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Laffont I, Gelis A, Balva C, Tavares I, Julia M, Pradalier F, Feuvrier F, Benhadid A, Fazilleau S, Masson J, Jourdan C, Dupeyron A, Duflos C. Interruption of outpatient follow-up in physical and rehabilitation medicine: Observational cross-sectional study of deleterious consequences of the first COVID-19 lockdown in France. Ann Phys Rehabil Med 2021; 64:101531. [PMID: 33933693 PMCID: PMC8084630 DOI: 10.1016/j.rehab.2021.101531] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Revised: 03/19/2021] [Accepted: 04/05/2021] [Indexed: 11/30/2022]
Affiliation(s)
- I. Laffont
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France,Euromov, Digital Health in Motion, Montpellier University, Montpellier, France,Corresponding author
| | - A. Gelis
- Physical and rehabilitation medicine department, Propara, Montpellier, France
| | - C. Balva
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France
| | - I. Tavares
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France
| | - M. Julia
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France,Euromov, Digital Health in Motion, Montpellier University, Montpellier, France
| | - F. Pradalier
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France
| | - F. Feuvrier
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France,Euromov, Digital Health in Motion, Montpellier University, Montpellier, France
| | - A. Benhadid
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France
| | - S. Fazilleau
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France
| | - J. Masson
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France
| | - C. Jourdan
- Physical and rehabilitation medicine department, Montpellier University Hospital, Montpellier, France
| | - A. Dupeyron
- Euromov, Digital Health in Motion, Montpellier University, Montpellier, France,Physical and rehabilitation medicine department, Nîmes University Hospital, Nîmes, France
| | - C. Duflos
- Clinical Research and Epidemiology Unit, CHU de Montpellier University Montpellier, Montpellier, France
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Moiziard V, Lansaman T, Mauruc Soubirac E, Revol M, Coulet B, Hugeron C, Gelis A, Laffont I. Assessment of the upper limb of the tetraplegic patient. Hand Surg Rehabil 2021; 41S:S137-S147. [PMID: 34265478 DOI: 10.1016/j.hansur.2019.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 09/15/2018] [Accepted: 02/01/2019] [Indexed: 11/16/2022]
Abstract
The aim of our study is to describe the assessment of the upper limb in tetraplegic patients to follow his (her) neurological progression and to define the medical or surgical treatment program. We selected upper limb assessment tools and scales for tetraplegic patients described in the medical literature through a PubMed search over the last four decades. For each method, we present the implementation rules and its metrological properties, including its validity in French. We selected five clinical scales for functional evaluation of grasping, as well as four scales for evaluating the overall function of these patients. Finally, we identified three complementary precision assessment tools. The AIS (ASIA Impairment Scale) classification describes the level and the severity of the spinal cord lesion. The Giens classification is more practical for describing the upper limb in middle and low tetraplegia. Impairments can be assessed with most common generic scales and nonspecific measurement devices: range of motion, strength, sensory loss, spasticity, joint pain. Measurement of pinch and grip strength is widely used and easy to perform. The Capabilities of Upper Extremity (CUE) and the Jebsen Taylor Test are the best validated and usable scales. At a general functional level, the Spinal Cord Independence Measure (SCIM) is the most relevant scale in these patients. Motor nerve blocks, electromyography, movement analysis and echography are promising additional methods. Assessment of the upper limb of tetraplegic patients relies both on generic and specific assessment tools and scales.
