1
|
Karevan A, Nadeau S. A comprehensive STPA-PSO framework for quantifying smart glasses risks in manufacturing. Heliyon 2024; 10:e30162. [PMID: 38694060 PMCID: PMC11061756 DOI: 10.1016/j.heliyon.2024.e30162] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 04/18/2024] [Accepted: 04/21/2024] [Indexed: 05/03/2024] Open
Abstract
The integration of cutting-edge technologies, such as wearables, in complex systems is crucial for enhancing collaboration between humans and machines in the era of Industry 5.0. However, this increased interaction also introduces new challenges and risks, including the potential for human errors. A thorough analysis of the literature reveals an absence of studies that have quantified these risks, underscoring the utmost importance of this research. To address the above gap, the present study introduces the STPA-PSO methodology, which aims to quantify the risks associated with the use of smart glasses in complex systems, with a specific focus on human error risks. The proposed methodology leverages the Systems-Theoretic Process Analysis (STPA) approach to proactively identify hazards, while harnessing the power of the Particle Swarm Optimization (PSO) algorithm to accurately calculate and optimize risks, including those related to human errors. To validate the effectiveness of the methodology, a case study involving the assembly of a refrigerator was conducted, encompassing various critical aspects, such as the Industrial, Financial, and Occupational Health and Safety (OHS) aspects. The results provide evidence of the efficacy of the STPA-PSO approach in assessing, quantifying, and managing risks during the design stage. By proposing a robust and comprehensive risk quantification framework, this study makes a significant contribution to the advancement of system safety analysis in complex environments, providing invaluable insights for the seamless integration of wearables and ensuring safer interactions between humans and machines.
Collapse
Affiliation(s)
- Ali Karevan
- École de technologie supérieure, Mechanical Engineering Department, Montréal, Quebec H3C 1K3, Canada
| | - Sylvie Nadeau
- École de technologie supérieure, Mechanical Engineering Department, Montréal, Quebec H3C 1K3, Canada
| |
Collapse
|
2
|
Beaumont C, Nadeau S, Champagne PO, Beauchemin M, Villemure-Poliquin N. HPV-Related Multiphenotypic Sinonasal Carcinoma: A Clinicoradiological Series of 3 Cases With Full Endoscopic Surgical Outcome. Ear Nose Throat J 2024:1455613241247729. [PMID: 38591784 DOI: 10.1177/01455613241247729] [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] [Indexed: 04/10/2024] Open
Abstract
Context: Human papillomavirus (HPV)-related multiphenotypic sinonasal carcinoma (HMSC), formerly known as HPV-related carcinoma with adenoid cystic like features, is a rare tumor subtype with unusual correlation between radiological, histopathological, and surgical findings. The shared histological characteristics with other sinonasal tumors make the diagnosis challenging. Optimal surgical and oncological treatments for this rare condition remains to be clearly defined. Methods: The objective of the study was to describe the unique characteristics and endoscopic surgical treatment of this rare tumor. In this retrospective case series, all patients with an HMSC diagnosis treated in our tertiary center were selected. Results: Three HMSC cases were identified, including 2 male and 1 female patients. All cases originated from the posterior nasal cavity. One case presented with a tumor of 8.9 cm × 6.4 cm × 8.7 cm, which is the largest tumor volume described to date. All patients received exclusively endoscopic surgical treatment, followed by adjuvant radiation therapy. No patient showed clinical or radiological sign of disease recurrence, or regional or distant metastasis, with a follow-up ranging from 9 months to 4 years. In 2 cases, initial diagnoses incorrectly suggested adenoid cystic or basaloid squamous cell carcinoma. HPV-DNA testing confirmed the presence of HPV in all cases, with identification of strains 16 and 18. Conclusion and Relevance: HMSC represents a newly identified diagnosis that constitutes a significant challenge for both clinicians and pathologists. It is crucial to acknowledge its indolent clinical course and the apparent contradiction between aggressive radiological features and the noninvasive nature of surgical findings. Skull base surgeons should be aware that, despite these complexities, endoscopic treatment is achievable in the majority of cases. This understanding is essential for the effective management of HMSC.
Collapse
Affiliation(s)
- Catherine Beaumont
- Department of Otolaryngology-Head and Neck Surgery, Université Laval, Quebec City, QC, Canada
| | - Sylvie Nadeau
- Department of Otolaryngology-Head and Neck Surgery, Université Laval, Quebec City, QC, Canada
| | - Pierre-Olivier Champagne
- Department of Neurosurgery, Centre hospitalier universitaire de Québec-Université Laval, Quebec City, QC, Canada
| | - Michel Beauchemin
- Department of Pathology, Centre hospitalier universitaire de Québec-Université Laval, Quebec City, QC, Canada
| | | |
Collapse
|
3
|
Dupuy EG, Vincent T, Lecchino C, Boisvert A, Trépanier L, Nadeau S, de Guise E, Bherer L. Prefrontal engagement predicts the effect of museum visit on psychological well-being: an fNIRS exploration. Front Psychiatry 2024; 15:1263351. [PMID: 38501080 PMCID: PMC10944881 DOI: 10.3389/fpsyt.2024.1263351] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 02/20/2024] [Indexed: 03/20/2024] Open
Abstract
Recent research suggests that museum visits can benefit psychological well-being by reducing symptoms of stress and anxiety. However, these reported relaxing effects remain inconsistent between studies. Shedding light on the underlying cerebral mechanisms of museum visits might support a better understanding of how it affects psychological well-being. This study aimed to investigate the prefrontal engagement evoked by artwork analysis during a museum visit and to determine if these prefrontal substrates are associated with the museum's effect on psychological well-being in older adults. Nineteen adults aged between 65 and 79, toured a Baroque-style exhibit at the Montreal Museum of Fine Arts for approximately 20 minutes while equipped with a near-infrared spectroscopy system measuring the prefrontal cortex's hemodynamic activity. For each painting, participants received the instruction to either (1): analyze the painting and produce a personal interpretation of its signification (analytic condition) or (2) visualize the painting without any specific thoughts (visualization condition). Questionnaires measuring stress, anxiety, and well-being were administered before and after the visit. Sixteen older women (71.5 ± 4 years) were included in the analyses. Results showed that, at the group level, the analytic condition was associated with an increased activation pattern in the left ventrolateral prefrontal region, typically related to attentional processes (not observed in the visualization condition). The activation associated with the analytic condition predicted pre-/post-visit reductions in self-reported anxiety and stress in the sample of older women. These observations suggest that the level of engagement of attentional processes during artwork analysis may play a major role in the effect of a museum's visit on self-reported symptoms of anxiety.
Collapse
Affiliation(s)
- Emma Gabrielle Dupuy
- Centre EPIC et centre de Recherche, Montreal Heart Insitute, Montreal, QC, Canada
- Département de Médecine, Université de Montréal, Montreal, QC, Canada
| | - Thomas Vincent
- Centre EPIC et centre de Recherche, Montreal Heart Insitute, Montreal, QC, Canada
| | - Catia Lecchino
- Centre EPIC et centre de Recherche, Montreal Heart Insitute, Montreal, QC, Canada
- Département de Psychologie, Université de Montréal, Montreal, QC, Canada
| | - Annabelle Boisvert
- Centre EPIC et centre de Recherche, Montreal Heart Insitute, Montreal, QC, Canada
- Département de Psychologie, Université de Montréal, Montreal, QC, Canada
| | - Laurence Trépanier
- Département de Psychologie, Université de Montréal, Montreal, QC, Canada
- CRIR—IURDPM, CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, QC, Canada
| | - Sylvie Nadeau
- CRIR—IURDPM, CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, QC, Canada
- École de Réadaptation, Université de Montréal, Montreal, QC, Canada
| | - Elaine de Guise
- Département de Psychologie, Université de Montréal, Montreal, QC, Canada
- CRIR—IURDPM, CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, QC, Canada
| | - Louis Bherer
- Centre EPIC et centre de Recherche, Montreal Heart Insitute, Montreal, QC, Canada
- Département de Médecine, Université de Montréal, Montreal, QC, Canada
- Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada
| |
Collapse
|
4
|
Teixeira Alves E, Rinaldin CD, Hembecker PK, Manffra EF, Nadeau S, Nogueira Neto GN, Mesure S. Postural Responses to Achilles Tendon Vibration Depend on Feet Positioning. Percept Mot Skills 2023; 130:2327-2342. [PMID: 37654231 DOI: 10.1177/00315125231198161] [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] [Indexed: 09/02/2023]
Abstract
Mechanical vibration of the Achilles tendon is widely used to analyze the role of proprioception in postural control. The response to this tendon vibration (TV) has been analyzed in the upright posture, but the feet positions have varied in past research. Moreover, investigators have addressed only temporal parameters of the center of pressure (CoP). We investigated the effect of TV on both temporal and spectral characteristics of the CoP motion. Eighteen healthy young adults, stood barefoot, with one foot on each side of a dual platform, wearing glasses with opaque lenses. We applied 20 seconds of Achilles TV (bilaterally with inertial vibrators at a frequency of 80 Hz and an amplitude of .2-.5 mm). We analyzed CoP signals pre-vibration (PRE,4-seconds), during vibration (VIB,20 seconds), and after vibration cessation (REC,20 seconds). We repeated this protocol in natural and standardized positions (15° feet angular opening). For determining CoP amplitude and velocity, we divided the 20 seconds into five phases of four seconds each and calculated spectral parameters for the whole 20-second signals. There was an adaptation process in the speed of the CoP mediolateral (p < .01) and anteroposterior (p < .01) and in the displacement of the CoP anteroposterior (p < .01), with higher values in the VIB condition. Velocity and displacement decreased progressively in the REC condition. Median and peak frequencies were higher in the VIB condition when compared to the REC condition, but only in the mediolateral direction (p = .01). The standardized foot position led to increased speed in CoP mediolateral, anteroposterior, and mediolateral displacement (p < .01). CoP spectral characteristics were not affected by foot positioning. We concluded that adaptation of CoP motion in the presence of TV and after its cessation are observable both in time and frequency domains. Feet positioning influenced CoP motion in the presence of TV and after its cessation but it did not affect its spectral characteristics.
Collapse
Affiliation(s)
- E Teixeira Alves
- Graduate Program in Health Technology, Pontifícia Universidade Católica do Paraná (PPGTS/PUCPR), Paraná, Brazil
| | - C D Rinaldin
- Graduate Program in Health Technology, Pontifícia Universidade Católica do Paraná (PPGTS/PUCPR), Paraná, Brazil
| | - P K Hembecker
- Graduate Program in Health Technology, Pontifícia Universidade Católica do Paraná (PPGTS/PUCPR), Paraná, Brazil
| | - E F Manffra
- Graduate Program in Health Technology, Pontifícia Universidade Católica do Paraná (PPGTS/PUCPR), Paraná, Brazil
| | - S Nadeau
- École de Réadaptation, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada
| | - G N Nogueira Neto
- Graduate Program in Health Technology, Pontifícia Universidade Católica do Paraná (PPGTS/PUCPR), Paraná, Brazil
| | - S Mesure
- ISM Institut des Sciences du Mouvement E.J. MAREY, Faculté des Sciences du Sport, Aix-Marseille Université, Marseille, France
| |
Collapse
|
5
|
Akremi H, Higgins J, Guediri A, Aissaoui R, Nadeau S. Seated postural organization during bilateral upper limb symmetric and asymmetric pushing tasks in individuals after stroke compared to healthy controls. Gait Posture 2023; 104:83-89. [PMID: 37343399 DOI: 10.1016/j.gaitpost.2023.06.011] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 06/12/2023] [Accepted: 06/16/2023] [Indexed: 06/23/2023]
Abstract
BACKGROUND Asymmetric weight distribution in sitting has been reported in people after stroke. However, postural strategies used during bilateral symmetric and asymmetric movements performed while seated require more evidence to inform rehabilitation strategies. RESEARCH QUESTIONS How do symmetric and asymmetric effort levels exerted during upper limb (UL) pushing movements affect seated postural organization parameters (weight bearing (WB) between hands and hemibody sides, and forward trunk displacement) of stroke compared to healthy individuals? How are these parameters associated? METHODS Using an instrumented exerciser, 19 post-stroke individuals were compared to 17 healthy individuals when executing four bilateral UL pushing movements in a seated position: symmetrical pushing at 30 % and 15 % of their maximal force (MF) and asymmetrical pushing with 15 % of their MF for one UL vs. 30 % of the MF for the other UL and vice versa. Anterior and vertical forces of the push, as well as vertical forces under each foot and thigh were compared between groups, sides and conditions. Forward trunk displacement was compared between groups and conditions. Correlations were used to determine the association between trunk displacement, hands and hemibody vertical forces. RESULTS Increasing pushing effort caused increased WB on thighs and decreased on WB on feet during the 30 % MF symmetric condition compared to the 15 % MF and asymmetric conditions (p < 0.05). Individuals post-stroke showed WB asymmetry and greater forward trunk displacement when compared to healthy persons (p < 0.05). For both groups, hemibody WB and trunk displacement showed moderate association (r > - 0.5) in the asymmetric condition executed with more resistance on the paretic or non-dominant hand. SIGNIFICANCE Individuals post-stroke presented a similar WB pattern to that of healthy persons during symmetric and asymmetric bilateral UL movements with greater forward trunk displacement and asymmetry. Increased effort and asymmetric force between both UL had effects on seated postural organization strategy.
