French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury / A. Gelis in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 352-354 Titre : French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury Type de document : texte imprimé Auteurs : A. Gelis ; D. Colin ; Brigitte Perrouin-Verbe ; X. Deboissezon ; D. Bensmail ; D. Casanova ; P. Rousseau ; B. Barrois Année de publication : 2018 Article en page(s) : p. 352-354 Note générale : Doi : 10.1016/j.rehab.2018.05.1318 Langues : Anglais (eng) Résumé : Methodology Recommendations Surgery A holistic approach is recommended before deciding on surgery, with a benefit and risk analysis A pre-operative procedure should be respected A multi-disciplinary consultation Mood and associated behavioural disorders Medical imaging before surgery Biological tests The type of surgery should be defined during the pre-operative step The patient should be informed during the pre-operative step A systematic procedure must be respected in the post-operative step Positioning for the patient Total post-operative immediate discharge must be organized: hospitalization in a convalescence ward, even a physical and rehabilitation medicine unit or at-home hospitalization The patient should regain sitting gradually, with multiprofessional management, ideally in a physical and rehabilitation medicine unit, and always after total wound healing The patient's ability to assess the skin at home should be assessed Subsequent monitoring should be organized Disclosure of interest Permalink : ./index.php?lvl=notice_display&id=80643 [article] French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury [texte imprimé] / A. Gelis ; D. Colin ; Brigitte Perrouin-Verbe ; X. Deboissezon ; D. Bensmail ; D. Casanova ; P. Rousseau ; B. Barrois . - 2018 . - p. 352-354. Doi : 10.1016/j.rehab.2018.05.1318 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 352-354 Résumé : Methodology Recommendations Surgery A holistic approach is recommended before deciding on surgery, with a benefit and risk analysis A pre-operative procedure should be respected A multi-disciplinary consultation Mood and associated behavioural disorders Medical imaging before surgery Biological tests The type of surgery should be defined during the pre-operative step The patient should be informed during the pre-operative step A systematic procedure must be respected in the post-operative step Positioning for the patient Total post-operative immediate discharge must be organized: hospitalization in a convalescence ward, even a physical and rehabilitation medicine unit or at-home hospitalization The patient should regain sitting gradually, with multiprofessional management, ideally in a physical and rehabilitation medicine unit, and always after total wound healing The patient's ability to assess the skin at home should be assessed Subsequent monitoring should be organized Disclosure of interest Permalink : ./index.php?lvl=notice_display&id=80643

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Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews / Fary Khan in Annals of physical and rehabilitation medicine, Vol. 62, n°4 (Juillet 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 265-273 Titre : Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews Type de document : texte imprimé Auteurs : Fary Khan ; Bhasker Amatya ; D. Bensmail ; Alain P. Yelnik Année de publication : 2019 Article en page(s) : p. 265-273 Note générale : doi.org/10.1016/j.rehab.2017.10.001 Langues : Anglais (eng) Mots-clés : Spasticity  Non-pharmacological intervention  Rehabilitation  Disability  Impairment  Participation Résumé : Objectives Spasticity causes significant long-term disability-burden, requiring comprehensive management. This review evaluates evidence from published systematic reviews of clinical trials for effectiveness of non-pharmacological interventions for improved spasticity outcomes. Methods Data sources: a literature search was conducted using medical and health science electronic (MEDLINE, EMBASE, CINAHL, PubMed, and the Cochrane Library) databases for published systematic reviews up to 15th June 2017. Data extraction and synthesis: two reviewers applied inclusion criteria to select potential systematic reviews, independently extracted data for methodological quality using Assessment of Multiple Systematic Reviews (AMSTAR). Quality of evidence was critically appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE). Results Overall 18 systematic reviews were evaluated for evidence for a range of non-pharmacological interventions currently used in managing spasticity in various neurological conditions. There is “moderate” evidence for electro-neuromuscular stimulation and acupuncture as an adjunct therapy to conventional routine care (pharmacological and rehabilitation) in persons following stroke. “Low” quality evidence for rehabilitation programs targeting spasticity (such as induced movement therapy, stretching, dynamic elbow-splinting, occupational therapy) in stroke and other neurological conditions; extracorporeal shock-wave therapy in brain injury; transcranial direct current stimulation in stroke; transcranial magnetic stimulation and transcutaneous electrical nerve stimulation for other neurological conditions; physical activity programs and repetitive magnetic stimulation in persons with MS, vibration therapy for SCI and stretching for other neurological condition. For other interventions, evidence was inconclusive. Conclusions Despite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065717304153 Permalink : ./index.php?lvl=notice_display&id=84131 [article] Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews [texte imprimé] / Fary Khan ; Bhasker Amatya ; D. Bensmail ; Alain P. Yelnik . - 2019 . - p. 265-273. doi.org/10.1016/j.rehab.2017.10.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 265-273 Mots-clés : Spasticity  Non-pharmacological intervention  Rehabilitation  Disability  Impairment  Participation Résumé : Objectives Spasticity causes significant long-term disability-burden, requiring comprehensive management. This review evaluates evidence from published systematic reviews of clinical trials for effectiveness of non-pharmacological interventions for improved spasticity outcomes. Methods Data sources: a literature search was conducted using medical and health science electronic (MEDLINE, EMBASE, CINAHL, PubMed, and the Cochrane Library) databases for published systematic reviews up to 15th June 2017. Data extraction and synthesis: two reviewers applied inclusion criteria to select potential systematic reviews, independently extracted data for methodological quality using Assessment of Multiple Systematic Reviews (AMSTAR). Quality of evidence was critically appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE). Results Overall 18 systematic reviews were evaluated for evidence for a range of non-pharmacological interventions currently used in managing spasticity in various neurological conditions. There is “moderate” evidence for electro-neuromuscular stimulation and acupuncture as an adjunct therapy to conventional routine care (pharmacological and rehabilitation) in persons following stroke. “Low” quality evidence for rehabilitation programs targeting spasticity (such as induced movement therapy, stretching, dynamic elbow-splinting, occupational therapy) in stroke and other neurological conditions; extracorporeal shock-wave therapy in brain injury; transcranial direct current stimulation in stroke; transcranial magnetic stimulation and transcutaneous electrical nerve stimulation for other neurological conditions; physical activity programs and repetitive magnetic stimulation in persons with MS, vibration therapy for SCI and stretching for other neurological condition. For other interventions, evidence was inconclusive. Conclusions Despite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065717304153 Permalink : ./index.php?lvl=notice_display&id=84131

