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Rehabilitation of the upper arm early after stroke: Video games versus conventional rehabilitation. A randomized controlled trial / Isabelle Laffont in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 173-180 Titre : Rehabilitation of the upper arm early after stroke: Video games versus conventional rehabilitation. A randomized controlled trial Type de document : texte imprimé Auteurs : Isabelle Laffont ; Jérôme Froger ; Claire Jourdan ; Karima Bakhti ; Liesjet E.H. van Dokkum ; Abdelkader Gouaich ; Huei Yune Bonnin ; Philippe Armingaud ; Audrey Jaussent ; Marie-Christine Picot ; Emmanuelle Le Bars ; Arnaud Dupeyron ; Caroline Arquizan ; Anthony Gélis ; Denis Mottet Année de publication : 2020 Article en page(s) : p. 173-180 Note générale : doi.org/10.1016/j.rehab.2019.10.009 Langues : Anglais (eng) Mots-clés : Stroke  Upper limb  Video games  Rehabilitation Résumé : Background Few rehabilitation methods have proven their efficacy in increasing sensori-motor recovery and/or function of the upper limb (UL) after stroke. Video games (VGs) are promising tools in this indication. Objective To compare UL rehabilitation by using VGs and conventional rehabilitation (CR) in patients with sub-acute stroke. Design Single-blind, multicentric trial, with central randomization and stratification by center. Setting Physical and rehabilitation medicine departments of 2 university hospitals. Participants Adults within 3 months after a first vascular cerebral accident, with UL Fugl Meyer Score (UL-FMS) < 30/66 and without major cognitive impairment. Intervention A 45-min additional session of conventional occupational therapy (OT) or a VG-based OT session as add-on therapy to usual rehabilitation programs, 5 days/week for 6 weeks. Main Outcome Measures Primary outcome: UL-FMS. Secondary outcome: Box and Block Test (BBT), Wolf Motor Function test (WMFT), Motor Activity Log (MAL), Barthel Index and quality of life (SF-36). Results We included 51 patients (20 women) at a mean (SD) of 27.2 (19.4) days post-stroke (mean age 58 years [range 24–83]), 26 in the CR group and 25 in the VG group (23 in each group at 6-month follow-up). The mean duration of the additional rehabilitation session was similar in both groups: 29.3 (4.3) vs 28.0 (4.4) min in CR and VG groups. Shoulder pain occurred in 4 patients in the VG group versus 7 in the CR group. At day 45, gain in UL-FMS did not significantly differ between the groups (CR mean 17.8 [14.6] vs VG 24.1 [14.8]; P = 0.10), whereas gain in BBT was doubled in the VG group (CR 7.4 [12.2] vs VG 15.7 [16.3]; P = 0.02). At 6-month follow-up, the study was inconclusive about between-group differences in UL-FMS, BBT and other criteria. Post-hoc analysis showed that gains in UL-FMS or BBT were significantly higher in the VG than CR group for patients included within 30 days post-stroke. Conclusion In general, we cannot conclude that video gaming and conventional OT led to different long-term sensorimotor recovery of the UL after sub-acute stroke. However, when applied within the first month after stroke, video gaming was more efficient than conventional rehabilitation on both sensorimotor recovery and gross grasping function. Permalink : ./index.php?lvl=notice_display&id=90792 [article] Rehabilitation of the upper arm early after stroke: Video games versus conventional rehabilitation. A randomized controlled trial [texte imprimé] / Isabelle Laffont ; Jérôme Froger ; Claire Jourdan ; Karima Bakhti ; Liesjet E.H. van Dokkum ; Abdelkader Gouaich ; Huei Yune Bonnin ; Philippe Armingaud ; Audrey Jaussent ; Marie-Christine Picot ; Emmanuelle Le Bars ; Arnaud Dupeyron ; Caroline Arquizan ; Anthony Gélis ; Denis Mottet . - 2020 . - p. 173-180. doi.org/10.1016/j.rehab.2019.10.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 173-180 Mots-clés : Stroke  Upper limb  Video games  Rehabilitation Résumé : Background Few rehabilitation methods have proven their efficacy in increasing sensori-motor recovery and/or function of the upper limb (UL) after stroke. Video games (VGs) are promising tools in this indication. Objective To compare UL rehabilitation by using VGs and conventional rehabilitation (CR) in patients with sub-acute stroke. Design Single-blind, multicentric trial, with central randomization and stratification by center. Setting Physical and rehabilitation medicine departments of 2 university hospitals. Participants Adults within 3 months after a first vascular cerebral accident, with UL Fugl Meyer Score (UL-FMS) < 30/66 and without major cognitive impairment. Intervention A 45-min additional session of conventional occupational therapy (OT) or a VG-based OT session as add-on therapy to usual rehabilitation programs, 5 days/week for 6 weeks. Main Outcome Measures Primary outcome: UL-FMS. Secondary outcome: Box and Block Test (BBT), Wolf Motor Function test (WMFT), Motor Activity Log (MAL), Barthel Index and quality of life (SF-36). Results We included 51 patients (20 women) at a mean (SD) of 27.2 (19.4) days post-stroke (mean age 58 years [range 24–83]), 26 in the CR group and 25 in the VG group (23 in each group at 6-month follow-up). The mean duration of the additional rehabilitation session was similar in both groups: 29.3 (4.3) vs 28.0 (4.4) min in CR and VG groups. Shoulder pain occurred in 4 patients in the VG group versus 7 in the CR group. At day 45, gain in UL-FMS did not significantly differ between the groups (CR mean 17.8 [14.6] vs VG 24.1 [14.8]; P = 0.10), whereas gain in BBT was doubled in the VG group (CR 7.4 [12.2] vs VG 15.7 [16.3]; P = 0.02). At 6-month follow-up, the study was inconclusive about between-group differences in UL-FMS, BBT and other criteria. Post-hoc analysis showed that gains in UL-FMS or BBT were significantly higher in the VG than CR group for patients included within 30 days post-stroke. Conclusion In general, we cannot conclude that video gaming and conventional OT led to different long-term sensorimotor recovery of the UL after sub-acute stroke. However, when applied within the first month after stroke, video gaming was more efficient than conventional rehabilitation on both sensorimotor recovery and gross grasping function. Permalink : ./index.php?lvl=notice_display&id=90792

