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Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial / Stefano Negrini in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 69-76 Titre : Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial Type de document : texte imprimé Auteurs : Stefano Negrini ; Sabrina Donzelli ; Alessandra Negrini ; et al. Année de publication : 2019 Article en page(s) : p. 69-76 Note générale : Doi : 10.1016/j.rehab.2018.07.010 Langues : Anglais (eng) Mots-clés : Scoliosis  Adolescents  Exercise Résumé : Background In an ideal experimental setting, 2 randomized controlled trials recently showed the efficacy of physiotherapeutic scoliosis-specific exercises (PSSEs) for adolescents with idiopathic scoliosis (AIS). Now large observational studies are needed to check the generalizability of these results to everyday clinical life. Objective To explore the effectiveness of PSSEs for avoiding bracing or progression of AIS in everyday clinics. Methods This was a longitudinal comparative observational multicenter study, nested in a prospective database of outpatient tertiary referral clinics, including 327 consecutive patients. Inclusion criteria were AIS, age≥10 years old at first evaluation, Risser sign 0–2, and 11–20°Cobbangle. Exclusion criteria were consultations only and brace prescription at baseline. Groups performed PSSE according to the SEAS (Scientific Exercise Approach to Scoliosis) School, usual physiotherapy (UP) and no therapy (controls [CON]). End of treatment was medical discharge, Risser sign 3, or failure (defined by the need for bracing before the end of growth or Cobb angle>29°). The probability of failure was estimated by the risk ratio (RR) and 95% confidence interval (CI). The number needed to treat was estimated. Statistical analysis included intent-to-treat analysis, considering all participants (dropouts as failures), and efficacy analysis, considering only end-of-treatment participants. Propensity scores were used to reduce the potential effects of confounders related to the observational design. Results We included 293 eligible subjects after propensity score matching (SEAS, n=145; UP, n=95; controls, n=53). The risk of success was increased 1.7-fold (P=0.007) and 1.5-fold (P=0.006) with SEAS versus controls in the efficacy and intent-to-treat analyses, respectively, and the number needed to treat for testing SEAS versus controls was 3.5 (95% CI 3.2–3.7) and 1.8 (95% CI 1.5–2.0), respectively. The success rate was higher with SEAS than UP in the efficacy analysis. Conclusions SEAS reduced the bracing rate in AIS and was more effective than UP. PSSEs are additional tools that can be included in the therapeutic toolbox for AIS treatment. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314416 Permalink : ./index.php?lvl=notice_display&id=82643 [article] Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial [texte imprimé] / Stefano Negrini ; Sabrina Donzelli ; Alessandra Negrini ; et al. . - 2019 . - p. 69-76. Doi : 10.1016/j.rehab.2018.07.010 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 69-76 Mots-clés : Scoliosis  Adolescents  Exercise Résumé : Background In an ideal experimental setting, 2 randomized controlled trials recently showed the efficacy of physiotherapeutic scoliosis-specific exercises (PSSEs) for adolescents with idiopathic scoliosis (AIS). Now large observational studies are needed to check the generalizability of these results to everyday clinical life. Objective To explore the effectiveness of PSSEs for avoiding bracing or progression of AIS in everyday clinics. Methods This was a longitudinal comparative observational multicenter study, nested in a prospective database of outpatient tertiary referral clinics, including 327 consecutive patients. Inclusion criteria were AIS, age≥10 years old at first evaluation, Risser sign 0–2, and 11–20°Cobbangle. Exclusion criteria were consultations only and brace prescription at baseline. Groups performed PSSE according to the SEAS (Scientific Exercise Approach to Scoliosis) School, usual physiotherapy (UP) and no therapy (controls [CON]). End of treatment was medical discharge, Risser sign 3, or failure (defined by the need for bracing before the end of growth or Cobb angle>29°). The probability of failure was estimated by the risk ratio (RR) and 95% confidence interval (CI). The number needed to treat was estimated. Statistical analysis included intent-to-treat analysis, considering all participants (dropouts as failures), and efficacy analysis, considering only end-of-treatment participants. Propensity scores were used to reduce the potential effects of confounders related to the observational design. Results We included 293 eligible subjects after propensity score matching (SEAS, n=145; UP, n=95; controls, n=53). The risk of success was increased 1.7-fold (P=0.007) and 1.5-fold (P=0.006) with SEAS versus controls in the efficacy and intent-to-treat analyses, respectively, and the number needed to treat for testing SEAS versus controls was 3.5 (95% CI 3.2–3.7) and 1.8 (95% CI 1.5–2.0), respectively. The success rate was higher with SEAS than UP in the efficacy analysis. Conclusions SEAS reduced the bracing rate in AIS and was more effective than UP. PSSEs are additional tools that can be included in the therapeutic toolbox for AIS treatment. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314416 Permalink : ./index.php?lvl=notice_display&id=82643

