Cebazat

This research aims to evaluate whether combining passive and active hamstring stretching (PAS) leads to better immediate improvements in flexibility compared to passive stretching (PS) alone in people with chronic low back pain (CLBP). The study focuses on active flexibility as the main outcome, along with passive flexibility, hamstring stiffness, and pelvic tilt. Researchers want to see if adding active exercises to passive stretching improves movement control and flexibility more effectively in this population. Participants will be randomly assigned to either the PAS group or the PS group. The PAS intervention combines conventional passive stretching with active exercises to engage muscles that help lengthen the hamstrings, while the PS group receives only passive hamstring stretching. The passive stretching involves one minute of stretch applied three times to each leg with 30 seconds of rest between stretches. Measurements will be taken immediately before and after the one-time intervention. During the study, participants will have their flexibility measured using tests like Active Knee Extension, Fingertip-to-Floor distance, and Straight Leg Raise. Researchers will also assess hamstring stiffness and pelvic tilt. Participants will be asked about their perceived change in flexibility after stretching. The study aims to identify clinically important improvements in active flexibility and provide insights to improve rehabilitation programs for individuals with CLBP.

Stroke is a leading cause of acquired motor disability and the second most common cause of major cognitive impairment worldwide. In France, about 150,000 new stroke cases occur annually, with nearly one-third affecting people of working age. Returning to work (RTW) after stroke is a significant public health concern due to its medical and socio-economic impact, including productivity loss, prolonged sick leave, part-time work, and workplace changes. Despite research on RTW, no standard guidelines exist for vocational reintegration, and factors predicting RTW remain uncertain. Quantitative factors like stroke type and severity have been studied, but qualitative factors such as self-confidence, social burden, employer relationships, and motivation are less understood. Cognitive deficits are also not well characterized with common screening tools, and the effects of revascularization and sustained employment after stroke require further study. No recent data are available from the Auvergne region, where labor policies may affect reintegration. This observational study aims to identify both quantitative and qualitative factors that predict return to work after a first ischemic or hemorrhagic stroke treated at Clermont-Ferrand University Hospital between January 2020 and December 2024. It seeks to describe vocational pathways, explore barriers and facilitators to long-term reintegration, and provide updated evidence to guide personalized rehabilitation and socio-professional reintegration strategies. The study includes patients of working age who had a stroke and an employment contract at the time, with data collected through medical records and follow-up. Participants will be evaluated through post-stroke consultations and medical file reviews to gather information on return to work and related factors. Researchers will measure return to work rates and analyze factors correlated with successful reintegration. Data collection involves reviewing employment status, stroke characteristics, and social and cognitive aspects. The study supports sustainable return to work for stroke survivors by improving understanding of reintegration needs and challenges. Participation covers stroke cases from January 2020 to March 2024, focusing on working-age adults treated at the specified hospital.