ABILOCO: A Rasch-Built 13-Item Questionnaire to Assess Locomotion Ability in Stroke Patients / Gilles Caty in Archives of Physical Medicine and Rehabilitation, Vol.89, n°2 (Février 2008)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol.89, n°2 (Février 2008) . - p.284-290 Titre : ABILOCO: A Rasch-Built 13-Item Questionnaire to Assess Locomotion Ability in Stroke Patients Type de document : document électronique Auteurs : Gilles Caty ; Carlyne Arnould ; Gaëtan G. Stoquart ; Jean-Louis Thonnard ; Thierry Lejeune Année de publication : 2008 Article en page(s) : p.284-290 Note générale : doi.org/10.1016/j.apmr.2007.08.155 Langues : Anglais (eng) Mots-clés : Locomotion  Questionnaires  Rehabilitation  Stroke Résumé : Objective To develop a questionnaire (ABILOCO), based on the Rasch measurement model, that can assess locomotion ability in adult stroke patients (International Classification of Functioning, Disability and Health activity domain). Design Prospective study and questionnaire development. Setting A faculty hospital. Participants Adult stroke patients (N=100) (age, 64±15y). The time since stroke ranged from 1 to 260 weeks. Intervention A preliminary questionnaire included 43 items representing a large sample of locomotion activities. This questionnaire was tested on the 100 stroke patients, and their responses were analyzed using the Rasch model (RUMM 2020 software) to select items that had an ordered rating scale and fitted a unidimensional model. Main Outcome Measure The ABILOCO questionnaire. Results The retained items resulted in a 13-item questionnaire, which includes a wide range of locomotion abilities well targeted to the sample population, leading to good reliability (R=.93). The item calibration was independent of age, sex, time since stroke, and affected side. The concurrent validity of ABILOCO was also investigated by comparing it with well-known, criterion standard scales (Functional Walking Category, Functional Ambulation Categories, item 12 of the FIM instrument evaluating walking ability) and the walking speed measured with the 10-meter walk test. Conclusions The ABILOCO questionnaire presents good psychometric qualities to measure locomotion ability in adult stroke patients. Its range and measurement precision make it attractive for clinical use throughout the rehabilitation process and for clinical research. En ligne : https://dial.uclouvain.be/pr/boreal/object/boreal:11262/datastream/PDF_01/view Permalink : ./index.php?lvl=notice_display&id=84542 [article] ABILOCO: A Rasch-Built 13-Item Questionnaire to Assess Locomotion Ability in Stroke Patients [document électronique] / Gilles Caty ; Carlyne Arnould ; Gaëtan G. Stoquart ; Jean-Louis Thonnard ; Thierry Lejeune . - 2008 . - p.284-290. doi.org/10.1016/j.apmr.2007.08.155 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol.89, n°2 (Février 2008) . - p.284-290 Mots-clés : Locomotion  Questionnaires  Rehabilitation  Stroke Résumé : Objective To develop a questionnaire (ABILOCO), based on the Rasch measurement model, that can assess locomotion ability in adult stroke patients (International Classification of Functioning, Disability and Health activity domain). Design Prospective study and questionnaire development. Setting A faculty hospital. Participants Adult stroke patients (N=100) (age, 64±15y). The time since stroke ranged from 1 to 260 weeks. Intervention A preliminary questionnaire included 43 items representing a large sample of locomotion activities. This questionnaire was tested on the 100 stroke patients, and their responses were analyzed using the Rasch model (RUMM 2020 software) to select items that had an ordered rating scale and fitted a unidimensional model. Main Outcome Measure The ABILOCO questionnaire. Results The retained items resulted in a 13-item questionnaire, which includes a wide range of locomotion abilities well targeted to the sample population, leading to good reliability (R=.93). The item calibration was independent of age, sex, time since stroke, and affected side. The concurrent validity of ABILOCO was also investigated by comparing it with well-known, criterion standard scales (Functional Walking Category, Functional Ambulation Categories, item 12 of the FIM instrument evaluating walking ability) and the walking speed measured with the 10-meter walk test. Conclusions The ABILOCO questionnaire presents good psychometric qualities to measure locomotion ability in adult stroke patients. Its range and measurement precision make it attractive for clinical use throughout the rehabilitation process and for clinical research. En ligne : https://dial.uclouvain.be/pr/boreal/object/boreal:11262/datastream/PDF_01/view Permalink : ./index.php?lvl=notice_display&id=84542

