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Peter E, Robert M, Guinet V, Krolak-Salmon P, Desestret V, Jacquin-Courtois S, Cohen F, Sève P, Garnier-Crussard A. [Importance of cognitive disorders in internal medicine: Pathophysiology, diagnosis, management. The example of systemic lupus erythematosus]. Rev Med Interne 2021; 43:39-47. [PMID: 34563395 DOI: 10.1016/j.revmed.2021.08.012] [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: 05/28/2021] [Revised: 08/18/2021] [Accepted: 08/29/2021] [Indexed: 10/20/2022]
Abstract
Systemic diseases, which are in France mainly monitored in internal medicine, affect multiple organs or tissues. While cutaneous or articular manifestations are the most common, neurological involvement is often associated with severity. Diagnosis of peripheral (e.g, neuropathies) or central (e.g, myelitis) nervous disorders is quite easy through clinical examination and dedicated complementary tests. However, neuropsychological manifestations that affect cognition, including memory, attention, executive functions or reasoning, are difficult to diagnose, sometimes trivialized by practitioners. Their causes are often numerous and interrelated. Nevertheless, these cognitive manifestations are closely related to patients' quality of life, affecting their social life, family dynamics and professional integration but also the treatment adherence. The purpose of this review, focused on the example of systemic lupus erythematosus, is to raise awareness of cognitive dysfunction in systemic diseases including their management from diagnosis to treatments. The final aim is to go further into setting up research groups and care programs for patients with cognitive impairment followed in internal medicine.
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Affiliation(s)
- E Peter
- Service de médecine interne, hospices civils de Lyon, hôpital de la Croix-Rousse, université de Lyon, Lyon, France
| | - M Robert
- Service de médecine interne et immunologie clinique, hospices civils de Lyon, hôpital Édouard-Herriot, université de Lyon, Lyon, France
| | - V Guinet
- Service de neurologie fonctionnelle et d'épileptologie, hospices civils de Lyon, hôpital Pierre-Wertheimer, Lyon, France
| | - P Krolak-Salmon
- Centre mémoire ressource et recherche de Lyon (CMRR), hospices civils de Lyon, institut du vieillissement I-vie, hôpital des Charpennes, Lyon, France
| | - V Desestret
- Centre mémoire ressource et recherche de Lyon (CMRR), hospices civils de Lyon, institut du vieillissement I-vie, hôpital des Charpennes, Lyon, France; Service de neurocognition et de neuro-ophtalmologie, hospices civils de Lyon, hôpital Pierre-Wertheimer, Lyon, France
| | - S Jacquin-Courtois
- Service de médecine physique et de réadaptation, rééducation neurologique, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
| | - F Cohen
- Service de médecine Interne 2, institut E3M, groupe hospitalier Pitié-Salpêtrière, Sorbonne Université, AP-HP, Paris, France
| | - P Sève
- Service de médecine interne, hospices civils de Lyon, hôpital de la Croix-Rousse, université de Lyon, Lyon, France
| | - A Garnier-Crussard
- Centre mémoire ressource et recherche de Lyon (CMRR), hospices civils de Lyon, institut du vieillissement I-vie, hôpital des Charpennes, Lyon, France.
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2
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Foncelle A, Christophe L, Revol P, Havé L, Jacquin-Courtois S, Rossetti Y, Chabanat E. Prism adaptation effects in complex regional pain syndrome: A therapo-physiological single case experimental design exploratory report. Neuropsychol Rehabil 2021; 32:689-706. [PMID: 33715576 DOI: 10.1080/09602011.2021.1897629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 10/21/2022]
Abstract
Complex Regional Pain Syndrome (CRPS) is an invalidating chronic condition that can occur after an acute peripheral lesion. Prism adaptation therapy is regarded as a promising tool to improve chronic pain in this syndrome but the mechanisms which lead to pain amelioration remain unknown. In this exploratory report we performed a retrospective analysis of longitudinal data collected from a single, atypical patient, who showed hyper-attention toward her affected (left) hand. Repeated assessments of pain and spatial neglect made during the course of the prism adaptation treatment revealed differential contributions of the two hands to adaptation-induced pain reduction. Treatment response appeared to be associated with a relative modification of the spatial behaviour of the two hands. This case study provides a new example of pain relief following prismatic deviation away from the pathological side.
