Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique最新文献
Pub Date : 2008-11-01DOI: 10.1016/j.annrmp.2008.05.004
A.-V. Bruyneel , P. Chavet , G. Bollini , P. Allard , E. Berton , S. Mesure
Introduction
Adolescent idiopathic scoliosis (characterized by a morphological deformation of the trunk) prompts the development of new postural control strategies. This adaptation has an influence on the dynamics of motor behaviour. The present study analysed ground reaction forces during lateral stepping in order to highlight the dynamic consequences of idiopathic scoliosis.
Material and methods
Ten adolescents suffering from idiopathic scoliosis with right thoracic curvature (Cobb angle ≥15°) and 15 healthy adolescents participated in the study. We used two force platforms to record ground reaction forces for the right and left legs during large and small lateral steps (LSs).
Results
Our results revealed intergroup and interlimb differences for both types of step. For small LSs, right-side (i.e. convexity side) initiation induced a significant increase in the ground reaction force impulse during the postural phase for the scoliotic group, when compared with the control group. For large LSs, left-side (i.e. concavity side) initiation induced a significant increase in ground reaction force impulse during the landing phase only. Patients always displayed slower dynamic behaviour than healthy controls. For both stepping sides, the asymmetry index (AI) was higher in the scoliotic group than in the control group (0.2 ≤ AI ≥ 85 in the scoliotic group versus 0.1 < AI > 24.4 in the control group). Furthermore, the scoliotic group showed a significant increase in the variability of the dynamic parameters (> 8%).
Conclusion
In scoliotic subjects, lateral stepping prompts specific dynamic behaviour affecting both limbs, in order to maintain balance during movement despite spinal deformation. This stepping task could be used in future studies to identify specific motor strategies.
青少年特发性脊柱侧凸(以躯干形态变形为特征)促进了新的姿势控制策略的发展。这种适应对运动行为的动力学有影响。本研究分析了横向行走时的地面反作用力，以突出特发性脊柱侧凸的动态后果。材料与方法10例患有特发性右胸弯曲(Cobb角≥15°)的青少年和15例健康青少年参与研究。我们使用两个力平台来记录左右腿在大、小横向台阶(LSs)时的地面反作用力。结果我们的研究结果揭示了两种类型的步在组间和肢间的差异。对于较小的LSs，与对照组相比，侧凸组在体位阶段的地面反作用力脉冲显著增加。对于大型落弹，左侧(即凹侧)起爆仅在着陆阶段引起地面反作用力脉冲的显著增加。患者总是表现出比健康对照组更慢的动态行为。双侧踏步时，脊柱侧凸组的不对称指数(AI)均高于对照组(0.2≤AI≥85 vs 0.1 <人工智能在对照组为24.4)。此外，脊柱侧凸组的动态参数变异性显著增加(>8%)。在脊柱侧凸患者中，侧步促进了影响双肢的特定动态行为，以便在脊柱变形时保持运动平衡。该步进任务可用于未来的研究，以确定具体的运动策略。
{"title":"Lateral steps reveal adaptive biomechanical strategies in adolescent idiopathic scoliosis","authors":"A.-V. Bruyneel , P. Chavet , G. Bollini , P. Allard , E. Berton , S. Mesure","doi":"10.1016/j.annrmp.2008.05.004","DOIUrl":"10.1016/j.annrmp.2008.05.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Adolescent idiopathic scoliosis (characterized by a morphological deformation of the trunk) prompts the development of new postural control strategies. This adaptation has an influence on the dynamics of motor behaviour. The present study analysed ground reaction forces during lateral stepping in order to highlight the dynamic consequences of idiopathic scoliosis.</p></div><div><h3>Material and methods</h3><p>Ten adolescents suffering from idiopathic scoliosis with right thoracic curvature (Cobb angle ≥15°) and 15 healthy adolescents participated in the study. We used two force platforms to record ground reaction forces for the right and left legs during large and small lateral steps (LSs).</p></div><div><h3>Results</h3><p>Our results revealed intergroup and interlimb differences for both types of step. For small LSs, right-side (i.e. convexity side) initiation induced a significant increase in the ground reaction force impulse during the postural phase for the scoliotic group, when compared with the control group. For large LSs, left-side (i.e. concavity side) initiation induced a significant increase in ground reaction force impulse during the landing phase only. Patients always displayed slower dynamic behaviour than healthy controls. For both stepping sides, the asymmetry index (AI) was higher in the scoliotic group than in the control group (0.2<!--> <!-->≤<!--> <!-->AI<!--> <!-->≥<!--> <!-->85 in the scoliotic group versus 0.1<!--> <!--><<!--> <!-->AI<!--> <!-->><!--> <!-->24.4 in the control group). Furthermore, the scoliotic group showed a significant increase in the variability of the dynamic parameters (><!--> <!-->8%).</p></div><div><h3>Conclusion</h3><p>In scoliotic subjects, lateral stepping prompts specific dynamic behaviour affecting both limbs, in order to maintain balance during movement despite spinal deformation. This stepping task could be used in future studies to identify specific motor strategies.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 8","pages":"Pages 630-641"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37426436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-11-01DOI: 10.1016/j.annrmp.2008.08.002
F. Genêt , A. Schnitzler , E. Lapeyre , N. Roche , K. Autret , C. Fermanian , S. Poiraudeau
Objectives
To assess the evolution of impairment and disability after total knee arthroplasty (TKA) for osteoarthritis and to seek an association with patient satisfaction with surgery.
