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Ajouter le résultat dans votre panierThe Annals of Physical and Rehabilitation Medicine has become only digital / Dominic Pérennou in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
Titre : The Annals of Physical and Rehabilitation Medicine has become only digital Type de document : texte imprimé Auteurs : Dominic Pérennou Année de publication : 2020 Article en page(s) : p. 457 Note générale : doi.org/10.1016/j.rehab.2020.11.002 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91320
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 457[article] The Annals of Physical and Rehabilitation Medicine has become only digital [texte imprimé] / Dominic Pérennou . - 2020 . - p. 457.
doi.org/10.1016/j.rehab.2020.11.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 457
Permalink : ./index.php?lvl=notice_display&id=91320 Exemplaires (1)
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Titre : Active video games for knee osteoarthritis improve mobility but not WOMAC score : A randomized controlled trial Type de document : texte imprimé Auteurs : Yu-Ting Lin ; Wen-Chung Lee ; Ru-Lan Hsieh Année de publication : 2020 Article en page(s) : p. 458-465 Note générale : doi.org/10.1016/j.rehab.2019.11.008 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Active video games Therapeutic exercise Effect Résumé : Background
Active video games (AVGs) have become popular and have been investigated for their therapeutic purposes. However, the effect of AVGs on patients with knee osteoarthritis (OA) remains uncertain.
Objective
We aimed to compare the effects of AVGs with those of traditional therapeutic exercise on patients with knee OA.
Method
This was a prospective single-blind, randomized controlled trial. Participants (n = 80) with knee OA were allocated to the AVGs group (n = 40) or therapeutic exercise group (n = 40). Both groups received treatment 3 times a week for 4 weeks. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and secondary outcome measures were the World Health Organization Quality of Life-Brief Vision, Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, physical functional performance (including time for 10-m walking and for ascending and descending stairs), Biodex Stability System, Chronic Pain Grade Questionnaire, and Work Ability Index. The patients were evaluated at baseline, 2 and 4 weeks after treatment, and 1 and 3 months after treatment completion.
Results
Both groups showed significant time effect in the pain subcategory of the WOMAC (P = 0.047). However, we found no significant group × time interaction effect between the groups at any follow-up assessments for pain (P = 0.066), stiffness (P = 0.284), or physical function (P = 0.179) for the WOMAC. Among the secondary outcomes, we found significant group × time effects favoring the AVG group in dynamic balance (P = 0.020), and physical functional performance including 10-m walking time (P = 0.002) and stair ascent time (P = 0.005), and the physical domain of health (P = 0.032).
Conclusions
Therapeutic exercises and playing AVGs similarly improved the pain of patients with knee OA; however, playing AVGs improved dynamic balance, physical functional performance, and physical health more than therapeutic exercises did.Permalink : ./index.php?lvl=notice_display&id=91321
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 458-465[article] Active video games for knee osteoarthritis improve mobility but not WOMAC score : A randomized controlled trial [texte imprimé] / Yu-Ting Lin ; Wen-Chung Lee ; Ru-Lan Hsieh . - 2020 . - p. 458-465.
doi.org/10.1016/j.rehab.2019.11.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 458-465
Mots-clés : Knee osteoarthritis Active video games Therapeutic exercise Effect Résumé : Background
Active video games (AVGs) have become popular and have been investigated for their therapeutic purposes. However, the effect of AVGs on patients with knee osteoarthritis (OA) remains uncertain.
Objective
We aimed to compare the effects of AVGs with those of traditional therapeutic exercise on patients with knee OA.
Method
This was a prospective single-blind, randomized controlled trial. Participants (n = 80) with knee OA were allocated to the AVGs group (n = 40) or therapeutic exercise group (n = 40). Both groups received treatment 3 times a week for 4 weeks. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and secondary outcome measures were the World Health Organization Quality of Life-Brief Vision, Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, physical functional performance (including time for 10-m walking and for ascending and descending stairs), Biodex Stability System, Chronic Pain Grade Questionnaire, and Work Ability Index. The patients were evaluated at baseline, 2 and 4 weeks after treatment, and 1 and 3 months after treatment completion.
Results
Both groups showed significant time effect in the pain subcategory of the WOMAC (P = 0.047). However, we found no significant group × time interaction effect between the groups at any follow-up assessments for pain (P = 0.066), stiffness (P = 0.284), or physical function (P = 0.179) for the WOMAC. Among the secondary outcomes, we found significant group × time effects favoring the AVG group in dynamic balance (P = 0.020), and physical functional performance including 10-m walking time (P = 0.002) and stair ascent time (P = 0.005), and the physical domain of health (P = 0.032).
Conclusions
Therapeutic exercises and playing AVGs similarly improved the pain of patients with knee OA; however, playing AVGs improved dynamic balance, physical functional performance, and physical health more than therapeutic exercises did.Permalink : ./index.php?lvl=notice_display&id=91321 Exemplaires (1)
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Titre : Short interval or continuous training programs to improve walking distance for intermittent claudication : Pilot study Type de document : texte imprimé Auteurs : Béatrice Villemur ; Béatrice Thoreau ; Michel Guinot ; Elodie Gailledrat ; Véronique Evra ; Céline Vermorel ; Alison Foote ; Patrick Carpentier ; Jean-Luc Bosson ; Dominic Pérennou Année de publication : 2020 Article en page(s) : p. 466-473 Note générale : doi.org/10.1016/j.rehab.2020.03.004 Langues : Anglais (eng) Mots-clés : Peripheral arterial disease Intermittent claudication Physical therapy Exercise physiology Treadmill training with active recovery Supervised exercise Résumé : Objective
Supervised exercise training is part of first-line therapies for intermittent claudication. Short periods of intensive treadmill training have been found efficient; however, the optimal modalities remain to be determined, especially interval training with active recovery (ITAR). In this prospective assessor-blinded single-centre pilot study, we assessed the feasibility of a randomised controlled trial comparing parallel 4-week intensive rehabilitation programs comprising treadmill training performed as ITAR or conventional training with constant slope and speed interspersed with rest periods (CT).
Methods
A total of 38 in- or out-patients were randomised to the ITAR or CT program for 5 days/week for 4 weeks. The primary outcome was change in maximum walking distance measured on a graded treadmill before and after the program.
Results
Adherence was high. All training sessions were completed in the ITAR program and only a few were not completed in the CT program (median 100% [Q1–Q3 96–100]). Tolerance was excellent (no adverse events). VO2peak was low in both groups, corresponding to moderate to severe exercise intolerance. The 2 groups did not differ in the primary outcome (median ITAR vs CT 480 [135–715] vs 315 m [0–710]; p = 0.62) or other walking distances (constant speed and gradient treadmill test). For all 38 participants, both programs greatly increased maximum walking distance in the graded treadmill test: median 415 [240–650] to 995 m [410–1490], with a large effect size (p < 10−4).
Conclusion
A 4-week intensive rehabilitation program with ITAR or CT for intermittent claudication showed high adherence, was well tolerated, and improved walking distance as much as that reported for longer conventional programs. These findings prompt the design of a larger multicenter randomised controlled trial.Permalink : ./index.php?lvl=notice_display&id=91322
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 466-473[article] Short interval or continuous training programs to improve walking distance for intermittent claudication : Pilot study [texte imprimé] / Béatrice Villemur ; Béatrice Thoreau ; Michel Guinot ; Elodie Gailledrat ; Véronique Evra ; Céline Vermorel ; Alison Foote ; Patrick Carpentier ; Jean-Luc Bosson ; Dominic Pérennou . - 2020 . - p. 466-473.
doi.org/10.1016/j.rehab.2020.03.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 466-473
Mots-clés : Peripheral arterial disease Intermittent claudication Physical therapy Exercise physiology Treadmill training with active recovery Supervised exercise Résumé : Objective
Supervised exercise training is part of first-line therapies for intermittent claudication. Short periods of intensive treadmill training have been found efficient; however, the optimal modalities remain to be determined, especially interval training with active recovery (ITAR). In this prospective assessor-blinded single-centre pilot study, we assessed the feasibility of a randomised controlled trial comparing parallel 4-week intensive rehabilitation programs comprising treadmill training performed as ITAR or conventional training with constant slope and speed interspersed with rest periods (CT).
