Association between prism adaptation and auditory cues on spatial navigation in individuals with unilateral neglect / Mélanie Cogné in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 12-20 Titre : Association between prism adaptation and auditory cues on spatial navigation in individuals with unilateral neglect Type de document : texte imprimé Auteurs : Mélanie Cogné ; Etienne Guillaud ; Laurène Guillot ; Evelyne Klinger ; Bertrand Glize ; Sophie Jacquin-Courtois ; Jean-René Cazalets ; Pierre-Alain Joseph Année de publication : 2020 Article en page(s) : p. 12-20 Note générale : doi.org/10.1016/j.rehab.2019.03.005 Langues : Anglais (eng) Mots-clés : Spatial navigation  Neglect  Virtual reality  Cues  Prism adaptation Résumé : Background Unilateral neglect is common among right-hemispheric stroke individuals and also concerns the auditory modality. Prism adaptation can improve auditory extinction during a dichotic listening task, but its effect during an ecological task has not been studied. Objective The main objective was to evaluate whether lateralized cueing before and after prism adaptation improved virtual spatial navigation of stroke individuals with visual and auditory unilateral neglect. Secondary objectives were to assess spatial memory and obtain a better understanding of the mechanism of the cueing treatment by using an eye-tracker. Methods We included 22 stroke individuals with left visual and auditory neglect, 14 individuals without neglect, and 12 healthy controls. After a familiarization task, participants underwent 3 evaluation sessions. Participants were first passively shown a path that they had then to actively reproduce by using a joystick. A path with lateralized beeping sounds indicating direction and a path without any sounds were followed in a randomized order. After prism adaptation, the participants followed a third path with lateralized beeping sounds. The time of navigation and number of trajectory mistakes were recorded. After navigation, spatial memory was assessed. Additionally, an eye-tracker was used during the navigation period. Results The navigational performance of participants with neglect was significantly better with than without auditory cues, especially after prism adaptation. With auditory cues, participants without neglect reached the navigational performance of healthy controls. The spatial memory of individuals with neglect was significantly lower with auditory cues. Eye-tracking analyses showed that participants with neglect made more saccades and looked longer at the right-square angles in the absence of auditory cues. Conclusions This study demonstrates the positive effect of auditory cues in virtual spatial navigation of individuals with visual and auditory neglect and the potentiation of the help of cues after prism adaptation. Permalink : ./index.php?lvl=notice_display&id=90682 [article] Association between prism adaptation and auditory cues on spatial navigation in individuals with unilateral neglect [texte imprimé] / Mélanie Cogné ; Etienne Guillaud ; Laurène Guillot ; Evelyne Klinger ; Bertrand Glize ; Sophie Jacquin-Courtois ; Jean-René Cazalets ; Pierre-Alain Joseph . - 2020 . - p. 12-20. doi.org/10.1016/j.rehab.2019.03.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 12-20 Mots-clés : Spatial navigation  Neglect  Virtual reality  Cues  Prism adaptation Résumé : Background Unilateral neglect is common among right-hemispheric stroke individuals and also concerns the auditory modality. Prism adaptation can improve auditory extinction during a dichotic listening task, but its effect during an ecological task has not been studied. Objective The main objective was to evaluate whether lateralized cueing before and after prism adaptation improved virtual spatial navigation of stroke individuals with visual and auditory unilateral neglect. Secondary objectives were to assess spatial memory and obtain a better understanding of the mechanism of the cueing treatment by using an eye-tracker. Methods We included 22 stroke individuals with left visual and auditory neglect, 14 individuals without neglect, and 12 healthy controls. After a familiarization task, participants underwent 3 evaluation sessions. Participants were first passively shown a path that they had then to actively reproduce by using a joystick. A path with lateralized beeping sounds indicating direction and a path without any sounds were followed in a randomized order. After prism adaptation, the participants followed a third path with lateralized beeping sounds. The time of navigation and number of trajectory mistakes were recorded. After navigation, spatial memory was assessed. Additionally, an eye-tracker was used during the navigation period. Results The navigational performance of participants with neglect was significantly better with than without auditory cues, especially after prism adaptation. With auditory cues, participants without neglect reached the navigational performance of healthy controls. The spatial memory of individuals with neglect was significantly lower with auditory cues. Eye-tracking analyses showed that participants with neglect made more saccades and looked longer at the right-square angles in the absence of auditory cues. Conclusions This study demonstrates the positive effect of auditory cues in virtual spatial navigation of individuals with visual and auditory neglect and the potentiation of the help of cues after prism adaptation. Permalink : ./index.php?lvl=notice_display&id=90682

