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Utilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
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Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial / Sandra L. Gluppe in Physical Therapy, Vol. 98 n° 4 (April 2018)
[article] Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial [texte imprimé] / Sandra L. Gluppe, Auteur ; Gunvor Hilde, Auteur ; Merete K. Tennfjord, Auteur . - 2018 . - p. 260-268.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 4 (April 2018) . - p. 260-268
Catégories : SANTÉ PHYSIQUE
Accouchement
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Thesaurus Santé Publique
Abdomen , MuscleRésumé : Background: Diastasis recti abdominis affects a significant number of women during the prenatal and postnatal period.
Objective: The objective was to evaluate the effect of a postpartum training program on the prevalence of diastasis recti abdominis.
Design: The design was a secondary analysis of an assessor-masked randomized controlled trial.
Methods: One hundred seventy-five primiparous women (mean age = 29.8 ± 4.1 years) were randomized to an exercise or control group. The interrectus distance was palpated using finger widths, with a cutoff point for diastasis as ≥2 finger widths. Measures were taken 4.5 cm above, at, and 4.5 cm below the umbilicus. The 4-month intervention started 6 weeks postpartum and consisted of a weekly, supervised exercise class focusing on strength training of the pelvic floor muscles. In addition, the women were asked to perform daily pelvic floor muscle training at home. The control group received no intervention. Analyses were based on intention to treat. The Mantel-Haenszel test (relative risk [RR] ratio) and the chi-square test for independence were used to evaluate between-group differences on categorical data.
Results: At 6 weeks postpartum, 55.2% and 54.5% of the participants were diagnosed with diastasis in the intervention and control groups, respectively. No significant differences between groups in prevalence were found at baseline (RR: 1.01 [0.77–1.32]), at 6 months postpartum (RR: 0.99 [0.71–1.38]), or at 12 months postpartum (RR: 1.04 [0.73–1.49]).
Limitations: The interrecti distance was palpated using finger widths, and the sample included women with and without diastasis.
Conclusions: A weekly, postpartum, supervised exercise program, including strength training of the pelvic floor and abdominal muscles, in addition to daily home training of the pelvic floor muscles, did not reduce the prevalence of diastasis.En ligne : https://academic.oup.com/ptj Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=15822 [article]Effect of a Shoulder Movement Intervention on Joint Mobility, Pain, and Disability in People With Diabetes: A Randomized Controlled Trial / Christopher J. Mueller in Physical Therapy, Vol. 98 n° 9 (September 2018)
[article] Effect of a Shoulder Movement Intervention on Joint Mobility, Pain, and Disability in People With Diabetes: A Randomized Controlled Trial [texte imprimé] / Christopher J. Mueller, Auteur ; Christopher J. Sorensen, Auteur ; Janet B. McGill, Auteur . - 2018 . - p. 745-753.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 9 (September 2018) . - p. 745-753
Catégories : PATHOLOGIE
Diabète
SYMPTÔME
Douleur
SOCIOLOGIE
Handicap
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Thesaurus Santé Publique
ÉpauleRésumé : Background: People with diabetes are at high risk for shoulder pain, limited joint mobility, and adhesive capsulitis.
Objective: The objective of this study was to evaluate the effects of a shoulder movement intervention (ShoMo) compared to a wellness intervention on the primary outcomes of active shoulder flexion and reported Shoulder Pain and Disability Index (SPADI) measured after intervention and 9 months later.
Design: The design was a prospective, randomized, controlled clinical trial.
Setting: The setting was a research center at an academic medical center.
Participants: Fifty-two participants with type 2 diabetes and shoulder pain or limited motion were randomized to a group receiving ShoMo (N = 27; mean age = 59.3; SD = 7.0) or a group receiving wellness activities (N = 25; mean age = 57.9; SD = 7.7).
Intervention: The ShoMo group received instruction in a progressive, active shoulder movement program. The wellness group received instruction in diabetes management.
Measurements: Measurements were made at baseline, after 3 months of intervention, and at 6, 9, and 12 months after baseline.
Results: After intervention, the ShoMo group had a 7.2-degree increase in active shoulder flexion compared with the wellness group (95% CI = 0.9–13.5°), but there was no difference at subsequent follow-ups. The ShoMo group showed a 12.7-point improvement in the SPADI score compared to the wellness group after intervention (95% CI = 1.1–24.3), which remained better than the wellness group 9 months later.
