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1. Additional, Mechanized Upper Limb Self-Rehabilitation in Patients With Subacute Stroke: The REM-AVC Randomized Trial

Author

Emmanuel Coudeyre, S. Tasseel-Ponche, Anaïs Le Jeannic, Angelina Dion, Laurent Bensoussan, Charles Benaim, Jacques Luauté, Jean-Luc Isambert, François Boyer, Isabelle Durand-Zaleski, Jérôme Froger, Isabelle Bonan, Élodie Poiroux, Emmanuel Nowak, Djamel Bensmail, Béatrice Médée, Jean-Marie Beis, A.-L. Ferrapie, Jean-Christophe Daviet, Alain Yelnik, Raphaël Gross, Olivier Rémy-Néris, Philippe Marque, Patrick Dehail, Jacques Kerdraon, and Etienne Allart

Subjects
Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Adolescent, Self rehabilitation, medicine.medical_treatment, law.invention, Upper Extremity, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Multicenter trial, medicine, Humans, In patient, Time point, Stroke, Aged, Advanced and Specialized Nursing, Aged, 80 and over, Rehabilitation, business.industry, Stroke Rehabilitation, Middle Aged, medicine.disease, Exoskeleton Device, Exercise Therapy, medicine.anatomical_structure, Physical therapy, Upper limb, Female, Neurology (clinical), 0305 other medical science, Cardiology and Cardiovascular Medicine, business, 030217 neurology & neurosurgery
Abstract

Background and Purpose: Additional therapy may improve poststroke outcomes. Self-rehabilitation is a useful means to increase rehabilitation time. Mechanized systems are usual means to extend time for motor training. The primary aim was to compare the effects of self-rehabilitation using a mechanized device with control self-exercises on upper extremity impairment in patients with stroke. Methods: Phase III, parallel, concealed allocation, randomized controlled, multicenter trial, with 12-month follow-up. Patients aged 18 to 80 years, 3 weeks to 3 months poststroke with a Fugl-Meyer Assessment score of 10 to 40 points, were randomized to the Exo or control groups. All undertook two 30-minute self-rehabilitation sessions/day, 5 days/wk for 4 weeks in addition to usual rehabilitation. The Exo group performed games-based exercises using a gravity-supported mechanical exoskeleton (Armeo Spring). The control group performed stretching plus basic active exercises. Primary outcome was change in upper extremity Fugl-Meyer Assessment score at 4 weeks. Results: Two hundred fifteen participants were randomly allocated to the Exo group (107) or the control group (108). Mean age (SD), 58.3 (13.6) years; mean time poststroke, 54.8 (22.1) days; and mean baseline Fugl-Meyer Assessment score, 26.1 (9.5). There was no between-group difference in mean change in Fugl-Meyer Assessment score following the intervention: 13.3 (9.0) in the Exo group and 11.8 (8.8) in the control group ( P =0.22). There were no significant between-group differences in changes for any of the other outcomes at any time point (except for perception of the self-rehabilitation). There was no between-group difference in cost utility at 12 months. Conclusions: In patients with moderate-to-severe impairment in the subacute phase of stroke, the purchase and use of complex devices to provide additional upper limb training may not be necessary: simply educating patients to regularly move and stretch their limbs appears sufficient. Registration: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT01383512.

Published
2021

2. Visual feedback improves movement illusions induced by tendon vibration after chronic stroke

Author

Mathis Fleury, Mélanie Cogné, Simon Butet, Anatole Lécuyer, Salomé Le Franc, Christian Barillot, Isabelle Bonan, 3D interaction with virtual environments using body and mind (Hybrid), Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-MEDIA ET INTERACTIONS (IRISA-D6), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), CHU Pontchaillou [Rennes], Neuroimagerie: méthodes et applications (Empenn), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), and Jonchère, Laurent

Subjects
medicine.medical_specialty, Neurology, medicine.medical_treatment, media_common.quotation_subject, Movement, Illusion, [INFO.INFO-GR] Computer Science [cs]/Graphics [cs.GR], Health Informatics, Neurosciences. Biological psychiatry. Neuropsychiatry, Wrist, Virtual reality, Vibration, Tendons, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Feedback, Sensory, Sensation, medicine, Humans, Sensory cue, Stroke, media_common, 0303 health sciences, Rehabilitation, Research, 030302 biochemistry & molecular biology, medicine.disease, Proprioception, Illusions, [INFO.INFO-GR]Computer Science [cs]/Graphics [cs.GR], Illusory movement, medicine.anatomical_structure, Tendon vibration, Psychology, 030217 neurology & neurosurgery, RC321-571
Abstract

Background Illusion of movement induced by tendon vibration is commonly used in rehabilitation and seems valuable for motor rehabilitation after stroke, by playing a role in cerebral plasticity. The aim was to study if congruent visual cues using Virtual Reality (VR) could enhance the illusion of movement induced by tendon vibration of the wrist among participants with stroke. Methods We included 20 chronic stroke participants. They experienced tendon vibration of their wrist (100 Hz, 30 times) inducing illusion of movement. Three VR visual conditions were added to the vibration: a congruent moving virtual hand (Moving condition); a static virtual hand (Static condition); or no virtual hand at all (Hidden condition). The participants evaluated for each visual condition the intensity of the illusory movement using a Likert scale, the sensation of wrist’s movement using a degree scale and they answered a questionnaire about their preferred condition. Results The Moving condition was significantly superior to the Hidden condition and to the Static condition in terms of illusion of movement (p Conclusions This study showed the interest of using congruent cues in VR in order to enhance the consistency of the illusion of movement induced by tendon vibration among participants after stroke, regardless of their clinical severity. By stimulating the brain motor areas, this visuo-proprioceptive feedback could be an interesting tool in motor rehabilitation. Record number in Clinical Trials: NCT04130711, registered on October 17th 2019 (https://clinicaltrials.gov/ct2/show/NCT04130711?id=NCT04130711&draw=2&rank=1).

Published
2021

3. Risk of prolapse and urinary complications in adult spina bifida patients with neurogenic acontractile detrusor using clean intermittent catheterization versus Valsalva voiding

Author

C. Richard, Charlène Brochard, Jacques Kerdraon, Laurent Siproudhis, Xavier Gamé, Zine-Eddine Khene, Isabelle Bonan, Quentin Alimi, M. Jezequel, Andrea Manunta, Juliette Hascoet, Mehdi El Akri, B. Peyronnet, CHU Pontchaillou [Rennes], Foie, métabolismes et cancer, Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape, CHU Toulouse [Toulouse], Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), and Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)

Subjects
Adult, Male, congenital, hereditary, and neonatal diseases and abnormalities, medicine.medical_specialty, [SDV]Life Sciences [q-bio], Urology, Urinary system, 030232 urology & nephrology, acontractile, urologic and male genital diseases, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Uterine Prolapse, Intussusception (medical disorder), Urinary Bladder, Underactive, Clinical endpoint, Humans, Medicine, Intermittent Urethral Catheterization, Urinary Complication, Urinary Bladder, Neurogenic, Spinal Dysraphism, Retrospective Studies, valsalva pelvic organ prolapse, 030219 obstetrics & reproductive medicine, Urinary bladder, business.industry, Spina bifida, clean-intermittent catheterization, medicine.disease, spina bifida, body regions, Rectal prolapse, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Relative risk, Urinary Tract Infections, Female, Neurology (clinical), urinary tract infection, business, urinary bladder, rectal prolapse
Abstract

International audience; Aims - To assess the relative risks of pelvic organ prolapse (POP) and urinary complications in adult spina bifida patients with neurogenic acontractile detrusor voiding with Valsalva versus those using clean-intermittent catheterization (CIC). Methods - We conducted a retrospective analysis including all spina bifida patients with neurogenic acontractile detrusor with a minimum follow-up of 12 months. Patients were then divided in two groups according to their bladder management: voiding with Valsalva versus CIC. The primary endpoint was any de novo or worsened rectal and/or pelvic organ prolapse (POP) diagnosed during follow-up. The secondary outcome was urinary complications defined as febrile urinary tract infections (UTI) and/or urolithiasis and/or renal failure. Results - Fifty-five patients (50.9% were males) met the inclusion/exclusion criteria: 28 voiding with Valsalva and 27 performing CIC. At baseline, the rates of vaginal prolapse (44.4% vs 50%; P = 0.99), and rectal prolapse/intussusception (25.9% vs 21.4%; P = 0.76) were similar in both groups. After a median follow-up of 80.6 and 65.6 months, respectively (P = 0.29), the rate of de novo or worsened rectal prolapse/intussusception was higher in the Valsalva voiding group than in the CIC group (32.1% vs 3.7%; P = 0.01). De novo or worsened vaginal prolapses were also more common in the Valsalva voiding group, but it did not reach statistical significance (33.3% vs 11.1%; P = 0.29). Conclusions - Valsalva voiding might be harmful in adult spina bifida patients with neurogenic acontractile detrusor as it may increase the risk of rectal prolapse/intussusception. Overall, the prevalence of POP and rectal prolapse was high in both groups.

Published
2018

4. Influence of the visuo-proprioceptive illusion of movement and motor imagery of the wrist on EEG cortical excitability among healthy participants

Author

Mélanie Cogné, Isabelle Bonan, Christian Barillot, Simon Butet, Anatole Lécuyer, Mathis Fleury, Camille Jeunet, Salomé Le Franc, 3D interaction with virtual environments using body and mind (Hybrid), Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-MEDIA ET INTERACTIONS (IRISA-D6), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique Bretagne-Pays de la Loire (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes 1 (UR1), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique Bretagne-Pays de la Loire (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), Institut de Neurosciences cognitives et intégratives d'Aquitaine (INCIA), Université Bordeaux Segalen - Bordeaux 2-Université Sciences et Technologies - Bordeaux 1-SFR Bordeaux Neurosciences-Centre National de la Recherche Scientifique (CNRS), Empenn, Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Université Bordeaux Segalen - Bordeaux 2-Université Sciences et Technologies - Bordeaux 1 (UB)-SFR Bordeaux Neurosciences-Centre National de la Recherche Scientifique (CNRS), Neuroimagerie: méthodes et applications (Empenn), and Jeunet, Camille

Subjects
Male, Wrist Joint, Man-Computer Interface, Muscle Physiology, Physiology, Social Sciences, Hands, Electroencephalography, Wrist, Tendons, 0302 clinical medicine, Electronics Engineering, Feedback, Sensory, Medicine and Health Sciences, Medicine, Psychology, Biomechanics, Computer Engineering, Stroke, media_common, Clinical Neurophysiology, education.field_of_study, Brain Mapping, Multidisciplinary, medicine.diagnostic_test, Physics, 05 social sciences, Classical Mechanics, [SDV.NEU.SC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Cognitive Sciences, Middle Aged, Healthy Volunteers, Electrophysiology, Arms, medicine.anatomical_structure, Bioassays and Physiological Analysis, Brain Electrophysiology, Connective Tissue, Brain-Computer Interfaces, Cortical Excitability, Physical Sciences, Imagination, Engineering and Technology, Female, Sensory Perception, Sensorimotor Cortex, Anatomy, Research Article, Adult, medicine.medical_specialty, Imagery, Psychotherapy, Imaging Techniques, media_common.quotation_subject, Science, Movement, Population, Illusion, Neurophysiology, Neuroimaging, Research and Analysis Methods, Vibration, 050105 experimental psychology, 03 medical and health sciences, Physical medicine and rehabilitation, Motor imagery, Humans, 0501 psychology and cognitive sciences, education, Neurorehabilitation, Proprioception, business.industry, Electrophysiological Techniques, Cognitive Psychology, Biology and Life Sciences, medicine.disease, Hand, Biological Tissue, Body Limbs, Cognitive Science, Perception, Clinical Medicine, business, Musculoskeletal Mechanics, 030217 neurology & neurosurgery, [SDV.NEU.SC] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Cognitive Sciences, Neuroscience
Abstract

Introduction Motor Imagery (MI) is a powerful tool to stimulate sensorimotor brain areas and is currently used in motor rehabilitation after a stroke. The aim of our study was to evaluate whether an illusion of movement induced by visuo-proprioceptive immersion (VPI) including tendon vibration (TV) and Virtual moving hand (VR) combined with MI tasks could be more efficient than VPI alone or MI alone on cortical excitability assessed using Electroencephalography (EEG). Methods We recorded EEG signals in 20 healthy participants in 3 different conditions: MI tasks involving their non-dominant wrist (MI condition); VPI condition; and VPI with MI tasks (combined condition). Each condition lasted 3 minutes, and was repeated 3 times in randomized order. Our main judgment criterion was the Event-Related De-synchronization (ERD) threshold in sensori-motor areas in each condition in the brain motor area. Results The combined condition induced a greater change in the ERD percentage than the MI condition alone, but no significant difference was found between the combined and the VPI condition (p = 0.07) and between the VPI and MI condition (p = 0.20). Conclusion This study demonstrated the interest of using a visuo-proprioceptive immersion with MI rather than MI alone in order to increase excitability in motor areas of the brain. Further studies could test this hypothesis among patients with stroke to provide new perspectives for motor rehabilitation in this population.

Published
2021

5. A new child-friendly 3D bimanual protocol to assess upper limb movement in children with unilateral cerebral palsy: Development and validation

Author

Isabelle Bonan, Florence Gaillard, Ronan Garlantézec, Antoine Marin, Hélène Rauscent, Marine Cacioppo, Estelle Le Pabic, Armel Crétual, Sylvain Brochard, CHU Pontchaillou [Rennes], Optimisation Continue des Actions Thérapeutiques par l'Intégration d'Informations Multimodales, Université de Brest (UBO)-Télécom Bretagne-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), CHRU Brest - Service chirurgie orthopédique et traumatologique (CHU - BREST - Orthopédie ), Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Empenn, Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-CentraleSupélec-IMT Atlantique Bretagne-Pays de la Loire (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), IPSEN Company, Université de Rennes (UR)-École normale supérieure - Rennes (ENS Rennes)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Neuroimagerie: méthodes et applications (Empenn), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), and Jonchère, Laurent

Subjects
Male, medicine.medical_specialty, Activities of daily living, Movement disorders, Adolescent, Computer science, Movement, [SDV]Life Sciences [q-bio], Bimanual task, Biophysics, Neuroscience (miscellaneous), Validity, Kinematics, Wrist, Cerebral palsy, Upper Extremity, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, medicine, Humans, Prospective Studies, Child, Muscle, Skeletal, Upper limb, Movement quality, Reliability (statistics), Neurologic Examination, Cerebral Palsy, Reproducibility of Results, 030229 sport sciences, medicine.disease, Biomechanical Phenomena, [SDV] Life Sciences [q-bio], Unilateral cerebral palsy, medicine.anatomical_structure, Three-dimensional motion analysis, Case-Control Studies, Female, Neurology (clinical), medicine.symptom, Psychomotor Performance, 030217 neurology & neurosurgery
Abstract

International audience; Unilateral cerebral palsy (uCP) causes upper limb movement disorders that impact on daily activities, especially in bimanual condition. However, a few studies have proposed bimanual tasks for 3D motion analysis. The aim of this study was to validate the new version of a child-friendly, 3D, bimanual protocol for the measurement of joint angles and movement quality variables. Twenty children with uCP and 20 typically developing children (TDC) performed the five-task protocol integrated into a game scenario. Each task specifically targeted one or two upper limb degrees of freedom. Joint angles, smoothness and trajectory straightness were calculated. Elbow extension, supination, wrist extension and adduction amplitudes were reduced; hand trajectories were less smooth and straight in children with uCP compared to TDC. Correlations between the performance-based score and kinematic variables were strong. High within and between-session reliability was found for most joint angle variables and lower reliability was found for smoothness and straightness in most tasks. The results therefore demonstrated the validity and reliability of the new protocol for the objective assessment of bimanual function in children with uCP. The evaluation of both joint angles and movement quality variables should increase understanding of pathological movement patterns and help clinicians to optimize treatment. ClinicalTrials.gov identifier: NCT03888443.

