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Multiple sclerosis: A special issue in the Annals of Physical and Rehabilitation Medicine / Sophie Jacquin-Courtois in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 91-92 Titre : Multiple sclerosis: A special issue in the Annals of Physical and Rehabilitation Medicine Type de document : texte imprimé Auteurs : Sophie Jacquin-Courtois ; Philippe Azouvi ; Dominic Pérennou Année de publication : 2020 Article en page(s) : p. 91-92 Note générale : doi.org/10.1016/j.rehab.2020.03.001 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90776 [article] Multiple sclerosis: A special issue in the Annals of Physical and Rehabilitation Medicine [texte imprimé] / Sophie Jacquin-Courtois ; Philippe Azouvi ; Dominic Pérennou . - 2020 . - p. 91-92. doi.org/10.1016/j.rehab.2020.03.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 91-92 Permalink : ./index.php?lvl=notice_display&id=90776

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Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial / Davide Cattaneo in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 93-98 Titre : Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial Type de document : texte imprimé Auteurs : Davide Cattaneo ; Susan Coote ; Kamila Rasova ; Elisa Gervasoni ; Elisabetta Groppo ; Terezie Prokopiusova ; Jitka Reznickova ; Angelo Montesano ; Johanna Jonsdottir Année de publication : 2020 Article en page(s) : p. 93-98 Note générale : doi.org/10.1016/j.rehab.2019.05.007 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Rehabilitation  Outcome  Balance improvement Résumé : Objectives Treatment for progressive multiple sclerosis (pMS) is a key area of research. To date, whether MS type and the rehabilitation setting are associated with worse or better response to rehabilitation is unclear. We aimed to understand the association between balance and MS type, in/outpatient treatment and specificity of the intervention. Methods We assessed 150 people with MS before and after in/outpatient rehabilitation. The Berg Balance Scale (BBS) was used to discriminate between responders (≥ +3-point improvement in BBS score; a clinically meaningful improvement) and non-responders to specific or non-specific balance rehabilitation. Factors associated with balance were analyzed by univariate and multivariable logistic regression analyses, estimating odds ratios (ORs) and 95% confidence intervals (CIs). Results Balance improved after rehabilitation: median (quartile 1 [Q1]–Q3) BBS score pre- and post-rehabilitation of 49 (45–53) and 52 (47–55) (P < 0.001). Univariate logistic analysis revealed a clinically meaningful improvement in balance associated with pMS (OR 2.21 [95% CI 1.09–4.05]), inpatient therapy (0.41 [0.19–0.84]), using a walking aid (1.68 [1.06–2.69]), and low baseline BBS score (0.86 [0.81–0.92]). On multivariable analysis, probability of improvement was similar for participants with pMS and the relapsing-remitting form but was associated with low baseline BBS score and specific treatment (OR 0.81 [95% CI 0.74–0.89] and 5.66 [1.79–21.5]). Conclusion A clinically meaningful improvement in balance was more likely when MS individuals with moderate to high disability had specific exercises targeting balance, but MS type did not influence the outcome. Permalink : ./index.php?lvl=notice_display&id=90777 [article] Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial [texte imprimé] / Davide Cattaneo ; Susan Coote ; Kamila Rasova ; Elisa Gervasoni ; Elisabetta Groppo ; Terezie Prokopiusova ; Jitka Reznickova ; Angelo Montesano ; Johanna Jonsdottir . - 2020 . - p. 93-98. doi.org/10.1016/j.rehab.2019.05.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 93-98 Mots-clés : Multiple sclerosis  Rehabilitation  Outcome  Balance improvement Résumé : Objectives Treatment for progressive multiple sclerosis (pMS) is a key area of research. To date, whether MS type and the rehabilitation setting are associated with worse or better response to rehabilitation is unclear. We aimed to understand the association between balance and MS type, in/outpatient treatment and specificity of the intervention. Methods We assessed 150 people with MS before and after in/outpatient rehabilitation. The Berg Balance Scale (BBS) was used to discriminate between responders (≥ +3-point improvement in BBS score; a clinically meaningful improvement) and non-responders to specific or non-specific balance rehabilitation. Factors associated with balance were analyzed by univariate and multivariable logistic regression analyses, estimating odds ratios (ORs) and 95% confidence intervals (CIs). Results Balance improved after rehabilitation: median (quartile 1 [Q1]–Q3) BBS score pre- and post-rehabilitation of 49 (45–53) and 52 (47–55) (P < 0.001). Univariate logistic analysis revealed a clinically meaningful improvement in balance associated with pMS (OR 2.21 [95% CI 1.09–4.05]), inpatient therapy (0.41 [0.19–0.84]), using a walking aid (1.68 [1.06–2.69]), and low baseline BBS score (0.86 [0.81–0.92]). On multivariable analysis, probability of improvement was similar for participants with pMS and the relapsing-remitting form but was associated with low baseline BBS score and specific treatment (OR 0.81 [95% CI 0.74–0.89] and 5.66 [1.79–21.5]). Conclusion A clinically meaningful improvement in balance was more likely when MS individuals with moderate to high disability had specific exercises targeting balance, but MS type did not influence the outcome. Permalink : ./index.php?lvl=notice_display&id=90777

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Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis / Claire Hentzen in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 99-105 Titre : Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis Type de document : texte imprimé Auteurs : Claire Hentzen ; Anaïs Villaumé ; Nicolas Trumel ; Gabriel Miget ; Frédéric Le Breton ; Camille Chesnel ; Gérard Amarenco Année de publication : 2020 Article en page(s) : p. 99-105 Note générale : doi.org/10.1016/j.rehab.2020.01.002 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Overactive bladder  Urinary incontinence  Urge  Task performance and analysis Résumé : Background Urgency urinary incontinence is one of the major disabling urinary symptoms in people with multiple sclerosis (PwMS). The warning time (time from first sensation of urgency to voiding or incontinence) only partially reflects the possibility of continence. Other factors such as mobility, difficulties in transfer or undressing can influence this time. Objectives The aim was to create a specific test for PwMS to assess the global time required to be ready to perform micturition and to assess its reliability. Methods The Time to be Ready to Void (TRV) was based on 2 timed steps: “mobility” stage, including standing up and walking 6 m to the toilet, and the “settled” stage, starting as soon as the individual opens the toilet door until readiness for micturition. All participants performed the TRV twice. Reliability were assessed by the intraclass correlation coefficient (ICC) and convergent