Évaluation anatomique et fonctionnelle en pré-saison des chevilles de 68 sportifs professionnels en basketball, handball et rugby / O. Deborde in Journal de traumatologie du sport, Vol.41 N°2 (juin 2024)

Public ISBD [article]  inJournal de traumatologie du sport > Vol.41 N°2 (juin 2024) . - p. 176-182 Titre : Évaluation anatomique et fonctionnelle en pré-saison des chevilles de 68 sportifs professionnels en basketball, handball et rugby Type de document : texte imprimé Auteurs : O. Deborde ; M. Compagnat ; J. Teinturier ; J. Bordes ; R. David ; J.-C. Daviet ; G. Gerbaud Année de publication : 2024 Article en page(s) : p. 176-182 Langues : Français (fre) Mots-clés : Cheville / échographie  Entorse de la cheville  Traumatismes sportifs  Cheville Entorse Sports pivot-contact Échographie Séquelles Résumé : Introduction L’entorse de cheville est une pathologie non seulement fréquente en médecine du sport, mais également source de complications à long terme associant des récurrences et des instabilités. L’importance de ces complications doit imposer une amélioration de la prise en charge des chevilles et pieds des sportifs professionnels. Nous avons ainsi identifié en pré-saison les lésions cliniques et échographiques de chevilles et pieds de handballeurs, basketteurs et rugbymen professionnels dans l’objectif d’identifier les joueurs non copers selon un score fonctionnel. Méthodes Les chevilles et pieds de joueurs professionnels de basketball, handball et rugby ont été évalués cliniquement et avec une échographie en début de saison. Une analyse descriptive et des comparaisons entre les sports ont été réalisées. Résultats Cent quatre-vingt-cinq lésions de chevilles/pieds avaient été recensées avec un ratio moyen de 1,36 lésions par cheville/pied. Les basketteurs étaient les joueurs les plus lésés et nos résultats ont permis d’identifier 17 joueurs non copers sur 68 joueurs professionnels. Conclusions Parmi les 43 joueurs qui présentaient des lésions échographiques nous retrouvions majoritairement des lésions du LTFA en accord avec la littérature internationale. Les lésions les plus impactantes sur le plan fonctionnel était la lésion du LLI et les joueurs qui présentaient une raideur ou une douleur séquellaire. Cette étude originale qui évaluait d’une manière multidimensionnelle les chevilles et pieds de sportifs professionnels en pré-saison montre l’intérêt de l’outil échographique pour le dépistage de séquelles d’entorse et d’un questionnement fonctionnel pour identifier les joueurs les plus à risque de complications et améliorer leur prise en charge durant la saison. Permalink : ./index.php?lvl=notice_display&id=118060 [article] Évaluation anatomique et fonctionnelle en pré-saison des chevilles de 68 sportifs professionnels en basketball, handball et rugby [texte imprimé] / O. Deborde ; M. Compagnat ; J. Teinturier ; J. Bordes ; R. David ; J.-C. Daviet ; G. Gerbaud . - 2024 . - p. 176-182. Langues : Français (fre) in Journal de traumatologie du sport > Vol.41 N°2 (juin 2024) . - p. 176-182 Mots-clés : Cheville / échographie  Entorse de la cheville  Traumatismes sportifs  Cheville Entorse Sports pivot-contact Échographie Séquelles Résumé : Introduction L’entorse de cheville est une pathologie non seulement fréquente en médecine du sport, mais également source de complications à long terme associant des récurrences et des instabilités. L’importance de ces complications doit imposer une amélioration de la prise en charge des chevilles et pieds des sportifs professionnels. Nous avons ainsi identifié en pré-saison les lésions cliniques et échographiques de chevilles et pieds de handballeurs, basketteurs et rugbymen professionnels dans l’objectif d’identifier les joueurs non copers selon un score fonctionnel. Méthodes Les chevilles et pieds de joueurs professionnels de basketball, handball et rugby ont été évalués cliniquement et avec une échographie en début de saison. Une analyse descriptive et des comparaisons entre les sports ont été réalisées. Résultats Cent quatre-vingt-cinq lésions de chevilles/pieds avaient été recensées avec un ratio moyen de 1,36 lésions par cheville/pied. Les basketteurs étaient les joueurs les plus lésés et nos résultats ont permis d’identifier 17 joueurs non copers sur 68 joueurs professionnels. Conclusions Parmi les 43 joueurs qui présentaient des lésions échographiques nous retrouvions majoritairement des lésions du LTFA en accord avec la littérature internationale. Les lésions les plus impactantes sur le plan fonctionnel était la lésion du LLI et les joueurs qui présentaient une raideur ou une douleur séquellaire. Cette étude originale qui évaluait d’une manière multidimensionnelle les chevilles et pieds de sportifs professionnels en pré-saison montre l’intérêt de l’outil échographique pour le dépistage de séquelles d’entorse et d’un questionnement fonctionnel pour identifier les joueurs les plus à risque de complications et améliorer leur prise en charge durant la saison. Permalink : ./index.php?lvl=notice_display&id=118060