Collapse
Affiliation(s)
- Haifa Akremi
- School of Rehabilitation, Faculty of Medicine, Université de Montréal, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Canada
| | - Johanne Higgins
- School of Rehabilitation, Faculty of Medicine, Université de Montréal, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Canada
| | - Amine Guediri
- Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Canada
| | - Rachid Aissaoui
- Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Canada; École de Technologie Supérieure (ETS) and Imaging and Orthopaedics Research Laboratory, Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
| | - Sylvie Nadeau
- School of Rehabilitation, Faculty of Medicine, Université de Montréal, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Canada.
| |
Collapse
|
6
|
Hazzi C, Villemure-Poliquin N, Nadeau S, Champagne PO. SARS-CoV-2 Infection, A Risk Factor for Pituitary Apoplexy? A Case Series and Literature Review. Ear Nose Throat J 2023:1455613231179714. [PMID: 37291861 PMCID: PMC10261951 DOI: 10.1177/01455613231179714] [Citation(s) in RCA: 2] [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: 11/03/2022] [Revised: 05/03/2023] [Accepted: 05/16/2023] [Indexed: 06/10/2023] Open
Abstract
Introduction: Pituitary apoplexy (PA) is a rare phenomenon, characterized by a hemorrhagic or ischemic event of the pituitary gland, most often in association with a pituitary lesion. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is the strain of virus responsible for the internationally recognized global pandemic COVID-19. Multiple clinical manifestations associated with this virus have been described, ranging from asymptomatic, mild flu symptoms to acute respiratory distress syndrome, end-organ failure leading to death. Cases of patients with concomitant COVID-19 infections and PA are being further recognized in the literature, but the causal association between the 2 entities remains speculative. Objectives: The objectives of this case series are 3-fold: to describe additional cases of patients with concomitant COVID-19 infection and PA (1), to review the current evidence regarding this potential complication associated with a COVID-19 infection (2), and to discuss physiopathological hypotheses, treatments, and prognoses of this newly recognized association (3). Method: We conducted an electronic chart review of patients treated for PA with concomitant COVID-19 infection from March 2020 to December 2021. A literature review was performed using MEDLINE, Web of Science, and Embase databases to identify other cases of COVID-19-associated PA. Results: From March 2020 to December 2021, 3 patients presented to our center with PA following a symptomatic COVID-19 infection. Two of these patients developed PA symptoms days following the viral infection, whereas the third patient developed PA after a 2-month period. The 2 first patients were managed surgically because of persistent visual symptoms. Results from our literature review yielded 12 other cases of COVID-19-associated PAs. Conclusions: The association between COVID-19 infection and PA has been increasingly reported in the literature. With the addition of the 3 cases described in our article, a total of 15 cases have been published. Many contributing mechanisms may lead to PA following COVID-19 infection. Coagulopathy is probable major contributing cause responsible for hemorrhage or infarction of the pituitary gland. Our case series provides further arguments that PA may be a direct manifestation of a COVID-19 infection.
Collapse
Affiliation(s)
- Christina Hazzi
- Department of Ophthalmology and Otolaryngology—Head and Neck Surgery, CHU de Québec, Quebec, QC, Canada
| | - Noémie Villemure-Poliquin
- Department of Ophthalmology and Otolaryngology—Head and Neck Surgery, CHU de Québec, Quebec, QC, Canada
| | - Sylvie Nadeau
- Department of Ophthalmology and Otolaryngology—Head and Neck Surgery, CHU de Québec, Quebec, QC, Canada
| | | |
Collapse
|
7
|
Shoja O, Towhidkhah F, Hassanlouei H, Levin MF, Bahramian A, Nadeau S, Zhang L, Feldman AG. Correction to: Reaction of human walking to transient block of vision: analysis in the context of indirect, referent control of motor actions. Exp Brain Res 2023:10.1007/s00221-023-06642-5. [PMID: 37212860 DOI: 10.1007/s00221-023-06642-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2023] [Indexed: 05/23/2023]
Affiliation(s)
- Otella Shoja
- Department of Neuroscience, University of Montreal, Montreal, QC, Canada
| | - Farzad Towhidkhah
- Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran
| | - Hamidollah Hassanlouei
- Department of Motor Behaviour, Faculty of Sport Science and Health, Shahid Beheshti University, Tehran, Iran
| | - Mindy F Levin
- School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
| | - Alireza Bahramian
- Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran
| | - Sylvie Nadeau
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
- Faculté de Médecine-École de Réadaptation, Montreal, QC, Canada
| | - Lei Zhang
- Institute for Neural Computation, Ruhr University Bochum, Bochum, Germany
| | - Anatol G Feldman
- Department of Neuroscience, University of Montreal, Montreal, QC, Canada.
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.
- Institut de réadaptation Gingras-Lindsay-de-Montréal (IRGLM), 6300 Darlington, Montreal, QC, H3S 2J4, Canada.
| |
Collapse
|
8
|
Shoja O, Towhidkhah F, Hassanlouei H, Levin MF, Bahramian A, Nadeau S, Zhang L, Feldman AG. Reaction of human walking to transient block of vision: analysis in the context of indirect, referent control of motor actions. Exp Brain Res 2023; 241:1353-1365. [PMID: 37010540 DOI: 10.1007/s00221-023-06593-x] [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] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Accepted: 03/05/2023] [Indexed: 04/04/2023]
Abstract
Human locomotion may result from monotonic shifts in the referent position, R, of the body in the environment. R is also the spatial threshold at which muscles can be quiescent but are activated depending on the deflection of the current body configuration Q from R. Shifts in R are presumably accomplished with the participation of proprioceptive and visual feedback and responsible for transferring stable body balance (equilibrium) from one place in the environment to another, resulting in rhythmic activity of multiple muscles by a central pattern generator (CPG). We tested predictions of this two-level control scheme. In particular, in response to a transient block of vision during locomotion, the system can temporarily slow shifts in R. As a result, the phase of rhythmical movements of all four limbs will be changed for some time, even though the rhythm and other characteristics of locomotion will be fully restored after perturbation, a phenomenon called long-lasting phase resetting. Another prediction of the control scheme is that the activity of multiple muscles of each leg can be minimized reciprocally at specific phases of the gait cycle both in the presence and absence of vision. Speed of locomotion is related to the rate of shifts in the referent body position in the environment. Results confirmed that human locomotion is likely guided by feedforward shifts in the referent body location, with subsequent changes in the activity of multiple muscles by the CPG. Neural structures responsible for shifts in the referent body configuration causing locomotion are suggested.
Collapse
Affiliation(s)
- Otella Shoja
- Department of Neuroscience, University of Montreal, Montreal, QC, Canada
| | - Farzad Towhidkhah
- Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran
| | - Hamidollah Hassanlouei
- Department of Motor Behaviour, Faculty of Sport Science and Health, Shahid Beheshti University, Tehran, Iran
| | - Mindy F Levin
- School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
| | - Alireza Bahramian
- Department of Neuroscience, University of Montreal, Montreal, QC, Canada
| | - Sylvie Nadeau
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
- Faculté de Médecine-École de Réadaptation, Montreal, QC, Canada
| | - Lei Zhang
- Institute for Neural Computation, Ruhr University Bochum, Bochum, Germany
| | - Anatol G Feldman
- Department of Neuroscience, University of Montreal, Montreal, QC, Canada.
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.
- Institut de réadaptation Gingras-Lindsay-de-Montréal (IRGLM), 6300 Darlington, Montreal, QC, H3S 2J4, Canada.
| |
Collapse
|
9
|
Maas SL, Jin H, Lu C, Nagenborg J, Karel JMH, Cavill R, Sikkink CJJM, Nadeau S, Gijbels M, Mees BME, Smirnov E, Sluimer JC, Martins GA, Van Der Vorst EPC, Biessen EAL. Identification of a PRDM1-regulated T cell network to regulate T cell driving plaque inflammation in human and mouse atherosclerosis. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.3049] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
T cells have a prominent role in the pathogenesis of atherosclerosis, although their exact function remains elusive. Here, we pursued a network-driven approach to identify T cell-associated gene programs driving the transition from low- to high-risk human plaques.
In this study 43 human carotid arterial plaques were collected and stratified based on absence (low-risk) or presence (high-risk) of intraplaque haemorrhage (IPH). Lesion RNA was subjected to microarray gene expression analysis and analysed by Weighted Gene Co-expression Network Analysis (WGCNA). We identified a co-expressed gene cluster displaying a strong T cell signalling signature in high- versus low-risk plaque, which was tightly connected to subnetworks of angiogenesis and interferon-signalling. WGCNA-based Bayesian network inference, cell-type deconvolution and single-cell gene expression revealed that this T cell-associated gene program was likely linked to effector-memory cytotoxic CD8+ T cells, underpinning the central role of T cells in plaque destabilization. Gene regulatory analysis identified cytotoxic T cell-related transcription factors, like PRDM1, regulating this plaque T cell gene program. Moreover, we demonstrated in LDL receptor knockout mice with T cell-specific Prdm1 deficiency, that lack of Prdm1 in T cells resulted in larger, more advanced plaques.
In conclusion, our study reveals a PRDM1-regulated T cell footprint in high- versus low-risk human atherosclerotic lesions and murine atherosclerotic plaque development, thereby identifying this network as a potential target for intervention in adverse T cell responses.
Funding Acknowledgement
Type of funding sources: Public grant(s) – EU funding. Main funding source(s): The European Research Area Network on Cardiovascular Diseases (ERA-CVD and Dutch Heart Foundation)
Collapse
Affiliation(s)
- S L Maas
- RWTH Aachen University, Institute for Molecular Cardiovascular Research (IMCAR) , Aachen , Germany
| | - H Jin
- Cardiovascular Research Institute Maastricht (CARIM), Department of Pathology , Maastricht , The Netherlands
| | - C Lu
- Cardiovascular Research Institute Maastricht (CARIM), Department of Pathology , Maastricht , The Netherlands
| | - J Nagenborg
- Cardiovascular Research Institute Maastricht (CARIM), Department of Pathology , Maastricht , The Netherlands
| | - J M H Karel
- Maastricht University, Department of Data Science and Knowledge Engineering , Maastricht , The Netherlands
| | - R Cavill
- Maastricht University, Department of Data Science and Knowledge Engineering , Maastricht , The Netherlands
| | - C J J M Sikkink
- Zuyderland Medical Centre Sittard , Sittard , The Netherlands
| | - S Nadeau
- Cedars-Sinai Medical Center, Departments of Medicine and Biomedical Sciences , Los Angeles , United States of America
| | - M Gijbels
- Cardiovascular Research Institute Maastricht (CARIM), Department of Pathology , Maastricht , The Netherlands
| | - B M E Mees
- Maastricht University Medical Centre (MUMC), Department of Surgery , Maastricht , The Netherlands
| | - E Smirnov
- Maastricht University, Department of Data Science and Knowledge Engineering , Maastricht , The Netherlands
| | - J C Sluimer
- Cardiovascular Research Institute Maastricht (CARIM), Department of Pathology , Maastricht , The Netherlands
| | - G A Martins
- Cedars-Sinai Medical Center, Departments of Medicine and Biomedical Sciences , Los Angeles , United States of America
| | - E P C Van Der Vorst
- RWTH Aachen University, Institute for Molecular Cardiovascular Research (IMCAR) , Aachen , Germany
| | - E A L Biessen
- Cardiovascular Research Institute Maastricht (CARIM), Department of Pathology , Maastricht , The Netherlands
| |
Collapse
|
10
|
Ahmed S, Archambault P, Auger C, Durand A, Fung J, Kehayia E, Lamontagne A, Majnemer A, Nadeau S, Pineau J, Ptito A, Swaine B. Biomedical Research & Informatics Living Laboratory for Innovative Advances of New Technologies in Community Mobility Rehabilitation: Protocol for a longitudinal evaluation of mobility outcomes (Preprint). JMIR Res Protoc 2022; 11:e12506. [PMID: 35648455 PMCID: PMC9201706 DOI: 10.2196/12506] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 02/02/2022] [Indexed: 01/23/2023] Open
Abstract
Background Rapid advances in technologies over the past 10 years have enabled large-scale biomedical and psychosocial rehabilitation research to improve the function and social integration of persons with physical impairments across the lifespan. The Biomedical Research and Informatics Living Laboratory for Innovative Advances of New Technologies (BRILLIANT) in community mobility rehabilitation aims to generate evidence-based research to improve rehabilitation for individuals with acquired brain injury (ABI). Objective This study aims to (1) identify the factors limiting or enhancing mobility in real-world community environments (public spaces, including the mall, home, and outdoors) and understand their complex interplay in individuals of all ages with ABI and (2) customize community environment mobility training by identifying, on a continuous basis, the specific rehabilitation strategies and interventions that patient subgroups benefit from most. Here, we present the research and technology plan for the BRILLIANT initiative. Methods A cohort of individuals, adults and children, with ABI (N=1500) will be recruited. Patients will be recruited from the acute care and rehabilitation partner centers within 4 health regions (living labs) and followed throughout the continuum of rehabilitation. Participants will also be recruited from the community. Biomedical, clinician-reported, patient-reported, and brain imaging data will be collected. Theme 1 will implement and evaluate the feasibility of collecting data across BRILLIANT living labs and conduct predictive analyses and artificial intelligence (AI) to identify mobility subgroups. Theme 2 will implement, evaluate, and identify community mobility interventions that optimize outcomes for mobility subgroups of patients with ABI. Results The biomedical infrastructure and equipment have been established across the living labs, and development of the clinician- and patient-reported outcome digital solutions is underway. Recruitment is expected to begin in May 2022. Conclusions The program will develop and deploy a comprehensive clinical and community-based mobility-monitoring system to evaluate the factors that result in poor mobility, and develop personalized mobility interventions that are optimized for specific patient subgroups. Technology solutions will be designed to support clinicians and patients to deliver cost-effective care and the right intervention to the right person at the right time to optimize long-term functional potential and meaningful participation in the community. International Registered Report Identifier (IRRID) PRR1-10.2196/12506
Collapse
Affiliation(s)
- Sara Ahmed
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Lethbridge-Layton-Mackay, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Center for Outcome Research and Evaluation, McGill University Health Center Research Institute, Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
| | - Philippe Archambault
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada
| | - Claudine Auger
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada
- Institut universitaire sur la réadaptation en déficience physique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
| | - Audrey Durand
- Computer Science and Software Engineering Department, Faculty of Science and Engineering, Université Laval, Quebec City, QC, Canada
| | - Joyce Fung
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada
| | - Eva Kehayia
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada
| | - Anouk Lamontagne
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada
| | - Annette Majnemer
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Center for Outcome Research and Evaluation, McGill University Health Center Research Institute, Montreal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
| | - Sylvie Nadeau
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada
- Institut universitaire sur la réadaptation en déficience physique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
| | - Joelle Pineau
- School of Computer Science, McGill University, Montreal, QC, Canada
| | - Alain Ptito
- Department of Neurology and Neurosurgery, Faculty of Medicine, McGill University Health Centre Research Institute, Montreal, QC, Canada
| | - Bonnie Swaine
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada
- Institut universitaire sur la réadaptation en déficience physique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
| |
Collapse
|
11
|
