Institut Régional de Formation aux
Métiers de Rééducation et de Réadaptation des Pays de la Loire.
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Mention de date : December 2015
Paru le : 01/12/2015
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[article] Planovalgus foot deformity in cerebral palsy corrected by botulinum toxin injection in the peroneus longus: Clinical and radiological evaluations in young children [texte imprimé] / Christophe Boulay, Auteur ; Michel Jacquemier, Auteur ; E. Castanier, Auteur . - 2015 . - p. 316-321. Langues : Anglais ( eng) Français ( fre) in Annals of physical and rehabilitation medicine > Vol. 58 n° 6 (December 2015) . - p. 316-321
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PATHOLOGIE Botulisme , Infirmité motrice cérébrale DÉMOGRAPHIE Enfant Thesaurus Santé Publique Pied
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Planovalgus Cerebral palsy Children Peroneus longus Botulinum toxin |
Résumé : |
Background: In children with cerebral palsy (CP), overactivity of the peroneus longus (PL) muscle is a major contributor to pes planovalgus. This retrospective study assessed whether abobotulinumtoxinA injections into a PL showing premature activity on electromyography (EMG) clinically improved foot morphology in children with CP.
Methods : Study participants were <6 years old, had a diagnosis of CP, good functional abilities (Gross Motor Function Classification System level 1 or 2), equinovalgus (initial contact with the hallux or head of the first metatarsal) and overactive PL on EMG. The fore-, mid- and hindfoot were evaluated clinically and radiologically before and after injection of abobotulinumtoxinA (6–7 U/kg) into the PL. Radiological data were compared with reference values for children without pes planovalgus.
Results: In total, 16 children (8 males; 10 hemiplegia, 6 diplegia; mean age: 3.2±1.5 years) received treatment. Mean pre-and post-treatment angles in clinical assessment of dorsiflexion of the talocrural articulation did not differ with both knees flexed (24.4±7.5 vs. 22.2±8.0 degrees; P =0.19) or extended (17.2±8.0 vs. 16.6±6.8 degrees; P =0.36). Radiographic data pre-treatment versus reference data revealed forefoot pronation (metatarsal stacking angle 2.1±8.3 vs. 8.0±2.9 degrees; P =0.002), midfoot planus (lateral talo-first metatarsal 28.5±15.0 vs. 13.0±7.5 degrees; P <0.001; talocalcaneal angle 54.6±8.6 vs. 49.0±6.9 degrees; P =0.004) and significantly decreased calcaneus dorsiflexion, without hindfoot equinus (calcaneal pitch angle 7.9±6.0 vs. 17.0±6.0 degrees; P <0.001). After treatment, the metatarsal stacking angle did not differ from reference values (P =0.15). As compared with before treatment, treatment improved mean angles for metatarsal stacking (2.1±8.3 vs. 7.1±3.9 degrees, respectively, P =0.002), lateral talo-first metatarsal and talocalcaneal (both P <0.001), with no change in the hindfoot.
Conclusion: PL may be an early target for abobotulinumtoxinA treatment in pes planovalgus associated with premature PL activity in children with CP. |
En ligne : |
http://www.em-consulte.com/produit/rehab |
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https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=13004 |
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[article] Feasibility of a self-rehabilitation program for the upper limb for stroke patients in Benin [texte imprimé] / Ditouah Didier Niama Natta, Auteur ; Étienne Alagnide, Auteur ; Godonou Toussaint Kpadonou, Auteur . - 2015 . - p. 322-325. Langues : Anglais ( eng) Français ( fre) in Annals of physical and rehabilitation medicine > Vol. 58 n° 6 (December 2015) . - p. 322-325
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SPÉCIALITÉ Rééducation fonctionnelle PATHOLOGIE Accident cérébrovasculaire GÉOGRAPHIE POLITIQUE Bénin Depuis 1975, ex Dahomey Thesaurus Santé Publique Membre supérieur
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Stroke Rehabilitation Self-rehabilitation program Upper limb |
Résumé : |
Introduction: Stroke is a major cause of disability and represents a very high cost in developing countries. Self-rehabilitation programs represent a new and original treatment for stroke patients, likely to reduce upper limb impairments and improve activity and participation. The goal of this study is to evaluate the feasibility of a self-rehabilitation protocol in Benin.
Methods: Twelve chronic stroke patients carried out the upper limb self-rehabilitation program (3hours/day, 5 days/week for 2 weeks). The performance of these patients was evaluated before and after the self-rehabilitation program, by measuring the number of exercises that patients were able to achieve during a three-hour session, and by assessing their gross manual dexterity.