Published
2020

6. Assessment of bimanual performance in 3-D movement analysis Validation of a new clinical protocol in children with unilateral cerebral palsy

Author

Isabelle Bonan, Christopher J. Newman, Florence Gaillard, Armel Crétual, Marine Cacioppo, Hélène Rauscent, Thibault Pasquet, Guillaume Bouzillé, Brice Bouvier, CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), Université de Rennes (UR)-École normale supérieure - Rennes (ENS Rennes)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Médecine physique et de réadaptation [Rennes] (MPR), Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), Division de cardiologie [CHU Vaudois] (CHUV), Centre Hospitalier Universitaire Vaudois [Lausanne] (CHUV), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM), and CCSD, Accord Elsevier

Subjects
Male, 030506 rehabilitation, medicine.medical_specialty, Adolescent, Intraclass correlation, Movement, [SDV]Life Sciences [q-bio], Elbow, Bimanual task, Wrist, Cerebral palsy, Upper Extremity, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Clinical Protocols, medicine, Humans, Orthopedics and Sports Medicine, Child, Upper limb, ComputingMilieux_MISCELLANEOUS, business.industry, Cerebral Palsy, Rehabilitation, Reproducibility of Results, Bimanual performance, medicine.disease, Hand, Trunk, [SDV] Life Sciences [q-bio], Unilateral cerebral palsy, Standard error, medicine.anatomical_structure, Female, 0305 other medical science, Range of motion, business, 030217 neurology & neurosurgery, 3-D movement analysis
Abstract

The "Be an Airplane Pilot" (BE-API) protocol is a novel 3-D movement analysis (3DMA) protocol assessing the bimanual performance of children during a game.This study aimed to investigate the reliability and validity of this protocol in children with unilateral cerebral palsy (uCP).Angular waveforms (WAVE), maximum angles (MAX) and range of motion (ROM) of the trunk, shoulder, elbow and wrist joints were collected in children with uCP and in typically developing children (TDC) during 4 tasks of the BE-API protocol designed to explore specific degrees of freedom (DoF). The inter-trial reliability for children with uCP was assessed with the coefficient of multiple correlation (CMC) for WAVE and the intraclass correlation coefficient (ICC) and standard error of measurement (SEM) for MAX and ROM. Clinical performance-based measures, including the Assisting Hand Assessment (AHA) and ABILHAND-Kids scores, were used to explore correlations between clinical measures and kinematic parameters in children with uCP.20 children with uCP (13 boys; mean age 12.0 [SD 3.2] years) and 20 TDC (11 boys; mean age 11.9 [SD 3.4] years) were included. In children with uCP, most kinematic parameters showed high reliability (WAVE: CMC≥0.82; MAX and ROM: ICC≥0.85, SEM≤4.7°). Elbow extension, forearm supination, and wrist adduction were reduced and wrist flexion was increased for children with uCP versus TDC (P0.01). In children with uCP, MAX and ROM values were moderately correlated with clinical assessments (AHA score: r=0.48-0.65; ABILHAND-Kids score: r=0.48-0.49).The BE-API protocol is a 3DMA-bimanual performance-based assessment that is highly reliable in children with uCP. Children with uCP and TDC significantly differed in some clinically relevant kinematic parameters. The BE-API is a promising playful tool, helpful for better understanding upper-limb motor movement abnormalities in bimanual conditions and for tailoring treatments to individual deficits.

Published
2020

7. The effects of neck muscle vibration on postural orientation and spatial perception: A systematic review

Author

Karim Jamal, Stéphanie Leplaideur, Frédérique Leblanche, Thibaud Honore, Isabelle Bonan, Annelise Moulinet Raillon, CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), Université de Rennes (UR)-École normale supérieure - Rennes (ENS Rennes)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de KERPAPE [Ploemeur] (CMRRF), Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape, Neuroimagerie: méthodes et applications (Empenn), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), Societe Francophone Posture Equilibre et Locomotion (SOFPEL), CCSD, Accord Elsevier, École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Empenn, Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-CentraleSupélec-IMT Atlantique Bretagne-Pays de la Loire (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), and Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1)

Subjects
medicine.medical_specialty, media_common.quotation_subject, [SDV]Life Sciences [q-bio], Review, Cochrane Library, Neck muscle vibration, Vibration, 050105 experimental psychology, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Neck Muscles, Physiology (medical), Perception, Orientation, Postural Balance, Medicine, Humans, 0501 psychology and cognitive sciences, media_common, Balance (ability), Vestibular system, business.industry, 05 social sciences, Postural orientation, General Medicine, Spatial perception, Proprioception, [SDV] Life Sciences [q-bio], Neurology, Space Perception, Neurology (clinical), business, 030217 neurology & neurosurgery
Abstract

International audience; Background. - Neck muscle vibration (NMV) is increasingly used for its modulation of body orientation and spatial perception, but its mechanisms of action are still not well known. Objectives. - To describe the effects of NMV on postural orientation and spatial perception, in both healthy people and patients with disturbed balance potentially related to distorted body orientation perception. Methods. - Following the PRISMA guidelines, a systematic search was performed using the databases MEDLINE, EMBASE, Cochrane library and PEDrO with the key words ((Postural balance) OR (Spatial reference)) AND (Neck muscle vibration) for articles published through to July 2016. Results. - A total of 67 articles were assessed; these exhibited wide heterogeneity and generally poor quality methodology. In healthy subjects, under bilateral NMV, the body tilts in the anterior direction (Level of Evidence LoE II). Under unilateral NMV, the visual environment moves towards the side opposite the vibration (LoE II) and the subject's experience of "straight ahead" is shifted towards the side of the vibration (LoE II). NMV also modulates both spatial and postural bias between stroke and vestibular patients. Discussion. - NMV modulates both spatial and postural bias and could thus be proposed as a tool in rehabilitative therapy. However, due to the heterogeneity of published data and the various significant shortfalls highlighted, current research does not allow clear guidelines to be proposed. (C) 2019 Elsevier Masson SAS. All rights reserved.

Published
2020

8. The effects of repetitive neck-muscle vibration on postural disturbances after a chronic stroke

Author

Armel Crétual, Stéphanie Leplaideur, Karim Jamal, Annelise Moulinet Raillon, Isabelle Bonan, Simon Butet, Chloé Rousseau, Sébastien Cordillet, CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), Université de Rennes (UR)-École normale supérieure - Rennes (ENS Rennes)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de KERPAPE [Ploemeur] (CMRRF), Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape, Neuroimagerie: méthodes et applications (Empenn), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Francophone Society of Posture and Locomotion (SOFPEL), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Empenn, Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-CentraleSupélec-IMT Atlantique Bretagne-Pays de la Loire (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), and CCSD, Accord Elsevier

Subjects
medicine.medical_specialty, [SDV]Life Sciences [q-bio], Brain damage, Vibration, 050105 experimental psychology, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Neck Muscles, Physiology (medical), medicine, Humans, 0501 psychology and cognitive sciences, Spasticity, Chronic stroke, Stroke, Postural Balance, Balance (ability), Aged, Spatial representation, business.industry, 05 social sciences, Posturography, Stroke Rehabilitation, Neck muscle vibration, General Medicine, Middle Aged, medicine.disease, [SDV] Life Sciences [q-bio], Neurology, Berg Balance Scale, Neurology (clinical), Analysis of variance, medicine.symptom, business, 030217 neurology & neurosurgery, Postural asymmetry
Abstract

International audience; Objective. - We aimed to test a repeated program of vibration sessions of the neck muscles (rNMV) on postural disturbances and spatial perception in patients with right (RBD) versus left (LBD) vascular brain damage. Methods. -Thirty-two chronic stroke patients (mean age 60.9 +/- 10 yrs and mean time since stroke 4.9 +/- 4 yrs), 16 RBD and 16 LBD, underwent a program of 10 sessions of NMV over two weeks. Posturography parameters (weight-bearing asymmetry (WBA), Xm, Ym, and surface), balance rating (Berg Balance Scale (BBS), Timed Up and Go (TUG)), space representation (subjective straight ahead (SSA), longitudinal body axis (LBA), subjective visual vertical (SW)), and post-stroke deficiencies (motricity index, sensitivity, and spasticity) were tested and the data analyzed by ANOVA or a linear rank-based model, depending on whether the data were normally distributed, with lesion side and time factor (D-15, D0, D15, D21, D45). Results. -The ANOVA revealed a significant interaction between lesion side and time for WBA (P< 0.0001) with a significant shift towards the paretic lower limb in the RBD patients only (P=0.0001), whereas there was no effect in the LBD patients (P=0.98). Neither group showed a significant modification of spatial representation. Nonetheless, there was a significant improvement in motricity (P=0.02), TUG (P=0.0005), and BBS (P< 0.0001) in both groups at the end of treatment and afterwards. Conclusions. - rNMV appeared to correct WBA in RBD patients only. This suggests that rNMV could be effective in treating sustainable imbalance due to spatial cognition disorders. (C) 2020 Elsevier Masson SAS. All rights reserved.

Published
2020

9. Effectiveness of radiotherapy to prevent recurrence of heterotopic ossification in patients with spinal cord injury and traumatic head injury: A retrospective case-controlled study

Author

Guillaume Genet, François Genêt, Philippe Denormandie, Isabelle Bonan, Thibaud Honore, Amandine Grelier, Marjorie Salga, Alain Labib, Handicap neuromusculaire : Physiopathologie, Biothérapie et Pharmacologies appliquées (END-ICAP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital Raymond Poincaré [AP-HP], Hôpital René HUGUENIN (Saint-Cloud), Empenn, Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-CentraleSupélec-IMT Atlantique Bretagne-Pays de la Loire (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), Neuroimagerie: méthodes et applications (Empenn), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), and HAL UVSQ, Équipe

Subjects
Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Traumatic brain injury, medicine.medical_treatment, [SDV]Life Sciences [q-bio], Physical Therapy, Sports Therapy and Rehabilitation, Sepsis, 03 medical and health sciences, Young Adult, Postoperative Complications, Recurrence, medicine, Humans, Spinal cord injury, radiotherapy, Spinal Cord Injuries, Retrospective Studies, business.industry, traumatic brain injury, Ossification, Heterotopic, Rehabilitation, Head injury, lcsh:RM1-950, Case-control study, General Medicine, Odds ratio, medicine.disease, spinal cord injury, 3. Good health, Surgery, [SDV] Life Sciences [q-bio], Radiation therapy, lcsh:Therapeutics. Pharmacology, heterotopic ossification, Case-Control Studies, excision, Heterotopic ossification, Female, 0305 other medical science, business
Abstract

Objective To evaluate recurrence and early postoperative complications (sepsis) following surgical excision combined with radiotherapy for troublesome hip heterotopic ossification in patients with spinal cord injury and traumatic brain injury. Design Retrospective case-control study. Setting Data relating to patients with spinal cord injury or traumatic brain injury who underwent surgical excision of hip heterotopic ossification were retrieved from the BANKHO database. Case patients underwent excision + radiotherapy and controls underwent excision only. Control patients were matched to case patients according to sex and age (± 4 years). Participants Data from 19 case patients and 76 controls were analysed. Interventions Not applicable. Main outcome measure The primary end-point was recurrence of heterotopic ossification. Secondary end-points were postoperative complications and, more specifically, sepsis that required surgical revision. Results There was no difference between the odds ratios (OR) for recurrence for each group (OR case group = 0.63, OR spinal cord injury subgroup = 0.45 and OR head injury subgroup = 1.04). The rate of sepsis requiring surgical revision was significantly higher in the case group (p Conclusion Based on the results of this case-control study, we suggest that radiotherapy should not be combined with surgery in patients with troublesome hip heterotopic ossification undergoing excision. Radiotherapy does not appear to prevent recurrence and, moreover, it is associated with an increased risk of postoperative sepsis.

Published
2020

10. Évaluation de l’adhérence et de la satisfaction aux sondages intermittents chez l’enfant : étude de faisabilité et premières étapes de validation d’InCaSaQ et ICAS dans la population pédiatrique

Author

C. Olivari-Philiponnet, Gérard Amarenco, Hélène Rauscent, H. Menard, F. Le Breton, and Isabelle Bonan

Subjects
Gynecology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, business.industry, Urology, 030232 urology & nephrology, medicine, business, 030217 neurology & neurosurgery
Abstract

Resume Introduction En neuro-urologie pediatrique, la mise en place des sondages intermittents puis l’apprentissage des auto-sondages sont des etapes importantes pour les enfants presentant une vessie neurologique. Il n’existe pas d’echelle d’evaluation specifique de l’enfant de l’adherence et de la satisfaction aux sondages (auto- ou hetero-). L’objectif de cet article est d’etudier la faisabilite de l’InCaSaQ (Intermittent Catheterization Satisfaction Questionnaire) et de l’ICAS (Intermittent Catheterization Adherence Scale) chez l’enfant, et d’en realiser les premieres etapes de validation. Materiel et methodes Etude monocentrique de validation d’echelle. Les criteres d’inclusion etaient la presence chez les patients d’une vessie neurologique, la realisation reguliere de sondages intermittents (auto- ou hetero-) et un âge inferieur a 18 ans. Les questionnaires InCaSaQ et ICAS etaient envoyes a deux reprises entre mars et avril 2017, puis remplis par l’enfant ou ses parents selon qui effectuait les sondages. La consistance interne (alpha de Cronbach) mesurait la validite de construit. La reproductibilite etait mesuree par le cœfficient de correlation (CCI) et les tests de Wilcoxon et de McNemar. La pertinence et la facilite de remplissage etaient evaluees pour chaque score (evaluation sur une echelle de 0 a 10 par la personne remplissant le questionnaire). Resultats Vingt deux patients ont ete inclus, et 50 questionnaires ont ete recuperes (25 ICAS et 25 InCaSaQ), a deux reprises. La consistance interne est satisfaisante pour InCaSaQ (alpha de Cronbach > 0,7) et la reproductibilite est bonne pour les deux questionnaires (CCI > 0,7 pour la majorite des items). Les patients sous auto-sondages avaient une moins bonne adherence que les parents realisant des hetero-sondages (ICAS a 3,25 contre 0,70 chez les enfants sous hetero-sondages). L’item le plus abaisse dans l’InCaSaQ etait la maniere de se debarrasser de la sonde. Conclusions L’InCaSaQ et l’ICAS sont des outils qui peuvent etre utilises chez l’enfant sous auto-sondages ou hetero-sondages. Des etudes de plus grande ampleur seront necessaires pour en finaliser la validation. Niveau de preuve 4.

