Evidence and recommendations for use of intra-articular injections for knee osteoarthritis / Christelle Nguyen 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. 184-189 Titre : Evidence and recommendations for use of intra-articular injections for knee osteoarthritis Type de document : texte imprimé Auteurs : Christelle Nguyen, Auteur ; Marie-Martine Lefèvre-Colau, Auteur ; Serge Poiraudeau, Auteur Année de publication : 2016 Article en page(s) : p. 184-189 Langues : Anglais (eng) Français (fre) Mots-clés : Arthrose  Injection  Articulation  Norme soins  Osteoarthritis,Intra-articular injections,Corticosteroids,Hyaluronic acid,Platelet-rich plasma,Botulinum toxin A,Evidence-based medicine Résumé : Pharmacological treatments are widely recommended in international guidelines for management of osteoarthritis (OA). However, the use of intra-articular (IA) therapies of diverse active drugs remains controversial. We critically reviewed studies of the efficacy and safety of IA injections of corticosteroids (CS), hyaluronic acid (HA), platelet-rich plasma (PRP), and botulinum toxin A (BTA) and evidence-based international recommendations for their use in treating knee OA. The process of article selection was unsystematic. Articles were selected on the basis of authors’ expertise, self-knowledge, and reflective practice. Only studies assessing knee OA were included. IA CS and HA injections were conditionally to fully recommended for treating knee OA. No recommendations have been formulated for IA PRP or BTA. The evidence remains inconsistent and controversial for the use of IA therapies for knee OA. The characteristics of and selection criteria for the OA population that would likely benefit from these therapies need to be identified. Accurately phenotyping and selecting patients is mandatory in future randomized controlled trials. Therefore, efficacy and safety meta-analyses should be performed, as should qualitative and sensitivity analyses of published trial results. Permalink : ./index.php?lvl=notice_display&id=45209 [article] Evidence and recommendations for use of intra-articular injections for knee osteoarthritis [texte imprimé] / Christelle Nguyen, Auteur ; Marie-Martine Lefèvre-Colau, Auteur ; Serge Poiraudeau, Auteur . - 2016 . - p. 184-189. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 184-189 Mots-clés : Arthrose  Injection  Articulation  Norme soins  Osteoarthritis,Intra-articular injections,Corticosteroids,Hyaluronic acid,Platelet-rich plasma,Botulinum toxin A,Evidence-based medicine Résumé : Pharmacological treatments are widely recommended in international guidelines for management of osteoarthritis (OA). However, the use of intra-articular (IA) therapies of diverse active drugs remains controversial. We critically reviewed studies of the efficacy and safety of IA injections of corticosteroids (CS), hyaluronic acid (HA), platelet-rich plasma (PRP), and botulinum toxin A (BTA) and evidence-based international recommendations for their use in treating knee OA. The process of article selection was unsystematic. Articles were selected on the basis of authors’ expertise, self-knowledge, and reflective practice. Only studies assessing knee OA were included. IA CS and HA injections were conditionally to fully recommended for treating knee OA. No recommendations have been formulated for IA PRP or BTA. The evidence remains inconsistent and controversial for the use of IA therapies for knee OA. The characteristics of and selection criteria for the OA population that would likely benefit from these therapies need to be identified. Accurately phenotyping and selecting patients is mandatory in future randomized controlled trials. Therefore, efficacy and safety meta-analyses should be performed, as should qualitative and sensitivity analyses of published trial results. Permalink : ./index.php?lvl=notice_display&id=45209

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Home-based cycling program tailored to older people with lumbar spinal stenosis: Barriers and facilitators / Charlotte Pauwels in Annals of physical and rehabilitation medicine, Vol. 61, n°3 (Mai 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 144-150 Titre : Home-based cycling program tailored to older people with lumbar spinal stenosis: Barriers and facilitators Type de document : texte imprimé Auteurs : Charlotte Pauwels ; Alexandra Roren ; Adrien Gautier ; Jonathan Linières ; François Rannou ; Serge Poiraudeau ; Christelle Nguyen Année de publication : 2018 Article en page(s) : p. 144-150 Note générale : Doi : 10.1016/j.rehab.2018.02.005 Langues : Anglais (eng) Mots-clés : Burden of illness  Spinal stenosis  Radicular claudication  Cycling  Rehabilitation  Clinical trial Résumé : Background Lumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain. Objectives To assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS). Methods We conducted a retrospective mixed-method study. Patients≥50 years old followed up for LSS from November 2015 to June 2016 in a French tertiary care center were screened. The intervention consisted of a single supervised session followed by home-based sessions of cycling, with dose (number of sessions and duration, distance and power per session) self-determined by patient preference. The primary outcome was assessed by a qualitative approach using semi-structured interviews at baseline and 3 months and was the identification of barriers and facilitators to the intervention. Secondary outcomes were assessed by a quantitative approach and were adherence monitored by a USB stick connected to the bicycle, burden of treatment assessed by the Exercise Therapy Burden Questionnaire (ETBQ) and clinical efficacy assessed by change in lumbar pain, radicular pain, disability, spine-specific activity limitation and maximum walking distance at 3 months. Results Overall, 15 patients were included and data for 12 were analyzed at 3 months. At baseline, the mean age was 70.9 years (95% CI: 64.9–76.8) and 9/15 patients (60.0%) were women. Barriers to cycling were fear of pain and fatigue, a too large bicycle, burden of hospital follow-up and lack of time and motivation. Facilitators were clinical improvement, surveillance and ease-of-use of the bicycle. Adherence remained stable overtime. The burden of treatment was low [mean ETBQ score: 21.0 (95% confidence interval: 11.5–30.5)]. At 3 months, 7/12 patients (58.3%) self-reported clinical improvement, with reduced radicular pain and disability [mean absolute differences: −27.5 (−43.3 to −11.7), P<0.01 and −17.5 (−32.1 to −2.9), P=0.01, respectively]. Conclusions For people with LSS, home-based cycling is a feasible intervention. Permalink : ./index.php?lvl=notice_display&id=80461 [article] Home-based cycling program tailored to older people with lumbar spinal stenosis: Barriers and facilitators [texte imprimé] / Charlotte Pauwels ; Alexandra Roren ; Adrien Gautier ; Jonathan Linières ; François Rannou ; Serge Poiraudeau ; Christelle Nguyen . - 2018 . - p. 144-150. Doi : 10.1016/j.rehab.2018.02.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 144-150 Mots-clés : Burden of illness  Spinal stenosis  Radicular claudication  Cycling  Rehabilitation  Clinical trial Résumé : Background Lumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain. Objectives To assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS). Methods We conducted a retrospective mixed-method study. Patients≥50 years old followed up for LSS from November 2015 to June 2016 in a French tertiary care center were screened. The intervention consisted of a single supervised session followed by home-based sessions of cycling, with dose (number of sessions and duration, distance and power per session) self-determined by patient preference. The primary outcome was assessed by a qualitative approach using semi-structured interviews at baseline and 3 months and was the identification of barriers and facilitators to the intervention. Secondary outcomes were assessed by a quantitative approach and were adherence monitored by a USB stick connected to the bicycle, burden of treatment assessed by the Exercise Therapy Burden Questionnaire (ETBQ) and clinical efficacy assessed by change in lumbar pain, radicular pain, disability, spine-specific activity limitation and maximum walking distance at 3 months. Results Overall, 15 patients were included and data for 12 were analyzed at 3 months. At baseline, the mean age was 70.9 years (95% CI: 64.9–76.8) and 9/15 patients (60.0%) were women. Barriers to cycling were fear of pain and fatigue, a too large bicycle, burden of hospital follow-up and lack of time and motivation. Facilitators were clinical improvement, surveillance and ease-of-use of the bicycle. Adherence remained stable overtime. The burden of treatment was low [mean ETBQ score: 21.0 (95% confidence interval: 11.5–30.5)]. At 3 months, 7/12 patients (58.3%) self-reported clinical improvement, with reduced radicular pain and disability [mean absolute differences: −27.5 (−43.3 to −11.7), P<0.01 and −17.5 (−32.1 to −2.9), P=0.01, respectively]. Conclusions For people with LSS, home-based cycling is a feasible intervention. Permalink : ./index.php?lvl=notice_display&id=80461

