusion criteria. Results For the 26 participants, the Sfree and Cwfree were highly correlated (r=−0.94 and R2=0.97), which allowed for formulating a regression equation and developing the Cwfree prediction model based on Sfree. The prediction model tests yielded accurate results (mean bias −0.02mL.kg−1.m−1; 95% limits of agreement −0.31 to 0.26mL.kg−1.m−1). The relation between Cwfree estimated by the model and measured by Metamax was high (R2=0.98). Conclusion Cwfree was strongly correlated with Sfree, which allowed for the development of a valid Cwfree prediction model. A practitioner could estimate the energy expenditure of walking for a patient without using an indirect calorimeter. Permalink : ./index.php?lvl=notice_display&id=80626 [article] Predicting the oxygen cost of walking in hemiparetic stroke patients [texte imprimé] / M. Compagnat ; S. Mandigout ; D. Chaparro ; Jean-Yves Salle ; Jean-Christophe Daviet . - 2018 . - p. 3009-314. Doi : 10.1016/j.rehab.2018.03.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 3009-314 Mots-clés : Stroke  Walking  Oxygen cost  Speed Résumé : Objective To verify the relation between spontaneous walking speed (Sfree) and oxygen cost of walking at Sfree (Cwfree) in post-stroke hemiparetic patients and to test the validity of a prediction model to estimate Cwfree based on Sfree. Design We included 26 participants (mean age 65.1 years [SD 15.7]) with mild to moderate disability after stroke who walked at Sfree using mobility aids if necessary for 6min. The Cwfree was measured at a stabilized metabolic rate by indirect calorimetry with the Metamax 3B spiroergometry device. The relation between Sfree and Cwfree was analyzed by the correlation coefficient (r) and coefficient of determination (R2). The Cwfree prediction model was developed from a regression equation, then tested on a second population of 29 patients (mean age 62.1 years [SD 13.4]) with the same inclusion and exclusion criteria. Results For the 26 participants, the Sfree and Cwfree were highly correlated (r=−0.94 and R2=0.97), which allowed for formulating a regression equation and developing the Cwfree prediction model based on Sfree. The prediction model tests yielded accurate results (mean bias −0.02mL.kg−1.m−1; 95% limits of agreement −0.31 to 0.26mL.kg−1.m−1). The relation between Cwfree estimated by the model and measured by Metamax was high (R2=0.98). Conclusion Cwfree was strongly correlated with Sfree, which allowed for the development of a valid Cwfree prediction model. A practitioner could estimate the energy expenditure of walking for a patient without using an indirect calorimeter. Permalink : ./index.php?lvl=notice_display&id=80626

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Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity / Marie-Doriane Morard in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 315-322 Titre : Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity Type de document : texte imprimé Auteurs : Marie-Doriane Morard ; S. Gonzalez-Monge ; P. Rippert ; S. Roche ; et al. Année de publication : 2018 Article en page(s) : p. 315-322 Note générale : Doi : 10.1016/j.rehab.2018.04.006 Langues : Anglais (eng) Mots-clés : Activities of daily living  Rehabilitation centers  Feasibility study  Nursing assessment Résumé : Objectives For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers’ activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency are not sufficiently precise. Here we describe the construction of a new tool, the SOFMER Activity Score (SAS scoring), which allows for a good description of the level of activity of patients hospitalized in RCs, and a feasibility study of the tool. Methods After a study group proposed the first version of the SAS, the validity of its content was studied by the Delphi consensus method: 26 physicians or healthcare professionals known for their expertise in PMR responded to the first round. The feasibility study was prospective and involved multi-site professionals. Data related to the SAS determined by a multidisciplinary team were collected and compared to the Activité de la Vie Quotidienne (AVQ) scale, which is administered to all patients and included in medical and administrative data. Results We included 81 patients in the feasibility study. The mean (SD) time to obtain the SAS was 4.5 (3.3) min. For 97.5% of scorings, the participating professionals judged that the SAS was compatible or fairly compatible with clinical practice. The internal structure of the SAS scale seemed better than that of the AVQ scale, for which the present study confirmed a floor effect for all items. Conclusions The SAS allows for measuring the level of physical and cognitive activity of a patient hospitalized in an RC. If validation studies for the SAS, exploring its reliability, construct validity or criterion validity, confirm the tool's good metrological qualities, the SAS will allow for a good quantification of the burden of care. Permalink : ./index.php?lvl=notice_display&id=80628 [article] Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity [texte imprimé] / Marie-Doriane Morard ; S. Gonzalez-Monge ; P. Rippert ; S. Roche ; et al. . - 2018 . - p. 315-322. Doi : 10.1016/j.rehab.2018.04.