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Affiliation(s)
- A Foncelle
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France
| | - L 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
| | - P Revol
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France.,Plate-forme 'Mouvement et Handicap' and Neuro-Immersion, Hôpital Henry-Gabrielle and Hôpital Neurologique, Saint-Genis-Laval, France
| | - L Havé
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France
| | - S 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
| | - Y Rossetti
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France.,Plate-forme 'Mouvement et Handicap' and Neuro-Immersion, Hôpital Henry-Gabrielle and Hôpital Neurologique, Saint-Genis-Laval, France
| | - E Chabanat
- INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon (CRNL), Equipe ImpAct, Bron Cedex, France
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3
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Chabanat E, Jacquin-Courtois S, Havé L, Kihoulou C, Tilikete C, Mauguière F, Rheims S, Rossetti Y. Can you guess the colour of this moving object? A dissociation between colour and motion in blindsight. Neuropsychologia 2018; 128:204-208. [PMID: 30102905 DOI: 10.1016/j.neuropsychologia.2018.08.006] [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] [Received: 11/02/2017] [Revised: 06/01/2018] [Accepted: 08/08/2018] [Indexed: 10/28/2022]
Abstract
Blindsight has been primarily and extensively studied by Lawrence Weiskrantz. Residual visual abilities following a hemispheric lesion leading to homonymous hemianopia encompass a variety of visual-perceptual and visuo-motor functions. Attention blindsight produces the more salient subjective experiences, especially for motion (Riddoch phenomenon). Action blindsight illustrates visuo-motor abilities despite the patients' feeling that they produce random movements. Perception blindsight seems to be the weakest residual function observed in blindsight, e.g. for wavelength sensitivity. Discriminating motion produced by isoluminant colours does not give rise to blindsight for motion but the outcome of the reciprocal test is not known. Here we tested whether moving stimuli could give rise to colour discrimination in a patient with homonymous hemianopia. It was found that even though the patient exhibited nearly perfect performances for motion direction discrimination his colour discrimination for the same moving stimulus remained at chance level. It is concluded that easily discriminated moving stimuli do not give rise to colour discrimination and implications for the 3 levels of blindsight taxonomy are discussed.
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Affiliation(s)
- E Chabanat
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, France; Université de Lyon, Université Claude Bernard Lyon 1, France.
| | - S Jacquin-Courtois
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, France; Université de Lyon, Université Claude Bernard Lyon 1, France; Service de rééducation neurologique, Pavillon Bourret, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, 20, route de Vourles, Saint-Genis-Laval, France; Plate-forme 'Mouvement et Handicap', Hôpital Henry-Gabrielle et Hôpital Neurologique Neurologique Pierre Wertheimer, Hospices Civils de Lyon, 20, route de Vourles, Saint-Genis-Laval, France.
| | - L Havé
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, France; Université de Lyon, Université Claude Bernard Lyon 1, France.
| | - C Kihoulou
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, France
| | - C Tilikete
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, France; Université de Lyon, Université Claude Bernard Lyon 1, France; Service de Neuro-Cognition et Neuro-Ophtalmologie, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, 59 boulevard Pinel, 69677 Bron Cedex, France.
| | - F Mauguière
- Université de Lyon, Université Claude Bernard Lyon 1, France; Département de Neurologie Fonctionnelle et Epileptologie, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, France; Inserm UMR-S 1028, CNRS UMR 5292, NeuroPain, Centre de Recherche en Neurosciences de Lyon, France.
| | - S Rheims
- Université de Lyon, Université Claude Bernard Lyon 1, France; Département de Neurologie Fonctionnelle et Epileptologie, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, France; Inserm UMR-S 1028, CNRS UMR 5292, TIGER, Centre de Recherche en Neurosciences de Lyon, France.
| | - Y Rossetti
- Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, Centre de Recherche en Neurosciences de Lyon, France; Université de Lyon, Université Claude Bernard Lyon 1, France; Service de rééducation neurologique, Pavillon Bourret, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, 20, route de Vourles, Saint-Genis-Laval, France; Plate-forme 'Mouvement et Handicap', Hôpital Henry-Gabrielle et Hôpital Neurologique Neurologique Pierre Wertheimer, Hospices Civils de Lyon, 20, route de Vourles, Saint-Genis-Laval, France.
