Marc Beaumont

Université de Bretagne Occidentale | UBO · UMR 1304 - Groupe d'Etude de la Thrombose de Bretagne Occidentale (GETBO)

Objective: Inspiratory muscle training is recommended for people with chronic obstructive pulmonary disease (COPD) with inspiratory muscle weakness. Clinical interpretation of changes in inspiratory muscle strength could be helped by the determination of cut-off values. The aim of this study was to estimate the minimal important difference for ins...

The role of the physiotherapist in the assessment and management of dyspnea. Dyspnea is the most common symptom in cardio-respiratory diseases. Recently improved comprehension of dyspnea mechanisms have underlined the need for three-faceted assessment. The three key aspects correspond to the "breathing, thinking, functioning" clinical model, which...

Purpose: Postural control impairment has been identified as a potential extrarespiratory manifestation in patients with chronic obstructive pulmonary disease (COPD). The aims of this study were to identify clinical factors that characterize patients with reduced postural control, to examine the correlation between clinical factors and postural con...

Analyse transversale secondaire d'une étude observationnelle longitudinale (PARACHUTE) 73 participants avec BPCO inclus Service de réhabilitation respiratoire du CH des Pays de Morlaix La réduction du contrôle postural est un atteinte secondaire reportée chez les personnes atteintes de BPCO. Cette modification peut engendrer des impacts négatifs im...

Introduction: Tele-rehabilitation is increasingly used to deliver pulmonary rehabilitation. The aim of this systematic review was to compare the effect between tele-pulmonary rehabilitation and classical supervised pulmonary rehabilitation. Method: Three databases were analysed (PubMed, PEDro, Scopus). The selection and evaluation of studies fol...

Objective COPD patients have more fear of falling (FOF) in comparison with control population. One major aim of pulmonary rehabilitation (PR) is to maintain physical activity. Studies show that FOF can limit physical activity. The aim of this study was to assess the impact of PR on FOF in patients with COPD. Methods From January to august 2019, CO...

Objective To compare strengthening by neuromuscular electrical stimulation versus cycle ergometer training during a pulmonary rehabilitation program, in patients with severe to very severe chronic obstructive pulmonary disease. Design A prospective randomized controlled study. Setting Two inpatient pulmonary rehabilitation centers. Subjects Pati...

We evaluated the diagnostic performances of the French translation of a self-administered questionnaire designed by Diehl et al looking for a history of pre-eclampsia. After a phone call, 206 women who gave birth at Brest University Hospital responded to the questionnaire online. Then, their responses were compared to their medical files. The sensi...

Introduction L’inconfort respiratoire à l’effort est le symptôme le plus commun chez les patients atteints de BPCO. L’utilisation du menthol a récemment démontré une diminution de la perception d’essoufflement à l’effort chez des sujets sains. Nous avons émis l’hypothèse que mâcher un chewing-gum à la menthe avant un effort pourrait diminuer la per...

Chewing menthol gum prior to exercise is a safe, easy-to-implement, low-cost, non-pharmacologic intervention that provides a reduction in dyspnoea in a third of patients and decreases the perception of discomfort during exercise in two-thirds of patients https://bit.ly/3FoFHp1.

Background the perception of dyspnea is a subjective feeling typically self-assessed by the patient. However, the assessment by a caregiver is sometimes required. Objectives the primary aim was to compare patient self-assessment and caregiver assessment of dyspnea (interrater reliability) using the modified Borg and visual analogue scale (VAS) in...

Résumé Introduction L’entraînement des muscles inspiratoires (EMI) fait partie de la prise en charge des patients atteints de pathologie respiratoire en réhabilitation respiratoire. Depuis les dernières recommandations de la SPLF, plusieurs études se sont intéressées à l’intérêt de l’EMI en réhabilitation respiratoire. État des connaissances l’EM...

Objectives: During a pulmonary rehabilitation program (PRP), patients frequently report that the classically proposed activities (as cycloergometer or treadmill) are not playful. The goal of adapted physical activities is to maintain physical activity that is more playful for patients. The Nintendo Wii Gaming Console allows a playful physical activ...

