Hélène Moffet

Université Laval | ULAVAL · Department of Rehabilitation

Aim: To quantify test-retest reliability and minimal detectable change for 90 and 95% confidence levels (90MDC, 95MDC) for health-related fitness tests in children with developmental coordination disorder (DCD). Methods: Lower limb muscle strength [hand-held dynamometry (HHD), unilateral heel rise test (UHRT), standing broad jump (SBJ)], muscle end...

Purpose This clinical practice guide (CPG) aims to provide evidence-based recommendations for promoting and enhancing the participation and integration of children with developmental coordination disorder (DCD) into physical activities that take place in the home, school, community, or rehabilitation clinic contexts. Methods A panel of key stakeho...

Introduction and hypothesis There is a high prevalence of urinary incontinence among endometrial cancer survivors. They are also known to present with pelvic floor muscle alterations. Evidence on the effects of conservative interventions for the management of UI is scarce. This study aims at verifying the effects of an in-home rehabilitation progra...

Aims To investigate the intra‐ and inter‐rater reliability of two‐dimensional (2D) transperineal ultrasound imaging (USI) measures of bladder wall thickness (BWT), urethral length (UL), and parameters related to levator plate length (LP) and transient changes in LP during pelvic floor muscle (PFM) contraction, and on Valsalva in women who received...

Background Pelvic floor muscles (PFM) contribute to optimal control of the lumbopelvic spine. PFM function appears altered in some people with nonspecific low back pain (LBP). Objective To systematically review if adding PFM training (PFMT) to another exercise intervention can be more effective at improving pain and function in people with nonspec...

Aim: To assess effects of growth on lower limb maximal isometric muscle strength (MIMS) development in children with developmental coordination disorder (DCD). Method: This observational study used hand-held dynamometry to evaluate MIMS (hip abductors, flexors, extensors; knee flexors and extensors; ankle dorsiflexors) in children with DCD (n=33...

Responsive patient-reported outcome measures (PROMs) are able to detect change induced by a treatment. It is unknown whether PROMs on urinary incontinence (UI) are responsive in a conservative management setting. To systematically review the responsiveness of recommended PROMs (grade A) for the assessment of health-related quality of life in women...

Objectives: To establish reference values for pain and knee range of motion during the first 8-weeks following a primary TKA and to describe the exercises that were more frequently prescribed by physiotherapists using an intensive functional approach. Methods: All adults (n=197) from the TelAge randomised controlled-trial on the efficacy of in-hom...

Introduction and hypothesis The objective was to appraise the current use of mobile technologies for the conservative self-management of urinary incontinence (UI). Moreover, we aimed to explore whether they integrate recommended features for the use of mobile technologies in healthcare and recognized parameters for optimal conservative UI treatment...

With the growing interest in daily activity monitoring, several insole designs have been developed to identify postures, detect activities, and count steps. However, the validity of these devices is not clearly established. The aim of this systematic review was to synthesize the available information on the criterion validity of instrumented insole...

BACKGROUND: Exercise-based rehabilitation improves physical function, fatigue and quality of life in patients with thoracic neoplasia. However, the implementation of this intervention is limited because of poor accessibility and adherence. Consequently, telerehabilitation is a promising strategy to improve access and adherence to rehabilitation. OB...

Introduction Children with physical disabilities are rarely included in interventions to promote healthy lifestyles, despite being at higher risk for suboptimal dietary and physical activity behaviours. The Children and Teens in Charge of their Health study explores the feasibility and acceptability of conducting a randomised controlled trial (RCT)...

Despite the accessibility of several step count measurement systems, count accuracy in real environments remains a major challenge. Microelectromechanical systems and pressure sensors seem to present a potential solution for step count accuracy. The purpose of this study was to equip an insole with pressure sensors and to test a novel and potential...

Introduction/Background A recent randomized clinical trial, comparing the clinical effectiveness of a rehabilitation program delivered at home using videoconference technology or face-to-face visits, has revealed equivalent outcomes at 4 months after total-knee arthroplasty (TKA). Here we present the results of the laboratory analysis and the relat...