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Christophe L, Chabanat E, Revol P, Rossetti Y, Jacquin-Courtois S. Complex regional pain syndrome: New insight and therapeutic approach. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.247] [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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Moriaud C, Michallet M, Salles G, Jacquet M, Jacquin-Courtois S. 0Effects of physical exercise after allogenic stem cell transplantation: A five years retrospective study. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.677] [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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Cheiney-Kulak C, Revol P, Durand-Dubief F, Ionescu I, Roggerone S, Benoit A, Delporte L, Roche L, Rabilloud M, Vukusic S, Rossetti Y, Jacquin-Courtois S. Fampridine-PR (prolonged released 4-aminopyridine) improves upper limb dysfunction in multiple sclerosis patients: Clinical and kinematic analysis. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.577] [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: 11/29/2022]
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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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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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Hubault M, Petit N, Jacquin-Courtois S, Charpiat B, Luauté J, Rode G, Janoly-Dumenil A. Patient's drug therapy: Clinical impact of pharmacist's intervention in neurological rehabilitation units. Ann Phys Rehabil Med 2015. [DOI: 10.1016/j.rehab.2015.07.146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Hugues A, Di Marco J, Lunven M, Jacquin-Courtois S, Rossetti Y, Bonan I, Rode G. Long lasting reduction of postural asymmetry by prism adaptation after right brain lesion without neglect. Ann Phys Rehabil Med 2015. [DOI: 10.1016/j.rehab.2015.07.265] [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: 10/23/2022]
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Jacquin-Courtois S. Hemi-spatial neglect rehabilitation using non-invasive brain stimulation: Or how to modulate the disconnection syndrome? Ann Phys Rehabil Med 2015; 58:251-258. [DOI: 10.1016/j.rehab.2015.07.388] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Revised: 07/22/2015] [Accepted: 07/22/2015] [Indexed: 11/25/2022]
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Rode G, Lacour S, Jacquin-Courtois S, Pisella L, Michel C, Revol P, Alahyane N, Luauté J, Gallagher S, Halligan P, Pélisson D, Rossetti Y. Long-term sensorimotor and therapeutical effects of a mild regime of prism adaptation in spatial neglect. A double-blind RCT essay. Ann Phys Rehabil Med 2015; 58:40-53. [DOI: 10.1016/j.rehab.2014.10.004] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2014] [Revised: 10/03/2014] [Accepted: 10/10/2014] [Indexed: 11/28/2022]
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Jacquin-Courtois S, Jacquet M, Devismes C, Ducastelle-Lepretre S, Thomas X, Nicolini F, Barraco F, Michallet M. Interest and feasibility of exercise and health counseling in patients undergoing allergenic hematopoietic cell transplantation. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.1344] [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: 10/25/2022]
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Rode G, Lacour S, Jacquin-Courtois S, Pisella L, Revol P, Luauté J, Rossetti Y. A once-weekly regime of prism adaptation reduces only sensori-motor biases of neglect. A double-blind RCT essay. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.1579] [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: 11/29/2022]
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Riquier D, Basch A, Jacquin-Courtois S, Rode G. Charcot spine L5-S1 following diffuse idiopathic skeletal hyperostosis: A case report. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.855] [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: 10/25/2022]
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Luauté J, Villeneuve L, Hovantruc P, Sarraf T, Quelard F, Jacquin-Courtois S, Roux A, Decullier E, Chapuis F, Ciancia S, Sancho P, Rode G, Boisson D, Rossetti Y. Rééducation de l’héminégligence. Intérêt de l’association d’un traitement par adaptation prismatique et méthylphénidate. Étude RITAPRISM. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.529] [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: 10/25/2022]
