Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique最新文献

{"title":"Évaluation isocinétique, fonctionnelle et proprioceptive du footballeur à deux ans postopératoire de la reconstruction du ligament croisé antérieur du genou","authors":"A. Ben Moussa Zouita ,&nbsp;S. Zouita ,&nbsp;C. Dziri ,&nbsp;F.Z. Ben Salah ,&nbsp;K. Zehi","doi":"10.1016/j.annrmp.2008.02.002","DOIUrl":"10.1016/j.annrmp.2008.02.002","url":null,"abstract":"<div><p>Injuries to the anterior cruciate ligament (ACL) of the knee are common in sport and are treated routinely in the world of sports medicine. In order to resume competitive sport in safety, it is important to know the actual level of performance achieved by the operated leg some time after the ligament repair.</p></div><div><h3>Objectives</h3><p>The objective of this work was to evaluate the recovery of the operated leg in Tunisian sportsmen two years after surgery by using isokinetic testing (60°<!--> <!-->s^–1), the one-leg hop distance test (i.e. a functional activity that one often finds in sport) and proprioceptive assessment. A secondary objective was to detect any possible correlations between the various outcomes.</p></div><div><h3>Materials and method</h3><p>The ACL group was composed of 26 top-level Tunisian footballers having undergone ACL ligament repair. Two years after surgery, the following assessments were performed: an isokinetic test with an angular velocity of 60°<!--> <!-->s^–1, a proprioceptive assessment in both active and passive modes and the functional one-leg hop distance test.</p></div><div><h3>Results</h3><p>Our investigations confirmed a muscle deficit of 16% in the hamstring muscles of the injured leg. In both active and passive modes, normal proprioception is observed at a flexion of 60° and in total extension but not in a mid-way position. The performance level of the operated leg (in terms of distance) had an average symmetry value of 93.40<!--> <!-->±<!--> <!-->2.7%.</p></div><div><h3>Conclusion</h3><p>Playing football appears to influence the isokinetic strength profile in sportsmen after ACL repair. The repair procedure leads to bilateral proprioceptive disruption at 15° of knee flexion, on average.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27392430","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":"Efficacité à court- et moyen terme d’un programme d’école du dos. Étude de cohorte rétrospective réalisée sur 328 lombalgiques chroniques de 1997 à 2004","authors":"M. Maurice ,&nbsp;A. Blanchard-Dauphin ,&nbsp;P. Laurent ,&nbsp;A. Thevenon ,&nbsp;V. Tiffreau","doi":"10.1016/j.annrmp.2008.03.002","DOIUrl":"10.1016/j.annrmp.2008.03.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess the short- and midterm effects of a back school programme on patients with chronic low back pain. To determine positive factors to the effectiveness of back school.</p></div><div><h3>Methods</h3><p>A retrospective cohort study about 328 chronic low back pain patients who participated to back school from 1997 to 2004. One hundred and thirty-two patients had comparative study at six months. The descriptive study used the “before and after” method. Logistic regression analysis was performed to evaluate factors statistically associated with improvement of pain and functional, social and occupational status.</p></div><div><h3>Results</h3><p>The six months results showed effectiveness of back school on pain and functional status. The impact on quality of life was low. It made reduction of the period of sick leave but not recurrence of them. Predictors to effectiveness of back school were identified: to be young and to have regular physical activity. To be anxious, overweight and to receive worker's compensation were devafourable factors to effectiveness of back school.</p></div><div><h3>Conclusion</h3><p>Even if the number of lost to follow up is high, these results are encouraging. A long-term follow-up is necessary to confirm the initial benefits of back school. We although have to assess the role of physical activity in mid-term effectiveness of this back school.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27430249","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":"Muscle assessment in healthy teenagers","authors":"J.-C. Bernard,&nbsp;R. Bard,&nbsp;A. Pujol,&nbsp;A. Combey,&nbsp;D. Boussard,&nbsp;C. Begue,&nbsp;A.M. Salghetti","doi":"10.1016/j.annrmp.2008.03.010","DOIUrl":"10.1016/j.annrmp.2008.03.010","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe muscle parameters in healthy teenagers and compare them to teenagers with chronic low back pain.</p></div><div><h3>Methods</h3><p>A comparative study of 276 control teenagers and 51 teenagers with chronic low back pain (CLBP), benefiting from a specific treatment, 14.5 years average age. The control group is made up of teenagers without back pain and teenagers who reported some back pain when we asked them, but without specific treatment. The results to four static tests assessing trunk flexors, trunk extensors, hip extensors and quadriceps endurance are statistically compared. In the control group, associations between different clinical measures and possible back pain are looked for.