A comprehensive picture of 4-year outcome of severe brain injuries. Results from the PariS-TBI study / Claire Jourdan in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 100-106 Titre : A comprehensive picture of 4-year outcome of severe brain injuries. Results from the PariS-TBI study Type de document : texte imprimé Auteurs : Claire Jourdan, Auteur ; Pascale Pradat-Diehl, Auteur ; Éléonore Bayen, Auteur Année de publication : 2016 Article en page(s) : p. 100-106 Langues : Anglais (eng) Français (fre) Mots-clés : Accident cérébrovasculaire  Traumatisme crânien  Qualité vie  Étude  Brain injuries,Craniocerebral trauma,Quality of life,International classification of functioning,disability and health Résumé : Objectives: Survivors of severe traumatic brain injury have a great variety of impairments and participation restrictions. Detailed descriptions of their long-term outcome are critical. We aimed to assess brain injury outcome for subjects with traumatic brain injury in terms of the International classification of functioning, disability and health. Materials and methods: Four-year follow-up of an inception cohort of adults with severe traumatic brain injury by using face-to-face interviews with patients and proxies. Results: Among 245 survivors at 4 years, 147 were evaluated (80% male, mean age: 32.5+14.2 years at injury); 46 (32%) presented severe disability, 58 (40%) moderate disability, and 40 (28%) good recovery. Most frequent somatic problems were fatigue, headaches, other pain, and balance. One quarter of subjects had motor impairments. Rates of cognitive complaints ranged from 25 to 68%, the most frequent being memory, irritability, slowness and concentration. With the Hospital Anxiety and Depression Scale, 43% had anxiety and 25% depression. Overall, 79% were independent in daily living activities and 40 to 50% needed help for outdoor or organizational activities on the BICRO-39. Most had regular contacts with relatives or close friends but few contacts with colleagues or new acquaintances. Subjects spent little time in productive activities such as working, studying, looking after children or voluntary work. Quality of life on the QOLIBRI scale was associated with disability level (P <0.0001). Conclusion: Management of late brain injury needs to focus on cognitive difficulties, particularly social skills, to enhance patient participation in life. Permalink : ./index.php?lvl=notice_display&id=44277 [article] A comprehensive picture of 4-year outcome of severe brain injuries. Results from the PariS-TBI study [texte imprimé] / Claire Jourdan, Auteur ; Pascale Pradat-Diehl, Auteur ; Éléonore Bayen, Auteur . - 2016 . - p. 100-106. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 100-106 Mots-clés : Accident cérébrovasculaire  Traumatisme crânien  Qualité vie  Étude  Brain injuries,Craniocerebral trauma,Quality of life,International classification of functioning,disability and health Résumé : Objectives: Survivors of severe traumatic brain injury have a great variety of impairments and participation restrictions. Detailed descriptions of their long-term outcome are critical. We aimed to assess brain injury outcome for subjects with traumatic brain injury in terms of the International classification of functioning, disability and health. Materials and methods: Four-year follow-up of an inception cohort of adults with severe traumatic brain injury by using face-to-face interviews with patients and proxies. Results: Among 245 survivors at 4 years, 147 were evaluated (80% male, mean age: 32.5+14.2 years at injury); 46 (32%) presented severe disability, 58 (40%) moderate disability, and 40 (28%) good recovery. Most frequent somatic problems were fatigue, headaches, other pain, and balance. One quarter of subjects had motor impairments. Rates of cognitive complaints ranged from 25 to 68%, the most frequent being memory, irritability, slowness and concentration. With the Hospital Anxiety and Depression Scale, 43% had anxiety and 25% depression. Overall, 79% were independent in daily living activities and 40 to 50% needed help for outdoor or organizational activities on the BICRO-39. Most had regular contacts with relatives or close friends but few contacts with colleagues or new acquaintances. Subjects spent little time in productive activities such as working, studying, looking after children or voluntary work. Quality of life on the QOLIBRI scale was associated with disability level (P <0.0001). Conclusion: Management of late brain injury needs to focus on cognitive difficulties, particularly social skills, to enhance patient participation in life. Permalink : ./index.php?lvl=notice_display&id=44277

