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Mobility 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)
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Exclu du prêtFactors affecting ability and satisfaction with social roles in persons with neurological conditions: The importance of mobility and stigma / Grace Warner in The British Journal of Occupational Therapy, Vol.81 Issue 4 (Avril 2018)
[article]
Titre : Factors affecting ability and satisfaction with social roles in persons with neurological conditions: The importance of mobility and stigma Type de document : texte imprimé Auteurs : Grace Warner ; Johanne Desrosiers ; Tanya L. Packer ; Robin Stadnyk Année de publication : 2018 Article en page(s) : p. 207-217 Langues : Anglais (eng) Mots-clés : Social participation participation satisfaction stigma mobility neurological conditions accomplishment Résumé : Introduction
The accomplishment of social roles and the satisfaction derived from participating in social roles are two important concepts in occupational therapy. Despite their importance, not much is known about how the two concepts differ. The objective of this study was to explore and compare the clinical and environmental factors correlated with accomplishment and satisfaction in social roles.
Method
This secondary analysis used data from a nested mixed method study. Participants (n = 88) were Canadian adults, living with a range of neurological conditions. Linear regression analysis was used to identify factors that significantly affected the accomplishment and satisfaction of five social role domains (responsibility, interpersonal relationships, community life, employment and recreation).
Results
The variable of mobility was significantly associated with accomplishment of all five social role domains. Stigma, however, surfaced as the most important variable for satisfaction with social roles. It was significantly associated with all social role domains except employment.
Conclusion
From this analysis it appears that social role accomplishment and satisfaction have distinct correlates. Stigma is an important correlate of social role satisfaction that needs to be understood in more depth and addressed by occupational therapists so individuals with neurological conditions can maximize their satisfaction with social participation.Permalink : ./index.php?lvl=notice_display&id=80071
in The British Journal of Occupational Therapy > Vol.81 Issue 4 (Avril 2018) . - p. 207-217[article] Factors affecting ability and satisfaction with social roles in persons with neurological conditions: The importance of mobility and stigma [texte imprimé] / Grace Warner ; Johanne Desrosiers ; Tanya L. Packer ; Robin Stadnyk . - 2018 . - p. 207-217.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 4 (Avril 2018) . - p. 207-217
Mots-clés : Social participation participation satisfaction stigma mobility neurological conditions accomplishment Résumé : Introduction
The accomplishment of social roles and the satisfaction derived from participating in social roles are two important concepts in occupational therapy. Despite their importance, not much is known about how the two concepts differ. The objective of this study was to explore and compare the clinical and environmental factors correlated with accomplishment and satisfaction in social roles.
Method
This secondary analysis used data from a nested mixed method study. Participants (n = 88) were Canadian adults, living with a range of neurological conditions. Linear regression analysis was used to identify factors that significantly affected the accomplishment and satisfaction of five social role domains (responsibility, interpersonal relationships, community life, employment and recreation).
Results
The variable of mobility was significantly associated with accomplishment of all five social role domains. Stigma, however, surfaced as the most important variable for satisfaction with social roles. It was significantly associated with all social role domains except employment.
Conclusion
From this analysis it appears that social role accomplishment and satisfaction have distinct correlates. Stigma is an important correlate of social role satisfaction that needs to be understood in more depth and addressed by occupational therapists so individuals with neurological conditions can maximize their satisfaction with social participation.Permalink : ./index.php?lvl=notice_display&id=80071 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 prêtTranscultural adaptation and validation of a French version of the Prosthetic Limb Users Survey of Mobility 12-item Short-Form (PLUS-M/FC-12) in active amputees / Christos Karatzios in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)
[article]
Titre : Transcultural adaptation and validation of a French version of the Prosthetic Limb Users Survey of Mobility 12-item Short-Form (PLUS-M/FC-12) in active amputees Type de document : texte imprimé Auteurs : Christos Karatzios ; Isabelle Loiret ; François Luthi ; Bertrand Leger ; Joane Le Carre ; Mathieu Saubade ; Guillaume Muff ; Charles Benaïm Année de publication : 2019 Article en page(s) : p. 142-148 Note générale : https://doi.org/10.1016/j.rehab.2019.02.006 Langues : Anglais (eng) Mots-clés : Lower limb amputation Rehabilitation Mobility Assessment Validation Self-questionnaire Résumé : Background
The PLUS-M 12-item Short-Form is a self-questionnaire that assesses the perceived capacity of lower limb amputees (LLAs) to perform a number of daily-life activities. Its psychometric properties are excellent (intraclass correlation coefficient [ICC] > 0.9, fast administration and scoring, normative data available), and it can be used in clinical practice or for research purposes.
