Institut Régional de Formation aux
Métiers de Rééducation et de Réadaptation des Pays de la Loire.
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Accueil
Annals of physical and rehabilitation medicine / Thevenon, André . Vol. 63 n° 1Paru le : 01/01/2020 |
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Code-barres | Cote | Support | Localisation | Section | Disponibilité | Type de reliure | Sous-section | UE |
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MKPPN1006670 | PER | Périodique | Ouvrages & revues | Revues | Disponible | Broché |
Dépouillements
Ajouter le résultat dans votre panierThe Annals of Physical and Rehabilitation Medicine through the 2010s: A generalist journal of rehabilitation with a French touch / Dominique Pérennou in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] The Annals of Physical and Rehabilitation Medicine through the 2010s: A generalist journal of rehabilitation with a French touch [texte imprimé] / Dominique Pérennou, Auteur ; Philippe Azouvi, Auteur ; Sylvie Nadeau, Auteur . - 2020 . - p. 1-3.
Editorial
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 1-3
Catégories : INFORMATION & COMMUNICATION
Édition , PériodiqueRésumé : The editors of the Annals wish a happy new year to all readers as well as authors and reviewers who contribute to the reputation of the journal. We hope to extend to the coming decade the extraordinary success of the 2010s, outlined below. En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17749 [article]Bi-cephalic transcranial direct current stimulation combined with functional electrical stimulation for upper-limb stroke rehabilitation / Ana Paula Salazar in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Bi-cephalic transcranial direct current stimulation combined with functional electrical stimulation for upper-limb stroke rehabilitation : A double-blind randomized controlled trial [texte imprimé] / Ana Paula Salazar, Auteur ; Veronica Cimolin, Auteur ; Giulia Palermo Schifino, Auteur . - 2020 . - p. 4-11.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 4-11
Catégories : PATHOLOGIE
Accident cérébrovasculaire
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête., Stimulation
Thesaurus Santé Publique
Membre supérieurRésumé : Background: Stroke survivors often present poor upper-limb (UL) motor performance and reduced movement quality during reaching tasks. Transcranial direct current stimulation (tDCS) and functional electrical stimulation (FES) are widely used strategies for stroke rehabilitation. However, the effects of combining these two therapies to rehabilitate individuals with moderate and severe impairment after stroke are still unknown.
Objective: Our primary aim was to evaluate the effects of concurrent bi-cephalic tDCS and FES on UL kinematic motor performance and movement quality of chronic post-stroke subjects with moderate and severe compromise. Our secondary aim was to verify the effects of combining these therapies on handgrip force and UL motor impairment.
Methods: We randomized 30 individuals with moderate and severe chronic hemiparesis after stroke into tDCS plus FES (n =15) and sham tDCS plus FES (n =15) groups. Participants were treated 5 times a week for 2 weeks. Kinematic motor performance (movement cycle time, velocity profile) and movement quality (smoothness, trunk contribution, joint angles) were assessed during an UL reach-to-target task.Handgrip force and motor impairment were also recorded before and after the intervention.
Results: Participants allocated to the tDCS plus FES group improved movement cycle time (P =0.039), mean reaching velocity (P =0.022) and handgrip force (P =0.034). Both groups improved the mean returning phase velocity (P =0.018), trunk contribution (P =0.022), movement smoothness (P =0.001) and UL motor impairment (P =0.002).
Conclusions: Concurrent bi-cephalic tDCS and FES slightly improved reaching motor performance and handgrip force of chronic post-stroke individuals with moderate and severe UL impairment.
En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17750 [article]Association between prism adaptation and auditory cues on spatial navigation in individuals with unilateral neglect / Mélanie Cogné in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Association between prism adaptation and auditory cues on spatial navigation in individuals with unilateral neglect [texte imprimé] / Mélanie Cogné, Auteur ; Etienne Guillaud, Auteur ; Laurène Guillot, Auteur . - 2020 . - p. 12-20.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 12-20
Tags : Spatial navigation Neglect Virtual reality Cues Prism adaptation Résumé : Background: Unilateral neglect is common among right-hemispheric stroke individuals and also concerns the auditory modality. Prism adaptation can improve auditory extinction during a dichotic listening task, but its effect during an ecological task has not been studied.
