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

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Validation transculturelle de l’Oswestry disability index en français 法语oswestry残疾指数的跨文化验证
D. Vogler , R. Paillex , M. Norberg , P. de Goumoëns , J. Cabri
{"title":"Validation transculturelle de l’Oswestry disability index en français","authors":"D. Vogler ,&nbsp;R. Paillex ,&nbsp;M. Norberg ,&nbsp;P. de Goumoëns ,&nbsp;J. Cabri","doi":"10.1016/j.annrmp.2008.03.006","DOIUrl":"10.1016/j.annrmp.2008.03.006","url":null,"abstract":"<div><h3>Aim</h3><p>The aim of this study was to interpret and validate a French version of the Oswestry disability index (ODI), using a cross-cultural validation method. The validity and reliability of the questionnaire was assessed in order to ensure the psychometric characteristics.</p></div><div><h3>Method</h3><p>The cross-cultural validation was carried out according to Beaton's methodology. The study was conducted with 41 patients suffering from low back pain. The correlation between the ODI and the Roland-Morris disability questionnaire (RMDQ), the medical outcome survey short form-36 (MOS SF-36) and a pain visual analogical scale (VAS) was assessed.</p></div><div><h3>Results</h3><p>The validity of the Oswestry questionnaire was studied using the Cronbach Alpha coefficient calculation: 0.87 (<em>n</em> <!-->=<!--> <!-->36). The significant correlation between the ODI and RMDQ was 0.8 (<em>P</em> <!-->&lt;<!--> <!-->0.001, <em>n</em> <!-->=<!--> <!-->41) and 0.71 (<em>P</em> <!-->&lt;<!--> <!-->0.001, <em>n</em> <!-->=<!--> <!-->36) for the pain VAS. The correlation between the ODI and certain subscales (physical functioning 0.7 (<em>P</em> <!-->&lt;<!--> <!-->0.001, <em>n</em> <!-->=<!--> <!-->41), physical role 0.49 et bodily pain 0.73 (<em>P</em> <!-->&lt;<!--> <!-->0.001, <em>n</em> <!-->=<!--> <!-->41)) of the MOS SF-36 were equally significant. The reproducibility of the ODI was calculated using the Wilcoxon matched pairs test: there was no significant difference for eight out of ten sections or for the final score.</p></div><div><h3>Conclusion</h3><p>This French translation of the ODI should be considered as valid and reliable. It should be used for any future clinical studies carried out using French language patients. Complimentary studies must be completed in order to assess its sensitivity to change in the event of any modifications in the patients functional capacity.</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":"51 5","pages":"Pages 379-385"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27460021","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: 37
Vertebrobasilar ischemia after cervical spine manipulation: A case report 颈椎手法后椎基底动脉缺血1例
D. Tinel , E. Bliznakova , C. Juhel , P. Gallien , R. Brissot
{"title":"Vertebrobasilar ischemia after cervical spine manipulation: A case report","authors":"D. Tinel ,&nbsp;E. Bliznakova ,&nbsp;C. Juhel ,&nbsp;P. Gallien ,&nbsp;R. Brissot","doi":"10.1016/j.annrmp.2008.04.010","DOIUrl":"10.1016/j.annrmp.2008.04.010","url":null,"abstract":"<div><h3>Introduction</h3><p>The most serious accidents after cervical spine manipulation are vertebrobasilar ischemia. Their incidence is underestimated. Their risk of apparition is lower if the contraindications are respected and if they are realised according to suitable practice.</p></div><div><h3>Case report</h3><p>Mrs B, 39 years old, was an active smoker and had migraine for 10 years ago. One day, she presented an unusual headache associated with neck pain that was treated by a cervical spine manipulation. Seven hours after, she developed an alternate syndrome with a right sensory motor defect, a cerebellar syndrome, a pyramidal syndrome and a left defect of cranial nerves. The arteriography showed a thrombosis of the basilar trunk and a dissection of the left vertebral artery. A thrombolysis “in situ” was realized six hours and a half after the onset of the neurological defects. After eight months of rehabilitation, there were still a paralysis of the right upper limb, of the cranial nerves and a cerebellar syndrome but the patient was able to walk with two crutches and can eat by herself.</p></div><div><h3>Discussion</h3><p>Several risk factors were present in this case and there was also a major contraindication to manipulations: unusual acute occipital headache. Given the long period between the onset of neurological symptoms and the confirmation of the diagnosis, intravenous thrombolysis could not be done. Unfortunately, after eight months, important neurological sequelas persisted. In order to avoid this type of accident after cervical manipulations, it is necessary to realize a strict medical examination and to implement the recommendations from the French society of manual and orthopaedic osteopathic medicine (Société française de médecine manuelle orthopédique et ostéopathique [SOFMMOO]).</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":"51 5","pages":"Pages 403-414"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.04.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40520630","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: 20
