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Clinical effects of robot-assisted gait training and treadmill training for Parkinson's disease. A randomized controlled trial / Marianna Capecci in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 303-312 Titre : Clinical effects of robot-assisted gait training and treadmill training for Parkinson's disease. A randomized controlled trial Type de document : texte imprimé Auteurs : Marianna Capecci ; Sanaz Pournajaf ; Daniele Galafate ; Patrizio Sale ; Domenica Le Pera ; Michela Goffredo ; Maria Francesca De Pandis ; Marco Franceschini Année de publication : 2019 Article en page(s) : p. 303-312 Note générale : doi.org/10.1016/j.rehab.2019.06.016 Langues : Anglais (eng) Mots-clés : Gait  Robotics  Parkinson disease  Rehabilitation  Freezing Résumé : Background Although gait disorders strongly contribute to perceived disability in people with Parkinson's disease, clinical trials have failed to identify which task-oriented gait training method can provide the best benefit. Freezing of gait remains one of the least investigated and most troublesome symptoms. Objective We aimed to compare the effects of robot-assisted gait training and treadmill training on endurance and gait capacity in people with Parkinson disease; the secondary aim was to compare the effect of the treatments in people with freezing and/or severe gait disability and assess changes in overall disease-related disability and quality of life. Methods Outpatients with Parkinson disease (Hoehn and Yahr stage ≥ 2) were randomly assigned to receive 20 sessions of 45-min gait training assisted by an end-effector robotic device (G-EO System) or treadmill training. Outcome assessments were the 6-min walk test, Timed Up and Go test, Freezing of Gait Questionnaire, Unified Parkinson's Disease Rating Scales and Parkinson's Disease Quality of Life Questionnaire-39 administered before (T0) and after treatment (T1). Results We included 96 individuals with Parkinson disease: 48 with robot-assisted gait training and 48 treadmill training. Both groups showed significant improvement in all outcomes. As compared with baseline, with robot-assisted gait training and treadmill training, endurance and gait capacity were enhanced by 18% and 12%, respectively, and motor symptoms and quality of life were improved by 17% and 15%. The maximum advantage was observed with the Freezing of Gait Questionnaire score, which decreased by 20% after either treatment. On post-hoc analysis, dependent walkers benefited more than independent walkers from any gait training, whereas freezers gained more from robot-assisted than treadmill training in terms of freezing reduction. Conclusions Repetitive intensive gait training is an effective treatment for people with Parkinson disease and can increase endurance and gait velocity, especially for those with severe walking disability. Advantages are greater with robot-assisted gait training than treadmill training for individuals with freezing of gait – related disability. Permalink : ./index.php?lvl=notice_display&id=84139 [article] Clinical effects of robot-assisted gait training and treadmill training for Parkinson's disease. A randomized controlled trial [texte imprimé] / Marianna Capecci ; Sanaz Pournajaf ; Daniele Galafate ; Patrizio Sale ; Domenica Le Pera ; Michela Goffredo ; Maria Francesca De Pandis ; Marco Franceschini . - 2019 . - p. 303-312. doi.org/10.1016/j.rehab.2019.06.016 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 303-312 Mots-clés : Gait  Robotics  Parkinson disease  Rehabilitation  Freezing Résumé : Background Although gait disorders strongly contribute to perceived disability in people with Parkinson's disease, clinical trials have failed to identify which task-oriented gait training method can provide the best benefit. Freezing of gait remains one of the least investigated and most troublesome symptoms. Objective We aimed to compare the effects of robot-assisted gait training and treadmill training on endurance and gait capacity in people with Parkinson disease; the secondary aim was to compare the effect of the treatments in people with freezing and/or severe gait disability and assess changes in overall disease-related disability and quality of life. Methods Outpatients with Parkinson disease (Hoehn and Yahr stage ≥ 2) were randomly assigned to receive 20 sessions of 45-min gait training assisted by an end-effector robotic device (G-EO System) or treadmill training. Outcome assessments were the 6-min walk test, Timed Up and Go test, Freezing of Gait Questionnaire, Unified Parkinson's Disease Rating Scales and Parkinson's Disease Quality of Life Questionnaire-39 administered before (T0) and after treatment (T1). Results We included 96 individuals with Parkinson disease: 48 with robot-assisted gait training and 48 treadmill training. Both groups showed significant improvement in all outcomes. As compared with baseline, with robot-assisted gait training and treadmill training, endurance and gait capacity were enhanced by 18% and 12%, respectively, and motor symptoms and quality of life were improved by 17% and 15%. The maximum advantage was observed with the Freezing of Gait Questionnaire score, which decreased by 20% after either treatment. On post-hoc analysis, dependent walkers benefited more than independent walkers from any gait training, whereas freezers gained more from robot-assisted than treadmill training in terms of freezing reduction. Conclusions Repetitive intensive gait training is an effective treatment for people with Parkinson disease and can increase endurance and gait velocity, especially for those with severe walking disability. Advantages are greater with robot-assisted gait training than treadmill training for individuals with freezing of gait – related disability. 