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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Positionnement au fauteuil roulant

Public ISBD Titre : Positionnement au fauteuil roulant Type de document : texte imprimé Auteurs : Anthony Gélis, Directeur de publication, rédacteur en chef ; Fabrice Nouvel, Directeur de publication, rédacteur en chef ; Rachid Aissaoui, Directeur de publication, rédacteur en chef ; Entretiens de rééducation et réadaptation fonctionnelles (2007; Montpellier), Auteur Editeur : Issy-les-Moulineaux : Elsevier-Masson Année de publication : DL 2011 Importance : 1 vol. (125 p.) Présentation : ill. Format : 24 cm ISBN/ISSN/EAN : 978-2-294-71415-3 Prix : 55 EUR Note générale : Issu d'un des thèmes des XXXIXèmes Entretiens de médecine physique et de réadaptation, Montpellier, le 4 mars 2011 Table des matières bilingue français-anglais. Notes bibliogr. Langues : Français (fre) Index. décimale : 615.5 Nursing. Soins infirmiers. Soins à donner au malade Résumé : Le bon positionnement au fauteuil est essentiel à la santé et au confort du patient. Cet ouvrage fait un état des lieux des cliniques du positonnement des usagers de fauteuil roulant, aborde les aspects cliniques pour le pyopathe Permalink : ./index.php?lvl=notice_display&id=1512 Positionnement au fauteuil roulant [texte imprimé] / Anthony Gélis, Directeur de publication, rédacteur en chef ; Fabrice Nouvel, Directeur de publication, rédacteur en chef ; Rachid Aissaoui, Directeur de publication, rédacteur en chef ; Entretiens de rééducation et réadaptation fonctionnelles (2007; Montpellier), Auteur . - Issy-les-Moulineaux : Elsevier-Masson, DL 2011 . - 1 vol. (125 p.) : ill. ; 24 cm. ISBN : 978-2-294-71415-3 : 55 EUR Issu d'un des thèmes des XXXIXèmes Entretiens de médecine physique et de réadaptation, Montpellier, le 4 mars 2011 Table des matières bilingue français-anglais. Notes bibliogr. Langues : Français (fre) Index. décimale : 615.5 Nursing. Soins infirmiers. Soins à donner au malade Résumé : Le bon positionnement au fauteuil est essentiel à la santé et au confort du patient. Cet ouvrage fait un état des lieux des cliniques du positonnement des usagers de fauteuil roulant, aborde les aspects cliniques pour le pyopathe Permalink : ./index.php?lvl=notice_display&id=1512

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

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

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