Executive function after severe childhood traumatic brain injury – Age-at-injury vulnerability periods: The TGE prospective longitudinal study / Agata Krasny-Pacini in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 74-82 Titre : Executive function after severe childhood traumatic brain injury – Age-at-injury vulnerability periods: The TGE prospective longitudinal study Type de document : texte imprimé Auteurs : Agata Krasny-Pacini, Auteur ; Sabine Lancien, Auteur ; Mathilde Chevignard, Auteur Année de publication : 2017 Article en page(s) : p. 74-82 Langues : Anglais (eng) Français (fre) Mots-clés : Traumatisme crânien  Enfant  Échantillon représentatif  Étude prospective  Fonction exécutive  Traumatic brain injury,Executive functions,Child,Cohort,Longitudinal prospective study,Outcome,Vulnerability periods,Follow-up Résumé : Background: Executive function (EF) impairment is a major predictor of overall outcome after traumatic brain injury (TBI). TBI severity is a factor of poor outcome, but most studies include a majority of children with mild and moderate TBI. The aims of this study were to estimate EF impairment after severe childhood TBI and to explore factors predicting EF outcome. The secondary aim was to compare recovery trajectories by age-at-injury groups. Methods: This was a prospective longitudinal study of children with severe TBI who were tested for EFs by performance-based tests and questionnaires at 3, 12 and 24 months. Results: Children with TBI (n =65) showed significant impairment in working memory, inhibition, attention and global EF, with little or no recovery at 24 months. For flexibility and performance-based EF score, children were impaired at 3 months only and showed normal scores by 12 months. No impairment was found in planning. At 3 and 24 months, Glasgow Coma Scale score and parental education predicted global EF. Coma length was not a significant predictor of outcome. Age at injury predicted progress in EF, but the relationship was not linear; children 10–12 years old at injury showed better outcome than older and younger children. Conclusions: EFs are impaired after severe TBI in childhood. The relationship between age at injury and outcome is not linear. Relying on only performance-based EF tests can underestimate EF impairment. Permalink : ./index.php?lvl=notice_display&id=51673 [article] Executive function after severe childhood traumatic brain injury – Age-at-injury vulnerability periods: The TGE prospective longitudinal study [texte imprimé] / Agata Krasny-Pacini, Auteur ; Sabine Lancien, Auteur ; Mathilde Chevignard, Auteur . - 2017 . - p. 74-82. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 74-82 Mots-clés : Traumatisme crânien  Enfant  Échantillon représentatif  Étude prospective  Fonction exécutive  Traumatic brain injury,Executive functions,Child,Cohort,Longitudinal prospective study,Outcome,Vulnerability periods,Follow-up Résumé : Background: Executive function (EF) impairment is a major predictor of overall outcome after traumatic brain injury (TBI). TBI severity is a factor of poor outcome, but most studies include a majority of children with mild and moderate TBI. The aims of this study were to estimate EF impairment after severe childhood TBI and to explore factors predicting EF outcome. The secondary aim was to compare recovery trajectories by age-at-injury groups. Methods: This was a prospective longitudinal study of children with severe TBI who were tested for EFs by performance-based tests and questionnaires at 3, 12 and 24 months. Results: Children with TBI (n =65) showed significant impairment in working memory, inhibition, attention and global EF, with little or no recovery at 24 months. For flexibility and performance-based EF score, children were impaired at 3 months only and showed normal scores by 12 months. No impairment was found in planning. At 3 and 24 months, Glasgow Coma Scale score and parental education predicted global EF. Coma length was not a significant predictor of outcome. Age at injury predicted progress in EF, but the relationship was not linear; children 10–12 years old at injury showed better outcome than older and younger children. Conclusions: EFs are impaired after severe TBI in childhood. The relationship between age at injury and outcome is not linear. Relying on only performance-based EF tests can underestimate EF impairment. Permalink : ./index.php?lvl=notice_display&id=51673

