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The Annals of Physical and Rehabilitation Medicine through the 2010s : A generalist journal of rehabilitation with a French touch / Dominic Pérennou in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 1-3 Titre : The Annals of Physical and Rehabilitation Medicine through the 2010s : A generalist journal of rehabilitation with a French touch Type de document : texte imprimé Auteurs : Dominic Pérennou ; Philippe Azouvi ; Sylvie Nadeau ; Jean-Marie Casillas ; Helena Burger ; Pierre Denys ; Emmanuel Coudeyre ; François Rannou Année de publication : 2020 Article en page(s) : p. 1-3 Langues : Anglais (eng) Résumé : The editors of the Annals wish a happy new year to all readers as well as authors and reviewers who contribute to the reputation of the journal. We hope to extend to the coming decade the extraordinary success of the 2010s, outlined below. Permalink : ./index.php?lvl=notice_display&id=90680 [article] The Annals of Physical and Rehabilitation Medicine through the 2010s : A generalist journal of rehabilitation with a French touch [texte imprimé] / Dominic Pérennou ; Philippe Azouvi ; Sylvie Nadeau ; Jean-Marie Casillas ; Helena Burger ; Pierre Denys ; Emmanuel Coudeyre ; François Rannou . - 2020 . - p. 1-3. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 1-3 Résumé : The editors of the Annals wish a happy new year to all readers as well as authors and reviewers who contribute to the reputation of the journal. We hope to extend to the coming decade the extraordinary success of the 2010s, outlined below. Permalink : ./index.php?lvl=notice_display&id=90680

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Bi-cephalic transcranial direct current stimulation combined with functional electrical stimulation for upper-limb stroke rehabilitation : A double-blind randomized controlled trial / Ana Paula Salazar in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 4-11 Titre : Bi-cephalic transcranial direct current stimulation combined with functional electrical stimulation for upper-limb stroke rehabilitation : A double-blind randomized controlled trial Type de document : texte imprimé Auteurs : Ana Paula Salazar ; Veronica Cimolin ; Giulia Palermo Schifino ; Katia Daniele Rech ; Ritchele Redivo Marchese ; Aline Souza Pagnussat Année de publication : 2020 Article en page(s) : p. 4-11 Note générale : doi.org/10.1016/j.rehab.2019.05.004 Langues : Anglais (eng) Résumé : Background Stroke survivors often present poor upper-limb (UL) motor performance and reduced movement quality during reaching tasks. Transcranial direct current stimulation (tDCS) and functional electrical stimulation (FES) are widely used strategies for stroke rehabilitation. However, the effects of combining these two therapies to rehabilitate individuals with moderate and severe impairment after stroke are still unknown. Objective Our primary aim was to evaluate the effects of concurrent bi-cephalic tDCS and FES on UL kinematic motor performance and movement quality of chronic post-stroke subjects with moderate and severe compromise. Our secondary aim was to verify the effects of combining these therapies on handgrip force and UL motor impairment. Methods We randomized 30 individuals with moderate and severe chronic hemiparesis after stroke into tDCS plus FES (n = 15) and sham tDCS plus FES (n = 15) groups. Participants were treated 5 times a week for 2 weeks. Kinematic motor performance (movement cycle time, velocity profile) and movement quality (smoothness, trunk contribution, joint angles) were assessed during an UL reach-to-target task.Handgrip force and motor impairment were also recorded before and after the intervention. Results Participants allocated to the tDCS plus FES group improved movement cycle time (P = 0.039), mean reaching velocity (P = 0.022) and handgrip force (P = 0.034). Both groups improved the mean returning phase velocity (P = 0.018), trunk contribution (P = 0.022), movement smoothness (P = 0.001) and UL motor impairment (P = 0.002). Conclusions Concurrent bi-cephalic tDCS and FES slightly improved reaching motor performance and handgrip force of chronic post-stroke individuals with moderate and severe UL impairment. Permalink : ./index.php?lvl=notice_display&id=90681 [article] Bi-cephalic transcranial direct current stimulation combined with functional electrical stimulation for upper-limb stroke rehabilitation : A double-blind randomized controlled trial [texte imprimé] / Ana Paula Salazar ; Veronica Cimolin ; Giulia Palermo Schifino ; Katia Daniele Rech ; Ritchele Redivo Marchese ; Aline Souza Pagnussat . - 2020 . - p. 4-11. doi.org/10.1016/j.rehab.2019.05.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 4-11 Résumé : Background Stroke survivors often present poor upper-limb (UL) motor performance and reduced movement quality during reaching tasks. Transcranial direct current stimulation (tDCS) and functional electrical stimulation (FES) are widely used strategies for stroke rehabilitation. However, the effects of combining these two therapies to rehabilitate individuals with moderate and severe impairment after stroke are still unknown. Objective Our primary aim was to evaluate the effects of concurrent bi-cephalic tDCS and FES on UL kinematic motor performance and movement quality of chronic post-stroke subjects with moderate and severe compromise. Our secondary aim was to verify the effects of combining these therapies on handgrip force and UL motor impairment. Methods We randomized 30 individuals with moderate and severe chronic hemiparesis after stroke into tDCS plus FES (n = 15) and sham tDCS plus FES (n = 15) groups. Participants were treated 5 times a week for 2 weeks. Kinematic motor performance (movement cycle time, velocity profile) and movement quality (smoothness, trunk contribution, joint angles) were assessed during an UL reach-to-target task.Handgrip force and motor impairment were also recorded before and after the intervention. Results Participants allocated to the tDCS plus FES group improved movement cycle time (P = 0.039), mean reaching velocity (P = 0.022) and handgrip force (P = 0.034). Both groups improved the mean returning phase velocity (P = 0.018), trunk contribution (P = 0.022), movement smoothness (P = 0.001) and UL motor impairment (P = 0.002). Conclusions Concurrent bi-cephalic tDCS and FES slightly improved reaching motor performance and handgrip force of chronic post-stroke individuals with moderate and severe UL impairment. Permalink : ./index.php?lvl=notice_display&id=90681