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Mateo S, di Rienzo F, Delpuech C, Daligault S, Revol P, Jacquin-Courtois S, Luaute J, Rossetti Y, Guillot A, Collet C, Rode G. Cortical and kinematics characteristics of the tenodesis grasp after quadriplegia: A MEG and kinematic control case study. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.841] [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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Allard L, Rode G, Luaute J, Jacquin-Courtois S, Rippert P, Hamroun D, Poirot I, Berard C, Vuillerot C. Utilisation de la mesure de fonction motrice pour étudier des limitations d’activités de patients adultes et enfants atteints de la maladie de Charcot-Marie-Tooth. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.398] [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: 10/25/2022]
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Riquier D, Basch A, Jacquin-Courtois S, Rode G. Neuro-ostéo-arthropathie de Charcot L5-S1 consécutive à une hyperostose ankylosante vertébrale : cas clinique. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.889] [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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Jacquin-Courtois S. Perspectives in acquired visual field defects rehabilitation. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.1585] [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: 11/25/2022]
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Mateo S, Garnier T, Girard M, Revol P, Delporte L, Rossetti Y, Jacquin-Courtois S, Rode G, Ciancia S, Luaute J. High intensity body weight support treadmill training improves walking ability without increase of spasticity in a chronic incomplete tetraplegia: A single case study. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.863] [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: 10/25/2022]
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Radiguet A, Jacquin-Courtois S, Luauté J, Derex L, Bauler S, Feutrier C, Rode G, Janoly-Dumenil A. Drugs for secondary prevention after stroke: Design and evaluation of information brochures for patients and caregivers. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.312] [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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Sancho P, Janoly-Dumenil A, Picot M, Luauté J, Jacquin-Courtois S, Rode G. Élaboration d’un carnet d’information et de suivi des injections de toxine botulinique. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.311] [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: 11/24/2022]
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Mateo M, Revol P, di Rienzo M, Delporte M, Luauté J, Jacquin-Courtois S, Collet C, Rossetti Y, Rode G. Rehabilitation of tenodesis grasp using motor imagery in C6 quadriplegic patients. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.428] [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: 11/25/2022]
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Mateo M, Revol P, di Rienzo M, Delporte M, Luauté J, Jacquin-Courtois S, Collet C, Rossetti Y, Rode G. Rééducation de la prise ténodèse par imagerie mentale chez les patients tétraplégiques C6. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.421] [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: 10/26/2022]
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Radiguet A, Jacquin-Courtois S, Luauté J, Derex L, Bauler S, Feutrier C, Rode G, Janoly-Dumenil A. Prise en charge médicamenteuse de l’AVC : conception et évaluation de fiches thérapeutiques destinées aux patients et aux aidants. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.306] [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: 10/26/2022]
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Bellaiche S, Di Blasio R, Luauté J, Jacquin-Courtois S, Boisson D, Charvier K, Tell L, Rode G. Clinical signs and radiographic evidence of esophageal perforation after tetraplegia. Ann Phys Rehabil Med 2013; 56:41-50. [PMID: 23375486 DOI: 10.1016/j.rehab.2013.01.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2013] [Accepted: 01/11/2013] [Indexed: 11/17/2022]
Abstract
A diagnosis of esophageal perforation at some time after cervical spine surgery is difficult to establish since there exists no clinical picture specific to tetraplegic patients. We carried out a detailed retrospective study of revelatory clinical manifestations and conventional radiographic data in a series of 16 patients hospitalized at Hôpital Henry-Gabrielle (Lyon, France) for rehabilitation purposes between 1983 and 2010 and who presented this complication. The most frequent clinical picture associates cervical pain, fever and dysphagia. Simple front and side X-rays of the cervical spine led in 77% of the cases to a diagnosis of esophageal perforation. The most prevalent radiographic signs of the latter consist in osteosynthesis hardware or instrumentation failure, prevertebral free air next to the cervical esophagus and enlarged prevertebral space. Visualized esophageal X-rays, also known as series, highlight parenchymal opacity next to the posterior wall of the esophagus. A diagnosis of esophageal perforation needs to be carried out in order to facilitate suitable treatment and avoid the compromising of vital functions.
