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Psychological interventions in multiple sclerosis : Improving cognition and quality of life / Caroline Harand in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
[article]
Titre : Psychological interventions in multiple sclerosis : Improving cognition and quality of life Type de document : texte imprimé Auteurs : Caroline Harand ; Gilles Defer Année de publication : 2020 Article en page(s) : p. 148-153 Note générale : doi.org/10.1016/j.rehab.2018.10.002 Langues : Anglais (eng) Mots-clés : Psychology Multiple sclerosis Rehabilitation Cognition Quality of life Résumé : Multiple sclerosis is often associated with impaired cognitive functioning, of mainly attention, information processing speed, executive functions and memory. Cognitive alterations have direct functional consequences for quality of life, ranging from occupational activities to personal life and professional career. Additionally, there is a complex interplay between cognitive impairment and affective functions, such as depression or anxiety, which in turn has a negative impact on quality of life. Therefore, current work aims to reduce the impact of cognitive alterations on daily life rather than only defining their nature and severity. For this purpose, programs of cognitive rehabilitation have been increasingly used over the last decades. Although promising, their effects have not been studied widely and further works are needed to demonstrate their real daily-life efficiency and their effects over the long-term. Cognitive remediation must be integrated in a wider perspective rather than improve specific task performance, in which psychological care as well as the patient's feelings of being cared for and listened to remain essential. From this perspective, new approaches have developed in parallel. This extended review shows the potential benefit of cognitive-behavioral therapies, mindfulness or physical exercise on varied psychological functions in multiple sclerosis. Among others, these various therapies aim to help patients better conceive their cognitive functioning through their (neuro)psychological care and their daily life, hence improving their quality of life and self-esteem. They also aim to provide more appropriate long-term care by reconciling the quasi-systematic use of non-pharmacological approaches and follow-up clinical routine consultations with health care providers. Permalink : ./index.php?lvl=notice_display&id=90787
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 148-153[article] Psychological interventions in multiple sclerosis : Improving cognition and quality of life [texte imprimé] / Caroline Harand ; Gilles Defer . - 2020 . - p. 148-153.
doi.org/10.1016/j.rehab.2018.10.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 148-153
Mots-clés : Psychology Multiple sclerosis Rehabilitation Cognition Quality of life Résumé : Multiple sclerosis is often associated with impaired cognitive functioning, of mainly attention, information processing speed, executive functions and memory. Cognitive alterations have direct functional consequences for quality of life, ranging from occupational activities to personal life and professional career. Additionally, there is a complex interplay between cognitive impairment and affective functions, such as depression or anxiety, which in turn has a negative impact on quality of life. Therefore, current work aims to reduce the impact of cognitive alterations on daily life rather than only defining their nature and severity. For this purpose, programs of cognitive rehabilitation have been increasingly used over the last decades. Although promising, their effects have not been studied widely and further works are needed to demonstrate their real daily-life efficiency and their effects over the long-term. Cognitive remediation must be integrated in a wider perspective rather than improve specific task performance, in which psychological care as well as the patient's feelings of being cared for and listened to remain essential. From this perspective, new approaches have developed in parallel. This extended review shows the potential benefit of cognitive-behavioral therapies, mindfulness or physical exercise on varied psychological functions in multiple sclerosis. Among others, these various therapies aim to help patients better conceive their cognitive functioning through their (neuro)psychological care and their daily life, hence improving their quality of life and self-esteem. They also aim to provide more appropriate long-term care by reconciling the quasi-systematic use of non-pharmacological approaches and follow-up clinical routine consultations with health care providers. Permalink : ./index.php?lvl=notice_display&id=90787 Exemplaires (1)
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Exclu du prêtAssessment of implicit language and theory of mind in multiple sclerosis / Céline Chanial in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
[article]
Titre : Assessment of implicit language and theory of mind in multiple sclerosis Type de document : texte imprimé Auteurs : Céline Chanial ; Sandrine Basaglia-Pappas ; Sophie Jacqueline ; Anne Boulange ; Caelia Gourdon ; Sonia Donya ; Ségolène Fagnou ; Bernard Laurent ; Jean-Philippe Camdessanché ; Céline Borg Année de publication : 2020 Article en page(s) : p. 111-115 Note générale : doi.org/10.1016/j.rehab.2019.08.005 Langues : Anglais (eng) Mots-clés : Multiple sclerosis Social cognition Pragmatic language Theory of mind Résumé : Background
Increasing evidence suggests that social cognition, especially theory of mind (ToM), is impaired in individuals with multiple sclerosis (MS). ToM appears to be a determining factor for social functioning, but research has shown a connection between ToM and pragmatic language disorders among people with neurological or psychiatric disorders. Yet, pragmatic language remains a domain rarely referenced in MS.