Caractéristiques des personnes atteintes d’une sclérose en plaques selon la situation professionnelle 多发性硬化症患者的特点根据工作情况
D. Abbas , J.-F. Gehanno , J.-F. Caillard , F. Beuret-Blanquart
{"title":"Caractéristiques des personnes atteintes d’une sclérose en plaques selon la situation professionnelle","authors":"D. Abbas ,&nbsp;J.-F. Gehanno ,&nbsp;J.-F. Caillard ,&nbsp;F. Beuret-Blanquart","doi":"10.1016/j.annrmp.2008.03.004","DOIUrl":"10.1016/j.annrmp.2008.03.004","url":null,"abstract":"<div><h3>Aim</h3><p>To describe the health and professional status of multiple sclerosis patients of working age and to compare a group of patients in work (group T1) with a group of unemployed patients (group T2).</p></div><div><h3>Materials and methods</h3><p>A case-controlled study was performed. In the course of a specific consultation with a neurologist, demographic, medical and professional data were gathering using a questionnaire. Descriptive and comparative statistical analyses were then performed.</p></div><div><h3>Results</h3><p>A total of 76 patients were included in the study: 54 were in work (group T1) and 22 were unemployed (group T2). Hence, the employment rate was 71%, with an average time since disease onset of nine years at the time of the study. Low educational level (<em>p</em> <!-->=<!--> <!-->0.02), disease progression (<em>p</em> <!-->=<!--> <!-->0.0001), the presence of motor symptoms (<em>p</em> <!-->=<!--> <!-->0.01), cerebellar symptoms (<em>p</em> <!-->=<!--> <!-->0.02) or cognitive symptoms (<em>p</em> <!-->=<!--> <!-->0.03), a worse EDSS (<em>p</em> <!-->=<!--> <!-->0.0001) and a job requiring force (<em>p</em> <!-->=<!--> <!-->0.05) or manual dexterity (<em>p</em> <!-->=<!--> <!-->0.05) were found to be negative factors. Employment in the public sector (<em>p</em> <!-->=<!--> <!-->0.003) or large companies (<em>p</em> <!-->=<!--> <!-->0.03) were found to be protective factors. Access to the workplace was better for currently employed patients (<em>p</em> <!-->=<!--> <!-->0.03).</p></div><div><h3>Conclusion</h3><p>This study shows that differences exist within the MS patient population according to the professional situation. It underlines the importance of clinical and demographics variables as determinants of differences in employment status. Not surprisingly, unemployed patients are more likely to have been classified as handicapped workers. Factors linked to work-induced constraints did not emerge from the survey because the questionnaire items were not appropriate for addressing this latter issue.</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":"51 5","pages":"Pages 386-393"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27509199","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: 11
Vers une rééducation cognitive de l’amusie 走向阿穆斯的认知康复
A. Weill-Chounlamountry , L. Soyez-Gayout , C. Tessier , P. Pradat-Diehl
{"title":"Vers une rééducation cognitive de l’amusie","authors":"A. Weill-Chounlamountry ,&nbsp;L. Soyez-Gayout ,&nbsp;C. Tessier ,&nbsp;P. Pradat-Diehl","doi":"10.1016/j.annrmp.2008.03.005","DOIUrl":"10.1016/j.annrmp.2008.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The cognitive model of music processing has a modular architecture with two main pathways (a melody pathway and a time pathway) for processing the musical “message” and thus enabling music recognition. It also features a music-specific module for tonal encoding of pitch which stands apart from all other known cognitive systems (including language processing). To the best of our knowledge, rehabilitation therapy for amusia has not yet been reported.</p></div><div><h3>Objective</h3><p>We developed a therapeutic method (inspired by work on word deafness) in order to determine whether specific rehabilitation based on melody discrimination could prompt the regression of amusia.</p></div><div><h3>Method</h3><p>We report the case of a patient having developed receptive, acquired amusia four years previously. His tone deafness disorder was assessed using the Montreal Battery of Evaluation of Amusia (MBEA), which revealed impairment of the melody pathway but no deficiency in the time pathway. A computer-assisted rehabilitation method was implemented; it used melody discrimination tasks and an errorless learning paradigm with progressively fading visual cues.</p></div><div><h3>Results</h3><p>After therapy, we noted an improvement in the overall MBEA score and its component subscores which could not be explained by spontaneous recovery (in view of the number of years since the neurological accident). The improvement was maintained at seven months post-therapy. Although post-therapy improvement in daily life was not systematically assessed, the patient started listening to his favourite music again.</p></div><div><h3>Conclusion</h3><p>Specific amusia therapy has shown efficacy.</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":"51 5","pages":"Pages 332-341"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27495900","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: 6
Agenda 议程
