An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse / Delphine Claus in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 68-73 Titre : An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse Type de document : texte imprimé Auteurs : Delphine Claus, Auteur ; Jean Chazal, Auteur ; Emmanuel Coudeyre, Auteur Année de publication : 2017 Article en page(s) : p. 68-73 Langues : Anglais (eng) Français (fre) Mots-clés : Lombalgie  Attitude  Peur  Chirurgie orthopédique  Brochure  Disque intervertébral  Booklet,Self-care,Fear-avoidance beliefs,Low back pain,Discectomy Résumé : Objective: We aimed to assess the impact of a booklet integrating the biopsychosocial model of chronic pain management on reducing disability among patients undergoing lumbar discetomy. Methods: In a prospective, controlled, time-series study with an alternate-month design, we enrolled 129 patients from a tertiary care university hospital after they underwent uncomplicated lumbar discectomy for the first time. The intervention group received the biopsychosocial evidence-based booklet and the control group a biomedical-based booklet; the booklets differed only in information content. Patients were blinded to treatment group. The main outcome was disability at 2 months (measured by the Quebec back-pain disability scale [QBPDS]). Secondary outcomes were fear and avoidance beliefs measured by the Fear-Avoidance Beliefs Questionnaire (FABQ). All data were collected by self-reporting questionnaires. Results: At 2 months, disability did not differ between the 2 groups (QBPDS score 32.4+22.8 vs 36.1+18.7, P =0.36). FABQ physical activity score was lower with the evidenced-based booklet as compared with controls (8.0+7.14 vs 11.2+6.3, P =0.008). Conclusions: Providing an evidence-based booklet had no effect at 2 months after surgery on disability but reduced fear-avoidance beliefs about physical activity. This booklet could be an effective tool for health care professionals in helping with patient education. Permalink : ./index.php?lvl=notice_display&id=51669 [article] An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse [texte imprimé] / Delphine Claus, Auteur ; Jean Chazal, Auteur ; Emmanuel Coudeyre, Auteur . - 2017 . - p. 68-73. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 68-73 Mots-clés : Lombalgie  Attitude  Peur  Chirurgie orthopédique  Brochure  Disque intervertébral  Booklet,Self-care,Fear-avoidance beliefs,Low back pain,Discectomy Résumé : Objective: We aimed to assess the impact of a booklet integrating the biopsychosocial model of chronic pain management on reducing disability among patients undergoing lumbar discetomy. Methods: In a prospective, controlled, time-series study with an alternate-month design, we enrolled 129 patients from a tertiary care university hospital after they underwent uncomplicated lumbar discectomy for the first time. The intervention group received the biopsychosocial evidence-based booklet and the control group a biomedical-based booklet; the booklets differed only in information content. Patients were blinded to treatment group. The main outcome was disability at 2 months (measured by the Quebec back-pain disability scale [QBPDS]). Secondary outcomes were fear and avoidance beliefs measured by the Fear-Avoidance Beliefs Questionnaire (FABQ). All data were collected by self-reporting questionnaires. Results: At 2 months, disability did not differ between the 2 groups (QBPDS score 32.4+22.8 vs 36.1+18.7, P =0.36). FABQ physical activity score was lower with the evidenced-based booklet as compared with controls (8.0+7.14 vs 11.2+6.3, P =0.008). Conclusions: Providing an evidence-based booklet had no effect at 2 months after surgery on disability but reduced fear-avoidance beliefs about physical activity. This booklet could be an effective tool for health care professionals in helping with patient education. Permalink : ./index.php?lvl=notice_display&id=51669