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 315-322 Mots-clés : Activities of daily living  Rehabilitation centers  Feasibility study  Nursing assessment Résumé : Objectives For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers’ activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency are not sufficiently precise. Here we describe the construction of a new tool, the SOFMER Activity Score (SAS scoring), which allows for a good description of the level of activity of patients hospitalized in RCs, and a feasibility study of the tool. Methods After a study group proposed the first version of the SAS, the validity of its content was studied by the Delphi consensus method: 26 physicians or healthcare professionals known for their expertise in PMR responded to the first round. The feasibility study was prospective and involved multi-site professionals. Data related to the SAS determined by a multidisciplinary team were collected and compared to the Activité de la Vie Quotidienne (AVQ) scale, which is administered to all patients and included in medical and administrative data. Results We included 81 patients in the feasibility study. The mean (SD) time to obtain the SAS was 4.5 (3.3) min. For 97.5% of scorings, the participating professionals judged that the SAS was compatible or fairly compatible with clinical practice. The internal structure of the SAS scale seemed better than that of the AVQ scale, for which the present study confirmed a floor effect for all items. Conclusions The SAS allows for measuring the level of physical and cognitive activity of a patient hospitalized in an RC. If validation studies for the SAS, exploring its reliability, construct validity or criterion validity, confirm the tool's good metrological qualities, the SAS will allow for a good quantification of the burden of care. Permalink : ./index.php?lvl=notice_display&id=80628

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Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials / Caroline Meyer in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 323-338 Titre : Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials Type de document : texte imprimé Auteurs : Caroline Meyer ; Camille M. Denis ; Anne Berquin Année de publication : 2018 Article en page(s) : p. 323-338 Note générale : Doi : 10.1016/j.rehab.2018.03.002 Langues : Anglais (eng) Mots-clés : Musculoskeletal pain  Low back pain  Chronic pain  Secondary prevention  Stratified care Résumé : Background Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain. Methods We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain. Clinical trials, systematic reviews and meta-analyses published after January 1, 2000 were searched in PubMed and PEDro databases and in the reference list of relevant papers. The risk of bias was assessed by the PEDro score. Results We identified 4807 potentially eligible articles; 13, corresponding to 9 studies, met the inclusion criteria. Most studies investigated low back pain. The overall risk of bias was moderate, mainly because of the difficulty of blinding in physiotherapy studies. As compared with a “one-size-fits-all” treatment, stratified programmes showed significant improvements in several domains of the International Classification of Functioning, Disability and Health: body structures and functions (pain, mood), activities (functional capacity), participation (return to work, quality of life), as well as environmental factors (healthcare consumption). Effect sizes were moderate. Overall, simple educational messages seemed sufficient for low-risk patients. Medium- and high-risk patients benefited from a physical reactivation programme combined with education. In high-risk patients, an additional cognitive-behavioural intervention further improved the outcome. Conclusions A stratified approach seems effective in reducing long-term disability in patients with musculoskeletal pain. However, more research is necessary to confirm these results. Permalink : ./index.php?lvl=notice_display&id=80631 [article] Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials [texte imprimé] / Caroline Meyer ; Camille M. Denis ; Anne Berquin . - 2018 . - p. 323-338. Doi : 10.1016/j.rehab.2018.03.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 323-338 Mots-clés : Musculoskeletal pain  Low back pain  Chronic pain  Secondary prevention  Stratified care Résumé : Background Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain. Methods We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain. Clinical trials, systematic reviews and meta-analyses published after January 1, 2000 were searched in PubMed and PEDro databases and in the reference list of relevant papers. The risk of bias was assessed by the PEDro score. Results We identified 4807 potentially eligible articles; 13, corresponding to 9 studies, met the inclusion criteria. Most studies investigated low back pain. The overall risk of bias was moderate, mainly because of the difficulty of blinding in physiotherapy studies. As compared with a “one-size-fits-all” treatment, stratified programmes showed significant improvements in several domains of the International Classification of Functioning, Disability and Health: body structures and functions (pain, mood), activities (functional capacity), participation (return to work, quality of life), as well as environmental factors (healthcare consumption). Effect sizes were moderate. Overall, simple educational messages seemed sufficient for low-risk patients. Medium- and high-risk patients benefited from a physical reactivation programme combined with education. In high-risk patients, an additional cognitive-behavioural intervention further improved the outcome. Conclusions A stratified approach seems effective in reducing long-term disability in patients with musculoskeletal pain. However, more research is necessary to confirm these results. Permalink : ./index.php?lvl=notice_display&id=80631

