55 résultat(s) recherche sur le mot-clé 'Stroke'    

Post-stroke hemiplegia rehabilitation: Evolution of the concepts / P. Marque in Annals of physical and rehabilitation medicine, Vol. 57, n°8 (Novembre 2014)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 57, n°8 (Novembre 2014) . - p.520-529 Titre : Post-stroke hemiplegia rehabilitation: Evolution of the concepts Titre original : Rééducation de l’hémiplégie vasculaire : évolution des concepts Type de document : texte imprimé Auteurs : P. Marque, Auteur ; David Gasq, Auteur Année de publication : 2014 Article en page(s) : p.520-529 Langues : Français (fre) Mots-clés : Stroke  Rehabilitation  Neuroimaging  Hemiplegic  Plasticity  AVC  Rééducation  Imagerie fonctionnelle  Hémiplégique  Plasticité Résumé : Stroke rehabilitation has undergone a revolution over the last three decades. Cohort studies have consistently reinforced the importance of post-stroke rehabilitation to stimulate recovery, but the concepts of empirical methods originally proposed by therapists to rehabilitate these patients have not withstood clinical analysis. Functional neuroimaging and animal models have unveiled the mechanisms underlying functional recovery and helped teams understand its limitations and improvement modalities. These neuroscience discoveries constitute the grounds needed to understand the emergence of new technologies: robotics and virtual reality. The objective of this review of the literature was to select key works in this field to better understand current therapeutic possibilities. La réadaptation des patients victimes d’AVC a connu une véritable révolution au cours des 3 dernières décennies. Les études de cohortes ont toujours souligné l’intérêt de la réadaptation après un AVC pour stimuler la récupération, mais les concepts des méthodes empiriques initialement proposées par les thérapeutes pour rééduquer ces patients n’ont pas résisté à l’analyse clinique critique. Parallèlement, les travaux de neuroimagerie fonctionnelle et les modèles animaux ont permis tout d’abord d’objectiver les mécanismes de la récupération fonctionnelle, puis d’en comprendre les limites ainsi que les modalités d’amélioration. Ces découvertes des neurosciences sont les bases sans lesquelles on ne peut pas comprendre l’apparition des nouvelles technologies : robotique et réalité virtuelle. Cette revue de la littérature se propose de faire une sélection de ces travaux clés qui permettent de mieux comprendre les propositions actuelles. Permalink : ./index.php?lvl=notice_display&id=34536 [article] Post-stroke hemiplegia rehabilitation: Evolution of the concepts = Rééducation de l’hémiplégie vasculaire : évolution des concepts [texte imprimé] / P. Marque, Auteur ; David Gasq, Auteur . - 2014 . - p.520-529. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 57, n°8 (Novembre 2014) . - p.520-529 Mots-clés : Stroke  Rehabilitation  Neuroimaging  Hemiplegic  Plasticity  AVC  Rééducation  Imagerie fonctionnelle  Hémiplégique  Plasticité Résumé : Stroke rehabilitation has undergone a revolution over the last three decades. Cohort studies have consistently reinforced the importance of post-stroke rehabilitation to stimulate recovery, but the concepts of empirical methods originally proposed by therapists to rehabilitate these patients have not withstood clinical analysis. Functional neuroimaging and animal models have unveiled the mechanisms underlying functional recovery and helped teams understand its limitations and improvement modalities. These neuroscience discoveries constitute the grounds needed to understand the emergence of new technologies: robotics and virtual reality. The objective of this review of the literature was to select key works in this field to better understand current therapeutic possibilities. La réadaptation des patients victimes d’AVC a connu une véritable révolution au cours des 3 dernières décennies. Les études de cohortes ont toujours souligné l’intérêt de la réadaptation après un AVC pour stimuler la récupération, mais les concepts des méthodes empiriques initialement proposées par les thérapeutes pour rééduquer ces patients n’ont pas résisté à l’analyse clinique critique. Parallèlement, les travaux de neuroimagerie fonctionnelle et les modèles animaux ont permis tout d’abord d’objectiver les mécanismes de la récupération fonctionnelle, puis d’en comprendre les limites ainsi que les modalités d’amélioration. Ces découvertes des neurosciences sont les bases sans lesquelles on ne peut pas comprendre l’apparition des nouvelles technologies : robotique et réalité virtuelle. Cette revue de la littérature se propose de faire une sélection de ces travaux clés qui permettent de mieux comprendre les propositions actuelles. Permalink : ./index.php?lvl=notice_display&id=34536

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The ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients / Massimo Penta in Stroke, Vol.32, n°7 (Juillet 2001)  