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Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188 Titre : Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial Type de document : texte imprimé Auteurs : Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 181-188 Note générale : doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) Mots-clés : Physical activity level  Exercise  Osteoarthritis  Education  Self-management Résumé : Background The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated. Objective This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level. Methods This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded. Results In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively). Conclusions This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level. Permalink : ./index.php?lvl=notice_display&id=90793 [article] Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial [texte imprimé] / Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre . - 2020 . - p. 181-188. doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188 Mots-clés : Physical activity level  Exercise  Osteoarthritis  Education  Self-management Résumé : Background The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated. Objective This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level. Methods This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded. Results In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively). Conclusions This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level. Permalink : ./index.php?lvl=notice_display&id=90793

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Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study / Marina Assadourian in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 189-194 Titre : Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study Type de document : texte imprimé Auteurs : Marina Assadourian ; Florian Bailly ; Pierre Letellier ; Antoine Potel ; Bernard Duplan ; Johann Beaudreuil ; Arnaud Dupeyron ; Violaine Foltz ; Nada Ibrahim-Nasser ; Isabelle Griffoul ; Sophia Ascione ; Laetitia Morardet ; Myrianne Le Ralle ; B. Fautrel ; Laure Gossec Année de publication : 2020 Article en page(s) : p. 189-194 Note générale : doi.org/10.1016/j.rehab.2019.06.019 Langues : Anglais (eng) Mots-clés : Chronic low back pain  Chronic pain  Functional restoration program  Physical activity  Public health Résumé : Background Individuals with chronic low back pain (cLBP) may benefit from multimodal functional restoration programs (FRPs). Objective The aim of this study was to analyze characteristics of individuals with cLBP who were referred or not to an FRP. Because cLBP is a bio-psycho-social disorder, medical and social parameters were analysed. Methods This was an observational cross-sectional study performed in 2017 in 6 tertiary centres in France. Consecutive individuals with cLBP visiting a rheumatologist or physical medicine and rehabilitation physician were included. Individuals referred or not to an FRP were compared by demographic characteristics, duration of sick leave over the past year, self-reported physical activity > 1 h/week, pain (numeric rating scale 0–10), anxiety/depression (Hospital Anxiety and Depression Scale), disability (Oswestry Disability Index) and kinesiophobia (Tampa Kinesiophobia Scale). Univariate and multivariate logistic regression analyses were performed, estimating odds ratios (ORs) and 95% confidence intervals (CIs). Results We included 147 individuals with cLBP. The mean (SD) age was 49 (12) years and 88 (60%) were women; 58 (38%) were referred to an FRP. On multivariate analysis, referral to an FRP was associated with reduced pain level (OR: 0.95, 95% CI: 0.91–0.99, for each 1-point increase in pain score), self-reported lack of physical activity (OR: 0.84, 95% CI: 0.72–0.98) and longer sick leave (OR: 1.03, 95% CI: 1.01–1.05, for 30 more days of sick leave). Conclusion In this multicentric observational study, referral to an FRP was linked to pain, self-reported physical activity and sick leave but not medical characteristics assessed. These findings confirm the bio-psycho-social approach of FRPs for cLBP. Permalink : ./index.php?lvl=notice_display&id=90794 [article] Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study [texte imprimé] / Marina Assadourian ; Florian Bailly ; Pierre Letellier ; Antoine Potel ; Bernard Duplan ; Johann Beaudreuil ; Arnaud Dupeyron ; Violaine Foltz ; Nada Ibrahim-Nasser ; Isabelle Griffoul ; Sophia Ascione ; Laetitia Morardet ; Myrianne Le Ralle ; B. Fautrel ; Laure Gossec . - 2020 . - p. 189-194. doi.org/10.1016/j.rehab.2019.06.019 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 189-194 Mots-clés : Chronic low back pain  Chronic pain  Functional restoration program  Physical activity  Public health Résumé : Background Individuals with chronic low back pain (cLBP) may benefit from multimodal functional restoration programs (FRPs). Objective The aim of this study was to analyze characteristics of individuals with cLBP who were referred or not to an FRP. Because cLBP is a bio-psycho-social disorder, medical and social parameters were analysed. Methods This was an observational cross-sectional study performed in 2017 in 6 tertiary centres in France. Consecutive individuals with cLBP visiting a rheumatologist or physical medicine and rehabilitation physician were included. Individuals referred or not to an FRP were compared by demographic characteristics, duration of sick leave over the past year, self-reported physical activity > 1 h/week, pain (numeric rating scale 0–10), anxiety/depression (Hospital Anxiety and Depression Scale), disability (Oswestry Disability Index) and kinesiophobia (Tampa Kinesiophobia Scale). Univariate and multivariate logistic regression analyses were performed, estimating odds ratios (ORs) and 95% confidence intervals (CIs). Results We included 147 individuals with cLBP. The mean (SD) age was 49 (12) years and 88 (60%) were women; 58 (38%) were referred to an FRP. On multivariate analysis, referral to an FRP was associated with reduced pain level (OR: 0.95, 95% CI: 0.91–0.99, for each 1-point increase in pain score), self-reported lack of physical activity (OR: 0.84, 95% CI: 0.72–0.98) and longer sick leave (OR: 1.03, 95% CI: 1.01–1.05, for 30 more days of sick leave). Conclusion In this multicentric observational study, referral to an FRP was linked to pain, self-reported physical activity and sick leave but not medical characteristics assessed. These findings confirm the bio-psycho-social approach of FRPs for cLBP. Permalink : ./index.php?lvl=notice_display&id=90794