</p></div><div><h3>Results</h3><p>The two groups are homogeneous, concerning age, weight, standing height, sitting height and BMI (<em>p</em> <!-->&gt;<!--> <!-->0,05). Low back pain is more common in girls, either in the control group (<em>n</em> <!-->=<!--> <!-->48; 69% of girls) or in the group with CLBP (<em>n</em> <!-->=<!--> <!-->51; 78%). CLBP is associated with a poor endurance strength of the trunk extensors (median: 2<!--> <!-->min 31<!--> <!-->s in the control group to 1<!--> <!-->min 45<!--> <!-->s in the CLBP), with hip extensors weakness (median: 2<!--> <!-->min 20<!--> <!-->s in the control group to 1<!--> <!-->min 24<!--> <!-->s in the CLBP), and with quadriceps weakness (median: 2<!--> <!-->min 39<!--> <!-->s in the control group to 1<!--> <!-->min 20<!--> <!-->s in the CLBP), (<em>p</em> <!-->=<!--> <!-->0.000). No significant difference was found between trunk flexors endurance in the two groups (median: 2<!--> <!-->min 11<!--> <!-->s in the control group to 2<!--> <!-->min 13<!--> <!-->s in the CLBP). In the control group, 48 teenagers reported back pain “often”, “very often” or “all the time”; no links were found between pain and muscle flexibility, measured with finger-floor distance, heel-cheek distance, and popliteal angle. Only the sitting height was found statistically higher (<em>p</em> <!-->=<!--> <!-->0.003) in the control teenagers who reported back pain (87<!--> <!-->cm) related to the ones who have no pain (85<!--> <!-->cm). Sport influences global strength in lower limbs and changes the ratio of quadriceps to hip extensors, in favour of quadriceps. Neither pain nor the ratio of trunk flexors to trunk extensors are modified by sport. There is a linear relation between Shirado's and Sorensen's logarithmic values: it is consequently possible to predict the Shirado value when we have the Sorensen one. Trunk extensors, hip extensors and quadriceps endurance is lower in the CLBP group, 14.5 years of age.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.03.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27482615","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":"Polyarthrite rhumatoide : Aspects therapeutiques hors medicaments et chirurgie - aspects médico-sociaux et organisationnels Mars 2007","authors":"","doi":"10.1016/j.annrmp.2008.04.002","DOIUrl":"https://doi.org/10.1016/j.annrmp.2008.04.002","url":null,"abstract":"","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137349791","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":"Capsulite rétractile de hanche : à propos de trois cas","authors":"R. Joassin ,&nbsp;M. Vandemeulebroucke ,&nbsp;J.-F. Nisolle ,&nbsp;P.H. Hanson ,&nbsp;T. Deltombe","doi":"10.1016/j.annrmp.2008.03.007","DOIUrl":"10.1016/j.annrmp.2008.03.007","url":null,"abstract":"<div><h3>Objectif</h3><p>Revue de la littérature concernant la capsulite rétractile de hanche à partir de trois cas cliniques.</p></div><div><h3>Méthode</h3><p>À partir de trois cas cliniques, décrire la démarche diagnostique et la prise en charge thérapeutique.</p></div><div><h3>Discussion</h3><p>La capsulite de hanche, pathologie rare mais probablement sous-estimée touche préférentiellement les femmes d’âge moyen. L’examen clinique objective une limitation douloureuse de la mobilité articulaire de la hanche. Le diagnostic est confirmé par la réalisation d’une arthrographie qui démontre une capacité articulaire inférieure à 12<!--> <!-->ml. L’arthrose et le syndrome douloureux régional complexe de type 1 sont les deux principaux diagnostics différentiels. Le traitement médical ou chirurgical est proposé en fonction de l’étiologie. La rééducation est fondamentale pour limiter les déficiences et incapacités fonctionnelles résiduelles.</p></div><div><h3>Conclusion</h3><p>Peu décrite dans la littérature, la capsulite rétractile de hanche n’est cependant pas une rareté clinique. Fréquemment idiopathique, elle peut aussi être associée à une pathologie articulaire. Le traitement de base consiste en l’association d’injection intra-articulaire de corticoïde dépôt et d’une prise en charge en rééducation. Arthroscopie et mobilisation sous anesthésie sont utiles pour les cas récalcitrants.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.03.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54252724","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":"Évaluation musculaire de l’adolescent sain. Comparaison avec une population d’adolescents lombalgiques","authors":"J.-C. Bernard,&nbsp;R. Bard,&nbsp;A. Pujol,&nbsp;A. Combey,&nbsp;D. Boussard,&nbsp;C. Begue,&nbsp;A.-M. Salghetti","doi":"10.1016/j.annrmp.2008.03.009","DOIUrl":"10.1016/j.annrmp.2008.03.009","url":null,"abstract":"<div><h3>Objectifs</h3><p>Décrire les paramètres musculaires d’une population d’adolescents sains puis les comparer à une population d’adolescents lombalgiques.