Objective Rising from a chair, a demanding task for the lower limbs, is essential to independent living. Biomechanical data collected after knee surgery is relevant for determining the level of residual deficits and compensations during functional tasks and could be used to optimize rehabilitation. The aim of this study was to quantify the kinemati...

Poor adherence to clinical practice guidelines (CPG) is a critical issue in health care delivery. Since 2012, the National Institute for Clinical Excellence recommends that guideline implementation tools (GItools), defined as information helping users to adopt and apply recommendations included to or provided with CPGs, accompany each CPG. Although...

Background. Endometrial cancer is the fourth most prevalent cancer in Canadian women. Radiotherapy (RT) is frequently recommended as an adjuvant treatment. There is a high prevalence (>80%) of urinary incontinence (UI) after RT. It is plausible that UI is associated, at least in part, to alterations of the pelvic floor muscles (PFM). Objectives. Th...

Background and introduction: Telerehabilitation after total knee arthroplasty (TKA) is supported by strong evidence on the effectiveness of such intervention and from a cost-benefit point of view. Satisfaction of patients toward in-home telerehabilitation after TKA has not yet been examined thoroughly in large-scale clinical trials. This study aim...

Les services de physiothérapie dans le système de santé public québécois : état de la situation et cibles d'action Mémoire déposé au Commissaire à la santé et au bien‐être dans le cadre de la consultation publique sur le panier de services

Background: Audio/video-mediated communication between patients and clinicians using videoconferencing over telecommunication networks is a key component of providing teletreatments in rehabilitation. Objective: The objectives of this study were to (1) document the conditions of use, performance, and reliability of videoconferencing-based commun...

Introduction Bien que la readaptation puisse contribuer au maintien ou a l’amelioration de la tolerance a l’effort, de la fatigue et de la qualite de vie des patients atteints d’un cancer du poumon, l’accessibilite a cette strategie d’intervention reste tres limitee. La telereadaptation, une application de la telesante qui utilise les technologies...

Link for text : https://doi.org/10.4017/gt.2016.15.s.809.00

Background: Exercise-based rehabilitation improves physical function, fatigue and quality of life in patients with lung cancer (LC).However, the implementation of this type of intervention is limited because of poor accessibility.Telerehabilitation is a promising strategy to improve access and adherence to rehabilitation. Aim: To investigate the fe...

Radiation therapy (RT) is often recommended in the treatment of pelvic cancers. Following RT, a high prevalence of pelvic floor dysfunctions (urinary incontinence, dyspareunia, and fecal incontinence) is reported. However, changes in pelvic floor muscles (PFMs) after RT remain unclear. The purpose of this review was to systematically document the e...

This longitudinal preliminary study aims to describe the components and features of the eChez-Soi home-based telerehabilitation platform, and present preliminary results on practitioners' readiness for and perception of its usability. Four patients receiving chemotherapy treatments for lung cancer followed an 8-week home-based telerehabilitation pr...

The availability of less resource-intensive alternatives to home visits for rehabilitation following orthopaedic surgeries is important, given the increasing need for home care services and the shortage of health resources. The goal of this trial was to determine whether an in-home telerehabilitation program is not clinically inferior to a face-to-...

Optimisation de la discriminance et de la fidélité d’une grille d’évaluation du professionnalisme à l’aide du Rating Scale Model.

Background: Rehabilitation provided through home visits is part of the continuum of care after discharge from hospital following total knee arthroplasty (TKA). As demands for rehabilitation at home are growing and becoming more difficult to meet, in-home telerehabilitation has been proposed as an alternate service delivery method. However, there i...

Lateral ankle sprain (LAS) has often been considered an injury leading to localized joint impairments affecting the musculoskeletal system. Persistent chronic ankle instability and bilateral alterations in motor control after a first ankle sprain episode suggest that the origin of relapses might be a maladaptive reorganization of central motor comm...

Motivation and benefits of formative OSCE developed and managed by students.