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Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis / Anaick Perrochon 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. 366-378 Titre : Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Anaick Perrochon ; Benoit Borel ; Dan Istrate ; M. Compagnat ; Jean-Christophe Daviet Année de publication : 2019 Article en page(s) : p. 366-378 Note générale : doi.org/10.1016/j.rehab.2019.04.004 Langues : Anglais (eng) Mots-clés : Home  Neurological disorders  Rehabilitation  Virtual reality  Interactive video game Résumé : Objective The objective of this review was to summarize the current best evidence for the effectiveness, feasibility, user compliance and safety of exercise-based games (EBGs), including virtual reality and interactive video game interventions, for the rehabilitation of individuals with neurological disorders at home. Material and methods We identified randomized controlled trials (RCT) evaluating the effects of EBGs in neurological patients in home settings by searching 3 electronic databases (MEDLINE, SCOPUS, CENTRAL Library) from inception to March 2018. All data pertaining to participants, interventions, outcomes, supervision and cost-effectiveness were independently extracted by 2 reviewers. Risk of bias was independently assessed by 2 reviewers. Results Reports of 11 RCT studies with heterogeneous populations (i.e., stroke, Parkinson disease and multiple sclerosis) were included in the review. The treatment of experimental groups included EBGs (i.e., commercially available games such as Nintendo Wii or Dance Dance Revolution or custom-designed devices), and control groups received a controlled (i.e., conventional therapy) or uncontrolled (i.e., usual care) intervention. Across studies, EBGs at home tended to have limited effects on upper and lower limbs. We demonstrated an increased risk of participants dropping out of the program or discontinuing training in experimental groups (n = 51 participants) as compared with controls (n = 23 participants). Few adverse events (2 of 6 studies), such as minor musculoskeletal pain, were reported in balance training. Conclusions This systematic review reveals that EBGs seem a relevant alternative for rehabilitation at home because the effectiveness of these interventions was at least equivalent to conventional therapy or usual care. We give recommendations for the development of new EBG therapies. Permalink : ./index.php?lvl=notice_display&id=84155 [article] Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis [texte imprimé] / Anaick Perrochon ; Benoit Borel ; Dan Istrate ; M. Compagnat ; Jean-Christophe Daviet . - 2019 . - p. 366-378. doi.org/10.1016/j.rehab.2019.04.004 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 366-378 Mots-clés : Home  Neurological disorders  Rehabilitation  Virtual reality  Interactive video game Résumé : Objective The objective of this review was to summarize the current best evidence for the effectiveness, feasibility, user compliance and safety of exercise-based games (EBGs), including virtual reality and interactive video game interventions, for the rehabilitation of individuals with neurological disorders at home. Material and methods We identified randomized controlled trials (RCT) evaluating the effects of EBGs in neurological patients in home settings by searching 3 electronic databases (MEDLINE, SCOPUS, CENTRAL Library) from inception to March 2018. All data pertaining to participants, interventions, outcomes, supervision and cost-effectiveness were independently extracted by 2 reviewers. Risk of bias was independently assessed by 2 reviewers. Results Reports of 11 RCT studies with heterogeneous populations (i.e., stroke, Parkinson disease and multiple sclerosis) were included in the review. The treatment of experimental groups included EBGs (i.e., commercially available games such as Nintendo Wii or Dance Dance Revolution or custom-designed devices), and control groups received a controlled (i.e., conventional therapy) or uncontrolled (i.e., usual care) intervention. Across studies, EBGs at home tended to have limited effects on upper and lower limbs. We demonstrated an increased risk of participants dropping out of the program or discontinuing training in experimental groups (n = 51 participants) as compared with controls (n = 23 participants). Few adverse events (2 of 6 studies), such as minor musculoskeletal pain, were reported in balance training. Conclusions This systematic review reveals that EBGs seem a relevant alternative for rehabilitation at home because the effectiveness of these interventions was at least equivalent to conventional therapy or usual care. We give recommendations for the development of new EBG therapies. Permalink : ./index.php?lvl=notice_display&id=84155