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Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial / Stéphanie Dehem in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 313-320 Titre : Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial Type de document : texte imprimé Auteurs : Stéphanie Dehem ; Maxime Gilliaux ; Gaëtan G. Stoquart ; Christine Detrembleur ; Géraldine Jacquemin ; Sara Palumbo ; Anne Frederick ; Thierry Lejeune Année de publication : 2019 Article en page(s) : p. 313-320 Note générale : doi.org/10.1016/j.rehab.2019.04.002 Langues : Anglais (eng) Mots-clés : Stroke  Upper extremity  Robotics  Rehabilitation  Recovery of function Résumé : Background Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF). Objective This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains. Methods We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction. Results In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups. Conclusion For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation. Permalink : ./index.php?lvl=notice_display&id=84140 [article] Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial [texte imprimé] / Stéphanie Dehem ; Maxime Gilliaux ; Gaëtan G. Stoquart ; Christine Detrembleur ; Géraldine Jacquemin ; Sara Palumbo ; Anne Frederick ; Thierry Lejeune . - 2019 . - p. 313-320. doi.org/10.1016/j.rehab.2019.04.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 313-320 Mots-clés : Stroke  Upper extremity  Robotics  Rehabilitation  Recovery of function Résumé : Background Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF). Objective This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains. Methods We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction. Results In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups. Conclusion For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation. Permalink : ./index.php?lvl=notice_display&id=84140

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Short-term effects of a 3-week interval training program on heart rate variability in chronic heart failure. A randomised controlled trial / Florent Besnier in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 321-328 Titre : Short-term effects of a 3-week interval training program on heart rate variability in chronic heart failure. A randomised controlled trial Type de document : texte imprimé Auteurs : Florent Besnier ; Marc Labrunée ; Lisa Richard ; Florence Faggianelli ; Hélène Kerros ; Laurent Soukarié ; Marc Bousquet ; Jean-Michel Sénard Année de publication : 2019 Article en page(s) : p. 321-328 Note générale : doi.org/10.1016/j.rehab.2019.06.013 Langues : Anglais (eng) Mots-clés : Exercise training  Cardiovascular  Rehabilitation  Chronic heart failure  Parasympathetic  Cardiorespiratory fitness Résumé : Background Exaggerated sympathetic nervous system activity associated with low heart rate variability (HRV) is considered to trigger cardiac arrhythmias and sudden death. Regular exercise training is efficient to improve autonomic balance. Objective We aimed to verify the superiority of high-intensity interval training (HIIT) to enhance HRV, cardiorespiratory fitness and cardiac function as compared with moderate intensity continuous training (MICT) in a short, intense cardiac rehabilitation program. Methods This was a prospective, monocentric, evaluator-blinded, randomised (1:1) study with a parallel two-group design. Overall, 31 individuals with voluntary chronic heart failure (CHF) (left ventricular ejection fraction [LVEF] < 45%) were allocated to MICT (n = 15) or HIIT (n = 16) for a short rehabilitation program (mean [SD] 27 [4] days). Participants underwent 24-hr electrocardiography, echocardiography and a cardiopulmonary exercise test at entry and at the end of the study. Results High-frequency power in normalized units (HFnu%) measured as HRV increased with HIIT (from 21.2% to 26.4%, P < 0.001) but remained unchanged with MICT (from 23.1% to 21.9%, P = 0.444, with a significant intergroup difference, P = 0.003). Resting heart rate (24-hr Holter electrocardiography) decreased significantly for both groups (from 68.2 to 64.6 bpm and 66.0 to 63.5 bpm for MICT and HIIT, respectively, with no intergroup difference, P = 0.578). The 2 groups did not differ in premature ventricular contractions. Improvement in peak oxygen uptake was greater with HIIT than MICT (+ 21% vs. + 5%, P = 0.009). LVEF improved with only HIIT (from 36.2% to 39.5%, P = 0.034). Conclusions In this short rehabilitation program, HIIT was significantly superior to the classical MICT program for enhancing parasympathetic tone and peak oxygen uptake. Permalink : ./index.php?lvl=notice_display&id=84141 [article] Short-term effects of a 3-week interval training program on heart rate variability in chronic heart failure. A randomised controlled trial [texte imprimé] / Florent Besnier ; Marc Labrunée ; Lisa Richard ; Florence Faggianelli ; Hélène Kerros ; Laurent Soukarié ; Marc Bousquet ; Jean-Michel Sénard . - 2019 . - p. 321-328. doi.org/10.1016/j.rehab.2019.06.013 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 321-328 Mots-clés : Exercise training  Cardiovascular  Rehabilitation  Chronic heart failure  Parasympathetic  Cardiorespiratory fitness Résumé : Background Exaggerated sympathetic nervous system activity