Behavioral and affective disorders after brain injury: French guidelines for prevention and community supports / Jacques Luauté in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.68-73 Titre : Behavioral and affective disorders after brain injury: French guidelines for prevention and community supports Type de document : texte imprimé Auteurs : Jacques Luauté ; Jacques Hamonet ; Pascale Pradat-Diehl Année de publication : 2016 Article en page(s) : p.68-73 Langues : Anglais (eng) Mots-clés : traumatisme cérébral  trouble du comportement  trouble affectif Résumé : Objective The purpose of this study was to elaborate practice guidelines for the prevention of behavioral and affective disorders in adult outpatients after traumatic brain injury (TBI); but also to identify the support systems available for family, caregivers of patients with TBI within the community. Methods The elaboration of these guidelines followed the procedure validated by the French health authority for good practice recommendations, close to the Prisma statement. This involved a systematic and critical review of the literature looking for studies that investigated the impact of programs in community settings directed to behavioral and affective disorders post-TBI. Recommendations were than elaborated by a group of professionals and family representatives. Results Only six articles were found comprising 4 studies with a control group. Two studies showed a beneficial effect of personalized behavior management program delivered within natural community settings for persons with brain injury and their caregivers. Two other studies showed the relevance of scheduled telephone interventions to improve depressive symptoms and one study emphasized the usefulness of physical training. One study investigated the relevance of an outreach program; this study showed an improvement of the patients’ independence but did not yield any conclusions regarding anxiety and depression. Discussion and recommendations In addition to the application of care pathways already established by the SOFMER, prevention of behavioral and affective disorders for brain-injured outpatients should involve pain management, as well as development of therapeutic partnerships. It is recommended to inform patients, their family and caregivers regarding the local organization and facilities involved in the management of traumatic brain injury. The relevance of therapeutic education for implementing coping strategies, educating caregivers on behavioral disorder management, follow-up telephone interventions, and holistic therapy seems established. The level of evidence is low and preliminary studies should be confirmed with larger controlled trials. Permalink : ./index.php?lvl=notice_display&id=42788 [article] Behavioral and affective disorders after brain injury: French guidelines for prevention and community supports [texte imprimé] / Jacques Luauté ; Jacques Hamonet ; Pascale Pradat-Diehl . - 2016 . - p.68-73. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.68-73 Mots-clés : traumatisme cérébral  trouble du comportement  trouble affectif Résumé : Objective The purpose of this study was to elaborate practice guidelines for the prevention of behavioral and affective disorders in adult outpatients after traumatic brain injury (TBI); but also to identify the support systems available for family, caregivers of patients with TBI within the community. Methods The elaboration of these guidelines followed the procedure validated by the French health authority for good practice recommendations, close to the Prisma statement. This involved a systematic and critical review of the literature looking for studies that investigated the impact of programs in community settings directed to behavioral and affective disorders post-TBI. Recommendations were than elaborated by a group of professionals and family representatives. Results Only six articles were found comprising 4 studies with a control group. Two studies showed a beneficial effect of personalized behavior management program delivered within natural community settings for persons with brain injury and their caregivers. Two other studies showed the relevance of scheduled telephone interventions to improve depressive symptoms and one study emphasized the usefulness of physical training. One study investigated the relevance of an outreach program; this study showed an improvement of the patients’ independence but did not yield any conclusions regarding anxiety and depression. Discussion and recommendations In addition to the application of care pathways already established by the SOFMER, prevention of behavioral and affective disorders for brain-injured outpatients should involve pain management, as well as development of therapeutic partnerships. It is recommended to inform patients, their family and caregivers regarding the local organization and facilities involved in the management of traumatic brain injury. The relevance of therapeutic education for implementing coping strategies, educating caregivers on behavioral disorder management, follow-up telephone interventions, and holistic therapy seems established. The level of evidence is low and preliminary studies should be confirmed with larger controlled trials. Permalink : ./index.php?lvl=notice_display&id=42788