Santonen T, Petsani D, Julin M, Garschall M, Kropf J, Van der Auwera V, Bernaerts S, Losada R, Almeida R, Garatea J, Muñoz I, Nagy E, Kehayia E, de Guise E, Nadeau S, Azevedo N, Segkouli S, Lazarou I, Petronikolou V, Bamidis P, Konstantinidis E. Cocreating a Harmonized Living Lab for Big Data-Driven Hybrid Persona Development: Protocol for Cocreating, Testing, and Seeking Consensus. JMIR Res Protoc 2022; 11:e34567. [PMID: 34989697 PMCID: PMC8778542 DOI: 10.2196/34567] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 10/29/2021] [Accepted: 11/04/2021] [Indexed: 11/15/2022] Open
Abstract
Background Living Labs are user-centered, open innovation ecosystems based on a systematic user cocreation approach, which integrates research and innovation processes in real-life communities and settings. The Horizon 2020 Project VITALISE (Virtual Health and Wellbeing Living Lab Infrastructure) unites 19 partners across 11 countries. The project aims to harmonize Living Lab procedures and enable effective and convenient transnational and virtual access to key European health and well-being research infrastructures, which are governed by Living Labs. The VITALISE consortium will conduct joint research activities in the fields included in the care pathway of patients: rehabilitation, transitional care, and everyday living environments for older adults. This protocol focuses on health and well-being research in everyday living environments. Objective The main aim of this study is to cocreate and test a harmonized research protocol for developing big data–driven hybrid persona, which are hypothetical user archetypes created to represent a user community. In addition, the use and applicability of innovative technologies will be investigated in the context of various everyday living and Living Lab environments. Methods In phase 1, surveys and structured interviews will be used to identify the most suitable Living Lab methods, tools, and instruments for health-related research among VITALISE project Living Labs (N=10). A series of web-based cocreation workshops and iterative cowriting processes will be applied to define the initial protocols. In phase 2, five small-scale case studies will be conducted to test the cocreated research protocols in various real-life everyday living settings and Living Lab infrastructures. In phase 3, a cross-case analysis grounded on semistructured interviews will be conducted to identify the challenges and benefits of using the proposed research protocols. Furthermore, a series of cocreation workshops and the consensus seeking Delphi study process will be conducted in parallel to cocreate and validate the acceptance of the defined harmonized research protocols among wider Living Lab communities. Results As of September 30, 2021, project deliverables Ethics and safety manual and Living lab standard version 1 have been submitted to the European Commission review process. The study will be finished by March 2024. Conclusions The outcome of this research will lead to harmonized procedures and protocols in the context of big data–driven hybrid persona development among health and well-being Living Labs in Europe and beyond. Harmonized protocols enable Living Labs to exploit similar research protocols, devices, hardware, and software for interventions and complex data collection purposes. Economies of scale and improved use of resources will speed up and improve research quality and offer novel possibilities for open data sharing, multidisciplinary research, and comparative studies beyond current practices. Case studies will also provide novel insights for implementing innovative technologies in the context of everyday Living Lab research. International Registered Report Identifier (IRRID) DERR1-10.2196/34567
Collapse
Affiliation(s)
- Teemu Santonen
- Department of Research, Development, Innovation and Business Development, Laurea University of Applied Sciences, Espoo, Finland
| | - Despoina Petsani
- Laboratory of Medical Physics and Digital Innovation, School of Medicine, Aristotle University of Thessaloniki, Thessalonki, Greece
| | - Mikko Julin
- Department of Research, Development, Innovation and Business Development, Laurea University of Applied Sciences, Espoo, Finland
| | - Markus Garschall
- Center for Technology Experience, AIT Austrian Institute of Technology, Vienna, Austria
| | | | | | - Sylvie Bernaerts
- LiCalab, Thomas More University of Applied Sciences, Geel, Belgium.,Expertise Unit Psychology, Technology & Society, Thomas More University of Applied Sciences, Antwerp, Belgium
| | - Raquel Losada
- Fundación INTRAS, Research, Development and Innovation Projects Department, Spain, Valladolid, Spain
| | - Rosa Almeida
- Fundación INTRAS, Research, Development and Innovation Projects Department, Spain, Valladolid, Spain
| | - Jokin Garatea
- GAIA, Asociación de Industrias de Conocimiento y Tecnologías Aplicadas, Basque Country, Spain
| | - Idoia Muñoz
- GAIA, Asociación de Industrias de Conocimiento y Tecnologías Aplicadas, Basque Country, Spain
| | - Eniko Nagy
- Nagykovácsi Wellbeing Living Lab, Nagykovácsi, Hungary
| | - Eva Kehayia
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.,School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
| | - Elaine de Guise
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.,Department of Psychology, Université de Montréal, Montreal, QC, Canada
| | - Sylvie Nadeau
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.,School of Rehabilitation, Université de Montréal, Montreal, QC, Canada
| | - Nancy Azevedo
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
| | - Sofia Segkouli
- Centre for Research and Technology-Hellas (CERTH)/Information Technologies Institute (ITI), Thessaloniki, Greece
| | - Ioulietta Lazarou
- Centre for Research and Technology-Hellas (CERTH)/Information Technologies Institute (ITI), Thessaloniki, Greece
| | - Vasileia Petronikolou
- Laboratory of Medical Physics and Digital Innovation, School of Medicine, Aristotle University of Thessaloniki, Thessalonki, Greece
| | - Panagiotis Bamidis
- Laboratory of Medical Physics and Digital Innovation, School of Medicine, Aristotle University of Thessaloniki, Thessalonki, Greece
| | - Evdokimos Konstantinidis
- Laboratory of Medical Physics and Digital Innovation, School of Medicine, Aristotle University of Thessaloniki, Thessalonki, Greece.,European Network of Living Labs, Brussels, Belgium
| |
Collapse
|
12
|
Naeini AM, Nadeau S. Comparing FRAM and STAMP for occupational health and safety (OHS) and operational risks analysis: the case of data gloves in assembly 4.0 production. Saf Health Work 2022. [DOI: 10.1016/j.shaw.2021.12.1032] [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: 10/19/2022] Open
|
13
|
Akremi H, Higgins J, Aissaoui R, Nadeau S. Bilateral motor coordination during upper limb symmetric pushing movements at two levels of force resistance in healthy and post-stroke individuals. Hum Mov Sci 2021; 81:102913. [PMID: 34952321 DOI: 10.1016/j.humov.2021.102913] [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: 02/12/2021] [Revised: 12/06/2021] [Accepted: 12/07/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Impairments of the upper limb (UL) are common after a stroke and may affect bilateral coordination. A better understanding of UL bilateral coordination is required for designing innovative rehabilitation strategies. OBJECTIVE To assess bilateral coordination after stroke using time-distance, velocity and force parameters during an UL bilateral task performed by simultaneously pushing handles on a bilateral exerciser at two levels of force. METHODS Two groups were included to assess bilateral coordination on a newly designed bimanual exerciser- One group of individuals at least 3 months post-stroke (n = 19) with moderate impairment and one group of healthy individuals (n = 20). Participants performed linear movements by pushing simultaneously with both hands on instrumented handles. The task consisted of two one-minute trials performed in sitting at two levels of participants' maximum force (MF): 30% and 15%, with visual feedback. Time-distance parameters, spatial, velocity and force profiles were compared between groups, between levels of resistance and the first part (0-50%) and entire duration of the pushing cycles (0-100%). RESULTS The mean pushing time was longer at 30% MF compared to 15% MF in the stroke group. Spatial profiles, represented by hand positions on the rail, revealed that the paretic hand lagged slightly behind throughout the cycle. For velocity, both groups displayed good coordination. It was less coupled at 30% than 15% MF and a trend was observed toward more lag occurrence in the stroke group. Except for lower forces on the paretic side in the stroke group, the shape of the force profiles was similar between groups, sides and levels of resistance. For all parameters, the coordination was good up to 75% of the pushing cycle and decreased toward the end of the cycle. CONCLUSIONS Individuals after stroke presented with overall spatial and temporal coupling of the UL during bilateral pushing movements. The relay of information at different levels of the nervous system might explain the coordinated pushing movements and might be interesting for training UL coordination.
Collapse
Affiliation(s)
- Haifa Akremi
- École de réadaptation, Faculté de médecine, Université de Montréal, C.P.6128 Succ. Centre-ville, Montréal, QC H3C 3J7, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montreal, Canada
| | - Johanne Higgins
- École de réadaptation, Faculté de médecine, Université de Montréal, C.P.6128 Succ. Centre-ville, Montréal, QC H3C 3J7, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montreal, Canada
| | - Rachid Aissaoui
- Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montreal, Canada; École de Technologie Supérieure (ETS) and Imaging and Orthopaedics Research Laboratory, Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
| | - Sylvie Nadeau
- École de réadaptation, Faculté de médecine, Université de Montréal, C.P.6128 Succ. Centre-ville, Montréal, QC H3C 3J7, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montreal, Canada.
| |
Collapse
|
14
|
Bernaerts S, De Witte NAJ, Van der Auwera V, Bonroy B, Muraru L, Bamidis P, Frantzidis C, Kourtidou-Papadeli C, Azevedo N, Garatea J, Muñoz I, Almeida R, Losada R, Fung J, Kehayia E, Lamontagne A, de Guise E, Duclos C, Higgins J, Nadeau S, Beaudry L, Konstantinidis E. Rehabilitation supported by technology: Protocol for an international co-creation and user experience study (Preprint). JMIR Res Protoc 2021; 11:e34537. [PMID: 35266874 PMCID: PMC8949709 DOI: 10.2196/34537] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Revised: 12/21/2021] [Accepted: 12/22/2021] [Indexed: 12/24/2022] Open
Abstract
Background Living labs in the health and well-being domain have become increasingly common over the past decade but vary in available infrastructure, implemented study designs, and outcome measures. The Horizon 2020 Project Virtual Health and Wellbeing Living Lab Infrastructure aims to harmonize living lab procedures and open living lab infrastructures to facilitate and promote research activities in the health and well-being domain in Europe and beyond. This protocol will describe the design of a joint research activity, focusing on the use of innovative technology for both rehabilitation interventions and data collection in a rehabilitation context. Objective With this joint research activity, this study primarily aims to gain insight into each living lab’s infrastructure and procedures to harmonize health and well-being living lab procedures and infrastructures in Europe and beyond, particularly in the context of rehabilitation. Secondarily, this study aims to investigate the potential of innovative technologies for rehabilitation through living lab methodologies. Methods This study has a mixed methods design comprising multiple phases. There are two main phases of data collection: cocreation (phase 1) and small-scale pilot studies (phase 2), which are preceded by a preliminary harmonization of procedures among the different international living labs. An intermediate phase further allows the implementation of minor adjustments to the intervention or protocol depending on the input that was obtained in the cocreation phase. A total of 6 small-scale pilot studies using innovative technologies for intervention or data collection will be performed across 4 countries. The target study sample comprises patients with stroke and older adults with mild cognitive impairment. The third and final phases involve Delphi procedures to reach a consensus on harmonized procedures and protocols. Results Phase 1 data collection will begin in March 2022, and phase 2 data collection will begin in June 2022. Results will include the output of the cocreation sessions, small-scale pilot studies, and advice on harmonizing procedures and protocols for health and well-being living labs focusing on rehabilitation. Conclusions The knowledge gained by the execution of this research will lead to harmonized procedures and protocols in a rehabilitation context for health and well-being living labs in Europe and beyond. In addition to the harmonized procedures and protocols in rehabilitation, we will also be able to provide new insights for improving the implementation of innovative technologies in rehabilitation. International Registered Report Identifier (IRRID) PRR1-10.2196/34537
Collapse
Affiliation(s)
- Sylvie Bernaerts
- LiCalab, Thomas More University of Applied Sciences, Geel, Belgium
- Expertise Unit Psychology, Technology & Society, Thomas More University of Applied Sciences, Antwerpen, Belgium
| | - Nele A J De Witte
- LiCalab, Thomas More University of Applied Sciences, Geel, Belgium
- Expertise Unit Psychology, Technology & Society, Thomas More University of Applied Sciences, Antwerpen, Belgium
| | | | - Bert Bonroy
- Mobilab & Care, Thomas More University of Applied Sciences, Geel, Belgium
| | - Luiza Muraru
- Mobilab & Care, Thomas More University of Applied Sciences, Geel, Belgium
| | - Panagiotis Bamidis
- Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Christos Frantzidis
- Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Chrysoula Kourtidou-Papadeli
- Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
- Greek Aerospace Medical Association and Space Research, Thessaloniki, Greece
| | - Nancy Azevedo
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
| | - Jokin Garatea
- GAIA, Asociación de Industrias de Conocimiento y Tecnologías Aplicadas, San Sebastian, Spain
| | - Idoia Muñoz
- GAIA, Asociación de Industrias de Conocimiento y Tecnologías Aplicadas, San Sebastian, Spain
| | - Rosa Almeida
- Fundación INTRAS, Research, Development and Innovation Department, Valladolid, Spain
| | - Raquel Losada
- Fundación INTRAS, Research, Development and Innovation Department, Valladolid, Spain
| | - Joyce Fung
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
- School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
| | - Eva Kehayia
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
- School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
| | - Anouk Lamontagne
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
- School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
| | - Elaine de Guise
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
- Université de Montreal, Montreal, QC, Canada
| | - Cyril Duclos
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
- Université de Montreal, Montreal, QC, Canada
| | - Johanne Higgins
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
- Université de Montreal, Montreal, QC, Canada
| | - Sylvie Nadeau
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
- Université de Montreal, Montreal, QC, Canada
| | - Lucie Beaudry
- Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Institut Universitaire sur la réadaptation en déficience physique de Montréal, Montreal, QC, Canada
- Dance Department, Université du Québec à Montréal, Montreal, QC, Canada
| | - Evdokimos Konstantinidis
- Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
- European Network of Living Labs, Brussels, Belgium
| |
Collapse
|
15
|
Le Floch T, Nadeau S, Morency F, Landau K. Identification of physically fatiguing tasks performed during aircraft open-basket ground de-icing activities. Work 2021; 68:789-796. [PMID: 33612521 DOI: 10.3233/wor-203412] [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] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Airplane de-icing technicians work from either an open-basket or closed-basket. OBJECTIVE The objective of this study is to identify the tasks that have an influence on the physical fatigue of open-basket aircraft de-icing technicians. METHODS In a Canadian airport during the winter of 2016-2017, a field study was conducted in which the heart rate of 12 volunteer participants was collected. The data was analyzed along with the 22 tasks that make up the activity of open-basket aircraft de-icing. For each participant, the mean absolute cardiac cost per task was compared. The evolution of the cardiac signal based on the resting heart rate and steady state limit was also characterized. RESULTS According to the cumulative results fatigue occurs for periodic tasks as well as double tasks. More precisely, the most physically fatiguing tasks are spraying de-icing and anti-icing fluids, moving the basket and truck, as well as tactile control and de-icing quality control at ground level. CONCLUSIONS Similar studies would need to be conducted in other aircraft de-icing facilities to improve the generalization of the results.
