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At-home and in-group delivery of constraint-induced movement therapy in children with hemiparesis: A systematic review / Emilie Durand in Annals of physical and rehabilitation medicine, Vol. 61 n° 4 (July 2018)
[article] At-home and in-group delivery of constraint-induced movement therapy in children with hemiparesis: A systematic review [texte imprimé] / Emilie Durand, Auteur ; Pascale Plante, Auteur ; Andrey-Anne Pelletier, Auteur . - 2018 . - p. 245-261.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 61 n° 4 (July 2018) . - p. 245-261
Catégories : DÉMOGRAPHIE
Tags : CIMT Group Home Child Hemiparesis Functioning Résumé : Background: Constraint-induced movement therapy (CIMT) is increasingly recognized as an effective therapy for children with hemiparesis. However, the effectiveness of CIMT outside the standard rehabilitation protocol in clinical settings is less known. The aim of this systematic review was to investigate the effectiveness of CIMT conducted at home or in a group.
Methods: We searched CINAHL, PubMed and ScienceDirect in August 2017 to select articles of studies investigating the impact of CIMT performed at home and in a group on affected upper-limb ability, occupational performance, and quality of life of children. Quality was evaluated with the PEDro scale.
Results: Among 374 reports of studies, 30 met the criteria; 15 examined CIMT at home and 15 in a group. CIMT with the 2 delivery models, at home or in a group, had a positive effect on the affected upper-limb ability and occupational performance. The quality of evidence was high for both these outcomes. However, the evidence was weaker and the results too limited to conclude on the impact on quality of life. The data also suggested that the glove may not be the best type of constraint.
Conclusions: CIMT performed at home or in a group may be a promising intervention for rehabilitation for children with hemiparesis, but more studies on the impact on quality of life are warranted.
En ligne : http://www.em-consulte.com/produit/rehab Permalink : [article]Patellar tendon vibration reduces the increased facilitation from quadriceps to soleus in post-stroke hemiparetic individuals / Eric Maupas in Annals of physical and rehabilitation medicine, Vol. 60 n° 5 (September 2017)
[article] Patellar tendon vibration reduces the increased facilitation from quadriceps to soleus in post-stroke hemiparetic individuals [texte imprimé] / Eric Maupas, Auteur ; Joseph-Omer Dyer, Auteur ; Sibele de Andrade Melo, Auteur . - 2017 . - p. 319-328.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60 n° 5 (September 2017) . - p. 319-328
Catégories : PATHOLOGIE
Accident cérébrovasculaire , Hémiplégie
Tags : Stroke Hemiparesis Vibration Heteronymous facilitation Spasticity Coactivation Résumé : Background: Stimulation of the femoral nerve in healthy people can facilitate soleus H-reflex and electromyography (EMG) activity. In stroke patients, such facilitation of transmission in spinal pathways linking the quadriceps and soleus muscles is enhanced and related to co-activation of knee and ankle extensors while sitting and walking. Soleus H-reflex facilitation can be depressed by vibration of the quadriceps in healthy people, but the effects of such vibration have never been studied on the abnormal soleus facilitation observed in people after stroke.
Objectives: To determine whether vibration of the quadriceps can modify the enhanced heteronymous facilitation of the soleus muscle observed in people with spastic stroke after femoral nerve stimulation and compare post-vibration effects on soleus facilitation in control and stroke individuals.
Methods: Modulation of voluntary soleus EMG activity induced by femoral nerve stimulation (2×motor threshold) was assessed before, during and after vibration of the patellar tendon in 10 healthy controls and 17 stroke participants.
Results: Voluntary soleus EMG activity was facilitated by femoral nerve stimulation in 4/10 (40%) controls and 11/17 (65%) stroke participants. The level of facilitation was greater in the stroke than control group. Vibration significantly reduced early heteronymous facilitation in both groups (50% of pre-vibration values). However, the delay in recovery of soleus facilitation after vibration was shorter for the stroke than control group. The control condition with the vibrator turned off had no effect on the modulation.
Conclusions: Patellar tendon vibration can reduce the facilitation between knee and ankle extensors, which suggests effective presynaptic inhibition but decreased post-activation depression in the lower limb of people after chronic hemiparetic stroke. Further studies are warranted to determine whether such vibration could be used to reduce the abnormal extension synergy of knee and ankle extensors in people after hemiparetic stroke.
En ligne : http://www.em-consulte.com/produit/rehab Permalink : [article]