associated with low heart rate variability (HRV) is considered to trigger cardiac arrhythmias and sudden death. Regular exercise training is efficient to improve autonomic balance. Objective We aimed to verify the superiority of high-intensity interval training (HIIT) to enhance HRV, cardiorespiratory fitness and cardiac function as compared with moderate intensity continuous training (MICT) in a short, intense cardiac rehabilitation program. Methods This was a prospective, monocentric, evaluator-blinded, randomised (1:1) study with a parallel two-group design. Overall, 31 individuals with voluntary chronic heart failure (CHF) (left ventricular ejection fraction [LVEF] < 45%) were allocated to MICT (n = 15) or HIIT (n = 16) for a short rehabilitation program (mean [SD] 27 [4] days). Participants underwent 24-hr electrocardiography, echocardiography and a cardiopulmonary exercise test at entry and at the end of the study. Results High-frequency power in normalized units (HFnu%) measured as HRV increased with HIIT (from 21.2% to 26.4%, P < 0.001) but remained unchanged with MICT (from 23.1% to 21.9%, P = 0.444, with a significant intergroup difference, P = 0.003). Resting heart rate (24-hr Holter electrocardiography) decreased significantly for both groups (from 68.2 to 64.6 bpm and 66.0 to 63.5 bpm for MICT and HIIT, respectively, with no intergroup difference, P = 0.578). The 2 groups did not differ in premature ventricular contractions. Improvement in peak oxygen uptake was greater with HIIT than MICT (+ 21% vs. + 5%, P = 0.009). LVEF improved with only HIIT (from 36.2% to 39.5%, P = 0.034). Conclusions In this short rehabilitation program, HIIT was significantly superior to the classical MICT program for enhancing parasympathetic tone and peak oxygen uptake. Permalink : ./index.php?lvl=notice_display&id=84141

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Effect of a high-intensity interval training on serum microRNA levels in women with breast cancer undergoing hormone therapy. A single-blind randomized trial / Shaban Alizadeh in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 329-335 Titre : Effect of a high-intensity interval training on serum microRNA levels in women with breast cancer undergoing hormone therapy. A single-blind randomized trial Type de document : texte imprimé Auteurs : Shaban Alizadeh ; Amin Isanejad ; Sanambar Sadighi ; Solmaz Khalighfard ; Ali Mohammad Alizadeh Année de publication : 2019 Article en page(s) : p. 329-335 Note générale : doi.org/10.1016/j.rehab.2019.07.001 Langues : Anglais (eng) Mots-clés : microRNAs  Breast cancer  Hormone therapy  Training Résumé : Background The role of microRNAs (miRs) in hormone therapy (HT) is of keen interest in developing biomarkers and treatments for individuals with breast cancer. Although miRs are often moderate regulators under homeostatic conditions, their function is changed more in response to physical activity. Objective This single-blind randomized trial aimed to explore the effect of high-intensity interval training (HIIT) on serum levels of miRs in individuals with early-stage breast cancer undergoing HT. Methods Hormone receptor-positive women with breast cancer and healthy women were randomly assigned to a healthy control group (n = 15), healthy group with HIIT (n = 15), breast cancer group with HT (HT, n = 26), and breast cancer group with HT and HIIT (HT + HIIT, n = 26). The exercise groups underwent interval uphill walking training on a treadmill 3 times a week for 12 weeks. At the end of the study, we analyzed changes in levels of cancer-related miRs (oncomiRs) and tumour suppressor miRs (TSmiRs) in response to the HT and HIIT. Results In women with breast cancer versus healthy controls, the expression of some oncomiRs was significantly increased — miR-21 (P < 0.001), miR-155 (P = 0.001), miR-221 (P = 0.008), miR-27a (P < 0.001), and miR-10b (P = 0.007) — and that of some TSmiRs was significantly decreased — miR-206 (P = 0.048), miR-145 (P = 0.011), miR-143 (P = 0.008), miR-9 (P = 0.020), and let-7a (P = 0.005). Moreover, HT considerably downregulated oncomiRs and upregulated TSmiRs. HIIT for 12 weeks with HT significantly decreased the expression of the oncomiRs and significantly increased that of the TSmiRs as compared with HT alone. Conclusions HITT could amplify the decrease and/or increase in expression of miRs associated with HT in women with breast cancer. A prospective trial could determine whether the use of circulating miRs for monitoring treatment can be useful in therapy decisions. Permalink : ./index.php?lvl=notice_display&id=84146 [article] Effect of a high-intensity interval training on serum microRNA levels in women with breast cancer undergoing hormone therapy. A single-blind randomized trial [texte imprimé] / Shaban Alizadeh ; Amin Isanejad ; Sanambar Sadighi ; Solmaz Khalighfard ; Ali Mohammad Alizadeh . - 2019 . - p. 329-335. doi.org/10.1016/j.rehab.2019.07.