Institut Régional de Formation aux Métiers de Rééducation et de Réadaptation des Pays de la Loire.
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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
Qualité soinsEnsemble des propriétés caractérisant les soins : efficacité, sécurité, caractère approprié, accessibilité, acceptabilité.
Thesaurus Santé Publique
Tags : 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 : [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
INFORMATION & COMMUNICATION
Tags : 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 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 : [article]