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Affiliation(s)
- V Moiziard
- Université de Montpellier, Département de MPR CHU de Montpellier, Euromov Digital Health in Motion, Montpellier, France
| | - T Lansaman
- Service de MPR, Hôpital Raymond Poincaré, 104 Boulevard Raymond Poincaré, 92380 Garches, France
| | - E Mauruc Soubirac
- Service de MPR, Hôpital Raymond Poincaré, 104 Boulevard Raymond Poincaré, 92380 Garches, France
| | - M Revol
- Service de Chirurgie Plastique, Hôpital Saint Louis, 1 Avenue Claude Vellefaux, 75010 Paris, France
| | - B Coulet
- Université de Montpellier, Département de Chirurgie orthopédique, CHU de Montpellier, Euromov Digital Health in Motion, Montpellier, France
| | - C Hugeron
- Service de MPR, Hôpital Raymond Poincaré, 104 Boulevard Raymond Poincaré, 92380 Garches, France
| | - A Gelis
- Université de Montpellier, Centre Propara, Montpellier, France
| | - I Laffont
- Université de Montpellier, Département de MPR CHU de Montpellier, Euromov Digital Health in Motion, Montpellier, France.
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Morel J, Herlin C, Amara B, Mauri C, Rouays H, Verollet C, Almeras I, Frasson N, Dupeyron A, Jourdan C, Daures JP, Gelis A. Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury. Ann Phys Rehabil Med 2019; 62:77-83. [DOI: 10.1016/j.rehab.2018.08.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Revised: 08/27/2018] [Accepted: 08/31/2018] [Indexed: 11/15/2022]
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Gelis A, Colin D, Perrouin-Verbe B, Deboissezon X, Bensmail D, Casanova D, Rousseau P, Barrois B. French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury. Ann Phys Rehabil Med 2018; 61:352-354. [DOI: 10.1016/j.rehab.2018.05.1318] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Revised: 05/24/2018] [Accepted: 05/26/2018] [Indexed: 11/28/2022]
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Duruflé, Mathieu L, Robineau S, Nicolas B, Leblong E, Fraudet B, Gelis A, Gallien P. Evaluation of the impact of a therapeutic educational program concerning the prevention of risk of pressure ulcers for persons with a spinal cord lesion. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Barrois B, Nicolas B, Colin D, Fromy B, Barateau M, Gelis A, Michel J. French national guidelines for pressure ulcer (PU) prevention and care. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Barrois B, Michel P, Nicolas B, Colin D, Gelis A, Allaert F. National pressure ulcer (PU) prevalence in French intensive care units for patient with neurological diseases. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Dunyach-Remy C, Gelis A, Brunaud M, Lavigne J, Sotto A. Temporal evolution of bacterial ecology of pressure ulcers in people with spinal cord injury. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bousquet J, Bourret R, Camuzat T, Augé P, Bringer J, Noguès M, Jonquet O, de la Coussaye JE, Ankri J, Cesari M, Guérin O, Vellas B, Blain H, Arnavielhe S, Avignon A, Combe B, Canovas G, Daien C, Dray G, Dupeyron A, Jeandel C, Laffont I, Laune D, Marion C, Pastor E, Pélissier JY, Galan B, Reynes J, Reuzeau JC, Bedbrook A, Granier S, Adnet PA, Amouyal M, Alomène B, Bernard PL, Berr C, Caimmi D, Claret PG, Costa DJ, Cristol JP, Fesler P, Hève D, Millot-Keurinck J, Morquin D, Ninot G, Picot MC, Raffort N, Roubille F, Sultan A, Touchon J, Attalin V, Azevedo C, Badin M, Bakhti K, Bardy B, Battesti MP, Bobia X, Boegner C, Boichot S, Bonnin HY, Bouly S, Boubakri C, Bourrain JL, Bourrel G, Bouix V, Bruguière V, Cade S, Camu W, Carre V, Cavalli G, Cayla G, Chiron R, Coignard P, Coroian F, Costa P, Cottalorda J, Coulet B, Coupet AL, Courrouy-Michel MC, Courtet P, Cros V, Cuisinier F, Danko M, Dauenhauer P, Dauzat M, David M, Davy JM, Delignières D, Demoly P, Desplan J, Dujols P, Dupeyron G, Engberink