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Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury / J. Morel in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 77-83 Titre : Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury Type de document : texte imprimé Auteurs : J. Morel ; C. Herlin ; B. Amara ; et al. Année de publication : 2019 Article en page(s) : p. 77-83 Note générale : Doi : 10.1016/j.rehab.2018.08.005 Langues : Anglais (eng) Mots-clés : Pressure ulcer  Flap surgery  Spinal cord injury  Recurrence  Risk factor Résumé : Background Flap surgery for deep pelvic pressure ulcers (PPUs) has been found effective, but the recurrence rate remains high and few risk factors have been identified. Objective We evaluated risk factors for PU recurrence after primary flap surgery in people with spinal cord injury (SCI). Patients and methods This observational retrospective study based on medical charts included all individuals with SCI who underwent primary flap surgery for a PPU in the Hérault department in France between 2006 and 2014. Overall, 100 biomedical, psychological, socioeconomic and care management factors were studied. The primary outcome was PPU recurrence (surgical site and/or other pelvic site). The secondary outcome was recurrence at the surgical site. Cox proportional hazards regression was used to determine associated factors, estimating hazard ratios (HRs) and 95% confidence intervals (CIs). Results We included 85 patients. Half had a PPU recurrence, and in one-third, the recurrence was at the surgical site. On multivariate analysis, global PPU recurrence was associated with colostomy (HR=2.79) and living with a partner (HR=2.29). Non-traumatic SCI and sacral wound were associated with PPU recurrence (HR=3.39, HR=0.48) and recurrence at the surgical site (HR=3.3, HR=0.3). Conclusion Risk factors of PPU recurrence are based on both biomedical and social models. After primary flap surgery, the risk of recurrence justifies regular follow-up and strict monitoring. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314477 Permalink : ./index.php?lvl=notice_display&id=82644 [article] Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury [texte imprimé] / J. Morel ; C. Herlin ; B. Amara ; et al. . - 2019 . - p. 77-83. Doi : 10.1016/j.rehab.2018.08.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 77-83 Mots-clés : Pressure ulcer  Flap surgery  Spinal cord injury  Recurrence  Risk factor Résumé : Background Flap surgery for deep pelvic pressure ulcers (PPUs) has been found effective, but the recurrence rate remains high and few risk factors have been identified. Objective We evaluated risk factors for PU recurrence after primary flap surgery in people with spinal cord injury (SCI). Patients and methods This observational retrospective study based on medical charts included all individuals with SCI who underwent primary flap surgery for a PPU in the Hérault department in France between 2006 and 2014. Overall, 100 biomedical, psychological, socioeconomic and care management factors were studied. The primary outcome was PPU recurrence (surgical site and/or other pelvic site). The secondary outcome was recurrence at the surgical site. Cox proportional hazards regression was used to determine associated factors, estimating hazard ratios (HRs) and 95% confidence intervals (CIs). Results We included 85 patients. Half had a PPU recurrence, and in one-third, the recurrence was at the surgical site. On multivariate analysis, global PPU recurrence was associated with colostomy (HR=2.79) and living with a partner (HR=2.29). Non-traumatic SCI and sacral wound were associated with PPU recurrence (HR=3.39, HR=0.48) and recurrence at the surgical site (HR=3.3, HR=0.3). Conclusion Risk factors of PPU recurrence are based on both biomedical and social models. After primary flap surgery, the risk of recurrence justifies regular follow-up and strict monitoring. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314477 Permalink : ./index.php?lvl=notice_display&id=82644

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Disease-related outcomes influence prevalence of falls in people with rheumatoid arthritis / J. Zonzini Gaino in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 84-91 Titre : Disease-related outcomes influence prevalence of falls in people with rheumatoid arthritis Type de document : texte imprimé Auteurs : J. Zonzini Gaino ; M. Barros Bértolo ; C. Silva Nunes ; et al. Année de publication : 2019 Article en page(s) : p. 84-91 Note générale : Doi : 10.1016/j.rehab.2018.09.003 Langues : Anglais (eng) Mots-clés : Rheumatoid Arthritis  Falls  Disease activity  Disability  Physical performance tests Résumé : Background Patients with rheumatoid arthritis (RA) are at increased risk of falls, with potential adverse outcomes. There is a considerable variation across studies regarding the prevalence of falls and its correlation with clinical data, disease-related outcomes and physical performance tests. Objective The aim of