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Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome / François Feuvrier in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 195-201 Titre : Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome Type de document : texte imprimé Auteurs : François Feuvrier ; Benoît Sijobert ; Christine Azevedo ; Karolina Griffiths ; Sandrine Alonso ; Arnaud Dupeyron ; Isabelle Laffont ; Jérôme Froger Année de publication : 2020 Article en page(s) : p. 195-201 Note générale : doi.org/10.1016/j.rehab.2019.03.007 Langues : Anglais (eng) Mots-clés : Inertial measurement unit  Kinematic parameters  Foot-drop  Stroke  Functional electrostimulation Résumé : Background Functional electrical stimulation (FES) can be used for compensation of foot-drop for post-stroke individuals by pre-programmed fixed stimulation; however, this stimulation seems no more effective than mechanical ankle foot orthoses. Objective We evaluated the metrological quality of inertial sensors for movement reconstruction as compared with the gold-standard motion capturing system, to couple FES with inertial sensors to improve dorsiflexion on the paretic side, by using an adaptive stimulation taking into account individuals’ performance post-stroke. Methods Adults with ischemic or hemorrhagic stroke presenting foot-drop and able to walk 10 m, were included from May 2016 to June 2017. Those with passive ankle dorsiflexion < 0° with the knee stretched were excluded. Synchronous gait was analyzed with the VICON© system as the gold standard and inertial measurement units (IMUs) worn by participants. The main outcome was the dorsiflexion angle at the heel strike and mid-swing phase obtained from IMUs and the VICON system. Secondary outcomes were: stride length, walking speed, maximal ankle dorsiflexion velocity and fatigue detection. Results We included 26 participants [18 males; mean age 58 (range 45–84) years]. During heel strike, the dorsiflexion angle measurements demonstrated a root mean square error (RMSE) of 5.5°; a mean average error (MAE) of 3.9°; Bland-Altman bias of − 0.1° with limits of agreement − 10.9° to + 10.7° and good intra-class correlation coefficient (ICC) at 0.87 between the 2 techniques. During the mid-swing phase, the RMSE was 5.6; MAE 3.7°; Bland-Altman bias − 0.9° with limits of agreement − 11.7° to + 9.8° and ICC 0.88. Good agreement was demonstrated for secondary outcomes and fatigue detection. Conclusions IMU-based reconstruction algorithms were effective in measuring ankle dorsiflexion with small biases and good ICCs in adults with ischemic or hemorrhagic stroke presenting foot-drop. The precision obtained is sufficient to observe the fatigue influence on the dorsiflexion and therefore to use IMUs to adapt FES. Permalink : ./index.php?lvl=notice_display&id=90795 [article] Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome [texte imprimé] / François Feuvrier ; Benoît Sijobert ; Christine Azevedo ; Karolina Griffiths ; Sandrine Alonso ; Arnaud Dupeyron ; Isabelle Laffont ; Jérôme Froger . - 2020 . - p. 195-201. doi.org/10.1016/j.rehab.2019.03.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 195-201 Mots-clés : Inertial measurement unit  Kinematic parameters  Foot-drop  Stroke  Functional electrostimulation Résumé : Background Functional electrical stimulation (FES) can be used for compensation of foot-drop for post-stroke individuals by pre-programmed fixed stimulation; however, this stimulation seems no more effective than mechanical ankle foot orthoses. Objective We evaluated the metrological quality of inertial sensors for movement reconstruction as compared with the gold-standard motion capturing system, to couple FES with inertial sensors to improve dorsiflexion on the paretic side, by using an adaptive stimulation taking into account individuals’ performance post-stroke. Methods Adults with ischemic or hemorrhagic stroke presenting foot-drop and able to walk 10 m, were included from May 2016 to June 2017. Those with passive ankle dorsiflexion < 0° with the knee stretched were excluded. Synchronous gait was analyzed with the VICON© system as the gold standard and inertial measurement units (IMUs) worn by participants. The main outcome was the dorsiflexion angle at the heel strike and mid-swing phase obtained from IMUs and the VICON system. Secondary outcomes were: stride length, walking speed, maximal ankle dorsiflexion velocity and fatigue detection. Results We included 26 participants [18 males; mean age 58 (range 45–84) years]. During heel strike, the dorsiflexion angle measurements demonstrated a root mean square error (RMSE) of 5.5°; a mean average error (MAE) of 3.9°; Bland-Altman bias of − 0.1° with limits of agreement − 10.9° to + 10.7° and good intra-class correlation coefficient (ICC) at 0.87 between the 2 techniques. During the mid-swing phase, the RMSE was 5.6; MAE 3.7°; Bland-Altman bias − 0.9° with limits of agreement − 11.7° to + 9.8° and ICC 0.88. Good agreement was demonstrated for secondary outcomes and fatigue detection. Conclusions IMU-based reconstruction algorithms were effective in measuring ankle dorsiflexion with small biases and good ICCs in adults with ischemic or hemorrhagic stroke presenting foot-drop. The precision obtained is sufficient to observe the fatigue influence on the dorsiflexion and therefore to use IMUs to adapt FES. Permalink : ./index.php?lvl=notice_display&id=90795