Background: Arterial puncture is often painful for patients. The aim of this study was to compare use of local anesthesia as a eutectic mixture of 2 local anesthetics, lidocaine and prilocaine, versus placebo. Methods: We conducted a double-blind, randomized controlled trial. Subjects were eligible if arterial puncture was indicated. The primary...

Introduction: The authors of the international task force about the management of Dyspnea recommend assessing sensory and affective components of dyspnea. The Dyspnea-12 questionnaire (D-12) allows to assess both components of dyspnea. D-12 is valid and reliable but its sensitivity to pulmonary rehabilitation was not studied. The aim of this study...

Introduction: In activities involving upper limbs, patients with chronic obstructive pulmonary disease (COPD) report an increase in dyspnea. For this reason, the authors of the recommendations about pulmonary rehabilitation propose to perform upper limbs muscle strengthening in patients with COPD. However, the modalities of strengthening are not c...

Résumé Les bénéfices de l’activité physique dans la préservation de la santé des patients atteints de mucoviscidose sont aujourd’hui certains. Cependant, la conservation d’un exercice physique régulier est difficile pour ces patients. L’objectif principal de cette étude est de connaître l’avis des patients quant à l’utilisation de nouvelles technol...

Introduction Les auteurs du groupe de travail international sur l’évaluation et la gestion de la dyspnée recommandent d’évaluer les composantes sensorielles et affectives de la dyspnée. Le questionnaire Dyspnea-12 (D-12) est un outil qui permet d’évaluer les deux composantes de la dyspnée [1]. La validité et la fiabilité du document D-12 sont démon...

Introduction Des études récentes suggèrent que l’ÉlectroStimulation NeuroMusculaire (ESNM) peut améliorer la fonction musculaire, la tolérance à l’effort, la dyspnée et la qualité de vie des patients atteints de BPCO. L’objectif de cette étude était de comparer l’efficacité d’un programme d’ESNM versus un programme d’entraînement sur cycloergomètre...

Chronic obstructive pulmonary disease (COPD) is frequently associated with a reduced functional exercise capacity. This parameter is usually evaluated using 6-minute walking test (6MWT). New tools appear regularly. The aim of this study was to validate the 3-minute step test (3MStepT) and to compare 3MStepT and 6MWT in stable patients with COPD as...

Résumé Introduction Selon les sociétés savantes, il est recommandé d’inclure un renforcement des membres supérieurs à un programme de réhabilitation respiratoire. Cependant, les modalités de l’entraînement des membres supérieurs ne sont pas définies. L’objectif de cette étude est de comparer les effets de l’entraînement en Force (F) versus en Endu...

Background: Pulmonary rehabilitation inevitably contains two essential components: therapeutic education and exercise training. The principal aim of this study was to evaluate the evolution over a year of the realization of plans determined during a pulmonary rehabilitation program (PRP). Methods: At the end of a PRP the patient made plans in ac...

Background Measurement of quadriceps muscular force is recommended in individuals with COPD, notably during a pulmonary rehabilitation program (PRP). However, the tools used to measure quadriceps maximal voluntary contraction (QMVC) and the clinical relevance of the results, as well as their interpretation for a given patient, remain a matter of de...

Introduction Eighty percent of COPD patients experience dyspnea during activities of daily life (ADL). To the best of our knowledge, the Modified Medical Research Council (MMRC) dyspnea scale is the only validated scale designed to quantify dyspnea during ADL available in the French language. Two other instruments are only available in English vers...

Résumé Plusieurs études ont montré l’intérêt de l’électrostimulation neuromusculaire (ESNM) des quadriceps sur la capacité à l’exercice dans la bronchopneumopathie chronique obstructive (BPCO). Cependant, une seule étude concernant la stimulation des triceps suraux a été publiée. Les objectifs de cette étude sont de comparer l’effet de l’ESNM combi...

