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Which behaviours are first to emerge during recovery of consciousness after severe brain injury? / Géraldine Martens in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 263-269 Titre : Which behaviours are first to emerge during recovery of consciousness after severe brain injury? Type de document : texte imprimé Auteurs : Géraldine Martens ; Yelena Bodien ; Kristen Sheau ; Andrea Christoforou ; Joseph T. Giacino Année de publication : 2020 Article en page(s) : p. 263-269 Note générale : doi.org/10.1016/j.rehab.2019.10.004 Langues : Anglais (eng) Mots-clés : Brain injury  Vegetative state  Minimally conscious state  Outcome Résumé : Background Early detection of consciousness after severe brain injury is critical for establishing an accurate prognosis and planning appropriate treatment. Objectives To determine which behavioural signs of consciousness emerge first and to estimate the time course to recovery of consciousness in patients with severe acquired brain injury. Methods Retrospective observational study using the Coma Recovery Scale-Revised and days to recovery of consciousness in 79 patients (51 males; 34 with traumatic brain injury; median [IQR] age 48 [26–61] years; median time since injury 26 [20–36] days) who transitioned from coma or unresponsive wakefulness syndrome (UWS)/vegetative state (VS) to the minimally conscious state (MCS) or emerged from MCS during inpatient rehabilitation. Results Visual pursuit was the most common initial sign of MCS (41% of patients; 95% CI [30–52]), followed by reproducible command-following (25% [16–35]) and automatic movements (24% [15–33]). Ten other behaviours emerged first in less than 16% of cases. Median [IQR] time to recovery of consciousness was 44 [33–59] days. Etiology did not significantly affect time to recovered consciousness. Conclusion Recovery of consciousness after severe brain injury is most often signalled by reemergence of visual pursuit, reproducible command-following and automatic movements. Clinicians should use assessment measures that are sensitive to these behaviours because early detection of consciousness is critical for accurate prognostication and treatment planning. Permalink : ./index.php?lvl=notice_display&id=90822 [article] Which behaviours are first to emerge during recovery of consciousness after severe brain injury? [texte imprimé] / Géraldine Martens ; Yelena Bodien ; Kristen Sheau ; Andrea Christoforou ; Joseph T. Giacino . - 2020 . - p. 263-269. doi.org/10.1016/j.rehab.2019.10.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 263-269 Mots-clés : Brain injury  Vegetative state  Minimally conscious state  Outcome Résumé : Background Early detection of consciousness after severe brain injury is critical for establishing an accurate prognosis and planning appropriate treatment. Objectives To determine which behavioural signs of consciousness emerge first and to estimate the time course to recovery of consciousness in patients with severe acquired brain injury. Methods Retrospective observational study using the Coma Recovery Scale-Revised and days to recovery of consciousness in 79 patients (51 males; 34 with traumatic brain injury; median [IQR] age 48 [26–61] years; median time since injury 26 [20–36] days) who transitioned from coma or unresponsive wakefulness syndrome (UWS)/vegetative state (VS) to the minimally conscious state (MCS) or emerged from MCS during inpatient rehabilitation. Results Visual pursuit was the most common initial sign of MCS (41% of patients; 95% CI [30–52]), followed by reproducible command-following (25% [16–35]) and automatic movements (24% [15–33]). Ten other behaviours emerged first in less than 16% of cases. Median [IQR] time to recovery of consciousness was 44 [33–59] days. Etiology did not significantly affect time to recovered consciousness. Conclusion Recovery of consciousness after severe brain injury is most often signalled by reemergence of visual pursuit, reproducible command-following and automatic movements. Clinicians should use assessment measures that are sensitive to these behaviours because early detection of consciousness is critical for accurate prognostication and treatment planning. Permalink : ./index.php?lvl=notice_display&id=90822

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Executive functions and attention 7 years after severe childhood traumatic brain injury : Results of the Traumatisme Grave de l’Enfant (TGE) cohort / Clément Le Fur in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 270-279 Titre : Executive functions and attention 7 years after severe childhood traumatic brain injury : Results of the Traumatisme Grave de l’Enfant (TGE) cohort Type de document : texte imprimé Auteurs : Clément Le Fur ; Hugo Câmara-Costa ; Leila Francillette ; Marion Opatowski ; Anna Toure ; Dominique Brugel ; Anne Laurent-Vannier ; Philippe Meyer ; Laurence Watier ; Georges Dellatolas ; Mathilde Chevignard Année de publication : 2020 Article en page(s) : p. 270-279 Note générale : doi.org/10.1016/j.rehab.2019.09.003 Langues : Anglais (eng) Mots-clés : Severe traumatic brain injury  Child  Adolescent  Long-term outcome  Executive functions Résumé : Objectives Severe childhood traumatic brain injury (TBI) leads to long-standing executive function and attention deficits, with negative consequences for participation, academic outcome and independence. This study aimed to assess executive function and attention 7 years after severe childhood TBI in comparison with a matched control group and to investigate associated factors. Methods Children (< 15 years) with severe accidental TBI consecutively admitted in a single trauma center over 3 years were included in the Traumatisme Grave de l’Enfant (TGE) prospective longitudinal study. Of the 81 children initially included, 65 survived. At 7 years post-TBI, executive functions and attention were assessed in 27 participants (42 % of the 65 survivors) by using a combination of computerized tasks from the Test of Attentional Performance (TAP) and the Behavioral Rating of Executive Functions (BRIEF) questionnaire. Patients were compared to a group of 27 typically developing controls who were matched for sex, age and parental education level. Results Among the 27 participants, mean (SD) age at injury was 7.7 (4.6) years, and mean length of coma 5.6 (4.6) days. Regarding the TAP, the number of errors was significantly higher (P = 0.003) and reaction time marginally slower (P = 0.08) in the TBI than control group. The BRIEF questionnaire completed by parents indicated significantly more executive difficulties in the TBI than control group (Behavior Regulation Index, P = 0.005; Metacognitive index, P = 0.02; Global Executive Composite, P = 0.012). Correlations between BRIEF and TAP scores did not reach statistical significance. BRIEF total score was correlated moderately with length of coma (r = 0.40, P = 0.037), and TAP scores were correlated with the Full-Scale Intellectual Quotient (total number of errors: r = -0.48; P = 0.01; mean reaction time: r = −0.51; P = 0.009). Conclusions Executive and attention deficits were evident 7 years after severe childhood TBI. Computerized tasks and questionnaires provide complementary and non-redundant information. Systematic long-term follow-up should be provided until the transition to adulthood, to assess ongoing development and to implement timely tailored interventions. Permalink : ./index.php?lvl=notice_display&id=90823 [article] Executive functions and attention 7 years after severe childhood traumatic brain injury : Results of the Traumatisme Grave de l’Enfant (TGE) cohort [texte imprimé] / Clément Le Fur ; Hugo Câmara-Costa ; Leila Francillette ; Marion Opatowski ; Anna Toure ; Dominique Brugel ; Anne Laurent-Vannier ; Philippe Meyer ; Laurence Watier ; Georges Dellatolas ; Mathilde Chevignard . - 2020 . - p. 270-279. doi.org/10.1016/j.rehab.2019.09.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 270-279 Mots-clés : Severe traumatic brain injury  Child  Adolescent  Long-term outcome  Executive functions Résumé : Objectives Severe childhood traumatic brain injury (TBI) leads to long-standing executive function and attention deficits, with negative consequences for participation, academic outcome and independence. This study aimed to assess executive function and attention 7 years after severe childhood TBI in comparison with a matched control group and to investigate associated factors. Methods Children (< 15 years) with severe accidental TBI consecutively admitted in a single trauma center over 3 years were included in the Traumatisme Grave de l’Enfant (TGE) prospective longitudinal study. Of the 81 children initially included, 65 survived. At 7 years post-TBI, executive functions and attention were assessed in 27 participants (42 % of the 65 survivors) by using a combination of computerized tasks from the Test of Attentional Performance (TAP) and the Behavioral Rating of Executive Functions (BRIEF) questionnaire. Patients were compared to a group of 27 typically developing controls who were matched for sex, age and parental education level. Results Among the 27 participants, mean (SD) age at injury was 7.7 (4.6) years, and mean length of coma 5.6 (4.6) days. Regarding the TAP, the number of errors was significantly higher (P = 0.003) and reaction time marginally slower (P = 0.08) in the TBI than control group. The BRIEF questionnaire completed by parents indicated significantly more executive difficulties in the TBI than control group (Behavior Regulation Index, P = 0.005; Metacognitive index, P = 0.02; Global Executive Composite, P = 0.012). Correlations between BRIEF and TAP scores did not reach statistical significance. BRIEF total score was correlated moderately with length of coma (r = 0.40, P = 0.037), and TAP scores were correlated with the Full-Scale Intellectual Quotient (total number of errors: r = -0.48; P = 0.01; mean reaction time: r = −0.51; P = 0.009). Conclusions Executive and attention deficits were evident 7 years after severe childhood TBI. Computerized tasks and questionnaires provide complementary and non-redundant information. Systematic long-term follow-up should be provided until the transition to adulthood, to assess ongoing development and to implement timely tailored interventions. Permalink : ./index.php?lvl=notice_display&id=90823

