📇 Rhumatologue · THIAIS · (94) · Libéral
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2 raisons identifiées
Praticien-chercheur
6 articles scientifiques publiés — formation continue solide
Délais de RDV courts dans la région
134 rhumatos / 100 000 hab. — département bien doté
✨ Génération du profil synthétique IA en cours…
CABINET DU DR SOPHIE THERRIEN
47 AV DU PDT FRANKLIN ROOSEVELT, 94320 THIAIS
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Arthritis care & research · 2020
ObjectiveTo assess the efficacy of a multifaceted counseling intervention at improving physical activity participation and patient outcomes.MethodsWe recruited people with rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE). In weeks 1–8, the immediate group received education and counseling by a physical therapist, used a Fitbit and a web application to obtain feedback about their physical activity, and received 4 follow‐up calls from the physical therapist. The delay group received the same intervention in weeks 10–17. Participants were assessed at baseline and at weeks 9, 18, and 27. The primary outcome was time spent in moderate/vigorous physical activity (MVPA; in bouts of ≥10 minutes) measured with a SenseWear device. Secondary outcomes included step count, time in sedentary behavior, pain, fatigue, mood, self‐management capacity, and habitual behaviors.ResultsA total of 118 participants enrolled. The adjusted mean difference in MVPA was 9.4 minutes/day (95% confidence interval [95% CI] –0.5, 19.3, P = 0.06). A significant effect was found in pain (–2.45 [95% CI –4.78, –0.13], P = 0.04), and perceived walking habit (0.54 [95% CI 0.08, 0.99], P = 0.02). The remaining secondary outcomes improved, but were not statistically significant. Post hoc analysis revealed a significant effect in MVPA (14.3 minutes/day [95% CI 2.3, 26.3]) and pain (–4.05 [95% CI –6.73, –1.36]) in participants with RA, but not in those with SLE.ConclusionCounseling by a physical therapist has the potential to improve physical activity in people with inflammatory arthritis, but further study is needed to understand the intervention effect on different diseases. We found a significant improvement in pain, suggesting that the intervention might have a positive effect on symptom management.
JMIR mHealth and uHealth · 2020
Background Current guidelines emphasize an active lifestyle in the management of knee osteoarthritis (OA), but up to 90% of patients with OA are inactive. In a previous study, we demonstrated that an 8-week physiotherapist (PT)-led counseling intervention, with the use of a Fitbit, improved step count and quality of life in patients with knee OA, compared with a control. Objective This study aimed to examine the effect of a 12-week, multifaceted wearable-based program on physical activity and patient outcomes in patients with knee OA. Methods This was a randomized controlled trial with a delay-control design. The immediate group (IG) received group education, a Fitbit, access to FitViz (a Fitbit-compatible app), and 4 biweekly phone calls from a PT over 8 weeks. Participants then continued using Fitbit and FitViz independently up to week 12. The delay group (DG) received a monthly electronic newsletter in weeks 1 to 12 and started the same intervention in week 14. Participants were assessed in weeks 13, 26, and 39. The primary outcome was time spent in daily moderate-to-vigorous physical activity (MVPA; in bouts ≥10 min) measured with a SenseWear Mini. Secondary outcomes included daily steps, time spent in purposeful activity and sedentary behavior, Knee Injury and OA Outcome Score, Patient Health Questionnaire-9, Partners in Health Scale, Theory of Planned Behavior Questionnaire, and Self-Reported Habit Index. Results We enrolled 51 participants (IG: n=26 and DG: n=25). Compared with the IG, the DG accumulated significantly more MVPA time at baseline. The adjusted mean difference in MVPA was 13.1 min per day (95% CI 1.6 to 24.5). A significant effect was also found in the adjusted mean difference in perceived sitting habit at work (0.7; 95% CI 0.2 to 1.2) and during leisure activities (0.7; 95% CI 0.2 to 1.2). No significant effect was found in the remaining secondary outcomes. Conclusions A 12-week multifaceted program with the use of a wearable device, an app, and PT counseling improved physical activity in people with knee OA. Trial Registration ClinicalTrials.gov NCT02585323; https://clinicaltrials.gov/ct2/show/NCT02585323
Applied microbiology and biotechnology · 2015
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Rheumatology (Oxford, England) · 2025 · Journal Article
Li LC, Xie H, Feehan LM, Shaw C, et al.
Arthritis care & research · 2020 · Journal Article
Li LC, Feehan LM, Xie H, Lu N, et al.
JMIR mHealth and uHealth · 2020 · Journal Article
Li LC, Feehan LM, Xie H, Lu N, et al.
Arthritis care & research · 2024 · Journal Article
Leese J, Therrien S, Ramachandran S, Backman CL, et al.
Health expectations : an international journal of public participation in health care and health policy · 2022 · Journal Article
Leese J, Backman CL, Ma JK, Koehn C, et al.
Applied microbiology and biotechnology · 2015 · Journal Article
Osipovitch DC, Therrien S, Griswold KE
Arthritis care & research · 2020 · Journal Article
Li LC, Feehan LM, Xie H, Lu N, et al.