validity by Spearman correlation coefficient. Results We included 71 PwMS (mean [SD] age 54.4 [11.7] years). Inter-rater reliability was excellent for the TRV mobility stage (ICC: 0.97), settled stage (ICC: 0.99) and total test (ICC: 0.99). Test–retest reliability was good for the mobility stage (ICC: 0.88) and total test (ICC: 0.81) and moderate for the settled stage (ICC: 0.67). Test–retest reliability assessed by a Likert-type scale was good for each stage (κ 0.75 and 0.88). The mobility stage was correlated with the scores for the Timed Up and Go test, 10-Meter Walk Test, and Tinetti Mobility Test (ρ = 0.89; ρ = 0.88; ρ = −0.67, respectively; P < 0.0001) and the settled stage with scores for the Tinetti Mobility Test, Functional Independence Measure and Nine Hold Peg test (right) (ρ = −0.48; ρ = −0.36; ρ = 0.31, respectively; P < 0.01). Comprehension, acceptance and relevance were rated good by most participants (97%, 95% and 90%, respectively). Conclusion The TRV is a new tool to measure the global time needed to be ready to achieve micturition in PwMS. It seems useful in clinical practice for overactive bladder in addition to the classical warning time because it takes into account all the time needed to accomplish micturition (mobility, undressing, installation). Permalink : ./index.php?lvl=notice_display&id=90778 [article] Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis [texte imprimé] / Claire Hentzen ; Anaïs Villaumé ; Nicolas Trumel ; Gabriel Miget ; Frédéric Le Breton ; Camille Chesnel ; Gérard Amarenco . - 2020 . - p. 99-105. doi.org/10.1016/j.rehab.2020.01.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 99-105 Mots-clés : Multiple sclerosis  Overactive bladder  Urinary incontinence  Urge  Task performance and analysis Résumé : Background Urgency urinary incontinence is one of the major disabling urinary symptoms in people with multiple sclerosis (PwMS). The warning time (time from first sensation of urgency to voiding or incontinence) only partially reflects the possibility of continence. Other factors such as mobility, difficulties in transfer or undressing can influence this time. Objectives The aim was to create a specific test for PwMS to assess the global time required to be ready to perform micturition and to assess its reliability. Methods The Time to be Ready to Void (TRV) was based on 2 timed steps: “mobility” stage, including standing up and walking 6 m to the toilet, and the “settled” stage, starting as soon as the individual opens the toilet door until readiness for micturition. All participants performed the TRV twice. Reliability were assessed by the intraclass correlation coefficient (ICC) and convergent validity by Spearman correlation coefficient. Results We included 71 PwMS (mean [SD] age 54.4 [11.7] years). Inter-rater reliability was excellent for the TRV mobility stage (ICC: 0.97), settled stage (ICC: 0.99) and total test (ICC: 0.99). Test–retest reliability was good for the mobility stage (ICC: 0.88) and total test (ICC: 0.81) and moderate for the settled stage (ICC: 0.67). Test–retest reliability assessed by a Likert-type scale was good for each stage (κ 0.75 and 0.88). The mobility stage was correlated with the scores for the Timed Up and Go test, 10-Meter Walk Test, and Tinetti Mobility Test (ρ = 0.89; ρ = 0.88; ρ = −0.67, respectively; P < 0.0001) and the settled stage with scores for the Tinetti Mobility Test, Functional Independence Measure and Nine Hold Peg test (right) (ρ = −0.48; ρ = −0.36; ρ = 0.31, respectively; P < 0.01). Comprehension, acceptance and relevance were rated good by most participants (97%, 95% and 90%, respectively). Conclusion The TRV is a new tool to measure the global time needed to be ready to achieve micturition in PwMS. It seems useful in clinical practice for overactive bladder in addition to the classical warning time because it takes into account all the time needed to accomplish micturition (mobility, undressing, installation). Permalink : ./index.php?lvl=notice_display&id=90778

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Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders / Claire Hentzen in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 106-110 Titre : Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders Type de document : texte imprimé Auteurs : Claire Hentzen ; Nicolas Trumel ; Camille Chesnel ; Audrey Charlanes ; Frédérique Le Breton ; Samer Sheikh Ismaël ; Gérard Amarenco Année de publication : 2020 Article en page(s) : p. 106-110 Note générale : doi.org/10.1016/j.rehab.2019.11.007 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Walking speed  Gait  Urination  Lower urinary tract symptoms Résumé : Background Lower urinary tract symptoms, especially overactive bladder, are frequent and disabling in individuals with multiple sclerosis (IwMS). An association with gait disorders is common, which could aggravate continence difficulties and affect quality of life. The association between the need to void and walking has never been studied in this population. Objective The primary aim of this study was to assess the effect of a strong desire to void (SDV) on walking speed in IwMS and lower urinary tract symptoms. The secondary aim was to identify clinical or urodynamic factors associated with walking speed impairment at SDV in this population. Methods We included IwMS with urinary disorders and Expanded Disability Status Scale score < 7 in this observational study. Individuals underwent 3 10-m walk tests (10MWT) and one Timed Up and Go (TUG) test at SDV and at post-void (PV). Results Among the 72 IwMS included (mean [SD] age 50.6 [11.6] years; 46 [64%] females), the mean (SD) speed for 10MWT was 1.00 (0.31) m.s−1 at SDV and 1.07 (0.30) m.s−1 at PV (P < 0.0001). Time for TUG was also increased when individuals felt SDV: mean 11.53 (4.6) sec at SDV versus 10.77 (3.8) sec at PV (P = 0.004). No predictors of greater impairment of walking speed at SDV were identified. Conclusion This study suggests a clinical impact of bladder sensation on walking speed in IwMS and urinary disorders. None of the individual characteristics could predict greater decrease in gait velocity at SDV. Permalink : ./index.php?lvl=notice_display&id=90779 [article] Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders [texte imprimé] / Claire Hentzen ; Nicolas Trumel ; Camille Chesnel ; Audrey Charlanes ; Frédérique Le Breton ; Samer Sheikh Ismaël ; Gérard Amarenco . - 2020 . - p. 106-110. doi.org/10.1016/j.rehab.2019.11.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 106-110 Mots-clés : Multiple sclerosis  Walking speed  Gait  Urination  Lower urinary tract symptoms Résumé : Background Lower urinary tract symptoms, especially overactive bladder, are frequent and disabling in individuals with multiple sclerosis (IwMS). An association with gait disorders is common, which could aggravate continence difficulties and affect quality of life. The association between the need to void and walking has never been studied in this population. Objective The primary aim of this study was to assess the effect of a strong desire to void (SDV) on walking speed in IwMS and lower urinary tract symptoms. The secondary aim was to identify clinical or urodynamic factors associated with walking speed impairment at SDV in this population. Methods We included IwMS with urinary disorders and Expanded Disability Status Scale score < 7 in this observational study. Individuals underwent 3 10-m walk tests (10MWT) and one Timed Up and Go (TUG) test at SDV and at post-void (PV). Results Among the 72 IwMS included (mean [SD] age 50.6 [11.6] years; 46 [64%] females), the mean (SD) speed for 10MWT was 1.00 (0.31) m.s−1 at SDV and 1.07 (0.30) m.s−1 at PV (P < 0.0001). Time for TUG was also increased when individuals felt SDV: mean 11.53 (4.6) sec at SDV versus 10.77 (3.8) sec at PV (P = 0.004). No predictors of greater impairment of walking speed at SDV were identified. Conclusion This study suggests a clinical impact of bladder sensation on walking speed in IwMS and urinary disorders. None of the individual characteristics could predict greater decrease in gait velocity at SDV. Permalink : ./index.php?lvl=notice_display&id=90779

