Cas cliniques en ostéopathie / Jonathan Lévy

Public ISBD Titre : Cas cliniques en ostéopathie Type de document : texte imprimé Auteurs : Jonathan Lévy, Auteur Editeur : De Boeck Année de publication : DL 2014 Collection : Ostéopathie (Bruxelles), ISSN 2294-0359 Importance : 1 vol. (XI-157 p.) Présentation : ill. Format : 28 cm ISBN/ISSN/EAN : 978-2-8041-8483-4 Prix : 23 EUR Langues : Français (fre) Index. décimale : 615.828 Ostéopathie Résumé : Cet ouvrage est un manuel unique, adapté à l'enseignement de sémiologie médicale pour les étudiants en ostéopathie et les ostéopathes. Il traite de pathologies médicales le plus souvent rencontrées en ostéopathie avec des notions importantes à retenir, en respectant les recommandations de bonnes pratiques médicale et ostéopathique. En pratique ostéopathique, le praticien se pose très vite la question de savoir s'il peut traiter facilement le patient ou s'il doit l'adresser à un médecin, dans le respect du décret du 25 mars 2007 relatif aux conditions d'exercice de l'ostéopathie. Il est donc apparu essentiel à l'auteur de tracer clairement les frontières à respecter entre la pratique ostéopathique et la pratique médicale. Cet ouvrage vous propose grâce à une méthode d'apprentissage simple et efficace : ° les notions indispensables pour bien apprendre à interroger un patient ° de l'entraînement avec plus de 40 cas cliniques inspirés de situations réelles vous permettant de compléter vos connaissances. Les signes cliniques qui font réorienter le patient vers un médecin sont détaillés car un traitement ostéopathique mal adapté ou contre indiqué peut avoir des conséquences graves pour le patient. Jonathan Lévy - est Docteur en médecine, enseignant et coordinateur de l'enseignement de sémiologie médicale à l'Institut Privé d'Enseignement Ostéopathie depuis 2007. Permalink : ./index.php?lvl=notice_display&id=82893 Cas cliniques en ostéopathie [texte imprimé] / Jonathan Lévy, Auteur . - [S.l.] : De Boeck, DL 2014 . - 1 vol. (XI-157 p.) : ill. ; 28 cm. - (Ostéopathie (Bruxelles), ISSN 2294-0359) . ISBN : 978-2-8041-8483-4 : 23 EUR Langues : Français (fre) Index. décimale : 615.828 Ostéopathie Résumé : Cet ouvrage est un manuel unique, adapté à l'enseignement de sémiologie médicale pour les étudiants en ostéopathie et les ostéopathes. Il traite de pathologies médicales le plus souvent rencontrées en ostéopathie avec des notions importantes à retenir, en respectant les recommandations de bonnes pratiques médicale et ostéopathique. En pratique ostéopathique, le praticien se pose très vite la question de savoir s'il peut traiter facilement le patient ou s'il doit l'adresser à un médecin, dans le respect du décret du 25 mars 2007 relatif aux conditions d'exercice de l'ostéopathie. Il est donc apparu essentiel à l'auteur de tracer clairement les frontières à respecter entre la pratique ostéopathique et la pratique médicale. Cet ouvrage vous propose grâce à une méthode d'apprentissage simple et efficace : ° les notions indispensables pour bien apprendre à interroger un patient ° de l'entraînement avec plus de 40 cas cliniques inspirés de situations réelles vous permettant de compléter vos connaissances. Les signes cliniques qui font réorienter le patient vers un médecin sont détaillés car un traitement ostéopathique mal adapté ou contre indiqué peut avoir des conséquences graves pour le patient. Jonathan Lévy - est Docteur en médecine, enseignant et coordinateur de l'enseignement de sémiologie médicale à l'Institut Privé d'Enseignement Ostéopathie depuis 2007. Permalink : ./index.php?lvl=notice_display&id=82893