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Predictors of health-related quality of life after non-catastrophic injury sustained in a road traffic crash / Bamini Gopinath in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 280-287 Titre : Predictors of health-related quality of life after non-catastrophic injury sustained in a road traffic crash Type de document : texte imprimé Auteurs : Bamini Gopinath ; Jagnoor Jagnoor ; Annette Kifley ; Michael Dinh ; Ashley Craig Année de publication : 2020 Article en page(s) : p. 280-287 Note générale : doi.org/10.1016/j.rehab.2019.10.001 Langues : Anglais (eng) Mots-clés : Health-related quality of life  Non-catastrophic injury  Road traffic crash  Cohort study. Résumé : Background Health-related quality of life (HRQoL) is an important patient-reported outcome that warrants greater attention in individuals who sustained a non-catastrophic injury in a road traffic crash. Additional robust data on HRQoL outcomes after a non-catastrophic injury are needed to effectively identify potential targets for studies of tertiary prevention of poor recovery after a crash. Objective We assessed the association between non-catastrophic road traffic crash injuries and HRQoL and factors that independently affect long-term HRQoL. Methods In this inception cohort study, injured participants (≥ 17 years old) were identified from various sources including hospital emergency departments by a medical examination by a registered healthcare professional in New South Wales (Australia) and followed up after 12 months. HRQoL was measured by the European Quality of Life–5 Dimensions (EQ-5D-3L) and Medical Outcomes Survey Short Form 12 items (SF-12). A range of socio-demographic, pre-injury health, psychological, and injury-related factors were considered potential predictors of HRQoL in regression analyses. Results Among 2019 individuals identified, 1201 (59.5%) were followed up after 12 months. HRQoL significantly improved between baseline and 12-month follow-up: EQ-5D-3L summary score (0.41-unit difference); SF-12 physical component summary score (PCS; 13.6-unit difference) and mental component summary score (MCS; 3.5-unit difference). Over 12 months, HRQoL score was lower for people claiming compensation than others (P < 0.0001). Key predictors of better 12-month EQ-5D-3L summary score and visual analogue scale score for pain were age, not claiming compensation, reduced body mass index, less pain severity, less pain-related disability, and less general psychological distress. Significant predictors of SF-12 PCS score were injury to the neck (P = 0.02) or head or face (P = 0.01), being a driver or passenger at the time of the crash (P < 0.0001), hospital admission (P < 0.0001) and pain severity (P < 0.0001). Baseline variables associated with 12-month SF-12 MCS scores were head or face injury (P = 0.02), pre-injury health (P = 0.04), pre-injury psychological conditions (P = 0.04), trauma-related distress (P = 0.0002) and general psychological distress (P < 0.0001). Conclusions A wide spectrum of biopsychosocial factors contribute to HRQoL after a road traffic crash injury. These epidemiological data are potentially important because they could identify potential targets for studies of tertiary prevention of persistently poor HRQoL after such an injury. Permalink : ./index.php?lvl=notice_display&id=90824 [article] Predictors of health-related quality of life after non-catastrophic injury sustained in a road traffic crash [texte imprimé] / Bamini Gopinath ; Jagnoor Jagnoor ; Annette Kifley ; Michael Dinh ; Ashley Craig . - 2020 . - p. 280-287. doi.org/10.1016/j.rehab.2019.10.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 280-287 Mots-clés : Health-related quality of life  Non-catastrophic injury  Road traffic crash  Cohort study. Résumé : Background Health-related quality of life (HRQoL) is an important patient-reported outcome that warrants greater attention in individuals who sustained a non-catastrophic injury in a road traffic crash. Additional robust data on HRQoL outcomes after a non-catastrophic injury are needed to effectively identify potential targets for studies of tertiary prevention of poor recovery after a crash. Objective We assessed the association between non-catastrophic road traffic crash injuries and HRQoL and factors that independently affect long-term HRQoL. Methods In this inception cohort study, injured participants (≥ 17 years old) were identified from various sources including hospital emergency departments by a medical examination by a registered healthcare professional in New South Wales (Australia) and followed up after 12 months. HRQoL was measured by the European Quality of Life–5 Dimensions (EQ-5D-3L) and Medical Outcomes Survey Short Form 12 items (SF-12). A range of socio-demographic, pre-injury health, psychological, and injury-related factors were considered potential predictors of HRQoL in regression analyses. Results Among 2019 individuals identified, 1201 (59.5%) were followed up after 12 months. HRQoL significantly improved between baseline and 12-month follow-up: EQ-5D-3L summary score (0.41-unit difference); SF-12 physical component summary score (PCS; 13.6-unit difference) and mental component summary score (MCS; 3.5-unit difference). Over 12 months, HRQoL score was lower for people claiming compensation than others (P < 0.0001). Key predictors of better 12-month EQ-5D-3L summary score and visual analogue scale score for pain were age, not claiming compensation, reduced body mass index, less pain severity, less pain-related disability, and less general psychological distress. Significant predictors of SF-12 PCS score were injury to the neck (P = 0.02) or head or face (P = 0.01), being a driver or passenger at the time of the crash (P < 0.0001), hospital admission (P < 0.0001) and pain severity (P < 0.0001). Baseline variables associated with 12-month SF-12 MCS scores were head or face injury (P = 0.02), pre-injury health (P = 0.04), pre-injury psychological conditions (P = 0.04), trauma-related distress (P = 0.0002) and general psychological distress (P < 0.0001). Conclusions A wide spectrum of biopsychosocial factors contribute to HRQoL after a road traffic crash injury. These epidemiological data are potentially important because they could identify potential targets for studies of tertiary prevention of persistently poor HRQoL after such an injury. Permalink : ./index.php?lvl=notice_display&id=90824