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Feasibility of a shorter Goal Attainment Scaling method for a pediatric spasticity clinic — The 3-milestones GAS / Agata Krasny-Pacini in Annals of physical and rehabilitation medicine, Vol. 60, n° 4 (July 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 249-257 Titre : Feasibility of a shorter Goal Attainment Scaling method for a pediatric spasticity clinic — The 3-milestones GAS Type de document : texte imprimé Auteurs : Agata Krasny-Pacini, Auteur ; Fernand Pauly, Auteur ; J. Hiebel, Auteur Année de publication : 2017 Article en page(s) : p. 249-257 Langues : Anglais (eng) Français (fre) Mots-clés : Famille  Enfant  Échelle  Goal setting,Goal Attainment Scaling,Family,Children,Botulinum toxin Résumé : Background: Goal Attainment Scaling (GAS) is a method for writing personalized evaluation scales to quantify progress toward defined goals. It is useful in rehabilitation but is hampered by the experience required to adequately “predict” the possible outcomes relating to a particular goal before treatment and the time needed to describe all 5 levels of the scale. Here we aimed to investigate the feasibility of using GAS in a clinical setting of a pediatric spasticity clinic with a shorter method, the “3-milestones” GAS (goal setting with 3 levels and goal rating with the classical 5 levels). Secondary aims were to (1) analyze the types of goals children's therapists set for botulinum toxin treatment and (2) compare the score distribution (and therefore the ability to predict outcome) by goal type. Methods: Therapists were trained in GAS writing and prepared GAS scales in the regional spasticity-management clinic they attended with their patients and families. The study included all GAS scales written during a 2-year period. GAS score distribution across the 5 GAS levels was examined to assess whether the therapist could reliably predict outcome and whether the 3-milestones GAS yielded similar distributions as the original GAS method. Results: In total, 541 GAS scales were written and showed the expected score distribution. Most scales (55%) referred to movement quality goals and fewer (29%) to family goals and activity domains. Conclusion: The 3-milestones GAS method was feasible within the time constraints of the spasticity clinic and could be used by local therapists in cooperation with the hospital team. Permalink : ./index.php?lvl=notice_display&id=51674 [article] Feasibility of a shorter Goal Attainment Scaling method for a pediatric spasticity clinic — The 3-milestones GAS [texte imprimé] / Agata Krasny-Pacini, Auteur ; Fernand Pauly, Auteur ; J. Hiebel, Auteur . - 2017 . - p. 249-257. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 249-257 Mots-clés : Famille  Enfant  Échelle  Goal setting,Goal Attainment Scaling,Family,Children,Botulinum toxin Résumé : Background: Goal Attainment Scaling (GAS) is a method for writing personalized evaluation scales to quantify progress toward defined goals. It is useful in rehabilitation but is hampered by the experience required to adequately “predict” the possible outcomes relating to a particular goal before treatment and the time needed to describe all 5 levels of the scale. Here we aimed to investigate the feasibility of using GAS in a clinical setting of a pediatric spasticity clinic with a shorter method, the “3-milestones” GAS (goal setting with 3 levels and goal rating with the classical 5 levels). Secondary aims were to (1) analyze the types of goals children's therapists set for botulinum toxin treatment and (2) compare the score distribution (and therefore the ability to predict outcome) by goal type. Methods: Therapists were trained in GAS writing and prepared GAS scales in the regional spasticity-management clinic they attended with their patients and families. The study included all GAS scales written during a 2-year period. GAS score distribution across the 5 GAS levels was examined to assess whether the therapist could reliably predict outcome and whether the 3-milestones GAS yielded similar distributions as the original GAS method. Results: In total, 541 GAS scales were written and showed the expected score distribution. Most scales (55%) referred to movement quality goals and fewer (29%) to family goals and activity domains. Conclusion: The 3-milestones GAS method was feasible within the time constraints of the spasticity clinic and could be used by local therapists in cooperation with the hospital team. Permalink : ./index.php?lvl=notice_display&id=51674

