19 research outputs found
Supplemental_Figure_S1 – Supplemental material for Oxygen Cost During Walking in Individuals With Stroke: Hemiparesis Versus Cerebellar Ataxia
No full textSupplemental material, Supplemental_Figure_S1 for Oxygen Cost During Walking in Individuals With Stroke: Hemiparesis Versus Cerebellar Ataxia by Maxence Compagnat, Jean-Christophe Daviet, Charles Batcho, Nicolas Vuillerme, Jean-Yves Salle, Romain David and Stephane Mandigout in Neurorehabilitation and Neural Repair</p
Supplementary_Material – Supplemental material for Validity of the Actigraph GT3x and influence of the sensor positioning for the assessment of active energy expenditure during four activities of daily living in stroke subjects
No full textSupplemental material, Supplementary_Material for Validity of the Actigraph GT3x and influence of the sensor positioning for the assessment of active energy expenditure during four activities of daily living in stroke subjects by Maxence Compagnat, Stephane Mandigout, David Chaparro, Jean Christophe Daviet and Jean Yves Salle in Clinical Rehabilitation</p
Compliance with Upper Limb Home-Based Exergaming Interventions for Stroke Patients: A Narrative Review
No full textInternational audienceBackground: Telerehabilitation and follow-up techniques have been developed in recent years to assess the effectiveness of diverse intervention programmes that include exergaming technologies. For patients with upper limb impairment after stroke, motion-gaming technologies can provide effective and amusing training. Beyond efficiency, professionals must analyse patient compliance with the system for self-use at home, because patients may or may not independently perform the exercises prescribed by the therapist. Questions on the sustainable use of this type of home exercise also arise.Objective: This review examines user compliance with exercise programmes, measured according to the training rate (percentage of prescribed sessions and min completed) and completion rate (number of drop-outs and discontinued interventions) reported or calculable according to the data collected.Results and discussion: Rates of compliance with training were relatively high. No group effect on compliance was found. Drop-out and discontinued intervention rates were either due to external causes or directly related to the technologies. Some studies have reported the use of supervision, most of them through home visits and remote support. Few studies performed long-term follow-up, which could provide information to help broaden practices. This narrative review considers how this field of research may evolve in the future
Top Stroke Rehabil
No full textBACKGROUND: Rehabilitation in the chronic phase of stroke should include 20 minutes of moderate to vigorous physical activity (MVPA). However, the level of compliance with MVPA guidelines in outpatient physiotherapy is unknown. OBJECTIVES: To investigate (1) whether people in the chronic phase of stroke perform the recommended 20 minutes of MVPA during outpatient physiotherapy sessions in France, (2) whether the person's clinical characteristics influence MVPA time and (3) which interventions contribute to achievement of recommended MVPA time. METHODS: This was a multicentre, cross-sectional observational study of routine outpatient physiotherapy sessions in France in people in the chronic phase of stroke. The main measures included MVPA time (determined using a heart rate monitor), clinical tests and types of physiotherapy interventions (recorded by external investigator during 2 sessions for each participant). RESULTS: 84 people in the chronic phase of stroke and 152 outpatient physiotherapy sessions in 29 outpatient clinics were included (2021-2022). Median (interquartile range) MVPA time was 25 (7-45) minutes across all sessions. Fifty-nine percent of the sessions fulfilled MVPA guidelines. Among clinical tests, only the Mini-Mental Scale Examination was significantly associated with MVPA time. Endurance, balance, and functional lower limb training were associated with the achievement of MVPA guidelines. CONCLUSION: Outpatient physiotherapy sessions have the potential to meet the MVPA guidelines. Further research is needed to understand the variability of compliance with MVPA guidelines and to develop strategies to increase the integration of MVPA into outpatient physiotherapy sessions
Stroke
