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Attention,
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Interplay of Pisa syndrome and scoliosis in individuals with Parkinson's disease treated with bilateral stimulation of subthalamic nuclei: IPOLAP study / Dominic Pérennou in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
[article]
Titre : Interplay of Pisa syndrome and scoliosis in individuals with Parkinson's disease treated with bilateral stimulation of subthalamic nuclei: IPOLAP study Type de document : texte imprimé Auteurs : Dominic Pérennou ; Marie Jaeger ; Bettina Debu ; Valérie Fraix ; Adélaïde Marquer ; Paul Krack ; Céline Piscicelli ; Anna Castrioto Année de publication : 2020 Article en page(s) : p. 578-580 Langues : Anglais (eng) Mots-clés : Pisa syndrome Scoliosis Trunk tilt Trunk imbalance Plumb line Rehabilitation Résumé : doi.org/10.1016/j.rehab.2020.02.001 Permalink : ./index.php?lvl=notice_display&id=91476
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 578-580[article] Interplay of Pisa syndrome and scoliosis in individuals with Parkinson's disease treated with bilateral stimulation of subthalamic nuclei: IPOLAP study [texte imprimé] / Dominic Pérennou ; Marie Jaeger ; Bettina Debu ; Valérie Fraix ; Adélaïde Marquer ; Paul Krack ; Céline Piscicelli ; Anna Castrioto . - 2020 . - p. 578-580.
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 578-580
Mots-clés : Pisa syndrome Scoliosis Trunk tilt Trunk imbalance Plumb line Rehabilitation Résumé : doi.org/10.1016/j.rehab.2020.02.001 Permalink : ./index.php?lvl=notice_display&id=91476 Exemplaires (1)
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Exclu du prêtSpecific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial / Stefano Negrini in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)
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[article]
Titre : Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial Type de document : texte imprimé Auteurs : Stefano Negrini ; Sabrina Donzelli ; Alessandra Negrini ; et al. Année de publication : 2019 Article en page(s) : p. 69-76 Note générale : Doi : 10.1016/j.rehab.2018.07.010 Langues : Anglais (eng) Mots-clés : Scoliosis Adolescents Exercise Résumé : Background
In an ideal experimental setting, 2 randomized controlled trials recently showed the efficacy of physiotherapeutic scoliosis-specific exercises (PSSEs) for adolescents with idiopathic scoliosis (AIS). Now large observational studies are needed to check the generalizability of these results to everyday clinical life.
Objective
To explore the effectiveness of PSSEs for avoiding bracing or progression of AIS in everyday clinics.
Methods
This was a longitudinal comparative observational multicenter study, nested in a prospective database of outpatient tertiary referral clinics, including 327 consecutive patients. Inclusion criteria were AIS, age≥10 years old at first evaluation, Risser sign 0–2, and 11–20°Cobbangle. Exclusion criteria were consultations only and brace prescription at baseline. Groups performed PSSE according to the SEAS (Scientific Exercise Approach to Scoliosis) School, usual physiotherapy (UP) and no therapy (controls [CON]). End of treatment was medical discharge, Risser sign 3, or failure (defined by the need for bracing before the end of growth or Cobb angle>29°). The probability of failure was estimated by the risk ratio (RR) and 95% confidence interval (CI). The number needed to treat was estimated. Statistical analysis included intent-to-treat analysis, considering all participants (dropouts as failures), and efficacy analysis, considering only end-of-treatment participants. Propensity scores were used to reduce the potential effects of confounders related to the observational design.
Results
We included 293 eligible subjects after propensity score matching (SEAS, n=145; UP, n=95; controls, n=53). The risk of success was increased 1.7-fold (P=0.007) and 1.5-fold (P=0.006) with SEAS versus controls in the efficacy and intent-to-treat analyses, respectively, and the number needed to treat for testing SEAS versus controls was 3.5 (95% CI 3.2–3.7) and 1.8 (95% CI 1.5–2.0), respectively. The success rate was higher with SEAS than UP in the efficacy analysis.
Conclusions
SEAS reduced the bracing rate in AIS and was more effective than UP. PSSEs are additional tools that can be included in the therapeutic toolbox for AIS treatment.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314416 Permalink : ./index.php?lvl=notice_display&id=82643
in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 69-76[article] Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial [texte imprimé] / Stefano Negrini ; Sabrina Donzelli ; Alessandra Negrini ; et al. . - 2019 . - p. 69-76.
Doi : 10.1016/j.rehab.2018.07.010
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 69-76
Mots-clés : Scoliosis Adolescents Exercise Résumé : Background
In an ideal experimental setting, 2 randomized controlled trials recently showed the efficacy of physiotherapeutic scoliosis-specific exercises (PSSEs) for adolescents with idiopathic scoliosis (AIS). Now large observational studies are needed to check the generalizability of these results to everyday clinical life.
Objective
To explore the effectiveness of PSSEs for avoiding bracing or progression of AIS in everyday clinics.