this study was to evaluate the prevalence of falls and its association with clinical data, disease-related outcomes and physical performance tests. Methods In this cross-sectional study, 113 RA patients were divided into 3 groups — “non-fallers”, “sporadic fallers” and “recurrent fallers” — and compared in terms of clinical data, Clinical Disease Activity Index (CDAI), lower-limb tender and swollen joint count, disability (Health Assessment Questionnaire-Disability Index [HAQ-DI]), Foot Function Index (FFI), Berg Balance Scale (BBS), Timed-up-and-go Test (TUG) and 5-Time Sit Down-To-Stand Up Test (SST5). Logistic regression analysis was performed to analyze the associations between the studied variables and the occurrence of falls, estimating odds ratios (ORs). We also analyzed the correlation between disease outcome measures (HAQ-DI and CDAI) and physical tests (BBS, TUG, SST5). Results Falls and fear of falling were reported by 59 (52.21%) and 71 (64.5%) patients, respectively. Significant associations were found between “recurrent fallers” and vertigo (OR=3.42; P=0.03), fear of falling (OR=3.44; P=0.01), low income (OR=2.02; P=0.04), CDAI (OR=1.08; P<0.01), HAQ-DI (OR=3.66; P<0.01), Lower-limb HAQ (OR=3.48; P<0.01), FFI-pain (OR=1.24; P=0.03), FFI-total (OR=1.23; P=0.04), lower-limb tender joint count (OR=1.22; P<0.01), BBS score (OR=1.14; P<0.01), TUG score (OR=1.13; P=0.03) and SST5 score (OR=1.06; P=0.02). On multivariate analysis, CDAI was the only significant predictor of recurrent falls (OR=1.08; P<0.01). Physical performance test scores (BBS, TUG, SST5) were correlated with the CDAI and HAQ-DI. Conclusion The prevalence of falls in RA is high, most influenced by disease-related outcomes and linked to worse performance on physical tests (BBS, TUG and SST5). En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314490 Permalink : ./index.php?lvl=notice_display&id=82645 [article] Disease-related outcomes influence prevalence of falls in people with rheumatoid arthritis [texte imprimé] / J. Zonzini Gaino ; M. Barros Bértolo ; C. Silva Nunes ; et al. . - 2019 . - p. 84-91. Doi : 10.1016/j.rehab.2018.09.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 84-91 Mots-clés : Rheumatoid Arthritis  Falls  Disease activity  Disability  Physical performance tests Résumé : Background Patients with rheumatoid arthritis (RA) are at increased risk of falls, with potential adverse outcomes. There is a considerable variation across studies regarding the prevalence of falls and its correlation with clinical data, disease-related outcomes and physical performance tests. Objective The aim of this study was to evaluate the prevalence of falls and its association with clinical data, disease-related outcomes and physical performance tests. Methods In this cross-sectional study, 113 RA patients were divided into 3 groups — “non-fallers”, “sporadic fallers” and “recurrent fallers” — and compared in terms of clinical data, Clinical Disease Activity Index (CDAI), lower-limb tender and swollen joint count, disability (Health Assessment Questionnaire-Disability Index [HAQ-DI]), Foot Function Index (FFI), Berg Balance Scale (BBS), Timed-up-and-go Test (TUG) and 5-Time Sit Down-To-Stand Up Test (SST5). Logistic regression analysis was performed to analyze the associations between the studied variables and the occurrence of falls, estimating odds ratios (ORs). We also analyzed the correlation between disease outcome measures (HAQ-DI and CDAI) and physical tests (BBS, TUG, SST5). Results Falls and fear of falling were reported by 59 (52.21%) and 71 (64.5%) patients, respectively. Significant associations were found between “recurrent fallers” and vertigo (OR=3.42; P=0.03), fear of falling (OR=3.44; P=0.01), low income (OR=2.02; P=0.04), CDAI (OR=1.08; P<0.01), HAQ-DI (OR=3.66; P<0.01), Lower-limb HAQ (OR=3.48; P<0.01), FFI-pain (OR=1.24; P=0.03), FFI-total (OR=1.23; P=0.04), lower-limb tender joint count (OR=1.22; P<0.01), BBS score (OR=1.14; P<0.01), TUG score (OR=1.13; P=0.03) and SST5 score (OR=1.06; P=0.02). On multivariate analysis, CDAI was the only significant predictor of recurrent falls (OR=1.08; P<0.01). Physical performance test scores (BBS, TUG, SST5) were correlated with the CDAI and HAQ-DI. Conclusion The prevalence of falls in RA is high, most influenced by disease-related outcomes and linked to worse performance on physical tests (BBS, TUG and SST5). En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314490 Permalink : ./index.php?lvl=notice_display&id=82645