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Botulinum toxin type A or selective neurotomy for treating focal spastic muscle overactivity? / Thierry Deltombe 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. 220-224 Titre : Botulinum toxin type A or selective neurotomy for treating focal spastic muscle overactivity? Type de document : texte imprimé Auteurs : Thierry Deltombe ; Thierry Lejeune ; Thierry Gustin Année de publication : 2019 Article en page(s) : p. 220-224 Note générale : https://doi.org/10.1016/j.rehab.2018.07.008 Langues : Anglais (eng) Mots-clés : Hemiplegia  Muscle spasticity  Motor nerve block  Neurotomy  Equinovarus foot Résumé : Objective To discuss the effectiveness, indications, limitations and side effects of botulinum toxin type A and selective neurotomy for treating focal spastic muscle overactivity to help clinicians choose the most appropriate treatment. Methods Expert opinion based on scientific evidence and personal experience. Results Botulinum toxin type A can decrease muscle tone in different types of spastic muscle overactivity, which allows for treating a large variety of spastic patterns with several etiologies. The toxin effect is sometimes insufficient to improve functional outcome and is transient, thereby requiring repeated injections. Selective neurotomy is a permanent surgical treatment of the reflex component of the spastic muscle overactivity (spasticity) that is effective for spastic equinovarus foot. The neurotomy provides a greater and more constant reduction in spasticity. However, the long-lasting effect on the non-reflex muscle overactivity, especially dystonia, is doubted. The effectiveness, clinical indications, advantages, side effects and limitations of both techniques are discussed. Conclusion Botulinum toxin type A has the highest level of evidence and the largest range of indications. However, the botulinum toxin effect is reversible and seems less effective, which supports a permanent surgical treatment such as selective neurotomy, especially for the spastic foot. Further research is needed to compare the effect of botulinum toxin type A and selective neurotomy for the different types of spastic muscle overactivity and clinical patterns. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314398 Permalink : ./index.php?lvl=notice_display&id=84126 [article] Botulinum toxin type A or selective neurotomy for treating focal spastic muscle overactivity? [texte imprimé] / Thierry Deltombe ; Thierry Lejeune ; Thierry Gustin . - 2019 . - p. 220-224. https://doi.org/10.1016/j.rehab.2018.07.008 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 220-224 Mots-clés : Hemiplegia  Muscle spasticity  Motor nerve block  Neurotomy  Equinovarus foot Résumé : Objective To discuss the effectiveness, indications, limitations and side effects of botulinum toxin type A and selective neurotomy for treating focal spastic muscle overactivity to help clinicians choose the most appropriate treatment. Methods Expert opinion based on scientific evidence and personal experience. Results Botulinum toxin type A can decrease muscle tone in different types of spastic muscle overactivity, which allows for treating a large variety of spastic patterns with several etiologies. The toxin effect is sometimes insufficient to improve functional outcome and is transient, thereby requiring repeated injections. Selective neurotomy is a permanent surgical treatment of the reflex component of the spastic muscle overactivity (spasticity) that is effective for spastic equinovarus foot. The neurotomy provides a greater and more constant reduction in spasticity. However, the long-lasting effect on the non-reflex muscle overactivity, especially dystonia, is doubted. The effectiveness, clinical indications, advantages, side effects and limitations of both techniques are discussed. Conclusion Botulinum toxin type A has the highest level of evidence and the largest range of indications. However, the botulinum toxin effect is reversible and seems less effective, which supports a permanent surgical treatment such as selective neurotomy, especially for the spastic foot. Further research is needed to compare the effect of botulinum toxin type A and selective neurotomy for the different types of spastic muscle overactivity and clinical patterns. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314398 Permalink : ./index.php?lvl=notice_display&id=84126

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Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial / Stéphanie Dehem 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. 313-320 Titre : Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial Type de document : texte imprimé Auteurs : Stéphanie Dehem ; Maxime Gilliaux ; Gaëtan G. Stoquart ; Christine Detrembleur ; Géraldine Jacquemin ; Sara Palumbo ; Anne Frederick ; Thierry Lejeune Année de publication : 2019 Article en page(s) : p. 313-320 Note générale : doi.org/10.1016/j.rehab.2019.04.002 Langues : Anglais (eng) Mots-clés : Stroke  Upper extremity  Robotics  Rehabilitation  Recovery of function Résumé : Background Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF). Objective This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains. Methods We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction. Results In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups. Conclusion For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation. Permalink : ./index.php?lvl=notice_display&id=84140 [article] Effectiveness of upper-limb robotic-assisted therapy in the early rehabilitation phase after stroke: A single-blind, randomised, controlled trial [texte imprimé] / Stéphanie Dehem ; Maxime Gilliaux ; Gaëtan G. Stoquart ; Christine Detrembleur ; Géraldine Jacquemin ; Sara Palumbo ; Anne Frederick ; Thierry Lejeune . - 2019 . - p. 313-320. doi.org/10.1016/j.rehab.2019.04.002 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 313-320 Mots-clés : Stroke  Upper extremity  Robotics  Rehabilitation  Recovery of function Résumé : Background Upper-limb robotic-assisted therapy (RAT) is promising for stroke rehabilitation, particularly in the early phase. When RAT is provided as partial substitution of conventional therapy, it is expected to be at least as effective or might be more effective than conventional therapy. Assessments have usually been restricted to the first 2 domains of the International classification of functioning, disability and health (ICF). Objective This was a pragmatic, multicentric, single-blind, randomized controlled trial to evaluate the effectiveness of upper-limb RAT used as partial substitution to conventional therapy in the early phase of stroke rehabilitation, following the 3 ICF domains. Methods We randomized 45 patients with acute stroke into 2 groups (conventional therapy, n = 22, and RAT, n = 23). Both interventions were dose-matched regarding treatment duration and lasted 9 weeks. The conventional therapy group followed a standard rehabilitation. In the RAT group, 4 sessions of conventional therapy (25%) were substituted by RAT each week. RAT consisted of moving the paretic upper limb along a reference trajectory while the robot provided assistance as needed. A blinded assessor evaluated participants before, just after the intervention and 6 months post-stroke, according to the ICF domains UL motor impairments, activity limitations, and social participation restriction. Results In total, 28 individuals were assessed after the intervention. The following were more improved in the RAT than conventional therapy group at 6 months post-stroke: gross manual dexterity (Box and Block test +7.7 blocks; P = 0.02), upper-limb ability during functional tasks (Wolf Motor Function test +12%; P = 0.02) and patient social participation (Stroke Impact Scale +18%; P = 0.01). Participants’ abilities to perform manual activities and activities of daily living improved similarly in both groups. Conclusion For the same duration of daily rehabilitation, RAT combined with conventional therapy during the early rehabilitation phase after stroke is more effective than conventional therapy alone to improve gross manual dexterity, upper-limb ability during functional tasks and patient social participation. Permalink : ./index.php?lvl=notice_display&id=84140

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