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Respiratory rehabilitation in multiple sclerosis: A narrative review of rehabilitation techniques / J. Levy 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. 38-45 Titre : Respiratory rehabilitation in multiple sclerosis: A narrative review of rehabilitation techniques Type de document : texte imprimé Auteurs : J. Levy ; H. Prigent ; D. Bensmail Année de publication : 2018 Article en page(s) : p. 38-45 Note générale : Doi : 10.1016/j.rehab.2017.06.002 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Rehabilitation  Respiratory impairment  Respiratory failure  Cough Résumé : Background Respiratory disorders in multiple sclerosis (MS) are an important issue. They can occur early during the course of the disease, are associated with the neurological impairment, and can lead to pneumonia and respiratory failure, which are the main causes of death in advanced MS. Prevailing impaired expiratory muscles and cough abilities has been demonstrated in this population and might constitute a specific target for rehabilitation interventions. However, international guidelines lack recommendations regarding respiratory rehabilitation in MS. Here we performed a systematic review of the published literature related to respiratory rehabilitation in MS. Methods We searched the databases MEDLINE via PubMed, PEDro and Cochrane Library for English or French reports of clinical trials and well-designed cohorts published up to December 2016 with no restriction on start date by using the search terms “multiple sclerosis”, “respiratory rehabilitation”, “respiratory muscle training”, “lung volume recruitment”, “cough assistance”, and “mechanical in-exsufflation”. Literature reviews, case reports and physiological studies were excluded. The Maastricht criteria were used to assess the quality of clinical trials. We followed the Oxford Centre for Evidence-Based Medicine guidelines to determine level of evidence and grade of recommendations. Results Among the 21 reports of studies initially selected, 11 were retained for review. Seven studies were randomized controlled trials (RCTs), 2 were non-RCTs, and 2 were observational studies. Respiratory muscle training (inspiratory and/or expiratory) by use of a portable resistive mouthpiece was the most frequently evaluated technique, with 2 level-1 RCTs. Another level-1 RCT evaluated deep-breathing exercises. All reviewed studies evaluated home-based rehabilitation programs and focused on spirometric outcomes. The disparities in outcome measures among published studies did not allow for a meta-analysis and cough assistance devices were not evaluated in this population. Conclusion Although respiratory muscle training can improve maximal respiratory pressure in MS and lung volume recruitment can slow the decline in vital capacity, evidence is lacking to recommend specific respiratory rehabilitation programs adapted to the level of disability induced by the disease. Permalink : ./index.php?lvl=notice_display&id=80438 [article] Respiratory rehabilitation in multiple sclerosis: A narrative review of rehabilitation techniques [texte imprimé] / J. Levy ; H. Prigent ; D. Bensmail . - 2018 . - p. 38-45. Doi : 10.1016/j.rehab.2017.06.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 38-45 Mots-clés : Multiple sclerosis  Rehabilitation  Respiratory impairment  Respiratory failure  Cough Résumé : Background Respiratory disorders in multiple sclerosis (MS) are an important issue. They can occur early during the course of the disease, are associated with the neurological impairment, and can lead to pneumonia and respiratory failure, which are the main causes of death in advanced MS. Prevailing impaired expiratory muscles and cough abilities has been demonstrated in this population and might constitute a specific target for rehabilitation interventions. However, international guidelines lack recommendations regarding respiratory rehabilitation in MS. Here we performed a systematic review of the published literature related to respiratory rehabilitation in MS. Methods We searched the databases MEDLINE via PubMed, PEDro and Cochrane Library for English or French reports of clinical trials and well-designed cohorts published up to December 2016 with no restriction on start date by using the search terms “multiple sclerosis”, “respiratory rehabilitation”, “respiratory muscle training”, “lung volume recruitment”, “cough assistance”, and “mechanical in-exsufflation”. Literature reviews, case reports and physiological studies were excluded. The Maastricht criteria were used to assess the quality of clinical trials. We followed the Oxford Centre for Evidence-Based Medicine guidelines to determine level of evidence and grade of recommendations. Results Among the 21 reports of studies initially selected, 11 were retained for review. Seven studies were randomized controlled trials (RCTs), 2 were non-RCTs, and 2 were observational studies. Respiratory muscle training (inspiratory and/or expiratory) by use of a portable resistive mouthpiece was the most frequently evaluated technique, with 2 level-1 RCTs. Another level-1 RCT evaluated deep-breathing exercises. All reviewed studies evaluated home-based rehabilitation programs and focused on spirometric outcomes. The disparities in outcome measures among published studies did not allow for a meta-analysis and cough assistance devices were not evaluated in this population. Conclusion Although respiratory muscle training can improve maximal respiratory pressure in MS and lung volume recruitment can slow the decline in vital capacity, evidence is lacking to recommend specific respiratory rehabilitation programs adapted to the level of disability induced by the disease. Permalink : ./index.php?lvl=notice_display&id=80438