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A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis / Emmanuel Coudeyre in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 92-98 Titre : A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis Type de document : texte imprimé Auteurs : Emmanuel Coudeyre ; Christelle Nguyen ; Aurore Chabaud ; Bruno Pereira ; Johann Beaudreuil ; Jean-Marie Coudreuse ; Philippe Déat ; Frédéric Sailhan ; Alain Lorenzo ; François Rannou Année de publication : 2018 Article en page(s) : p. 92-98 Note générale : Doi : 10.1016/j.rehab.2018.01.001 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis  Orthosis  Braces  Decision-making tool  Guidelines Résumé : Objective To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. Methods A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA. A first DMT draft was presented to the task force in a 1-day meeting in January 2016. The first version of the DMT was criticized and discussed regarding everyday practice issues. Every step was discussed and amended until consensus agreement was achieved within the task force. Then 4 successive consultation rounds occurred by electronic communication, first with primary- and secondary-care physicians, then with international experts. All corrections and suggestions by each member were shared with the rest of the task force and included to reach final consensus. The final version was validated by the steering committee. Results The definition and indication of several types of knee orthoses (sleeve, patello-femoral, hinged or unicompartmental offloading braces) were detailed. Orthoses may be proposed in addition to first-line non-pharmacological treatment if patient acceptance is considered good. At every step, a specific clinical assessment is needed. Discussion/conclusion Based on the latest high-level evidence, practice guidelines, and an expert panel, a DMT to facilitate daily practice prescription of knee orthoses for OA patients was designed. An evaluation of DMT implementation in a wide range of health professionals is still needed. Permalink : ./index.php?lvl=notice_display&id=80452 [article] A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis [texte imprimé] / Emmanuel Coudeyre ; Christelle Nguyen ; Aurore Chabaud ; Bruno Pereira ; Johann Beaudreuil ; Jean-Marie Coudreuse ; Philippe Déat ; Frédéric Sailhan ; Alain Lorenzo ; François Rannou . - 2018 . - p. 92-98. Doi : 10.1016/j.rehab.2018.01.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 92-98 Mots-clés : Knee osteoarthritis  Orthosis  Braces  Decision-making tool  Guidelines Résumé : Objective To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. Methods A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA. A first DMT draft was presented to the task force in a 1-day meeting in January 2016. The first version of the DMT was criticized and discussed regarding everyday practice issues. Every step was discussed and amended until consensus agreement was achieved within the task force. Then 4 successive consultation rounds occurred by electronic communication, first with primary- and secondary-care physicians, then with international experts. All corrections and suggestions by each member were shared with the rest of the task force and included to reach final consensus. The final version was validated by the steering committee. Results The definition and indication of several types of knee orthoses (sleeve, patello-femoral, hinged or unicompartmental offloading braces) were detailed. Orthoses may be proposed in addition to first-line non-pharmacological treatment if patient acceptance is considered good. At every step, a specific clinical assessment is needed. Discussion/conclusion Based on the latest high-level evidence, practice guidelines, and an expert panel, a DMT to facilitate daily practice prescription of knee orthoses for OA patients was designed. An evaluation of DMT implementation in a wide range of health professionals is still needed. Permalink : ./index.php?lvl=notice_display&id=80452

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High tech-low cost, the growing place of WII in rehabilitation / Emmanuel Coudeyre in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 361-362 Titre : High tech-low cost, the growing place of WII in rehabilitation Type de document : texte imprimé Auteurs : Emmanuel Coudeyre, Auteur Année de publication : 2017 Article en page(s) : p. 361-362 Note générale : Editorial Langues : Anglais (eng) Français (fre) Mots-clés : Innovation technologique  Rééducation fonctionnelle Résumé : In this issue, Rizzo et al. publish a preliminary study comparing the Nintendo WII to a conventional rehabilitation protocol for shoulder impingement syndrome. To our knowledge, this is the first study using a WII for shoulder rehabilitation ever published. The WII intervention led to significant improvements in shoulder range of motion, pain and disability and quality of life but not strength. In the control group, conventional therapy only significantly improved strength. The originality of this study was the use of the WII as an upper-limb training device that can be harmful for healthy subjects. The main limitation was the small sample size (n =14), with 50% attrition in the control group. We can consider that the high attrition rate in the control group may reinforce the interest of gaming, which favors the WII intervention. Permalink : ./index.php?lvl=notice_display&id=53841 [article] High tech-low cost, the growing place of WII in rehabilitation [texte imprimé] / Emmanuel Coudeyre, Auteur . - 2017 . - p. 361-362. Editorial Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 361-362 Mots-clés : Innovation technologique  Rééducation fonctionnelle Résumé : In this issue, Rizzo et al. publish a preliminary study comparing the Nintendo WII to a conventional rehabilitation protocol for shoulder impingement syndrome. To our knowledge, this is the first study using a WII for shoulder rehabilitation ever published. The WII intervention led to significant improvements in shoulder range of motion, pain and disability and quality of life but not strength. In the control group, conventional therapy only significantly improved strength. The originality of this study was the use of the WII as an upper-limb training device that can be harmful for healthy subjects. The main limitation was the small sample size (n =14), with 50% attrition in the control group. We can consider that the high attrition rate in the control group may reinforce the interest of gaming, which favors the WII intervention. Permalink : ./index.php?lvl=notice_display&id=53841