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Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis / Sharareh Sharififar in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 339-344 Titre : Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Sharareh Sharififar ; Jonathan Shuster ; Mark D. Bishop Année de publication : 2018 Article en page(s) : p. 339-344 Note générale : Doi : 10.1016/j.rehab.2018.06.005 Langues : Anglais (eng) Mots-clés : Sensory  Stimulation  Stroke  Function Résumé : Background Clinical studies have shown that sensory input improves motor function when added to active training after neurological injuries in the spinal cord. Objective We aimed to determine the effect on motor function of extremities of adding an electrical sensory modality without motor recruitment before or with routine rehabilitation for hemiparesis after stroke by a comprehensive systematic review and meta-analysis. Methods We searched databases including MEDLINE via PubMed and the Cochrane Central Register of Controlled Trials from 1978 to the end of November 2017 for reports of randomized controlled trials or controlled studies of patients with a clinical diagnosis of stroke who underwent 1) transcutaneous electrical nerve stimulation (TENS) or peripheral electromyography-triggered sensory stimulation over a peripheral nerve and associated muscles or 2) acupuncture to areas that produced sensory effects, without motor recruitment, along with routine rehabilitation. Outcome measures were motor impairment, activity, and participation outcomes defined by the International Classification of Functioning, Disability and Health. Results The search yielded 11studies with data that could be included in a meta-analysis. Electrical sensory inputs, when paired with routine therapy, improved peak torque dorsiflexion (mean difference [MD] 2.44 Nm, 95% confidence interval [CI] 0.26–4.63). On subgroup analysis, the combined therapy yielded a significant difference in terms of sensory stimulation without motor recruitment only on the Timed Up and Go test in the chronic phase of stroke (MD 3.51sec, 95% CI 3.05–3.98). The spasticity score was reduced but not significantly (MD−0.83 points, 95% CI -1.77−0.10). Conclusion Electrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke. Permalink : ./index.php?lvl=notice_display&id=80635 [article] Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis [texte imprimé] / Sharareh Sharififar ; Jonathan Shuster ; Mark D. Bishop . - 2018 . - p. 339-344. Doi : 10.1016/j.rehab.2018.06.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 339-344 Mots-clés : Sensory  Stimulation  Stroke  Function Résumé : Background Clinical studies have shown that sensory input improves motor function when added to active training after neurological injuries in the spinal cord. Objective We aimed to determine the effect on motor function of extremities of adding an electrical sensory modality without motor recruitment before or with routine rehabilitation for hemiparesis after stroke by a comprehensive systematic review and meta-analysis. Methods We searched databases including MEDLINE via PubMed and the Cochrane Central Register of Controlled Trials from 1978 to the end of November 2017 for reports of randomized controlled trials or controlled studies of patients with a clinical diagnosis of stroke who underwent 1) transcutaneous electrical nerve stimulation (TENS) or peripheral electromyography-triggered sensory stimulation over a peripheral nerve and associated muscles or 2) acupuncture to areas that produced sensory effects, without motor recruitment, along with routine rehabilitation. Outcome measures were motor impairment, activity, and participation outcomes defined by the International Classification of Functioning, Disability and Health. Results The search yielded 11studies with data that could be included in a meta-analysis. Electrical sensory inputs, when paired with routine therapy, improved peak torque dorsiflexion (mean difference [MD] 2.44 Nm, 95% confidence interval [CI] 0.26–4.63). On subgroup analysis, the combined therapy yielded a significant difference in terms of sensory stimulation without motor recruitment only on the Timed Up and Go test in the chronic phase of stroke (MD 3.51sec, 95% CI 3.05–3.98). The spasticity score was reduced but not significantly (MD−0.83 points, 95% CI -1.77−0.10). Conclusion Electrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke. Permalink : ./index.php?lvl=notice_display&id=80635