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Gérer les émotions en rééducation / Entretiens de médecine physique et de r?eadaptation (51; 2023; Montpellier)

Public ISBD Titre : Gérer les émotions en rééducation Type de document : texte imprimé Auteurs : Marie Kuppelin, Directeur de publication, rédacteur en chef ; Isabel Tavares, Directeur de publication, rédacteur en chef ; Claire Jourdan, Directeur de publication, rédacteur en chef ; Agata Krasny-Pacini, Directeur de publication, rédacteur en chef ; Gr?egory Baptista (1979-....), Auteur ; Satchel Cohen, Auteur ; Jonathan Del Monte, Auteur ; Yannick Descharmes, Auteur ; Jonathan Evans, Auteur ; Claire Iftissen-Husser, Auteur ; Enzo Lachaux, Auteur ; Marine Paucsik (19..-....), Auteur ; Gauthier Rauline, Auteur ; Marie Riebel (1996-....), Auteur ; Mario Speranza (1967-....), Auteur ; Marie Wagnon, Auteur ; Luisa Weiner Huber Mendes (1982-....), Auteur Congrès : Entretiens de médecine physique et de r?eadaptation (51; 2023; Montpellier), Auteur ; Entretiens de rééducation et r?eadaptation fonctionnelles, Organisateur de réunion, de conférence Editeur : Montpellier : Sauramps médical Année de publication : 2023 Collection : Acquisitions en médecine physique et de réadaptation, ISSN 2259-1133 Importance : 1 volume (176 p.) Présentation : ill., couv. ill. en coul. Format : 24 cm ISBN/ISSN/EAN : 979-10-303-0383-4 Prix : [36 EUR] Langues : Français (fre) Anglais (eng) Mots-clés : Médecine physique et de réadaptation  Réadaptation -- Psychologie  Émotions  Réadaptation -- psychologie Index. décimale : 615.85 Psychothérapie Résumé : Les thérapies cognitives comportementales et émotionnelles offrent des outils pour aider les patients à réguler leurs émotions dans le processus de rééducation et de réadaptation. Les principaux courants de TCCE ainsi que leurs utilisations sont présentés dans un premier temps. Des applications concrètes de ces thérapies sont ensuite décrites avec des cas cliniques. Permalink : ./index.php?lvl=notice_display&id=113298 Gérer les émotions en rééducation [texte imprimé] / Marie Kuppelin, Directeur de publication, rédacteur en chef ; Isabel Tavares, Directeur de publication, rédacteur en chef ; Claire Jourdan, Directeur de publication, rédacteur en chef ; Agata Krasny-Pacini, Directeur de publication, rédacteur en chef ; Gr?egory Baptista (1979-....), Auteur ; Satchel Cohen, Auteur ; Jonathan Del Monte, Auteur ; Yannick Descharmes, Auteur ; Jonathan Evans, Auteur ; Claire Iftissen-Husser, Auteur ; Enzo Lachaux, Auteur ; Marine Paucsik (19..-....), Auteur ; Gauthier Rauline, Auteur ; Marie Riebel (1996-....), Auteur ; Mario Speranza (1967-....), Auteur ; Marie Wagnon, Auteur ; Luisa Weiner Huber Mendes (1982-....), Auteur / Entretiens de médecine physique et de r?eadaptation (51; 2023; Montpellier), Auteur ; Entretiens de rééducation et r?eadaptation fonctionnelles, Organisateur de réunion, de conférence . - Montpellier : Sauramps médical, 2023 . - 1 volume (176 p.) : ill., couv. ill. en coul. ; 24 cm. - (Acquisitions en médecine physique et de réadaptation, ISSN 2259-1133) . ISBN : 979-10-303-0383-4 : [36 EUR] Langues : Français (fre) Anglais (eng) Mots-clés : Médecine physique et de réadaptation  Réadaptation -- Psychologie  Émotions  Réadaptation -- psychologie Index. décimale : 615.85 Psychothérapie Résumé : Les thérapies cognitives comportementales et émotionnelles offrent des outils pour aider les patients à réguler leurs émotions dans le processus de rééducation et de réadaptation. Les principaux courants de TCCE ainsi que leurs utilisations sont présentés dans un premier temps. Des applications concrètes de ces thérapies sont ensuite décrites avec des cas cliniques. Permalink : ./index.php?lvl=notice_display&id=113298

