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3 results on '"Oriane Hily"'

1. Real intensity of physical activity capacity of patients with chronic disease: a cross-sectional study

Author

Edem Allado, Mathias Poussel, Eliane Albuisson, Jean Paysant, Margaux Temperelli, Oriane Hily, Anthony Moussu, Noura Benhajji, Gerôme Gauchard, and Bruno Chenuel

Subjects
Medicine, Science
Abstract

Abstract The aim of this study was to evaluate the real intensity level of exercise in a sample of patients with chronic disease from obesity, rheumatology, hematology and other departments involved in a hospital-based program of adapted physical activity (APA). For this cross-sectional study, we studied seventy-five patients with chronic disease and no beta-blocker treatment. They systematically performed a cardiopulmonary exercise test before participating in a supervised APA practice using a telemetry wireless system to monitor heart rate (HR) during the first session. Based upon the results of the functional evaluation of exercise performance, we studied two groups of patients: (1) No limitation in exercise performance (maximal oxygen uptake greater than or equal to 80% of the theoretical reference) and (2) limited exercise performance (maximal oxygen uptake less than 80% of the theoretical value). Fifty-two patients (69.3%) were women, mean age was 42.6 (± 13.8), and mean BMI was 36.7 (± 10.6). Most patients had been referred for obesity (57.3%). We found 39 patients with normal exercise capacities and 36 patients with limited exercise performance. There were no significant differences in demographic and clinical characteristics between the two groups. For all populations, the mean and median real intensity levels of exercise in a sample of patients were moderate (55–70% HR max) and were the same for both groups. During the most intensive 15-min bout of the APA session, the HR for patients in both groups was greater than 70% of the actual maximum HR. This study observed a moderate level of APA exercise intensity in patients suffering from various chronic diseases. We found no significant difference in intensity level of exercise between patients’ capacities, i.e., with and without limitation of their maximal performance.

Published
2022
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2. Transient Central Facial Palsy at High Altitude: A Case Report

Author

Bruno Chenuel, Mathias Poussel, Sébastien Richard, Jean-Charles Vauthier, Edem Allado, and Oriane Hily

Subjects
medicine.medical_specialty, Physiology, business.industry, Public Health, Environmental and Occupational Health, 030229 sport sciences, General Medicine, 030204 cardiovascular system & hematology, Effects of high altitude on humans, medicine.disease, Facial paralysis, 03 medical and health sciences, 0302 clinical medicine, Altitude, Physical medicine and rehabilitation, Central facial palsy, medicine, Transient (computer programming), medicine.symptom, business, Stroke
Abstract

Allado, Edem, Bruno Chenuel, Jean-Charles Vauthier, Oriane Hily, Sebastien Richard, and Mathias Poussel. Transient central facial palsy at high altitude: a case report. High Alt Med Biol. 00:000–00...

Published
2021

3. The interest of rehabilitation of respiratory disorders in athletes: Myth or reality?

Author

Mathias Poussel, Edem Allado, Oriane Hily, and Bruno Chenuel

Subjects
medicine.medical_specialty, Bronchoconstriction, medicine.medical_treatment, Respiratory Tract Diseases, medicine, Humans, Orthopedics and Sports Medicine, Respiratory system, Asthma, Rehabilitation, biology, Athletes, business.industry, Respiratory disease, Evidence-based medicine, medicine.disease, biology.organism_classification, Laryngeal Obstruction, Asthma, Exercise-Induced, Dyspnea, Breathing, Physical therapy, business
Abstract

Background Healthy trained athletes generally have an “overbuilt” respiratory system in order to face the huge ventilation and gas-exchange demand imposed by strenuous exercise. Athletes frequently complain of respiratory symptoms regardless of whether they have a diagnosed respiratory disease, therefore evoking a kind of respiratory limitation during exercise. Some respiratory pathologies athletes present are closely linked to exercise and include asthma, exercise-induced bronchoconstriction (EIB) or exercise-induced laryngeal obstruction. Management of asthma and EIB are mainly based on pharmacological treatments. However, many athletes still complain of respiratory symptoms despite optimal pharmacological treatments, which highlights the need for non-pharmacological approaches including breathing retraining, inspiratory muscle training and/or laryngeal exercise performed under the guidance of a physiotherapist in this specific population. Objectives With this literature overview, we aimed to report evidence supporting the interest of rehabilitation for athletes with respiratory disorders and discuss whether inspiratory muscle training programs can improve performance in healthy athletes. Methods We searched MEDLINE and Cochrane databases for trials, reviews and meta-analyses assessing respiratory rehabilitation and muscle training programs in athletes by using the MesH terms “athletes”, “asthma”, “dyspnea”, “rehabilitation” and “education” published from January 2010 to March 2020. The selection of articles was based on the author's expertise to elaborate this review of the literature. Results Major findings suggest that breathing retraining may help asthmatic athletes better control their respiratory symptoms and that inspiratory muscle training may improve respiratory symptoms of exercise-induced laryngeal obstruction in athletes. Improvement of performance by respiratory muscle training still remains controversial. Conclusions Respiratory rehabilitation could be of interest in the specific population of athletes but should be further evaluated to improve the level of evidence of such strategies.

Published
2022
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