Arnaud Dupeyron - Academia.edu (original) (raw)

Papers by Arnaud Dupeyron

BACKGROUND The clinical evaluation of a pressure ulcer is based on a quantitative and qualitative... more BACKGROUND The clinical evaluation of a pressure ulcer is based on a quantitative and qualitative evaluation. In clinical practice, the technique of reference to measure wound surface is the use of acetate tracing, however it is difficult to use in daily practice (availability of the material, data storage issues, time needed to calculate the surface are). Planimetry techniques developed with mobile health (mHealth) apps can overcome these difficulties. OBJECTIVE To evaluate the metrological properties of a free access mHealth app to assess pressure ulcers. METHODS This was a non-interventional validation study (2019_IRB-MTP_06-02). We included patients with spinal cord injury presenting with a pressure ulcer, regardless of its stage or location. We performed wound measurements with a ruler and acetate tracing using a transparent dressing with a wound measurement grid. Wound evaluation via the mHealth app was conducted twice by the main investigator and also with a co-investigator (...

Annals of Physical and Rehabilitation Medicine

Annals of Physical and Rehabilitation Medicine

Annals of Physical and Rehabilitation Medicine

Scientific reports, Jan 20, 2017

We aimed to determine whether a 5-day intensive inpatient spa and exercise therapy and educationa... more We aimed to determine whether a 5-day intensive inpatient spa and exercise therapy and educational program is more effective than usual care in improving the rate of returning to work at 1 year for patients with subacute and chronic low back pain (LBP) on sick leave for 4 to 24 weeks. We conducted a 12-month randomized controlled trial. LBP patients were assigned to 5-day spa (2 hr/day), exercise (30 min/day) and education (45 min/day) or to usual care. The primary outcome was the percentage of patients returning to work at 1 year after randomization. Secondary outcomes were pain, disability and health-related quality of life at 1 year and number of sick leave days from 6 to 12 months. The projected recruitment was not achieved. Only 88/700 (12.6%) patients planned were enrolled: 45 in the spa therapy group and 43 in the usual care group. At 1 year, returning to work was 56.3% versus 41.9% (OR 1.69 [95% CI 0.60-4.73], p = 0.32) respectively. There was no significant difference for a...

Annales de Réadaptation et de Médecine Physique

Introduction.-L'utilisation des manipulations vertébrales est très répandue notamment dans les pa... more Introduction.-L'utilisation des manipulations vertébrales est très répandue notamment dans les pays anglo-saxons où de nombreuses études sont publiées et montrent sa grande popularité. Il n'existe en revanche aucune étude sur la démographie et l'activité de la population médicale française. Notre objectif était d'obtenir par une enquête un aperçu global de l'utilisation des manipulations vertébrales par des médecins français et de leur pratique quotidienne. Matériel et méthode.-Nous avons interrogé 234 médecins, généralistes et spécialistes, ayant obtenu le diplôme inter-universitaire de médecine manuelle-ostéopathie à la faculté de médecine de Strasbourg, entre 1985 et 2002. Résultats.-Nous avons obtenu 140 réponses : 110 manipulent encore quotidiennement (79 %). C'est une technique qu'ils jugent efficace et utilisent en première intention. Environ un quart rapportent des effets indésirables. La majorité des médecins (77 %) continuent à se former au courant de leur carrière. Conclusion.-Ce premier bilan des pratiques de médecins formés à la médecine manuelle universitaire permet d'observer un respect des bonnes pratiques médicales avec une actualisation régulière des connaissances et une démarche raisonnée dans la prise en charge des patients.