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Development and assessment of a home environment checklist to evaluate mismatch between patients’ ability and home environment / Masahiko Mukaino in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 288-295 Titre : Development and assessment of a home environment checklist to evaluate mismatch between patients’ ability and home environment Type de document : texte imprimé Auteurs : Masahiko Mukaino ; Birgit Prodinger ; Yuki Okouchi ; Kouji Mizutani ; Yuki Senju ; Megumi Suzuki ; Eiichi Saitoh Année de publication : 2020 Article en page(s) : p. 288-295 Note générale : doi.org/10.1016/j.rehab.2019.09.004 Langues : Anglais (eng) Mots-clés : ICF  Environmental factors  Activities of daily living Résumé : Background Modification of the home environment, together with rehabilitative interventions, is important for maximizing the level of functioning after an individual with disability undergoes rehabilitation in the hospital. Objectives We developed a simple screening scale – the home environment checklist (HEC) – to identify any mismatch between an individual's abilities and their home environment to help clinicians monitor the appropriateness of the home environment to which individuals with disability will be discharged. We also examined the psychometric properties of the HEC. Methods The HEC was developed by a multidisciplinary panel of rehabilitation experts using information routinely collected in rehabilitation clinics before discharge. The reliability of the checklist was assessed in 60 individuals undergoing rehabilitation. The inter-rater agreement and internal consistency of the scale were assessed by weighted kappa statistics and Cronbach's alpha, respectively. Rasch analysis was performed with 244 rehabilitation individuals to evaluate the internal construct validity, and the known-groups validity was confirmed by a comparison of the daily activity levels of 30 individuals with disabilities under rehabilitation to the HEC score. Results The HEC was developed as a simple, 10-item checklist. The weighted kappa statistics ranged from 0.73 to 0.93, indicating excellent inter-rater reliability. Cronbach's alpha was 0.92, indicating high internal consistency. Rasch analysis with a testlet approach on 3 subscales demonstrated a good fit with the Rasch model (χ2 = 13.2, P = 0.153), and the demonstrated unidimensionality and absence of differential item functioning supported the internal construct validity of the HEC. HEC scores were significantly different (P < .01) among individuals with disability and 3 levels of restrictions in their activities (no limitation, home-bound, and bed-bound), which demonstrates the known-groups validity of the HEC. Conclusions The HEC has good reliability and validity, which supports its utility in rehabilitation clinics. Permalink : ./index.php?lvl=notice_display&id=90863 [article] Development and assessment of a home environment checklist to evaluate mismatch between patients’ ability and home environment [texte imprimé] / Masahiko Mukaino ; Birgit Prodinger ; Yuki Okouchi ; Kouji Mizutani ; Yuki Senju ; Megumi Suzuki ; Eiichi Saitoh . - 2020 . - p. 288-295. doi.org/10.1016/j.rehab.2019.09.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 288-295 Mots-clés : ICF  Environmental factors  Activities of daily living Résumé : Background Modification of the home environment, together with rehabilitative interventions, is important for maximizing the level of functioning after an individual with disability undergoes rehabilitation in the hospital. Objectives We developed a simple screening scale – the home environment checklist (HEC) – to identify any mismatch between an individual's abilities and their home environment to help clinicians monitor the appropriateness of the home environment to which individuals with disability will be discharged. We also examined the psychometric properties of the HEC. Methods The HEC was developed by a multidisciplinary panel of rehabilitation experts using information routinely collected in rehabilitation clinics before discharge. The reliability of the checklist was assessed in 60 individuals undergoing rehabilitation. The inter-rater agreement and internal consistency of the scale were assessed by weighted kappa statistics and Cronbach's alpha, respectively. Rasch analysis was performed with 244 rehabilitation individuals to evaluate the internal construct validity, and the known-groups validity was confirmed by a comparison of the daily activity levels of 30 individuals with disabilities under rehabilitation to the HEC score. Results The HEC was developed as a simple, 10-item checklist. The weighted kappa statistics ranged from 0.73 to 0.93, indicating excellent inter-rater reliability. Cronbach's alpha was 0.92, indicating high internal consistency. Rasch analysis with a testlet approach on 3 subscales demonstrated a good fit with the Rasch model (χ2 = 13.2, P = 0.153), and the demonstrated unidimensionality and absence of differential item functioning supported the internal construct validity of the HEC. HEC scores were significantly different (P < .01) among individuals with disability and 3 levels of restrictions in their activities (no limitation, home-bound, and bed-bound), which demonstrates the known-groups validity of the HEC. Conclusions The HEC has good reliability and validity, which supports its utility in rehabilitation clinics. Permalink : ./index.php?lvl=notice_display&id=90863

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Association between intelligence quotient and disability : The role of socioeconomic status / Louis Jacob in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 296-301 Titre : Association between intelligence quotient and disability : The role of socioeconomic status Type de document : texte imprimé Auteurs : Louis Jacob ; Lee Smith ; Philippe Thoumie ; Josep Maria Haro ; Andrew Stickley ; Ai Koyanagi Année de publication : 2020 Article en page(s) : p. 296-301 Note générale : doi.org/10.1016/j.rehab.2019.07.010 Langues : Anglais (eng) Mots-clés : Intelligence quotient  Disability  England  Epidemiology Résumé : Background No study has investigated the association between intelligence quotient (IQ) and disability (i.e., difficulties in activities of daily living [ADL] or instrumental activities of daily living [IADL]) in the general population. Objective The goal of this nationally representative study was to analyse the potential IQ–disability association in England and identify influential factors in this association. Methods Cross-sectional data were analyzed from the 2007 Adult Psychiatric Morbidity Survey (n = 6872). IQ was assessed by using the National Adult Reading Test, which consists of a list of 50 words and is scored by counting the number of errors in reading the words aloud. Disability was defined as difficulties in at least 1 of the 7 domains of ADL and IADL. Regression and mediation analyses were conducted to analyze the association between IQ and disability and identify potential factors involved in this relationship, estimating odds ratios (ORs) and 95% confidence intervals (CIs). Results Among the 6872 participants, the mean (SD) age was 46.9 (18.9) years; 51.8% were women. The prevalence of disability increased from 27.7% with IQ 120–129 to 51.0% with IQ 70–79. After adjusting for sex, age and ethnicity, as compared with IQ 120–129, with IQ 110–119, 100–109, 90–99, 80–89, and 70–79, the probability of disability was increased (OR 1.22 [95% CI 1.01–1.48], 1.42 [1.16–1.72], 1.86 [1.54–2.25], 2.41 [1.92–3.03], and 4.71 [3.56–6.17], respectively). In addition, we found a positive association between a 1-SD decrease in IQ and disability (OR 1.53, 95% CI 1.43–1.63). Finally, income (mediated percentage 26.9%), social class (18.0%) and education (11.6%) strongly affected the IQ–disability association, and these socioeconomic factors collectively explained 37.1% of the association. Conclusions Low IQ was positively associated with disability in England, and socioeconomic status explained more than one-third of this relationship. Permalink : ./index.php?lvl=notice_display&id=90864 [article] Association between intelligence quotient and disability : The role of socioeconomic status [texte imprimé] / Louis Jacob ; Lee Smith ; Philippe Thoumie ; Josep Maria Haro ; Andrew Stickley ; Ai Koyanagi . - 2020 . - p. 296-301. doi.org/10.1016/j.rehab.2019.07.010 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 296-301 Mots-clés : Intelligence quotient  Disability  England  Epidemiology Résumé : Background No study has investigated the association between intelligence quotient (IQ) and disability (i.e., difficulties in activities of daily living [ADL] or instrumental activities of daily living [IADL]) in the general population. Objective The goal of this nationally representative study was to analyse the potential IQ–disability association in England and identify influential factors in this association. Methods Cross-sectional data were analyzed from the 2007 Adult Psychiatric Morbidity Survey (n = 6872). IQ was assessed by using the National Adult Reading Test, which consists of a list of 50 words and is scored by counting the number of errors in reading the words aloud. Disability was defined as difficulties in at least 1 of the 7 domains of ADL and IADL. Regression and mediation analyses were conducted to analyze the association between IQ and disability and identify potential factors involved in this relationship, estimating odds ratios (ORs) and 95% confidence intervals (CIs). Results Among the 6872 participants, the mean (SD) age was 46.9 (18.9) years; 51.8% were women. The prevalence of disability increased from 27.7% with IQ 120–129 to 51.0% with IQ 70–79. After adjusting for sex, age and ethnicity, as compared with IQ 120–129, with IQ 110–119, 100–109, 90–99, 80–89, and 70–79, the probability of disability was increased (OR 1.22 [95% CI 1.01–1.48], 1.42 [1.16–1.72], 1.86 [1.54–2.25], 2.41 [1.92–3.03], and 4.71 [3.56–6.17], respectively). In addition, we found a positive association between a 1-SD decrease in IQ and disability (OR 1.53, 95% CI 1.43–1.63). Finally, income (mediated percentage 26.9%), social class (18.0%) and education (11.6%) strongly affected the IQ–disability association, and these socioeconomic factors collectively explained 37.1% of the association. Conclusions Low IQ was positively associated with disability in England, and socioeconomic status explained more than one-third of this relationship. Permalink : ./index.php?lvl=notice_display&id=90864

