Impact d'un programme d'éducation thérapeutique du patient à l'activité physique chez des patients en phase subaiguë d'accident vasculaire cérébral

Abstract : In France, we estimate at 150,000 the number of cerebral vascular accident per year. With a cost of 8.3 billion euros, it has become a public health issue. The expenses are, among others, related to legacy, as 43.2% leave hospital being physically dependent.These effects will aftereffect will cause limitations, causing a vicious cycle of inactivity and deconditioning bringing. To fight against this deconditioning, it seems appropriate to follow the recommendations of learned societies in terms of physical activity (PA). Yet back home, very few patients reach the minimum required AP. Therapeutic patient education (TPE) seems to be a relevant option to address this problem.This research is therefore interested in the effect of ETP to the AP in patients with subacute phase. The program was conducted in patients' homes, and consisted of home visits and phone calls. The PA was controlled through a actimeter and monitoring booklets.After 6 months of the program, it appears an increase in the walking distance, but no impact on the strength of lower limbs, body composition, fatigue and depression.The main characteristics of volunteer patients to ETP to the PA were persistent fatigue, depression, few physical neuro-motor sequelae and strong support from the entourage.Finally, during the 6 months follow-up, patients maintained durations of AP which were above recommendations in terms of AP.
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Benjamin Kammoun. Impact d'un programme d'éducation thérapeutique du patient à l'activité physique chez des patients en phase subaiguë d'accident vasculaire cérébral. Médecine humaine et pathologie. Université de Limoges, 2015. Français. ⟨NNT : 2015LIMO0033⟩. ⟨tel-01194643⟩

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