Real-time foot clearance biofeedback to assist gait rehabilitation following stroke: a randomized controlled trial protocol.
Identifieur interne : 000742 ( Main/Exploration ); précédent : 000741; suivant : 000743Real-time foot clearance biofeedback to assist gait rehabilitation following stroke: a randomized controlled trial protocol.
Auteurs : Rezaul Begg [Australie] ; Mary P. Galea [Australie] ; Lisa James [Australie] ; W A Tony Sparrow [Australie] ; Pazit Levinger [Australie] ; Fary Khan [Australie] ; Catherine M. Said [Australie]Source :
- Trials [ 1745-6215 ] ; 2019.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (complications), Chutes accidentelles (prévention et contrôle), Démarche (physiologie), Essais contrôlés randomisés comme sujet (MeSH), Humains (MeSH), Marche à pied (physiologie), Orteils (physiologie), Réadaptation après un accident vasculaire cérébral (méthodes), Rétroaction biologique (psychologie) (MeSH), Taille de l'échantillon (MeSH).
- MESH :
- méthodes : Réadaptation après un accident vasculaire cérébral.
- physiologie : Démarche, Marche à pied, Orteils.
- prévention et contrôle : Chutes accidentelles.
- complications : Accident vasculaire cérébral, Essais contrôlés randomisés comme sujet, Humains, Rétroaction biologique (psychologie), Taille de l'échantillon.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Biofeedback, Psychology (MeSH), Data Management (MeSH), Gait (physiology), Humans (MeSH), Outcome Assessment, Health Care (MeSH), Randomized Controlled Trials as Topic (MeSH), Sample Size (MeSH), Stroke (complications), Stroke Rehabilitation (methods), Toes (physiology), Walking (physiology).
- MESH :
- complications : Stroke.
- methods : Stroke Rehabilitation.
- physiology : Gait, Toes, Walking.
- prevention & control : Accidental Falls.
- Biofeedback, Psychology, Data Management, Humans, Outcome Assessment, Health Care, Randomized Controlled Trials as Topic, Sample Size.
Abstract
BACKGROUND
The risk of falling is significantly higher in people with chronic stroke and it is, therefore, important to design interventions to improve mobility and decrease falls risk. Minimum toe clearance (MTC) is the key gait cycle event for predicting tripping-falls because it occurs mid-swing during the walking cycle where forward velocity of the foot is maximum. High forward velocity coupled with low MTC increases the probability of unanticipated foot-ground contacts. Training procedures to increase toe-ground clearance (MTC) have potential, therefore, as a falls-prevention intervention. The aim of this project is to determine whether augmented sensory information via real-time visual biofeedback during gait training can increase MTC.
METHODS
Participants will be aged > 18 years, have sustained a single stroke (ischemic or hemorrhagic) at least six months previously, able to walk 50 m independently, and capable of informed consent. Using a secure web-based application (REDCap), 150 participants will be randomly assigned to either no-feedback (Control) or feedback (Experimental) groups; all will receive 10 sessions of treadmill training for up to 10 min at a self-selected speed over 5-6 weeks. The intervention group will receive real-time, visual biofeedback of MTC during training and will be asked to modify their gait pattern to match a required "target" criterion. Biofeedback is continuous for the first six sessions then progressively reduced (faded) across the remaining four sessions. Control participants will walk on the treadmill without biofeedback. Gait assessments are conducted at baseline, immediately following the final training session and then during follow-up, at one, three, and six months. The primary outcome measure is MTC. Monthly falls calendars will also be collected for 12 months from enrolment.
DISCUSSION
The project will contribute to understanding how stroke-related changes to sensory and motor processes influence gait biomechanics and associated tripping risk. The research findings will guide our work in gait rehabilitation following stroke and may reduce falls rates. Treadmill training procedures incorporating continuous real-time feedback may need to be modified to accommodate stroke patients who have greater difficulties with treadmill walking.
TRIAL REGISTRATION
Australia New Zealand Clinical Trials Registry, ACTRN12617000250336 . Registered on 17 February 2017.