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 329-335 Mots-clés : microRNAs  Breast cancer  Hormone therapy  Training Résumé : Background The role of microRNAs (miRs) in hormone therapy (HT) is of keen interest in developing biomarkers and treatments for individuals with breast cancer. Although miRs are often moderate regulators under homeostatic conditions, their function is changed more in response to physical activity. Objective This single-blind randomized trial aimed to explore the effect of high-intensity interval training (HIIT) on serum levels of miRs in individuals with early-stage breast cancer undergoing HT. Methods Hormone receptor-positive women with breast cancer and healthy women were randomly assigned to a healthy control group (n = 15), healthy group with HIIT (n = 15), breast cancer group with HT (HT, n = 26), and breast cancer group with HT and HIIT (HT + HIIT, n = 26). The exercise groups underwent interval uphill walking training on a treadmill 3 times a week for 12 weeks. At the end of the study, we analyzed changes in levels of cancer-related miRs (oncomiRs) and tumour suppressor miRs (TSmiRs) in response to the HT and HIIT. Results In women with breast cancer versus healthy controls, the expression of some oncomiRs was significantly increased — miR-21 (P < 0.001), miR-155 (P = 0.001), miR-221 (P = 0.008), miR-27a (P < 0.001), and miR-10b (P = 0.007) — and that of some TSmiRs was significantly decreased — miR-206 (P = 0.048), miR-145 (P = 0.011), miR-143 (P = 0.008), miR-9 (P = 0.020), and let-7a (P = 0.005). Moreover, HT considerably downregulated oncomiRs and upregulated TSmiRs. HIIT for 12 weeks with HT significantly decreased the expression of the oncomiRs and significantly increased that of the TSmiRs as compared with HT alone. Conclusions HITT could amplify the decrease and/or increase in expression of miRs associated with HT in women with breast cancer. A prospective trial could determine whether the use of circulating miRs for monitoring treatment can be useful in therapy decisions. Permalink : ./index.php?lvl=notice_display&id=84146

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Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study / Mélanie Cogné in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 336-341 Titre : Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study Type de document : texte imprimé Auteurs : Mélanie Cogné ; Alexandre Creuzé ; Hervé Petit ; Claire Dellici ; Patrick Dehail ; Mathieu de Sèze Année de publication : 2019 Article en page(s) : p. 336-341 Note générale : doi.org/10.1016/j.rehab.2018.12.003 Langues : Anglais (eng) Mots-clés : Tennis elbow  Epicondylar tendinopathy  Botulinum toxin A  Pain  Quality of life  Gripping force Résumé : Background Epicondylar tendinopathy (“tennis elbow”) is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known. Objective We aimed to assess the long-term effect, side effects and recurrence rate after BoNT-A injections on chronic lateral epicondylar tendinopathy during 1 year. Methods This open study followed a 3-month randomized controlled trial. We included 50 patients followed at day 0 (V0), 90 (V1), 180–270 (V2) and 365 (V3). The main judgment criterion was the number of BoNT-A injections required to achieve pain relief with no further request for treatment by the patient. Results After one BoNT-A injection, 22/50 (44%) patients did not ask for further treatment during follow-up because of complete pain relief, and 20/50 (40%) asked for a second BoNT-A injection. For 20 patients with a second injection, 18 (90%) did not ask for further treatment during follow-up. Only 1 patient had a recurrence of pain after an initial pain relief of greater than 75%. Quality of life, and painful and maximal gripping force improved significantly at V1, V2 and V3 as compared with V0, and repercussions on daily and professional activities decreased significantly (P < 0.05). Conclusions One or 2 BoNT-A injections has favourable results for chronic epicondylar tendinopathy. Permalink : ./index.php?lvl=notice_display&id=84147 [article] Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study [texte imprimé] / Mélanie Cogné ; Alexandre Creuzé ; Hervé Petit ; Claire Dellici ; Patrick Dehail ; Mathieu de Sèze . - 2019 . - p. 336-341. doi.org/10.1016/j.rehab.2018.12.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 336-341 Mots-clés : Tennis elbow  Epicondylar tendinopathy  Botulinum toxin A  Pain  Quality of life  Gripping force Résumé : Background Epicondylar tendinopathy (“tennis elbow”) is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known. Objective We aimed to assess the long-term effect, side effects and recurrence rate after BoNT-A injections on chronic lateral epicondylar tendinopathy during 1 year. Methods This open study followed a 3-month randomized controlled trial. We included 50 patients followed at day 0 (V0), 90 (V1), 180–270 (V2) and 365 (V3). The main judgment criterion was the number of BoNT-A injections required to achieve pain relief with no further request for treatment by the patient. Results After one BoNT-A injection, 22/50 (44%) patients did not ask for further treatment during follow-up because of complete pain relief, and 20/50 (40%) asked for a second BoNT-A injection. For 20 patients with a second injection, 18 (90%) did not ask for further treatment during follow-up. Only 1 patient had a recurrence of pain after an initial pain relief of greater than 75%. Quality of life, and painful and maximal gripping force improved significantly at V1, V2 and V3 as compared with V0, and repercussions on daily and professional activities decreased significantly (P < 0.05). Conclusions One or 2 BoNT-A injections has favourable results for chronic epicondylar tendinopathy. Permalink : ./index.php?lvl=notice_display&id=84147

