Stephane Mandigout

Stephane Mandigout
University of Limoges | UNILIM · Laboratory HAVAE UR 20217

PhD

About

128
Publications
10,670
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876
Citations
Introduction
Interest: Handicap and mobility at home Techniques: wearable tracker (actigraph, armband, gaitup, stepwatch, delsys trinoma), virtual reality, exergame, metamax, Actual project: rgs@home (https://rgs-at-home.eu/), adepina and Dira'dom: web application fort the health professional, telecoaching, INCOME: exergame for older people.

Publications

Publications (128)
Article
Background: Telerehabilitation and follow-up techniques have been developed in recent years to assess the effectiveness of diverse intervention programmes that include exergaming technologies. For patients with upper limb impairment after stroke, motion-gaming technologies can provide effective and amusing training. Beyond efficiency, professional...
Article
Full-text available
After discharge from the hospital to home, stroke patients may experience weakness and reduced movement in their hemiparetic arms that limits their ability to perform daily activities. Therapists can use exercise games (exergames) to maintain functional abilities and daily use of the arm at home. A systematic review and meta-analysis was conducted...
Poster
Cognitive-motor dual-task trainings are known to be efficient on cognitive, motor and dual-task capacities in seniors, and can use exergames as support to improve attractiveness and motivation. The INCOME project aimed at conceptualizing and developing an exergame for seniors. We describe here the characteristics of the training program participant...
Article
Full-text available
Talking about athletes who train for long-distance running events, one cannot refer primarily to the aerobic system, which ensures the necessary energy support for a prolonged physical effort. This is a result of the oxidation process of food at a mitochondrial level. This is an observational and case study through which a practical analysis of the...
Article
Full-text available
Background There is a pressing need for scalable healthcare solutions and a shift in the rehabilitation paradigm from hospitals to homes to tackle the increase in stroke incidence while reducing the practical and economic burden for patients, hospitals, and society. Digital health technologies can contribute to addressing this challenge; however, l...
Article
Autonomic imbalance in stroke is characterized by increased sympathetic activity and reduced vagal nerve activity. Physical activity could be a strategy to counteract autonomic control impairments after a stroke. The aim of the study was to evaluate the effect on heart rate variability of a 6-month coaching program in a home setting in subacute str...
Article
Background The increased energy cost of walking (Cw) for stroke patients affects the walking function and walking independence of stroke patients. However, its impact on quality of life (QoL) has never been studied. Objective Assess the association between Cw and QoL for post-stroke individuals in the year following hospital discharge. Method Thi...
Article
Full-text available
Background: Ageing is associated with a decrease in cognitive, motor, and dual-task capacities, leading to a possible loss in autonomy. Cognitive-motor dual-task training is known to be effective on these functions but suffers from low adherence level. On this point, exergames seem to be a promising solution. We aim to evaluate the effects of a new...
Research Proposal
Full-text available
Attached is a call for submissions for a special issue in the International Journal of Environmental Research and Public Health: Rehabilitation and Physical Activity at Home in subacute and Chronic Stroke. Please do not hesitate to contact me.
Article
Purpose: We summarized the effectiveness of home-based active video game interventions on physical and cognitive functions, as well as quality of life in adults with Parkinson’s disease. We also assessed the feasibility, safety, adherence, and retention of benefits of these interventions. Method: We searched studies in eight databases from 1st Marc...
Article
Full-text available
Aim: To test the validity of Borg’s 6–20 rating of perceived exertion scale in assessing the exertion intensity over a multi-activity session in young and older adults.Materials and methods: This cross-sectional study included 56 healthy participants. All participants underwent a single session of activities including working on a computer, treadmi...
Preprint
Full-text available
The physical and cognitive loads during exergaming may differ from more conventional cognitive-motor dual-task trainings. The aim of this pilot transversal study was to compare exercise intensity during exergame, cognitive-motor dual-task and single-task training sessions. We recruited healthy young adults who carried out one session of each t type...
