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

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

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Effects of robotic gait training after stroke : A meta-analysis / Geoffroy Moucheboeuf in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 518-534 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 [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

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Hypertonies déformantes acquises de la personne âgée : définition du cadre nosologique et prévalence en milieu institutionnel gériatrique (enquête HDA) / Patrick Dehail in Annals of physical and rehabilitation medicine, Vol. 57, n°1 (February 2014)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 57, n°1 (February 2014) . - p. 11-23 Titre : Hypertonies déformantes acquises de la personne âgée : définition du cadre nosologique et prévalence en milieu institutionnel gériatrique (enquête HDA) Type de document : texte imprimé Auteurs : Patrick Dehail, Auteur ; Anne-Laure Godard, Auteur ; Olivier Simon, Auteur Année de publication : 2014 Article en page(s) : p. 11-23 Langues : Anglais (eng) Français (fre) Mots-clés : Personne âgée  Structure sociale personne âgée  Sujets âgés institutionnalisés,Rétractions tendineuses,Hypertonie,Prévalence Résumé : Objectif : En proposant une nouvelle terminologie (hypertonie déformante acquise ou HDA) et une nouvelle définition des rétractions tendineuses, l’objectif principal de cette étude était de déterminer leur prévalence dans une population de sujets âgés institutionnalisés. Les objectifs secondaires étaient d’analyser leur retentissement et de recueillir l’avis des médecins sur les traitements envisageables. Méthode : Une enquête observationnelle transversale multicentrique a été réalisée auprès des résidents de 39 institutions gériatriques (29 EHPAD et 10 USLD). Tous les sujets présentant au moins une HDA ont été recensé de manière exhaustive, sur une semaine donnée. Résultats : Parmi les 3145 personnes examinées (âge moyen : 88,9+9,7 ans), 22 % (n = 692) présentaient au moins une HDA. En moyenne, chaque patient présentait 4,4+3,2 HDA. Le retentissement négatif sur les soins d’hygiène, le nursing et les difficultés d’habillage étaient les plus souvent rapportés. Seulement 25,4 % des médecins estimaient que les HDA observées étaient réversibles. Comme moyen thérapeutique, les traitements physiques étaient le plus souvent évoqués devant les traitements médicamenteux et la chirurgie. Conclusion : Cette étude confirme la forte prévalence des HDA chez les patients âgés institutionnalisés. Les conséquences sur niveau de dépendance sont importantes. L’établissement d’une stratégie thérapeutique hiérarchisée paraît nécessaire pour lutter efficacement contre ces troubles. Permalink : ./index.php?lvl=notice_display&id=29824 [article] Hypertonies déformantes acquises de la personne âgée : définition du cadre nosologique et prévalence en milieu institutionnel gériatrique (enquête HDA) [texte imprimé] / Patrick Dehail, Auteur ; Anne-Laure Godard, Auteur ; Olivier Simon, Auteur . - 2014 . - p. 11-23. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 57, n°1 (February 2014) . - p. 11-23 Mots-clés : Personne âgée  Structure sociale personne âgée  Sujets âgés institutionnalisés,Rétractions tendineuses,Hypertonie,Prévalence Résumé : Objectif : En proposant une nouvelle terminologie (hypertonie déformante acquise ou HDA) et une nouvelle définition des rétractions tendineuses, l’objectif principal de cette étude était de déterminer leur prévalence dans une population de sujets âgés institutionnalisés. Les objectifs secondaires étaient d’analyser leur retentissement et de recueillir l’avis des médecins sur les traitements envisageables. Méthode : Une enquête observationnelle transversale multicentrique a été réalisée auprès des résidents de 39 institutions gériatriques (29 EHPAD et 10 USLD). Tous les sujets présentant au moins une HDA ont été recensé de manière exhaustive, sur une semaine donnée. Résultats : Parmi les 3145 personnes examinées (âge moyen : 88,9+9,7 ans), 22 % (n = 692) présentaient au moins une HDA. En moyenne, chaque patient présentait 4,4+3,2 HDA. Le retentissement négatif sur les soins d’hygiène, le nursing et les difficultés d’habillage étaient les plus souvent rapportés. Seulement 25,4 % des médecins estimaient que les HDA observées étaient réversibles. Comme moyen thérapeutique, les traitements physiques étaient le plus souvent évoqués devant les traitements médicamenteux et la chirurgie. Conclusion : Cette étude confirme la forte prévalence des HDA chez les patients âgés institutionnalisés. Les conséquences sur niveau de dépendance sont importantes. L’établissement d’une stratégie thérapeutique hiérarchisée paraît nécessaire pour lutter efficacement contre ces troubles. Permalink : ./index.php?lvl=notice_display&id=29824