O, Enjalbert M, Fattal C, Fernandes J, Fouletier M, Fraisse P, Gabrion P, Gellerat-Rogier M, Gelis A, Genis C, Giraudeau N, Goucham AY, Gouzi F, Gressard F, Gris JC, Guillot B, Guiraud D, Handweiler V, Hayot M, Hérisson C, Heroum C, Hoa D, Jacquemin S, Jaber S, Jakovenko D, Jorgensen C, Kouyoudjian P, Lamoureux R, Landreau L, Lapierre M, Larrey D, Laurent C, Léglise MS, Lemaitre JM, Le Quellec A, Leclercq F, Lehmann S, Lognos B, Lussert CM, Makinson A, Mandrick K, Mares P, Martin-Gousset P, Matheron A, Mathieu G, Meissonnier M, Mercier G, Messner P, Meunier C, Mondain M, Morales R, Morel J, Mottet D, Nérin P, Nicolas P, Nouvel F, Paccard D, Pandraud G, Pasdelou MP, Pasquié JL, Patte K, Perrey S, Pers YM, Portejoie F, Pujol JLE, Quantin X, Quéré I, Ramdani S, Ribstein J, Rédini-Martinez I, Richard S, Ritchie K, Riso JP, Rivier F, Robine JM, Rolland C, Royère E, Sablot D, Savy JL, Schifano L, Senesse P, Sicard R, Stephan Y, Strubel D, Tallon G, Tanfin M, Tassery H, Tavares I, Torre K, Tribout V, Uziel A, Van de Perre P, Venail F, Vergne-Richard C, Vergotte G, Vian L, Vialla F, Viart F, Villain M, Viollet E, Ychou M, Mercier J. MACVIA-LR (Fighting Chronic Diseases for Active and Healthy Ageing in Languedoc-Roussillon): A Success Story of the European Innovation Partnership on Active and Healthy Ageing. J Frailty Aging 2017; 5:233-241. [PMID: 27883170 DOI: 10.14283/jfa.2016.105] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The Région Languedoc Roussillon is the umbrella organisation for an interconnected and integrated project on active and healthy ageing (AHA). It covers the 3 pillars of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA): (A) Prevention and health promotion, (B) Care and cure, (C) and (D) Active and independent living of elderly people. All sub-activities (poly-pharmacy, falls prevention initiative, prevention of frailty, chronic respiratory diseases, chronic diseases with multimorbidities, chronic infectious diseases, active and independent living and disability) have been included in MACVIA-LR which has a strong political commitment and involves all stakeholders (public, private, patients, policy makers) including CARSAT-LR and the Eurobiomed cluster. It is a Reference Site of the EIP on AHA. The framework of MACVIA-LR has the vision that the prevention and management of chronic diseases is essential for the promotion of AHA and for the reduction of handicap. The main objectives of MACVIA-LR are: (i) to develop innovative solutions for a network of Living labs in order to reduce avoidable hospitalisations and loss of autonomy while improving quality of life, (ii) to disseminate the innovation. The three years of MACVIA-LR activities are reported in this paper.
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Affiliation(s)
- J Bousquet
- Professor Jean Bousquet, CHRU, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier Cedex 5, France, Tel +33 611 42 88 47,
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Laffont I, Jourdan C, Coroian F, Blain H, Carre V, Viollet E, Tavares I, Fattal C, Gelis A, Nouvel F, Bakhti K, Cros V, Patte K, Schifano L, Porte M, Galano E, Dray G, Fouletier M, Rivier F, Morales R, Labauge P, Camu W, Combe B, Morel J, Froger J, Coulet B, Cottalorda J, Kouyoumdjian P, Jonquet O, Landreau L, Bonnin HY, Hantkié O, Nicolas P, Enjalbert M, Leblond C, Soua B, Coignard P, Guiraud D, Azevedo C, Mottet D, Fraisse P, Pastor E, Mercier J, Bourret R, Bousquet J, Pélissier J, Bardy B, Herisson C, Dupeyron A. [Living Lab MACVIA. Disability]. Presse Med 2015; 44 Suppl 1:S60-9. [PMID: 26482491 DOI: 10.1016/j.lpm.2015.07.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Affiliation(s)
- I Laffont
- CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France; Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France.
