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[Whole-body training using HUBER® system in physical therapy rehabilitation: a systematic review]. [在物理治疗康复中使用HUBER®系统进行全身训练:系统综述]。
Revue medicale de Liege Pub Date : 2023-09-01
Charlotte Laurent, Charlotte Beaudart, Yves Léonard, Benoit Maertens, Luc Laurent, Jean-François Kaux
{"title":"[Whole-body training using HUBER® system in physical therapy rehabilitation: a systematic review].","authors":"Charlotte Laurent,&nbsp;Charlotte Beaudart,&nbsp;Yves Léonard,&nbsp;Benoit Maertens,&nbsp;Luc Laurent,&nbsp;Jean-François Kaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>HUBER®, an isometric strengthening device, has been promoted as rehabilitation tool for a wide population of patients presenting heterogenous profiles.</p><p><strong>Methods: </strong>Medline and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched. Only interventional studies aiming to assess the effectiveness of HUBER® device (any versions, any protocol of intervention used) on physical rehabilitation outcomes of adults were included. Quality of studies was assessed using Cochrane RoB tools.</p><p><strong>Results: </strong>Out of 142 references, six interventional studies were included in this systematic review. The number of participants included per study varied from 12 to 53, length of intervention varied from 4 to 8 weeks and number of sessions per week varied from 2 to 4. Different profiles of participants were included. Globally, training sessions using the HUBER® device showed moderate beneficial effects on the following outcomes: morphological characteristics, strength, balance and muscle power. The overall quality of the included studies was, however, rated as moderate to low.</p><p><strong>Conclusion: </strong>Because of its capacity to collect various physiological parameters simultaneously, the HUBER® device seems to be an interesting rehabilitation tool.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"490-495"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284877","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}
引用次数: 0
[Obesity, type 2 diabetes and depression : which metabolic impact of antidepressants ?] [肥胖、2型糖尿病和抑郁症:抗抑郁药对代谢有哪些影响?]
Revue medicale de Liege Pub Date : 2023-09-01
André Scheen
{"title":"[Obesity, type 2 diabetes and depression : which metabolic impact of antidepressants ?]","authors":"André Scheen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Metabolic disorders (dysglycaemia, dyslipidaemia, metabolic syndrome) may occur or worsen with antidepressants. Even if the metabolic risk appears lower with antidepressants than with certain atypical antipsychotics, it should not be neglected in clinical practice, especially with antidepressants that are associated with weight gain. Metabolic disorders may occur with both selective serotonin reuptake inhibitors and tricyclics, but with some between-molecule differences within each pharmacological family. Besides potential deleterious effects of medications, the psychiatric population is also exposed to bad lifestyle habits (unhealthy diet and sedentary life) and poor medication compliance, which all together could also contribute to enhance the risk of metabolic disorders and cardiovascular complications. Facing such a complex situation, it is not easy to individualize the metabolic risk inherent to antidepressants, also because an effective management of the depression could improve both the quality of life and the adherence to a better lifestyle.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"516-522"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10650385","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}
引用次数: 0
[Posterior iliac crest low back pain]. [髂后嵴下腰痛]。
Revue medicale de Liege Pub Date : 2023-09-01
Arnaud Janssen, Marco Tomasella
{"title":"[Posterior iliac crest low back pain].","authors":"Arnaud Janssen,&nbsp;Marco Tomasella","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the context of low back pain of the posterior iliac crest, various etiologies can be evoked, in particular Maigne's syndrome in D12/L1, ilio-lumbar ligament syndrome or L5/S1 facet syndrome. Maigne's syndrome is a painful segmental vertebral dysfunction leading to a cellulo-periosto-myalgic syndrome. Propedeutic is essential to the diagnosis and is based on a rigorous segmental spinal examination and on the remote search for palpable changes in the texture of the skin, muscle and teno-periosteal tissues. The iliolumbar ligament is a powerful fibrous stabilising element of the lumbosacral hinge. Its tensioning by repeated movements of anteflexion and contralateral lateroflexion-rotation contributes to the expression of a painful symptomatology of the posteromedial iliac crest. Pain in the posterior inter-apophyseal joint L5-S1 is characterised by a more medial lumbosacral pain, accentuated on facet palpation and reproduced on combined heterolateral extension-rotation of the spine. Manual therapy centred on the dorsolumbar or lumbosacral hinge is recommended as a first-line treatment to control these different diagnoses. Rehabilitation of the motor control of the deep stabilising muscles of the dorsolumbar spine is essential. Various local infiltrations often complete the physiotherapy approach.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"503-509"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10650388","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}
