Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies / Clémence Palazzo 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. 107-113 Titre : Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies Type de document : texte imprimé Auteurs : Clémence Palazzo, Auteur ; Evelyne Klinger, Auteur ; Véronique Dorner, Auteur Année de publication : 2016 Article en page(s) : p. 107-113 Langues : Anglais (eng) Français (fre) Mots-clés : Lombalgie  Activité physique  Adherence,Home-based exercise,Rehabilitation,Low back pain,Virtual reality Résumé : Objective: To assess views of patients with chronic low back pain (cLBP) concerning barriers to home-based exercise program adherence and to record expectations regarding new technologies. Design: Qualitative study based on semi-structured interviews. Participants: A heterogeneous sample of 29 patients who performed a home-based exercise program for cLBP learned during supervised physiotherapy sessions in a tertiary care hospital. Interventions: Patients were interviewed at home by the same trained interviewer. Interviews combined a funnel-shaped structure and an itinerary method. Results: Barriers to adherence related to the exercise program (number, effectiveness, complexity and burden of exercises), the healthcare journey (breakdown between supervised sessions and home exercise, lack of follow-up and difficulties in contacting care providers), patient representations (illness and exercise perception, despondency, depression and lack of motivation), and the environment (attitudes of others, difficulties in planning exercise practice). Adherence could be enhanced by increasing the attractiveness of exercise programs, improving patient performance (following a model or providing feedback), and the feeling of being supported by care providers and other patients. Regarding new technologies, relatively younger patients favored visual and dynamic support that provided an enjoyable and challenging environment and feedback on their performance. Relatively older patients favored the possibility of being guided when doing exercises. Whatever the tool proposed, patients expected its use to be learned during a supervised session and performance regularly checked by care providers; they expected adherence to be discussed with care providers. Conclusions: For patients with cLBP, adherence to home-based exercise programs could be facilitated by increasing the attractiveness of the programs, improving patient performance and favoring a feeling of being supported. New technologies meet these challenges and seem attractive to patients but are not a substitute for the human relationship between patients and care providers. Permalink : ./index.php?lvl=notice_display&id=44279 [article] Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies [texte imprimé] / Clémence Palazzo, Auteur ; Evelyne Klinger, Auteur ; Véronique Dorner, Auteur . - 2016 . - p. 107-113. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 107-113 Mots-clés : Lombalgie  Activité physique  Adherence,Home-based exercise,Rehabilitation,Low back pain,Virtual reality Résumé : Objective: To assess views of patients with chronic low back pain (cLBP) concerning barriers to home-based exercise program adherence and to record expectations regarding new technologies. Design: Qualitative study based on semi-structured interviews. Participants: A heterogeneous sample of 29 patients who performed a home-based exercise program for cLBP learned during supervised physiotherapy sessions in a tertiary care hospital. Interventions: Patients were interviewed at home by the same trained interviewer. Interviews combined a funnel-shaped structure and an itinerary method. Results: Barriers to adherence related to the exercise program (number, effectiveness, complexity and burden of exercises), the healthcare journey (breakdown between supervised sessions and home exercise, lack of follow-up and difficulties in contacting care providers), patient representations (illness and exercise perception, despondency, depression and lack of motivation), and the environment (attitudes of others, difficulties in planning exercise practice). Adherence could be enhanced by increasing the attractiveness of exercise programs, improving patient performance (following a model or providing feedback), and the feeling of being supported by care providers and other patients. Regarding new technologies, relatively younger patients favored visual and dynamic support that provided an enjoyable and challenging environment and feedback on their performance. Relatively older patients favored the possibility of being guided when doing exercises. Whatever the tool proposed, patients expected its use to be learned during a supervised session and performance regularly checked by care providers; they expected adherence to be discussed with care providers. Conclusions: For patients with cLBP, adherence to home-based exercise programs could be facilitated by increasing the attractiveness of the programs, improving patient performance and favoring a feeling of being supported. New technologies meet these challenges and seem attractive to patients but are not a substitute for the human relationship between patients and care providers. Permalink : ./index.php?lvl=notice_display&id=44279

