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Mateo S, Agon F, Rossetti Y, Reilly KT, Rode G. Long-term and transient body representation plasticity after left brachial plexus avulsion. Cortex 2024; 174:215-218. [PMID: 38593575 DOI: 10.1016/j.cortex.2024.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 03/07/2024] [Accepted: 03/18/2024] [Indexed: 04/11/2024]
Affiliation(s)
- Sébastien Mateo
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, Lyon, France; Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, Lyon, France.
| | - Flimmy Agon
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, Lyon, France
| | - Yves Rossetti
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, Lyon, France; Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, Lyon, France
| | - Karen T Reilly
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, Lyon, France
| | - Gilles Rode
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, Lyon, France; Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, Lyon, France
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Mateo S, Guillot A, Henkous S, Gelis A, Daligault S, Rode G, Collet C, Di Rienzo F. Implicit and explicit motor imagery ability after SCI: Moving the elbow makes the difference. Brain Res 2024; 1836:148911. [PMID: 38604558 DOI: 10.1016/j.brainres.2024.148911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Revised: 03/23/2024] [Accepted: 04/01/2024] [Indexed: 04/13/2024]
Abstract
Cervical spinal cord injury (SCI) causes dramatic sensorimotor deficits that restrict both activity and participation. Restoring activity and participation requires extensive upper limb rehabilitation focusing elbow and wrist movements, which can include motor imagery. Yet, it remains unclear whether MI ability is impaired or spared after SCI. We investigated implicit and explicit MI ability in individuals with C6 or C7 SCI (SCIC6 and SCIC7 groups), as well as in age- and gender-matched controls without SCI. Inspired by previous studies, implicit MI evaluations involved hand laterality judgments, hand orientation judgments (HOJT) and hand-object interaction judgments. Explicit MI evaluations involved mental chronometry assessments of physically possible or impossible movements due to the paralysis of upper limb muscles in both groups of participants with SCI. HOJT was the paradigm in which implicit MI ability profiles differed the most between groups, particularly in the SCIC6 group who had impaired elbow movements in the horizontal plane. MI ability profiles were similar between groups for explicit MI evaluations, but reflected task familiarity with higher durations in the case of unfamiliar movements in controls or attempt to perform movements which were no longer possible in persons with SCI. Present results, obtained from a homogeneous population of individuals with SCI, suggest that people with long-term SCI rely on embodied cognitive motor strategies, similar to controls. Differences found in behavioral response pattern during implicit MI mirrored the actual motor deficit, particularly during tasks that involved internal representations of affected body parts.
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Affiliation(s)
- Sébastien Mateo
- Universite Lyon, UCBL-Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, Centre Hospitalier Le Vinatier, Bâtiment 452, 95 Boulevard Pinel, F-69675 Bron, Auvergne-Rhône-Alpes, France; Lyon Neuroscience Research Center, Trajectoires Team, Centre Hospitalier Le Vinatier, Bâtiment 452, 95 Boulevard Pinel, F-69675 Bron, Auvergne-Rhône-Alpes, France
| | - Aymeric Guillot
- Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, 20 route de Vourles, F-69230, Saint Genis Laval, Auvergne-Rhône-Alpes, France
| | - Sonia Henkous
- Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, 20 route de Vourles, F-69230, Saint Genis Laval, Auvergne-Rhône-Alpes, France
| | - Anthony Gelis
- Universite Lyon, UCBL-Lyon 1, Laboratoire Interuniversitaire de Biologie de la Motricité, UR 7424, 27-29 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne, Auvergne-Rhône-Alpes, France
| | - Sébastien Daligault
- Centre Mutualiste Neurologique Propara, 263 rue du Caducée, F-34090, Montpellier, Occitanie, France; CERMEP, Imagerie du Vivant, 95 Boulevard Pinel, F-69677 Bron, Auvergne-Rhône-Alpes, France
| | - Gilles Rode
- Universite Lyon, UCBL-Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, Centre Hospitalier Le Vinatier, Bâtiment 452, 95 Boulevard Pinel, F-69675 Bron, Auvergne-Rhône-Alpes, France; Lyon Neuroscience Research Center, Trajectoires Team, Centre Hospitalier Le Vinatier, Bâtiment 452, 95 Boulevard Pinel, F-69675 Bron, Auvergne-Rhône-Alpes, France
| | - Christian Collet
- Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, 20 route de Vourles, F-69230, Saint Genis Laval, Auvergne-Rhône-Alpes, France
| | - Franck Di Rienzo
- Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, 20 route de Vourles, F-69230, Saint Genis Laval, Auvergne-Rhône-Alpes, France.
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Le Saux O, Canada B, Debarnot U, Haouhache NEH, Lehot JJ, Binay M, Cortet M, Rimmelé T, Duclos A, Rode G, Lilot M, Schlatter S. Association of Personality Traits With the Efficacy of Stress Management Interventions for Medical Students Taking Objective Structured Clinical Examinations. Acad Med 2024:00001888-990000000-00815. [PMID: 38534105 DOI: 10.1097/acm.0000000000005714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/28/2024]
Abstract
PURPOSE Personality traits are associated with psychophysiological stress, but few studies focus on medical students. This study aimed to better understand the association of personality traits with the efficacy of stress management interventions for medical students. METHOD A randomized controlled trial was conducted with fourth-year students who took the objective structured clinical examination at Bernard University Lyon 1 in December 2021. Students were randomized in cardiac biofeedback, mindfulness, and control groups. Each intervention was implemented for 6 minutes before the examination. Physiological stress levels were collected during the intervention. Psychological stress levels were rated by students at baseline and after the intervention. Personality traits were assessed via the Big-Five Inventory. Interactions between personality traits and the efficacy of the interventions were analyzed using multivariable linear regression models. RESULTS Four hundred eighty-one students participated. Higher baseline psychological stress levels were associated with higher neuroticism and agreeableness (β = 10.27, 95% confidence interval (CI) [7.40, 13.13], P < .001 and β = 3.42, 95% CI [0.98, 5.85], P = .006, respectively) and lower openness (β = -4.95, 95% CI [-7.40, -2.49], P < .001). As compared to the control intervention, both stress management interventions led to lower levels of psychological (P < .001 for both) and physiological stress levels (biofeedback: P < .001 and mindfulness: P = .009). Biofeedback efficacy varied by extraversion score for psychological (β = -5.66, 95% CI [-10.83, -0.50], P = .03) and physiological stress reduction (β = -0.002, 95% CI [-0.003, -0.00004], P = .045). Mindfulness efficacy varied by agreeableness score for psychological stress reduction (β = -7.87, 95% CI [-13.05, -2.68], P = .003). CONCLUSIONS Students with a high score in extraversion may benefit more from biofeedback interventions, while students with high scores in agreeableness may benefit more from mindfulness interventions.
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Mechtouff L, Balanca B, Jung J, Bourgeois-Vionnet J, Dumot C, Guery D, Picart T, Bapteste L, Demarquay G, Bani-Sadr A, Rascle L, Berthezène Y, Jacquesson T, Amaz C, Macabrey J, Ramos I, Viprey M, Rode G, Cortet M. Interrater reliability in neurology objective structured clinical examination across specialties. Med Teach 2024; 46:239-244. [PMID: 37605843 DOI: 10.1080/0142159x.2023.2244146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
PURPOSE To assess interrater reliability and examiners' characteristics, especially specialty, associated with scoring of neurology objective structured clinical examination (OSCE). MATERIAL AND METHODS During a neurology mock OSCE, five randomly chosen students volunteers were filmed while performing 1 of the 5 stations. Video recordings were scored by physicians from the Lyon and Clermont-Ferrand university teaching hospitals to assess students performance using both a checklist scoring and a global rating scale. Interrater reliability between examiners were assessed using intraclass coefficient correlation. Multivariable linear regression models including video recording as random effect dependent variable were performed to detect factors associated with scoring. RESULTS Thirty examiners including 15 (50%) neurologists participated. The intraclass correlation coefficient of checklist scores and global ratings between examiners were 0.71 (CI95% [0.45-0.95]) and 0.54 (CI95% [0.28-0.91]), respectively. In multivariable analyses, no factor was associated with checklist scores, while male gender of examiner was associated with lower global rating (β coefficient = -0.37; CI 95% [-0.62-0.11]). CONCLUSIONS Our study demonstrated through a video-based scoring method that agreement among examiners was good using checklist scoring while moderate using global rating scale in neurology OSCE. Examiner's specialty did not affect scoring whereas gender was associated with global rating scale.
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Affiliation(s)
| | - Baptiste Balanca
- Anesthesiology and Intensive Care Medicine, Hospices Civils de Lyon, Lyon, France
| | - Julien Jung
- Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France
| | | | - Chloé Dumot
- Department of Vascular and Tumoral Neurosurgery, Hospices Civils de Lyon, Lyon, France
| | - Déborah Guery
- Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France
| | - Thiébaud Picart
- Department of Neurosurgery, Hospices Civils de Lyon, Lyon, France
| | - Lionel Bapteste
- Anesthesiology and Intensive Care Medicine, Hospices Civils de Lyon, Lyon, France
| | - Geneviève Demarquay
- Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France
| | | | - Lucie Rascle
- Stroke Department, Hospices Civils de Lyon, Lyon, France
| | - Yves Berthezène
- Neuroradiology Department, Hospices Civils de Lyon, Lyon, France
| | | | - Camille Amaz
- Clinical Investigation Center, Hospices Civils de Lyon, Lyon, France
| | - Juliette Macabrey
- RESearch on HealthcAre Performance RESHAPE, INSERM U1290, Université Claude Bernard, Lyon, France
| | - Inès Ramos
- RESearch on HealthcAre Performance RESHAPE, INSERM U1290, Université Claude Bernard, Lyon, France
| | - Marie Viprey
- RESearch on HealthcAre Performance RESHAPE, INSERM U1290, Université Claude Bernard, Lyon, France
| | - Gilles Rode
- Physical Medicine and Rehabilitation Department, Henry Gabrielle Hospital, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Marion Cortet
- Gynecology and Obstetrics Department, Croix Rousse Hospital, Hospices Civils de Lyon, Lyon, France
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Corbin S, Damiolini E, Termoz A, Huchon L, Rode G, Schott AM, Haesebaert J. Rehabilitation professionals' views on individual peer support interventions for assisting stroke survivors with reintegration into the community: a qualitative study. Disabil Rehabil 2023; 45:4413-4423. [PMID: 36576210 DOI: 10.1080/09638288.2022.2152115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 11/22/2022] [Indexed: 12/29/2022]
Abstract
PURPOSE We aimed to explore stroke rehabilitation professionals' understanding and representations of peer support; the benefits they anticipated for patients; and the levers and barriers they perceived to implement the intervention in their practice. MATERIALS AND METHODS This qualitative study comprised four focus groups with 21 rehabilitation professionals and four semi-structured interviews. It was held in a French hospital. Interpretation was guided by the Consolidated Framework for Implementation Research. RESULTS Although professionals had poor knowledge on peer support, they identified many unmet needs of stroke survivors that peer support could meet such as social, emotional and informational support. Main barriers were the lack of human and financial resources, and of linkage between hospital and community professionals, and the fear that peer support would give false hope to survivors if not delivered properly. They showed ambivalence towards patient engagement, acknowledging its importance, but demonstrating top-down attitudes. They also identified potential avenues for the implementation of peer support for stroke survivors. CONCLUSIONS Our study supports the necessity to involve professionals in the construction of peer-support interventions and to sensitise them to provide patient-centred care. It delivers insights on effective implementation strategies to develop peer support interventions for stroke survivors reintegrating the community.
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Affiliation(s)
- Sara Corbin
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard, Lyon 1, France
| | - Eleonore Damiolini
- Service Recherche et Epidémiologie Cliniques, Hospices Civils de Lyon, Pôle Santé Publique, Lyon, France
| | - Anne Termoz
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard, Lyon 1, France
- Service Recherche et Epidémiologie Cliniques, Hospices Civils de Lyon, Pôle Santé Publique, Lyon, France
| | - Laure Huchon
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Equipe "Trajectoires", Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
| | - Gilles Rode
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Equipe "Trajectoires", Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
| | - Anne-Marie Schott
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard, Lyon 1, France
- Service Recherche et Epidémiologie Cliniques, Hospices Civils de Lyon, Pôle Santé Publique, Lyon, France
| | - Julie Haesebaert
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard, Lyon 1, France
- Service Recherche et Epidémiologie Cliniques, Hospices Civils de Lyon, Pôle Santé Publique, Lyon, France
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Azouvi P, Rousseaux M, Bartolomeo P, Pérennou D, Pradat-Diehl P, Wiart L, Rode G, Godefroy O. Discriminative value of different combinations of tests to detect unilateral neglect in patients with right hemisphere damage. Eur J Neurol 2023; 30:3332-3340. [PMID: 37405828 DOI: 10.1111/ene.15965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 05/27/2023] [Accepted: 06/29/2023] [Indexed: 07/06/2023]
Abstract
BACKGROUND AND PURPOSE This study was undertaken to assess the most sensitive combination of tests to detect peripersonal unilateral neglect (UN) after stroke. METHODS The present study is a secondary analysis of a previously reported multicentric study of 203 individuals with right hemisphere damage (RHD), mainly subacute stroke, 11 weeks postonset on average, and 307 healthy controls. A battery of seven tests, providing 19 age- and education-adjusted z-scores, were given: the bells test, line bisection, figure copying, clock drawing, overlapping figures test, and reading and writing. Statistical analyses used a logistic regression and a receiver operating characteristic (ROC) curve after adjustment on demographic variables. RESULTS A combination of four z-scores based on the following three tests provided good discrimination of patients with RHD from matched healthy controls: the starting point and the difference between the number of omissions on left and right sides from the bells test, rightward deviation in bisection of long lines (20 cm), and left-sided omissions in a reading task. The area under the ROC curve was 0.865 (95% confidence interval = 0.83-0.901), with sensitivity = 0.68, specificity = 0.95, accuracy = 0.85, positive predictive value = 0.90, and negative predictive value = 0.82. CONCLUSIONS The most sensitive and parsimonious combination of tests to detect UN after stroke relies on four scores from three simple tests (bells test, line bisection, and reading). Future study is warranted to assess its ability to account for the functional difficulties of UN in daily life in the patient's actual environment.
