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Utilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Randomisation
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Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial / Daniel Camara Azevedo in Physical Therapy, Vol. 98 n° 1 (January 2018)
[article] Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial [texte imprimé] / Daniel Camara Azevedo, Auteur ; Paulo Henrique Ferreira, Auteur ; Henrique de Oliveira Santos, Auteur . - 2018 . - p. 28-39.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 1 (January 2018) . - p. 28-39
Catégories : PATHOLOGIE
Lombalgie
PRATIQUE MÉDICALE
Rééducation fonctionnelle
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Résumé : Background: Treatment for chronic low back pain (LBP) includes different forms of exercises, that to date have resulted in only small to moderate treatment effects. To enhance the treatment effects, different classification systems have been developed to classify people with LBP into more homogeneous subgroups leading to specific treatments for each subgroup.
Objective: The purpose of this study was to compare the efficacy of a treatment based on the Movement System Impairment (MSI) model with a treatment consisting of symptom-guided stretching and strengthening exercises in people with chronic LBP.
Design: The study was a 2-arm, prospectively registered, randomized controlled trial with a blinded assessor.
Setting: The study setting was a university physical therapy clinic in Brazil.
Patients: A total of 148 participants with chronic LBP participated in the study.
Interventions: Participants were randomly allocated to an 8-week treatment of either treatment based on the MSI-based classification system or symptom-guided stretching and strengthening exercises.
Measurements: Measures of pain intensity, disability, and global impression of recovery were obtained by a blinded assessor at baseline and at follow-up appointments at 2, 4, and 6 months after randomization.
Results: There were no significant between-group differences for the primary outcomes of pain intensity at 2 months (mean difference = 0.05, 95% CI = –0.90 to 0.80) and disability at 2 months (mean difference = 0.00, 95% CI = –1.55 to 1.56). There also were no statistically significant differences between treatment groups for any of the secondary outcome measures.
Limitations: Participants and physical therapists were not masked.
Conclusions: People with chronic LBP had similar improvements in pain, disability, and global impression of recovery with treatment consisting of symptom-guided stretching and strengthening exercises and treatment based on the MSI model.En ligne : https://academic.oup.com/ptj Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=15686 [article]Neurodynamique et neuropathie compressive du membre supérieur : revue systématique / Bryan Littré in Kinésithérapie, la revue, N° 195 (mars 2018)
[article] Neurodynamique et neuropathie compressive du membre supérieur : revue systématique [texte imprimé] / Bryan Littré, Auteur . - 2018 . - p. 10-22.
Langues : Français (fre)
in Kinésithérapie, la revue > N° 195 (mars 2018) . - p. 10-22
Catégories : SYMPTÔME
Symptôme neurologique
INFORMATION & COMMUNICATION
Revue de littérature
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Thesaurus Santé Publique
Membre supérieurTags : Compression neurale Membre supérieur Neurodynamique Neuropathie Radiculopathie Résumé : Objectifs : Le but de cette revue a été d’analyser l’intérêt des manœuvres neurodynamiques du membre supérieur dans la prise en charge de syndrome de compression neurale.
Méthode : Une revue systématique a est effectuée de décembre 2016 à avril 2017. Seules les études contrôlées randomisées (ECR), comparant un groupe expérimental avec composante neurodynamique à un groupe témoin, ont été sélectionnées.
Résultats : Vingt-trois ECR ont été analysées. Les manœuvres neuroméningées en neuroglissements montrent un intérêt dans la prise en charge de syndrome de compression nerveuse. Les neuroglissements semblent aussi efficaces que les traitements conservateurs ayant démontrés leur efficacité et semblent plus efficaces en adjonction d’un autre traitement.
Discussion et conclusion : Les manœuvres neurodynamiques montrent un effet thérapeutique. Toutes les manœuvres neurodynamiques ne se valent pas et une prise en charge des interfaces tout le long du tissu nerveux semble pertinente compte tenu du phénomène de compressions nerveuses étagées. L’analyse des coûts et de l’efficacité pour une prise en charge du syndrome du canal carpien idiopathique montre la supériorité de la kinésithérapie face à la chirurgie.
En ligne : http://www.em-consulte.com/produit/kine Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=15703 [article]Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial / Sébastien Girold in Annals of physical and rehabilitation medicine, Vol. 60 n° 4 (July 2017)
[article] Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial [texte imprimé] / Sébastien Girold, Auteur ; Jérome Rousseau, Auteur ; Magalie Le Gal, Auteur . - 2017 . - p. 223-229.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60 n° 4 (July 2017) . - p. 223-229
Catégories : PHYSIOLOGIE
Mouvement corporel
PATHOLOGIE
Appareil circulatoire [pathologie]
PRATIQUE MÉDICALE
Rééducation fonctionnelle , Test
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Tags : Rehabilitation Cardiovascular disease Nordic walking 6-min walk test Résumé : Background: With Nordic walking, or walking with poles, one can travel a greater distance and at a higher rate than with walking without poles, but whether the activity is beneficial for patients with cardiovascular disease is unknown.
Objective: This randomized controlled trial was undertaken to determine whether Nordic walking was more effective than walking without poles on walk distance to support rehabilitation training for patients with acute coronary syndrome (ACS) and peripheral arterial occlusive disease (PAOD).