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Association between prism adaptation and auditory cues on spatial navigation in individuals with unilateral neglect / Mélanie Cogné in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 12-20 Titre : Association between prism adaptation and auditory cues on spatial navigation in individuals with unilateral neglect Type de document : texte imprimé Auteurs : Mélanie Cogné ; Etienne Guillaud ; Laurène Guillot ; Evelyne Klinger ; Bertrand Glize ; Sophie Jacquin-Courtois ; Jean-René Cazalets ; Pierre-Alain Joseph Année de publication : 2020 Article en page(s) : p. 12-20 Note générale : doi.org/10.1016/j.rehab.2019.03.005 Langues : Anglais (eng) Mots-clés : Spatial navigation  Neglect  Virtual reality  Cues  Prism adaptation Résumé : Background Unilateral neglect is common among right-hemispheric stroke individuals and also concerns the auditory modality. Prism adaptation can improve auditory extinction during a dichotic listening task, but its effect during an ecological task has not been studied. Objective The main objective was to evaluate whether lateralized cueing before and after prism adaptation improved virtual spatial navigation of stroke individuals with visual and auditory unilateral neglect. Secondary objectives were to assess spatial memory and obtain a better understanding of the mechanism of the cueing treatment by using an eye-tracker. Methods We included 22 stroke individuals with left visual and auditory neglect, 14 individuals without neglect, and 12 healthy controls. After a familiarization task, participants underwent 3 evaluation sessions. Participants were first passively shown a path that they had then to actively reproduce by using a joystick. A path with lateralized beeping sounds indicating direction and a path without any sounds were followed in a randomized order. After prism adaptation, the participants followed a third path with lateralized beeping sounds. The time of navigation and number of trajectory mistakes were recorded. After navigation, spatial memory was assessed. Additionally, an eye-tracker was used during the navigation period. Results The navigational performance of participants with neglect was significantly better with than without auditory cues, especially after prism adaptation. With auditory cues, participants without neglect reached the navigational performance of healthy controls. The spatial memory of individuals with neglect was significantly lower with auditory cues. Eye-tracking analyses showed that participants with neglect made more saccades and looked longer at the right-square angles in the absence of auditory cues. Conclusions This study demonstrates the positive effect of auditory cues in virtual spatial navigation of individuals with visual and auditory neglect and the potentiation of the help of cues after prism adaptation. Permalink : ./index.php?lvl=notice_display&id=90682 [article] Association between prism adaptation and auditory cues on spatial navigation in individuals with unilateral neglect [texte imprimé] / Mélanie Cogné ; Etienne Guillaud ; Laurène Guillot ; Evelyne Klinger ; Bertrand Glize ; Sophie Jacquin-Courtois ; Jean-René Cazalets ; Pierre-Alain Joseph . - 2020 . - p. 12-20. doi.org/10.1016/j.rehab.2019.03.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 12-20 Mots-clés : Spatial navigation  Neglect  Virtual reality  Cues  Prism adaptation Résumé : Background Unilateral neglect is common among right-hemispheric stroke individuals and also concerns the auditory modality. Prism adaptation can improve auditory extinction during a dichotic listening task, but its effect during an ecological task has not been studied. Objective The main objective was to evaluate whether lateralized cueing before and after prism adaptation improved virtual spatial navigation of stroke individuals with visual and auditory unilateral neglect. Secondary objectives were to assess spatial memory and obtain a better understanding of the mechanism of the cueing treatment by using an eye-tracker. Methods We included 22 stroke individuals with left visual and auditory neglect, 14 individuals without neglect, and 12 healthy controls. After a familiarization task, participants underwent 3 evaluation sessions. Participants were first passively shown a path that they had then to actively reproduce by using a joystick. A path with lateralized beeping sounds indicating direction and a path without any sounds were followed in a randomized order. After prism adaptation, the participants followed a third path with lateralized beeping sounds. The time of navigation and number of trajectory mistakes were recorded. After navigation, spatial memory was assessed. Additionally, an eye-tracker was used during the navigation period. Results The navigational performance of participants with neglect was significantly better with than without auditory cues, especially after prism adaptation. With auditory cues, participants without neglect reached the navigational performance of healthy controls. The spatial memory of individuals with neglect was significantly lower with auditory cues. Eye-tracking analyses showed that participants with neglect made more saccades and looked longer at the right-square angles in the absence of auditory cues. Conclusions This study demonstrates the positive effect of auditory cues in virtual spatial navigation of individuals with visual and auditory neglect and the potentiation of the help of cues after prism adaptation. Permalink : ./index.php?lvl=notice_display&id=90682

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Mental imagery for brain-computer interface control and communication in non-responsive individuals / Zulay R. Lugo in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 21-27 Titre : Mental imagery for brain-computer interface control and communication in non-responsive individuals Type de document : texte imprimé Auteurs : Zulay R. Lugo ; Christoph Pokorny ; Frédéric Pellas ; Quentin Noirhomme ; Steven Laureys ; Gernot Müller-Putz ; Andrea Kübler Année de publication : 2020 Article en page(s) : p. 21-27 Note générale : doi.org/10.1016/j.rehab.2019.02.005 Langues : Anglais (eng) Mots-clés : Brain-computer interface  Locked-in syndrome  User-centered design  Disorders of consciousness Résumé : Background People who survive severe brain damage may eventually develop a prolonged consciousness disorder. Others can regain full consciousness but remain unable to speak or move because of the severity of the lesions, as for those with locked-in syndrome (LIS). Brain-computer interface techniques can be useful to disentangle these states by detecting neurophysiological correlates of conscious processing of information to enable communication with these individuals after the diagnosis. Objective The goal of our study was to evaluate with a user-centered design approach the usability of a mental imagery task to detect signs of voluntary information processing and enabling communication in a group of severely disabled individuals. Methods Five individuals with LIS participated in the study. Participants were instructed to imagine hand, arm or feet movements during electroencephalography (EEG) to detect patterns of event-related synchronization/desynchronization associated with each task. After the user-centered design, usability was evaluated (i.e., efficiency, effectiveness and satisfaction). Results Two participants achieved significant levels of accuracy in 2 different tasks. The associated workload and levels of satisfaction perceived by the users were moderate and were mainly related to the time demand of the task. Conclusion Results showed lack of effectiveness of the task to detect voluntary brain activity and thus detect consciousness or communicate with non-responsive individuals. The application must be modified to be sufficiently satisfying for the intended end-users and suggestions are made in this regard. Permalink : ./index.php?lvl=notice_display&id=90683 [article] Mental imagery for brain-computer interface control and communication in non-responsive individuals [texte imprimé] / Zulay R. Lugo ; Christoph Pokorny ; Frédéric Pellas ; Quentin Noirhomme ; Steven Laureys ; Gernot Müller-Putz ; Andrea Kübler . - 2020 . - p. 21-27. doi.org/10.1016/j.rehab.2019.02.