Published
2018

11. Résultats de la neurostimulation tibiale postérieure transcutanée pour hyperactivité vésicale chez les patients diabétiques

Author

M. Damphousse, Jacques Kerdraon, Juliette Hascoet, L. Mathieu, Isabelle Bonan, N. Senal, Andrea Manunta, S. Fontaine, Benoit Peyronnet, and T. Honoré

Subjects
Gynecology, 03 medical and health sciences, medicine.medical_specialty, 030219 obstetrics & reproductive medicine, 0302 clinical medicine, business.industry, Urology, 030232 urology & nephrology, Transcutaneous electric nerve stimulation, Medicine, business, 3. Good health
Abstract

Resume Objectif Le traitement par neurostimulation tibiale posterieure transcutanee (NTPT) a montre son efficacite dans le traitement de l’hyperactivite vesicale (HAV), mais son effet chez les patients diabetiques est mal connu. Le but de cette etude etait de comparer l’efficacite du traitement par NTPT chez les patients diabetiques ayant une HAV et chez les patients ayant une HAV sans diabete. Methodes Une etude prospective monocentrique incluait tous les patients traites par NTPT pour troubles vesico-sphincteriens entre 2012 et 2016. Le critere de jugement principal etait l’efficacite ≥ 50 % de la symptomatologie evaluee au moyen d’une echelle visuelle analogique (EVA) a deux mois. Le traitement instaure consistait en une seance de NTPT quotidienne de 20 min. Les criteres de jugement secondaires etaient les donnees du calendrier mictionnel, l’Urinary Symptom Profile (score d’hyperactivite vesicale), le retentissement sur le moral et sur les activites de la vie quotidienne evalues par EVA. Resultats Soixante et onze patients ont ete inclus, dont 10 etaient diabetiques. Le taux d’efficacite (EVA ≥ 50 %) n’etait pas significativement different dans le groupe des patients diabetiques (70 % vs. 44,1 % dans le groupe non diabetique ; p = 0,17), de meme que l’EVA efficacite moyenne (4/10 vs. 4/10 ; p = 0,98). Le sous-score USP HAV diminuait significativement dans les deux groupes a 2 mois (−3 points dans le groupe diabetique ; −1,9 points dans le groupe non diabetique ; p = 0,03 et p Conclusion Les resultats fonctionnels de la NTPT semblent similaires dans le traitement de l’HAV chez les patients diabetiques et chez les patients non diabetiques. Niveau de preuve 4.

Published
2017

12. French clinical guidelines for peripheral motor nerve blocks in a PRM setting

Author

François Genêt, Claire Hentzen, Marylène Jousse, Lionel Velly, Dominique Fletcher, Isabelle Laffont, Philippe Cuvillon, F. Coroian, François Boyer, Eric Viel, Thibaud Honore, Etienne Allart, Alain Yelnik, Isabelle Bonan, Department of Physical Medicine and Rehabilitation [Paris], Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Cité (UPCité), Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Troubles cognitifs dégénératifs et vasculaires - U 1171 (TCDV), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Médecine physique et de réadaptation [Rennes] (MPR), CHU Pontchaillou [Rennes], Unité de recherche Phytopharmacie et Médiateurs Chimiques (UPMC), Institut National de la Recherche Agronomique (INRA), Department of Physical Medicine and Rehabilitation, Sébastopol Hospital, Reims University Hospital, Reims, France, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Euromov (EuroMov), Université de Montpellier (UM), Handicap neuromusculaire : Physiopathologie, Biothérapie et Pharmacologies appliquées (END-ICAP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Université Paris Descartes - Faculté de Médecine (UPD5 Médecine), Université Paris Descartes - Paris 5 (UPD5), Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis [CHU Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Hôpital Ambroise Paré [AP-HP], Hôpital de la Timone [CHU - APHM] (TIMONE), Neurophysique et physiologie du système moteur (NPSM), Université Paris Descartes - Paris 5 (UPD5)-Centre National de la Recherche Scientifique (CNRS), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université de Paris (UP), CCSD, Accord Elsevier, Médecine physique et de réadaptation [CHU Rennes] (MPR), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), Hôpital Cochin [AP-HP], and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)

Subjects
030506 rehabilitation, medicine.medical_specialty, medicine.medical_treatment, Physical and rehabilitation medicine, Motor nerve, Context (language use), Pain, Procedural, Contraindications, Procedure, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Anesthesiology, medicine, Humans, Orthopedics and Sports Medicine, Local anesthesia, Spasticity, Anesthetics, Local, Ultrasonography, Interventional, Motor Neurons, [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology, Rehabilitation, business.industry, Contraindications, Drug, Nerve Block, 3. Good health, Peripheral, Muscle Spasticity, Anesthetic, Motor nerve block, France, medicine.symptom, 0305 other medical science, business, 030217 neurology & neurosurgery, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, medicine.drug
Abstract

Motor nerve blocks with anesthetic drug for local anesthesia are commonly used in physical and rehabilitation medicine (PRM), especially in the field of spasticity. Guidelines in this context are currently lacking.Eighteen experts selected on the basis of their recognized experience by the scientific committees of the French PRM (SOFMER) and Anesthesia and Intensive care (SFAR) societies were invited to work and propose guidelines for the use of loco-regional anesthetic drug for motor nerve blocks in PRM setting. Eight issues were addressed: which neural blocks for which indications; drugs and contraindications; medical survey and attitude in case of adverse event; injection and guidance material; patient preparation and pain relief; efficacy assessment; patient information; education of PRM physiatrists. The Medline, Cochrane and Embase databases for the period 1999 to 2018 were consulted and 355 papers analyzed. The drafts were commented then approved by the whole group using electronic vote, before final approval by scientific committee of each society.No scientific evidence emerged from the literature. Thus, these guidelines are mainly based on the opinion of the expert panel. Guidelines for each issue are reported with the main points of arguments. The main question deals with the recommendation about doses for each drug: for lidocaine - up to 2mg/kg - "check contraindications, emergency truck available, no need of previous anesthetic consultation nor presence of anesthetic physician"; for ropivacaine - up to 1.5mg/kg, with a maximum of 100mg - the same but after intravenous line. Beyond these doses, SFAR guidelines have to be applied with the need of anesthetic physician.These are the first organizational guidelines devoted to increase the security of motor nerve block use in PRM settings.

Published
2019

13. The effect of optokinetic and galvanic vestibular stimulations in reducing post-stroke postural asymmetry

Author

B. Laviolle, Stéphanie Leplaideur, S. Tassel Ponche, Isabelle Bonan, E. Leblong, Alain Yelnik, Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Médecine physique et de réadaptation [Rennes] (MPR), CHU Pontchaillou [Rennes], Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Amiens-Picardie, Département de Médecine physique et de Réadaptation, Hôpitaux Universitaire Saint-Louis, Lariboisière, Fernand-Widal, Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), and Jonchère, Laurent

Subjects
Adult, Male, medicine.medical_specialty, [SDV]Life Sciences [q-bio], Stimulation, Audiology, 050105 experimental psychology, Lesion, 03 medical and health sciences, 0302 clinical medicine, Physiology (medical), medicine, Humans, 0501 psychology and cognitive sciences, Force platform, Nystagmus, Optokinetic, Postural Balance, Aged, Vestibular system, Sensory stimulation therapy, Rehabilitation, 05 social sciences, Postural control, Postural asymmetry, Galvanic Skin Response, Optokinetic reflex, Middle Aged, Sensory Systems, Sensory stimulation, Surgery, [SDV] Life Sciences [q-bio], Paresis, Stroke, Treatment Outcome, Neurology, Post stroke, Female, Vestibule, Labyrinth, Neurology (clinical), medicine.symptom, Psychology, Photic Stimulation, 030217 neurology & neurosurgery
Abstract

International audience; Objective: To investigate the postural effect of 2 types of sensory stimulation in patients with a left hemispheric lesion (LHL) or right hemispheric lesion (RHL) compared with controls. Methods: 35 patients (18 LHL, 17 RHL) and 27 controls (Mean age 54.1 years), with a mean delay post-stroke of 3.0 months were enrolled. Subjects stood on a force platform and were stimulated on the left and right side by optokinetic (Okn) and galvanic vestibular (Gv) stimulation. Lateral displacement following stimulation towards the right and left directions was calculated as the mean position of the centre of pressure (CP) during the stimulation period minus the mean position at rest. Results Postural asymmetry was reduced in LHL and RHL patients. CP displacement was higher in cases of left-sided stimulation in the RHL group compared with control subjects and LHL patients (respectively 2.8 and 2.4 times higher, group effect, p

Published
2016

14. Proposal of a new 3D bimanual protocol for children with unilateral cerebral palsy: Reliability in typically developing children

Author

Isabelle Bonan, Guillaume Bouzillé, Hélène Rauscent, Armel Crétual, Florence Gaillard, Brice Bouvier, Thibault Pasquet, Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), CHU Pontchaillou [Rennes], Médecine physique et de réadaptation [Rennes] (MPR), and Université de Rennes (UR)-École normale supérieure - Rennes (ENS Rennes)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
Male, medicine.medical_specialty, Adolescent, Computer science, Movement, [SDV]Life Sciences [q-bio], Biophysics, Neuroscience (miscellaneous), Kinematics, Cerebral palsy, Upper Extremity, 03 medical and health sciences, Typically developing, 0302 clinical medicine, Physical medicine and rehabilitation, medicine, Humans, Multiple correlation, Range of Motion, Articular, Child, Muscle, Skeletal, Reliability (statistics), Neurologic Examination, Protocol (science), Cerebral Palsy, Reproducibility of Results, 030229 sport sciences, medicine.disease, Biomechanical Phenomena, Play and Playthings, 3. Good health, Standard error, Female, Neurology (clinical), Range of motion, 030217 neurology & neurosurgery
Abstract

International audience; Introduction - Quantitative evaluation of upper limb (UL) kinematics in children with unilateral cerebral palsy (uCP) remains challenging for researchers and clinicians, especially during bimanual situations. This study proposed a new 3D bimanual protocol dedicated to children with uCP, called "Be an Airplane Pilot" (BE-API protocol) and assessed its reliability for typically developing children (TDC). Methods - this protocol is composed of four bimanual tasks that allow the exploration of all degrees of freedom of the hemiplegic/non-dominant UL. Twenty TDC (mean age 11.9 ± 3.4) carried out three protocol sessions. Reliability was investigated through three kinematic parameters: angular waveforms (WAVE) using the coefficient of multiple correlation (CMC), range of motion (RoM) and maximum angles (MAX) both using the intra-class correlation coefficient (ICC) and the standard error of measurement (SEM). Results - A very good reliability was observed for the three kinematic parameters in most cases (WAVE: CMC ≥0.90, RoM & MAX: ICC ≥0.81, SEM ≤5.0°). Discussion - the very good reliability can be partly explained by the high level of rigor of the protocol. Such promising results open the door to validation tests on children with uCP. The BE-API protocol could pretend to support clinical decisions by objectively assessing the efficiency of therapeutics, e.g. injection of botulinic toxin.

Published
2019

15. Comparison of neurogenic lower urinary tract dysfunctions in open versus closed spinal dysraphism A prospective cross-sectional study of 318 patients

Author

Laurent Riffaud, Xavier Gamé, Jacques Kerdraon, Isabelle Bonan, M. Jezequel, Quentin Alimi, Andrea Manunta, Béatrice Carsin-Nicole, Camille Olivari-Philiponnet, Charlène Brochard, Juliette Hascoet, Laurent Siproudhis, Pierre-Jean Le Reste, Nelly Senal, B. Peyronnet, CHU Pontchaillou [Rennes], Foie, métabolismes et cancer, Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape, CHU Toulouse [Toulouse], Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), and Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)

Subjects
Adult, Male, medicine.medical_specialty, Spinal dysraphism, Bladder compliance, Cross-sectional study, Urology, Urinary system, [SDV]Life Sciences [q-bio], neurogenic, 030232 urology & nephrology, Urinary incontinence, 03 medical and health sciences, detrusor overactivity, 0302 clinical medicine, medicine, Humans, Intermittent Urethral Catheterization, Prospective Studies, Urinary Bladder, Neurogenic, Prospective cohort study, Spinal Dysraphism, Urinary bladder, Spina bifida, business.industry, Urinary Bladder, Overactive, medicine.disease, 3. Good health, spina bifida, medicine.anatomical_structure, Cross-Sectional Studies, Urinary Incontinence, 030220 oncology & carcinogenesis, Female, Neurology (clinical), medicine.symptom, business, urinary bladder
Abstract

International audience; Aims - To compare the neurogenic lower urinary tract dysfunction (NLUTD) in patients with closed spinal dysraphism (CSD) versus patients with open spinal dysraphism (OSD) as well as their management patterns. Methods - A prospective cross-sectional study was conducted between September 2007 and December 2015 including all spina bifida patients seen at the multidisciplinary French national referral center for spina bifida. NLUTD and its management were compared between the OSD and CSD groups. Results - Three hundred and eighteen patients were included for analysis: 100 with a CSD (31.5%) and 218 with an OSD (68.6%). The prevalence of urinary incontinence did not differ significantly between the two groups (43% vs 52.8%; P = 0.11), the mean Qualiveen score was also similar (2.7 vs 2.5, P = 0.22). The voiding mechanism was clean intermittent catheterization, spontaneous voiding, suprapubic tube, and ileal conduit in 55% versus 44%; 29.8% versus 47%; 2.8% versus 3% and 11.9% versus 6% of OSD and CSD patients, respectively (P = 0.02). There were comparable prevalences of detrusor overactivity (36.5% vs 38.8%; P = 0.68) and impaired bladder compliance (34.9% vs 31.7%; P = 0.56) in both groups. Augmentation cystoplasty was more common in patients with OSD (32.1% vs 11%; P