Objective
We investigated the effect of MS in terms of the ability for making inferences via pragmatic understanding and ToM.
Methods
We included 21 individuals with MS and 21 healthy controls matched for age, education and linguistic skills who performed verbal tasks involving pragmatic language (Implicit Information Management Test, Narrative Discourse Task), ToM (Test of Social Faux Pas) and a visual task of making inferences (Visual Inferences Test).
Results
Performance was significantly lower for individuals with MS than controls in the Test of Social Faux Pas (total score), but performance in pragmatic tasks did not differ. Performance was significantly lower for MS individuals for logical inference on the Implicit Information Management Test and pragmatic inference on the Visual Inferences Test. Additionally, for the MS group, the total score on the Implicit Information Management Test was correlated with the faux pas test total score and hits.
Conclusion
Even with lack of marked cognitive decline and disability in individuals with MS and lack of differences between groups in pragmatic tasks, the MS group showed lower performance in making inferences and interpreting implicit and social situations. This study highlights the link between pragmatic language and ToM difficulties in MS.Permalink : ./index.php?lvl=notice_display&id=90780
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 111-115[article] Assessment of implicit language and theory of mind in multiple sclerosis [texte imprimé] / Céline Chanial ; Sandrine Basaglia-Pappas ; Sophie Jacqueline ; Anne Boulange ; Caelia Gourdon ; Sonia Donya ; Ségolène Fagnou ; Bernard Laurent ; Jean-Philippe Camdessanché ; Céline Borg . - 2020 . - p. 111-115.
doi.org/10.1016/j.rehab.2019.08.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 111-115
Mots-clés : Multiple sclerosis Social cognition Pragmatic language Theory of mind Résumé : Background
Increasing evidence suggests that social cognition, especially theory of mind (ToM), is impaired in individuals with multiple sclerosis (MS). ToM appears to be a determining factor for social functioning, but research has shown a connection between ToM and pragmatic language disorders among people with neurological or psychiatric disorders. Yet, pragmatic language remains a domain rarely referenced in MS.
Objective
We investigated the effect of MS in terms of the ability for making inferences via pragmatic understanding and ToM.
Methods
We included 21 individuals with MS and 21 healthy controls matched for age, education and linguistic skills who performed verbal tasks involving pragmatic language (Implicit Information Management Test, Narrative Discourse Task), ToM (Test of Social Faux Pas) and a visual task of making inferences (Visual Inferences Test).
Results
Performance was significantly lower for individuals with MS than controls in the Test of Social Faux Pas (total score), but performance in pragmatic tasks did not differ. Performance was significantly lower for MS individuals for logical inference on the Implicit Information Management Test and pragmatic inference on the Visual Inferences Test. Additionally, for the MS group, the total score on the Implicit Information Management Test was correlated with the faux pas test total score and hits.
Conclusion
Even with lack of marked cognitive decline and disability in individuals with MS and lack of differences between groups in pragmatic tasks, the MS group showed lower performance in making inferences and interpreting implicit and social situations. This study highlights the link between pragmatic language and ToM difficulties in MS.Permalink : ./index.php?lvl=notice_display&id=90780 Exemplaires (1)
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Exclu du prêtAutobiographical memory and future thinking impairments in multiple sclerosis: Cognitive and neural mechanisms, functional impact and rehabilitation / Alexandra Ernst in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
[article]
Titre : Autobiographical memory and future thinking impairments in multiple sclerosis: Cognitive and neural mechanisms, functional impact and rehabilitation Type de document : texte imprimé Auteurs : Alexandra Ernst Année de publication : 2020 Article en page(s) : p. 159-166 Note générale : doi.org/10.1016/j.rehab.2019.06.006 Langues : Anglais (eng) Mots-clés : Autobiographical memory Future thinking Cognitive rehabilitation Visual imagery Self Multiple sclerosis Résumé : Learning and memory impairments are common in individuals with multiple sclerosis (MS) and have pervasive effects on everyday life functioning. Hence, memory and learning have received particular attention in the cognitive rehabilitation literature in MS. The effectiveness of memory rehabilitation on memory performance is supported by several studies, but the generalisability of the benefits to daily life and memory for real-life events has rarely been examined. Recently, a new line of research focusing on memory for personal life events (i.e., autobiographical memory) has emerged in the MS literature. This approach is complementary to classical learning and memory paradigms and also allows for approaching memory in a broader context, one that considers memory as the ability to remember past episodes and imagine events that may occur in one's personal future (i.e. future thinking). This review provides an overview of the findings in this line of work. The first part summarises current evidence regarding the cognitive and neural mechanisms underlying autobiographical memory and future thinking impairments in MS. It points out that these domains are frequently and early impaired in individuals with MS because of an executive/frontal-related deficit. Individuals with MS are generally aware of these deficits and their negative impact on everyday life, so the development of strategies to alleviate such deficits seems of paramount importance. Thus, in the second part, I present the main outcomes of a cognitive intervention developed by our research group, which has been specifically designed to alleviate autobiographical memory and future thinking impairments in individuals with MS. The implications of these findings for neuropsychological care and well-being of individuals with MS are discussed in the final section, with an emphasis on the functional role of autobiographical memory and future thinking in various domains, including personal identity. Permalink : ./index.php?lvl=notice_display&id=90789
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 159-166[article] Autobiographical memory and future thinking impairments in multiple sclerosis: Cognitive and neural mechanisms, functional impact and rehabilitation [texte imprimé] / Alexandra Ernst . - 2020 . - p. 159-166.