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 21-27 Mots-clés : Brain-computer interface  Locked-in syndrome  User-centered design  Disorders of consciousness Résumé : Background People who survive severe brain damage may eventually develop a prolonged consciousness disorder. Others can regain full consciousness but remain unable to speak or move because of the severity of the lesions, as for those with locked-in syndrome (LIS). Brain-computer interface techniques can be useful to disentangle these states by detecting neurophysiological correlates of conscious processing of information to enable communication with these individuals after the diagnosis. Objective The goal of our study was to evaluate with a user-centered design approach the usability of a mental imagery task to detect signs of voluntary information processing and enabling communication in a group of severely disabled individuals. Methods Five individuals with LIS participated in the study. Participants were instructed to imagine hand, arm or feet movements during electroencephalography (EEG) to detect patterns of event-related synchronization/desynchronization associated with each task. After the user-centered design, usability was evaluated (i.e., efficiency, effectiveness and satisfaction). Results Two participants achieved significant levels of accuracy in 2 different tasks. The associated workload and levels of satisfaction perceived by the users were moderate and were mainly related to the time demand of the task. Conclusion Results showed lack of effectiveness of the task to detect voluntary brain activity and thus detect consciousness or communicate with non-responsive individuals. The application must be modified to be sufficiently satisfying for the intended end-users and suggestions are made in this regard. Permalink : ./index.php?lvl=notice_display&id=90683

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Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children / P. Lallemant-Dudek in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 28-32 Titre : Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children Type de document : texte imprimé Auteurs : P. Lallemant-Dudek ; C. Cretolle ; F. Hameury ; J.L. Lemelle ; A. Ranke ; C. Louis-Borrione ; V. Forin Année de publication : 2020 Article en page(s) : p. 28-32 Note générale : doi.org/10.1016/j.rehab.2019.04.003 Langues : Anglais (eng) Mots-clés : Faecal incontinence  Constipation  Transanal irrigation  Children  Adherence  Therapeutic education  Training session Résumé : Background Since 2009 in France, the Peristeen® transanal irrigation (TAI) device has represented an alternative treatment of faecal incontinence (FI). Objective The primary objective of this study was to assess the mid-term adherence to TAI in paediatric patients. The secondary objective was to identify factors determining TAI continuation. Methods This observational study conducted in 5 French paediatric centres prospectively reviewed from March to May 2012 all children educated in TAI for at least 9 months. Results We included 149 children (mean [SD] age 10.6 [4.1] years) educated in TAI. Children mainly had neurogenic disorders (52.3%) or congenital malformations (30.9%). The main symptoms motivating TAI initiation were recurring faecaloma (59.7%) and daily FI (65.1%). At last follow-up (mean 14 [7.4] months), 129 (86.6%) children continued the TAI procedure, independent of pathology or age. The main motivation was resolution of FI and/or constipation (77.3%). In total, 107 (82.9%) children fulfilled the initial therapeutic contract established with their healthcare professional before TAI initiation was met. Twenty children had stopped the TAI when they answered the questionnaire, at a mean duration of 16 (8.4) months. The reasons were mainly “lack of motivation” (45%), “poor tolerance” (35%), “difficulties” performing the procedure (35%) and “inefficacy” (30%). Factors related to continuation were performing at least one TAI procedure under a nurse's supervision during the initial training and prescribing TAI at a daily frequency (P = 0.014 and P = 0.04). Continuing constipation treatment after the training session was a factor in discontinuation (P = 0.024). Conclusion This study reports a very high mid-term adherence to TAI in a paediatric cohort, provided that the training is pragmatic, personalized and repeated. Permalink : ./index.php?lvl=notice_display&id=90684 [article] Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children [texte imprimé] / P. Lallemant-Dudek ; C. Cretolle ; F. Hameury ; J.L. Lemelle ; A. Ranke ; C. Louis-Borrione ; V. Forin . - 2020 . - p. 28-32. doi.org/10.1016/j.rehab.2019.04.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 28-32 Mots-clés : Faecal incontinence  Constipation  Transanal irrigation  Children  Adherence  Therapeutic education  Training session Résumé : Background Since 2009 in France, the Peristeen® transanal irrigation (TAI) device has represented an alternative treatment of faecal incontinence (FI). Objective The primary objective of this study was to assess the mid-term adherence to TAI in paediatric patients. The secondary objective was to identify factors determining TAI continuation. Methods This observational study conducted in 5 French paediatric centres prospectively reviewed from March to May 2012 all children educated in TAI for at least 9 months. Results We included 149 children (mean [SD] age 10.6 [4.1] years) educated in TAI. Children mainly had neurogenic disorders (52.3%) or congenital malformations (30.9%). The main symptoms motivating TAI initiation were recurring faecaloma (59.7%) and daily FI (65.1%). At last follow-up (mean 14 [7.4] months), 129 (86.6%) children continued the TAI procedure, independent of pathology or age. The main motivation was resolution of FI and/or constipation (77.3%). In total, 107 (82.9%) children fulfilled the initial therapeutic contract established with their healthcare professional before TAI initiation was met. Twenty children had stopped the TAI when they answered the questionnaire, at a mean duration of 16 (8.4) months. The reasons were mainly “lack of motivation” (45%), “poor tolerance” (35%), “difficulties” performing the procedure (35%) and “inefficacy” (30%). Factors related to continuation were performing at least one TAI procedure under a nurse's supervision during the initial training and prescribing TAI at a daily frequency (P = 0.014 and P = 0.04). Continuing constipation treatment after the training session was a factor in discontinuation (P = 0.024). Conclusion This study reports a very high mid-term adherence to TAI in a paediatric cohort, provided that the training is pragmatic, personalized and repeated. Permalink : ./index.php?lvl=notice_display&id=90684