Method
Consecutives patients (n = 45, 18 women) with osteoarthritis undergoing primary TKA in two secondary care inpatient clinics were prospectively assessed before one month and six months after surgery. Disability was assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC; range 0–900) and the Lequesne Index (range 1–24). Patients’ perceived handicap was assessed on a visual analog scale (VAS, range 1–100). At one month and six months postoperatively, kinetic strength of quadriceps and hamstrings was obtained by isokinetics measures and patient satisfaction on a VAS (range 1–100).
Results
Mean age was 71.7 ± 7.0 years; mean duration of symptoms was 38.3 ± 33.4 months. Patient satisfaction was 83.9 ± 17.7 and 83.1 ± 22.4 at one month and six months after TKA, respectively. At one month, significant improvements were observed over baseline for pain (−30.73 ± 32.2; p < 0.01), physical function (Lequesne Index −2.28 ± 3.6, p < 0.01; and WOMAC score, −82.60 ± 148.5, p < 0.01), and patient perceived handicap (−21.84 ± 29.6, p < 0.01). A significant decrease in global knee range of motion was also observed. At six months, significant improvement was observed for pain (−47.96 ± 26.8; p < 0.01), physical function (Lequesne Index, −5.08 ± 3.66, p < 0.01; and WOMAC score, −157.04 ± 153.2, p < 0.01) and patient perceived handicap (−39.60 ± 24.1; p < 0.01). All isokinetics measures for quadriceps and hamstring were significantly improved between one month and six months after surgery. At one month and six months, the correlation between patient satisfaction and change in impairment, disability and patient perceived handicap was weak.
Discussion and conclusion
Impairment, disability and patient perceived handicap improved significantly after TKA for osteoarthritis. However, these improvements were poorly correlated with patient overall satisfaction with surgery.
{"title":"Change of impairment, disability and patient satisfaction after total knee arthroplasty in secondary care practice","authors":"F. Genêt , A. Schnitzler , E. Lapeyre , N. Roche , K. Autret , C. Fermanian , S. Poiraudeau","doi":"10.1016/j.annrmp.2008.08.002","DOIUrl":"10.1016/j.annrmp.2008.08.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess the evolution of impairment and disability after total knee arthroplasty (TKA) for osteoarthritis and to seek an association with patient satisfaction with surgery.</p></div><div><h3>Method</h3><p>Consecutives patients (<em>n</em> <!-->=<!--> <!-->45, 18 women) with osteoarthritis undergoing primary TKA in two secondary care inpatient clinics were prospectively assessed before one month and six months after surgery. Disability was assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC; range 0–900) and the Lequesne Index (range 1–24). Patients’ perceived handicap was assessed on a visual analog scale (VAS, range 1–100). At one month and six months postoperatively, kinetic strength of quadriceps and hamstrings was obtained by isokinetics measures and patient satisfaction on a VAS (range 1–100).</p></div><div><h3>Results</h3><p>Mean age was 71.7<!--> <!-->±<!--> <!-->7.0 years; mean duration of symptoms was 38.3<!--> <!-->±<!--> <!-->33.4 months. Patient satisfaction was 83.9<!--> <!-->±<!--> <!-->17.7 and 83.1<!--> <!-->±<!--> <!-->22.4 at one month and six months after TKA, respectively. At one month, significant improvements were observed over baseline for pain (−30.73<!--> <!-->±<!--> <!-->32.2; <em>p</em> <!--><<!--> <!-->0.01), physical function (Lequesne Index −2.28<!--> <!-->±<!--> <!-->3.6, <em>p</em> <!--><<!--> <!-->0.01; and WOMAC score, −82.60<!--> <!-->±<!--> <!-->148.5, <em>p</em> <!--><<!--> <!-->0.01), and patient perceived handicap (−21.84<!--> <!-->±<!--> <!-->29.6, <em>p</em> <!--><<!--> <!-->0.01). A significant decrease in global knee range of motion was also observed. At six months, significant improvement was observed for pain (−47.96<!--> <!-->±<!--> <!-->26.8; <em>p</em> <!--><<!--> <!-->0.01), physical function (Lequesne Index, −5.08<!--> <!-->±<!--> <!-->3.66, <em>p</em> <!--><<!--> <!-->0.01; and WOMAC score, −157.04<!--> <!-->±<!--> <!-->153.2, <em>p</em> <!--><<!--> <!-->0.01) and patient perceived handicap (−39.60<!--> <!-->±<!--> <!-->24.1; <em>p</em> <!--><<!--> <!