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Approche diagnostique et fonctionnelle dans l'artériopathie oblitérante des membres inférieurs : étude de l'apprentissage et de l'enseignement de l'index de pression systolique de repos chez des étudiants en médecine, et développement d'une méthode ambulatoire de quantification de la douleur ischémique à la marche par couplage de moniteurs portables

Abstract : Lower-extremity Peripheral Artery Disease (PAD) is a severe non-communicable disease that is associated with atherosclerosis. Diagnosed by Ankle- Brachial Index (ABI), PAD leads, in most patients, to ischemia (mismatch between blood demand and blood supply) during exercise that may lead to the occurrence of pain in the lower extremities during walking. The first axis of the present thesis was to assess the level of knowledge on this diagnostic tool among French medical students. Our results suggest that the way of teaching or learning the ABI procedure is deficient. According to these results we conducted another study to determine the best teaching method to improve students’ ABI proficiency. The second axis of the present thesis was to proposed a new method using wearable monitors (accelerometer and Micro Motion logger watch) to objectively identify and quantify lower limb walking pain manifestation as well as stop induced by walking pain during daily life in PAD patients. Our results can provide researchers and clinicians with a more realistic and holistic view of the functional limitations of PAD patients in free-living conditions.
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https://tel.archives-ouvertes.fr/tel-02051094
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Submitted on : Wednesday, February 27, 2019 - 3:35:08 PM
Last modification on : Wednesday, September 9, 2020 - 5:37:07 AM

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Ségolène Chaudru. Approche diagnostique et fonctionnelle dans l'artériopathie oblitérante des membres inférieurs : étude de l'apprentissage et de l'enseignement de l'index de pression systolique de repos chez des étudiants en médecine, et développement d'une méthode ambulatoire de quantification de la douleur ischémique à la marche par couplage de moniteurs portables. Médecine humaine et pathologie. Université Rennes 1, 2018. Français. ⟨NNT : 2018REN1B035⟩. ⟨tel-02051094⟩

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