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Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire / N. Coste in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 202-208 Titre : Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire Type de document : texte imprimé Auteurs : N. Coste ; Candy Guiguet-Auclair ; Laurent Gerbaud ; B. Pereira ; P. Berland ; C. Gay ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 202-208 Note générale : doi.org/10.1016/j.rehab.2019.07.009 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis  Questionnaire  Physical activity  Barriers  Facilitators  Construct  Validation Résumé : Background The physical activity (PA) level of individuals with knee osteoarthritis is lower than in the general population. International recommendations recommend a non-pharmacological intervention including a self-management education program, weight loss and an adapted exercise program. However, we have no scale assessing the perceived barriers to and facilitators of PA in this population. Objective We constructed and validated a self-administered questionnaire assessing perceived barriers to and facilitators of regular practice of PA in people with knee osteoarthritis. Methods Semi-structured interviews identified 24 barriers and facilitators. We developed a 24-item questionnaire, Evaluation of the Perception of Physical Activity (EPPA) that was completed by 548 individuals with knee osteoarthritis, to assess acceptability, construct validity, internal consistency and convergent validity. Participants also completed the Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Physical Activity Questionnaire (IPAQ). Reliability and sensitivity to change were evaluated in a second group of 168 people with knee osteoarthritis at a 3-week spa therapy resort. Results Factorial analysis identified 17 items grouped into 4 subscales (Barriers, Facilitators, Motivation and Beliefs). The internal consistency was good for Barriers, Facilitators and Motivation subscales (Cronbach α > 0.70) and intermediate for the Beliefs subscale (Cronbach α = 0.64). The EPPA subscale scores were significantly correlated with KOFBeQ and WOMAC scores but not associated with IPAQ physical activity level. Reliability was good for all subscales, with intraclass correlation coefficients > 0.60. A sensitivity to change was found for only the Beliefs subscale, with a moderate effect size. Conclusions The EPPA questionnaire has good psychometric properties and can help guide the management of knee osteoarthritis. It can be used in research for evaluating the perception of physical activity. Permalink : ./index.php?lvl=notice_display&id=90796 [article] Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire [texte imprimé] / N. Coste ; Candy Guiguet-Auclair ; Laurent Gerbaud ; B. Pereira ; P. Berland ; C. Gay ; Emmanuel Coudeyre . - 2020 . - p. 202-208. doi.org/10.1016/j.rehab.2019.07.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 202-208 Mots-clés : Knee osteoarthritis  Questionnaire  Physical activity  Barriers  Facilitators  Construct  Validation Résumé : Background The physical activity (PA) level of individuals with knee osteoarthritis is lower than in the general population. International recommendations recommend a non-pharmacological intervention including a self-management education program, weight loss and an adapted exercise program. However, we have no scale assessing the perceived barriers to and facilitators of PA in this population. Objective We constructed and validated a self-administered questionnaire assessing perceived barriers to and facilitators of regular practice of PA in people with knee osteoarthritis. Methods Semi-structured interviews identified 24 barriers and facilitators. We developed a 24-item questionnaire, Evaluation of the Perception of Physical Activity (EPPA) that was completed by 548 individuals with knee osteoarthritis, to assess acceptability, construct validity, internal consistency and convergent validity. Participants also completed the Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Physical Activity Questionnaire (IPAQ). Reliability and sensitivity to change were evaluated in a second group of 168 people with knee osteoarthritis at a 3-week spa therapy resort. Results Factorial analysis identified 17 items grouped into 4 subscales (Barriers, Facilitators, Motivation and Beliefs). The internal consistency was good for Barriers, Facilitators and Motivation subscales (Cronbach α > 0.70) and intermediate for the Beliefs subscale (Cronbach α = 0.64). The EPPA subscale scores were significantly correlated with KOFBeQ and WOMAC scores but not associated with IPAQ physical activity level. Reliability was good for all subscales, with intraclass correlation coefficients > 0.60. A sensitivity to change was found for only the Beliefs subscale, with a moderate effect size. Conclusions The EPPA questionnaire has good psychometric properties and can help guide the management of knee osteoarthritis. It can be used in research for evaluating the perception of physical activity. Permalink : ./index.php?lvl=notice_display&id=90796

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Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals / M. Compagnat in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 209-215 Titre : Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals Type de document : texte imprimé Auteurs : M. Compagnat ; S. Mandigout ; C.S. Batcho ; Nicolas Vuillerme ; Jean-Yves Salle ; Romain David ; Jean-Christophe Daviet Année de publication : 2020 Article en page(s) : p. 209-215 Note générale : doi.org/10.1016/j.rehab.2019.07.002 Langues : Anglais (eng) Mots-clés : Energy cost  Walking  Energy expenditure  Calibration  Accelerometer  Algorithm Résumé : Background Recent studies reported that wearable sensor devices show low validity for assessing the amount of energy expenditure in individuals after stroke. Objective We aimed to evaluate the validity of energy expenditure calculation based on the product of energy cost and walked distance estimated by wearable devices in individuals after hemispheric stroke. Methods We recruited individuals with hemispheric stroke sequelae who were able to walk without human assistance. The participants wore a tri-axial accelerometer (Actigraph GT3x) and a pedometer (ONStep 400) on the unaffected hip in addition to a respiratory gas exchange analyzer (METAMAX 3B) during 6 min of walking at their self-selected walking speed and mode. The energy expenditure was calculated from the product of energy cost measured by the METAMAX 3B and the distance estimated by wearable devices. It was compared to the energy expenditure measured by the METAMAX 3B and the energy expenditure values recorded by the devices according to the manufacturer's algorithms. The validity was investigated by Bland-Altman analysis (mean bias [MB], root mean square error [RMSE], limits of agreement [95%LoA]), and Pearson correlation analysis (r). Results We included 26 participants (mean [SD] age 64.6 [14.8] years). With the pedometer, the energy expenditure calculated from the product of energy cost and walked distance showed high accuracy and agreement with METAMAX 3B values (MB = −1.6 kcal; RMSE = 4.1 kcal; 95%LoA = −9.9; 6.6 kcal; r = 0.87, P < 0.01) but low accuracy and agreement with Actigraph GT3x values (MB = 15.7 kcal; RMSE = 8.7 kcal; 95%LoA = −1.3; 32.6 kcal; r = 0.44, P = 0.02) because of poorer estimation of walked distance. With the pedometer, this new method of calculation strongly increased the validity parameter values for estimating energy expenditure as compared with the manufacturer's algorithm. Conclusions This new method based on the energy cost and distance estimated by wearable devices provided better energy expenditure estimates for the pedometer than did the manufacturer's algorithm. The validity of this method depended on the accuracy of the sensor to measure the distance walked by an individual after stroke. Permalink : ./index.php?lvl=notice_display&id=90797 [article] Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals [texte imprimé] / M. Compagnat ; S. Mandigout ; C.S. Batcho ; Nicolas Vuillerme ; Jean-Yves Salle ; Romain David ; Jean-Christophe Daviet . - 2020 . - p. 209-215. doi.org/10.1016/j.rehab.2019.07.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 209-215 Mots-clés : Energy cost  Walking  Energy expenditure  Calibration  Accelerometer  Algorithm Résumé : Background Recent studies reported that wearable sensor devices show low validity for assessing the amount of energy expenditure in individuals after stroke. Objective We aimed to evaluate the validity of energy expenditure calculation based on the product of energy cost and walked distance estimated by wearable devices in individuals after hemispheric stroke. Methods We recruited individuals with hemispheric stroke sequelae who were able to walk without human assistance. The participants wore a tri-axial accelerometer (Actigraph GT3x) and a pedometer (ONStep 400) on the unaffected hip in addition to a respiratory gas exchange analyzer (METAMAX 3B) during 6 min of walking at their self-selected walking speed and mode. The energy expenditure was calculated from the product of energy cost measured by the METAMAX 3B and the distance estimated by wearable devices. It was compared to the energy expenditure measured by the METAMAX 3B and the energy expenditure values recorded by the devices according to the manufacturer's algorithms. The validity was investigated by Bland-Altman analysis (mean bias [MB], root mean square error [RMSE], limits of agreement [95%LoA]), and Pearson correlation analysis (r). Results We included 26 participants (mean [SD] age 64.6 [14.8] years). With the pedometer, the energy expenditure calculated from the product of energy cost and walked distance showed high accuracy and agreement with METAMAX 3B values (MB = −1.6 kcal; RMSE = 4.1 kcal; 95%LoA = −9.9; 6.6 kcal; r = 0.87, P < 0.01) but low accuracy and agreement with Actigraph GT3x values (MB = 15.7 kcal; RMSE = 8.7 kcal; 95%LoA = −1.3; 32.6 kcal; r = 0.44, P = 0.02) because of poorer estimation of walked distance. With the pedometer, this new method of calculation strongly increased the validity parameter values for estimating energy expenditure as compared with the manufacturer's algorithm. Conclusions This new method based on the energy cost and distance estimated by wearable devices provided better energy expenditure estimates for the pedometer than did the manufacturer's algorithm. The validity of this method depended on the accuracy of the sensor to measure the distance walked by an individual after stroke. Permalink : ./index.php?lvl=notice_display&id=90797