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Behavioral disorders after traumatic brain injury: Why and how did French recommendations for good practice emerge? / Jacques Luauté in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.3_4 Titre : Behavioral disorders after traumatic brain injury: Why and how did French recommendations for good practice emerge? Type de document : texte imprimé Auteurs : Jacques Luauté ; Jean-François Mathé Année de publication : 2016 Article en page(s) : p.3_4 Langues : Anglais (eng) Mots-clés : traumatisme crânien  lésion cérébrale  recommandation Résumé : Behavioral disorders after severe traumatic brain injury represent common important sequelae. They can occur at any time during the evolution phases and interfere in all domains of life and relationships with others. They represent a subjection for families, societies and impair the quality of the reinsertion. They often constitute a reason for refusing to admit or even excluding patients from healthcare, medicosocial, family and professional structures. The management of these disorders is not simple nor standardized and it is being confronted to the diversity and low efficacy of the usual therapeutics. Several actors in the healthcare, social, work, evaluation and justice fields have expressed their disarray concerning the management of these patients and have requested a protocol or guidelines to approach in a logical manner these behavioral disorders and treat them in the best way possible. Permalink : ./index.php?lvl=notice_display&id=42769 [article] Behavioral disorders after traumatic brain injury: Why and how did French recommendations for good practice emerge? [texte imprimé] / Jacques Luauté ; Jean-François Mathé . - 2016 . - p.3_4. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.3_4 Mots-clés : traumatisme crânien  lésion cérébrale  recommandation Résumé : Behavioral disorders after severe traumatic brain injury represent common important sequelae. They can occur at any time during the evolution phases and interfere in all domains of life and relationships with others. They represent a subjection for families, societies and impair the quality of the reinsertion. They often constitute a reason for refusing to admit or even excluding patients from healthcare, medicosocial, family and professional structures. The management of these disorders is not simple nor standardized and it is being confronted to the diversity and low efficacy of the usual therapeutics. Several actors in the healthcare, social, work, evaluation and justice fields have expressed their disarray concerning the management of these patients and have requested a protocol or guidelines to approach in a logical manner these behavioral disorders and treat them in the best way possible. Permalink : ./index.php?lvl=notice_display&id=42769

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Behavioral disorders after traumatic brain injury: Why a special issue in the Annals of Physical and Rehabilitation Medicine? / Jacques Luauté in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.1-2 Titre : Behavioral disorders after traumatic brain injury: Why a special issue in the Annals of Physical and Rehabilitation Medicine? Type de document : texte imprimé Auteurs : Jacques Luauté ; Philippe Azouvi Année de publication : 2016 Article en page(s) : p.1-2 Langues : Anglais (eng) Mots-clés : comportement  lésion cérébrale  traumatisme cranien Résumé : It is now more than 150 years ago that Harlow reported the surprising case of Phineas Gage, an American railroad worker who showed profound changes in personality and behavior after a large iron rod was driven completely through his head, penetrating his left frontal lobe [1] (Fig. 1). These changes were severe enough so that his friends said that he was “no longer Gage”. Permalink : ./index.php?lvl=notice_display&id=42766 [article] Behavioral disorders after traumatic brain injury: Why a special issue in the Annals of Physical and Rehabilitation Medicine? [texte imprimé] / Jacques Luauté ; Philippe Azouvi . - 2016 . - p.1-2. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.1-2 Mots-clés : comportement  lésion cérébrale  traumatisme cranien Résumé : It is now more than 150 years ago that Harlow reported the surprising case of Phineas Gage, an American railroad worker who showed profound changes in personality and behavior after a large iron rod was driven completely through his head, penetrating his left frontal lobe [1] (Fig. 1). These changes were severe enough so that his friends said that he was “no longer Gage”. Permalink : ./index.php?lvl=notice_display&id=42766