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Young adults’ perspectives on health-related quality of life after paediatric traumatic brain injury: A prospective cohort study / Nicholas P. Ryan in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 342-350 Titre : Young adults’ perspectives on health-related quality of life after paediatric traumatic brain injury: A prospective cohort study Type de document : texte imprimé Auteurs : Nicholas P. Ryan ; Kate Noone ; Celia Godfrey ; Edith N. Botchway ; Cathy Catroppa ; Vicki Anderson Année de publication : 2019 Article en page(s) : p. 342-350 Note générale : doi.org/10.1016/j.rehab.2019.06.014 Langues : Anglais (eng) Mots-clés : Cohort study  Traumatic brain injury  Quality of life  Outcome  Young adulthood Résumé : Background Quality of life (QoL) is commonly affected in children and families living with traumatic brain injury (TBI). Despite the established link between childhood TBI and reduced health-related QoL (HRQoL), there is a dearth of longitudinal, prospective research to determine the prevalence and predictors of impaired HRQoL in the very long term post-injury. Objectives We evaluated HRQoL in young adult survivors of paediatric TBI at 15 years post-injury. We aimed to identify the prevalence of impaired HRQoL and the respective contribution of pre-injury, environmental, injury-related, cognitive and mood-based factors to various dimensions of HRQoL at 15 years post-injury. Methods This prospective study involved 52 young adult survivors of mild to severe TBI included from consecutive hospital admissions to the Royal Children's Hospital Melbourne, Australia between 1993 and 1997. Participants underwent neuropsychological evaluation and completed self-report measures of HRQoL, psychological functioning and social communication at 15 years post-injury. Results As compared with an age-matched Australian normative sample, the TBI group reported significantly poorer physical HRQoL at 15 years post-injury. Although group differences in other HRQoL domains did not reach statistical significance, 52% of the TBI group reported impaired functioning in at least one HRQoL domain. Contrary to expectations, HRQoL was not associated with injury severity, socioeconomic status, or pre-injury functioning. Instead, poorer HRQoL was linked to more severe depression symptoms, greater perceived social communication difficulty and reduced cognitive flexibility at 15 years post-injury. Conclusions A substantial proportion of young adult survivors of childhood TBI experience poor HRQoL in at least one domain of functioning at 15 years post-injury. These findings suggest that, even in the very long term post-injury, the identification and treatment of modifiable risk factors has potential to improve very-long-term HRQoL outcomes in this vulnerable population. Permalink : ./index.php?lvl=notice_display&id=84148 [article] Young adults’ perspectives on health-related quality of life after paediatric traumatic brain injury: A prospective cohort study [texte imprimé] / Nicholas P. Ryan ; Kate Noone ; Celia Godfrey ; Edith N. Botchway ; Cathy Catroppa ; Vicki Anderson . - 2019 . - p. 342-350. doi.org/10.1016/j.rehab.2019.06.014 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 342-350 Mots-clés : Cohort study  Traumatic brain injury  Quality of life  Outcome  Young adulthood Résumé : Background Quality of life (QoL) is commonly affected in children and families living with traumatic brain injury (TBI). Despite the established link between childhood TBI and reduced health-related QoL (HRQoL), there is a dearth of longitudinal, prospective research to determine the prevalence and predictors of impaired HRQoL in the very long term post-injury. Objectives We evaluated HRQoL in young adult survivors of paediatric TBI at 15 years post-injury. We aimed to identify the prevalence of impaired HRQoL and the respective contribution of pre-injury, environmental, injury-related, cognitive and mood-based factors to various dimensions of HRQoL at 15 years post-injury. Methods This prospective study involved 52 young adult survivors of mild to severe TBI included from consecutive hospital admissions to the Royal Children's Hospital Melbourne, Australia between 1993 and 1997. Participants underwent neuropsychological evaluation and completed self-report measures of HRQoL, psychological functioning and social communication at 15 years post-injury. Results As compared with an age-matched Australian normative sample, the TBI group reported significantly poorer physical HRQoL at 15 years post-injury. Although group differences in other HRQoL domains did not reach statistical significance, 52% of the TBI group reported impaired functioning in at least one HRQoL domain. Contrary to expectations, HRQoL was not associated with injury severity, socioeconomic status, or pre-injury functioning. Instead, poorer HRQoL was linked to more severe depression symptoms, greater perceived social communication difficulty and reduced cognitive flexibility at 15 years post-injury. Conclusions A substantial proportion of young adult survivors of childhood TBI experience poor HRQoL in at least one domain of functioning at 15 years post-injury. These findings suggest that, even in the very long term post-injury, the identification and treatment of modifiable risk factors has potential to improve very-long-term HRQoL outcomes in this vulnerable population. Permalink : ./index.php?lvl=notice_display&id=84148