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Validation of the Oswestry Disability Index for pain and disability in arthrogryposis multiplex congenita / Talon Jones in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 92-97 Titre : Validation of the Oswestry Disability Index for pain and disability in arthrogryposis multiplex congenita Type de document : texte imprimé Auteurs : Talon Jones ; Rebecca Miller ; John T. Street ; Bonita Sawatzky Année de publication : 2019 Article en page(s) : p. 92-97 Note générale : Doi : 10.1016/j.rehab.2018.05.1319 Langues : Anglais (eng) Mots-clés : Arthrogryposis  Pain  Outcome measure  Disability Résumé : Objective Chronic musculoskeletal pain and disability is common in adults with arthrogryposis multiplex congenita (AMC), but validated outcome measures of its related disability are lacking. This study aimed to determine the content and construct validity of the Oswestry Disability Index (ODI) for an AMC-appropriate low-back and lower-extremity pain-related disability questionnaire. Methods A mixed methods approach was used to investigate the nature of AMC-related low-back and lower-extremity pain and disability. We included 50 adults with AMC from an international arthrogryposis study. Participants completed 5 pain and disability questionnaires and an interview. Content and construct validity of the ODI in the AMC population was assessed by the proportion of participants who stated ODI domains during the open-ended interview and by R2 values and Pearson's correlation coefficients (r-values), respectively. Results The content and construct validity of the ODI were considered moderate to high for measuring low-back pain and lower-extremity disability in the adult AMC population. Participants independently identified many activities of daily living (67%), such as walking, standing, personal care, sitting, lifting and sleeping, already included in the ODI. R2 values were>0.25 for all 3 measures, demonstrating the strength of construct validity of the ODI in individuals with AMC. Conclusion The ODI is a valid outcome tool for low-back and lower-extremity pain-related disability for patients with AMC. Upper-extremity issues were not addressed by the ODI, which will be further addressed in future research. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718313976 Permalink : ./index.php?lvl=notice_display&id=82646 [article] Validation of the Oswestry Disability Index for pain and disability in arthrogryposis multiplex congenita [texte imprimé] / Talon Jones ; Rebecca Miller ; John T. Street ; Bonita Sawatzky . - 2019 . - p. 92-97. Doi : 10.1016/j.rehab.2018.05.1319 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 92-97 Mots-clés : Arthrogryposis  Pain  Outcome measure  Disability Résumé : Objective Chronic musculoskeletal pain and disability is common in adults with arthrogryposis multiplex congenita (AMC), but validated outcome measures of its related disability are lacking. This study aimed to determine the content and construct validity of the Oswestry Disability Index (ODI) for an AMC-appropriate low-back and lower-extremity pain-related disability questionnaire. Methods A mixed methods approach was used to investigate the nature of AMC-related low-back and lower-extremity pain and disability. We included 50 adults with AMC from an international arthrogryposis study. Participants completed 5 pain and disability questionnaires and an interview. Content and construct validity of the ODI in the AMC population was assessed by the proportion of participants who stated ODI domains during the open-ended interview and by R2 values and Pearson's correlation coefficients (r-values), respectively. Results The content and construct validity of the ODI were considered moderate to high for measuring low-back pain and lower-extremity disability in the adult AMC population. Participants independently identified many activities of daily living (67%), such as walking, standing, personal care, sitting, lifting and sleeping, already included in the ODI. R2 values were>0.25 for all 3 measures, demonstrating the strength of construct validity of the ODI in individuals with AMC. Conclusion The ODI is a valid outcome tool for low-back and lower-extremity pain-related disability for patients with AMC. Upper-extremity issues were not addressed by the ODI, which will be further addressed in future research. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718313976 Permalink : ./index.php?lvl=notice_display&id=82646

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Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis / A. Sampath Kumar in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 98-103 Titre : Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : A. Sampath Kumar ; Arun G. Maiya ; B.A. Shastry ; K. Vaishali ; N. Ravishankar ; Animesh Hazari ; Shubha Gundmi ; Radhika Jadhav Année de publication : 2019 Article en page(s) : p. 98-103 Note générale : https://doi.org/10.1016/j.rehab.2018.11.001 Langues : Anglais (eng) Mots-clés : Insulin resistance  Homa-IR  Fasting insulin  Glycated hemoglobin  Type 2 diabetes mellitus  Aerobic exercise  Resistance exercise Résumé : Background Insulin resistance is a determining factor in the pathophysiology of type 2 diabetes mellitus (T2DM). Exercise is known to improve insulin resistance, but a systematic review of the literature is lacking. Objective This systematic review and meta-analysis focused on identifying evidence for the effectiveness of a structured exercise intervention program for insulin resistance in T2DM. Methods We searched MEDLINE via PubMed, CINHAL, Scopus and Web of Science, and the Cochrane Central Register of Controlled Trials for reports of studies on fasting insulin, homeostatic model assessment for insulin resistance (Homa-IR), fasting blood sugar, glycated hemoglobin and body mass index in patients with T2DM and healthy controls that were published between 1990 and 2017. Data are reported as the standardized mean difference or mean difference with 95% confidence intervals (CIs). Results Among 2242 records retrieved, only 11 full-text articles were available for meta-analysis. Data for 846 participants were analyzed, 440 in the intervention group, and 406 in the control group. The mean difference for fasting insulin level was −1.64 (95% CI; −3.38 to 0.10), Homa-Ir 0.14 (−1.48 to 1.76), fasting blood sugar −5.12 (−7.78 to −2.45), hemoglobin A1c 0.63 (−0.82 to 2.08) and body mass index −0.36 (−1.51 to 0.79). Conclusion The evidence highlights the effectiveness of a structured exercise intervention program for insulin resistance in T2DM with a moderate level 2 of evidence. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314830 Permalink : ./index.php?lvl=notice_display&id=84104 [article] Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis [texte imprimé] / A. Sampath Kumar ; Arun G. Maiya ; B.A. Shastry ; K. Vaishali ; N. Ravishankar ; Animesh Hazari ; Shubha Gundmi ; Radhika Jadhav . - 2019 . - p. 98-103. https://doi.org/10.1016/j.rehab.2018.11.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 98-103 Mots-clés : Insulin resistance  Homa-IR  Fasting insulin  Glycated hemoglobin  Type 2 diabetes mellitus  Aerobic exercise  Resistance exercise Résumé : Background Insulin resistance is a determining factor in the pathophysiology of type 2 diabetes mellitus (T2DM). Exercise is known to improve insulin resistance, but a systematic review of the literature is lacking. Objective This systematic review and meta-analysis focused on identifying evidence for the effectiveness of a structured exercise intervention program for insulin resistance in T2DM. Methods We searched MEDLINE via PubMed, CINHAL, Scopus and Web of Science, and the Cochrane Central Register of Controlled Trials for reports of studies on fasting insulin, homeostatic model assessment for insulin resistance (Homa-IR), fasting blood sugar, glycated hemoglobin and body mass index in patients with T2DM and healthy controls that were published between 1990 and 2017. Data are reported as the standardized mean difference or mean difference with 95% confidence intervals (CIs). Results Among 2242 records retrieved, only 11 full-text articles were available for meta-analysis. Data for 846 participants were analyzed, 440 in the intervention group, and 406 in the control group. The mean difference for fasting insulin level was −1.64 (95% CI; −3.38 to 0.10), Homa-Ir 0.14 (−1.48 to 1.76), fasting blood sugar −5.12 (−7.78 to −2.45), hemoglobin A1c 0.63 (−0.82 to 2.08) and body mass index −0.36 (−1.51 to 0.79). Conclusion The evidence highlights the effectiveness of a structured exercise intervention program for insulin resistance in T2DM with a moderate level 2 of evidence. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314830 Permalink : ./index.php?lvl=notice_display&id=84104

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Transcranial direct current stimulation in post-stroke aphasia rehabilitation: A systematic review / Elisa Biou in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 104-121 Titre : Transcranial direct current stimulation in post-stroke aphasia rehabilitation: A systematic review Type de document : texte imprimé Auteurs : Elisa Biou ; Hélène Cassoudesalle ; Mélanie Cogné ; Igor Sibon ; Isabelle De Gabory ; Patrick Dehail ; Jérôme Aupy ; Bertrand Glize Année de publication : 2019 Article en page(s) : p. 104-121 Note générale : https://doi.org/10.1016/j.rehab.2019.01.003 Langues : Anglais (eng) Mots-clés : Aphasia  TDCS  Rehabilitation  Speech therapy Résumé : Abstract Background Transcranial direct current stimulation (tDCS) is a non-invasive tool that induces neuromodulation in the brain. Several studies have shown the effectiveness of tDCS in improving language recovery in post-stroke aphasia. However, this innovative technique is not currently used in routine speech and language therapy (SLT) practice. Objective This systematic review aimed to summarise the role of tDCS in aphasia rehabilitation. Methods We searched MEDLINE via PubMed and Scopus on October 5, 2018 for English articles published from 1996 to 2018. Eligible studies involved post-stroke aphasia rehabilitation with tDCS combined or not with SLT. Results We retained 5 meta-analyses and 48 studies. Among the 48 studies, 39 were randomised controlled trials (558 patients), 2 prospective studies (56 patients), and 5 case studies (5 patients). Two articles were sub-analyses of a randomised clinical trial. Methods used in these studies were heterogeneous. Only 6 studies did not find a significant effect of tDCS on language performance. As compared with earlier meta-analyses, the 2 latest found significant effects. Conclusion Evidence from published peer reviewed literature is effective for post-stroke aphasia rehabilitation at the chronic stages. tDCS devices are easy to use, safe and inexpensive. They can be used in routine clinical practice by speech therapists for aphasia rehabilitation. However, further studies should investigate the effectiveness in the subacute post-stroke phase and determine the effect of the lesion for precisely identifying the targeted brain areas. We discuss crucial challenges for future studies. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300107 Permalink : ./index.php?lvl=notice_display&id=84105 [article] Transcranial direct current stimulation in post-stroke aphasia rehabilitation: A systematic review [texte imprimé] / Elisa Biou ; Hélène Cassoudesalle ; Mélanie Cogné ; Igor Sibon ; Isabelle De Gabory ; Patrick Dehail ; Jérôme Aupy ; Bertrand Glize . - 2019 . - p. 104-121. https://doi.org/10.1016/j.rehab.2019.01.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 104-121 Mots-clés : Aphasia  TDCS  Rehabilitation  Speech therapy Résumé : Abstract Background Transcranial direct current stimulation (tDCS) is a non-invasive tool that induces neuromodulation in the brain. Several studies have shown the effectiveness of tDCS in improving language recovery in post-stroke aphasia. However, this innovative technique is not currently used in routine speech and language therapy (SLT) practice. Objective This systematic review aimed to summarise the role of tDCS in aphasia rehabilitation. Methods We searched MEDLINE via PubMed and Scopus on October 5, 2018 for English articles published from 1996 to 2018. Eligible studies involved post-stroke aphasia rehabilitation with tDCS combined or not with SLT. Results We retained 5 meta-analyses and 48 studies. Among the 48 studies, 39 were randomised controlled trials (558 patients), 2 prospective studies (56 patients), and 5 case studies (5 patients). Two articles were sub-analyses of a randomised clinical trial. Methods used in these studies were heterogeneous. Only 6 studies did not find a significant effect of tDCS on language performance. As compared with earlier meta-analyses, the 2 latest found significant effects. Conclusion Evidence from published peer reviewed literature is effective for post-stroke aphasia rehabilitation at the chronic stages. tDCS devices are easy to use, safe and inexpensive. They can be used in routine clinical practice by speech therapists for aphasia rehabilitation. However, further studies should investigate the effectiveness in the subacute post-stroke phase and determine the effect of the lesion for precisely identifying the targeted brain areas. We discuss crucial challenges for future studies. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300107 Permalink : ./index.php?lvl=notice_display&id=84105

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Interplay between hypoactivity, muscle properties and motor command: How to escape the vicious deconditioning circle? / Marie-Hélène Canu in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 122-127 Titre : Interplay between hypoactivity, muscle properties and motor command: How to escape the vicious deconditioning circle? Type de document : texte imprimé Auteurs : Marie-Hélène Canu ; Julie Fourneau ; Jacques-Olivier Coq ; Luc Dannhoffer ; Caroline Cieniewski ; Laurence Stevens ; Bruno Bastide ; Erwan Dupont Année de publication : 2019 Article en page(s) : p. 122-127 Note générale : https://doi.org/10.1016/j.rehab.2018.09.009 Langues : Anglais (eng) Mots-clés : Neuromuscular plasticity  Immobilization  Motor behavior  Bed rest  Sensorimotor cortex  Disuse atrophy Résumé : Activity-dependent processes addressing the central nervous system (CNS) and musculoskeletal structures are critical for maintaining motor performance. Chronic reduction in activity, whether due to a sedentary lifestyle or extended bed rest, results in impaired performance in motor tasks and thus decreased quality of life. In the first part of this paper, we give a narrative review of the effects of hypoactivity on the neuromuscular system and behavioral outcomes. Motor impairments arise from a combination of factors including altered muscle properties, impaired afferent input, and plastic changes in neural structure and function throughout the nervous system. There is a reciprocal interplay between the CNS and muscle properties, and these sensorimotor loops are essential for controlling posture and movement. As a result, patients under hypoactivity experience a self-perpetuating cycle, in with sedentarity leading to decreased motor activity and thus a progressive worsening of a situation, and finally deconditioning. Various rehabilitation strategies have been studied to slow down or reverse muscle alteration and altered motor performance. In the second part of the paper, we review representative protocols directed toward the muscle, the sensory input and/or the cerebral cortex. Improving an understanding of the loss of motor function under conditions of disuse (such as extended bed rest) as well as identifying means to slow this decline may lead to therapeutic strategies to preserve quality of life for a range of individuals. The most efficient strategies seem multifactorial, using a combination of approaches targeting different levels of the neuromuscular system. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314738 Permalink : ./index.php?lvl=notice_display&id=84106 [article] Interplay between hypoactivity, muscle properties and motor command: How to escape the vicious deconditioning circle? [texte imprimé] / Marie-Hélène Canu ; Julie Fourneau ; Jacques-Olivier Coq ; Luc Dannhoffer ; Caroline Cieniewski ; Laurence Stevens ; Bruno Bastide ; Erwan Dupont . - 2019 . - p. 122-127. https://doi.org/10.1016/j.rehab.2018.09.