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Care management of the agitation or aggressiveness crisis in patients with TBI. Systematic review of the literature and practice recommendations / Jacques Luauté in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.58-67 Titre : Care management of the agitation or aggressiveness crisis in patients with TBI. Systematic review of the literature and practice recommendations Type de document : texte imprimé Auteurs : Jacques Luauté ; David Plantier ; Laurent Wiart Année de publication : 2016 Article en page(s) : p.58-67 Langues : Anglais (eng) Mots-clés : traumatisme cérébral  agitation  agressivité  comportement  recommandation Résumé : The agitation crisis in the awakening phase after traumatic brain injury (TBI) is one of the most difficult behavioral disorders to alleviate. Current treatment options are heterogeneous and may involve excessive sedation. Practice guidelines are required by professionals in charge of TBI patients. Few reviews were published but those are old and based on expert opinions. The purpose of this work is to propose evidence-based guidelines to treat the agitation crisis. Methods The elaboration of these guidelines followed the procedure validated by the French health authority for good practice recommendations, close to the Prisma statement. Guidelines were elaborated on the basis of a systematic and critical review of the literature. Results Twenty-eight articles concerning 376 patients were analyzed. Recommendations are: when faced with an agitation crisis, the management strategy implies to search for an underlying factor that should be treated such as pain, acute sepsis, and drug adverse effect (expert opinion). Physical restraints should be discarded when possible (expert opinion). Neuroleptic agent with a marketing authorization can be used in order to obtain a quick sedation so as to protect the patient from himself, closed ones or the healthcare team but the duration should be as short as possible (expert opinion). The efficacy of beta-blockers and antiepileptics with mood regulation effects like carbamazepine and valproate yield the most compelling evidence and should be preferably used when a background regimen is envisioned (grade B for beta-blocker and C for antiepileptics). Neuroleptics, antidepressants, benzodiazepines, buspirone may be prescribed but are considered second-line treatments (expert opinion). Conclusion This study provides a strategy for treating the agitation crisis based on scientific data and expert opinion. The level of evidence remains low and published data are often old. New studies are essential to validate results from previous studies and test new drugs and non-pharmaceutical therapies. Permalink : ./index.php?lvl=notice_display&id=42785 [article] Care management of the agitation or aggressiveness crisis in patients with TBI. Systematic review of the literature and practice recommendations [texte imprimé] / Jacques Luauté ; David Plantier ; Laurent Wiart . - 2016 . - p.58-67. Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 59, n°1 (February 2016) . - p.58-67 Mots-clés : traumatisme cérébral  agitation  agressivité  comportement  recommandation Résumé : The agitation crisis in the awakening phase after traumatic brain injury (TBI) is one of the most difficult behavioral disorders to alleviate. Current treatment options are heterogeneous and may involve excessive sedation. Practice guidelines are required by professionals in charge of TBI patients. Few reviews were published but those are old and based on expert opinions. The purpose of this work is to propose evidence-based guidelines to treat the agitation crisis. Methods The elaboration of these guidelines followed the procedure validated by the French health authority for good practice recommendations, close to the Prisma statement. Guidelines were elaborated on the basis of a systematic and critical review of the literature. Results Twenty-eight articles concerning 376 patients were analyzed. Recommendations are: when faced with an agitation crisis, the management strategy implies to search for an underlying factor that should be treated such as pain, acute sepsis, and drug adverse effect (expert opinion). Physical restraints should be discarded when possible (expert opinion). Neuroleptic agent with a marketing authorization can be used in order to obtain a quick sedation so as to protect the patient from himself, closed ones or the healthcare team but the duration should be as short as possible (expert opinion). The efficacy of beta-blockers and antiepileptics with mood regulation effects like carbamazepine and valproate yield the most compelling evidence and should be preferably used when a background regimen is envisioned (grade B for beta-blocker and C for antiepileptics). Neuroleptics, antidepressants, benzodiazepines, buspirone may be prescribed but are considered second-line treatments (expert opinion). Conclusion This study provides a strategy for treating the agitation crisis based on scientific data and expert opinion. The level of evidence remains low and published data are often old. New studies are essential to validate results from previous studies and test new drugs and non-pharmaceutical therapies. Permalink : ./index.php?lvl=notice_display&id=42785