Methods
A total of 38 in- or out-patients were randomised to the ITAR or CT program for 5 days/week for 4 weeks. The primary outcome was change in maximum walking distance measured on a graded treadmill before and after the program.
Results
Adherence was high. All training sessions were completed in the ITAR program and only a few were not completed in the CT program (median 100% [Q1–Q3 96–100]). Tolerance was excellent (no adverse events). VO2peak was low in both groups, corresponding to moderate to severe exercise intolerance. The 2 groups did not differ in the primary outcome (median ITAR vs CT 480 [135–715] vs 315 m [0–710]; p = 0.62) or other walking distances (constant speed and gradient treadmill test). For all 38 participants, both programs greatly increased maximum walking distance in the graded treadmill test: median 415 [240–650] to 995 m [410–1490], with a large effect size (p < 10−4).
Conclusion
A 4-week intensive rehabilitation program with ITAR or CT for intermittent claudication showed high adherence, was well tolerated, and improved walking distance as much as that reported for longer conventional programs. These findings prompt the design of a larger multicenter randomised controlled trial.Permalink : ./index.php?lvl=notice_display&id=91322 Exemplaires (1)
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Titre : Synergic regenerative effects of polydeoxyribonucleotide and microcurrent on full-thickness rotator cuff healing in a rabbit model Type de document : texte imprimé Auteurs : Dong Rak Kwon ; Yong Suk Moon Année de publication : 2020 Article en page(s) : p. 474-482 Note générale : doi.org/10.1016/j.rehab.2019.09.010 Langues : Anglais (eng) Mots-clés : Shoulder Rotator cuff Microcurrent Polydeoxyribonucleotide Injections Ultrasonography Résumé : Background
Rotator cuff tendon tears (RCTTs) are common adult injuries. We hypothesized that a local injection of polydeoxyribonucleotide (PDRN) and microcurrent therapy (MIC) would be more effective in regenerating a tendon tear than PDRN administration alone.
Objectives
To evaluate the effect of PDRN combined with MIC on the regeneration of RCTTs in a rabbit subscapularis tendon chronic RCTT model.
Methods
Rabbits (n = 24) were allocated to 3 groups at 6 weeks after full-thickness RCTT (FTRCTT): 0.2 mL normal saline (G1-SAL); 0.2 mL PDRN with Sham MIC (G2-PDRN + Sham MIC); and 0.2 mL PDRN with MIC (G3-PDRN + MIC). All treatments were performed under ultrasound guidance. PDRN was injected weekly for 4 weeks and sham MIC or MIC was applied daily for 4 weeks after the first PDRN injection.
Results
In the G3-PDRN + MIC group, the mean (SD) subscapularis tendon tear size was continuously reduced from 1 week post-treatment to 4 weeks and was significantly decreased as compared with the other 2 groups [6.0 (1.5) vs. G1: 11.5 (1.8) and G2: 9.1 (1.6) mm2; G3 vs. G1, P < 0.001; G3 vs. G2, P = 0.018]. The gross morphologic mean tendon tear size was significantly smaller in the G3-PDRN + MIC group than G1-SAL and G2-PDRN+ Sham MIC groups [8.8 (3.5) vs. 15.9 (2.3) and 12.4 (1.6) mm2; G3 vs. G1, P < 0.001; G3 vs. G2, P = 0.03]. Mean values for regenerated collagen type 1 fibers, angiogenesis, and walking parameters were all greater for the G3-PDRN + MIC group than the other 2 groups based on histological examination and motion analysis [collagen type 1, G3: 1.60 (0.80) vs. G1: 0.45 (0.60), G2: 1.10 (0.74), G3 vs. G1, P < 0.001; G3 vs. G2, P = 0.002] [angiogenesis, G3: 2.44 (0.73) vs. G1: 0.80 (0.82) and G2: 2.06 (0.81), G3 vs. G1, P < 0.001; G3 vs. G2, P = 0.006] [walking distance, G3: 6391.4 (196.9) vs. G1: 4852.8 (137.3) and G2: 5514.4 (257.3) cm; G3 vs. G1, P < 0.001; G3 vs. G2, P < 0.001].
Conclusions
On gross morphologic, histological, and motion analysis, combined PDRN with MIC therapy was more effective than PDRN alone treating a rabbit model of chronic traumatic FTRCTT.Permalink : ./index.php?lvl=notice_display&id=91323
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 474-482[article] Synergic regenerative effects of polydeoxyribonucleotide and microcurrent on full-thickness rotator cuff healing in a rabbit model [texte imprimé] / Dong Rak Kwon ; Yong Suk Moon . - 2020 . - p. 474-482.
doi.org/10.1016/j.rehab.2019.09.010
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 474-482
Mots-clés : Shoulder Rotator cuff Microcurrent Polydeoxyribonucleotide Injections Ultrasonography Résumé : Background
Rotator cuff tendon tears (RCTTs) are common adult injuries. We hypothesized that a local injection of polydeoxyribonucleotide (PDRN) and microcurrent therapy (MIC) would be more effective in regenerating a tendon tear than PDRN administration alone.
Objectives
To evaluate the effect of PDRN combined with MIC on the regeneration of RCTTs in a rabbit subscapularis tendon chronic RCTT model.
Methods
Rabbits (n = 24) were allocated to 3 groups at 6 weeks after full-thickness RCTT (FTRCTT): 0.2 mL normal saline (G1-SAL); 0.2 mL PDRN with Sham MIC (G2-PDRN + Sham MIC); and 0.2 mL PDRN with MIC (G3-PDRN + MIC). All treatments were performed under ultrasound guidance. PDRN was injected weekly for 4 weeks and sham MIC or MIC was applied daily for 4 weeks after the first PDRN injection.
Results
In the G3-PDRN + MIC group, the mean (SD) subscapularis tendon tear size was continuously reduced from 1 week post-treatment to 4 weeks and was significantly decreased as compared with the other 2 groups [6.0 (1.5) vs. G1: 11.5 (1.8) and G2: 9.1 (1.6) mm2; G3 vs. G1, P < 0.001; G3 vs. G2, P = 0.018]. The gross morphologic mean tendon tear size was significantly smaller in the G3-PDRN + MIC group than G1-SAL and G2-PDRN+ Sham MIC groups [8.8 (3.5) vs. 15.9 (2.3) and 12.4 (1.6) mm2; G3 vs. G1, P < 0.001; G3 vs. G2, P = 0.03]. Mean values for regenerated collagen type 1 fibers, angiogenesis, and walking parameters were all greater for the G3-PDRN + MIC group than the other 2 groups based on histological examination and motion analysis [collagen type 1, G3: 1.60 (0.80) vs. G1: 0.45 (0.60), G2: 1.10 (0.74), G3 vs. G1, P < 0.001; G3 vs. G2, P = 0.002] [angiogenesis, G3: 2.44 (0.73) vs. G1: 0.80 (0.82) and G2: 2.06 (0.81), G3 vs. G1, P < 0.001; G3 vs. G2, P = 0.006] [walking distance, G3: 6391.4 (196.9) vs. G1: 4852.8 (137.3) and G2: 5514.4 (257.3) cm; G3 vs. G1, P < 0.001; G3 vs. G2, P < 0.001].
