0000000000122200
AUTHOR
Pierre Decavel
L’effet de la fampridine sur le niveau d’activité physique pendant la semaine et le week-end chez les personnes atteintes de sclérose en plaques
Introduction La fampridine ameliore la marche des personnes atteintes de sclerose en plaques (SEP). Cependant, on connait peu son impact sur l’activite physique dans cette population en situation de vie reelle (Weikert et al., 2012 ; Sandroff et al., 2012). Cette etude a eu pour objectif de determiner l’effet de la fampridine sur le niveau d’activite physique pendant les jours de semaine et de week-end chez les personnes atteintes de SEP. Materiel et methodes Quarante-deux personnes atteintes de SEP et 16 personnes saines ont participe a cette etude. Le niveau d’activite en vie reelle a ete mesure a l’aide d’un actimetre pendant les jours de semaine et de week-end avant et apres 14 jours de…
Nordic walking influence on biomechanical parameters: a systematic review
INTRODUCTION Nordic walking (NW) as a form of physical activity has been shown to have benefits in various domains, but little is known about the effect of NW on more specific biomechanical parameters. The purpose is to determine the impact of NW on the following parameters: walking speed/distance, muscle activation, spatiotemporal parameters, kinematics and ground reaction force. EVIDENCE ACQUISITION A literature search was carried out in different databases from October 2008 to October 2018. This review was conducted and reported in accordance with the PRISMA statement. Finally, 42 studies with a median PEDro Score of 5.5/10 were included. EVIDENCE SYNTHESIS The included studies reported …
Benefit of Targeting a LDL (Low-Density Lipoprotein) Cholesterol \textless70 mg/dL During 5 Years After Ischemic Stroke
Background and Purpose— The TST trial (Treat Stroke to Target) evaluated the benefit of targeting a LDL (low-density lipoprotein) cholesterol of <70 mg/dL to reduce the risk of cardiovascular events in 2860 patients with ischemic stroke with atherosclerotic stenosis of cerebral vasculature or aortic arch plaque >4 mm, in a French and Korean population. The follow-up lasted a median of 5.3 years in French patients (similar to the median follow-up time in the SPARCL trial [Stroke Prevention by Aggressive Reduction in Cholesterol Level]) and 2.0 years in Korean patients. Exposure duration to statin is a well-known driver for cardiovascular risk reduction. We report here the TST results …
Sensitivity to change of two depression rating scales for stroke patients.
Objective: To assess the sensitivity to change of two depression scales for stroke patients: the Aphasic Depression Rating Scale (ADRS), which is a 9-item external assessment, and the Visual Analog Mood Scale (VAMS), which is a visual self-assessment scale. Patients: Forty-nine stroke patients admitted to two rehabilitation units. Methods: Symptoms of depression were assessed twice at a one-month interval (D0—D30) using the ADRS, the VAMS, and by a trained psychologist (PSY). Sensitivity to change was assessed by effect size and standardized response mean. A one-way ANOVA on ranks was performed to determine if the scales distinguished between deteriorated, stable and improved patient statu…
Morbidité du site donneur après un prélèvement de lambeau libre de fibula vascularisé : analyse de la marche lors d’épreuve prolongée
Introduction Les muscles jambiers et fibula jouent un role important durant la marche. Le prelevement de lambeau libre de fibula vascularise (LLFV) aurait un impact sur courtes distances de marche. Celui-ci est encore peu explore sur longues distances. L’objectif etait d’analyser le retentissement du prelevement de LLFV a travers l’evolution de parametres spatiotemporels lors d’un test de marche de 6 minutes (TM6) et comparer ces resultats a ceux d’un groupe temoin. Methodes Onze patients post-LLFV et 11 controles apparies sains ont ete inclus. Les evaluations consistaient en un recueil de donnees cliniques, un TM6 avec analyse des parametres spatiotemporels de marche et de l’angle du pas (…