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Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort / S. NASH in Annals of physical and rehabilitation medicine, Vol. 57, n°9-10 (Décembre 2014)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.600-617 Titre : Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort Titre original : Troubles cognitifs et comportementaux post-traumatiques : quelle est la spécificité du traumatisme crânien ? Étude au sein de la cohorte ESPARR Type de document : texte imprimé Auteurs : S. NASH, Auteur ; Jacques Luauté, Auteur Année de publication : 2014 Article en page(s) : p.600-617 Langues : Français (fre) Mots-clés : Traumatic brain injury  ESPARR  Neurobehavioral Rating Scale  Revised  Outcome  Motor vehicle accident  Traumatisme crânien  Devenir  Accident de la voie publique Résumé : Objective The variety and extent of impairments occurring after traumatic brain injury vary according to the nature and severity of the lesions. In order to better understand their interactions and long-term outcome, we have studied and compared the cognitive and neurobehavioral profile one year post onset of patients with and without traumatic brain injury in a cohort of motor vehicle accident victims. Method The study population is composed of 207 seriously injured persons from the ESPARR cohort. This cohort, which has been followed up in time, consists in 1168 motor vehicle accident victims (aged 16 years or more) with injuries with all degrees of severity. Inclusion criteria were: living in Rhone county, victim of a traffic accident having involved at least one wheel-conducted vehicle and having occurred in Rhone county, alive at the time of arrival in hospital and having presented in one of the different ER facilities of the county. The cohort's representativeness regarding social and geographic criteria and the specificities of the accidents were ensured by the specific targeting of recruitment. Deficits and impairments were assessed one year after the accident using the Neurobehavioral Rating Scale - Revised and the Trail-Making Test. Within our seriously injured group, based on the Glasgow Score, the presence of neurological deficits, aggravation of neurological condition in the first 72hours and/or abnormal cerebral imaging, we identified three categories: (i) moderate/severe traumatic brain injury (n=48), (ii) mild traumatic brain injury (n=89), and (iii) severely injured but without traumatic brain injury (n=70). Results The most frequently observed symptoms were anxiety, irritability, memory and attention impairments, depressive mood and emotional lability. While depressive mood and irritability were observed with similar frequency in all three groups, memory and attention impairments, anxiety and reduced initiative were more specific to traumatic brain injury whereas executive disorders were associated with moderate/severe traumatic brain injury. Discussion-Conclusion The presence and the initial severity of a traumatic brain injury condition the nature and frequency of residual effects after one year. Some impairments such as irritability, which is generally associated with traumatic brain injury, do not appear to be specific to this population, nor does depressive mood. Substantial interactions between cognitive, affective and neurobehavioral disorders have been highlighted. Objectif La diversité et l’étendue des déficits observés après un traumatisme crânien varient suivant la nature des lésions et leur gravité. Afin de mieux en comprendre les interactions et leurs conséquences à long terme, nous avons étudié et comparé le profil cognitif et neuro-comportemental d’une cohorte de victimes d’accidents de la voie publique avec et sans traumatisme crânien, un an après l’accident. Méthode La population d’étude est constituée de 207 blessés graves de la cohorte ESPARR. Cette cohorte, qui a été suivie dans le temps, est composée de 1168 accidentés de la route dans le Rhône âgés de 16ans et plus et de toutes gravités, inclus selon certains critères : résidant dans le Rhône, victime d’un accident de la circulation impliquant au moins un véhicule à roues, ayant eu lieu dans le Rhône, vivant au moment de son arrivée à l’hôpital, et se présentant dans l’un des différents services d’urgences du Rhône. La représentativité de cette cohorte en termes de critères sociogéographiques et de caractéristiques de l’accident a été assurée par la nature spécifique du recrutement. Les plaintes et déficiences cognitivo-comportementales ont été évaluées un an après l’accident avec la Neurobehavioral Rating Scale-Revised et le Trail Making Test. Nous avons distingué, dans notre population d’étude de blessés graves, trois catégories de patients : les traumatisés crâniens modérés/graves (n=48), les traumatisés crâniens légers (n=89) et les blessés graves sans traumatisme crânien (n=70), basées sur le score de Glasgow, la présence de déficits neurologiques, d’une aggravation de l’état neurologique dans les 72heures et/ou d’une imagerie cérébrale anormale. Résultats Les symptômes les plus fréquemment observés étaient l’anxiété, l’irritabilité, les troubles mnésiques et attentionnels, la dépression et la labilité de l’humeur. L’humeur dépressive et l’irritabilité sont relevées aussi fréquemment dans les trois groupes. Les troubles de mémoire, d’attention, l’anxiété et la diminution des initiatives sont plus spécifiques au traumatisme crânien et les troubles exécutifs sont typiques d’un traumatisme crânien modéré/grave. Discussion-Conclusion La présence et la sévérité initiale du TC conditionnent la nature et la fréquence des séquelles à un an d’évolution. Certains troubles comme l’irritabilité, habituellement associée à un traumatisme crânien, n’apparaissent pas comme spécifiques à cette population, tout comme l’humeur dépressive. Ainsi, les interactions entre troubles cognitifs, émotivo-affectifs et neuro-comportementaux sont mises en avant. Permalink : ./index.php?lvl=notice_display&id=34544 [article] Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort = Troubles cognitifs et comportementaux post-traumatiques : quelle est la spécificité du traumatisme crânien ? Étude au sein de la cohorte ESPARR [texte imprimé] / S. NASH, Auteur ; Jacques Luauté, Auteur . - 2014 . - p.600-617. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.600-617 Mots-clés : Traumatic brain injury  ESPARR  Neurobehavioral Rating Scale  Revised  Outcome  Motor vehicle accident  Traumatisme crânien  Devenir  Accident de la voie publique Résumé : Objective The variety and extent of impairments occurring after traumatic brain injury vary according to the nature and severity of the lesions. In order to better understand their interactions and long-term outcome, we have studied and compared the cognitive and neurobehavioral profile one year post onset of patients with and without traumatic brain injury in a cohort of motor vehicle accident victims. Method The study population is composed of 207 seriously injured persons from the ESPARR cohort. This cohort, which has been followed up in time, consists in 1168 motor vehicle accident victims (aged 16 years or more) with injuries with all degrees of severity. Inclusion criteria were: living in Rhone county, victim of a traffic accident having involved at least one wheel-conducted vehicle and having occurred in Rhone county, alive at the time of arrival in hospital and having presented in one of the different ER facilities of the county. The cohort's representativeness regarding social and geographic criteria and the specificities of the accidents were ensured by the specific targeting of recruitment. Deficits and impairments were assessed one year after the accident using the Neurobehavioral Rating Scale - Revised and the Trail-Making Test. Within our seriously injured group, based on the Glasgow Score, the presence of neurological deficits, aggravation of neurological condition in the first 72hours and/or abnormal cerebral imaging, we identified three categories: (i) moderate/severe traumatic brain injury (n=48), (ii) mild traumatic brain injury (n=89), and (iii) severely injured but without traumatic brain injury (n=70). Results The most frequently observed symptoms were anxiety, irritability, memory and attention impairments, depressive mood and emotional lability. While depressive mood and irritability were observed with similar frequency in all three groups, memory and attention impairments, anxiety and reduced initiative were more specific to traumatic brain injury whereas executive disorders were associated with moderate/severe traumatic brain injury. Discussion-Conclusion The presence and the initial severity of a traumatic brain injury condition the nature and frequency of residual effects after one year. Some impairments such as irritability, which is generally associated with traumatic brain injury, do not appear to be specific to this population, nor does depressive mood. Substantial interactions between cognitive, affective and neurobehavioral disorders have been highlighted. Objectif La diversité et l’étendue des déficits observés après un traumatisme crânien varient suivant la nature des lésions et leur gravité. Afin de mieux en comprendre les interactions et leurs conséquences à long terme, nous avons étudié et comparé le profil cognitif et neuro-comportemental d’une cohorte de victimes d’accidents de la voie publique avec et sans traumatisme crânien, un an après l’accident. Méthode La population d’étude est constituée de 207 blessés graves de la cohorte ESPARR. Cette cohorte, qui a été suivie dans le temps, est composée de 1168 accidentés de la route dans le Rhône âgés de 16ans et plus et de toutes gravités, inclus selon certains critères : résidant dans le Rhône, victime d’un accident de la circulation impliquant au moins un véhicule à roues, ayant eu lieu dans le Rhône, vivant au moment de son arrivée à l’hôpital, et se présentant dans l’un des différents services d’urgences du Rhône. La représentativité de cette cohorte en termes de critères sociogéographiques et de caractéristiques de l’accident a été assurée par la nature spécifique du recrutement. Les plaintes et déficiences cognitivo-comportementales ont été évaluées un an après l’accident avec la Neurobehavioral Rating Scale-Revised et le Trail Making Test. Nous avons distingué, dans notre population d’étude de blessés graves, trois catégories de patients : les traumatisés crâniens modérés/graves (n=48), les traumatisés crâniens légers (n=89) et les blessés graves sans traumatisme crânien (n=70), basées sur le score de Glasgow, la présence de déficits neurologiques, d’une aggravation de l’état neurologique dans les 72heures et/ou d’une imagerie cérébrale anormale. Résultats Les symptômes les plus fréquemment observés étaient l’anxiété, l’irritabilité, les troubles mnésiques et attentionnels, la dépression et la labilité de l’humeur. L’humeur dépressive et l’irritabilité sont relevées aussi fréquemment dans les trois groupes. Les troubles de mémoire, d’attention, l’anxiété et la diminution des initiatives sont plus spécifiques au traumatisme crânien et les troubles exécutifs sont typiques d’un traumatisme crânien modéré/grave. Discussion-Conclusion La présence et la sévérité initiale du TC conditionnent la nature et la fréquence des séquelles à un an d’évolution. Certains troubles comme l’irritabilité, habituellement associée à un traumatisme crânien, n’apparaissent pas comme spécifiques à cette population, tout comme l’humeur dépressive. Ainsi, les interactions entre troubles cognitifs, émotivo-affectifs et neuro-comportementaux sont mises en avant. Permalink : ./index.php?lvl=notice_display&id=34544

