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Physical therapy improves lower limb muscle strength but not function in individuals with amyotrophic lateral sclerosis: A case series study / Naoki Kato in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)
[article]
Titre : Physical therapy improves lower limb muscle strength but not function in individuals with amyotrophic lateral sclerosis: A case series study Type de document : texte imprimé Auteurs : Naoki Kato ; Goichi Hashida ; Mizuki Kobayashi Année de publication : 2018 Article en page(s) : p. 108-110 Note générale : Doi : 10.1016/j.rehab.2017.09.007 Langues : Anglais (eng) Mots-clés : Amyotrophic lateral sclerosis Physical therapy Muscle strength Permalink : ./index.php?lvl=notice_display&id=80455
in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 108-110[article] Physical therapy improves lower limb muscle strength but not function in individuals with amyotrophic lateral sclerosis: A case series study [texte imprimé] / Naoki Kato ; Goichi Hashida ; Mizuki Kobayashi . - 2018 . - p. 108-110.
Doi : 10.1016/j.rehab.2017.09.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 108-110
Mots-clés : Amyotrophic lateral sclerosis Physical therapy Muscle strength Permalink : ./index.php?lvl=notice_display&id=80455 Exemplaires (1)
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Exclu du prêtEffect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study / Wanalee Klomjai in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)
[article]
Titre : Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study Type de document : texte imprimé Auteurs : Wanalee Klomjai ; Benchaporn Aneksan ; Anuchai Pheungphrarattanatrai ; Thanwarat Chantanachai ; Nattha Choowong ; Soontaree Bunleukhet ; Paradee Auvichayapat ; Yongchai Nilanon ; Vimonwan Heingkaew Année de publication : 2018 Article en page(s) : p. 286-291 Note générale : Doi : 10.1016/j.rehab.2018.04.005 Langues : Anglais (eng) Mots-clés : tDCS Lower limb Stroke Physical therapy Rehabilitation Résumé : Anodal stimulation increases cortical excitably, whereas cathodal stimulation decreases cortical excitability. Dual transcranial direct current stimulation (tDCS; anodal over the lesioned hemisphere, cathodal over the non-lesioned hemisphere) was found to enhance motor learning. The corresponding tDCS-induced changes were reported to reduce the inhibition exerted by the unaffected hemisphere on the affected hemisphere and restore the normal balance of the interhemispheric inhibition. Most studies were devoted to the possible modification of upper-limb motor function after tDCS; however, almost no study has demonstrated its effects on lower-limb function and gait, which are also commonly disordered in stroke patients with motor deficits. In this randomized sham-controlled crossover study, we included 19 patients with sub-acute stroke. Participants were randomly allocated to receive real or sham dual-tDCS followed by conventional physical therapy with an intervention interval of at least 1 week. Dual-tDCS was applied over the lower-limb M1 at 2-mA intensity for 20min. Lower-limb performance was assessed by the Timed Up and Go (TUG) and Five-Times-Sit-To-Stand (FTSTS) tests and muscle strength was assessed by peak knee torque of extension. We found a significant increase in time to perform the FTSST for the real group, with improvements significantly greater than for the sham group; the TUG score was significantly increased but not higher than for the sham group. An after-effect on FTSTS was found at approximately 1 week after the real intervention. Muscle strength was unchanged in both limbs for both real and sham groups. Our results suggest that a single session of dual-tDCS before conventional physical therapy could improve sit-to-stand performance, which appeared to be improved over conventional physical therapy alone. However, strength performance was not increased after the combination treatment. Permalink : ./index.php?lvl=notice_display&id=80617
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 286-291[article] Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study [texte imprimé] / Wanalee Klomjai ; Benchaporn Aneksan ; Anuchai Pheungphrarattanatrai ; Thanwarat Chantanachai ; Nattha Choowong ; Soontaree Bunleukhet ; Paradee Auvichayapat ; Yongchai Nilanon ; Vimonwan Heingkaew . - 2018 . - p. 286-291.
