67 research outputs found
La paralysie obstétricale du plexus brachial en milieu de médecine physique et rééducation fonctionnelle
Communication style and exercise compliance in physiotherapy (CONNECT). A cluster randomized controlled trial to test a theory-based intervention to increase chronic low back pain patientsâ adherence to physiotherapistsâ recommendations: study rationale, design, and methods
Physical activity and exercise therapy are among the accepted clinical rehabilitation guidelines and are recommended self-management strategies for chronic low back pain. However, many back pain sufferers do not adhere to their physiotherapistâs recommendations. Poor patient adherence may decrease the effectiveness of advice and home-based rehabilitation exercises. According to self-determination theory, support from health care practitioners can promote patientsâ autonomous motivation and greater long-term behavioral persistence (e.g., adherence to physiotherapistsâ recommendations). The aim of this trial is to assess the effect of an intervention designed to increase physiotherapistsâ autonomy-supportive communication on low back pain patientsâ adherence to physical activity and exercise therapy recommendations. \ud
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This study will be a single-blinded cluster randomized controlled trial. Outpatient physiotherapy centers (N =12) in Dublin, Ireland (populationâ=â1.25 million) will be randomly assigned using a computer-generated algorithm to either the experimental or control arm. Physiotherapists in the experimental arm (two hospitals and four primary care clinics) will attend eight hours of communication skills training. Training will include handouts, workbooks, video examples, role-play, and discussion designed to teach physiotherapists how to communicate in a manner that promotes autonomous patient motivation. Physiotherapists in the waitlist control arm (two hospitals and four primary care clinics) will not receive this training. Participants (Nâ=â292) with chronic low back pain will complete assessments at baseline, as well as 1âweek, 4âweeks, 12âweeks, and 24âweeks after their first physiotherapy appointment. Primary outcomes will include adherence to physiotherapy recommendations, as well as low back pain, function, and well-being. Participants will be blinded to treatment allocation, as they will not be told if their physiotherapist has received the communication skills training. Outcome assessors will also be blinded. \ud
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We will use linear mixed modeling to test between arm differences both in the mean levels and the rates of change of the outcome variables. We will employ structural equation modeling to examine the process of change, including hypothesized mediation effects. \ud
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This trial will be the first to test the effect of a self-determination theory-based communication skills training program for physiotherapists on their low back pain patientsâ adherence to rehabilitation recommendations. Current Controlled Trials ISRCTN63723433\u
Ocrelizumab versus Interferon Beta-1a in Relapsing Multiple Sclerosis
Supported by F. HoffmannâLa Roche
Effet du KĂ©toconazole sur le temps dâimmobilitĂ© et la rĂ©ponse immunitaire au cours de la nage forcĂ©e chez le rat Wistar
La depression est installĂ©e suite aux perturbations des activitĂ©s de lâaxe corticotrope et du systĂšme immunitaire. Lâobjectif de cette Ă©tude est d'explorer les effets du ketoconazole (KTCZ), un dĂ©rivĂ©Â d'imidazole, inhibiteur de strĂ©roŃdogĂ©nĂšse surrĂ©nalienne, sur les variations du nombre de globules blancs totaux et des pourcentages des sous-populations leucocytaires, au cours de la nage forcĂ©e chez le rat, modĂšle animal de dĂ©pression. Des cathĂ©ters ont Ă©tĂ© implantĂ©s sous anesthĂ©sie gĂ©nĂ©rale dans la veine jugulaire droite et des prises de sang (0.2 ml) ont Ă©tĂ© rĂ©alisĂ©es Ă des intervalles de temps de 15 minutes, alors que les animaux se comportaient librement pendant les expĂ©riences. Le degrĂ© dâanxiĂ©tĂ© et de lâactivitĂ© locomotrice des rats ont Ă©tĂ© mesurĂ©s au labyrinthe en croix surĂ©levĂ©. L'amĂ©lioration des comportements des rats traitĂ©s au KTCZ suggĂ©rerait que le corticostĂ©rone soit le mĂ©diateur le plus important dans la pathogĂ©nie de la dĂ©pression.Mots clĂ©s : nage forcĂ©e ; corticostĂ©rone ; cytokines
Freund's complete adjuvant (FCA) could reverse the depressive-like symptoms induced by chronic mild stress (CMS) in mice
International audienc
Emphysematous Pyelonephritis in a Diabetic Patient on Maintenance Hemodialysis: A Case Report
No Abstract
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