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Assessment of implicit language and theory of mind in multiple sclerosis / Céline Chanial in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 111-115 Titre : Assessment of implicit language and theory of mind in multiple sclerosis Type de document : texte imprimé Auteurs : Céline Chanial ; Sandrine Basaglia-Pappas ; Sophie Jacqueline ; Anne Boulange ; Caelia Gourdon ; Sonia Donya ; Ségolène Fagnou ; Bernard Laurent ; Jean-Philippe Camdessanché ; Céline Borg Année de publication : 2020 Article en page(s) : p. 111-115 Note générale : doi.org/10.1016/j.rehab.2019.08.005 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Social cognition  Pragmatic language  Theory of mind Résumé : Background Increasing evidence suggests that social cognition, especially theory of mind (ToM), is impaired in individuals with multiple sclerosis (MS). ToM appears to be a determining factor for social functioning, but research has shown a connection between ToM and pragmatic language disorders among people with neurological or psychiatric disorders. Yet, pragmatic language remains a domain rarely referenced in MS. Objective We investigated the effect of MS in terms of the ability for making inferences via pragmatic understanding and ToM. Methods We included 21 individuals with MS and 21 healthy controls matched for age, education and linguistic skills who performed verbal tasks involving pragmatic language (Implicit Information Management Test, Narrative Discourse Task), ToM (Test of Social Faux Pas) and a visual task of making inferences (Visual Inferences Test). Results Performance was significantly lower for individuals with MS than controls in the Test of Social Faux Pas (total score), but performance in pragmatic tasks did not differ. Performance was significantly lower for MS individuals for logical inference on the Implicit Information Management Test and pragmatic inference on the Visual Inferences Test. Additionally, for the MS group, the total score on the Implicit Information Management Test was correlated with the faux pas test total score and hits. Conclusion Even with lack of marked cognitive decline and disability in individuals with MS and lack of differences between groups in pragmatic tasks, the MS group showed lower performance in making inferences and interpreting implicit and social situations. This study highlights the link between pragmatic language and ToM difficulties in MS. Permalink : ./index.php?lvl=notice_display&id=90780 [article] Assessment of implicit language and theory of mind in multiple sclerosis [texte imprimé] / Céline Chanial ; Sandrine Basaglia-Pappas ; Sophie Jacqueline ; Anne Boulange ; Caelia Gourdon ; Sonia Donya ; Ségolène Fagnou ; Bernard Laurent ; Jean-Philippe Camdessanché ; Céline Borg . - 2020 . - p. 111-115. doi.org/10.1016/j.rehab.2019.08.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 111-115 Mots-clés : Multiple sclerosis  Social cognition  Pragmatic language  Theory of mind Résumé : Background Increasing evidence suggests that social cognition, especially theory of mind (ToM), is impaired in individuals with multiple sclerosis (MS). ToM appears to be a determining factor for social functioning, but research has shown a connection between ToM and pragmatic language disorders among people with neurological or psychiatric disorders. Yet, pragmatic language remains a domain rarely referenced in MS. Objective We investigated the effect of MS in terms of the ability for making inferences via pragmatic understanding and ToM. Methods We included 21 individuals with MS and 21 healthy controls matched for age, education and linguistic skills who performed verbal tasks involving pragmatic language (Implicit Information Management Test, Narrative Discourse Task), ToM (Test of Social Faux Pas) and a visual task of making inferences (Visual Inferences Test). Results Performance was significantly lower for individuals with MS than controls in the Test of Social Faux Pas (total score), but performance in pragmatic tasks did not differ. Performance was significantly lower for MS individuals for logical inference on the Implicit Information Management Test and pragmatic inference on the Visual Inferences Test. Additionally, for the MS group, the total score on the Implicit Information Management Test was correlated with the faux pas test total score and hits. Conclusion Even with lack of marked cognitive decline and disability in individuals with MS and lack of differences between groups in pragmatic tasks, the MS group showed lower performance in making inferences and interpreting implicit and social situations. This study highlights the link between pragmatic language and ToM difficulties in MS. Permalink : ./index.php?lvl=notice_display&id=90780

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A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis / Laurent Guilloton in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 116-122 Titre : A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis Type de document : texte imprimé Auteurs : Laurent Guilloton ; Jean-Philippe Camdessanché ; Dominique Latombe ; Philippe Neuschwander ; Sylvie Cantalloube ; Catherine Thomas-Antérion ; Bernadette Mercier ; Stéphanie Roggerone ; Delphine Maucort-Boulch ; Sylvain Roche ; Sophie Jacquin-Courtois ; The "Cognition-MS" group of the Rhône Alpes MS network Année de publication : 2020 Article en page(s) : p. 116-122 Note générale : doi.org/10.1016/j.rehab.2018.11.005 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Cognition  Cognitive complaint  Neuropsychology Résumé : Background Cognitive dysfunction is common in multiple sclerosis (MS). Deficits can affect attention, concentration, planning, and memory. They can have severe functional consequences in many domains. Cognitive complaints are frequently associated with other confounding factors (fatigue, anxiety, depression, or treatment side effects). In most cases, cognitive assessment is proposed after a spontaneous complaint, but determining the extent of