</p></div><div><h3>Méthode</h3><p>Étude comparative entre une population témoin de 276 adolescents et une population de 51 adolescents lombalgiques traités spécifiquement, de 14,5 ans de moyenne d’âge. La population témoin regroupe des adolescents sans douleur rachidienne et des adolescents signalant des rachialgies à l’interrogatoire, mais sans prise en charge spécifique. Les résultats de quatre tests statiques mesurant l’endurance des abdominaux, des spinaux, des fessiers et des quadriceps sont comparés statistiquement. Des corrélations sont recherchées entre différents paramètres cliniques et la présence ou l’absence de douleur rachidienne dans notre population témoin.</p></div><div><h3>Résultats</h3><p>Nos deux populations sont homogènes en terme d’âge, de poids, de taille debout, de taille assise et d’indice de masse corporelle (IMC) (<em>p</em> <!-->&gt;<!--> <!-->0,05). La lombalgie prédomine chez la fille que ce soit au sein de notre population témoin (<em>n</em> <!-->=<!--> <!-->48 ; 69 % de filles) ou au sein de notre population de lombalgiques (<em>n</em> <!-->=<!--> <!-->51 ; 78 %). La lombalgie est associée à une endurance faible des muscles spinaux (médiane : deux minutes 31<!--> <!-->secondes témoins pour une minute 45<!--> <!-->secondes lombalgiques), des muscles fessiers (médiane : deux minutes 20<!--> <!-->secondes témoins pour une minute 24<!--> <!-->secondes lombalgiques), et des quadriceps (médiane : deux minutes 39<!--> <!-->secondes témoins pour une minute 20<!--> <!-->secondes lombalgiques), (<em>p</em> <!-->=<!--> <!-->0,000). On ne retrouve pas de différence significative entre la valeur des témoins et celle des lombalgiques pour les abdominaux (médiane : deux minutes 11<!--> <!-->secondes témoins pour deux minutes 13<!--> <!-->secondes lombalgiques). Concernant la population témoin : nous avons trouvé 48 adolescents rapportant des douleurs rachidiennes « souvent », « très souvent » ou « tout le temps » ; nous n’avons pas retrouvé de corrélation entre l’extensibilité musculaire mesurée par la distance doigts-sol, talon-fesse, angle poplité et la douleur. Seule la taille assise est significativement plus grande (<em>p</em> <!-->=<!--> <!-->0,003) pour les témoins douloureux (87<!--> <!-->cm) par rapport aux non douloureux (85<!--> <!-->cm). La pratique du sport influence la force globale des membres inférieurs et modifie le ratio quadriceps sur fessiers au bénéfice des quadriceps. La douleur ainsi que les ratios abdominaux sur spinaux ne sont pas influencés par la pratique sportive. Il existe une relation linéaire entre les valeurs logarithmiques du Shirado et du Sorensen : il est donc possible de prédire la valeur du Shirado en fonction de la valeur de Sorensen.</p></div><div><h3>Conclusion</h3><p>L’endurance des muscles spinaux, fessiers et quadriceps est diminué","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.03.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54252803","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":"Intérêt d’une mobilisation très précoce après la pose d’une prothèse totale de hanche ? Élaboration de recommandations françaises pour la pratique clinique","authors":"P. Froehlig ,&nbsp;S. Le Mouel ,&nbsp;E. Coudeyre ,&nbsp;M. Revel ,&nbsp;F. Rannou","doi":"10.1016/j.annrmp.2008.01.011","DOIUrl":"10.1016/j.annrmp.2008.01.011","url":null,"abstract":"<div><h3>Aims</h3><p>To develop clinical practice guidelines for early mobilisation after total hip replacement (THR).</p></div><div><h3>Method</h3><p>We used the French Society of Physical and Rehabilitation Medicine (Sofmer) methodology, which associates a systematic review of the literature, the collection of information regarding current clinical practice and external review by a multidisciplinary expert panel.</p></div><div><h3>Results</h3><p>Recommending early mobilisation after THR is not established by a review of the literature. A survey of French clinical practice allows for recommending early mobilisation in the context of complex hip issues. Trials with good methodology must be developed to evaluate the interest of early functional mobilisation corresponding to when patients first stand and take their first steps after surgery. These trials should focus mainly on the final pain, functional status, and reduction of handicap.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.01.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27368180","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":"Étude comparative de la dyspraxie : évaluation neuropsychologique d’enfants porteurs d’une dyspraxie développementale ou consécutive à la prématurité","authors":"V. Barray ,&nbsp;A. Picard ,&nbsp;V. Camos","doi":"10.1016/j.annrmp.2008.01.004","DOIUrl":"10.1016/j.annrmp.2008.01.004","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of the present study was to compare and contrast developmental dyspraxia and dyspraxia following preterm birth.</p></div><div><h3>Material</h3><p>Three different domains (attention–executive function, sensorimotor and visuospatial functions) were evaluated using Nepsy battery tests and the Purdue pegboard test.</p></div><div><h3>Method</h3><p>The results of a neuropsychological evaluation of 32 children with developmental dyspraxia (the DVLT group) were compared with those of 16 children with dyspraxia following preterm birth (the AP group). The population inclusion and exclusion criteria were set according to Gérard's (Gérard C-L. Le concept de dyspraxie. In: Gérard C-L, Brun V, editors. Les dyspraxies de l’enfant. Paris: Masson; 2005. p. 15–24.) definition of dyspraxia.