Collapse
Affiliation(s)
- T Le Floch
- Department of Mechanical Engineering, École de technologie supérieure, Notre-Dame West, Montreal, Quebec, Canada
| | - S Nadeau
- Department of Mechanical Engineering, École de technologie supérieure, Notre-Dame West, Montreal, Quebec, Canada
| | - F Morency
- Department of Mechanical Engineering, École de technologie supérieure, Notre-Dame West, Montreal, Quebec, Canada
| | - K Landau
- Department of Mechanical Engineering, École de technologie supérieure, Notre-Dame West, Montreal, Quebec, Canada
| |
Collapse
|
16
|
Bruyneel AV, Higgins J, Akremi H, Aissaoui R, Nadeau S. Postural organization and inter-limb coordination are altered after stroke when an isometric maximum bilateral pushing effort of the upper limbs is performed. Clin Biomech (Bristol, Avon) 2021; 86:105388. [PMID: 34052694 DOI: 10.1016/j.clinbiomech.2021.105388] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 05/17/2021] [Accepted: 05/18/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Postural strategies of the trunk and the lower limbs are linked to upper limb motor activities. The objective was to analyze the postural organization at the lower limbs as well as the inter-limb coordination during isometric maximal bilateral pushing of upper limbs. METHODS Fifteen individuals after stroke and 17 healthy participants were assessed with an instrumented exerciser paired with an instrumented sitting surface while they executed isometric bilateral pushes with the upper limbs. The anteroposterior, vertical and mediolateral forces were recorded at the handles, the thighs and the feet. Force values at maximal bilateral pushing efforts at each segment and inter-limb coordination between sides were compared. FINDINGS During the isometric pushes, the paretic maximal forces at the handles for stroke participants were lower than the nonparetic side and lower than both sides of the control participants (p < 0.036). The control and stroke participants had moderate to good coordination for the anteroposterior forces (hands and thighs). While they used similar postural strategies to the controls except for a decreased weight on the paretic foot, vertical forces were less coordinated at the handles and feet in the stroke group (p < 0.050). The inter-trial variability was also higher in the stroke group. INTERPRETATION Bilateral pushing with gradual efforts induces impaired postural strategies and coordination between limbs in individuals after stroke. It may reveal to be a promising strategy to assess and train post-stroke individuals in a clinical setting. Also, providing feedback would help better control symmetry during efforts.
Collapse
Affiliation(s)
- Anne-Violette Bruyneel
- Department of Physiotherapy, School of Health Sciences, HES-SO//University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland.
| | - Johanne Higgins
- École de réadaptation, Faculté de médecine, Université de Montréal, Pavillon du Parc, Bureau 402-18, C.P.6128 Succ. Centre-ville, Montréal, QC H3C 3J7, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, 6300 avenue Darlington, Montréal, QC H3S 2J4, Canada.
| | - Haifa Akremi
- École de réadaptation, Faculté de médecine, Université de Montréal, Pavillon du Parc, Bureau 402-18, C.P.6128 Succ. Centre-ville, Montréal, QC H3C 3J7, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, 6300 avenue Darlington, Montréal, QC H3S 2J4, Canada.
| | - Rachid Aissaoui
- École de Technologie Supérieure, Montreal, Canada; Centre for Interdisciplinary Research in Rehabilitation (CRIR) of Greater Montreal, Montreal, Canada; Imaging and Orthopaedics Research Laboratory, Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Canada.
| | - Sylvie Nadeau
- École de réadaptation, Faculté de médecine, Université de Montréal, Pavillon du Parc, Bureau 402-18, C.P.6128 Succ. Centre-ville, Montréal, QC H3C 3J7, Canada; Laboratoire de pathokinésiologie, Institut universitaire sur la réadaptation en déficience physique de Montréal-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, 6300 avenue Darlington, Montréal, QC H3S 2J4, Canada.
| |
Collapse
|
17
|
Nadeau S, Côté M, Champagne PO. Endoscopic Endonasal Resection of a Pontine Brainstem Cavernoma. World Neurosurg 2021; 150:19. [PMID: 33753321 DOI: 10.1016/j.wneu.2021.03.050] [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: 01/27/2021] [Revised: 03/09/2021] [Accepted: 03/10/2021] [Indexed: 11/15/2022]
Abstract
Surgical treatment of brainstem cavernoma is controversial.1 With modern surgical technique, safe and complete removal of selected brainstem cavernoma is possible.2 The choice of optimal corridor must consider various factors, including eloquent structures of the brainstem, cavernoma shape and location, as well as the presence of an exophytic portion to the lesion.3,4 The endoscopic endonasal approach, with its refinement through the last decade, could offer an optimal corridor for the removal of ventral brainstem cavernomas. This video exemplifies the key surgical steps, advantages of the technique, and relevant anatomy for the endoscopic endonasal removal of a ventrally exophytic pontine cavernoma.
Collapse
Affiliation(s)
- Sylvie Nadeau
- Department of Otolaryngology, Laval University Medical Center, Quebec, Canada
| | - Martin Côté
- Department of Neurosurgery, Laval University Medical Center, Quebec, Canada
| | | |
Collapse
|
18
|
Villemure-Poliquin N, Nadeau S. Surgical treatment of isolated sphenoid sinusitis - A case series and review of literature. Int J Surg Case Rep 2021; 79:18-23. [PMID: 33422847 PMCID: PMC7808905 DOI: 10.1016/j.ijscr.2020.12.091] [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: 12/01/2020] [Revised: 12/26/2020] [Accepted: 12/27/2020] [Indexed: 11/06/2022] Open
Abstract
Isolated sphenoid opacification is a rare pathology that is increasingly being described and it represents 1–2% of sinus infections. The most frequent symptom associated with isolated sphenoid sinusitis is intractable headache. Isolated sphenoid sinusitis is usually treated surgically and endoscopic transnasal sphenoidectomy is the preferred surgical technique. Highly inflammatory diseases such as fungal infections may be associated with an increased risk of re-ossification of the sphenoid ostium following sphenoidectomy.
Introduction Isolated sphenoid opacification is a rare pathology. Unlike other sinusitis, the treatment is most often surgical. Only few studies reporting the recurrence rates with long-term follow-ups are available in the literature. In our experience, isolated sphenoid sinusitis tends to have a significant recurrence rate after a first surgical intervention. This study aims to describe our experience with patients operated for isolated sphenoid sinusitis and to compare our reoperation and complication rates with those reported in the literature. Methods We conducted an electronic chart review of patients operated at the CHU de Québec between 2007 and 2018 for isolated sphenoid sinusitis. Results 29 patients were analyzed. All patients had a sphenoidectomy with a transnasal approach. The reoperation rate was 103% (3/29) and the mean recurrence time was 15 (9–26) months. Among the patients reoperated, 2 patients had a fungus ball and one had a mucocele. Both patients with fungal balls had reossification of their sphenoidal ostium whereas the patient with the mucocele rather had a mucosal closure. No patient encountered any serious post-operative complication. Median duration of follow-up was 44 months (IQR: 25–68) for the 29 patients analyzed in our study. Conclusion Reoperation rates reported in the literature are probably underestimated. Our series emphasizes the importance of long-term follow-up for these pathologies. Highly inflammatory and chronic conditions such as fungal diseases could be linked to an increase in the occurrence of relapses.
Collapse
Affiliation(s)
- Noémie Villemure-Poliquin
- Department of Ophthalmology and Otolaryngology - Head and Neck Surgery, Université Laval, Quebec City, Quebec, Canada.
| | - Sylvie Nadeau
- Department of Ophthalmology and Otolaryngology - Head and Neck Surgery, Université Laval, Quebec City, Quebec, Canada.
| |
Collapse
|
19
|
Abstract
OCCUPATIONAL APPLICATIONSWe conducted a study to evaluate fatigue and workload among workers performing complex assembly tasks. We investigate several predictors of fatigue, including subjective workload estimates, sleep duration, the shift being worked, and production levels. High levels of fatigue were reported in one-third of the shifts evaluated. The main predictors of high fatigue were workload estimates, working evening shifts, and baseline fatigue. Among the six dimensions of workload, only mental demand and frustration were predictors of high fatigue. Mental demand was also rated highest. Participants reported less than seven hours of sleep in 60% of the nights evaluated. These results suggest that managers and supervisors should consider cognitive workload as a key contributing factor to fatigue in complex manual assembly. Similarly, work schedule planning should consider shift duration, start times, and end times, because of the negative influence on fatigue and the potential disruptions on sleep among workers.
Collapse
Affiliation(s)
- Yaniel Torres
- Department of Mechanical Engineering, École de technologie supérieure, Montreal, Canada
| | - Sylvie Nadeau
- Department of Mechanical Engineering, École de technologie supérieure, Montreal, Canada
| | - Kurt Landau
- Department of Mechanical Engineering, École de technologie supérieure, Montreal, Canada.,Institute of Ergonomics and Human Factors, Technische Universität Darmstadt, Darmstadt, Germany
| |
Collapse
|
20
|
Aguiar LT, Nadeau S, Teixeira-Salmela LF, Reis MTF, Peniche PDC, Faria CDCDM. Perspectives, satisfaction, self-efficacy, and barriers to aerobic exercise reported by individuals with chronic stroke in a developing country. Disabil Rehabil 2020; 44:3089-3094. [PMID: 33322968 DOI: 10.1080/09638288.2020.1855260] [Citation(s) in RCA: 5] [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: 01/05/2023]
Abstract
PURPOSE To describe the perspectives, satisfaction, and self-efficacy towards aerobic exercise and to investigate the barriers to aerobic exercise identified by individuals with stroke in a developing country. MATERIALS AND METHODS A cross-sectional study was performed with 15 individuals (55 ± 12 years, 69 ± 77 months post-stroke), who received a 12-week vigorous intensity aerobic treadmill training (three 30-min sessions/week). To assess participants' perspectives, satisfaction, self-efficacy, and barriers to aerobic exercise, a standardized interview and the Short Self-Efficacy for Exercise scale were employed. RESULTS Participants considered aerobic exercise important (100% (IQR 20%), out of 100), recognized that it improves recovery (93%) and heart health (100%) and were satisfied with the training (80%). Self-efficacy was high (4 (IQR 1), out of 5). The main barriers were lack of information (86.7%), fear of falling (80%), lack of equipment (73.3%) or support (66.7%-73.3%), cognitive (66.7%) and physical impairments (60%) and severe weather conditions (60%). Most of them preferred to exercise in groups (93%). CONCLUSIONS Individuals with stroke in a developing country considered aerobic exercise important. However, they perceived barriers related to safety, individual ability, social support, and aerobic exercise. It is necessary to improve education of these individuals, family members, and health care professionals regarding aerobic exercises.IMPLICATIONS FOR REHABILITATIONIndividuals after stroke in developing countries consider aerobic exercise important and recognized that it improves stroke recovery and health, although they perceived barriers related to safety, individual ability, social support, and aerobic exercise itself.It is important to improve education to stroke survivors, family members and healthcare professionals in developing countries about the possibilities, risks, and benefits of aerobic exercises.Rehabilitation professionals should provide aerobic exercise for individuals after stroke in groups.Rehabilitation professionals might use cycle ergometers or partial body weight support to overcome fear of falling and facilitate implementation of aerobic exercise after stroke.