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 122-127 Mots-clés : Neuromuscular plasticity  Immobilization  Motor behavior  Bed rest  Sensorimotor cortex  Disuse atrophy Résumé : Activity-dependent processes addressing the central nervous system (CNS) and musculoskeletal structures are critical for maintaining motor performance. Chronic reduction in activity, whether due to a sedentary lifestyle or extended bed rest, results in impaired performance in motor tasks and thus decreased quality of life. In the first part of this paper, we give a narrative review of the effects of hypoactivity on the neuromuscular system and behavioral outcomes. Motor impairments arise from a combination of factors including altered muscle properties, impaired afferent input, and plastic changes in neural structure and function throughout the nervous system. There is a reciprocal interplay between the CNS and muscle properties, and these sensorimotor loops are essential for controlling posture and movement. As a result, patients under hypoactivity experience a self-perpetuating cycle, in with sedentarity leading to decreased motor activity and thus a progressive worsening of a situation, and finally deconditioning. Various rehabilitation strategies have been studied to slow down or reverse muscle alteration and altered motor performance. In the second part of the paper, we review representative protocols directed toward the muscle, the sensory input and/or the cerebral cortex. Improving an understanding of the loss of motor function under conditions of disuse (such as extended bed rest) as well as identifying means to slow this decline may lead to therapeutic strategies to preserve quality of life for a range of individuals. The most efficient strategies seem multifactorial, using a combination of approaches targeting different levels of the neuromuscular system. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314738 Permalink : ./index.php?lvl=notice_display&id=84106

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Reorganization of muscle synergies in 2 individuals with C5 and C6 tetraplegia after biceps-triceps and posterior deltoid-triceps tendon transfers / A. Sarcher in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 128-131 Titre : Reorganization of muscle synergies in 2 individuals with C5 and C6 tetraplegia after biceps-triceps and posterior deltoid-triceps tendon transfers Type de document : texte imprimé Auteurs : A. Sarcher ; Brigitte Perrouin-Verbe ; Sophie Touchais ; Guillaume Gadbled ; Matthieu Gahier ; Sylvain Brochard ; François Hug ; Raphaël Gross Année de publication : 2019 Article en page(s) : p. 128-131 Note générale : https://doi.org/10.1016/j.rehab.2018.09.008 Langues : Anglais (eng) Mots-clés : Elbow extension  Electromyography  Muscle synergy  Non-negative matrix factorization  Spinal cord injury  Tendon transfer Résumé : ndividuals with spinal cord injury (SCI) at the C5 or C6 level will have paralysis of the triceps brachii muscle. Elbow extension can be surgically restored by transferring the tendon of a functioning muscle onto the tendon of the paralyzed triceps brachii. The most frequently transferred tendon [1] is the posterior deltoid tendon [2]. However, if the clavicular head of the pectoralis major muscle is weak, this can create a muscle imbalance around the shoulder girdle [3]. In that case, transferring the biceps brachii tendon is recommended [4]. The success of this intervention relies on the ability of the patient to dissociate the drive between the transferred biceps brachii and the other elbow flexor muscles [1]. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314726 Permalink : ./index.php?lvl=notice_display&id=84107 [article] Reorganization of muscle synergies in 2 individuals with C5 and C6 tetraplegia after biceps-triceps and posterior deltoid-triceps tendon transfers [texte imprimé] / A. Sarcher ; Brigitte Perrouin-Verbe ; Sophie Touchais ; Guillaume Gadbled ; Matthieu Gahier ; Sylvain Brochard ; François Hug ; Raphaël Gross . - 2019 . - p. 128-131. https://doi.org/10.1016/j.rehab.2018.09.008 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 128-131 Mots-clés : Elbow extension  Electromyography  Muscle synergy  Non-negative matrix factorization  Spinal cord injury  Tendon transfer Résumé : ndividuals with spinal cord injury (SCI) at the C5 or C6 level will have paralysis of the triceps brachii muscle. Elbow extension can be surgically restored by transferring the tendon of a functioning muscle onto the tendon of the paralyzed triceps brachii. The most frequently transferred tendon [1] is the posterior deltoid tendon [2]. However, if the clavicular head of the pectoralis major muscle is weak, this can create a muscle imbalance around the shoulder girdle [3]. In that case, transferring the biceps brachii tendon is recommended [4]. The success of this intervention relies on the ability of the patient to dissociate the drive between the transferred biceps brachii and the other elbow flexor muscles [1]. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314726 Permalink : ./index.php?lvl=notice_display&id=84107