Conclusions
On gross morphologic, histological, and motion analysis, combined PDRN with MIC therapy was more effective than PDRN alone treating a rabbit model of chronic traumatic FTRCTT.Permalink : ./index.php?lvl=notice_display&id=91323 Exemplaires (1)
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Titre : Ethics of life-sustaining treatment in locked-in syndrome : A Chinese survey Type de document : texte imprimé Auteurs : Yifan Yan ; Athena Demertzi ; Yinyan Xia ; Jing Wang ; Nantu Hu ; Zhiliang Zhang ; Haibo Di ; Steven Laureys Année de publication : 2020 Article en page(s) : p. 483-487 Note générale : doi.org/10.1016/j.rehab.2019.09.011 Langues : Anglais (eng) Mots-clés : End-of-life Locked-in syndrome Survey Attitude Unresponsive wakefulness syndrome Résumé : Background
Locked-in syndrome (LIS) characterizes individuals who have experienced pontine lesions, who have limited motor output but with preserved cognitive abilities. Despite their severe physical impairment, individuals with LIS self-profess a higher quality of life than generally expected. Such third-person expectations about LIS are shaped by personal and cultural factors in western countries.
Objective
We sought to investigate whether such opinions are further influenced by the cultural background in East Asia. We surveyed attitudes about the ethics of life-sustaining treatment in LIS in a cohort of medical and non-medical Chinese participants.
Results
The final study sample included 1545 respondents: medical professionals (n = 597, 39%), neurologists (n = 303, 20%), legal professionals (n = 276, 18%) and other professionals (n = 369, 24%), including 180 family members of individuals with LIS. Most of the participants (70%), especially neurologists, thought that life-sustaining treatment could not be stopped in individuals with LIS. It might be unnecessary to withdraw life-sustaining treatment, because the condition involved is not terminal and irreversible, and physical treatment can be beneficial for the patient. A significant proportion (59%) of respondents would like to be kept alive if they were in that condition; however, older people thought the opposite. Families experience the stress of caring for individuals with LIS. The mean (SD) quality of life score for relatives was 0.73 (2.889) (on a −5, +5 scale), which was significantly lower than that of non-relatives, 1.75 (1.969) (P < 0.001).
Conclusions
Differences in opinions about end of life in LIS are affected by personal characteristics. The current survey did not identify a dissociation between personal preferences and general opinions, potentially because of a social uniformity in China where individualism is less pronounced. Future open-ended surveys could identify specific needs of caregivers so that strategic interventions to reduce ethical debasement are designed.Permalink : ./index.php?lvl=notice_display&id=91325
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 483-487[article] Ethics of life-sustaining treatment in locked-in syndrome : A Chinese survey [texte imprimé] / Yifan Yan ; Athena Demertzi ; Yinyan Xia ; Jing Wang ; Nantu Hu ; Zhiliang Zhang ; Haibo Di ; Steven Laureys . - 2020 . - p. 483-487.
doi.org/10.1016/j.rehab.2019.09.011
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 483-487
Mots-clés : End-of-life Locked-in syndrome Survey Attitude Unresponsive wakefulness syndrome Résumé : Background
Locked-in syndrome (LIS) characterizes individuals who have experienced pontine lesions, who have limited motor output but with preserved cognitive abilities. Despite their severe physical impairment, individuals with LIS self-profess a higher quality of life than generally expected. Such third-person expectations about LIS are shaped by personal and cultural factors in western countries.
Objective
We sought to investigate whether such opinions are further influenced by the cultural background in East Asia. We surveyed attitudes about the ethics of life-sustaining treatment in LIS in a cohort of medical and non-medical Chinese participants.
Results
The final study sample included 1545 respondents: medical professionals (n = 597, 39%), neurologists (n = 303, 20%), legal professionals (n = 276, 18%) and other professionals (n = 369, 24%), including 180 family members of individuals with LIS. Most of the participants (70%), especially neurologists, thought that life-sustaining treatment could not be stopped in individuals with LIS. It might be unnecessary to withdraw life-sustaining treatment, because the condition involved is not terminal and irreversible, and physical treatment can be beneficial for the patient. A significant proportion (59%) of respondents would like to be kept alive if they were in that condition; however, older people thought the opposite. Families experience the stress of caring for individuals with LIS. The mean (SD) quality of life score for relatives was 0.73 (2.889) (on a −5, +5 scale), which was significantly lower than that of non-relatives, 1.75 (1.969) (P < 0.001).
Conclusions
Differences in opinions about end of life in LIS are affected by personal characteristics. The current survey did not identify a dissociation between personal preferences and general opinions, potentially because of a social uniformity in China where individualism is less pronounced. Future open-ended surveys could identify specific needs of caregivers so that strategic interventions to reduce ethical debasement are designed.Permalink : ./index.php?lvl=notice_display&id=91325 Exemplaires (1)
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Titre : Urinary and fecal incontinence in stroke survivors followed in general practice : A retrospective cohort study Type de document : texte imprimé Auteurs : Louis Jacob ; Karel Kostev Année de publication : 2020 Article en page(s) : p. 488-494 Note générale : doi.org/10.1016/j.rehab.2019.12.007 Langues : Anglais (eng) Mots-clés : Urinary incontinence Fecal incontinence Stroke General practices Germany Retrospective cohort study Résumé : Background
Investigating the short- and long-term health outcomes after stroke is a public health priority.
Objectives
We aimed to analyse the incidence of urinary and fecal incontinence within 10 years of stroke in individuals followed in general practice in Germany.
Methods
Individuals who had received an initial stroke diagnosis at one of 1262 general practices in Germany between January 2006 and December 2015 were included (index date). Individuals without stroke were matched (1:1) to those with stroke based on propensity scores by using a “greedy” algorithm and logistic regression with sex, age, index year, and 17 comorbidities diagnosed in the 12 months before the index date. The main outcome of the study was the incidence of urinary and fecal incontinence within 10 years of stroke.
Results
This study analysed data for 16,181 individuals with stroke and 16,181 without stroke. Within 10 years of the index date, 22% and 11% of men with and without stroke received a diagnosis of urinary incontinence (log-rank P < 0.001); the prevalence of urinary incontinence was 34% in female stroke survivors and 17% in females with no history of stroke (log-rank P < 0.001). The respective proportions of fecal incontinence were 5% and 2% for men (log-rank P < 0.001) and 6% and 3% for women (log-rank P < 0.001). Overall, stroke was positively associated with both urinary incontinence (men: hazard ratio [HR] 2.34, 95% confidence interval [CI] 2.10–2.61; women: HR 2.36, 95% CI 2.14–2.61) and fecal incontinence (men: HR 2.43, 95% CI 1.88–3.13; women: HR 2.60, 95% CI 1.98–3.41).
Conclusion
This study, using data from Germany, suggests that general practitioners should regularly screen for urinary and fecal incontinence in the decade following stroke.Permalink : ./index.php?lvl=notice_display&id=91326
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 488-494[article] Urinary and fecal incontinence in stroke survivors followed in general practice : A retrospective cohort study [texte imprimé] / Louis Jacob ; Karel Kostev . - 2020 . - p. 488-494.
doi.org/10.1016/j.rehab.2019.12.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 488-494
Mots-clés : Urinary incontinence Fecal incontinence Stroke General practices Germany Retrospective cohort study Résumé : Background
Investigating the short- and long-term health outcomes after stroke is a public health priority.
Objectives
We aimed to analyse the incidence of urinary and fecal incontinence within 10 years of stroke in individuals followed in general practice in Germany.
Methods
Individuals who had received an initial stroke diagnosis at one of 1262 general practices in Germany between January 2006 and December 2015 were included (index date). Individuals without stroke were matched (1:1) to those with stroke based on propensity scores by using a “greedy” algorithm and logistic regression with sex, age, index year, and 17 comorbidities diagnosed in the 12 months before the index date. The main outcome of the study was the incidence of urinary and fecal incontinence within 10 years of stroke.