Published
2018

16. Disturbances of spatial reference frame and postural asymmetry after a chronic stroke

Author

Isabelle Bonan, Karim Jamal, Stéphanie Leplaideur, Lucie Chochina, Chloé Rousseau, A. Moulinet Raillon, CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), Université de Rennes (UR)-École normale supérieure - Rennes (ENS Rennes)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Fatronik France, Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), Institut des Neurosciences Cliniques de Rennes, École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-CentraleSupélec-IMT Atlantique Bretagne-Pays de la Loire (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), and Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1)

Subjects
Adult, Male, medicine.medical_specialty, Neurology, media_common.quotation_subject, [SDV]Life Sciences [q-bio], Posture, Allocentric, Severity of Illness Index, Functional Laterality, 050105 experimental psychology, Lateralization of brain function, Lesion, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Multivariate analysis of variance, Perception, medicine, Humans, Orthopedics and Sports Medicine, 0501 psychology and cognitive sciences, Force platform, Postural Balance, Chronic stroke, Stroke, Aged, media_common, business.industry, General Neuroscience, Rehabilitation, 05 social sciences, Postural asymmetry, Middle Aged, medicine.disease, Space Perception, Chronic Disease, Female, medicine.symptom, business, Egocentric reference frame, 030217 neurology & neurosurgery, Reference frame
Abstract

Introduction/Background Asymmetrical postural behaviours are frequently observed after a stroke. They are due in part to the sensorimotor deficit, but could also be related to a disorder of the representation of the body in space. The objective was to determine whether the asymmetrical postural behaviours of chronic stroke patients are related to a disruption of the perception of spatial frame. Material and method Thirty chronic stroke patients (mean age 60.3 y ± 10, mean delay post-stroke 4.78 y ± 3) 15 patients with right brain damage (RDB) and 15 patients with left brain damage (LBD) and 20 healthy subjects participated in the study. Postural asymmetry was detected by the evaluation of body weight repartition on a force platform (weight body asymmetry) and was related to the longitudinal body axis (LBA) and the subjective straight ahead (SSA) (egocentric space representation) and also to the subjective visual vertical (SVV) (allocentric space representation) by means of a multivariate analysis of variance (MANOVA) which was adjusted with motor function and sensitivity as covariables. Results Both patients with RBD (35% ± 8) and LBD (39% ± 4) had a body weight asymmetry and there was still space misperception at this stage of recovery, especially in the RBD group. WBA was related to LBA when considering both patients with RDB and LDB (P = 0.03). However, this relation was dependent on the side of the lesion (P = 0.0006) with a stronger relation in the RBD group (58.26%). No relation with WBA was found neither with SSA (P = 0.58) nor with SVV (P = 0.47). Conclusion This study pointed out a strong relationship between disturbance in the perception of the longitudinal body axis and postural asymmetry in chronic strokes, and predominantly within the RBD group. Whereas other spatial perturbations did not seem to be involved in this particular postural behaviour.

Published
2018

17. Adjunct therapies to improve outcomes after botulinum toxin injection in children: A systematic review

Author

L Mathevon, Mickael Dinomais, Isabelle Bonan, J-L Barnais, Françoise Boyer, CHU Pontchaillou [Rennes], Laboratoire Angevin de Recherche en Ingénierie des Systèmes (LARIS), and Université d'Angers (UA)

Subjects
030506 rehabilitation, medicine.medical_specialty, [SDV]Life Sciences [q-bio], medicine.medical_treatment, MEDLINE, Electric Stimulation Therapy, Injections, Intramuscular, Cerebral palsy, law.invention, 03 medical and health sciences, Immobilization, 0302 clinical medicine, Randomized controlled trial, law, medicine, Humans, Orthopedics and Sports Medicine, Spasticity, Prospective Studies, Botulinum Toxins, Type A, 10. No inequality, Child, Physical Therapy Modalities, Randomized Controlled Trials as Topic, Leg, Rehabilitation, business.industry, Cerebral Palsy, Resistance Training, Evidence-based medicine, medicine.disease, Botulinum toxin, Combined Modality Therapy, Adjunct, 3. Good health, Casts, Surgical, Neuromuscular Agents, Muscle Spasticity, Physical therapy, medicine.symptom, 0305 other medical science, business, 030217 neurology & neurosurgery, medicine.drug
Abstract

Background Botulinum toxin (BTX) injection alone is not sufficient to treat spasticity in children, notably those with cerebral palsy; thus, there is an emerging trend for adjunct therapies to offer greater outcomes than BTX alone. Objective The aim of this systematic review was to evaluate the general effectiveness of adjunct therapies regardless of their nature in children with spasticity. Methods Medline, Cochrane and Embase databases were searched from January 1980 to March 15, 2018 for reports of parallel-group trials (randomized controlled trials [RCTs] and non-RCTs) assessing adjunct therapies after BTX injection for treating spasticity in children. Two independent reviewers extracted data and assessed the risk of bias by using the PEDro scale for RCTs and Downs and Black scale (D&B) for non-RCTs. Results Overall, 20 articles involving 662 participants met the inclusion criteria. The average quality was good for the 16 RCTs (mean PEDro score 7.4 [SD 1.6]) and poor to moderate for the 4 non-RCTs (D&B score 9 to 17). Adjunct therapies consisted of casting/posture, electrical stimulation, resistance training and rehabilitation programmes. Casting associated with BTX injection improved the range of passive and active motion and reduced spasticity better than did BTX alone (9 studies), with a follow-up of 1 year. Resistance training enhanced the quality and performance of muscles without increasing spasticity. Only 3 rehabilitation programmes were studied, with encouraging results for activities. Conclusion Lower-limb posture with casting in children has a high level of evidence, but the long-term efficacy of short-leg casting needs to be evaluated. A comparison between the different modalities of casting is missing, and studies specifically devoted to testing the different kinds of casting are needed. Moreover, the delay to casting after BTX injection is not clear. Data on electrical stimulation are not conclusive. Despite the small number of studies, resistance training could be an interesting adjunct therapy notably to avoid loss of strength after BTX injection. Rehabilitation programmes after BTX injection still need to be evaluated.

Published
2018

18. Kinematic motion abnormalities and bimanual performance in children with unilateral cerebral palsy

Author

Brice Bouvier, Sylvette Marleix, Caroline Le Cornec, Hélène Rauscent, Sébastien Cordillet, Isabelle Bonan, Rachel Heyman, Florence Gaillard, Corentin Gonthier, Armel Crétual, CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé ( M2S ), École normale supérieure - Cachan ( ENS Cachan ) -Université de Rennes 1 ( UR1 ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Université de Brest ( UBO ) -Université de Rennes 2 ( UR2 ), Université de Rennes ( UNIV-RENNES ) -Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Laboratoire de Psychologie : Cognition, Comportement, Communication ( LP3C - EA1285 ), Université de Bretagne Sud ( UBS ) -Université de Brest ( UBO ) -Université de Rennes 2 ( UR2 ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ), Laboratoire Mouvement Sport Santé (M2S), Université de Rennes (UR)-École normale supérieure - Rennes (ENS Rennes)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Analysis-Synthesis Approach for Virtual Human Simulation (MIMETIC), Université de Rennes 2 (UR2)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-MEDIA ET INTERACTIONS (IRISA-D6), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), Laboratoire de Psychologie : Cognition, Comportement, Communication (LP3C - EA1285), Université de Bretagne Sud (UBS)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Institut Brestois des Sciences de l'Homme et de la Société (IBSHS), Université de Brest (UBO), Ipsen Fund, Francophone society of study and research on the child handicap (SFERHE), Committee of Clinical and Translational Research (CORECT) of the University Hospital of Rennes, École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Inria Rennes – Bretagne Atlantique, Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-CentraleSupélec-IMT Atlantique Bretagne-Pays de la Loire (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Université de Bretagne Sud (UBS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-École normale supérieure - Rennes (ENS Rennes)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Bretagne Sud (UBS)-Université de Brest (UBO)-Université de Rennes 2 (UR2), and Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut Brestois des Sciences de l'Homme et de la Société (IBSHS)

Subjects
Male, 030506 rehabilitation, medicine.medical_specialty, Adolescent, [SDV]Life Sciences [q-bio], education, Kinematics, Severity of Illness Index, Motion (physics), Cerebral palsy, Upper Extremity, 03 medical and health sciences, Typically developing, 0302 clinical medicine, Physical medicine and rehabilitation, Developmental Neuroscience, medicine, Humans, Child, Movement Disorders, [ SDV ] Life Sciences [q-bio], business.industry, Cerebral Palsy, Mean age, medicine.disease, Hand, Biomechanical Phenomena, Movement analysis, medicine.anatomical_structure, Motor Skills, Pediatrics, Perinatology and Child Health, Upper limb, Female, Neurology (clinical), 0305 other medical science, business, 030217 neurology & neurosurgery
Abstract

International audience; Aim - To evaluate the relationship between the movement abnormalities of the impaired upper limb in children with unilateral cerebral palsy (CP) and bimanual performance. Method - Twenty-three children with unilateral CP (mean age 11y 10mo [SD 2y 8mo]) underwent evaluation of bimanual performance (Assisting Hand Assessment [AHA]) and a three-dimensional movement analysis to measure deviations in the movement of their affected upper limb, and compared with 23 typically developing children (TDC) (mean age 11y 11mo [SD 2y 5mo]). Kinematic indices, such as the Global Arm Profile Score (APS), which summarizes the global movement deviation of the upper limb from the norm, and the Global Arm Variable Score (AVS), which represent movement deviations for a given joint, were calculated and correlated to AHA. Results - Values of kinematic indices were significantly higher in children with unilateral CP than in TDC. A strong correlation between Global-APS and AHA score (r=-0.75) was found. Other significant correlations were found with Global-AVS, especially in distal joints. Interpretation - Children with unilateral CP had more movement deviations than TDC. The global movement deviation of the impaired upper limb was strongly correlated with bimanual performance. The influence of distal abnormalities confirms the importance of considering these limitations in therapeutics. What this paper adds - Children with unilateral cerebral palsy had more movement deviations than typically developing children in unimanual tasks. A strong relationship was found between movement deviations of the impaired upper limb and bimanual performance.

Published
2018

19. Difference between individuals with left and right hemiparesis in the effect of gluteus medius vibration on body weight shifting

Author

Simon Butet, Stéphanie Leplaideur, Karim Jamal, Isabelle Bonan, Alain Yelnik, and S. Tasseel Ponche

Subjects
Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Posture, Body weight, Vibration, Functional Laterality, Weight-Bearing, 03 medical and health sciences, 0302 clinical medicine, Physiology (medical), Internal medicine, medicine, Postural Balance, Humans, Muscle, Skeletal, Stroke, Balance (ability), Aged, biology, business.industry, Body Weight, General Medicine, Behavioral difference, Middle Aged, medicine.disease, Control subjects, biology.organism_classification, Surgery, Paresis, Medius, Hemiparesis, Neurology, Cardiology, Female, Neurology (clinical), medicine.symptom, 0305 other medical science, business, 030217 neurology & neurosurgery
Abstract

Summary Objective To test the effect of gluteus medius (GM) vibration on the reduction of asymmetric body weight distribution in individuals with hemiparesis (HP) at two stages of postural recovery. Methods The effects of GM vibration according to the shift of the body weight (%Shift) onto the paretic leg during GM vibration were registered while standing on a force-platform in 40 HP (19 left and 21 right; mean age 54.7 ± 10.6 years, mean time after stroke 2.0 ± 1.3 months), as soon as they could stand without assistance and 4 to 6 weeks later, and in 40 control subjects (mean age 54.7 ± 10.5 years). Results Without vibration, baseline body weight (BW) distribution was characterized by underloading of the paretic limb (mean BW on the paretic limb 37.2% ± 13.1%). At the early stage of balance recovery, % shift toward the paretic limb induced by GM vibration differed significantly between left and right HP ( P = 0.049) and between left HP and controls (C) ( P = 0.022) and was related to BW asymmetry (r = 0.437, P = 0.004). Later, GM vibration reduced asymmetric BW distribution in most HP and no difference was found between left and right HP and between left and C. Conclusion At an advanced stage of postural recovery, GM vibration could help encourage HP to put weight on the affected limb. Interestingly, a behavioral difference was initially observed between right and left HP that could probably be explained by a different strategy due to the baseline severity of the BW asymmetry.

Published
2017

20. Bimodal EEG-fMRI neurofeedback for stroke rehabilitation: A case report

Author

Christian Barillot, Mathis Fleury, Giulia Lioi, Simon Butet, Anatole Lécuyer, and Isabelle Bonan

Subjects
medicine.medical_specialty, Rehabilitation, Supplementary motor area, medicine.diagnostic_test, business.industry, Brain activity and meditation, medicine.medical_treatment, 05 social sciences, Electroencephalography, EEG-fMRI, 050105 experimental psychology, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Physical medicine and rehabilitation, Motor imagery, Medicine, 0501 psychology and cognitive sciences, Orthopedics and Sports Medicine, Neurofeedback, business, 030217 neurology & neurosurgery, Motor cortex
Abstract

Introduction/Background Neurofeedback (NF) consists on training self-regulation of brain activity by providing real-time information about the participant brain function. Few works have shown the potential of NF for stroke rehabilitation however its effectiveness has not been investigated yet. NF approaches are usually based on real-time monitoring of brain activity using a single imaging technique. Recent studies have revealed the potential of combining EEG and fMRI to achieve a more efficient and specific self-regulation, which may be critical in clinical applications. In this case report, we tested the feasibility of applying bimodal EEG-MRI NF on stroke patients. Material and method Two chronic patients affected by left hemiplegia (subcortical lesion) participated. The protocol included a calibration step (motor imagery of hemiplegic hand) and two NF sessions (5 minutes each). The experiment was run using a NF platform performing real-time EEG-fMRI processing and NF presentation ( Fig. 1 ). The NF metaphor consisted of a ball moving on a gauge proportionally to the average BOLD and EEG activity in regions of interest (ROI) identified over the ipsilesional motor cortex during calibration. Results Both patients were able to self-regulate their brain activity during the NF sessions. The EEG activity was harder to modulate than the BOLD activity ( Fig. 2 , Fig. 3 ). The correlation of the BOLD signal with the task varied depending on the ROI targeted and was particularly high for the supplementary motor area. The patients were highly motivated to engage and satisfied with the NF animation, as assessed with a qualitative questionnaire. Conclusion We performed two NF experiments involving chronic stroke patients: preliminary results showed the feasibility and the potential of applying EEG-fMRI NF for stroke rehabilitation.

