Activité physique basée sur la marche pendant et après la réadaptation post-AVC PDF Download

Author: Natacha Bourget
Publisher:
ISBN:
Category :
Languages : fr
Pages : 82

View

Book Description
Problématique : Considérant le rôle de l'activité physique dans la récupération fonctionnelle et le maintien de l'autonomie après un accident vasculaire cérébral (AVC), plusieurs études ont souligné la nécessité de développer des approches favorisant la pratique de celle-ci chez les personnes ayant subi un AVC. Il apparait toutefois que l'évolution du niveau d'activité physique pendant la trajectoire de réadaptation post-AVC n'est pas optimale. Plusieurs études récentes rapportent que les personnes ayant subi un AVC présentent un faible niveau d'activité physique. Objectif : Caractériser l'évolution du niveau d'activité physique basée sur la marche chez les patients victimes d'un AVC et explorer les variables qui influencent sa pratique. Méthodologie : Il s'agit d'une étude descriptive corrélationnelle comportant deux temps de mesure, soit lorsque les participants sont éligibles à l'étude (temps 1) et lors de leur congé de réadaptation fonctionnelle intensive en institution (temps 2). Les données ont été recueillies auprès d'un échantillon de 8 participants ayant subi un AVC et étant admis à l'IRDPQ. Dans le cadre de l'objectif 1, des tests de Wilcoxon ont été réalisés afin de déterminer l'évolution du niveau d'activité physique basée sur la marche lors de la réadaptation intensive en institution. Pour répondre à l'objectif 2, des corrélations de Spearman ont été utilisées pour déterminer la relation entre les différentes variables (endurance à la marche, vitesse de marche confortable, équilibre, endurance cardiorespiratoire, indépendance fonctionnelle et auto-efficacité) et le niveau d'activité physique basée sur la marche après un AVC (nombre de pas/jour et temps actif). Résultats/conclusion : À l'exception du nombre de pas et du temps actif, toutes les variables ont démontré une amélioration significative lors de la réadaptation intensive en établissement. Bien qu'aucune corrélation ne se soit avérée significative, c'est l'âge qui semble le plus lié au temps actif (r=0,57 ; p=0,14) et au nombre de pas (r=0,43 ; p=0,29) au temps 1. Au temps 2, c'est l'équilibre qui semble le plus lié au nombre de pas (r=0,66 ; p=0,08) et au temps actif (r=0,51 p=0,20). Beaucoup d'éducation et de sensibilisation restent à faire afin que les gens soient plus actifs au quotidien et cumulent un plus grand nombre de pas.

Author: Emma Bisson
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

View

Book Description
Contexte : L'Accident Vasculaire Cérébral (AVC) est défini comme l'interruption de la circulation sanguine dans le cerveau. Il représente la première cause de handicap acquis dans le champ neurologique. La marche et l'équilibre sont deux paramètres indispensables de la vie quotidienne qui seront affectés à la suite de cet accident. La Double Tâche (DT) est fréquemment utilisée dans la rééducation des pathologies neurologiques et permet l'exécution de deux tâches simultanées retrouvées dans le quotidien du patient. L'association de la marche et de l'équilibre avec une tâche simultanée pourrait être envisagée de manière préparer, au mieux, le retour à domicile du patient. Objectif : Ce travail a pour but d'évaluer, grâce à la littérature, l'impact de la DT dans la rééducation de la marche et de l'équilibre chez le patient après un AVC. Méthode : Une Revue Systématique de la Littérature a été réalisé. Une recherche scientifique d'études contrôlées randomisées a été entreprise sur 3 bases de données (PubMed, Scopus et Cochrane). Résultats : Quinze articles ont été retenus, 535 participants ont été recensés. Cette revue montre l'amélioration globale de la capacité de marche et d'équilibre. L'effet bénéfique de l'entrainement à la DT est notamment remarqué sur les paramètres de vitesse et cadence de marche ainsi que sur le score de Berg (BBS). Conclusion : L'entrainement par la DT semble être intéressant dans la rééducation de la marche et de l'équilibre post- AVC. Il permettra de stimuler les activités fonctionnelles du patient en y associant une activité quotidienne cognitive ou motrice. Des études supplémentaires restent à envisager pour établir un protocole uniforme avec de plus grands échantillons.