Methods: Patients were recruited in a private specialized rehabilitation centre for cardiovascular diseases. The entire protocol, including patient recruitment, took place over 2 months, from September to October 2013. We divided patients into 2 groups: Nordic Walking Group (NWG, n =21) and Walking Group without poles (WG, n =21). All patients followed the same program over 4 weeks, except for the walk performed with or without poles. The main outcome was walk distance on the 6-min walk test. Secondary outcomes were maximum heart rate during exercise and walk distance and power output on a treadmill stress test.
Results: We included 42 patients (35 men; mean age 57.2±11 years and BMI 26.5±4.5kg/m2). At the end of the training period, both groups showed improved walk distance on the 6-min walk test and treatment stress test as well as power on the treadmill stress test (P <0.05). The NWG showed significantly greater walk distance than the WG (P <0.05). Both ACS and PAOD groups showed improvement, but improvement was significant for only PAOD patients.
Conclusions: After a 4-week training period, Nordic walking training appeared more efficient than training without poles for increasing walk distance on the 6-min walk test for patients with ACS and PAOD.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=14970 [article]Orthoses for osteoarthritis: A narrative review / Johann Beaudreuil in Annals of physical and rehabilitation medicine, Vol. 60 n° 2 (April 2017)
[article] Orthoses for osteoarthritis: A narrative review [texte imprimé] / Johann Beaudreuil, Auteur . - 2017 . - p. 102-106.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60 n° 2 (April 2017) . - p. 102-106
Catégories : PATHOLOGIE
Système ostéoarticulaire [pathologie]
ANATOMIE
Main
TECHNOLOGIE
Orthèse
PRATIQUE MÉDICALE
Pratique médicale
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Thesaurus Santé Publique
Genou , HancheTags : Orthosis Osteoarthritis Hand Knee Hip Recommendations Randomized trial Clinical practice Résumé : Orthoses for osteoarthritis represent splints, taping, sleeves, unloading knee braces and insoles. This review of the effectiveness of these orthoses involved a search for articles published up to 2015 in MEDLINE via PubMed, with a focus on Osteoarthritis Research Society International, American College of Rheumatology and European League Against Rheumatology international recommendations. Evidence for splinting effectiveness in patients with thumb-base osteoarthritis is now provided. Splints for thumb-base osteoarthritis decrease pain and functional disability. Weaker evidence was found for knee bracing, including taping, sleeves and unloading braces. Low rate of observance and safety results should be considered before using current unloading knee braces for knee osteoarthritis. For insoles, data remain controversial. Orthoses for interphalangeal or hip osteoarthritis have not been investigated in a randomized trial. Regardless, if indicated in daily clinical practice, bracing must be checked by a healthcare professional to insure the suitability of the device. Patients using bracing must be educated. Patient education should include knowledge of the aims and modalities of the treatment as well as knowledge of potential side effects. Patients should be encouraged to contact the therapist if adjustment is needed, with poor tolerance or with questions about the device. En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=14813 [article]A Physical Therapist–Administered Physical Activity Intervention After Total Knee Replacement: Protocol for a Randomized Controlled Trial / Meredith B. Christiansen in Physical Therapy, Vol. 98 n° 7 (July 2018)
[article] A Physical Therapist–Administered Physical Activity Intervention After Total Knee Replacement: Protocol for a Randomized Controlled Trial [texte imprimé] / Meredith B. Christiansen, Auteur ; Louise M. Thoma, Auteur ; Hiral Master, Auteur . - 2018 . - p. 578-584.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 7 (July 2018) . - p. 578-584
Catégories : TECHNOLOGIE
ProthèseAppareil de remplacement reproduisant les formes et, si possible, rendant les mêmes services que l'organe, le membre ou la partie du membre auxquels il est substitué
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
Thesaurus Santé Publique
GenouRésumé : Background: The definitive treatment for knee osteoarthritis is a total knee replacement, which results in a clinically meaningful improvement in pain and physical function. However, evidence suggests that physical activity (PA) remains unchanged after total knee replacement (TKR).
Objective: The objective of this study is to investigate the efficacy, fidelity, and safety of a physical therapist–administered PA intervention for people after TKR.
Design: This study will be a randomized controlled trial.
Setting: The setting is an outpatient physical therapy clinic.
Participants: The participants are 125 individuals who are over the age of 45 and are seeking outpatient physical therapy following a unilateral TKR.
Intervention: In addition to standardized physical therapy after TKR, the intervention group will receive, during physical therapy, a weekly PA intervention that includes a wearable activity tracking device, individualized step goals, and face-to-face feedback provided by a physical therapist.
Control: The control group will receive standardized physical therapy alone after TKR.
Measurements: The efficacy of the intervention will be measured as minutes per week spent in moderate to vigorous PA at enrollment, at discharge, and at 6 months and 12 months after discharge from physical therapy. The fidelity and safety of the intervention will be assessed throughout the study.
Limitations: Participants will not be masked, PA data will be collected after randomization, and the trial will be conducted at a single site.
Conclusions: The goal of this randomized controlled trial is to increase PA after TKR. A protocol for investigating the efficacy, fidelity, and safety of a physical therapist–administered PA intervention for people after TKR is presented. The findings will be used to support a large multisite clinical trial to test the effectiveness, implementation, and cost of this intervention.
En ligne : https://academic.oup.com/ptj Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16093 [article]Place des biostatistiques dans la littérature scientifique / Mathieu Vergnault in Kinésithérapie, la revue, N° 138 (juin 2013)
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