Objective: The main objective was to evaluate whether lateralized cueing before and after prism adaptation improved virtual spatial navigation of stroke individuals with visual and auditory unilateral neglect. Secondary objectives were to assess spatial memory and obtain a better understanding of the mechanism of the cueing treatment by using an eye-tracker.
Methods: We included 22 stroke individuals with left visual and auditory neglect, 14 individuals without neglect, and 12 healthy controls. After a familiarization task, participants underwent 3 evaluation sessions. Participants were first passively shown a path that they had then to actively reproduce by using a joystick. A path with lateralized beeping sounds indicating direction and a path without any sounds were followed in a randomized order. After prism adaptation, the participants followed a third path with lateralized beeping sounds. The time of navigation and number of trajectory mistakes were recorded. After navigation, spatial memory was assessed. Additionally, an eye-tracker was used during the navigation period.
Results: The navigational performance of participants with neglect was significantly better with than without auditory cues, especially after prism adaptation. With auditory cues, participants without neglect reached the navigational performance of healthy controls. The spatial memory of individuals with neglect was significantly lower with auditory cues. Eye-tracking analyses showed that participants with neglect made more saccades and looked longer at the right-square angles in the absence of auditory cues.
Conclusions: This study demonstrates the positive effect of auditory cues in virtual spatial navigation of individuals with visual and auditory neglect and the potentiation of the help of cues after prism adaptation.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17751 [article]Mental imagery for brain-computer interface control and communication in non-responsive individuals / Zulay R. Lugo in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Mental imagery for brain-computer interface control and communication in non-responsive individuals [texte imprimé] / Zulay R. Lugo, Auteur ; Christoph Pokorny, Auteur ; Frédéric Pellas, Auteur . - 2020 . - p. 21-27.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 21-27
Tags : Brain-computer interface Locked-in syndrome User-centered design Disorders of consciousness Résumé : Background: People who survive severe brain damage may eventually develop a prolonged consciousness disorder. Others can regain full consciousness but remain unable to speak or move because of the severity of the lesions, as for those with locked-in syndrome (LIS). Brain-computer interface techniques can be useful to disentangle these states by detecting neurophysiological correlates of conscious processing of information to enable communication with these individuals after the diagnosis.
Objective: The goal of our study was to evaluate with a user-centered design approach the usability of a mental imagery task to detect signs of voluntary information processing and enabling communication in a group of severely disabled individuals.
Methods: Five individuals with LIS participated in the study. Participants were instructed to imagine hand, arm or feet movements during electroencephalography (EEG) to detect patterns of event-related synchronization/desynchronization associated with each task. After the user-centered design, usability was evaluated (i.e., efficiency, effectiveness and satisfaction).
Results: Two participants achieved significant levels of accuracy in 2 different tasks. The associated workload and levels of satisfaction perceived by the users were moderate and were mainly related to the time demand of the task.
Conclusion: Results showed lack of effectiveness of the task to detect voluntary brain activity and thus detect consciousness or communicate with non-responsive individuals. The application must be modified to be sufficiently satisfying for the intended end-users and suggestions are made in this regard.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17752 [article]Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children / Pauline Lallemant-Dudek in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children [texte imprimé] / Pauline Lallemant-Dudek, Auteur ; Célia Cretolle, Auteur ; Frédéric Hameury, Auteur . - 2020 . - p. 28-32.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 28-32
Catégories : PATHOLOGIE
Constipation , Incontinence anale
SYMPTÔME
Incontinence
POLITIQUE SANTÉ
Éducation patient
DÉMOGRAPHIE
EnfantTags : Faecal incontinence Constipation Transanal irrigation Children Adherence Therapeutic education Training session Résumé : Background: Since 2009 in France, the Peristeen® transanal irrigation (TAI) device has represented an alternative treatment of faecal incontinence (FI).
