Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study / Mélanie Cogné 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. 336-341 Titre : Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study Type de document : texte imprimé Auteurs : Mélanie Cogné ; Alexandre Creuzé ; Hervé Petit ; Claire Dellici ; Patrick Dehail ; Mathieu de Sèze Année de publication : 2019 Article en page(s) : p. 336-341 Note générale : doi.org/10.1016/j.rehab.2018.12.003 Langues : Anglais (eng) Mots-clés : Tennis elbow  Epicondylar tendinopathy  Botulinum toxin A  Pain  Quality of life  Gripping force Résumé : Background Epicondylar tendinopathy (“tennis elbow”) is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known. Objective We aimed to assess the long-term effect, side effects and recurrence rate after BoNT-A injections on chronic lateral epicondylar tendinopathy during 1 year. Methods This open study followed a 3-month randomized controlled trial. We included 50 patients followed at day 0 (V0), 90 (V1), 180–270 (V2) and 365 (V3). The main judgment criterion was the number of BoNT-A injections required to achieve pain relief with no further request for treatment by the patient. Results After one BoNT-A injection, 22/50 (44%) patients did not ask for further treatment during follow-up because of complete pain relief, and 20/50 (40%) asked for a second BoNT-A injection. For 20 patients with a second injection, 18 (90%) did not ask for further treatment during follow-up. Only 1 patient had a recurrence of pain after an initial pain relief of greater than 75%. Quality of life, and painful and maximal gripping force improved significantly at V1, V2 and V3 as compared with V0, and repercussions on daily and professional activities decreased significantly (P < 0.05). Conclusions One or 2 BoNT-A injections has favourable results for chronic epicondylar tendinopathy. Permalink : ./index.php?lvl=notice_display&id=84147 [article] Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study [texte imprimé] / Mélanie Cogné ; Alexandre Creuzé ; Hervé Petit ; Claire Dellici ; Patrick Dehail ; Mathieu de Sèze . - 2019 . - p. 336-341. doi.org/10.1016/j.rehab.2018.12.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 336-341 Mots-clés : Tennis elbow  Epicondylar tendinopathy  Botulinum toxin A  Pain  Quality of life  Gripping force Résumé : Background Epicondylar tendinopathy (“tennis elbow”) is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known. Objective We aimed to assess the long-term effect, side effects and recurrence rate after BoNT-A injections on chronic lateral epicondylar tendinopathy during 1 year. Methods This open study followed a 3-month randomized controlled trial. We included 50 patients followed at day 0 (V0), 90 (V1), 180–270 (V2) and 365 (V3). The main judgment criterion was the number of BoNT-A injections required to achieve pain relief with no further request for treatment by the patient. Results After one BoNT-A injection, 22/50 (44%) patients did not ask for further treatment during follow-up because of complete pain relief, and 20/50 (40%) asked for a second BoNT-A injection. For 20 patients with a second injection, 18 (90%) did not ask for further treatment during follow-up. Only 1 patient had a recurrence of pain after an initial pain relief of greater than 75%. Quality of life, and painful and maximal gripping force improved significantly at V1, V2 and V3 as compared with V0, and repercussions on daily and professional activities decreased significantly (P < 0.05). Conclusions One or 2 BoNT-A injections has favourable results for chronic epicondylar tendinopathy. Permalink : ./index.php?lvl=notice_display&id=84147

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Post-acute referral of stroke victims in a French urban area: Results of a specific program / Hélène Cassoudesalle 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. 248-254 Titre : Post-acute referral of stroke victims in a French urban area: Results of a specific program Type de document : texte imprimé Auteurs : Hélène Cassoudesalle, Auteur ; Hervé Petit, Auteur ; A. Nozères, Auteur Année de publication : 2016 Article en page(s) : p. 248-254 Langues : Anglais (eng) Français (fre) Mots-clés : Accident cérébrovasculaire  Rééducation fonctionnelle  Soins  Hôpital public  Gironde  Stroke,Rehabilitation units,Care organization Résumé : Objective: The main objective of this study was to describe the distribution of referrals offered to patients assessed in the “Post-Acute Stroke program” of Bordeaux University Hospital (France). This program was developed in 2008 to organize the dispensation of care in rehabilitation units specialized in neurological diseases. Material and methods: This was a single-centre observational study. Between July 2008 and December 2012, data on the number of stroke patients hospitalized at the Bordeaux University Hospital and their post-acute referral were collected from the local hospital discharge database. Some of these patients were assessed by Physical Rehabilitation and Medicine physicians participating in the program. Proposed and actual referrals, time from admission to assessment and functional status were also collected. Results: Among 4189 stroke patients, 1465 (35%) survivors were assessed, of whom 932 (22.2%) were discharged to inpatient rehabilitation facilities. There were no patients discharged to this type of unit without an assessment. Among the 1465 patients who were assessed, 57.2% were referred to specialized rehabilitation units, 6.3% were discharged to non-specialized rehabilitation units and 26% returned home directly. The median total length of stay in acute units varied from 10 to 15days depending on referral orientation. Conclusion: Patients that were assessed were more likely to be transferred to specialized rehabilitation units than to non-specialized rehabilitation units. The Post-Acute Stroke program has the particularity of combining private and public specialized rehabilitation units in a common collaborative referral system while retaining the control and flexibility of personalised referral for each patient in the light of local care availability. Permalink : ./index.php?lvl=notice_display&id=45219 [article] Post-acute referral of stroke victims in a French urban area: Results of a specific program [texte imprimé] / Hélène Cassoudesalle, Auteur ; Hervé Petit, Auteur ; A. Nozères, Auteur . - 2016 . - p. 248-254. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 248-254 Mots-clés : Accident cérébrovasculaire  Rééducation fonctionnelle  Soins  Hôpital public  Gironde  Stroke,Rehabilitation units,Care organization Résumé : Objective: The main objective of this study was to describe the distribution of referrals offered to patients assessed in the “Post-Acute Stroke program” of Bordeaux University Hospital (France). This program was developed in 2008 to organize the dispensation of care in rehabilitation units specialized in neurological diseases. Material and methods: This was a single-centre observational study. Between July 2008 and December 2012, data on the number of stroke patients hospitalized at the Bordeaux University Hospital and their post-acute referral were collected from the local hospital discharge database. Some of these patients were assessed by Physical Rehabilitation and Medicine physicians participating in the program. Proposed and actual referrals, time from admission to assessment and functional status were also collected. Results: Among 4189 stroke patients, 1465 (35%) survivors were assessed, of whom 932 (22.2%) were discharged to inpatient rehabilitation facilities. There were no patients discharged to this type of unit without an assessment. Among the 1465 patients who were assessed, 57.2% were referred to specialized rehabilitation units, 6.3% were discharged to non-specialized rehabilitation units and 26% returned home directly. The median total length of stay in acute units varied from 10 to 15days depending on referral orientation. Conclusion: Patients that were assessed were more likely to be transferred to specialized rehabilitation units than to non-specialized rehabilitation units. The Post-Acute Stroke program has the particularity of combining private and public specialized rehabilitation units in a common collaborative referral system while retaining the control and flexibility of personalised referral for each patient in the light of local care availability. Permalink : ./index.php?lvl=notice_display&id=45219

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