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L5-S1 Charcot spine induced by diffuse idiopathic skeletal hyperostosis in chronic tetraplegia: 2 cases / Damien Riquier in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 132-134 Titre : L5-S1 Charcot spine induced by diffuse idiopathic skeletal hyperostosis in chronic tetraplegia: 2 cases Type de document : texte imprimé Auteurs : Damien Riquier ; André Basch ; Sophie Jacquin-Courtois ; François Cotton ; Gilles Rode Année de publication : 2019 Article en page(s) : p. 132-134 Note générale : https://doi.org/10.1016/j.rehab.2018.06.002 Langues : Anglais (eng) Mots-clés : Charcot spine  Neuropathic spinal arthropathy  Diffuse idiopathic skeletal hyperostosis  Hyperostosis vertebral ankyloses  Autonomic dysreflexia Résumé : Charcot spine, or spinal neuroarthropathy, is a rare and underestimated arthropathy occurring in the setting of neurological impairment [1] like spinal cord injury [2]. It is characterized by disc and vertebral degeneration followed by massive bone formation of the articulation that can mimic infective spondylitis or vertebral tumor [3]. It results in impaired joint innervation with loss of proprioception and sensitivity to pain, associated with repeated microtraumas due to instability [4]. It can cause mechanical low back pain, spinal deformation, audible noises, and altered neurological function including spasticity or autonomic dysfunction [5]. En ligne : https://www.sciencedirect.com/science/article/pii/S187706571831399X Permalink : ./index.php?lvl=notice_display&id=84108 [article] L5-S1 Charcot spine induced by diffuse idiopathic skeletal hyperostosis in chronic tetraplegia: 2 cases [texte imprimé] / Damien Riquier ; André Basch ; Sophie Jacquin-Courtois ; François Cotton ; Gilles Rode . - 2019 . - p. 132-134. https://doi.org/10.1016/j.rehab.2018.06.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 132-134 Mots-clés : Charcot spine  Neuropathic spinal arthropathy  Diffuse idiopathic skeletal hyperostosis  Hyperostosis vertebral ankyloses  Autonomic dysreflexia Résumé : Charcot spine, or spinal neuroarthropathy, is a rare and underestimated arthropathy occurring in the setting of neurological impairment [1] like spinal cord injury [2]. It is characterized by disc and vertebral degeneration followed by massive bone formation of the articulation that can mimic infective spondylitis or vertebral tumor [3]. It results in impaired joint innervation with loss of proprioception and sensitivity to pain, associated with repeated microtraumas due to instability [4]. It can cause mechanical low back pain, spinal deformation, audible noises, and altered neurological function including spasticity or autonomic dysfunction [5]. En ligne : https://www.sciencedirect.com/science/article/pii/S187706571831399X Permalink : ./index.php?lvl=notice_display&id=84108

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The“Back Book” translated to Arabic / H. Arabi in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 135-136 Titre : The“Back Book” translated to Arabic Type de document : texte imprimé Auteurs : H. Arabi ; M. Ghazi ; M. Zyani ; A. Akhaddar ; R. Niamane Année de publication : 2019 Article en page(s) : p. 135-136 Note générale : https://doi.org/10.1016/j.rehab.2018.07.004 Langues : Anglais (eng) Résumé : Low back pain (LBP) is initially a symptom. The transition to chronicity is favored by a set of factors that are currently grouped according to a biopsychosocial model. Preventing this transition requires the early identification and evaluation of chronicity risk factors. However, these factors are largely beyond the pharmacological intervention of physicians. The biopsychosocial model then takes on its full value, by patient education and information. Whether by written or oral means, physicians are required to inform the patient of the diagnosis and the therapeutic approach. LBP is a major contributor to healthcare costs; typically, indirect costs are much higher than direct costs [1]. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314313 Permalink : ./index.php?lvl=notice_display&id=84109 [article] The“Back Book” translated to Arabic [texte imprimé] / H. Arabi ; M. Ghazi ; M. Zyani ; A. Akhaddar ; R. Niamane . - 2019 . - p. 135-136. https://doi.org/10.1016/j.rehab.2018.07.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 135-136 Résumé : Low back pain (LBP) is initially a symptom. The transition to chronicity is favored by a set of factors that are currently grouped according to a biopsychosocial model. Preventing this transition requires the early identification and evaluation of chronicity risk factors. However, these factors are largely beyond the pharmacological intervention of physicians. The biopsychosocial model then takes on its full value, by patient education and information. Whether by written or oral means, physicians are required to inform the patient of the diagnosis and the therapeutic approach. LBP is a major contributor to healthcare costs; typically, indirect costs are much higher than direct costs [1]. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314313 Permalink : ./index.php?lvl=notice_display&id=84109

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