Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies / Maëlys Teng 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. 345-351 Titre : Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies Type de document : texte imprimé Auteurs : Maëlys Teng ; Florian Kervinio ; Mirella Moutounaïck ; Gabriel Miget ; Audrey Charlanes ; Camille Chesnel ; Frédérique Le Breton ; Gérard Amarenco Année de publication : 2018 Article en page(s) : p. 345-351 Note générale : Doi : 10.1016/j.rehab.2018.06.006 Langues : Anglais (eng) Mots-clés : Pelvic floor muscle  Perineal fatigue  Evaluation  Stress urinary incontinence  Pelvic organ prolapse  Pelvic floor fatigue rehabilitation Résumé : Background Pelvic floor fatigue is known by its clinical consequences (fecal incontinence, stress urinary incontinence, pelvic organ prolapse), but there are still few studies on the subject. Objective This article presents an overview of the current knowledge of pelvic and perineal fatigue, focusing on its assessment and consequences in terms of evaluation and therapeutic strategies, to propose an evaluation that could be routinely performed. Methods We performed a systematic review of the literature in MEDLINE via PubMed and Cochrane Library databases by using the keywords pelvic floor, muscular fatigue, physiopathology, stress urinary incontinence, pelvic organ prolapse, fecal incontinence, physical activity, and pelvic rehabilitation. We included reports of systematic reviews and retrospective and prospective studies on adult humans and animals in English or French published up to April 2018 with no restriction on start date. Results We selected 59 articles by keyword search, 18 by hand-search and 3 specific guidelines (including the 2009 International Continence Society recommendations); finally 45 articles were included; 14 are described in the Results section (2 reviews of 6 and 20 studies, and 12 prospective observational or cross-over studies of 5 to 317 patients including 1 of animals). Perineal fatigue can be assessed by direct assessment, electromyography and spectral analysis and during urodynamics. Because pelvic floor fatigue assessments are not evaluated routinely, this fatigability is not always identified and is often falsely considered an exclusive pelvic floor weakness, as suggested by some rehabilitation methods that also weaken the pelvic floor instead of enhancing it. Conclusion Pelvic floor fatigue is not evaluated enough on a routine basis and the assessment is heterogeneous. A better knowledge of pelvic floor fatigue by standardized routine evaluation could lead to targeted therapeutic strategies. Permalink : ./index.php?lvl=notice_display&id=80637 [article] Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies [texte imprimé] / Maëlys Teng ; Florian Kervinio ; Mirella Moutounaïck ; Gabriel Miget ; Audrey Charlanes ; Camille Chesnel ; Frédérique Le Breton ; Gérard Amarenco . - 2018 . - p. 345-351. Doi : 10.1016/j.rehab.2018.06.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 345-351 Mots-clés : Pelvic floor muscle  Perineal fatigue  Evaluation  Stress urinary incontinence  Pelvic organ prolapse  Pelvic floor fatigue rehabilitation Résumé : Background Pelvic floor fatigue is known by its clinical consequences (fecal incontinence, stress urinary incontinence, pelvic organ prolapse), but there are still few studies on the subject. Objective This article presents an overview of the current knowledge of pelvic and perineal fatigue, focusing on its assessment and consequences in terms of evaluation and therapeutic strategies, to propose an evaluation that could be routinely performed. Methods We performed a systematic review of the literature in MEDLINE via PubMed and Cochrane Library databases by using the keywords pelvic floor, muscular fatigue, physiopathology, stress urinary incontinence, pelvic organ prolapse, fecal incontinence, physical activity, and pelvic rehabilitation. We included reports of systematic reviews and retrospective and prospective studies on adult humans and animals in English or French published up to April 2018 with no restriction on start date. Results We selected 59 articles by keyword search, 18 by hand-search and 3 specific guidelines (including the 2009 International Continence Society recommendations); finally 45 articles were included; 14 are described in the Results section (2 reviews of 6 and 20 studies, and 12 prospective observational or cross-over studies of 5 to 317 patients including 1 of animals). Perineal fatigue can be assessed by direct assessment, electromyography and spectral analysis and during urodynamics. Because pelvic floor fatigue assessments are not evaluated routinely, this fatigability is not always identified and is often falsely considered an exclusive pelvic floor weakness, as suggested by some rehabilitation methods that also weaken the pelvic floor instead of enhancing it. Conclusion Pelvic floor fatigue is not evaluated enough on a routine basis and the assessment is heterogeneous. A better knowledge of pelvic floor fatigue by standardized routine evaluation could lead to targeted therapeutic strategies. Permalink : ./index.php?lvl=notice_display&id=80637

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Surveillance par l’aide-soignante des dispositifs médicaux utilisés dans le cadre de l’incontinence urinaire / Gabriel Miget in L'aide-soignante, 230 (Octobre 2021)

Public ISBD [article]  inL'aide-soignante > 230 (Octobre 2021) . - p. 19-20 Titre : Surveillance par l’aide-soignante des dispositifs médicaux utilisés dans le cadre de l’incontinence urinaire Type de document : texte imprimé Auteurs : Gabriel Miget Année de publication : 2021 Article en page(s) : p. 19-20 Note générale : Doi : 10.1016/j.aidsoi.2021.07.018 Langues : Français (fre) Mots-clés : Aide-soignante  Dispositif médical  Incontinence urinaire  Surveillance  Toilette corporelle Résumé : Chez de nombreux patients, l’incontinence urinaire implique l’usage de dispositifs médicaux palliatifs. Ces derniers nécessitent une surveillance rigoureuse dans leur utilisation par le personnel soignant, et en particulier par l’aide soignante. Le risque de complication est essentiellement cutané et infectieux. Permalink : ./index.php?lvl=notice_display&id=96721 [article] Surveillance par l’aide-soignante des dispositifs médicaux utilisés dans le cadre de l’incontinence urinaire [texte imprimé] / Gabriel Miget . - 2021 . - p. 19-20. Doi : 10.1016/j.aidsoi.2021.07.018 Langues : Français (fre) in L'aide-soignante > 230 (Octobre 2021) . - p. 19-20 Mots-clés : Aide-soignante  Dispositif médical  Incontinence urinaire  Surveillance  Toilette corporelle Résumé : Chez de nombreux patients, l’incontinence urinaire implique l’usage de dispositifs médicaux palliatifs. Ces derniers nécessitent une surveillance rigoureuse dans leur utilisation par le personnel soignant, et en particulier par l’aide soignante. Le risque de complication est essentiellement cutané et infectieux. Permalink : ./index.php?lvl=notice_display&id=96721

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Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis / Claire Hentzen in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 99-105 Titre : Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis Type de document : texte imprimé Auteurs : Claire Hentzen ; Anaïs Villaumé ; Nicolas Trumel ; Gabriel Miget ; Frédéric Le Breton ; Camille Chesnel ; Gérard Amarenco Année de publication : 2020 Article en page(s) : p. 99-105 Note générale : doi.org/10.1016/j.rehab.2020.01.002 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Overactive bladder  Urinary incontinence  Urge  Task performance and analysis Résumé : Background Urgency urinary incontinence is one of the major disabling urinary symptoms in people with multiple sclerosis (PwMS). The warning time (time from first sensation of urgency to voiding or incontinence) only partially reflects the possibility of continence. Other factors such as mobility, difficulties in transfer or undressing can influence this time. Objectives The aim was to create a specific test for PwMS to assess the global time required to be ready to perform micturition and to assess its reliability. Methods The Time to be Ready to Void (TRV) was based on 2 timed steps: “mobility” stage, including standing up and walking 6 m to the toilet, and the “settled” stage, starting as soon as the individual opens the toilet door until readiness