Background With the increasing prevalence of knee osteoarthritis (KOA) today1, it is imperative to use valid and reliable instruments to evaluate the effectiveness of interventions and to understand the pathology's impact on individuals. Objectives The aim of this study was to review the measurement properties of instruments used by physiotherapist...

The SEBT has frequently been used to measure motor control and residual functional deficits at different stages of LAS recovery in various populations. However, the validity of the measure used to characterize performance-the maximal reach distance (MRD) measured by visual estimation-is still unknown. 1) Evaluate the concurrent validity of the maxi...

This study aimed at exploring patients' perceptions regarding telerehabilitation services received post total knee replacement. In this qualitative embedded single case study, semi-structured interviews were conducted with five patients who had previously received in-home telerehabilitation post total knee arthroplasty. Participants were asked to r...

Objectives: Chronic low back pain (CLBP) is associated with an impaired control of transversus abdominis/internal oblique muscle (TrA/IO), volitionally and during anticipatory postural adjustment (delay) along with maladaptive reorganization of primary motor cortex (M1). Specific training of deep trunk muscles and repetitive peripheral magnetic st...

Ambulatory children and youth with cerebral palsy have limitations in locomotor capacities and in community mobility. The ability of three locomotor tests to predict community mobility in this population (N = 49, 27 boys, 6-16 years old) was examined. The tests were a level ground walking test, the 6-min-Walk-Test (6MWT), and two tests of advanced...

Previous studies have shown that when subjects repeatedly walk in a perturbing environment, initial movement error becomes smaller, suggesting that retention of the adapted locomotor program occurred (learning). It has been proposed that the newly learned locomotor program may be stored separately from the baseline program. However, how locomotor p...

Transcranial magnetic stimulation (TMS) studies investigating motor cortex reorganization in clinical populations use a variety of measurements, with some performed at rest and others with the muscle slightly contracted. Surprisingly there are still a limited number of studies focusing on relationship between TMS-measures obtained at rest and durin...

Contralateral transversus abdominis muscle (cTrA) is known to be anticipatory to rapid focal movement. The activation of ipsilateral TrA (iTrA) follows cTrA, but their anticipatory interaction in healthy subjects seems to be delayed in low back pain (LBP) patients. TrA delay in LBP is linked with reorganization of the primary motor cortex (M1), thu...

This study aimed to quantify relationships between lower limb muscle strength and locomotor capacity for children and adolescents with cerebral palsy (CP) to identify key muscle groups for strength training. Fifty 6- to 16-year-olds with CP (Gross Motor Function Classification System level I or II) participated. Isometric muscle strength of hip fle...

We measured the satisfaction of both patients and healthcare professionals with the technologies and services provided during in-home telerehabilitation as an alternative to conventional rehabilitation after discharge from total knee arthroplasty surgery. This study was embedded in a larger controlled trial where 48 community-living older adults wh...

We compared the effectiveness of home telerehabilitation with conventional rehabilitation following knee replacement surgery (total knee arthroplasty, TKA). Forty-eight patients (mean age 66 years) who received TKA were recruited prior to discharge from hospital after surgery and were randomly assigned to telerehabilitation or usual care. Telerehab...

Results of the Variables for Modulators, Potential Mobility and Effective Mobility

The mobility of older individuals has often been only partially assessed, without considering all important aspects such as potential (available) versus effective (used) mobilities and the physical and psychosocial factors that modulate them. This study proposes a new model for evaluating mobility that considers all important aspects, applied here...

Outcome measures in physical therapy provide the basis for determining the patient's rehabilitation needs, developing an individual intervention plan, and reassessing the evolution of the condition after therapeutic intervention. Questions surrounding the validity and reliability of outcome measures obtained in the context of telerehabilitation rem...

Background: Tasks chosen to evaluate motor performance should reflect the movement deficits characteristic of the target population and present an appropriate challenge for the patients who would be evaluated. A reaching task that evaluates impairment characteristics of people with shoulder impingement syndrome (SIS) was developed to evaluate the...