| | - C Jourdan
- CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France
| | - F Coroian
- CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France; Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France
| | - H Blain
- Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France; CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - V Carre
- CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France
| | - E Viollet
- CHU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France; CHU Carémeau, CEDMH, 30029 Nîmes, France
| | - I Tavares
- CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France
| | - C Fattal
- Association APPROCHE, CMRRF de Kerpape, BP 78, 56275 Ploemeur cedex, France
| | - A Gelis
- Centre Mutualiste Propara, 34000 Montpellier, France
| | - F Nouvel
- CHU Carémeau, CEDMH, 30029 Nîmes, France
| | - K Bakhti
- CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France; Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France
| | - V Cros
- CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France
| | - K Patte
- Institut Marin Saint-Pierre, 34250 Palavas les Flots, France
| | - L Schifano
- Institut Marin Saint-Pierre, 34250 Palavas les Flots, France
| | - M Porte
- CHU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - E Galano
- CHU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - G Dray
- École des Mines d'Alès, 30100 Alès, France
| | | | - F Rivier
- CHU de Montpellier, centre de référence Grand Sud des maladies neuromusculaires, département de neuropédiatrie, 34090 Montpellier, France
| | - R Morales
- CHRU de Montpellier, département de neurologie, 34090 Montpellier, France
| | - P Labauge
- CHRU de Montpellier, département de neurologie, 34090 Montpellier, France
| | - W Camu
- CHRU de Montpellier, département de neurologie, 34090 Montpellier, France
| | - B Combe
- CHRU de Montpellier, département de rhumatologie, 34090 Montpellier, France
| | - J Morel
- CHRU de Montpellier, département de rhumatologie, 34090 Montpellier, France
| | - J Froger
- Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France; CHU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - B Coulet
- CHRU de Montpellier, département de chirurgie orthopédique, 34090 Montpellier, France
| | - J Cottalorda
- CHRU de Montpellier, département de chirurgie orthopédique et plastique infantile, 34090 Montpellier, France
| | - P Kouyoumdjian
- CHU Carémeau, département de chirurgie orthopédique, 30029 Nîmes, France
| | - O Jonquet
- CHRU de Montpellier, département de réanimation, 34090 Montpellier, France
| | - L Landreau
- CHRU de Montpellier, département de réanimation, 34090 Montpellier, France
| | - H-Y Bonnin
- Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France; CHU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - O Hantkié
- Centre Bourgès, groupe Oc Santé, 34173 Castelneau-le-lez cedex, France
| | - P Nicolas
- Centre Bourgès, groupe Oc Santé, 34173 Castelneau-le-lez cedex, France
| | - M Enjalbert
- Centre Bouffard-Vercelli, 66290 Cerbère, France; Association APPROCHE, CMRRF de Kerpape, BP 78, 56275 Ploemeur cedex, France
| | - C Leblond
- Centre Bouffard-Vercelli, 66290 Cerbère, France
| | - B Soua
- Association ADAGES, Les Fontaines d'Ô, 34000 Montpellier, France
| | - P Coignard
- Association APPROCHE, CMRRF de Kerpape, BP 78, 56275 Ploemeur cedex, France
| | - D Guiraud
- Université de Montpellier, laboratoire d'informatique, de robotique et de microélectronique de Montpellier, 34090 Montpellier, France; Institut national de recherche en informatique et en automatique, LIRMM, université de Montpellier, 34090 Montpellier, France
| | - C Azevedo
- Université de Montpellier, laboratoire d'informatique, de robotique et de microélectronique de Montpellier, 34090 Montpellier, France; Institut national de recherche en informatique et en automatique, LIRMM, université de Montpellier, 34090 Montpellier, France
| | - D Mottet
- Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France
| | - P Fraisse
- Université de Montpellier, laboratoire d'informatique, de robotique et de microélectronique de Montpellier, 34090 Montpellier, France
| | - E Pastor
- CCAS de Lattes, 34970 Lattes, France
| | - J Mercier
- CHRU de Montpellier, U1046 Inserm, université Montpellier 1, 34090 Montpellier, France
| | - R Bourret
- CHRU de Montpellier, Direction générale, 34090 Montpellier, France
| | | | - J Pélissier
- Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France; CHU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - B Bardy
- Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France
| | - C Herisson
- CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France; Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France
| | - A Dupeyron
- Movement to Health (M2H), Euromov, université de Montpellier, Montpellier, France; CHU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France; CHU Carémeau, CEDMH, 30029 Nîmes, France