Doi : 10.1016/j.rehab.2018.04.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 286-291
Mots-clés : tDCS Lower limb Stroke Physical therapy Rehabilitation Résumé : Anodal stimulation increases cortical excitably, whereas cathodal stimulation decreases cortical excitability. Dual transcranial direct current stimulation (tDCS; anodal over the lesioned hemisphere, cathodal over the non-lesioned hemisphere) was found to enhance motor learning. The corresponding tDCS-induced changes were reported to reduce the inhibition exerted by the unaffected hemisphere on the affected hemisphere and restore the normal balance of the interhemispheric inhibition. Most studies were devoted to the possible modification of upper-limb motor function after tDCS; however, almost no study has demonstrated its effects on lower-limb function and gait, which are also commonly disordered in stroke patients with motor deficits. In this randomized sham-controlled crossover study, we included 19 patients with sub-acute stroke. Participants were randomly allocated to receive real or sham dual-tDCS followed by conventional physical therapy with an intervention interval of at least 1 week. Dual-tDCS was applied over the lower-limb M1 at 2-mA intensity for 20min. Lower-limb performance was assessed by the Timed Up and Go (TUG) and Five-Times-Sit-To-Stand (FTSTS) tests and muscle strength was assessed by peak knee torque of extension. We found a significant increase in time to perform the FTSST for the real group, with improvements significantly greater than for the sham group; the TUG score was significantly increased but not higher than for the sham group. An after-effect on FTSTS was found at approximately 1 week after the real intervention. Muscle strength was unchanged in both limbs for both real and sham groups. Our results suggest that a single session of dual-tDCS before conventional physical therapy could improve sit-to-stand performance, which appeared to be improved over conventional physical therapy alone. However, strength performance was not increased after the combination treatment. Permalink : ./index.php?lvl=notice_display&id=80617 Exemplaires (1)
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Exclu du prêtEfficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis / Siew-Li Goh in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)
[article]
Titre : Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Siew-Li Goh ; Monica S.M. Persson ; Joanne Stocks ; Yunfei Hou ; Jianhao Lin ; Michelle C. Hall ; Michael Doherty ; Weiya Zhang Année de publication : 2019 Article en page(s) : p. 356-365 Note générale : doi.org/10.1016/j.rehab.2019.04.006 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Exercise Meta-analysis Determinants Physical therapy Pain Function Quality of Life Résumé : Background
Exercise is an effective treatment for osteoarthritis. However, the effect may vary from one patient (or study) to another.
Objective
To evaluate the efficacy of exercise and its potential determinants for pain, function, performance, and quality of life (QoL) in knee and hip osteoarthritis (OA).
Methods
We searched 9 electronic databases (AMED, CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, PEDro, PubMed, SPORTDiscus and Google Scholar) for reports of randomised controlled trials (RCTs) comparing exercise-only interventions with usual care. The search was performed from inception up to December 2017 with no language restriction. The effect size (ES), with its 95% confidence interval (CI), was calculated on the basis of between-group standardised mean differences. The primary endpoint was at or nearest to 8 weeks. Other outcome time points were grouped into intervals, from < 1 month to ≥ 18 months, for time-dependent effects analysis. Potential determinants were explored by subgroup analyses. Level of significance was set at P ≤ 0.10.
Results
Data from 77 RCTs (6472 participants) confirmed statistically significant exercise benefits for pain (ES 0.56, 95% CI 0.44–0.68), function (0.50, 0.38–0.63), performance (0.46, 0.35–0.57), and QoL (0.21, 0.11–0.31) at or nearest to 8 weeks. Across all outcomes, the effects appeared to peak around 2 months and then gradually decreased and became no better than usual care after 9 months. Better pain relief was reported by trials investigating participants who were younger (mean age < 60 years), had knee OA, and were not awaiting joint replacement surgery.