doi.org/10.1016/j.rehab.2019.06.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 159-166
Mots-clés : Autobiographical memory Future thinking Cognitive rehabilitation Visual imagery Self Multiple sclerosis Résumé : Learning and memory impairments are common in individuals with multiple sclerosis (MS) and have pervasive effects on everyday life functioning. Hence, memory and learning have received particular attention in the cognitive rehabilitation literature in MS. The effectiveness of memory rehabilitation on memory performance is supported by several studies, but the generalisability of the benefits to daily life and memory for real-life events has rarely been examined. Recently, a new line of research focusing on memory for personal life events (i.e., autobiographical memory) has emerged in the MS literature. This approach is complementary to classical learning and memory paradigms and also allows for approaching memory in a broader context, one that considers memory as the ability to remember past episodes and imagine events that may occur in one's personal future (i.e. future thinking). This review provides an overview of the findings in this line of work. The first part summarises current evidence regarding the cognitive and neural mechanisms underlying autobiographical memory and future thinking impairments in MS. It points out that these domains are frequently and early impaired in individuals with MS because of an executive/frontal-related deficit. Individuals with MS are generally aware of these deficits and their negative impact on everyday life, so the development of strategies to alleviate such deficits seems of paramount importance. Thus, in the second part, I present the main outcomes of a cognitive intervention developed by our research group, which has been specifically designed to alleviate autobiographical memory and future thinking impairments in individuals with MS. The implications of these findings for neuropsychological care and well-being of individuals with MS are discussed in the final section, with an emphasis on the functional role of autobiographical memory and future thinking in various domains, including personal identity. Permalink : ./index.php?lvl=notice_display&id=90789 Exemplaires (1)
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Exclu du prêtA clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis / Laurent Guilloton in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
[article]
Titre : A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis Type de document : texte imprimé Auteurs : Laurent Guilloton ; Jean-Philippe Camdessanché ; Dominique Latombe ; Philippe Neuschwander ; Sylvie Cantalloube ; Catherine Thomas-Antérion ; Bernadette Mercier ; Stéphanie Roggerone ; Delphine Maucort-Boulch ; Sylvain Roche ; Sophie Jacquin-Courtois ; The "Cognition-MS" group of the Rhône Alpes MS network Année de publication : 2020 Article en page(s) : p. 116-122 Note générale : doi.org/10.1016/j.rehab.2018.11.005 Langues : Anglais (eng) Mots-clés : Multiple sclerosis Cognition Cognitive complaint Neuropsychology Résumé : Background
Cognitive dysfunction is common in multiple sclerosis (MS). Deficits can affect attention, concentration, planning, and memory. They can have severe functional consequences in many domains. Cognitive complaints are frequently associated with other confounding factors (fatigue, anxiety, depression, or treatment side effects). In most cases, cognitive assessment is proposed after a spontaneous complaint, but determining the extent of discomfort perceived by the patient, the influence of coexisting factors, or the optimal timing for a more complete neuropsychological assessment is difficult.
Objective
The objective of this work was to evaluate the feasibility and relevance of a fast global assessment of both objective and subjective cognitive dysfunction in MS.
Methods
MS patients underwent a brief cognitive assessment including 7 visual analogue scales (VASs) asking about the patient's subjective level of discomfort in various domains, a memory test (Barbizet's lion story), a commonly used test of information processing speed (Symbol Digit Modalities Test [SDMT]) and self-reporting questionnaires for fatigue and mood (Fatigue Severity Scale [FSS] and Hospital Anxiety and Depression Scale [HADS]). Spearman correlation coefficients among scores were estimated.
