Diagnosis, follow-up and management of sleep-disordered breathing in children with osteogenesis imperfecta / Antoine Léotard 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. 135-139 Titre : Diagnosis, follow-up and management of sleep-disordered breathing in children with osteogenesis imperfecta Type de document : texte imprimé Auteurs : Antoine Léotard ; J. Taytard ; Marion Aouate ; Michèle Boule ; V. Forin ; P. Lallemant-Dudek Année de publication : 2018 Article en page(s) : p. 135-139 Note générale : Doi : 10.1016/j.rehab.2018.02.001 Langues : Anglais (eng) Mots-clés : Osteogenesis imperfecta  Polysomnography  Sleep-disordered breathing  Motor function  Walking autonomy Résumé : Objectives Osteogenesis imperfecta (OI) is the most common genetic skeletal disorder. Extraskeletal findings are common but an association with sleep-disordered breathing (SDB) has never been described. The aim of this study was to investigate clinical features of children with OI and suspected SDB. Methods A retrospective study of clinical records, signs of SDB and polysomnographic recordings of children with OI was performed. We paid particular attention to symptoms that could be associated with SDB in this population – scoliosis, kyphosis, vertebral arthrodesis, chest wall deformities, basilar impression, autonomy – as well as data already known to be associated with obstructive sleep apnea such as body mass index and upper-airway impairment. Results We reviewed the clinical charts of 188 patients referred to our genetic skeletal disorders reference center for OI. Among the 15 patients (8%) with polysomnographic recordings, 12 (6.4%) had sleep-disordered breathing. We found a negative correlation between the Brief Assessment of Motor Function score and Apnea Hypopnea Index (r=−0.68; p=0.01) and Desaturation Index (r=−0.62; p=0.02). The Apnea Hypopnea Index was higher for non-walkers than walkers (mean [SD]: 6.5 [3.6] vs. 2.4 [1.5]; p=0.02) and with type III versus IV OI. Two patients were started on continuous positive airway pressure ventilation, with clinical improvement. Conclusion For OI children, symptoms suggesting obstructive sleep disorders should be searched for systematically, especially in children with compromised autonomy, high body mass index, trunk deformations, and severe OI type. Permalink : ./index.php?lvl=notice_display&id=80460 [article] Diagnosis, follow-up and management of sleep-disordered breathing in children with osteogenesis imperfecta [texte imprimé] / Antoine Léotard ; J. Taytard ; Marion Aouate ; Michèle Boule ; V. Forin ; P. Lallemant-Dudek . - 2018 . - p. 135-139. Doi : 10.1016/j.rehab.2018.02.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 135-139 Mots-clés : Osteogenesis imperfecta  Polysomnography  Sleep-disordered breathing  Motor function  Walking autonomy Résumé : Objectives Osteogenesis imperfecta (OI) is the most common genetic skeletal disorder. Extraskeletal findings are common but an association with sleep-disordered breathing (SDB) has never been described. The aim of this study was to investigate clinical features of children with OI and suspected SDB. Methods A retrospective study of clinical records, signs of SDB and polysomnographic recordings of children with OI was performed. We paid particular attention to symptoms that could be associated with SDB in this population – scoliosis, kyphosis, vertebral arthrodesis, chest wall deformities, basilar impression, autonomy – as well as data already known to be associated with obstructive sleep apnea such as body mass index and upper-airway impairment. Results We reviewed the clinical charts of 188 patients referred to our genetic skeletal disorders reference center for OI. Among the 15 patients (8%) with polysomnographic recordings, 12 (6.4%) had sleep-disordered breathing. We found a negative correlation between the Brief Assessment of Motor Function score and Apnea Hypopnea Index (r=−0.68; p=0.01) and Desaturation Index (r=−0.62; p=0.02). The Apnea Hypopnea Index was higher for non-walkers than walkers (mean [SD]: 6.5 [3.6] vs. 2.4 [1.5]; p=0.02) and with type III versus IV OI. Two patients were started on continuous positive airway pressure ventilation, with clinical improvement. Conclusion For OI children, symptoms suggesting obstructive sleep disorders should be searched for systematically, especially in children with compromised autonomy, high body mass index, trunk deformations, and severe OI type. Permalink : ./index.php?lvl=notice_display&id=80460