Results: Twelve patients were effectively able to complete the entire program. The number of unimanual exercises and self-mobilizations performed during a three-hour session as well as the score of the Box and Block test were improved by the self-rehabilitation program (P <0.05).
Discussion and conclusion: Self-rehabilitation programs are feasible and inexpensive as they do not involve a therapist. It is then a promising approach in stroke rehabilitation, particularly in developing countries, where rehabilitation costs are usually supported by patients. |
En ligne : |
http://www.em-consulte.com/produit/rehab |
Permalink : |
https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=13005 |
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[article] Volition and low back pain: When patients talk [texte imprimé] / Céline Mathy, Auteur ; Christine Cedraschi, Auteur ; Jean-Paul Broonen, Auteur . - 2015 . - p. 326-331. Langues : Anglais ( eng) Français ( fre) in Annals of physical and rehabilitation medicine > Vol. 58 n° 6 (December 2015) . - p. 326-331
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PATHOLOGIE Lombalgie SYMPTÔME Douleur PRATIQUE MÉDICALE Rééducation fonctionnelle
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Volition Chronic low back pain Physical exercises Content analysis Pain |
Résumé : |
Objective: Our objective was to explore, describe and understand volition of chronic low back pain (LBP) patients, highlighting barriers and facilitators to practicing regular physical activity in order to develop a questionnaire assessing those volitional competencies.
Methods: A content analysis of semi-structured interviews with 30 chronic LBP patients was performed. Participants were asked about their pain, motivation, physical abilities, barriers and facilitators to regular exercises and finally strategies implemented to achieve the exercise program.
Results: Patients often reported that they were motivated and that exercises had no negative effects on LBP. Many patients recognized having difficulties performing all their exercises regularly. The main barriers were: lack of time, fatigue, lack of visible results, pain and other daily priorities. The main facilitators were: group exercise, help from the therapist, strategic planning, favorable environment, pleasure associated with exercises, fear of pain recurrence and pain itself.
Conclusion: Content analysis showed that sharing stories allowed patients to express their experience of LBP in their own words. It provides a solid ground to develop a questionnaire assessing volitional competencies in chronic LBP patients in order to identify patients who will not realize their exercises and help them be (more) active and avoid chronicity. |
En ligne : |
http://www.em-consulte.com/produit/rehab |
Permalink : |
https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=13006 |
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[article] Walking with eyes closed is easier than walking with eyes open without visual cues: The Romberg task versus the goggle task [texte imprimé] / Alain Yelnik, Auteur ; Sophie Tasseel Ponche, Auteur ; Cédric Andriantsifanetra, Auteur . - 2015 . - p. 332-335. Langues : Anglais ( eng) Français ( fre) in Annals of physical and rehabilitation medicine > Vol. 58 n° 6 (December 2015) . - p. 332-335
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PHYSIOLOGIE Équilibration ANATOMIE Oeil
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Walk Eyes closed Romberg Goggles Balance |
Résumé : |
Background: The Romberg test, with the subject standing and with eyes closed, gives diagnostic arguments for a proprioceptive disorder. Closing the eyes is also used in balance rehabilitation as a main way to stimulate neural plasticity with proprioceptive, vestibular and even cerebellar disorders. Nevertheless, standing and walking with eyes closed or with eyes open in the dark are certainly 2 different tasks. We aimed to compare walking with eyes open, closed and wearing black or white goggles in healthy subjects.
Methods: A total of 50 healthy participants were randomly divided into 2 protocols and asked to walk on a 5-m pressure-sensitive mat, under 3 conditions: (1) eyes open (EO), eyes closed (EC) and eyes open with black goggles (BG) and (2) EO, EO with BG and with white goggles (WG). Gait was described by velocity (m·s−1), double support (% gait cycle), gait variability index (GVI/100) and exit from the mat (%). Analysis involved repeated measures Anova, Holm-Sidak's multiple comparisons test for parametric parameters (GVI) and Dunn's multiple comparisons test for non-parametric parameters.
Results: As compared with walking with EC, walking with BG produced lower median velocity, by 6% (EO 1.26; BG 1.01 vs EC 1.07m·s−1, P =0.0328), and lower mean GVI, by 8% (EO 91.8; BG 66.8 vs EC 72.24, P =0.009). Parameters did not differ between walking under the BG and WG conditions.
