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Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma / Xavier Biardeau in Annals of physical and rehabilitation medicine, Vol. 59, n° 2 (April 2016)
[article]
Titre : Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma Type de document : texte imprimé Auteurs : Xavier Biardeau, Auteur ; Jacques Corcos, Auteur Année de publication : 2016 Article en page(s) : p. 125-129 Langues : Anglais (eng) Français (fre) Mots-clés : Infection urinaire Appareil urogénital [pathologie] Cathétérisme explorateur Cathéter Revue de littérature Prévention santé Self-catheterization,Complications,Prevention,Treatment,Genitourinary tract infection,Urethral trauma Résumé : Intermittent catheterization is considered the standard of care in most neurologic patients with lower urinary tract disorders. However, in this context, genitourinary tract infection and urethral trauma represent specific challenges. Such conditions have been found to significantly deteriorate quality of life and complicate subsequent treatments. Only optimal prevention associated with appropriate treatment allows for the long-term continuation of such bladder management. Here, we discuss the diagnosis and therapeutic and preventive approaches associated with genitourinary tract infection and urethral trauma in this specific population. This “state-of-the-art” article results from a literature review (MEDLINE articles and scientific society guidelines) and the authors’ experience. It was structured in a didactic way to facilitate comprehension and promote the implementation of advice and recommendations in daily practice. Genitourinary tract infection and urethral trauma associated with intermittent catheterization in neurologic patients should be managed with a global approach, including patient and caregiver education, optimal catheterization with hydrophilic-coated or pre-lubricated catheters and adequate use of antibiotic therapy. Permalink : ./index.php?lvl=notice_display&id=44286
in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 125-129[article] Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma [texte imprimé] / Xavier Biardeau, Auteur ; Jacques Corcos, Auteur . - 2016 . - p. 125-129.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 125-129
Mots-clés : Infection urinaire Appareil urogénital [pathologie] Cathétérisme explorateur Cathéter Revue de littérature Prévention santé Self-catheterization,Complications,Prevention,Treatment,Genitourinary tract infection,Urethral trauma Résumé : Intermittent catheterization is considered the standard of care in most neurologic patients with lower urinary tract disorders. However, in this context, genitourinary tract infection and urethral trauma represent specific challenges. Such conditions have been found to significantly deteriorate quality of life and complicate subsequent treatments. Only optimal prevention associated with appropriate treatment allows for the long-term continuation of such bladder management. Here, we discuss the diagnosis and therapeutic and preventive approaches associated with genitourinary tract infection and urethral trauma in this specific population. This “state-of-the-art” article results from a literature review (MEDLINE articles and scientific society guidelines) and the authors’ experience. It was structured in a didactic way to facilitate comprehension and promote the implementation of advice and recommendations in daily practice. Genitourinary tract infection and urethral trauma associated with intermittent catheterization in neurologic patients should be managed with a global approach, including patient and caregiver education, optimal catheterization with hydrophilic-coated or pre-lubricated catheters and adequate use of antibiotic therapy. Permalink : ./index.php?lvl=notice_display&id=44286 Exemplaires (1)
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Exclu du prêtReliability of pelvic floor muscle electromyography tested on healthy women and women with pelvic floor muscle dysfunction / Irene Koenig in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)
[article]
Titre : Reliability of pelvic floor muscle electromyography tested on healthy women and women with pelvic floor muscle dysfunction Type de document : texte imprimé Auteurs : Irene Koenig, Auteur ; Lorenz Radlinger, Auteur ; Helena Luginbuehl, Auteur Année de publication : 2017 Article en page(s) : p. 382-386 Langues : Anglais (eng) Français (fre) Mots-clés : Femme Muscle Appareil urogénital [pathologie] Analyse Électrodiagnostic Analysis,Female,Pelvic floor,Reproducibility Résumé : Objectives: Electromyography (EMG) is a well-established method to quantify the relative pelvic floor muscle (PFM) activity. PFM EMG has shown good reliability in healthy women. However, its reliability has not been tested in women with PFM dysfunction. The reliability of EMG analysis methods concerning EMG normalization needs to be determined to assess specific therapeutic interventions. Therefore, the aim of this study was to investigate the intra-session reliability of PFM EMG variables by using 3 different analysis methods in women with PFM dysfunction.
Methods: EMG data analysis involved women who were healthy, had weak PFM and had stress urinary incontinence (SUI). We evaluated the reliability of EMG during rest and maximum voluntary contraction and compared muscle activity onset by visual determination and by calculation. All variables were checked for normality (Shapiro-Wilk). Descriptive statistics (mean, SD), systematic error within repeated measures (Wilcoxon) and reliability indexes were tested and presented descriptively (intraclass correlation coefficient [ICC], standard error of measurement [SEM], SEM%, minimal difference [MD], MD%).
Results: For 20 women who were healthy, 17 with weak PFM and 50 with SUI, ICC values were high for all variables (0.780–0.994), and SEM and MD values were relatively high (SEM%: 7.5–15.7; MD%: 21.0–43.8).
Conclusion: We need reliable methods to analyse clinical intervention studies. PFM EMG variables had high ICCs, but relatively high SEM and MD values modified the reliability. All EMG analysis methods were comparable in healthy women, but only the visual-onset determination was dependable in women with PFM dysfunction.Permalink : ./index.php?lvl=notice_display&id=53844
in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 382-386[article] Reliability of pelvic floor muscle electromyography tested on healthy women and women with pelvic floor muscle dysfunction [texte imprimé] / Irene Koenig, Auteur ; Lorenz Radlinger, Auteur ; Helena Luginbuehl, Auteur . - 2017 . - p. 382-386.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 382-386
Mots-clés : Femme Muscle Appareil urogénital [pathologie] Analyse Électrodiagnostic Analysis,Female,Pelvic floor,Reproducibility Résumé : Objectives: Electromyography (EMG) is a well-established method to quantify the relative pelvic floor muscle (PFM) activity. PFM EMG has shown good reliability in healthy women. However, its reliability has not been tested in women with PFM dysfunction. The reliability of EMG analysis methods concerning EMG normalization needs to be determined to assess specific therapeutic interventions. Therefore, the aim of this study was to investigate the intra-session reliability of PFM EMG variables by using 3 different analysis methods in women with PFM dysfunction.
Methods: EMG data analysis involved women who were healthy, had weak PFM and had stress urinary incontinence (SUI). We evaluated the reliability of EMG during rest and maximum voluntary contraction and compared muscle activity onset by visual determination and by calculation. All variables were checked for normality (Shapiro-Wilk). Descriptive statistics (mean, SD), systematic error within repeated measures (Wilcoxon) and reliability indexes were tested and presented descriptively (intraclass correlation coefficient [ICC], standard error of measurement [SEM], SEM%, minimal difference [MD], MD%).
Results: For 20 women who were healthy, 17 with weak PFM and 50 with SUI, ICC values were high for all variables (0.780–0.994), and SEM and MD values were relatively high (SEM%: 7.5–15.7; MD%: 21.0–43.8).
Conclusion: We need reliable methods to analyse clinical intervention studies. PFM EMG variables had high ICCs, but relatively high SEM and MD values modified the reliability. All EMG analysis methods were comparable in healthy women, but only the visual-onset determination was dependable in women with PFM dysfunction.Permalink : ./index.php?lvl=notice_display&id=53844 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 prêt