Impact of physical exercise in dialysis patients

Impact of physical exercise in dialysis patients

e278 Sport medicine / Annals of Physical and Rehabilitation Medicine 57S (2014) e267–e281 Conclusion.– HMS status does not seem to be a risk factor ...

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e278

Sport medicine / Annals of Physical and Rehabilitation Medicine 57S (2014) e267–e281

Conclusion.– HMS status does not seem to be a risk factor for EHS. These results contributed to cease in vitro contracture test in the French Armed Forces in February 2013.

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http://dx.doi.org/10.1016/j.rehab.2014.03.1009

A. Zouita Ben Moussa a,∗ , M. Bousselmi a , C. Dziri b , F.Z. Ben Salah c a ISSEP KS/Laboratoire de recherche en Biomécanique, Institut National Orthopédie “MTKassab”, Manouba b Service de médecine physique et réadaptation fonctionnelle, Institut National Orthopédie “MTKassab”, Manouba c Laboratoire de recherche en Biomécanique, Institut National Orthopédie “MTKassab”, Manouba ∗ Corresponding author.

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Medical prescription of physical activity: Assessment of the experimentation conducted in Strasbourg J. Lecocq a,∗ , F. Herzog a , M. Radu a , A. Feltz b , A. Weber a , M. Roegel c , M.E. Isner-Horobeti d a Hôpitaux universitaires de Strasbourg, Strasbourg, France b Ville de Strasbourg, Strasbourg, France c Direction régionale de la Jeunesse, des Sports et de la Cohésion sociale d’Alsace, Strasbourg, France d Institut universitaire de réadaptation Clemenceau de Strasbourg, Strasbourg, France ∗ Corresponding author. Keywords: Physical activity; Exercise; Health; Sport-health; Diabetes; Obesity; Arterial hypertension Background.– The city of Strasbourg, France, experiments since November 2012 a new tool which allows patients to participate in free-fees physical activities after prescription of general practitioners. Objective.– To measure the efficiency of this experimentation and particularly its effects on the quality of life. Methods.– Patients of the study were included between March 2013 and June 2013. They had received prescription of physical activity from their general practitioner as a medical treatment, after checking exercise ability. They are suffering from diabetes, obesity or hypertension. They were sent to a sports coach who guided them towards adapted activities (walking, biking, fitness, swimming, aquagym, rowing, tai chi, qi gong). Patients evaluated answered the SF36 quality of life questionnaire and the Ricci-Gagnon daily physical activity questionnaire. A six-minute walk test was realized. Participation in the activities was evaluated each month. After 6 months and 1 year, the same tests have to be realized again. Results.– One hundred and twenty general practitioners and 500 patients entered the experimentation; 64 are included in this study. They are mostly women coming from disadvantaged areas. Conclusion.– The experimentation led in Strasbourg proposes a system based on a general physician prescription. Endpoint results will be available in May–June 2014. http://dx.doi.org/10.1016/j.rehab.2014.03.1010 P264-e

The reliability of isokinetic strength of ankle dorsal and plantar flexors in patients with peripheral arterial disease

V. Wieczorek ∗ , E. Canonne , A. Thevenon Service de médecine physique et réadaptation, Hôpital Swynghedauw, CHRU de Lille, Lille, France ∗ Corresponding author. Rehabilitation care and physical exercise are one of the medical treatments first for chronic peripheral arterial occlusive disease at the intermittent claudication stage. As part of this patient management, a selective muscle strengthening has been done. We have wanted to do an isokinetic assessment of ankle plantar and dorsal flexors strength in order to assess a potential gain. The objective of this study is to compare the reliability of peak torque of plantar and dorsal flexors in two positions, in prone and supine position with extended knee, in concentric position (30◦ /s and 120◦ /s) and eccentric position (30◦ /s). Our patients are composed of 7 ones in prone position and 10 ones in supine position. The statistical assessments are still under in progress.

