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Attention,
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Déterminer la balance bénéfices/risques d'une intervention : pour chaque patient / Revue Prescrire in Ethica Clinica, 87 (Septembre 2017)
[article]
Titre : Déterminer la balance bénéfices/risques d'une intervention : pour chaque patient Type de document : texte imprimé Auteurs : Revue Prescrire Année de publication : 2017 Article en page(s) : p. 34-41 Langues : Français (fre) Mots-clés : Bénéfices Questions/Réponses Balance Résumé : Toute intervention, qu'elle soit diagnostique, thérapeutique ou préventive, est motivée par l'espoir de certains bénéfices, et comporte certains risques. La prise en compte de ces deux aspects, c'est-à-dire l'évaluation de la balance bénéfices/risques, est une étape importante dans une décision de soins d'un patient. Permalink : ./index.php?lvl=notice_display&id=53829
in Ethica Clinica > 87 (Septembre 2017) . - p. 34-41[article] Déterminer la balance bénéfices/risques d'une intervention : pour chaque patient [texte imprimé] / Revue Prescrire . - 2017 . - p. 34-41.
Langues : Français (fre)
in Ethica Clinica > 87 (Septembre 2017) . - p. 34-41
Mots-clés : Bénéfices Questions/Réponses Balance Résumé : Toute intervention, qu'elle soit diagnostique, thérapeutique ou préventive, est motivée par l'espoir de certains bénéfices, et comporte certains risques. La prise en compte de ces deux aspects, c'est-à-dire l'évaluation de la balance bénéfices/risques, est une étape importante dans une décision de soins d'un patient. Permalink : ./index.php?lvl=notice_display&id=53829 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 prêtTai Chi for improving balance and reducing falls : An overview of 14 systematic reviews / Dongling Zhong in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
[article]
Titre : Tai Chi for improving balance and reducing falls : An overview of 14 systematic reviews Type de document : texte imprimé Auteurs : Dongling Zhong ; Qiwei Xiao ; Xili Xiao ; Yuxi Li ; Lina Xia ; Chi Zhang ; Juan Li ; Hui Zheng ; Rongjiang Jin Année de publication : 2020 Article en page(s) : p. 505-517 Note générale : doi.org/10.1016/j.rehab.2019.12.008 Langues : Anglais (eng) Mots-clés : Tai Chi Balance Falls AMSTAR 2 ROBIS PRISMA GRADE Overview Résumé : Background
Falls play a pivotal role in the cause of injury or death and have become a public health problem, especially for older people. Tai Chi may be an effective approach to improving balance and reducing falls. However, the conclusions of systematic reviews (SRs) have been inconsistent and the quality needs to be appraised critically.
Objective
To provide an overview of the methodological quality, risk of bias and reporting quality as well as quality of evidence of SRs of Tai Chi for improving balance and reducing falls.
Methods
We conducted a systematic search of English- and Chinese-language SRs in 8 electronic databases, from inception to October 2019. The methodological quality, risk of bias, reporting quality and the quality of evidence were independently assessed by 2 reviewers who used the A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2), Risk of Bias in Systematic reviews (ROBIS), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Grades of Recommendations, Assessment, Development and Evaluation (GRADE). Primary outcomes were fall rate and the Berg Balance Scale score in older people and people with Parkinson disease. Secondary outcomes included these outcomes in stroke, osteoarthritis and heart failure.
Results
A total of 14 relevant SRs were included: 13 were rated critically low quality and 1 was rated low quality by AMSTAR 2. By the ROBIS, all SRs were rated low risk in Phase 1 (assessing relevance) and Domain 1 of Phase 2 (study eligibility criteria). With regard to Domain 2, assessing the identification and selection of studies, 3 (21.4%) SRs were rated low risk. Eleven (71.4%) were rated low risk in Domain 3 (data collection and study appraisal), 11 (71.4%) were rated low risk in Domain 4 (synthesis and findings), and 9 (64.3%) were rated low risk in Phase 3 (risk of bias in the review). According to PRISMA, the reporting was relatively complete, but there were still some reporting flaws in the topic of protocol and registration (2/14, 14.3%), search strategy (5/14, 35.7%), risk of bias (6/14, 42.9%), additional analyses (6/14, 42.9%) and funding (4/14, 28.6%). Among the 14 SRs, Tai Chi had benefits for improving balance and reducing falls in older people and people with Parkinson disease; however, no definitive conclusions could be drawn for its effectiveness in stroke, osteoarthritis and heart failure. The level of evidence for fall rate was “moderate” to “high” for older people and “low” for those with Parkinson disease. The level of evidence of the Berg Balance Scale was “low” to “moderate” for older people and “low” for those with Parkinson disease. Among the downgraded factors, imprecision was the most common, followed by inconsistency and publication bias.