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Construct validity of the Trunk Aesthetic Clinical Evaluation (TRACE) in young people with idiopathic scoliosis / Stefano Negrini in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 216-221 Titre : Construct validity of the Trunk Aesthetic Clinical Evaluation (TRACE) in young people with idiopathic scoliosis Type de document : texte imprimé Auteurs : Stefano Negrini ; Sabrina Donzelli ; Francesca Di Felice ; Fabio Zaina Année de publication : 2020 Article en page(s) : p. 216-221 Note générale : doi.org/10.1016/j.rehab.2019.10.008 Langues : Anglais (eng) Mots-clés : Idiopathic scoliosis  Aesthetics  Rehabilitation  Rasch analysis  Evaluation Résumé : Background Aesthetics is recognized as a main outcome in idiopathic scoliosis (IS) treatment, but to date, there is no criterion standard for physicians’ evaluation. Trunk Aesthetic Clinical Evaluation (TRACE) is a simple 12-point ordinal scale to quantify symmetry as a proxy of aesthetics. TRACE is already diffused worldwide and has been used in clinical research. Objective We aimed to validate TRACE and improve it with Rasch analysis. Material and methods This study involved an observational Rasch analysis validation of an evaluation tool in outpatient rehabilitation centres. From a clinical database, we randomly selected patients who had IS, were age 10 to 18, had brace prescription at first evaluation, and had at least 2 consultations. Rasch analysis (partial credit model) was used. Differential item functioning (DIF) was assessed for age, sex, disease severity, bracing and treatment. The median was chosen to dichotomize disease severity and bracing. We removed 64 outlier participants (4%). Results We included 1553 participants (1334 females; mean [SD] age 13 [1.7] years old). TRACE items showed ordered thresholds and proper fit to the Rasch model. The score-to-measure conversion table showed proper length (range −4.55 to 4.79 logit) with a mean (SE) measure of −0.52 (0.04) logit. The principal component analysis supported the TRACE unidimensionality. The TRACE was free from DIF for age, sex and bracing. Conclusions The TRACE ordinal scale has been converted into a Rasch-consistent, interval-level measure of trunk aesthetics in IS patients and can be used to compare different populations. Its main flaw is low reliability, likely because of the small number of items. TRACE can be used as an outcome measure and in everyday clinical evaluation of IS, even if new developments of the scale are advised. Permalink : ./index.php?lvl=notice_display&id=90798 [article] Construct validity of the Trunk Aesthetic Clinical Evaluation (TRACE) in young people with idiopathic scoliosis [texte imprimé] / Stefano Negrini ; Sabrina Donzelli ; Francesca Di Felice ; Fabio Zaina . - 2020 . - p. 216-221. doi.org/10.1016/j.rehab.2019.10.008 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 216-221 Mots-clés : Idiopathic scoliosis  Aesthetics  Rehabilitation  Rasch analysis  Evaluation Résumé : Background Aesthetics is recognized as a main outcome in idiopathic scoliosis (IS) treatment, but to date, there is no criterion standard for physicians’ evaluation. Trunk Aesthetic Clinical Evaluation (TRACE) is a simple 12-point ordinal scale to quantify symmetry as a proxy of aesthetics. TRACE is already diffused worldwide and has been used in clinical research. Objective We aimed to validate TRACE and improve it with Rasch analysis. Material and methods This study involved an observational Rasch analysis validation of an evaluation tool in outpatient rehabilitation centres. From a clinical database, we randomly selected patients who had IS, were age 10 to 18, had brace prescription at first evaluation, and had at least 2 consultations. Rasch analysis (partial credit model) was used. Differential item functioning (DIF) was assessed for age, sex, disease severity, bracing and treatment. The median was chosen to dichotomize disease severity and bracing. We removed 64 outlier participants (4%). Results We included 1553 participants (1334 females; mean [SD] age 13 [1.7] years old). TRACE items showed ordered thresholds and proper fit to the Rasch model. The score-to-measure conversion table showed proper length (range −4.55 to 4.79 logit) with a mean (SE) measure of −0.52 (0.04) logit. The principal component analysis supported the TRACE unidimensionality. The TRACE was free from DIF for age, sex and bracing. Conclusions The TRACE ordinal scale has been converted into a Rasch-consistent, interval-level measure of trunk aesthetics in IS patients and can be used to compare different populations. Its main flaw is low reliability, likely because of the small number of items. TRACE can be used as an outcome measure and in everyday clinical evaluation of IS, even if new developments of the scale are advised. Permalink : ./index.php?lvl=notice_display&id=90798