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Affiliation(s)
- Philippe Azouvi
- Assistance Publique - Hôpitaux de Paris, Groupe Hospitalier Paris-Saclay, Hôpital Raymond Poincaré, Service de Médecine Physique et de Réadaptation, Garches, France
- Université Paris-Saclay, Université de Versailles Saint Quentin, Institut national de la santé et de la recherche médicale, Centre de recherche en Epidémiologie et Santé des Populations, Villejuif, France
| | - Marc Rousseaux
- Department of Physical Medicine and Rehabilitation, Hôpital Swynghedauw, Centre Hospitalier Universitaire de Lille, Lille, France
| | - Paolo Bartolomeo
- Sorbonne Université, Institut du Cerveau-Paris Brain Institute-Institut du Cerveau et de la Moelle, Institut national de la santé et de la recherche médicale, Centre National de la Recherche Scientifique, Assistance Publique Hopitaux de Paris, Hôpital de la Pitié Salpêtrière, Paris, France
| | - Dominic Pérennou
- Grenoble Alpes University, Unité mixte de recherche Centre National de la Recherche Scientifique 5105, Neuropsychology and Neurocognition, Centre Hospitalier Universitaire Grenoble Alpes, Department of Neurorehabilitation, South Hospital, Grenoble, France
| | - Pascale Pradat-Diehl
- Department of Physical Medicine and Rehabilitation, Salpêtrière Hospital, Paris, France
| | - Laurent Wiart
- Department of Physical Medicine and Rehabilitation, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France
| | - Gilles Rode
- Lyon Neuroscience Research Center, Trajectoires Team, Institut national de la santé et de la recherche médicale U1028 and Centre National de la Recherche Scientifique Unité mixte de recherche 5292, Université Claude Bernard-Lyon 1, Bron, France
- Service de Médecine Physique et Réadaptation, Plateforme Mouvement et Handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Pierre-Bénite, France
| | - Olivier Godefroy
- Department of Neurology, Amiens University Hospital, and Laboratory of Functional Neurosciences (Unité de recherche Université de Picardie Jules Verne 4559), Jules Verne University of Picardie, Amiens, France
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Dauleac C, Luaute J, Rode G, Afif A, Sindou M, Mertens P. Evaluation of Selective Tibial Neurotomy for the Spastic Foot Treatment Using a Personal Goal-Centered Approach: A 1-Year Cohort Study. Neurosurgery 2023; 92:862-869. [PMID: 36700737 DOI: 10.1227/neu.0000000000002287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 10/03/2022] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Selective tibial neurotomy (STN) has already demonstrated its effectiveness to reduce foot deformities and spasticity, but assessment according to a goal-centered approach is missing. OBJECTIVE To evaluate the effectiveness of STN associated with a postoperative rehabilitation program for the treatment of the spastic foot, according to a goal-centered approach. METHODS Interventional study (before-after STN and rehabilitation program) with observational design including consecutive adult patients with spastic foot, who received STN followed by a rehabilitation program, was performed. The primary outcome measure was the achievement of individual goals at the 1-year follow-up using the Goal Attainment Scaling methodology (with T-score). The secondary outcomes measures were the Modified Ashworth Scale and the modified Rankin Score. RESULTS A total of 104 patients were included. At the 1-year follow-up, 228/252 (90.5%) goals were achieved: 62/252 (24.6%) were achieved as initially expected, 86/252 (34.1%) were achieved better than initially expected, and 80 (31.7%) were achieved much better than initially expected. The mean T-score was significantly increased at the 1-year follow-up (61.5 ± 10.5) compared with the preoperative period (38.1 ± 2.9, P < .00001), and 95/104 (91.3%) patients had a T-score ≥50, meaning that these patients have achieved their goals. At follow-up, spastic deformities were all significantly decreased ( P < .0001), the Modified Ashworth Scale was significantly lower for each muscle targeted ( P < .0001), and the modified Rankin Score was significantly decreased ( P < .0001) allowing the patient population to improve from a moderate to a slight disability status. CONCLUSION This study showed that STN, associated with a postoperative rehabilitation program, successfully achieve personal goals in patients with spastic foot.
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Affiliation(s)
- Corentin Dauleac
- Service de Neurochirurgie Fonctionnelle, Hospices Civils de Lyon, Hôpital neurologique Pierre Wertheimer, Lyon, France
- Université Lyon I, Université Claude Bernard, Lyon, France
| | - Jacques Luaute
- Université Lyon I, Université Claude Bernard, Lyon, France
- Service de Médecine Physique et Réadaptation, Hospices Civils de Lyon, Hôpital Henry Gabrielle, Lyon, France
| | - Gilles Rode
- Université Lyon I, Université Claude Bernard, Lyon, France
- Service de Médecine Physique et Réadaptation, Hospices Civils de Lyon, Hôpital Henry Gabrielle, Lyon, France
| | - Afif Afif
- Service de Neurochirurgie Fonctionnelle, Hospices Civils de Lyon, Hôpital neurologique Pierre Wertheimer, Lyon, France
| | - Marc Sindou
- Université Lyon I, Université Claude Bernard, Lyon, France
| | - Patrick Mertens
- Service de Neurochirurgie Fonctionnelle, Hospices Civils de Lyon, Hôpital neurologique Pierre Wertheimer, Lyon, France
- Université Lyon I, Université Claude Bernard, Lyon, France
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Cortet M, Lilot M, Rode G. OSCEs for ranking medical students. Med Teach 2022; 44:1424-1425. [PMID: 35293834 DOI: 10.1080/0142159x.2022.2033712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Marion Cortet
- Service de Gynécologie-Obstétrique, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France
- LabTAU, INSERM U 1132, Université Lyon 1, Lyon, France
- Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France
| | - Marc Lilot
- Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France
- Univ. Lyon, UCBL-Lyon 1, Research on Healthcare Performance (RESHAPE) INSERM U1290 and medical simulation centre (CLESS), SAMSEI, Lyon, France
- Hospices Civils de Lyon, Departments of Anaesthesia and Intensive Care, Lyon, France
| | - Gilles Rode
- Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France
- Service de Médecine et Réadaptation, Hôpital Henri Gabrielle, Hospices Civils de Lyon, Lyon, France
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Della Vecchia C, Préau M, Haesebaert J, Viprey M, Rode G, Termoz A, Dima A, Schott AM. Factors associated with post-stroke social participation: A quantitative study based on the ICF framework. Ann Phys Rehabil Med 2022; 66:101686. [PMID: 35779831 DOI: 10.1016/j.rehab.2022.101686] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 06/12/2022] [Accepted: 06/13/2022] [Indexed: 12/03/2022]
Abstract
BACKGROUND Post-stroke social participation is a major determinant of quality of life and life satisfaction. However, few data relating to participation determinants are available, especially the influence of psychological factors and factors related to the living environment. OBJECTIVES This study investigated determinants of post-stroke social participation within the International Classification of Functioning, Disability and Health framework. METHODS We contacted people with stroke who had been hospitalized in the Rhône County, included in a previous cohort study, were aged ≥18 years and were not institutionalized. The primary outcome was social participation measured with the Stroke Impact Scale (SIS) 2.0. We performed multiple hierarchical linear regressions to test the following predictors: clinical factors (stroke-related variables, limitations in Activities of Daily Living [ADL]/Instrumental ADL), personal factors (sociodemographic factors, coping strategies) and environmental factors (satisfaction with social relationships and living environment). RESULTS Among the 352 participants, 63% were men, and mean age was 68.7(SD 14.5) years. In the last multivariate model, variables associated with higher levels of social participation were the use of the positive thinking coping strategy (B (SD)=1.17(0.52), p = 0.03), higher perceived satisfaction with the living environment (B (SD)=0.17(0.07), p = 0.03) and fewer perceived activity limitations (B (SD)=0.55 (0.06), p < 0.001). Conversely, the seeking social support coping style (B (SD)= -1.98 (0.60), p = 0.001), and a higher number of stroke-related sequelae (B (SD)= -1.93(0.53), p = 0.001) were associated with lower social participation. CONCLUSIONS The identification of potentially modifiable personal and environmental factors that influence social participation provides elements to strengthen existing rehabilitation programs and opens the way for possible psychosocial interventions.
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Affiliation(s)
- Claire Della Vecchia
- Pole of Social Psychology, Inserm U1296 Unit 'Radiation: Defense, Health Environment', Lyon 2 University, Lyon, France.
| | - Marie Préau
- Pole of Social Psychology, Inserm U1296 Unit 'Radiation: Defense, Health Environment', Lyon 2 University, Lyon, France
| | - Julie Haesebaert
- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France; Hospices Civils de Lyon, Pôle Santé Publique, F-69008 Lyon, France
| | - Marie Viprey
- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France; Hospices Civils de Lyon, Pôle Santé Publique, F-69008 Lyon, France
| | - Gilles Rode
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron, France; Service de Médecine Physique et Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Anne Termoz
- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France; Hospices Civils de Lyon, Pôle Santé Publique, F-69008 Lyon, France
| | - Alexandra Dima
- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France
| | - Anne-Marie Schott
- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France; Hospices Civils de Lyon, Pôle Santé Publique, F-69008 Lyon, France
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Ribault S, Bessaguet H, Ardaillon H, Rousson G, Nivesse D, Fareh T, Malishchuk AS, Milot A, Eklu B, Seguin P, Rode G. To other new educational ways for interdisciplinary cooperation and innovation: about a student-driven hackathon. MedEdPublish 2022. [DOI: 10.12688/mep.18991.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Innovation in healthcare cannot be conceived without an interdisciplinary approach. Hackathons are an innovative approach to promote team working and demonstrated an interest in higher education through inquiry-based learning. An interdisciplinary team of students and young professionals organized the first hybrid presential and online neurorehabilitation hackathon, within the joined 2020 WCNR-SOFMER congress, adapting to the COVID-19 pandemic. Methods: Interdisciplinary teams worked during two days on concrete issues met by people with a disability and their caregivers, accompanied by multi-skilled mentors to create tangible solutions. An independent jury selected the winning project. Results: HRL met the expectations of 96% of the 31 participants. They reported better knowledge and ability about teamwork, ethics, and patient-centered approaches. Conclusions: HRL allowed the creation of a strong interdisciplinary and international network which will be valuable to foster innovation. It demonstrated its value in the junior and students’ training for teamwork, communication, creativity in innovation, and ethics in health.
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Ciceron C, Sappey-Marinier D, Riffo P, Bellaiche S, Kocevar G, Hannoun S, Stamile C, Redoute J, Cotton F, Revol P, Andre-Obadia N, Luaute J, Rode G. Case Report: True Motor Recovery of Upper Limb Beyond 5 Years Post-stroke. Front Neurol 2022; 13:804528. [PMID: 35250813 PMCID: PMC8891374 DOI: 10.3389/fneur.2022.804528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 01/11/2022] [Indexed: 11/21/2022] Open
Abstract
Most of motor recovery usually occurs within the first 3 months after stroke. Herein is reported a remarkable late recovery of the right upper-limb motor function after a left middle cerebral artery stroke. This recovery happened progressively, from two to 12 years post-stroke onset, and along a proximo-distal gradient, including dissociated finger movements after 5 years. Standardized clinical assessment and quantified analysis of the reach-to-grasp movement were repeated over time to characterize the recovery. Twelve years after stroke onset, diffusion tensor imaging (DTI), functional magnetic resonance imaging (fMRI), and transcranial magnetic stimulation (TMS) analyses of the corticospinal tracts were carried out to investigate the plasticity mechanisms and efferent pathways underlying motor control of the paretic hand. Clinical evaluations and quantified movement analysis argue for a true neurological recovery rather than a compensation mechanism. DTI showed a significant decrease of fractional anisotropy, associated with a severe atrophy, only in the upper part of the left corticospinal tract (CST), suggesting an alteration of the CST at the level of the infarction that is not propagated downstream. The finger opposition movement of the right paretic hand was associated with fMRI activations of a broad network including predominantly the contralateral sensorimotor areas. Motor evoked potentials were normal and the selective stimulation of the right hemisphere did not elicit any response of the ipsilateral upper limb. These findings support the idea that the motor control of the paretic hand is mediated mainly by the contralateral sensorimotor cortex and the corresponding CST, but also by a plasticity of motor-related areas in both hemispheres. To our knowledge, this is the first report of a high quality upper-limb recovery occurring more than 2 years after stroke with a genuine insight of brain plasticity mechanisms.
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Affiliation(s)
- Carine Ciceron
- Service de Médecine Physique et Réadaptation, Plateforme Mouvement et Handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Pierre-Bénite, France
- CRNL (Lyon Neuroscience Research Center, Trajectoires Team), INSERM U1028 & CNRS UMR 5292, Université Claude Bernard-Lyon 1, Bron, France
- *Correspondence: Carine Ciceron
| | - Dominique Sappey-Marinier
- CREATIS, CNRS UMR 5220 & INSERM U1294, Université Claude Bernard-Lyon1, INSA de Lyon, Université de Lyon, Villeurbanne, France
- CERMEP-Imagerie du Vivant, Université de Lyon, Bron, France
| | - Paola Riffo
- Service de Médecine Physique et Réadaptation, Plateforme Mouvement et Handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Pierre-Bénite, France
| | - Soline Bellaiche
- Service de Médecine Physique et Réadaptation, Plateforme Mouvement et Handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Pierre-Bénite, France
| | - Gabriel Kocevar
- CREATIS, CNRS UMR 5220 & INSERM U1294, Université Claude Bernard-Lyon1, INSA de Lyon, Université de Lyon, Villeurbanne, France
| | - Salem Hannoun
- CREATIS, CNRS UMR 5220 & INSERM U1294, Université Claude Bernard-Lyon1, INSA de Lyon, Université de Lyon, Villeurbanne, France
- Medical Imaging Sciences Program, Division of Health Professions, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Claudio Stamile
- CREATIS, CNRS UMR 5220 & INSERM U1294, Université Claude Bernard-Lyon1, INSA de Lyon, Université de Lyon, Villeurbanne, France
| | - Jérôme Redoute
- CERMEP-Imagerie du Vivant, Université de Lyon, Bron, France
| | - Francois Cotton
- CREATIS, CNRS UMR 5220 & INSERM U1294, Université Claude Bernard-Lyon1, INSA de Lyon, Université de Lyon, Villeurbanne, France
- Service de Radiologie, Center Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Bénite, France
| | - Patrice Revol
- Service de Médecine Physique et Réadaptation, Plateforme Mouvement et Handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Pierre-Bénite, France
- CRNL (Lyon Neuroscience Research Center, Trajectoires Team), INSERM U1028 & CNRS UMR 5292, Université Claude Bernard-Lyon 1, Bron, France
| | - Nathalie Andre-Obadia
- Service de Neurologie Fonctionnelle et Epileptologie, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, Bron, France
- CRNL (Lyon Neuroscience Research Center, NeuroPain Team), INSERM U1028 & CNRS UMR 5292, University Claude Bernard-Lyon 1, Bron, France
| | - Jacques Luaute
- Service de Médecine Physique et Réadaptation, Plateforme Mouvement et Handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Pierre-Bénite, France
- CRNL (Lyon Neuroscience Research Center, Trajectoires Team), INSERM U1028 & CNRS UMR 5292, Université Claude Bernard-Lyon 1, Bron, France
| | - Gilles Rode
- Service de Médecine Physique et Réadaptation, Plateforme Mouvement et Handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Pierre-Bénite, France
- CRNL (Lyon Neuroscience Research Center, Trajectoires Team), INSERM U1028 & CNRS UMR 5292, Université Claude Bernard-Lyon 1, Bron, France
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Leblanc P, Occelli P, Etienne J, Rode G, Colin C. Assessing the implementation of community-based learning in public health: a mixed methods approach. BMC Med Educ 2022; 22:40. [PMID: 35039020 PMCID: PMC8764809 DOI: 10.1186/s12909-021-03098-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 12/29/2021] [Indexed: 05/20/2023]
Abstract
BACKGROUND The French government has set up a community-based learning programme on health promotion for undergraduate health students to involve them in key public health objectives. At the University of Lyon, students first underwent formal instruction, including e-learning, lectures, and interactive seminars, and then became health educators for school pupils. The main objective of the present study was to assess the process of implementing this programme during the 2018-2019 academic year. METHODS The satisfaction and perception of medical and midwife students with community-based learning experiences were assessed by a questionnaire, semi-directive interviews, and observations. Replies to the questionnaire were described by median and interquartile range or by proportion. A paired Wilcoxon-Mann-Whitney test was used to compare self-evaluated students' competence scores before and after the seminars (alpha risk of 5%). Thematic analyses using grounded theory were performed on recorded and transcribed interviews, and on transcribed notes taken during the observations. RESULTS Over time the students have evolved from a negative perception of the community-based learning to a positive one. The students were mostly satisfied by interactive seminars that allowed them to gain confidence and competencies in health education. Their involvement in the programme increased their self-esteem. They became more aware of their educative responsibilities regarding public health issues as future professionals. CONCLUSIONS The students had a positive perception of the implementation of a community-based learning programme in our University, as it appeared a pertinent strategy to raise their awareness of prevention and health education issues.
