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All Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Tiaho, Yirozounlomian
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Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology

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Neurogenic Arthropathies of the Lower Limbs: About A Case Followed in Rehabilitation at the Chu-Bogodogo Tiaho, Yirozounlomian; Charles, Sougué; Louis, Tougma; S.I, Traoré; Boukari, Sebgo; B, Bamogo; Salif, Gandema
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 2 (2024): SPMRJ, AUGUST 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i2.48341

Abstract

Abstract we report a case of pelvic limb neurogenic arthropathies (NA) in a young 25-year-old patient following severe cranioencephalic trauma in a road traffic accident. The aim of this clinical case was to report the contribution of physical medicine and rehabilitation in the management of neurogenic arthropathies. The patient was admitted to the Physical Medicine and Rehabilitation Department only six months after his trauma. Nervous system disorders were represented by a frontal syndrome and significant spasticity in the pelvic limbs. Deficiencies founds was pain, multiple joint stiffness of the pelvic limbs, induration of the thighs related to arthropathies objectified to the standard x-ray of the thighs. The rehabilitation approach consisted of postures associated with targeted cryotherapy of the muscles. The gait rehabilitation was done gradually between the parallel bars and then with a deanbulator Rehabilitation led to functional improvement, with the patient returning to independent walking using simple techniques. The presentation of this case study provided an overview of this pathology, its functional consequences and the role of Physical and Rehabilitation Medicine in the management of NA. The techniques we used have made it possible to limit the diffusion processes of neurogenic arthropathies by limiting inflammation through associated cryotherapy sessions. The presence of nervous system disorder such as frontal syndrome could have limited rehabilitation, but thanks to collaboration with psychiatrists the evolution was favorable and allowed the patient to actively participate in his rehabilitationThe case also underlined the importance of multidisciplinary patient management, which should be a goal for all practitioners. Keywords: arthropathies ; cryotherapy ; neurogenic ; rehabilitation ; traumatic brain injury
Factors Predictive of the Level Of Physical Activity (PA) in Patients with Gonarthrosis in Sub-Saharan Africa Tiaho, Yirozounlomian; Ayouba, Tinni Ismael; Sougue, Charles; Tougma, Gouzé-Wend Louis; Kabore, Fulgence; Gandema, Salifou; Zabsonre/Tiendrebeogo, Wendlassida Joelle Stéphanie; Ouedraogo, Dieu-Donné
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 1 (2024): SPMRJ, FEBRUARY 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i1.50164

Abstract

Background: Our aim was to determine the predictive factors of the level of physical activity (PA) in patients with gonarthrosis in the city of Ouagadougou (Burkina Faso). Methods: This was a cross-sectional, descriptive and analytical study based on clinical records, conducted from January 9 to 27, 2023. Using the International Physical Activity Questionnaire (IPAQ), we assessed the level of PA in patients followed at CHU-Bogodogo for gonarthrosis. The significance threshold p<0.05 was retained. Results: Sixty-seven patients were included. Fifty-six were women (83.58%). The mean age was 59.87± 12.53 years. Hypertension was noted in 34 patients (50.75%), diabetes in 16 (23.88%). The mean BMI was 28.70kg/m2± 6.73. Gonarthrosis was bilateral in 49 patients (73.13%). Gonarthrosis patients had a moderate level of PA, with a mean IPAQ score equal to 635.24±135 MET-minutes/week. 45 patients (67.16%) had a low level of physical activity (Ë‚ 600 MET-minutes/week). In bivariate analysis, low PA was associated with age over 65 [OR=5.62, (CI=1.45-21.73), p<0.001], hypertension [OR=2.83, (CI=1.27-6.31), p<0.001], diabetes [OR=2.14, (CI=1.13-5.89), p<0.031], and overweight [OR=2.43, (CI=1.17-6.12), p<0.026]. Moderate PA was associated with age under 65 [OR=1.71, (CI=1.25-2.34), p<0.005] and absence of hypertension [OR=1.86, (CI=1.19-2.89), p<0.012]. Conclusion : Gonarthrosis patients have a moderate level of PA. Factors associated with low PA were advanced age and sedentary comorbidities. Key words: Gonarthrosis, physical activity, Ouagadougou/Burkina Faso
Assessment of exercise re-training in chronic low back pain patients in Sub-Saharan Africa: an experimental cohort study using indirect measurement of VO2max Tiaho, Yirozounlomian; Gandema, Salifou; Zabsonre/Tiendrebeogo , Wendlassida Joelle Stéphanie; Sougue, Charles; Nikiema, Germain; Kaboré, Fulgence; Ouedraogo, Dieu-Donné
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 2 (2025): SPMRJ, AUGUST 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i2.59033

Abstract

Background: Exercise training is recommended for patients with chronic low back pain. The aim of this study was to evaluate exercise training in patients with chronic low back pain by indirect measurement of VO2max. Patients and methods: This was an experimental cohort study involving 92 patients with chronic low back pain over a two-month period from 5 December 2023 to 5 February 2024. The patients underwent a four-week exercise training programme. Results: The mean age of the patients was 49.37±12.72 years, with extremes of 26 and 70 years. There was a significant improvement in VAS pain intensity (m before=66.6 ± 1.4 ; m after =12 ± 10.9 p=0.0000) and also a significant improvement in VO2 max (m before=25.87 ± 10.15 m after = 28.25 ± 10.64 p= 0.000). The risk factors associated with low VO2max were age over 60 (p=0.000; RR=3), obesity (p=0.0002; RR=2.41) and sedentary lifestyle (p=0.0008; RR=8.39). Conclusion: Indirect measurement of VO2max is effective for evaluating exercise training in patients with chronic low back pain. Our experimental exercise training protocol resulted in a significant improvement in patients' pain and VO2max.
Co-Authors Ayouba, Tinni Ismael B, Bamogo Boukari, Sebgo Charles, Sougué Gandema, Salifou Kabore, Fulgence Louis, Tougma Nikiema, Germain Ouedraogo, Dieu-Donné S.I, Traoré Salif, Gandema Sougue, Charles Tougma, Gouzé-Wend Louis Zabsonre/Tiendrebeogo , Wendlassida Joelle Stéphanie Zabsonre/Tiendrebeogo, Wendlassida Joelle Stéphanie