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Validation of a simple screening test for elementary visuo-spatial perception deficit / Laure Pisella in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 302-308 Titre : Validation of a simple screening test for elementary visuo-spatial perception deficit Type de document : texte imprimé Auteurs : Laure Pisella ; Marie Martel ; Alice C. Roy ; Carole Vuillerot ; Sibylle Gonzalez-Monge Année de publication : 2020 Article en page(s) : p. 302-308 Note générale : doi.org/10.1016/j.rehab.2019.03.006 Langues : Anglais (eng) Résumé : Objective The reliability and validity of a screening test for a deficit in elementary visuo-spatial perception (EVSP) were evaluated. Method This prospective study collected performance from 210 typically developing individuals and evaluated the internal consistency of the EVSP screening test. Test–retest reliability was examined with 25 individuals. Validity also involved retrospective clinical data collected from 223 non-typically developing children coming to the hospital for outpatient consultation. Since EVSP matures through childhood, we standardized the EVSP screening test scores by age category and performed Pearson correlations with standardized clinical tests scores. Results Test–retest reliability (intraclass correlation coefficient = 0.76) and internal consistency (Cronbach's alpha = 0.76) were satisfactory. Construct validity included correlation with the subtests of the Wechsler Intelligence Scale IV (WISC-IV) involving visuo-spatial analysis (Matrix Reasoning and Block Design, P < 0.01; Symbol Search and Coding, P < 0.05) and was reinforced by the expected non-correlation between the Verbal Comprehension Index and EVSP scoring class. The EVSP scoring class was correlated with Manual dexterity of the M-ABC (P < 0.05) and the Working Memory Index (P < 0.05) of the WISC-IV including the subtest Arithmetic (P < 0.01). Conclusion This screening test is reliable and valid to evaluate EVSP before more complex cognitive or motor assessment. Permalink : ./index.php?lvl=notice_display&id=90875 [article] Validation of a simple screening test for elementary visuo-spatial perception deficit [texte imprimé] / Laure Pisella ; Marie Martel ; Alice C. Roy ; Carole Vuillerot ; Sibylle Gonzalez-Monge . - 2020 . - p. 302-308. doi.org/10.1016/j.rehab.2019.03.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 302-308 Résumé : Objective The reliability and validity of a screening test for a deficit in elementary visuo-spatial perception (EVSP) were evaluated. Method This prospective study collected performance from 210 typically developing individuals and evaluated the internal consistency of the EVSP screening test. Test–retest reliability was examined with 25 individuals. Validity also involved retrospective clinical data collected from 223 non-typically developing children coming to the hospital for outpatient consultation. Since EVSP matures through childhood, we standardized the EVSP screening test scores by age category and performed Pearson correlations with standardized clinical tests scores. Results Test–retest reliability (intraclass correlation coefficient = 0.76) and internal consistency (Cronbach's alpha = 0.76) were satisfactory. Construct validity included correlation with the subtests of the Wechsler Intelligence Scale IV (WISC-IV) involving visuo-spatial analysis (Matrix Reasoning and Block Design, P < 0.01; Symbol Search and Coding, P < 0.05) and was reinforced by the expected non-correlation between the Verbal Comprehension Index and EVSP scoring class. The EVSP scoring class was correlated with Manual dexterity of the M-ABC (P < 0.05) and the Working Memory Index (P < 0.05) of the WISC-IV including the subtest Arithmetic (P < 0.01). Conclusion This screening test is reliable and valid to evaluate EVSP before more complex cognitive or motor assessment. Permalink : ./index.php?lvl=notice_display&id=90875

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Accuracy of modified 30-s chair-stand test for predicting falls in older adults / Narintip Roongbenjawan in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 309-315 Titre : Accuracy of modified 30-s chair-stand test for predicting falls in older adults Type de document : texte imprimé Auteurs : Narintip Roongbenjawan ; Akkradate Siriphorn Année de publication : 2020 Article en page(s) : p. 309-315 Note générale : doi.org/10.1016/j.rehab.2019.08.003 Langues : Anglais (eng) Mots-clés : Eyes closed  Sensory alteration  Sensory reweighting  Sit-to-stand (STS)  Unstable surface Résumé : Background Postural stability during sit-to-stand (STS) movements depends on visual and somatosensory information. A modification of the 30-sec chair-stand test (30s-CST) with visual and somatosensory alteration (m30CST) may improve the ability to identify fall status. Objective This study aimed to investigate the accuracy of the m30CST in predicting falls in older adults. Methods This prospective cohort study recruited a convenience sample of 73 individuals from Kao Kilo community, Chonburi, Thailand. Eligibility criteria were age ≥ 65 years and independent STS ability. All participants performed the 30s-CST and m30CSTs (i.e., eyes closed and a foam surface and eyes closed and a foam surface). The fall incidence during a 6-month follow-up was recorded. The area under the receiver operating characteristic curve (AUC) was calculated. Twenty participants were designated for reliability and validity analyses using the 30s-CST and the Fullerton Advanced Balance (FAB) Scale, estimating intraclass correlation coefficients (ICCs). Results We included 37 fallers and 36 non-fallers. All tests showed excellent accuracy in classifying fallers (AUC = 0.77–0.91). The m30CST with eyes closed and a foam surface had the highest AUC (0.91), with a cutoff score of 9.25 repetitions, sensitivity 92%, and specificity 81%. The m30CSTs presented excellent inter-rater reliability (ICC = 0.93–0.96) and test–retest reliability (ICC = 0.90–0.96), good to excellent correlation with the 30s-CST (r = 0.90–0.98), and moderate to good correlation with the FAB Scale (r = 0.64–0.73). Conclusions The m30CST could be used as an alternative evaluation for predicting the risk of falls in community-dwelling older adults, with excellent accuracy. Permalink : ./index.php?lvl=notice_display&id=90876 [article] Accuracy of modified 30-s chair-stand test for predicting falls in older adults [texte imprimé] / Narintip Roongbenjawan ; Akkradate Siriphorn . - 2020 . - p. 309-315. doi.org/10.1016/j.rehab.2019.08.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 309-315 Mots-clés : Eyes closed  Sensory alteration  Sensory reweighting  Sit-to-stand (STS)  Unstable surface Résumé : Background Postural stability during sit-to-stand (STS) movements depends on visual and somatosensory information. A modification of the 30-sec chair-stand test (30s-CST) with visual and somatosensory alteration (m30CST) may improve the ability to identify fall status. Objective This study aimed to investigate the accuracy of the m30CST in predicting falls in older adults. Methods This prospective cohort study recruited a convenience sample of 73 individuals from Kao Kilo community, Chonburi, Thailand. Eligibility criteria were age ≥ 65 years and independent STS ability. All participants performed the 30s-CST and m30CSTs (i.e., eyes closed and a foam surface and eyes closed and a foam surface). The fall incidence during a 6-month follow-up was recorded. The area under the receiver operating characteristic curve (AUC) was calculated. Twenty participants were designated for reliability and validity analyses using the 30s-CST and the Fullerton Advanced Balance (FAB) Scale, estimating intraclass correlation coefficients (ICCs). Results We included 37 fallers and 36 non-fallers. All tests showed excellent accuracy in classifying fallers (AUC = 0.77–0.91). The m30CST with eyes closed and a foam surface had the highest AUC (0.91), with a cutoff score of 9.25 repetitions, sensitivity 92%, and specificity 81%. The m30CSTs presented excellent inter-rater reliability (ICC = 0.93–0.96) and test–retest reliability (ICC = 0.90–0.96), good to excellent correlation with the 30s-CST (r = 0.90–0.98), and moderate to good correlation with the FAB Scale (r = 0.64–0.73). Conclusions The m30CST could be used as an alternative evaluation for predicting the risk of falls in community-dwelling older adults, with excellent accuracy. Permalink : ./index.php?lvl=notice_display&id=90876