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New factors that affect quality of life in patients with aphasia / Bénédicte Bullier in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 33-37 Titre : New factors that affect quality of life in patients with aphasia Type de document : texte imprimé Auteurs : Bénédicte Bullier ; Hélène Cassoudesalle ; Marie Villain ; Mélanie Cogné ; Clémence Mollo ; Isabelle De Gabory ; Patrick Dehail ; Pierre-Alain Joseph ; Igor Sibon ; Bertrand Glize Année de publication : 2020 Article en page(s) : p. 33-37 Note générale : doi.org/10.1016/j.rehab.2019.06.015 Langues : Anglais (eng) Mots-clés : Aphasia  Quality of life  Stroke  Fatigue Résumé : Background Aphasia severity is known to affect quality of life (QoL) in stroke patients, as is mood disorders, functional limitations, limitations on activities of daily life, economic status and level of education. However, communication limitation or fatigue has not been explored in this specific population. Objective We aimed to investigate whether these factors were associated with QoL in patients with aphasia after stroke. Methods Patients with aphasia were included from April 2014 to November 2017 after a first stroke and were followed for 2 years post-stroke. QoL was assessed at follow-up by the French Sickness Impact Profile 65 (SIP-65). We explored predictors such as mood disorders, communication impairment, fatigue, limitations on activities of daily life, and aphasia severity in addition to socio-demographic factors. Results We included 32 individuals (22 men; mean age 60.7 [SD 16.6] years) with aphasia after a first stroke. Poor QoL as assessed by the SIP-65 was significantly associated (Pearson correlations) with increased severity of aphasia initially (P = 0.008) and at follow-up (P = 0.01); increased communication activity limitations at follow-up (P < 0.001); increased limitations on activities of daily life at baseline (P = 0.008) and follow-up (P < 0.001); increased fatigue at follow-up (P = 0.001); and increased depression symptoms at follow-up (P = 0.001). On multivariable analysis, QoL was associated with communication activity limitations, limitations on activities of daily life, fatigue and depression, explaining more than 75% of the variance (linear regression R2 = 0.756, P < 0.001). The relative importance in predicting the variance was 32% for limitations on activities of daily life, 21% fatigue, 23% depression and 24% communication activity limitations. Conclusion Aphasia severity, mood disorders and functional limitations may have a negative effect on QoL in patients with aphasia. Also, for the first time, we show that fatigue has an important impact on QoL in this population. Specific management of this symptom might be beneficial and should be explored in future studies. Permalink : ./index.php?lvl=notice_display&id=90685 [article] New factors that affect quality of life in patients with aphasia [texte imprimé] / Bénédicte Bullier ; Hélène Cassoudesalle ; Marie Villain ; Mélanie Cogné ; Clémence Mollo ; Isabelle De Gabory ; Patrick Dehail ; Pierre-Alain Joseph ; Igor Sibon ; Bertrand Glize . - 2020 . - p. 33-37. doi.org/10.1016/j.rehab.2019.06.015 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 33-37 Mots-clés : Aphasia  Quality of life  Stroke  Fatigue Résumé : Background Aphasia severity is known to affect quality of life (QoL) in stroke patients, as is mood disorders, functional limitations, limitations on activities of daily life, economic status and level of education. However, communication limitation or fatigue has not been explored in this specific population. Objective We aimed to investigate whether these factors were associated with QoL in patients with aphasia after stroke. Methods Patients with aphasia were included from April 2014 to November 2017 after a first stroke and were followed for 2 years post-stroke. QoL was assessed at follow-up by the French Sickness Impact Profile 65 (SIP-65). We explored predictors such as mood disorders, communication impairment, fatigue, limitations on activities of daily life, and aphasia severity in addition to socio-demographic factors. Results We included 32 individuals (22 men; mean age 60.7 [SD 16.6] years) with aphasia after a first stroke. Poor QoL as assessed by the SIP-65 was significantly associated (Pearson correlations) with increased severity of aphasia initially (P = 0.008) and at follow-up (P = 0.01); increased communication activity limitations at follow-up (P < 0.001); increased limitations on activities of daily life at baseline (P = 0.008) and follow-up (P < 0.001); increased fatigue at follow-up (P = 0.001); and increased depression symptoms at follow-up (P = 0.001). On multivariable analysis, QoL was associated with communication activity limitations, limitations on activities of daily life, fatigue and depression, explaining more than 75% of the variance (linear regression R2 = 0.756, P < 0.001). The relative importance in predicting the variance was 32% for limitations on activities of daily life, 21% fatigue, 23% depression and 24% communication activity limitations. Conclusion Aphasia severity, mood disorders and functional limitations may have a negative effect on QoL in patients with aphasia. Also, for the first time, we show that fatigue has an important impact on QoL in this population. Specific management of this symptom might be beneficial and should be explored in future studies. Permalink : ./index.php?lvl=notice_display&id=90685

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Atrophy of individual thigh muscles measured by MRI in older adults with knee osteoarthritis : A cross-sectional study / Koun Yamauchi in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 38-45 Titre : Atrophy of individual thigh muscles measured by MRI in older adults with knee osteoarthritis : A cross-sectional study Type de document : texte imprimé Auteurs : Koun Yamauchi ; Shigetoshi Suzuki ; Chisato Kato ; Takayuki Kato Année de publication : 2020 Article en page(s) : p. 38-45 Note générale : doi.org/10.1016/j.rehab.2019.06.018 Langues : Anglais (eng) Mots-clés : Magnetic resonance imaging  Quadriceps muscle  Hamstring  Muscle cross-sectional area  Knee osteoarthritis Résumé : Background The characteristics of thigh-muscle cross-sectional area (CSA) in older adults with knee osteoarthritis (KOA) remain controversial. Objectives This study aimed to evaluate atrophy of individual thigh muscles in older adults with KOA and to determine which muscle CSA should be measured to detect KOA-related muscle atrophy of the thigh. Methods In older adults, individual thigh-muscle CSA measured by 1.5 Tesla MRI was analyzed at 5% intervals of the femoral length (FL) around the mid-thigh between the proximal 25% of the FL and the distal 25%. Participants with KOA grade ≤ 1 and grade ≥ 2 were compared for ratios of quadriceps muscle (QM) CSA to total thigh, individual QM CSA to QM, and individual hamstring (HAM) CSA to HAM at 5% intervals. Results We included 40 older adults [20 males; mean (SD) age 73.3 (4.7) years; 20 with KOA grade ≤ 1 and 20 with KOA grade ≥ 2]. The ratio of vastus medialis (VM) CSA to QM from the proximal 25% to distal 15% and the ratio of semi-membranosus (SM) CSA to HAM at the distal 10% to 25% were significantly lower with KOA grade ≥ 2 than grade ≤ 1; the effect sizes were 0.34 to 0.67 for VM and 0.40 to 0.60 for SM. The effect sizes were greatest for the ratios of VM CSA to QM at the mid-thigh with 5% intervals and the ratio of SM CSA to HAM at the distal 25%. Conclusions The ratio of VM CSA to QM and/or that of SM CSA to HAM were low and were the best indicators to detect KOA-related muscle atrophy of the thigh. However, to detect KOA-related muscle atrophy, the VM CSA ratio should be analyzed in the thigh region around the mid-thigh, whereas the SM CSA ratio should be analyzed in the thigh region at the muscle belly. Permalink : ./index.php?lvl=notice_display&id=90686 [article] Atrophy of individual thigh muscles measured by MRI in older adults with knee osteoarthritis : A cross-sectional study [texte imprimé] / Koun Yamauchi ; Shigetoshi Suzuki ; Chisato Kato ; Takayuki Kato . - 2020 . - p. 38-45. doi.org/10.1016/j.rehab.2019.06.018 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 38-45 Mots-clés : Magnetic resonance imaging  Quadriceps muscle  Hamstring  Muscle cross-sectional area  Knee osteoarthritis Résumé : Background The characteristics of thigh-muscle cross-sectional area (CSA) in older adults with knee