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A model for a ventilator-weaning and early rehabilitation unit to deal with post-ICU impairments following severe COVID-19 / Jonathan Lévy in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 376-378 Titre : A model for a ventilator-weaning and early rehabilitation unit to deal with post-ICU impairments following severe COVID-19 Type de document : texte imprimé Auteurs : Jonathan Lévy ; Antoine Léotard ; Christine Lawrence ; Julie Paquereau ; Djamel Bensmail ; Djillali Annane ; Vincent Delord ; Frédéric Lofaso ; Simon Bessis ; Hélène Prigent Année de publication : 2020 Article en page(s) : p. 376-378 Note générale : doi.org/10.1016/j.rehab.2020.04.002 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=90887 [article] A model for a ventilator-weaning and early rehabilitation unit to deal with post-ICU impairments following severe COVID-19 [texte imprimé] / Jonathan Lévy ; Antoine Léotard ; Christine Lawrence ; Julie Paquereau ; Djamel Bensmail ; Djillali Annane ; Vincent Delord ; Frédéric Lofaso ; Simon Bessis ; Hélène Prigent . - 2020 . - p. 376-378. doi.org/10.1016/j.rehab.2020.04.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 376-378 Permalink : ./index.php?lvl=notice_display&id=90887

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Sleep disorders in aging polio survivors : A systematic review / Antoine Léotard in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 543-553 Titre : Sleep disorders in aging polio survivors : A systematic review Type de document : texte imprimé Auteurs : Antoine Léotard ; Jonathan Lévy ; Sarah Hartley ; Avril Pages ; François Genêt ; Frédéric Lofaso ; Hélène Prigent ; Maria Antonia Quera-Salva Année de publication : 2020 Article en page(s) : p. 543-553 Note générale : doi.org/10.1016/j.rehab.2019.10.007 Langues : Anglais (eng) Mots-clés : Sleep disordered breathing  Sleep apnea syndrome  Restless legs syndrome  Periodic leg movements  Poliomyelitis  Post-polio syndrome Résumé : Background Sleep disturbances, especially sleep disordered breathing and sleep movement disorders, seem to be highly prevalent among aging polio survivors. They could contribute to late functional deterioration, fatigue, poor quality of life and negative health outcomes, thereby increasing cardiovascular risk. Objectives This review focused on current knowledge of the prevalence of sleep disorders in polio survivors, their features, predictive factors and management. Data sources Articles were searched in PubMed and the Cochrane Library up to March 2018. Study eligibility criteria, participants and interventions Articles needed to 1) be written in English; 2) include only participants with previous poliomyelitis or post-polio syndrome diagnosis; and 3) involve any form of sleep disorders. Articles about isolated fatigue or non-specific sleep complaints as well as non-polio specific articles (neuromuscular disorders) were not included in the qualitative analysis. Results Among 166 studies identified, 41 were included in this review. The prevalence of sleep apnea syndrome, nocturnal alveolar hypoventilation and restless legs syndrome seemed higher than in the general population (from 7.3% to 65%, 15% to 20% and 28% to 63%, respectively). This review highlights the lack of randomised studies assessing sleep disorder management in this specific population. Limitations Because of the small number of eligible publications, none was excluded for methodological limitations, and only a qualitative analysis was provided. Conclusions and implications Follow-up of polio survivors should include systematic screening for sleep disorders because they are associated with adverse consequences. Sleep disorder evaluation and management should improve the long-term survival and quality of life of polio survivors. Methodologically robust clinical trials are needed, but the decreasing prevalence and large clinical spectrum of the disease may complicate the creation of comparable groups. Permalink : ./index.php?lvl=notice_display&id=91467 [article] Sleep disorders in aging polio survivors : A systematic review [texte imprimé] / Antoine Léotard ; Jonathan Lévy ; Sarah Hartley ; Avril Pages ; François Genêt ; Frédéric Lofaso ; Hélène Prigent ; Maria Antonia Quera-Salva . - 2020 . - p. 543-553. doi.org/10.1016/j.rehab.2019.10.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 543-553 Mots-clés : Sleep disordered breathing  Sleep apnea syndrome  Restless legs syndrome  Periodic leg movements  Poliomyelitis  Post-polio syndrome Résumé : Background Sleep disturbances, especially sleep disordered breathing and sleep movement disorders, seem to be highly prevalent among aging polio survivors. They could contribute to late functional deterioration, fatigue, poor quality of life and negative health outcomes, thereby increasing cardiovascular risk. Objectives This review focused on current knowledge of the prevalence of sleep disorders in polio survivors, their features, predictive factors and management. Data sources Articles were searched in PubMed and the Cochrane Library up to March 2018. Study eligibility criteria, participants and interventions Articles needed to 1) be written in English; 2) include only participants with previous poliomyelitis or post-polio syndrome diagnosis; and 3) involve any form of sleep disorders. Articles about isolated fatigue or non-specific sleep complaints as well as non-polio specific articles (neuromuscular disorders) were not included in the qualitative analysis. Results Among 166 studies identified, 41 were included in this review. The prevalence of sleep apnea syndrome, nocturnal alveolar hypoventilation and restless legs syndrome seemed higher than in the general population (from 7.3% to 65%, 15% to 20% and 28% to 63%, respectively). This review highlights the lack of randomised studies assessing sleep disorder management in this specific population. Limitations Because of the small number of eligible publications, none was excluded for methodological limitations, and only a qualitative analysis was provided. Conclusions and implications Follow-up of polio survivors should include systematic screening for sleep disorders because they are associated with adverse consequences. Sleep disorder evaluation and management should improve the long-term survival and quality of life of polio survivors. Methodologically robust clinical trials are needed, but the decreasing prevalence and large clinical spectrum of the disease may complicate the creation of comparable groups. Permalink : ./index.php?lvl=notice_display&id=91467