Collapse
Affiliation(s)
- Larissa Tavares Aguiar
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.,École de Réadaptation, Université de Montréal (UdeM), and Centre de recherche interdisciplinaire en réadaptation (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS Centre-sud-de-l'Ile-de-Montréal, Montréal, Canada
| | - Sylvie Nadeau
- École de Réadaptation, Université de Montréal (UdeM), and Centre de recherche interdisciplinaire en réadaptation (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS Centre-sud-de-l'Ile-de-Montréal, Montréal, Canada
| | | | | | - Paula da Cruz Peniche
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | | |
Collapse
|
21
|
Martins JC, Nadeau S, Aguiar LT, Scianni AA, Teixeira-Salmela LF, De Morais Faria CDC. Efficacy of task-specific circuit training on physical activity levels and mobility of stroke patients: A randomized controlled trial. NeuroRehabilitation 2020; 47:451-462. [PMID: 33136078 DOI: 10.3233/nre-203207] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Impaired mobility is related to low physical activity (PA) levels observed after stroke. Therapeutic approaches, such as task-specific circuit training (TSCT), used to improve mobility in individuals with stroke, could also improve PA levels. OBJECTIVE To investigate the efficacy of TSCT, focused on both upper (UL) and lower (LL) limbs, in improving PA levels and mobility (primary outcomes), as well as muscle strength, exercise capacity, and quality of life (secondary outcomes) in subjects with stroke. METHODS A randomized controlled trial with 36 subjects with chronic stroke was conducted. Experimental group: TSCT, involving both UL and LL. CONTROL GROUP global stretching, memory exercises, and education sessions. Both groups received 60 minute sessions/week over 12 weeks. Outcomes were measured at baseline, post-intervention and 16 week follow-up. RESULTS No changes were found for primary and secondary outcomes (0.11≤p≤0.99), except for quality of life, which improved in the experimental group post-intervention and 16 week follow-up (p = 0.02). CONCLUSION TSCT focused on both UL and LL was not effective on PA levels and mobility of individuals with chronic stroke, however, improvements in quality of life were observed. Since this is the first study to investigate this combined training aimed at improving PA levels, future studies are necessary to better understand the impact of this type of intervention.
Collapse
Affiliation(s)
- Júlia Caetano Martins
- Universidade Federal de Minas Gerais (UFMG), Department of Physical Therapy, Belo Horizonte, Brazil
| | - Sylvie Nadeau
- Université de Montreal (UdeM), Centre de recherche interdisciplinaire en réadaptation (CRIR), Institut de réadaptation Gingras-Lindsay de Montréal (IRGLM), CIUSSS Centre-Sud-de-l'île-de-Montréal, Montréal, Canada
| | - Larissa Tavares Aguiar
- Universidade Federal de Minas Gerais (UFMG), Department of Physical Therapy, Belo Horizonte, Brazil
| | - Aline Alvim Scianni
- Universidade Federal de Minas Gerais (UFMG), Department of Physical Therapy, Belo Horizonte, Brazil
| | | | | |
Collapse
|
22
|
Aguiar LT, Nadeau S, Britto RR, Teixeira-Salmela LF, Martins JC, Samora GAR, da Silva Júnior JA, Faria CDCDM. Effects of aerobic training on physical activity in people with stroke: A randomized controlled trial. NeuroRehabilitation 2020; 46:391-401. [DOI: 10.3233/nre-193013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Larissa Tavares Aguiar
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
- École de Réadaptation, Université de Montréal (UdeM), and Centre de recherche interdisciplinaire en réadaptation (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS Centre-sud-de-l’Ile-de-Montréal, Montréal, Canada
| | - Sylvie Nadeau
- École de Réadaptation, Université de Montréal (UdeM), and Centre de recherche interdisciplinaire en réadaptation (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS Centre-sud-de-l’Ile-de-Montréal, Montréal, Canada
| | - Raquel Rodrigues Britto
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | | | - Júlia Caetano Martins
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | | | | | | |
Collapse
|
23
|
Rodrigues L, Bherer L, Bosquet L, Vrinceanu T, Nadeau S, Lehr L, Bobeuf F, Kergoat MJ, Vu TTM, Berryman N. Effects of an 8-week training cessation period on cognition and functional capacity in older adults. Exp Gerontol 2020; 134:110890. [PMID: 32114076 DOI: 10.1016/j.exger.2020.110890] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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: 11/13/2019] [Revised: 01/31/2020] [Accepted: 02/24/2020] [Indexed: 12/21/2022]
Abstract
BACKGROUND Multiple types of exercise interventions have been described as effective methods for improving cognition and mobility in older adults. In addition to combined strength and aerobic training, gross motor activities have shown benefits. However, adherence to exercise is a challenge, which may bring about periods of training cessation. Importantly, short-term training cessation may lead to a loss of fitness adaptations. The effects of training cessation on cognition and functional capacity are not well known, especially within the context of dual-tasking in older adults. OBJECTIVES We examined the effects of an 8-week training cessation period on cognition (executive functioning (EF) in single (ST) and dual-task (DT)) and functional capacity (10 m Walk and 6 Minute Walk Test) of healthy older adults, after one of three training interventions: combined lower body strength and aerobic, combined upper body strength and aerobic, or gross motor activities. MATERIALS AND METHODS Forty older adults (70.5 ± 5.5 years, 67.5% F) participated in training sessions, 3×/week for 8 weeks prior to training cessation. Pre (T0), post (T1) and follow-up (post-cessation, T2) measures of EF (performance in inhibition and updating/working memory indices of the Random Number Generation task) in ST and DT (treadmill walking at 0.67 m·s-1, 1.11 m·s-1, and 1.56 m·s-1), and functional capacity were assessed. Changes in ST and DT as well as functional capacity tests were analyzed using two-way ANOVAs (time ∗ group) with repeated measures for the time factor (T0, T1 and T2). RESULTS Improvements in inhibition indices were observed in ST for all time comparisons (T0-T1, T1-T2 and T0-T2). Inhibition in DT improved from T0-T2 and from T1-T2. Working memory declined from T0-T2 and from T1-T2. Functional capacity performance was maintained from T1-T2 (small improvement from T0-T1 and from T0-T2). DISCUSSION Performances in inhibition were maintained or improved after cessation of training. We found no interaction between training groups, whatever the condition, indicating similar training cessation effects regardless of the intervention. CONCLUSIONS Multiple types of exercise interventions may lead to positive benefit to inhibition and functional capacity in older adults, and it may also be possible to retain these benefits after a short cessation period.
Collapse
Affiliation(s)
- Lynden Rodrigues
- School of Physical and Occupational Therapy, McGill University, Montréal, QC, Canada; Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain (CRIR), Jewish Rehabilitation Hospital (CISSS-Laval), Laval, QC, Canada
| | - Louis Bherer
- Département de Médecine, Université de Montréal, Montréal, QC, Canada; Institut de Cardiologie de Montréal, Montréal, QC, Canada; Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC, Canada
| | - Laurent Bosquet
- Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC, Canada; Laboratoire MOVE (EA6314), Faculté des Sciences du Sport, Université de Poitiers, Poitiers, France
| | - Tudor Vrinceanu
- Département de Médecine, Université de Montréal, Montréal, QC, Canada; Institut de Cardiologie de Montréal, Montréal, QC, Canada; Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC, Canada
| | - Sylvie Nadeau
- École de Réadaptation, Université of Montréal, Montréal, QC, Canada; Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), du CIUSSS Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Lora Lehr
- Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC, Canada
| | - Florian Bobeuf
- Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC, Canada
| | - Marie Jeanne Kergoat
- Département de Médecine, Université de Montréal, Montréal, QC, Canada; Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC, Canada
| | - Thien Tuong Minh Vu
- Département de Médecine, Université de Montréal, Montréal, QC, Canada; Département de Médecine, Centre hospitalier de l'Université de Montréal, Service de gériatrie, Montréal, QC, Canada
| | - Nicolas Berryman
- Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC, Canada; Laboratoire MOVE (EA6314), Faculté des Sciences du Sport, Université de Poitiers, Poitiers, France; Department of Sports Studies, Bishop's University, Sherbrooke, QC, Canada; Département des Sciences de l'Activité Physique, Université du Québec à Montréal, Montréal, QC, Canada.
| |
Collapse
|
24
|
Richards CL, Durand A, Malouin F, Nadeau S, Fung J, D’Amours L, Perez C. Recovery of Sensorimotor Functional Outcomes at Discharge from In-Patient Rehabilitation in Three Stroke Units in the Province of Quebec. Physiother Can 2020; 72:158-168. [PMID: 32494100 PMCID: PMC7238929 DOI: 10.3138/ptc-2018-0108] [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] [Indexed: 11/20/2022]
Abstract
Purpose: This study aimed to portray the characteristics, process variables, and sensorimotor outcomes of patients who had received their usual post-stroke in-patient rehabilitation in three stroke rehabilitation units in Quebec in 2013-2014. Method: We assessed patients (n = 264) at admission and discharge with a subset of a standardized assessment toolkit consisting of observational and performance-based assessment tools. Results: The patients, with a mean age of 60.3 (SD 15.4) years, were admitted 27.7 (SD 8.4) days post-stroke onset. They had a mean admission FIM score of 83.0 (SD 24.0), a mean length of stay of 48.4 (SD 31.1) days, a mean FIM discharge score of 104.0 (SD 17.0), and a mean FIM efficiency score of 0.44 (SD 0.29). All patient outcomes were significantly improved (p < 0.001) and clinically meaningful at discharge (moderate to large Glass's Δ effect sizes) with the improvements greater than or equal to the minimal detectable change at the 95% confidence level in 34%-75% of the patients. Improvements were larger on five of seven outcomes in a sub-group of patients with more severe stroke. Conclusions: The use of a combination of observational and performance assessment tools was essential to capture the full range of disabilities. We have documented significant and clinically meaningful improvements in functional independence, disability, and upper and lower extremity functions after usual post-stroke in-patient rehabilitation in the province of Quebec and provided baseline data for future studies.
Collapse
Affiliation(s)
- Carol L. Richards
- Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale
- Centre interdisciplinaire de recherche en réadaptation et intégration sociale
- Département de réadaptation, Université Laval, Quebec City, Que
| | - Anne Durand
- Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale
- Centre interdisciplinaire de recherche en réadaptation et intégration sociale
| | - Francine Malouin
- Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale
- Centre interdisciplinaire de recherche en réadaptation et intégration sociale
- Département de réadaptation, Université Laval, Quebec City, Que
| | - Sylvie Nadeau
- Institut universitaire sur la réadaptation en déficience physique de Montréal du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal
- École de réadaptation, Université de Montréal
| | - Joyce Fung
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal
- School of Physical and Occupational Therapy, McGill University, Montreal
- Jewish Rehabilitation Hospital, CISSS Laval
| | - Line D’Amours
- Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale
- Centre interdisciplinaire de recherche en réadaptation et intégration sociale
| | - Claire Perez
- Center for Interdisciplinary Research in Rehabilitation of Greater Montreal
- School of Physical and Occupational Therapy, McGill University, Montreal
- Jewish Rehabilitation Hospital, CISSS Laval
| |
Collapse
|
25
|
Pérennou D, Azouvi P, Nadeau S, Casillas JM, Burger H, Denys P, Coudeyre E, Rannou F. The Annals of Physical and Rehabilitation Medicine through the 2010s: A generalist journal of rehabilitation with a French touch. Ann Phys Rehabil Med 2020; 63:1-3. [PMID: 31891785 DOI: 10.1016/j.rehab.2019.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Accepted: 12/16/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Dominic Pérennou
- University Hospital Centre Grenoble-Alpes and lab LPNC, Department of Physical Medicine and Rehabilitation, Grenoble, France.