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Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications / Marie-Martine Lefèvre-Colau in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 46-53 Titre : Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications Type de document : texte imprimé Auteurs : Marie-Martine Lefèvre-Colau ; Christelle Nguyen ; Clémence Palazzo ; Frédéric Srour ; Guillaume Paris ; V. Vuillemin ; Serge Poiraudeau ; Agnès Roby-Brami ; Alexandra Roren Année de publication : 2018 Article en page(s) : p. 46-53 Note générale : Doi : 10.1016/j.rehab.2017.09.002 Langues : Anglais (eng) Mots-clés : Shoulder  Kinematics  Scapula  Degenerative shoulders pathology  Subacromial impingement syndrome  Adhesive capsulitis  Osteoarthritis  Rehabilitation Résumé : Background The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints. Methods This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience. Results For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt. These scapular kinematic modifications could decrease the subacromial space and favor rotator-cuff tendon injury. For patients with shoulder pain and restricted mobility, the studies showed a significant increase in scapular lateral rotation generally seen as a compensation mechanism of GH decreased range of motion. For patients with multidirectional GH instability, the studies found an antero-inferior decentering of the humeral head, decreased scapular lateral rotation and increased scapular internal rotation. Conclusion The clinical or instrumented assessment of the shoulder complex with a degenerative pathology must include the analysis of scapula-clavicle and trunk movements complementing the GH assessment. Depending on the individual clinical case, scapular dyskinesis could be the cause or the consequence of the shoulder degenerative pathology. For most degenerative shoulder pathologies, the rehabilitation program should take into account the whole shoulder complex and include first a scapular and trunk postural-correcting strategy, then scapulothoracic muscle rehabilitation (especially serratus anterior and trapezius inferior and medium parts) and finally neuromotor techniques to recover appropriate upper-limb kinematic schemas for daily and/or sports activities. Permalink : ./index.php?lvl=notice_display&id=80439 [article] Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications [texte imprimé] / Marie-Martine Lefèvre-Colau ; Christelle Nguyen ; Clémence Palazzo ; Frédéric Srour ; Guillaume Paris ; V. Vuillemin ; Serge Poiraudeau ; Agnès Roby-Brami ; Alexandra Roren . - 2018 . - p. 46-53. Doi : 10.1016/j.rehab.2017.09.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 46-53 Mots-clés : Shoulder  Kinematics  Scapula  Degenerative shoulders pathology  Subacromial impingement syndrome  Adhesive capsulitis  Osteoarthritis  Rehabilitation Résumé : Background The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints. Methods This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience. Results For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt. These scapular kinematic modifications could decrease the subacromial space and favor rotator-cuff tendon injury. For patients with shoulder pain and restricted mobility, the studies showed a significant increase in scapular lateral rotation generally seen as a compensation mechanism of GH decreased range of motion. For patients with multidirectional GH instability, the studies found an antero-inferior decentering of the humeral head, decreased scapular lateral rotation and increased scapular internal rotation. Conclusion The clinical or instrumented assessment of the shoulder complex with a degenerative pathology must include the analysis of scapula-clavicle and trunk movements complementing the GH assessment. Depending on the individual clinical case, scapular dyskinesis could be the cause or the consequence of the shoulder degenerative pathology. For most degenerative shoulder pathologies, the rehabilitation program should take into account the whole shoulder complex and include first a scapular and trunk postural-correcting strategy, then scapulothoracic muscle rehabilitation (especially serratus anterior and trapezius inferior and medium parts) and finally neuromotor techniques to recover appropriate upper-limb kinematic schemas for daily and/or sports activities. Permalink : ./index.php?lvl=notice_display&id=80439