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Syndrome d'apnées du sommeil et kinésithérapie / Marius Lebret in EMC : Kinésithérapie Médecine physique-Réadaptation, Vol.33 n°1 (Janvier 2020)

Public ISBD [article]  inEMC : Kinésithérapie Médecine physique-Réadaptation > Vol.33 n°1 (Janvier 2020) . - 26-508-B-10 [Tome 4] Titre : Syndrome d'apnées du sommeil et kinésithérapie Type de document : texte imprimé Auteurs : Marius Lebret ; Antoine Léotard ; J.-C. Borel Année de publication : 2020 Article en page(s) : 26-508-B-10 [Tome 4] Langues : Français (fre) Mots-clés : Syndrome d'apnée du sommeil  Thérapie myofonctionnelle  Rééducation oropharyngée  Voies aériennes supérieures  Activité physique  Pression positive continue  Obésité  Rééducation, Kinésithérapie Résumé : Le syndrome d'apnées-hypopnées obstructives du sommeil (SAHOS) est un problème de santé publique d'envergure dont la prévalence est d'environ 6 % en Europe. Il est caractérisé par des épisodes transitoires et répétitifs d'obstruction des voies aériennes supérieures (VAS) responsable d'une hypoxémie intermittente, d'une fragmentation du sommeil et d'une activation du tonus sympathique. Il entraîne une augmentation de la morbimortalité cardiovasculaire et métabolique, et une somnolence diurne excessive. La pression positive continue (PPC) est le traitement de référence des formes modérée à sévère de SAHOS. Il s'agit d'un dispositif qui pressurise les VAS par l'intermédiaire d'un masque placé sur le nez, ou sur le nez et la bouche du patient. La pression ainsi délivrée prévient les événements obstructifs, en jouant le rôle d'« attelle pneumatique ». Cependant, certains patients tolèrent mal ce traitement, ce qui compromet leur observance. Ainsi, chez ces patients, l'activité physique et la rééducation des muscles des VAS pourraient constituer une alternative thérapeutique intéressante. Cependant, ces différentes techniques reposent sur des preuves scientifiques encore limitées. La réalisation d'études complémentaires doit permettre d'homogénéiser les programmes proposés et de les évaluer de façon isolée ou adjuvante à la PPC. Permalink : ./index.php?lvl=notice_display&id=83668 [article] Syndrome d'apnées du sommeil et kinésithérapie [texte imprimé] / Marius Lebret ; Antoine Léotard ; J.-C. Borel . - 2020 . - 26-508-B-10 [Tome 4]. Langues : Français (fre) in EMC : Kinésithérapie Médecine physique-Réadaptation > Vol.33 n°1 (Janvier 2020) . - 26-508-B-10 [Tome 4] Mots-clés : Syndrome d'apnée du sommeil  Thérapie myofonctionnelle  Rééducation oropharyngée  Voies aériennes supérieures  Activité physique  Pression positive continue  Obésité  Rééducation, Kinésithérapie Résumé : Le syndrome d'apnées-hypopnées obstructives du sommeil (SAHOS) est un problème de santé publique d'envergure dont la prévalence est d'environ 6 % en Europe. Il est caractérisé par des épisodes transitoires et répétitifs d'obstruction des voies aériennes supérieures (VAS) responsable d'une hypoxémie intermittente, d'une fragmentation du sommeil et d'une activation du tonus sympathique. Il entraîne une augmentation de la morbimortalité cardiovasculaire et métabolique, et une somnolence diurne excessive. La pression positive continue (PPC) est le traitement de référence des formes modérée à sévère de SAHOS. Il s'agit d'un dispositif qui pressurise les VAS par l'intermédiaire d'un masque placé sur le nez, ou sur le nez et la bouche du patient. La pression ainsi délivrée prévient les événements obstructifs, en jouant le rôle d'« attelle pneumatique ». Cependant, certains patients tolèrent mal ce traitement, ce qui compromet leur observance. Ainsi, chez ces patients, l'activité physique et la rééducation des muscles des VAS pourraient constituer une alternative thérapeutique intéressante. Cependant, ces différentes techniques reposent sur des preuves scientifiques encore limitées. La réalisation d'études complémentaires doit permettre d'homogénéiser les programmes proposés et de les évaluer de façon isolée ou adjuvante à la PPC. Permalink : ./index.php?lvl=notice_display&id=83668

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