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Participation in work and leisure activities after stroke: A national study / Alexis Schnitzler in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 351-355 Titre : Participation in work and leisure activities after stroke: A national study Type de document : texte imprimé Auteurs : Alexis Schnitzler ; Claire Jourdan ; Loïc Josseran ; Philippe Azouvi ; Louis Jacob ; François Genêt Année de publication : 2019 Article en page(s) : p. 351-355 Note générale : doi.org/10.1016/j.rehab.2019.04.005 Langues : Anglais (eng) Résumé : Background Stroke is a common and debilitating neurological disorder having a negative impact on quality of life. Objectives We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France. Methods This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke. Results Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13–0.27]), use the telephone (0.21 [0.17–0.25]) and drive (0.25 [0.21–0.32]). In the age group 19–59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%). Conclusions Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke. Permalink : ./index.php?lvl=notice_display&id=84150 [article] Participation in work and leisure activities after stroke: A national study [texte imprimé] / Alexis Schnitzler ; Claire Jourdan ; Loïc Josseran ; Philippe Azouvi ; Louis Jacob ; François Genêt . - 2019 . - p. 351-355. doi.org/10.1016/j.rehab.2019.04.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 351-355 Résumé : Background Stroke is a common and debilitating neurological disorder having a negative impact on quality of life. Objectives We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France. Methods This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke. Results Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13–0.27]), use the telephone (0.21 [0.17–0.25]) and drive (0.25 [0.21–0.32]). In the age group 19–59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%). Conclusions Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke. Permalink : ./index.php?lvl=notice_display&id=84150

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Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis / Siew-Li Goh in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 356-365 Titre : Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Siew-Li Goh ; Monica S.M. Persson ; Joanne Stocks ; Yunfei Hou ; Jianhao Lin ; Michelle C. Hall ; Michael Doherty ; Weiya Zhang Année de publication : 2019 Article en page(s) : p. 356-365 Note générale : doi.org/10.1016/j.rehab.2019.04.006 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis  Exercise  Meta-analysis  Determinants  Physical therapy  Pain  Function  Quality of Life Résumé : Background Exercise is an effective treatment for osteoarthritis. However, the effect may vary from one patient (or study) to another. Objective To evaluate the efficacy of exercise and its potential determinants for pain, function, performance, and quality of life (QoL) in knee and hip osteoarthritis (OA). Methods We searched 9 electronic databases (AMED, CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, PEDro, PubMed, SPORTDiscus and Google Scholar) for reports of randomised controlled trials (RCTs) comparing exercise-only interventions with usual care. The search was performed from inception up to December 2017 with no language restriction. The effect size (ES), with its 95% confidence interval (CI), was calculated on the basis of between-group standardised mean differences. The primary endpoint was at or nearest to 8 weeks. Other outcome time points were grouped into intervals, from < 1 month to ≥ 18 months, for time-dependent effects analysis. Potential determinants were explored by subgroup analyses. Level of significance was set at P ≤ 0.10. Results Data from 77 RCTs (6472 participants) confirmed statistically significant exercise benefits for pain (ES 0.56, 95% CI 0.44–0.68), function (0.50, 0.38–0.63), performance (0.46, 0.35–0.57), and QoL (0.21, 0.11–0.31) at or nearest to 8 weeks. Across all outcomes, the effects appeared to peak around 2 months and then gradually decreased and became no better than usual care after 9 months. Better pain relief was reported by trials investigating participants who were younger (mean age < 60 years), had knee OA, and were not awaiting joint replacement surgery. Conclusions Exercise significantly reduces pain and improves function, performance and QoL in people with knee and hip OA as compared with usual care at 8 weeks. The effects are maximal around 2 months and thereafter slowly diminish, being no better than usual care at 9 to 18 months. Participants with younger age, knee OA and not awaiting joint replacement may benefit more from exercise therapy. These potential determinants, identified by study-level analyses, may have implied ecological bias and need to be confirmed with individual patient data. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300624 Permalink : ./index.php?lvl=notice_display&id=84153 [article] Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis [texte imprimé] / Siew-Li Goh ; Monica S.M. Persson ; Joanne Stocks ; Yunfei Hou ; Jianhao Lin ; Michelle C. Hall ; Michael Doherty ; Weiya Zhang . - 2019 . - p. 356-365. doi.org/10.1016/j.rehab.2019.04.