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Patient-preference disability assessment for disabling knee osteoarthritis: Validity and responsiveness of the McMaster-Toronto Arthritis Patient Preference Disability Questionnaire / Katherine Sanchez in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 255-262 Titre : Patient-preference disability assessment for disabling knee osteoarthritis: Validity and responsiveness of the McMaster-Toronto Arthritis Patient Preference Disability Questionnaire Type de document : texte imprimé Auteurs : Katherine Sanchez, Auteur ; Clémence Palazzo, Auteur ; Cécile Escalas, Auteur Année de publication : 2016 Article en page(s) : p. 255-262 Langues : Anglais (eng) Français (fre) Mots-clés : Genou  Ostéoporose  Handicap  Questionnaire  Knee,Osteoarthritis,Handicap,Disability assessment,Validity,Responsiveness,McMaster Toronto Arthritis Patient Preference Disability Questionnaire Résumé : Background: The McMaster-Toronto Arthritis Patient Preference Disability Questionnaire (MACTAR) measurement of function may be more comprehensive and add useful information about disability than traditional fixed-item questionnaires, especially about issues that really matter to the patient, for developing personalized medicine. Objectives: We aimed to assess priorities in disability and restriction in participation in patients with disabling knee osteoarthritis (OA) by the MACTAR and evaluate its validity and responsiveness. Methods: We evaluated 127 in- and outpatients with knee OA in two tertiary care teaching hospitals between August 2010 and July 2012 by using the MACTAR, the Western Ontario and McMaster Universities Osteoarthritis Index, Lequesne scale, Fear Avoidance Beliefs Questionnaire, a life satisfaction score and pain, global assessment of disease activity and functional impairment scores on a numerical rating scale. Validity was assessed by Pearson correlation and responsiveness by the standardized response mean (SRM) and effect size (ES). Results: Patients ranked 35 different activities by the MACTAR; the 3 domains of the International Classification of Functioning, Disability and Health most often identified were mobility (cited 233 times, 52.3%); community, social and civic life (cited 122 times, 27.4%); and domestic life (cited 64 times, 14.4%). The MACTAR score was best correlated with functional impairment (r =0.5). Convergent and divergent validity was as expected. In all, 108 patients completed a 6-month follow-up evaluation: 27 patients shifted their priorities at 6 months, for a decrease in SRM and ES. The SRM (0.64) and ES (0.92) for the MACTAR without shifts in priorities were the highest among the outcome measures tested; for patients considering their condition improved, the values were 0.85 and 1.17, respectively. Conclusions: For assessing priorities in disability and restriction in participation among patients with knee OA, the MACTAR has acceptable validity and responsiveness. Permalink : ./index.php?lvl=notice_display&id=45218 [article] Patient-preference disability assessment for disabling knee osteoarthritis: Validity and responsiveness of the McMaster-Toronto Arthritis Patient Preference Disability Questionnaire [texte imprimé] / Katherine Sanchez, Auteur ; Clémence Palazzo, Auteur ; Cécile Escalas, Auteur . - 2016 . - p. 255-262. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 255-262 Mots-clés : Genou  Ostéoporose  Handicap  Questionnaire  Knee,Osteoarthritis,Handicap,Disability assessment,Validity,Responsiveness,McMaster Toronto Arthritis Patient Preference Disability Questionnaire Résumé : Background: The McMaster-Toronto Arthritis Patient Preference Disability Questionnaire (MACTAR) measurement of function may be more comprehensive and add useful information about disability than traditional fixed-item questionnaires, especially about issues that really matter to the patient, for developing personalized medicine. Objectives: We aimed to assess priorities in disability and restriction in participation in patients with disabling knee osteoarthritis (OA) by the MACTAR and evaluate its validity and responsiveness. Methods: We evaluated 127 in- and outpatients with knee OA in two tertiary care teaching hospitals between August 2010 and July 2012 by using the MACTAR, the Western Ontario and McMaster Universities Osteoarthritis Index, Lequesne scale, Fear Avoidance Beliefs Questionnaire, a life satisfaction score and pain, global assessment of disease activity and functional impairment scores on a numerical rating scale. Validity was assessed by Pearson correlation and responsiveness by the standardized response mean (SRM) and effect size (ES). Results: Patients ranked 35 different activities by the MACTAR; the 3 domains of the International Classification of Functioning, Disability and Health most often identified were mobility (cited 233 times, 52.3%); community, social and civic life (cited 122 times, 27.4%); and domestic life (cited 64 times, 14.4%). The MACTAR score was best correlated with functional impairment (r =0.5). Convergent and divergent validity was as expected. In all, 108 patients completed a 6-month follow-up evaluation: 27 patients shifted their priorities at 6 months, for a decrease in SRM and ES. The SRM (0.64) and ES (0.92) for the MACTAR without shifts in priorities were the highest among the outcome measures tested; for patients considering their condition improved, the values were 0.85 and 1.17, respectively. Conclusions: For assessing priorities in disability and restriction in participation among patients with knee OA, the MACTAR has acceptable validity and responsiveness. Permalink : ./index.php?lvl=notice_display&id=45218