discomfort perceived by the patient, the influence of coexisting factors, or the optimal timing for a more complete neuropsychological assessment is difficult. Objective The objective of this work was to evaluate the feasibility and relevance of a fast global assessment of both objective and subjective cognitive dysfunction in MS. Methods MS patients underwent a brief cognitive assessment including 7 visual analogue scales (VASs) asking about the patient's subjective level of discomfort in various domains, a memory test (Barbizet's lion story), a commonly used test of information processing speed (Symbol Digit Modalities Test [SDMT]) and self-reporting questionnaires for fatigue and mood (Fatigue Severity Scale [FSS] and Hospital Anxiety and Depression Scale [HADS]). Spearman correlation coefficients among scores were estimated. Results The mean age of the 73 patients included was 48.3 (SD 11.1) years; 78% were females and 52.8% had the remittent-recurrent MS form, 8.3% the primary progressive form, and 38.9% the secondary progressive form. In less than 20 min, this brief cognitive assessment was able to identify symptoms and quantify discomfort level. Symptoms of fatigue and anxiety frequently coexisted with cognitive complaints. We found modest correlations between scores on the VAS fatigue and the FSS and between scores on the VAS mood and the HADS. Analytical evaluation revealed that most patients had similar SDMT and recall profiles; however, a small proportion showed a dissociation between these 2 tests, which validated the inclusion of both tests in the assessment. Accounting for coexisting factors (e.g., anxiety and fatigue) and their functional repercussions is essential for prioritizing these problems within the context of multidisciplinary patient treatment. Conclusion Considering the possible multifactorial character of cognitive dysfunction in MS, it is essential to ask patients about their experiences and to take into account cognitive complaints in the follow-up of patients. The assessment tool we propose is simple and easy to use in a clinical setting and provides the information necessary for requesting (or not) a more complete neuropsychological assessment. Permalink : ./index.php?lvl=notice_display&id=90782 [article] A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis [texte imprimé] / Laurent Guilloton ; Jean-Philippe Camdessanché ; Dominique Latombe ; Philippe Neuschwander ; Sylvie Cantalloube ; Catherine Thomas-Antérion ; Bernadette Mercier ; Stéphanie Roggerone ; Delphine Maucort-Boulch ; Sylvain Roche ; Sophie Jacquin-Courtois ; The "Cognition-MS" group of the Rhône Alpes MS network . - 2020 . - p. 116-122. doi.org/10.1016/j.rehab.2018.11.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 116-122 Mots-clés : Multiple sclerosis  Cognition  Cognitive complaint  Neuropsychology Résumé : Background Cognitive dysfunction is common in multiple sclerosis (MS). Deficits can affect attention, concentration, planning, and memory. They can have severe functional consequences in many domains. Cognitive complaints are frequently associated with other confounding factors (fatigue, anxiety, depression, or treatment side effects). In most cases, cognitive assessment is proposed after a spontaneous complaint, but determining the extent of discomfort perceived by the patient, the influence of coexisting factors, or the optimal timing for a more complete neuropsychological assessment is difficult. Objective The objective of this work was to evaluate the feasibility and relevance of a fast global assessment of both objective and subjective cognitive dysfunction in MS. Methods MS patients underwent a brief cognitive assessment including 7 visual analogue scales (VASs) asking about the patient's subjective level of discomfort in various domains, a memory test (Barbizet's lion story), a commonly used test of information processing speed (Symbol Digit Modalities Test [SDMT]) and self-reporting questionnaires for fatigue and mood (Fatigue Severity Scale [FSS] and Hospital Anxiety and Depression Scale [HADS]). Spearman correlation coefficients among scores were estimated. Results The mean age of the 73 patients included was 48.3 (SD 11.1) years; 78% were females and 52.8% had the remittent-recurrent MS form, 8.3% the primary progressive form, and 38.9% the secondary progressive form. In less than 20 min, this brief cognitive assessment was able to identify symptoms and quantify discomfort level. Symptoms of fatigue and anxiety frequently coexisted with cognitive complaints. We found modest correlations between scores on the VAS fatigue and the FSS and between scores on the VAS mood and the HADS. Analytical evaluation revealed that most patients had similar SDMT and recall profiles; however, a small proportion showed a dissociation between these 2 tests, which validated the inclusion of both tests in the assessment. Accounting for coexisting factors (e.g., anxiety and fatigue) and their functional repercussions is essential for prioritizing these problems within the context of multidisciplinary patient treatment. Conclusion Considering the possible multifactorial character of cognitive dysfunction in MS, it is essential to ask patients about their experiences and to take into account cognitive complaints in the follow-up of patients. The assessment tool we propose is simple and easy to use in a clinical setting and provides the information necessary for requesting (or not) a more complete neuropsychological assessment. Permalink : ./index.php?lvl=notice_display&id=90782

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The importance of lower-extremity muscle strength for lower-limb functional capacity in multiple sclerosis: Systematic review / Cintia Ramari in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 123-137 Titre : The importance of lower-extremity muscle strength for lower-limb functional capacity in multiple sclerosis: Systematic review Type de document : texte imprimé Auteurs : Cintia Ramari ; Lars G. Hvid ; Ana Cristina de David ; Ulrik Dalgas Année de publication : 2020 Article en page(s) : p. 123-137 Note générale : doi.org/10.1016/j.rehab.2019.11.005 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Lower-extremity  Muscle mechanical function  Functional capacity  Walking capacity Résumé : Background Lower-limb functional capacity is impaired in most people with multiple sclerosis (PwMS). Reductions in lower-extremity muscle mechanical function (e.g., muscle strength) appear to have critical implications for lower-limb functional capacity. However, no review has summarized the current knowledge about the importance of muscle strength for functional tasks in PwMS. Expanding the current knowledge would advance the design of both clinical and research interventions aiming to improve functional capacity in PwMS. Objectives (1) To identify studies that measured lower-extremity muscle mechanical function and lower-limb functional capacity outcomes in PwMS, and (2) to map associations between muscle strength and functional capacity. Methods This review was based on a literature search (databases: PubMed, Embase). Included studies had to report data on lower-extremity muscle mechanical function and lower-limb functional capacity outcomes in PwMS. The associations between muscle strength and functional capacity were analyzed by using the reported correlation coefficients (R) recalculated to the determination coefficient R2. Randomized trials and observational studies were included. Results A total of 59 articles were reviewed; 17 (773 participants) reported associations between muscle strength and functional capacity. Lower-extremity muscle mechanical function explained a significant part of the variance in most lower-limb functional capacity tests (approximately 20–30%). This was particularly evident in muscle strength from the weakest leg. Muscle strength was predominantly tested on knee extensors and knee flexors by using isokinetic dynamometry during maximal isometric (0°/s) and dynamic (30–60°/s) contractions. Walking tests such as the timed 25-Foot Walk Test and 10-Min, 2-Min and 6-Min Walk Test were the most frequently performed functional capacity tests. Conclusions In PwMS, muscle strength of particularly the weakest limb explains 20% to 30% of the variance across a number of lower-limb functional capacity tests. Thus, exercise programs should focus on increasing lower-extremity muscle mechanical function in PwMS and minimizing strength asymmetry between limbs. Permalink : ./index.php?lvl=notice_display&id=90785 [article] The importance of lower-extremity muscle strength for lower-limb functional capacity in multiple sclerosis: Systematic review [texte imprimé] / Cintia Ramari ; Lars G. Hvid ; Ana Cristina de David ; Ulrik Dalgas . - 2020 . - p. 123-137. doi.org/10.1016/j.rehab.2019.11.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 123-137 Mots-clés : Multiple sclerosis  Lower-extremity  Muscle mechanical function  Functional capacity  Walking capacity Résumé : Background Lower-limb functional capacity is impaired in most people with multiple sclerosis (PwMS). Reductions in lower-extremity muscle mechanical function (e.g., muscle strength) appear to have critical implications for lower-limb functional capacity. However, no review has summarized the current knowledge about the importance of muscle strength for functional tasks in PwMS. Expanding the current knowledge would advance the design of both clinical and research interventions aiming to improve functional capacity in PwMS. Objectives (1) To identify studies that measured lower-extremity muscle mechanical function and lower-limb functional capacity outcomes in PwMS, and (2) to map associations between muscle strength and functional capacity. Methods This review was based on a literature search (databases: PubMed, Embase). Included studies had to report data on lower-extremity muscle mechanical function and lower-limb functional capacity outcomes in PwMS. The associations between muscle strength and functional capacity were analyzed by using the reported correlation coefficients (R) recalculated to the determination coefficient R2. Randomized trials and observational studies were included. Results A total of 59 articles were reviewed; 17 (773 participants) reported associations between muscle strength and functional capacity. Lower-extremity muscle mechanical function explained a significant part of the variance in most lower-limb functional capacity tests (approximately 20–30%). This was particularly evident in muscle strength from the weakest leg. Muscle strength was predominantly tested on knee extensors and knee flexors by using isokinetic dynamometry during maximal isometric (0°/s) and dynamic (30–60°/s) contractions. Walking tests such as the timed 25-Foot Walk Test and 10-Min, 2-Min and 6-Min Walk Test were the most frequently performed functional capacity tests. Conclusions In PwMS, muscle strength of particularly the weakest limb explains 20% to 30% of the variance across a number of lower-limb functional capacity tests. Thus, exercise programs should focus on increasing lower-extremity muscle mechanical function in PwMS and minimizing strength asymmetry between limbs. Permalink : ./index.php?lvl=notice_display&id=90785

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Wearable inertial sensors provide reliable biomarkers of disease severity in multiple sclerosis: A systematic review and meta-analysis / Aliénor Vienne-Jumeau in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 138-147 Titre : Wearable inertial sensors provide reliable biomarkers of disease severity in multiple sclerosis: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Aliénor Vienne-Jumeau ; Flavien Quijoux ; Pierre-Paul Vidal ; Damien Ricard Année de publication : 2020 Article en page(s) : p. 138-147 Note générale : doi.org/10.1016/j.rehab.2019.07.004 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Gait analysis  Gait quantification  Gait disorders  Wearable inertial sensors  Inertial measurement unit  Accelerometer Résumé : Background Gait impairment is a hallmark of multiple sclerosis (MS). InertiaLocoGraphy, the quantification of gait with inertial measurement units (IMUs), has been found useful to detect early changes in gait in MS. Still, the potential use of IMUs as a reliable biomarker of disease severity in MS remains unknown. Objective This systematic review and meta-analysis of observational studies aimed to describe IMU protocols used to assess gait in MS patients and calculate the effect sizes of IMU features associated with disease severity scale measures. Methods We searched MEDLINE, Cochrane Central, EMBASE and grey literature to identify articles published before May 2, 2018 that measured gait in MS patients by using IMUs and correlated IMU parameters with disease severity scale measures. We excluded from the meta-analysis articles that did not provide enough data to evaluate the association between IMU parameters and disease severity scale measures. The study was registered with the International Prospective Register of Systematic Reviews on May 2, 2018 (Registration: CRD42018092651) and the protocol was published in Systematic Reviews on January 8, 2019. Results We included 36 articles in the systematic review and pooled 12 for the meta-analysis. The risk of bias was moderate, with only 2 articles (none included in the meta-analysis) showing a bias score < 50%. Among protocols tested, 2 were predominant (the Timed Up and Go test and 6-min walk test). Speed, step length and step time with IMUs were significantly correlated with the Expanded Disability Status Scale (EDSS) score, and speed and step length were significantly correlated with the Multiple Sclerosis Walking Scale-12 score. Conclusion IMU measurement has the potential to increase the sensitivity of clinical and performance tests to identify evolution in gait alteration in MS. Kinematic parameters easily accessible with IMUs, such as speed, step length and step duration, can help follow up disease severity in MS individuals with low to medium EDSS score (1.0–4.5). Permalink : ./index.php?lvl=notice_display&id=90786 [article] Wearable inertial sensors provide reliable biomarkers of disease severity in multiple sclerosis: A systematic review and meta-analysis [texte imprimé] / Aliénor Vienne-Jumeau ; Flavien Quijoux ; Pierre-Paul Vidal ; Damien Ricard . - 2020 . - p. 138-147. doi.org/10.1016/j.rehab.2019.07.