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Affiliation(s)
- S Bellaiche
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France.
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Glize B, Jacquin-Courtois S, Lunven M, Cotton F, Chapeau S, Klinger E, Joseph P, Rode G. Bottom-up effect of prism adaptation on hemineglect in virtual spatial domain. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.500] [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: 10/27/2022]
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Glize B, Jacquin-Courtois S, Lunven M, Cotton F, Chapeau S, Klinger E, Joseph P, Rode G. Effet bottom-up de l’adaptation prismatique chez l’héminégligent dans un environnement spatial virtuel. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.492] [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: 10/27/2022]
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Bauler S, Rode G, Coudeyre E, Luaute J, Jacquin-Courtois S, Feutrier C, Rioufol C, Janoly-Dumenil A. Analyse des freins à l’adhésion au traitement médicamenteux après un AVC en services de médecine physique et de réadaptation. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.040] [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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Jacquin-Courtois S, Ciancia S, Raverot G. Insuffisances antéhypophysaires post-traumatismes crâniens : quel retentissement ? quel bilan ? Rev Neurol (Paris) 2012. [DOI: 10.1016/j.neurol.2012.01.501] [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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Pouget MC, Lévy-Bencheton D, Prost M, Tilikete C, Husain M, Jacquin-Courtois S. Acquired visual field defects rehabilitation: Critical review and perspectives. Ann Phys Rehabil Med 2012; 55:53-74. [DOI: 10.1016/j.rehab.2011.05.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2011] [Revised: 04/28/2011] [Accepted: 05/01/2011] [Indexed: 10/14/2022]
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Rode G, Vallar G, Revol P, Tilikete C, Jacquin-Courtois S, Rossetti Y, Farnè A. Facial macrosomatognosia and pain in a case of Wallenberg's syndrome: selective effects of vestibular and transcutaneous stimulations. Neuropsychologia 2011; 50:245-53. [PMID: 22142667 DOI: 10.1016/j.neuropsychologia.2011.11.018] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2011] [Revised: 10/11/2011] [Accepted: 11/21/2011] [Indexed: 11/28/2022]
Abstract
Macro- and micro-somatognosia refer to rare disorders of the cerebral representation of the body whereby patients perceive body parts as disproportionately large or small. Here we report the experimental study of a patient who, following a left lateral medullary stroke (Wallenberg's syndrome, including vestibular deficits) complained of a persistent somatosensory illusory sensation of swelling, confined to the left side of his face (i.e., left macrosomatognosia). This hemifacial somatosensory distortion was associated with a left facial anesthesia, and a neuropathic pain affecting the three branches of the left trigeminal nerve. In this study, we first document quantitatively the patient's somatosensory illusion by using a somatosensory-to-visual matching task in which the patient modified the picture of his own face to fit his left-sided somatosensory misperception. The patient's performance revealed that macrosomatognosia was confined to the second branch of the left trigeminal nerve. Perception of the size of visual objects was comparatively preserved. Second, we investigated the effects of two peripheral stimulations, which may affect the spatial component of somatosensory deficits (caloric vestibular stimulation, CVS; transcutaneous electrical nervous stimulation, TENS) and pain (TENS). Left CVS abolished the facial somatosensory illusion, for about 30min, but had no effect on the left facial pain. Conversely, left TENS substantially reduced the neuropathic pain during stimulation, but had no effect on macrosomatognosia, indicating a double dissociation between the two disorders. These results reveal that facial macrosomatognosia may be regarded as a high-order deficit of somatosensory perception of the shape and volume of the face, which fits the definition of 'hyperschematia' (i.e., when the body takes up too much room) originally proposed by Bonnier (1905). Our data also indicate that CVS may favor the restoration of the conscious representation of the shape and size of the face. Overall, these findings lend support to the view that afferent inputs from the vestibular system can affect in a specific fashion the activity of cerebral structures involved in the building up and updating of the topological description of body parts.
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Affiliation(s)
- G Rode
- INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Centre, ImpAct Team, Lyon, France.