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Isokinetic muscle strengthening for knee osteoarthritis: A systematic review of randomized controlled trials with meta-analysis / Emmanuel Coudeyre in Annals of physical and rehabilitation medicine, Vol. 59, n° 3 (June 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 207-215 Titre : Isokinetic muscle strengthening for knee osteoarthritis: A systematic review of randomized controlled trials with meta-analysis Type de document : texte imprimé Auteurs : Emmanuel Coudeyre, Auteur ; Anne-Gaëlle Jegu, Auteur ; Mathias Giustanini, Auteur Année de publication : 2016 Article en page(s) : p. 207-215 Langues : Anglais (eng) Français (fre) Mots-clés : Arthrose  Genou  Muscle  Activité physique  Knee osteoarthritis,Isokinetic,Muscle,Exercise Résumé : Objective: To assess the level of scientific evidence and the place in the rehabilitation framework of isokinetic muscle strengthening (IMS) for knee osteoarthritis (OA). Methods: A systematic review of the English literature in MEDLINE via PubMed, the Cochrane Library, and PEDro databases for only randomized comparative trials. Data that were sufficiently homogeneous underwent comprehensive meta-analysis. Methodological assessment was done by using the CLEAR scale for non-pharmacologic trials. Results: We identified articles for 9 trials (696 patients). All trials were of low to moderate quality. Tolerance of IMS was considered good. Improvement in muscle strength was better with an IMS program than no treatment or an isometric exercise but did not differ with an aerobic program. We found an important effect for pain (standardized mean difference 1.218 [95% CI 0.899–1.54], P <0.001) and functional Lequesne index (1.61 [0.40–2.81], P =0.009) and a moderate effect for the Western Ontario and McMaster Universities Osteoarthritis Index subscore C for disability (0.58 [0.04–1.11], P =0.03). Conclusions: IMS is an effective way to propose dynamic muscle strengthening for knee OA rehabilitation and has a significant effect on pain and disability. Because of the weak methodology and the great heterogeneity of studies, particularly in IMS protocol and outcome measures, insufficient data are available to provide guidelines about efficacy and strategy. Future clinical trials are needed, but more attention should be paid to the methods of such studies to clarify the role of IMS in the therapeutic armamentarium of knee OA. Permalink : ./index.php?lvl=notice_display&id=45213 [article] Isokinetic muscle strengthening for knee osteoarthritis: A systematic review of randomized controlled trials with meta-analysis [texte imprimé] / Emmanuel Coudeyre, Auteur ; Anne-Gaëlle Jegu, Auteur ; Mathias Giustanini, Auteur . - 2016 . - p. 207-215. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 207-215 Mots-clés : Arthrose  Genou  Muscle  Activité physique  Knee osteoarthritis,Isokinetic,Muscle,Exercise Résumé : Objective: To assess the level of scientific evidence and the place in the rehabilitation framework of isokinetic muscle strengthening (IMS) for knee osteoarthritis (OA). Methods: A systematic review of the English literature in MEDLINE via PubMed, the Cochrane Library, and PEDro databases for only randomized comparative trials. Data that were sufficiently homogeneous underwent comprehensive meta-analysis. Methodological assessment was done by using the CLEAR scale for non-pharmacologic trials. Results: We identified articles for 9 trials (696 patients). All trials were of low to moderate quality. Tolerance of IMS was considered good. Improvement in muscle strength was better with an IMS program than no treatment or an isometric exercise but did not differ with an aerobic program. We found an important effect for pain (standardized mean difference 1.218 [95% CI 0.899–1.54], P <0.001) and functional Lequesne index (1.61 [0.40–2.81], P =0.009) and a moderate effect for the Western Ontario and McMaster Universities Osteoarthritis Index subscore C for disability (0.58 [0.04–1.11], P =0.03). Conclusions: IMS is an effective way to propose dynamic muscle strengthening for knee OA rehabilitation and has a significant effect on pain and disability. Because of the weak methodology and the great heterogeneity of studies, particularly in IMS protocol and outcome measures, insufficient data are available to provide guidelines about efficacy and strategy. Future clinical trials are needed, but more attention should be paid to the methods of such studies to clarify the role of IMS in the therapeutic armamentarium of knee OA. Permalink : ./index.php?lvl=notice_display&id=45213

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Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial / Chloé Gay 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. 181-188 Titre : Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial Type de document : texte imprimé Auteurs : Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 181-188 Note générale : doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) Mots-clés : Physical activity level  Exercise  Osteoarthritis  Education  Self-management Résumé : Background The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated. Objective This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level. Methods This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded. Results In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively). Conclusions This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level. Permalink : ./index.php?lvl=notice_display&id=90793 [article] Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial [texte imprimé] / Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre . - 2020 . - p. 181-188. doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188 Mots-clés : Physical activity level  Exercise  Osteoarthritis  Education  Self-management Résumé : Background The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated. Objective This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level. Methods This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded. Results In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively). Conclusions This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level. Permalink : ./index.php?lvl=notice_display&id=90793

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Osteoarthritis in physical medicine and rehabilitation / Emmanuel Coudeyre in Annals of physical and rehabilitation medicine, Vol. 59, n° 3 (June 2016)

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Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire / N. Coste in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

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Un simulateur de conduite au service des patients / Isabelle Hauret in La revue de l'infirmière, 228 (Février 2017)

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The Annals of Physical and Rehabilitation Medicine through the 2010s : A generalist journal of rehabilitation with a French touch / Dominic Pérennou in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)

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Validation transculturelle du RAPT (Risk Assessment and Predictor Tool) outil d’aide à la décision d’orientation après une arthroplastie totale de la hanche / Emmanuel Coudeyre in Annals of physical and rehabilitation medicine, Vol. 57, n°3 (April 2014)

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