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Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism / Agata Krasny-Pacini 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. 164-179 Titre : Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism Type de document : texte imprimé Auteurs : Agata Krasny-Pacini ; Jonathan Evans Année de publication : 2018 Article en page(s) : p. 164-179 Note générale : Doi : 10.1016/j.rehab.2017.12.009 Langues : Anglais (eng) Mots-clés : Anaerobic test  Blood lactate measurement  Exercise test  NIRS muscle  Oxygen debt  Step test Résumé : Background Although the initial anaerobic component of exercise adaptation is unavoidable, no specific functional test is available for use in routine non-sporting practice to evaluate it. Objective To assess the bioenergetic and biomechanical properties of the Short and Fast Step Test (SFST), which consists of walking up and down a step as many times as possible in 1minute and to analyse its ability to explore the initial anaerobic component of effort in comparison to a reference self-paced step test. Methods Overall, 31 healthy subjects (19 women; mean [SD] age, 32.4 [10.2] years) completed a test–retest of a self-paced step test and the SFST, with pre- and post-test measurement of blood lactate concentration and continuous recording of VO2 and modelling of excess post-exercise oxygen consumption (EPOC), near-infrared spectroscopy (NIRS) of the quadriceps and mechanical power (estimated by the number of steps climbed and 3-D motion analysis). Results Both step tests were well tolerated. The reliability of the bioenergetics parameters, number of raised steps, mechanical power and NIRS tissue saturation index was good. Indirect mechanical power (estimated from number of steps) was correlated with direct power (computed from the centre of mass). Lactate accumulation was significantly increased during exercise with only the SFST (mean [SD] increase, 3.86 [3.26]mmolL−1 from resting values, P<0.05). EPOC was higher with the SFST than the self-paced step test (P<0.05). Only the SFST showed significant correlations between number of steps climbed and EPOC (r=0.84; P<0.001) and decreased tissue saturation index (NIRS) and EPOC area (r=−0.39; P<0.05). Conclusions SFST is feasible, well tolerated, reliable and responsive to explore a brief exercise involving anaerobic metabolism at submaximal intensity. The number of steps taken in 1minute seems a suitable parameter for practical application. Permalink : ./index.php?lvl=notice_display&id=80464 [article] Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism [texte imprimé] / Agata Krasny-Pacini ; Jonathan Evans . - 2018 . - p. 164-179. Doi : 10.1016/j.rehab.2017.12.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 164-179 Mots-clés : Anaerobic test  Blood lactate measurement  Exercise test  NIRS muscle  Oxygen debt  Step test Résumé : Background Although the initial anaerobic component of exercise adaptation is unavoidable, no specific functional test is available for use in routine non-sporting practice to evaluate it. Objective To assess the bioenergetic and biomechanical properties of the Short and Fast Step Test (SFST), which consists of walking up and down a step as many times as possible in 1minute and to analyse its ability to explore the initial anaerobic component of effort in comparison to a reference self-paced step test. Methods Overall, 31 healthy subjects (19 women; mean [SD] age, 32.4 [10.2] years) completed a test–retest of a self-paced step test and the SFST, with pre- and post-test measurement of blood lactate concentration and continuous recording of VO2 and modelling of excess post-exercise oxygen consumption (EPOC), near-infrared spectroscopy (NIRS) of the quadriceps and mechanical power (estimated by the number of steps climbed and 3-D motion analysis). Results Both step tests were well tolerated. The reliability of the bioenergetics parameters, number of raised steps, mechanical power and NIRS tissue saturation index was good. Indirect mechanical power (estimated from number of steps) was correlated with direct power (computed from the centre of mass). Lactate accumulation was significantly increased during exercise with only the SFST (mean [SD] increase, 3.86 [3.26]mmolL−1 from resting values, P<0.05). EPOC was higher with the SFST than the self-paced step test (P<0.05). Only the SFST showed significant correlations between number of steps climbed and EPOC (r=0.84; P<0.001) and decreased tissue saturation index (NIRS) and EPOC area (r=−0.39; P<0.05). Conclusions SFST is feasible, well tolerated, reliable and responsive to explore a brief exercise involving anaerobic metabolism at submaximal intensity. The number of steps taken in 1minute seems a suitable parameter for practical application. Permalink : ./index.php?lvl=notice_display&id=80464

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