{"title":"Agenda","authors":"","doi":"10.1016/S0168-6054(08)00132-3","DOIUrl":"https://doi.org/10.1016/S0168-6054(08)00132-3","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":"51 5","pages":"Pages 422-423"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0168-6054(08)00132-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89993199","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}
引用次数: 0
La Sofmer, son actualité et ses perspectives Sofmer,它的现状和前景
J. Pelissier
{"title":"La Sofmer, son actualité et ses perspectives","authors":"J. Pelissier","doi":"10.1016/j.annrmp.2008.04.009","DOIUrl":"10.1016/j.annrmp.2008.04.009","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":"51 5","pages":"Pages 329-331"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.04.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27514924","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
Expérience subjective et travail de handicap : analyse qualitative auprès de 17 patients paraplégiques 主观经验与残疾工作:对17例截瘫患者的定性分析
M. Brouard, P. Antoine, J. Labbe
{"title":"Expérience subjective et travail de handicap : analyse qualitative auprès de 17 patients paraplégiques","authors":"M. Brouard,&nbsp;P. Antoine,&nbsp;J. Labbe","doi":"10.1016/j.annrmp.2008.04.011","DOIUrl":"10.1016/j.annrmp.2008.04.011","url":null,"abstract":"<div><p>This paper presents a phenomenological study illustrative how paraplegia may have a serious debilitating impact on the sufferer's subjective experience. Exploratory interviews were conducted with seventeen patients and the transcripts subjected to qualitative analysis. The interpretative phenomenological analysis points to the powerful ways in which paraplegia has negative impact on patients’ experience and well-being. Some of the participants describe two major approaches of their situation: dimensional (the links between disability and society, others and self) and temporal (the “disability work”). The results section gives a detailed account of these processes at work. The results are then considered in relation to relevant constructs in the literature, including grief work, illness work and identity, adaptation and acceptance.</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":"51 5","pages":"Pages 394-402"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.04.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27495901","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: 1
The value of C-reactive protein for postoperative monitoring of lower limb arthroplasty c反应蛋白在下肢关节置换术后监测中的价值
C. Dupont , J. Rodenbach , E. Flachaire
{"title":"The value of C-reactive protein for postoperative monitoring of lower limb arthroplasty","authors":"C. Dupont ,&nbsp;J. Rodenbach ,&nbsp;E. Flachaire","doi":"10.1016/j.annrmp.2008.01.014","DOIUrl":"10.1016/j.annrmp.2008.01.014","url":null,"abstract":"<div><h3>Objectives</h3><p>Determination of the utility of C-reactive protein (CRP) levels when measured 21 days after hip and knee arthroplasties for early diagnosis of infectious complications.</p></div><div><h3>Method</h3><p>This study was performed in two parts: establishment of a reference curve by measurement of CRP levels once a week in a cohort of 94 patients (50 total hip arthroplasties and 44 total or unicondylar knee arthroplasties); study of the diagnostic value of two different CRP cut-offs (25<!--> <!-->mg/l, the mean CRP level<!--> <!-->and<!--> <!-->two standard deviations; 18<!--> <!-->mg/l, mean<!--> <!-->and<!--> <!-->one standard deviation) at D21 postoperative in a population of 48 patients, of whom 12 presented septic complications (four surgical site infections [SSIs] and eight intercurrent infections).</p></div><div><h3>Results</h3><p>We observed very high interindividual variations in CRP values two weeks after arthroplasty. These variations decreased strongly in the third week postoperative. In the seven patients with a CRP level above 25<!--> <!-->mg/l at D21, there were no false-positives. In the 41 patients with a CRP level below 25<!--> <!-->mg/l at D21, there were five false-negatives and no false-positives. With the CRP threshold set at 18<!--> <!-->mg/l, we observed four false-positives and four false-negatives.</p></div><div><h3>Discussion–conclusion</h3><p>A CRP level threshold of 25<!--> <!-->mg/l is not sufficiently reliable for early detection of postoperative infections (whether at the surgical site or elsewhere), as judged by a sensitivity of 58.3% and a negative predictive value of 87.8%. However, the 25<!--> <!-->mg/l threshold displays first-rate specificity and positive predictive values (both 100%). A CRP threshold at 18<!--> <!-->mg/l is no better because even though it yields slightly a higher sensitivity value (66.7%), it strongly decreases specificity (88.9%). CRP is an important tool for postoperative monitoring but often appears to be difficult to use. The diagnosis of septic complications is based on clinical and paraclinical arguments. Local discharge, fever over 38<!--> <!-->°C and local/persistent pain and stiffness are more informative indicators of postoperative infection.</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":"51 5","pages":"Pages 348-357"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.01.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27494141","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: 38