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Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors : Randomized controlled trial / Mario Lozano-Lozano in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 316-324 Titre : Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors : Randomized controlled trial Type de document : texte imprimé Auteurs : Mario Lozano-Lozano ; Lydia Martin-Martin ; Noelia Galiano-Castillo ; Carolina Fernandez-Lao ; Irene Cantarero-Villanueva ; Isabel B. Lopez-Barajas ; Manuel Arroyo-Morales Année de publication : 2020 Article en page(s) : p. 316-324 Note générale : doi.org/10.1016/j.rehab.2019.07.007 Langues : Anglais (eng) Mots-clés : Breast cancer  Integral strategy  Rehabilitation  mHealth  Occupational therapy Résumé : Background Survival rates in cancer are increasing exponentially, with a corresponding increase/influence in disability-adjusted life-years. Efforts should be made to explore the optimal balance between unsupervised/distance-based and supervised/onsite approaches to cancer care. Objective This study aimed to compare the clinical efficacy of the BENECA mobile Health (mHealth) lifestyle application combined with a supervised rehabilitation program (BENECA and supervised rehabilitation) versus the BENECA mHealth lifestyle application alone on quality of life (QoL) and functional outcomes of breast cancer survivors. Methods This randomized controlled trial included 80 survivors of breast cancer diagnosed at stage I–IIIA, who completed adjuvant therapy and were overweight or obese at diagnosis. Participants were randomly allocated (ratio 1:1, 3 waves) to BENECA mHealth and rehabilitation for 2 months (n = 40) or BENECA mHealth and usual care (BENECA mHealth alone; n = 40). Participants completed a questionnaire at baseline (T1), 8-weeks post-intervention (T2) and 6-month follow-up (T3). The primary outcome was QoL assessed with the EORT QLQ-C30. Secondary outcomes included upper-limb functionality and body composition. Statistical (between-group analyses of covariance) and clinical effects were analyzed by intention to treat. Results Both groups showed improved outcomes, but global QoL was significantly better with BENECA mHealth and rehabilitation than BENECA mHealth alone (mean difference, 12.76; 95% confidence interval 4.85; 20.67; P = 0.004), with a moderate-to-large effect size (d = 72). The proportion of participants reporting reliable clinical improvement on global QoL at T2 was higher with BENECA mHealth and rehabilitation than BENECA mHealth alone (57.5% vs 26.3%, P = 0.008). Improvement in subjective and objective upper-limb functionality was also higher with BENECA mHealth and rehabilitation. Conclusions The BENECA mHealth lifestyle application with a supervised rehabilitation program had a statistically and clinically significant effect on QoL and upper-limb functionality in breast cancer survivors and is a unique and important promising new approach. Permalink : ./index.php?lvl=notice_display&id=90877 [article] Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors : Randomized controlled trial [texte imprimé] / Mario Lozano-Lozano ; Lydia Martin-Martin ; Noelia Galiano-Castillo ; Carolina Fernandez-Lao ; Irene Cantarero-Villanueva ; Isabel B. Lopez-Barajas ; Manuel Arroyo-Morales . - 2020 . - p. 316-324. doi.org/10.1016/j.rehab.2019.07.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 316-324 Mots-clés : Breast cancer  Integral strategy  Rehabilitation  mHealth  Occupational therapy Résumé : Background Survival rates in cancer are increasing exponentially, with a corresponding increase/influence in disability-adjusted life-years. Efforts should be made to explore the optimal balance between unsupervised/distance-based and supervised/onsite approaches to cancer care. Objective This study aimed to compare the clinical efficacy of the BENECA mobile Health (mHealth) lifestyle application combined with a supervised rehabilitation program (BENECA and supervised rehabilitation) versus the BENECA mHealth lifestyle application alone on quality of life (QoL) and functional outcomes of breast cancer survivors. Methods This randomized controlled trial included 80 survivors of breast cancer diagnosed at stage I–IIIA, who completed adjuvant therapy and were overweight or obese at diagnosis. Participants were randomly allocated (ratio 1:1, 3 waves) to BENECA mHealth and rehabilitation for 2 months (n = 40) or BENECA mHealth and usual care (BENECA mHealth alone; n = 40). Participants completed a questionnaire at baseline (T1), 8-weeks post-intervention (T2) and 6-month follow-up (T3). The primary outcome was QoL assessed with the EORT QLQ-C30. Secondary outcomes included upper-limb functionality and body composition. Statistical (between-group analyses of covariance) and clinical effects were analyzed by intention to treat. Results Both groups showed improved outcomes, but global QoL was significantly better with BENECA mHealth and rehabilitation than BENECA mHealth alone (mean difference, 12.76; 95% confidence interval 4.85; 20.67; P = 0.004), with a moderate-to-large effect size (d = 72). The proportion of participants reporting reliable clinical improvement on global QoL at T2 was higher with BENECA mHealth and rehabilitation than BENECA mHealth alone (57.5% vs 26.3%, P = 0.008). Improvement in subjective and objective upper-limb functionality was also higher with BENECA mHealth and rehabilitation. Conclusions The BENECA mHealth lifestyle application with a supervised rehabilitation program had a statistically and clinically significant effect on QoL and upper-limb functionality in breast cancer survivors and is a unique and important promising new approach. Permalink : ./index.php?lvl=notice_display&id=90877

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Factors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study / Clémence Bulteel in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 325-311 Titre : Factors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study Type de document : texte imprimé Auteurs : Clémence Bulteel ; Alice Le Bonniec ; Marion Gounelle ; Annick Schifano ; Olivier Jonquet ; Arnaud Dupeyron ; Isabelle Laffont ; Florence Cousson-Gelie ; Anthony Gélis Année de publication : 2020 Article en page(s) : p. 325-311 Note générale : doi.org/10.1016/j.rehab.2019.06.009 Langues : Anglais (eng) Mots-clés : Spinal cord injuries  Sleep apnea  Continuous positive airway pressure  Treatment adherence  Qualitative research Résumé : Background In individuals with spinal cord injury (SCI) and sleep apnea (SA), adherence to continuous positive airway pressure (CPAP) therapy seems unsatisfactory despite technical and educational support implemented when starting treatment. Objective We aimed to design comprehensive model of adherence to CPAP therapy in individuals with SCI and SA. Methods This was a prospective qualitative study based on semi-directed interviews and using the grounded theory as an analytic method. The theoretical framework was the social cognitive theory of Bandura. Participants were recruited from an SCI referral centre. Individuals with SCI using or having used a CPAP device for SA were included. Data were collected by semi-directed interviews on the experience of individuals with SCI regarding SA and being fitted with a CPAP device and were coded and organized into categories of experience and category relationships. Results Among the 17 individuals included; 9 had tetraplegia; the median age was 62 (Q1–Q3 47–66) years and median time since injury was 16 (Q1–Q3 1.75–21) years. Four categories of data were identified: 1) from symptoms to validation of SA diagnosis, 2) CPAP device fitting process, 3) representations of SA, and 4) level of adherence to the treatment. In addition to the factors already observed in the general population, the proposed model identified specific adherence factors in individuals with SCI, such as physical and relational dependence on a third party, increased daily care burden and increased presence of medical devices in the daily environment. Conclusion SA and its management present certain specificities in individuals with SCI that the physician must take into account to optimize therapeutic proposals, follow-up modalities and device adherence. Permalink : ./index.php?lvl=notice_display&id=90878 [article] Factors influencing adherence to continuous positive airway pressure devices in individuals with spinal cord injury and sleep apnea : Results of a qualitative study [texte imprimé] / Clémence Bulteel ; Alice Le Bonniec ; Marion Gounelle ; Annick Schifano ; Olivier Jonquet ; Arnaud Dupeyron ; Isabelle Laffont ; Florence Cousson-Gelie ; Anthony Gélis . - 2020 . - p. 325-311. doi.org/10.1016/j.rehab.2019.06.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 325-311 Mots-clés : Spinal cord injuries  Sleep apnea  Continuous positive airway pressure  Treatment adherence  Qualitative research Résumé : Background In individuals with spinal cord injury (SCI) and sleep apnea (SA), adherence to continuous positive airway pressure (CPAP) therapy seems unsatisfactory despite technical and educational support implemented when starting treatment. Objective We aimed to design comprehensive model of adherence to CPAP therapy in individuals with SCI and SA. Methods This was a prospective qualitative study based on semi-directed interviews and using the grounded theory as an analytic method. The theoretical framework was the social cognitive theory of Bandura. Participants were recruited from an SCI referral centre. Individuals with SCI using or having used a CPAP device for SA were included. Data were collected by semi-directed interviews on the experience of individuals with SCI regarding SA and being fitted with a CPAP device and were coded and organized into categories of experience and category relationships. Results Among the 17 individuals included; 9 had tetraplegia; the median age was 62 (Q1–Q3 47–66) years and median time since injury was 16 (Q1–Q3 1.75–21) years. Four categories of data were identified: 1) from symptoms to validation of SA diagnosis, 2) CPAP device fitting process, 3) representations of SA, and 4) level of adherence to the treatment. In addition to the factors already observed in the general population, the proposed model identified specific adherence factors in individuals with SCI, such as physical and relational dependence on a third party, increased daily care burden and increased presence of medical devices in the daily environment. Conclusion SA and its management present certain specificities in individuals with SCI that the physician must take into account to optimize therapeutic proposals, follow-up modalities and device adherence. Permalink : ./index.php?lvl=notice_display&id=90878