L’épreuve d’effort est le gold standard avant de démarrer un programme de réhabilitation respiratoire. Elle permet d’éliminer les éventuelles contre-indications, de voir les limites à l’effort des patients et d’individualiser le programme de réentraînement. Néanmoins, l’épreuve d’effort peut être difficile à déchiffrer. Dans cette session, différen...

The benefit of inspiratory muscle training (IMT) combined with a pulmonary rehabilitation programme (PRP) is uncertain. We aimed to demonstrate that, in severe and very severe chronic obstructive pulmonary disease (COPD) patients, IMT performed during a PRP is associated with an improvement of dyspnoea. In a single-blind randomised controlled trial...

Introduction: Patients with COPD frequently have lower strength and endurance in their lower limbs compared to healthy subjects and evaluation of their quadriceps strength is recommended in practice. The handheld dynamometer has been validated and is easy to use for this measurement but its reproducibility has never been studied for endurance eval...

Objectives: In chronic obstructive pulmonary disease (COPD), quality of life and exercise capacity are altered in relationship to dyspnea. Benefits of inspiratory muscle training (IMT) on quality of life, dyspnea and exercise capacity were demonstrated, but when it is associated to pulmonary rehabilitation (PR), its efficacy on dyspnea is not demon...

Introduction: Chronic obstructive pulmonary disease (COPD) is frequently associated with a reduced functional exercise performance. Even if this parameter is routinely evaluated using 6-minute walking test (6MWT), new field tests are regularly investigated as alternative tests. The aim of this study was to compare functional exercise performance e...

Dans le cadre d’un programme de réhabilitation respiratoire (PRR) chez les patients atteints de BPCO, les sociétés savantes recommandent d’inclure un entrainement des muscles inspiratoires (EMI) chez les patients présentant une diminution objective de la force des muscles inspiratoires. Cette recommandation fait suite à une méta-analyse qui suggère...

Contexte Selon les recommandations des sociétés savantes, l’entraînement des muscles de l’appareil locomoteur est une priorité dans un programme de réhabilitation respiratoire. Dans ce cadre, l’électrostimulation neuromusculaire (ESNM) peut être utilisée et un nombre important d’études a démontré son efficacité, pour des patients atteints de BPCO....

La dyspnée est la plainte la plus fréquente dans les maladies respiratoires. Lors de son activité quotidienne, le kinésithérapeute est souvent face à un patient dyspnéique. Ainsi le kinésithérapeute a une place importante dans la prise en charge des patients dyspnéiques, tout d’abord dans l’évaluation puis le traitement, et il est également un inte...

Background The 1-minute sit-to-stand (STS) test could be valuable to assess the level of exercise tolerance in chronic obstructive pulmonary disease (COPD). There is a need to provide the minimal important difference (MID) of this test in pulmonary rehabilitation (PR). Methods COPD patients undergoing the 1-minute STS test before PR were included....

La riabilitazione respiratoria è stata riconosciuta da molto tempo come benefica per i pazienti con broncopneumopatia cronica ostruttiva (BPCO), poiché migliora la capacità fisica, la dispnea, la qualità della vita, la frequenza delle ospedalizzazioni, l’ansia, la depressione (evidenza di grado A) e, persino, la sopravvivenza (evidenza di grado B)...

COPD patients have frequently lower strength and endurance in lower limbs compared to healthy subjects. Actually, the evaluation of quadriceps is recommended in COPD. The hand held dynamometer is validated and easy to use for this evaluation. However, its reliability has never been studied for the endurance evaluation and poorly for the strength. T...

La rehabilitación respiratoria se reconoce desde hace mucho tiempo como una práctica beneficiosa para los pacientes afectados por una enfermedad pulmonar obstructiva crónica (EPOC). Produce efectos favorables sobre la capacidad física, la disnea, la calidad de vida, el número de hospitalizaciones, la ansiedad, la depresión (evidencia de grado A) e...

Background: The validity and reproducibility of the 6-minute stepper test (6MST) have already been demonstrated in patients with chronic obstructive pulmonary disease (COPD). Objectives: The aim of this study was to evaluate the responsiveness of the 6MST to pulmonary rehabilitation (PR) in patients with COPD, to determine a minimal important di...