Results
This study analysed data for 16,181 individuals with stroke and 16,181 without stroke. Within 10 years of the index date, 22% and 11% of men with and without stroke received a diagnosis of urinary incontinence (log-rank P < 0.001); the prevalence of urinary incontinence was 34% in female stroke survivors and 17% in females with no history of stroke (log-rank P < 0.001). The respective proportions of fecal incontinence were 5% and 2% for men (log-rank P < 0.001) and 6% and 3% for women (log-rank P < 0.001). Overall, stroke was positively associated with both urinary incontinence (men: hazard ratio [HR] 2.34, 95% confidence interval [CI] 2.10–2.61; women: HR 2.36, 95% CI 2.14–2.61) and fecal incontinence (men: HR 2.43, 95% CI 1.88–3.13; women: HR 2.60, 95% CI 1.98–3.41).
Conclusion
This study, using data from Germany, suggests that general practitioners should regularly screen for urinary and fecal incontinence in the decade following stroke.Permalink : ./index.php?lvl=notice_display&id=91326 Exemplaires (1)
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Titre : Pelvic floor muscle activity patterns in women with and without stress urinary incontinence while running Type de document : texte imprimé Auteurs : Irene Koening ; Patric Eichelberger ; Monika Leitner ; Helene Moser ; Annette Kuhn ; Jan Taeymans ; Lorenz Radlinger Année de publication : 2020 Article en page(s) : p. 495-499 Note générale : doi.org/10.1016/j.rehab.2019.09.013 Langues : Anglais (eng) Mots-clés : Activation analysis Electromyography Wavelet analysis Motor unit recruitment Jogging Résumé : Background
High-impact activities are often related to urine leakage in women, so deeper insight into continence mechanisms of pelvic floor muscles (PFMs) while running is needed. Therefore, simultaneous information about the intensity of PFM muscle activity and fibre recruitment behavior at each time point of the gait cycle can help in understanding PFM activity patterns.
Objective
We aimed to analyse spectral changes of the pre- and post-initial contact phase during running at 3 different speeds and to compare women with stress urinary continence (SUI) to those without SUI by using a wavelet approach.
Methods
PFM electromyography (EMG) was recorded during 7, 11 and 15 km/h treadmill running and analysed with Morse wavelets. The relative distribution of power was extracted during 6 time intervals of 30 ms, from 30 ms before to 150 ms after initial contact.
Results
We included 28 women without SUI (mean [SD] age 38.9 [10.3] years) and 21 with SUI (mean age 46.1 [9.9] years). The groups did not differ in power spectra for each time interval. However, we found significantly less EMG intensity in the lower frequency bands but more intensity in the higher frequency bands in the pre-initial contact phase than at post-initial contact.
Conclusion
Morse wavelets could be used to extract differences between pre- and post-initial contact activation behavior of PFMs during different running speeds as well as spectral changes toward high or low frequencies. This information sheds light on specific differences in involuntary reflexive activation patterns while running. Muscular preparation and adaptation a few milliseconds before initial contact could be helpful.Permalink : ./index.php?lvl=notice_display&id=91462
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 495-499[article] Pelvic floor muscle activity patterns in women with and without stress urinary incontinence while running [texte imprimé] / Irene Koening ; Patric Eichelberger ; Monika Leitner ; Helene Moser ; Annette Kuhn ; Jan Taeymans ; Lorenz Radlinger . - 2020 . - p. 495-499.
doi.org/10.1016/j.rehab.2019.09.013
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 495-499
Mots-clés : Activation analysis Electromyography Wavelet analysis Motor unit recruitment Jogging Résumé : Background
High-impact activities are often related to urine leakage in women, so deeper insight into continence mechanisms of pelvic floor muscles (PFMs) while running is needed. Therefore, simultaneous information about the intensity of PFM muscle activity and fibre recruitment behavior at each time point of the gait cycle can help in understanding PFM activity patterns.
Objective
We aimed to analyse spectral changes of the pre- and post-initial contact phase during running at 3 different speeds and to compare women with stress urinary continence (SUI) to those without SUI by using a wavelet approach.
Methods
PFM electromyography (EMG) was recorded during 7, 11 and 15 km/h treadmill running and analysed with Morse wavelets. The relative distribution of power was extracted during 6 time intervals of 30 ms, from 30 ms before to 150 ms after initial contact.
Results
We included 28 women without SUI (mean [SD] age 38.9 [10.3] years) and 21 with SUI (mean age 46.1 [9.9] years). The groups did not differ in power spectra for each time interval. However, we found significantly less EMG intensity in the lower frequency bands but more intensity in the higher frequency bands in the pre-initial contact phase than at post-initial contact.
Conclusion
Morse wavelets could be used to extract differences between pre- and post-initial contact activation behavior of PFMs during different running speeds as well as spectral changes toward high or low frequencies. This information sheds light on specific differences in involuntary reflexive activation patterns while running. Muscular preparation and adaptation a few milliseconds before initial contact could be helpful.Permalink : ./index.php?lvl=notice_display&id=91462 Exemplaires (1)
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Titre : Barthel Index and modified Rankin Scale : Psychometric properties during medication phases in idiopathic Parkinson disease Type de document : texte imprimé Auteurs : Ghorban Taghizadeh ; Pablo Martinez-Martin ; Mahsa Meimandi ; Sayed Amir Hasan Habibi ; Shamsi Jamali ; Arian Dehmiyani ; Siavash Rostami ; Alieh Mahmuodi ; Maryam Mehdizadeh ; Seyed-Mohammad Fereshtehnejad Année de publication : 2020 Article en page(s) : p. 500-504 Note générale : doi.org/10.1016/j.rehab.2019.08.006 Langues : Anglais (eng) Mots-clés : Idiopathic Parkinson disease Disability measures Reliability ON and OFF medication Validity Résumé : Background
Independence in activities of daily living (ADL) is one of the most important aspects in planning treatment for people with Parkinson disease (PD). The Barthel Index (BI) and modified Rankin Scale (mRS) are commonly used in neurological diseases.
Objective
This study was conducted to confirm the validity and reliability of the BI and mRS in PD during ON and OFF medication phases.
Methods
We included 260 individuals with a diagnosis of idiopathic PD. The disability in ADL was measured by the BI, mRS, Parkinson's Disease Questionnaire-39 (PDQ-39), Unified Parkinson Disease Rating Scale-Activities of Daily Living (UPDRS-ADL), and Schwab and England ADL scale (SE). Test–retest, inter-rater reliability, and internal consistency were assessed by the intra-class correlation (ICC) and Cronbach α coefficients. Dimensionality was evaluated by factor analysis. Convergent validity was assessed by the SE, Berg Balance Scale (BBS), PDQ-39 and UPDRS-ADL.
Results
For the 260 participants (187 [71.9%] males; mean [SD] age 60.3 [12.3] years), both the BI and mRS achieved an acceptable level of test–retest and inter-rater reliability (ICC = 0.77 to 0.91) in ON and OFF medication phases. The Cronbach α for BI was 0.85 and 0.88, respectively. We found 1 and 2 factors for BI in ON and OFF phases, respectively. Investigation of convergent validity showed moderate to high correlation for the BI with the UPDRS-ADL, SE, PDQ-39 (ADL), BBS and mRS scores in ON and OFF phases (ρ = 0.51–0.74) and mRS with SE, UPDRS-ADL, PDQ-39 (ADL) and BBS scores (ρ = 0.48–0.82).