| | - Philippe Azouvi
- Hospital Raymond-Poincare, Department of Rehabilitation Medicine, Garches, France
| | - Sylvie Nadeau
- University of Montreal, School of Rehabilitation (physical therapy), Montreal, Canada
| | | | - Helena Burger
- SOCA University Rehabilitation Institute, Ljubljana, Slovenia
| | - Pierre Denys
- Hospital Raymond-Poincare, Department of Rehabilitation Medicine, Garches, France
| | - Emmanuel Coudeyre
- University Hospital Centre Clermont-Ferrand, Clermont-Ferrand, France
| | - François Rannou
- Rene Descartes University Department of Rheumatology, Rehabilitation Unit, Cochin Hospital, Paris, France
| |
Collapse
|
26
|
de Guise E, Higgins J, Kehayia E, Poldma T, Saj A, Beauchet O, Bastien T, Azevedo N, Nadeau S. Caractériser l’interaction environnement – personne lors d’une visite muséale : une étude de faisabilité de collectes de données multiples et ponctuelles de la mobilité dans l’espace public. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.10.153] [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: 11/17/2022] Open
|
27
|
Bruyneel AV, Akremi H, Higgins J, Nadeau S. La coordination inter-membres des forces diffèrent entre les sujets sains et post-AVC lors de poussées bilatérales maximales des membres supérieurs. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.10.060] [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] Open
|
28
|
Mesure S, Bruyneel AV, Nadeau S. La posture naturelle ou standardisée: quelle orientation pour la rééducation ? Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.10.088] [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] Open
|
29
|
Nadeau S, Saj A, Gagnon DH, Defebvre L, Hamaoui A. L’art de se déplacer dans la ville. Neurophysiol Clin 2019; 49:405-406. [DOI: 10.1016/j.neucli.2019.11.005] [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] Open
|
30
|
Bruyneel AV, Aissaoui R, Mesure S, Robert T, Nadeau S. Caractérisation de la mobilité des visiteurs lors d’une visite muséale aux musées des Beaux-Arts de Montréal. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.10.155] [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] Open
|
31
|
Martins JC, Aguiar LT, Nadeau S, Scianni AA, Teixeira-Salmela LF, Faria CDCDM. Measurement properties of self-report physical activity assessment tools for patients with stroke: a systematic review. Braz J Phys Ther 2019; 23:476-490. [PMID: 30872006 PMCID: PMC6849082 DOI: 10.1016/j.bjpt.2019.02.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 02/06/2019] [Accepted: 02/13/2019] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Individuals with stroke demonstrate low levels of physical activity. Self-report measures of physical activity are frequently used and the choice of the best one to use for each purpose and context should take into account the measurement properties of these instruments. OBJECTIVE To summarize the measurement properties and clinical utility of self-report measures of physical activity of post-stroke subjects and to evaluate both the methodological quality of the studies and the quality of the measurement properties. METHODS Searches were made in MEDLINE, EMBASE, PEDro, LILACS, and SCIELO. Two reviewers independently screened studies that investigated measurement properties or clinical utility of self-report measures of physical activity in post-stroke subjects. The studies' methodological quality, quality of the measurement properties, and clinical utility were evaluated. RESULTS From the 11,826 identified studies, 19 were included. Six self-report tools were evaluated: The Activity card sort, Coded activity diary, Frenchay activities index (FAI), Human activity profile (HAP), Multimedia activity recall for children and adults, and the Nottingham leisure questionnaire. The methodological quality of the studies ranged from "poor" to "good". Most of the results regarding the quality of the measurement properties were doubtful. None of the self-report tools had their content validity investigated. The FAI and HAP showed the highest clinical utility scores. CONCLUSIONS Content validity needs to be better investigated to determine if the instruments actually measure the physical activity domain. Further studies with good methodological quality are required to assist clinicians and researchers in selecting the best instrument to measure physical activity levels.
Collapse
Affiliation(s)
- Júlia Caetano Martins
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - Larissa Tavares Aguiar
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil; Institut de réadaptation Gingras-Lindsay de Montréal (IRGLM), CIUSSS Centre-Sud-de-l'Île-de-Montréal, Université de Montreal (UdeM), Montréal, Canada
| | - Sylvie Nadeau
- Institut de réadaptation Gingras-Lindsay de Montréal (IRGLM), CIUSSS Centre-Sud-de-l'Île-de-Montréal, Université de Montreal (UdeM), Montréal, Canada
| | - Aline Alvim Scianni
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | | | | |
Collapse
|
32
|
Musselman KE, Verrier MC, Flett H, Nadeau S, Yang JF, Farahani F, Alavinia SM, Omidvar M, Wiest MJ, Craven BC. Development of Walking indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project. J Spinal Cord Med 2019; 42:119-129. [PMID: 31573443 PMCID: PMC6783800 DOI: 10.1080/10790268.2019.1647385] [Citation(s) in RCA: 10] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Objective: To describe the development of structure, process and outcome indicators that will advance the quality of walking rehabilitation for Canadians with spinal cord injury or disease (SCI/D) by 2020. Method: A framework for the evaluation of the quality of walking rehabilitation was developed by experts in walking after SCI/D. A systematic literature review identified factors influencing walking outcomes and potential walking indicators. A Driver diagram analysis summarized the factors affecting walking outcomes and subsequently informed the selection of structure and process indicators. Psychometric properties and clinical utility of potential walking indicators were considered during the selection of outcome indicators. Results: The structure indicator is the number of physical therapists using evidence-based walking interventions per number of ambulatory individuals with SCI/D. The process indicator is the number of received hours of walking interventions during inpatient rehabilitation per number of ambulatory individuals with SCI/D. The intermediary outcome indicator, which is collected at discharge from inpatient rehabilitation, is either the modified Timed Up and Go or the 10-Meter Walk Test, the choice of measure is dictated by the stage of walking recovery, as defined by the Standing and Walking Assessment Tool. The final outcome indicator, collected at 18 months post-discharge, is the Spinal Cord Independence Measure III-Mobility subscale. Conclusion: The selected indicators align with current clinical practice in Canada. The indicators will direct the timing and enhance the volume of walking therapy delivered, to ultimately increase the proportion of patients who achieve their walking potential by 18 months post-rehabilitation.
Collapse
Affiliation(s)
- Kristin E. Musselman
- KITE, Toronto Rehab – University Health Network, Toronto, Ontario, Canada,Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada,Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada
| | - Molly C. Verrier
- KITE, Toronto Rehab – University Health Network, Toronto, Ontario, Canada,Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada,Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada,Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
| | - Heather Flett
- Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada,Brain and Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada
| | - Sylvie Nadeau
- School of Rehabilitation, University of Montreal and Centre for Interdisciplinary Research in Rehabilitation (CRIR), CIUSSS Centre-Sud-de-l'Île-de-Montréal, Montreal, Quebec, Canada
| | - Jaynie F. Yang
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Farnoosh Farahani
- KITE, Toronto Rehab – University Health Network, Toronto, Ontario, Canada
| | - S. Mohammad Alavinia
- KITE, Toronto Rehab – University Health Network, Toronto, Ontario, Canada,Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, Canada
| | - Maryam Omidvar
- KITE, Toronto Rehab – University Health Network, Toronto, Ontario, Canada
| | - Matheus J. Wiest
- KITE, Toronto Rehab – University Health Network, Toronto, Ontario, Canada
| | - B. Catharine Craven
- KITE, Toronto Rehab – University Health Network, Toronto, Ontario, Canada,Brain and Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada,Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, Canada,Correspondence to: B. Catharine Craven, FRCPC, KITE – Toronto Rehab – University Health Network, 206-H 520 Sutherland Drive, Toronto, ON M4G3V9, Canada.
| |
Collapse
|
33
|
Le Berre M, Morin M, Corriveau H, Hamel M, Nadeau S, Filiatrault J, Dumoulin C. Characteristics of Lower Limb Muscle Strength, Balance, Mobility, and Function in Older Women with Urge and Mixed Urinary Incontinence: An Observational Pilot Study. Physiother Can 2019; 71:250-260. [PMID: 31719721 DOI: 10.3138/ptc.2018-30] [Citation(s) in RCA: 8] [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: 11/20/2022]
Abstract
Purpose: After the age of 65, urinary incontinence (UI) occurs in one of every two women. A positive correlation between falls and urgency UI (UUI) or mixed UI (MUI) has also been identified. However, lower extremity impairments in older women with UUI or MUI have not been thoroughly investigated. The primary goal of this study was to compare lower limb strength, balance, mobility, and function in older women with and without UUI or MUI. The secondary goal was to evaluate the association between these measurements and UI severity. Method: A total of 40 older women with and without UUI or MUI completed standardized tests for lower limb strength (knee flexor or extensor dynamometry, 30-second sit-to-stand test), balance (single-leg stance test, Four Square Step Test, Activities-specific Balance Confidence questionnaire), mobility (10-metre walk test, 6-minute walk test), and function (Human Activity Profile questionnaire, 12-Item Short Form Health Survey). Results: Significant differences in balance and mobility were observed between the two groups. Women with UI had shorter single-leg stance times, lower balance confidence scores, and slower gait speeds. Conclusions: The results from this pilot study suggest that high-functioning older women with UUI or MUI have balance and mobility impairments. More studies are needed to confirm these results. By reporting power calculations for sample size, this pilot study provides a useful basis on which to design and conduct larger studies.
Collapse
Affiliation(s)
- Mélanie Le Berre
- Institut Universitaire de Gériatrie de Montréal.,School of Rehabilitation, Université de Montréal
| | - Mélanie Morin
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, Que
| | - Hélène Corriveau
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, Que
| | - Mathieu Hamel
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, Que
| | - Sylvie Nadeau
- School of Rehabilitation, Université de Montréal.,Pathokinesiology Laboratory, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal
| | - Johanne Filiatrault
- Institut Universitaire de Gériatrie de Montréal.,School of Rehabilitation, Université de Montréal
| | - Chantale Dumoulin
- Institut Universitaire de Gériatrie de Montréal.,School of Rehabilitation, Université de Montréal
| |
Collapse
|
34
|
Roy A, Higgins J, Nadeau S. Reliability and minimal detectable change of the mini-BESTest in adults with spinal cord injury in a rehabilitation setting. Physiother Theory Pract 2019; 37:126-134. [PMID: 31156010 DOI: 10.1080/09593985.2019.1622161] [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] [Indexed: 10/26/2022]
Abstract
Background: The mini-Balance Evaluation Systems Test (mini-BESTest) is a valid tool for assessing standing balance in people with spinal cord injury (SCI). Its reliability has not yet been investigated with this population. Objective: To assess the test-retest and inter-rater reliability of the mini-BESTest in adults with SCI in a rehabilitation setting. Methods: Twenty-three participants admitted in a rehabilitation center following an SCI (mean age = 52.2 years, SD = 14.5; 13/23 tetraplegia; 14/23 traumatic injury) and able to stand 30 seconds without help were recruited. They were evaluated twice with the mini-BESTest to establish the test-retest reliability (interval of 1 to 2 days). One of the two sessions was video-recorded to establish the inter-rater reliability (3 physiotherapists). Intraclass correlation coefficients (ICC2,1), weighted kappa (Kw) and Kendall's W were used to determine reliability of total score and individual items. Minimal detectable changes (MDC) were computed. Results. The mini-BESTest total scores showed excellent test-retest (ICC = 0.94) and inter-rater (ICC = 0.96) reliability. Reliability of 50% of the individual items was acceptable to excellent (Κw and W = 0.35-1.00). The MDC of the mini-BESTest total score was 4 points. Conclusion: The mini-BESTest is a reliable tool to assess standing balance in adults with an SCI. A minimal change of 4 points on the total scale is needed to be confident that the change is not a measurement error between two sessions or two raters.
Collapse
Affiliation(s)
- Audrey Roy
- School of Rehabilitation, Faculté de Médecine, Université de Montréal, Pavillon du Parc , Montréal, QC, Canada.,Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, QC, Canada.,Spinal Cord Injury Unit, Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM) du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Ile-de-Montréal (CCSMTL) , Montréal, QC, Canada
| | - Johanne Higgins
- School of Rehabilitation, Faculté de Médecine, Université de Montréal, Pavillon du Parc , Montréal, QC, Canada.,Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, QC, Canada.,Spinal Cord Injury Unit, Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM) du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Ile-de-Montréal (CCSMTL) , Montréal, QC, Canada
| | - Sylvie Nadeau
- School of Rehabilitation, Faculté de Médecine, Université de Montréal, Pavillon du Parc , Montréal, QC, Canada.,Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, QC, Canada.,Spinal Cord Injury Unit, Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM) du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Ile-de-Montréal (CCSMTL) , Montréal, QC, Canada
| |
Collapse
|
35
|
Robert T, Nadeau S, Aissaoui R. Medio-lateral stability in induced asymmetric walking. Comput Methods Biomech Biomed Engin 2019. [DOI: 10.1080/10255842.2020.1714226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- T. Robert
- Univ Lyon, Université Claude Bernard Lyon 1, IFSTTAR, Lyon, France
- Centre de recherche du CHUM, Laboratoire de Recherche en Imagerie et Orthopédie, Montréal, Canada
| | - S. Nadeau
- Laboratoire de pathokinésiologie, Centre de recherche interdisciplinaire en réadaptation, Institut de Réadaptation Gingras-Lindsay de Montréal du CIUSSS Centre-Est-de-l’île-de-Montréal and École de réadaptation, Université de Montréal, Montréal, Canada
| | - R. Aissaoui
- Centre de recherche du CHUM, Laboratoire de Recherche en Imagerie et Orthopédie, Montréal, Canada
- Département de génie des systèmes, Montréal, Canada
- Laboratoire de pathokinésiologie, Centre de recherche interdisciplinaire en réadaptation, Institut de Réadaptation Gingras-Lindsay de Montréal du CIUSSS Centre-Est-de-l’île-de-Montréal and École de réadaptation, Université de Montréal, Montréal, Canada
| |
Collapse
|
36
|
Duclos NC, Aguiar LT, Aissaoui R, Faria CD, Nadeau S, Duclos C. Activity Monitor Placed at the Nonparetic Ankle Is Accurate in Measuring Step Counts During Community Walking in Poststroke Individuals: A Validation Study. PM R 2019; 11:963-971. [DOI: 10.1002/pmrj.12080] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Accepted: 12/05/2018] [Indexed: 01/05/2023]
Affiliation(s)
- Noémie C. Duclos
- School of Rehabilitation, Faculty of MedicineUniversité de Montréal Montreal Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal Montreal Canada
| | - Larissa T. Aguiar
- School of Rehabilitation, Faculty of MedicineUniversité de Montréal Montreal Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal Montreal Canada
- Department of Physical TherapyUniversidade Federal de Minas Gerais (UFMG) Belo Horizonte Brazil
| | - Rachid Aissaoui
- Department of Automated Manufacturing Engineering, Imaging and Orthopaedics Research Laboratory, Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)École de Technologie Supérieure Montreal Canada
| | - Christina D.C.M. Faria
- Department of Physical TherapyUniversidade Federal de Minas Gerais (UFMG) Belo Horizonte Brazil
| | - Sylvie Nadeau
- School of Rehabilitation, Faculty of MedicineUniversité de Montréal Montreal Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal Montreal Canada
| | - Cyril Duclos
- School of Rehabilitation, Faculty of MedicineUniversité de Montréal Montreal Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal Montreal Canada
| |
Collapse
|
37
|
Richards CL, Malouin F, Nadeau S, Fung J, D'Amours L, Perez C, Durand A. Development, Implementation, and Clinician Adherence to a Standardized Assessment Toolkit for Sensorimotor Rehabilitation after Stroke. Physiother Can 2019; 71:43-55. [PMID: 30787498 DOI: 10.3138/ptc.2017-41] [Citation(s) in RCA: 8] [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: 11/20/2022]
Abstract
Purpose: This study describes the development of a standardized assessment toolkit (SAT) and associated clinical database focusing on sensorimotor rehabilitation in three stroke rehabilitation units (SRUs). Implementation of the SAT was confirmed using objective measures of clinician adherence while exploring reasons for varied adherence. Method: Participants were patients post-stroke admitted for inpatient rehabilitation and clinicians from the three SRUs. A collaborative and iterative process was used to develop the SAT. Implementation was measured by clinician adherence, which was charted by means of assessment entries in patient records and transferred to the clinical database. Reasons for lower adherence were interpreted from therapist data logs at one SRU. Results: The SAT consisted of 25 assessment tools. Clinician adherence to a subset of the tools ranged from 33% to 99% at admission and from 28% to 94% at discharge. At one site, lower adherence among the tools was explained by patient-related factors (1%-36%) and protocol or logistical reasons (0%-7%) at admission; missing data ranged from 0% to 3%, except for the Montreal Cognitive Assessment (17%). Conclusions: In this pragmatic study, objective measures of clinician adherence demonstrated the feasibility of implementing an SAT in daily practice. Moreover, the reasons for lower adherence rates may be related to the patients, protocol, and logistics, all of which may vary with the assessment tool, rather than clinician compliance.