Methods
This was a longitudinal comparative observational multicenter study, nested in a prospective database of outpatient tertiary referral clinics, including 327 consecutive patients. Inclusion criteria were AIS, age≥10 years old at first evaluation, Risser sign 0–2, and 11–20°Cobbangle. Exclusion criteria were consultations only and brace prescription at baseline. Groups performed PSSE according to the SEAS (Scientific Exercise Approach to Scoliosis) School, usual physiotherapy (UP) and no therapy (controls [CON]). End of treatment was medical discharge, Risser sign 3, or failure (defined by the need for bracing before the end of growth or Cobb angle>29°). The probability of failure was estimated by the risk ratio (RR) and 95% confidence interval (CI). The number needed to treat was estimated. Statistical analysis included intent-to-treat analysis, considering all participants (dropouts as failures), and efficacy analysis, considering only end-of-treatment participants. Propensity scores were used to reduce the potential effects of confounders related to the observational design.
Results
We included 293 eligible subjects after propensity score matching (SEAS, n=145; UP, n=95; controls, n=53). The risk of success was increased 1.7-fold (P=0.007) and 1.5-fold (P=0.006) with SEAS versus controls in the efficacy and intent-to-treat analyses, respectively, and the number needed to treat for testing SEAS versus controls was 3.5 (95% CI 3.2–3.7) and 1.8 (95% CI 1.5–2.0), respectively. The success rate was higher with SEAS than UP in the efficacy analysis.
Conclusions
SEAS reduced the bracing rate in AIS and was more effective than UP. PSSEs are additional tools that can be included in the therapeutic toolbox for AIS treatment.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314416 Permalink : ./index.php?lvl=notice_display&id=82643 Exemplaires (1)
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Exclu du prêtIntra operative assessment of the coronal balance in spinal deformity surgery : a technical note and retrospective study / Thibault Dewilde in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Intra operative assessment of the coronal balance in spinal deformity surgery : a technical note and retrospective study Type de document : texte imprimé Auteurs : Thibault Dewilde ; Sebastiaan Schelfaut ; Sven Bamps ; Matthias Papen ; Pierre Moens Année de publication : 2021 Article en page(s) : p. 175-179 Note générale : https://doi.org/10.52628/87.1.22 Langues : Anglais (eng) Mots-clés : scoliosis coronal balance intraoperative assesment coronal alignement scoliosis surgery Résumé : Obtaining a spine that is well balanced after fusion for scoliotic deformity is primordial for the patients’ quality of life. A simple T-shaped instrument combined with standard intraoperative fluoroscopy can be of great help to evaluate the coronal alignment quickly. The aim of this study was to evaluate if a T-shaped device could predict the postoperative coronal balance. Before finalization of the rod fixation, the balance was checked by verifying the relationship between the T-shaped instrument and the upper instrumented vertebra (UIV), and final adjustments were made to correct the coronal balance. A retrospective study was conducted on 48 patients who underwent surgery to correct scoliotic deformity. Intraoperative and postoperative coronal alignment was measured independently by two observers. The mean intraoperative horizontal offset measured between T-shaped instrument and the center of the UIV was 1,69mm to the right with a standard deviation (SD) of 12,43 mm. On postoperative full spine radiographs, the mean offset between the centra sacral vertical line and the center of the UIV was 2,44mm to the left with a SD of 13,10mm. There is no significant difference in coronal balance between both measurements (p=0,12). With this technique we were able to predict the postoperative coronal balance in all but one patient (97,92%). We conclude that the use of a simple T-shaped instrument can provide adequate intraoperative assessment of coronal balance in correcting scoliotic deformity. Permalink : ./index.php?lvl=notice_display&id=96602
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 175-179[article] Intra operative assessment of the coronal balance in spinal deformity surgery : a technical note and retrospective study [texte imprimé] / Thibault Dewilde ; Sebastiaan Schelfaut ; Sven Bamps ; Matthias Papen ; Pierre Moens . - 2021 . - p. 175-179.
https://doi.org/10.52628/87.1.22
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 175-179
Mots-clés : scoliosis coronal balance intraoperative assesment coronal alignement scoliosis surgery Résumé : Obtaining a spine that is well balanced after fusion for scoliotic deformity is primordial for the patients’ quality of life. A simple T-shaped instrument combined with standard intraoperative fluoroscopy can be of great help to evaluate the coronal alignment quickly. The aim of this study was to evaluate if a T-shaped device could predict the postoperative coronal balance. Before finalization of the rod fixation, the balance was checked by verifying the relationship between the T-shaped instrument and the upper instrumented vertebra (UIV), and final adjustments were made to correct the coronal balance. A retrospective study was conducted on 48 patients who underwent surgery to correct scoliotic deformity. Intraoperative and postoperative coronal alignment was measured independently by two observers. The mean intraoperative horizontal offset measured between T-shaped instrument and the center of the UIV was 1,69mm to the right with a standard deviation (SD) of 12,43 mm. On postoperative full spine radiographs, the mean offset between the centra sacral vertical line and the center of the UIV was 2,44mm to the left with a SD of 13,10mm. There is no significant difference in coronal balance between both measurements (p=0,12). With this technique we were able to predict the postoperative coronal balance in all but one patient (97,92%). We conclude that the use of a simple T-shaped instrument can provide adequate intraoperative assessment of coronal balance in correcting scoliotic deformity. Permalink : ./index.php?lvl=notice_display&id=96602 Exemplaires (1)
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