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Gérer les émotions en rééducation / Entretiens de médecine physique et de r?eadaptation (51; 2023; Montpellier)

Public ISBD Titre : Gérer les émotions en rééducation Type de document : texte imprimé Auteurs : Marie Kuppelin, Directeur de publication, rédacteur en chef ; Isabel Tavares, Directeur de publication, rédacteur en chef ; Claire Jourdan, Directeur de publication, rédacteur en chef ; Agata Krasny-Pacini, Directeur de publication, rédacteur en chef ; Gr?egory Baptista (1979-....), Auteur ; Satchel Cohen, Auteur ; Jonathan Del Monte, Auteur ; Yannick Descharmes, Auteur ; Jonathan Evans, Auteur ; Claire Iftissen-Husser, Auteur ; Enzo Lachaux, Auteur ; Marine Paucsik (19..-....), Auteur ; Gauthier Rauline, Auteur ; Marie Riebel (1996-....), Auteur ; Mario Speranza (1967-....), Auteur ; Marie Wagnon, Auteur ; Luisa Weiner Huber Mendes (1982-....), Auteur Congrès : Entretiens de médecine physique et de r?eadaptation (51; 2023; Montpellier), Auteur ; Entretiens de rééducation et r?eadaptation fonctionnelles, Organisateur de réunion, de conférence Editeur : Montpellier : Sauramps médical Année de publication : 2023 Collection : Acquisitions en médecine physique et de réadaptation, ISSN 2259-1133 Importance : 1 volume (176 p.) Présentation : ill., couv. ill. en coul. Format : 24 cm ISBN/ISSN/EAN : 979-10-303-0383-4 Prix : [36 EUR] Langues : Français (fre) Anglais (eng) Mots-clés : Médecine physique et de réadaptation  Réadaptation -- Psychologie  Émotions  Réadaptation -- psychologie Index. décimale : 615.85 Psychothérapie Résumé : Les thérapies cognitives comportementales et émotionnelles offrent des outils pour aider les patients à réguler leurs émotions dans le processus de rééducation et de réadaptation. Les principaux courants de TCCE ainsi que leurs utilisations sont présentés dans un premier temps. Des applications concrètes de ces thérapies sont ensuite décrites avec des cas cliniques. Permalink : ./index.php?lvl=notice_display&id=113298 Gérer les émotions en rééducation [texte imprimé] / Marie Kuppelin, Directeur de publication, rédacteur en chef ; Isabel Tavares, Directeur de publication, rédacteur en chef ; Claire Jourdan, Directeur de publication, rédacteur en chef ; Agata Krasny-Pacini, Directeur de publication, rédacteur en chef ; Gr?egory Baptista (1979-....), Auteur ; Satchel Cohen, Auteur ; Jonathan Del Monte, Auteur ; Yannick Descharmes, Auteur ; Jonathan Evans, Auteur ; Claire Iftissen-Husser, Auteur ; Enzo Lachaux, Auteur ; Marine Paucsik (19..-....), Auteur ; Gauthier Rauline, Auteur ; Marie Riebel (1996-....), Auteur ; Mario Speranza (1967-....), Auteur ; Marie Wagnon, Auteur ; Luisa Weiner Huber Mendes (1982-....), Auteur / Entretiens de médecine physique et de r?eadaptation (51; 2023; Montpellier), Auteur ; Entretiens de rééducation et r?eadaptation fonctionnelles, Organisateur de réunion, de conférence . - Montpellier : Sauramps médical, 2023 . - 1 volume (176 p.) : ill., couv. ill. en coul. ; 24 cm. - (Acquisitions en médecine physique et de réadaptation, ISSN 2259-1133) . ISBN : 979-10-303-0383-4 : [36 EUR] Langues : Français (fre) Anglais (eng) Mots-clés : Médecine physique et de réadaptation  Réadaptation -- Psychologie  Émotions  Réadaptation -- psychologie Index. décimale : 615.85 Psychothérapie Résumé : Les thérapies cognitives comportementales et émotionnelles offrent des outils pour aider les patients à réguler leurs émotions dans le processus de rééducation et de réadaptation. Les principaux courants de TCCE ainsi que leurs utilisations sont présentés dans un premier temps. Des applications concrètes de ces thérapies sont ensuite décrites avec des cas cliniques. Permalink : ./index.php?lvl=notice_display&id=113298