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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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Influence of non-contextual auditory stimuli on navigation in a virtual reality context involving executive functions among patients after stroke / Mélanie Cogné in Annals of physical and rehabilitation medicine, Vol. 61, n°6 (Novembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°6 (Novembre 2018) . - p. 372-379 Titre : Influence of non-contextual auditory stimuli on navigation in a virtual reality context involving executive functions among patients after stroke Type de document : texte imprimé Auteurs : Mélanie Cogné ; Marie-Hélène Voilleau ; Evelyne Klinger ; Pierre-Alain Joseph Année de publication : 2018 Article en page(s) : p. 372-379 Note générale : Doi : 10.1016/j.rehab.2018.01.002 Langues : Anglais (eng) Mots-clés : Spatial navigation  Virtual reality  VAP-S  Auditory stimuli  Executive functions  Inhibit Résumé : Background Topographical disorientation is frequent among patients after a stroke and can be well explored with virtual environments (VEs). VEs also allow for the addition of stimuli. A previous study did not find any effect of non-contextual auditory stimuli on navigational performance in the virtual action planning-supermarket (VAP-S) simulating a medium-sized 3D supermarket. However, the perceptual or cognitive load of the sounds used was not high. Objective We investigated how non-contextual auditory stimuli with high load affect navigational performance in the VAP-S for patients who have had a stroke and any correlation between this performance and dysexecutive disorders. Methods Four kinds of stimuli were considered: sounds from living beings, sounds from supermarket objects, beeping sounds and names of other products that were not available in the VAP-S. The condition without auditory stimuli was the control. The Groupe de réflexion pour l’évaluation des fonctions exécutives (GREFEX) battery was used to evaluate executive functions of patients. Results The study included 40 patients who have had a stroke (n=22 right-hemisphere and n=18 left-hemisphere stroke). Patients’ navigational performance was decreased under the 4 conditions with non-contextual auditory stimuli (P<0.05), especially for those with dysexecutive disorders. For the 5 conditions, the lower the performance, the more GREFEX tests were failed. Patients felt significantly disadvantaged by the non-contextual sounds sounds from living beings, sounds from supermarket objects and names of other products as compared with beeping sounds (P<0.01). Patients’ verbal recall of the collected objects was significantly lower under the condition with names of other products (P<0.001). Left and right brain-damaged patients did not differ in navigational performance in the VAP-S under the 5 auditory conditions. Conclusions These non-contextual auditory stimuli could be used in neurorehabilitation paradigms to train patients with dysexecutive disorders to inhibit disruptive stimuli. Permalink : ./index.php?lvl=notice_display&id=82387 [article] Influence of non-contextual auditory stimuli on navigation in a virtual reality context involving executive functions among patients after stroke [texte imprimé] / Mélanie Cogné ; Marie-Hélène Voilleau ; Evelyne Klinger ; Pierre-Alain Joseph . - 2018 . - p. 372-379. Doi : 10.1016/j.rehab.2018.01.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°6 (Novembre 2018) . - p. 372-379 Mots-clés : Spatial navigation  Virtual reality  VAP-S  Auditory stimuli  Executive functions  Inhibit Résumé : Background Topographical disorientation is frequent among patients after a stroke and can be well explored with virtual environments (VEs). VEs also allow for the addition of stimuli. A previous study did not find any effect of non-contextual auditory stimuli on navigational performance in the virtual action planning-supermarket (VAP-S) simulating a medium-sized 3D supermarket. However, the perceptual or cognitive load of the sounds used was not high. Objective We investigated how non-contextual auditory stimuli with high load affect navigational performance in the VAP-S for patients who have had a stroke and any correlation between this performance and dysexecutive disorders. Methods Four kinds of stimuli were considered: sounds from living beings, sounds from supermarket objects, beeping sounds and names of other products that were not available in the VAP-S. The condition without auditory stimuli was the control. The Groupe de réflexion pour l’évaluation des fonctions exécutives (GREFEX) battery was used to evaluate executive functions of patients. Results The study included 40 patients who have had a stroke (n=22 right-hemisphere and n=18 left-hemisphere stroke). Patients’ navigational performance was decreased under the 4 conditions with non-contextual auditory stimuli (P<0.05), especially for those with dysexecutive disorders. For the 5 conditions, the lower the performance, the more GREFEX tests were failed. Patients felt significantly disadvantaged by the non-contextual sounds sounds from living beings, sounds from supermarket objects and names of other products as compared with beeping sounds (P<0.01). Patients’ verbal recall of the collected objects was significantly lower under the condition with names of other products (P<0.001). Left and right brain-damaged patients did not differ in navigational performance in the VAP-S under the 5 auditory conditions. Conclusions These non-contextual auditory stimuli could be used in neurorehabilitation paradigms to train patients with dysexecutive disorders to inhibit disruptive stimuli. Permalink : ./index.php?lvl=notice_display&id=82387