引用次数: 0
[SGLT2 inhibitors : on the borders of diabetology, cardiology, nephrology and… primary care]. [SGLT2抑制剂:在糖尿病学、心脏病学、肾脏病学和……初级保健的边界]。
Revue medicale de Liege Pub Date : 2023-09-01
André Scheen, Patrizio Lancellotti, Pierre Delanaye, Didier Giet
{"title":"[SGLT2 inhibitors : on the borders of diabetology, cardiology, nephrology and… primary care].","authors":"André Scheen,&nbsp;Patrizio Lancellotti,&nbsp;Pierre Delanaye,&nbsp;Didier Giet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sodium-glucose cotransporter type 2 inhibitors (SGLT2is or gliflozins) are now considered as a therapeutic breakthrough in clinical practice, not only for the management of type 2 diabetes (T2D), but also for the treatment of heart failure and chronic renal disease. Patients with T2D are exposed to a higher risk of atheromatic lesions, heart failure and renal insufficiency, all complications that can be reduced by a gliflozin as shown in several placebo- controlled randomised trials in at high risk patients. Unexpectedly, such cardio-renal protection has also been observed among non-diabetic patients with heart failure (both with reduced and preserved ejection fraction) or with chronic kidney disease (especially with albuminuria). Because of these properties, SGLT2is now occupy a privileged place in diabetology, cardiology and nephrology. However, they are still slow to settle in primary care practice, even in high risk patients who should benefit, an underuse possibly due at least partially to quite complex reimbursement criteria in Belgium.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"476-483"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10650389","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}
引用次数: 0
[Diagnostic approach to rhabdomyolysis]. [横纹肌溶解的诊断方法]。
Revue medicale de Liege Pub Date : 2023-09-01
François Paquot, François Jouret
{"title":"[Diagnostic approach to rhabdomyolysis].","authors":"François Paquot,&nbsp;François Jouret","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rhabdomyolysis is a clinical syndrome related to the damage of skeletal muscle. The symptomatology is often poor, but it classically includes muscle weakness, myalgia and red-brown urine. The causes may be multiple but are most frequently traumatic : the so-called \"crush syndrome\". The diagnosis is based on the increase in serum creatine kinase, which is sometimes associated with myoglobinuria. Rhabdomyolysis may cause severe complications, such as ionic disorders or acute kidney injury which can lead to the death of the patient.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"529-532"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10650390","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}
引用次数: 0
[European recommendations concerning the management of chronic heart failure with reduced ejection fraction]. [欧洲关于慢性心力衰竭伴射血分数降低的管理建议]。
Revue medicale de Liege Pub Date : 2023-09-01
Sophie Ribeiro Coelho, Arnaud Ancion, Mai-Linh Nguyen-Trung, Patrizio Lancellotti
{"title":"[European recommendations concerning the management of chronic heart failure with reduced ejection fraction].","authors":"Sophie Ribeiro Coelho,&nbsp;Arnaud Ancion,&nbsp;Mai-Linh Nguyen-Trung,&nbsp;Patrizio Lancellotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Heart failure remains, despite increasing therapeutic advances, a major burden in terms of public health. It is associated with a significant mortality and dramatically impacts the daily life of these patients with, among other things, repeated and prolonged hospitalizations. This article aims to focus on the therapeutic modalities for the management of patients with heart failure and reduced ejection fraction (HFrEF) recommended by the European Society of Cardiology. A significant change is taking place in pharmacological treatment following the discovery of new drug classes.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"496-502"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284873","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}
引用次数: 0
[Acute mitral insufficiency revealed by unilateral Flash Pulmonary Edema]. [单侧闪发性肺水肿显示急性二尖瓣功能不全]。
Revue medicale de Liege Pub Date : 2023-09-01
Anne-Lise Grandfils, François Stifkens