Collapse
Affiliation(s)
- Carol L Richards
- Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale, Quebec City.,Centre interdisciplinaire de recherche en réadaptation et intégration sociale.,Département de réadaptation, Université Laval, Quebec City, Que
| | - Francine Malouin
- Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale, Quebec City.,Centre interdisciplinaire de recherche en réadaptation et intégration sociale.,Département de réadaptation, Université Laval, Quebec City, Que
| | - Sylvie Nadeau
- Institut de réadaptation Gingras-Lindsay de Montréal, CIUSSS Centre-Sud-de-l'Île-de-Montréal.,Centre interdisciplinaire de recherche en réadaptation.,École de réadaptation, Université de Montréal
| | - Joyce Fung
- Centre interdisciplinaire de recherche en réadaptation.,Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval.,School of Physical and Occupational Therapy, McGill University, Montreal
| | - Line D'Amours
- Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale, Quebec City
| | - Claire Perez
- Centre interdisciplinaire de recherche en réadaptation.,Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval.,School of Physical and Occupational Therapy, McGill University, Montreal
| | - Anne Durand
- Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale, Quebec City
| |
Collapse
|
38
|
Duclos NC, Duclos C, Nadeau S. Slow and faster post-stroke walkers have a different trunk progression and braking impulse during gait. Gait Posture 2019; 68:483-487. [PMID: 30616177 DOI: 10.1016/j.gaitpost.2018.12.037] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Revised: 12/13/2018] [Accepted: 12/25/2018] [Indexed: 02/02/2023]
Abstract
BACKGROUND Braking forces absorbed by the leading paretic limb are greater than expected with regard to gait speed and not correlated with propulsive forces generated by the non-paretic limb in individuals with severe hemiparesis. Altered foot placement due to poor sensorimotor capacities may explain excessive braking forces. RESEARCH QUESTION The main objective of this study was to determine whether paretic foot placement was related to paretic braking forces in post-stroke individuals with various self-selected walking speeds and motor deficits. METHODS In this cross-sectional study, 34 chronic hemiparetic post-stroke individuals, divided into slow (< 0.7 m/s, n = 17) and faster (n = 17) subgroups, walked at their self-selected speed. Kinematic and kinetic parameters were measured. Braking impulses, peak braking forces, step characteristics and clinical status were compared between groups and limbs, and their correlations were tested using Pearson (or Spearman) correlation tests. RESULTS On the paretic side, braking impulses and step length were similar between groups despite the slower walking speed in the slow group. Paretic peak braking forces and step length were correlated in both groups (r = 0.5). Paretic braking forces were correlated with walking speed, foot placement ahead of the pelvis, trunk progression (TP) from non-paretic initial contact to paretic initial contact, and better motor function of the paretic limb for the faster walkers (0.6 < r < 0.7), but not for the slow walkers. Among the slow walkers, reduced TP ahead of the paretic foot was correlated with a higher paretic impulse (r = -0.6). SIGNIFICANCE Better motor function likely helped the faster walkers to decelerate their center of mass appropriately relative to their walking speed. In the slow hemiparetic walkers, TP ahead of the paretic foot was perturbed. Clinicians should therefore consider vasti and plantar flexor muscle tone and activity that likely restrict TP ahead of the paretic foot and increase braking forces.
Collapse
Affiliation(s)
- Noémie C Duclos
- School of Rehabilitation, Université de Montréal, Montreal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS du Centre-Sud-de-l'Ile-de-Montréal, Montreal, Canada
| | - Cyril Duclos
- School of Rehabilitation, Université de Montréal, Montreal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS du Centre-Sud-de-l'Ile-de-Montréal, Montreal, Canada
| | - Sylvie Nadeau
- School of Rehabilitation, Université de Montréal, Montreal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS du Centre-Sud-de-l'Ile-de-Montréal, Montreal, Canada.
| |
Collapse
|
39
|
Sampo M, Nadeau S, Denis D, Matonti F. [Subconjunctival Ozurdex ® injection in branch retinal vein occlusion]. J Fr Ophtalmol 2018; 42:89-91. [PMID: 30594421 DOI: 10.1016/j.jfo.2018.03.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2018] [Accepted: 03/22/2018] [Indexed: 10/27/2022]
Affiliation(s)
- M Sampo
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France.
| | - S Nadeau
- Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13915 Marseille cedex 20, France
| | - D Denis
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13915 Marseille cedex 20, France
| | - F Matonti
- Service d'ophtalmologie, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13005 Marseille, France; Service d'ophtalmologie, hôpital Nord, AP-HM, chemin des Bourrely, 13915 Marseille cedex 20, France
| |
Collapse
|
40
|
Aguiar LT, Nadeau S, Martins JC, Teixeira-Salmela LF, Britto RR, Faria CDCDM. Efficacy of interventions aimed at improving physical activity in individuals with stroke: a systematic review. Disabil Rehabil 2018; 42:902-917. [PMID: 30451539 DOI: 10.1080/09638288.2018.1511755] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [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: 01/22/2023]
Abstract
Purpose: To identify interventions employed to increase post-stroke physical activity, evaluate their efficacy, and identify the gaps in literature.Materials and methods: Randomized controlled trials published until March 2018 were searched in MEDLINE, PEDro, EMBASE, LILACS, and SCIELO databases. The quality of each study and overall quality of evidence were assessed using the PEDro and the GRADE scales.Results: Eighteen studies were included (good PEDro and very low GRADE-scores). In seven, the experimental groups showed significant increases in physical activity (aerobics, resistance, and home-based training; counseling, aerobics, resistance, and home-based training; electrical stimulation during walking; functional-task training; robot-assisted arm therapy; accelerometer-based feedback, and physical activity encouragement). In seven, there were no significant between-group differences (physical activity plan; stretching, use of toe-spreaders, standard treatment; counseling; circuit video-game; functional-task; counseling and cognitive training). The combined experimental and control groups showed significant declines in physical activity in one study (aerobic training or stretching) and increases in three others (aerobic, resistance or sham resistance training; stroke-with advice or only stroke-counseling; aerobic training, educational sessions, standard treatment, and coaching, or mobilization and standard treatment). A meta-analysis could not be performed, due to heterogeneity.Conclusions: Some interventions improved physical activity after stroke. However, the interpretability is limited.Implications for rehabilitationIndividuals with stroke show low physical activity, which may compromise function and health.The use of interventions aimed at improving and maintaining physical activity of individuals with stroke are recommended.Some interventions, such as aerobic, resistance, and combined home-based training, electrical stimulation during walking, functional task training, and arm robot-assisted therapy, could improve the physical activity after stroke.
Collapse
Affiliation(s)
- Larissa Tavares Aguiar
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.,École de réadaptation, Université de Montréal (UdeM), Montréal, Canada
| | - Sylvie Nadeau
- École de réadaptation, Université de Montréal (UdeM), Montréal, Canada
| | - Júlia Caetano Martins
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | | | - Raquel Rodrigues Britto
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | | |
Collapse
|
41
|
Betschart M, McFayden BJ, Nadeau S. Lower limb joint moments on the fast belt contribute to a reduction of step length asymmetry over ground after split-belt treadmill training in stroke: A pilot study. Physiother Theory Pract 2018; 36:989-999. [DOI: 10.1080/09593985.2018.1530708] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Martina Betschart
- Centre de Recherche Interdisciplinaire en Réadaptation (CRIR), Institut de Réadaptation Gingras-Lindsay de Montréal (IRGLM), CIUSSS Centre-Sud-de-l’Île-de-Montréal, Québec, Canada
- École de Réadaptation, Université de Montréal, Québec, Canada
| | - Bradford J. McFayden
- Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), CIUSSS de la Capitale-Nationale, Québec, Canada
- Département de Réadaptation, Faculté de Médecine, Université de Laval, Québec, Canada
| | - Sylvie Nadeau
- Centre de Recherche Interdisciplinaire en Réadaptation (CRIR), Institut de Réadaptation Gingras-Lindsay de Montréal (IRGLM), CIUSSS Centre-Sud-de-l’Île-de-Montréal, Québec, Canada
- École de Réadaptation, Université de Montréal, Québec, Canada
| |
Collapse
|
42
|
Abstract
BACKGROUND Osteomas are rare benign and slow-growing osteogenic tumors mainly involving frontal and ethmoid sinuses. OBJECTIVES The primary objective of our study is to present the management of cases of giant frontal sinus osteomas. Secondarily, we describe our modified unilateral osteoplastic flap approach without obliteration to remove these osteomas. METHODS Retrospective chart review at a tertiary academic center ("Hôpital de l'Enfant-Jésus") from July 2006 to October 2016. Demographics characteristics, tumor characteristics, presenting symptoms, frontal sinus surgery technique (osteoplastic flap, endoscopic surgery, or a combination of both), and outcomes of giant frontal sinus osteomas (≥30 mm) were recorded. For laterally placed osteomas, tumors with posterior wall involvement, orbital roof involvement, or intracranial extension, the modified unilateral osteoplastic flap approach was used. A decision-making algorithm is proposed for the choice of surgical approach. RESULTS Ten giant frontal osteomas were analyzed (7 men and 3 women). The mean age at diagnosis was 38 years old (range, 24-55 years; median, 39 years; standard deviation, 11 years). The most common presenting symptom was headache (43% of symptomatic patients). Five patients had complications preoperatively due to tumoral extension (sinusitis, cellulitis, mucocele, optic nerve compression, and convulsions). One patient was treated endoscopically, 3 patients had an open approach and 6 patients had a combined technique. One patient experienced a postoperative complication (local infection treated with oral antibiotics). Six patients had minimal residual tumor with one patient needing reoperation. CONCLUSION Osteomas are rare paranasal sinus tumors. Due to the proximity to noble structures, a giant frontal osteoma should be managed surgically. The modified unilateral osteoplastic flap without obliteration offers good long-term surgical and aesthetic results. Osteomas are not known for malignant transformation and recurrences are rare; thus, subtotal resection is warranted and safe when a cleavage plan is not found.