Published
2018

21. MP65-06 ARTIFICIAL URINARY SPHINCTER IMPLANTATION IN WOMEN WITH STRESS URINARY INCONTINENCE: PRELIMINARY COMPARISON OF THE ROBOT-ASSISTED AND OPEN APPROACHES

Author

M. Damphousse, Sébastien Vincendeau, Isabelle Bonan, L. Tondut, Nelly Senal, Quentin Alimi, Karim Bensalah, Andrea Manunta, Benoit Peyronnet, Benjamin Pradere, Service d'urologie [Rennes] = Urology [Rennes], Hôpital Pontchaillou-CHU Pontchaillou [Rennes], Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Pontchaillou [Rennes], Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), and Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
medicine.medical_specialty, business.industry, Urology, technology, industry, and agriculture, 030232 urology & nephrology, Urinary incontinence, body regions, Artificial urinary sphincter, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Female patient, medicine, [SDV.IB]Life Sciences [q-bio]/Bioengineering, medicine.symptom, business, human activities, ComputingMilieux_MISCELLANEOUS
Abstract

Introduction and hypothesis We aimed to compare outcomes of open and robot-assisted artificial urinary sphincter (AUS) implantation in female patients.

Published
2016

22. Short-term effect of neck muscle vibration on postural disturbances in stroke patients

Author

Karim Jamal, P. Coignard, Stéphanie Leplaideur, E. Leblong, M. Damphousse, Annelise Moulinet Raillon, Isabelle Bonan, Chloé Rousseau, Médecine physique et de réadaptation [Rennes] (MPR), CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre hospitalier de Boulogne sur mer, Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de KERPAPE [Ploemeur] (CMRRF), Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape, Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA), Young researcher price 2010, SOFPEL, École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), and Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)

Subjects
Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Neurology, media_common.quotation_subject, [SDV]Life Sciences [q-bio], Illusion, Vibration, Lesion, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Center of pressure (terrestrial locomotion), Neck Muscles, medicine, Postural Balance, Humans, Force platform, Prospective Studies, media_common, Aged, Proprioception, General Neuroscience, Posturography, Stroke Rehabilitation, Neck muscle vibration, Middle Aged, Illusions, Stroke, Female, Balance control, medicine.symptom, 0305 other medical science, Psychology, 030217 neurology & neurosurgery
Abstract

International audience; Balance disorders after stroke have a particularly detrimental influence on recovery of autonomy and walking. The present study is aimed at assessing the effect of proprioceptive stimulation by neck muscle vibration (NMV) on the balance of patients with right hemispheric lesion (RHL) and left hemispheric lesion (LHL). Thirty-one (31) patients (15 RHL and 16 LHL), mean age 61.5 years (±10.6), mean delay 3.1 (±1.6) months after one hemispheric stroke were included in this prospective study. The mean position in mediolateral and anteroposterior plane of the CoP (center of pressure) and the surface were evaluated using a force platform at rest and immediately after 10 min of vibration on the contralesional dorsal neck muscle. NMV decreases the lateral deviation balance induced by the stroke. Twenty patients (64.5 %) experienced a visual illusion of light spot moving toward the side opposite stimulus. These patients showed more improvement by vibration than those without visual illusion. There was an interaction between sensitivity and side of stroke on the effect of NMV. Proprioceptive stimulation by NMV reduces postural asymmetry after stroke. This short-term effect of the vibration is more effective in patients susceptible to visual illusion. This result was consistent with a central effect of NMV on the structures involved in the elaboration of perception of body in space. © 2016, Springer-Verlag Berlin Heidelberg.

Published
2016

23. Cortical activity and egocentric representation: An fMRI study

Author

Lucie Chochina, Isabelle Bonan, Elise Bannier, Annelise Raillon Moulinet, Jean-Christophe Ferré, Stéphanie Leplaideur, CHU Pontchaillou [Rennes], Médecine physique et de réadaptation [Rennes] (MPR), Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), Département de Radiologie [CHU de Rennes], Université de Rennes (UR), Service de radiologie et imagerie médicale [Rennes] = Radiology [Rennes], Cognition and Action Group (COGNAC-G - UMR 8257), École normale supérieure - Cachan (ENS Cachan)-Université Paris Descartes - Paris 5 (UPD5)-Centre National de la Recherche Scientifique (CNRS), Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Médecine physique et de réadaptation, CHU Rennes, Université de Rennes 1 ( UR1 ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ), Vision, Action et Gestion d'informations en Santé ( VisAGeS ), Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique ( Inria ) -Institut National de Recherche en Informatique et en Automatique ( Inria ) -SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE ( IRISA-D5 ), Institut de Recherche en Informatique et Systèmes Aléatoires ( IRISA ), CentraleSupélec-Université de Rennes 1 ( UR1 ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Télécom Bretagne-Institut National des Sciences Appliquées ( INSA ) -Institut National de Recherche en Informatique et en Automatique ( Inria ) -École normale supérieure - Rennes ( ENS Rennes ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Bretagne Sud ( UBS ) -CentraleSupélec-Université de Rennes 1 ( UR1 ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Télécom Bretagne-Institut National des Sciences Appliquées ( INSA ) -Institut National de Recherche en Informatique et en Automatique ( Inria ) -École normale supérieure - Rennes ( ENS Rennes ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Bretagne Sud ( UBS ) -Institut de Recherche en Informatique et Systèmes Aléatoires ( IRISA ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Télécom Bretagne-Institut National des Sciences Appliquées ( INSA ) -École normale supérieure - Rennes ( ENS Rennes ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Bretagne Sud ( UBS ), Service de radiologie et imagerie médicale [Rennes], Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Hôpital Pontchaillou-CHU Pontchaillou [Rennes], Cognition and Action Group ( COGNAC-G - UMR 8257 ), École normale supérieure - Cachan ( ENS Cachan ) -Université Paris Descartes - Paris 5 ( UPD5 ) -Centre National de la Recherche Scientifique ( CNRS ), Laboratoire Mouvement Sport Santé ( M2S ), École normale supérieure - Cachan ( ENS Cachan ) -Université de Rennes 1 ( UR1 ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Université de Brest ( UBO ) -Université de Rennes 2 ( UR2 ), Université de Rennes ( UNIV-RENNES ) -Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Médecine physique et de réadaptation [CHU Rennes] (MPR), Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-CentraleSupélec-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Université de Rennes (UNIV-RENNES)-CentraleSupélec-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-CentraleSupélec, Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-CHU Pontchaillou [Rennes], Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), and Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
media_common.quotation_subject, 05 social sciences, Rehabilitation, Representation (systemics), Healthy subjects, Spatial cognition, Trunk, Spatial memory, 050105 experimental psychology, Task (project management), 03 medical and health sciences, 0302 clinical medicine, Perception, [ SDV.NEU ] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], 0501 psychology and cognitive sciences, Orthopedics and Sports Medicine, Spatial localization, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], 10. No inequality, Psychology, 030217 neurology & neurosurgery, ComputingMilieux_MISCELLANEOUS, media_common, Cognitive psychology
Abstract

Objective Subjects use different referentials for spatial localization, and the egocentric references are very often impaired especially during stroke. The objective is to find the difference between activations induced by 2 egocentric tasks Material/Patients and methods Seventeen right-handed healthy subjects (50.4 ± 14.9 years) were tested using fMRI during the realization of 2 egocentric spatial tasks: the perception of the straight ahead (retinocentric) and the longitudinal axis of the body (centered by the trunk). Results For both tasks, cerebral activations dominated largely in the right hemisphere and interest essentially the right frontoparietal network. However, the straight ahead task showed more specific activations in insular and thalamic areas. Discussion - Conclusion The activations areas found for the 2 egocentric tasks are superimposed with a predominance in right frontotemporal-parietal network, however, the straight ahead task activates quite specifically regions that are closed to the areas usually activated for allocentric tasks, which suggests a continuum between spatial perception in personal trunk centered egocentric referential, retinotopic extrapersonal retinocentric egocentric referential and allocentric referential.

Published
2016

24. Intracavernous Injections in Spinal Cord Injured Men With Erectile Dysfunction, a Systematic Review and Meta-Analysis

Author

Isabelle Bonan, Clément Chéhensse, M. Damphousse, Lucie Chochina, François Giuliano, Florian Naudet, Andrea Manunta, CHU Pontchaillou [Rennes], Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Service d'urologie [Rennes] = Urology [Rennes], Hôpital Pontchaillou-CHU Pontchaillou [Rennes], Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA), Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Handicap neuromusculaire : Physiopathologie, Biothérapie et Pharmacologies appliquées (END-ICAP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), and Jonchère, Laurent

Subjects
Male, 030506 rehabilitation, Urology, Endocrinology, Diabetes and Metabolism, Vasodilator Agents, Population, 030232 urology & nephrology, Intracavernous injection, Quadriplegia, law.invention, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Randomized controlled trial, Erectile Dysfunction, law, Papaverine, Medicine, Humans, Orthopedics and Sports Medicine, Prospective Studies, Alprostadil, education, Spinal cord injury, Spinal Cord Injuries, Retrospective Studies, Paraplegia, education.field_of_study, business.industry, Penile Erection, Rehabilitation, Obstetrics and Gynecology, medicine.disease, 3. Good health, Psychiatry and Mental health, Erectile dysfunction, Reproductive Medicine, Moxisylyte, [SDV.SP.PHARMA] Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology, Anesthesia, [SDV.SP.PHARMA]Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology, 0305 other medical science, business, Sexual function, 030217 neurology & neurosurgery, medicine.drug
Abstract

International audience; Introduction: Despite improvements in the care of patients after spinal cord injury (SCI), permanent impairment of locomotion, sensation, and autonomic function remains a major hurdle. After the acute stage of injury, recovering sexual function is a high priority.Aim: To review the efficacy of intracavernous injections (ICIs) in men with SCI and to identify prognostic factors affecting the efficacy of ICIs in this population.Methods: Systematic review of the literature was conducted using the PubMed-Medline, Embase, EBSCO, Web of Science, and Cochrane Library databases. The literature search was restricted to articles published in English, French, and Spanish up to November 2014 using the key words alprostadil, papaverine, moxisylite, alpha-blocking agent, phentolamine, intracavernous injection, spinal cord injuries, paraplegia, quadriplegia, and erectile dysfunction. Studies involving patients with SCI and erectile dysfunction treated with ICIs of alprostadil, papaverine, and α-blocking agents, including retrospective and prospective cohorts, population studies, and randomized controlled trials, were included.Main Outcome Measure:Overall response rate to ICI for erectile dysfunction in patients with SCI.Results: Of 283 studies identified, 23 involved 713 patients with SCI. ICIs resulted in successful erections in 88% of patients (n = 713, 95% CI = 83%–92%). Erections were obtained in 93% of patients (n = 101, 95% CI = 83%–99%) with the combination of papaverine and phentolamine, in 91% (n = 274, 95% CI = 78%–97%) with papaverine alone, and in 80% (n = 119, 95% CI = 64%–90%) with alprostadil. Type of injected drug, doses, level of injury (complete or incomplete), extent of injury, age, time since injury, and persistence or transience of erections were evaluated, but statistical analysis could not identify specific factors predictive of a response to ICI.Conclusion: ICIs are an effective treatment of erectile dysfunction in men with SCI. No predictive factor for efficacy could be identified. Studies comparing the response to ICI in upper vs lower motor neuron lesions could improve our understanding of ICI failure.

Published
2016

25. Effects of vibration on the bearing asymmetry walking in chronic stroke patients

Author

Isabelle Bonan, E. Leblong-Lecharpentier, S. Challois-Leplaideur, Armel Crétual, Lucie Chochina, Sébastien Cordillet, Karim Jamal, CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), and École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
Balance, 030506 rehabilitation, medicine.medical_specialty, [SDV]Life Sciences [q-bio], Vibrations, Biceps, Lesion, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, medicine, Orthopedics and Sports Medicine, Stroke, Gait, Balance (ability), biology, Proprioception, Rehabilitation, biology.organism_classification, medicine.disease, Medius, Gait analysis, medicine.symptom, 0305 other medical science, Psychology, 030217 neurology & neurosurgery
Abstract

International audience; Introduction The asymmetry of support when walking, common after a stroke, is a known risk factor for falls. The objective of this study is to assess effects of muscle vibrations on various sites on correcting this asymmetry. Methods Twenty-one patients (61 ± 13 years) with hemiplegia (10 right, 11 left) chronic vascular (mean time post stroke 48 ± 44months) received vibratory stimulation transcutaneous 70 Hz at the posterior cervical lesion contralateral muscles (NMV), the gluteus medius lesion side (GMV) and the biceps contralateral lesion (sham). An analysis of the percentage of one-foot support measured by GAITRite was performed before, during, and 2 and 10 minutes after each stimulation. Results Before stimulation, supporting asymmetry is noted with a percentage of the push side hemiplegic averaged 31.5% (±6.0%, min = 20%, max = 37%). Under GMV we find that this increases to 35.0% (±5.9%, min = 28.8%, max = 41.2%) against 31.1% (±7.5%, min = 20%, max = 42%) in NMV and 32.0% (±6.9%, min = 28.6%, max = 39.4%) in the sham. 2 minutes, the effect persists for GMV stimulation with 35.5% (±9.0%, min = 35%, max = 42.4%) 4% improvement then disappears in 10 minutes. The results are more significant in left hemiplegia with 7% improvement for GMV (P < 0.005). There is a more moderate effect on the NMV with a post effect at 2 min (32.6%) and 10 min (32.2%). Discussion–conclusion Vibratory stimulations therefore seem to improve support asymmetric walking hemiplegic patients. Different kinetic effect is observed between the cervical stimulation and gluteus medius. These results seem to reflect a different pathophysiology between the gluteus medius and cervical postural muscles. These could act through a central mechanism of spatial cognition while the hip muscles have a more immediate effect proprioceptive device. These analyses were complemented by a 3D gait analysis in an attempt to better understand the mechanisms of adaptation. This is the first study concerned with the effectiveness of vibratory stimulation on dynamic balance

Published
2015

26. Long lasting reduction of postural asymmetry by prism adaptation after right brain lesion without neglect

Author

Isabelle Bonan, Marine Lunven, Aurélien Hugues, Gilles Rode, J. Di Marco, Sophie Jacquin-Courtois, Yves Rossetti, Centre de recherche en neurosciences de Lyon (CRNL), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Institut du Cerveau et de la Moëlle Epinière = Brain and Spine Institute (ICM), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center (CRNL), Université de Lyon-Université de Lyon-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), and École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
Attentional shift, Balance, medicine.medical_specialty, media_common.quotation_subject, [SDV]Life Sciences [q-bio], Posture, Hemiplegia, 050105 experimental psychology, Lateralization of brain function, Developmental psychology, Neglect, Lesion, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Center of pressure (terrestrial locomotion), medicine, 0501 psychology and cognitive sciences, Orthopedics and Sports Medicine, Subjective straight ahead, media_common, Spatial representation, 05 social sciences, Rehabilitation, Postural asymmetry, Spatial cognition, Stroke, Prism adaptation, Egocentric reference, medicine.symptom, Psychology, 030217 neurology & neurosurgery
Abstract