Annals of Physical and Rehabilitation Medicine, 2016

Martial arts are physical and meditative discipline available as complementary strategies able to... more Martial arts are physical and meditative discipline available as complementary strategies able to improve functional capacity, physical performances, postural control of patients suffering from chronical diseases. They can probably slow their clinical evolution. The objective of this communication is a review of the literature about the effects of martial arts training into a said chronical disease. A literature research in PubMed and Pedro databases was performed with the following keywords: martial arts, rehabilitation, chronic disease, neurologic disorders, heart disease, chronic obstructive pulmonary disease, musculo-squelettal disorders, low back pain. Abstracts had to include an intervention being a martial arts program for a determined period with clearly defined measured criteria. Two independent reviewers did the literature research and the article analysis. Eighty-one abstracts were found, 1 meta-analysis and 3 randomized controlled studies were analyzed. Patients underwent a martial arts program controlled versus medical treatment only. Primary outcome were respectively: UPDRS, postural control and balance for Parkinson's disease; [Formula: see text] for post-myocardial infarction rehabilitation; forced expiratory volume in one second for chronic obstructive pulmonary disease respiratory rehabilitation; pain and functional capacity in low back pain. It seems the only martial art studied is Tai Chi Chuan. In Parkinson's diseases, there is a significant difference compared to the control group: UPDRS -4.34, Functional Reach Test 3.89, Berg Balance scale 4.25. In post-myocardial infarction, [Formula: see text] was significantly improved by 5.2mL/kg/min. For COPD, average FEV1 after Tai Chi training was improved at 1.43L versus 1.21 (47.6% of predicted FEV1 vs. 41.2) within the Tai Chi group and versus 1.18L (42%) for the controlled group after Tai Chi training. Concerning lower back pain, patients reported improvements in pain and functional capacity (pain VAS 1.3 and Rolland Morris scale 2.6). All these results seem to show that Tai Chi Chuan is an effective complementary strategy associated with medical and rehabilitation care of chronic diseases and larger scale studies could confirm them. Further more, it would be interesting to study the effects of other martial arts with different intervention modalities.

Journal of Manipulative and Physiological Therapeutics, 2016

This study compared the effects of high-force versus low-force lumbar traction in the treatment o... more This study compared the effects of high-force versus low-force lumbar traction in the treatment of acute lumbar sciatica secondary to disc herniation. A randomized double blind trial was performed, and 17 subjects with acute lumbar sciatica secondary to disc herniation were assigned to high-force traction at 50% body weight (BW; LT50, n = 8) or low force traction at 10% BW (LT10, n = 9) for 10 sessions in 2 weeks. Radicular pain (visual analogue scale [VAS]), lumbo-pelvic-hip complex motion (finger-to-toe test), lumbar-spine mobility (Schöber-Macrae test), nerve root compression (straight-leg-raising test), disability (EIFEL score), drug consumption, and overall evaluation of each patient were measured at days 0, 7, 1, 4, and 28. Significant (P < .05) improvements were observed in the LT50 and LT10 groups, respectively, between day 0 and day 14 (end of treatment) for VAS (-44% and -36%), EIFEL score (-43% and -28%) and overall patient evaluation (+3.1 and +2.0 points). At that time, LT50 specifically improved in the finger-to-toe test (-42%), the straight-leg-raising test (+58), and drug consumption (-50%). No significant interaction effect (group-by-time) was revealed, and the effect of traction treatment was independent of the level of medication. During the 2-week follow-up at day 28, only the LT10 group improved (P < .05) in VAS (-52%) and EIFEL scores (-46%). During this period, no interaction effect (group-by-time) was identified, and the observed responses were independent of the level of medication. For this preliminary study, patients with acute lumbar sciatica secondary to disc herniation who received 2 weeks of lumbar traction reported reduced radicular pain and functional impairment and improved well-being regardless of the traction force group to which they were assigned. The effects of the traction treatment were independent of the initial level of medication and appeared to be maintained at the 2-week follow-up.

Annals of Physical and Rehabilitation Medicine, 2016

Heel bedsore is frequent in population motionless more than 50years old. The score of risk of bed... more Heel bedsore is frequent in population motionless more than 50years old. The score of risk of bedsore do not take into account the biomechanical factor, as the flessum of knee. The main objective of this study is to evaluate the relationship between the angle of knee flexion in a supine position with joint relaxation and the maximum interface pressure at the heel area. This study is a cohort with one investigator center, which is in MPR department, CHU de Nîmes. The inclusion criteria are ummper age or 50year-old equal, possibility to stay in decubitus, no bedsore. The study consists of a photographic picture, after cutaneous marking, to assess angle of knee flessum, by two different operators and a measure of the pressure in heel area two consecutive days to assess reproducibility inter- et intra-operator. The concordance of knee angle measure and interface pressure of knee area is studying with coefficient of correlation of Pearson. Sixty-five patients are included. The reproductibility of the mesure of knee flessum by operators is good (general coefficient of correlation and intra class in 0.89). There is a linear correlation between maximum interface pressure at the heel area and angle of knee flexion if the flessum is between 8° and 20° (0.76). Except theses values, there is no statistical correlation. In this population, the knee flessum could be considered as a risk factor of heel bed sore, in particular during medical situations in which there are other known risk factor. It would seem interesting to implement scales with these type of specific risk factor in this type of population, including when people is in air mattress which don't have any prevention in the heel area.