osteoarthritis (KOA) remain controversial. Objectives This study aimed to evaluate atrophy of individual thigh muscles in older adults with KOA and to determine which muscle CSA should be measured to detect KOA-related muscle atrophy of the thigh. Methods In older adults, individual thigh-muscle CSA measured by 1.5 Tesla MRI was analyzed at 5% intervals of the femoral length (FL) around the mid-thigh between the proximal 25% of the FL and the distal 25%. Participants with KOA grade ≤ 1 and grade ≥ 2 were compared for ratios of quadriceps muscle (QM) CSA to total thigh, individual QM CSA to QM, and individual hamstring (HAM) CSA to HAM at 5% intervals. Results We included 40 older adults [20 males; mean (SD) age 73.3 (4.7) years; 20 with KOA grade ≤ 1 and 20 with KOA grade ≥ 2]. The ratio of vastus medialis (VM) CSA to QM from the proximal 25% to distal 15% and the ratio of semi-membranosus (SM) CSA to HAM at the distal 10% to 25% were significantly lower with KOA grade ≥ 2 than grade ≤ 1; the effect sizes were 0.34 to 0.67 for VM and 0.40 to 0.60 for SM. The effect sizes were greatest for the ratios of VM CSA to QM at the mid-thigh with 5% intervals and the ratio of SM CSA to HAM at the distal 25%. Conclusions The ratio of VM CSA to QM and/or that of SM CSA to HAM were low and were the best indicators to detect KOA-related muscle atrophy of the thigh. However, to detect KOA-related muscle atrophy, the VM CSA ratio should be analyzed in the thigh region around the mid-thigh, whereas the SM CSA ratio should be analyzed in the thigh region at the muscle belly. Permalink : ./index.php?lvl=notice_display&id=90686

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Physical and psychological paths toward less severe fibromyalgia : A structural equation model / Manuel Pulido-Martos in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 46-52 Titre : Physical and psychological paths toward less severe fibromyalgia : A structural equation model Type de document : texte imprimé Auteurs : Manuel Pulido-Martos ; Octavio Luque-Reca ; Victor Segura-Jimenez ; Immaculada C. Alvarez-Gallardo ; Alberto Soriano-Maldonado ; Pedro Acosta-Manzano ; Blanca Gavilan-Carrera ; Joseph G. McVeigh ; Rinie Geenen ; Manuel Delgado-Fernandez ; Fernando Estevez-Lopez Année de publication : 2020 Article en page(s) : p. 46-52 Note générale : doi.org/10.1016/j.rehab.2019.06.017 Langues : Anglais (eng) Mots-clés : Adaptation  Fibromyalgia impact  Physical activity  Quality of life  Rheumatic and musculoskeletal diseases Résumé : Objectives Previous research suggested isolated associations of physical and psychological factors with fibromyalgia severity. Integration of physical and psychological, experienced and observed, modifiable factors associated with fibromyalgia severity in a single model will reveal therapeutic paths toward less severity of disease. We aimed to examine an encompassing model of determinants of fibromyalgia severity. Methods This observational, population-based cross-sectional study included 569 people with fibromyalgia. An integrative model of fibromyalgia severity was tested by using structural equation modelling. This model included 8 factors: resilience, catastrophizing, active lifestyle, declarative memory, subjective fitness, objective fitness, psychological distress, and physical fatigue. Results Two core paths were associated with reduced fibromyalgia severity: 1) a psychological path connecting high resilience and low catastrophizing with low distress and 2) a physical path, connecting a more active lifestyle (directly and via high objective and subjective physical fitness) with low fatigue. Additional interconnecting paths especially suggested a connection from the psychological to physical path. Our model explained 83% of the fibromyalgia severity. Conclusions The present model integrated the complexity of mutually influencing factors of fibromyalgia severity, which may help to better understand the disease. It emphasised the importance of: 1) physical factors and psychological factors and their interconnections, 2) patients’ experiences and clinical measurements, and 3) positive and negative signs such as physical fitness and distress. Future longitudinal and experimental research should aim at testing the causal direction of the associations in the model as well as the clinical implications suggested by the model. For instance, to reduce fatigue, exercise should enhance not only objective fitness but also fitness-related perceptions. Reducing distress and fatigue seems crucial for lowering fibromyalgia severity. Permalink : ./index.php?lvl=notice_display&id=90687 [article] Physical and psychological paths toward less severe fibromyalgia : A structural equation model [texte imprimé] / Manuel Pulido-Martos ; Octavio Luque-Reca ; Victor Segura-Jimenez ; Immaculada C. Alvarez-Gallardo ; Alberto Soriano-Maldonado ; Pedro Acosta-Manzano ; Blanca Gavilan-Carrera ; Joseph G. McVeigh ; Rinie Geenen ; Manuel Delgado-Fernandez ; Fernando Estevez-Lopez . - 2020 . - p. 46-52. doi.org/10.1016/j.rehab.2019.06.017 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 46-52 Mots-clés : Adaptation  Fibromyalgia impact  Physical activity  Quality of life  Rheumatic and musculoskeletal diseases Résumé : Objectives Previous research suggested isolated associations of physical and psychological factors with fibromyalgia severity. Integration of physical and psychological, experienced and observed, modifiable factors associated with fibromyalgia severity in a single model will reveal therapeutic paths toward less severity of disease. We aimed to examine an encompassing model of determinants of fibromyalgia severity. Methods This observational, population-based cross-sectional study included 569 people with fibromyalgia. An integrative model of fibromyalgia severity was tested by using structural equation modelling. This model included 8 factors: resilience, catastrophizing, active lifestyle, declarative memory, subjective fitness, objective fitness, psychological distress, and physical fatigue. Results Two core paths were associated with reduced fibromyalgia severity: 1) a psychological path connecting high resilience and low catastrophizing with low distress and 2) a physical path, connecting a more active lifestyle (directly and via high objective and subjective physical fitness) with low fatigue. Additional interconnecting paths especially suggested a connection from the psychological to physical path. Our model explained 83% of the fibromyalgia severity. Conclusions The present model integrated the complexity of mutually influencing factors of fibromyalgia severity, which may help to better understand the disease. It emphasised the importance of: 1) physical factors and psychological factors and their interconnections, 2) patients’ experiences and clinical measurements, and 3) positive and negative signs such as physical fitness and distress. Future longitudinal and experimental research should aim at testing the causal direction of the associations in the model as well as the clinical implications suggested by the model. For instance, to reduce fatigue, exercise should enhance not only objective fitness but also fitness-related perceptions. Reducing distress and fatigue seems crucial for lowering fibromyalgia severity. Permalink : ./index.php?lvl=notice_display&id=90687