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Effect of chronic stretching interventions on the mechanical properties of muscles in patients with stroke : A systematic review / Thomas Lecharte in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 222-229 Titre : Effect of chronic stretching interventions on the mechanical properties of muscles in patients with stroke : A systematic review Type de document : texte imprimé Auteurs : Thomas Lecharte ; Raphaël Gross ; Antoine Nordez ; Guillaume Le Sant Année de publication : 2020 Article en page(s) : p. 222-229 Note générale : doi.org/10.1016/j.rehab.2019.12.003 Langues : Anglais (eng) Mots-clés : Contracture  Mechanical properties  Stretching  Stroke  Torque Résumé : Background Muscle contractures are common after stroke and their treatment usually involves stretching. However, recent meta-analyses concluded that stretching does not increase passive joint amplitudes in patients with stroke. The effectiveness of treatment is usually evaluated by measuring range of motion alone; however, assessing the effects of stretching on the structural and mechanical properties of muscle by evaluating the torque-angle relationship can help in understanding the effects of stretching. Although several studies have evaluated this, the effects remain unclear. Objective A systematic review of the literature on the effectiveness of stretching procedures for which the outcomes included a measurement of torque associated with range of motion or muscle structure (e.g., fascicle length) in stroke survivors. Methods PubMed, ScienceDirect and PEDro databases were searched by 2 independent reviewers for relevant studies on the effects of chronic stretching interventions (> 4 weeks) that evaluated joint angle and passive torque or muscle structure or stiffness. The quality of the studies was assessed with the PEDro scale. Results Eight randomized clinical trials (total of 290 participants) met the inclusion criteria, with highly variable sample characteristics (at risk/existing contractures), program objectives (prevent/treat contractures) and duration (from 4 to 52 weeks) and volume of stretching (1 to 586 hr). All studies were classified as high quality (> 6/10 PEDro score). Six studies focused on the upper limb. Many programs were less than 12 weeks (n = 7 studies) and did not change mechanical/structural properties. The longest intervention (52 weeks) increased muscle fascicle length and thickness (plantar flexors). Conclusion Long interventions involving high stretching volumes and/or loads may have effects on muscle/joint mechanical properties, for preventing/treating contractures after stroke injury, but need to be further explored before firm conclusions are drawn. Permalink : ./index.php?lvl=notice_display&id=90799 [article] Effect of chronic stretching interventions on the mechanical properties of muscles in patients with stroke : A systematic review [texte imprimé] / Thomas Lecharte ; Raphaël Gross ; Antoine Nordez ; Guillaume Le Sant . - 2020 . - p. 222-229. doi.org/10.1016/j.rehab.2019.12.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 222-229 Mots-clés : Contracture  Mechanical properties  Stretching  Stroke  Torque Résumé : Background Muscle contractures are common after stroke and their treatment usually involves stretching. However, recent meta-analyses concluded that stretching does not increase passive joint amplitudes in patients with stroke. The effectiveness of treatment is usually evaluated by measuring range of motion alone; however, assessing the effects of stretching on the structural and mechanical properties of muscle by evaluating the torque-angle relationship can help in understanding the effects of stretching. Although several studies have evaluated this, the effects remain unclear. Objective A systematic review of the literature on the effectiveness of stretching procedures for which the outcomes included a measurement of torque associated with range of motion or muscle structure (e.g., fascicle length) in stroke survivors. Methods PubMed, ScienceDirect and PEDro databases were searched by 2 independent reviewers for relevant studies on the effects of chronic stretching interventions (> 4 weeks) that evaluated joint angle and passive torque or muscle structure or stiffness. The quality of the studies was assessed with the PEDro scale. Results Eight randomized clinical trials (total of 290 participants) met the inclusion criteria, with highly variable sample characteristics (at risk/existing contractures), program objectives (prevent/treat contractures) and duration (from 4 to 52 weeks) and volume of stretching (1 to 586 hr). All studies were classified as high quality (> 6/10 PEDro score). Six studies focused on the upper limb. Many programs were less than 12 weeks (n = 7 studies) and did not change mechanical/structural properties. The longest intervention (52 weeks) increased muscle fascicle length and thickness (plantar flexors). Conclusion Long interventions involving high stretching volumes and/or loads may have effects on muscle/joint mechanical properties, for preventing/treating contractures after stroke injury, but need to be further explored before firm conclusions are drawn. Permalink : ./index.php?lvl=notice_display&id=90799

