Le Gait Profile Score est-il un bon indicateur des perturbations locomotrices chez le patient atteint de séquelles tardives de la poliomyélite? / Anthony SUPIOT in Science & motricité, 109 (Mars 2020)

Public ISBD [article]  inScience & motricité > 109 (Mars 2020) . - p. 1-5 Titre : Le Gait Profile Score est-il un bon indicateur des perturbations locomotrices chez le patient atteint de séquelles tardives de la poliomyélite? Type de document : texte imprimé Auteurs : Anthony SUPIOT ; François Genêt ; Thomas Cattagni Année de publication : 2020 Article en page(s) : p. 1-5 Note générale : https://doi.org/10.1051/sm/2020001 Langues : Français (fre) Résumé : Les séquelles tardives de la poliomyélite(LEoP) sont caractérisées par l’apparition chez le patient de nouvelles perturbations locomotrices, survenant de nombreuses années après la primo-infection. Actuellement, il n’existe pas de consensus sur l’index le plus approprié pour détecter et quantifier ces nouvelles perturbations. Cette étude vise donc à comparer la sensibilité et la spécificité de deux index d’évaluation locomotrice qui sont, l’indice de symétrie (IS) et le Gait Profile Score (GPS). Le GPS ainsi que l’IS de 4 paramètres locomoteurs (longueur de pas, % de phase d’appui, % de phase oscillante, % de phase de double support) ont été calculés à partir de l’analyse cinématique de 12 sujets post LEoP et de 12 sujets asymptomatiques. L’aire sous la courbe de la fonction d’efficacité du récepteur (courbe ROC en anglais) a été utilisée pour mesurer la sensibilité et la spécificité de l’IS et du GPS. Que ce soit pour l’IS des 4 paramètres locomoteurs ou le GPS les valeurs d’air sous la courbe sont toutes supérieures à 0,83 (bonne discrimination). En d’autres termes, l’IS ou le GPS discriminent significativement les participants ayant des perturbations locomotrices post LEoP des participants asymptomatiques (toutes les valeurs p<0,001). Les résultats de cette étude montrent que le GPS et l’IS peuvent être utilisés avec une sensibilité similaire par les cliniciens pour identifier les perturbations locomotrices des patients post LEoP. Permalink : ./index.php?lvl=notice_display&id=97376 [article] Le Gait Profile Score est-il un bon indicateur des perturbations locomotrices chez le patient atteint de séquelles tardives de la poliomyélite? [texte imprimé] / Anthony SUPIOT ; François Genêt ; Thomas Cattagni . - 2020 . - p. 1-5. https://doi.org/10.1051/sm/2020001 Langues : Français (fre) in Science & motricité > 109 (Mars 2020) . - p. 1-5 Résumé : Les séquelles tardives de la poliomyélite(LEoP) sont caractérisées par l’apparition chez le patient de nouvelles perturbations locomotrices, survenant de nombreuses années après la primo-infection. Actuellement, il n’existe pas de consensus sur l’index le plus approprié pour détecter et quantifier ces nouvelles perturbations. Cette étude vise donc à comparer la sensibilité et la spécificité de deux index d’évaluation locomotrice qui sont, l’indice de symétrie (IS) et le Gait Profile Score (GPS). Le GPS ainsi que l’IS de 4 paramètres locomoteurs (longueur de pas, % de phase d’appui, % de phase oscillante, % de phase de double support) ont été calculés à partir de l’analyse cinématique de 12 sujets post LEoP et de 12 sujets asymptomatiques. L’aire sous la courbe de la fonction d’efficacité du récepteur (courbe ROC en anglais) a été utilisée pour mesurer la sensibilité et la spécificité de l’IS et du GPS. Que ce soit pour l’IS des 4 paramètres locomoteurs ou le GPS les valeurs d’air sous la courbe sont toutes supérieures à 0,83 (bonne discrimination). En d’autres termes, l’IS ou le GPS discriminent significativement les participants ayant des perturbations locomotrices post LEoP des participants asymptomatiques (toutes les valeurs p<0,001). Les résultats de cette étude montrent que le GPS et l’IS peuvent être utilisés avec une sensibilité similaire par les cliniciens pour identifier les perturbations locomotrices des patients post LEoP. Permalink : ./index.php?lvl=notice_display&id=97376

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Participation in work and leisure activities after stroke: A national study / Alexis Schnitzler 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. 351-355 Titre : Participation in work and leisure activities after stroke: A national study Type de document : texte imprimé Auteurs : Alexis Schnitzler ; Claire Jourdan ; Loïc Josseran ; Philippe Azouvi ; Louis Jacob ; François Genêt Année de publication : 2019 Article en page(s) : p. 351-355 Note générale : doi.org/10.1016/j.rehab.2019.04.005 Langues : Anglais (eng) Résumé : Background Stroke is a common and debilitating neurological disorder having a negative impact on quality of life. Objectives We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France. Methods This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke. Results Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13–0.27]), use the telephone (0.21 [0.17–0.25]) and drive (0.25 [0.21–0.32]). In the age group 19–59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%). Conclusions Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke. Permalink : ./index.php?lvl=notice_display&id=84150 [article] Participation in work and leisure activities after stroke: A national study [texte imprimé] / Alexis Schnitzler ; Claire Jourdan ; Loïc Josseran ; Philippe Azouvi ; Louis Jacob ; François Genêt . - 2019 . - p. 351-355. doi.org/10.1016/j.rehab.2019.04.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 351-355 Résumé : Background Stroke is a common and debilitating neurological disorder having a negative impact on quality of life. Objectives We aimed to compare differences in participation in work and leisure activities between patients with and without a self-reported stroke at the national level in France. Methods This study used cross-sectional data from the Disability Health Survey that was administered in people's homes (DHH) in 2008 and in institutions (DHI) in 2009. Stroke history and levels of participation in work and leisure activities were collected by interviews. The levels of participation in these activities were compared between participants with and without a history of stroke. Results Among the 33,785 interviewed participants, 1725 reported a history of stroke. After weighting, this represented a mean (SD) of 766,641 (36,650) people among 49 million adults living in France. After adjustment, as compared with people without stroke, those with stroke were less likely to work (odds ratio 0.19 [95% confidence interval 0.13–0.27]), use the telephone (0.21 [0.17–0.25]) and drive (0.25 [0.21–0.32]). In the age group 19–59 years, as compared with people without stroke, those with stroke less frequently worked (35.9% vs. 72.2%), drove (54.3% vs. 81.3%) and participated in sports (26.6% vs. 55.8%). Conclusions Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke. Permalink : ./index.php?lvl=notice_display&id=84150

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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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