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High sedentary behaviour and low physical activity levels at 12 months after cardiac rehabilitation: A prospective cohort study / Nicole Freene in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 53-58 Titre : High sedentary behaviour and low physical activity levels at 12 months after cardiac rehabilitation: A prospective cohort study Type de document : texte imprimé Auteurs : Nicole Freene ; Margaret McManus ; Tarryn Mair ; Ren Tan ; Rachel Davey Année de publication : 2020 Article en page(s) : p. 53-58 Note générale : doi.org/10.1016/j.rehab.2019.07.008 Langues : Anglais (eng) Mots-clés : Coronary disease  Accelerometry  Exercise Résumé : Background International cardiac rehabilitation guidelines recommend that participants meet public health physical activity guidelines. Few studies have objectively measured how much time cardiac rehabilitation participants spend in physical activity and sedentary behaviour, particularly over the long term. Objective The aim of this study was to objectively assess physical activity and sedentary behaviour of cardiac rehabilitation participants over 12 months and determine whether they met the public health physical activity and sedentary behaviour guidelines. Methods Cardiac rehabilitation participants with coronary heart disease were recruited in a prospective cohort study (n = 72). Participants wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at baseline, 6 weeks, and 6 and 12 months to assess daily minutes of moderate-to-vigorous physical activity and sedentary behaviour (< 100 counts/min). Other outcomes collected were self-reported physical activity and sedentary behaviour, body mass index, waist-to-hip ratio, lipid profile, blood glucose level, quality of life, exercise capacity, anxiety and depression. Results By intent-to-treat analysis, during the 6-week cardiac rehabilitation program, participants increased their light physical activity (P < 0.01), which was maintained up to 12 months. Moderate-to-vigorous physical activity and sedentary behaviour did not change during the 6-week cardiac rehabilitation program but did improve over 6 months (sedentary behaviour decreased [P < 0.001], moderate-to-vigorous physical activity increased [P < 0.05]), which was maintained up to 1 year. Completion of moderate-to-vigorous physical activity in 10-min bouts did not change over 12 months, nor did the proportion of participants meeting physical activity guidelines (15–21%). Sedentary behaviour remained high throughout (11 hr/day). Conclusion Most cardiac rehabilitation participants did not meet the physical activity guidelines during and after a 6-week program up to 12 months. Reducing sedentary behaviour may be a more achievable first-line strategy for cardiac patients, moving participants along the energy expenditure continuum, aiming to increase their physical activity levels over the medium to long term. Permalink : ./index.php?lvl=notice_display&id=90766 [article] High sedentary behaviour and low physical activity levels at 12 months after cardiac rehabilitation: A prospective cohort study [texte imprimé] / Nicole Freene ; Margaret McManus ; Tarryn Mair ; Ren Tan ; Rachel Davey . - 2020 . - p. 53-58. doi.org/10.1016/j.rehab.2019.07.008 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 53-58 Mots-clés : Coronary disease  Accelerometry  Exercise Résumé : Background International cardiac rehabilitation guidelines recommend that participants meet public health physical activity guidelines. Few studies have objectively measured how much time cardiac rehabilitation participants spend in physical activity and sedentary behaviour, particularly over the long term. Objective The aim of this study was to objectively assess physical activity and sedentary behaviour of cardiac rehabilitation participants over 12 months and determine whether they met the public health physical activity and sedentary behaviour guidelines. Methods Cardiac rehabilitation participants with coronary heart disease were recruited in a prospective cohort study (n = 72). Participants wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at baseline, 6 weeks, and 6 and 12 months to assess daily minutes of moderate-to-vigorous physical activity and sedentary behaviour (< 100 counts/min). Other outcomes collected were self-reported physical activity and sedentary behaviour, body mass index, waist-to-hip ratio, lipid profile, blood glucose level, quality of life, exercise capacity, anxiety and depression. Results By intent-to-treat analysis, during the 6-week cardiac rehabilitation program, participants increased their light physical activity (P < 0.01), which was maintained up to 12 months. Moderate-to-vigorous physical activity and sedentary behaviour did not change during the 6-week cardiac rehabilitation program but did improve over 6 months (sedentary behaviour decreased [P < 0.001], moderate-to-vigorous physical activity increased [P < 0.05]), which was maintained up to 1 year. Completion of moderate-to-vigorous physical activity in 10-min bouts did not change over 12 months, nor did the proportion of participants meeting physical activity guidelines (15–21%). Sedentary behaviour remained high throughout (11 hr/day). Conclusion Most cardiac rehabilitation participants did not meet the physical activity guidelines during and after a 6-week program up to 12 months. Reducing sedentary behaviour may be a more achievable first-line strategy for cardiac patients, moving participants along the energy expenditure continuum, aiming to increase their physical activity levels over the medium to long term. Permalink : ./index.php?lvl=notice_display&id=90766

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Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis / Lu Luo in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 59-68 Titre : Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Lu Luo ; Haining Meng ; Ziwei Wang ; Shiqiang Zhu ; Song Yuan ; Yuyang Wang ; Qiang Wang Année de publication : 2020 Article en page(s) : p. 59-68 Note générale : doi.org/10.1016/j.rehab.2019.07.006 Langues : Anglais (eng) Mots-clés : Exercise therapy  Intensity  Stroke  Cardiorespiratory fitness  Safety  Meta-analysis Résumé : Background Knowledge of the optimal protocol and safety of particularly high-intensity exercise applied to individuals with stroke is lacking. Objective This systematic review and meta-analysis aimed to investigate the effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors. Methods We performed a systematic electronic search for articles in MedLine via PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, CINAHL, and SPORTSDiscus up to April 1, 2019. Peak oxygen consumption (VO2peak), 6-min walk test (6MWT), fastest 10-m walk test (10MWT), and adverse events were assessed. The standardized mean difference (SMD), weighted mean difference (WMD), and odds ratios (ORs) were used to compute the effect size, and subgroup analysis was conducted to test the consistency of results as well as sensitivity analysis to assess the robustness of the results. The quality of evidence was assessed with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Results We included 17 studies (PEDro score ≥ 4) in the meta-analysis. Post-intervention, high-intensity exercise had a significant effect on peak oxygen uptake (VO2peak; SMD = 0.56, P < 0.01, I2 = 8%; WMD = 2.53 mL/kg/min; high quality of evidence) and 6MWT (SMD = 0.26, P < 0.01, I2 = 40%; WMD = 17.08 m; moderate quality of evidence) but not fastest 10MWT (SMD = 0.33, P = 0.27, I2 = 77%; WMD = 0.05 m/s; low quality of evidence). Subgroup analysis showed better effects of higher-intensity treadmill training (≥ 70% heart rate reserve/VO2peak) for a longer duration (≥ 12 weeks) on VO2peak and 6MWT in sub-acute or chronic stroke survivors. The high-intensity exercise and control groups did not differ in adverse events including falls [odds ratio (OR) 1.40, P = 0.35, I2 = 11%; low quality of evidence], pain (OR 3.34, P = 0.09, I2 = 0%; moderate quality of evidence), or skin injuries (OR 1.08, P = 0.90, I2 = 0%; low quality of evidence). Conclusions Our meta-analysis suggests that high-intensity exercise is beneficial for cardiorespiratory fitness in stroke survivors and might be safe as a novel intervention in cardiopulmonary rehabilitation after stroke. Permalink : ./index.php?lvl=notice_display&id=90767 [article] Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis [texte imprimé] / Lu Luo ; Haining Meng ; Ziwei Wang ; Shiqiang Zhu ; Song Yuan ; Yuyang Wang ; Qiang Wang . - 2020 . - p. 59-68. doi.org/10.1016/j.rehab.2019.07.