Annals of Physical and Rehabilitation Medicine, 2016

2016 6th IEEE International Conference on Biomedical Robotics and Biomechatronics (BioRob), 2016

Annals of Physical and Rehabilitation Medicine, 2016

Joint Bone Spine, Feb 1, 2006

Annals of physical and rehabilitation medicine, Jan 2, 2016

Defining individual educational, or learning, targets is part of the initial educational assessme... more Defining individual educational, or learning, targets is part of the initial educational assessment in rehabilitation programs, but no data are available on how to achieve these goals. We aimed to evaluate whether educational objectives established with the patient as part of a functional spine restoration program integrating self-care sessions were met after the program and associated therapy outcomes. This retrospective study involved 104 patients with chronic low-back pain who participated in a self-care rehabilitation program between 2008 and 2012. The program included both physical and educational approaches to dealing with the condition. The main evaluation criterion was achieving the educational objectives established with the patient at 6 months. Secondary criteria were a return to work, pain intensity and impact on function, satisfaction with the program and implementation of physical activity and self-rehabilitation at 6 months. At 6 months, 55% of the established educatio...

Http Www Theses Fr, Sep 15, 2010

Annales de Réadaptation et de Médecine Physique, 2003

Introduction.-Des études récentes ont précisé l'incidence et la sous-estimation habituelle, dans ... more Introduction.-Des études récentes ont précisé l'incidence et la sous-estimation habituelle, dans la littérature, des accidents liés aux manipulations vertébrales (MV). L'objectif de ce travail est de préciser l'incidence de ces accidents vasculaires, médullaires, radiculaires ou ostéo-articulaires présumés liés aux MV dans le nord-est de la France. Matériel et méthode.-Nous avons interrogé 240 médecins neurologues, neurochirurgiens, rhumatologues, rééducateurs et médecins généralistes diplômés de médecine manuelle sur les accidents liés aux MV rencontrés durant les deux dernières années. Résultats.-Nous avons obtenu 133 réponses et rapportons 93 accidents. La majorité de ces accidents sont radiculaires (69 %). Près de 50 % de ces accidents surviennent à l'étage cervical, en moins de 24 h, avec ou sans séquelles « légères » dans 68 % des cas. Nous recensons 30 fois plus d'accidents vertébrobasilaires que dans les estimations habituelles. Conclusion.-Il paraît important que les manipulations vertébrales, thérapeutiques très efficaces, restent très strictement encadrées dans le domaine médical et que le médecin puisse choisir l'acte manipulatif et le réaliser lui-même afin de diminuer le risque de complications, en particulier au niveau cervical.

BACKGROUND The clinical evaluation of a pressure ulcer is based on a quantitative and qualitative... more BACKGROUND The clinical evaluation of a pressure ulcer is based on a quantitative and qualitative evaluation. In clinical practice, the technique of reference to measure wound surface is the use of acetate tracing, however it is difficult to use in daily practice (availability of the material, data storage issues, time needed to calculate the surface are). Planimetry techniques developed with mobile health (mHealth) apps can overcome these difficulties. OBJECTIVE To evaluate the metrological properties of a free access mHealth app to assess pressure ulcers. METHODS This was a non-interventional validation study (2019_IRB-MTP_06-02). We included patients with spinal cord injury presenting with a pressure ulcer, regardless of its stage or location. We performed wound measurements with a ruler and acetate tracing using a transparent dressing with a wound measurement grid. Wound evaluation via the mHealth app was conducted twice by the main investigator and also with a co-investigator (...

Annals of Physical and Rehabilitation Medicine

Annals of Physical and Rehabilitation Medicine

Annals of Physical and Rehabilitation Medicine

Scientific reports, Jan 20, 2017

We aimed to determine whether a 5-day intensive inpatient spa and exercise therapy and educationa... more We aimed to determine whether a 5-day intensive inpatient spa and exercise therapy and educational program is more effective than usual care in improving the rate of returning to work at 1 year for patients with subacute and chronic low back pain (LBP) on sick leave for 4 to 24 weeks. We conducted a 12-month randomized controlled trial. LBP patients were assigned to 5-day spa (2 hr/day), exercise (30 min/day) and education (45 min/day) or to usual care. The primary outcome was the percentage of patients returning to work at 1 year after randomization. Secondary outcomes were pain, disability and health-related quality of life at 1 year and number of sick leave days from 6 to 12 months. The projected recruitment was not achieved. Only 88/700 (12.6%) patients planned were enrolled: 45 in the spa therapy group and 43 in the usual care group. At 1 year, returning to work was 56.3% versus 41.9% (OR 1.69 [95% CI 0.60-4.73], p = 0.32) respectively. There was no significant difference for a...