Author: Christopher H. Hawkes
Publisher: Cambridge University Press
ISBN: 052113062X
Category : Medical
Languages : en
Pages : 445

View

Book Description
This is a comprehensive and unique text that details the latest research on smell and taste disorders for use by clinicians and scientists.

Author: Yasser Khazaal
Publisher: Frontiers Media SA
ISBN: 2889454967
Category : Video games in education
Languages : en
Pages : 311

View

Book Description
Recent years have seen important developments in the computer and game industry, including the emergence of the concept of serious games. It is hypothesized that tools such as games, virtual reality, or applications for smartphones may foster learning, enhance motivation, promote behavioral change, support psychotherapy, favor empowerment, and improve some cognitive functions. Computers and games may create supports for training or help people with cognitive, emotional, or behavioral change. Games take various formats, from board games to informatics to games with interactive rules of play. Similarly, computer tools may vary widely in format, from self-help or assisted computerized training to virtual reality or applications for smartphones. Some tools that may be helpful for mental health were specifically designed for that goal, whereas others were not. Gamification of computer-related products and games with a numeric format tend to reduce the gap between games and computers tools and increase the conceptual synergy in such fields. Games and computer design share an opportunity for creativity and innovation to help create, specifically design, and assess preventive or therapeutic tools. Computers and games share a design conception that allows innovative approaches to overcome barriers of the real world by creating their own rules. Yet, despite the potential interest in such tools to improve treatment of mental disorders and to help prevent them, the field remains understudied and information is under-disseminated in clinical practice. Some studies have shown, however, that there is potential interest and acceptability of tools that support various vehicles, rationales, objectives, and formats. These tools include traditional games (e.g., chess games), popular electronic games, board games, computer-based interventions specifically designed for psychotherapy or cognitive training, virtual reality, apps for smartphones, and so forth. Computers and games may offer a true opportunity to develop, assess, and disseminate new prevention and treatment tools for mental health and well-being. Currently, there is a strong need for state-of-the-art information to answer questions such as the following: Why develop such tools for mental health and well-being? What are the potential additions to traditional treatments? What are the best strategies or formats to improve the possible impact of these tools? Are such tools useful as a first treatment step? What is the potential of a hybrid model of care that combines traditional approaches with games and/or computers as tools? What games and applications have already been designed and studied? What is the evidence from previous studies? How can such tools be successfully designed for mental health and well-being? What is rewarding or attractive for patients in using such treatments? What are the worldwide developments in the field? Are some protocols under development? What are the barriers and challenges related to such developments? How can these tools be assessed, and how can the way that they work, and for whom, be measured? Are the potential benefits of such products specific, or can these additions be attributed to nonspecific factors? What are the users’ views on such tools? What are the possible links between such tools and social networks? Is there a gap between evidence-based results and market development? Are there any quality challenges? What future developments and studies are needed in the field?

Author: Michael P. Barnes
Publisher: Cambridge University Press
ISBN: 9780521105149
Category : Medical
Languages : en
Pages : 0

View

Book Description
One third of people after stroke, having survived the first few weeks, return home with significant residual disability, and can therefore benefit from an active, multidisciplinary rehabilitation programme. This is a comprehensive guide to rehabilitation after stroke, in which leading international authorities set out the basic neuroscientific principles that underlie brain recovery, including chapters on neural plasticity and neural imaging, and describe appropriate rehabilitation strategies for the many different functional problems that can arise after stroke. These include movement disorders, sensory loss, dysphagia and dysarthria, problems with continence and secual difficulties, and cognitive disorders. Also covered are measurement of disability and quality of life, assistive technology and vocational rehabilitation. It is therefore an essential handbook and reference for all members of the multidisciplinary stroke rehabilitation team, including medical personnel, therapists, clinical neuropsychologists and rehabilitation nurses.