Persons with shoulder impingement syndrome (SIS) present impairments that can be improved following supervised movement training with feedback; however, retention is low. The purpose of this study was to evaluate if kinematic changes observed following supervised training can be maintained using unsupervised training with visual feedback. Thirty-th...

The purpose of this study was to investigate the efficacy of in-home telerehabilitation as an alternative to conventional rehabilitation services following knee arthroplasty. Five community-living elders who had knee arthroplasty were recruited prior to discharge from an acute care hospital. A pre/post-test design without a control group was used f...

There is little scientific evidence to support the usual practice of providing outpatient rehabilitation to patients undergoing total knee replacement surgery (TKR) immediately after discharge from the orthopaedic ward. It is hypothesised that the lack of clinical benefit is due to the low exercise intensity tolerated at this time, with patients st...

Appendix 1. The MARKER Study: Novel Rehabilitation Strategy.

Movement deficits, such as changes in the magnitude of scapulohumeral and scapulathoracic muscle activations or perturbations in the kinematics of the glenohumeral, sternoclavicular and scapulothoracic joints, have been observed in people with shoulder impingement syndrome. Movement training has been suggested as a mean to contribute to the improve...

Activities requiring repetitive arm movements, including high velocity actions, have been identified as a risk factor for shoulder impingement. However, the effect of speed on upper limb motor strategies has yet to be evaluated for individuals with shoulder impingement. The aims of this study were to characterize upper limb motor strategies in indi...

The aim of the study was to evaluate the effect of an intervention including shoulder control and strengthening exercises on function in persons with shoulder impingement. Eight subjects with shoulder impingement were evaluated weekly during the nine weeks of this single-subject design study. The study was divided into three phases (A(1)-B-A(2)) an...

Numerous pathologic conditions of the shoulder result in loss of range of motion with lateral rotation being one of the most affected movements. Therefore, it is essential to know the reliability of the methods to measure this motion from a treatment evaluation perspective. The purpose of this study was to examine the reliability of the shoulder la...

In response to the current need to develop objective measurement techniques for active movements of the shoulder girdle, this study had two goals: 1) to evaluate the reliability of the active range of motion (AROM) of shoulder girdle in elevation, protraction, and retraction with use of a goniometer and a tape measure and 2) to present the criterio...

Abnormal scapular displacements during arm elevation have been observed in people with shoulder impingement syndrome. These abnormal scapular displacements were evaluated using different methods and instruments allowing a 3-dimensional representation of the scapular kinematics. The validity and the intrasession reliability have been shown for the m...

The purpose of this study is to investigate rehabilitation through teletreatment as an alternative to a physical homecare visit to deliver services to individuals at home following discharge from an acute hospital or rehabilitation unit. Four community-living elderly people were recruited for telerehabilitation services prior being discharged from...

This randomized clinical trial was conducted to compare the effectiveness of 3 in-hospital rehabilitation programs with and without continuous passive motion (CPM) for range of motion (ROM) in knee flexion and knee extension, functional ability, and length of stay after primary total knee arthroplasty (TKA). Eighty-one subjects who underwent TKA fo...

There is a need to create, disseminate, and implement new knowledge in the work disability prevention (WDP) field. Training programs attracting high-quality applicants and taking into account the complexity of this emerging field are urgently needed. An advanced training program, funded by the Canadian Institutes of Health Research (CIHR), was deve...

To investigate the power output generation from anterior cruciate ligament (ACL)-injured and noninjured limbs during stationary cycling. Repeated measures. Research laboratory. Ten people with unilateral ACL deficiency and 10 uninjured controls matched for age and sex. Participants performed 6 randomized bouts of stationary cycling at intensities o...

The purpose of this study was to measure the effect of repeated distension arthrographies combined with a home exercise program on impairments and disability of the upper limb in subjects with adhesive capsulitis of the shoulder. A total of 15 subjects with idiopathic adhesive capsulitis participated in the study. Intervention consisted of three di...