Conclusion
The BI and mRS showed acceptable validity and reliability to measure the degree of disability in patients with PD in daily activities in both ON and OFF medication phases.Permalink : ./index.php?lvl=notice_display&id=91463
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 500-504[article] Barthel Index and modified Rankin Scale : Psychometric properties during medication phases in idiopathic Parkinson disease [texte imprimé] / Ghorban Taghizadeh ; Pablo Martinez-Martin ; Mahsa Meimandi ; Sayed Amir Hasan Habibi ; Shamsi Jamali ; Arian Dehmiyani ; Siavash Rostami ; Alieh Mahmuodi ; Maryam Mehdizadeh ; Seyed-Mohammad Fereshtehnejad . - 2020 . - p. 500-504.
doi.org/10.1016/j.rehab.2019.08.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 500-504
Mots-clés : Idiopathic Parkinson disease Disability measures Reliability ON and OFF medication Validity Résumé : Background
Independence in activities of daily living (ADL) is one of the most important aspects in planning treatment for people with Parkinson disease (PD). The Barthel Index (BI) and modified Rankin Scale (mRS) are commonly used in neurological diseases.
Objective
This study was conducted to confirm the validity and reliability of the BI and mRS in PD during ON and OFF medication phases.
Methods
We included 260 individuals with a diagnosis of idiopathic PD. The disability in ADL was measured by the BI, mRS, Parkinson's Disease Questionnaire-39 (PDQ-39), Unified Parkinson Disease Rating Scale-Activities of Daily Living (UPDRS-ADL), and Schwab and England ADL scale (SE). Test–retest, inter-rater reliability, and internal consistency were assessed by the intra-class correlation (ICC) and Cronbach α coefficients. Dimensionality was evaluated by factor analysis. Convergent validity was assessed by the SE, Berg Balance Scale (BBS), PDQ-39 and UPDRS-ADL.
Results
For the 260 participants (187 [71.9%] males; mean [SD] age 60.3 [12.3] years), both the BI and mRS achieved an acceptable level of test–retest and inter-rater reliability (ICC = 0.77 to 0.91) in ON and OFF medication phases. The Cronbach α for BI was 0.85 and 0.88, respectively. We found 1 and 2 factors for BI in ON and OFF phases, respectively. Investigation of convergent validity showed moderate to high correlation for the BI with the UPDRS-ADL, SE, PDQ-39 (ADL), BBS and mRS scores in ON and OFF phases (ρ = 0.51–0.74) and mRS with SE, UPDRS-ADL, PDQ-39 (ADL) and BBS scores (ρ = 0.48–0.82).
Conclusion
The BI and mRS showed acceptable validity and reliability to measure the degree of disability in patients with PD in daily activities in both ON and OFF medication phases.Permalink : ./index.php?lvl=notice_display&id=91463 Exemplaires (1)
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Titre : Tai Chi for improving balance and reducing falls : An overview of 14 systematic reviews Type de document : texte imprimé Auteurs : Dongling Zhong ; Qiwei Xiao ; Xili Xiao ; Yuxi Li ; Lina Xia ; Chi Zhang ; Juan Li ; Hui Zheng ; Rongjiang Jin Année de publication : 2020 Article en page(s) : p. 505-517 Note générale : doi.org/10.1016/j.rehab.2019.12.008 Langues : Anglais (eng) Mots-clés : Tai Chi Balance Falls AMSTAR 2 ROBIS PRISMA GRADE Overview Résumé : Background
Falls play a pivotal role in the cause of injury or death and have become a public health problem, especially for older people. Tai Chi may be an effective approach to improving balance and reducing falls. However, the conclusions of systematic reviews (SRs) have been inconsistent and the quality needs to be appraised critically.
Objective
To provide an overview of the methodological quality, risk of bias and reporting quality as well as quality of evidence of SRs of Tai Chi for improving balance and reducing falls.
Methods
We conducted a systematic search of English- and Chinese-language SRs in 8 electronic databases, from inception to October 2019. The methodological quality, risk of bias, reporting quality and the quality of evidence were independently assessed by 2 reviewers who used the A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2), Risk of Bias in Systematic reviews (ROBIS), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Grades of Recommendations, Assessment, Development and Evaluation (GRADE). Primary outcomes were fall rate and the Berg Balance Scale score in older people and people with Parkinson disease. Secondary outcomes included these outcomes in stroke, osteoarthritis and heart failure.
Results
A total of 14 relevant SRs were included: 13 were rated critically low quality and 1 was rated low quality by AMSTAR 2. By the ROBIS, all SRs were rated low risk in Phase 1 (assessing relevance) and Domain 1 of Phase 2 (study eligibility criteria). With regard to Domain 2, assessing the identification and selection of studies, 3 (21.4%) SRs were rated low risk. Eleven (71.4%) were rated low risk in Domain 3 (data collection and study appraisal), 11 (71.4%) were rated low risk in Domain 4 (synthesis and findings), and 9 (64.3%) were rated low risk in Phase 3 (risk of bias in the review). According to PRISMA, the reporting was relatively complete, but there were still some reporting flaws in the topic of protocol and registration (2/14, 14.3%), search strategy (5/14, 35.7%), risk of bias (6/14, 42.9%), additional analyses (6/14, 42.9%) and funding (4/14, 28.6%). Among the 14 SRs, Tai Chi had benefits for improving balance and reducing falls in older people and people with Parkinson disease; however, no definitive conclusions could be drawn for its effectiveness in stroke, osteoarthritis and heart failure. The level of evidence for fall rate was “moderate” to “high” for older people and “low” for those with Parkinson disease. The level of evidence of the Berg Balance Scale was “low” to “moderate” for older people and “low” for those with Parkinson disease. Among the downgraded factors, imprecision was the most common, followed by inconsistency and publication bias.
Conclusions
Tai Chi may be beneficial for improving balance and reducing falls in older people and those with Parkinson disease. Because of limitations and inconsistent conclusions, further rigorous, normative and comprehensive SRs are needed to provide robust evidence for definitive conclusions.Permalink : ./index.php?lvl=notice_display&id=91464
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 505-517[article] Tai Chi for improving balance and reducing falls : An overview of 14 systematic reviews [texte imprimé] / Dongling Zhong ; Qiwei Xiao ; Xili Xiao ; Yuxi Li ; Lina Xia ; Chi Zhang ; Juan Li ; Hui Zheng ; Rongjiang Jin . - 2020 . - p. 505-517.
doi.org/10.1016/j.rehab.2019.12.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 505-517
Mots-clés : Tai Chi Balance Falls AMSTAR 2 ROBIS PRISMA GRADE Overview Résumé : Background
Falls play a pivotal role in the cause of injury or death and have become a public health problem, especially for older people. Tai Chi may be an effective approach to improving balance and reducing falls. However, the conclusions of systematic reviews (SRs) have been inconsistent and the quality needs to be appraised critically.
Objective
To provide an overview of the methodological quality, risk of bias and reporting quality as well as quality of evidence of SRs of Tai Chi for improving balance and reducing falls.
Methods
We conducted a systematic search of English- and Chinese-language SRs in 8 electronic databases, from inception to October 2019. The methodological quality, risk of bias, reporting quality and the quality of evidence were independently assessed by 2 reviewers who used the A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2), Risk of Bias in Systematic reviews (ROBIS), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Grades of Recommendations, Assessment, Development and Evaluation (GRADE). Primary outcomes were fall rate and the Berg Balance Scale score in older people and people with Parkinson disease. Secondary outcomes included these outcomes in stroke, osteoarthritis and heart failure.