Author: Elizabeth Anne Kinsella
Publisher: Springer Science & Business Media
ISBN: 9460917313
Category : Education
Languages : en
Pages : 181

View

Book Description
Phronesis is the Aristotelian notion of practical wisdom. In this collected series, phronesis is explored as an alternate way of considering professional knowledge. In the present context dominated by technical rationalities and instrumentalist approaches, a re-examination of the concept of phronesis offers a fundamental re-visioning of the educational aims in professional schools and continuing professional education programs. This book originated from a conversation amongst an interdisciplinary group of scholars from education, health, philosophy, and sociology, who share concerns that something of fundamental importance – of moral signi?cance – is missing from the vision of what it means to be a professional. The contributors consider the ways in which phronesis offers a generative possibility for reconsidering the professional knowledge of practitioners. The question at the centre of this inquiry is: “If we take phronesis seriously as an organising framework for professional knowledge, what are the implications for professional education and practice?” A multiplicity of understandings emerge as to what is meant by phronesis and how it might be reinterpreted, understood, applied, and extended in a world radically different to that of the progenitor of the term, Aristotle. For those concerned with professional life this is a conversation not to be missed.

Author: Eric Topol
Publisher: Basic Books
ISBN: 0465094473
Category : Medical
Languages : en
Pages : 386

View

Book Description
The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

Author: Marvin J. Fine
Publisher:
ISBN:
Category : Family & Relationships
Languages : en
Pages : 376

View

Book Description

Author: Jean-Michel Gracies
Publisher: Springer
ISBN: 9783319291079
Category : Medical
Languages : en
Pages : 0

View

Book Description
This book is an informative guide for both the patient and therapist, and provides a series of exercises that target the most important muscles for those with spastic paresis. Actively practicing the exercises prescribed in this self-rehabilitation manual will allow the patient to see continued improvement in their muscle functioning. Spastic paresis is the consequence of a central nervous system disorder such as a stroke, traumatic brain or spinal cord injury, multiple sclerosis, or a tumor of the nervous system, conditions that may have occurred in childhood or adulthood. In spastic paresis two problems coexist: the word 'paresis' means that when the brain sends a command to a muscle to contract, this order is incompletely received by the muscle; the word 'spastic' indicates that at the same time muscles cannot relax normally and have a tendency to be spontaneously overactive. A daily program of prolonged stretching and an intensive motor training program using unassisted large amplitude rapid alternating movements is recommended to gradually increase brain command effectiveness.

Author: Theo Fleury
Publisher:
ISBN: 9781771410717
Category : Family & Relationships
Languages : en
Pages : 0

View

Book Description
Following the release of his mind-blowing first book, Playing with Fire, Theo Fleury joins forces with world-renowned therapist Kim Barthel in a new book, Conversations with a Rattlesnake, coming out November 2014. The book is a raw and honest conversation, loaded with personal insights and cutting-edge information about healing from trauma and abuse. Fleury calls Barthel the "Wayne Gretzky of therapy" and within their emotionally safe relationship he bares his soul so that others can learn from his mistakes, triumphs and new learnings. Fleury's story will inspire not only those overcoming their own trauma but friends, parents, teachers, coaches, therapists and health practitioners--anyone who is in the critical position of supporting someone who needs to share their own story. Co-author Kim Barthel provides an in-depth explanation of early childhood attachment and addiction that ties into the reasoning behind our behaviours and the science of how our brains work. Barthel explains how understanding groundbreaking scientific and psychological research can eliminate the unnecessary and damaging shame that so often accompanies abuse and trauma. Her dialogue with Fleury illuminates self-awareness, mindfulness and the power of relationships. Fleury's life experiences and Barthel's informed interpretation combine to provide a unique look at the healing process that is easy to read, entertaining and transformational.