Conclusions
Tai Chi may be beneficial for improving balance and reducing falls in older people and those with Parkinson disease. Because of limitations and inconsistent conclusions, further rigorous, normative and comprehensive SRs are needed to provide robust evidence for definitive conclusions.Permalink : ./index.php?lvl=notice_display&id=91464
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 505-517[article] Tai Chi for improving balance and reducing falls : An overview of 14 systematic reviews [texte imprimé] / Dongling Zhong ; Qiwei Xiao ; Xili Xiao ; Yuxi Li ; Lina Xia ; Chi Zhang ; Juan Li ; Hui Zheng ; Rongjiang Jin . - 2020 . - p. 505-517.
doi.org/10.1016/j.rehab.2019.12.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 505-517
Mots-clés : Tai Chi Balance Falls AMSTAR 2 ROBIS PRISMA GRADE Overview Résumé : Background
Falls play a pivotal role in the cause of injury or death and have become a public health problem, especially for older people. Tai Chi may be an effective approach to improving balance and reducing falls. However, the conclusions of systematic reviews (SRs) have been inconsistent and the quality needs to be appraised critically.
Objective
To provide an overview of the methodological quality, risk of bias and reporting quality as well as quality of evidence of SRs of Tai Chi for improving balance and reducing falls.
Methods
We conducted a systematic search of English- and Chinese-language SRs in 8 electronic databases, from inception to October 2019. The methodological quality, risk of bias, reporting quality and the quality of evidence were independently assessed by 2 reviewers who used the A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2), Risk of Bias in Systematic reviews (ROBIS), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Grades of Recommendations, Assessment, Development and Evaluation (GRADE). Primary outcomes were fall rate and the Berg Balance Scale score in older people and people with Parkinson disease. Secondary outcomes included these outcomes in stroke, osteoarthritis and heart failure.
Results
A total of 14 relevant SRs were included: 13 were rated critically low quality and 1 was rated low quality by AMSTAR 2. By the ROBIS, all SRs were rated low risk in Phase 1 (assessing relevance) and Domain 1 of Phase 2 (study eligibility criteria). With regard to Domain 2, assessing the identification and selection of studies, 3 (21.4%) SRs were rated low risk. Eleven (71.4%) were rated low risk in Domain 3 (data collection and study appraisal), 11 (71.4%) were rated low risk in Domain 4 (synthesis and findings), and 9 (64.3%) were rated low risk in Phase 3 (risk of bias in the review). According to PRISMA, the reporting was relatively complete, but there were still some reporting flaws in the topic of protocol and registration (2/14, 14.3%), search strategy (5/14, 35.7%), risk of bias (6/14, 42.9%), additional analyses (6/14, 42.9%) and funding (4/14, 28.6%). Among the 14 SRs, Tai Chi had benefits for improving balance and reducing falls in older people and people with Parkinson disease; however, no definitive conclusions could be drawn for its effectiveness in stroke, osteoarthritis and heart failure. The level of evidence for fall rate was “moderate” to “high” for older people and “low” for those with Parkinson disease. The level of evidence of the Berg Balance Scale was “low” to “moderate” for older people and “low” for those with Parkinson disease. Among the downgraded factors, imprecision was the most common, followed by inconsistency and publication bias.
Conclusions
Tai Chi may be beneficial for improving balance and reducing falls in older people and those with Parkinson disease. Because of limitations and inconsistent conclusions, further rigorous, normative and comprehensive SRs are needed to provide robust evidence for definitive conclusions.Permalink : ./index.php?lvl=notice_display&id=91464 Exemplaires (1)
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Exclu du prêtMobility and satisfaction with a microprocessor-controlled knee in moderately active amputees: A multi-centric randomized crossover trial / Céline Lansade in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)
[article]
Titre : Mobility and satisfaction with a microprocessor-controlled knee in moderately active amputees: A multi-centric randomized crossover trial Type de document : texte imprimé Auteurs : Céline Lansade ; Eric Vicaut ; Jean Paysant ; Doménico Ménager ; Marie-Christine Cristina ; Frank Braatz ; Stephan Domayer ; Dominic Pérennou ; Gérard Chiesa Année de publication : 2018 Article en page(s) : p. 278-285 Note générale : Doi : 10.1016/j.rehab.2018.04.003 Langues : Anglais (eng) Mots-clés : Amputation Balance Mobility Multi-centric Randomized Crossover Résumé : Objective
Microprocessor-controlled knees are generally prescribed and reimbursed for active amputees. Recent studies suggested that this technology could be useful for amputees with moderate activity level. We compared the efficiency of a microprocessor-controlled knee (MPK, Kenevo, Otto Bock) and non-MPKs (NMPKs) in these indications.
Methods
A multi-centric randomized crossover trial was conducted in 16 hospitals from 3 European countries. Participants were randomized to an MPK-NMPK sequence, testing the MPK for 3 months and the NMPK for 1 month, or to an NMPK-MPK sequence, testing the NMPK for 1 month and the MPK for 3 months. Dynamic balance, the main criteria, was assessed with the Timed-Up and Go test (TUG), functional mobility with the Locomotor Capability Index (LCI-5), quality of life with the Medical Outcomes Study Short Form 36 v2 (SF-36v2) and satisfaction with the Quebec User Evaluation of Satisfaction with Assistive Technology 2.0. The occurrence of falls was monitored during the last month of trial. Analysis was by intent-to-treat and per-protocol (PP).