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Could non-invasive brain stimulation help treat dysarthria? A single-case study / Francesco Panico in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

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Drugs for behavior disorders after traumatic brain injury: Systematic review and expert consensus leading to French recommendations for good practice / David Plantier in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

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Electrodermal reactivity to emotional stimuli in healthy subjects and patients with disorders of consciousness / Jacques Luauté in Annals of physical and rehabilitation medicine, Vol. 61, n°6 (Novembre 2018)

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Évaluation des incapacités et de la qualité de vie des patients présentant des troubles cognitifs / G. RODE in Annals of physical and rehabilitation medicine, Vol. 48, n°6 (juillet 2005)

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Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations / Laurent Wiart in Annals of physical and rehabilitation medicine, Vol. 59, n°1 (February 2016)

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Organisation du parcours patient Faro / Jacques Luauté in L'aide-soignante, 238 (juin-juillet 2022)

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L’organisation d’un service de rééducation post-réanimation / Claire Barnay in La revue de l'infirmière, 213 (Août-septembre 2015)

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Le programme Faro de réduction des troubles du comportement chez les patients cérébrolésés / Jacques Luauté in L'aide-soignante, 238 (juin-juillet 2022)

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Rehabilitation of unilateral neglect: Evidence-based medicine / Philippe Azouvi in Annals of physical and rehabilitation medicine, Vol. 60, n° 3 (June 2017)

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Traitement de la spasticité focale du membre supérieur par toxine botulinique après accident vasculaire cérébral (AVC). Intérêt d'une approche au cas par cas / Jacques Luauté in Annals of physical and rehabilitation medicine, Vol. 47, n°8 (octobre 2004)

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