To evaluate the effectiveness of a new intensive functional rehabilitation (IFR) program on functional ability and quality of life (QOL) in persons who underwent a first total knee arthroplasty (TKA). Randomized controlled trial. Ambulatory care. Seventy-seven people with knee osteoarthritis. Two months after TKA, subjects were randomly assigned to...

This paper describes a simple, yet efficient method for modelling complex musculo-skeletal structures in motion. The proposed approach contains three main modules: segmentation, 3D reconstruction, and feature extraction. The segmentation module integrates region and edge information in a coherent manner. The D reconstruction technique is based on m...

Moffet H, Collet J-P, Shapiro SH, Paradis G, Marquis F, Roy L. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: a single-blind randomized controlled trial. Arch Phys Med Rehabil 2004;85:546–56.

Hunt MA, Sanderson DJ, Moffet H, Inglis JT. Interlimb asymmetry in persons with and without an anterior cruciate ligament deficiency during stationary cycling. Arch Phys Med Rehabil 2004;85:1475–8.

To assess advanced locomotor performance with the timed stair test (TST) and to determine if the level of performance of a group of women one year after hip replacement changed with the functional demands of the tasks. Comparison of the performance of two groups of women. General community. A convenient sample including 18 women who had had a total...

Objective: To compare the efficacy of 3 in-hospital rehabilitation programs with and without continuous passive motion (CPM) on knee flexion after a primary total knee arthroplasty (TKA). Design: Randomized controlled trial. Setting: Acute care hospital. Patients: 81 patients who underwent a TKA for a diagnosis of osteoarthritis were randomly assig...

Objective: To identify the best indicators of the current disability of patients with shoulder impingement syndrome (SIS) and the strongest predictors of 3-month SIS-related disability. Design: Prospective cohort study. Setting: Movement analysis laboratory. Participants: 41 subjects with SIS. Interventions: Evaluations at baseline and at 3 months....

Objective: To evaluate the intra- and intersessions reliability of 3-dimensional scapular attitudes measured with a new method. Design: Test-retest. Setting: 2 sessions with the same protocol repeated by the same evaluator. Participants: 15 healthy subjects (30 shoulders). Interventions: 3-dimensional scapular attitudes were measured at 70° of flex...

Objective: To evaluate the effects of intensive rehabilitation offered 6 months after total hip arthroplasty (THA). Design: Intervention pilot study, before-after trial. Setting: Ambulatory care. Patients: 10 patients were evaluated 7.2±0.5 months after THA (pretest) and 2 months later (posttest). Intervention: 12 supervised sessions and unsupervis...

To identify any changes to lower limb biomechanics during steady rate cycling as a result of an anterior cruciate ligament deficiency. Comparative study in which healthy and anterior cruciate ligament injured individuals underwent biomechanical analysis during stationary cycling. Individuals with an anterior cruciate ligament deficiency often exhib...

To compare the acromiohumeral distance (AHD) of both shoulders in subjects with a unilateral shoulder impingement syndrome (SIS) and healthy subjects in a seated position during free shoulder movements of large amplitude. Using a 0.5-Tesla SIGNA-SP/i trade mark open-configuration magnetic resonance imaging (MRI) system, the AHD was measured at seve...

To compare the efficacy of a single intraarticular corticosteroid injection, a supervised physiotherapy program, a combination of the two, and placebo in the treatment of adhesive capsulitis of the shoulder. Ninety-three subjects with adhesive capsulitis of <1 year's duration were randomized to 1 of 4 treatment groups: group 1, corticosteroid injec...

To identify preoperative predictors of locomotor ability 2 months after total knee arthroplasty (TKA). Sixty-five participants scheduled for a first TKA were recruited. The dependent variable was the distance covered during the 6-minute gait test 2 months after TKA. The independent variables, measured before surgery, were grouped into 3 categories:...

Here, we propose a 3D reconstruction approach using shape-based interpolation and contour-based extrapolation. This approach aims to generate a 3D geometric model of a human shoulder from a sequence of MR parallel 2D cross-sections. While interpolation generates intermediate slices between every pair of adjacent input slices, extrapolation performs...