Objective: The primary objective of this study was to assess the mid-term adherence to TAI in paediatric patients. The secondary objective was to identify factors determining TAI continuation.
Methods: This observational study conducted in 5 French paediatric centres prospectively reviewed from March to May 2012 all children educated in TAI for at least 9months.
Results: We included 149 children (mean [SD] age 10.6 [4.1] years) educated in TAI. Children mainly had neurogenic disorders (52.3%) or congenital malformations (30.9%). The main symptoms motivating TAI initiation were recurring faecaloma (59.7%) and daily FI (65.1%). At last follow-up (mean 14 [7.4] months), 129 (86.6%) children continued the TAI procedure, independent of pathology or age. The main motivation was resolution of FI and/or constipation (77.3%). In total, 107 (82.9%) children fulfilled the initial therapeutic contract established with their healthcare professional before TAI initiation was met. Twenty children had stopped the TAI when they answered the questionnaire, at a mean duration of 16 (8.4) months. The reasons were mainly “lack of motivation” (45%), “poor tolerance” (35%), “difficulties” performing the procedure (35%) and “inefficacy” (30%). Factors related to continuation were performing at least one TAI procedure under a nurse's supervision during the initial training and prescribing TAI at a daily frequency (P =0.014 and P =0.04). Continuing constipation treatment after the training session was a factor in discontinuation (P =0.024).
Conclusion: This study reports a very high mid-term adherence to TAI in a paediatric cohort, provided that the training is pragmatic, personalized and repeated.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17753 [article]New factors that affect quality of life in patients with aphasia / Bénédicte Bullier in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] New factors that affect quality of life in patients with aphasia [texte imprimé] / Bénédicte Bullier, Auteur ; Hélène Cassoudesalle, Auteur ; Marie Villain, Auteur . - 2020 . - p. 33-37.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 33-37
Catégories : SYMPTÔME
Aphasie , Fatigue
PATHOLOGIE
Accident cérébrovasculaire
SOCIOLOGIE
Qualité vieTags : Aphasia Quality of life Stroke Fatigue Résumé : Background: Aphasia severity is known to affect quality of life (QoL) in stroke patients, as is mood disorders, functional limitations, limitations on activities of daily life, economic status and level of education. However, communication limitation or fatigue has not been explored in this specific population.
Objective: We aimed to investigate whether these factors were associated with QoL in patients with aphasia after stroke.
Methods: Patients with aphasia were included from April 2014 to November 2017 after a first stroke and were followed for 2 years post-stroke. QoL was assessed at follow-up by the French Sickness Impact Profile 65 (SIP-65). We explored predictors such as mood disorders, communication impairment, fatigue, limitations on activities of daily life, and aphasia severity in addition to socio-demographic factors.
Results: We included 32 individuals (22 men; mean age 60.7 [SD 16.6] years) with aphasia after a first stroke. Poor QoL as assessed by the SIP-65 was significantly associated (Pearson correlations) with increased severity of aphasia initially (P =0.008) and at follow-up (P =0.01); increased communication activity limitations at follow-up (P <0.001); increased limitations on activities of daily life at baseline (P =0.008) and follow-up (P <0.001); increased fatigue at follow-up (P =0.001); and increased depression symptoms at follow-up (P =0.001). On multivariable analysis, QoL was associated with communication activity limitations, limitations on activities of daily life, fatigue and depression, explaining more than 75% of the variance (linear regression R2=0.756, P <0.001). The relative importance in predicting the variance was 32% for limitations on activities of daily life, 21% fatigue, 23% depression and 24% communication activity limitations.