Results
A total of 14 relevant SRs were included: 13 were rated critically low quality and 1 was rated low quality by AMSTAR 2. By the ROBIS, all SRs were rated low risk in Phase 1 (assessing relevance) and Domain 1 of Phase 2 (study eligibility criteria). With regard to Domain 2, assessing the identification and selection of studies, 3 (21.4%) SRs were rated low risk. Eleven (71.4%) were rated low risk in Domain 3 (data collection and study appraisal), 11 (71.4%) were rated low risk in Domain 4 (synthesis and findings), and 9 (64.3%) were rated low risk in Phase 3 (risk of bias in the review). According to PRISMA, the reporting was relatively complete, but there were still some reporting flaws in the topic of protocol and registration (2/14, 14.3%), search strategy (5/14, 35.7%), risk of bias (6/14, 42.9%), additional analyses (6/14, 42.9%) and funding (4/14, 28.6%). Among the 14 SRs, Tai Chi had benefits for improving balance and reducing falls in older people and people with Parkinson disease; however, no definitive conclusions could be drawn for its effectiveness in stroke, osteoarthritis and heart failure. The level of evidence for fall rate was “moderate” to “high” for older people and “low” for those with Parkinson disease. The level of evidence of the Berg Balance Scale was “low” to “moderate” for older people and “low” for those with Parkinson disease. Among the downgraded factors, imprecision was the most common, followed by inconsistency and publication bias.
Conclusions
Tai Chi may be beneficial for improving balance and reducing falls in older people and those with Parkinson disease. Because of limitations and inconsistent conclusions, further rigorous, normative and comprehensive SRs are needed to provide robust evidence for definitive conclusions.Permalink : ./index.php?lvl=notice_display&id=91464 Exemplaires (1)
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Titre : Effects of robotic gait training after stroke : A meta-analysis Type de document : texte imprimé Auteurs : Geoffroy Moucheboeuf ; Romain Griffier ; David Gasq ; Bertrand Glize ; Laurent Bouyer ; Patrick Dehail ; Hélène Cassoudesalle Année de publication : 2020 Article en page(s) : p. 518-534 Note générale : doi.org/10.1016/j.rehab.2020.02.008 Langues : Anglais (eng) Mots-clés : Stroke Robot-assisted gait training Exoskeleton End-effector Gait Walking Rehabilitation Résumé : Background
Robotic devices are often used in rehabilitation and might be efficient to improve walking capacity after stroke.
Objective
First to investigate the effects of robot-assisted gait training after stroke and second to explain the observed heterogeneity of results in previous meta-analyses.
Methods
All randomized controlled trials investigating exoskeletons or end-effector devices in adult patients with stroke were searched in databases (MEDLINE, EMBASE, CENTRAL, CINAHL, OPENGREY, OPENSIGLE, PEDRO, WEB OF SCIENCE, CLINICAL TRIALS, conference proceedings) from inception to November 2019, as were bibliographies of previous meta-analyses, independently by 2 reviewers. The following variables collected before and after the rehabilitation program were gait speed, gait endurance, Berg Balance Scale (BBS), Functional Ambulation Classification (FAC) and Timed Up and Go scores. We also extracted data on randomization method, blinding of outcome assessors, drop-outs, intention (or not) to treat, country, number of participants, disease duration, mean age, features of interventions, and date of outcomes assessment.
Results
We included 33 studies involving 1466 participants. On analysis by subgroups of intervention, as compared with physiotherapy alone, physiotherapy combined with body-weight support training and robot-assisted gait training conferred greater improvement in gait speed (+0.09 m/s, 95% confidence interval [CI] 0.03 to 0.15; p = 0.002), FAC scores (+0.51, 95% CI 0.07 to 0.95; p = 0.022) and BBS scores (+4.16, 95% CI 2.60 to 5.71; p = 0.000). A meta-regression analysis suggested that these results were underestimated by the attrition bias of studies.
Conclusions
Robot-assisted gait training combined with physiotherapy and body-weight support training seems an efficient intervention for gait recovery after stroke.Permalink : ./index.php?lvl=notice_display&id=91465
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 518-534[article] Effects of robotic gait training after stroke : A meta-analysis [texte imprimé] / Geoffroy Moucheboeuf ; Romain Griffier ; David Gasq ; Bertrand Glize ; Laurent Bouyer ; Patrick Dehail ; Hélène Cassoudesalle . - 2020 . - p. 518-534.
doi.org/10.1016/j.rehab.2020.02.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 518-534
Mots-clés : Stroke Robot-assisted gait training Exoskeleton End-effector Gait Walking Rehabilitation Résumé : Background
Robotic devices are often used in rehabilitation and might be efficient to improve walking capacity after stroke.
Objective
First to investigate the effects of robot-assisted gait training after stroke and second to explain the observed heterogeneity of results in previous meta-analyses.
Methods
All randomized controlled trials investigating exoskeletons or end-effector devices in adult patients with stroke were searched in databases (MEDLINE, EMBASE, CENTRAL, CINAHL, OPENGREY, OPENSIGLE, PEDRO, WEB OF SCIENCE, CLINICAL TRIALS, conference proceedings) from inception to November 2019, as were bibliographies of previous meta-analyses, independently by 2 reviewers. The following variables collected before and after the rehabilitation program were gait speed, gait endurance, Berg Balance Scale (BBS), Functional Ambulation Classification (FAC) and Timed Up and Go scores. We also extracted data on randomization method, blinding of outcome assessors, drop-outs, intention (or not) to treat, country, number of participants, disease duration, mean age, features of interventions, and date of outcomes assessment.
Results
We included 33 studies involving 1466 participants. On analysis by subgroups of intervention, as compared with physiotherapy alone, physiotherapy combined with body-weight support training and robot-assisted gait training conferred greater improvement in gait speed (+0.09 m/s, 95% confidence interval [CI] 0.03 to 0.15; p = 0.002), FAC scores (+0.51, 95% CI 0.07 to 0.95; p = 0.022) and BBS scores (+4.16, 95% CI 2.60 to 5.71; p = 0.000). A meta-regression analysis suggested that these results were underestimated by the attrition bias of studies.
Conclusions
Robot-assisted gait training combined with physiotherapy and body-weight support training seems an efficient intervention for gait recovery after stroke.Permalink : ./index.php?lvl=notice_display&id=91465 Exemplaires (1)
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Titre : Clinical non-superiority of technology-assisted gait training with body weight support in patients with subacute stroke : A meta-analysis Type de document : texte imprimé Auteurs : Chih-Yang Hsu ; Yu-Hsuan Cheng ; Chien-Hung Lai ; Yen-Nung Lin Année de publication : 2020 Article en page(s) : p. 535-542 Note générale : doi.org/10.1016/j.rehab.2019.09.009 Langues : Anglais (eng) Mots-clés : Stroke rehabilitation Robotics Body-weight-support Treadmill Gait Résumé : Background
Technology-assisted gait training (TAGT) with body weight support (BWS) has been designed to provide high numbers of repetitions during stepping practice, but its benefits have been inconclusive.
Objective
We evaluated the superiority of TAGT over conventional overground training (COT) to judge the clinical benefits.
Methods
We searched PubMed, Embase and Web of Science databases from their earliest record to July 1, 2019 and included randomized controlled trials of TAGT with BWS, such as robot-assisted gait training and body weight-supported treadmill training, for treating walking disability in patients within 6 months after stroke. We conducted a meta-analysis of the outcomes motor impairment, mobility capacity, walking speed, endurance and fitness, balance, and activities of daily living as well as subgroup analyses of initial ambulatory ability and stroke duration.
Results
Among 14 robotics and 10 body weight-supported treadmill studies included for review, 23 studies involving 1452 participants contributed to the meta-analysis. We found no significant standardized mean differences between TAGT and COT (P > 0.05) across all outcome categories in the robotics subgroup, the body weight-supported treadmill subgroup, or both subgroups combined, for both the short and long term. Further subgroup analyses also revealed non-significant standardized mean differences (P > 0.05) across all outcomes in the subgroups initially ambulatory, non-ambulatory, or stroke duration less than 3 months.