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Kandel M, Beis JM, Ganis V, Prestini M, Paysant J, Jacquin-Courtois S. Transcranial direct current stimulation associated with physical therapy after stroke: Feasability of a prospective, randomised, double blinded, sham controlled study. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.316] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Mateo S, Revol P, Fourtassi M, Delporte L, Luaute J, Jacquin-Courtois S, Rossetti Y, Rode G. Cinématique de la préhension modifiée (ténodèse) chez les sujets tétraplégiques C6. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.647] [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: 11/30/2022]
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Kandel M, Beis JM, Ganis V, Prestini M, Paysant J, Jacquin-Courtois S. Stimulation transcrânienne directe associée à la rééducation du membre supérieur en post-AVC : faisabilité d’une étude prospective, randomisée, en double aveugle. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.300] [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: 11/29/2022]
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Mateo S, Revol P, Fourtassi M, Delporte L, Luaute J, Jacquin-Courtois S, Rossetti Y, Rode G. Kinematic patterns of modified grasp (tenodesis) in C6 quadriplegic patients. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.659] [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: 10/17/2022]
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Fourtassi M, Wajszczak I, Riffo P, Jacquin-Courtois S, Luaute J, Rode G. La fatigue après accident vasculaire cérébral. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.335] [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: 10/17/2022]
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Fourtassi M, Wajszczak I, Riffo P, Jacquin-Courtois S, Luaute J, Rode G. Post-stroke fatigue. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.344] [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: 10/17/2022]
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Janoly-Duménil A, Bourne C, Loiseau K, Luauté J, Sancho PO, Ciancia S, Caillet F, Boisson D, Rioufol C, Plauchu M, Rode G, Jacquin-Courtois S. Oral anticoagulant treatment – Evaluating the knowledge of patients admitted in physical medicine and rehabilitation units. Ann Phys Rehabil Med 2011; 54:172-80. [DOI: 10.1016/j.rehab.2011.02.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2010] [Revised: 02/24/2011] [Accepted: 02/25/2011] [Indexed: 10/18/2022]
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Rode G, Cotton F, Revol P, Jacquin-Courtois S, Rossetti Y, Bartolomeo P. Representation and disconnection in imaginal neglect. Neuropsychologia 2010; 48:2903-11. [PMID: 20621588 DOI: 10.1016/j.neuropsychologia.2010.05.032] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2009] [Revised: 05/01/2010] [Accepted: 05/28/2010] [Indexed: 10/19/2022]
Abstract
Patients with neglect failure to detect, orient, or respond to stimuli from a spatially confined region, usually on their left side. Often, the presence of perceptual input increases left omissions, while sensory deprivation decreases them, possibly by removing attention-catching right-sided stimuli (Bartolomeo, 2007). However, such an influence of visual deprivation on representational neglect was not observed in patients while they were imagining a map of France (Rode et al., 2007). Therefore, these patients with imaginal neglect either failed to generate the left side of mental images (Bisiach & Luzzatti, 1978), or suffered from a co-occurrence of deficits in automatic (bottom-up) and voluntary (top-down) orienting of attention. However, in Rode et al.'s experiment visual input was not directly relevant to the task; moreover, distraction from visual input might primarily manifest itself when representation guides somatomotor actions, beyond those involved in the generation and mental exploration of an internal map (Thomas, 1999). To explore these possibilities, we asked a patient with right hemisphere damage, R.D., to explore visual and imagined versions of a map of France in three conditions: (1) 'imagine the map in your mind' (imaginal); (2) 'describe a real map' (visual); and (3) 'list the names of French towns' (propositional). For the imaginal and visual conditions, verbal and manual pointing responses were collected; the task was also given before and after mental rotation of the map by 180 degrees . R.D. mentioned more towns on the right side of the map in the imaginal and visual conditions, but showed no representational deficit in the propositional condition. The rightward inner exploration bias in the imaginal and visual conditions was similar in magnitude and was not influenced by mental rotation or response type (verbal responses or manual pointing to locations on a map), thus suggesting that the representational deficit was robust and independent of perceptual input in R.D. Structural and diffusion MRI demonstrated damage to several white matter tracts in the right hemisphere and to the splenium of corpus callosum. A second right-brain damaged patient (P.P.), who showed signs of visual but not imaginal neglect, had damage to the same intra-hemispheric tracts, but the callosal connections were spared. Imaginal neglect in R.D. may result from fronto-parietal dysfunction impairing orientation towards left-sided items and posterior callosal disconnection preventing the symmetrical processing of spatial information from long-term memory.