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 356-365 Mots-clés : Knee osteoarthritis  Exercise  Meta-analysis  Determinants  Physical therapy  Pain  Function  Quality of Life Résumé : Background Exercise is an effective treatment for osteoarthritis. However, the effect may vary from one patient (or study) to another. Objective To evaluate the efficacy of exercise and its potential determinants for pain, function, performance, and quality of life (QoL) in knee and hip osteoarthritis (OA). Methods We searched 9 electronic databases (AMED, CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, PEDro, PubMed, SPORTDiscus and Google Scholar) for reports of randomised controlled trials (RCTs) comparing exercise-only interventions with usual care. The search was performed from inception up to December 2017 with no language restriction. The effect size (ES), with its 95% confidence interval (CI), was calculated on the basis of between-group standardised mean differences. The primary endpoint was at or nearest to 8 weeks. Other outcome time points were grouped into intervals, from < 1 month to ≥ 18 months, for time-dependent effects analysis. Potential determinants were explored by subgroup analyses. Level of significance was set at P ≤ 0.10. Results Data from 77 RCTs (6472 participants) confirmed statistically significant exercise benefits for pain (ES 0.56, 95% CI 0.44–0.68), function (0.50, 0.38–0.63), performance (0.46, 0.35–0.57), and QoL (0.21, 0.11–0.31) at or nearest to 8 weeks. Across all outcomes, the effects appeared to peak around 2 months and then gradually decreased and became no better than usual care after 9 months. Better pain relief was reported by trials investigating participants who were younger (mean age < 60 years), had knee OA, and were not awaiting joint replacement surgery. Conclusions Exercise significantly reduces pain and improves function, performance and QoL in people with knee and hip OA as compared with usual care at 8 weeks. The effects are maximal around 2 months and thereafter slowly diminish, being no better than usual care at 9 to 18 months. Participants with younger age, knee OA and not awaiting joint replacement may benefit more from exercise therapy. These potential determinants, identified by study-level analyses, may have implied ecological bias and need to be confirmed with individual patient data. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300624 Permalink : ./index.php?lvl=notice_display&id=84153

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Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis / Anaick Perrochon in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 366-378 Titre : Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Anaick Perrochon ; Benoit Borel ; Dan Istrate ; M. Compagnat ; Jean-Christophe Daviet Année de publication : 2019 Article en page(s) : p. 366-378 Note générale : doi.org/10.1016/j.rehab.2019.04.004 Langues : Anglais (eng) Mots-clés : Home  Neurological disorders  Rehabilitation  Virtual reality  Interactive video game Résumé : Objective The objective of this review was to summarize the current best evidence for the effectiveness, feasibility, user compliance and safety of exercise-based games (EBGs), including virtual reality and interactive video game interventions, for the rehabilitation of individuals with neurological disorders at home. Material and methods We identified randomized controlled trials (RCT) evaluating the effects of EBGs in neurological patients in home settings by searching 3 electronic databases (MEDLINE, SCOPUS, CENTRAL Library) from inception to March 2018. All data pertaining to participants, interventions, outcomes, supervision and cost-effectiveness were independently extracted by 2 reviewers. Risk of bias was independently assessed by 2 reviewers. Results Reports of 11 RCT studies with heterogeneous populations (i.e., stroke, Parkinson disease and multiple sclerosis) were included in the review. The treatment of experimental groups included EBGs (i.e., commercially available games such as Nintendo Wii or Dance Dance Revolution or custom-designed devices), and control groups received a controlled (i.e., conventional therapy) or uncontrolled (i.e., usual care) intervention. Across studies, EBGs at home tended to have limited effects on upper and lower limbs. We demonstrated an increased risk of participants dropping out of the program or discontinuing training in experimental groups (n = 51 participants) as compared with controls (n = 23 participants). Few adverse events (2 of 6 studies), such as minor musculoskeletal pain, were reported in balance training. Conclusions This systematic review reveals that EBGs seem a relevant alternative for rehabilitation at home because the effectiveness of these interventions was at least equivalent to conventional therapy or usual care. We give recommendations for the development of new EBG therapies. Permalink : ./index.php?lvl=notice_display&id=84155 [article] Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis [texte imprimé] / Anaick Perrochon ; Benoit Borel ; Dan Istrate ; M. Compagnat ; Jean-Christophe Daviet . - 2019 . - p. 366-378. doi.org/10.1016/j.rehab.2019.04.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 366-378 Mots-clés : Home  Neurological disorders  Rehabilitation  Virtual reality  Interactive video game Résumé : Objective The objective of this review was to summarize the current best evidence for the effectiveness, feasibility, user compliance and safety of exercise-based games (EBGs), including virtual reality and interactive video game interventions, for the rehabilitation of individuals with neurological disorders at home. Material and methods We identified randomized controlled trials (RCT) evaluating the effects of EBGs in neurological patients in home settings by searching 3 electronic databases (MEDLINE, SCOPUS, CENTRAL Library) from inception to March 2018. All data pertaining to participants, interventions, outcomes, supervision and cost-effectiveness were independently extracted by 2 reviewers. Risk of bias was independently assessed by 2 reviewers. Results Reports of 11 RCT studies with heterogeneous populations (i.e., stroke, Parkinson disease and multiple sclerosis) were included in the review. The treatment of