Outcomes of high- and low-intensity rehabilitation programme for persons in chronic phase after Guillain-Barré syndrome: a randomized controlled trial.
Identifieur interne : 002D68 ( Main/Exploration ); précédent : 002D67; suivant : 002D69Outcomes of high- and low-intensity rehabilitation programme for persons in chronic phase after Guillain-Barré syndrome: a randomized controlled trial.
Auteurs : Fary Khan [Australie] ; Julie F. Pallant ; Bhasker Amatya ; Louisa Ng ; Alexandra Gorelik ; Caroline BrandSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Perdus de vue (MeSH), Qualité de vie (MeSH), Récupération fonctionnelle (MeSH), Syndrome de Guillain-Barré (physiopathologie), Syndrome de Guillain-Barré (psychologie), Syndrome de Guillain-Barré (rééducation et réadaptation), Vie autonome (MeSH), Études de cohortes (MeSH), Évaluation de l'invalidité (MeSH), Évaluation de programme (MeSH).
- MESH :
- physiopathologie : Syndrome de Guillain-Barré.
- psychologie : Syndrome de Guillain-Barré.
- rééducation et réadaptation : Syndrome de Guillain-Barré.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Perdus de vue, Qualité de vie, Récupération fonctionnelle, Vie autonome, Études de cohortes, Évaluation de l'invalidité, Évaluation de programme.
English descriptors
- KwdEn :
- Adult (MeSH), Cohort Studies (MeSH), Disability Evaluation (MeSH), Female (MeSH), Guillain-Barre Syndrome (physiopathology), Guillain-Barre Syndrome (psychology), Guillain-Barre Syndrome (rehabilitation), Humans (MeSH), Independent Living (MeSH), Lost to Follow-Up (MeSH), Male (MeSH), Middle Aged (MeSH), Outcome Assessment, Health Care (MeSH), Program Evaluation (MeSH), Quality of Life (MeSH), Recovery of Function (MeSH).
- MESH :
- physiopathology : Guillain-Barre Syndrome.
- psychology : Guillain-Barre Syndrome.
- rehabilitation : Guillain-Barre Syndrome.
- Adult, Cohort Studies, Disability Evaluation, Female, Humans, Independent Living, Lost to Follow-Up, Male, Middle Aged, Outcome Assessment, Health Care, Program Evaluation, Quality of Life, Recovery of Function.
Abstract
OBJECTIVE
To assess the effectiveness of a high- vs low--intensity multidisciplinary ambulatory rehabilitation programme over 12 months for persons in the chronic phase after Guillain-Barré syndrome (pwGBS) in an Australian community cohort.
METHOD
A total of 79 pwGBS, recruited from a tertiary hospital, were randomized to a treatment group (n = 40) for an individualized high-intensity programme, or a control group (n = 39) for a lower intensity programme. The primary outcome the Functional Independence Measure (FIM) motor subscale assessed "activity limitation"; while secondary measures for "participation" included: World Health Organization Quality of Life; Depression, Anxiety Stress Scale; and Perceived Impact Problem Profile (PIPP) scales. All outcome measures were assessed at baseline and at 12 months.
RESULTS
Intention to treat analysis of data from 69 participants (treatment n = 35, control n = 34) showed reduced disability in the treatment group in post-treatment FIM domains (mobility, transfers, sphincter control and locomotion; all p < 0.005) and PIPP scores (relationships; p = 0.011), with moderate-to-small effect sizes (r = 0.36-0.23). The treatment group compared with control group showed significant improvement in function (FIM scores): 68% vs 32%.
CONCLUSION
Higher intensity rehabilitation compared with less intense intervention reduces disability in pwGBS in later stages of recovery. Further information on rehabilitation modalities and impact on quality of life is needed.
DOI: 10.2340/16501977-0826
PubMed: 21667009
Affiliations:
Links toward previous steps (curation, corpus...)