Conclusions
Exercise significantly reduces pain and improves function, performance and QoL in people with knee and hip OA as compared with usual care at 8 weeks. The effects are maximal around 2 months and thereafter slowly diminish, being no better than usual care at 9 to 18 months. Participants with younger age, knee OA and not awaiting joint replacement may benefit more from exercise therapy. These potential determinants, identified by study-level analyses, may have implied ecological bias and need to be confirmed with individual patient data.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300624 Permalink : ./index.php?lvl=notice_display&id=84153
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 356-365[article] Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis [texte imprimé] / Siew-Li Goh ; Monica S.M. Persson ; Joanne Stocks ; Yunfei Hou ; Jianhao Lin ; Michelle C. Hall ; Michael Doherty ; Weiya Zhang . - 2019 . - p. 356-365.
doi.org/10.1016/j.rehab.2019.04.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 356-365
Mots-clés : Knee osteoarthritis Exercise Meta-analysis Determinants Physical therapy Pain Function Quality of Life Résumé : Background
Exercise is an effective treatment for osteoarthritis. However, the effect may vary from one patient (or study) to another.
Objective
To evaluate the efficacy of exercise and its potential determinants for pain, function, performance, and quality of life (QoL) in knee and hip osteoarthritis (OA).
Methods
We searched 9 electronic databases (AMED, CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, PEDro, PubMed, SPORTDiscus and Google Scholar) for reports of randomised controlled trials (RCTs) comparing exercise-only interventions with usual care. The search was performed from inception up to December 2017 with no language restriction. The effect size (ES), with its 95% confidence interval (CI), was calculated on the basis of between-group standardised mean differences. The primary endpoint was at or nearest to 8 weeks. Other outcome time points were grouped into intervals, from < 1 month to ≥ 18 months, for time-dependent effects analysis. Potential determinants were explored by subgroup analyses. Level of significance was set at P ≤ 0.10.
Results
Data from 77 RCTs (6472 participants) confirmed statistically significant exercise benefits for pain (ES 0.56, 95% CI 0.44–0.68), function (0.50, 0.38–0.63), performance (0.46, 0.35–0.57), and QoL (0.21, 0.11–0.31) at or nearest to 8 weeks. Across all outcomes, the effects appeared to peak around 2 months and then gradually decreased and became no better than usual care after 9 months. Better pain relief was reported by trials investigating participants who were younger (mean age < 60 years), had knee OA, and were not awaiting joint replacement surgery.
Conclusions
Exercise significantly reduces pain and improves function, performance and QoL in people with knee and hip OA as compared with usual care at 8 weeks. The effects are maximal around 2 months and thereafter slowly diminish, being no better than usual care at 9 to 18 months. Participants with younger age, knee OA and not awaiting joint replacement may benefit more from exercise therapy. These potential determinants, identified by study-level analyses, may have implied ecological bias and need to be confirmed with individual patient data.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300624 Permalink : ./index.php?lvl=notice_display&id=84153 Exemplaires (1)
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Exclu du prêtAnalgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial / Arnaud Dupeyron in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)
[article]
Titre : Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial Type de document : texte imprimé Auteurs : Arnaud Dupeyron ; Marie Dénarié ; Dominique Richard ; et al. Année de publication : 2019 Article en page(s) : p. 43-48 Note générale : Doi : 10.1016/j.rehab.2018.07.007 Langues : Anglais (eng) Mots-clés : Adhesive capsulitis Shoulder Physical therapy Rehabilitation Analgesia Résumé : Background
There is little evidence regarding the best way to treat adhesive capsulitis. Physical therapy can reduce pain and improve function and range of motion. However, we lack clear indications on the regimen, techniques or intensity of physical therapy to achieve better results. Intensive physical therapy seems to be confined to the later stages of adhesive capsulitis (chronic stage) given that rehabilitation-induced pain could worsen the outcomes. Here we describe a protocol for a study comparing the efficacy of a standardized program of intensive mobilization under analgesic gas to a similar program under placebo gas and questioning the impact of pain.