L’exploration fonctionnelle à l’exercice communément appelée épreuve d’effort est le gold standard pour évaluer la capacité à l’exercice. Cet examen apporte de nombreuses explications de la limitation à l’exercice pour les patients. Avec quelques notions de base pour appréhender l’interprétation de cet examen, le kinésithérapeute pourra tirer de ce...

L’exacerbation de BPCO est la plus fréquente des complications évolutives chez les patients atteints de BPCO. Les retentissements sont multiples et retentissent sur la qualité de vie du patient, la fonction pulmonaire et le coût engendré. Le kinésithérapeute a un rôle primordial dans la prise en charge des patients au cours des exacerbations mais a...

Population Cinquante-neuf personnes participent à cette étude, 46 femmes et 13 hommes, âgées de 70 à 98 ans, considérées comme saines du point de vue respiratoire. Matériel et méthode Un débitmètre de pointe est utilisé, associé à un filtre et à un embout buccal pour la mesure du débit expiratoire de pointe (DEP) et d'un masque pour DEP à la toux (...

Background: COPD is frequently associated to a reduced exercise tolerance. This parameter is routinely evaluated using six minute walking test (6MWT). New field tests appear and are investigated regularly as alternative tests. The aim of this study was to compare 6MWT to sit-to-stand test (STST) in COPD patients. Method: 19 COPD patients were recru...

Background: COPD is frequently characterized by a reduced exercise tolerance. Six minute walking test (6MWT) is the gold standard for its evaluation. However, the request of a 30m hallway is an environmental constraint. For this reason, 6 minutes Stepper (SpT) and 6 minutes Step (ST) tests were proposed as alternatives. A reduction of the duration...

Although recommended by international guidelines, the benefit of inspiratory muscle training (IMT) in addition to rehabilitation remains uncertain. The objective was to demonstrate the effectiveness of IMT on dyspnea using Borg scale and multidimensional dyspnea profile questionnaire at the end of a 6-minute walk test (6MWT) in patients with chroni...

L’educazione terapeutica del paziente si definisce, secondo la Haute Autorité de Santé, come «un processo continuo, integrato nelle cure e centrato sul paziente. Essa comprende delle attività organizzate di sensibilizzazione, di informazione, di insegnamento e di accompagnamento psicosociale a proposito della malattia, del trattamento prescritto, d...

La educación terapéutica del paciente se define, según la Haute Autorité de Santé (HAS) de Francia, como «un proceso continuo, integrado al tratamiento y enfocado en el paciente. Comprende actividades organizadas de sensibilización, información, aprendizaje y acompañamiento psicosocial relativo a la enfermedad, el tratamiento prescrito, los cuidado...

Introduction Le stepper-test de six minutes (ST6) est un test objectivant la capacité fonctionnelle, dont la validité, la reproductibilité et la sensibilité en réponse à une intervention ont été démontrées chez les patients atteints de BPCO. Néanmoins l’interprétation des changements du ST6 est délicate en l’absence de différence minimale importan...

Acute exacerbations are the most frequent complications during progression of the COPD disease. Within a therapeutic educational program, performing written action plans has been shown to impact the management and the consequences of these acute exacerbations. A personalized written action plan is a document generated by both health professionals a...

Les cartes conceptuelles (Cmap) sont un outil d’évaluation des connaissances des patients dans le cadre d’un programme d’éducation thérapeutique (ETP). L’objectif est d’évaluer les connaissances de patients BPCO après un programme d’ETP en réhabilitation respiratoire (RR) en utilisant les Cmap. Sept patients BPCO hospitalisés en RR sont inclus dans...

Dans la littérature, on retrouve classiquement que les patients atteints de BPCO présentent une limitation de la capacité à l’exercice. L’évaluation initiale du retentissement de la pathologie respiratoire sur la tolérance à l’effort est donc indispensable dans la prise en charge globale du patient. Pour cela, le test de marche de 6 minutes, valide...