Public ISBD [article]  inStroke > Vol.32, n°7 (Juillet 2001) . - p. 1627-1634 Titre : The ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients Type de document : document électronique Auteurs : Massimo Penta ; Luigi Tesio ; Carlyne Arnould ; Arturo Zancan ; Jean-Louis Thonnard Année de publication : 2001 Article en page(s) : p. 1627-1634 Langues : Anglais (eng) Mots-clés : arm  disability evaluation  rehabilitation  stroke Résumé : Background and Purpose—Chronic hemiparetic patients often retain the ability to manage activities requiring both hands, either through the use of the affected arm or compensation with the unaffected limb. A measure of this overall ability was developed by adapting and validating the ABILHAND questionnaire through the Rasch measurement model. ABILHAND measures the patient’s perceived difficulty in performing everyday manual activities. Methods—One hundred three chronic (>6 months) stroke outpatients (62% men; mean age, 63 years) were assessed (74 in Belgium, 29 in Italy). They lived at home and walked independently and were screened for the absence of major cognitive deficits (dementia, aphasia, hemineglect). The patients were administered the ABILHAND questionnaire, the Brunnström upper limb motricity test, the box-and-block manual dexterity test, the Semmes-Weinstein tactile sensation test, and the Geriatric Depression Scale. The brain lesion type and site were recorded. ABILHAND results were analyzed with the use of Winsteps Rasch software. Results—The Rasch refinement of ABILHAND led to a change from the original unimanual and bimanual 56-item, 4-level scale to a bimanual 23-item, 3-level scale. The resulting ability scale had sufficient sensitivity to be clinically useful. Rasch reliability was 0.90, and the item-difficulty hierarchy was stable across demographic and clinical subgroups. Grip strength, motricity, dexterity, and depression were significantly correlated with the ABILHAND measures. Conclusions—The ABILHAND questionnaire results in a valid person-centered measure of manual ability in everyday activities. The stability of the item-difficulty hierarchy across different patient classes further supports the clinical application of the scale. En ligne : https://www.ahajournals.org/doi/epub/10.1161/01.STR.32.7.1627 Permalink : ./index.php?lvl=notice_display&id=84536 [article] The ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients [document électronique] / Massimo Penta ; Luigi Tesio ; Carlyne Arnould ; Arturo Zancan ; Jean-Louis Thonnard . - 2001 . - p. 1627-1634. Langues : Anglais (eng) in Stroke > Vol.32, n°7 (Juillet 2001) . - p. 1627-1634 Mots-clés : arm  disability evaluation  rehabilitation  stroke Résumé : Background and Purpose—Chronic hemiparetic patients often retain the ability to manage activities requiring both hands, either through the use of the affected arm or compensation with the unaffected limb. A measure of this overall ability was developed by adapting and validating the ABILHAND questionnaire through the Rasch measurement model. ABILHAND measures the patient’s perceived difficulty in performing everyday manual activities. Methods—One hundred three chronic (>6 months) stroke outpatients (62% men; mean age, 63 years) were assessed (74 in Belgium, 29 in Italy). They lived at home and walked independently and were screened for the absence of major cognitive deficits (dementia, aphasia, hemineglect). The patients were administered the ABILHAND questionnaire, the Brunnström upper limb motricity test, the box-and-block manual dexterity test, the Semmes-Weinstein tactile sensation test, and the Geriatric Depression Scale. The brain lesion type and site were recorded. ABILHAND results were analyzed with the use of Winsteps Rasch software. Results—The Rasch refinement of ABILHAND led to a change from the original unimanual and bimanual 56-item, 4-level scale to a bimanual 23-item, 3-level scale. The resulting ability scale had sufficient sensitivity to be clinically useful. Rasch reliability was 0.90, and the item-difficulty hierarchy was stable across demographic and clinical subgroups. Grip strength, motricity, dexterity, and depression were significantly correlated with the ABILHAND measures. Conclusions—The ABILHAND questionnaire results in a valid person-centered measure of manual ability in everyday activities. The stability of the item-difficulty hierarchy across different patient classes further supports the clinical application of the scale. En ligne : https://www.ahajournals.org/doi/epub/10.1161/01.STR.32.7.1627 Permalink : ./index.php?lvl=notice_display&id=84536

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Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? / Luis G. Aguirre in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 54-55 Titre : Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? Type de document : texte imprimé Auteurs : Luis G. Aguirre ; Diego Urrunaga-Pastor ; Maria Lazo-Porras ; Alvaro Taype-Rondan Année de publication : 2018 Article en page(s) : p. 54-55 Note générale : Doi : 10.1016/j.rehab.2017.09.006 Langues : Anglais (eng) Mots-clés : Stroke  Rehabilitation  Stroke rehabilitation  Neurological rehabilitation  Physical and rehabilitation medicine Permalink : ./index.php?lvl=notice_display&id=80440 [article] Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? [texte imprimé] / Luis G. Aguirre ; Diego Urrunaga-Pastor ; Maria Lazo-Porras ; Alvaro Taype-Rondan . - 2018 . - p. 54-55. Doi : 10.1016/j.rehab.2017.09.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 54-55 Mots-clés : Stroke  Rehabilitation  Stroke rehabilitation  Neurological rehabilitation  Physical and rehabilitation medicine Permalink : ./index.php?lvl=notice_display&id=80440