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Pallant</name></author><author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></author><author><name sortKey="Ng, Louisa" sort="Ng, Louisa" uniqKey="Ng L" first="Louisa" last="Ng">Louisa Ng</name></author><author><name sortKey="Gorelik, Alexandra" sort="Gorelik, Alexandra" uniqKey="Gorelik A" first="Alexandra" last="Gorelik">Alexandra Gorelik</name></author><author><name sortKey="Brand, Caroline" sort="Brand, Caroline" uniqKey="Brand C" first="Caroline" last="Brand">Caroline Brand</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21667009</idno><idno type="pmid">21667009</idno><idno type="doi">10.2340/16501977-0826</idno><idno type="wicri:Area/Main/Corpus">002D75</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">002D75</idno><idno type="wicri:Area/Main/Curation">002D75</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">002D75</idno><idno type="wicri:Area/Main/Exploration">002D75</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Outcomes of high- and low-intensity rehabilitation programme for persons in chronic phase after Guillain-Barré syndrome: a randomized controlled trial.</title><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Dentistry and Health sciences, The University of Melbourne, Royal Melbourne Hospital, Poplar Road, Parkville, Melbourne, VIC-3052, Australia. fary.khan@mh.org.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medicine, Dentistry and Health sciences, The University of Melbourne, Royal Melbourne Hospital, Poplar Road, Parkville, Melbourne, VIC-3052</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Pallant, Julie F" sort="Pallant, Julie F" uniqKey="Pallant J" first="Julie F" last="Pallant">Julie F. Pallant</name></author><author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></author><author><name sortKey="Ng, Louisa" sort="Ng, Louisa" uniqKey="Ng L" first="Louisa" last="Ng">Louisa Ng</name></author><author><name sortKey="Gorelik, Alexandra" sort="Gorelik, Alexandra" uniqKey="Gorelik A" first="Alexandra" last="Gorelik">Alexandra Gorelik</name></author><author><name sortKey="Brand, Caroline" sort="Brand, Caroline" uniqKey="Brand C" first="Caroline" last="Brand">Caroline Brand</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Disability Evaluation (MeSH)</term><term>Female (MeSH)</term><term>Guillain-Barre Syndrome (physiopathology)</term><term>Guillain-Barre Syndrome (psychology)</term><term>Guillain-Barre Syndrome (rehabilitation)</term><term>Humans (MeSH)</term><term>Independent Living (MeSH)</term><term>Lost to Follow-Up (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Program Evaluation (MeSH)</term><term>Quality of Life (MeSH)</term><term>Recovery of Function (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Perdus de vue (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Récupération fonctionnelle (MeSH)</term><term>Syndrome de Guillain-Barré (physiopathologie)</term><term>Syndrome de Guillain-Barré (psychologie)</term><term>Syndrome de Guillain-Barré (rééducation et réadaptation)</term><term>Vie autonome (MeSH)</term><term>Études de cohortes (MeSH)</term><term>Évaluation de l'invalidité (MeSH)</term><term>Évaluation de programme (MeSH)</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Syndrome de Guillain-Barré</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Guillain-Barre Syndrome</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Syndrome de Guillain-Barré</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Guillain-Barre Syndrome</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Guillain-Barre Syndrome</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Syndrome de Guillain-Barré</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cohort Studies</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Independent Living</term><term>Lost to Follow-Up</term><term>Male</term><term>Middle Aged</term><term>Outcome Assessment, Health Care</term><term>Program Evaluation</term><term>Quality of Life</term><term>Recovery of Function</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Perdus de vue</term><term>Qualité de vie</term><term>Récupération fonctionnelle</term><term>Vie autonome</term><term>Études de cohortes</term><term>Évaluation de l'invalidité</term><term>Évaluation de programme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To assess the effectiveness of a high- vs low--intensity multidisciplinary ambulatory rehabilitation programme over 12 months for persons in the chronic phase after Guillain-Barré syndrome (pwGBS) in an Australian community cohort.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>A total of 79 pwGBS, recruited from a tertiary hospital, were randomized to a treatment group (n = 40) for an individualized high-intensity programme, or a control group (n = 39) for a lower intensity programme. The primary outcome the Functional Independence Measure (FIM) motor subscale assessed "activity limitation"; while secondary measures for "participation" included: World Health Organization Quality of Life; Depression, Anxiety Stress Scale; and Perceived Impact Problem Profile (PIPP) scales. All outcome measures were assessed at baseline and at 12 months.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Intention to treat analysis of data from 69 participants (treatment n = 35, control n = 34) showed reduced disability in the treatment group in post-treatment FIM domains (mobility, transfers, sphincter control and locomotion; all p < 0.005) and PIPP scores (relationships; p = 0.011), with moderate-to-small effect sizes (r = 0.36-0.23). The treatment group compared with control group showed significant improvement in function (FIM scores): 68% vs 32%.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Higher intensity rehabilitation compared with less intense intervention reduces disability in pwGBS in later stages of recovery. Further information on rehabilitation modalities and impact on quality of life is needed.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21667009</PMID><DateCompleted><Year>2011</Year><Month>08</Month><Day>08</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1651-2081</ISSN><JournalIssue CitedMedium="Internet"><Volume>43</Volume><Issue>7</Issue><PubDate><Year>2011</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Outcomes of high- and low-intensity rehabilitation programme for persons in chronic phase after Guillain-Barré syndrome: a randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>638-46</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-0826</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the effectiveness of a high- vs low--intensity multidisciplinary ambulatory rehabilitation programme over 12 months for persons in the chronic phase after Guillain-Barré syndrome (pwGBS) in an Australian community cohort.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">A total of 79 pwGBS, recruited from a tertiary hospital, were randomized to a treatment group (n = 40) for an individualized high-intensity programme, or a control group (n = 39) for a lower intensity programme. The primary outcome the Functional Independence Measure (FIM) motor subscale assessed "activity limitation"; while secondary measures for "participation" included: World Health Organization Quality of Life; Depression, Anxiety Stress Scale; and Perceived Impact Problem Profile (PIPP) scales. All outcome measures were assessed at baseline and at 12 months.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Intention to treat analysis of data from 69 participants (treatment n = 35, control n = 34) showed reduced disability in the treatment group in post-treatment FIM domains (mobility, transfers, sphincter control and locomotion; all p < 0.005) and PIPP scores (relationships; p = 0.011), with moderate-to-small effect sizes (r = 0.36-0.23). The treatment group compared with control group showed significant improvement in function (FIM scores): 68% vs 32%.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Higher intensity rehabilitation compared with less intense intervention reduces disability in pwGBS in later stages of recovery. 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Pallant</name></noCountry><country name="Australie"><region name="Victoria (État)"><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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