Conclusion: Aphasia severity, mood disorders and functional limitations may have a negative effect on QoL in patients with aphasia. Also, for the first time, we show that fatigue has an important impact on QoL in this population. Specific management of this symptom might be beneficial and should be explored in future studies.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17754 [article]Atrophy of individual thigh muscles measured by MRI in older adults with knee osteoarthritis: A cross-sectional study / Kaun Yamauchi in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Atrophy of individual thigh muscles measured by MRI in older adults with knee osteoarthritis: A cross-sectional study [texte imprimé] / Kaun Yamauchi, Auteur ; Shigetoshi Suzuki, Auteur ; Chisato Kato, Auteur . - 2020 . - p. 38-45.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 38-45
Catégories : PATHOLOGIE
Arthrose
PRATIQUE MÉDICALE
Imagerie résonance magnétique
Thesaurus Santé Publique
Cuisse , Genou , MuscleTags : Magnetic resonance imaging Quadriceps muscle Hamstring Muscle cross-sectional area Knee osteoarthritis Résumé : Background: The characteristics of thigh-muscle cross-sectional area (CSA) in older adults with knee osteoarthritis (KOA) remain controversial.
Objectives: This study aimed to evaluate atrophy of individual thigh muscles in older adults with KOA and to determine which muscle CSA should be measured to detect KOA-related muscle atrophy of the thigh.
Methods: In older adults, individual thigh-muscle CSA measured by 1.5 Tesla MRI was analyzed at 5% intervals of the femoral length (FL) around the mid-thigh between the proximal 25% of the FL and the distal 25%. Participants with KOA grade≤1 and grade≥2 were compared for ratios of quadriceps muscle (QM) CSA to total thigh, individual QM CSA to QM, and individual hamstring (HAM) CSA to HAM at 5% intervals.
Results: We included 40 older adults [20 males; mean (SD) age 73.3 (4.7) years; 20 with KOA grade≤1 and 20 with KOA grade≥2]. The ratio of vastus medialis (VM) CSA to QM from the proximal 25% to distal 15% and the ratio of semi-membranosus (SM) CSA to HAM at the distal 10% to 25% were significantly lower with KOA grade≥2 than grade≤1; the effect sizes were 0.34 to 0.67 for VM and 0.40 to 0.60 for SM. The effect sizes were greatest for the ratios of VM CSA to QM at the mid-thigh with 5% intervals and the ratio of SM CSA to HAM at the distal 25%.
Conclusions: The ratio of VM CSA to QM and/or that of SM CSA to HAM were low and were the best indicators to detect KOA-related muscle atrophy of the thigh. However, to detect KOA-related muscle atrophy, the VM CSA ratio should be analyzed in the thigh region around the mid-thigh, whereas the SM CSA ratio should be analyzed in the thigh region at the muscle belly.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17755 [article]Physical and psychological paths toward less severe fibromyalgia: A structural equation model / Manuel Pulido-Martos in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Physical and psychological paths toward less severe fibromyalgia: A structural equation model [texte imprimé] / Manuel Pulido-Martos, Auteur ; Octavio Luque-Reca, Auteur ; Víctor Segura-Jiménez, Auteur . - 2020 . - p. 46-52.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 46-52
Catégories : PATHOLOGIE
Rhumatisme
SYMPTÔME
Trouble musculosquelettique
SOCIOLOGIE
Activité physique , Qualité vieTags : Adaptation Fibromyalgia impact Physical activity Quality of life Rheumatic and musculoskeletal diseases Résumé : Objectives: Previous research suggested isolated associations of physical and psychological factors with fibromyalgia severity. Integration of physical and psychological, experienced and observed, modifiable factors associated with fibromyalgia severity in a single model will reveal therapeutic paths toward less severity of disease. We aimed to examine an encompassing model of determinants of fibromyalgia severity.
Methods: This observational, population-based cross-sectional study included 569 people with fibromyalgia. An integrative model of fibromyalgia severity was tested by using structural equation modelling. This model included 8 factors: resilience, catastrophizing, active lifestyle, declarative memory, subjective fitness, objective fitness, psychological distress, and physical fatigue.