DOI: 10.1186/s13063-019-3404-6
PubMed: 31151480
PubMed Central: PMC6545011
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Galea</name><affiliation wicri:level="1"><nlm:affiliation>Royal Melbourne Hospital, Australian Rehabilitation Research Centre, Parkville, Victoria, 3010, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Royal Melbourne Hospital, Australian Rehabilitation Research Centre, Parkville, Victoria, 3010</wicri:regionArea><wicri:noRegion>3010</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>The University of Melbourne, Department of Medicine, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>The University of Melbourne, Department of Medicine, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="James, Lisa" sort="James, Lisa" uniqKey="James L" first="Lisa" last="James">Lisa James</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Health and Sport (IHES), Victoria University, Footscray Park Campus (Room PB307), PO Box 14428, Melbourne, VIC, 8001, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Institute for Health and Sport (IHES), Victoria University, Footscray Park Campus (Room PB307), PO Box 14428, Melbourne, VIC, 8001</wicri:regionArea><wicri:noRegion>8001</wicri:noRegion></affiliation></author><author><name sortKey="Sparrow, W A Tony" sort="Sparrow, W A Tony" uniqKey="Sparrow W" first="W A Tony" last="Sparrow">W A Tony Sparrow</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Health and Sport (IHES), Victoria University, Footscray Park Campus (Room PB307), PO Box 14428, Melbourne, VIC, 8001, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Institute for Health and Sport (IHES), Victoria University, Footscray Park Campus (Room PB307), PO Box 14428, Melbourne, VIC, 8001</wicri:regionArea><wicri:noRegion>8001</wicri:noRegion></affiliation></author><author><name sortKey="Levinger, Pazit" sort="Levinger, Pazit" uniqKey="Levinger P" first="Pazit" last="Levinger">Pazit Levinger</name><affiliation wicri:level="1"><nlm:affiliation>National Ageing Research Institute Ltd., Clinical Gerontology Division, Royal Melbourne Hospital, PO Box 2127, Melbourne, VIC, 3050, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>National Ageing Research Institute Ltd., Clinical Gerontology Division, Royal Melbourne Hospital, PO Box 2127, Melbourne, VIC, 3050</wicri:regionArea><wicri:noRegion>3050</wicri:noRegion></affiliation></author><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><affiliation wicri:level="1"><nlm:affiliation>Royal Melbourne Hospital, Australian Rehabilitation Research Centre, Parkville, Victoria, 3010, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Royal Melbourne Hospital, Australian Rehabilitation Research Centre, Parkville, Victoria, 3010</wicri:regionArea><wicri:noRegion>3010</wicri:noRegion></affiliation></author><author><name sortKey="Said, Catherine M" sort="Said, Catherine M" uniqKey="Said C" first="Catherine M" last="Said">Catherine M. Said</name><affiliation wicri:level="4"><nlm:affiliation>The University of Melbourne, Department of Physiotherapy, 34-54 Poplar Road, Parkville, Victoria, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>The University of Melbourne, Department of Physiotherapy, 34-54 Poplar Road, Parkville, Victoria, 3052</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Austin Health, Heidelberg Repatriation Hospital, PO Box 5444, Heidelberg West, Victoria, 3084, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Austin Health, Heidelberg Repatriation Hospital, PO Box 5444, Heidelberg West, Victoria, 3084</wicri:regionArea><wicri:noRegion>3084</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Western Centre for Health Research and Education, Sunshine Hospital, Western Health, Furlong Rd, St Albans, VIC, 3021, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Western Centre for Health Research and Education, Sunshine Hospital, Western Health, Furlong Rd, St Albans, VIC, 3021</wicri:regionArea><wicri:noRegion>3021</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Australian Institute of Musculoskeletal Science, St Albans, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Institute of Musculoskeletal Science, St Albans</wicri:regionArea><wicri:noRegion>St Albans</wicri:noRegion></affiliation></author></analytic><series><title level="j">Trials</title><idno type="eISSN">1745-6215</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Biofeedback, Psychology (MeSH)</term><term>Data Management (MeSH)</term><term>Gait (physiology)</term><term>Humans (MeSH)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Randomized Controlled Trials as Topic (MeSH)</term><term>Sample Size (MeSH)</term><term>Stroke (complications)</term><term>Stroke Rehabilitation (methods)</term><term>Toes (physiology)</term><term>Walking (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (complications)</term><term>Chutes accidentelles (prévention et contrôle)</term><term>Démarche (physiologie)</term><term>Essais contrôlés randomisés comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Marche à pied (physiologie)</term><term>Orteils (physiologie)</term><term>Réadaptation après un accident vasculaire cérébral (méthodes)</term><term>Rétroaction biologique (psychologie) (MeSH)</term><term>Taille de l'échantillon (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Stroke Rehabilitation</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Réadaptation après un accident vasculaire cérébral</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Démarche</term><term>Marche à pied</term><term>Orteils</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Gait</term><term>Toes</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Chutes accidentelles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Biofeedback, Psychology</term><term>Data Management</term><term>Humans</term><term>Outcome Assessment, Health Care</term><term>Randomized Controlled Trials as