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The relationship of childhood sexual and physical abuse with adulthood disability / Louis Jacob in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 332-339 Titre : The relationship of childhood sexual and physical abuse with adulthood disability Type de document : texte imprimé Auteurs : Louis Jacob ; Philippe Thoumie ; Josep Maria Haro ; Ai Koyanagi Année de publication : 2020 Article en page(s) : p. 332-339 Note générale : doi.org/10.1016/j.rehab.2019.06.005 Langues : Anglais (eng) Mots-clés : Childhood abuse  Adulthood disability  Risk factor  Nationally representative survey  England Résumé : Objective The aim of this study was to examine the association of childhood sexual and physical abuse with disability in adulthood, and to assess how several demographic, physical, behavioral, psychosocial, and psychiatric factors may influence this association. Methods This study used nationally representative cross-sectional data from 7403 people aged ≥ 16 years who participated in the 2007 Adult Psychiatric Morbidity Survey. Information on childhood sexual talk, sexual touching, sexual intercourse, and physical abuse occurring before the age of 16, and disability in activities of daily living and instrumental activities of daily living in adulthood were collected. Multivariable logistic regression analyses were conducted. Results After adjusting for age, sex, and ethnicity, we found a positive association between different types of childhood abuse and adulthood disability: sexual talk (OR 1.54; 95% CI 1.27–1.85); sexual touching (OR 1.82; 95% CI 1.49–2.22); sexual intercourse (OR 2.58; 95% CI 1.75–3.81); physical abuse (OR 2.84; 95% CI 2.20–3.68). Increasing number of types of childhood abuse was associated with increased odds of adulthood disability. The odds of adulthood disability was increased for individuals who experienced all types of childhood abuse versus no childhood abuse (OR 3.59; 95% CI 1.64–7.84). Finally, the association between any childhood abuse and adulthood disability was largely explained by anxiety disorder, number of chronic physical conditions, and loneliness. Conclusions Childhood abuse is positively associated with adulthood disability in England. Future longitudinal studies are warranted to understand the potentially complex interplay of factors that may increase risk for disability in individuals who experienced childhood abuse. Permalink : ./index.php?lvl=notice_display&id=90879 [article] The relationship of childhood sexual and physical abuse with adulthood disability [texte imprimé] / Louis Jacob ; Philippe Thoumie ; Josep Maria Haro ; Ai Koyanagi . - 2020 . - p. 332-339. doi.org/10.1016/j.rehab.2019.06.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 332-339 Mots-clés : Childhood abuse  Adulthood disability  Risk factor  Nationally representative survey  England Résumé : Objective The aim of this study was to examine the association of childhood sexual and physical abuse with disability in adulthood, and to assess how several demographic, physical, behavioral, psychosocial, and psychiatric factors may influence this association. Methods This study used nationally representative cross-sectional data from 7403 people aged ≥ 16 years who participated in the 2007 Adult Psychiatric Morbidity Survey. Information on childhood sexual talk, sexual touching, sexual intercourse, and physical abuse occurring before the age of 16, and disability in activities of daily living and instrumental activities of daily living in adulthood were collected. Multivariable logistic regression analyses were conducted. Results After adjusting for age, sex, and ethnicity, we found a positive association between different types of childhood abuse and adulthood disability: sexual talk (OR 1.54; 95% CI 1.27–1.85); sexual touching (OR 1.82; 95% CI 1.49–2.22); sexual intercourse (OR 2.58; 95% CI 1.75–3.81); physical abuse (OR 2.84; 95% CI 2.20–3.68). Increasing number of types of childhood abuse was associated with increased odds of adulthood disability. The odds of adulthood disability was increased for individuals who experienced all types of childhood abuse versus no childhood abuse (OR 3.59; 95% CI 1.64–7.84). Finally, the association between any childhood abuse and adulthood disability was largely explained by anxiety disorder, number of chronic physical conditions, and loneliness. Conclusions Childhood abuse is positively associated with adulthood disability in England. Future longitudinal studies are warranted to understand the potentially complex interplay of factors that may increase risk for disability in individuals who experienced childhood abuse. Permalink : ./index.php?lvl=notice_display&id=90879

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Outcomes for older adults in inpatient specialist neurorehabilitation / Teng Cheng Khoo in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 340-343 Titre : Outcomes for older adults in inpatient specialist neurorehabilitation Type de document : texte imprimé Auteurs : Teng Cheng Khoo ; Alasdair FitzGerald ; Elizabeth MacDonald ; Lloyd Bradley Année de publication : 2020 Article en page(s) : p. 340-343 Note générale : doi.org/10.1016/j.rehab.2019.05.001 Langues : Anglais (eng) Mots-clés : Neurorehabilitation  Rehabilitation  Rehabilitation potential  Older adults  UK FIM + FAM Résumé : Background Inpatient specialist neurorehabilitation in the United Kingdom is based on providing a service to “working-age” adults (<65 years), with little evidence for outcomes for older adults involved with these services. Objective The aim of this study is to determine any difference in outcome after inpatient neurorehabilitation between younger and older adults assessed as having rehabilitation potential. Methods A two-centre retrospective review was performed comparing patients aged < 65 and ≥ 65 years by diagnostic group in terms of length of stay, changes in UK Functional Independence Measure + Functional Assessment Measure (UK FIM + FAM) scores and discharge destination. Results Six hundred and sixteen patients (32% ≥ 65 years) were included. The 2 age groups did not differ in length of stay (median difference 7 days, 95% confidence interval [CI] −2 to 15, P = 0.112), but both UK FIM + FAM change and efficiency were higher for the older than younger group (median difference 7, 95% CI 2–13, P = 0.006 and 0.10, 0.01–0.19, P = 0.031 respectively). Older age was associated with discharge to long-term care (6% < 65 years; 11% ≥ 65 years, x2 = 4.10, P = 0.043). Results and trends were similar in patients with acquired brain injury (n = 429), spinal cord injury (n = 59) and peripheral neuropathy (n = 34) but not progressive neurological disorders (n = 70). Conclusion Older adults considered to have rehabilitation potential may have greater functional gains from inpatient specialist inpatient rehabilitation than younger adults. Age alone should not exclude admission to inpatient specialist neurorehabilitation. Permalink : ./index.php?lvl=notice_display&id=90880 [article] Outcomes for older adults in inpatient specialist neurorehabilitation [texte imprimé] / Teng Cheng Khoo ; Alasdair FitzGerald ; Elizabeth MacDonald ; Lloyd Bradley . - 2020 . - p. 340-343. doi.org/10.1016/j.rehab.2019.05.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 340-343 Mots-clés : Neurorehabilitation  Rehabilitation  Rehabilitation potential  Older adults  UK FIM + FAM Résumé : Background Inpatient specialist neurorehabilitation in the United Kingdom is based on providing a service to “working-age” adults (<65 years), with little evidence for outcomes for older adults involved with these services. Objective The aim of this study is to determine any difference in outcome after inpatient neurorehabilitation between younger and older adults assessed as having rehabilitation potential. Methods A two-centre retrospective review was performed comparing patients aged < 65 and ≥ 65 years by diagnostic group in terms of length of stay, changes in UK Functional Independence Measure + Functional Assessment Measure (UK FIM + FAM) scores and discharge destination. Results Six hundred and sixteen patients (32% ≥ 65 years) were included. The 2 age groups did not differ in length of stay (median difference 7 days, 95% confidence interval [CI] −2 to 15, P = 0.112), but both UK FIM + FAM change and efficiency were higher for the older than younger group (median difference 7, 95% CI 2–13, P = 0.006 and 0.10, 0.01–0.19, P = 0.031 respectively). Older age was associated with discharge to long-term care (6% < 65 years; 11% ≥ 65 years, x2 = 4.10, P = 0.043). Results and trends were similar in patients with acquired brain injury (n = 429), spinal cord injury (n = 59) and peripheral neuropathy (n = 34) but not progressive neurological disorders (n = 70). Conclusion Older adults considered to have rehabilitation potential may have greater functional gains from inpatient specialist inpatient rehabilitation than younger adults. Age alone should not exclude admission to inpatient specialist neurorehabilitation. Permalink : ./index.php?lvl=notice_display&id=90880