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Affiliation(s)
- Pierre Leblanc
- Direction Qualité Usagers et Santé Populationnelle (DQUSP), Hospices Civils de Lyon, Lyon, France.
- Research On Healthcare Performance (RESHAPE), Université Claude Bernard Lyon 1, INSERM U1290, Lyon, France.
| | - Pauline Occelli
- Research On Healthcare Performance (RESHAPE), Université Claude Bernard Lyon 1, INSERM U1290, Lyon, France
- Pôle de Santé Publique, Hospices Civils de Lyon, Lyon, France
| | - Jerome Etienne
- Faculté de Médecine Lyon Est, Université Claude Bernard, Lyon 1, Lyon, France
| | - Gilles Rode
- Faculté de Médecine Lyon Est, Université Claude Bernard, Lyon 1, Lyon, France
| | - Cyrille Colin
- Research On Healthcare Performance (RESHAPE), Université Claude Bernard Lyon 1, INSERM U1290, Lyon, France
- Service d'Evaluation Economique en Santé Pôle de Santé Publique, Hospices Civils de Lyon, Lyon, France
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13
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Charvolin L, Rippert P, Roche S, Rabilloud M, Morard MD, Marco JD, Dinomais M, Pouyfaucon M, Gimat R, Perennou D, Houx L, Iwaz J, Rode G, Vuillerot C. Determining the inter-rater reliability of the SOFMER Activity Score (version 2) for subjects in rehabilitation centers. Arch Phys Med Rehabil 2021; 103:1122-1130. [PMID: 34890563 DOI: 10.1016/j.apmr.2021.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 11/03/2021] [Accepted: 11/09/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To assess the inter-rater reliability of the SOFMER Activity Score (SAS, version 2, an 8-item -4 motor and 4 cognitive- and 5-level scale) and improve its scoring system before conducting further validation steps. DESIGN Cross-sectional, prospective, observational, non-interventional, and multicentric study. SETTING The study was conducted between November 2018 and September 2019 in four French rehabilitation centers (two public university hospitals for adults and two private not-for-profit rehabilitation centers for children). PARTICIPANTS The study included 101 subjects (mean age: 44.5 years; SD: 25.4; 28.7% under 18 and 18.8% over 65). The female/male sex ratio was 0.6. The causes for admission to the center were mainly neurological (65%) or orthopedic (24%). INTERVENTIONS None. MAIN OUTCOME MEASURE Activity limitation was rated with the SOFMER Activity Score the same day by two independent multidisciplinary teams. The inter-rater reliabilities of the Score items were assessed using weighted kappa coefficients. RESULTS All weighted kappa coefficients ranged between 0.83 and 0.92 indicating 'good' to 'excellent' inter-rater reliability. Inter-team score disagreements occurred in 227 scores out of 808 (28%). The reason for most disagreements was unnoticed human or material aid during the observation period. CONCLUSION The results demonstrate the high inter-rater reliability of the SASv2 and allow carrying out further validation steps after minor changes to item scoring instructions and clearer definitions of some items that help improving scoring standardization. The SASv2 may then become a consistent measure of activity level for clinical research or burden of care investigations.
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Affiliation(s)
- Lorraine Charvolin
- Service de Médecine Physique et de Réadaptation Pédiatrique (L'Escale), Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron, France.
| | - Pascal Rippert
- Service Recherche et Épidémiologie Clinique, Pôle santé publique, Hospices Civils de Lyon, Lyon, France
| | - Sylvain Roche
- Université de Lyon, Lyon, France; Université Lyon 1, Villeurbanne, France; Hospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique-Bioinformatique, Lyon, France; CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive, Équipe Biostatistique-Santé, Villeurbanne, France
| | - Muriel Rabilloud
- Université de Lyon, Lyon, France; Université Lyon 1, Villeurbanne, France; Hospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique-Bioinformatique, Lyon, France; CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive, Équipe Biostatistique-Santé, Villeurbanne, France
| | - Marie-Doriane Morard
- Service de Médecine Physique et de Réadaptation Pédiatrique (L'Escale), Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron, France
| | - Julie Di Marco
- Service de Médecine Physique et Réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Mickael Dinomais
- Département de Médecine Physique et Rééducation, Centre Hospitalier Universitaire, Angers, France
| | - Margaux Pouyfaucon
- Service Médecine Physique et Rééducation Fonctionnelle, Centre Hospitalier Universitaire d'Angers, Angers, France; Centre de Rééducation et de Réadaptation Fonctionnelles Les Capucins, Angers, France; Service de Rééducation, Centre Hospitaliser de Cholet, Cholet, France
| | - Rémi Gimat
- Service Rééducation Neurologique, Hôpital Sud Centre Hospitalier Universitaire de Grenoble-Alpes, Echirolles, France; Laboratoire de Psychologie et Neurocognition (LPNC), Université Grenoble-Alpes, Grenoble, France
| | - Dominique Perennou
- Service Rééducation Neurologique, Hôpital Sud Centre Hospitalier Universitaire de Grenoble-Alpes, Echirolles, France; Laboratoire de Psychologie et Neurocognition (LPNC), Université Grenoble-Alpes, Grenoble, France
| | - Laetitia Houx
- Service de Médecine Physique et de Réadaptation, Centre Hospitalier Régional et Universitaire de Brest, Brest, France; Inserm UMR 1101, Laboratoire de Traitement de l'Information Médicale (LaTIM), Brest, France; Service de Médecine Physique et de Réadaptation Pédiatrique, Fondation Ildys, Brest. France
| | - Jean Iwaz
- Université de Lyon, Lyon, France; Université Lyon 1, Villeurbanne, France; Hospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique-Bioinformatique, Lyon, France; CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive, Équipe Biostatistique-Santé, Villeurbanne, France
| | - Gilles Rode
- Service de Médecine Physique et Réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France; Integrative, Multisensory, Perception, Action and Cognition Team (IMPACT), Centre de Recherche en Neurosciences de Lyon (Inserm UMR-S, 1028, CNRS UMR 5292, Université Lyon 1, Université Saint-Etienne), Bron, France
| | - Carole Vuillerot
- Service de Médecine Physique et de Réadaptation Pédiatrique (L'Escale), Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron, France; Institut Neuromyogène, CNRS UMR 5310 - INSERM U1217, Université de Lyon, Lyon, France
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Hugues A, Guinet-Lacoste A, Bin S, Villeneuve L, Lunven M, Pérennou D, Giraux P, Foncelle A, Rossetti Y, Jacquin-Courtois S, Luauté J, Rode G. Effects of prismatic adaptation on balance and postural disorders in patients with chronic right stroke: protocol for a multicentre double-blind randomised sham-controlled trial. BMJ Open 2021; 11:e052086. [PMID: 34819284 PMCID: PMC8614142 DOI: 10.1136/bmjopen-2021-052086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Accepted: 10/21/2021] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Patients with right stroke lesion have postural and balance disorders, including weight-bearing asymmetry, more pronounced than patients with left stroke lesion. Spatial cognition disorders post-stroke, such as misperceptions of subjective straight-ahead and subjective longitudinal body axis, are suspected to be involved in these postural and balance disorders. Prismatic adaptation has showed beneficial effects to reduce visuomotor disorders but also an expansion of effects on cognitive functions, including spatial cognition. Preliminary studies with a low level of evidence have suggested positive effects of prismatic adaptation on weight-bearing asymmetry and balance after stroke. The objective is to investigate the effects of this intervention on balance but also on postural disorders, subjective straight-ahead, longitudinal body axis and autonomy in patients with chronic right stroke lesion. METHODS AND ANALYSIS In this multicentre randomised double-blind sham-controlled trial, we will include 28 patients aged from 18 to 80 years, with a first right supratentorial stroke lesion at chronic stage (≥12 months) and having a bearing ≥60% of body weight on the right lower limb. Participants will be randomly assigned to the experimental group (performing pointing tasks while wearing glasses shifting optical axis of 10 degrees towards the right side) or to the control group (performing the same procedure while wearing neutral glasses without optical deviation). All participants will receive a 20 min daily session for 2 weeks in addition to conventional rehabilitation. The primary outcome will be the balance measured using the Berg Balance Scale. Secondary outcomes will include weight-bearing asymmetry and parameters of body sway during static posturographic assessments, as well as lateropulsion (measured using the Scale for Contraversive Pushing), subjective straight-ahead, longitudinal body axis and autonomy (measured using the Barthel Index). ETHICS AND DISSEMINATION The study has been approved by the ethical review board in France. Findings will be submitted to peer-reviewed journals relative to rehabilitation or stroke. TRIAL REGISTRATION NUMBER NCT03154138.
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Affiliation(s)
- Aurélien Hugues
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Amandine Guinet-Lacoste
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Sylvie Bin
- Service de Recherche Clinique et Epidémiologique, Pôle de Santé Publique, Hospices Civils de Lyon, Lyon, France
| | - Laurent Villeneuve
- Service de Recherche Clinique et Epidémiologique, Pôle de Santé Publique, Hospices Civils de Lyon, Lyon, France
- EMR 3738, Université Lyon 1, Villeurbanne, France
| | - Marine Lunven
- Département d'Etudes Cognitives, École normale supérieure, PSL University, Paris, France
- Hôpital Henri Mondor-Albert Chenevier, Centre de référence Maladie de Huntington, Service de Neurologie, AP-HP, Créteil, France
- INSERM U955, Institut Mondor de Recherche Biomédicale, Equipe NeuroPsychologie Interventionnelle, Université Paris Est Créteil, Créteil, France
| | - Dominic Pérennou
- Département de médecine physique et de réadaptation, Institut de rééducation, Hôpital sud, Centre Hospitalier Universitaire Grenoble-Alpes, Grenoble, France
- Laboratoire Neurosciences Cognitives, CNRS UMR5105, Université Grenoble Alpes, Grenoble, France
| | - Pascal Giraux
- Service de médecine physique et réadaptation, Hôpital Bellevue, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France
- Laboratoire Inter-universitaire de Biologie de la Motricité (LIBM, EA 7424), Université Jean Monnet Saint-Etienne, Université de Lyon, Saint-Etienne, France
| | - Alexandre Foncelle
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
| | - Yves Rossetti
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Sophie Jacquin-Courtois
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Jacques Luauté
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Gilles Rode
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
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Ribault S, Adham A, Cotton F, Arsenault L, Delporte L, Chatron N, Lesca G, Edery P, Rode G. Natural history of spasticity in a case of a novel RAB3GAP2 mutation: Gait analysis with cortico-spinal tract imaging. Ann Phys Rehabil Med 2021; 65:101597. [PMID: 34718193 DOI: 10.1016/j.rehab.2021.101597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 06/18/2021] [Accepted: 10/04/2021] [Indexed: 10/19/2022]
Affiliation(s)
- Shams Ribault
- Service de Médecine Physique et Réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France; Centre de Recherche en Neurosciences de Lyon (CRNL), Trajectoires Team, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Plate-forme "Mouvement et Handicap", Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Bron, Saint-Genis-Laval, France; Neuromyogen Institute, Université de Lyon, Université Lyon 1, CNRS UMR 5310, INSERM U1217, Lyon, France.
| | - Ahmed Adham
- Service de Médecine Physique et Réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France; Centre de Recherche en Neurosciences de Lyon (CRNL), Trajectoires Team, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Plate-forme "Mouvement et Handicap", Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Bron, Saint-Genis-Laval, France
| | - François Cotton
- Service de Radiologie, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Bénite, France; Université de Lyon, INSA-Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, Pierre-Bénite F-69495, France
| | - Lisette Arsenault
- Service de Médecine Physique et Réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France; Centre de Recherche en Neurosciences de Lyon (CRNL), Trajectoires Team, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Plate-forme "Mouvement et Handicap", Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Bron, Saint-Genis-Laval, France
| | - Ludovic Delporte
- Service de Médecine Physique et Réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France; Centre de Recherche en Neurosciences de Lyon (CRNL), Trajectoires Team, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Plate-forme "Mouvement et Handicap", Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Bron, Saint-Genis-Laval, France
| | - Nicolas Chatron
- Neuromyogen Institute, Université de Lyon, Université Lyon 1, CNRS UMR 5310, INSERM U1217, Lyon, France; Université de Lyon, Université Lyon 1, Groupement Hospitalier Est, service de génétique, Hospices Civils de Lyon, Lyon, France
| | - Gaetan Lesca
- Neuromyogen Institute, Université de Lyon, Université Lyon 1, CNRS UMR 5310, INSERM U1217, Lyon, France; Université de Lyon, Université Lyon 1, Groupement Hospitalier Est, service de génétique, Hospices Civils de Lyon, Lyon, France
| | - Patrick Edery
- Université de Lyon, Université Lyon 1, Groupement Hospitalier Est, service de génétique, Hospices Civils de Lyon, Lyon, France; Université de Lyon, Université Lyon 1, Équipe de recherche GENétique des anomalies du neuroDEVeloppement (GENDEV), Centre de Recherche en Neurosciences de Lyon, Lyon, France
| | - Gilles Rode
- Service de Médecine Physique et Réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France; Centre de Recherche en Neurosciences de Lyon (CRNL), Trajectoires Team, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Plate-forme "Mouvement et Handicap", Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Bron, Saint-Genis-Laval, France
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Nanette P, Ribault S, Peyrot S, Villa V, Ritou I, Coiffet M, Al Gholam C, Jarraud S, Laurent F, Rode G. Medical student engagement in a massive COVID-19-screening programme. Med Educ 2021; 55:1299-1300. [PMID: 34455621 PMCID: PMC8661680 DOI: 10.1111/medu.14620] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Accepted: 08/05/2021] [Indexed: 06/13/2023]
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17
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Mateo S, Bergeron V, Cheminon M, Guinet-Lacoste A, Pouget MC, Jacquin-Courtois S, Luauté J, Nazare JA, Simon C, Rode G. Functional electrical stimulation-cycling favours erectus position restoration and walking in patients with critical COVID-19. A proof-of-concept controlled study. Ann Phys Rehabil Med 2021; 64:101516. [PMID: 33895378 PMCID: PMC8062401 DOI: 10.1016/j.rehab.2021.101516] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 02/17/2021] [Accepted: 04/05/2021] [Indexed: 10/25/2022]
Affiliation(s)
- Sébastien Mateo
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, 69676 Lyon, France; Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Plate-forme Mouvement et Handicap, 69000 Lyon, France.