Conclusions
TAGT with BWS was not superior to COT in improving post-stroke recovery in patients with subacute stroke. Strategies other than simply increasing the repetitions by external assistance may be considered to augment the treatment effects of TAGT.Permalink : ./index.php?lvl=notice_display&id=91466
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 535-542[article] Clinical non-superiority of technology-assisted gait training with body weight support in patients with subacute stroke : A meta-analysis [texte imprimé] / Chih-Yang Hsu ; Yu-Hsuan Cheng ; Chien-Hung Lai ; Yen-Nung Lin . - 2020 . - p. 535-542.
doi.org/10.1016/j.rehab.2019.09.009
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 535-542
Mots-clés : Stroke rehabilitation Robotics Body-weight-support Treadmill Gait Résumé : Background
Technology-assisted gait training (TAGT) with body weight support (BWS) has been designed to provide high numbers of repetitions during stepping practice, but its benefits have been inconclusive.
Objective
We evaluated the superiority of TAGT over conventional overground training (COT) to judge the clinical benefits.
Methods
We searched PubMed, Embase and Web of Science databases from their earliest record to July 1, 2019 and included randomized controlled trials of TAGT with BWS, such as robot-assisted gait training and body weight-supported treadmill training, for treating walking disability in patients within 6 months after stroke. We conducted a meta-analysis of the outcomes motor impairment, mobility capacity, walking speed, endurance and fitness, balance, and activities of daily living as well as subgroup analyses of initial ambulatory ability and stroke duration.
Results
Among 14 robotics and 10 body weight-supported treadmill studies included for review, 23 studies involving 1452 participants contributed to the meta-analysis. We found no significant standardized mean differences between TAGT and COT (P > 0.05) across all outcome categories in the robotics subgroup, the body weight-supported treadmill subgroup, or both subgroups combined, for both the short and long term. Further subgroup analyses also revealed non-significant standardized mean differences (P > 0.05) across all outcomes in the subgroups initially ambulatory, non-ambulatory, or stroke duration less than 3 months.
Conclusions
TAGT with BWS was not superior to COT in improving post-stroke recovery in patients with subacute stroke. Strategies other than simply increasing the repetitions by external assistance may be considered to augment the treatment effects of TAGT.Permalink : ./index.php?lvl=notice_display&id=91466 Exemplaires (1)
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Titre : Sleep disorders in aging polio survivors : A systematic review Type de document : texte imprimé Auteurs : Antoine Léotard ; Jonathan Lévy ; Sarah Hartley ; Avril Pages ; François Genêt ; Frédéric Lofaso ; Hélène Prigent ; Maria Antonia Quera-Salva Année de publication : 2020 Article en page(s) : p. 543-553 Note générale : doi.org/10.1016/j.rehab.2019.10.007 Langues : Anglais (eng) Mots-clés : Sleep disordered breathing Sleep apnea syndrome Restless legs syndrome Periodic leg movements Poliomyelitis Post-polio syndrome Résumé : Background
Sleep disturbances, especially sleep disordered breathing and sleep movement disorders, seem to be highly prevalent among aging polio survivors. They could contribute to late functional deterioration, fatigue, poor quality of life and negative health outcomes, thereby increasing cardiovascular risk.
Objectives
This review focused on current knowledge of the prevalence of sleep disorders in polio survivors, their features, predictive factors and management.
Data sources
Articles were searched in PubMed and the Cochrane Library up to March 2018.
Study eligibility criteria, participants and interventions
Articles needed to 1) be written in English; 2) include only participants with previous poliomyelitis or post-polio syndrome diagnosis; and 3) involve any form of sleep disorders. Articles about isolated fatigue or non-specific sleep complaints as well as non-polio specific articles (neuromuscular disorders) were not included in the qualitative analysis.
Results
Among 166 studies identified, 41 were included in this review. The prevalence of sleep apnea syndrome, nocturnal alveolar hypoventilation and restless legs syndrome seemed higher than in the general population (from 7.3% to 65%, 15% to 20% and 28% to 63%, respectively). This review highlights the lack of randomised studies assessing sleep disorder management in this specific population.
Limitations
Because of the small number of eligible publications, none was excluded for methodological limitations, and only a qualitative analysis was provided.
Conclusions and implications
Follow-up of polio survivors should include systematic screening for sleep disorders because they are associated with adverse consequences. Sleep disorder evaluation and management should improve the long-term survival and quality of life of polio survivors. Methodologically robust clinical trials are needed, but the decreasing prevalence and large clinical spectrum of the disease may complicate the creation of comparable groups.Permalink : ./index.php?lvl=notice_display&id=91467
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 543-553[article] Sleep disorders in aging polio survivors : A systematic review [texte imprimé] / Antoine Léotard ; Jonathan Lévy ; Sarah Hartley ; Avril Pages ; François Genêt ; Frédéric Lofaso ; Hélène Prigent ; Maria Antonia Quera-Salva . - 2020 . - p. 543-553.
doi.org/10.1016/j.rehab.2019.10.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 543-553
Mots-clés : Sleep disordered breathing Sleep apnea syndrome Restless legs syndrome Periodic leg movements Poliomyelitis Post-polio syndrome Résumé : Background
Sleep disturbances, especially sleep disordered breathing and sleep movement disorders, seem to be highly prevalent among aging polio survivors. They could contribute to late functional deterioration, fatigue, poor quality of life and negative health outcomes, thereby increasing cardiovascular risk.
Objectives
This review focused on current knowledge of the prevalence of sleep disorders in polio survivors, their features, predictive factors and management.
Data sources
Articles were searched in PubMed and the Cochrane Library up to March 2018.
Study eligibility criteria, participants and interventions
Articles needed to 1) be written in English; 2) include only participants with previous poliomyelitis or post-polio syndrome diagnosis; and 3) involve any form of sleep disorders. Articles about isolated fatigue or non-specific sleep complaints as well as non-polio specific articles (neuromuscular disorders) were not included in the qualitative analysis.
Results
Among 166 studies identified, 41 were included in this review. The prevalence of sleep apnea syndrome, nocturnal alveolar hypoventilation and restless legs syndrome seemed higher than in the general population (from 7.3% to 65%, 15% to 20% and 28% to 63%, respectively). This review highlights the lack of randomised studies assessing sleep disorder management in this specific population.
Limitations
Because of the small number of eligible publications, none was excluded for methodological limitations, and only a qualitative analysis was provided.
Conclusions and implications
Follow-up of polio survivors should include systematic screening for sleep disorders because they are associated with adverse consequences. Sleep disorder evaluation and management should improve the long-term survival and quality of life of polio survivors. Methodologically robust clinical trials are needed, but the decreasing prevalence and large clinical spectrum of the disease may complicate the creation of comparable groups.Permalink : ./index.php?lvl=notice_display&id=91467 Exemplaires (1)
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Titre : People with Charcot-Marie-Tooth disease and COVID-19 : Impaired physical conditions due to the lockdown. An International cross-sectional survey Type de document : texte imprimé Auteurs : Valerie Prada ; Merhnaz Hamedani ; Filippo Genovese ; Angela Zuppa ; Luana Benedetti ; Emilia Bellone ; Marina Grandis ; Paola Mandich ; Angelo Schenone Année de publication : 2020 Article en page(s) : p. 557-559 Note générale : doi.org/10.1016/j.rehab.2020.10.001 Langues : Anglais (eng) Mots-clés : Charcot-Marie-Tooth disease Neuromuscular disorders COVID-19 Neuropathies Permalink : ./index.php?lvl=notice_display&id=91469
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 557-559[article] People with Charcot-Marie-Tooth disease and COVID-19 : Impaired physical conditions due to the lockdown. An International cross-sectional survey [texte imprimé] / Valerie Prada ; Merhnaz Hamedani ; Filippo Genovese ; Angela Zuppa ; Luana Benedetti ; Emilia Bellone ; Marina Grandis ; Paola Mandich ; Angelo Schenone . - 2020 . - p. 557-559.