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La réalité virtuelle et les activités simulées dans la prise en charge des déficiences cognitives : exemple du VAP-S / Evelyne Klinger in Kinésithérapie scientifique, 595 (Février 2018)

Public ISBD [article]  inKinésithérapie scientifique > 595 (Février 2018) . - p. 27-31 Titre : La réalité virtuelle et les activités simulées dans la prise en charge des déficiences cognitives : exemple du VAP-S Type de document : texte imprimé Auteurs : Evelyne Klinger ; Jean-Luc Le Guiet ; Naomi JOSMAN ; Pierre-Alain Joseph Année de publication : 2018 Article en page(s) : p. 27-31 Langues : Français (fre) Mots-clés : Qualité vie  Cognition  virtual action planning Résumé : Chaque année, des centaines de milliers de personnes sont victimes de lésions cérébrales d?origines variées qui entraînent des troubles cognitifs et représentent la première cause de perte d?autonomie .Ainsi, on dénombre, chaque année, en France, plus de 80 000 personnes victimes d?un traumatisme crânien (TC) dont 10 000 avec troubles cognitifs ; plus de 130 000 personnes victimes d?un accident vasculaire cérébral (AVC) invalidant ; ou encore plus de 225 000 personnes victimes de la maladie d?Alzheimer.L?altération cognitive concerne plusieurs fonctions (contrôle exécutif et attention, capacités visuo-spatiales, langage et communication, mémoire, etc.). Elle limite l?activité et la participation des personnes dans la vie quotidienne ou professionnelle et réduit leur qualité de vie ainsi que celle de leur famille .La prise en charge des troubles cognitifs est difficile et associe des approches analytiques basées sur l?identification des processus cognitifs déficitaires et préservés, et sur l?entraînement global d?activités de la vie quotidienne (AVQ) ou de tâches professionnelles. La rééducation cognitive vise à accroître ou améliorer la capacité des personnes à traiter et utiliser l?information de façon à permettre un fonctionnement amélioré dans les AVQ Elle se réfère à un ensemble d?interventions destinées à améliorer le fonctionnement cognitif et la participation dans les activités, ou encore les occupations, qui peuvent être affectées par des difficultés dans un ou plusieurs domaines cognitifs.Dans cette approche pragmatique et écologique, les méthodes individualisées sont les plus appropriées mais sont coûteuses en temps et en moyens cliniques. Permalink : ./index.php?lvl=notice_display&id=55377 [article] La réalité virtuelle et les activités simulées dans la prise en charge des déficiences cognitives : exemple du VAP-S [texte imprimé] / Evelyne Klinger ; Jean-Luc Le Guiet ; Naomi JOSMAN ; Pierre-Alain Joseph . - 2018 . - p. 27-31. Langues : Français (fre) in Kinésithérapie scientifique > 595 (Février 2018) . - p. 27-31 Mots-clés : Qualité vie  Cognition  virtual action planning Résumé : Chaque année, des centaines de milliers de personnes sont victimes de lésions cérébrales d?origines variées qui entraînent des troubles cognitifs et représentent la première cause de perte d?autonomie .Ainsi, on dénombre, chaque année, en France, plus de 80 000 personnes victimes d?un traumatisme crânien (TC) dont 10 000 avec troubles cognitifs ; plus de 130 000 personnes victimes d?un accident vasculaire cérébral (AVC) invalidant ; ou encore plus de 225 000 personnes victimes de la maladie d?Alzheimer.L?altération cognitive concerne plusieurs fonctions (contrôle exécutif et attention, capacités visuo-spatiales, langage et communication, mémoire, etc.). Elle limite l?activité et la participation des personnes dans la vie quotidienne ou professionnelle et réduit leur qualité de vie ainsi que celle de leur famille .La prise en charge des troubles cognitifs est difficile et associe des approches analytiques basées sur l?identification des processus cognitifs déficitaires et préservés, et sur l?entraînement global d?activités de la vie quotidienne (AVQ) ou de tâches professionnelles. La rééducation cognitive vise à accroître ou améliorer la capacité des personnes à traiter et utiliser l?information de façon à permettre un fonctionnement amélioré dans les AVQ Elle se réfère à un ensemble d?interventions destinées à améliorer le fonctionnement cognitif et la participation dans les activités, ou encore les occupations, qui peuvent être affectées par des difficultés dans un ou plusieurs domaines cognitifs.Dans cette approche pragmatique et écologique, les méthodes individualisées sont les plus appropriées mais sont coûteuses en temps et en moyens cliniques. Permalink : ./index.php?lvl=notice_display&id=55377

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