Results
The mean age of the 73 patients included was 48.3 (SD 11.1) years; 78% were females and 52.8% had the remittent-recurrent MS form, 8.3% the primary progressive form, and 38.9% the secondary progressive form. In less than 20 min, this brief cognitive assessment was able to identify symptoms and quantify discomfort level. Symptoms of fatigue and anxiety frequently coexisted with cognitive complaints. We found modest correlations between scores on the VAS fatigue and the FSS and between scores on the VAS mood and the HADS. Analytical evaluation revealed that most patients had similar SDMT and recall profiles; however, a small proportion showed a dissociation between these 2 tests, which validated the inclusion of both tests in the assessment. Accounting for coexisting factors (e.g., anxiety and fatigue) and their functional repercussions is essential for prioritizing these problems within the context of multidisciplinary patient treatment.
Conclusion
Considering the possible multifactorial character of cognitive dysfunction in MS, it is essential to ask patients about their experiences and to take into account cognitive complaints in the follow-up of patients. The assessment tool we propose is simple and easy to use in a clinical setting and provides the information necessary for requesting (or not) a more complete neuropsychological assessment.Permalink : ./index.php?lvl=notice_display&id=90782
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 116-122[article] A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis [texte imprimé] / Laurent Guilloton ; Jean-Philippe Camdessanché ; Dominique Latombe ; Philippe Neuschwander ; Sylvie Cantalloube ; Catherine Thomas-Antérion ; Bernadette Mercier ; Stéphanie Roggerone ; Delphine Maucort-Boulch ; Sylvain Roche ; Sophie Jacquin-Courtois ; The "Cognition-MS" group of the Rhône Alpes MS network . - 2020 . - p. 116-122.
doi.org/10.1016/j.rehab.2018.11.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 116-122
Mots-clés : Multiple sclerosis Cognition Cognitive complaint Neuropsychology Résumé : Background
Cognitive dysfunction is common in multiple sclerosis (MS). Deficits can affect attention, concentration, planning, and memory. They can have severe functional consequences in many domains. Cognitive complaints are frequently associated with other confounding factors (fatigue, anxiety, depression, or treatment side effects). In most cases, cognitive assessment is proposed after a spontaneous complaint, but determining the extent of discomfort perceived by the patient, the influence of coexisting factors, or the optimal timing for a more complete neuropsychological assessment is difficult.
Objective
The objective of this work was to evaluate the feasibility and relevance of a fast global assessment of both objective and subjective cognitive dysfunction in MS.
Methods
MS patients underwent a brief cognitive assessment including 7 visual analogue scales (VASs) asking about the patient's subjective level of discomfort in various domains, a memory test (Barbizet's lion story), a commonly used test of information processing speed (Symbol Digit Modalities Test [SDMT]) and self-reporting questionnaires for fatigue and mood (Fatigue Severity Scale [FSS] and Hospital Anxiety and Depression Scale [HADS]). Spearman correlation coefficients among scores were estimated.
Results
The mean age of the 73 patients included was 48.3 (SD 11.1) years; 78% were females and 52.8% had the remittent-recurrent MS form, 8.3% the primary progressive form, and 38.9% the secondary progressive form. In less than 20 min, this brief cognitive assessment was able to identify symptoms and quantify discomfort level. Symptoms of fatigue and anxiety frequently coexisted with cognitive complaints. We found modest correlations between scores on the VAS fatigue and the FSS and between scores on the VAS mood and the HADS. Analytical evaluation revealed that most patients had similar SDMT and recall profiles; however, a small proportion showed a dissociation between these 2 tests, which validated the inclusion of both tests in the assessment. Accounting for coexisting factors (e.g., anxiety and fatigue) and their functional repercussions is essential for prioritizing these problems within the context of multidisciplinary patient treatment.