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Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden : A systematic review / Martine S. Bosma in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 344-358 Titre : Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden : A systematic review Type de document : texte imprimé Auteurs : Martine S. Bosma ; Tanja C.W. Nijboer ; Monique A.A. Caljouw ; Wilco P. Achterberg Année de publication : 2020 Article en page(s) : p. 344-358 Note générale : doi.org/10.1016/j.rehab.2019.05.006 Langues : Anglais (eng) Mots-clés : Stroke  Visuospatial neglect  Unilateral neglect  Activities of daily living  Participation  Caregiver burden Résumé : Objectives Visuospatial neglect (VSN) is a common cognitive disorder after stroke. The primary aim of this systematic review was to provide an overview of the impact of VSN in 3 aspects: (1) activities of daily living (ADL), (2) participation, and (3) caregiver burden. The second aim was to investigate the differences in studies focusing on populations with mean age < 65 versus ≥ 65 years. Methods PubMed, EMBASE, Web of Science, Cochrane Library, Emcare, PsychINFO, Academic Search Premier and CENTRAL were searched systematically. Quality was assessed with the Mixed Methods Appraisal Tool. Results Of the 115 included studies, 104 provided outcomes on ADL, 15 on participation (4 studies with mean age ≥ 65), and 2 on caregiver burden (1 study with mean age ≥ 65). Quality assessment yielded scores ranging from 0 to 100%. VSN had a negative impact on ADL (i.e., independence during ADL and performance in self-care, household tasks, reading, writing, walking, wheelchair navigation) and participation (i.e., driving, community mobility, orientation, work). The impact of VSN on fulfilling social roles was unclear. VSN had a negative effect on caregiver burden. We found no clear age-related differences. Conclusions and implications VSN has a negative impact not only on patients’ independence but particularly on the performance of ADL. Despite the far fewer studies of VSN as compared with ADL, VSN also seems to hamper participation and increase caregiver burden, but further research is needed. Because of the large impact, VSN should be systematically and carefully assessed during rehabilitation. A considerable number of different instruments were used to diagnose VSN. Diagnosing VSN at more than one level [function (i.e., pen-and-paper test), activities, and participation] is strongly recommended. Consensus is needed on how to assess VSN and its negative impact for research and rehabilitation practice. Permalink : ./index.php?lvl=notice_display&id=90881 [article] Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden : A systematic review [texte imprimé] / Martine S. Bosma ; Tanja C.W. Nijboer ; Monique A.A. Caljouw ; Wilco P. Achterberg . - 2020 . - p. 344-358. doi.org/10.1016/j.rehab.2019.05.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 344-358 Mots-clés : Stroke  Visuospatial neglect  Unilateral neglect  Activities of daily living  Participation  Caregiver burden Résumé : Objectives Visuospatial neglect (VSN) is a common cognitive disorder after stroke. The primary aim of this systematic review was to provide an overview of the impact of VSN in 3 aspects: (1) activities of daily living (ADL), (2) participation, and (3) caregiver burden. The second aim was to investigate the differences in studies focusing on populations with mean age < 65 versus ≥ 65 years. Methods PubMed, EMBASE, Web of Science, Cochrane Library, Emcare, PsychINFO, Academic Search Premier and CENTRAL were searched systematically. Quality was assessed with the Mixed Methods Appraisal Tool. Results Of the 115 included studies, 104 provided outcomes on ADL, 15 on participation (4 studies with mean age ≥ 65), and 2 on caregiver burden (1 study with mean age ≥ 65). Quality assessment yielded scores ranging from 0 to 100%. VSN had a negative impact on ADL (i.e., independence during ADL and performance in self-care, household tasks, reading, writing, walking, wheelchair navigation) and participation (i.e., driving, community mobility, orientation, work). The impact of VSN on fulfilling social roles was unclear. VSN had a negative effect on caregiver burden. We found no clear age-related differences. Conclusions and implications VSN has a negative impact not only on patients’ independence but particularly on the performance of ADL. Despite the far fewer studies of VSN as compared with ADL, VSN also seems to hamper participation and increase caregiver burden, but further research is needed. Because of the large impact, VSN should be systematically and carefully assessed during rehabilitation. A considerable number of different instruments were used to diagnose VSN. Diagnosing VSN at more than one level [function (i.e., pen-and-paper test), activities, and participation] is strongly recommended. Consensus is needed on how to assess VSN and its negative impact for research and rehabilitation practice. Permalink : ./index.php?lvl=notice_display&id=90881

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Cognitive function at admission predicts amount of gait speed change in geriatric physical rehabilitation / Sydney Y. Schaefer in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 359-361 Titre : Cognitive function at admission predicts amount of gait speed change in geriatric physical rehabilitation Type de document : texte imprimé Auteurs : Sydney Y. Schaefer ; Jacklyn Sullivan ; Daniel S. Peterson ; Elizabeth B. Fauth Année de publication : 2020 Article en page(s) : p. 359-361 Note générale : doi.org/10.1016/j.rehab.2019.08.004 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90882 [article] Cognitive function at admission predicts amount of gait speed change in geriatric physical rehabilitation [texte imprimé] / Sydney Y. Schaefer ; Jacklyn Sullivan ; Daniel S. Peterson ; Elizabeth B. Fauth . - 2020 . - p. 359-361. doi.org/10.1016/j.rehab.2019.08.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 359-361 Permalink : ./index.php?lvl=notice_display&id=90882

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Femoral angiography : A potential risk factor for heterotopic ossification of the hip in neurological patients / Elena Rossato in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 362-364 Titre : Femoral angiography : A potential risk factor for heterotopic ossification of the hip in neurological patients Type de document : texte imprimé Auteurs : Elena Rossato ; Renato Avesani ; Francesca Dambruoso ; Federico Ferrari ; Elisabetta Verzini ; Antonio Campacci Année de publication : 2020 Article en page(s) : p. 362-364 Note générale : doi.org/10.1016/j.rehab.2019.09.001 Langues : Anglais (eng) Mots-clés : Brain injury  Peri-articular ossification  Orthopaedic  Rehabilitation  Surgery  X-ray Permalink : ./index.php?lvl=notice_display&id=90883 [article] Femoral angiography : A potential risk factor for heterotopic ossification of the hip in neurological patients [texte imprimé] / Elena Rossato ; Renato Avesani ; Francesca Dambruoso ; Federico Ferrari ; Elisabetta Verzini ; Antonio Campacci . - 2020 . - p. 362-364. doi.org/10.1016/j.rehab.2019.09.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 362-364 Mots-clés : Brain injury  Peri-articular ossification  Orthopaedic  Rehabilitation  Surgery  X-ray Permalink : ./index.php?lvl=notice_display&id=90883

