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Entrainement à la marche

Entrainement à la marche. L’impact du traitement. « Apparently, better acute medical care and rehabilitation standards have resulted in improved recovery of ambulatory function. However, only rarely, do these patients achieve a similar level of ambulatory function as healthy subjects .»

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Entrainement à la marche

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  1. Entrainement à la marche

  2. L’impact du traitement • «Apparently, better acute medical care and rehabilitation standards have resulted in improved recovery of ambulatory function. However, only rarely, do these patients achieve a similar level of ambulatory function as healthysubjects.» • van Hedel et Dietz, 2009

  3. (van Hedel et Dietz, 2009)

  4. Facteurs à considérerDans la recension de la littérature • Niveau de la lésion • Lésionincomplètevs complete • Lésionchroniquevsaigue (moins d’un an) • Outils de mesure

  5. BWSTT (Body weight supported treadmill training) Wessel et coll. 2010

  6. BWSTT • Les évidencesdémontrentqu’unentrainement à la marche au sol estsupérieur à un entrainement avec BWSTT chez les BM aigus • Tous les patients ontbénéficié d’un entrainement à la marche • Le support de poidest plus efficace pour des patients ayant plus de déficits • Wessel et coll. 2010

  7. Orthèsesmécaniques • Les donnéesactuelles ne démontrent pas quel’entrainement avec les orthèsesmécaniquessoitsupérieurlorsquecomparé à d’autresmodalités de traitements, i.e. la thérapieconventionnelle et l’entrainement avec support de poids. • Swinnen et coll. 2010 Tiré du site: http://robotics.youngester.com/2008/09/stroke-rehabilitation-robots-medical.html

  8. FES (functionnal electrical stimulation) • La FES améliore la vitesse et la distance de marche chez les BM complets et incomplets • évidence de niveau 4 (www.scireproject.com) • En combinaison avec l’entrainementsur BWSTT, efficacitésimilaire à un entrainement au sol. • Field-Fote et coll. 2005

  9. Références • van Hedel, H. J. A. and V. Dietz (2010). "Rehabilitation of locomotion after spinal cord injury." Restorative neurology and neuroscience 28(1): 123-134. • Sunnerhagen, K. S. (2010). "Commentary on gait training in patients with spinal cord injury." Journal of Rehabilitation Medicine 42(6): 527-527. • Wessels, M., C. Lucas, et al. (2010). "Body weight-supported gait training for restoration of walking in people with an incomplete spinal cord injury : a systematic review." Journal of Rehabilitation Medicine 42(6): 513-519. • Swinnen, E., S. Duerinck, et al. (2010). "Effectiveness of robot-assisted gait training in persons with spinal cord injury: A systematic review." Journal of Rehabilitation Medicine 42(6): 520-526. • http://www.scireproject.com/ • Field-Fote, E., S. Lindley, et al. (2005). "Locomotor training approaches for individuals with spinal cord injury: a preliminary report of walking-related outcomes." Journal of neurologic physical therapy 29(3): 127-137.

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