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Spasticity: To treat or not to treat? / Alain P. Yelnik in Annals of physical and rehabilitation medicine, Vol. 62, n°4 (Juillet 2019)  

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 205-206 Titre : Spasticity: To treat or not to treat? Type de document : texte imprimé Auteurs : Alain P. Yelnik ; Isabelle Laffont ; D. Bensmail ; Gerard E. Francisco Année de publication : 2019 Article en page(s) : p. 205-206 Note générale : https://doi.org/10.1016/j.rehab.2018.10.003 Langues : Anglais (eng) Résumé : To treat or not to treat spasticity…that's the challenge! Making this decision is the first and most difficult step, before choosing the optimal treatment. Why a patient should be treated is the most important issue and includes: • questioning all potential causes of disability and potential subsequent consequences of spastic paresis by a careful examination to disentangle the possible neurological, orthopaedic, cognitive or other causes involved in the impairment; • investigating the possible triggering factors of spasticity, and; • defining the goals that should be customized for the individual in their environment. Tailoring the treatment strategy to meet the individual's precise and personalized objectives will increase the probability of success and satisfaction with the treatment. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314787 Permalink : ./index.php?lvl=notice_display&id=84123 [article] Spasticity: To treat or not to treat? [texte imprimé] / Alain P. Yelnik ; Isabelle Laffont ; D. Bensmail ; Gerard E. Francisco . - 2019 . - p. 205-206. https://doi.org/10.1016/j.rehab.2018.10.003 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 205-206 Résumé : To treat or not to treat spasticity…that's the challenge! Making this decision is the first and most difficult step, before choosing the optimal treatment. Why a patient should be treated is the most important issue and includes: • questioning all potential causes of disability and potential subsequent consequences of spastic paresis by a careful examination to disentangle the possible neurological, orthopaedic, cognitive or other causes involved in the impairment; • investigating the possible triggering factors of spasticity, and; • defining the goals that should be customized for the individual in their environment. Tailoring the treatment strategy to meet the individual's precise and personalized objectives will increase the probability of success and satisfaction with the treatment. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314787 Permalink : ./index.php?lvl=notice_display&id=84123

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