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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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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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Rehabilitation (exercise and strength training) and osteoarthritis: A critical narrative review / Christelle Nguyen 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. 190-195 Titre : Rehabilitation (exercise and strength training) and osteoarthritis: A critical narrative review Type de document : texte imprimé Auteurs : Christelle Nguyen, Auteur ; Marie-Martine Lefèvre-Colau, Auteur ; Serge Poiraudeau, Auteur Année de publication : 2016 Article en page(s) : p. 190-195 Langues : Anglais (eng) Français (fre) Mots-clés : Arthrose  Rééducation fonctionnelle  Médecine fondée sur les preuves  Activité physique  Osteoarthritis,Rehabilitation,Exercise,Strength training,Evidence-based medicine Résumé : Rehabilitation is widely recommended in national and international guidelines for managing osteoarthritis (OA) in primary care settings. According to the 2014 OA Research Society International (OARSI) recommendations, rehabilitation is even considered the core treatment of OA and is recommended for all patients. Rehabilitation for OA widely includes land- and water-based exercise, strength training, weight management, self-management and education, biomechanical interventions, and physically active lifestyle. We performed a critical narrative review of the efficacy and safety of rehabilitation for managing OA and discuss evidence-based international recommendations. The process of article selection was unsystematic. Articles were selected based on authors’ expertise, self-knowledge, and reflective practice. For the purpose of the review, we focused on land- and water-based exercise and strength training for knee, hip and hand OA. Other aspects of rehabilitation in OA are treated elsewhere in this special issue. Exercise therapy is widely recommended for managing knee, hip and hand OA. However, the level of evidence varies according to OA location. Overall, consistent evidence suggests that exercise therapy and specific strengthening exercise or strength training for the lower limb reduce pain and improve physical function in knee OA. Evidence for other OA sites are less consistent. Therefore, because of the lack of specific studies, recommendations for hip and hand OA are mainly derived from studies of knee OA. In addition, no recommendations have been established regarding the exercise regimen. The efficacy and safety of exercise therapy and strength training need to be further evaluated in randomized controlled trials of patients with hip and hand OA. The optimal delivery of exercise programs also has to be more clearly defined. Permalink : ./index.php?lvl=notice_display&id=45221 [article] Rehabilitation (exercise and strength training) and osteoarthritis: A critical narrative review [texte imprimé] / Christelle Nguyen, Auteur ; Marie-Martine Lefèvre-Colau, Auteur ; Serge Poiraudeau, Auteur . - 2016 . - p. 190-195. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 190-195 Mots-clés : Arthrose  Rééducation fonctionnelle  Médecine fondée sur les preuves  Activité physique  Osteoarthritis,Rehabilitation,Exercise,Strength training,Evidence-based medicine Résumé : Rehabilitation is widely recommended in national and international guidelines for managing osteoarthritis (OA) in primary care settings. According to the 2014 OA Research Society International (OARSI) recommendations, rehabilitation is even considered the core treatment of OA and is recommended for all patients. Rehabilitation for OA widely includes land- and water-based exercise, strength training, weight management, self-management and education, biomechanical interventions, and physically active lifestyle. We performed a critical narrative review of the efficacy and safety of rehabilitation for managing OA and discuss evidence-based international recommendations. The process of article selection was unsystematic. Articles were selected based on authors’ expertise, self-knowledge, and reflective practice. For the purpose of the review, we focused on land- and water-based exercise and strength training for knee, hip and hand OA. Other aspects of rehabilitation in OA are treated elsewhere in this special issue. Exercise therapy is widely recommended for managing knee, hip and hand OA. However, the level of evidence varies according to OA location. Overall, consistent evidence suggests that exercise therapy and specific strengthening exercise or strength training for the lower limb reduce pain and improve physical function in knee OA. Evidence for other OA sites are less consistent. Therefore, because of the lack of specific studies, recommendations for hip and hand OA are mainly derived from studies of knee OA. In addition, no recommendations have been established regarding the exercise regimen. The efficacy and safety of exercise therapy and strength training need to be further evaluated in randomized controlled trials of patients with hip and hand OA. The optimal delivery of exercise programs also has to be more clearly defined. Permalink : ./index.php?lvl=notice_display&id=45221

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