Preprint
Purpose We summarized the effectiveness of home-based active video game interventions on physical and cognitive functions, as well as quality of life in adults with Parkinson’s disease. We also assessed the feasibility, safety, adherence, and retention of benefits of these interventions. Method We searched studies in eight databases from 1st March...
Article
Full-text available
Background: Adapted physical activity (APA) aids breast cancer patients. It is necessary to use an adapted target heart rate (HR) when prescribing exercise intensity. Methods: In total, 138 patients previously included in two published randomized clinical trials underwent the CPET and 6MWT before and after adjuvant therapy. Of these patients, 85...
Article
Full-text available
Cet article tend à réfléchir sur les facteurs motivationnels liés à l'usage de jeux vidéos dans l'auto-rééducation des membres supérieurs des patients victimes d'un Accident Vasculaire Cérébral à domicile. L'enjeu est notamment de procurer aux utilisateurs un outil utile pour leur rééducation tout en maintenant leur motivation. A partir de la litté...
Article
Full-text available
Abstract: The main purpose of the ADEPINA project is to take up the challenge of digitally mediated home exercise rehabilitation. During the phase of creation of the technological support, which should allow a patient and a professional to interact remotely throughout the rehabilitation program, two focus groups were organized to begin to anticipat...
Article
Full-text available
Le vieillissement s’accompagne d’une diminution des capacités cognitives et motrices, représentant une augmentation du risque de chutes. Nous pouvons pallier cette dégradation par le biais d’entraînements spécifiques ; toutefois, les seniors peuvent manquer de motivation à entamer, poursuivre et respecter ces programmes d’entraînements. Une solutio...
Presentation
Le vieillissement s’accompagne d’une diminution des capacités cognitives et motrices (1), représentant une augmentation de facteurs de risque de chutes. Ce risque est majoré lors de situation de double tâches cognitivo-motrices (réalisation simultanée d’une tâche cognitive et d’une tâche motrice) (2). Il est donc important de maintenir les capacité...
Article
Background The oxygen cost of walking (Cw) represents the energy expenditure involved in walking, which is a major concern when quantifying physical activity in stroke. Recent studies have reported that Cw may be estimated accurately with a prediction equation using the self-self-selected walking speed (Sfree). Research question To evaluate the va...
Article
Full-text available
The World Health Organization has presented their recommendations for energy expenditure to improve public health. Activity trackers do represent a modern solution for measuring physical activity, particularly in terms of steps/day and energy expended in physical activity (active energy expenditure). According to the manufacturer's instructions, th...
Presentation
Background and aims: Cognitive-motor dual-task trainings are promising for the enhancement of cognitive, motor, and dual-task functions. These trainings may be realized through exergaming, and must be composed of demanding tasks to be effective (1). We aimed at comparing the exercise intensity during single-task and dual-task training realized with...
Article
Objective: To report all equations that can potentially be used to estimate the oxygen cost of walking (Cw) without using a respiratory gas exchange analyzer and to provide the level of reliability of each equation. Data sources: Webline, Medline, Scopus, ScienceDirect, Bielefeld Academic Search Engine (BASE), and Wiley Online Library databases...
Article
Objective To evaluate the association between walking speed at self-selected comfort pace (Sfree), oxygen consumption at Sfree (VO2free), the oxygen cost of walking at Sfree (Cw), and mobility independence and independence for activities of daily living in post-stroke individuals. Design cross sectional study Setting hospital Participants All in...
Article
WHO defines physical activity (PA) as any bodily movement produced by skeletal muscles that requires energy expenditure (EE). The purpose of this study was to compare the EE estimations by ActiGraph GT3X+ with a gold standard measurement, the portable gas analyser in a set of 3 different PAs. This cross-sectional study involved 56 participants, age...
Article
Background: The gains in walking capacity achieved during rehabilitation often plateau, or are lost, when the patient returns home. Moreover, maintaining or increasing the patient's daily physical activity level after a stroke remains challenging. We aimed to evaluate the effectiveness of a six-month individualized coaching program at home on walk...
Article
Background: Rehabilitation is a mandatory component of stroke management, aiming to recover functional capacity and independence. To that end, physical therapy sessions must involve adequate intensity in terms of cardiopulmonary stress to meet the physiological demands of independent living. Objective: The aim of this systematic review was to dete...
