Casablanca, Morocco
Casablanca, Morocco

Time filter

Source Type

PubMed | CNHU HKM, Center hospitalier nord Caraibe and Chu Ibn Rochd
Type: | Journal: Annals of physical and rehabilitation medicine | Year: 2016

The life expectancy for SCI has become comparable to that of the general population. This improvement is the result of a follow-codified neuro-urology. The latest recommendations of GENULF constitute the largest part of this monitoring.Make an inventory on the application of these recommendations and analyze failures in the application and the factors associated with these facts.This was a retrospective descriptive study on patients followed north hospital site Carbet Caribbean and seen from 1 January 2014 to 1 January 2016 as part of a re-hospitalization for functional assessment and neuro-urological annual control as recommended by the GENULF. Data analysis was done with Epi Info.The median age of enrolled patients was 47.716.1 years. The affected were primarily male sex 81.5% (53/65). Spinal cord injury duration was on average 11.6+-11.8 years, ranging from 1 to 46 years. They were quadriplegics (66.2%) and paraplegics (33.8%) with ASIA A (67.7%), B (12.3%), C (12.3%) and D (7.5%). The origins of the lesion were: accident of the public highway 41.5%, domestic accident 16.9%, work accident 9.2%, diving accident 7.5% and sports injury 6.1%. Creatinine clearance of 24h was achieved in all patients and averaged 103.6+- 32.9ml/min with 6.2% who had severe renal impairment. All patients had specific exams such as a urine culture, an abdominal radiography, and dynamic urinary function evaluations, while 52.3% had no vesicle ultrasound exam and only 9.2% had made an informed cystoscopy in their file.This analysis suggests that the weak link in the monitoring of these patients was carrying ultrasound and cystoscopy. It is surprising the fact that ultrasound is not informed on issues that routinely prescribed each year. The appointment is distant, these results certainly reach the treating doctors without that they do not send a copy to the patients hospital record.


PubMed | Hassan II University, Institute Parasitologia y Biomedicina Lopez Neyra, CHU Ibn Rochd and Montreal Heart Institute
Type: Journal Article | Journal: Genes and immunity | Year: 2016

The purpose of this study was to investigate whether common variants in inflammatory and immune response genes influence inflammatory bowel disease (IBD) risk among Moroccan patients. Using a candidate gene approach, 10 single-nucleotide polymorphisms mapping on six genes (MIF_rs755622, TNFA_rs1800629, IL6_rs2069840, IL6R_rs2228145, IL6ST_rs2228044, IL17A (rs2275913, rs4711998, rs7747909, rs8193036, rs3819024)) were assessed in 510 subjects grouped in 199 IBD and 311 healthy controls. Genotyping was performed with the TaqMan allelic discrimination technology. The results were analyzed using PLINK software. The frequency of allele A for TNFA rs1800629 was significantly higher in ulcerative colitis (UC) patients compared with controls (30.16 vs 16.72%; P=0.0005; odds ratio (OR)=2.15; 95% confidence interval (CI)=1.39-3.32). Statistically significant association to UC was also found under dominant AA+AG vs GG (OR=1.85, 95% CI=1.07-3.21; P=0.02) and recessive models (OR=8.38; 95% CI=2.86-24.53; P=0.0001). In the same way, an association of TNFA rs1800629 variant was observed with IBD under recessive model AA vs AG+GG (OR=4.10; 95% CI=1.56-10.76; P=0.004). No evidence of significant associations was found for the remaining investigated polymorphisms. Our data suggest that TNFA gene promoter polymorphism participates in determining IBD susceptibility in Moroccan patients.


PubMed | CHU Ibn Rochd
Type: Journal Article | Journal: Presse medicale (Paris, France : 1983) | Year: 2016

Nationally, no data on the association between human immunodeficiency virus infection and diabetes have been published.To review the epidemiological, clinical and therapeutic data and evaluate the experience of people living with HIV and suffering from diabetes.Our study population was composed of 190 outpatients (87 males and 103 females) attending the Infectious Diseases department of the University Hospital Center of Casablanca (Ibn Rochd). Using the computerized medical records, we identified patients with HIV-Diabetes and collected their epidemiological, clinical and therapeutic data. At the enrollment date of each patient, we measured anthropometric parameters (weight, height, waist circumference, hip circumference, and arm circumference). We also asked each patient, about the impression on their bodies appearance and the degree of concern with regard to the diabetes.The population of patients with HIV, the prevalence of diabetes was 10.5%, among the patients taking an antiretroviral therapy, the prevalence was 13.5%. Diabetes has been diagnosed in 113 patients before the discovery of their HIV infection. At time of recruitment, 111 of them were under antiretroviral therapy for a mean period of 3.1years. Zidovudine was the most prescribed drug followed by lamivudine. Type 2 diabetes was diagnosed in 144 patients. Eighty-seven patients feel conscious about their body appearance which makes them feel bad about the way they look. Metformin was prescribed in 46 cases. The majority of patients (73.1%) considered diabetes as a second health problem. Only 46 patients were well balanced.The multidisciplinary consultation and patient education should enable an appropriate management of diabetes in HIV infected patients.