Background: The six-minute stepper test (6MST) validity and reproducibility have already been demonstrated in patients with chronic obstructive pulmonary disease (COPD). Aims: To evaluate the responsiveness of the 6MST to pulmonary rehabilitation (PR) in patients with COPD and to objectively compare 6MST and six-minute walk test (6MWT). Methods: 62...

La capacité fonctionnelle est un critère d’évaluation indispensable au cours d’un programme de réhabilitation respiratoire (PR) : pour cela, le test de marche de 6 minutes (T6) est un outil classiquement utilisé mais nécessitant un couloir de 30 m. Le stepper test de six minutes (ST6) est une alternative qui a montré sa validité et sa reproductibil...

Introduction The present study aims to evaluate the effects of pulmonary rehabilitation (PR) on dynamic hyperinflation (DH), according to the BODE index. Method Prospective study from 74 patients COPD for a 4-week-period of PR program. The inspiratory capacity (IC) is the parameter chosen to evaluate the DH: at rest and at the end of training, at...

Objective The aim of this study was to investigate effects of pulmonary rehabilitation (PR) on balance in chronic obstructive pulmonary disease (COPD) patients. Methods A prospective longitudinal study has been performed. Balance was evaluated by timed up and go test (TUG), Tinetti test and unipedal stance test. Results Seventeen patients with CO...

Respiratory rehabilitation is an integral part of treatment for patients with chronic obstructive pulmonary disease (COPD) and therapeutic education is one of the cardinal aspects of the patient-centered management. The goal is to help the patient become an active determinant of his-her life with chronic pulmonary disease. Therapeutic education als...

Objective To ascertain, through a national survey, whether the performance of the six-minute walk test (MW6) is in accordance with the recommendations of the American thoracic society (ATS). Methods An anonymous questionnaire was sent electronically to 206 departments of respiratory medicine (39 teaching hospitals and 167 general hospitals) and to...

To ascertain, through a national survey, whether the performance of the six-minute walk test (MW6) is in accordance with the recommendations of the American thoracic society (ATS). An anonymous questionnaire was sent electronically to 206 departments of respiratory medicine (39 teaching hospitals and 167 general hospitals) and to respiratory rehabi...

This article presents a theoretical and a general theme expanding view of the development of chronic diseases. It recalls the definitions of therapeutic patient education and explains the three reasons for its emergence: sociological, epidemiological and economic. The “HPST” law has placed therapeutic patient education in the course of patient care...

Introduction The aim of this study is to assess the effects of in-patient pulmonary rehabilitation in relation to the stages of COPD according to GOLD and the BODE index. Method A prospective cohort study over 4 weeks. The 6-minute walk test, the relationship dyspnoea (EVA)/walking distance, dyspnoea (MRC scale), the Saint-George's respiratory que...

The aim of this study is to assess the effects of in-patient pulmonary rehabilitation in relation to the stages of COPD according to GOLD and the BODE index. A prospective cohort study over 4 weeks. The 6-minute walk test, the relationship dyspnoea (EVA)/walking distance, dyspnoea (MRC scale), the Saint-George's respiratory questionnaire and the BO...

Chronic obstructive pulmonary disease (COPD) is classically defined by describing respiratory deficiency (Forced expiratory volume in one minute FEV1) or by describing respiratory incapacity (dyspnea, locomotion). This article describes an approach of more total evaluation, the Saint-George’s Respiratory Questionnary (SGRQ). It shows through the ex...

Background The purpose of this work was to compare the efficacy of a 4-week inpatient respiratory rehabilitation program as a function of disease severity as judged by the GOLD stage and the BODE index. Method This was a retrospective comparison of 126 patients with COPD. Assessment tools included the 6-min walking test (6M), a visual analog scale...

Chronic obstructive pulmonary disease (COPD) is classically defined by describing respiratory deficiency. Forced expiratory volume in one minute (FEV1) is used to measure the degree of bronchial obstruction. Here we describe another approach, BODE, which includes the respiratory deficit described by FEV1 and also an analysis of the respiratory inca...