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Wearable inertial sensors provide reliable biomarkers of disease severity in multiple sclerosis: A systematic review and meta-analysis / Aliénor Vienne-Jumeau in Annals of physical and rehabilitation medicine, Vol. 63 n° 2 (March 2020)
[article] Wearable inertial sensors provide reliable biomarkers of disease severity in multiple sclerosis: A systematic review and meta-analysis [texte imprimé] / Aliénor Vienne-Jumeau, Auteur ; Flavien Quijoux, Auteur ; Pierre-Paul Vidal, Auteur . - 2020 . - p. 138-147.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 2 (March 2020) . - p. 138-147
Catégories : PHYSIOLOGIE
Équilibration
PATHOLOGIE
Sclérose plaqueTags : Multiple sclerosis Gait analysis Gait quantification Gait disorders Wearable inertial sensors Inertial measurement unit Accelerometer Résumé : Background: Gait impairment is a hallmark of multiple sclerosis (MS). InertiaLocoGraphy, the quantification of gait with inertial measurement units (IMUs), has been found useful to detect early changes in gait in MS. Still, the potential use of IMUs as a reliable biomarker of disease severity in MS remains unknown.
Objective: This systematic review and meta-analysis of observational studies aimed to describe IMU protocols used to assess gait in MS patients and calculate the effect sizes of IMU features associated with disease severity scale measures.
Methods: We searched MEDLINE, Cochrane Central, EMBASE and grey literature to identify articles published before May 2, 2018 that measured gait in MS patients by using IMUs and correlated IMU parameters with disease severity scale measures. We excluded from the meta-analysis articles that did not provide enough data to evaluate the association between IMU parameters and disease severity scale measures. The study was registered with the International Prospective Register of Systematic Reviews on May 2, 2018 (Registration: CRD42018092651) and the protocol was published in Systematic Reviews on January 8, 2019.
Results: We included 36 articles in the systematic review and pooled 12 for the meta-analysis. The risk of bias was moderate, with only 2 articles (none included in the meta-analysis) showing a bias score<50%. Among protocols tested, 2 were predominant (the Timed Up and Go test and 6-min walk test). Speed, step length and step time with IMUs were significantly correlated with the Expanded Disability Status Scale (EDSS) score, and speed and step length were significantly correlated with the Multiple Sclerosis Walking Scale-12 score.
Conclusion: IMU measurement has the potential to increase the sensitivity of clinical and performance tests to identify evolution in gait alteration in MS. Kinematic parameters easily accessible with IMUs, such as speed, step length and step duration, can help follow up disease severity in MS individuals with low to medium EDSS score (1.0–4.5).En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17956 [article]Clinical effectiveness and safety of a distraction-rotation knee brace for medial knee osteoarthritis / Paul Ornetti in Annals of physical and rehabilitation medicine, Vol. 58 n° 3 (June 2015)
[article] Clinical effectiveness and safety of a distraction-rotation knee brace for medial knee osteoarthritis [texte imprimé] / Paul Ornetti, Auteur ; Clémentine Fortunet, Auteur ; Claire Morisset, Auteur . - 2015 . - p. 126-131.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 58 n° 3 (June 2015) . - p. 126-131
Catégories : PHYSIOLOGIE
Mouvement corporel
PATHOLOGIE
Arthrose
POLITIQUE SANTÉ
Sécurité sanitaire
SOINS
Qualité soinsEnsemble des propriétés caractérisant les soins : efficacité, sécurité, caractère approprié, accessibilité, acceptabilité.
Thesaurus Santé Publique
GenouTags : Knee osteoarthritis Unloader brace Valgus Gait analysis Safety Effectiveness Résumé : Objective : Evaluation of the clinical effectiveness and safety of a new custom-made valgus knee brace (OdrA) in medial knee osteoarthritis (OA) in terms of pain and secondary symptoms.
Methods : Open-label prospective study of patients with symptomatic medial knee OA with clinical evaluation at 6 and 52 weeks (W6, W52). We systematically assessed pain on a visual analog scale (VAS), Knee injury and Osteoarthritis Outcome Score (KOOS), spatio-temporal gait variables, use of nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesic-sparing effects of the brace and tolerance. Mean scores were compared at baseline, W6 and W52 and the effect size (ES) and 95% confidence intervals (95% CIs) were calculated.
Results : We included 20 patients with knee OA (mean age 64.2±10.2 years, mean body mass index 27.2±5.4kg/m2). VAS pain and KOOS were improved at W6 and W52: pain (ES=0.9 at 1 year), amelioration of other symptoms (ES=0.4), and function in activities of daily living (ES=1.1), sports and leisure (ES=1.5), quality of life (ES=0.9) and gait speed (ES=0.41). In total, 76% of patients showed clinical improvement at 1 year. Analgesic and NSAIDs consumption was significantly decreased at W6 and W52. One serious adverse effect noted was lower-limb varices, and observance was deemed satisfactory at 1 year.
Conclusion : This new unloader brace appeared to have good effect on medial knee OA, with an acceptable safety profile and good patient compliance.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=12416 [article]Impact of foot deformity in juvenile idiopathic arthritis patients / Stéphane Vermand in Revue du podologue, N° 81 (mai-juin 2018)
[article] Impact of foot deformity in juvenile idiopathic arthritis patients [texte imprimé] / Stéphane Vermand, Auteur . - 2018 . - p. 27.
Langues : Français (fre)
in Revue du podologue > N° 81 (mai-juin 2018) . - p. 27
Catégories : PATHOLOGIE
Rhumatisme
Thesaurus Santé Publique
PiedTags : juvenile idiopathic arthritis pes planovalgus gait analysis foot kinematics Oxford Foot Model Résumé : Juvenile idiopathic arthritis (JIA) causes deformities, especially in feet. Pes planovalgus is one of the most commonly encountered signs, and can have many consequences on the whole body. Through this study, we will see the different consequences of pes planovalgus in patients with JIA in comparison with healthy subjects. En ligne : http://www.em-premium.com/produit/REVPOD Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=15933 [article]