doi.org/10.1016/j.rehab.2020.10.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 557-559
Mots-clés : Charcot-Marie-Tooth disease Neuromuscular disorders COVID-19 Neuropathies Permalink : ./index.php?lvl=notice_display&id=91469 Exemplaires (1)
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Titre : Minimizing infectious spread during fabrication of casts and orthotics for hand fractures in COVID-19 patients Type de document : texte imprimé Auteurs : Dawn Chia ; Janis Yeo Année de publication : 2020 Article en page(s) : p. 560-562 Note générale : doi.org/10.1016/j.rehab.2020.07.001 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91470
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 560-562[article] Minimizing infectious spread during fabrication of casts and orthotics for hand fractures in COVID-19 patients [texte imprimé] / Dawn Chia ; Janis Yeo . - 2020 . - p. 560-562.
doi.org/10.1016/j.rehab.2020.07.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 560-562
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Titre : Adoption of telerehabilitation in a developing country before and during the COVID-19 pandemic Type de document : texte imprimé Auteurs : Carl Froilan D. Leochico Année de publication : 2020 Article en page(s) : p. 563-564 Note générale : doi.org/10.1016/j.rehab.2020.06.001 Langues : Anglais (eng) Mots-clés : Healthcare delivery Telehealth Telemedicine Telerehabilitation COVID-19 Permalink : ./index.php?lvl=notice_display&id=91471
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 563-564[article] Adoption of telerehabilitation in a developing country before and during the COVID-19 pandemic [texte imprimé] / Carl Froilan D. Leochico . - 2020 . - p. 563-564.
doi.org/10.1016/j.rehab.2020.06.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 563-564
Mots-clés : Healthcare delivery Telehealth Telemedicine Telerehabilitation COVID-19 Permalink : ./index.php?lvl=notice_display&id=91471 Exemplaires (1)
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Titre : Heterotopic ossification in COVID-19 : A series of 4 cases Type de document : texte imprimé Auteurs : C. Meyer ; M.-A. Haustrate ; J.F. Nisolle ; Thierry Deltombe Année de publication : 2020 Article en page(s) : p. 565-567 Note générale : doi.org/10.1016/j.rehab.2020.09.010 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91472
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 565-567[article] Heterotopic ossification in COVID-19 : A series of 4 cases [texte imprimé] / C. Meyer ; M.-A. Haustrate ; J.F. Nisolle ; Thierry Deltombe . - 2020 . - p. 565-567.
doi.org/10.1016/j.rehab.2020.09.010
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 565-567
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Titre : Efficacy of injections of botulinum toxin-A for improving drooling and quality of life in disabled patients Type de document : texte imprimé Auteurs : Thibaut Beranger ; Adeline Pierache ; Zoé Loffer ; Vincent Tiffreau ; Joël Ferri ; Romain Nicot Année de publication : 2020 Article en page(s) : p. 568-569 Note générale : doi.org/10.1016/j.rehab.2019.11.004 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91473
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 568-569[article] Efficacy of injections of botulinum toxin-A for improving drooling and quality of life in disabled patients [texte imprimé] / Thibaut Beranger ; Adeline Pierache ; Zoé Loffer ; Vincent Tiffreau ; Joël Ferri ; Romain Nicot . - 2020 . - p. 568-569.
doi.org/10.1016/j.rehab.2019.11.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 568-569
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Titre : Effect of multidisciplinary rehabilitation on sleep outcomes in individuals with preclinical Huntington disease : An exploratory study Type de document : texte imprimé Auteurs : Danielle Bartlett ; Govinda Poudel ; Kathleen J. Maddison ; Amit Lampit ; Linda Dann ; Peter R. Eastwood ; Alpar S. Lazar ; Mel R. Ziman ; Travis M. Cruickshank Année de publication : 2020 Article en page(s) : p. 570-573 Note générale : doi.org/10.1016/j.rehab.2019.11.003 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91474
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 570-573[article] Effect of multidisciplinary rehabilitation on sleep outcomes in individuals with preclinical Huntington disease : An exploratory study [texte imprimé] / Danielle Bartlett ; Govinda Poudel ; Kathleen J. Maddison ; Amit Lampit ; Linda Dann ; Peter R. Eastwood ; Alpar S. Lazar ; Mel R. Ziman ; Travis M. Cruickshank . - 2020 . - p. 570-573.
doi.org/10.1016/j.rehab.2019.11.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 570-573
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Titre : A short educational program to reduce barriers to physical activity in patients with coronary artery disease Type de document : texte imprimé Auteurs : Joffrey Drigny ; Vincent Gremeaux ; Anthony Peullier ; Emmanuel Reboursière ; Alexis Ruet ; Charles Joussain Année de publication : 2020 Article en page(s) : p. 574-577 Note générale : doi.org/10.1016/j.rehab.2019.12.004 Langues : Anglais (eng) Mots-clés : Coronary artery disease Physical activity Intervention Behavioral Barriers Permalink : ./index.php?lvl=notice_display&id=91475
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 574-577[article] A short educational program to reduce barriers to physical activity in patients with coronary artery disease [texte imprimé] / Joffrey Drigny ; Vincent Gremeaux ; Anthony Peullier ; Emmanuel Reboursière ; Alexis Ruet ; Charles Joussain . - 2020 . - p. 574-577.
doi.org/10.1016/j.rehab.2019.12.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 574-577
Mots-clés : Coronary artery disease Physical activity Intervention Behavioral Barriers Permalink : ./index.php?lvl=notice_display&id=91475 Exemplaires (1)
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Titre : Interplay of Pisa syndrome and scoliosis in individuals with Parkinson's disease treated with bilateral stimulation of subthalamic nuclei: IPOLAP study Type de document : texte imprimé Auteurs : Dominic Pérennou ; Marie Jaeger ; Bettina Debu ; Valérie Fraix ; Adélaïde Marquer ; Paul Krack ; Céline Piscicelli ; Anna Castrioto Année de publication : 2020 Article en page(s) : p. 578-580 Langues : Anglais (eng) Mots-clés : Pisa syndrome Scoliosis Trunk tilt Trunk imbalance Plumb line Rehabilitation Résumé : doi.org/10.1016/j.rehab.2020.02.001 Permalink : ./index.php?lvl=notice_display&id=91476
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 578-580[article] Interplay of Pisa syndrome and scoliosis in individuals with Parkinson's disease treated with bilateral stimulation of subthalamic nuclei: IPOLAP study [texte imprimé] / Dominic Pérennou ; Marie Jaeger ; Bettina Debu ; Valérie Fraix ; Adélaïde Marquer ; Paul Krack ; Céline Piscicelli ; Anna Castrioto . - 2020 . - p. 578-580.
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 578-580
Mots-clés : Pisa syndrome Scoliosis Trunk tilt Trunk imbalance Plumb line Rehabilitation Résumé : doi.org/10.1016/j.rehab.2020.02.001 Permalink : ./index.php?lvl=notice_display&id=91476 Exemplaires (1)
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Titre : Test–retest reliability of an adapted version of the International Physical Activity Questionnaire for healthy individuals and stroke survivors Type de document : texte imprimé Auteurs : Aristide S. Honado ; Jean-Sébastien Roy ; Jean-François Daneault ; Orthelo Léonel Gbétoho Atigossou ; Sèbiyo Charles Batcho Année de publication : 2020 Article en page(s) : p. 581-583 Note générale : doi.org/10.1016/j.rehab.2019.11.006 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91477
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 581-583[article] Test–retest reliability of an adapted version of the International Physical Activity Questionnaire for healthy individuals and stroke survivors [texte imprimé] / Aristide S. Honado ; Jean-Sébastien Roy ; Jean-François Daneault ; Orthelo Léonel Gbétoho Atigossou ; Sèbiyo Charles Batcho . - 2020 . - p. 581-583.
doi.org/10.1016/j.rehab.2019.11.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 581-583
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