-
[show abstract]
[hide abstract]
ABSTRACT: This document is part of the "Care pathways in physical and rehabilitation medicine" series developed by the French Physical and Rehabilitation Medicine Society (SOFMER) and the French Physical and Rehabilitation Medicine Federation (FEDMER). For a given patient profile, each concise document describes the patient's needs, the care objectives in physical and rehabilitation medicine, the required human and material resources, the time course and the expected outcomes. The document is intended to enable physicians, decision-makers, administrators and legal and financial specialists to rapidly understand patient needs and the available care facilities, with a view to organizing and pricing these activities appropriately. Here, patients with shoulder instability requiring surgical stabilization are classified into five care sequences and two clinical categories, each of which are treated according to the same six parameters and by taking account of personal and environmental factors (according to the WHO's International Classification of Functioning, Disability and Health) that may influence patient needs.
Annals of physical and rehabilitation medicine 09/2012;
-
[show abstract]
[hide abstract]
ABSTRACT: This document is part of the "Care Pathways in Physical and Rehabilitation Medicine" series developed by the French Physical and Rehabilitation Medicine Society (Sofmer) and the French Physical and Rehabilitation Medicine Federation (Fedmer). For a given patient profile, each concise document describes the patient's needs, the care objectives in physical and rehabilitation medicine, the required human and material resources, the time course and the expected outcomes. The document is intended to enable physicians, decision-makers, administrators and legal and financial specialists to rapidly understand patient needs and the available care facilities, with a view to organizing and pricing these activities appropriately. Here, patients with acute proximal humeral fracture requiring shoulder hemi-arthroplasty are classified into four care sequences and two clinical categories, both of which are treated according to the same six parameters and by taking account of personal and environmental factors (according to the WHO's International Classification of Functioning, Disability and Health) that may influence patient needs.
Annals of physical and rehabilitation medicine 09/2012;
-
[show abstract]
[hide abstract]
ABSTRACT: IntroductionLa prise en charge d’une rééducation et d’une réadaptation des affections cancérologiques reste encore limitée. La complexité
croissante du traitement des cancers, l’espérance de vie, en faisant une maladie chronique, justifient de développer des programmes
de rééducation et de réadaptation.
ObjectifsÉvoquer les modalités d’une prise en charge en médecine physique et de réadaptation (MPR) selon les différentes phases d’évolution:
phase aiguë, phase secondaire ou phase tardive.
MéthodologieCe travail rapporte les éléments constituant les critères d’orientation et de prise en charge en MPR, selon l’évolution, dans
le champ des maladies cancéreuses, faisant état du rôle des médecins de MPR et des différents moyens techniques à mettre en
oeuvre pour ces patients, en fonction des localisations, des complications et prenant en compte l’ensemble des dimensions:
déficiences, incapacités, handicaps.
DiscussionAu-delà de cette volonté de prise en charge de ce type de patients, un travail d’information et de formation, de modélisation
des prises en charge mais aussi des outils de rééducation, des structures ambulatoires, de la constitution de filières sur
l’ensemble de la prise en charge dans ce champ spécifique, semble nécessaire à mettre en place.
IntroductionPhysical medicine and rehabilitation (PMR) cares are limited in practice in France. The complexity of treatments and their
potential effects on disability, life expectancy, constitute some chronic factors of the cancer diseases. This chronic evolution
is more and more indication of PMR interventions to limit deficiency or disability.
ObjectivesTo present the PMR modalities at different situations of the cancer diseases evolutions.
MethodologyThis paper reports the orientation in our outpatient unit, the modalities for cares in PMR, the role of PMR doctors and the
different technological or competent needs for cancer patients with deficiency or disability.
DiscussionA new and important reflexion with information, studies and acquired experiences are necessary. Organization of cares, institutions
and cooperation must be developed in this specific domain of the rehabilitation for cancer patients with disability.
