Abstract：
BACKGROUND:Flap surgery for deep pelvic pressure ulcers (PPUs) has been found effective, but the recurrence rate remains high and few risk factors have been identified. OBJECTIVE:We evaluated risk factors for PU recurrence after primary flap surgery in people with spinal cord injury (SCI). PATIENTS AND METHODS:This observational retrospective study based on medical charts included all individuals with SCI who underwent primary flap surgery for a PPU in the Hérault department in France between 2006 and 2014. Overall, 100 biomedical, psychological, socioeconomic and care management factors were studied. The primary outcome was PPU recurrence (surgical site and/or other pelvic site). The secondary outcome was recurrence at the surgical site. Cox proportional hazards regression was used to determine associated factors, estimating hazard ratios (HRs) and 95% confidence intervals (CIs). RESULTS:We included 85 patients. Half had a PPU recurrence, and in one-third, the recurrence was at the surgical site. On multivariate analysis, global PPU recurrence was associated with colostomy (HR=2.79) and living with a partner (HR=2.29). Non-traumatic SCI and sacral wound were associated with PPU recurrence (HR=3.39, HR=0.48) and recurrence at the surgical site (HR=3.3, HR=0.3). CONCLUSION:Risk factors of PPU recurrence are based on both biomedical and social models. After primary flap surgery, the risk of recurrence justifies regular follow-up and strict monitoring.
journal_name
Ann Phys Rehabil Medjournal_title
Annals of physical and rehabilitation medicineauthors
Morel J,Herlin C,Amara B,Mauri C,Rouays H,Verollet C,Almeras I,Frasson N,Dupeyron A,Jourdan C,Daures JP,Gelis Adoi
10.1016/j.rehab.2018.08.005subject
Has Abstractpub_date
2019-03-01 00:00:00pages
77-83issue
2eissn
1877-0657issn
1877-0665pii
S1877-0657(18)31447-7journal_volume
62pub_type
杂志文章abstract：OBJECTIVE:To evaluate simple, measurable indicators of optimal organizational procedures for the hospital-to-home discharge of dependent patients. MATERIAL AND METHOD:All the general practitioners (GPs) in the Maine-et-Loire county of France were sent a questionnaire asking them to rank the three main criteria (from t...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2011.08.002
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVES:Previous research suggested isolated associations of physical and psychological factors with fibromyalgia severity. Integration of physical and psychological, experienced and observed, modifiable factors associated with fibromyalgia severity in a single model will reveal therapeutic paths toward less severit...
journal_title：Annals of physical and rehabilitation medicine
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journal_title：Annals of physical and rehabilitation medicine
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2008.11.002
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abstract：BACKGROUND:Botulinum toxin injection (BTI) reduces muscle hyperactivity, but its effect on active upper-limb function is limited. Intensive rehabilitation could optimize the effects; however, outpatient post-stroke rehabilitation is usually not intensive. One solution could be self-rehabilitation. OBJECTIVES:The aim o...
journal_title：Annals of physical and rehabilitation medicine
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journal_title：Annals of physical and rehabilitation medicine
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2012.02.006
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abstract：BACKGROUND:The role of microRNAs (miRs) in hormone therapy (HT) is of keen interest in developing biomarkers and treatments for individuals with breast cancer. Although miRs are often moderate regulators under homeostatic conditions, their function is changed more in response to physical activity. OBJECTIVE:This singl...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章,随机对照试验
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2009.12.005
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abstract：:Sacroiliac joint (SIJ) is an uncommon localisation of osteoarthritis. Instability of this joint is one of rare aetiologies. It can occur after resection of the pubic symphysis for whatever the reason. The biomechanical consequences on the SIJ are increasing shear forces and vertical restrain. This leads to secondary p...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2009.03.002
更新日期：2009-07-01 00:00:00
abstract：BACKGROUND:Insulin resistance is a determining factor in the pathophysiology of type 2 diabetes mellitus (T2DM). Exercise is known to improve insulin resistance, but a systematic review of the literature is lacking. OBJECTIVE:This systematic review and meta-analysis focused on identifying evidence for the effectivenes...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章,meta分析
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更新日期：2019-03-01 00:00:00
abstract：OBJECTIVES:For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers' activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency a...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2018.04.006
更新日期：2018-09-01 00:00:00
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2017.09.003
更新日期：2018-01-01 00:00:00
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2015.09.003
