Hyeres

This research focuses on elderly patients hospitalized in Continuing and Rehabilitation Care Units, many of whom suffer from neurodegenerative diseases and need personalized rehabilitation care. The study evaluates the use of ergonomic cutlery handles tailored to patients hand grip ability, aiming to improve their autonomy during meals and potentially reduce malnutrition risks. These custom handles are made using 3D printing technology, offering a lightweight and inexpensive alternative to standard adapted cutlery. Participants will start with a functional and joint assessment of their hand to determine the optimal diameter for the cutlery handles 25, 30, 35, or 40 mm. Their autonomy in eating and the amount of food consumed will be measured at three lunch times before using the adapted handles Day 0, the first lunch using the handles Day 1, and after three days of use Day 3. Ergotherapists will also assess upper limb compensations during meals without and with the technical aid. Throughout the study, participants autonomy in eating is evaluated using the Katz scale, with additional assessments by ergotherapists and dieticians. The study tracks changes in food intake and physical compensations over three days, ending after the Day 3 assessments. The main outcome measured is patients food autonomy at Day 1, with secondary outcomes including autonomy and food intake at Day 3 and upper limb compensations. Participation lasts only through the initial assessment and the three-day intervention period.

Researchers are exploring the experiences, needs, and expectations of family caregivers, including parents and siblings, of aging individuals with polyhandicap who are 35 years or older. Polyhandicap is a chronic condition involving profound intellectual disability and severe motor impairments, which significantly limits autonomy and communication. The study aims to better understand the social and emotional challenges faced by these caregivers as their relatives age, to improve support and assistance for these families. The study uses a mixed-methods approach combining quantitative questionnaires and qualitative interviews. Parents and siblings provide information through standardized self-reported questionnaires and interviews about quality of life, coping, emotional intelligence, and burden. Parents data were previously collected, while siblings data will be newly gathered via phone and mail. The study also integrates findings from multiple university and healthcare teams to analyze the experiences from both parents and siblings together. Participants will complete questionnaires and take part in interviews lasting about 30 to 60 minutes to share their experiences. Researchers will analyze these responses to understand family caregivers perspectives on aging relatives with polyhandicap. This includes comparing quantitative and qualitative data over a two-month period. The study helps identify specific caregiver needs and supports better transitions for families dealing with the aging process. Participation may involve filling booklets and engaging in interviews, with all information collected confidentially.

This research investigates how intensive psychomotor rehabilitation compares with standard care in improving adaptive behavior in children with polyhandicap. The study focuses primarily on changes observed 12 months after starting the treatments. It also aims to assess other outcomes such as development progress, pain levels, and quality of life for both patients and their caregivers over the course of the study. Children in the study receive one of two care approaches for 12 months an intensive rehabilitation program that includes approximately 5 hours per week of psychomotor therapy and 1.5 hours per week of kinesitherapy, or standard care with about 30 minutes per week of psychomotor therapy and 0.5 hours per week of kinesitherapy. These treatments are delivered in clinical settings enrolled in the study. Participants will be evaluated through various assessments including adaptive behavior scales, developmental scales, pain evaluations, and quality of life surveys for families and caregivers at multiple points up to 18 months after starting the study. The study also monitors how well participants tolerate the intensive rehabilitation and compares different measurement tools to understand cognitive-motor improvements and overall impact.

Bronchiectasis is a chronic lung disease involving permanent widening of parts of the airways, leading to mucus buildup, infections, and ongoing inflammation. Researchers are evaluating whether using the SIMEOX device at home, combined with remote physiotherapy, can improve quality of life and reduce lung flare-ups compared to enhanced standard care in patients with non-cystic fibrosis bronchiectasis. This study focuses on long-term effects over about two years. Participants will be randomly assigned to one of two groups one receiving standard care plus remote physiotherapy, and the other using the SIMEOX device daily at home along with remote physiotherapy and standard care. The SIMEOX device delivers short pulses of negative air pressure through a mouthpiece to help loosen and move mucus from the lungs. Remote physiotherapy sessions occur once a month for the first three months and then every three months thereafter. During the study, participants will be monitored for changes in quality of life using questionnaires at 6, 12, and 24 months, and the number of lung exacerbations over about 24 months will be recorded. Lung function tests spirometry will also be conducted periodically. Researchers will track treatment adherence, hospitalizations, and any adverse events. The total study duration per participant is around two years, with regular assessments to evaluate the impact of the SIMEOX device combined with physiotherapy.

This observational study explores how three groups involved in stroke recovery perceive advanced rehabilitation technologies. These groups include post-stroke patients, physicians specializing in Physical and Rehabilitation Medicine, and allied health professionals such as physiotherapists and psychologists. The research aims to understand differences in attitudes, acceptance, and intentions to use technologies like exoskeletons, social robots, wearable devices, and biofeedback systems, based on their roles and experiences. Participants complete a structured questionnaire developed by the researchers, which assesses their views on the usefulness, ease of use, and willingness to adopt these technologies. The study includes three groups post-stroke patients hospitalized or followed at the hospital, specialized physicians involved in stroke rehabilitation, and allied health professionals from various disciplines. Data collection occurs at a single time point after obtaining consent. During the study, participants will answer questions designed to measure their perceptions of advanced rehabilitation technologies. The main outcome is the differences in perception among the three groups. The study is conducted at one hospital department, and participation involves only this one-time questionnaire. Researchers will analyze responses to identify potential barriers or facilitators for technology use in clinical practice.

Researchers are comparing two methods used during Anterior Cruciate Ligament ACL reconstruction surgery the traditional thigh tourniquet and a new dual-flow arthroscopy sheath. ACL injuries, often caused by a violent twisting of the knee, require surgical reconstruction to restore knee stability. This study aims to evaluate whether using the dual-flow sheath can reduce postoperative complications linked to tourniquet use, such as pain and muscle injury, thereby improving recovery and ambulatory care for patients. The study involves two groups of patients undergoing ACL reconstruction. One group will have surgery using a thigh tourniquet to reduce bleeding and improve visibility, while the other group will have surgery using the dual-flow arthroscopy sheath without a tourniquet. Initial assessments will be done before surgery, and follow-up exams are scheduled within the first week, then at 21 days, 45 days, and 5 months after surgery to monitor recovery. Participants will be evaluated through various measures including pain intensity using a Numeric Rating Scale, muscle strength, knee mobility, and surgical times. Researchers will also monitor complications and collect blood tests to assess muscle injury and bleeding. This detailed follow-up helps understand the effects of each method on recovery and safety over a five-month period.