Method/Design
A randomized, double-blind, multicenter study — the MEOPA Trial — was designed to include adults with strictly defined clinical adhesive capsulitis for a 14-day intensive physical rehabilitation program under an equimolar mixture of oxygen and nitrous oxide or sham gas administration. Efficacy will be assessed by the Constant-Murley score. Data for secondary criteria including pain, disability, quality of life and perceived efficacy by the patient or physiotherapist will be collected over 6 months.
Discussion
This randomized controlled trial has been designed to test the effectiveness of intensive physical therapy under a simple and safe analgesic method. This study will also address the effect of pain during rehabilitation in adhesive capsulitis. Furthermore, results from the 6-month multidimensional follow-up of painful mobilization for this condition could be extrapolated to other musculoskeletal conditions.Permalink : ./index.php?lvl=notice_display&id=82638
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 43-48[article] Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial [texte imprimé] / Arnaud Dupeyron ; Marie Dénarié ; Dominique Richard ; et al. . - 2019 . - p. 43-48.
Doi : 10.1016/j.rehab.2018.07.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 43-48
Mots-clés : Adhesive capsulitis Shoulder Physical therapy Rehabilitation Analgesia Résumé : Background
There is little evidence regarding the best way to treat adhesive capsulitis. Physical therapy can reduce pain and improve function and range of motion. However, we lack clear indications on the regimen, techniques or intensity of physical therapy to achieve better results. Intensive physical therapy seems to be confined to the later stages of adhesive capsulitis (chronic stage) given that rehabilitation-induced pain could worsen the outcomes. Here we describe a protocol for a study comparing the efficacy of a standardized program of intensive mobilization under analgesic gas to a similar program under placebo gas and questioning the impact of pain.
Method/Design
A randomized, double-blind, multicenter study — the MEOPA Trial — was designed to include adults with strictly defined clinical adhesive capsulitis for a 14-day intensive physical rehabilitation program under an equimolar mixture of oxygen and nitrous oxide or sham gas administration. Efficacy will be assessed by the Constant-Murley score. Data for secondary criteria including pain, disability, quality of life and perceived efficacy by the patient or physiotherapist will be collected over 6 months.
Discussion
This randomized controlled trial has been designed to test the effectiveness of intensive physical therapy under a simple and safe analgesic method. This study will also address the effect of pain during rehabilitation in adhesive capsulitis. Furthermore, results from the 6-month multidimensional follow-up of painful mobilization for this condition could be extrapolated to other musculoskeletal conditions.Permalink : ./index.php?lvl=notice_display&id=82638 Exemplaires (1)
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Exclu du prêtInconclusive efficacy of intervention on upper-limb function after tetraplegia : A systematic review and meta-analysis / Sébastien Mateo in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
[article]
Titre : Inconclusive efficacy of intervention on upper-limb function after tetraplegia : A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Sébastien Mateo ; Julie Di Marco ; Michel Cucherat (1964-....) ; François Gueyffier Année de publication : 2020 Article en page(s) : p. 230-240 Note générale : doi.org/10.1016/j.rehab.2019.05.008 Langues : Anglais (eng) Mots-clés : Spinal cord injury Physical therapy Occupational therapy Evidence-based practice Increasing activity Neuromodulation Résumé : Background
Rehabilitation aims to improve hand-arm function, upper-limb strength, and functional independence that has been impaired by tetraplegia. On the basis of evidence derived from stroke rehabilitation, interventions aiming to increase intensity (i.e., duration and/or number of movements practiced) or alter brain plasticity (including motor imagery, virtual reality, transcranial direct-current or magnetic stimulations; i.e., neuromodulation) are now used during tetraplegic rehabilitation. However, no meta-analysis has investigated the efficacy of these interventions.
Objective
This systematic review and meta-analysis investigated, separately, the efficacy of these interventions to alter hand-arm function, upper-limb strength, and functional independence of individuals with tetraplegia.