Conclusion
Considering the possible multifactorial character of cognitive dysfunction in MS, it is essential to ask patients about their experiences and to take into account cognitive complaints in the follow-up of patients. The assessment tool we propose is simple and easy to use in a clinical setting and provides the information necessary for requesting (or not) a more complete neuropsychological assessment.Permalink : ./index.php?lvl=notice_display&id=90782 Exemplaires (1)
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Exclu du prêtCognitive assessment in patients with multiple sclerosis: From neuropsychological batteries to ecological tools / Aurélie Ruet in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
[article]
Titre : Cognitive assessment in patients with multiple sclerosis: From neuropsychological batteries to ecological tools Type de document : texte imprimé Auteurs : Aurélie Ruet ; Bruno Brochet Année de publication : 2020 Article en page(s) : p. 154-158 Note générale : doi.org/10.1016/j.rehab.2018.01.006 Langues : Anglais (eng) Mots-clés : Cognition Neuropsychological test Neuropsychological battery Ecological evaluation Virtual reality Multiple sclerosis Résumé : Background
Cognitive impairment (CI) is frequent in patients with multiple sclerosis (PwMS) and could negatively affect family social and vocational activities. Detecting CI is clinically relevant, so the emerging question is the strategy for assessing cognition in MS.
Objective
An update on cognitive assessment in PwMS with use of standard neuropsychological (NP) tests and ecological tools.
Results
The minimal cognitive assessment in MS should include at least NP tests assessing information processing speed (IPS) and verbal and visuospatial episodic memory. The IPS could be easily and quickly evaluated with symbol digit substitution tests by using paper for the oral version of the Symbol Digit Modalities Test or a laptop for the Computerised Speed Cognitive Test. The comprehensive NP battery must be performed by a qualified neuropsychologist to adequately characterize the extent and severity of CI in PwMS. The quiet and controlled environment used for this standardized assessment could be a limitation for generalizing the results because it does not reflect real daily life conditions. Thus, this context could decrease the ability to detect some cognitive deficits that could occur only in more complex situations. Thus, ecological evaluation seems a complementary and promising approach for detecting cognitive abnormalities in daily activities.
Conclusion
Recent efforts have been made to detect and characterize cognitive deficits in PwMS. Some IPS and episodic memory NP tests have been validated in MS and should be proposed to patients in the clinical setting. Besides NP tests, ecological tools are becoming important for detecting cognitive dysfunction in everyday-like conditions. Further research is needed to validate relevant tools for monitoring cognition in MS and the ability to detect clinically meaningful change in longitudinal studies.Permalink : ./index.php?lvl=notice_display&id=90788
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 154-158[article] Cognitive assessment in patients with multiple sclerosis: From neuropsychological batteries to ecological tools [texte imprimé] / Aurélie Ruet ; Bruno Brochet . - 2020 . - p. 154-158.
doi.org/10.1016/j.rehab.2018.01.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 154-158
Mots-clés : Cognition Neuropsychological test Neuropsychological battery Ecological evaluation Virtual reality Multiple sclerosis Résumé : Background
Cognitive impairment (CI) is frequent in patients with multiple sclerosis (PwMS) and could negatively affect family social and vocational activities. Detecting CI is clinically relevant, so the emerging question is the strategy for assessing cognition in MS.
Objective
An update on cognitive assessment in PwMS with use of standard neuropsychological (NP) tests and ecological tools.
Results
The minimal cognitive assessment in MS should include at least NP tests assessing information processing speed (IPS) and verbal and visuospatial episodic memory. The IPS could be easily and quickly evaluated with symbol digit substitution tests by using paper for the oral version of the Symbol Digit Modalities Test or a laptop for the Computerised Speed Cognitive Test. The comprehensive NP battery must be performed by a qualified neuropsychologist to adequately characterize the extent and severity of CI in PwMS. The quiet and controlled environment used for this standardized assessment could be a limitation for generalizing the results because it does not reflect real daily life conditions. Thus, this context could decrease the ability to detect some cognitive deficits that could occur only in more complex situations. Thus, ecological evaluation seems a complementary and promising approach for detecting cognitive abnormalities in daily activities.
Conclusion
Recent efforts have been made to detect and characterize cognitive deficits in PwMS. Some IPS and episodic memory NP tests have been validated in MS and should be proposed to patients in the clinical setting. Besides NP tests, ecological tools are becoming important for detecting cognitive dysfunction in everyday-like conditions. Further research is needed to validate relevant tools for monitoring cognition in MS and the ability to detect clinically meaningful change in longitudinal studies.Permalink : ./index.php?lvl=notice_display&id=90788 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtCognitive rehabilitation in multiple sclerosis : An overview of clinical tools / Hélène Brissart in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
PermalinkDual-task cost in people with multiple sclerosis: A case–control study / Jolien Lemmens in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)
PermalinkEffect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders / Claire Hentzen in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
PermalinkEveryday technology use for men with multiple sclerosis: An occupational perspective / Brocha Z. Stern in The British Journal of Occupational Therapy, Vol. 81 Issue 12 (Décembre 2018)
PermalinkFactors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial / Davide Cattaneo in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
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