Limitations: The number of participants and duration of follow-up were inadequate to determine if intervention can help to prevent future severe shoulder problems.
Conclusions: A progressive shoulder movement program can have meaningful effects on active motion and symptoms in people with type 2 diabetes and mild-to-moderate shoulder symptoms, with symptom improvement lasting at least 9 months.En ligne : https://academic.oup.com/ptj Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16219 [article]Effectiveness of a Blended Physical Therapist Intervention in People With Hip Osteoarthritis, Knee Osteoarthritis, or Both: A Cluster-Randomized Controlled Trial / Corelien J.J. Kloek in Physical Therapy, Vol. 98 n° 7 (July 2018)
[article] Effectiveness of a Blended Physical Therapist Intervention in People With Hip Osteoarthritis, Knee Osteoarthritis, or Both: A Cluster-Randomized Controlled Trial [texte imprimé] / Corelien J.J. Kloek, Auteur ; Daniël Bossen, Auteur ; Peter M. Spreeuwenberg, Auteur . - 2018 . - p. 560-570.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 7 (July 2018) . - p. 560-570
Catégories : PATHOLOGIE
Ostéoporose
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Thesaurus Santé Publique
Genou , HancheRésumé : Background: Integrating physical therapy sessions and an online application (e-Exercise) might support people with hip osteoarthritis (OA), knee OA, or both (hip/knee OA) in taking an active role in the management of their chronic condition and may reduce the number of physical therapy sessions.
Objective: The objective of this study was to investigate the short- and long-term effectiveness of e-Exercise compared to usual physical therapy in people with hip/knee OA.
Design: The design was a prospective, single-blind, multicenter, superiority, cluster- randomized controlled trial.
Setting: The setting included 143 primary care physical therapist practices.
Participants: The participants were 208 people who had hip/knee OA and were 40 to 80 years of age.
Intervention: e-Exercise is a 3-month intervention in which about 5 face-to-face physical therapy sessions were integrated with an online application consisting of graded activity, exercise, and information modules. Usual physical therapy was conducted according to the Dutch physical therapy guidelines on hip and knee OA.
Measurements: Primary outcomes, measured at baseline after 3 and 12 months, were physical functioning and free-living physical activity. Secondary outcome measures were pain, tiredness, quality of life, self-efficacy, and the number of physical therapy sessions.
Results: The e-Exercise group (n = 109) received, on average, 5 face-to-face sessions; the usual physical therapy group (n = 99) received 12. No significant differences in primary outcomes between the e-Exercise group and the usual physical therapy group were found. Within-group analyses for both groups showed a significant improvement in physical functioning. After 3 months, participants in the e-Exercise group reported an increase in physical activity; however, no objectively measured differences in physical activity were found. With respect to secondary outcomes, after 12 months, sedentary behavior significantly increased in the e-Exercise group compared with the usual physical therapy group. In both groups, there were significant improvements for pain, tiredness, quality of life, and self-efficacy.
Limitations: The response rate at 12 months was 65%.
Conclusions: The blended intervention, e-Exercise, was not more effective than usual physical therapy in people with hip/knee OA.En ligne : https://academic.oup.com/ptj Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16091 [article]Effectiveness of a “Spring Pillow” Versus Education in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial / Carla Vanti in Physical Therapy, Vol. 99 n° 9 (September 2019)
[article] Effectiveness of a “Spring Pillow” Versus Education in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial [texte imprimé] / Carla Vanti, Auteur ; Federico Banchelli, Auteur ; Claudia Marino, Auteur . - 2019 . - p. 1177-1188.
Langues : Français (fre)
in Physical Therapy > Vol. 99 n° 9 (September 2019) . - p. 1177-1188
Catégories : SYMPTÔME
Douleur
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Thesaurus Santé Publique
CouRésumé : Background: Different types of pillows have been proposed for neck pain, but no previous randomized controlled trial has investigated the effectiveness of a “spring pillow” for adults with chronic nonspecific neck pain.
Objective: We evaluated the effectiveness of using a pillow made from viscoelastic polyurethane and 60 independent springs compared with an educational intervention in individuals with chronic nonspecific neck pain.