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Affiliation(s)
- G Rode
- Université de Lyon, Université Lyon 1, INSERM-UMRS 534, Bron, France.
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Jacquin-Courtois S, Rode G, Pavani F, O'Shea J, Giard MH, Boisson D, Rossetti Y. Effect of prism adaptation on left dichotic listening deficit in neglect patients: glasses to hear better? ACTA ACUST UNITED AC 2010; 133:895-908. [PMID: 20110244 DOI: 10.1093/brain/awp327] [Citation(s) in RCA: 76] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Unilateral neglect is a disabling syndrome frequently observed following right hemisphere brain damage. Symptoms range from visuo-motor impairments through to deficient visuo-spatial imagery, but impairment can also affect the auditory modality. A short period of adaptation to a rightward prismatic shift of the visual field is known to improve a wide range of hemispatial neglect symptoms, including visuo-manual tasks, mental imagery, postural imbalance, visuo-verbal measures and number bisection. The aim of the present study was to assess whether the beneficial effects of prism adaptation may generalize to auditory manifestations of neglect. Auditory extinction, whose clinical manifestations are independent of the sensory modalities engaged in visuo-manual adaptation, was examined in neglect patients before and after prism adaptation. Two separate groups of neglect patients (all of whom exhibited left auditory extinction) underwent prism adaptation: one group (n = 6) received a classical prism treatment ('Prism' group), the other group (n = 6) was submitted to the same procedure, but wore neutral glasses creating no optical shift (placebo 'Control' group). Auditory extinction was assessed by means of a dichotic listening task performed three times: prior to prism exposure (pre-test), upon prism removal (0 h post-test) and 2 h later (2 h post-test). The total number of correct responses, the lateralization index (detection asymmetry between the two ears) and the number of left-right fusion errors were analysed. Our results demonstrate that prism adaptation can improve left auditory extinction, thus revealing transfer of benefit to a sensory modality that is orthogonal to the visual, proprioceptive and motor modalities directly implicated in the visuo-motor adaptive process. The observed benefit was specific to the detection asymmetry between the two ears and did not affect the total number of responses. This indicates a specific effect of prism adaptation on lateralized processes rather than on general arousal. Our results suggest that the effects of prism adaptation can extend to unexposed sensory systems. The bottom-up approach of visuo-motor adaptation appears to interact with higher order brain functions related to multisensory integration and can have beneficial effects on sensory processing in different modalities. These findings should stimulate the development of therapeutic approaches aimed at bypassing the affected sensory processing modality by adapting other sensory modalities.
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Affiliation(s)
- S Jacquin-Courtois
- Inserm UMR-S 864, Espace et Action, 16 avenue Lépine, 69676 Bron, France.
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Luauté J, Michel C, Rode G, Pisella L, Jacquin-Courtois S, Costes N, Cotton F, le Bars D, Boisson D, Halligan P, Rossetti Y. Functional anatomy of the therapeutic effects of prism adaptation on left neglect. Neurology 2006; 66:1859-67. [PMID: 16801651 DOI: 10.1212/01.wnl.0000219614.33171.01] [Citation(s) in RCA: 120] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To investigate the anatomic substrates underlying the beneficial effect of prism adaptation in five patients with persistent left neglect following right stroke. METHODS In a functional imaging PET study, we used a covariation analysis to examine linear changes of regional cerebral blood flow over sessions as a function of left neglect improvement. RESULTS The network of significant brain regions associated with improvement of left neglect performance produced by prism adaptation involved the right cerebellum, the left thalamus, the left temporo-occipital cortex, the left medial temporal cortex, and the right posterior parietal cortex. CONCLUSION Our results suggest that the realignment of visuomotor coordinates is processed by the cerebellum and that low level sensorimotor adaptation actively modulates cerebral areas, albeit now relying on intact cerebellocerebral connections. Hence, our data support the hypothesis that the beneficial effect of prism adaptation on the clinical presentation of left neglect derives from modulation of cortical regions implicated in spatial cognition.