Le complexe articulaire de l’épaule du nageur de haut niveau 高水平游泳者肩部关节复合体
N. Olivier , G. Quintin , J. Rogez
{"title":"Le complexe articulaire de l’épaule du nageur de haut niveau","authors":"N. Olivier ,&nbsp;G. Quintin ,&nbsp;J. Rogez","doi":"10.1016/j.annrmp.2008.04.005","DOIUrl":"10.1016/j.annrmp.2008.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the shoulder joint complex in high level swimmers. We formulated the assumption that high level swimming weakens this complex, resulting in laxity of the anterior–inferior capsuloligamentous structures with atraumatic anterior instability, impingement with rotator cuff tendonitis and muscle imbalance of the rotator cuff muscles.</p></div><div><h3>Method</h3><p>Two 20-subject groups took part in this study (a group of high level swimmers and a group of sedentary people). The swimmers were all national-level front crawl specialists. The evaluations included clinical examination and isokinetic testing of the shoulder.</p></div><div><h3>Results</h3><p>Isokinetic testing (at 60<!--> <!-->°/s) revealed that the swimmers have an external rotation/internal rotation ratio that is unbalanced (right shoulder: 0.52) and significantly lower than that seen in sedentary subjects (right shoulder: 0.75). Even though swimming is a symmetrical sport, our data confirm that intensive front crawl swimming involves asymmetry, with a stronger shoulder (right shoulder: 61.2<!--> <!-->±<!--> <!-->10.2<!--> <!-->N<!--> <!-->m; left shoulder: 52.8<!--> <!-->±<!--> <!-->9.8<!--> <!-->N<!--> <!-->m). The results of the clinical examination showed that 55% of the swimmers presented scapular protraction and that 35% were positive for mechanical impingement. These clinical elements were not observed in the control group. Laxity of the anterior–inferior capsuloligamentous structures was also noted in 67% of the swimmers.</p></div><div><h3>Conclusion</h3><p>high level swimming ineluctably weakens the shoulder joint complex.</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":"51 5","pages":"Pages 342-347"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27501866","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: 6
The Dijon Physical Activity Score: Reproducibility and correlations with physical fitness in patients with coronary artery disease 第戎体力活动评分:冠状动脉疾病患者身体健康的可重复性和相关性
V. Gremeaux , Y. Lemoine , A. Fargeot , P. D’Athis , J.-C. Beer , Y. Laurent , Y. Cottin , D. Antoine , J.-M. Casillas
{"title":"The Dijon Physical Activity Score: Reproducibility and correlations with physical fitness in patients with coronary artery disease","authors":"V. Gremeaux ,&nbsp;Y. Lemoine ,&nbsp;A. Fargeot ,&nbsp;P. D’Athis ,&nbsp;J.-C. Beer ,&nbsp;Y. Laurent ,&nbsp;Y. Cottin ,&nbsp;D. Antoine ,&nbsp;J.-M. Casillas","doi":"10.1016/j.annrmp.2008.05.003","DOIUrl":"10.1016/j.annrmp.2008.05.003","url":null,"abstract":"<div><h3>Objectives</h3><p>To study the clinimetric properties of the Dijon Physical Activity Score (PAS) in patients with coronary artery disease (CAD).</p></div><div><h3>Patients</h3><p>Two populations of patients with CAD: one group of stabilized patients from the RICO county-wide monitoring program and one group in the initial phase of a cardiovascular rehabilitation program (CVR group).</p></div><div><h3>Methods</h3><p>The patients carried out a maximal effort test on a cycle ergometer, plus two walking tests (a six-minute walk test and a 200<!--> <!-->m fast walk test). They completed the Dijon PAS questionnaire on two occasions at an interval of 10 days. The reproducibility of the score and the latter's correlations with physical parameters were analyzed.</p></div><div><h3>Results</h3><p>Sixty-seven subjects were included and 52 answered the questionnaire both times. The average time spent answering the questionnaire was 173<!--> <!-->±<!--> <!-->37<!--> <!-->seconds and reproducibility was satisfactory in the RICO group only. In this group, there were significant correlations between total score and maximal power during the effort test (<em>r</em> <!-->=<!--> <!-->0.41; <em>P</em> <!-->&lt;<!--> <!-->0.05) and between the “sports/leisure activities” sub-score and maximal power (<em>r</em> <!-->=<!--> <!-->0.57; <em>P</em> <!-->&lt;<!--> <!-->0.01). No correlations were found in the CVR group.</p></div><div><h3>Conclusion</h3><p>The Dijon PAS is a simple, generic, reproducible and reliable score for measuring physical activity in patients with stable coronary artery disease but, because of the conjunction of confounding factors, it is not suitable for subjects who experienced a recent acute cardiac event. It could thus be used in epidemiological studies to determine the impact of a sedentary lifestyle and the efficacy of methods intended to counter sedentariness and to help design personalized secondary prevention programs.</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":"51 5","pages":"Pages 366-378"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.annrmp.2008.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37427608","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: 29
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