Results: Two core paths were associated with reduced fibromyalgia severity: 1) a psychological path connecting high resilience and low catastrophizing with low distress and 2) a physical path, connecting a more active lifestyle (directly and via high objective and subjective physical fitness) with low fatigue. Additional interconnecting paths especially suggested a connection from the psychological to physical path. Our model explained 83% of the fibromyalgia severity.
Conclusions: The present model integrated the complexity of mutually influencing factors of fibromyalgia severity, which may help to better understand the disease. It emphasised the importance of: 1) physical factors and psychological factors and their interconnections, 2) patients’ experiences and clinical measurements, and 3) positive and negative signs such as physical fitness and distress. Future longitudinal and experimental research should aim at testing the causal direction of the associations in the model as well as the clinical implications suggested by the model. For instance, to reduce fatigue, exercise should enhance not only objective fitness but also fitness-related perceptions. Reducing distress and fatigue seems crucial for lowering fibromyalgia severity.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17756 [article]High sedentary behaviour and low physical activity levels at 12 months after cardiac rehabilitation: A prospective cohort study / Nicole Freene in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] High sedentary behaviour and low physical activity levels at 12 months after cardiac rehabilitation: A prospective cohort study [texte imprimé] / Nicole Freene, Auteur ; Margaret McManus, Auteur ; Tarryn Mair, Auteur . - 2020 . - p. 53-58.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 53-58
Catégories : SPÉCIALITÉ
Rééducation fonctionnelle
PATHOLOGIE
Cardiopathie
INFORMATION & COMMUNICATION
Étude prospectiveTags : Coronary disease Accelerometry Exercise Résumé : Background: International cardiac rehabilitation guidelines recommend that participants meet public health physical activity guidelines. Few studies have objectively measured how much time cardiac rehabilitation participants spend in physical activity and sedentary behaviour, particularly over the long term.
Objective: The aim of this study was to objectively assess physical activity and sedentary behaviour of cardiac rehabilitation participants over 12 months and determine whether they met the public health physical activity and sedentary behaviour guidelines.
Methods: Cardiac rehabilitation participants with coronary heart disease were recruited in a prospective cohort study (n =72). Participants wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at baseline, 6 weeks, and 6 and 12 months to assess daily minutes of moderate-to-vigorous physical activity and sedentary behaviour (<100 counts/min). Other outcomes collected were self-reported physical activity and sedentary behaviour, body mass index, waist-to-hip ratio, lipid profile, blood glucose level, quality of life, exercise capacity, anxiety and depression.
Results: By intent-to-treat analysis, during the 6-week cardiac rehabilitation program, participants increased their light physical activity (P <0.01), which was maintained up to 12 months. Moderate-to-vigorous physical activity and sedentary behaviour did not change during the 6-week cardiac rehabilitation program but did improve over 6 months (sedentary behaviour decreased [P <0.001], moderate-to-vigorous physical activity increased [P <0.05]), which was maintained up to 1 year. Completion of moderate-to-vigorous physical activity in 10-min bouts did not change over 12 months, nor did the proportion of participants meeting physical activity guidelines (15–21%). Sedentary behaviour remained high throughout (11 hr/day).
Conclusion: Most cardiac rehabilitation participants did not meet the physical activity guidelines during and after a 6-week program up to 12 months. Reducing sedentary behaviour may be a more achievable first-line strategy for cardiac patients, moving participants along the energy expenditure continuum, aiming to increase their physical activity levels over the medium to long term.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17757 [article]Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis / Lu Luo in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis [texte imprimé] / Lu Luo, Auteur ; Haining Meng, Auteur ; Ziwei Wang, Auteur . - 2020 . - p. 59-68.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 59-68
Catégories : SPÉCIALITÉ
Cardiologie
PATHOLOGIE
Accident cérébrovasculaire
INFORMATION & COMMUNICATION
Revue sommaireTags : Exercise therapy Intensity Stroke Cardiorespiratory fitness Safety Meta-analysis Résumé : Background: Knowledge of the optimal protocol and safety of particularly high-intensity exercise applied to individuals with stroke is lacking.