| | - Vance Bergeron
- École Normale Supérieure de Lyon, CNRS UMR5672, 69007 Lyon, France
| | - Maxime Cheminon
- Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Plate-forme Mouvement et Handicap, 69000 Lyon, France
| | - Amandine Guinet-Lacoste
- Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Plate-forme Mouvement et Handicap, 69000 Lyon, France
| | - Marie-Caroline Pouget
- Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Plate-forme Mouvement et Handicap, 69000 Lyon, France
| | - Sophie Jacquin-Courtois
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, 69676 Lyon, France,Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Plate-forme Mouvement et Handicap, 69000 Lyon, France
| | - Jacques Luauté
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, 69676 Lyon, France,Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Plate-forme Mouvement et Handicap, 69000 Lyon, France
| | | | - Chantal Simon
- CRNH-Rhône-Alpes, Hospices Civils de Lyon, 69600 Oullins, France,CARMEN INSERM U1060, University Lyon 1, INRA U1235, 69600 Oullins, France
| | - Gilles Rode
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Trajectoires Team, 69676 Lyon, France,Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Plate-forme Mouvement et Handicap, 69000 Lyon, France
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Toba MN, Pagliari C, Rabuffetti M, Nighoghossian N, Rode G, Cotton F, Spinazzola L, Baglio F, Migliaccio R, Bartolomeo P. Quantitative Assessment of Motor Neglect. Stroke 2021; 52:1618-1627. [PMID: 33657852 DOI: 10.1161/strokeaha.120.031949] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- Monica N Toba
- Sorbonne Université, Inserm U 1127, CNRS UMR 7225, Paris Brain Institute, ICM, Hôpital de la Pitié-Salpêtrière, France (M.N.T., R.M., P.B.).,Laboratory of Functional Neurosciences (UR UPJV 4559), University of Picardy Jules Verne and University Hospital of Amiens, France (M.N.T.)
| | - Chiara Pagliari
- IRCCS Fondazione Don Carlo Gnocchi, Milano, Italy (C.P., M.R., F.B.)
| | - Marco Rabuffetti
- IRCCS Fondazione Don Carlo Gnocchi, Milano, Italy (C.P., M.R., F.B.)
| | - Norbert Nighoghossian
- Stroke Department, Claude Bernard University Lyon 1, Laboratoire CarMeN, Inserm U 1060, Université Lyon 1, INRA U 1397, INSA Lyon, Hospices Civils de Lyon, France (N.N.)
| | - Gilles Rode
- Service de médecine physique et réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, 69610 Pierre-Bénite, France (G.R.).,Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, Claude Bernard University Lyon 1, Bron, France (G.R.).,Claude Bernard University Lyon 1, 69008 Lyon, France (G.R.)
| | - François Cotton
- Laboratoire CREATIS, CNRS UMR 5220, Inserm U 1206, INSA-Lyon, Claude Bernard University Lyon 1, Lyon, France (F.C.).,Service de Radiologie, Centre Hospitalier de Lyon Sud, Hospices Civils de Lyon, France (F.C.)
| | | | - Francesca Baglio
- IRCCS Fondazione Don Carlo Gnocchi, Milano, Italy (C.P., M.R., F.B.)
| | - Raffaella Migliaccio
- Sorbonne Université, Inserm U 1127, CNRS UMR 7225, Paris Brain Institute, ICM, Hôpital de la Pitié-Salpêtrière, France (M.N.T., R.M., P.B.).,Institut de la Mémoire et de la Maladie d'Alzheimer (IM2A), Hôpital Pitié-Salpêtrière, Paris, France (R.M.).,FrontLab, ICM, Paris, France (R.M.)
| | - Paolo Bartolomeo
- Sorbonne Université, Inserm U 1127, CNRS UMR 7225, Paris Brain Institute, ICM, Hôpital de la Pitié-Salpêtrière, France (M.N.T., R.M., P.B.)
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Leaune E, Rey-Cadilhac V, Oufker S, Grot S, Strowd R, Rode G, Crandall S. Medical students attitudes toward and intention to work with the underserved: a systematic review and meta-analysis. BMC Med Educ 2021; 21:129. [PMID: 33627102 PMCID: PMC7905612 DOI: 10.1186/s12909-021-02517-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 01/26/2021] [Indexed: 06/10/2023]
Abstract
BACKGROUND Experts in the field of medical education emphasized the need for curricula that improve students' attitudes toward the underserved. However, some studies have shown that medical education tends to worsen these attitudes in students. We aimed at systematically reviewing the literature assessing the change in medical students' attitudes toward the underserved and intention to work with the underserved throughout medical education, the sociodemographic and educational factors associated with favorable medical student attitudes toward and/or intention to work with the underserved and the effectiveness of educational interventions to improve medical student attitudes toward and/or intention to work with the underserved. METHOD We conducted a systematic review on MEDLINE, Scopus, and Web of Science databases. Three investigators independently conducted the electronic search. We assessed the change in medical students attitudes toward the underserved by computing a weighted mean effect size of studies reporting scores from validated scales. The research team performed a meta-analysis for the sociodemographic and educational factors associated with medical students attitudes toward and/or intention to work with the underserved. RESULTS Fifty-five articles met the inclusion criteria, including a total of 109,647 medical students. The average response rate was 73.2%. Most of the studies were performed in the USA (n = 45). We observed a significant decline of medical students attitudes toward the underserved throughout medical education, in both US and non-US studies. A moderate effect size was observed between the first and fourth years (d = 0.51). Higher favorable medical students attitudes toward or intention to work with the underserved were significantly associated with female gender, being from an underserved community or ethnic minority, exposure to the underserved during medical education and intent to practice in primary care. Regarding educational interventions, the effectiveness of experiential community-based learning and curricula dedicated to social accountability showed the most positive outcome. CONCLUSIONS Medical students attitudes toward the underserved decline throughout medical education. Educational interventions dedicated to improving the attitudes or intentions of medical students show encouraging but mixed results. The generalizability of our results is impeded by the high number of studies from the global-North included in the review.
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Affiliation(s)
- Edouard Leaune
- Faculté de Médecine Lyon-Est, Université de Lyon, Lyon, France.
- Centre Hospitalier le Vinatier, 95 boulevard Pinel BP 300 39 -, 69 678, Bron cedex, France.
- INSERM, U1028; CNRS, UMR5292, Lyon Neuroscience Research Center, F-69000, Lyon, France.
| | | | - Safwan Oufker
- Faculté de Médecine Lyon-Est, Université de Lyon, Lyon, France
| | - Stéphanie Grot
- Centre de recherche, Institut Universitaire en Santé Mentale de Montréal, Montreal, Canada
| | - Roy Strowd
- Wake Forrest School of Medicine, Winston-Salem, North Carolina, USA
| | - Gilles Rode
- Faculté de Médecine Lyon-Est, Université de Lyon, Lyon, France
- INSERM, U1028; CNRS, UMR5292, Lyon Neuroscience Research Center, F-69000, Lyon, France
| | - Sonia Crandall
- Wake Forrest School of Medicine, Winston-Salem, North Carolina, USA
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Khettar S, Jacquin Courtois S, Luaute J, Decullier E, Bin S, Dupuis M, Derex L, Mechtouff L, Nighoghossian N, Dussart C, Rode G, Janoly-Dumenil A. Multiprofessional intervention to improve adherence to medication in stroke patients: a study protocol for a randomised controlled trial (ADMED AVC study). Eur J Hosp Pharm 2020; 29:169-175. [PMID: 32978218 PMCID: PMC9047932 DOI: 10.1136/ejhpharm-2020-002425] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Revised: 07/17/2020] [Accepted: 07/21/2020] [Indexed: 12/26/2022] Open
Abstract
INTRODUCTION Adherence to secondary preventive medications is often suboptimal in patients with stroke, exposing them to an increased risk of recurrent cerebral and/or cardiovascular events. Effective actions in the long term to improve adherence to medication are needed. The study will evaluate the efficacy of a collaborative multiprofessional patient-centred intervention conducted by a pharmacist on adherence to secondary preventive medication in stroke survivors. METHODS AND ANALYSIS This is a multicentre cluster-randomised controlled trial. Two groups of 91 patients (intervention vs standard care) will be recruited. The clinical pharmacist intervention targeting secondary preventive medication will consist of three parts over 1 year: (1) an individual semi-structured interview at hospital discharge; (2) follow-up telephone interviews at 3, 6 and 9 months after discharge; and (3) a final individual semi-structured interview 1 year after discharge. Information on patient follow-up will be shared with the general practitioner and the community pharmacist by sending a report of each interview. The primary outcome is adherence to medication during the 12 months after hospital discharge, assessed using a composite endpoint: the medication possession ratio associated with a self-administered questionnaire. ETHICS AND DISSEMINATION The local ethics committee, the national committee for use of personal data in medical research and the national data protection agency approved the study. The sponsor has no role in study design; collection, analysis and interpretation of data; or report writing. DISCUSSION This pharmacist-led educational programme has the potential to significantly improve adherence to medication in stroke survivors which could lead to a decrease in recurrent cerebral and/or cardiovascular events. TRIAL REGISTRATION NUMBER NCT02611440.
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Affiliation(s)
- Sophie Khettar
- Department of Pharmacy, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France .,EA 4129 P2S Parcours Santé Systémique, Claude Bernard University Lyon 1, Lyon, France
| | - Sophie Jacquin Courtois
- Physical medicine and rehabilitation department, Henry Gabrielle Hospital, Hospices Civils de Lyon, Saint-Genis-Laval, France.,INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, Claude Bernard University Lyon 1, Bron, France
| | - Jacques Luaute
- Physical medicine and rehabilitation department, Henry Gabrielle Hospital, Hospices Civils de Lyon, Saint-Genis-Laval, France.,INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, Claude Bernard University Lyon 1, Bron, France
| | - Evelyne Decullier
- Public Health Center, Research and Clinical Epidemiology, Hospices Civils de Lyon, Lyon, France
| | - Sylvie Bin
- Public Health Center, Research and Clinical Epidemiology, Hospices Civils de Lyon, Lyon, France
| | - Marine Dupuis
- Public Health Center, Research and Clinical Epidemiology, Hospices Civils de Lyon, Lyon, France
| | - Laurent Derex
- EA 7425 HESPER Health Services and Performance Research, Claude Bernard University Lyon1, Lyon, France.,Stroke center, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Bron, France
| | - Laura Mechtouff
- Stroke center, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Bron, France.,INSERM U1060, CarMeN laboratory, Claude bernard University Lyon 1, Villeurbanne, France
| | - Norbert Nighoghossian
- Stroke center, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Bron, France.,INSERM U1044, CNRS UMR 5220, CREATIS, Claude Bernard University Lyon 1, Villeurbanne, France
| | - Claude Dussart
- EA 4129 P2S Parcours Santé Systémique, Claude Bernard University Lyon 1, Lyon, France
| | - Gilles Rode
- Physical medicine and rehabilitation department, Henry Gabrielle Hospital, Hospices Civils de Lyon, Saint-Genis-Laval, France.,INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, Claude Bernard University Lyon 1, Bron, France
| | - Audrey Janoly-Dumenil
- Department of Pharmacy, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.,EA 4129 P2S Parcours Santé Systémique, Claude Bernard University Lyon 1, Lyon, France
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21
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Mateo S, Di Marco J, Cucherat M, Gueyffier F, Rode G. Inconclusive efficacy of intervention on upper-limb function after tetraplegia: A systematic review and meta-analysis. Ann Phys Rehabil Med 2020; 63:230-240. [DOI: 10.1016/j.rehab.2019.05.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 04/21/2019] [Accepted: 05/06/2019] [Indexed: 01/01/2023]
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22
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Hugues A, Di Marco J, Bonan I, Rode G, Cucherat M, Gueyffier F. Publication language and the estimate of treatment effects of physical therapy on balance and postural control after stroke in meta-analyses of randomised controlled trials. PLoS One 2020; 15:e0229822. [PMID: 32150596 PMCID: PMC7062257 DOI: 10.1371/journal.pone.0229822] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Accepted: 02/05/2020] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Findings regarding the impact of language bias on treatment effect estimates (TEE) are conflicting, and very few studies have assessed these impacts in rehabilitation. The purpose was to compare TEE between studies published in non-English language (SPNEL) and those published in English language (SPEL) included in a previously published meta-analysis assessing the effects of physical therapy on balance and postural control after stroke. METHODS Six databases were searched until January 2019. Two independent reviewers selected randomised trials, extracted data, and assessed risk of bias. We conducted subgroup meta-analyses according to the language of study publication, then compared TEE between SPEL and SPNEL subgroups by using a random-effects meta-regression model. RESULTS From 13,123 records, 132 SPEL (n = 5219) and 13 SPNEL (n = 693) were included. SPNEL had a weight in the pooled estimate (8.2%) significantly lower than SPEL (91.8%; p<0.001). Compared to SPEL, SPNEL had both significantly worse methodological quality (p = 0.002) and quality of reporting for blinding of outcome assessment (p<0.001); and a significantly worse quality of reporting for incomplete outcome data (p<0.001). SPNEL had a significantly worse precision (i.e. inverse of variance) of TEE than SPEL (p = 0.005). Overall, the TEE was not significantly different between SPNEL and SPEL (standardised mean difference -0.16, 95% confidence interval [-0.53; 0.22], heterogeneity I2 = 78%). However, when PT was compared to sham treatment or usual care, SPNEL significantly over-estimated treatment effects (SMD -0.68, 95%CI [-1.03; -0.33], I2 = 39%) compared to SPEL. Restriction of the search to SPEL only did not change the direction of TEE for 8 out of 9 comparisons. CONCLUSIONS SPNEL had a worse methodological quality than SPEL and were likely to over-estimate treatment effect. If inclusion of SPNEL in a systematic review is considered to be relevant, the impact of such studies on TEE should be explored by sensitivity analyses to ensure the findings validity.