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Affiliation(s)
- J Luauté
- INSERM Unité 534, Espace et Action, 16, Avenue du doyen Lépine, 69500 Bron, France
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Rode G, Thomas-Antérion C, Luauté J, Jacquin-Courtois S, Ciancia S, Rossetti Y, Boisson D. Évaluation des incapacités et de la qualité de vie des patients présentant des troubles cognitifs. ACTA ACUST UNITED AC 2005; 48:376-91. [PMID: 15936111 DOI: 10.1016/j.annrmp.2005.04.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [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: 04/15/2005] [Accepted: 04/15/2005] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To identify disability, handicap and quality of life questionnaires available for patients with cognitive impairment. MATERIALS AND METHODS We systematically reviewed the literature in Medline using the keywords assessment, evaluation, deficiency, disability, disadvantage, handicap, quality of life, scale, index, questionnaire, ICIDH-1, and ICIDH-2, combined with the cognitive deficits dysexecutive syndrome, memory deficits, attention deficits, neglect, apraxia, aphasia, agnosia and mood disorders. We focused on validated scales and distinguished scales dedicated to assess disability, handicap and quality of life. RESULTS At the level of disability, global and specific scales are available. Specific scales exist for dysexecutive syndrome, memory deficits, attention deficits, unilateral neglect, aphasia and mood disorders. French adaptations of foreign language tests and original tests developed in French have been validated in these areas. No specific tool is available for isolated apraxia or agnosia. Generic scales and pathology-specific scales (for stroke, traumatic brain injury, and multiple sclerosis) are available for quality of life. For aphasia, specific tools are available for incapacity handicap and quality of life. CONCLUSION Previous results show the impact of the ICIDH-1 framework on functional outcome assessment of cognitive impairments. This approach is often limited by the lack of theoretical background and by the difficulty to assess the involvement of environment and anosognosia.
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Affiliation(s)
- G Rode
- Service de rééducation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, route de Vourles, 69230 Saint-Genis-Laval, France.
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Luauté J, Landrault E, Jacquin-Courtois S, Mertens P, Rode G, Boisson D. Traitement de la spasticité focale du membre supérieur par toxine botulinique après accident vasculaire cérébral (AVC). Intérêt d'une approche au cas par cas. ACTA ACUST UNITED AC 2004; 47:555-62. [DOI: 10.1016/j.annrmp.2004.02.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2003] [Accepted: 02/20/2004] [Indexed: 10/26/2022]
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Rossetti Y, Jacquin-Courtois S, Rode G, Ota H, Michel C, Boisson D. Does action make the link between number and space representation? Visuo-manual adaptation improves number bisection in unilateral neglect. Psychol Sci 2004; 15:426-30. [PMID: 15147498 DOI: 10.1111/j.0956-7976.2004.00696.x] [Citation(s) in RCA: 130] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
If the visual world is artificially shifted by only 10 degrees, people initially experience difficulty in directing their actions toward visual goals, but then rapidly compensate the visual distortion. The consequence of such adaptation can be measured as visual and proprioceptive aftereffects, as well as by performance on pointing tasks without visual feedback. Recent work has shown that more cognitive deficits can be improved following prism adaptation in patients with unilateral neglect. Here we show that a short visuo-manual adaptation to prisms improves performance on a mental number-bisection task recently shown to be impaired in unilateral neglect. The association previously found between space and number representation (the mental number line) may thus be grounded in common action principles. Our results suggest that visuo-motor plasticity functionally links parietal areas involved in space and number representation.
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Affiliation(s)
- Y Rossetti
- Espace et Action, UMR INSERM Unité 534, Institut National de la Santé et de la Recherche Médicale, Université Claude Bernard Lyon I, 16 avenue Lépine, Case 13, 69676 Bron, France.
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