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 138-147 Mots-clés : Multiple sclerosis  Gait analysis  Gait quantification  Gait disorders  Wearable inertial sensors  Inertial measurement unit  Accelerometer Résumé : Background Gait impairment is a hallmark of multiple sclerosis (MS). InertiaLocoGraphy, the quantification of gait with inertial measurement units (IMUs), has been found useful to detect early changes in gait in MS. Still, the potential use of IMUs as a reliable biomarker of disease severity in MS remains unknown. Objective This systematic review and meta-analysis of observational studies aimed to describe IMU protocols used to assess gait in MS patients and calculate the effect sizes of IMU features associated with disease severity scale measures. Methods We searched MEDLINE, Cochrane Central, EMBASE and grey literature to identify articles published before May 2, 2018 that measured gait in MS patients by using IMUs and correlated IMU parameters with disease severity scale measures. We excluded from the meta-analysis articles that did not provide enough data to evaluate the association between IMU parameters and disease severity scale measures. The study was registered with the International Prospective Register of Systematic Reviews on May 2, 2018 (Registration: CRD42018092651) and the protocol was published in Systematic Reviews on January 8, 2019. Results We included 36 articles in the systematic review and pooled 12 for the meta-analysis. The risk of bias was moderate, with only 2 articles (none included in the meta-analysis) showing a bias score < 50%. Among protocols tested, 2 were predominant (the Timed Up and Go test and 6-min walk test). Speed, step length and step time with IMUs were significantly correlated with the Expanded Disability Status Scale (EDSS) score, and speed and step length were significantly correlated with the Multiple Sclerosis Walking Scale-12 score. Conclusion IMU measurement has the potential to increase the sensitivity of clinical and performance tests to identify evolution in gait alteration in MS. Kinematic parameters easily accessible with IMUs, such as speed, step length and step duration, can help follow up disease severity in MS individuals with low to medium EDSS score (1.0–4.5). Permalink : ./index.php?lvl=notice_display&id=90786

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Psychological interventions in multiple sclerosis : Improving cognition and quality of life / Caroline Harand in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 148-153 Titre : Psychological interventions in multiple sclerosis : Improving cognition and quality of life Type de document : texte imprimé Auteurs : Caroline Harand ; Gilles Defer Année de publication : 2020 Article en page(s) : p. 148-153 Note générale : doi.org/10.1016/j.rehab.2018.10.002 Langues : Anglais (eng) Mots-clés : Psychology  Multiple sclerosis  Rehabilitation  Cognition  Quality of life Résumé : Multiple sclerosis is often associated with impaired cognitive functioning, of mainly attention, information processing speed, executive functions and memory. Cognitive alterations have direct functional consequences for quality of life, ranging from occupational activities to personal life and professional career. Additionally, there is a complex interplay between cognitive impairment and affective functions, such as depression or anxiety, which in turn has a negative impact on quality of life. Therefore, current work aims to reduce the impact of cognitive alterations on daily life rather than only defining their nature and severity. For this purpose, programs of cognitive rehabilitation have been increasingly used over the last decades. Although promising, their effects have not been studied widely and further works are needed to demonstrate their real daily-life efficiency and their effects over the long-term. Cognitive remediation must be integrated in a wider perspective rather than improve specific task performance, in which psychological care as well as the patient's feelings of being cared for and listened to remain essential. From this perspective, new approaches have developed in parallel. This extended review shows the potential benefit of cognitive-behavioral therapies, mindfulness or physical exercise on varied psychological functions in multiple sclerosis. Among others, these various therapies aim to help patients better conceive their cognitive functioning through their (neuro)psychological care and their daily life, hence improving their quality of life and self-esteem. They also aim to provide more appropriate long-term care by reconciling the quasi-systematic use of non-pharmacological approaches and follow-up clinical routine consultations with health care providers. Permalink : ./index.php?lvl=notice_display&id=90787 [article] Psychological interventions in multiple sclerosis : Improving cognition and quality of life [texte imprimé] / Caroline Harand ; Gilles Defer . - 2020 . - p. 148-153. doi.org/10.1016/j.rehab.2018.10.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 148-153 Mots-clés : Psychology  Multiple sclerosis  Rehabilitation  Cognition  Quality of life Résumé : Multiple sclerosis is often associated with impaired cognitive functioning, of mainly attention, information processing speed, executive functions and memory. Cognitive alterations have direct functional consequences for quality of life, ranging from occupational activities to personal life and professional career. Additionally, there is a complex interplay between cognitive impairment and affective functions, such as depression or anxiety, which in turn has a negative impact on quality of life. Therefore, current work aims to reduce the impact of cognitive alterations on daily life rather than only defining their nature and severity. For this purpose, programs of cognitive rehabilitation have been increasingly used over the last decades. Although promising, their effects have not been studied widely and further works are needed to demonstrate their real daily-life efficiency and their effects over the long-term. Cognitive remediation must be integrated in a wider perspective rather than improve specific task performance, in which psychological care as well as the patient's feelings of being cared for and listened to remain essential. From this perspective, new approaches have developed in parallel. This extended review shows the potential benefit of cognitive-behavioral therapies, mindfulness or physical exercise on varied psychological functions in multiple sclerosis. Among others, these various therapies aim to help patients better conceive their cognitive functioning through their (neuro)psychological care and their daily life, hence improving their quality of life and self-esteem. They also aim to provide more appropriate long-term care by reconciling the quasi-systematic use of non-pharmacological approaches and follow-up clinical routine consultations with health care providers. Permalink : ./index.php?lvl=notice_display&id=90787

