S. Boccardi (Rééducateur), M. Ferrarin (Ingénieur biomédical)
{"title":"Récupération de la station debout et de la marche chez le paraplégique","authors":"S. Boccardi (Rééducateur), M. Ferrarin (Ingénieur biomédical)","doi":"10.1016/j.emckns.2005.05.001","DOIUrl":"10.1016/j.emckns.2005.05.001","url":null,"abstract":"<div><p>Recovery of the walking function in the paraplegic subject with dorsal lesions is an important problem, especially since early rehabilitation and medical, surgical and reeducation advances have resulted in an improved and sometimes good quality of life, even in those patients with complete lower limb palsy. Meeting such goal is however difficult. For this reason, many proposals aimed at facilitating this recovery have emerged these last years; although the results remain unsatisfactory, we should very soon benefit from new efficient solutions.</p></div>","PeriodicalId":100429,"journal":{"name":"EMC - Kinésithérapie","volume":"1 2","pages":"Pages 87-100"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emckns.2005.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85253781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Cottereau (Kinésithérapeute) , F. Piton (Cadre de santé kinésithérapeute) , M. Antonello (Cadre supérieur kinésithérapeute)
{"title":"Kinésithérapie à la phase aiguë des pathologies respiratoires","authors":"G. Cottereau (Kinésithérapeute) , F. Piton (Cadre de santé kinésithérapeute) , M. Antonello (Cadre supérieur kinésithérapeute)","doi":"10.1016/j.emckns.2005.01.001","DOIUrl":"https://doi.org/10.1016/j.emckns.2005.01.001","url":null,"abstract":"<div><p>Acute respiratory failure (ARF) in patients with chronic respiratory failure (CRF) encompasses within a single denomination the progressive events occurring in patients with obstructive CRF (OCRF) as well as those occurring in patients with restrictive CRF (RCRF). Most clinical differences that may be observed between an acute respiratory distress occurring in a CRF patient and an acute respiratory distress occurring in previously healthy lungs may be explained by the occurrence of an acute episode in a chronic context that combines primary abnormalities and compensative abnormalities. At the occurrence of an ARF, it is of utmost importance to initiate a therapy and manage potential complications, whatever the aetiology. Adequate kinesitherapy necessitates a diagnostic process essentially based on the ARF pathophysiological analysis and aetiological context. A problem of decompensation related to an obstructive airway disease in which kinesitherapy helps decreasing the workload of breathing muscles differs from that of a thoracic or an upper abdominal surgery postoperative period in which kinesitherapy is expected to prevent hypoventilation, a potential cause of ARF. Beyond the problem of ARF, kinesitherapy should anticipate and prevent potential complications related to the natural course of the respiratory disease or to a prolonged bed rest period that convey a risk of definitive bed rest and de-socialisation. As examples concerning obstructive respiratory diseases, the present chapter reviews the decompensation related to obstructive chronic bronchopneumopathy, the postoperative period following thoracic or upper abdominal surgery, independently from the presence of chronic pulmonary disease, and the acute stage of pleurisy as an approach of the prevention of expectable respiratory sequelae.</p></div>","PeriodicalId":100429,"journal":{"name":"EMC - Kinésithérapie","volume":"1 1","pages":"Pages 56-70"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emckns.2005.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90129411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rééducation de la hanche opérée","authors":"A. Darnault , R. Nizard , J.-L. Guillemain","doi":"10.1016/j.emckns.2005.01.003","DOIUrl":"https://doi.org/10.1016/j.emckns.2005.01.003","url":null,"abstract":"<div><p>Hip disorders usually cause walking perturbation due to pain, stiffness and muscular deficiency at variable degrees, depending on the disease history. Palliative surgery is proposed for slightly arthrosic dysplasia; the rehabilitation includes first maintenance while waiting for consolidation, then a rehabilitation aimed at muscular reinforcement and walking. In case of advanced-stage arthrosis or destructive rheumatic disease, arthroplasty is mandatory. Rehabilitation is guided by the disease history, the pre-operative clinical status, the selected surgical technique and the surgeon’s instructions. A program is elaborated from accurate clinical check-up and analysis of observations, and then adapted according to the evolution of preliminary objectives. Such rehabilitation is essentially manual and individual, with periodical reassessments and a particular attention for complications. Rehabilitating an operated hip is based on some rules and on an individual procedure specifically adapted to the patient’s hip rather than on a systematic protocol. It is not useful in case of first-line arthroplasty in primitive hip arthrosis, but the rehabilitation of patients with de-arthrodesis or complicated surgery require initiation in a specialized centre prior to external physiotherapy.</p></div>","PeriodicalId":100429,"journal":{"name":"EMC - Kinésithérapie","volume":"1 1","pages":"Pages 1-32"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emckns.2005.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91773559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kinésithérapie à la phase aiguë des pathologies respiratoires","authors":"G. Cottereau, F. Piton, M. Antonello","doi":"10.1016/J.EMCKNS.2005.01.001","DOIUrl":"https://doi.org/10.1016/J.EMCKNS.2005.01.001","url":null,"abstract":"","PeriodicalId":100429,"journal":{"name":"EMC - Kinésithérapie","volume":"668 1","pages":"56-70"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76855127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Delprat (Médecin de médecine physique et réadaptation) , S. Ehrler (Médecin de médecine physique et réadaptation) , J.-C. Meyer (Médecin de médecine physique et réadaptation)
{"title":"Poignet et main : bilan articulaire","authors":"J. Delprat (Médecin de médecine physique et réadaptation) , S. Ehrler (Médecin de médecine physique et réadaptation) , J.-C. Meyer (Médecin de médecine physique et réadaptation)","doi":"10.1016/j.emckns.2005.01.002","DOIUrl":"10.1016/j.emckns.2005.01.002","url":null,"abstract":"<div><p>Currently, at the time when the concepts of evaluation, assessment, and score are involved in almost all our activities, the measurement of the range of motion is considered a common procedure, easy to be performed, sometimes fastidious due to the number of joints involved. In fact, such assessment needs a perfect knowledge of not only the joint anatomy but also the neuromuscular aspects. Regarding the actual quality requirements, this measurement must be validated, i.e. it has to meet some definite standardized criteria as to be accepted and widely recognised. However, since some computerisation techniques may improve its quality in terms of data input, data management, and result presentation, this method is today largely evolving. Multiple potentialities allow providing specific responses to specific needs, such as in contexts as different as post-surgery evaluation, rehabilitation follow-up or expertise of bodily damage. Today the most frequently used techniques are the goniometer and the paper record cards, digitized or not. However, after promising results in the research field, the computerised techniques of data input and management and digital cams are likely to become widely used in daily clinical practice.</p></div>","PeriodicalId":100429,"journal":{"name":"EMC - Kinésithérapie","volume":"1 1","pages":"Pages 33-55"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emckns.2005.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87051264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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