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Votre centre de documentation fermera de 12h30 à 13h ce vendredi 28 juin et fermera à 14h30.
Dès ce lundi 1er juillet jusqu'au mercredi 10 juillet l'horaire du centre de documentation sera adapté :
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Mardi 2 juillet : de 8h à 12h15
Mercredi 3 juillet : de 9h à 12h et de 12h30 à 15h15
Jeudi 4 juillet : de 8h à 12h30 et de 13h à 18h30
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Détail de l'auteur
Auteur Aurélie Diebold |
Documents disponibles écrits par cet auteur
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An alternative treatment for contractures of the elderly institutionalized persons: Microinvasive percutaneous needle tenotomy of the finger flexors / Alexis Schnitzler in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)
[article]
Titre : An alternative treatment for contractures of the elderly institutionalized persons: Microinvasive percutaneous needle tenotomy of the finger flexors Type de document : texte imprimé Auteurs : Alexis Schnitzler, Auteur ; Aurélie Diebold, Auteur ; Bernard Parratte, Auteur Année de publication : 2016 Article en page(s) : p. 83-86 Langues : Anglais (eng) Français (fre) Mots-clés : Personne âgée Maison accueil personne âgée Main Muscle Contractures,Tenotomy,Needle,Finger flexors Résumé : Background: Almost 10% of older adults in nursing homes have a fixed flexion deformity of the fingers (claw hand). Such contractures have important functional consequences, often leading to hygiene difficulties. Medical treatment (such as botulinum toxin injections, physiotherapy or positioning) is not always effective and surgery is often not possible in such fragile patients. Microinvasive tenotomy with a large needle could be a useful alternative because it can be carried out in an ambulatory setting under local anaesthesia.
Methods: A single center, retrospective study involving the 2012–2014 database from the day-hospital unit of a neuro-orthopaedic department in France. All patients who underwent percutaneous needle tenotomy of the finger or thumb flexors were included. Outcomes included Goal Attainment Scaling (GAS) and the distance in centimeters between the palm and the pulp of the most flexed digit (PPD).
Results: Eighteen patients underwent tenotomy (13 women; mean age: 76+14 years); all patients lived in a nursing home. The limb to be treated was nonfunctional in all patients. The principal goal was determined by consensus with the patients and their health-care teams and was most often to facilitate hand hygiene. Eight patients had at least one secondary goal. In total, 10 patients underwent microinvasive tenotomy for 4 fingers, 5 patients 1 to 4 fingers and 3 patients only the thumb. At 3 months after treatment, goals were achieved for 11 patients, 5 patients progressed toward the goal without attaining it, and for 2 patients, scores were worse. The T-scores of the GAS and the PPD were significantly increased at 3 months (P =0.0326 and P =0.0002, respectively). No serious adverse events occurred.
Conclusion: Large-needle tenotomy seems safe and effective for treating claw hand in fragile older patients.Permalink : ./index.php?lvl=notice_display&id=44278
in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 83-86[article] An alternative treatment for contractures of the elderly institutionalized persons: Microinvasive percutaneous needle tenotomy of the finger flexors [texte imprimé] / Alexis Schnitzler, Auteur ; Aurélie Diebold, Auteur ; Bernard Parratte, Auteur . - 2016 . - p. 83-86.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 83-86
Mots-clés : Personne âgée Maison accueil personne âgée Main Muscle Contractures,Tenotomy,Needle,Finger flexors Résumé : Background: Almost 10% of older adults in nursing homes have a fixed flexion deformity of the fingers (claw hand). Such contractures have important functional consequences, often leading to hygiene difficulties. Medical treatment (such as botulinum toxin injections, physiotherapy or positioning) is not always effective and surgery is often not possible in such fragile patients. Microinvasive tenotomy with a large needle could be a useful alternative because it can be carried out in an ambulatory setting under local anaesthesia.
Methods: A single center, retrospective study involving the 2012–2014 database from the day-hospital unit of a neuro-orthopaedic department in France. All patients who underwent percutaneous needle tenotomy of the finger or thumb flexors were included. Outcomes included Goal Attainment Scaling (GAS) and the distance in centimeters between the palm and the pulp of the most flexed digit (PPD).
Results: Eighteen patients underwent tenotomy (13 women; mean age: 76+14 years); all patients lived in a nursing home. The limb to be treated was nonfunctional in all patients. The principal goal was determined by consensus with the patients and their health-care teams and was most often to facilitate hand hygiene. Eight patients had at least one secondary goal. In total, 10 patients underwent microinvasive tenotomy for 4 fingers, 5 patients 1 to 4 fingers and 3 patients only the thumb. At 3 months after treatment, goals were achieved for 11 patients, 5 patients progressed toward the goal without attaining it, and for 2 patients, scores were worse. The T-scores of the GAS and the PPD were significantly increased at 3 months (P =0.0326 and P =0.0002, respectively). No serious adverse events occurred.
Conclusion: Large-needle tenotomy seems safe and effective for treating claw hand in fragile older patients.Permalink : ./index.php?lvl=notice_display&id=44278 Exemplaires (1)
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