-->0.01). All isokinetics measures for quadriceps and hamstring were significantly improved between one month and six months after surgery. At one month and six months, the correlation between patient satisfaction and change in impairment, disability and patient perceived handicap was weak.</p></div><div><h3>Discussion and conclusion</h3><p>Impairment, disability and patient perceived handicap improved significantly after TKA for osteoarthritis. However, these improvements were poorly correlated with patient overall satisfaction with surgery.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 8","pages":"Pages 671-682"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27682850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-10-01DOI: 10.1016/j.annrmp.2008.08.007
J. Sengler
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Pub Date : 2008-10-01DOI: 10.1016/j.annrmp.2008.07.009
{"title":"Troubles cognitifs : du bilan à la rééducation, aspects pratiques","authors":"","doi":"10.1016/j.annrmp.2008.07.009","DOIUrl":"https://doi.org/10.1016/j.annrmp.2008.07.009","url":null,"abstract":"","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 7","pages":"Pages 529-533"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.07.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138260868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-10-01DOI: 10.1016/j.annrmp.2008.07.028
{"title":"Chirurgie fonctionnelle et MPR","authors":"","doi":"10.1016/j.annrmp.2008.07.028","DOIUrl":"https://doi.org/10.1016/j.annrmp.2008.07.028","url":null,"abstract":"","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 7","pages":"Pages 599-600"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.07.028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138241802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-10-01DOI: 10.1016/j.annrmp.2008.07.031
{"title":"Chirurgie mini-invasive de la hanche, du genou et de la cheville : impact sur la MPR","authors":"","doi":"10.1016/j.annrmp.2008.07.031","DOIUrl":"https://doi.org/10.1016/j.annrmp.2008.07.031","url":null,"abstract":"","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 7","pages":"Pages 607-608"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.07.031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138260015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-10-01DOI: 10.1016/j.annrmp.2008.07.013
{"title":"Syndrome dysmétabolique, troubles endocriniens et autres actualités chez le blessé médullaire","authors":"","doi":"10.1016/j.annrmp.2008.07.013","DOIUrl":"https://doi.org/10.1016/j.annrmp.2008.07.013","url":null,"abstract":"","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 7","pages":"Pages 556-559"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.07.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138261178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-10-01DOI: 10.1016/j.annrmp.2008.07.006
{"title":"Le reconditionnement à l’effort du sujet âgé : nouvelles indications","authors":"","doi":"10.1016/j.annrmp.2008.07.006","DOIUrl":"https://doi.org/10.1016/j.annrmp.2008.07.006","url":null,"abstract":"","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 7","pages":"Pages 540-541"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138260866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-10-01DOI: 10.1016/j.annrmp.2008.07.022
{"title":"Médecine manuelle et ostéopathie : certitudes et incertitudes en 2008","authors":"","doi":"10.1016/j.annrmp.2008.07.022","DOIUrl":"https://doi.org/10.1016/j.annrmp.2008.07.022","url":null,"abstract":"","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 7","pages":"Pages 583-585"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.07.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138260924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-10-01DOI: 10.1016/j.annrmp.2008.07.016
{"title":"Incontinence neurologique","authors":"","doi":"10.1016/j.annrmp.2008.07.016","DOIUrl":"https://doi.org/10.1016/j.annrmp.2008.07.016","url":null,"abstract":"","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":"51 7","pages":"Pages 568-571"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.07.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138261181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique
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