{"title":"[Acute mitral insufficiency revealed by unilateral Flash Pulmonary Edema].","authors":"Anne-Lise Grandfils,&nbsp;François Stifkens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Flash pulmonary edema (2 % of FPE cases) is observed in 25 % of cases of acute mitral insufficiency. This clinical disorder is often mistaken for infectious pneumonitis and treated as such, with as consequence an increased mortality of these patients. The diagnosis of acute mitral insufficiency is therefore essential for the optimal management of these patients. The etiologies of mitral insufficiency can be of primary or secondary origin. Cardiac ultrasound (trans-thoracic and trans-esophageal) represent the key to the diagnosis of acute mitral insufficiency and to ensure an adapted management. It consists initially in stabilizing the patient's condition (which may be critical) via pharmacological treatments and/or mechanical support. Once stabilized, the patient can benefit from a definitive treatment of the mitral insufficiency either via valve repair (plasty) or its complete replacement.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"461-463"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10277383","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}
引用次数: 0
[Enhanced recovery after surgery of the elderly in colorectal surgery]. 【促进老年人结直肠手术术后恢复】。
Revue medicale de Liege Pub Date : 2023-09-01
Isaline Henrotte, Gabriel Thierry
{"title":"[Enhanced recovery after surgery of the elderly in colorectal surgery].","authors":"Isaline Henrotte,&nbsp;Gabriel Thierry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The concept of enhanced recovery in colorectal surgery is a multimodal and multidisciplinary programme aiming at reducing surgical stress through optimization of patient care in the pre-, intra-, and postoperative periods. It allows to reduce postoperative morbidity and the duration of the hospital stay. We describe the case of an elderly patient with multiple comorbidities who was scheduled for a sigmoidectomy in an enhanced rehabilitation programme, and emphasize the interest and specificity of such a rehabilitation protocol for the elderly.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"464-468"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284872","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}
引用次数: 0
[Long COVID, diagnosis and management : a survey among general practitioners in the Bas Rhin in France]. [长冠、诊断和管理:对法国下莱茵全科医生的调查]。
Revue medicale de Liege Pub Date : 2023-09-01
Nicolas Ambiehl, Clement Ambiehl, Léa Docquier, Xavier Jannot, Noel Lorenzo-Villalba
{"title":"[Long COVID, diagnosis and management : a survey among general practitioners in the Bas Rhin in France].","authors":"Nicolas Ambiehl,&nbsp;Clement Ambiehl,&nbsp;Léa Docquier,&nbsp;Xavier Jannot,&nbsp;Noel Lorenzo-Villalba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The long COVID includes non-specific symptoms affecting patients of all ages.</p><p><strong>Methods: </strong>Monocentric, prospective, quantitative and descriptive study interested in comparing the knowledge of general practitioners in Alsace (France) with the positioning and recommendations of the World Health Organisation (WHO) on long COVID in the period November 2022-February 2023. A multiple-choice questionnaire was elaborated based on the WHO positioning and recommendations on the long COVID.</p><p><strong>Results: </strong>126 questionnaires were received, 65 (51.6 %) women, 42 % aged between 25-35 years. 84.9 % had knowledge about long COVID. The need for an impact on daily life, unexplained symptomatology and symptoms persisting at two months were criteria retained (84.9 %, 91.3 % and 82.5 %, respectively). A history of anxiety disorders (86.5 %) and severe acute forms of COVID-19 (57.9 %) were considered as risk factors. Fatigue, dyspnea, joint pain, headache and cough were associated with long COVID in 65.9 % of responders. About 74,6 % performed a complete blood test, 96.03 % recommended rehabilitation, 76.2 % referred to the pulmonologist and 71.4 % were in favour of a consensus document.</p><p><strong>Conclusions: </strong>General practitioners are aware of the existence of long COVID as a pathology and agree with the recommendations of scientific societies, among which those of WHO. However, this study has some limitations so that this topic deserves further dedicated investigations.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"469-475"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284874","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}
引用次数: 0
[Cannabis use in adolescence : which consequences in adulthood ?] [青少年吸食大麻:成年后有什么后果?]
Revue medicale de Liege Pub Date : 2023-09-01
Delphine Mendola, François Monville
{"title":"[Cannabis use in adolescence : which consequences in adulthood ?]","authors":"Delphine Mendola,&nbsp;François Monville","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cannabis is widely used in Belgium and around the world. Even though this substance is increasingly publicized, and even legalized in some countries, its use is not without consequences. The impact of this drug on health (both physical and mental health), fulfillment or even personal achievements depends in fact on each individual. In addition, the age at which consumption begins as well as the consumed quantity are determining factors. The purpose of this article is to make the reader aware of the bio-medico-psycho-social repercussions of cannabis consumption initiated in adolescence.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 9","pages":"484-489"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284875","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}
引用次数: 0
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