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Recent advances in kinematics of the shoulder complex in healthy people / Marie-Martine Lefèvre-Colau in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 56-59 Titre : Recent advances in kinematics of the shoulder complex in healthy people Type de document : texte imprimé Auteurs : Marie-Martine Lefèvre-Colau ; Christelle Nguyen ; Clémence Palazzo ; Frédéric Srour ; Guillaume Paris ; V. Vuillemin ; Serge Poiraudeau ; Agnès Roby-Brami ; Alexandra Roren Année de publication : 2018 Article en page(s) : p. 56-59 Note générale : Doi : 10.1016/j.rehab.2017.09.001 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=80441 [article] Recent advances in kinematics of the shoulder complex in healthy people [texte imprimé] / Marie-Martine Lefèvre-Colau ; Christelle Nguyen ; Clémence Palazzo ; Frédéric Srour ; Guillaume Paris ; V. Vuillemin ; Serge Poiraudeau ; Agnès Roby-Brami ; Alexandra Roren . - 2018 . - p. 56-59. Doi : 10.1016/j.rehab.2017.09.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 56-59 Permalink : ./index.php?lvl=notice_display&id=80441

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Risk factors and burden of osteoarthritis / Clémence Palazzo in Annals of physical and rehabilitation medicine, Vol. 59, n° 3 (June 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 134-138 Titre : Risk factors and burden of osteoarthritis Type de document : texte imprimé Auteurs : Clémence Palazzo, Auteur ; Christelle Nguyen, Auteur ; Marie-Martine Lefèvre-Colau, Auteur Année de publication : 2016 Article en page(s) : p. 134-138 Langues : Anglais (eng) Français (fre) Mots-clés : Arthrose  Épidémiologie  Indicateur risque  Handicap  Epidemiology,Osteoarthritis,Risk factors,Mortality,Disability,Prevalence,Burden Résumé : Osteoarthritis (OA) is one of the most common joint disorders worldwide. Its prevalence is increasing because of the growing aging of the population in developed and developing countries as well as an increase in risk factors leading to OA, particularly obesity and a sedentary lifestyle. Risk factors of OA can be divided into person-level factors (age, gender, obesity, genetics and diet) and joint-level factors (injury, malalignment and abnormal loading of the joints) that interact in a complex manner. OA is the 11th cause of disability in the world. It is responsible for activity limitations, particularly walking, and affects participation and quality of life. Patients with OA are at greater risk of all-cause mortality, particularly for cardiovascular diseases, than the general population. This excess mortality is closely associated with disability level. Consequently, strategies to reduce burden through primary and secondary prevention programs are increasingly important. Permalink : ./index.php?lvl=notice_display&id=45222 [article] Risk factors and burden of osteoarthritis [texte imprimé] / Clémence Palazzo, Auteur ; Christelle Nguyen, Auteur ; Marie-Martine Lefèvre-Colau, Auteur . - 2016 . - p. 134-138. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 134-138 Mots-clés : Arthrose  Épidémiologie  Indicateur risque  Handicap  Epidemiology,Osteoarthritis,Risk factors,Mortality,Disability,Prevalence,Burden Résumé : Osteoarthritis (OA) is one of the most common joint disorders worldwide. Its prevalence is increasing because of the growing aging of the population in developed and developing countries as well as an increase in risk factors leading to OA, particularly obesity and a sedentary lifestyle. Risk factors of OA can be divided into person-level factors (age, gender, obesity, genetics and diet) and joint-level factors (injury, malalignment and abnormal loading of the joints) that interact in a complex manner. OA is the 11th cause of disability in the world. It is responsible for activity limitations, particularly walking, and affects participation and quality of life. Patients with OA are at greater risk of all-cause mortality, particularly for cardiovascular diseases, than the general population. This excess mortality is closely associated with disability level. Consequently, strategies to reduce burden through primary and secondary prevention programs are increasingly important. Permalink : ./index.php?lvl=notice_display&id=45222

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