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Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies / Maëlys Teng in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 345-351 Titre : Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies Type de document : texte imprimé Auteurs : Maëlys Teng ; Florian Kervinio ; Mirella Moutounaïck ; Gabriel Miget ; Audrey Charlanes ; Camille Chesnel ; Frédérique Le Breton ; Gérard Amarenco Année de publication : 2018 Article en page(s) : p. 345-351 Note générale : Doi : 10.1016/j.rehab.2018.06.006 Langues : Anglais (eng) Mots-clés : Pelvic floor muscle  Perineal fatigue  Evaluation  Stress urinary incontinence  Pelvic organ prolapse  Pelvic floor fatigue rehabilitation Résumé : Background Pelvic floor fatigue is known by its clinical consequences (fecal incontinence, stress urinary incontinence, pelvic organ prolapse), but there are still few studies on the subject. Objective This article presents an overview of the current knowledge of pelvic and perineal fatigue, focusing on its assessment and consequences in terms of evaluation and therapeutic strategies, to propose an evaluation that could be routinely performed. Methods We performed a systematic review of the literature in MEDLINE via PubMed and Cochrane Library databases by using the keywords pelvic floor, muscular fatigue, physiopathology, stress urinary incontinence, pelvic organ prolapse, fecal incontinence, physical activity, and pelvic rehabilitation. We included reports of systematic reviews and retrospective and prospective studies on adult humans and animals in English or French published up to April 2018 with no restriction on start date. Results We selected 59 articles by keyword search, 18 by hand-search and 3 specific guidelines (including the 2009 International Continence Society recommendations); finally 45 articles were included; 14 are described in the Results section (2 reviews of 6 and 20 studies, and 12 prospective observational or cross-over studies of 5 to 317 patients including 1 of animals). Perineal fatigue can be assessed by direct assessment, electromyography and spectral analysis and during urodynamics. Because pelvic floor fatigue assessments are not evaluated routinely, this fatigability is not always identified and is often falsely considered an exclusive pelvic floor weakness, as suggested by some rehabilitation methods that also weaken the pelvic floor instead of enhancing it. Conclusion Pelvic floor fatigue is not evaluated enough on a routine basis and the assessment is heterogeneous. A better knowledge of pelvic floor fatigue by standardized routine evaluation could lead to targeted therapeutic strategies. Permalink : ./index.php?lvl=notice_display&id=80637 [article] Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies [texte imprimé] / Maëlys Teng ; Florian Kervinio ; Mirella Moutounaïck ; Gabriel Miget ; Audrey Charlanes ; Camille Chesnel ; Frédérique Le Breton ; Gérard Amarenco . - 2018 . - p. 345-351. Doi : 10.1016/j.rehab.2018.06.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 345-351 Mots-clés : Pelvic floor muscle  Perineal fatigue  Evaluation  Stress urinary incontinence  Pelvic organ prolapse  Pelvic floor fatigue rehabilitation Résumé : Background Pelvic floor fatigue is known by its clinical consequences (fecal incontinence, stress urinary incontinence, pelvic organ prolapse), but there are still few studies on the subject. Objective This article presents an overview of the current knowledge of pelvic and perineal fatigue, focusing on its assessment and consequences in terms of evaluation and therapeutic strategies, to propose an evaluation that could be routinely performed. Methods We performed a systematic review of the literature in MEDLINE via PubMed and Cochrane Library databases by using the keywords pelvic floor, muscular fatigue, physiopathology, stress urinary incontinence, pelvic organ prolapse, fecal incontinence, physical activity, and pelvic rehabilitation. We included reports of systematic reviews and retrospective and prospective studies on adult humans and animals in English or French published up to April 2018 with no restriction on start date. Results We selected 59 articles by keyword search, 18 by hand-search and 3 specific guidelines (including the 2009 International Continence Society recommendations); finally 45 articles were included; 14 are described in the Results section (2 reviews of 6 and 20 studies, and 12 prospective observational or cross-over studies of 5 to 317 patients including 1 of animals). Perineal fatigue can be assessed by direct assessment, electromyography and spectral analysis and during urodynamics. Because pelvic floor fatigue assessments are not evaluated routinely, this fatigability is not always identified and is often falsely considered an exclusive pelvic floor weakness, as suggested by some rehabilitation methods that also weaken the pelvic floor instead of enhancing it. Conclusion Pelvic floor fatigue is not evaluated enough on a routine basis and the assessment is heterogeneous. A better knowledge of pelvic floor fatigue by standardized routine evaluation could lead to targeted therapeutic strategies. Permalink : ./index.php?lvl=notice_display&id=80637