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Affiliation(s)
- Aurélien Hugues
- Service de Médecine Physique et Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Plate-forme “Mouvement et Handicap”, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Equipe “ImpAct”, Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- * E-mail:
| | - Julie Di Marco
- Service de Rééducation Neurologique, SSR Val Rosay, Saint-Didier-au-Mont-D’Or, France
| | - Isabelle Bonan
- Service de Médecine Physique et de Réadaptation, CHU Rennes, Rennes, France
- Equipe EMPENN, Inserm Unité U746, Université Rennes 1, Rennes, France
| | - Gilles Rode
- Service de Médecine Physique et Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Plate-forme “Mouvement et Handicap”, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Equipe “ImpAct”, Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
| | - Michel Cucherat
- UMR 5558 CNRS Lyon, Université de Lyon, Université Lyon 1, Lyon, France
- Service Hospitalo-Universitaire de Pharmaco-Toxicologie, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
| | - François Gueyffier
- UMR 5558 CNRS Lyon, Université de Lyon, Université Lyon 1, Lyon, France
- Service Hospitalo-Universitaire de Pharmaco-Toxicologie, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
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Revol P, Touil N, Havé L, Rode G, Jacquin-Courtois S, Rossetti Y. Prisms adaptation improves haptic object discrimination in hemispatial neglect. Cortex 2019; 123:152-161. [PMID: 31790943 DOI: 10.1016/j.cortex.2019.10.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Revised: 01/25/2019] [Accepted: 10/14/2019] [Indexed: 10/25/2022]
Abstract
Neglect manifestations are typically explored in the visual modality. Although they are less commonly investigated tactile deficits also exist, and the aim of this study was to explore neglect in this modality. A haptic object discrimination task was designed to assess whether or not shape perception is impaired in seven right brain damaged patients with or without neglect. Each patient's performance on the object discrimination task was assessed before and after a brief period of prism adaptation, a bottom-up rehabilitation technique known to improve neglect symptoms. The results suggest that a haptic deficit - in the form of substantially more left errors - is present only in patients with neglect. Following prism adaptation, the left bias error rates in neglect patients were substantially reduced, and were similar to those observed in patients without neglect. Moreover, the haptic processing of the right side of objects also improved slightly. This finding suggests an expansion of the effects of prism adaptation to the unexposed, tactile modality supporting the cross-modal central effect hypothesis.
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Affiliation(s)
- Patrice Revol
- Plate-forme 'Mouvement et Handicap', Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France; Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, Université Lyon-1, Bron, France.
| | - Nathalie Touil
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, Université Lyon-1, Bron, France
| | | | - Gilles Rode
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, Université Lyon-1, Bron, France
| | - Sophie Jacquin-Courtois
- Service de Rééducation Neurologique, Hôpital Henry Gabrielle, Hospices Civils de Lyon et Université Claude Bernard, Lyon, France
| | - Yves Rossetti
- Plate-forme 'Mouvement et Handicap', Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France; Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, Université Lyon-1, Bron, France
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Lunven M, Rode G, Bourlon C, Duret C, Migliaccio R, Chevrillon E, Thiebaut de Schotten M, Bartolomeo P. Anatomical predictors of successful prism adaptation in chronic visual neglect. Cortex 2019; 120:629-641. [DOI: 10.1016/j.cortex.2018.12.004] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2018] [Revised: 09/12/2018] [Accepted: 12/01/2018] [Indexed: 11/29/2022]
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25
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Della Vecchia C, Viprey M, Haesebaert J, Termoz A, Giroudon C, Dima A, Rode G, Préau M, Schott AM. Contextual determinants of participation after stroke: a systematic review of quantitative and qualitative studies. Disabil Rehabil 2019; 43:1786-1798. [PMID: 31646906 DOI: 10.1080/09638288.2019.1679897] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE From a patient's perspective, participation is a major determinant of quality of life. We aimed to review contextual factors, both personal and environmental, potentially associated with post-stroke participation. METHODS PubMed, PsycINFO, and Web of Science were searched for original quantitative and qualitative studies that investigated contextual factors of post-stroke participation, measured participation as the primary outcome, and met inclusion criteria. RESULTS Socio-demographic determinants were mostly unrelated with participation or showed discordant and inconclusive results. Although less investigated, psychosocial/psychological factors, particularly self-esteem and acceptance, were associated with participation in most studies. Motivation was found in qualitative studies, but discordant in quantitative ones. Environmental factors were even less investigated and mainly in qualitative studies among patients with communication disabilities. Among these, social support and attitude of others appeared to be major determinants of participation as well as physical environment and societal environment (services and polices). CONCLUSIONS Personal factors, particularly psychological and psychosocial factors, were identified as positively associated with post-stroke participation. Environmental factors such as support, relationships, and positive attitudes towards patients were major facilitators of participation as well as physical environment and accessibility to appropriate services. Most of these factors are modifiable and should be addressed to improve patient participation.Implications for RehabilitationPsychosocial factors (motivational aspects, acceptance of a new condition, self-esteem) and environmental factors (social support, attitudes towards the patient, physical environment, access to health, social services and policies) were identified as determinants of post-stroke participation.A structured evaluation of determinants of participation may be used in clinical practice to propose appropriate support and then improve patients' recoveryPrograms to improve patients' psychosocial skills such as self-esteem, acceptance, motivation should be tested and implemented, and policies to develop appropriate services accessibility should be encouraged.
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Affiliation(s)
- Claire Della Vecchia
- Université Claude Bernard Lyon 1, University of Lyon, Lyon, France.,Social Psychology Research Group (EA 4163 GRePS), Lyon 2 University, Bron, France
| | - Marie Viprey
- Université Claude Bernard Lyon 1, University of Lyon, Lyon, France.,Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France
| | - Julie Haesebaert
- Université Claude Bernard Lyon 1, University of Lyon, Lyon, France.,Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France
| | - Anne Termoz
- Université Claude Bernard Lyon 1, University of Lyon, Lyon, France.,Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France
| | - Caroline Giroudon
- Central Documentation Department, Hospices Civils de Lyon, Lyon, France
| | - Alexandra Dima
- Université Claude Bernard Lyon 1, University of Lyon, Lyon, France
| | - Gilles Rode
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron, France.,Service de Médecine Physique et Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Marie Préau
- Social Psychology Research Group (EA 4163 GRePS), Lyon 2 University, Bron, France.,INSERM UMR 912 SESSTIM, Aix-Marseille Université, Marseille, France
| | - Anne-Marie Schott
- Université Claude Bernard Lyon 1, University of Lyon, Lyon, France.,Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France
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26
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Hugues A, Di Marco J, Ribault S, Ardaillon H, Janiaud P, Xue Y, Zhu J, Pires J, Khademi H, Rubio L, Hernandez Bernal P, Bahar Y, Charvat H, Szulc P, Ciumas C, Won H, Cucherat M, Bonan I, Gueyffier F, Rode G. Limited evidence of physical therapy on balance after stroke: A systematic review and meta-analysis. PLoS One 2019; 14:e0221700. [PMID: 31465462 PMCID: PMC6715189 DOI: 10.1371/journal.pone.0221700] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 08/13/2019] [Indexed: 01/08/2023] Open
Abstract
Background Stroke results in balance disorders and these directly affect autonomy and quality of life. The purpose of this systematic review and meta-analysis was to determine the efficacy of physical therapy (PT) on balance and postural control after stroke. Methods We included all randomized controlled trials assessing the efficacy of PT on balance and postural control in adult patients after stroke without language restriction. Medline, Embase/Scopus, Cochrane Central Register of Controlled Trials, PEDro, Pascal, and Francis databases were searched until January 2019. Primary outcomes were balance (Berg Balance scale and Postural Assessment Scale for Stroke) and postural control with postural deviation or stability measurement in sitting or standing static evaluation. A pair of independent reviewers selected studies, extracted data, and assessed risk of bias. Meta-analyses with subgroups (categories of PT, time post-stroke, and lesion location) and meta-regression (duration of PT) were conducted. Results A total of 145 studies (n = 5912) were selected from the 13,123 records identified. For balance, evidence was found in favor of the efficacy of functional task-training alone (standardized mean difference 0.39, 95% confidence interval [0.09; 0.68], heterogeneity I2 = 63%) or associated with musculoskeletal intervention and/or cardiopulmonary intervention (0.37, [0.19; 0.55], I2 = 48%), electrostimulation (0.91, [0.49; 1.34], I2 = 52%) immediately after intervention, compared to sham treatment or usual care (ST/UC). For postural deviation eyes open, assistive devices were more effective than no treatment (-0.21, [-0.37; -0.05], I2 = 0%) immediately after intervention; for postural stability eyes open, functional task-training and sensory interventions were more effective than ST/UC (0.97, [0.35; 1.59], I2 = 65% and 0.80, [0.46; 1.13], I2 = 37% respectively) immediately after intervention. Conclusions Functional task-training associated with musculoskeletal intervention and/or cardiopulmonary intervention and sensory interventions seem to be immediately effective in improving balance and postural stability, respectively. The heterogeneity of PT and the weak methodological quality of studies limited the interpretation and the confidence in findings.
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Affiliation(s)
- Aurélien Hugues
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Plate-forme “Mouvement et Handicap”, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Equipe “ImpAct”, Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- * E-mail:
| | - Julie Di Marco
- Assistance Publique des Hôpitaux de Paris, Université Paris Descartes, Paris, France
| | - Shams Ribault
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Plate-forme “Mouvement et Handicap”, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Hugo Ardaillon
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Plate-forme “Mouvement et Handicap”, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Perrine Janiaud
- UMR 5558 CNRS Lyon, Université de Lyon, Université Lyon 1, Lyon, France
| | - Yufeng Xue
- Université de Lyon, Université Claude Bernard Lyon 1, Université Saint-Étienne, HESPER EA 7425, Lyon, Saint-Etienne, France
| | - Jin Zhu
- Département de pharmacologie, Université Jiaotong de Shanghai, Shanghai, Chine
| | - Jennifer Pires
- Rovisco Pais Rehabilitation Centre, Tocha, Portugal
- Medicine Faculty of Oporto University, Oporto, Portugal
| | - Hooman Khademi
- International Agency for Research on Cancer, World Health Organization, Lyon, France
| | | | | | - Yeliz Bahar
- Hitit University Erol Olcok Training and Research Hospital, Corum, Turkey
| | - Hadrien Charvat
- Division of Prevention, Center for Public Health Sciences, National Cancer, Tokyo, Japan
| | - Pawel Szulc
- INSERM UMR 1033, Université de Lyon, Université Lyon 1, Hôpital Edouard Herriot, Lyon, France
| | - Carolina Ciumas
- Translational and Integrative Group in Epilepsy Research, INSERM U1028, CNRS UMR5292, Centre de Recherche en Neuroscience de Lyon, Université de Lyon, Université Lyon1, Lyon, France
- Institut des Epilepsies, Université de Lyon, Université Lyon 1, Lyon, France
- Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland
| | - Heiwon Won
- UMR 5316 Litt&Arts, Université Grenoble Alpes, Grenoble, France
- KyungHee University, Seoul, South Korea
| | - Michel Cucherat
- UMR 5558 CNRS Lyon, Université de Lyon, Université Lyon 1, Lyon, France
- Service Hospitalo-Universitaire de Pharmaco-Toxicologie, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
| | - Isabelle Bonan
- Service de médecine physique et de réadaptation, CHU Rennes, Rennes, France
- Equipe “VisAGeS”, Inserm Unité U746, Université Rennes 1, Rennes, France
| | - François Gueyffier
- UMR 5558 CNRS Lyon, Université de Lyon, Université Lyon 1, Lyon, France
- Service Hospitalo-Universitaire de Pharmaco-Toxicologie, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
| | - Gilles Rode
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Plate-forme “Mouvement et Handicap”, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Equipe “ImpAct”, Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
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Godmer M, Guinet-Lacoste A, Charvier K, Luauté J, Rode G, Soler JM, Hadiji N. [Is there any obstruction other than prostatic obstruction in Idiopathic Parkinson's Disease?]. Prog Urol 2019; 29:579-585. [PMID: 31302008 DOI: 10.1016/j.purol.2019.06.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 06/10/2019] [Accepted: 06/12/2019] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To highlight the existence of pseudo-dyssynergia in Idiopathic Parkinson's Disease (IPD) constituting a functional bladder outlet obstruction. MATERIALS AND METHODS A retrospective study was conducted by including men with a confirmed diagnose of IPD who participated in the SIROCCO rehabilitation program. Patients included clinically exhibited overactive bladder and voiding dysfunction without prostatic hypertrophy ultrasounded. They have been clinically assessed by the Urinary Symptoms Profile (USP) urinary symptom score. Bladder outlet obstruction was assessed by the pressure-flow study. Urodynamic obstruction has been quantified by the bladder obstruction index which depends on detrusor pressure at maximum flow rate and maximum flow rate. It has been defined by a BOOI>40. RESULTS The pressure-flow profile was analyzed in 5 patients who met the inclusion criteria. In this group of 5 patients with IPD, the diagnosis was made on average 10.6 years (7-14) before the pressure-flow studies were performed. Our results objectified 4 patients obstructive among 5 and one equivocal patient. A striated pseudo-dyssynergia was found in the 3 obstructive patients and associated with a smooth pseudodyssynergia in one patient. CONCLUSION We have observed, in this short series, a pseudo-dyssynergia by subjects suffering from IPD. LEVEL OF EVIDENCE 3.
