{"title":"L’effet de répétition espacée en neuro-rééducation : une stratégie pour optimiser la récupération motrice et cognitive","authors":"R. Tedeschi","doi":"10.1016/j.motcer.2025.01.002","DOIUrl":"10.1016/j.motcer.2025.01.002","url":null,"abstract":"","PeriodicalId":39498,"journal":{"name":"Motricite Cerebrale","volume":"46 1","pages":"Pages 13-15"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600673","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}
E.M. Piedboeuf-Boen , K. Dulieu , K. Afetse Ganyo , P. D’Ans , L. Houx
{"title":"Soins de réadaptation à base communautaire au Sénégal : quand le numérique améliore l’accès et la qualité des services","authors":"E.M. Piedboeuf-Boen , K. Dulieu , K. Afetse Ganyo , P. D’Ans , L. Houx","doi":"10.1016/j.motcer.2025.02.001","DOIUrl":"10.1016/j.motcer.2025.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Evaluation of the implementation of a telerehabilitation for community-based relays (CBR) trained to care for children with cerebral palsy and their family (CP) in Senegal.</div></div><div><h3>Methodology</h3><div>Prospective observational study comparing 2 rehabilitation usual care procedures for children with CP, accompanied by CBR: telesupervision group (TSG) and no telesupervision group (NTSG). The TSG benefited from remote monitoring, via 5 telesupervision sessions, one session every 6 weeks, while the NTSG benefited from the usual CBR monitoring.</div></div><div><h3>Results</h3><div>Thirty-nine children were included in the study, including twenty in the telesupervised group. Mean age 8.44 years, 69% GMFCS V, 72% malnourished and 64% below the poverty line. In both groups, children improved their GMFM score, autonomy and nutritional status. Compared to the initial situation, a significant improvement in dressing function was observed in the TSG (<em>P</em> <!-->=<!--> <!-->0.019). Telesupervision improved the CBR's technical, ethical and communication skills (<em>P</em> <!-->≤<!--> <!-->0.0001), as well as the families theoretical knowledge and body care practice (<em>P</em> <!-->=<!--> <!-->0.002, <em>P</em> <!-->=<!--> <!-->0.008). Telesupervision reduced distances travelled, duration of care and financial costs (<em>P</em> <!-->≤<!--> <!-->0.0001).</div></div><div><h3>Conclusion</h3><div>Telesupervision is a solution to the lack of qualified rehabilitators in Senegal. It reduces costs, improves family involvement and CBR skills. The system is simple, accessible and meets the standards of evidence-based approaches.</div></div>","PeriodicalId":39498,"journal":{"name":"Motricite Cerebrale","volume":"46 1","pages":"Pages 4-12"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600672","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":"Appareillage et paralysie cérébrale : regard d’une patiente experte","authors":"G. Drewnowski","doi":"10.1016/j.motcer.2024.10.003","DOIUrl":"10.1016/j.motcer.2024.10.003","url":null,"abstract":"<div><div>The tailor-made medical apparatus assists people with cerebral palsy throughout their lives and every day. The tailor-made medical apparatus is an element that can help them alongside medical and surgical treatments. The aim of orthopaedic devices is to improve posture and function, and in these areas, assessment and anticipation are essential. However, in addition to its orthopaedic benefits, orthotics also entail several constraints. And it alone cannot treat the consequences of cerebral palsy. That is why it is particularly important for the objectives of the brace to be jointly defined by the patient, his or her family and professionals. The equipment also requires regular readjustments. For all these reasons, <em>Therapeutic Patient Education</em> is an invaluable tool for helping people to live as well as possible with an orthopaedic device.</div></div>","PeriodicalId":39498,"journal":{"name":"Motricite Cerebrale","volume":"45 4","pages":"Pages 119-121"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701592","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":"Qu’est-ce que la douleur ? Définition et neurophysiologie","authors":"P. Le Moine","doi":"10.1016/j.motcer.2024.10.002","DOIUrl":"10.1016/j.motcer.2024.10.002","url":null,"abstract":"<div><div>Pain is an unpleasant sensory or emotional experience. The mechanism that generates pain can be nociceptive, neuropathic or nociplastic. The nociceptive nervous system physiologically protects our body. The painful message produced by mechanical, thermal, or chemical stimulation anywhere in the body travels through the nerves and then the spinal cord. It reaches the brain via two pathways transmitting information differently. After relay to the thalamus, the painful message is integrated at the cortical level according to a matrix system at three levels: information, perception, modulation. Neuropathic pain is caused by a dysfunction of the injured nervous system. The sensations are of particular quality and localized in a territory corresponding to the somatotopy of the nervous system. Nociplastic pain is secondary to a disturbance of the central nervous system which produces mixed sensations in various territories. These are frequently chronic pains whose genesis is complex, affecting the person suffering as a whole. Understanding the physiology of pain and identifying the generating mechanism makes it possible to adapt treatment modalities.</div></div>","PeriodicalId":39498,"journal":{"name":"Motricite Cerebrale","volume":"45 4","pages":"Pages 104-108"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"TEAM & CO : une avancée majeure pour le développement en France des thérapies motrices intensives pour les enfants avec paralysie cérébrale et leurs familles","authors":"","doi":"10.1016/j.motcer.2024.10.001","DOIUrl":"10.1016/j.motcer.2024.10.001","url":null,"abstract":"","PeriodicalId":39498,"journal":{"name":"Motricite Cerebrale","volume":"45 4","pages":"Pages 102-103"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701595","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}