Results
We recruited 35 individuals with transfemoral amputation or knee disarticulation (27 males; mean age 65.6years [SD 10.1]). On PP analysis, dynamic balance and functional mobility were improved with the MPK, as shown by a reduced median TUG time (from 21.4s [Q1–Q3 19.3–26.6] to 17.9s [15.4–22.7], P=0.001) and higher mean global LCI-5 (from 40.4 [SD 7.6] to 42.8 [6.2], P=0.02). Median global satisfaction score increased (from 3.9 [Q1–Q3 3.8–4.4] to 4.7 [4.1–4.9], P=0.001) and quality of life was improved for the mental component summary of the SF-36v2 (median score from 53.3 [Q1–Q3 47.8–60.7] to 60.2 [51.6–62.6], P=0.03) and physical component summary but not significantly (mean score from 44.1 [SD 6.3] to 46.3 [7.0], P=0.08). Monitoring of adverse events including falls revealed no differences between both assessed devices.
Conclusion
This study enhances the level of evidence to argue equal opportunity for all individuals with transfemoral amputation or knee disarticulation, regardless of their mobility grade, to be provided with appropriate prostheses.Permalink : ./index.php?lvl=notice_display&id=80614
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 278-285[article] Mobility and satisfaction with a microprocessor-controlled knee in moderately active amputees: A multi-centric randomized crossover trial [texte imprimé] / Céline Lansade ; Eric Vicaut ; Jean Paysant ; Doménico Ménager ; Marie-Christine Cristina ; Frank Braatz ; Stephan Domayer ; Dominic Pérennou ; Gérard Chiesa . - 2018 . - p. 278-285.
Doi : 10.1016/j.rehab.2018.04.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 278-285
Mots-clés : Amputation Balance Mobility Multi-centric Randomized Crossover Résumé : Objective
Microprocessor-controlled knees are generally prescribed and reimbursed for active amputees. Recent studies suggested that this technology could be useful for amputees with moderate activity level. We compared the efficiency of a microprocessor-controlled knee (MPK, Kenevo, Otto Bock) and non-MPKs (NMPKs) in these indications.
Methods
A multi-centric randomized crossover trial was conducted in 16 hospitals from 3 European countries. Participants were randomized to an MPK-NMPK sequence, testing the MPK for 3 months and the NMPK for 1 month, or to an NMPK-MPK sequence, testing the NMPK for 1 month and the MPK for 3 months. Dynamic balance, the main criteria, was assessed with the Timed-Up and Go test (TUG), functional mobility with the Locomotor Capability Index (LCI-5), quality of life with the Medical Outcomes Study Short Form 36 v2 (SF-36v2) and satisfaction with the Quebec User Evaluation of Satisfaction with Assistive Technology 2.0. The occurrence of falls was monitored during the last month of trial. Analysis was by intent-to-treat and per-protocol (PP).
Results
We recruited 35 individuals with transfemoral amputation or knee disarticulation (27 males; mean age 65.6years [SD 10.1]). On PP analysis, dynamic balance and functional mobility were improved with the MPK, as shown by a reduced median TUG time (from 21.4s [Q1–Q3 19.3–26.6] to 17.9s [15.4–22.7], P=0.001) and higher mean global LCI-5 (from 40.4 [SD 7.6] to 42.8 [6.2], P=0.02). Median global satisfaction score increased (from 3.9 [Q1–Q3 3.8–4.4] to 4.7 [4.1–4.9], P=0.001) and quality of life was improved for the mental component summary of the SF-36v2 (median score from 53.3 [Q1–Q3 47.8–60.7] to 60.2 [51.6–62.6], P=0.03) and physical component summary but not significantly (mean score from 44.1 [SD 6.3] to 46.3 [7.0], P=0.08). Monitoring of adverse events including falls revealed no differences between both assessed devices.
Conclusion
This study enhances the level of evidence to argue equal opportunity for all individuals with transfemoral amputation or knee disarticulation, regardless of their mobility grade, to be provided with appropriate prostheses.Permalink : ./index.php?lvl=notice_display&id=80614 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 prêtLes balances : tout bien pesé / Christiane DE CRAECKER-DUSSART in Athena : Recherche et développement technologique, 295 (Novembre 2013)
[article]
Titre : Les balances : tout bien pesé Type de document : texte imprimé Auteurs : Christiane DE CRAECKER-DUSSART, Auteur Année de publication : 2013 Article en page(s) : p.12-15 Langues : Français (fre) Mots-clés : balance poids pesée Permalink : ./index.php?lvl=notice_display&id=11971
in Athena : Recherche et développement technologique > 295 (Novembre 2013) . - p.12-15[article] Les balances : tout bien pesé [texte imprimé] / Christiane DE CRAECKER-DUSSART, Auteur . - 2013 . - p.12-15.
Langues : Français (fre)
in Athena : Recherche et développement technologique > 295 (Novembre 2013) . - p.12-15
Mots-clés : balance poids pesée Permalink : ./index.php?lvl=notice_display&id=11971 Réservation
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