Kinesitherapie最新文献

The objective was to evaluate the influence of proprioceptive integration capabilities on the biomechanics associated with the risk of anterior cruciate ligament (ACL) rupture. Using tendon vibration allowed the identification of two distinct postural proprioceptive strategies. Plastic individuals were able to reweight signals based on support stability, while rigid athletes maintained an ankle steered strategy regardless of the signal reliability rising from the ankle. The latter implies suboptimal postural performance associated with poorer proprioceptive reintegration abilities. During sidestep cutting maneuvers, rigid subjects exhibited low pre-activation of the semitendinosus, coupled with increased activity of the vastus lateralis during the stance phase and ankle kinematics reflecting higher risk for ACL injury. Lack of proprioceptive plasticity influences athletes’ motor behavior and leads to at-risk biomechanics for ACL injury.

Introduction

Non-specific chronic low back pain (NSCLBP) is a condition that accounts for almost one-third of patients treated by physical therapists. Although only one in ten low back pain patients suffers from NSCLBP, it represents up to 80 % of healthcare costs for this disease. NSCLBP is the leading cause of work absenteeism, and healthcare costs have tripled over the past 40 years. Many therapies and techniques are being developed and studied, including Cognitive Functional Therapy (CFT), which provides a new approach based on a precise assessment and awareness of all dimensions of the condition.

The aim of this study is to determine the prevalence of CFT among physical therapists and to identify the determinants of its importance in their practice.

Method

A literature review followed by a questionnaire administered to licensed physical therapists and physical therapy students.

Results

In all, 80% of physical therapy students and 67.9% of licensed physical therapists surveyed were not familiar with CFT. Among the licensed physical therapists, more than 50% frequently use this therapy and find it effective in treating NSCLBP. Among the students, 93.1% were interested in studying this therapy as part of their initial training. The lack of training among physical therapists in this area and the importance of patient impact as a barrier to CFT may explain its limited use in practice. The main limitations of this therapy are described by the study's authors.

Introduction

The frequency of shoulder pathologies is rising among climbers. This study aims to establish the reference values of CKCUEST and SEBTm, as well as the influencing factors.

Method

Only climbers who were able to climb were included. Out of the 120 subjects in the study, only 20 experienced shoulder pain at the time of the experiment.

Results

The reference values of CKCUEST are similar to those of other athlete populations, but lower for SEBTm inferior and superior lateral direction. There is no significant influence of pain, clinical history, or intrinsic and extrinsic factors on the results.

Discussion

It is necessary to adjust the reference values of SEBTm and to provide better care to our climbers’ shoulders. Indeed, 50% of the subjects had or have had shoulder problems.

Background

Chronic pain represents a significant burden for both patients and the healthcare system. Therapeutic Alliance appears to be a key determinant of treatment outcomes in the context of chronic pain. Conversely, stigmatization could have a detrimental effect. To date, no study has documented the stigmatization behavior among French physiotherapists treating chronic pain.

Material and methods

A mixed-method study was self-administered online to assess both stigmatization behavior and the tool used by the physiotherapist to evaluate therapeutic alliance.

Results

Forty participants included. In all, 92,5% of physiotherapists have already been compelled to refuse a patient due to the chronic nature of their pain. Stigmatizing behaviors are very common. Very few of them assess the quality of their therapeutic alliance in practice.

Conclusions

Stigmatization is common among French physiotherapist when treating chronic pain.

Introduction

Home mechanical ventilation has significantly improved survival in patients with slowly progressive neuromuscular diseases and chronic respiratory failure. Specifically, the development of non-invasive ventilation (NIV) has provided a genuine alternative to tracheostomy ventilation for patients requiring long-term mechanical ventilation.

Methods

PhD thesis from the university Paris Saclay prepared in the ERPHAN research unit (université Paris-Saclay, UVSQ) under the supervision of Frédéric Lofaso, professeur des universités.

Results

In this thesis, we have evidenced that during the initiation of NIV in patients with slowly progressive NMD, the intensity of ventilatory parameters does not significantly affect daytime carbon dioxide level, as opposed to adherence, which is its main determining factor. We have also shown that the algorithms for automatic adjustment of the main ventilatory parameters are currently very heterogeneous and all raise important concerns. Independently of the ventilatory parameters, we have also highlighted the major impact of the configuration of the ventilation circuits on the efficiency of NIV. Finally, in the most severely affected and ventilator-dependent patients, we identified that quality of life, the main target of long-term ventilation, is more likely to be explained by the social and material environment than by the ventilation technique itself (invasive or non-invasive).

Discussion

Technological innovations in the field of home ventilation are constantly opening up new possibilities, making their evaluation and optimization an ongoing and sustainable clinical challenge.