Objective
We aimed to develop a French version of this questionnaire and to assess its psychometric properties.
Methods
We followed international recommendations for translation and cross-cultural validation of questionnaires. In total, 52 LLAs (age 53 ± 16, 40 males, 28/12/12 transtibial/Gritti-Stokes/transfemoral, 20/28/4 ischemic/traumatic/other) participated. Criterion and construct validities were assessed with the Pearson correlation coefficient (PCC) between the PLUS-M 12-item Short-Form and other constructs (Prosthetic-Profile-of-the-Amputee-Locomotor Capabilities Index, Activities-specific Balance Confidence scale, 2-min walking test and Timed Up and Go test), internal consistency with the Cronbach α and reliability with the ICC in 46 individuals who completed the questionnaire twice in a 7-day interval.
Results
The mean (SD) PLUS-M 12-item Short-Form T-score was 56.1 (7.8; range 40.3 to 71.4). Construct and criterion validity, internal consistency and reliability ranged from low to excellent (r = 0.43 to 0.84, P < 10−2 to 0.002; Cronbach α = 0.90, ICC = 0.89 [0.81–0.94]). We found no floor or ceiling effect.
Conclusions
The French version of the PLUS-M 12-item Short-Form has good to excellent psychometric properties, comparable to those of the original version. Its use could definitely be proposed for both clinical and research purposes, once its validation is completed by assessing other psychometric qualities, especially sensitivity to change.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300363 Permalink : ./index.php?lvl=notice_display&id=84111
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 142-148[article] Transcultural adaptation and validation of a French version of the Prosthetic Limb Users Survey of Mobility 12-item Short-Form (PLUS-M/FC-12) in active amputees [texte imprimé] / Christos Karatzios ; Isabelle Loiret ; François Luthi ; Bertrand Leger ; Joane Le Carre ; Mathieu Saubade ; Guillaume Muff ; Charles Benaïm . - 2019 . - p. 142-148.
https://doi.org/10.1016/j.rehab.2019.02.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 142-148
Mots-clés : Lower limb amputation Rehabilitation Mobility Assessment Validation Self-questionnaire Résumé : Background
The PLUS-M 12-item Short-Form is a self-questionnaire that assesses the perceived capacity of lower limb amputees (LLAs) to perform a number of daily-life activities. Its psychometric properties are excellent (intraclass correlation coefficient [ICC] > 0.9, fast administration and scoring, normative data available), and it can be used in clinical practice or for research purposes.
Objective
We aimed to develop a French version of this questionnaire and to assess its psychometric properties.
Methods
We followed international recommendations for translation and cross-cultural validation of questionnaires. In total, 52 LLAs (age 53 ± 16, 40 males, 28/12/12 transtibial/Gritti-Stokes/transfemoral, 20/28/4 ischemic/traumatic/other) participated. Criterion and construct validities were assessed with the Pearson correlation coefficient (PCC) between the PLUS-M 12-item Short-Form and other constructs (Prosthetic-Profile-of-the-Amputee-Locomotor Capabilities Index, Activities-specific Balance Confidence scale, 2-min walking test and Timed Up and Go test), internal consistency with the Cronbach α and reliability with the ICC in 46 individuals who completed the questionnaire twice in a 7-day interval.
Results
The mean (SD) PLUS-M 12-item Short-Form T-score was 56.1 (7.8; range 40.3 to 71.4). Construct and criterion validity, internal consistency and reliability ranged from low to excellent (r = 0.43 to 0.84, P < 10−2 to 0.002; Cronbach α = 0.90, ICC = 0.89 [0.81–0.94]). We found no floor or ceiling effect.
Conclusions
The French version of the PLUS-M 12-item Short-Form has good to excellent psychometric properties, comparable to those of the original version. Its use could definitely be proposed for both clinical and research purposes, once its validation is completed by assessing other psychometric qualities, especially sensitivity to change.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300363 Permalink : ./index.php?lvl=notice_display&id=84111 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