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Affiliation(s)
- M Godmer
- Service de médecine physique et de réadaptation, rééducation neurologique, hôpital Henry-Gabrielle, CHU de Lyon, 69230 Saint-Genis-Laval, France; Service de MPR pédiatrique neurologique, Centre Médical Romans Ferrari, rue de la Chanal-Miribel, 01700 Miribel, France.
| | - A Guinet-Lacoste
- Hôpital Henry Gabrielle, Hospices Civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France.
| | - K Charvier
- Hôpital Henry Gabrielle, Hospices Civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Service d'urologie Pr-Alain-Ruffion, centre hospitalier Lyon Sud, Hospices Civils de Lyon, 165, chemin du Grand-Revoyet, 69310 Pierre-Bénite, France.
| | - J Luauté
- Service de médecine physique et de réadaptation, rééducation neurologique, hôpital Henry-Gabrielle, CHU de Lyon, 69230 Saint-Genis-Laval, France; Université de Lyon, université Lyon 1, 69100 Villeurbanne, France; Centre de recherche en neuroscience de Lyon (CRNL), équipe IMPACT, Inserm, U1028, CNRS, UMR5292, 69675 Bron, France.
| | - G Rode
- Service de médecine physique et de réadaptation, rééducation neurologique, hôpital Henry-Gabrielle, CHU de Lyon, 69230 Saint-Genis-Laval, France; Centre de Recherche en Neurosciences de Lyon, ImpAct Team, Institut National de la Santé et de la Recherche Médicale U1028, Centre National de la Recherche Scientifique UMR5292, Université Claude Bernard Lyon 1, Lyon, France.
| | - J M Soler
- Laboratoire de neuro-urologie et de sexologie, Centre Bouffard, Vercelli, 66290 Cerbère, France.
| | - N Hadiji
- Hôpital Henry Gabrielle, Hospices Civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Service de neuro-urologie, Centre Médical Germaine-Revel, 69440 Saint-Maurice-sur-Dargoire, France.
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Di Marco J, Lunven M, Revol P, Christophe L, Jacquin-Courtois S, Vallar G, Rode G. Regression of left hyperschematia after prism adaptation: A single case study. Cortex 2019; 119:128-140. [PMID: 31125738 DOI: 10.1016/j.cortex.2019.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2018] [Revised: 01/05/2019] [Accepted: 04/02/2019] [Indexed: 11/26/2022]
Abstract
Prism adaptation (PA) is a promising treatment in the rehabilitation of post-stroke cognitive disorders such as unilateral spatial neglect or constructional deficits. Right brain damage can bring about another representational spatial disorder, termed «hyperschematia», and defined by a left-sided disproportionate expansion of drawings by copy and from memory, and by an overestimation of left lateral extent when a leftward movement is required. This case study aimed at evaluating the effect of PA induced by prismatic lenses creating a shift to the left on hyperschematia signs. A 63-year-old woman with left hyperschematia, consecutive to a right fronto-temporo-parietal hematoma, was exposed to a leftward optical deviation produced by prismatic lenses. An anatomical MRI studied topography of the brain lesion; the patient's lesion was then mapped onto tractography reconstructions of white matter pathways. Results showed that PA significantly reduced the left-sided expansion of drawing by copy and from memory, and the overestimation of left lateral extent, immediately after prism removal and 4 days later, indicating a persistent long lasting cognitive effect. MRI showed a right hemisphere disconnection of the posterior and long segments of the arcuate fasciculus, and of the inferior longitudinal and fronto-occipital fasciculi. Overall, these findings suggest that: i) PA is effective also in hyperschematia by re-orientating spatial attention towards the right side of space, with a relative rightward PA-induced unbalance, and re-setting the spatial representation to the left side of space, contralateral to the side of the lesion; ii) the left misrepresentation of lateral extent may be related to a disconnection between visual coordinates and attentional networks to the frontal lobe.
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Affiliation(s)
- Julie Di Marco
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France; Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint Genis Laval, France
| | - Marine Lunven
- Laboratoire de Neuropsychologie Interventionnelle, Département d'études Cognitives, ENS, PSL Research University, UPEC, Université Paris-Est, CNRS, Paris, France
| | - Patrice Revol
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France; Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint Genis Laval, France
| | - Laure Christophe
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France; Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint Genis Laval, France
| | - Sophie Jacquin-Courtois
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France; Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint Genis Laval, France
| | - Giuseppe Vallar
- Dipartimento di Psicologia, Università degli studi di Milano-Bicocca, Milano, Italy; IRCCS Istituto Auxologico Italiano, Neuropsychological Laboratory, Milano, Italy
| | - Gilles Rode
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France; Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint Genis Laval, France.
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Charvolin L, Guinet-Lacoste A, Waz D, Godmer M, Rode G. [Results and compliance of transcutaneous tibial nerve stimulation on overactive bladder syndrome in patients with Parkinson's disease. Retrospective Study.]. Prog Urol 2019; 29:378-384. [PMID: 30876700 DOI: 10.1016/j.purol.2019.02.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 02/02/2019] [Accepted: 02/05/2019] [Indexed: 11/29/2022]
Abstract
PURPOSE To investigate efficiency and tolerance of transcutaneous tibial nerve stimulation (TNS) in the overactive bladder syndrome in patients with Parkinson's disease (PD), and to identify predictive factors for compliance. METHODS We conducted a retrospective monocentric study with a cohort of 17 patients with PD who have used TNS for an overactive bladder syndrome. The efficiency of the treatment was evaluated on the clinical improvement felt (rated out of ten). Patients were classified as « adopters » if they continued using TNS for at least one year after beginning the treatment or as « non adopters » if they stopped. Patients characteristics were evaluated for their predictive value for compliance with TNS. RESULTS Out of 17 patients, there were 9 women and 8 men, median age 66 years (55-77), median history for Parkinson's disease 8 years (1-22) and for urinary symptoms 3 years (1-10). Subjective efficiency was seen in 10 patients (59%), on nocturia and/or urinary incontinence for 9 patients (mean efficiency 5.75/10 and median efficiency 6.5/10). Three patients found TNS not effective, and four patients didn't use it long enough to evaluate. Two patients had side effects and stopped the TNS (feeling of electricity and restless leg syndrome). 7 patients were classified as « adopters » and 10 patients as « non adopters » after one year. Most evaluated characteristics proved not to be of predictive value for compliance with TNS except nocturia and pollakiuria (P=0.03 and P=0.05). CONCLUSION Our study seems to reveal TNS is particularly effective on nocturia and urge. Moreover, nocturia and pollakiuria appear to be predictive factors for SNT compliance. Nocturia could be a prominent symptom in SNT's prescription. But studies with more patients should be conducted for obtain better patient selection in TNS. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- L Charvolin
- Hôpital Henry-Gabriel, 69230 Saint Genis-Laval, France.
| | | | - D Waz
- Service de rééducation post-réanimation, hôpital Pierre-Wertheimer, 59, boulevard Pinel, 69677 Bron, France.
| | - M Godmer
- Centre Romans Ferrari, 01700 Miribel, France.
| | - G Rode
- Hôpital Henry-Gabriel, 69230 Saint Genis-Laval, France.
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Riquier D, Basch A, Jacquin-Courtois S, Cotton F, Rode G. L5-S1 Charcot spine induced by diffuse idiopathic skeletal hyperostosis in chronic tetraplegia: 2 cases. Ann Phys Rehabil Med 2019; 62:132-134. [DOI: 10.1016/j.rehab.2018.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 06/01/2018] [Accepted: 06/04/2018] [Indexed: 11/26/2022]
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Rode G, Vallar G, Chabanat E, Revol P, Rossetti Y. What Do Spatial Distortions in Patients' Drawing After Right Brain Damage Teach Us About Space Representation in Art? Front Psychol 2018; 9:1058. [PMID: 29997551 PMCID: PMC6028701 DOI: 10.3389/fpsyg.2018.01058] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2018] [Accepted: 06/05/2018] [Indexed: 11/13/2022] Open
Abstract
The right cerebral hemisphere plays a crucial rule in spatial cognition, spanning from perception of elementary features, such as location, color, line orientation or shape to representation of different spaces (3D space, allocentric, egocentric, face, personal, peri-personal, or imaginal). One important aspect of its contribution concerns the perception of space symmetry and the representation of objects and scenes, with reference to the midline or body axis. This representation results from a balance between spatial attention processes depending from the two hemispheres. Healthy participants tend to show a discrete deviation of the midline plane representation toward the left side, that is likely to result from the predominance of the activity of the right cerebral hemisphere, mainly oriented toward the contralateral side of space. The visuospatial abilities of the right hemisphere, especially for the representation of the midline plane are crucially engaged in painting and drawing processes in artists. Interestingly, the distortions created by painters of the Cubism period, characterized by an asymmetry of objects and body representations, a specific enlargement or reduction of parts of space, or even by complex distortions of 3D space are analogous to those classically reported in right-brain-damaged patients (unilateral spatial neglect, hyperschematia, constructional apraxia). Understanding the pathological mechanisms of these representation disorders provides meaningful information to apprehend visual artist creations and esthetic perception of space.
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Affiliation(s)
- Gilles Rode
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron, France.,Service de Médecine Physique et Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Giuseppe Vallar
- Dipartimento di Psicologia, Università degli Studi di Milano-Bicocca, Milan, Italy.,Neuropsychological Laboratory, IRCCS Istituto Auxologico Italiano, Milan, Italy
| | - Eric Chabanat
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron, France.,Service de Médecine Physique et Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Patrice Revol
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron, France.,Service de Médecine Physique et Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Yves Rossetti
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron, France.,Service de Médecine Physique et Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
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Trotry C, Rode G, Nash S. Descriptive study of post-minor stroke cognitive defects (modified ranking scale ≤ 2), impact on quality of life and return to work. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Grezard C, Bour F, Goyet F, Rioufol C, Luauté J, Courtois S, Rode G, Carré E. Retrospective study of psychotropic drugs used in neurological rehabilitation (2010–2016): Impact of a collaboration between prescribers and pharmacists. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.1114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hugues A, Di-Marco J, Janiaud P, Xue Y, Zhu J, Pires J, Khademi H, Rubio L, Hernandez Bernal P, Bahar Y, Charvat H, Szulc P, Ciumas C, Won H, Cucherat M, Bonan I, Gueyffier F, Rode G. Effects of physical therapy on postural imbalance depending on time since stroke: A meta-analysis. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Morard M, Gonzalez Monge S, Rippert P, Roche S, Bernard J, Lagauche D, Delvert C, Luauté J, Jacquin Courtois S, Caillet F, Di Marco J, Ghelfi F, Otmani S, Calmels P, Marjorie R, Joseph P, Ecochard R, Rode G, Vuillerot C. A new physical and cognitive activities score: the Sofmer activity score (SAS). The feasilibity study. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.1242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Mateo S, Reilly KT, Collet C, Rode G. Descriptive pilot study of vividness and temporal equivalence during motor imagery training after quadriplegia. Ann Phys Rehabil Med 2018; 61:300-308. [PMID: 29944923 DOI: 10.1016/j.rehab.2018.06.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Revised: 05/25/2018] [Accepted: 06/02/2018] [Indexed: 12/30/2022]
Abstract
BACKGROUND Motor imagery (MI) training is often used to improve physical practice (PP), and the functional equivalence between imagined and practiced movements is widely considered essential for positive training outcomes. OBJECTIVE We previously showed that a 5-week MI training program improved tenodesis grasp in individuals with C6-C7 quadriplegia. Here we investigated whether functional equivalence changed during the course of this training program. METHODS In this descriptive pilot study, we retrospectively analyzed data for 6 individuals with C6-C7 quadriplegia (spinal cord injured [SCI]) and 6 healthy age-matched controls who trained for 5 weeks in visual and kinesthetic motor imagery or visualization of geometric shapes (controls). Before training, we assessed MI ability by using the Kinesthetic and Visual Imagery Questionnaire (KVIQ). We analyzed functional equivalence by vividness measured on a visual analog scale (0-100) and MI/PP time ratios computed from imagined and physically practiced movement durations measured during MI training. These analyses were re-run considering that half of the participants with quadriplegia were good imagers and the other half were poor imagers based on KVIQ scores. To investigate generalization of training effects, we analyzed MI/PP ratios for an untrained pointing task before (3 baseline measures), immediately after, and 2 months after training. RESULTS During MI training, imagery vividness increased significantly. Only the good imagers evolved toward temporal equivalence during training. Good imagers were also the only participants who showed changes in temporal equivalence on the untrained pointing task. CONCLUSION This is the first study reporting improvement in functional equivalence during an MI training program that improved tenodesis grasp in individuals with C6-C7 quadriplegia. We recommend that clinical MI programs focus primarily on vividness and suggest that feedback about movement duration could potentially improve temporal equivalence, which could in turn lead to further improvement in PP.
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Affiliation(s)
- Sébastien Mateo
- Inserm U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, Université de Lyon, Université Lyon 1, 69676 Lyon, France; Plate-forme Mouvement et Handicap, Hospices Civils de Lyon, hôpital Henry Gabrielle, 69000 Lyon, France; École Normale Supérieure de Lyon, CNRS UMR5672, Université de Lyon, Université Lyon 1, 69007 Lyon, France; Laboratoire interuniversitaire de la biologie de la motricité LIBM, équipe d'Accueil 7424, Université de Lyon, Université Lyon 1, 69622 Villeurbanne cedex, France.
| | - Karen T Reilly
- Inserm U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, Université de Lyon, Université Lyon 1, 69676 Lyon, France
| | - Christian Collet
- Laboratoire interuniversitaire de la biologie de la motricité LIBM, équipe d'Accueil 7424, Université de Lyon, Université Lyon 1, 69622 Villeurbanne cedex, France
| | - Gilles Rode
- Inserm U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, Université de Lyon, Université Lyon 1, 69676 Lyon, France; Plate-forme Mouvement et Handicap, Hospices Civils de Lyon, hôpital Henry Gabrielle, 69000 Lyon, France
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Morard MD, Gonzalez-Monge S, Rippert P, Roche S, Bernard JC, Lagauche D, Delvert C, Luauté J, Jacquin-Courtois S, Caillet F, Di Marco J, Ghelfi F, Otmani S, Calmels P, Royet M, Joseph PA, Ecochard R, Rode G, Vuillerot C. Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity. Ann Phys Rehabil Med 2018; 61:315-322. [PMID: 29777770 DOI: 10.1016/j.rehab.2018.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2018] [Revised: 04/18/2018] [Accepted: 04/20/2018] [Indexed: 10/16/2022]
Abstract
OBJECTIVES For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers' activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency are not sufficiently precise. Here we describe the construction of a new tool, the SOFMER Activity Score (SAS scoring), which allows for a good description of the level of activity of patients hospitalized in RCs, and a feasibility study of the tool. METHODS After a study group proposed the first version of the SAS, the validity of its content was studied by the Delphi consensus method: 26 physicians or healthcare professionals known for their expertise in PMR responded to the first round. The feasibility study was prospective and involved multi-site professionals. Data related to the SAS determined by a multidisciplinary team were collected and compared to the Activité de la Vie Quotidienne (AVQ) scale, which is administered to all patients and included in medical and administrative data. RESULTS We included 81 patients in the feasibility study. The mean (SD) time to obtain the SAS was 4.5 (3.3) min. For 97.5% of scorings, the participating professionals judged that the SAS was compatible or fairly compatible with clinical practice. The internal structure of the SAS scale seemed better than that of the AVQ scale, for which the present study confirmed a floor effect for all items. CONCLUSIONS The SAS allows for measuring the level of physical and cognitive activity of a patient hospitalized in an RC. If validation studies for the SAS, exploring its reliability, construct validity or criterion validity, confirm the tool's good metrological qualities, the SAS will allow for a good quantification of the burden of care.