Design: This was a randomized controlled trial with crossover study design.
Setting: The setting was the Occupational Medicine Unit, University Hospital, Bologna (Italy).
Participants: We recruited 70 adults with chronic nonspecific neck pain, of whom 64 completed the trial.
Intervention: Participants were randomly assigned to 2 groups. One group used the spring pillow for 4 weeks, and the other group followed educational advice for 4 weeks while continuing to use their own pillows. After 4 weeks of treatment and 4 weeks of washout, groups were crossed over. Pain perceived in the neck, thoracic, and shoulder areas and headache were the primary outcome measures. In addition, disability, sleep quality, subjective improvement, and pillow comfort were assessed. Measures were captured at pretreatment, after 4 weeks, after the 4-week washout period, and 4 weeks after crossover. The mean differences (MD) in outcomes between groups were assessed.
Results: Treatment with the spring pillow appeared to reduce neck pain (MD = −8.7; 95% confidence interval [CI] = −14.7 to −2.6), thoracic pain (MD = −8.4; 95% CI = −15.2 to −1.5), and headache (MD = −16.0; 95% CI = −23.2 to −8.7). Reductions in shoulder pain were not statistically significant between groups (MD = −6.9; 95% CI = −14.1–0.3). Neither the crossover sequence nor the period (first vs second intervention administration) significantly affected the results.
Limitations: Education may not have been the best comparator for the spring pillow; drug consumption, actual pillow use, and the implementation of the educational suggestions as prescribed were not controlled.
Conclusions: Use of the spring pillow in this study was more effective than an educational intervention for improving cervical, thoracic, and head pain. Whether a spring pillow is more effective than other ergonomic pillows remains to be tested.En ligne : https://academic.oup.com/ptj Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17308 [article]Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials / Yuping Chen in Physical Therapy, Vol. 98 n° 1 (January 2018)
[article] Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials [texte imprimé] / Yuping Chen, Auteur ; HsinChien D. Fanchiang, Auteur ; Ayanna Howard, Auteur . - 2018 . - p. 63-77.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 1 (January 2018) . - p. 63-77
Catégories : PATHOLOGIE
Infirmité motrice cérébrale , Paralysie
INFORMATION & COMMUNICATION
Bibliographie , Revue de littérature
DÉMOGRAPHIE
Enfant
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Résumé : Background: Researchers recently investigated the effectiveness of virtual reality (VR) in helping children with cerebral palsy (CP) to improve motor function. A systematic review of randomized controlled trials (RCTs) using a meta-analytic method to examine the effectiveness of VR in children with CP was thus needed.
Purpose: The purpose of this study was to update the current evidence about VR by systematically examining the research literature.
Data Sources: A systematic literature search of PubMed, CINAHL, Cochrane Central Register of Controlled Trials, ERIC, PsycINFO, and Web of Science up to December 2016 was conducted.
Study Selection: Studies with an RCT design, children with CP, comparisons of VR with other interventions, and movement-related outcomes were included.
Data Extraction: A template was created to systematically code the demographic, methodological, and miscellaneous variables of each RCT. The Physiotherapy Evidence Database (PEDro) scale was used to evaluate the study quality. Effect size was computed and combined using meta-analysis software. Moderator analyses were also used to explain the heterogeneity of the effect sizes in all RCTs.
Data Synthesis: The literature search yielded 19 RCT studies with fair to good methodological quality. Overall, VR provided a large effect size (d = 0.861) when compared with other interventions. A large effect of VR on arm function (d = 0.835) and postural control (d = 1.003) and a medium effect on ambulation (d = 0.755) were also found. Only the VR type affected the overall VR effect: an engineer-built system was more effective than a commercial system.
Limitations: The RCTs included in this study were of fair to good quality, had a high level of heterogeneity and small sample sizes, and used various intervention protocols.
Conclusions: Then compared with other interventions, VR seems to be an effective intervention for improving motor function in children with CP.En ligne : https://academic.oup.com/ptj Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=15688 [article]Effects of superficial heating and insulation on walking speed in people with hereditary and spontaneous spastic paraparesis: A randomised crossover study / Amanda Denton in Annals of physical and rehabilitation medicine, Vol. 61 n° 2 (March 2018)
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