for micturition. All participants performed the TRV twice. Reliability were assessed by the intraclass correlation coefficient (ICC) and convergent validity by Spearman correlation coefficient. Results We included 71 PwMS (mean [SD] age 54.4 [11.7] years). Inter-rater reliability was excellent for the TRV mobility stage (ICC: 0.97), settled stage (ICC: 0.99) and total test (ICC: 0.99). Test–retest reliability was good for the mobility stage (ICC: 0.88) and total test (ICC: 0.81) and moderate for the settled stage (ICC: 0.67). Test–retest reliability assessed by a Likert-type scale was good for each stage (κ 0.75 and 0.88). The mobility stage was correlated with the scores for the Timed Up and Go test, 10-Meter Walk Test, and Tinetti Mobility Test (ρ = 0.89; ρ = 0.88; ρ = −0.67, respectively; P < 0.0001) and the settled stage with scores for the Tinetti Mobility Test, Functional Independence Measure and Nine Hold Peg test (right) (ρ = −0.48; ρ = −0.36; ρ = 0.31, respectively; P < 0.01). Comprehension, acceptance and relevance were rated good by most participants (97%, 95% and 90%, respectively). Conclusion The TRV is a new tool to measure the global time needed to be ready to achieve micturition in PwMS. It seems useful in clinical practice for overactive bladder in addition to the classical warning time because it takes into account all the time needed to accomplish micturition (mobility, undressing, installation). Permalink : ./index.php?lvl=notice_display&id=90778 [article] Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis [texte imprimé] / Claire Hentzen ; Anaïs Villaumé ; Nicolas Trumel ; Gabriel Miget ; Frédéric Le Breton ; Camille Chesnel ; Gérard Amarenco . - 2020 . - p. 99-105. doi.org/10.1016/j.rehab.2020.01.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 99-105 Mots-clés : Multiple sclerosis  Overactive bladder  Urinary incontinence  Urge  Task performance and analysis Résumé : Background Urgency urinary incontinence is one of the major disabling urinary symptoms in people with multiple sclerosis (PwMS). The warning time (time from first sensation of urgency to voiding or incontinence) only partially reflects the possibility of continence. Other factors such as mobility, difficulties in transfer or undressing can influence this time. Objectives The aim was to create a specific test for PwMS to assess the global time required to be ready to perform micturition and to assess its reliability. Methods The Time to be Ready to Void (TRV) was based on 2 timed steps: “mobility” stage, including standing up and walking 6 m to the toilet, and the “settled” stage, starting as soon as the individual opens the toilet door until readiness for micturition. All participants performed the TRV twice. Reliability were assessed by the intraclass correlation coefficient (ICC) and convergent validity by Spearman correlation coefficient. Results We included 71 PwMS (mean [SD] age 54.4 [11.7] years). Inter-rater reliability was excellent for the TRV mobility stage (ICC: 0.97), settled stage (ICC: 0.99) and total test (ICC: 0.99). Test–retest reliability was good for the mobility stage (ICC: 0.88) and total test (ICC: 0.81) and moderate for the settled stage (ICC: 0.67). Test–retest reliability assessed by a Likert-type scale was good for each stage (κ 0.75 and 0.88). The mobility stage was correlated with the scores for the Timed Up and Go test, 10-Meter Walk Test, and Tinetti Mobility Test (ρ = 0.89; ρ = 0.88; ρ = −0.67, respectively; P < 0.0001) and the settled stage with scores for the Tinetti Mobility Test, Functional Independence Measure and Nine Hold Peg test (right) (ρ = −0.48; ρ = −0.36; ρ = 0.31, respectively; P < 0.01). Comprehension, acceptance and relevance were rated good by most participants (97%, 95% and 90%, respectively). Conclusion The TRV is a new tool to measure the global time needed to be ready to achieve micturition in PwMS. It seems useful in clinical practice for overactive bladder in addition to the classical warning time because it takes into account all the time needed to accomplish micturition (mobility, undressing, installation). Permalink : ./index.php?lvl=notice_display&id=90778

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