Article
Ageing is associated with cognitive decline, ranging from normal to mild cognitive impairment or dementia. This leads to physical and cognitive impairments, which are risk factors for loss of autonomy. Therefore, cognitive and physical training are important for cognitively impaired older adults. The combination of both may represent an efficiency...
Article
Full-text available
Several studies have demonstrated that instrumented insoles enable the quantification of steps taken in people with or without walking limitations. However, the number and location of imbedded pressure sensors in an insole vary considerably in the literature, resulting in variable step count accuracies. The objective of this study was to determine...
Article
This overview aims to summarize the effectiveness of cognitive-motor dual-task and exergame interventions on cognitive, physical and dual-task functions in healthy older adults, as well as the feasibility, safety, adherence, transfer and retention of benefits of these interventions. We searched for systematic reviews or meta-analyses assessing the...
Article
Visuospatial memory (VSM) performance depends on intrinsic (biopsychosocial parameters) and extrinsic (space) factors. We aimed at characterizing the determinants of VSM performance according to space. Young healthy adults, 20 males and 41 females (23 ± 3 years old), were assessed for VSM performance through a pathway learning task, in reaching (eC...
Article
Background The aim of our study was to conduct an ad hoc data collection in healthy adults with the intention of extracting individual profiles to study the ability to effectively monitor one's health by extracting relevant indicators. As “each patient is a unique case”, AMISIA (Defi CNRS AUTON project) proposes an integrated approach, combining me...
Article
Full-text available
Background. Understanding the factors that limit mobility in stroke patients is fundamental for proposing appropriate rehabilitation strategies. A high oxygen cost during walking (Cw) has a strong impact on the community ambulation of hemiparetic patients. The Cw in poststroke cerebellar ataxia is poorly evaluated, unlike hemiparetic gait. Objectiv...
Presentation
Physical activity programs, and more specifically dual-task training, are increasingly used in the context of aging as they improve physical, cognitive and dual-task abilities. These dual tasks can be motor-motor, cognitive-motor or navigational. We sought to know the effect of a combining these modalities. 24 healthy seniors (19 women, 70.5 ± 5 ye...
Conference Paper
Introduction : Les performances de mémoire visuospatiale (MVS) sont influencées par des déterminants biopsychosociaux, ainsi que par les conditions expérimentales (espace, nature de la tâche). Nous cherchons à caractériser les déterminants des performances de MVS selon l’espace (proche ou lointain). Matériel et méthodes : Soixante et un sujets jeu...
Conference Paper
Introduction : Les programmes d’activité physique sont de plus en plus utilisés dans le cadre du vieillissement, mais leurs effets sur les capacités de double-tâche (DT) et de navigation restent controversés. Nous étudions les effets de différentes modalités de DT associées sur la condition physique et les performances en DT de seniors : motrice-mo...
Article
Full-text available
Background: Walking represents a major component of physical activity (PA), and its restriction could degrade autonomy and quality of life. An important objective for preventive and/or rehabilitative strategies to improve balance and gait in normal and pathological aging conditions is to focus on physical activity. Activity monitors have recently b...
Presentation
Visuospatial memory (VSM) performances are influenced by biopsychosocial factors, physical activity (PA) level and experimental conditions. VSM performances would play a major role in navigation performances. We aimed to investigate whether, and to what extent, VSM performances in different spaces (reaching and walking) including navigation were as...
Article
Background: Recent studies reported that wearable sensor devices show low validity for assessing the amount of energy expenditure in individuals after stroke. Objective: We aimed to evaluate the validity of energy expenditure calculation based on the product of energy cost and walked distance estimated by wearable devices in individuals after he...
Article
Objective: To explore the validity of energy expenditure estimates using the SenseWear Armband during a sequence of four daily living activities in patients post-stroke. Method: Patients with stroke who were able to walk during 6 min without human assistance were asked to wear the SenseWear Armband on the non-paretic arm while performing transfers,...