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Gelis A, Stefan A, Gourlan M, Pellecchia A, Fattal C. Pressure ulcer perception in persons with spinal cord injury: Results of a qualitative study. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Gelis A, Stefan A, Coudeyre E, Fattal C. Éducation thérapeutique dans la prise en charge de l’escarre chez le paraplégique : le guide ETP SOFMER. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Gelis A, Stefan A, Coudeyre E, Fattal C. Therapeutic education for pressure ulcer care management in paraplegics: The ETP SOFMER guide. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Fattal C, Coulet B, Rouays-Mabit H, Gelis A, Verollet C, Mauri C, Ducros J, Teissier J. Chirurgie de la coiffe des rotateurs chez la personne lésée médullaire : intérêt d’une approche multidisciplinaire. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Gelis A, Stefan A, Gourlan M, Pellecchia A, Fattal C. Représentations de l’escarre chez les blessés médullaires : résultat d’une étude qualitative. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Palayer C, Gelis A, Rouays-Mabit H, Amara B, Fattal C. Long-term scrotal flap results for recurring ischial and perineal pressure ulcers in paraplegics. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Fattal C, Coulet B, Rouays-Mabit H, Gelis A, Verollet C, Mauri C, Ducros JL, Teissier J. Rotator cuff surgery in persons with spinal cord injury: Relevance of a multidisciplinary approach. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Gelis A, Colin D, Barrois B, Passadori Y, Ribinik P, Michel JM. Éducation thérapeutique dans la prise en charge des personnes lésées médullaires à risque et/ou porteur d’escarre ? Élaboration de recommandations françaises pour la pratique clinique. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Fattal C, Gelis A, Rouays-Mabit H, Coulet B, De Labachelerie C, Teissier J. Pathologie de la coiffe des rotateurs chez la personne lésée médullaire : suivi prospectif et intérêt d’une approche multidisciplinaire. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Gelis A, Daures JP, Gault D, Bouchema T, Pedelucq JP, Maupas E, Goossens D, Pelissier J, Fattal C. Auto-évaluation des mesures de prévention cutanées chez les personnes lésées médullaires : validation de la version française du SMnac. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Gelis A, Daures JP, Gault D, Bouchema T, Pedelucq JP, Maupas E, Goossens D, Pelissier J, Fattal C. Evaluating self-reported pressure ulcer prevention measures in person with spinal cord injury using the SMnac: Validation of the French version. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Gelis A, Pariel S, Colin D, Barrois B, Passadori Y, Ribinik P, Michel JM. What is the role of TPE in management of patients at risk or with pressure ulcer as of 2012? Developing French guidelines for clinical practice. Ann Phys Rehabil Med 2012; 55:517-29. [PMID: 23021939 DOI: 10.1016/j.rehab.2012.08.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2012] [Accepted: 08/14/2012] [Indexed: 10/27/2022]
Abstract
INTRODUCTION Pressure ulcer (PU) is a common complication in chronic affection, especially neurological disorders and diseases commonly diagnosed in the elderly. For a long period of time, the prevention of skin lesions was taught only in an empirical manner. The development of therapeutic patient education (TPE) sheds a new light on care management for patients with chronic pathologies. OBJECTIVES Determine the place of TPE in persons at risk of and/or already suffering from pressure ulcer (PU) as of 2012. METHODS The methodology used is the one promoted by SOFMER, including: a systematic review of the literature with a query of the PASCAL Biomed, PubMed and Cochrane Library databases for data from 2000 through 2010; a compendium of prevailing professional practices and advice from a committee of experts. RESULTS The review of the literature found six studies including four controlled trials in patients with chronic neurological impairments (most of them with spinal cord injury). No studies were found regarding the elderly. The level of evidence for efficacy in persons with spinal cord injury (SCI) is moderate. The clinical practice study focuses on programs currently underway, dedicated to SCI patients or elderly populations. DISCUSSION The approach proposed through TPE has its role in a strategy aimed at preventing PU in persons at chronic risk of developing PU. The educational objectives and techniques used must be adapted to the clinical and psychological context and are debated in this review. The co-construction of programs, recommended in the official texts on therapeutic education in France, should help to tailor these programs to the patients' needs. CONCLUSION TPE is relevant in care management or prevention of PU in persons at chronic risk, patients with spinal cord injury (Grade B) or elderly subjects (Grade C).