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Predicting the oxygen cost of walking in hemiparetic stroke patients / M. Compagnat 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. 3009-314 Titre : Predicting the oxygen cost of walking in hemiparetic stroke patients Type de document : texte imprimé Auteurs : M. Compagnat ; S. Mandigout ; D. Chaparro ; Jean-Yves Salle ; Jean-Christophe Daviet Année de publication : 2018 Article en page(s) : p. 3009-314 Note générale : Doi : 10.1016/j.rehab.2018.03.001 Langues : Anglais (eng) Mots-clés : Stroke  Walking  Oxygen cost  Speed Résumé : Objective To verify the relation between spontaneous walking speed (Sfree) and oxygen cost of walking at Sfree (Cwfree) in post-stroke hemiparetic patients and to test the validity of a prediction model to estimate Cwfree based on Sfree. Design We included 26 participants (mean age 65.1 years [SD 15.7]) with mild to moderate disability after stroke who walked at Sfree using mobility aids if necessary for 6min. The Cwfree was measured at a stabilized metabolic rate by indirect calorimetry with the Metamax 3B spiroergometry device. The relation between Sfree and Cwfree was analyzed by the correlation coefficient (r) and coefficient of determination (R2). The Cwfree prediction model was developed from a regression equation, then tested on a second population of 29 patients (mean age 62.1 years [SD 13.4]) with the same inclusion and exclusion criteria. Results For the 26 participants, the Sfree and Cwfree were highly correlated (r=−0.94 and R2=0.97), which allowed for formulating a regression equation and developing the Cwfree prediction model based on Sfree. The prediction model tests yielded accurate results (mean bias −0.02mL.kg−1.m−1; 95% limits of agreement −0.31 to 0.26mL.kg−1.m−1). The relation between Cwfree estimated by the model and measured by Metamax was high (R2=0.98). Conclusion Cwfree was strongly correlated with Sfree, which allowed for the development of a valid Cwfree prediction model. A practitioner could estimate the energy expenditure of walking for a patient without using an indirect calorimeter. Permalink : ./index.php?lvl=notice_display&id=80626 [article] Predicting the oxygen cost of walking in hemiparetic stroke patients [texte imprimé] / M. Compagnat ; S. Mandigout ; D. Chaparro ; Jean-Yves Salle ; Jean-Christophe Daviet . - 2018 . - p. 3009-314. Doi : 10.1016/j.rehab.2018.03.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 3009-314 Mots-clés : Stroke  Walking  Oxygen cost  Speed Résumé : Objective To verify the relation between spontaneous walking speed (Sfree) and oxygen cost of walking at Sfree (Cwfree) in post-stroke hemiparetic patients and to test the validity of a prediction model to estimate Cwfree based on Sfree. Design We included 26 participants (mean age 65.1 years [SD 15.7]) with mild to moderate disability after stroke who walked at Sfree using mobility aids if necessary for 6min. The Cwfree was measured at a stabilized metabolic rate by indirect calorimetry with the Metamax 3B spiroergometry device. The relation between Sfree and Cwfree was analyzed by the correlation coefficient (r) and coefficient of determination (R2). The Cwfree prediction model was developed from a regression equation, then tested on a second population of 29 patients (mean age 62.1 years [SD 13.4]) with the same inclusion and exclusion criteria. Results For the 26 participants, the Sfree and Cwfree were highly correlated (r=−0.94 and R2=0.97), which allowed for formulating a regression equation and developing the Cwfree prediction model based on Sfree. The prediction model tests yielded accurate results (mean bias −0.02mL.kg−1.m−1; 95% limits of agreement −0.31 to 0.26mL.kg−1.m−1). The relation between Cwfree estimated by the model and measured by Metamax was high (R2=0.98). Conclusion Cwfree was strongly correlated with Sfree, which allowed for the development of a valid Cwfree prediction model. A practitioner could estimate the energy expenditure of walking for a patient without using an indirect calorimeter. Permalink : ./index.php?lvl=notice_display&id=80626

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Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals / M. Compagnat in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 209-215 Titre : Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals Type de document : texte imprimé Auteurs : M. Compagnat ; S. Mandigout ; C.S. Batcho ; Nicolas Vuillerme ; Jean-Yves Salle ; Romain David ; Jean-Christophe Daviet Année de publication : 2020 Article en page(s) : p. 209-215 Note générale : doi.org/10.1016/j.rehab.2019.07.002 Langues : Anglais (eng) Mots-clés : Energy cost  Walking  Energy expenditure  Calibration  Accelerometer  Algorithm Résumé : Background Recent studies reported that wearable sensor devices show low validity for assessing the amount