Effect of proprioceptif rehabilitation in gait parameters after ankle sprain

Keywords: Ankle; Proprioception; Gait Background.– Ankle sprains are the most common sports injuries, it affects a wide variety of sporting activities. Objective.– Our goal is to identify, on the one hand the impact of average sprain, and follow the proprioceptive effect of 8 weeks of rehabilitation work on the spatiotemporal and dynamic parameters of the cycle of market of the three joints of the lower limbs in the sagittal plane. Methods.– Our study sample consists of a group of 16 sports, divided into two groups: a control group: healthy athletes and an experimental group athletes with sprained ankle to a decline in a month and who have completed a rehabilitation program based on proprioceptive exercises during two less. A quantified the market analysis was conducted with Analysis Motion system. Results.– Proprioceptive work 8 weeks led to significant improvements: unipodal and bipodal durations, the symmetry of the cycle and earnings in the articular amplitudes of the knee and ankle and the reaction force on the ground in support, in comparison to the contralateral member and reference values. Conclusion.– It seems that a proprioceptive program for 8 weeks is effective for improving patterns of the operating cycle following a medium ankle sprain. http://dx.doi.org/10.1016/j.rehab.2014.03.1012 P266-e

Bilateral fatigue fracture of the calcaneous: A case report

J.P. Carvalho ∗ , M.J. Silva , L. Rocha , J.L. Carvalho , M. Cantista , R. Nunes , R. Almeida Hospital da Prelada, Porto, Portugal ∗ Corresponding author.

Keywords: Heel pain; Stress fracture Background.– The most common causes of heel pain are plantar faciistis and heel spur syndrome. Fatigue fractures of the calcaneous are a rare cause of heel pain but this diferential diagnosis should be considered in cases of acute onset of severe and persistent heel pain. Observations.– In our case report, a 35-year-old male athlete, presented with bilateral mechanical heel pain, in August 2013. Due to persistent complaints a magnetic resonance imaging (MRI) was performed revealing bilateral stress calcaneous fracture. Discussion.– Stress fractures are easily missed in traditional radiographs, on the other hand, MRI is a helpful tool in this diagnosis. These fractures are more common in soldiers and athletes. Physical medicine and rehabilitation doctors should be aware of this differential diagnosis. http://dx.doi.org/10.1016/j.rehab.2014.03.1013 P267-e

Impact of physical exercise in dialysis patients

Z. Ben Salah Frih ∗ , S. Boudokhane , H. Migaou , S. Salah , A. Jellad Service de MPR, CHU de Monastir, Monastir, Tunisia ∗ Corresponding author.

http://dx.doi.org/10.1016/j.rehab.2014.03.1011 Keywords: Dialysis; Physical exercise; Quality of life; Functional capacity

Sport medicine / Annals of Physical and Rehabilitation Medicine 57S (2014) e267–e281 Background.– Survival in dialysis patients increases by improving their management. However, the quality of life and physical condition of dialysis patients remains compromised. Objective.– To evaluate the effects of physical adapted activity based on flexibility, strength and endurance exercises program. Methods.– A group of 30 hemodialysis patients followed from the department of nephrology and hemodialysis following a physical activity program during 3 months, 2 times a week. The evaluation is performed before and after the proposed protocol by: quality of life (SF36), anxiety and depressive symptoms (HAD), lipid and test six-minute walk (T6MM). Results.– There was no undesirable event during rehabilitation sessions. Quality of life (physical and mental component) and anxious component HAD improved significantly. Distance walked on the 6MWT increased by 16.5%. Lipid profile is also improved (HDL and LDL – cholesterol, triglyceride). Discussion/conclusion.– Prescribing of adapted physical activity is highly recommended for the population of hemodialysis patients and appears to be a safe and effective alternative to develop functional capacity, quality of life and the psychological profile of hemodialysis patients. http://dx.doi.org/10.1016/j.rehab.2014.03.1014 P268-e

Ankle osteoarthritis: Effectiveness of hyaluronic intra-articular injections with mesotherapy

A. Neves ∗ , J. Dias , A. Cruz , M. Silva , M. Mendonc¸a , I. Ramires Centro Hospitalar Lisboa Central, Hospital São José, Lisbon, Portugal ∗ Corresponding author. Keywords: Ankle osteoarthritis; Hyaluronic acid injections; Mesotherapy Background.– Ankle osteoarthritis (AOA) produces chronic disability that directly impacts QoL. There is limited published literature relating to use of hyaluronic acid (HA) in ankle and pain relief. Objective.– This might be the first study to access effectiveness of HA intraarticular administration and mesotherapy for treatment of AOA pain. Methods.– Medical files over a period of 54 months of a cohort of 25 patients with AOA were reviewed. Treatment consisted of intra-articular injection of 2 cm3 of HA between talus and tibia and intradermal injections of lidocaine, piroxicam and thiocolchicoside, 10 cm3 in total. Main outcome was patient’s Pain Rating scale (PRS) before and after treatment. Results.– Twenty-five patients included (21 females), mean age 65.5 years (± 13.57), aged 36 to 87-years-old. Ten patients treated bilaterally, 7 right side treated. Total number of treatment sessions ranged from 1 to 9 (mean 3.08). Median values of PRS results before and after treatment were 9.5 (min. 6, max.10) and 4.5 (min. 0, max. 10) respectively, with a significant improvement (P < 0.001). Analgesic effect lasted from 2 weeks until 6 months. There were no adverse effects. Discussion.– The HA intra-articular injection associated to mesotherapy can reduce significantly pain in AOA. Further studies are needed to confirm its benefit.