Topic</term><term>Sample Size</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term><term>Rétroaction biologique (psychologie)</term><term>Taille de l'échantillon</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The risk of falling is significantly higher in people with chronic stroke and it is, therefore, important to design interventions to improve mobility and decrease falls risk. Minimum toe clearance (MTC) is the key gait cycle event for predicting tripping-falls because it occurs mid-swing during the walking cycle where forward velocity of the foot is maximum. High forward velocity coupled with low MTC increases the probability of unanticipated foot-ground contacts. Training procedures to increase toe-ground clearance (MTC) have potential, therefore, as a falls-prevention intervention. The aim of this project is to determine whether augmented sensory information via real-time visual biofeedback during gait training can increase MTC.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Participants will be aged > 18 years, have sustained a single stroke (ischemic or hemorrhagic) at least six months previously, able to walk 50 m independently, and capable of informed consent. Using a secure web-based application (REDCap), 150 participants will be randomly assigned to either no-feedback (Control) or feedback (Experimental) groups; all will receive 10 sessions of treadmill training for up to 10 min at a self-selected speed over 5-6 weeks. The intervention group will receive real-time, visual biofeedback of MTC during training and will be asked to modify their gait pattern to match a required "target" criterion. Biofeedback is continuous for the first six sessions then progressively reduced (faded) across the remaining four sessions. Control participants will walk on the treadmill without biofeedback. Gait assessments are conducted at baseline, immediately following the final training session and then during follow-up, at one, three, and six months. The primary outcome measure is MTC. Monthly falls calendars will also be collected for 12 months from enrolment.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>The project will contribute to understanding how stroke-related changes to sensory and motor processes influence gait biomechanics and associated tripping risk. The research findings will guide our work in gait rehabilitation following stroke and may reduce falls rates. Treadmill training procedures incorporating continuous real-time feedback may need to be modified to accommodate stroke patients who have greater difficulties with treadmill walking.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION</b></p><p>Australia New Zealand Clinical Trials Registry, ACTRN12617000250336 . Registered on 17 February 2017.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31151480</PMID><DateCompleted><Year>2019</Year><Month>12</Month><Day>20</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>25</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1745-6215</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>May</Month><Day>31</Day></PubDate></JournalIssue><Title>Trials</Title><ISOAbbreviation>Trials</ISOAbbreviation></Journal><ArticleTitle>Real-time foot clearance biofeedback to assist gait rehabilitation following stroke: a randomized controlled trial protocol.</ArticleTitle><Pagination><MedlinePgn>317</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13063-019-3404-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The risk of falling is significantly higher in people with chronic stroke and it is, therefore, important to design interventions to improve mobility and decrease falls risk. Minimum toe clearance (MTC) is the key gait cycle event for predicting tripping-falls because it occurs mid-swing during the walking cycle where forward velocity of the foot is maximum. High forward velocity coupled with low MTC increases the probability of unanticipated foot-ground contacts. Training procedures to increase toe-ground clearance (MTC) have potential, therefore, as a falls-prevention intervention. The aim of this project is to determine whether augmented sensory information via real-time visual biofeedback during gait training can increase MTC.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Participants will be aged > 18 years, have sustained a single stroke (ischemic or hemorrhagic) at least six months previously, able to walk 50 m independently, and capable of informed consent. Using a secure web-based application (REDCap), 150 participants will be randomly assigned to either no-feedback (Control) or feedback (Experimental) groups; all will receive 10 sessions of treadmill training for up to 10 min at a self-selected speed over 5-6 weeks. The intervention group will receive real-time, visual biofeedback of MTC during training and will be asked to modify their gait pattern to match a required "target" criterion. Biofeedback is continuous for the first six sessions then progressively reduced (faded) across the remaining four sessions. Control participants will walk on the treadmill without biofeedback. Gait assessments are conducted at baseline, immediately following the final training session and then during follow-up, at one, three, and six months. The primary outcome measure is MTC. Monthly falls calendars will also be collected for 12 months from enrolment.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">The project will contribute to understanding how stroke-related changes to sensory and motor processes influence gait biomechanics and associated tripping risk. The research findings will guide our work in gait rehabilitation following stroke and may reduce falls rates. Treadmill training procedures incorporating continuous real-time feedback may need to be modified to accommodate stroke patients who have greater difficulties with treadmill walking.