of energy expenditure in individuals after stroke. Objective We aimed to evaluate the validity of energy expenditure calculation based on the product of energy cost and walked distance estimated by wearable devices in individuals after hemispheric stroke. Methods We recruited individuals with hemispheric stroke sequelae who were able to walk without human assistance. The participants wore a tri-axial accelerometer (Actigraph GT3x) and a pedometer (ONStep 400) on the unaffected hip in addition to a respiratory gas exchange analyzer (METAMAX 3B) during 6 min of walking at their self-selected walking speed and mode. The energy expenditure was calculated from the product of energy cost measured by the METAMAX 3B and the distance estimated by wearable devices. It was compared to the energy expenditure measured by the METAMAX 3B and the energy expenditure values recorded by the devices according to the manufacturer's algorithms. The validity was investigated by Bland-Altman analysis (mean bias [MB], root mean square error [RMSE], limits of agreement [95%LoA]), and Pearson correlation analysis (r). Results We included 26 participants (mean [SD] age 64.6 [14.8] years). With the pedometer, the energy expenditure calculated from the product of energy cost and walked distance showed high accuracy and agreement with METAMAX 3B values (MB = −1.6 kcal; RMSE = 4.1 kcal; 95%LoA = −9.9; 6.6 kcal; r = 0.87, P < 0.01) but low accuracy and agreement with Actigraph GT3x values (MB = 15.7 kcal; RMSE = 8.7 kcal; 95%LoA = −1.3; 32.6 kcal; r = 0.44, P = 0.02) because of poorer estimation of walked distance. With the pedometer, this new method of calculation strongly increased the validity parameter values for estimating energy expenditure as compared with the manufacturer's algorithm. Conclusions This new method based on the energy cost and distance estimated by wearable devices provided better energy expenditure estimates for the pedometer than did the manufacturer's algorithm. The validity of this method depended on the accuracy of the sensor to measure the distance walked by an individual after stroke. Permalink : ./index.php?lvl=notice_display&id=90797 [article] Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals [texte imprimé] / M. Compagnat ; S. Mandigout ; C.S. Batcho ; Nicolas Vuillerme ; Jean-Yves Salle ; Romain David ; Jean-Christophe Daviet . - 2020 . - p. 209-215. doi.org/10.1016/j.rehab.2019.07.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 209-215 Mots-clés : Energy cost  Walking  Energy expenditure  Calibration  Accelerometer  Algorithm Résumé : Background Recent studies reported that wearable sensor devices show low validity for assessing the amount of energy expenditure in individuals after stroke. Objective We aimed to evaluate the validity of energy expenditure calculation based on the product of energy cost and walked distance estimated by wearable devices in individuals after hemispheric stroke. Methods We recruited individuals with hemispheric stroke sequelae who were able to walk without human assistance. The participants wore a tri-axial accelerometer (Actigraph GT3x) and a pedometer (ONStep 400) on the unaffected hip in addition to a respiratory gas exchange analyzer (METAMAX 3B) during 6 min of walking at their self-selected walking speed and mode. The energy expenditure was calculated from the product of energy cost measured by the METAMAX 3B and the distance estimated by wearable devices. It was compared to the energy expenditure measured by the METAMAX 3B and the energy expenditure values recorded by the devices according to the manufacturer's algorithms. The validity was investigated by Bland-Altman analysis (mean bias [MB], root mean square error [RMSE], limits of agreement [95%LoA]), and Pearson correlation analysis (r). Results We included 26 participants (mean [SD] age 64.6 [14.8] years). With the pedometer, the energy expenditure calculated from the product of energy cost and walked distance showed high accuracy and agreement with METAMAX 3B values (MB = −1.6 kcal; RMSE = 4.1 kcal; 95%LoA = −9.9; 6.6 kcal; r = 0.87, P < 0.01) but low accuracy and agreement with Actigraph GT3x values (MB = 15.7 kcal; RMSE = 8.7 kcal; 95%LoA = −1.3; 32.6 kcal; r = 0.44, P = 0.02) because of poorer estimation of walked distance. With the pedometer, this new method of calculation strongly increased the validity parameter values for estimating energy expenditure as compared with the manufacturer's algorithm. Conclusions This new method based on the energy cost and distance estimated by wearable devices provided better energy expenditure estimates for the pedometer than did the manufacturer's algorithm. The validity of this method depended on the accuracy of the sensor to measure the distance walked by an individual after stroke. Permalink : ./index.php?lvl=notice_display&id=90797

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