Article
Full-text available
Objective: To determine whether post-stroke patient's perceived exertion correlates with effort intensity score as measured by a wearable sensor and to assess whether estimates of perceived exertion are correlated to the cerebral hemisphere involved in the stroke. Methods: We evaluated the effort intensity score during physiotherapy sessions usi...
Article
Full-text available
Background: Health professionals need valid devices to assess a stroke individual’s ability to walk. The aim was to evaluate the validity of the estimation of the walked distance by wearable devices and the impact of the sensor’s position in stroke individuals. Methods: Post-stroke patients able to walk without human assistance were equipped with s...
Conference Paper
Introduction De nombreux facteurs tels que l’âge, le genre ou l’éducation influencent les performances de mémoire de travail dans des espaces proches et lointains. La littérature montre que les femmes utilisent préférentiellement une stratégie dite égocentrique, tandis que les hommes utilisent une stratégie dite allocentrique. L’objectif est d’étud...
Conference Paper
Introduction Peu d’études ont abordé les effets de l’activité physique (AP) sur les performances de la mémoire de travail visuospatiale. L’objectif de notre étude est de déterminer si les performances cognitives, évaluées par le test de Corsi réalisé selon 2 modalités, sont associées au niveau d’AP journalier chez le sujet jeune. Matériel et métho...
Article
Objective: To measure the Metabolic Equivalent Task (MET) when performing physical activities of daily living in post-stroke individuals. Design: Post-stroke individuals who were able to walk without human assistance were recruited and asked to perform the following activities of daily living: washing dishes (activity code:05041 in Ainsworth's c...
Article
Objective: To explore the validity of the Actigraph and the influence of the placement of the sensor when estimating the active energy expenditure in four common daily activities (transfers, manual task, walking in overground and walking up and down stairs) in stroke survivors. Design: Cross-sectional study. Setting: Department of Physical Med...
Conference Paper
Introduction/Background The aim of our study is to evaluate the effects of a physical activity (PA) incentive program on the amount of spontaneous activity in older people living in an independent residence. Material and method The recruitment of elderly people was performed in 3 independent residences in the city of Limoges, France. The inclusion...
Article
Introduction/Background During official competition, Wheelchair Rugby (WR) uses a classification system, defined with 7 levels (from 0.5 to 3.5 points) according to the level of disability. But 2 main roles can be observed on the court: defensive role (generally for player from 0.5 to 1.5 pts) and offensive role (players from 2 to 3.5 pts). Very fe...
Article
Introduction/Background The energy cost of walking is a marker of metabolic solicitation and allows energy quantification of walking. It is strongly correlated to the patient's walking speed with post-stroke sequelae. We wanted to develop a model for predicting the energy cost of walking to create of walking distance recommendations aimed at achiev...
Article
Full-text available
Introduction/Background For a same accelerometer, the manufacturer mentions that it can be worn at different positions on the body. However, we assume that the data are different according the accelerometer positions and the recorded activity. The aim of the study was to compare the energy expenditure values estimated by the Actigraph accelerometer...
Article
Spatial memory and navigation capabilities tend to decline in normal aging, but few studies have assessed the impact of landmarks on route learning in a large-scale environment. The objectives were to examine age-related effects on visuo-spatial working memory capabilities in various environments and to determine the impact of landmarks in navigati...
Article
Background: This study aims at quantifying the level of physical activity of wheelchair rugby players during matches in order to compare defensives players (DP) and offensives players (OP) profiles. Our hypothesis is that OP would present a higher energy expenditure and intensity level values during matches than DP, due to specific actions accordi...
Article
Objective: To verify the relation between spontaneous walking speed (Sfree) and oxygen cost of walking at Sfree (Cwfree) in post-stroke hemiparetic patients and to test the validity of a prediction model to estimate Cwfree based on Sfree. Design: We included 26 participants (mean age 65.1 years [SD 15.7]) with mild to moderate disability after s...
Article
Full-text available
Background Stroke causes functional decline, psychological disorders and cognitive impairments that affect activities of daily living and quality of life. Although physical activity (PA) is beneficial in stroke recovery, PA recommendations are rarely met after hospital discharge. There is presently no standard strategy for monitoring and inciting P...