Collapse
Affiliation(s)
- Sally Nguyen
- 1 Department of Ophthalmology and Otolaryngology - Head & Neck Surgery, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada
| | - Sylvie Nadeau
- 1 Department of Ophthalmology and Otolaryngology - Head & Neck Surgery, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.,2 Department of Otolaryngology and Head & Neck Surgery, CHU de Québec - Hôpital de l'Enfant-Jésus, Quebec City, Quebec, Canada
| |
Collapse
|
43
|
Aguiar LT, Nadeau S, Britto RR, Teixeira-Salmela LF, Martins JC, Faria CDCDM. Effects of aerobic training on physical activity in people with stroke: protocol for a randomized controlled trial. Trials 2018; 19:446. [PMID: 30119697 PMCID: PMC6098648 DOI: 10.1186/s13063-018-2823-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [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] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Accepted: 07/27/2018] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Post-stroke physical inactivity is explained by several factors related to the stroke, which have been suggested as the causes and consequences of functional declines and health problems. Therefore, it is important to increase physical activity levels and reduce the time spent in low-energy expenditure activities after a stroke. Since the maintenance of cardiorespiratory fitness is a significant predictor of physical activity levels post-stroke, it may be important to investigate whether aerobic training is effective in increasing physical activity levels and reducing the time spent in low-energy expenditure activities in this population. The efficacy of aerobic training on these variables is not well known. The primary objective of this trial will be to investigate the effects of aerobic treadmill training on physical activity levels and on time spent in low-energy expenditure activities in people with stroke. The secondary aim will be to evaluate the effects of the training on cardiorespiratory fitness, endurance, depression, mobility, quality of life, and participation. METHODS/DESIGN A randomized controlled trial, with blinded assessments, will be performed in a community-based setting. Altogether, 22 adults with a diagnosis of stroke (>6 months) who are sedentary or insufficiently active will be included. Participants will be randomly assigned to either: (1) aerobic treadmill training (experimental group, at 60-80% of their heart rate reserve) or (2) walking outside (control group, below 40% of heart rate reserve). Both groups will attend 40-min training sessions, three times per week over 12 weeks, in groups of two to four participants, with a trained physiotherapist. Primary outcomes are physical activity levels and time spent in low-energy expenditure activities (Multi-sensor SenseWear Mini® and Human Activity Profile). Secondary outcomes are cardiorespiratory fitness (peak oxygen uptake VO2peak and ventilatory threshold), endurance, depression, mobility, quality of life, and participation. The effects of the training will be analyzed from the collected data using intention to treat. Between-group differences will be measured by two-way repeated measures ANOVA, considering the baseline, post-training, and 4-week follow-up. DISCUSSION The results of this trial will likely provide valuable new information on the effects of aerobic treadmill training on physical activity levels and on time spent in low-energy expenditure activities of individuals with stroke, through changes in cardiorespiratory fitness. TRIAL REGISTRATION ClinicalTrials.gov, NCT02798237 . Registered on 13 June 2016.
Collapse
Affiliation(s)
- Larissa Tavares Aguiar
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Avenida Antônio Carlos, 6627- Campus Pampulha, Belo Horizonte, Minas Gerais 31270-910 Brazil
- École de réadaptation, Université de Montréal (UdeM), Montréal, Canada
- Centre de recherche interdisciplinaire en réadaptation (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS Centre-sud-de-l’Ile-de-Montréal, Montréal, Canada
| | - Sylvie Nadeau
- École de réadaptation, Université de Montréal (UdeM), Montréal, Canada
- Centre de recherche interdisciplinaire en réadaptation (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), CIUSSS Centre-sud-de-l’Ile-de-Montréal, Montréal, Canada
| | - Raquel Rodrigues Britto
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Avenida Antônio Carlos, 6627- Campus Pampulha, Belo Horizonte, Minas Gerais 31270-910 Brazil
| | - Luci Fuscaldi Teixeira-Salmela
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Avenida Antônio Carlos, 6627- Campus Pampulha, Belo Horizonte, Minas Gerais 31270-910 Brazil
| | - Júlia Caetano Martins
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Avenida Antônio Carlos, 6627- Campus Pampulha, Belo Horizonte, Minas Gerais 31270-910 Brazil
| | - Christina Danielli Coelho de Morais Faria
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Avenida Antônio Carlos, 6627- Campus Pampulha, Belo Horizonte, Minas Gerais 31270-910 Brazil
| |
Collapse
|
44
|
Miéville C, Lauzière S, Betschart M, Nadeau S, Duclos C. More symmetrical gait after split-belt treadmill walking does not modify dynamic and postural balance in individuals post-stroke. J Electromyogr Kinesiol 2018; 41:41-49. [DOI: 10.1016/j.jelekin.2018.04.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 04/16/2018] [Accepted: 04/23/2018] [Indexed: 11/24/2022] Open
|
45
|
Duclos N, Parent G, Aissaoui R, Duclos C, Nadeau S. Using inertial signals to characterize main lower limb gait patterns in individuals post-stroke. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.1035] [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]
|
46
|
Higgins J, Nadeau S, Emeraux B, Akremi H, Aissaoui R. Effects of asymmetrical resistance imposed during repeated bilateral upper limb pushing movements on bilateral coordination post-stroke. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.1136] [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]
|
47
|
Bolliger M, Blight AR, Field-Fote EC, Musselman K, Rossignol S, Barthélemy D, Bouyer L, Popovic MR, Schwab JM, Boninger ML, Tansey KE, Scivoletto G, Kleitman N, Jones LAT, Gagnon DH, Nadeau S, Haupt D, Awai L, Easthope CS, Zörner B, Rupp R, Lammertse D, Curt A, Steeves J. Lower extremity outcome measures: considerations for clinical trials in spinal cord injury. Spinal Cord 2018; 56:628-642. [PMID: 29700477 PMCID: PMC6131138 DOI: 10.1038/s41393-018-0097-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [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: 11/03/2017] [Revised: 02/28/2018] [Accepted: 03/06/2018] [Indexed: 11/29/2022]
Abstract
STUDY DESIGN This is a focused review article. OBJECTIVES To identify important concepts in lower extremity (LE) assessment with a focus on locomotor outcomes and provide guidance on how existing outcome measurement tools may be best used to assess experimental therapies in spinal cord injury (SCI). The emphasis lies on LE outcomes in individuals with complete and incomplete SCI in Phase II-III trials. METHODS This review includes a summary of topics discussed during a workshop focusing on LE function in SCI, conceptual discussion of corresponding outcome measures and additional focused literature review. RESULTS There are a number of sensitive, accurate, and responsive outcome tools measuring both quantitative and qualitative aspects of LE function. However, in trials with individuals with very acute injuries, a baseline assessment of the primary (or secondary) LE outcome measure is often not feasible. CONCLUSION There is no single outcome measure to assess all individuals with SCI that can be used to monitor changes in LE function regardless of severity and level of injury. Surrogate markers have to be used to assess LE function in individuals with severe SCI. However, it is generally agreed that a direct measurement of the performance for an appropriate functional activity supersedes any surrogate marker. LE assessments have to be refined so they can be used across all time points after SCI, regardless of the level or severity of spinal injury. SPONSORS Craig H. Neilsen Foundation, Spinal Cord Outcomes Partnership Endeavor.
Collapse
Affiliation(s)
- Marc Bolliger
- Spinal Cord Injury Center, University Hospital Balgrist, University Zurich, Zurich, Switzerland.
- Swiss Center for Clinical Movement Analysis (SCMA), Zurich, Switzerland.
| | | | - Edelle C Field-Fote
- Shepherd Center, Georgia Institute of Technology, School of Biological Sciences, Emory University School of Medicine, Division of Physical Therapy, Atlanta, GA, USA
| | - Kristin Musselman
- Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
- Department of Physical Therapy, University of Toronto, Toronto, ON, Canada
| | - Serge Rossignol
- Department of Neuroscience, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada
| | - Dorothy Barthélemy
- School of Rehabilitation, Faculty of Medicine, Université de Montréal, and Centre de recherche interdisciplinaire en réadaptation (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM) du CIUSSS du Centre-Sud-de-l'Ile-de-Montréal, Montreal, QC, Canada
| | - Laurent Bouyer
- Department of Rehabilitation, Faculty of Medicine, Université Laval, Québec, Canada
| | - Milos R Popovic
- Rehabilitation Engineering Laboratory, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada
| | - Jan M Schwab
- Department of Neurology, Spinal Cord Injury Division and Departments of Neuroscience and Physical Medicine and Rehabilitation, The Neurological Institute, The Ohio State University, Wexner Medical Center, Columbus, OH, USA
| | - Michael L Boninger
- Department of Physical Medicine and Rehabilitation, University of Pittsburgh & Department of Veterans Affairs, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
| | - Keith E Tansey
- Methodist Rehabilitation Center, University of Mississippi Medical Center and Jackson VA Medical Center, Jackson, MS, USA
| | - Giorgio Scivoletto
- Spinal Cord Unit and Spinal Rehabilitation (SpiRe) laboratory, IRCCS Fondazione S. Lucia, Rome, Italy
| | | | | | - Dany H Gagnon
- School of Rehabilitation, Université de Montréal and Pathokinesiology Laboratory, Centre for Interdisciplinary Research in Rehabilitation, Institut universitaire sur la réadaptation en déficience physique de Montréal, CIUSSS Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
| | - Sylvie Nadeau
- School of Rehabilitation, Université de Montréal and Pathokinesiology Laboratory, Centre for Interdisciplinary Research in Rehabilitation, Institut universitaire sur la réadaptation en déficience physique de Montréal, CIUSSS Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
| | - Dirk Haupt
- University of British Columbia, Vancouver, BC, Canada
| | - Lea Awai
- Spinal Cord Injury Center, University Hospital Balgrist, University Zurich, Zurich, Switzerland
| | - Chris S Easthope
- Spinal Cord Injury Center, University Hospital Balgrist, University Zurich, Zurich, Switzerland
| | - Björn Zörner
- Spinal Cord Injury Center, University Hospital Balgrist, University Zurich, Zurich, Switzerland
| | - Ruediger Rupp
- Spinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany
| | - Dan Lammertse
- Craig Hospital, Englewood, Colorado, University of Colorado School of Medicine, Colorado, USA
| | - Armin Curt
- Spinal Cord Injury Center, University Hospital Balgrist, University Zurich, Zurich, Switzerland
- Swiss Center for Clinical Movement Analysis (SCMA), Zurich, Switzerland
| | - John Steeves
- University of British Columbia, Vancouver, BC, Canada
| |
Collapse
|
48
|
Richards CL, Malouin F, Nadeau S, Fung J, D'Amours L, Perez C, Durand A. Amount and Content of Sensorimotor Therapy Delivered in Three Stroke Rehabilitation Units in Quebec, Canada. Physiother Can 2018; 70:120-132. [PMID: 29755168 DOI: 10.3138/ptc.2016-66] [Citation(s) in RCA: 4] [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: 01/19/2023]
Abstract
Purpose: This study creates a baseline clinical portrait of sensorimotor rehabilitation in three stroke rehabilitation units (SRUs) as a first step in implementing a multi-centre clinical research platform. Method: Participants in this cross-sectional, descriptive study were the patients and rehabilitation teams in these SRUs. Prospective (recording of therapy time and content and a Web-based questionnaire) and retrospective (chart audit) methods were combined to characterize the practice of the rehabilitation professionals. Results: The 24- to 39-bed SRUs admitted 100-240 inpatients in the year audited. The mean combined duration of individual occupational and physical therapy was 6.3-7.5 hours/week/patient. When evening hours and the contributions of other professionals as well as group therapy and self-practice were included, the total amount of therapy was 13.0 (SD 3) hours/patient/week. Chart audit and questionnaire data revealed the Berg Balance Scale was the most often used outcome measure (98%-100%), and other outcome measure use varied. Clinicians favoured task-oriented therapy (35%-100%), and constraint-induced movement therapy (0%-15%), electrical stimulation of the tibialis anterior (0%-15%), and body weight-supported treadmill training (0%-1%) were less often used. Conclusions: This study is the first to provide objective data on therapy time and content of stroke rehabilitation in Quebec SRUs.
Collapse
Affiliation(s)
- Carol L Richards
- Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale.,Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS).,Département de réadaptation, Université Laval, Québec
| | - Francine Malouin
- Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale.,Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS).,Département de réadaptation, Université Laval, Québec
| | - Sylvie Nadeau
- Institut de réadaptation Gingras-Lindsay-de-Montréal, CIUSSS Centre-Sud-de-l'Île-de-Montréal.,Centre recherche interdisciplinaire en réadaptation.,École de réadaptation, Université de Montréal
| | - Joyce Fung
- Centre recherche interdisciplinaire en réadaptation.,Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, Que.,School of Physical and Occupational Therapy, McGill University, Montreal
| | - Line D'Amours
- Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale
| | - Claire Perez
- School of Physical and Occupational Therapy, McGill University, Montreal.,Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, Que
| | - Anne Durand
- Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale
| |
Collapse
|
49
|
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]
|
50
|
Nguyen S, Perron M, Nadeau S, Odashiro AN, Corriveau MN. Epithelial Myoepithelial Carcinoma of the Nasal Cavity: Clinical, Histopathological, and Immunohistochemical Distinction of a Case Report. Int J Surg Pathol 2017; 26:342-346. [PMID: 29237344 DOI: 10.1177/1066896917747732] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [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] [Indexed: 12/20/2022]
Abstract
BACKGROUND Epithelial myoepithelial carcinomas (EMCs) are rare low-grade salivary gland tumors. Here, we report the case of a 75-year-old man presenting with an oncocytic variant of EMC of the nasal cavity, initially diagnosed as an oncocytoma. METHODS Our patient underwent functional sinus surgery in 2012. On pathology, an oncocytic neoplasm was found in the right nasal cavity, characterized by fragments of uniform bland oncocytic cells with bilayered arrangement of nuclei. Immunohistochemical stains demonstrated biphasic cells: luminal epithelial and basal cell-type myoepithelial cells. The tumor was best diagnosed as an oncocytoma. In 2015, the patient presented with a recurrent right inferior turbinate lesion, compatible with oncocytic EMC. RESULTS The patient underwent oncological surgery and received adjuvant radiotherapy. He had no disease recurrence. CONCLUSION Different variants of EMCs exist, such as oncocytic EMC. EMCs should be treated aggressively because they can be locally invasive, recur, and give rise to distant metastases.
Collapse
Affiliation(s)
| | | | - Sylvie Nadeau
- 1 Laval University, Quebec City, QC, Canada
- 2 CHU de Québec, Quebec City, QC, Canada
| | | | | |
Collapse
|