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abstract：BACKGROUND:About two-thirds of stroke patients present long-term upper-limb impairment and limitations of activity, which constitutes a challenge in rehabilitation. This situation is particularly true in developing countries, where there is a need for inexpensive rehabilitation solutions. OBJECTIVE:This study assessed...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2020.03.017
更新日期：2020-10-15 00:00:00
abstract：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 devic...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2019.07.002
更新日期：2020-05-01 00:00:00
abstract：BACKGROUND:The Pediatric Stroke Outcome Measure-Summary of Impressions (PSOM-SOI) measures neurological function across right and left sensorimotor domains (Item A), language production (Item B), language comprehension (Item C), and cognition/behaviour (Item D). OBJECTIVE:This study was a cross-cultural adaptation int...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2019.10.010
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abstract：:Numerous studies have recently been published on improving upper-limb motor function after stroke. There has been a particular interest in brain stimulation techniques, which could promote brain plasticity. In this review, transcranial Direct Current Stimulation (tDCS) and repetitive Transcranial Magnetic Stimulation ...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章,评审
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更新日期：2012-12-01 00:00:00
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2010.03.006
更新日期：2010-05-01 00:00:00
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2013.10.003
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Amyotrophic lateral sclerosis (ALS) has long been considered a pure motor neurodegenerative disease. However, now, extra-motor manifestations such as cognitive-behavioral disorders are considered not rare and are even a severity factor of the disease. Experiencing anosognosia (i.e., the inability to recogniz...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2020.08.004
更新日期：2020-10-13 00:00:00
abstract：BACKGROUND:Physical exercise is widely prescribed in rehabilitation programmes for low back pain (LBP). The LBP patient often asks whether this physical activity should be maintained and, in some cases, whether he/she should resume or take up a sport. PURPOSE:To answer these two questions by performing a review of lit...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章,评审
doi：10.1016/j.rehab.2013.08.007
更新日期：2013-10-01 00:00:00
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journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章,评审
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更新日期：2020-02-13 00:00:00
abstract：BACKGROUND:Locked-in syndrome (LIS) characterizes individuals who have experienced pontine lesions, who have limited motor output but with preserved cognitive abilities. Despite their severe physical impairment, individuals with LIS self-profess a higher quality of life than generally expected. Such third-person expect...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2019.09.011
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:The management of osteoporosis in spinal cord injury that is a recurring issue in daily practice, but unfortunately, no standard protocol is provided by the literature review, either for screening or for a strategy of prevention and even for therapy. We assessed the practices of the physicians in physical med...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章
doi：10.1016/j.rehab.2010.09.007
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVE:Chronic pain is very frequent after spinal cord injury, recent data showing that at least 80% of the patients experience pain, one-third at a severe level. The main objective of the present work is to report and discuss data regarding tools and procedures for the screening, diagnosis, and evaluation of neurop...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/j.rehab.2008.12.012
更新日期：2009-03-01 00:00:00
abstract：OBJECTIVES:Analyzing the literature and elaborating recommendations on the following topics: relevance of dorsal root entry zone (DREZ) lesions, surgical treatment for posttraumatic syringomyelia, other therapeutic approaches (peripheral nerve root pain, nerve trunk pain and Sign Posterior Cord [SCI] pain). MATERIAL A...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 共识发展会议,杂志文章
doi：10.1016/j.rehab.2008.12.016
更新日期：2009-03-01 00:00:00
abstract：OBJECTIVE:There are no handbook or recommendations for the use of pharmacological agents to treat neurobehavioral disorders after traumatic brain injury (TBI). This work proposes a systematic review of the literature and a user guide on neuroleptics, antidepressants, beta-blockers, mood stabilizers and other medication...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章,实务指引,评审
doi：10.1016/j.rehab.2015.10.003
更新日期：2016-02-01 00:00:00
abstract：OBJECTIVES:The pre-return-to-work medical consultation during sick leave for low back pain (LBP) aims at assessing the worker's ability to resume working without risk for his/her health, and anticipating any difficulties inherent to returning to work and job retention. This article summarizes the good practices guideli...
journal_title：Annals of physical and rehabilitation medicine
pub_type： 杂志文章,评审
doi：10.1016/j.rehab.2015.08.001
更新日期：2015-10-01 00:00:00