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ABILOCO: A Rasch-Built 13-Item Questionnaire to Assess Locomotion Ability in Stroke Patients / Gilles Caty in Archives of Physical Medicine and Rehabilitation, Vol.89, n°2 (Février 2008)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol.89, n°2 (Février 2008) . - p.284-290 Titre : ABILOCO: A Rasch-Built 13-Item Questionnaire to Assess Locomotion Ability in Stroke Patients Type de document : document électronique Auteurs : Gilles Caty ; Carlyne Arnould ; Gaëtan G. Stoquart ; Jean-Louis Thonnard ; Thierry Lejeune Année de publication : 2008 Article en page(s) : p.284-290 Note générale : doi.org/10.1016/j.apmr.2007.08.155 Langues : Anglais (eng) Mots-clés : Locomotion  Questionnaires  Rehabilitation  Stroke Résumé : Objective To develop a questionnaire (ABILOCO), based on the Rasch measurement model, that can assess locomotion ability in adult stroke patients (International Classification of Functioning, Disability and Health activity domain). Design Prospective study and questionnaire development. Setting A faculty hospital. Participants Adult stroke patients (N=100) (age, 64±15y). The time since stroke ranged from 1 to 260 weeks. Intervention A preliminary questionnaire included 43 items representing a large sample of locomotion activities. This questionnaire was tested on the 100 stroke patients, and their responses were analyzed using the Rasch model (RUMM 2020 software) to select items that had an ordered rating scale and fitted a unidimensional model. Main Outcome Measure The ABILOCO questionnaire. Results The retained items resulted in a 13-item questionnaire, which includes a wide range of locomotion abilities well targeted to the sample population, leading to good reliability (R=.93). The item calibration was independent of age, sex, time since stroke, and affected side. The concurrent validity of ABILOCO was also investigated by comparing it with well-known, criterion standard scales (Functional Walking Category, Functional Ambulation Categories, item 12 of the FIM instrument evaluating walking ability) and the walking speed measured with the 10-meter walk test. Conclusions The ABILOCO questionnaire presents good psychometric qualities to measure locomotion ability in adult stroke patients. Its range and measurement precision make it attractive for clinical use throughout the rehabilitation process and for clinical research. En ligne : https://dial.uclouvain.be/pr/boreal/object/boreal:11262/datastream/PDF_01/view Permalink : ./index.php?lvl=notice_display&id=84542 [article] ABILOCO: A Rasch-Built 13-Item Questionnaire to Assess Locomotion Ability in Stroke Patients [document électronique] / Gilles Caty ; Carlyne Arnould ; Gaëtan G. Stoquart ; Jean-Louis Thonnard ; Thierry Lejeune . - 2008 . - p.284-290. doi.org/10.1016/j.apmr.2007.08.155 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol.89, n°2 (Février 2008) . - p.284-290 Mots-clés : Locomotion  Questionnaires  Rehabilitation  Stroke Résumé : Objective To develop a questionnaire (ABILOCO), based on the Rasch measurement model, that can assess locomotion ability in adult stroke patients (International Classification of Functioning, Disability and Health activity domain). Design Prospective study and questionnaire development. Setting A faculty hospital. Participants Adult stroke patients (N=100) (age, 64±15y). The time since stroke ranged from 1 to 260 weeks. Intervention A preliminary questionnaire included 43 items representing a large sample of locomotion activities. This questionnaire was tested on the 100 stroke patients, and their responses were analyzed using the Rasch model (RUMM 2020 software) to select items that had an ordered rating scale and fitted a unidimensional model. Main Outcome Measure The ABILOCO questionnaire. Results The retained items resulted in a 13-item questionnaire, which includes a wide range of locomotion abilities well targeted to the sample population, leading to good reliability (R=.93). The item calibration was independent of age, sex, time since stroke, and affected side. The concurrent validity of ABILOCO was also investigated by comparing it with well-known, criterion standard scales (Functional Walking Category, Functional Ambulation Categories, item 12 of the FIM instrument evaluating walking ability) and the walking speed measured with the 10-meter walk test. Conclusions The ABILOCO questionnaire presents good psychometric qualities to measure locomotion ability in adult stroke patients. Its range and measurement precision make it attractive for clinical use throughout the rehabilitation process and for clinical research. En ligne : https://dial.uclouvain.be/pr/boreal/object/boreal:11262/datastream/PDF_01/view Permalink : ./index.php?lvl=notice_display&id=84542