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

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

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Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study / Mélanie Cogné in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 336-341 Titre : Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study Type de document : texte imprimé Auteurs : Mélanie Cogné ; Alexandre Creuzé ; Hervé Petit ; Claire Dellici ; Patrick Dehail ; Mathieu de Sèze Année de publication : 2019 Article en page(s) : p. 336-341 Note générale : doi.org/10.1016/j.rehab.2018.12.003 Langues : Anglais (eng) Mots-clés : Tennis elbow  Epicondylar tendinopathy  Botulinum toxin A  Pain  Quality of life  Gripping force Résumé : Background Epicondylar tendinopathy (“tennis elbow”) is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known. Objective We aimed to assess the long-term effect, side effects and recurrence rate after BoNT-A injections on chronic lateral epicondylar tendinopathy during 1 year. Methods This open study followed a 3-month randomized controlled trial. We included 50 patients followed at day 0 (V0), 90 (V1), 180–270 (V2) and 365 (V3). The main judgment criterion was the number of BoNT-A injections required to achieve pain relief with no further request for treatment by the patient. Results After one BoNT-A injection, 22/50 (44%) patients did not ask for further treatment during follow-up because of complete pain relief, and 20/50 (40%) asked for a second BoNT-A injection. For 20 patients with a second injection, 18 (90%) did not ask for further treatment during follow-up. Only 1 patient had a recurrence of pain after an initial pain relief of greater than 75%. Quality of life, and painful and maximal gripping force improved significantly at V1, V2 and V3 as compared with V0, and repercussions on daily and professional activities decreased significantly (P < 0.05). Conclusions One or 2 BoNT-A injections has favourable results for chronic epicondylar tendinopathy. Permalink : ./index.php?lvl=notice_display&id=84147 [article] Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study [texte imprimé] / Mélanie Cogné ; Alexandre Creuzé ; Hervé Petit ; Claire Dellici ; Patrick Dehail ; Mathieu de Sèze . - 2019 . - p. 336-341. doi.org/10.1016/j.rehab.2018.12.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 336-341 Mots-clés : Tennis elbow  Epicondylar tendinopathy  Botulinum toxin A  Pain  Quality of life  Gripping force Résumé : Background Epicondylar tendinopathy (“tennis elbow”) is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known. Objective We aimed to assess the long-term effect, side effects and recurrence rate after BoNT-A injections on chronic lateral epicondylar tendinopathy during 1 year. Methods This open study followed a 3-month randomized controlled trial. We included 50 patients followed at day 0 (V0), 90 (V1), 180–270 (V2) and 365 (V3). The main judgment criterion was the number of BoNT-A injections required to achieve pain relief with no further request for treatment by the patient. Results After one BoNT-A injection, 22/50 (44%) patients did not ask for further treatment during follow-up because of complete pain relief, and 20/50 (40%) asked for a second BoNT-A injection. For 20 patients with a second injection, 18 (90%) did not ask for further treatment during follow-up. Only 1 patient had a recurrence of pain after an initial pain relief of greater than 75%. Quality of life, and painful and maximal gripping force improved significantly at V1, V2 and V3 as compared with V0, and repercussions on daily and professional activities decreased significantly (P < 0.05). Conclusions One or 2 BoNT-A injections has favourable results for chronic epicondylar tendinopathy. Permalink : ./index.php?lvl=notice_display&id=84147

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Transcranial direct current stimulation in post-stroke aphasia rehabilitation: A systematic review / Elisa Biou in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)  

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