Methods
Two independent reviewers followed the PROSPERO protocol (CRD42018098506) for this systematic review. MEDLINE, PEDro CENTRAL, and SCOPUS databases were searched for reports of randomized controlled trials of individuals with tetraplegia that were published in English. We performed a meta-analysis of intensive versus less intensive interventions and neuromodulation versus sham interventions considering hand-arm function, strength, and functional independence.
Results
From 168 records identified, we included 29 studies (all but 1 were single-centre) in the systematic review (647 participants with C2 to T1 tetraplegia [American Spinal Injury Association impairment scale A to D]). Interventions lasted from 66 to 40,320 min. Five studies were retained in the intensity meta-analyses and 5 in the neuromodulation meta-analyses. Overall, 3/5 and 1/5 studies had adequate methodology (Cochrane Risk of Bias score ≥ 6/10). For each outcome, the p-values for the overall effect were > 0.05. Heterogeneity was low, but when analyzing intensity, it was moderate for functional independence and high for hand-arm function. Quality of evidence was very low to low.
Conclusions
We can provide no recommendations for using intensive versus less intensive interventions or neuromodulation versus sham during tetraplegia rehabilitation. Further multicentre studies of high methodological quality are required to reduce uncertainty about the efficacy of these interventions.Permalink : ./index.php?lvl=notice_display&id=90800
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 230-240[article] Inconclusive efficacy of intervention on upper-limb function after tetraplegia : A systematic review and meta-analysis [texte imprimé] / Sébastien Mateo ; Julie Di Marco ; Michel Cucherat (1964-....) ; François Gueyffier . - 2020 . - p. 230-240.
doi.org/10.1016/j.rehab.2019.05.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 230-240
Mots-clés : Spinal cord injury Physical therapy Occupational therapy Evidence-based practice Increasing activity Neuromodulation Résumé : Background
Rehabilitation aims to improve hand-arm function, upper-limb strength, and functional independence that has been impaired by tetraplegia. On the basis of evidence derived from stroke rehabilitation, interventions aiming to increase intensity (i.e., duration and/or number of movements practiced) or alter brain plasticity (including motor imagery, virtual reality, transcranial direct-current or magnetic stimulations; i.e., neuromodulation) are now used during tetraplegic rehabilitation. However, no meta-analysis has investigated the efficacy of these interventions.
Objective
This systematic review and meta-analysis investigated, separately, the efficacy of these interventions to alter hand-arm function, upper-limb strength, and functional independence of individuals with tetraplegia.
Methods
Two independent reviewers followed the PROSPERO protocol (CRD42018098506) for this systematic review. MEDLINE, PEDro CENTRAL, and SCOPUS databases were searched for reports of randomized controlled trials of individuals with tetraplegia that were published in English. We performed a meta-analysis of intensive versus less intensive interventions and neuromodulation versus sham interventions considering hand-arm function, strength, and functional independence.
Results
From 168 records identified, we included 29 studies (all but 1 were single-centre) in the systematic review (647 participants with C2 to T1 tetraplegia [American Spinal Injury Association impairment scale A to D]). Interventions lasted from 66 to 40,320 min. Five studies were retained in the intensity meta-analyses and 5 in the neuromodulation meta-analyses. Overall, 3/5 and 1/5 studies had adequate methodology (Cochrane Risk of Bias score ≥ 6/10). For each outcome, the p-values for the overall effect were > 0.05. Heterogeneity was low, but when analyzing intensity, it was moderate for functional independence and high for hand-arm function. Quality of evidence was very low to low.
Conclusions
We can provide no recommendations for using intensive versus less intensive interventions or neuromodulation versus sham during tetraplegia rehabilitation. Further multicentre studies of high methodological quality are required to reduce uncertainty about the efficacy of these interventions.Permalink : ./index.php?lvl=notice_display&id=90800 Exemplaires (1)
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Exclu du prêtShort interval or continuous training programs to improve walking distance for intermittent claudication : Pilot study / Béatrice Villemur in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
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