Bonan M2S; International audience; Background Right brain damage (RBD) involves postural asymmetry and spatial frames disorders. In acute RBD patients, postural asymmetry is immediately reduced after one single session of prism adaptation (PA), without assessment of effects on spatial frames (Tilikete et al., 2001). Aim To assess long-term effects of PA on posture and spatial frames in chronic RBD patients, without neglect. Method Six chronic RBD patients without neglect (mean delay: 45 months) were included. Each patient sustained 10 PA sessions of 20 minutes during 2 weeks. Outcome measures were: (i) posturographic analysis (mediolateral position of center of pressure (Xcop), (ii) subjective straight ahead (SSA) and perception of longitudinal body axis (LBA), (iii) the Scale for Controversive Pushing (SCP). Each parameter was assessed by 3 pre-tests and 3 post-tests (+2 h, Day + 3 and Day + 7). Moreover, the score of BBS, PASS, TUG and Barthel were measured. Results In pre-tests, all patients showed a shift of the Xcop toward the right and a shift of SSA (4 toward the left and 2 toward the right). Four patients showed a shift of LBA (2 toward the right and 2 toward the left). The functional balance and the independence were decreased in all patients. In post-tests, results displayed (i) a significant reduction of mediolateral postural asymmetry at D + 7; (ii) a significant left deviation of SSA at D + 3 and enduring at D + 7; (iii) no significant modification of LBA and (iv) a significant increase of SCP at D + 3 and D + 7. Moreover, results showed a significant increase of PASS and BBS at D + 7. The mean curves of Xcop and SSA between pre- and post-tests were similar. Conclusions PA involves persistent reduction of postural asymmetry in RBD patients without neglect. These findings were obtained at a chronic stage. This new effect cannot be explained by reduction of spatial attentional shift. Improvement may be explained by a better calibration of extra-personal space frames used for posture, without effect on personal space frame. Findings argue in favour of a bottom-up effect of PA on mechanisms underlying spatial cognition

Published
2015

27. Rehabilitation robotics of the upper limb after stroke. The REM_AVC trial

Author

Jean-Pierre Luauté, Béatrice Médée, Djamel Bensmail, Jérôme Froger, J M Beis, Charles Benaim, J.L. Isambert, Alain Yelnik, Jean-Christophe Daviet, A. Stefan, Philippe Marque, Patrick Dehail, Jacques Kerdraon, Isabelle Bonan, Olivier Rémy-Néris, A.-L. Ferrapie, Walter Daveluy, and Emmanuel Coudeyre

Subjects
medicine.medical_specialty, Subacute phase, medicine.medical_treatment, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, Quality of life, law, medicine, Orthopedics and Sports Medicine, 030212 general & internal medicine, Rehabilitation robotics, Stroke, Rehabilitation, business.industry, 030503 health policy & services, medicine.disease, medicine.anatomical_structure, Physical therapy, Upper limb, Hypertonia, medicine.symptom, 0305 other medical science, business
Abstract

Introduction/Background Rehabilitation robotics has been proposed as an efficient strategy to improve upper extremity (UE) motor function after stroke especially at the subacute phase. Many trials with several robots have been performed but very few large multicenter RCTs at the subacute phase. Material and method A multicenter parallel group, two arm, single blind, phase III, superiority, randomized, controlled trial has been conducted in France in 22 rehabilitation centers equipped with an Armeo Spring robot. Two hundred and twenty subjects must be included. The main inclusion criteria were an UE Fugl Meyer (UEFM) score between 10 and 40 and an occurrence of the stroke between 3 and 12 weeks before inclusion. The main outcome measure was the UE FM 30 days. Each patient performed usual treatment (2 hours a day of motor rehabilitation) with 20 additional rehabilitation sessions (1 h each, 5 days a week, 4 weeks). Patients were randomized either to rehabilitation robotic sessions with the Armeo Spring device or to self-rehabilitation (stretching and self paced movements) in equal timed sessions. Secondary outcome measures were, pain, hypertonia, functional improvement (FIM and Action research arm test ARAT) and quality of life (EQ5D and stroke impact scale). Evaluation were performed at day 30, 3, 6 and 12 months after inclusion. Results Two hundred and eighteen subjects have been included and an attrition rate of 10% at 6 months and 20% at 12 months was observed. The gain in the main outcome criteria was not significantly different at day 30 nor any other secondary criteria except ARAT. Conclusion An additional time 1 h a day during 4 weeks of rehabilitation robotics to usual intensive rehabilitation seems not significantly influence the motor deficiency prognosis of the upper limb after stroke. It might influence functional outcome but this has to be explored in another design randomized control study.

Published
2018

28. Effect of neck muscles and gluteus medius vibrations on standing balance in healthy subjects

Author

Karim Jamal, Isabelle Bonan, E. Leblong, Lucie Chochina, and S. Challois Leplaideur

Subjects
medicine.medical_specialty, biology, business.industry, 05 social sciences, Posturography, Rehabilitation, Healthy subjects, biology.organism_classification, Neck muscles, 050105 experimental psychology, Peripheral, 03 medical and health sciences, Standing balance, Medius, 0302 clinical medicine, Physical medicine and rehabilitation, Center of pressure (terrestrial locomotion), Closed eyes, Physical therapy, medicine, 0501 psychology and cognitive sciences, Orthopedics and Sports Medicine, business, 030217 neurology & neurosurgery
Abstract

Introduction Muscle vibration can be used to improve the center of pressure (CoP) shift. Several muscle sites have been used for various diseases without that we know their respective interest. Objective To compare the effects and post-effects of neck muscle vibrations (NMV) and gluteus medius vibrations (GMV) on balance in healthy subjects Methods Thirteen healthy subjects, mean: 23 years, right handed were tested on posturography, closed eyes, in standing position. They received successively left NMV and right GMV in a randomized order. The variation of the deviation of CoP on the mediolateral plane was evaluated under vibration stimulation (5 min), at the end of the vibration and 5 minutes after. Results GMV induce a CoP movement to left side (9 responders) (mean: 5.21 mm; SD: 4.79; P = 0.003). At the end of the vibration, the effect remained significant (mean: 4.73, SD: 4.02; P = 0.001) and after 5 minutes, the subjects restored their initial balance (mean: 1.25, SD: 6.82; P = 0.33). For NMV, a movement toward left side was observed only in 5 subjects but this deviation seemed to be maintained at 5 min. The CoP deviation was not significant during (P = 1), immediately after (P = 0.72), and after 5 minutes of NMV (P = 0.89). Discussion GMV cause a lateral shift in 70% of the subjects of nearly 5 mm. The effect of NMV was lower and less constant (only 5 responders) but sustainable. This could be explained by a sensorimotor peripheral action for GMV while NMV would involve high level body representation in space.

Published
2015
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29. Long-lasting reduction in postural asymmetry by prism adaptation after right brain lesion without neglect

Author

Aurélien Hugues, Isabelle Bonan, Marine Lunven, Sophie Jacquin-Courtois, Gilles Rode, Julie Di Marco, Yves Rossetti, Service de Médecine Physique et de Réadaptation, Hospices Civils de Lyon (HCL)-Hôpital Henry Gabrielle [CHU - HCL], Hospices Civils de Lyon (HCL), Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center (CRNL), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Institut du Cerveau et de la Moëlle Epinière = Brain and Spine Institute (ICM), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre de recherche en neurosciences de Lyon (CRNL), Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), and Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
Male, Attentional shift, medicine.medical_treatment, [SDV]Life Sciences [q-bio], Pilot Projects, Functional Laterality, Developmental psychology, 0302 clinical medicine, Brain Injury, Chronic, Prospective Studies, Postural Balance, Stroke, Subjective straight ahead, Lenses, media_common, Spatial representation, Trauma Severity Indices, 05 social sciences, General Medicine, Adaptation, Physiological, Magnetic Resonance Imaging, Sensation Disorders, Egocentric reference, Female, medicine.symptom, Psychology, Behavioral Sciences, medicine.medical_specialty, Cognitive Neuroscience, media_common.quotation_subject, Artificial Intelligence (incl. Robotics), Posture, Experimental and Cognitive Psychology, 050105 experimental psychology, Lateralization of brain function, Neglect, Lesion, 03 medical and health sciences, Physical medicine and rehabilitation, Artificial Intelligence, medicine, Humans, 0501 psychology and cognitive sciences, Vision, Ocular, Reduction (orthopedic surgery), Analysis of Variance, Neurosciences, Spatial cognition, medicine.disease, Prism adaptation, Space Perception, 030217 neurology & neurosurgery
Abstract

Right brain damage (RBD) involves postural asymmetry and spatial frame disorders. In acute RBD patients, postural asymmetry is immediately reduced after one single session of prism adaptation (PA), without assessment of effects on spatial frames. To assess long-term effects of PA on posture and spatial frames in chronic RBD patients, without neglect. Six chronic RBD patients without neglect (mean delay 45 months) were included. Each patient sustained 10 PA sessions of 20 min during 2 weeks. Outcome measures were: (1) posturographic analysis (mediolateral position of centre of pressure (X cop), (2) subjective straight ahead (SSA) and perception of longitudinal body axis (LBA). Each parameter was assessed by three pretests and three post-tests (+2 h, day + 3 and day + 7). In pretests, patients showed a shift of the X cop and SSA. In post-tests, results displayed (1) a significant reduction in mediolateral postural asymmetry at D + 7; (2) a significant left deviation of SSA at D + 3 and enduring at D + 7; and (3) no significant modification of LBA. The mean curves of X cop and SSA between pre- and post-tests were similar. PA involves persistent reduction in postural asymmetry in RBD patients without neglect. These findings were obtained at a chronic stage. This new effect cannot be explained by reduction in spatial attentional shift. Improvement may be explained by a better calibration of extra personal space frames used for posture, without effect on personal space frame. Findings argue in favour of a bottom-up effect of PA on mechanisms underlying spatial cognition.

Published
2015

30. New insights into posture and locomotion

Author

Isabelle Bonan, M. L. Welter, Alain Yelnik, Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Institut du Cerveau et de la Moëlle Epinière = Brain and Spine Institute (ICM), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Université Paris Diderot - Paris 7 (UPD7), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), and Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
medicine.medical_specialty, medicine.medical_treatment, [SDV]Life Sciences [q-bio], 050105 experimental psychology, Cerebral palsy, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Gait (human), Physiology (medical), medicine, Postural Balance, Humans, 0501 psychology and cognitive sciences, Gait disorders, Gait Disorders, Neurologic, Balance (ability), Rehabilitation, 05 social sciences, General Medicine, medicine.disease, 3. Good health, Podiatrist, Neurology, Neurology (clinical), Psychology, 030217 neurology & neurosurgery, Locomotion
Abstract

International audience; This issue of NCCN combines review articles and original contributions by speakers who participated in the 2014 and 2015 SOFPEL congresses. As always, these SOFPEL congresses bring together different professionals interested in balance and gait disorders, ranging from physiology to treatment and rehabilitation, including physicians (mainly neurologists and rehabilitation medicine specialists), physiologists, physical therapists and podiatrists. During the 2014 congress held in Rennes, the main topics addressed by the invited speakers were: balance in cerebral palsy (Olivier Remy-Néris); vision and hearing in gait (Benoit Bardy), freezing in Parkinsonism (Arnaud Delval); and biomechanics of standing (Armel Cretual). In the 2015 congress to be held in Paris, cortical aspects of balance control (Alfredo Bronstein), the role of the mesencephalon (Carine Karachi), walking exoskeletons (Jacques Kerdraon) and use of Tai chi for balance control (Luce Condamine) will be the topics of the main conferences, along with current scientific communications.

Published
2015

31. Comparaison de l’effet de vibrations cervicales et de vibrations du muscle gluteus medius sur l’équilibre postural statique de sujets sains

Author

E. Leblond, S. Challois-Leplaideur, Karim Jamal, Lucie Chochina, A.-L. Raillon-Moulinet, Isabelle Bonan, Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), CHU Pontchaillou [Rennes], and École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
[SDV]Life Sciences [q-bio], 05 social sciences, Posture, General Medicine, Vibration, 050105 experimental psychology, Équilibre, 03 medical and health sciences, 0302 clinical medicine, Neurology, Physiology (medical), 0501 psychology and cognitive sciences, Neurology (clinical), 030217 neurology & neurosurgery
Abstract

Introduction Comparer l’effet et le post-effet de vibrations des muscles du cou (NMV) et de vibrations du gluteus medius (GMV) sur l’equilibre debout statique chez le sujet sain. Methode Treize sujets sains d’âge moyen 23 ans, droitiers, sont testes debout yeux fermes sur plate-forme de force pendant la vibration (duree 5 min), a l’arret et 5 minutes apres, au cours de 2 sessions successives NMV gauche ou GMV droite selon un ordre randomise. Le critere principal etait la variation du deplacement moyen du centre de Pression (CoP) sur l’axe mediolateral. Resultats Les GMV provoquent un deplacement du CoP vers le cote gauche chez 70 % des sujets (9 repondeurs) (moyenne ± SD = 5,2 ± 4,8 mm) ( p = 0,003). Immediatement apres, l’effet reste present (moyenne ± SD = 4,7 ± 4 mm) ( p = 0,001) et apres 5 minutes, les sujets retrouvent leur position anterieure (moyenne ± SD = 1,25 ± 6,8) ( p = 0,33). Pour la NMV, seulement 5 sujets avaient un deplacement vers le cote gauche, qui semblait se maintenir. La variation du CoP n’etait pas significative pendant ( p = 1), immediatement apres ( p = 0,72) et apres 5 minutes ( p = 0,89). Discussion–conclusion Les GMV provoquent un deplacement chez 70 % des sujets en moyenne d’un peu plus de 5 mm. L’effet des NMV est plus variable d’un sujet a l’autre. Ceci pourrait etre explique par une action sensorimotrice peripherique majoritaire de la vibration du muscle GM alors que la NMV mettrait en jeu des circuits plus haut situes au niveau de la representation du corps dans l’espace.