Conclusion: The goggle task increases the difficulty in walking with visual deprivation compared to the Romberg task, so the goggle task can be proposed to gradually increase the difficulty in walking with visual deprivation (from eyes closed to eyes open in black goggles). |
En ligne : |
http://www.em-consulte.com/produit/rehab |
Permalink : |
https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=13007 |
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[article] French adaptation and validation of the Osteoarthritis Quality of Life scale [texte imprimé] / Gaëlle Couraud, Auteur ; Cécile Escalas, Auteur ; Adrien Etcheto, Auteur . - 2015 . - p. 336-342. Langues : Anglais ( eng) Français ( fre) in Annals of physical and rehabilitation medicine > Vol. 58 n° 6 (December 2015) . - p. 336-342
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PATHOLOGIE Arthrose SOCIOLOGIE Qualité vie MOTS OUTILS Échelle , Questionnaire
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Osteoarthritis Quality of life Needs-based approach Questionnaire Cross-cultural adaptation |
Résumé : |
Objective: The Osteoarthritis Quality of Life scale (OAQoL) is an osteoarthritis-specific measure developed in the United Kingdom by a needs-based approach. This study describes the adaptation and validation of this English scale into French.
Methods: The OAQoL was translated into French by a dual-panel technique followed by cognitive debriefing interviews. Internal consistency was assessed by the Cronbach α. Construct validity was tested by exploratory and confirmatory factor analyses and by convergent and divergent correlations with other patient-reported outcome measures by the Spearman rho (ρ). Reliability was explored by Spearman rho as well as the Bland and Altman method for the total score and Cohen's kappa for each item score.
Results: Cognitive debriefing revealed the French OAQoL to be clear, relevant and comprehensive. The Cronbach α was 0.91. Exploratory factor analysis extracted 4 groups of items. After eliminating 4 items, confirmatory factor analysis of the remaining 18 items confirmed higher intra-factor than inter-factor correlations. The expected convergent and divergent correlations were observed. Test-retest reliability was good (ρ 0.93) and was confirmed by Bland and Altman analysis; most items (12/18) had kappa values from 0.61 to 0.80.
Conclusion: The French OAQoL is an easy-to-use 18-item questionnaire with good content and construct validity to assess the impact of osteoarthritis on quality of life for French-speaking patients. |
En ligne : |
http://www.em-consulte.com/produit/rehab |
Permalink : |
https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=13008 |
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[article] Muscle structure and stiffness assessment after botulinum toxin type A injection. A systematic review [texte imprimé] / Laure Mathevon, Auteur ; Fabrice Michel, Auteur ; Pierre Decavel, Auteur . - 2015 . - p. 343-350. Langues : Anglais ( eng) Français ( fre) in Annals of physical and rehabilitation medicine > Vol. 58 n° 6 (December 2015) . - p. 343-350
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PATHOLOGIE Botulisme SYMPTÔME Raideur INFORMATION & COMMUNICATION Revue de littérature Thesaurus Santé Publique Muscle
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Spastic muscle Botulinum toxin Atrophy Stiffness Literature review |
Résumé : |
Background: Botulinum toxin type A manages spasticity disorders in neurological central diseases. Some studies have reported that it might induce muscle changes.
Methods: We present a literature review abiding by the PRISMA statement guidelines. The purpose was to explore the structural and passive biomechanical muscle properties after botulinum toxin type A injections in healthy and spastic limb muscles, on animals and humans, as well as methods for evaluating these properties. We searched the PubMed and Cochrane Library databases using the following keywords: “Botulinum toxin” AND (“muscle structure” OR “muscle atrophy”) and, “Botulinum toxin” AND “muscle elasticity”.
Results: From the 228 initially identified articles, 21 articles were included. Histological analyses were performed, especially on animals. A neurogenic atrophy systematically occurred. In humans, one year after a single injection, the histological recovery remained incomplete. Furthermore, 2D ultrasound analyses showed a reduction of the gastrocnemius thickness and pennation angle. MRI volumetric analysis evidenced muscular atrophy six months or one year after a single injection. Passive muscle stiffness depends on these structural changes. On the short term, the biomechanical analysis showed an elastic modulus increase in animals whereas no change was recorded in humans. On the short term, ultrasound elastography imaging showed a decreased elastic modulus.
Discussion: To date, few data are available, but all show a structural and mechanical muscle impact post injections, specifically muscle atrophy which can linger over time. Further studies are necessary to validate this element, and the possibility of change must be taken into account particularly with repeated injections. Thus, in clinical practice, 2D ultrasound and ultrasound elastography are two non-invasive techniques that will help physicians to develop an efficient long term monitoring. |
En ligne : |
http://www.em-consulte.com/produit/rehab |
Permalink : |
https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=13009 |
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