Institut Régional de Formation aux
Métiers de Rééducation et de Réadaptation des Pays de la Loire.
Centre de documentation
Accueil
Résultat de la recherche
2 résultat(s) recherche sur le tag 'shoulder pain'
Affiner la recherche Générer le flux rss de la recherche
Partager le résultat de cette recherche Faire une suggestion
Decrease in post-stroke spasticity and shoulder pain prevalence over the last 15 years / Diane Menoux in Annals of physical and rehabilitation medicine, Vol. 62 n° 6 (November 2019)
[article] Decrease in post-stroke spasticity and shoulder pain prevalence over the last 15 years [texte imprimé] / Diane Menoux, Auteur ; Marylène Jousse, Auteur ; Victorine Quintaine, Auteur . - 2019 . - p. 403-408.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 62 n° 6 (November 2019) . - p. 403-408
Catégories : PATHOLOGIE
Accident cérébrovasculaire , Thrombose
PRATIQUE MÉDICALE
Rééducation fonctionnelle
Thesaurus Santé Publique
ÉpauleTags : Spasticity Stroke Shoulder pain Rehabilitation Thrombectomy Thrombolysis Résumé : Objectives: The usual complications after recent stroke such as disabling spasticity and shoulder pain seemed less frequent in recent years. This study examined the frequency of spasticity and shoulder pain in recent post-stroke patients over time in our physical and rehabilitation medicine department.
Methods: This was a retrospective study of post-stroke inpatients over the last 15 years. Spasticity and shoulder pain prevalence were analyzed, as were demographic, clinical and stroke characteristics.
Results: We reviewed medical records for 786 patients (506 men); mean age 58.1 years (SD 13.2); 530 (68%) with ischemic stroke and 256 (32.36%) hemorrhagic stroke. After a first increase from 2000 to 2006, the prevalence of disabling spasticity decreased from 2006 to 2015 (31%–10%; P <0.001). Shoulder pain at admission and during hospitalization also decreased (13% of patients in 2000 to 8% in 2015, P <0.001). Disabling spasticity was associated with shoulder pain (26% of patients with disabling spasticity presented shoulder pain at admission vs 7% with hyperreflexia of the deep tendon reflexes, P <0.05). Characteristics of stroke, time of admission after stroke and length of stay did not change over the years. We observed an increase in number of walking patients at admission and number with a functional paretic arm at admission and discharge (P <0.05), which may explain the increase in functional independence measure scores at admission and discharge (both P <0.05). Prevalence of cognitive disorders increased over the same period (24% in 2000 vs 63% in 2015, P <0.05).
Conclusions: Disabling spasticity and shoulder pain frequency in recent post-stroke patients decreased over the last 15 years, and functional abilities both at admission and discharge improved. Confirmation of these results in a multicentric study may be important evidence of an improvement in stroke healthcare both in stroke and physical and rehabilitation medicine units in the last 10 years in France and could affect future estimations of the need for rehabilitation care after stroke.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17659 [article]Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study / John-Ross Rizzo in Annals of physical and rehabilitation medicine, Vol. 60 n° 6 (November 2017)
[article] Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study [texte imprimé] / John-Ross Rizzo, Auteur ; Peter Thai, Auteur ; Edward J. Li, Auteur . - 2017 . - p. 363-370.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60 n° 6 (November 2017) . - p. 363-370
Catégories : SYMPTÔME
Symptôme
TECHNOLOGIE
Innovation technologique
INFORMATION & COMMUNICATION
Étude
Thesaurus Santé Publique
Épaule
THÉRAPEUTIQUE
RééducationTags : Shoulder impingement syndrome Shoulder pain Rehabilitation Gaming Motivation Résumé : Objective : To determine the feasibility and efficacy of using a structured Nintendo Wii protocol to improve range of motion, strength, and quality of life in patients with shoulder impingement syndrome.
Methods : A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n =8) or conventional therapy (n =6). Pain-free shoulder range of motion, strength, shoulder pain and disability, and quality of life were assessed pre- and post-treatment.
Results : All 8 patients completed the Wii protocol, and 3 completed conventional therapy. The Wii protocol conferred significant improvements in shoulder range of motion, pain and disability, and quality of life but not strength, whereas conventional therapy conferred a significant improvement in strength.
Conclusions : As compared to conventional treatment, the structured Wii protocol implemented in this pilot study was a viable adjunct to therapy for shoulder impingement syndrome. Gaming may have a supplemental benefit by increasing motivation, pleasure, and/or adherence. Further investigation in larger cohorts is warranted.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=15387 [article]