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Cognitive assessment in patients with multiple sclerosis: From neuropsychological batteries to ecological tools / Aurélie Ruet in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 154-158 Titre : Cognitive assessment in patients with multiple sclerosis: From neuropsychological batteries to ecological tools Type de document : texte imprimé Auteurs : Aurélie Ruet ; Bruno Brochet Année de publication : 2020 Article en page(s) : p. 154-158 Note générale : doi.org/10.1016/j.rehab.2018.01.006 Langues : Anglais (eng) Mots-clés : Cognition  Neuropsychological test  Neuropsychological battery  Ecological evaluation  Virtual reality  Multiple sclerosis Résumé : Background Cognitive impairment (CI) is frequent in patients with multiple sclerosis (PwMS) and could negatively affect family social and vocational activities. Detecting CI is clinically relevant, so the emerging question is the strategy for assessing cognition in MS. Objective An update on cognitive assessment in PwMS with use of standard neuropsychological (NP) tests and ecological tools. Results The minimal cognitive assessment in MS should include at least NP tests assessing information processing speed (IPS) and verbal and visuospatial episodic memory. The IPS could be easily and quickly evaluated with symbol digit substitution tests by using paper for the oral version of the Symbol Digit Modalities Test or a laptop for the Computerised Speed Cognitive Test. The comprehensive NP battery must be performed by a qualified neuropsychologist to adequately characterize the extent and severity of CI in PwMS. The quiet and controlled environment used for this standardized assessment could be a limitation for generalizing the results because it does not reflect real daily life conditions. Thus, this context could decrease the ability to detect some cognitive deficits that could occur only in more complex situations. Thus, ecological evaluation seems a complementary and promising approach for detecting cognitive abnormalities in daily activities. Conclusion Recent efforts have been made to detect and characterize cognitive deficits in PwMS. Some IPS and episodic memory NP tests have been validated in MS and should be proposed to patients in the clinical setting. Besides NP tests, ecological tools are becoming important for detecting cognitive dysfunction in everyday-like conditions. Further research is needed to validate relevant tools for monitoring cognition in MS and the ability to detect clinically meaningful change in longitudinal studies. Permalink : ./index.php?lvl=notice_display&id=90788 [article] Cognitive assessment in patients with multiple sclerosis: From neuropsychological batteries to ecological tools [texte imprimé] / Aurélie Ruet ; Bruno Brochet . - 2020 . - p. 154-158. doi.org/10.1016/j.rehab.2018.01.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 154-158 Mots-clés : Cognition  Neuropsychological test  Neuropsychological battery  Ecological evaluation  Virtual reality  Multiple sclerosis Résumé : Background Cognitive impairment (CI) is frequent in patients with multiple sclerosis (PwMS) and could negatively affect family social and vocational activities. Detecting CI is clinically relevant, so the emerging question is the strategy for assessing cognition in MS. Objective An update on cognitive assessment in PwMS with use of standard neuropsychological (NP) tests and ecological tools. Results The minimal cognitive assessment in MS should include at least NP tests assessing information processing speed (IPS) and verbal and visuospatial episodic memory. The IPS could be easily and quickly evaluated with symbol digit substitution tests by using paper for the oral version of the Symbol Digit Modalities Test or a laptop for the Computerised Speed Cognitive Test. The comprehensive NP battery must be performed by a qualified neuropsychologist to adequately characterize the extent and severity of CI in PwMS. The quiet and controlled environment used for this standardized assessment could be a limitation for generalizing the results because it does not reflect real daily life conditions. Thus, this context could decrease the ability to detect some cognitive deficits that could occur only in more complex situations. Thus, ecological evaluation seems a complementary and promising approach for detecting cognitive abnormalities in daily activities. Conclusion Recent efforts have been made to detect and characterize cognitive deficits in PwMS. Some IPS and episodic memory NP tests have been validated in MS and should be proposed to patients in the clinical setting. Besides NP tests, ecological tools are becoming important for detecting cognitive dysfunction in everyday-like conditions. Further research is needed to validate relevant tools for monitoring cognition in MS and the ability to detect clinically meaningful change in longitudinal studies. Permalink : ./index.php?lvl=notice_display&id=90788

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Autobiographical memory and future thinking impairments in multiple sclerosis: Cognitive and neural mechanisms, functional impact and rehabilitation / Alexandra Ernst in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 159-166 Titre : Autobiographical memory and future thinking impairments in multiple sclerosis: Cognitive and neural mechanisms, functional impact and rehabilitation Type de document : texte imprimé Auteurs : Alexandra Ernst Année de publication : 2020 Article en page(s) : p. 159-166 Note générale : doi.org/10.1016/j.rehab.2019.06.006 Langues : Anglais (eng) Mots-clés : Autobiographical memory  Future thinking  Cognitive rehabilitation  Visual imagery  Self  Multiple sclerosis Résumé : Learning and memory impairments are common in individuals with multiple sclerosis (MS) and have pervasive effects on everyday life functioning. Hence, memory and learning have received particular attention in the cognitive rehabilitation literature in MS. The effectiveness of memory rehabilitation on memory performance is supported by several studies, but the generalisability of the benefits to daily life and memory for real-life events has rarely been examined. Recently, a new line of research focusing on memory for personal life events (i.e., autobiographical memory) has emerged in the MS literature. This approach is complementary to classical learning and memory paradigms and also allows for approaching memory in a broader context, one that considers memory as the ability to remember past episodes and imagine events that may occur in one's personal future (i.e. future thinking). This review provides an overview of the findings in this line of work. The first part summarises current evidence regarding the cognitive and neural mechanisms underlying autobiographical memory and future thinking impairments in MS. It points out that these domains are frequently and early impaired in individuals with MS because of an executive/frontal-related deficit. Individuals with MS are generally aware of these deficits and their negative impact on everyday life, so the development of strategies to alleviate such deficits seems of paramount importance. Thus, in the second part, I present the main outcomes of a cognitive intervention developed by our research group, which has been specifically designed to alleviate autobiographical memory and future thinking impairments in individuals with MS. The implications of these findings for neuropsychological care and well-being of individuals with MS are discussed in the final section, with an emphasis on the functional role of autobiographical memory and future thinking in various domains, including personal identity. Permalink : ./index.php?lvl=notice_display&id=90789 [article] Autobiographical memory and future thinking impairments in multiple sclerosis: Cognitive and neural mechanisms, functional impact and rehabilitation [texte imprimé] / Alexandra Ernst . - 2020 . - p. 159-166. doi.org/10.1016/j.rehab.2019.06.