Annales de Réadaptation et de Médecine Physique

Introduction.-L'utilisation des manipulations vertébrales est très répandue notamment dans les pa... more Introduction.-L'utilisation des manipulations vertébrales est très répandue notamment dans les pays anglo-saxons où de nombreuses études sont publiées et montrent sa grande popularité. Il n'existe en revanche aucune étude sur la démographie et l'activité de la population médicale française. Notre objectif était d'obtenir par une enquête un aperçu global de l'utilisation des manipulations vertébrales par des médecins français et de leur pratique quotidienne. Matériel et méthode.-Nous avons interrogé 234 médecins, généralistes et spécialistes, ayant obtenu le diplôme inter-universitaire de médecine manuelle-ostéopathie à la faculté de médecine de Strasbourg, entre 1985 et 2002. Résultats.-Nous avons obtenu 140 réponses : 110 manipulent encore quotidiennement (79 %). C'est une technique qu'ils jugent efficace et utilisent en première intention. Environ un quart rapportent des effets indésirables. La majorité des médecins (77 %) continuent à se former au courant de leur carrière. Conclusion.-Ce premier bilan des pratiques de médecins formés à la médecine manuelle universitaire permet d'observer un respect des bonnes pratiques médicales avec une actualisation régulière des connaissances et une démarche raisonnée dans la prise en charge des patients.

Annals of Physical and Rehabilitation Medicine, 2016

Martial arts are physical and meditative discipline available as complementary strategies able to... more Martial arts are physical and meditative discipline available as complementary strategies able to improve functional capacity, physical performances, postural control of patients suffering from chronical diseases. They can probably slow their clinical evolution. The objective of this communication is a review of the literature about the effects of martial arts training into a said chronical disease. A literature research in PubMed and Pedro databases was performed with the following keywords: martial arts, rehabilitation, chronic disease, neurologic disorders, heart disease, chronic obstructive pulmonary disease, musculo-squelettal disorders, low back pain. Abstracts had to include an intervention being a martial arts program for a determined period with clearly defined measured criteria. Two independent reviewers did the literature research and the article analysis. Eighty-one abstracts were found, 1 meta-analysis and 3 randomized controlled studies were analyzed. Patients underwent a martial arts program controlled versus medical treatment only. Primary outcome were respectively: UPDRS, postural control and balance for Parkinson's disease; [Formula: see text] for post-myocardial infarction rehabilitation; forced expiratory volume in one second for chronic obstructive pulmonary disease respiratory rehabilitation; pain and functional capacity in low back pain. It seems the only martial art studied is Tai Chi Chuan. In Parkinson's diseases, there is a significant difference compared to the control group: UPDRS -4.34, Functional Reach Test 3.89, Berg Balance scale 4.25. In post-myocardial infarction, [Formula: see text] was significantly improved by 5.2mL/kg/min. For COPD, average FEV1 after Tai Chi training was improved at 1.43L versus 1.21 (47.6% of predicted FEV1 vs. 41.2) within the Tai Chi group and versus 1.18L (42%) for the controlled group after Tai Chi training. Concerning lower back pain, patients reported improvements in pain and functional capacity (pain VAS 1.3 and Rolland Morris scale 2.6). All these results seem to show that Tai Chi Chuan is an effective complementary strategy associated with medical and rehabilitation care of chronic diseases and larger scale studies could confirm them. Further more, it would be interesting to study the effects of other martial arts with different intervention modalities.

Journal of Manipulative and Physiological Therapeutics, 2016

This study compared the effects of high-force versus low-force lumbar traction in the treatment o... more This study compared the effects of high-force versus low-force lumbar traction in the treatment of acute lumbar sciatica secondary to disc herniation. A randomized double blind trial was performed, and 17 subjects with acute lumbar sciatica secondary to disc herniation were assigned to high-force traction at 50% body weight (BW; LT50, n = 8) or low force traction at 10% BW (LT10, n = 9) for 10 sessions in 2 weeks. Radicular pain (visual analogue scale [VAS]), lumbo-pelvic-hip complex motion (finger-to-toe test), lumbar-spine mobility (Schöber-Macrae test), nerve root compression (straight-leg-raising test), disability (EIFEL score), drug consumption, and overall evaluation of each patient were measured at days 0, 7, 1, 4, and 28. Significant (P < .05) improvements were observed in the LT50 and LT10 groups, respectively, between day 0 and day 14 (end of treatment) for VAS (-44% and -36%), EIFEL score (-43% and -28%) and overall patient evaluation (+3.1 and +2.0 points). At that time, LT50 specifically improved in the finger-to-toe test (-42%), the straight-leg-raising test (+58), and drug consumption (-50%). No significant interaction effect (group-by-time) was revealed, and the effect of traction treatment was independent of the level of medication. During the 2-week follow-up at day 28, only the LT10 group improved (P < .05) in VAS (-52%) and EIFEL scores (-46%). During this period, no interaction effect (group-by-time) was identified, and the observed responses were independent of the level of medication. For this preliminary study, patients with acute lumbar sciatica secondary to disc herniation who received 2 weeks of lumbar traction reported reduced radicular pain and functional impairment and improved well-being regardless of the traction force group to which they were assigned. The effects of the traction treatment were independent of the initial level of medication and appeared to be maintained at the 2-week follow-up.

