Institut Régional de Formation aux Métiers de Rééducation et de Réadaptation des Pays de la Loire.
Centre de documentation
Résultat de la recherche
2 résultat(s) recherche sur le tag 'Scoliosis'
Affiner la recherche Générer le flux rss de la recherche Faire une suggestion
Gait and energy consumption in adolescent idiopathic scoliosis: A literature review / Aliyeh Daryabor in Annals of physical and rehabilitation medicine, Vol. 60 n° 2 (April 2017)
[article] Gait and energy consumption in adolescent idiopathic scoliosis: A literature review [texte imprimé] / Aliyeh Daryabor, Auteur ; Mokhtar Arazpour, Auteur ; Guive Sharifi, Auteur . - 2017 . - p. 107-116.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60 n° 2 (April 2017) . - p. 107-116
Catégories : PHYSIOLOGIE
Énergie physiologique , Équilibration
Tags : Scoliosis Walking Gait parameters Energy consumption Résumé : Background: Adolescent idiopathic scoliosis (AIS) is a progressive growth disease that affects spinal anatomy, mobility, and left-right trunk symmetry. The disease can modify human gait.
Objective: We aimed to review articles describing the measurement of gait parameters and energy consumption in AIS during walking without any intervention.
Study design: Literature review.
Methods: The search strategy was based on the Population Intervention Comparison Outcome method and included all relevant articles published from 1996 to 2015. Articles were searched in MEDLINE via PubMed, Science Direct, Google Scholar, and ISI Web of Knowledge databases.
Results: We selected 33 studies investigating the effect of scoliosis deformity on gait parameters and energy expenditure during walking. Most of the studies concluded no significant differences in walking speed, cadence and step width in scoliosis patients and normal participants. However, patients showed decreased hip and pelvic motion, excessive energy cost of walking, stepping pattern asymmetry and ground reaction force asymmetry.
Conclusion: We lack consistent evidence of the effect of scoliosis on temporal spatial and kinematic parameters in AIS patients as compared with normal people. However, further research is needed to assess the effect of scoliosis on gait and energy consumption.
En ligne : http://www.em-consulte.com/produit/rehab Permalink : [article]Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial / Stefano Negrini in Annals of physical and rehabilitation medicine, Vol. 62 n° 2 (March 2019)
[article] Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: A practical clinical trial [texte imprimé] / Stefano Negrini, Auteur ; Sabrina Donzelli, Auteur ; Alessandra Negrini, Auteur . - 2019 . - p. 69-76.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 62 n° 2 (March 2019) . - p. 69-76
Catégories : PATHOLOGIE
AdolescentDe 13 à 18 ans.
Tags : Scoliosis Adolescents Exercise Résumé : Background: In an ideal experimental setting, 2 randomized controlled trials recently showed the efficacy of physiotherapeutic scoliosis-specific exercises (PSSEs) for adolescents with idiopathic scoliosis (AIS). Now large observational studies are needed to check the generalizability of these results to everyday clinical life.
Objective: To explore the effectiveness of PSSEs for avoiding bracing or progression of AIS in everyday clinics.
Methods: This was a longitudinal comparative observational multicenter study, nested in a prospective database of outpatient tertiary referral clinics, including 327 consecutive patients. Inclusion criteria were AIS, age≥10 years old at first evaluation, Risser sign 02, and 1120°Cobbangle. Exclusion criteria were consultations only and brace prescription at baseline. Groups performed PSSE according to the SEAS (Scientific Exercise Approach to Scoliosis) School, usual physiotherapy (UP) and no therapy (controls [CON]). End of treatment was medical discharge, Risser sign 3, or failure (defined by the need for bracing before the end of growth or Cobb angle>29°). The probability of failure was estimated by the risk ratio (RR) and 95% confidence interval (CI). The number needed to treat was estimated. Statistical analysis included intent-to-treat analysis, considering all participants (dropouts as failures), and efficacy analysis, considering only end-of-treatment participants. Propensity scores were used to reduce the potential effects of confounders related to the observational design.
Results: We included 293 eligible subjects after propensity score matching (SEAS, n =145; UP, n =95; controls, n =53). The risk of success was increased 1.7-fold (P =0.007) and 1.5-fold (P =0.006) with SEAS versus controls in the efficacy and intent-to-treat analyses, respectively, and the number needed to treat for testing SEAS versus controls was 3.5 (95% CI 3.23.7) and 1.8 (95% CI 1.52.0), respectively. The success rate was higher with SEAS than UP in the efficacy analysis.
Conclusions: SEAS reduced the bracing rate in AIS and was more effective than UP. PSSEs are additional tools that can be included in the therapeutic toolbox for AIS treatment.
En ligne : http://www.em-consulte.com/produit/rehab Permalink : [article]