Published
2015

32. Sensibilité visuelle et proprioceptive de la posture debout des patients atteints de polyradiculonévrites inflammatoires démyélinisantes chroniques (PIDC)

Author

Pierre Lozeron, Isabelle Bonan, C. Provost, Alain Yelnik, S. Tasseel-Ponche, Cognition and Action Group (COGNAC-G - UMR 8257), École normale supérieure - Cachan (ENS Cachan)-Université Paris Descartes - Paris 5 (UPD5)-Centre National de la Recherche Scientifique (CNRS), Hôpitaux Universitaire Saint-Louis, Lariboisière, Fernand-Widal, CHU Amiens-Picardie, Carcinose Angiogenèse et Recherche Translationnelle, Angiogenese et recherche translationnelle (CART U965), Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Cognition and Action Group ( COGNAC-G - UMR 8257 ), École normale supérieure - Cachan ( ENS Cachan ) -Université Paris Descartes - Paris 5 ( UPD5 ) -Centre National de la Recherche Scientifique ( CNRS ), Centre hospitalier universitaire d'Amiens ( CHU Amiens-Picardie ), Angiogenese et recherche translationnelle ( CART U965 ), Université Paris Diderot - Paris 7 ( UPD7 ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ), Laboratoire Mouvement Sport Santé ( M2S ), École normale supérieure - Cachan ( ENS Cachan ) -Université de Rennes 1 ( UR1 ), Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Université de Brest ( UBO ) -Université de Rennes 2 ( UR2 ), Université de Rennes ( UNIV-RENNES ) -Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Jonchère, Laurent, École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), and Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
Stimulations sensorielles, [ SDV ] Life Sciences [q-bio], [SDV]Life Sciences [q-bio], 05 social sciences, General Medicine, 050105 experimental psychology, Équilibre, [SDV] Life Sciences [q-bio], 03 medical and health sciences, 0302 clinical medicine, Neurology, Polyneuropathie, Physiology (medical), 0501 psychology and cognitive sciences, Neurology (clinical), 030217 neurology & neurosurgery
Abstract

National audience; Introduction L’étude des réactions posturales à une stimulation sensorielle permet de mieux comprendre les stratégies posturales comme nous l’avons proposé après AVC (Bonan et al., 2013). Nous rapportons ici l’analyse chez des PIDC. Matériel et méthode Étude prospective chez 15 contrôles (57 ± 13 ans, 6 M, 9 F) et 15 PIDC (63 ± 15 ans, 13 M, 2 F) avec une comparaison de la déviation moyenne principale du centre de pression (mm) durant la stimulation (35s) sur stabilométrie ; la proprioception stimulée par vibrations tendineuses des triceps suraux (TS) et tibiaux antérieurs (TA) et la vision stimulée par flux optocinétique dans 4 directions (haut, bas, droite, gauche). Résultats Les chutes ont été plus fréquentes chez les PIDC que chez les témoins (expliquant la perte de 31,1 % versus 2,2 % des enregistrements ; p < 000,1), essentiellement en condition visuelle (40 % versus 3,3 % sous optocinétique) notamment en rotation optocinétique vers le bas (16,6/9,5 mm, p = 0,019) et à droite (10/4,8 mm, p = 000,9). Ceci objective l’hypersensibilité aux informations visuelles des sujets PIDC. Cependant, les PIDC restaient sensibles aux stimulations proprioceptives et réagissaient sans différence aux témoins pour la stimulation des TS et de façon plus importante en antépulsion lors de la vibration des TA (13,48/7,89 mm, p = 0,017). Discussion–conclusion Les PIDC sont beaucoup plus sensibles aux informations visuelles, comme attendu, mais restent sensibles aux stimulations proprioceptives malgré les troubles sensitifs, ce qui encourage la rééducation visant à la récupération d’informations proprioceptives plutôt qu’à la compensation par les informations visuelles

Published
2015

33. Relation entre les perturbations de la représentation égocentrique et l’équilibre après un AVC

Author

A.-L. Raillon-Moulinet, S. Challois-Leplaideur, E. Leblond, Lucie Chochina, Karim Jamal, Isabelle Bonan, Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), CHU Pontchaillou [Rennes], and École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
[SDV]Life Sciences [q-bio], 05 social sciences, Asymétrie posturale, General Medicine, Accident vasculaire cérébral, 050105 experimental psychology, 03 medical and health sciences, 0302 clinical medicine, Neurology, Physiology (medical), 0501 psychology and cognitive sciences, Neurology (clinical), Référentiel égocentrique, 030217 neurology & neurosurgery
Abstract

Introduction L’asymetrie posturale retrouvee en position debout apres un AVC est bien connue. Elle est due en partie a un deficit sensorimoteur mais semblerait aussi liee a un trouble de la representation du corps dans l’espace, dont la perturbation de la perception de l’axe egocentrique. L’objectif de cette recherche est de determiner si l’asymetrie posturale des patients cerebroleses evalues en position debout par la Plateforme (PF) et en position assise par l’echelle Scale Contraversive Pushing (SCP) est correlee a une mauvaise apprehension du referentiel egocentrique, evalue par le test de l’Axe longitudinal (LBA) et le test Droit devant (DD). Materiels et methodes Trente-deux patients et 31 sujets sains volontaires ont participe a l’etude. La relation entre l’axe egocentrique et l’asymetrie posturale a ete testee par un test de correlation partielle avec la force musculaire et la sensibilite comme covariables. Resultats Les resultats montrent un lien significatif entre le SCP et le test DD ( r = 0,49, p = 0,01) chez les patients ne tenant pas debout mais pas de lien significatif entre le SCP et le test LBA ( r = −0,31, p = 0,14) ; ainsi qu’un lien significatif entre la PF et le test LBA ( r = 0,42, p = 0,03) dans le sous-groupe de patients tenant debout mais pas entre la PF et le test DD ( r = −0,12, p = 0,51). Discussion–conclusion Ces tests LBA et DD pourraient etre utilises en clinique dans l’evaluation des facteurs de trouble de l’equilibre du patient et permettre de proposer une reeducation ciblee.

Published
2015

34. Diagnosis and treatment of anteroinferior capsular redundancy associated with anterior shoulder instability using an open Latarjet procedure and capsulorrhaphy

Author

Rajiv Kaila, Isabelle Bonan, Armel Crétual, A. Hervé, Mickaël Ropars, Hervé Thomazeau, Service de chirurgie orthopédique, réparatrice et traumatologique [Rennes], CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Analysis-Synthesis Approach for Virtual Human Simulation (MIMETIC), Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-MEDIA ET INTERACTIONS (IRISA-D6), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes 2 (UR2)-Inria Rennes – Bretagne Atlantique, Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), and Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)

Subjects
musculoskeletal diseases, Adult, Joint Instability, Male, medicine.medical_specialty, Adolescent, Rotation, Bristow–Latarjet, Open shoulder stabilization, 03 medical and health sciences, Arthroscopy, Young Adult, 0302 clinical medicine, Beighton score, immune system diseases, Recurrence, medicine, Capsular shift, Humans, Orthopedics and Sports Medicine, Orthopedic Procedures, skin and connective tissue diseases, Shoulder instability, Physical Examination, Retrospective Studies, 030222 orthopedics, Apprehension sign, Shoulder laxity, business.industry, Shoulder Joint, Shoulder Dislocation, Significant difference, [SPI.MECA.BIOM]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph], Level iv, 030229 sport sciences, Anterior shoulder, Latarjet procedure, Middle Aged, 3. Good health, Surgery, [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, Multidirectional instability, Orthopedic surgery, Female, Joint Diseases, business, Joint Capsule
Abstract

International audience; Purpose - There is a paucity of data detailing management of anterior capsular redundancy (ACR) when using the Latarjet procedure for unidirectional instability. This study aimed to describe the surgical management and to assess the clinical profile of patients presenting with anterior capsular redundancy [ACR(+)] with anterior shoulder instability. Methods - Seventy-seven patients who had a Latarjet procedure were followed for a 55-month period. Per-operative ACR was assessed during surgery. ACR was considered present if the inferior capsular flap of a Neer T-shaft capsulorrhaphy was able to cover the superior capsular flap with the arm in the neutral position. Patients with ACR(+) received an additional Neer capsulorrhaphy, while patients with ACR(-) did not. This per-operative finding was correlated with demographics, clinical, radiological pre-operative data and surgical outcome. Results - Patients presenting with a per-operative ACR(+) were significantly associated with a sulcus sign (P 4 (P 85°. Open standard Latarjet procedures with Neer capsulorrhaphy in ACR(+) patients showed excellent or good results and stability rate of 95 %. All patients except four who presented with a new dislocation after surgery were satisfied with their outcome. Thirteen patients (16 %) had a persistent apprehension sign at the last follow-up. ACR(+) and ACR(-) groups did not show significant difference in the mean values of Rowe, Walch-Duplay and Constant-Murley scores. Conclusion - ACR correlated with a sulcus sign, Beighton score and instability history. In anterior shoulder instability associated with ACR, the Latarjet procedure with a Neer capsulorrhaphy appears a satisfactory treatment alternative to arthroscopic or open capsular shift. It decreased apprehension in comparison with Latarjet procedures without capsular repair. Level of evidence - Cases series, treatment study, Level IV.

Published
2014

35. Can tendon vibration therapy improve motor recovery in the arm following stroke? A pilot feasibility study of a clinical protocol in 11 patients

Author

Isabelle Bonan, Victorine Quintaine, Simon Butet, Clément Provost, Alain Yelnik, Marylène Jousse, and Leila Tlili

Subjects
030506 rehabilitation, medicine.medical_specialty, Rehabilitation, Proprioception, business.industry, medicine.medical_treatment, Elbow, Motor control, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Physical medicine and rehabilitation, medicine, Physical therapy, Upper limb, Orthopedics and Sports Medicine, 0305 other medical science, Motor Deficit, business, Stroke, 030217 neurology & neurosurgery, Neurorehabilitation
Abstract

Objective The positive effects on motor cortical excitability of stimulating proprioception with tendon vibration therapy have previously been reported in healthy individuals and in chronic stroke patient (Marconi et al., 2008 and 2011). The aim of this study is to evaluate the feasibility of a protocol of tendon vibration therapy in a neurorehabilitation service, with a view to proceeding to an efficacy study. Material/Patients and methods We performed a prospective, single-centre study, including 11 patients, 8 men, mean age 61,7 ± 10,6, with upper limb motor deficit secondary to a first stroke (5 ischaemic). Average time post-stroke was 116.8 days. Mean NIHSS at inclusion was 7,9 ± 5,7. Two 15-minute sessions per day for 5 days of vibration therapy associated to voluntary movement were applied to the elbow and wrist flexor and extensors of the hemiplegic arm. The vibration therapy was in addition to standard rehabilitation. The feasibility was assessed by the implementation of the protocol (logistic regression of sessions, who did it? Where? When?), adverses outcomes and tolerance. Assessment of motor function at baseline and at day 7 was performed with Fugl-Meyer (upper limb), ARAT, Box and Blocks Test and ARMEO was used to assess the volume of exploration of the arm. Functional recovery was measured by the difference between the two scores. Results Nine patients were eligible (1 transferred to another ward for a septicaemia; 1 incomplete assessment at day 7). 97.7% of planned vibration sessions were performed. There were no adverse outcomes. Treatment was well tolerated; 1 patient reported transient paraesthesias and 4 patients reported significant fatigue whilst undergoing therapy. Every patient improved motor control: mean delta (±SD): ARAT: +8.6 points ± 14.2; BBT: +3.5 points ± 10.8; Fugl Meyer: +3.3 points ± 4.2; volume of exploration ARMEO: +38% ± 75.1%. Discussion - Conclusion This preliminary, open-labelled, study demonstrates that this protocol is achievable in a neurorehabilitation clinic setting. Given the functional improvement seen, randomised controlled trials should be performed to further evaluate the effects on motor control.

Published
2016

36. Relationship between hand function assessment and upper limb kinematic analysis in children with hemiplegic cerebral palsy

Author

Caroline Le Cornec, Isabelle Bonan, Florence Gaillard, Hélène Rauscent, Sébastien Cordillet, and Armel Crétual

Subjects
Hemiplegic cerebral palsy, medicine.medical_specialty, Activities of daily living, Rehabilitation, Elbow, Gross motor skill, 030229 sport sciences, Kinematics, Wrist, body regions, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Physical medicine and rehabilitation, medicine, Physical therapy, Upper limb, Orthopedics and Sports Medicine, Abnormality, Psychology, 030217 neurology & neurosurgery
Abstract

Objective/Introduction Children with hemiplegic cerebral palsy (HCP) have upper limb limited motion and decreased hand function in daily activities. The aim of this study was to evaluate the relationship between the severity of the kinematic motion abnormalities and bimanual performance of the impaired upper limb. Patients and methods Twenty-three children with HCP (mean age 11.9 ± 2.7 years) were evaluated using the Assisting Hand Assessment (AHA) [1] to score functional activity performance. We used a standardized 3D-analysis protocol to evaluate upper limb movements, containing two reach tasks, three gross motor tasks, and two reach-to-grasp tasks. Summary kinematic indexes were calculated according to Jaspers’ method [2] to evaluate the severity of upper limb movement abnormalities in children with HCP, compared to a database of 28 typically developing children (mean age 11.8 ± 2.2 years). Results The results show high correlation between the Global-Arm Profile score (APS), a kinematic index, which summarizes the overall severity of upper limb movement pathology for all tasks, and the AHA score ( r = −0.75). The APS were highly correlated with the AHA during reach-to-grasp tasks ( r = −0.75) and two of the three gross motor tasks ( r = −0.74). Concerning the Global-Arm Variable score, which represents the deviation for a single joint angle, significant correlations were found for wrist flexion ( r = −0.85), elbow flexion ( r = −0.61) and pronation ( r = −0.47). Discussion/Conclusion The severity of movement abnormality in children with HCP is strongly correlated with the level of functional activity performance. This correlation is best demonstrated in reach-to-grasp or gross motor tasks. The influence of wrist and elbow movement abnormality confirms the importance of taking into account these distal limitations in therapeutics.