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Inconclusive efficacy of intervention on upper-limb function after tetraplegia : A systematic review and meta-analysis / Sébastien Mateo in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 230-240 Titre : Inconclusive efficacy of intervention on upper-limb function after tetraplegia : A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Sébastien Mateo ; Julie Di Marco ; Michel Cucherat (1964-....) ; François Gueyffier Année de publication : 2020 Article en page(s) : p. 230-240 Note générale : doi.org/10.1016/j.rehab.2019.05.008 Langues : Anglais (eng) Mots-clés : Spinal cord injury  Physical therapy  Occupational therapy  Evidence-based practice  Increasing activity  Neuromodulation Résumé : Background Rehabilitation aims to improve hand-arm function, upper-limb strength, and functional independence that has been impaired by tetraplegia. On the basis of evidence derived from stroke rehabilitation, interventions aiming to increase intensity (i.e., duration and/or number of movements practiced) or alter brain plasticity (including motor imagery, virtual reality, transcranial direct-current or magnetic stimulations; i.e., neuromodulation) are now used during tetraplegic rehabilitation. However, no meta-analysis has investigated the efficacy of these interventions. Objective This systematic review and meta-analysis investigated, separately, the efficacy of these interventions to alter hand-arm function, upper-limb strength, and functional independence of individuals with tetraplegia. Methods Two independent reviewers followed the PROSPERO protocol (CRD42018098506) for this systematic review. MEDLINE, PEDro CENTRAL, and SCOPUS databases were searched for reports of randomized controlled trials of individuals with tetraplegia that were published in English. We performed a meta-analysis of intensive versus less intensive interventions and neuromodulation versus sham interventions considering hand-arm function, strength, and functional independence. Results From 168 records identified, we included 29 studies (all but 1 were single-centre) in the systematic review (647 participants with C2 to T1 tetraplegia [American Spinal Injury Association impairment scale A to D]). Interventions lasted from 66 to 40,320 min. Five studies were retained in the intensity meta-analyses and 5 in the neuromodulation meta-analyses. Overall, 3/5 and 1/5 studies had adequate methodology (Cochrane Risk of Bias score ≥ 6/10). For each outcome, the p-values for the overall effect were > 0.05. Heterogeneity was low, but when analyzing intensity, it was moderate for functional independence and high for hand-arm function. Quality of evidence was very low to low. Conclusions We can provide no recommendations for using intensive versus less intensive interventions or neuromodulation versus sham during tetraplegia rehabilitation. Further multicentre studies of high methodological quality are required to reduce uncertainty about the efficacy of these interventions. Permalink : ./index.php?lvl=notice_display&id=90800 [article] Inconclusive efficacy of intervention on upper-limb function after tetraplegia : A systematic review and meta-analysis [texte imprimé] / Sébastien Mateo ; Julie Di Marco ; Michel Cucherat (1964-....) ; François Gueyffier . - 2020 . - p. 230-240. doi.org/10.1016/j.rehab.2019.05.008 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 230-240 Mots-clés : Spinal cord injury  Physical therapy  Occupational therapy  Evidence-based practice  Increasing activity  Neuromodulation Résumé : Background Rehabilitation aims to improve hand-arm function, upper-limb strength, and functional independence that has been impaired by tetraplegia. On the basis of evidence derived from stroke rehabilitation, interventions aiming to increase intensity (i.e., duration and/or number of movements practiced) or alter brain plasticity (including motor imagery, virtual reality, transcranial direct-current or magnetic stimulations; i.e., neuromodulation) are now used during tetraplegic rehabilitation. However, no meta-analysis has investigated the efficacy of these interventions. Objective This systematic review and meta-analysis investigated, separately, the efficacy of these interventions to alter hand-arm function, upper-limb strength, and functional independence of individuals with tetraplegia. Methods Two independent reviewers followed the PROSPERO protocol (CRD42018098506) for this systematic review. MEDLINE, PEDro CENTRAL, and SCOPUS databases were searched for reports of randomized controlled trials of individuals with tetraplegia that were published in English. We performed a meta-analysis of intensive versus less intensive interventions and neuromodulation versus sham interventions considering hand-arm function, strength, and functional independence. Results From 168 records identified, we included 29 studies (all but 1 were single-centre) in the systematic review (647 participants with C2 to T1 tetraplegia [American Spinal Injury Association impairment scale A to D]). Interventions lasted from 66 to 40,320 min. Five studies were retained in the intensity meta-analyses and 5 in the neuromodulation meta-analyses. Overall, 3/5 and 1/5 studies had adequate methodology (Cochrane Risk of Bias score ≥ 6/10). For each outcome, the p-values for the overall effect were > 0.05. Heterogeneity was low, but when analyzing intensity, it was moderate for functional independence and high for hand-arm function. Quality of evidence was very low to low. Conclusions We can provide no recommendations for using intensive versus less intensive interventions or neuromodulation versus sham during tetraplegia rehabilitation. Further multicentre studies of high methodological quality are required to reduce uncertainty about the efficacy of these interventions. Permalink : ./index.php?lvl=notice_display&id=90800

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Progressively increasing the intensity of eccentric cycling over four training sessions : A feasibility study in coronary heart disease patients / Benjamin Pageaux in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 241-244 Titre : Progressively increasing the intensity of eccentric cycling over four training sessions : A feasibility study in coronary heart disease patients Type de document : texte imprimé Auteurs : Benjamin Pageaux ; Delphine Besson ; Jean-Marie Casillas ; Romuald Lepers ; Vincent Gremeaux ; Paul Ornetti ; Anaïs Gouteron ; Davy Laroche Année de publication : 2020 Article en page(s) : p. 241-244 Note générale : doi.org/10.1016/j.rehab.2019.09.007 Langues : Anglais (eng) Mots-clés : Oxygen consumption  Eccentric training  Muscle pain  Perception of effort  Eccentric rehabilitation Permalink : ./index.php?lvl=notice_display&id=90801 [article] Progressively increasing the intensity of eccentric cycling over four training sessions : A feasibility study in coronary heart disease patients [texte imprimé] / Benjamin Pageaux ; Delphine Besson ; Jean-Marie Casillas ; Romuald Lepers ; Vincent Gremeaux ; Paul Ornetti ; Anaïs Gouteron ; Davy Laroche . - 2020 . - p. 241-244. doi.org/10.1016/j.rehab.2019.09.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 241-244 Mots-clés : Oxygen consumption  Eccentric training  Muscle pain  Perception of effort  Eccentric rehabilitation Permalink : ./index.php?lvl=notice_display&id=90801