Objective: This systematic review and meta-analysis aimed to investigate the effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors.
Methods: We performed a systematic electronic search for articles in MedLine via PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, CINAHL, and SPORTSDiscus up to April 1, 2019. Peak oxygen consumption (VO2 peak), 6-min walk test (6MWT), fastest 10-m walk test (10MWT), and adverse events were assessed. The standardized mean difference (SMD), weighted mean difference (WMD), and odds ratios (ORs) were used to compute the effect size, and subgroup analysis was conducted to test the consistency of results as well as sensitivity analysis to assess the robustness of the results. The quality of evidence was assessed with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.
Results: We included 17 studies (PEDro score≥4) in the meta-analysis. Post-intervention, high-intensity exercise had a significant effect on peak oxygen uptake (VO2 peak; SMD=0.56, P <0.01, I2=8%; WMD=2.53mL/kg/min; high quality of evidence) and 6MWT (SMD=0.26, P <0.01, I2=40%; WMD=17.08m; moderate quality of evidence) but not fastest 10MWT (SMD=0.33, P =0.27, I2=77%; WMD=0.05m/s; low quality of evidence). Subgroup analysis showed better effects of higher-intensity treadmill training (≥70% heart rate reserve/VO2 peak) for a longer duration (≥12 weeks) on VO2 peak and 6MWT in sub-acute or chronic stroke survivors. The high-intensity exercise and control groups did not differ in adverse events including falls [odds ratio (OR) 1.40, P =0.35, I2=11%; low quality of evidence], pain (OR 3.34, P =0.09, I2=0%; moderate quality of evidence), or skin injuries (OR 1.08, P =0.90, I2=0%; low quality of evidence).
Conclusions: Our meta-analysis suggests that high-intensity exercise is beneficial for cardiorespiratory fitness in stroke survivors and might be safe as a novel intervention in cardiopulmonary rehabilitation after stroke.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17758 [article]Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations / Stanley John Winser in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations [texte imprimé] / Stanley John Winser, Auteur ; Hei Tung Fion Chan, Auteur ; Lam Ho, Auteur . - 2020 . - p. 69-80.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 69-80
Catégories : SANTÉ PHYSIQUE
Chute
DÉMOGRAPHIE
Personne âgée
MOTS OUTILS
Prévention
Thesaurus Santé Publique
Coût maladieTags : Physical exercise Dosage Falls prevention Older people Cost-effectiveness. Résumé : Background: Falls in older people is a global public health concern. Physical exercise is a useful and potentially cost-saving treatment option to prevent falls in older people.
Objectives: We aimed to summarize the research literature regarding the cost-effectiveness of exercise-based programs for falls prevention in older people and discuss the implications of the review's findings for clinical practice and future research on the dosage of cost-effective exercise-based falls prevention programs for older people.
Methods: Multiple databases were searched from inception until February 2019. Studies were included if they were randomized controlled trials with an economic evaluation of exercise-based falls prevention programs for people ≥ 60 years old and assessed the incremental cost-effectiveness ratios, cost per quality-adjusted life year, incremental cost per fall and benefit-to-cost ratio of programs. Methodological quality was assessed with the Physiotherapy Evidence Database scale and quality of economic evaluation with the Quality of Health Economic Studies.
Results: We included 12 studies (3668 older people). Interventions for falls prevention were either exercise-only or multifactorial programs. Five studies of high economic quality and 2 of high methodological quality provided evidence supporting exercise-only programs as cost-effective for preventing falls in older people. Specifically, a tailored exercise program including strengthening of lower extremities, balance training, cardiovascular exercise, stretching and functional training of moderate intensity performed twice per week with each session lasting 60min for ≥ 6 months delivered in groups of 3 to 8 participants with home-based follow-up appears to be cost-effective in preventing falls in older people.
Conclusion: There is evidence to support exercise-based interventions as cost-effective treatment for preventing falls. Further research is needed to fully establish the cost-effectiveness of such programs, especially in both developing and underdeveloped countries.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17759 [article]