No full textBACKGROUND: Stroke survivors are frequently physically inactive. However, evidence of the effectiveness of active physiotherapy on physical activity level in stroke survivors is scarce. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement, covering electronic searches from inception to March 16, 2022. PARTICIPANTS: Stroke survivors living in the community. INTERVENTION: Any active physiotherapy, that is, involving exercises that require voluntary effort. OUTCOME MEASURE: Objective and subjective physical activity level. RESULTS: Of 5590 identified references, 25 randomized controlled trials were eligible, and 21 had available data. The random-effects meta-analysis resulted in a small, significant effect size in favor of active physiotherapy measured using objective or subjective tools (21 studies, 1834 participants, standardized mean difference, 0.22 [95% CI, 0.04-0.40]; heterogeneity I(2)=65%), and a medium significant effect when objective tools were used (9 studies, 424 participants, standardized mean differences, 0.48 [95% CI, 0.03-0.92]; I(2)=73%). Meta-regression showed that 35% of the variance in trial outcome was explained by the measurement tool (objective or subjective) and 23% by age. None of the variances were associated with a specific dosage in terms of frequency, time, exercise duration, or the severity of the disability. CONCLUSIONS: Active physiotherapy seems to increase objective physical activity in community-dwelling stroke survivors. However, the evidence is of very low certainty. REGISTRATION: URL: https://www.crd.york.ac.uk/PROSPERO/; Unique identifier: CRD42022315639
Comparison of motion sensor and heart rate monitor for assessment of physical activity intensity in stroke outpatient rehabilitation sessions: an observational study
No full textObjective: To compare the estimation of time spent on 4 categories of physical activity intensity (sedentary behaviour, light physical activity, moderate physical activity, and vigorous physical activity) between a motion sensor and a heart rate monitor during a stroke outpatient rehabilitation session.
Design: A multicentre cross-sectional observational study.
Subjects/Patients: Participants with stroke (> 6 months) undergoing outpatient rehabilitation sessions.
Methods: Participants wore the SenseWear Armband motion sensor and the Polar H10 heart rate monitor during 2 rehabilitation sessions. The times estimated by each device were compared using a generalized linear mixed model and post-hoc tests.
Results: Ninety-nine participants from 29 clinics were recruited and data from 146 sessions were included in the analysis. The estimated times depended on the devices and the physical activity intensity category (F = 135, p < 0.05). The motion sensor estimated more time spent in sedentary behaviour and less time spent in moderate physical activity and vigorous physical activity than the heart rate monitor.
Conclusion: The motion sensor and heart rate monitor provide different estimates of physical activity intensity during stroke rehabilitation. Further research is needed to establish the most appropriate device for each physical activity category
Quantification of energy expenditure during daily living activities after stroke by multi-sensor
No full textExergame and cognitive-motor dual-task training in the healthy elderly (INCOME): a study protocol
No full textInternational audienceBackground: Ageing is associated with a decrease in cognitive, motor, and dual-task capacities, leading to a possible loss in autonomy. Cognitive-motor dual-task training is known to be effective on these functions but suffers from low adherence level. On this point, exergames seem to be a promising solution. We aim to evaluate the effects of a new customized exergame on cognitive and motor capabilities in the elderly. Methods: Thirty-nine elderly persons (65 years old or above) will carry out 30 minutes of cognitive-motor dual-task training through our exergame, 3 times a week for 12 weeks. We will assess postural control under single and dual-task conditions (stabilometric platform), mental inhibition (Stroop test), mental flexibility (Trail Making Test), working memory (N-Back), mobility (Timed Up-and-Go), balance (Berg Balance Scale), fear of falling (Falls Efficacy Scale), quality of life (EuroQol), city exploration, and tracked (Armband®) or self-reported (QAPPA) physical activity level. Lastly, we will assess the safety (adverse events appearance) and the adhesion (compliance, drop-out, motivation) levels of this intervention. These evaluations will take place after the training protocol and after a 3-month follow-up. Discussion: This pilot study is expected to bring positive gains for the participants, as well as exploration of current knowledge gaps in the literature
Compendium of Physical Activities Strongly Underestimates the Oxygen Cost During Activities of Daily Living in Stroke Patients
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