Conference Paper
Full-text available
Introduction L’objectif principal est d’analyser l’effet de l’âge lors de la réalisation de trois tâches de mémoire de travail visuospatiale (MTVS), dont deux tâches de navigation spatiale (avec et sans repères spatiaux). L’objectif secondaire est de déterminer s’il existe une association entre les capacités de navigation et les performances des fo...
Article
Background The Borg Scale for the rating of perceived exertion (RPE) is recommended to measure the intensity of physical exercise during stroke rehabilitation, but its reliability in activities of daily living is not explored. Objective To evaluate the correlation between the RPE using the Borg Scale (6–20) and the intensity of effort as measured...
Article
In the subacute stroke phase, the monitoring of ambulatory activity and activities of daily life with wearable sensors may have relevant clinical applications. Do current commercially available wearable activity trackers allow us to objectively assess the energy expenditure of these activities? The objective of the present study was to compare the...
Article
Objective The rating of perceived exertion (RPE) scales are used to quantify and prescribe an intensity of exercise and physical activity. Its use in stroke is widespread but its reliability can be questioned by multiple problems inherent to stroke such as cognitive disorders. The objective was to evaluate the reliability of RPE by the BORG scale (...
Article
Objective The purpose of this study was to examine the accuracy of severals accelorometers commonly used in post stroke studies [1] to estimate the total energy expenditure (TEE) over activities of daily living. Material/Patients and methods Thirty-eight participants (age: 65,7 ± 13,5; BMI 26,7 ± 6; Barthel Index: 69 ± 21) with various aged stroke...
Article
Objective The accuracy of accelerometers in assessment of the total Energy Expenditure (TEE) in activities of daily living is discuted. Sensewear Armband (SWA) a multi-sensor device appears as the most accurate device for the global estimate of the TEE after stroke (1). The purpose of this study was to evaluate the agreement of the SWA with criteri...
Article
Objective Physical activity (PA) and exercise are two successful approaches to reduce sedentary behavior and risk managing in stroke patients. The aims of the study are to evaluate PA and physical inactivity levels in post-stroke patients and to correlate PA parameters with gait performance, fatigue, anxiety, and anthropometry parameters in subacut...
Conference Paper
Objective The aim of this work is to compare the evaluation/measurement of the daily energy expenditure related to physical activity with the use of different actimeters currently available. Material/patients and methods Twenty-four young healthy adults voluntarily participate in this study. Energy expenditure related to the realization of daily p...
Article
Objective: After stroke, regularly physical activity of at least 30. minutes or 4600 steps per day is recommended. This study aimed to assess if post-stroke patients achieved the recommendations before leaving the physical medicine and rehabilitation unit. Material and method: Physical activity time and number of steps taken by subjects were estima...
Conference Paper
Introduction Cette étude a pour objectif principal d’analyser les effets d’un programme multi-composant (équilibre, marche, double-tâche) sur les troubles de la marche et le risque de chute de patients atteints de démence. L’objectif secondaire est de déterminer s’il existe une relation entre les capacités de marche et le risque de chute chez les p...
Article
Full-text available
Background: Exercise programs are presumed to rehabilitate gait disorders and to reduce the risk of falling in dementia patients. This study aimed to analyze the specific effects of multicomponent exercise on gait disorders and to determine the association between gait impairments and the risk of falling in dementia patients before and after inter...
Article
Aim: Little evidence exists in the literature on the effects of mixed-type training on the left ventricle (LV). This study focused on the effects of training on the morphological and functional characteristics of the left ventricle. This study investigated the effects of training on LV function using Speckle Tracking Imaging (STI) in high-level, y...
Article
The current literature contains little information about the level of physical activity of hospitalized stroke patients. Improving knowledge in the area could help optimize rehabilitation. To determine the level of physical activity of hospitalized post-stroke patients to ensure that they achieved the recommended 30 minutes of physical activity per...
Article
L’objectif de l’étude était de décrire le profil du patient en phase subaiguë d’AVC, en particulier sur le plan moteur et psychologique, volontaire à un programme d’éducation thérapeutique à l’activité physique (ETPAP).