Annals of Physical and Rehabilitation Medicine, 2016

Heel bedsore is frequent in population motionless more than 50years old. The score of risk of bed... more Heel bedsore is frequent in population motionless more than 50years old. The score of risk of bedsore do not take into account the biomechanical factor, as the flessum of knee. The main objective of this study is to evaluate the relationship between the angle of knee flexion in a supine position with joint relaxation and the maximum interface pressure at the heel area. This study is a cohort with one investigator center, which is in MPR department, CHU de Nîmes. The inclusion criteria are ummper age or 50year-old equal, possibility to stay in decubitus, no bedsore. The study consists of a photographic picture, after cutaneous marking, to assess angle of knee flessum, by two different operators and a measure of the pressure in heel area two consecutive days to assess reproducibility inter- et intra-operator. The concordance of knee angle measure and interface pressure of knee area is studying with coefficient of correlation of Pearson. Sixty-five patients are included. The reproductibility of the mesure of knee flessum by operators is good (general coefficient of correlation and intra class in 0.89). There is a linear correlation between maximum interface pressure at the heel area and angle of knee flexion if the flessum is between 8° and 20° (0.76). Except theses values, there is no statistical correlation. In this population, the knee flessum could be considered as a risk factor of heel bed sore, in particular during medical situations in which there are other known risk factor. It would seem interesting to implement scales with these type of specific risk factor in this type of population, including when people is in air mattress which don't have any prevention in the heel area.

Annals of Physical and Rehabilitation Medicine, 2016

2016 6th IEEE International Conference on Biomedical Robotics and Biomechatronics (BioRob), 2016

Annals of Physical and Rehabilitation Medicine, 2016

Joint Bone Spine, Feb 1, 2006

Annals of physical and rehabilitation medicine, Jan 2, 2016

Defining individual educational, or learning, targets is part of the initial educational assessme... more Defining individual educational, or learning, targets is part of the initial educational assessment in rehabilitation programs, but no data are available on how to achieve these goals. We aimed to evaluate whether educational objectives established with the patient as part of a functional spine restoration program integrating self-care sessions were met after the program and associated therapy outcomes. This retrospective study involved 104 patients with chronic low-back pain who participated in a self-care rehabilitation program between 2008 and 2012. The program included both physical and educational approaches to dealing with the condition. The main evaluation criterion was achieving the educational objectives established with the patient at 6 months. Secondary criteria were a return to work, pain intensity and impact on function, satisfaction with the program and implementation of physical activity and self-rehabilitation at 6 months. At 6 months, 55% of the established educatio...

Http Www Theses Fr, Sep 15, 2010

Annales de Réadaptation et de Médecine Physique, 2003

Introduction.-Des études récentes ont précisé l'incidence et la sous-estimation habituelle, dans ... more Introduction.-Des études récentes ont précisé l'incidence et la sous-estimation habituelle, dans la littérature, des accidents liés aux manipulations vertébrales (MV). L'objectif de ce travail est de préciser l'incidence de ces accidents vasculaires, médullaires, radiculaires ou ostéo-articulaires présumés liés aux MV dans le nord-est de la France. Matériel et méthode.-Nous avons interrogé 240 médecins neurologues, neurochirurgiens, rhumatologues, rééducateurs et médecins généralistes diplômés de médecine manuelle sur les accidents liés aux MV rencontrés durant les deux dernières années. Résultats.-Nous avons obtenu 133 réponses et rapportons 93 accidents. La majorité de ces accidents sont radiculaires (69 %). Près de 50 % de ces accidents surviennent à l'étage cervical, en moins de 24 h, avec ou sans séquelles « légères » dans 68 % des cas. Nous recensons 30 fois plus d'accidents vertébrobasilaires que dans les estimations habituelles. Conclusion.-Il paraît important que les manipulations vertébrales, thérapeutiques très efficaces, restent très strictement encadrées dans le domaine médical et que le médecin puisse choisir l'acte manipulatif et le réaliser lui-même afin de diminuer le risque de complications, en particulier au niveau cervical.