Post-stroke sexual dysfunction: an update

Morgane Chalon, Irina Tacu, Agnieszka Gierasimowicz-Fontana, Marie-Dominique Gazagnes, Eric Durand Published in the journal : April 2020 Category : Médecine Physique et Réadaptation

Sexuality and intimacy are essential aspects of an individual's quality of life. Sexual dysfunction is an underestimated and underevaluated complication of stroke. The issue is often fudged by patients and sparsely discussed by health professionals. The cause of post-stroke sexual dysfunction is multifactorial, including neuro-anatomical, physical, psychological, and cultural factors. The resumption of sexual life is part of the post-stroke recovery goals. The diagnosis and treatment of sexual dysfunction should undeniably be part of the rehabilitation process. In this narrative review, we explored the literature pertaining to sexuality in stroke patients and discussed the health professional’s behavior towards sexual rehabilitation. The articles were selected based on a PubMed research using the keywords “stroke”, “sexuality”, “stroke rehabilitation”, “sexuality after stroke” as well as combinations of these keywords. The results of this review are presented herein.

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How to assess the risk of chronizisation in the case of low back pain?

Alexis Lheureux (1), Olivier Nonclercq (2), Jean-Louis Mathias (3), Natalya Korogod (4), Emmanuelle Opsommer (4), Anne Berquin (1 ) Published in the journal : July 2019 Category : Médecine Physique et Réadaptation

Several screening tools have been validated to identify patients at risk of developing chronic low back pain, including the Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ, long and short versions) and Start Back Screening Tool (SBST). The purpose of this study was to aid the clinicians choose the tool that best suits their needs. A preliminary validation of the French version of the short OMPSQ has demonstrated that the tool’s psychometric properties are comparable to those of the original version. In a literature review, 101 papers were analyzed. Overall, the three questionnaires exhibited moderate predictive properties. The OMPSQ was designed to be a prognostic tool, whereas the SBST was to be a treatment-allocating tool. Knowledge and attitudes of rehabilitation professionals (mostly physiotherapists) from two medium-sized hospitals were also evaluated. Overall, most of the respondents did not know these questionnaires. When provided with the questionnaires, their global attitude was positive, despite several concerns being formulated. In conclusion, valid tools exist for identifying at-risk patients. However, substantial efforts must still be made towards the appropriate education of healthcare professionals.

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Prosthesis for upper limb amputee's

Published in the journal : April 2019 Category : Médecine Physique et Réadaptation

More than for other amputations, the upper limb prosthesis requires setting up a project. Established between the multi-disciplinary team and patient, this project must clearly match the patient's esthetic and functional wishes.

Following lower limb amputation, though it presents other difficulties, the primary aim is to enable the patient to regain the walking capacity. Given that the function of the upper limb is more complex, it is our responsibility to pay additional attention in order to prevent the patient from dropping the prosthesis.

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Prosthesis for upper limb amputee's

Julie Jacques (1), Ellen Verbraeken (2), Jean-Marie Vanmarsenille (1) Published in the journal : April 2019 Category : Médecine Physique et Réadaptation

More than for other amputations, the upper limb prosthesis requires setting up a project. Established between the multi-disciplinary team and patient, this project must clearly match the patient's esthetic and functional wishes. Following lower limb amputation, though it presents other difficulties, the primary aim is to enable the patient to regain the walking capacity. Given that the function of the upper limb is more complex, it is our responsibility to pay additional attention in order to prevent the patient from dropping the prosthesis.

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