Mots clésKinésithérapie-Ergothérapie-Soins de suite et réadaptation-Handicap-Déficience-Classification internationale du fonctionnement (CIF)
KeywordsPhysiotherapy-Occupational therapy-Second care institution-ICF-Disability-Deficiency
Oncologie 04/2012; 12(9):543-549. · 0.17 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: This document is part of a series of documents designed by the French Physical and Rehabilitation Medicine Society (SOFMER) and the French Federation of PRM (FEDMER). These documents describe the needs for or a specific type of patients; PRM care objectives, human and material resources to be implemented, chronology as well as expected outcomes. "Care pathways in PRM" is a short document designed to enable the reader (physicians, decision-maker, administrator, lawyer or finance manager) to quickly apprehend the needs of these patients and the available therapeutic care structures for proper organization and pricing of these activities. Patients after total hip arthroplasty are classified into three care sequences and two clinical categories, each one being treated with the same six parameters according to the International Classification of Functioning, Disability and Health (WHO), while taking into account personal and environmental factors that could influence the needs of these patients.
Annals of physical and rehabilitation medicine 03/2012;
-
[show abstract]
[hide abstract]
ABSTRACT: This document is part of a series of documents designed by the French Physical and Rehabilitation Medicine Society (SOFMER) and the French Federation of PRM (FEDMER). These documents describe the needs for or a specific type of patients; PRM care objectives, human and material resources to be implemented, chronology as well as expected outcomes. "Care pathways in PRM" is a short document designed to enable the reader (physicians, decision-maker, administrator, lawyer or finance manager) to quickly apprehend the needs of these patients and the available therapeutic care structures for proper organization and pricing of these activities. Patients after total knee arthroplasty are classified into three care sequences and two clinical categories, each one being treated with the same six parameters according to the International Classification of Functioning, Disability and Health (WHO), while taking into account personal and environmental factors that could influence the needs of these patients.
Annals of physical and rehabilitation medicine 03/2012;
-
[show abstract]
[hide abstract]
ABSTRACT: Therapeutic patient education (TPE) is a continuous medical care process whose role in lower back pain (LBP) has yet to be well defined.
To evaluate the role and impact of TPE in the medical and surgical management of LBP.
A non-systematic literature review.
Few formal TPE programmes have been rigorously evaluated in the context of LBP. In most cases, TPE tools have been combined with other interventional measures that vary according to the conceptual models used - thus limiting the extent to which the effect of TPE alone can be judged. Information that complies with the guidelines modifies knowledge and inappropriate beliefs. Whether formalized or not, TPE appears to modify (i) the physical disability and pain related to LBP and (ii) the patient's choice of therapy (e.g. surgery). The impact appears to be more marked in the (sub)acute phases.
National and international guidelines suggest that TPE based on a biopsychosocial model has a positive impact on the patients' behaviour and treatment compliance. The cost/benefit ratio appears to be favourable.
Therapeutic patient education appears to reduce the negative consequences of fear-avoidance behaviour and thus promotes treatment compliance in LBP patients, from the acute phase onwards.
Annals of physical and rehabilitation medicine 07/2011; 54(5):319-35.
-
[show abstract]
[hide abstract]
ABSTRACT: A review of the literature to investigate physical training in rehabilitation programs before and after hip and knee arthroplasty.
We performed a literature search of the MedLINE and Cochrane databases since 1966 to 2006 using 8 keywords for articles of literature reviews or randomized controlled trials investigating physical training before and after hip and knee arthroplasty.
The search resulted in 14 articles: 2 reviews of the literature and 7 articles of studies concerning total hip arthroplasty and 5 knee arthroplasty. Results were difficult to analyze because of the low number of patients included, a high number of dropouts, no matched control populations, different physical training protocols, and the use of functional scores or inadequate parameters. We found no randomized controlled trial concerning physical training after knee arthroplasty.
Physical training does not seem benefit patients before hip or knee arthroplasty. However, the training may have benefit immediately after, and particularly well after, total hip arthroplasty.
Annales de Réadaptation et de Médecine Physique 08/2007; 50(6):462-8, 455-61.
-
Annales de Réadaptation et de Médecine Physique. 50(6):455-461.