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French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury / A. Gelis in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 352-354 Titre : French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury Type de document : texte imprimé Auteurs : A. Gelis ; D. Colin ; Brigitte Perrouin-Verbe ; X. Deboissezon ; D. Bensmail ; D. Casanova ; P. Rousseau ; B. Barrois Année de publication : 2018 Article en page(s) : p. 352-354 Note générale : Doi : 10.1016/j.rehab.2018.05.1318 Langues : Anglais (eng) Résumé : Methodology Recommendations Surgery A holistic approach is recommended before deciding on surgery, with a benefit and risk analysis A pre-operative procedure should be respected A multi-disciplinary consultation Mood and associated behavioural disorders Medical imaging before surgery Biological tests The type of surgery should be defined during the pre-operative step The patient should be informed during the pre-operative step A systematic procedure must be respected in the post-operative step Positioning for the patient Total post-operative immediate discharge must be organized: hospitalization in a convalescence ward, even a physical and rehabilitation medicine unit or at-home hospitalization The patient should regain sitting gradually, with multiprofessional management, ideally in a physical and rehabilitation medicine unit, and always after total wound healing The patient's ability to assess the skin at home should be assessed Subsequent monitoring should be organized Disclosure of interest Permalink : ./index.php?lvl=notice_display&id=80643 [article] French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury [texte imprimé] / A. Gelis ; D. Colin ; Brigitte Perrouin-Verbe ; X. Deboissezon ; D. Bensmail ; D. Casanova ; P. Rousseau ; B. Barrois . - 2018 . - p. 352-354. Doi : 10.1016/j.rehab.2018.05.1318 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 352-354 Résumé : Methodology Recommendations Surgery A holistic approach is recommended before deciding on surgery, with a benefit and risk analysis A pre-operative procedure should be respected A multi-disciplinary consultation Mood and associated behavioural disorders Medical imaging before surgery Biological tests The type of surgery should be defined during the pre-operative step The patient should be informed during the pre-operative step A systematic procedure must be respected in the post-operative step Positioning for the patient Total post-operative immediate discharge must be organized: hospitalization in a convalescence ward, even a physical and rehabilitation medicine unit or at-home hospitalization The patient should regain sitting gradually, with multiprofessional management, ideally in a physical and rehabilitation medicine unit, and always after total wound healing The patient's ability to assess the skin at home should be assessed Subsequent monitoring should be organized Disclosure of interest Permalink : ./index.php?lvl=notice_display&id=80643

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Test-retest reliability of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition for youth with Prader-Willi syndrome / Melanie Y. Lam in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 355-357 Titre : Test-retest reliability of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition for youth with Prader-Willi syndrome Type de document : texte imprimé Auteurs : Melanie Y. Lam ; Daniela A. Rubin ; Elizabeth White ; Andrea T. Duran ; Debra J. Rose Année de publication : 2018 Article en page(s) : p. 355-357 Note générale : Doi : 10.1016/j.rehab.2018.06.001 Langues : Anglais (eng) Mots-clés : Prader–Willi syndrome  Test–retest reliability  Fine motor skills  Gross motor skills  Motor proficiency Permalink : ./index.php?lvl=notice_display&id=80645 [article] Test-retest reliability of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition for youth with Prader-Willi syndrome [texte imprimé] / Melanie Y. Lam ; Daniela A. Rubin ; Elizabeth White ; Andrea T. Duran ; Debra J. Rose . - 2018 . - p. 355-357. Doi : 10.1016/j.rehab.2018.06.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 355-357 Mots-clés : Prader–Willi syndrome  Test–retest reliability  Fine motor skills  Gross motor skills  Motor proficiency Permalink : ./index.php?lvl=notice_display&id=80645

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What is the interest of PMR after massive surgery for lower-limb sarcoma? / Alban Fouasson-Chailloux in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 358-360 Titre : What is the interest of PMR after massive surgery for lower-limb sarcoma? Type de document : texte imprimé Auteurs : Alban Fouasson-Chailloux ; Pierre Menu ; V. Crenn ; Marc Dauty Année de publication : 2018 Article en page(s) : p. 358-360 Note générale : Doi : 10.1016/j.rehab.2018.04.002 Langues : Anglais (eng) Mots-clés : Bone tumor  Joint prosthesis  Rehabilitation  Autonomy Permalink : ./index.php?lvl=notice_display&id=80646 [article] What is the interest of PMR after massive surgery for lower-limb sarcoma? [texte imprimé] / Alban Fouasson-Chailloux ; Pierre Menu ; V. Crenn ; Marc Dauty . - 2018 . - p. 358-360. Doi : 10.1016/j.rehab.2018.04.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 358-360 Mots-clés : Bone tumor  Joint prosthesis  Rehabilitation  Autonomy Permalink : ./index.php?lvl=notice_display&id=80646

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