</p></div><div><h3>Results</h3><p>The two groups had similar visuospatial performance. However, differences between the DVLT and AP children appeared in a test of attention–executive function (visual attention, specifically) and in some sensorimotor tests, with better performance by the DVLT group in all situations.</p></div><div><h3>Conclusion</h3><p>The difficulties exhibited by preterm-born children (poor upper limb motor control, more severe dyspraxia and the presence of oculomotor impairments) could explain the latter's poor performance relative to children with developmental dyspraxia. Indeed, oculomotor impairments are especially likely to impair performance in visual attention and visuomotor accurary tests — the two situations in which preterm-born children performed worse.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27368181","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":"Les muscles de l’amputé tibial","authors":"N. Fraisse ,&nbsp;N. Martinet ,&nbsp;T.-J. Kpadonou ,&nbsp;J. Paysant ,&nbsp;A. Blum ,&nbsp;J.-M. André","doi":"10.1016/j.annrmp.2008.01.012","DOIUrl":"10.1016/j.annrmp.2008.01.012","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this article is to review anatomical, histological and physiological muscle changes following below-knee amputation.</p></div><div><h3>Materials and Methods</h3><p>We searched the PubMed and Reedoc databases for studies evaluating modifications of the below-knee stump and changes over time in its anatomy, volume and histology. We also looked at postamputation modifications in gait and balance.</p></div><div><h3>Results</h3><p>Below-knee amputees show muscular atrophy on both the amputated side and nonamputated side, with fewer and smaller muscle fibres (particularly slow-twitch fibres). This amyotrophy varies in magnitude and distribution and can reach about 25% for the quadriceps (predominantly on the medial side), but is nonsignificant for the hamstrings. This amyotrophy results from the anatomical consequences of the surgical act. The loss of one or more of a muscle's insertions or reimplantation into a nonphysiological site prompts greater atrophy. Changes in muscle activation patterns also lead to atrophy. The hamstrings replace the triceps as the main muscles for propulsion and the remaining stump muscles contract so as to ensure a good fit with the prosthesis. The below-knee amputee must adapt to a new muscular state: gait symmetry is altered, energy expenditure for walking is higher and training is needed in order to achieve optimal balance control.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.01.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27338336","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":"Médecine physique et de réadaptation et cancérologie : réflexion éthique à partir de cas cliniques","authors":"I. Fayolle-Minon,&nbsp;A. Condemine,&nbsp;V. Phaner,&nbsp;P. Calmels","doi":"10.1016/j.annrmp.2008.01.008","DOIUrl":"10.1016/j.annrmp.2008.01.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Physical medicine and rehabilitation (PMR) can involve the care of cancer patients requiring rehabilitation for associated deficiencies. In this case, rehabilitation methods may differ due to the evolutive nature of the disease.</p></div><div><h3>Objective</h3><p>To reflect on this aspect of PMR based on real cases.</p></div><div><h3>Method</h3><p>Cases study of patients hospitalised in the PMR unit for neurological rehabilitation and diagnosed with cancer.</p></div><div><h3>Results</h3><p>Twenty-four recorded cases (1998–2006); four cases are described because of difficult problems; in only seven cases the coexisting cancer had no impact on the rehabilitation process.</p></div><div><h3>Discussion and Conclusion</h3><p>Supportive care for patients with a bad vital prognosis differs from standard rehabilitation and raises therapeutic and relational issues not commonly faced in PMR. Responses when confronted with a terminal disease are not the same as when confronted with a handicap. The role of the rehabilitation team is brought into question when functionality is of secondary importance. The response to physical pain is different in rehabilitation and often implies a behavioural approach, which requires the commitment of the patient to therapeutic programmes. We do not find this approach in oncology and the treatment of pain uses first some drugs. Supportive care of these patients requires a close working relationship with the oncology unit. Thus, a different approach must be taken to rehabilitation. It should always take into account the evolutive nature of cancer, which can undermine the patient's functions or setback the patient's recovery. It also requires the support of a care team, which is fully prepared for these setbacks.</p></div>","PeriodicalId":72206,"journal":{"name":"Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.01.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27332548","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}