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 59-68 Mots-clés : Exercise therapy  Intensity  Stroke  Cardiorespiratory fitness  Safety  Meta-analysis Résumé : Background Knowledge of the optimal protocol and safety of particularly high-intensity exercise applied to individuals with stroke is lacking. Objective This systematic review and meta-analysis aimed to investigate the effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors. Methods We performed a systematic electronic search for articles in MedLine via PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, CINAHL, and SPORTSDiscus up to April 1, 2019. Peak oxygen consumption (VO2peak), 6-min walk test (6MWT), fastest 10-m walk test (10MWT), and adverse events were assessed. The standardized mean difference (SMD), weighted mean difference (WMD), and odds ratios (ORs) were used to compute the effect size, and subgroup analysis was conducted to test the consistency of results as well as sensitivity analysis to assess the robustness of the results. The quality of evidence was assessed with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Results We included 17 studies (PEDro score ≥ 4) in the meta-analysis. Post-intervention, high-intensity exercise had a significant effect on peak oxygen uptake (VO2peak; SMD = 0.56, P < 0.01, I2 = 8%; WMD = 2.53 mL/kg/min; high quality of evidence) and 6MWT (SMD = 0.26, P < 0.01, I2 = 40%; WMD = 17.08 m; moderate quality of evidence) but not fastest 10MWT (SMD = 0.33, P = 0.27, I2 = 77%; WMD = 0.05 m/s; low quality of evidence). Subgroup analysis showed better effects of higher-intensity treadmill training (≥ 70% heart rate reserve/VO2peak) for a longer duration (≥ 12 weeks) on VO2peak and 6MWT in sub-acute or chronic stroke survivors. The high-intensity exercise and control groups did not differ in adverse events including falls [odds ratio (OR) 1.40, P = 0.35, I2 = 11%; low quality of evidence], pain (OR 3.34, P = 0.09, I2 = 0%; moderate quality of evidence), or skin injuries (OR 1.08, P = 0.90, I2 = 0%; low quality of evidence). Conclusions Our meta-analysis suggests that high-intensity exercise is beneficial for cardiorespiratory fitness in stroke survivors and might be safe as a novel intervention in cardiopulmonary rehabilitation after stroke. Permalink : ./index.php?lvl=notice_display&id=90767

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Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations / Stanley John Winser in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 69-80 Titre : Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations Type de document : texte imprimé Auteurs : Stanley John Winser ; Hei Tung Fion Chan ; Lam Ho ; Lau Sze Chung ; Lau Tsz Ching ; Tom Kin Lok Felix ; Priya Kannan Année de publication : 2020 Article en page(s) : p. 69-80 Note générale : doi.org/10.1016/j.rehab.2019.06.012 Langues : Anglais (eng) Mots-clés : Physical exercise  Dosage  Falls prevention  Older people  Cost-effectiveness. Résumé : Abstract Background Falls in older people is a global public health concern. Physical exercise is a useful and potentially cost-saving treatment option to prevent falls in older people. Objectives We aimed to (1) summarize the research literature regarding the cost-effectiveness of exercise-based programs for falls prevention in older people and (2) discuss the implications of the review's findings for clinical practice and future research on the dosage of cost-effective exercise-based falls prevention programs for older people. Methods Multiple databases were searched from inception until February 2019. Studies were included if they (1) were randomized controlled trials with an economic evaluation of exercise-based falls prevention programs for people ≥ 60 years old and (2) assessed the incremental cost-effectiveness ratios, cost per quality-adjusted life year, incremental cost per fall and benefit-to-cost ratio of programs. Methodological quality was assessed with the Physiotherapy Evidence Database scale and quality of economic evaluation with the Quality of Health Economic Studies. Results We included 12 studies (3668 older people). Interventions for falls prevention were either exercise-only or multifactorial programs. Five studies of high economic quality and 2 of high methodological quality provided evidence supporting exercise-only programs as cost-effective for preventing falls in older people. Specifically, a tailored exercise program including strengthening of lower extremities, balance training, cardiovascular exercise, stretching and functional training of moderate intensity performed twice per week with each session lasting 60 min for ≥ 6 months delivered in groups of 3 to 8 participants with home-based follow-up appears to be cost-effective in preventing falls in older people. Conclusion There is evidence to support exercise-based interventions as cost-effective treatment for preventing falls. Further research is needed to fully establish the cost-effectiveness of such programs, especially in both developing and underdeveloped countries. Permalink : ./index.php?lvl=notice_display&id=90768 [article] Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations [texte imprimé] / Stanley John Winser ; Hei Tung Fion Chan ; Lam Ho ; Lau Sze Chung ; Lau Tsz Ching ; Tom Kin Lok Felix ; Priya Kannan . - 2020 . - p. 69-80. doi.org/10.1016/j.rehab.2019.06.012 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 69-80 Mots-clés : Physical exercise  Dosage  Falls prevention  Older people  Cost-effectiveness. Résumé : Abstract Background Falls in older people is a global public health concern. Physical exercise is a useful and potentially cost-saving treatment option to prevent falls in older people. Objectives We aimed to (1) summarize the research literature regarding the cost-effectiveness of exercise-based programs for falls prevention in older people and (2) discuss the implications of the review's findings for clinical practice and future research on the dosage of cost-effective exercise-based falls prevention programs for older people. Methods Multiple databases were searched from inception until February 2019. Studies were included if they (1) were randomized controlled trials with an economic evaluation of exercise-based falls prevention programs for people ≥ 60 years old and (2) assessed the incremental cost-effectiveness ratios, cost per quality-adjusted life year, incremental cost per fall and benefit-to-cost ratio of programs. Methodological quality was assessed with the Physiotherapy Evidence Database scale and quality of economic evaluation with the Quality of Health Economic Studies. Results We included 12 studies (3668 older people). Interventions for falls prevention were either exercise-only or multifactorial programs. Five studies of high economic quality and 2 of high methodological quality provided evidence supporting exercise-only programs as cost-effective for preventing falls in older people. Specifically, a tailored exercise program including strengthening of lower extremities, balance training, cardiovascular exercise, stretching and functional training of moderate intensity performed twice per week with each session lasting 60 min for ≥ 6 months delivered in groups of 3 to 8 participants with home-based follow-up appears to be cost-effective in preventing falls in older people. Conclusion There is evidence to support exercise-based interventions as cost-effective treatment for preventing falls. Further research is needed to fully establish the cost-effectiveness of such programs, especially in both developing and underdeveloped countries. Permalink : ./index.php?lvl=notice_display&id=90768