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Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis / Sharareh Sharififar in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 339-344 Titre : Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Sharareh Sharififar ; Jonathan Shuster ; Mark D. Bishop Année de publication : 2018 Article en page(s) : p. 339-344 Note générale : Doi : 10.1016/j.rehab.2018.06.005 Langues : Anglais (eng) Mots-clés : Sensory  Stimulation  Stroke  Function Résumé : Background Clinical studies have shown that sensory input improves motor function when added to active training after neurological injuries in the spinal cord. Objective We aimed to determine the effect on motor function of extremities of adding an electrical sensory modality without motor recruitment before or with routine rehabilitation for hemiparesis after stroke by a comprehensive systematic review and meta-analysis. Methods We searched databases including MEDLINE via PubMed and the Cochrane Central Register of Controlled Trials from 1978 to the end of November 2017 for reports of randomized controlled trials or controlled studies of patients with a clinical diagnosis of stroke who underwent 1) transcutaneous electrical nerve stimulation (TENS) or peripheral electromyography-triggered sensory stimulation over a peripheral nerve and associated muscles or 2) acupuncture to areas that produced sensory effects, without motor recruitment, along with routine rehabilitation. Outcome measures were motor impairment, activity, and participation outcomes defined by the International Classification of Functioning, Disability and Health. Results The search yielded 11studies with data that could be included in a meta-analysis. Electrical sensory inputs, when paired with routine therapy, improved peak torque dorsiflexion (mean difference [MD] 2.44 Nm, 95% confidence interval [CI] 0.26–4.63). On subgroup analysis, the combined therapy yielded a significant difference in terms of sensory stimulation without motor recruitment only on the Timed Up and Go test in the chronic phase of stroke (MD 3.51sec, 95% CI 3.05–3.98). The spasticity score was reduced but not significantly (MD−0.83 points, 95% CI -1.77−0.10). Conclusion Electrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke. Permalink : ./index.php?lvl=notice_display&id=80635 [article] Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis [texte imprimé] / Sharareh Sharififar ; Jonathan Shuster ; Mark D. Bishop . - 2018 . - p. 339-344. Doi : 10.1016/j.rehab.2018.06.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 339-344 Mots-clés : Sensory  Stimulation  Stroke  Function Résumé : Background Clinical studies have shown that sensory input improves motor function when added to active training after neurological injuries in the spinal cord. Objective We aimed to determine the effect on motor function of extremities of adding an electrical sensory modality without motor recruitment before or with routine rehabilitation for hemiparesis after stroke by a comprehensive systematic review and meta-analysis. Methods We searched databases including MEDLINE via PubMed and the Cochrane Central Register of Controlled Trials from 1978 to the end of November 2017 for reports of randomized controlled trials or controlled studies of patients with a clinical diagnosis of stroke who underwent 1) transcutaneous electrical nerve stimulation (TENS) or peripheral electromyography-triggered sensory stimulation over a peripheral nerve and associated muscles or 2) acupuncture to areas that produced sensory effects, without motor recruitment, along with routine rehabilitation. Outcome measures were motor impairment, activity, and participation outcomes defined by the International Classification of Functioning, Disability and Health. Results The search yielded 11studies with data that could be included in a meta-analysis. Electrical sensory inputs, when paired with routine therapy, improved peak torque dorsiflexion (mean difference [MD] 2.44 Nm, 95% confidence interval [CI] 0.26–4.63). On subgroup analysis, the combined therapy yielded a significant difference in terms of sensory stimulation without motor recruitment only on the Timed Up and Go test in the chronic phase of stroke (MD 3.51sec, 95% CI 3.05–3.98). The spasticity score was reduced but not significantly (MD−0.83 points, 95% CI -1.77−0.10). Conclusion Electrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke. Permalink : ./index.php?lvl=notice_display&id=80635

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An occupational therapy intervention for residents with stroke living in care homes in the United Kingdom: A content analysis of occupational therapy records from the OTCH trial / Gina Sands in The British Journal of Occupational Therapy, Volume 78 numéro 7 (Juillet 2015)

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An update on predicting motor recovery after stroke / C.M. STINEAR in Annals of physical and rehabilitation medicine, Vol. 57, n°8 (Novembre 2014)

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Behavioral Intention to Use a Virtual Instrumental Activities of Daily Living System Among People With Stroke / Allison ELLINGTON in American Journal of Occupational Therapy, Vol. 69/3 (mai -juin 2015)

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Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials / Louis-David Beaulieu in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

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Cognitive Management Pathways in Stroke Services (COMPASS): A qualitative investigation of key issues in relation to community stroke teams undertaking cognitive assessments / Joanne Ablewhite in The British Journal of Occupational Therapy, Vol. 82 Issue 7 (Juillet 2019)

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