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Affiliation(s)
- M D Morard
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France; Équipe dysfonction vasculaire et hémostase (DVH), Inserm, UMR1059 Sainbiose, université de Lyon, université Jean-Monnet, 42023 Saint-Étienne, France
| | - S Gonzalez-Monge
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France
| | - P Rippert
- Pôle santé publique, service recherche et épidémiologie clinique, hospices civils de Lyon, 69003 Lyon, France
| | - S Roche
- Service de biostatistique, hospices civils de Lyon, 69003 Lyon, France
| | - J C Bernard
- CMCR des Massues - Croix Rouge française, 69005 Lyon, France
| | - D Lagauche
- Clinique IRIS, 69800 Saint Priest, France
| | - C Delvert
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France; Union RESAMUT - Pouponnière la Fougeraie, 69370 Saint-Didier-au-Mont-d'Or, France
| | - J Luauté
- Service de médecine physique et de réadaptation neurologique, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - S Jacquin-Courtois
- Service de médecine physique et réadaptation, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - F Caillet
- Service de médecine physique et réadaptation, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - J Di Marco
- Service de médecine physique et réadaptation, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - F Ghelfi
- Hospices civils de Lyon, direction centrale des soins, 69002 Lyon, France
| | - S Otmani
- Pôle santé publique, service recherche et épidémiologie clinique, hospices civils de Lyon, 69003 Lyon, France
| | - P Calmels
- Service de médecine physique et de réadaptation, CHU de Saint-Etienne, hôpital Bellevue, 42000 Saint-Etienne, France
| | - M Royet
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France
| | - P A Joseph
- Service de médecine physique et de réadaptation, CHU de Bordeaux, hôpital Saint-André et Pellegrin, pôle neurosciences cliniques, 33000 Bordeaux, France; Unité EA4136 handicap et système nerveux, université de Bordeaux 2, 33000 Bordeaux, France
| | - R Ecochard
- Service de biostatistique, hospices civils de Lyon, 69003 Lyon, France; Équipe biostatistique santé, CNRS UMR 5558, laboratoire de biométrie et biologie evolutive, 69310 Pierre-Bénite, France
| | - G Rode
- Hospices civils de Lyon, direction centrale des soins, 69002 Lyon, France; Inserm UMR-S 1028, CNRS UMR 5292, impact, centre de recherche en neurosciences de Lyon, université Lyon 1, 69000 Lyon, France
| | - C Vuillerot
- Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, L'Escale, 69500 Bron, France; Équipe biostatistique santé, CNRS UMR 5558, laboratoire de biométrie et biologie evolutive, 69310 Pierre-Bénite, France; Université Lyon I, 69100 Villeurbanne, France; Université de Lyon, 69000 Lyon, France.
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Huchon L, Badet L, Roy AC, Finos L, Gazarian A, Revol P, Bernardon L, Rossetti Y, Morelon E, Rode G, Farnè A. Grasping objects by former amputees: The visuo-motor control of allografted hands. Restor Neurol Neurosci 2018; 34:615-33. [PMID: 26890093 DOI: 10.3233/rnn-150502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
PURPOSE Hand allograft has recently emerged as a therapeutic option for upper limb amputees. Functional neuroimaging studies have progressively revealed sensorimotor cortices plasticity following both amputation and transplantation. The purpose of our study was to assess and characterize the functional recovery of the visuo-motor control of prehension in bilateral hand transplanted patients. METHODS Using kinematics recordings, we characterized the performance of prehension with or without visual feed-back for object of different position and size, in five bilateral hand allograft recipients and age-matched control subjects. Both hands were assessed, separately. RESULTS Despite an overall slower execution, allografted patients succeeded in grasping for more than 90% of the trials. They exhibited a preserved hand grip scaling according to object size, and preserved prehension performances when tested without visual feedback. These findings highlight the allograft recipients' abilities to produce an effective motor program, and a good proprioceptive-dependent online control. Nevertheless, the maximum grip aperture was reduced and delayed, the coupling between Transport and Grasp components was altered, and the final phase of the movement was lengthened. CONCLUSION Hand allotransplantation can offer recipients a good recovery of the visuo-motor control of prehension, with slight impairments likely attributable to peripheral neuro-orthopedic limitations.
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Affiliation(s)
- Laure Huchon
- ImpAct Team, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France.,Physical and Rehabilitation Medicine Department, Mouvement Handicap, Henry Gabrielle Hospital, Hospices Civils de Lyon, Lyon, France.,Claude Bernard Lyon 1 University, Lyon, France
| | - Lionel Badet
- Claude Bernard Lyon 1 University, Lyon, France.,Transplantation Surgery Department, Edouart Herriot Hospital, Hospices Civils de Lyon, Lyon, France
| | | | - Livio Finos
- Department of Statistical Sciences, University of Padova, Padova, Italy
| | - Aram Gazarian
- Orthopaedic Surgery Department, Clinique du Parc Lyon, Lyon, France
| | - Patrice Revol
- ImpAct Team, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France.,Physical and Rehabilitation Medicine Department, Mouvement Handicap, Henry Gabrielle Hospital, Hospices Civils de Lyon, Lyon, France.,Claude Bernard Lyon 1 University, Lyon, France
| | | | - Yves Rossetti
- ImpAct Team, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France.,Physical and Rehabilitation Medicine Department, Mouvement Handicap, Henry Gabrielle Hospital, Hospices Civils de Lyon, Lyon, France.,Claude Bernard Lyon 1 University, Lyon, France
| | - Emmanuel Morelon
- Claude Bernard Lyon 1 University, Lyon, France.,Nephrology and Immunology Department, Edouart Herriot Hospital, Hospices Civils de Lyon, Lyon, France
| | - Gilles Rode
- ImpAct Team, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France.,Physical and Rehabilitation Medicine Department, Mouvement Handicap, Henry Gabrielle Hospital, Hospices Civils de Lyon, Lyon, France.,Claude Bernard Lyon 1 University, Lyon, France
| | - Alessandro Farnè
- ImpAct Team, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Lyon, France.,Claude Bernard Lyon 1 University, Lyon, France
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Pérennou D, Thevenon A, Rannou F, Azouvi P, Coudeyre E, Amarenco G, Casillas JM, Nadeau S, Laffont I, Remy-Neris O, Yelnik A, Joseph PA, Rode G. An impact factor for the 60 candles of the Annals. Ann Phys Rehabil Med 2018; 61:1-4. [DOI: 10.1016/j.rehab.2017.12.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Accepted: 12/20/2017] [Indexed: 10/18/2022]
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Glize B, Lunven M, Rossetti Y, Revol P, Jacquin-Courtois S, Klinger E, Joseph PA, Rode G. Improvement of Navigation and Representation in Virtual Reality after Prism Adaptation in Neglect Patients. Front Psychol 2017; 8:2019. [PMID: 29209253 PMCID: PMC5701812 DOI: 10.3389/fpsyg.2017.02019] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 11/06/2017] [Indexed: 11/13/2022] Open
Abstract
Prism adaptation (PA) is responsible for an expansion of sensori-motor after-effects to cognitive domains for patients with spatial neglect. One important question is whether the cognitive after-effects induced by PA may also concern higher aspects of spatial cognition, such as navigation and topographic memory, which are critical in everyday life. The aim of this study was to assess whether multiple sessions of right PA can affect navigation and topographic memory. Seven right brain-damaged (RBD) patients with chronic neglect were included. We used a virtual supermarket named VAP-S which is an original paradigm, similar to the "shopping list test" during which patients had to purchase items from a list of eight products. Furthermore, in order to assess generalization of PA effects on constructing a spatial map from virtual information, each participant was then asked to draw the map of the virtual supermarket from memory. Regarding navigation performance, significant results were obtained: session duration reduction, fewer numbers of pauses and omissions, more items purchased on the left side and more items purchased over all. A long-lasting effect was noted, up to one month after PA. The representational task performance was also significantly increased for map drawing, with a reduction of the right shift of the symmetry axis of the map, more items drawn on the left side of maps and over all, and more items correctly located on the map. Some of these effects lasted for at least 7 days. These results suggest an expansion of PA benefit to a virtual environment. Crucially, the cognitive benefits induced by PA were noted for complex spatial cognition tasks required in everyday life such as navigation and topographic memory and this improvement was maintained for up to 1 month.
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Affiliation(s)
- Bertrand Glize
- Centre de Recherche en Neurosciences de Lyon, ImpAct Team, Institut National de la Santé et de la Recherche Médicale U1028, Centre National de la Recherche Scientifique UMR5292, Université Claude Bernard Lyon 1, Lyon, France.,Service de Médecine Physique et de Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Lyon, France.,EA4136, Service de Médecine Physique et de Réadaptation, CHU de Bordeaux, Université de Bordeaux, Bordeaux, France
| | - Marine Lunven
- Centre de Recherche en Neurosciences de Lyon, ImpAct Team, Institut National de la Santé et de la Recherche Médicale U1028, Centre National de la Recherche Scientifique UMR5292, Université Claude Bernard Lyon 1, Lyon, France.,Service de Médecine Physique et de Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Lyon, France.,Groupe Hospitalier Pitié-Salpêtrière, Institut National de la Santé et de la Recherche Médicale U1127, UPMC-Paris 6, Centre National de la Recherche Scientifique UMR 7225, Institut du Cerveau et de la Moelle épinière ICM, Paris, France
| | - Yves Rossetti
- Centre de Recherche en Neurosciences de Lyon, ImpAct Team, Institut National de la Santé et de la Recherche Médicale U1028, Centre National de la Recherche Scientifique UMR5292, Université Claude Bernard Lyon 1, Lyon, France
| | - Patrice Revol
- Centre de Recherche en Neurosciences de Lyon, ImpAct Team, Institut National de la Santé et de la Recherche Médicale U1028, Centre National de la Recherche Scientifique UMR5292, Université Claude Bernard Lyon 1, Lyon, France
| | - Sophie Jacquin-Courtois
- Centre de Recherche en Neurosciences de Lyon, ImpAct Team, Institut National de la Santé et de la Recherche Médicale U1028, Centre National de la Recherche Scientifique UMR5292, Université Claude Bernard Lyon 1, Lyon, France.,Service de Médecine Physique et de Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Lyon, France
| | - Evelyne Klinger
- ESIEA, Digital Interactions Health and Disability, Laval, France.,Institut Fédératif de Recherche sur le HANDICAP, Paris, France
| | - Pierre-Alain Joseph
- EA4136, Service de Médecine Physique et de Réadaptation, CHU de Bordeaux, Université de Bordeaux, Bordeaux, France.,Institut Fédératif de Recherche sur le HANDICAP, Paris, France
| | - Gilles Rode
- Centre de Recherche en Neurosciences de Lyon, ImpAct Team, Institut National de la Santé et de la Recherche Médicale U1028, Centre National de la Recherche Scientifique UMR5292, Université Claude Bernard Lyon 1, Lyon, France.,Service de Médecine Physique et de Réadaptation, Hôpital Henry Gabrielle, Hospices Civils de Lyon, Lyon, France.,Institut Fédératif de Recherche sur le HANDICAP, Paris, France
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O'Shea J, Revol P, Cousijn H, Near J, Petitet P, Jacquin-Courtois S, Johansen-Berg H, Rode G, Rossetti Y. Induced sensorimotor cortex plasticity remediates chronic treatment-resistant visual neglect. eLife 2017; 6. [PMID: 28893377 PMCID: PMC5595432 DOI: 10.7554/elife.26602] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Accepted: 08/04/2017] [Indexed: 11/15/2022] Open
Abstract
Right brain injury causes visual neglect - lost awareness of left space. During prism adaptation therapy, patients adapt to a rightward optical shift by recalibrating right arm movements leftward. This can improve left neglect, but the benefit of a single session is transient (~1 day). Here we show that tonic disinhibition of left motor cortex during prism adaptation enhances consolidation, stabilizing both sensorimotor and cognitive prism after-effects. In three longitudinal patient case series, just 20 min of combined stimulation/adaptation caused persistent cognitive after-effects (neglect improvement) that lasted throughout follow-up (18–46 days). Moreover, adaptation without stimulation was ineffective. Thus stimulation reversed treatment resistance in chronic visual neglect. These findings challenge consensus that because the left hemisphere in neglect is pathologically over-excited it ought to be suppressed. Excitation of left sensorimotor circuits, during an adaptive cognitive state, can unmask latent plastic potential that durably improves resistant visual attention deficits after brain injury.