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Could non-invasive brain stimulation help treat dysarthria? A single-case study / Francesco Panico in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 81-84 Titre : Could non-invasive brain stimulation help treat dysarthria? A single-case study Type de document : texte imprimé Auteurs : Francesco Panico ; Manel Ben-Romdhane ; Thimothee Jacqesson ; Stuart Nash ; François Cotton ; Jacques Luauté Année de publication : 2020 Article en page(s) : p. 81-84 Note générale : doi.org/10.1016/j.rehab.2019.06.011 Langues : Anglais (eng) Mots-clés : Language  Dysarthria  Speech rehabilitation  Brain stimulation Résumé : Dysarthria is a motor speech disorder that can occur following brain damage. It is characterized by impairments in producing the movements needed to articulate words [1] but does not affect other language processing domains such as writing and comprehension. Several rehabilitation approaches have been developed to improve dysarthria; they involve intensive exercise or alternative/augmentative communication devices but have shown no strong beneficial effects [2]. Recent studies in neuro-modulation have effectively used non-invasive brain stimulation to treat post-stroke aphasia [3, for a review]. Anodal transcranial direct current stimulation (tDCS) of the left inferior frontal gyrus (IFG) has been found to mitigate language articulation impairments in aphasia [4], [5]. Moreover, recent findings from healthy individuals showed that cathodal tDCS over the right cerebellum improved performance in a sequenced articulation task [6], which suggests promising perspectives for treating motor speech disorders. Permalink : ./index.php?lvl=notice_display&id=90769 [article] Could non-invasive brain stimulation help treat dysarthria? A single-case study [texte imprimé] / Francesco Panico ; Manel Ben-Romdhane ; Thimothee Jacqesson ; Stuart Nash ; François Cotton ; Jacques Luauté . - 2020 . - p. 81-84. doi.org/10.1016/j.rehab.2019.06.011 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 81-84 Mots-clés : Language  Dysarthria  Speech rehabilitation  Brain stimulation Résumé : Dysarthria is a motor speech disorder that can occur following brain damage. It is characterized by impairments in producing the movements needed to articulate words [1] but does not affect other language processing domains such as writing and comprehension. Several rehabilitation approaches have been developed to improve dysarthria; they involve intensive exercise or alternative/augmentative communication devices but have shown no strong beneficial effects [2]. Recent studies in neuro-modulation have effectively used non-invasive brain stimulation to treat post-stroke aphasia [3, for a review]. Anodal transcranial direct current stimulation (tDCS) of the left inferior frontal gyrus (IFG) has been found to mitigate language articulation impairments in aphasia [4], [5]. Moreover, recent findings from healthy individuals showed that cathodal tDCS over the right cerebellum improved performance in a sequenced articulation task [6], which suggests promising perspectives for treating motor speech disorders. Permalink : ./index.php?lvl=notice_display&id=90769

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Tilted writing after stroke, a sign of biased verticality representation / Caroline Jolly in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 85-88 Titre : Tilted writing after stroke, a sign of biased verticality representation Type de document : texte imprimé Auteurs : Caroline Jolly ; Céline Piscicelli ; Remi Gimat ; Claire Berenger ; Eric Guinet ; Laure Mathevon ; Anne Chrispin ; Shenhao Dai ; Monica Baciu ; Dominic Pérennou Année de publication : 2020 Article en page(s) : p. 85-88 Note générale : doi.org/10.1016/j.rehab.2019.12.001 Langues : Anglais (eng) Résumé : Handwriting is a complex task involving motor, linguistic, perceptual, and attentional skills predominantly controlled by the left hemisphere but requiring a spatial organization that depends on the right hemisphere [1]. Handwriting is often affected after right-hemispheric lesions, with a spectrum of signs related to the spatial layout of the written language [2], [3], [4], [5], constituting spatial dysgraphia/agraphia [2], [6], [7]. These signs are multi-faceted [2], [3], [5], [7]. Most deal with spatial compression or mental rotation of the space and are related to spatial neglect: omitting the left half of the paper, overwriting or compressing some words, and omitting and substituting letters or graphemes. Some deal with the visual processing of complex material to write (simultagnosia) [8]. Others such as tilted writing remain to be understood. Here we present a case suggesting that the tilted handwriting after stroke might be due to a counterclockwise tilt in representing the vertical, transposed on the sheet of paper referring to top and bottom. Permalink : ./index.php?lvl=notice_display&id=90771 [article] Tilted writing after stroke, a sign of biased verticality representation [texte imprimé] / Caroline Jolly ; Céline Piscicelli ; Remi Gimat ; Claire Berenger ; Eric Guinet ; Laure Mathevon ; Anne Chrispin ; Shenhao Dai ; Monica Baciu ; Dominic Pérennou . - 2020 . - p. 85-88. doi.org/10.1016/j.rehab.2019.12.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 85-88 Résumé : Handwriting is a complex task involving motor, linguistic, perceptual, and attentional skills predominantly controlled by the left hemisphere but requiring a spatial organization that depends on the right hemisphere [1]. Handwriting is often affected after right-hemispheric lesions, with a spectrum of signs related to the spatial layout of the written language [2], [3], [4], [5], constituting spatial dysgraphia/agraphia [2], [6], [7]. These signs are multi-faceted [2], [3], [5], [7]. Most deal with spatial compression or mental rotation of the space and are related to spatial neglect: omitting the left half of the paper, overwriting or compressing some words, and omitting and substituting letters or graphemes. Some deal with the visual processing of complex material to write (simultagnosia) [8]. Others such as tilted writing remain to be understood. Here we present a case suggesting that the tilted handwriting after stroke might be due to a counterclockwise tilt in representing the vertical, transposed on the sheet of paper referring to top and bottom. Permalink : ./index.php?lvl=notice_display&id=90771

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