</AbstractText><AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">Australia New Zealand Clinical Trials Registry, ACTRN12617000250336 . Registered on 17 February 2017.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Begg</LastName><ForeName>Rezaul</ForeName><Initials>R</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-3195-8591</Identifier><AffiliationInfo><Affiliation>Institute for Health and Sport (IHES), Victoria University, Footscray Park Campus (Room PB307), PO Box 14428, Melbourne, VIC, 8001, Australia. rezaul.begg@vu.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Galea</LastName><ForeName>Mary P</ForeName><Initials>MP</Initials><AffiliationInfo><Affiliation>Royal Melbourne Hospital, Australian Rehabilitation Research Centre, Parkville, Victoria, 3010, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>The University of Melbourne, Department of Medicine, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>James</LastName><ForeName>Lisa</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Institute for Health and Sport (IHES), Victoria University, Footscray Park Campus (Room PB307), PO Box 14428, Melbourne, VIC, 8001, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sparrow</LastName><ForeName>W A Tony</ForeName><Initials>WAT</Initials><AffiliationInfo><Affiliation>Institute for Health and Sport (IHES), Victoria University, Footscray Park Campus (Room PB307), PO Box 14428, Melbourne, VIC, 8001, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Levinger</LastName><ForeName>Pazit</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>National Ageing Research Institute Ltd., Clinical Gerontology Division, Royal Melbourne Hospital, PO Box 2127, Melbourne, VIC, 3050, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Royal Melbourne Hospital, Australian Rehabilitation Research Centre, Parkville, Victoria, 3010, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Said</LastName><ForeName>Catherine M</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>The University of Melbourne, Department of Physiotherapy, 34-54 Poplar Road, Parkville, Victoria, 3052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Austin Health, Heidelberg Repatriation Hospital, PO Box 5444, Heidelberg West, Victoria, 3084, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Western Centre for Health Research and Education, Sunshine Hospital, Western Health, Furlong Rd, St Albans, VIC, 3021, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Australian Institute of Musculoskeletal Science, St Albans, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>GNT1105800</GrantID><Agency>National Health and Medical Research Council</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D000078325">Clinical Trial Protocol</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>05</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trials</MedlineTA><NlmUniqueID>101263253</NlmUniqueID><ISSNLinking>1745-6215</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001676" MajorTopicYN="N">Biofeedback, Psychology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000079803" MajorTopicYN="N">Data Management</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005684" MajorTopicYN="N">Gait</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="Y">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018401" MajorTopicYN="N">Sample Size</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000071939" MajorTopicYN="N">Stroke Rehabilitation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014034" MajorTopicYN="N">Toes</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016138" MajorTopicYN="N">Walking</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Biofeedback</Keyword><Keyword MajorTopicYN="N">Falls</Keyword><Keyword MajorTopicYN="N">Gait</Keyword><Keyword MajorTopicYN="N">Minimum toe clearance (MTC)</Keyword><Keyword MajorTopicYN="N">Stroke</Keyword><Keyword MajorTopicYN="N">Tripping</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>12</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>05</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>6</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>6</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>12</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31151480</ArticleId><ArticleId IdType="doi">10.1186/s13063-019-3404-6</ArticleId><ArticleId IdType="pii">10.1186/s13063-019-3404-6</ArticleId><ArticleId IdType="pmc">PMC6545011</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Arch Phys Med Rehabil. 1999 Apr;80(4):415-20</Citation><ArticleIdList><ArticleId IdType="pubmed">10206603</ArticleId></ArticleIdList></Reference><Reference><Citation>Clin Rehabil. 2005 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sort="Begg, Rezaul" uniqKey="Begg R" first="Rezaul" last="Begg">Rezaul Begg</name></noRegion><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><name sortKey="James, Lisa" sort="James, Lisa" uniqKey="James L" first="Lisa" last="James">Lisa James</name><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><name sortKey="Levinger, Pazit" sort="Levinger, Pazit" uniqKey="Levinger P" first="Pazit" last="Levinger">Pazit Levinger</name><name sortKey="Said, Catherine M" sort="Said, Catherine M" uniqKey="Said C" first="Catherine M" last="Said">Catherine M. Said</name><name sortKey="Said, Catherine M" sort="Said, Catherine M" uniqKey="Said C" first="Catherine M" last="Said">Catherine M. Said</name><name sortKey="Said, Catherine M" sort="Said, Catherine M" uniqKey="Said C" first="Catherine M" last="Said">Catherine M. Said</name><name sortKey="Said, Catherine M" sort="Said, Catherine M" uniqKey="Said C" first="Catherine M" last="Said">Catherine M. Said</name><name sortKey="Sparrow, W A Tony" sort="Sparrow, W A Tony" uniqKey="Sparrow W" first="W A Tony" last="Sparrow">W A Tony Sparrow</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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