issues of runners’ injuries allow an earlier diagnosis and most effective treatment. Objective.– The aim of this study is to evaluate the anatomy and biomechanics of the main long-distance runners injuries and to correlate it with treatment options. Methods.– Review of the literature published until October 2013 in MEDLINE, Cochrane Library, EMBASE and Scopus databases. Results.– Tibial stress fractures and medial tibial stress syndrome can often be prevented and treated by correcting biomechanical abnormalities. By the other side, popliteal artery entrapment syndrome and exertional compartment syndrome are caused by anatomic abnormalities and surgical intervention is commonly necessary. Discussion.– Leg pain related to bone, muscles, tendons and vascular disorders is common among long-distance runners. While no clear evidence exists that these injuries can be prevented, most can be treated successfully by considering underlying anatomical and biomechanical causes. http://dx.doi.org/10.1016/j.rehab.2014.03.1016 P270-e

Sports injuries in childhood – from the perspective of pediatric rehabilitation I. Petronic a,∗ , D. Cirovic a , D. Nikolic b , T. Knezevic b , D. Dzamic b a Faculty of Medicine, University of Belgrade, Belgrade, Serbia b Physical Medicine and Rehabilitation Department, University Childrens Hospital, Belgrade, Serbia ∗ Corresponding author. Keywords: Sports; Injuries; Children Background.– Sports activities in children age are advised and planned with respect to the age and gender, the use of protective measures and children’s health status follow-up. Objective.– To determine the most frequent types of sports injuries, implementation of treatment program in the acute phase and recommendations for the treatment in later phases after the injuries. Methods.– We evaluated at University Children Hospital, children age between 7–18 years that are actively participating in different sport activities. Children were grouped into different groups regarding the type of sport activities and injuries. The treatment was composed of different physical agents and rehabilitation techniques. Results.– Different sports have characteristic type of injuries of skeleto-muscular and neurovascular systems. The most frequently diagnosed injuries are: join distortions, fractures in the epiphysis bone growth areas, subluxations and tendinitis. Discussion.– For recommendation of sport activity type and injuries prevention, it is necessary to know the anatomical and physiological changes during the childhood. Optimal and adequate treatment is mandatory in order to achieve complete and prompt recovery and enable timely return to sport activities. Therefore, it is important to underline, the necessity of multidisciplinary approach particularly including parents and coaches. http://dx.doi.org/10.1016/j.rehab.2014.03.1017

http://dx.doi.org/10.1016/j.rehab.2014.03.1015 P271-e P269-e

Long-distance runners injuries: Treatment based on anatomobiomechanical issues A. Zão ∗ , P. Barros Centro Hospitalar do Porto, Porto, Portugal ∗ Corresponding author.

Keywords: Runners; Injuries; Anatomy; Biomechanical; Tibial stress fractures; Medial tibial stress syndrome Background.– Running is often recommended to preserve a healthy lifestyle. However, injuries among long-distance runners are common and increase significantly when weekly mileage exceeds 40 miles. The development of running diagnostic tests and the improved knowledge about anatomobiomechanical

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Results of arthroscopic treatment of anterolateral soft tissue impingement of the ankle in athletes: A series of 22 cases H. El Hyaoui a , T. Toua a , N. El Koumiti a , B. Moustamsik a , A. Messoudi a , J. Hassoun a , M. Arssi a , A. Garch a , K. Belhaj b , E.H. Kassimi b , F. Lmidmani b , A. Elfatimi b a Service de traumatologie-orthopédie, Pavillon 32, CHU Ibn Rochd, Casablanca, Morocco b Service de médecine physique et de réadaptation, CHU Ibn Rochd, Casablanca, Morocco Keywords: Ankle; Soft tissue impingement; Arthroscopy; Athlete