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 159-166 Mots-clés : Autobiographical memory  Future thinking  Cognitive rehabilitation  Visual imagery  Self  Multiple sclerosis Résumé : Learning and memory impairments are common in individuals with multiple sclerosis (MS) and have pervasive effects on everyday life functioning. Hence, memory and learning have received particular attention in the cognitive rehabilitation literature in MS. The effectiveness of memory rehabilitation on memory performance is supported by several studies, but the generalisability of the benefits to daily life and memory for real-life events has rarely been examined. Recently, a new line of research focusing on memory for personal life events (i.e., autobiographical memory) has emerged in the MS literature. This approach is complementary to classical learning and memory paradigms and also allows for approaching memory in a broader context, one that considers memory as the ability to remember past episodes and imagine events that may occur in one's personal future (i.e. future thinking). This review provides an overview of the findings in this line of work. The first part summarises current evidence regarding the cognitive and neural mechanisms underlying autobiographical memory and future thinking impairments in MS. It points out that these domains are frequently and early impaired in individuals with MS because of an executive/frontal-related deficit. Individuals with MS are generally aware of these deficits and their negative impact on everyday life, so the development of strategies to alleviate such deficits seems of paramount importance. Thus, in the second part, I present the main outcomes of a cognitive intervention developed by our research group, which has been specifically designed to alleviate autobiographical memory and future thinking impairments in individuals with MS. The implications of these findings for neuropsychological care and well-being of individuals with MS are discussed in the final section, with an emphasis on the functional role of autobiographical memory and future thinking in various domains, including personal identity. Permalink : ./index.php?lvl=notice_display&id=90789

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Cognitive rehabilitation in multiple sclerosis : An overview of clinical tools / Hélène Brissart in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 167-168 Titre : Cognitive rehabilitation in multiple sclerosis : An overview of clinical tools Type de document : texte imprimé Auteurs : Hélène Brissart Année de publication : 2020 Article en page(s) : p. 167-168 Note générale : doi.org/10.1016/j.rehab.2018.07.002 Langues : Anglais (eng) Mots-clés : Rehabilitation  Cognition  Multiple sclerosis Résumé : - Cognitive impairment in multiple sclerosis could be reduce with cognitive rehabilitation, in particular in verbal memory. - Metacognition is a key point of cognitive rehabilitation, with cognitive exercises adapted to a neuropsychological profile. - Clinical rehabilitation software is effective and available in different languages. It should be administered by a therapist. - More studies are needed to develop clinical tools in order to adapt individual neuropsychological care. Permalink : ./index.php?lvl=notice_display&id=90790 [article] Cognitive rehabilitation in multiple sclerosis : An overview of clinical tools [texte imprimé] / Hélène Brissart . - 2020 . - p. 167-168. doi.org/10.1016/j.rehab.2018.07.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 167-168 Mots-clés : Rehabilitation  Cognition  Multiple sclerosis Résumé : - Cognitive impairment in multiple sclerosis could be reduce with cognitive rehabilitation, in particular in verbal memory. - Metacognition is a key point of cognitive rehabilitation, with cognitive exercises adapted to a neuropsychological profile. - Clinical rehabilitation software is effective and available in different languages. It should be administered by a therapist. - More studies are needed to develop clinical tools in order to adapt individual neuropsychological care. Permalink : ./index.php?lvl=notice_display&id=90790

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Interest of self-management education for mental fatigue in multiple sclerosis: Preliminary results / P. Gallien in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 169-171 Titre : Interest of self-management education for mental fatigue in multiple sclerosis: Preliminary results Type de document : texte imprimé Auteurs : P. Gallien ; F. Chapelain ; B. Nicolas ; K. Autret ; R. Leroux ; A. Rouxel ; B. Fraudet ; I. Brunet ; Emilie Leblong Année de publication : 2020 Article en page(s) : p. 169-171 Note générale : doi.org/10.1016/j.rehab.2018.06.009 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Fatigue  Quality of life  SF-36  Cognitive disorders Résumé : •Fatigue is a symptom extremely disabling in MS self-management. •Our results are closed to the literature and confirm the interest of self-management in the management of fatigue. •In our experience, a one-day self-management education program seems as effective as a multi-day program in improving quality of life and self-efficacy. Permalink : ./index.php?lvl=notice_display&id=90791 [article] Interest of self-management education for mental fatigue in multiple sclerosis: Preliminary results [texte imprimé] / P. Gallien ; F. Chapelain ; B. Nicolas ; K. Autret ; R. Leroux ; A. Rouxel ; B. Fraudet ; I. Brunet ; Emilie Leblong . - 2020 . - p. 169-171. doi.org/10.1016/j.rehab.2018.06.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 169-171 Mots-clés : Multiple sclerosis  Fatigue  Quality of life  SF-36  Cognitive disorders Résumé : •Fatigue is a symptom extremely disabling in MS self-management. •Our results are closed to the literature and confirm the interest of self-management in the management of fatigue. •In our experience, a one-day self-management education program seems as effective as a multi-day program in improving quality of life and self-efficacy. Permalink : ./index.php?lvl=notice_display&id=90791

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