📇 Rhumatologue · VILLEPINTE · (93) · Salarié

M JEAN BLASCO

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15 articles scientifiques publiés — formation continue solide
Délais de RDV courts dans la région
78.3 rhumatos / 100 000 hab. — département bien doté

Rhumatologue

📍 VILLEPINTE (93)SalariéRPPS 10001086031

✨ Génération du profil synthétique IA en cours…

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Top publications · les plus citées

Effect of vertebroplasty on pain relief, quality of life, and the incidence of new vertebral fractures: a 12-month randomized follow-up, controlled trial

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2012

📚 160 citations🎯 RCR 7.56Top 4% NIH🩺 Clinique

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Abstract Uncertainty regarding the benefits of vertebroplasty (VP) for the treatment of acute osteoporotic vertebral fractures has recently arisen. A prospective, controlled, randomized single-center trial (ClinicalTrials.gov registration number NCT00994032) was designed to compare the effects of VP versus conservative treatment on the quality of life and pain in patients with painful osteoporotic vertebral fractures, new fractures and secondary adverse effects were also analyzed during a 12-month follow-up period. A total of 125 patients were randomly assigned to receive conservative treatment or VP. The primary end point was to compare the evolution of the quality of life (Quality of Life Questionnaire of the European Foundation for Osteoporosis [Qualeffo-41] and pain (Visual Analogue Scale [VAS]) during a 12 month follow-up. Secondary outcomes included comparison of analgesic consumption, clinical complications, and radiological vertebral fractures at the same time points. Both arms showed significant improvement in VAS scores at all time points, with greater improvement (p = 0.035) in the VP group at the 2-month follow-up. Significant improvement in Qualeffo total score was seen in the VP group throughout the study, whereas this was not seen in the conservative treatment arm until the 6-month follow-up. VP treatment was associated with a significantly increased incidence of vertebral fractures (odds ratio [OR], 2 · 78; 95% confidence interval [CI], 1.02–7.62, p = 0.0462). VP and conservative treatment are both associated with significant improvement in pain and quality of life in patients with painful osteoporotic vertebral fractures over a 1-year follow-up period. VP achieved faster pain relief with significant improvement in the pain score at the 2-month follow-up but was associated with a higher incidence in vertebral fractures. © 2012 American Society for Bone and Mineral Research.

In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study

Archives of osteoporosis · 2018

📚 48 citations🎯 RCR 4.05Top 11% NIH🔓 Open Access

A randomized controlled trial assessing the effects of preoperative strengthening plus balance training on balance and functional outcome up to 1 year following total knee replacement

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021

📚 38 citations🎯 RCR 4.75Top 8% NIH🩺 Clinique

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AbstractPurposeTo investigate the effects of including balance training in a preoperative strengthening intervention on balance and functional outcomes in patients undergoing total knee replacement (TKR) and compare these effects to those induced by preoperative strengthening and no intervention.MethodsEighty‐two subjects scheduled for TKR were randomly allocated into the strengthening (ST, n = 28) group: a preoperative lower limb strengthening intervention; the strengthening + balance (ST + B, n = 28) group: same intervention augmented with balance training; and the control group (n = 26). The Berg Balance Scale (BBS) and the function in daily living subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS‐ADL) were the primary outcomes. The secondary measures included balance and mobility, self‐reported status, and knee function. The outcomes were assessed at baseline, 1 week before surgery, and 2, (primary endpoint), 6 and 52 weeks after surgery.ResultsCompared with the controls, the participants in the ST and ST + B groups presented significant improvements from baseline to the end of the preoperative intervention in BBS (p = 0.005) and KOOS‐ADL (p < 0.001). At 6 weeks post‐surgery, the knee extensor strength values were similar in the two treatment groups and significantly higher than that in the controls. Overall, the participant outcomes in all groups stabilized at 1 year after surgery.ConclusionA preoperative strengthening intervention, regardless of whether it is complemented with balance training, enhances strength but not balance or functional outcomes at 6 weeks after surgery. Patients are expected to present similar performance at 1 year postoperatively, but adequately statistically powered trials are needed to confirm the findings.Level of evidenceII.Trial registrationNCT02995668.

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M JEAN BLASCO

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Top publications · les plus citées

Publications scientifiques (15) — classées par pathologie

Essai clinique7

Épidémiologie & registres4

Qualité de vie / PROMs3

Revue / méta-analyse3

Revue générale3

Activité physique / Rééducation1

Anti-TNF1

Transversal1

Vraie vie / RWE1

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