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Affiliation(s)
- A Gelis
- Centre mutualiste neurologique PROPARA, parc euromédecine, Montpellier, France.
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Dupeyron A, Gelis A, Sablayrolles P, Bousquet PJ, Julia M, Pélissier J, Codine P, Hérisson C. Une nouvelle échelle composite d’évaluation de l’épaule douloureuse : le Standardised Functional Index of Shoulder (FI2S). Reproductibilité, validité de construit et sensibilité au changement. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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El Hilali O, Eloumri AA, Arfaoui F, Abid H, Gelis A, Hajjaj-Hassouni N, Pelissier JY. Morbidité et escarres talonnières : amputation transtibiale bilatérale chez un patient pris en charge pour des escarres talonnières. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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El Hilali O, Eloumri AA, Arfaoui F, Abid H, Gelis A, Hajjaj-Hassouni N, Pelissier JY. Morbidity and heel pressure sores: Bilateral transtibial amputation in a patient with heel pressure ulcers. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Dupeyron A, Gelis A, Sablayrolles P, Bousquet P, Julia M, Pélissier J, Codine P, Hérisson C. A new heterogeneous scale to assess shoulder disorders: The Standardised Functional Index of Shoulder (FI2S). Reliability, validity and responsiveness to change. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Dupeyron A, Gelis A, Sablayrolles P, Bousquet PJ, Julia M, Herisson C, Pélissier J, Codine P. Heterogeneous assessment of shoulder disorders: Validation of the Standardized Index of Shoulder Function. J Rehabil Med 2010; 42:967-72. [DOI: 10.2340/16501977-0627] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Plaue J, Gelis A, Czerwinski K. Plutonium Third Phase Formation in the 30% TBP/Nitric Acid/Hydrogenated Polypropylene Tetramer System. Solvent Extraction and Ion Exchange 2006. [DOI: 10.1080/07366290600646814] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Plaue J, Gelis A, Czerwinski K, Thiyagarajan P, Chiarizia R. Small‐Angle Neutron Scattering Study of Plutonium Third Phase Formation in 30% TBP/HNO3/Alkane Diluent Systems. Solvent Extraction and Ion Exchange 2006. [DOI: 10.1080/07366290600646970] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Abstract
INTRODUCTION Pheochromocytoma is rarely disclosed by intracranial hemorrhage. We report two cases. OBSERVATION The first 26-year-old patient developed subarachnoid hemorrhage due to a ruptured aneurysm of the middle cerebral artery. The second patient, aged 44 years, had a temporal hematoma. Diagnosis was suggested in both patients by hypertension and elevated urinary catecholamines and confirmed by imaging and MIBG scintigraphy. Adrenal gland tumors, on both glands in the first patient and on the right gland in the second were successfully removed; cranial hypertension totally regressed. Von Hippel Lindau disease was diagnosed by molecular genetics in the first patient. Paroxysmal hypertension could explain the brain hemorrhage in the first patient and may have favored aneurysmal rupture in the second. CONCLUSION The relationships between pheochromocytoma and cerebral aneurysm are discussed.
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Affiliation(s)
- A Gelis
- Service de Neurologie A, Centre Gui de Chauliac, Montpellier
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