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Eighteen months of combined Mediterranean diet and high-intensity interval training successfully maintained body mass loss in obese individuals / Maxime Boidin in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 245-248 Titre : Eighteen months of combined Mediterranean diet and high-intensity interval training successfully maintained body mass loss in obese individuals Type de document : texte imprimé Auteurs : Maxime Boidin ; Anil Nigam ; Valérie Guilbeault ; Elise Latour ; Antoine Langeard ; Martin Juneau ; Mathieu Gayda Année de publication : 2020 Article en page(s) : p. 245-248 Note générale : doi.org/10.1016/j.rehab.2019.12.005 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90802 [article] Eighteen months of combined Mediterranean diet and high-intensity interval training successfully maintained body mass loss in obese individuals [texte imprimé] / Maxime Boidin ; Anil Nigam ; Valérie Guilbeault ; Elise Latour ; Antoine Langeard ; Martin Juneau ; Mathieu Gayda . - 2020 . - p. 245-248. doi.org/10.1016/j.rehab.2019.12.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 245-248 Permalink : ./index.php?lvl=notice_display&id=90802

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Association between physical capacity of individuals with HIV/AIDS and markers of disease progression / Janeth Jimenez-Morales in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 249-251 Titre : Association between physical capacity of individuals with HIV/AIDS and markers of disease progression Type de document : texte imprimé Auteurs : Janeth Jimenez-Morales ; Pedro Ivan Arias-Vazquez ; Carlos Alfonso Tovilla-Zarate ; Gabriella Gutiérrez-Hernandez ; Ana Belem Davila-Tejeida ; Yarenny Ortega-Corzo ; Karen del Carmen Hernandez-Gil ; Thelma-Beatriz Gonzales-Castro ; Maria Lilia Lopez-Narvaez ; Isela Esther Juarez-Rojop Année de publication : 2020 Article en page(s) : p. 249-251 Note générale : doi.org/10.1016/j.rehab.2020.01.003 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90803 [article] Association between physical capacity of individuals with HIV/AIDS and markers of disease progression [texte imprimé] / Janeth Jimenez-Morales ; Pedro Ivan Arias-Vazquez ; Carlos Alfonso Tovilla-Zarate ; Gabriella Gutiérrez-Hernandez ; Ana Belem Davila-Tejeida ; Yarenny Ortega-Corzo ; Karen del Carmen Hernandez-Gil ; Thelma-Beatriz Gonzales-Castro ; Maria Lilia Lopez-Narvaez ; Isela Esther Juarez-Rojop . - 2020 . - p. 249-251. doi.org/10.1016/j.rehab.2020.01.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 249-251 Permalink : ./index.php?lvl=notice_display&id=90803

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Disability of people with aphasia is overestimated by general practitioners / Mathilde Carlsberg in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 252-254 Titre : Disability of people with aphasia is overestimated by general practitioners Type de document : texte imprimé Auteurs : Mathilde Carlsberg ; Valentine Percey ; Sophie Arheix-Parras ; Pierre Charaire ; Mélanie Cogné ; Patrick Dehail ; Mathieu de Sèze ; Antoinette Prouteau ; Igor Sibon ; Bertrand Glize Année de publication : 2020 Article en page(s) : p. 252-254 Note générale : doi.org/10.1016/j.rehab.2020.02.003 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90804 [article] Disability of people with aphasia is overestimated by general practitioners [texte imprimé] / Mathilde Carlsberg ; Valentine Percey ; Sophie Arheix-Parras ; Pierre Charaire ; Mélanie Cogné ; Patrick Dehail ; Mathieu de Sèze ; Antoinette Prouteau ; Igor Sibon ; Bertrand Glize . - 2020 . - p. 252-254. doi.org/10.1016/j.rehab.2020.02.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 252-254 Permalink : ./index.php?lvl=notice_display&id=90804

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Changes in care pathways and follow-up of individuals with severe traumatic brain injury between 1998 and 2015 : Comparison of 2 cohorts / Odile Kozlowski-Moreau in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 255-257 Titre : Changes in care pathways and follow-up of individuals with severe traumatic brain injury between 1998 and 2015 : Comparison of 2 cohorts Type de document : texte imprimé Auteurs : Odile Kozlowski-Moreau ; Marie Blanc ; Walter Daveluy ; Xavier Molders ; Etienne Allart Année de publication : 2020 Article en page(s) : p. 255-257 Note générale : doi.org/10.1016/j.rehab.2019.10.003 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90805 [article] Changes in care pathways and follow-up of individuals with severe traumatic brain injury between 1998 and 2015 : Comparison of 2 cohorts [texte imprimé] / Odile Kozlowski-Moreau ; Marie Blanc ; Walter Daveluy ; Xavier Molders ; Etienne Allart . - 2020 . - p. 255-257. doi.org/10.1016/j.rehab.2019.10.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 255-257 Permalink : ./index.php?lvl=notice_display&id=90805

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Fear of movement disturbs inter-limb coupling in complex regional pain syndrome / Michihiro Osumi in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 258-261 Titre : Fear of movement disturbs inter-limb coupling in complex regional pain syndrome Type de document : texte imprimé Auteurs : Michihiro Osumi ; Masahiko Sumitani ; Yuko Otake ; Ryota Imai ; Shu Morioka Année de publication : 2020 Article en page(s) : p. 258-261 Note générale : doi.org/10.1016/j.rehab.2019.08.002 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90806 [article] Fear of movement disturbs inter-limb coupling in complex regional pain syndrome [texte imprimé] / Michihiro Osumi ; Masahiko Sumitani ; Yuko Otake ; Ryota Imai ; Shu Morioka . - 2020 . - p. 258-261. doi.org/10.1016/j.rehab.2019.08.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 258-261 Permalink : ./index.php?lvl=notice_display&id=90806

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