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Affiliation(s)
- Jacinta O'Shea
- Wellcome Centre for Integrative Neuroimaging, Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.,Lyon Neuroscience Research Center, ImpAct (Integrative, Multisensory, Perception, Action & Cognition) team INSERM U1028, CNRS UMR5292, University Lyon 1, Bron, France.,Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, Netherlands
| | - Patrice Revol
- Lyon Neuroscience Research Center, ImpAct (Integrative, Multisensory, Perception, Action & Cognition) team INSERM U1028, CNRS UMR5292, University Lyon 1, Bron, France.,Hospices Civils de Lyon, Mouvement et Handicap, Hôpital Henry Gabrielle, Saint Genis-Laval, France
| | - Helena Cousijn
- Wellcome Centre for Integrative Neuroimaging, Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom
| | - Jamie Near
- Wellcome Centre for Integrative Neuroimaging, Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom
| | - Pierre Petitet
- Wellcome Centre for Integrative Neuroimaging, Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom
| | - Sophie Jacquin-Courtois
- Lyon Neuroscience Research Center, ImpAct (Integrative, Multisensory, Perception, Action & Cognition) team INSERM U1028, CNRS UMR5292, University Lyon 1, Bron, France.,Hospices Civils de Lyon, Service de Rééducation Neurologique, Hôpital Henry Gabrielle, Saint Genis-Laval, France
| | - Heidi Johansen-Berg
- Wellcome Centre for Integrative Neuroimaging, Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom
| | - Gilles Rode
- Lyon Neuroscience Research Center, ImpAct (Integrative, Multisensory, Perception, Action & Cognition) team INSERM U1028, CNRS UMR5292, University Lyon 1, Bron, France.,Hospices Civils de Lyon, Service de Rééducation Neurologique, Hôpital Henry Gabrielle, Saint Genis-Laval, France
| | - Yves Rossetti
- Lyon Neuroscience Research Center, ImpAct (Integrative, Multisensory, Perception, Action & Cognition) team INSERM U1028, CNRS UMR5292, University Lyon 1, Bron, France.,Hospices Civils de Lyon, Mouvement et Handicap, Hôpital Henry Gabrielle, Saint Genis-Laval, France
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Affiliation(s)
- G Rode
- Inserm UMR-S 1028, CNRS UMR 5292, Impact, centre de recherche en neurosciences de Lyon, université Lyon 1, 16, avenue Lépine, Bron, France; Service de médecine physique et réadaptation, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, Saint-Genis-Laval, France.
| | - D Pérennou
- Service de rééducation neurologique, institut de rééducation, CHU Grenoble-Alpes, avenue de Kimberley, Échirolle, France; CNRS, UMR, Neurocognition, Laboratoire, université Grenoble-Alpes, France
| | - P Azouvi
- Service de médecine physique et de réadaptation, hôpital Raymond-Poincaré, AP-HP, 104, boulevard Raymond-Poincaré, Garches, France; EA 4047 ECIPSY, université de Versailles, Saint-Quentin, France
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Rochefolle A, Maison O, Chazaud C, Rioufol C, Rode G, Luaute J, Jacquin-Courtois S, Guinet-Lacoste A, Carré E. [Impact of pharmaceutical interventions on antibiotic therapy of urinary tract infections in rehabilitation center]. Prog Urol 2017; 27:439-445. [PMID: 28576426 DOI: 10.1016/j.purol.2017.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Revised: 04/17/2017] [Accepted: 04/25/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND The aim of this study was to assess the impact of medico-pharmaceutical partnership on the quality of antibiotic treatment in urinary tract infection (UTI) within rehabilitation center. MATERIAL All antibiotic prescriptions were validated by the pharmacist at the start of treatment and twice a week. All patients with symptomatic urinary tract infection between January 1, 2014 to December 31, 2015 were included in this study. Addition to awareness among specifiers to promoting the appropriate use of antibiotics, the pharmacist suggested pharmaceutical interventions (PI) in order to improve the quality of antibiotic treatments. At the same time, 3 quality indicators (QI) were followed: duration, dosage, antibiotic susceptibility. The compliance rates of this 3 QI allowed to assess the quality of the antibiotic treatment in urinary tract infection. RESULTS The study population included 154 patients corresponding to 252 UTI. Sixty-eight PI were made by pharmacist about urinary tract infection treatment (overdosage or under-dosing, duration unknown, inadequate route of administration). These QI achieved 96.4% compliance with duration, 98.8% compliance with dosage and 99.2% with the antibiotic susceptibility. CONCLUSION This study allowed showing the medico-pharmaceutical impact on the quality of antibiotic treatments in UTI. The awareness among specifiers with a daily validation of prescription by the pharmacist allowed to improve urinary tract infections care in rehabilitation center. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- A Rochefolle
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
| | - O Maison
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
| | - C Chazaud
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
| | - C Rioufol
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France; Université Lyon 1,EMR 3738, Lyon, France.
| | - G Rode
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, centre de recherche en neurosciences de Lyon, université Lyon 1, Lyon, France.
| | - J Luaute
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, centre de recherche en neurosciences de Lyon, université Lyon 1, Lyon, France.
| | - S Jacquin-Courtois
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, centre de recherche en neurosciences de Lyon, université Lyon 1, Lyon, France.
| | - A Guinet-Lacoste
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France.
| | - E Carré
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
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Hugues A, Di Marco J, Janiaud P, Xue Y, Pires J, Khademi H, Cucherat M, Bonan I, Gueyffier F, Rode G. Efficiency of physical therapy on postural imbalance after stroke: study protocol for a systematic review and meta-analysis. BMJ Open 2017; 7:e013348. [PMID: 28137928 PMCID: PMC5293873 DOI: 10.1136/bmjopen-2016-013348] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2016] [Revised: 11/11/2016] [Accepted: 01/03/2017] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Stroke frequently results in balance disorders, leading to lower levels of activity and a diminution in autonomy. Current physical therapies (PT) aiming to reduce postural imbalance have shown a large variety of effects with low levels of evidence. The objectives are to determine the efficiency of PT in recovering from postural imbalance in patients after a stroke and to assess which PT is more effective. METHODS AND ANALYSIS We will search several databases from inception to October 2015. Only randomised controlled trials assessing PT to recover from poststroke postural imbalance in adults will be considered.Outcome measures will be the Berg Balance Scale (BBS), the Postural Assessment Scale for Stroke (PASS), the 'weight-bearing asymmetry' (WBA), the 'centre of pressure' (COP) and the 'limit of stability' (LOS). WBA, COP and LOS are measured by a (sitting or standing) static evaluation on force plate or another device.Two independent reviewers will screen titles, abstracts and full-text articles, evaluate the risk of bias and will perform data extraction. In addition to the outcomes, measures of independence will be analysed. This study will aim at determining the effects of PT on the function (WBA, COP, LOS), the activity (BBS, PASS) and the independence of patients. Subgroup analyses will be planned according to the location of brain lesion (hemispheric, brainstem or cerebellum), the time since stroke (early, late, chronic), the PT (type, main aim (direct effect or generalisation), overall duration), the type of approaches (top-down or bottom-up) and the methodological quality of studies. ETHICS AND DISSEMINATION No ethical statement will be required. The results will be published in a peer-reviewed journal. This meta-analysis aims at managing the rehabilitation after postural imbalance by PT after a stroke. TRIAL REGISTRATION NUMBER Prospero CRD42016037966;Pre-results.
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Affiliation(s)
- A Hugues
- Service de médecine physique et réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, Université Lyon, Bron, France
- Plate-forme Mouvement et Handicap, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - J Di Marco
- Service de médecine physique et réadaptation, Hôpital Raymond Poincaré, Assistance Publique des Hôpitaux de Paris, Garches, France
| | - P Janiaud
- UMR 5558 CNRS Lyon, Université de Lyon 1, Lyon, France
| | - Y Xue
- Pôle Information Médicale Évaluation Recherche, Hospices Civils de Lyon, Lyon, France
| | - J Pires
- Rovisco Pais Rehabilitation Centre, Tocha, Portugal
- Medicine Faculty of Oporto University, Oporto, Portugal
| | - H Khademi
- International Agency of Research on Cancer, World Health Organisation, Lyon, France
| | - M Cucherat
- UMR 5558 CNRS Lyon, Université de Lyon 1, Lyon, France
| | - I Bonan
- Service de médecine physique et de réadaptation, CHU Rennes, Rennes, France
| | - F Gueyffier
- UMR 5558 CNRS Lyon, Université de Lyon 1, Lyon, France
- Service de Pharmacologie Toxicologie, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
| | - G Rode
- Service de médecine physique et réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, Université Lyon, Bron, France
- Plate-forme Mouvement et Handicap, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
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Christophe L, Delporte L, Revol P, DePaepe A, Rode G, Jacquin-Courtois S, Rossetti Y. Complex regional pain syndrome associated with hyperattention rather than neglect for the healthy side: A comprehensive case study. Ann Phys Rehabil Med 2016; 59:294-301. [DOI: 10.1016/j.rehab.2016.10.001] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Accepted: 10/18/2016] [Indexed: 11/25/2022]
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Rochefolle A, Carré E, Rochefolle A, Callies de sallies M, Durand F, Rioufol C, Luaute J, Rode G. Botulinum toxin prescription in the treatment of spasticity in the neurological rehabilitation service: 2012 to 2015 assessment. Ann Phys Rehabil Med 2016. [DOI: 10.1016/j.rehab.2016.07.321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hugues A, Di Marco J, Janiaud P, Bonan I, Gueyffier F, Rode G. Efficiency of physical rehabilitation on postural imbalance after stroke: Systematic review and meta-analysis. Ann Phys Rehabil Med 2016. [DOI: 10.1016/j.rehab.2016.07.183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Séguin P, Charvier K, Courtois F, Del Aguila C, Fernandez B, Rode G, Lornage J, Ruffion A, d’Estaing SG. Outcomes of cryopreserved sperm in case of spinal cord injury in Lyon, France. Ann Phys Rehabil Med 2016. [DOI: 10.1016/j.rehab.2016.07.239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mateo S, Di Rienzo F, Reilly KT, Revol P, Delpuech C, Daligault S, Guillot A, Jacquin-Courtois S, Luauté J, Rossetti Y, Collet C, Rode G. Improvement of grasping after motor imagery in C6-C7 tetraplegia: A kinematic and MEG pilot study. Restor Neurol Neurosci 2016; 33:543-55. [PMID: 26409412 DOI: 10.3233/rnn-140466] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE Grasp recovery after C6-C7-spinal cord injury (SCI) requires learning "tenodesis grasp" whereby active wrist extension elicits passive thumb-to-forefinger and finger-to-palm flexion. Evidence that motor imagery (MI) promotes upper limb function after tetraplegia is growing, but whether MI potentiates grasp recovery in C6-C7-SCI individuals who have successfully learned the "tenodesis grasp" remains unknown. METHODS Six chronic stable C6-C7-SCI inpatients and six healthy control participants were included. C6-C7-SCI participants imagined grasping movements and controls visualized geometric forms for 45 minutes, three times a week for five weeks. Three separate measures taken over a five week period before the intervention formed the baseline. Intervention effects were assessed immediately after the intervention and eight weeks later. Each testing session consisted of kinematic recordings during reach-to-grasp and magnetoencephalographic (MEG) recordings during wrist extension. RESULTS During baseline, kinematic wrist extension angle during "tenodesis grasp" and MEG contralateral sensorimotor cortex (cSMC) activity during wrist extension were stable. Moreover, SCI participants exhibited a greater number of voxels within cSMC than controls. After MI sessions, wrist extension angle increased during "tenodesis grasp" and the number of voxels within cSMC during wrist extension decreased and became similar to controls. CONCLUSION These findings provide further support for the use of MI to reinforce a compensatory grasping movement (tenodesis) and induce brain plasticity.
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Affiliation(s)
- Sébastien Mateo
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, F-69676 Lyon, France.,Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, F-69000 Lyon, France.,Université de Lyon, Université Lyon 1, Centre de Recherche et d'Innovation sur le Sport, Equipe d'Accueil 647, Performance Motrice, Mentale et du Matériel, 69621 Villeurbanne Cedex, France
| | - Franck Di Rienzo
- Université de Lyon, Université Lyon 1, Centre de Recherche et d'Innovation sur le Sport, Equipe d'Accueil 647, Performance Motrice, Mentale et du Matériel, 69621 Villeurbanne Cedex, France
| | - Karen T Reilly
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, F-69676 Lyon, France
| | - Patrice Revol
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, F-69676 Lyon, France.,Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, F-69000 Lyon, France
| | - Claude Delpuech
- CERMEP - imagerie du vivant, Bron, France.,Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Dycog Team, F-69000 Lyon, France
| | | | - Aymeric Guillot
- Université de Lyon, Université Lyon 1, Centre de Recherche et d'Innovation sur le Sport, Equipe d'Accueil 647, Performance Motrice, Mentale et du Matériel, 69621 Villeurbanne Cedex, France.,Institut Universitaire de France, Paris, France
| | - Sophie Jacquin-Courtois
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, F-69676 Lyon, France.,Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, F-69000 Lyon, France
| | - Jacques Luauté
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, F-69676 Lyon, France.,Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, F-69000 Lyon, France
| | - Yves Rossetti
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, F-69676 Lyon, France.,Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, F-69000 Lyon, France
| | - Christian Collet
- Université de Lyon, Université Lyon 1, Centre de Recherche et d'Innovation sur le Sport, Equipe d'Accueil 647, Performance Motrice, Mentale et du Matériel, 69621 Villeurbanne Cedex, France
| | - Gilles Rode
- Université de Lyon, Université Lyon 1, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, ImpAct Team, F-69676 Lyon, France.,Hospices Civils de Lyon, Hôpital Henry Gabrielle, Plate-forme Mouvement et Handicap, F-69000 Lyon, France
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Fourtassi M, Rode G, Tilikete C, Pisella L. Spontaneous ocular positioning during visual imagery in patients with hemianopia and/or hemineglect. Neuropsychologia 2016; 86:141-52. [PMID: 27129436 DOI: 10.1016/j.neuropsychologia.2016.04.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2015] [Revised: 04/16/2016] [Accepted: 04/25/2016] [Indexed: 11/28/2022]
Abstract
Spontaneous eye movements during imagery are not random and can be used to study and reveal mental visualization processes (Fourtassi et al., 2013; Johansson et al. 2006). For example, we previously showed that during memory recall of French towns via imagery healthy individuals looks straight ahead when recalling Paris and their subsequent gaze positions are significantly correlated with the real GPS coordinates of the recalled towns. This correlation suggests that memory retrieval is done via depictive representations as it is never found when the towns are recalled using verbal fluency. In the present paper we added to this finding by showing that the mental image is spontaneously centered on the head or body midline. In order to investigate the capacities of visual imagery in patients, and by extension, the role of primary visual cortex and fronto-parietal cortex in spatial visual imagery, we recorded gaze positions during memory recall of French towns in an imagery task, a non-imagery task (verbal fluency), and a visually-guided task in five patients with left or right hemianopia and in four patients with hemineglect (two with left hemianopia and two without). The correlation between gaze position and real GPS coordinates of the recalled towns was significant in all hemianopic patients, but in patients with hemineglect this was only the case for towns located on the right half of the map of France. This suggests hemianopic patients can perform spatially consistent mental imagery despite direct or indirect unilateral lesions of the primary visual cortex. In contrast, the left-sided towns recalled by hemineglect patients, revealed that they have some spatial inconsistency or representational difficulty. Hemianopic patients positioned and maintained their gaze in their contralesional hemispace, suggesting that their mental map was not centered on their head or body midline. This contralesional gaze positioning appeared to be a general compensation strategy and was not observed in patients with neglect (with or without hemianopia). Instead, neglect patients positioned their gaze in their ipsilesional hemispace and only when performing the visual imagery task. These findings are discussed in the context of the role of occipital and fronto-parietal cortices in the neuroanatomical model of visual imagery developed by Kosslyn et al. (2006).
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Affiliation(s)
- Maryam Fourtassi
- INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, ImpAct, 16 Avenue du Doyen Lépine, 69676 Bron cedex, France; Université Mohamed Premier, Oujda, Morocco
| | - Gilles Rode
- INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, ImpAct, 16 Avenue du Doyen Lépine, 69676 Bron cedex, France; Université Lyon1, Villeurbanne, France; Hospices Civils de Lyon, Hôpital Henry Gabrielle, Mouvement et Handicap, F-69000 Lyon, France
| | - Caroline Tilikete
- INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, ImpAct, 16 Avenue du Doyen Lépine, 69676 Bron cedex, France; Université Lyon1, Villeurbanne, France; Hospices Civils de Lyon, Unité de Neuro-ophtalmologie, Hôpital Neurologique, F-69000 Lyon, France
| | - Laure Pisella
- INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, ImpAct, 16 Avenue du Doyen Lépine, 69676 Bron cedex, France; Université Lyon1, Villeurbanne, France
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