المؤلفون: Christine Detrembleur, Stéphanie Dehem, Thierry Lejeune, Emmanuelle Delaunois, Yves Vandermeeren, Gaëtan Stoquart, Maxime Gilliaux, Paul Cédric Mbonda

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience, UCL - (MGD) Service de neurologie, UCL - SSS/IONS/NEUR - Clinical Neuroscience

المصدر: International Journal of Rehabilitation Research, Vol. 41, no. 2, p. 138-145 (2018)

مصطلحات موضوعية: robotic, Adult, Male, 030506 rehabilitation, medicine.medical_specialty, medicine.medical_treatment, Physical Therapy, Sports Therapy and Rehabilitation, upper limb, Transcranial Direct Current Stimulation, law.invention, Upper Extremity, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Randomized controlled trial, Double-Blind Method, law, medicine, Combined Modality Therapy, Humans, Neurorehabilitation, Aged, Aged, 80 and over, Rehabilitation, Cross-Over Studies, Transcranial direct-current stimulation, business.industry, Stroke Rehabilitation, Robotics, Middle Aged, stroke, Crossover study, Biomechanical Phenomena, body regions, Motor Skills Disorders, Paresis, Stroke, medicine.anatomical_structure, Upper limb, Female, transcranial direct current stimulation, 0305 other medical science, business, Single session, 030217 neurology & neurosurgery

الوصف: The impact of transcranial direct current stimulation (tDCS)is controversial in the neurorehabilitation literature. It has been suggested that tDCS should be combined with other therapy to improve their efficacy. To assess the effectiveness of a single session of upper limb robotic assisted therapy (RAT) combined with real or sham-tDCS in chronic stroke patients. Twenty-one hemiparetic chronic stroke patients were included in a randomized, controlled, cross-over double-blind study. Each patient underwent two sessions 7 days apart in a randomized order: (a) 20 min of real dual-tDCS associated with RAT (REAL+RAT) and (b) 20 min of sham dual-tDCS associated with RAT (SHAM+RAT). Patient dexterity (Box and Block and Purdue Pegboard tests) and upper limb kinematics were evaluated before and just after each intervention. The assistance provided by the robot during the intervention was also recorded. Gross manual dexterity (1.8 ± 0.7 blocks, P=0.008) and straightness of movement (0.01 ± 0.03, P0.05). The assistance provided by the robot was similar during both interventions (P>0.05). The results showed a slight improvement in hand dexterity and arm movement after the REAL+RAT tDCS intervention. The observed effect after a single session was small and not clinically relevant. Repetitive sessions could increase the benefits of this combined approach.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0f546914ff9701e0a978055011cbf3d5Test
https://pubmed.ncbi.nlm.nih.gov/29420360Test

المؤلفون: Yumiko Glibert, Souraya El Sankari, Jean-Claude Hakizimana, Vincent Van Pesch, Christine Detrembleur, Thierry Lejeune, Gaëtan Stoquart, Maxime Valet

المصدر: International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation. 40(3)

مصطلحات موضوعية: Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Multiple Sclerosis, Cross-sectional study, Physical fitness, Statistics as Topic, Neuromuscular Junction, Physical Therapy, Sports Therapy and Rehabilitation, Isometric exercise, Walking, 03 medical and health sciences, Disability Evaluation, 0302 clinical medicine, Physical medicine and rehabilitation, Deconditioning, Surveys and Questionnaires, medicine, Humans, Aerobic capacity, Depression (differential diagnoses), Fatigue, Expanded Disability Status Scale, Exercise Tolerance, business.industry, Multiple sclerosis, Rehabilitation, Middle Aged, medicine.disease, Cross-Sectional Studies, Physical Fitness, Physical therapy, Exercise Test, Female, 0305 other medical science, business, 030217 neurology & neurosurgery

الوصف: Fatigue is frequent and disabling in persons with multiple sclerosis (pwMS) with mild neurological disability. These patients also have impaired physical fitness. Whether mildly disabled pwMS are deconditioned, and this deconditioning is linked to fatigue, remains unknown. Our aim is to determine the physical fitness of mildly disabled patients with multiple sclerosis and study its relationship with perceived fatigue and to link perceived fatigue with other parameters. Twenty patients (14 women; mean age: 45.5 years) with mild disability (Expanded Disability Status Scale 0-4) underwent a 2-min walking test, Timed Up-and-Go test, aerobic capacity testing, and isometric knee extension testing to assess strength and neuromuscular fatigability. They completed questionnaires assessing perceived fatigue, psychological status, and physical activity. Correlation coefficients and multivariate regression were used to analyze the relationships among variables. Seventeen (85%) patients reported a high level of fatigue. Thirteen (65%) patients had subnormal aerobic capacity. Fatigue was weakly to moderately associated with aerobic capacity, mobility, walking capacity, depression, and neuromuscular fatigability. An association of disease duration, aerobic capacity, and the neuromuscular fatigability index explained 65.1% of fatigue. A high proportion of pwMS with mild neurological disability are fatigued and deconditioned. Perceived fatigue is linked to aerobic capacity, neuromuscular fatigability, depression, mobility, and walking capacity. Focusing on these parameters could help in the management of fatigue.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::54d34920fb1d67c70d2bd23dd5e850a8Test
https://pubmed.ncbi.nlm.nih.gov/28658030Test