Published
2016

37. Routine enema before urodynamics has no impact on the quality of abdominal pressure curves: Results of a prospective controlled study

Author

M. Damphousse, Jacques Kerdraon, Isabelle Bonan, B. Peyronnet, Quentin Alimi, L. Tondut, Charlène Brochard, Laurent Siproudhis, Juliette Hascoet, N. Senal, Andrea Manunta, and H. Rigole

Subjects
Male, medicine.medical_specialty, Urology, medicine.medical_treatment, media_common.quotation_subject, 030232 urology & nephrology, Rectum, Enema, Neurological disorder, Single Center, 03 medical and health sciences, 0302 clinical medicine, Abdomen, Clinical endpoint, Pressure, medicine, Outpatient clinic, Humans, Single-Blind Method, Quality (business), Prospective Studies, Prospective cohort study, media_common, Intention-to-treat analysis, business.industry, Diagnostic Techniques, Urological, Middle Aged, medicine.disease, Abdominal pressure, Surgery, Urodynamics, medicine.anatomical_structure, Anesthesia, 030211 gastroenterology & hepatology, Female, Radiology, business
Abstract

Summary Aims The presence of stools in the rectum might affect the quality of the abdominal pressure curve during filling cystometry, but, to date, no study has evaluated the impact of bowel preparation before urodynamics. We evaluated the influence of a sodium phosphate enema before urodynamics on the quality of the abdominal pressure curve. Methods A prospective, controlled, single-blind study was conducted in a single center from May to June 2013. The patients were divided into 2 consecutive groups: patients seen in outpatient clinics during the first 6 weeks (group A) who underwent urodynamics without bowel preparation and patients seen in outpatient clinics during the second 6 weeks (group B) who had a prescription of sodium phosphate enema before urodynamics. The primary endpoint was the quality of the abdominal pressure curve evaluated independently by three physicians who were blinded to the study group. The following data were also collected: age, gender, the presence of a neurological disorder, complicated nature of urodynamics and bother related to preparation for it, assessed using a Likert scale (0 to 10), and the equipment used. A per protocol analysis and an intent-to-treat analysis were conducted. Results One hundred and thirty-nine patients were included: 54 in group A and 85 in group B. One-third of patients had neurological conditions. 14 patients in group B did not perform their scheduled enema. Thus, 68 patients performed an enema before urodynamics and 71 did not. There was no difference between groups A and B regarding the complicated nature of urodynamics (Likert scale: 3.12 vs. 3.18; P = 0.91) or bother related to preparation for it (Likert scale: 3.46 vs. 2.97; P = 0.43). In the per protocol analysis, the abdominal pressure curve was considered perfectly interpretable (PI) in 69% of patients who did not receive an enema before urodynamics and in 65% of patients who did ( P = 0.61). The between-group difference was not statistically significant in intent-to-treat analysis ( P = 0.99). In patients who did not receive an enema before urodynamics, the only factors statistically associated with better quality of abdominal pressure curves were age P = 0.001) and the urodynamic equipment used (Dantec ® > Laborie ® ; P = 0.01). Conclusion In this prospective study, routine enema before urodynamics did not improve the quality of the abdominal pressure curve and did not increase the complicated nature of urodynamics or the bother of preparation for it. Level of evidence 3.

Published
2017

38. Volumetric definition of shoulder range of motion and its correlation with clinical signs of shoulder hyperlaxity. A motion capture study

Author

Armel Crétual, Hervé Thomazeau, Rajiv Kaila, Isabelle Bonan, Mickaël Ropars, Service de chirurgie orthopédique, réparatrice et traumatologique [Rennes], CHU Pontchaillou [Rennes], Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Analysis-Synthesis Approach for Virtual Human Simulation (MIMETIC), Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-MEDIA ET INTERACTIONS (IRISA-D6), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA), Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Médecine physique et de réadaptation [Rennes] (MPR), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes 2 (UR2)-Inria Rennes – Bretagne Atlantique, Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), and Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)

Subjects
Adult, Joint Instability, medicine.medical_specialty, Shoulder, Rotation, Posture, hyperlaxity: shoulder instability, Video Recording, Kinematics, Motion capture, Joint laxity, Correlation, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Physical medicine and rehabilitation, Beighton score, medicine, Humans, Orthopedics and Sports Medicine, shoulder kinematics, Range of Motion, Articular, Physical Examination, 030222 orthopedics, business.industry, Shoulder Joint, 030229 sport sciences, General Medicine, Anatomy, Sulcus, shoulder laxity, Biomechanical Phenomena, medicine.anatomical_structure, [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, Active measurement, Surgery, Female, Range of motion, business
Abstract

International audience; Background - Shoulder hyperlaxity (SHL) is assessed with clinical signs. Quantification of SHL remains difficult, however, because no quantitative definition has yet been described. With use of a motion capture system (MCS), the aim of this study was to categorize SHL through a volumetric MCS-based definition and to compare this volume with clinical signs used for SHL diagnosis. Method - Twenty-three subjects were examined with passive and active measurement of their shoulder range of motion (SROM) and then with an MCS protocol, allowing computation of the shoulder configuration space volume (SCSV). Clinical data of SHL were assessed by the sulcus sign, external rotation with the arm at the side (ER1) >85° in a standing position, external rotation >90° in a lying position, and Beighton score for general joint laxity. Active and passive ER1, EIR2 (sum of external and internal rotation at 90° of abduction), flexion-extension, and abduction were also measured and correlated to SCSV. Results - Except for the sulcus sign, SCSV was significantly correlated with all clinical signs used for SHL. Passive examination of the different SROMs was better correlated to SCSV than active examination. In passive examination, the worst SROM was ER1 (R = 0.36; P = .09), whereas EIR2, flexion, and abduction were highly correlated to SCSV (P < .01). Conclusion - SCSV appears to be an appealing tool for evaluation of SHL regarding its correlation with clinical signs used for SHL diagnosis. The sulcus sign and ER1 >85° in a standing position appear less discriminating and should be replaced by EIR2 measurement for SHL diagnosis.

Published
2014

39. Development of a novel index of shoulder's mobility based on the configuration space volume and its link to mono-axial amplitudes

Author

Isabelle Bonan, Armel Crétual, Mickaël Ropars, Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Analysis-Synthesis Approach for Virtual Human Simulation (MIMETIC), Université de Rennes 2 (UR2)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-MEDIA ET INTERACTIONS (IRISA-D6), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), CHU Pontchaillou [Rennes], Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Service de chirurgie orthopédique, réparatrice et traumatologique [Rennes], École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), MEDIA ET INTERACTIONS (IRISA-D6), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES), and Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)

Subjects
Adult, Joint Instability, Shoulder, Posture, Video Recording, Physical Therapy, Sports Therapy and Rehabilitation, Geometry, Sampling Studies, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Reachable space, medicine, Humans, Biomechanics, Range of Motion, Articular, Range of motion, Physical Examination, Rest (physics), 030222 orthopedics, business.industry, Shoulder Joint, Mathematical analysis, Frozen shoulder, Hyperlaxity, 030229 sport sciences, General Medicine, medicine.disease, Motion capture analysis, Biomechanical Phenomena, Amplitude, medicine.anatomical_structure, [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, Linear Models, Upper limb, Female, Configuration space, business, Rotation (mathematics)
Abstract

International audience; At first sight, shoulder mobility is frequently evaluated through mono-axial amplitude. Interestingly, for diagnosing shoulder hyperlaxity or frozen shoulder, external rotation of the arm whilst at the side (ER1) is commonly used. However, by definition, a mono-axial amplitude does not fully reflect shoulder global mobility. Our goal was to propose a novel index for measuring shoulder global mobility and secondly to evaluate the link between main mono-axial amplitudes and this new index. Twenty-eight female subjects (mean age 24.8 years) without upper limb pathology participated in the study. The movements of their right dominant arm were measured with an opto-electronic motion capture system. They performed 5 mono-axial maximal amplitude motions (axial rotations in three different postures, flexion/extension and abduction from rest) and a global range of motion exploring all the reachable space around the three axes of rotation. From this, we computed the correlation coefficient between the volume of the reachable space and each possible linear combination of the 5 mono-axial amplitudes. Even though ER1 is often chosen to assess global mobility, it demonstrated the lowest correlation with measured joint mobility. To assess shoulder global mobility, clinical routine examination should more take into account external/internal rotation with the shoulder abducted, then abduction and finally flexion/extension. However, further clinical testing in other populations has to be done to evaluate the potential generalization of this result.

Published
2014

40. Evolution of sensory reweighting after stroke

Author

Isabelle Bonan, Laboratoire Mouvement Sport Santé (M2S), École normale supérieure - Cachan (ENS Cachan)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Rennes 2 (UR2), Université de Rennes (UNIV-RENNES)-Université de Brest (UBO)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), CHU Pontchaillou [Rennes], and École normale supérieure - Cachan (ENS Cachan)-Université de Rennes (UR)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )

Subjects
medicine.medical_specialty, medicine.medical_treatment, [SDV]Life Sciences [q-bio], Sensory system, Hemiplegia, 050105 experimental psychology, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, medicine, 0501 psychology and cognitive sciences, Orthopedics and Sports Medicine, Force platform, Stroke, Vestibular system, Sensory stimulation therapy, Rehabilitation, Proprioception, business.industry, 05 social sciences, Optokinetic reflex, medicine.disease, Balance control, business, 030217 neurology & neurosurgery, Sensory reweighting
Abstract

International audience; Objectives.– Continuous re-weighting of sensory information is required for a flexible control of upright stance. We recently showed that patients after recent stroke may be highly dependent on visual, proprioceptive and/or vestibular information [1]. The aim of this study was to describe the evolution of these sensory comportments. Methods.– Thirty subjects with a first and unique hemispheric stroke (age = 54.7 ± 10.6, 21 men, right lesion = 13) and 20 control subjects (age = 50.0 ± 17.1, 11 men) were studied. Postural control while standing at rest was probed with successively tendon vibration, visual optokinetic and vestibular galvanic stimulations. Patients were investigated mean 2 months after stroke, using a force platform (Technoconcept®). Patients as controls were retested 1 month later. Analysis was conducted from composite scores for each sensory stimulation as the mean of the absolute value of the displacement of the centre of pression in the different directions. Results.– Both control and stroke patients showed large inter-individual variations. Patients were globally more sensitive than controls (mean global score = 49.4, SD 18.9 versus 36.5, SD 12.8, P = 0.01). They were excessively reliant on visual information (P = 0.01) and to vestibular stimulation (P = 0.05). While the scores were reproducible at one month in controls, patients displayed different kinds of evolution, sensory dependence remaining in most of them, but decreasing for some even increasing for a few. Implication in rehabilitation: Post stroke comportment regarding sensory reweighting is a complex and evolutive behavior. Better knowledge is needed to build personalized rehabilitation programmes

Published
2013

41. Utilization of Robo-K for improving walking and balance in patients affected by neurological injuries: A preliminary study

Author

K. Denis, F. Bidet, Isabelle Bonan, P. Coignard, Jean-Paul departe, Nolwenn Morisset, Katel Rinfray, J. Egault, N. Pichot, Jean-Luc Le-Guiet, A. Gautier, and Marie-Lise Peuziat

Subjects
medicine.medical_specialty, medicine.medical_treatment, 02 engineering and technology, law.invention, 03 medical and health sciences, 0302 clinical medicine, Gait (human), Physical medicine and rehabilitation, Gait training, Randomized controlled trial, law, 0202 electrical engineering, electronic engineering, information engineering, medicine, Orthopedics and Sports Medicine, Balance (ability), Rehabilitation, business.industry, 030208 emergency & critical care medicine, Mobile robot, Test (assessment), Berg Balance Scale, Physical therapy, 020201 artificial intelligence & image processing, business, human activities
Abstract

Objective Robotic systems allow to initiate and facilitate the implementation of a movement executed by the patient. The objective was to test the interest of an innovative gait robot. Materials/patients and methods Eighteen patients 53.6 (± 11.1) years aged, with a functional ambulation category (FAC) 0 to 5, followed 3 sessions of 45 min/week with the mobile robot with body weight support during 4 weeks while maintaining conventional physiotherapy sessions. This evolutionary robot provides, in stationary mode balance training safely through suspension, and in mobile mode gait training according to various trajectories. FAC, 6 min walk test (6 min), 10 meters walking test (10 m), Berg balance scale, time up and go (TUG) were evaluated. Results Various exercises could have been proposed regardless of the patients’ walking stage. FAC was increased from 1.0 (± 1.0), 10 m time from 28.0 s (± 23.1), 6 min distance from 80.6 m TUG was improved from 19.6 s (± 10.7) and Berg score from 9.6 points (± 9.0). Discussion/Conclusion Balance and gait rehabilitation were facilitated by the reassuring device. An improvement of all the tests was observed. These results are encouraging and a randomized study is necessary to evaluate the benefit of Robo-K in comparison to a control group.

Published
2016

42. Feasibility of a self-rehabilitation program by mirror therapy in children with hemiplegic cerebral palsy

Author

Christopher J. Newman, Caroline Le Cornec, Thibault Pasquet, Marine Jequier Gygax, Hélène Rauscent, Florence Gaillard, and Isabelle Bonan

Subjects
Hemiplegic cerebral palsy, Protocol (science), 030506 rehabilitation, medicine.medical_specialty, business.industry, Self rehabilitation, Rehabilitation, Significant difference, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Mirror therapy, medicine, Physical therapy, Upper limb, Orthopedics and Sports Medicine, 030212 general & internal medicine, 0305 other medical science, business, Adverse effect
Abstract

Objective In children with hemiplegic cerebral palsy (HCP), some studies have shown an improvement in manual function following a self-rehabilitation program by mirror therapy. However, adherence to this protocol has not been reported. So, we studied the feasibility and compliance of this self-rehabilitation program in the hemiplegic child. Material and methods The aim of this study was to evaluate the effect of mirror therapy on the upper limb of children with HCP. Twenty-eight children (11.9 ± 2.7 years) went through a self-rehabilitation program by mirror therapy at home. This program was developed by the Swiss team of Newman and Gigax. It consists of 7 exercises, for a total of 15 min, repeated 5 days per week for 5 weeks. A diary was given to each child to note the daily time spent on the protocol and the number of series actually done for each exercise. Adherence was assessed by the number of series performed. Difficulties and adverse events that occurred during this period were also collected. Results All the children have achieved the 5 week protocol and all were satisfied with their participation. The global observance of the protocol is good with 86.3% of the exercises performed on the average of five weeks (SD ± 12.6). There is no significant difference between the observance of the first week and that of the fifth week (87% vs. 81%) ( P = 0.22). It exists a significant decrease in the average length of time spent on the protocol between the first and the fifth week (18 min 24 vs. 12 min 42) ( P Discussion/Conclusion This self-rehabilitation protocol by mirror therapy shows good feasibility and good compliance. Self-rehabilitation seems to be an interesting tool easy to implement and well accepted by the children with HCP.

Published
2016

43. Stroke and visual dependence according to the task

Author

F. Colle, Alain Yelnik, Isabelle Bonan, E. Szmatula, H. Le Liepvre, S. Tasseel-Ponche, and C. Andriantsifanetra

Subjects
Balance, medicine.medical_specialty, Rehabilitation, 020207 software engineering, 030229 sport sciences, 02 engineering and technology, medicine.disease, Task (project management), Visual dependence, Stroke, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, 0202 electrical engineering, electronic engineering, information engineering, medicine, Orthopedics and Sports Medicine, Psychology, Balance (ability)
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