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Blurred lines between axillary web syndrome and Mondor's disease after breast cancer surgery : A case report / Allessandro de Sire in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 365-367 Titre : Blurred lines between axillary web syndrome and Mondor's disease after breast cancer surgery : A case report Type de document : texte imprimé Auteurs : Allessandro de Sire ; Marco Invernizzi ; Lorenzo Lippi ; Carlo Cisari ; Levent Özçakar ; Franco Franchignoni Année de publication : 2020 Article en page(s) : p. 365-367 Note générale : doi.org/10.1016/j.rehab.2019.04.007 Langues : Anglais (eng) Mots-clés : Axillary web syndrome  Mondor's disease  Breast cancer  Ultrasonography  Rehabilitation Permalink : ./index.php?lvl=notice_display&id=90884 [article] Blurred lines between axillary web syndrome and Mondor's disease after breast cancer surgery : A case report [texte imprimé] / Allessandro de Sire ; Marco Invernizzi ; Lorenzo Lippi ; Carlo Cisari ; Levent Özçakar ; Franco Franchignoni . - 2020 . - p. 365-367. doi.org/10.1016/j.rehab.2019.04.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 365-367 Mots-clés : Axillary web syndrome  Mondor's disease  Breast cancer  Ultrasonography  Rehabilitation Permalink : ./index.php?lvl=notice_display&id=90884

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The Short and Fast Step Test : A functional tool to assess anaerobic metabolism in rehabilitated coronary patients / Anaïs Gouteron in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 368-371 Titre : The Short and Fast Step Test : A functional tool to assess anaerobic metabolism in rehabilitated coronary patients Type de document : texte imprimé Auteurs : Anaïs Gouteron ; Delphine Besson ; Aurélie Gudjoncik ; Armelle Hannequin ; Davy Laroche ; Jean-Marie Casillas Année de publication : 2020 Article en page(s) : p. 368-371 Note générale : doi.org/10.1016/j.rehab.2019.09.006 Langues : Anglais (eng) Mots-clés : Anaerobic test  Blood lactate measurement  Cardiac rehabilitation  Oxygen debt  Step test Permalink : ./index.php?lvl=notice_display&id=90885 [article] The Short and Fast Step Test : A functional tool to assess anaerobic metabolism in rehabilitated coronary patients [texte imprimé] / Anaïs Gouteron ; Delphine Besson ; Aurélie Gudjoncik ; Armelle Hannequin ; Davy Laroche ; Jean-Marie Casillas . - 2020 . - p. 368-371. doi.org/10.1016/j.rehab.2019.09.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 368-371 Mots-clés : Anaerobic test  Blood lactate measurement  Cardiac rehabilitation  Oxygen debt  Step test Permalink : ./index.php?lvl=notice_display&id=90885

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Arm elevation involves cervical spine 3-D rotations / Alexandra Roren in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 372-375 Titre : Arm elevation involves cervical spine 3-D rotations Type de document : texte imprimé Auteurs : Alexandra Roren ; Christelle Nguyen ; Jennifer Zauderer ; Sessi Acapo ; François Rannou ; Agnès Roby-Brami ; Marie-Martine Lefèvre-Colau Année de publication : 2020 Article en page(s) : p. 372-375 Note générale : doi.org/10.1016/j.rehab.2019.09.005 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90886 [article] Arm elevation involves cervical spine 3-D rotations [texte imprimé] / Alexandra Roren ; Christelle Nguyen ; Jennifer Zauderer ; Sessi Acapo ; François Rannou ; Agnès Roby-Brami ; Marie-Martine Lefèvre-Colau . - 2020 . - p. 372-375. doi.org/10.1016/j.rehab.2019.09.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 372-375 Permalink : ./index.php?lvl=notice_display&id=90886

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A model for a ventilator-weaning and early rehabilitation unit to deal with post-ICU impairments following severe COVID-19 / Jonathan Lévy in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 376-378 Titre : A model for a ventilator-weaning and early rehabilitation unit to deal with post-ICU impairments following severe COVID-19 Type de document : texte imprimé Auteurs : Jonathan Lévy ; Antoine Léotard ; Christine Lawrence ; Julie Paquereau ; Djamel Bensmail ; Djillali Annane ; Vincent Delord ; Frédéric Lofaso ; Simon Bessis ; Hélène Prigent Année de publication : 2020 Article en page(s) : p. 376-378 Note générale : doi.org/10.1016/j.rehab.2020.04.002 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90887 [article] A model for a ventilator-weaning and early rehabilitation unit to deal with post-ICU impairments following severe COVID-19 [texte imprimé] / Jonathan Lévy ; Antoine Léotard ; Christine Lawrence ; Julie Paquereau ; Djamel Bensmail ; Djillali Annane ; Vincent Delord ; Frédéric Lofaso ; Simon Bessis ; Hélène Prigent . - 2020 . - p. 376-378. doi.org/10.1016/j.rehab.2020.04.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 376-378 Permalink : ./index.php?lvl=notice_display&id=90887

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The use of exoskeletons to help with prone positioning in the intensive care unit during COVID-19 / Nicla Settembre in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 379-382 Titre : The use of exoskeletons to help with prone positioning in the intensive care unit during COVID-19 Type de document : texte imprimé Auteurs : Nicla Settembre ; Pauline Maurice ; Jean Paysant ; Jean Theurel ; Laurent Claudon ; Antoine Kimmoun ; Bruno Levy ; Hind Hani ; Bruno Chenuel ; Serena Ivaldi Année de publication : 2020 Article en page(s) : p. 379-382 Note générale : doi.org/10.1016/j.rehab.2020.05.004 Langues : Anglais (eng) Mots-clés : COVID-19  Exoskeleton  Prone position  Ergonomy  Simulation  Intensive care unit Permalink : ./index.php?lvl=notice_display&id=90888 [article] The use of exoskeletons to help with prone positioning in the intensive care unit during COVID-19 [texte imprimé] / Nicla Settembre ; Pauline Maurice ; Jean Paysant ; Jean Theurel ; Laurent Claudon ; Antoine Kimmoun ; Bruno Levy ; Hind Hani ; Bruno Chenuel ; Serena Ivaldi . - 2020 . - p. 379-382. doi.org/10.1016/j.rehab.2020.05.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 379-382 Mots-clés : COVID-19  Exoskeleton  Prone position  Ergonomy  Simulation  Intensive care unit Permalink : ./index.php?lvl=notice_display&id=90888

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Will participation restrictions related to the COVID-19 lockdown boost inclusivity? / Éléonore Bayen in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 383 Titre : Will participation restrictions related to the COVID-19 lockdown boost inclusivity? Type de document : texte imprimé Auteurs : Éléonore Bayen ; François Stefanescu ; Hélène Robert ; Agnès Weil-Chounlamountry ; Marie Villain ; Clémentine Gouriou ; Sofia Gueorguieva ; Christine Picq ; Pascale Bruguière ; Pascale Pradat-Diehl Année de publication : 2020 Article en page(s) : p. 383 Note générale : doi.org/10.1016/j.rehab.2020.04.004 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90889 [article] Will participation restrictions related to the COVID-19 lockdown boost inclusivity? [texte imprimé] / Éléonore Bayen ; François Stefanescu ; Hélène Robert ; Agnès Weil-Chounlamountry ; Marie Villain ; Clémentine Gouriou ; Sofia Gueorguieva ; Christine Picq ; Pascale Bruguière ; Pascale Pradat-Diehl . - 2020 . - p. 383. doi.org/10.1016/j.rehab.2020.04.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 383 Permalink : ./index.php?lvl=notice_display&id=90889

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Early mobilization in hospitalized patients with COVID-19 / Pedro L. Valenzuela in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 384-385 Titre : Early mobilization in hospitalized patients with COVID-19 Type de document : texte imprimé Auteurs : Pedro L. Valenzuela ; Michel Joyner ; Alejandro Lucia Année de publication : 2020 Article en page(s) : p. 384-385 Note générale : doi.org/10.1016/j.rehab.2020.04.005 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90890 [article] Early mobilization in hospitalized patients with COVID-19 [texte imprimé] / Pedro L. Valenzuela ; Michel Joyner ; Alejandro Lucia . - 2020 . - p. 384-385. doi.org/10.1016/j.rehab.2020.04.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 384-385 Permalink : ./index.php?lvl=notice_display&id=90890

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