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Does botulinum toxin treatment improve upper limb active function? / Jonathan Lévy 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. 234-240 Titre : Does botulinum toxin treatment improve upper limb active function? Type de document : texte imprimé Auteurs : Jonathan Lévy Année de publication : 2019 Article en page(s) : p. 234-240 Note générale : https://doi.org/10.1016/j.rehab.2018.05.1320 Langues : Anglais (eng) Mots-clés : Spasticity  Botulinum toxin  Rehabilitation  Outcome  Upper limb  Stroke Résumé : Background Spasticity following lesions of the central nervous system such as stroke is a major cause of impairment and disability, especially when it affects the upper limb, and can be focally relieved by intramuscular injections of botulinum toxin (BT). Functional improvements of the affected upper limb after a BT focal treatment remain controversial. Objective We aimed to assess the functional effects of BT treatment on upper-limb spasticity in the literature, identify flaws and deficiencies in proving these effects and propose leads for future trials. Methods We searched the MEDLINE and Cochrane databases for trials, reviews and meta-analyses assessing the effect of BT injection in upper-limb spasticity. This was a non-systematic narrative review, and the selection of articles was based on the authors’ expertise. The review focused on stroke-related spasticity and disability. Results Patients’ therapeutic targets involved use of the disability assessment scale (DAS) or goal attainment scale (GAS). Impairments and passive function goals prevailed for active function and participation and were more frequently achieved for the former than the latter. Meta-analyses showed no to mild effect sizes for improvement in upper-limb function but failed to show higher and/or better use of the paretic upper limb in activities of daily living after BT injection. Conclusion BT injections for impairment and passive function are related to improved kinematic parameters; however, the relation between relief of spasticity and improved upper-limb activity has not been established. Possible explanations for the lack of functional effect in studies are first, disability is mainly due to muscle weakness rather than spasticity, so patients with the best underlying motricity may benefit the most from BT injections; second, assessment methods may not be adapted to screen eligible patients; third, most studies’ endpoints were at 4 to 12 weeks after a single injection, but repeated treatment sessions might be needed to observe functional outcome on the upper limbs; and finally, the association of rehabilitation programs or non-pharmacological treatments may enhance the functional effects of BT injections. En ligne : https://www.sciencedirect.com/science/article/pii/S187706571831409X Permalink : ./index.php?lvl=notice_display&id=84128 [article] Does botulinum toxin treatment improve upper limb active function? [texte imprimé] / Jonathan Lévy . - 2019 . - p. 234-240. https://doi.org/10.1016/j.rehab.2018.05.1320 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 234-240 Mots-clés : Spasticity  Botulinum toxin  Rehabilitation  Outcome  Upper limb  Stroke Résumé : Background Spasticity following lesions of the central nervous system such as stroke is a major cause of impairment and disability, especially when it affects the upper limb, and can be focally relieved by intramuscular injections of botulinum toxin (BT). Functional improvements of the affected upper limb after a BT focal treatment remain controversial. Objective We aimed to assess the functional effects of BT treatment on upper-limb spasticity in the literature, identify flaws and deficiencies in proving these effects and propose leads for future trials. Methods We searched the MEDLINE and Cochrane databases for trials, reviews and meta-analyses assessing the effect of BT injection in upper-limb spasticity. This was a non-systematic narrative review, and the selection of articles was based on the authors’ expertise. The review focused on stroke-related spasticity and disability. Results Patients’ therapeutic targets involved use of the disability assessment scale (DAS) or goal attainment scale (GAS). Impairments and passive function goals prevailed for active function and participation and were more frequently achieved for the former than the latter. Meta-analyses showed no to mild effect sizes for improvement in upper-limb function but failed to show higher and/or better use of the paretic upper limb in activities of daily living after BT injection. Conclusion BT injections for impairment and passive function are related to improved kinematic parameters; however, the relation between relief of spasticity and improved upper-limb activity has not been established. Possible explanations for the lack of functional effect in studies are first, disability is mainly due to muscle weakness rather than spasticity, so patients with the best underlying motricity may benefit the most from BT injections; second, assessment methods may not be adapted to screen eligible patients; third, most studies’ endpoints were at 4 to 12 weeks after a single injection, but repeated treatment sessions might be needed to observe functional outcome on the upper limbs; and finally, the association of rehabilitation programs or non-pharmacological treatments may enhance the functional effects of BT injections. En ligne : https://www.sciencedirect.com/science/article/pii/S187706571831409X Permalink : ./index.php?lvl=notice_display&id=84128

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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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