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Participation in work and leisure activities after stroke: A national study / Alexis Schnitzler 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. 351-355 Titre : Participation in work and leisure activities after stroke: A national study Type de document : texte imprimé Auteurs : Alexis Schnitzler ; Claire Jourdan ; Loïc Josseran ; Philippe Azouvi ; Louis Jacob ; François Genêt Année de publication : 2019 Article en page(s) : p. 351-355 Note générale : doi.org/10.1016/j.rehab.2019.04.005 Langues : Anglais (eng) Résumé : Background Stroke is a common and debilitating neurological disorder having a negative impact on quality of life. Objectives We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France. Methods This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke. Results Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13–0.27]), use the telephone (0.21 [0.17–0.25]) and drive (0.25 [0.21–0.32]). In the age group 19–59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%). Conclusions Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke. Permalink : ./index.php?lvl=notice_display&id=84150 [article] Participation in work and leisure activities after stroke: A national study [texte imprimé] / Alexis Schnitzler ; Claire Jourdan ; Loïc Josseran ; Philippe Azouvi ; Louis Jacob ; François Genêt . - 2019 . - p. 351-355. doi.org/10.1016/j.rehab.2019.04.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 351-355 Résumé : Background Stroke is a common and debilitating neurological disorder having a negative impact on quality of life. Objectives We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France. Methods This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke. Results Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13–0.27]), use the telephone (0.21 [0.17–0.25]) and drive (0.25 [0.21–0.32]). In the age group 19–59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%). Conclusions Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke. Permalink : ./index.php?lvl=notice_display&id=84150

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De la rééducation à la réadaptation, préparer le retour à domicile / Jérôme Froger in La revue de l'infirmière, 229 (Mars 2017)

Public ISBD [article]  inLa revue de l'infirmière > 229 (Mars 2017) . - p. 25-27 Titre : De la rééducation à la réadaptation, préparer le retour à domicile Type de document : texte imprimé Auteurs : Jérôme Froger ; Claire Jourdan ; Marie-Christine Dabek ; et al. Année de publication : 2017 Article en page(s) : p. 25-27 Langues : Français (fre) Mots-clés : Traumatismes cranioencéphaliques  Rééducation et réadaptation  Récupération fonctionnelle  Vie autonome Résumé : Après un traumatisme crânien grave, le retour à domicile constitue un moment clé dans le processus de réinsertion du patient. Il se prépare en équipe pluridisciplinaire tout au long du processus de rééducation et réadaptation, en fonction du pronostic de récupération du patient. Permalink : ./index.php?lvl=notice_display&id=47957 [article] De la rééducation à la réadaptation, préparer le retour à domicile [texte imprimé] / Jérôme Froger ; Claire Jourdan ; Marie-Christine Dabek ; et al. . - 2017 . - p. 25-27. Langues : Français (fre) in La revue de l'infirmière > 229 (Mars 2017) . - p. 25-27 Mots-clés : Traumatismes cranioencéphaliques  Rééducation et réadaptation  Récupération fonctionnelle  Vie autonome Résumé : Après un traumatisme crânien grave, le retour à domicile constitue un moment clé dans le processus de réinsertion du patient. Il se prépare en équipe pluridisciplinaire tout au long du processus de rééducation et réadaptation, en fonction du pronostic de récupération du patient. Permalink : ./index.php?lvl=notice_display&id=47957

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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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