experimental groups included EBGs (i.e., commercially available games such as Nintendo Wii or Dance Dance Revolution or custom-designed devices), and control groups received a controlled (i.e., conventional therapy) or uncontrolled (i.e., usual care) intervention. Across studies, EBGs at home tended to have limited effects on upper and lower limbs. We demonstrated an increased risk of participants dropping out of the program or discontinuing training in experimental groups (n = 51 participants) as compared with controls (n = 23 participants). Few adverse events (2 of 6 studies), such as minor musculoskeletal pain, were reported in balance training. Conclusions This systematic review reveals that EBGs seem a relevant alternative for rehabilitation at home because the effectiveness of these interventions was at least equivalent to conventional therapy or usual care. We give recommendations for the development of new EBG therapies. Permalink : ./index.php?lvl=notice_display&id=84155

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Toward a hybrid brain-machine interface for palliating motor handicap with Duchenne muscular dystrophy: A case report / Alban Duprès in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 379-381 Titre : Toward a hybrid brain-machine interface for palliating motor handicap with Duchenne muscular dystrophy: A case report Type de document : texte imprimé Auteurs : Alban Duprès ; François Cabestaing ; José Rouillard ; Vincent Triffeau ; Charles Pradeau Année de publication : 2019 Article en page(s) : p. 379-381 Note générale : doi.org/10.1016/j.rehab.2019.07.005 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=84158 [article] Toward a hybrid brain-machine interface for palliating motor handicap with Duchenne muscular dystrophy: A case report [texte imprimé] / Alban Duprès ; François Cabestaing ; José Rouillard ; Vincent Triffeau ; Charles Pradeau . - 2019 . - p. 379-381. doi.org/10.1016/j.rehab.2019.07.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 379-381 Permalink : ./index.php?lvl=notice_display&id=84158

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Feasibility of a short multidisciplinary education and exercise therapy program for patients with non-specific low back pain: A 3-month retrospective open pilot study / Romain Garofoli in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 382-385 Titre : Feasibility of a short multidisciplinary education and exercise therapy program for patients with non-specific low back pain: A 3-month retrospective open pilot study Type de document : texte imprimé Auteurs : Romain Garofoli ; Margaux Boisson ; François Segretin ; Jonathan Linières ; Caroline Gérard ; Sylvain Moreau ; Estelle Leong ; Christelle Nguyen Année de publication : 2019 Article en page(s) : p. 382-385 Note générale : doi.org/10.1016/j.rehab.2019.05.005 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=84159 [article] Feasibility of a short multidisciplinary education and exercise therapy program for patients with non-specific low back pain: A 3-month retrospective open pilot study [texte imprimé] / Romain Garofoli ; Margaux Boisson ; François Segretin ; Jonathan Linières ; Caroline Gérard ; Sylvain Moreau ; Estelle Leong ; Christelle Nguyen . - 2019 . - p. 382-385. doi.org/10.1016/j.rehab.2019.05.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 382-385 Permalink : ./index.php?lvl=notice_display&id=84159

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Late recovery of walking ability in a person with chronic stroke after an individualized rehabilitation program / Sung Ho Jang in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 386-388 Titre : Late recovery of walking ability in a person with chronic stroke after an individualized rehabilitation program Type de document : texte imprimé Auteurs : Sung Ho Jang ; Han Do Lee Année de publication : 2019 Article en page(s) : p. 386-388 Note générale : doi.org/10.1016/j.rehab.2019.05.002 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=84160 [article] Late recovery of walking ability in a person with chronic stroke after an individualized rehabilitation program [texte imprimé] / Sung Ho Jang ; Han Do Lee . - 2019 . - p. 386-388. doi.org/10.1016/j.rehab.2019.05.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 386-388 Permalink : ./index.php?lvl=notice_display&id=84160

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Promoting the development and visibility of primary research in rehabilitation: Labs and My Rehab Thesis sessions in European Society of Physical and Rehabilitation Medicine 2018 Congress / Aydan Oral in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 389-391 Titre : Promoting the development and visibility of primary research in rehabilitation: Labs and My Rehab Thesis sessions in European Society of Physical and Rehabilitation Medicine 2018 Congress Type de document : texte imprimé Auteurs : Aydan Oral ; A. Delarque Année de publication : 2019 Article en page(s) : p. 389-391 Note générale : doi.org/10.1016/j.rehab.2019.06.020 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=84161 [article] Promoting the development and visibility of primary research in rehabilitation: Labs and My Rehab Thesis sessions in European Society of Physical and Rehabilitation Medicine 2018 Congress [texte imprimé] / Aydan Oral ; A. Delarque . - 2019 . - p. 389-391. doi.org/10.1016/j.rehab.2019.06.020 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 389-391 Permalink : ./index.php?lvl=notice_display&id=84161

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