PubMed | CHU Ibn Rochd
Type: | Journal: Annals of physical and rehabilitation medicine | Year: 2016

Meniscal injuries are an extremely common condition that also occurs well in young adults at a sporting injury, than in most elderly where it is often the degenerative changes in the knee illustration. The application of isokinetic knee is widespread, either in assessment or rehabilitation. The objective of the study is to determine the contribution of the isokinetic for meniscal pathology.This is a retrospective study of 6 months, including patients followed in physical medicine and rehabilitation for meniscal lesions confirmed by imaging and in whom supported classical rehabilitative and/or isokinetic was indicated.Twenty-six patients were followed in our service to support meniscal lesion. The average age was 32.18 years [18-60 years], there was a male predominance (67%). Five patients underwent partial meniscectomy, meniscal suturing 3 patients and 17 patients had no surgical indication. All patients had an isokinetic evaluation that objectified muscle weakness of the quadriceps and hamstrings of the injured knee, with an imbalance in the ratio IJ/Q, which has allowed us to adapt the rehabilitative care that was classic in 8 patients and 18 patients isokinetic. Improvement was objectified our patients at the end of rehabilitation.The concept of meniscus savings dominates the therapeutic management of meniscal lesions. A well-adapted rehabilitation is a pillar of support. The isokinetic allows an objective assessment of patients and an orientation of the rehabilitation treatment.


PubMed | CHU Ibn Rochd
Type: | Journal: Annals of physical and rehabilitation medicine | Year: 2016

Total hip arthroplasty (THA) is a surgical procedure which effectiveness and regularity of results are remarkable by providing: pain relief, improvement of function, and quality of life. The aim of our work is to compare the functional outcome and patient quality of life after total hip replacement according to indication: degenerative hip disease or inflammatory hip disease.Prospective study of 175 patients who underwent total hip arthroplasty (35 bilateral), followed in the Department of Physical Medicine and Rehabilitation, from January, 2011 to December, 2015. All patients underwent preoperative assessment, after one and two months of surgery, taking joint range of motion, Visual Analog pain Scale (VAS), Postel-Merl dAubignes (PMA) score and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index.Our study included 175patients, including 100women (59.28%) and 75men (40, 71%). The average age of our patients was 51.19years. A total of 96patients (56.42%) were followed for inflammatory hip disease and 78patients (43.57%) for degenerative hip disease. All patients had a satisfactory outcome in all joint range of motion, with considerably higher results for patients followed for degenerative hip disease. VAS decreased from 8.5 to 3.5, with an improvement of PMA score and WOMAC Index.Total hip prosthesis gives good functional results in degenerative hip disease, and results are lower in inflammatory disease with a significant improvement in quality of life (WOMAC Index) in both groups.


PubMed | CHU Ibn Rochd
Type: | Journal: Annals of physical and rehabilitation medicine | Year: 2016

Introduction: the sternoclavicular joint is very stable due to a strong ligamentous system, disjunctions are rare. Their diagnosis is difficult. Plain radiography does not allow a proper analysis and use of CT scans is necessary. They can be life-threatening in their posterior variety due to the proximity of the noble elements of the mediastinum.The aim of this study is to describe the evolution of the sternoclavicular disjunction after functional rehabilitation through 6observations.We report 6cases of spontaneous sternoclavicular disjunction. The evaluation included the epidemiological profile, joint and functional assessment and the impact on quality of life before and after functional rehabilitation.The mean age of patients was 48.7ans (32-65years). All patients were female. All patients had a previous variety. The pain was present in all patients with pain EVA means 6. The joint review found a stiff shoulder on the side of the disjunction in 2cases and a normal shoulder mobility in others. The evaluation of the quality of life by SF 12 objectified an alteration of physical and mental 2 scores. All patients underwent a functional rehabilitation. The evolution was marked by the disappearance of pain, recovery of normal range of motion in cases with stiffness and improving function and quality of life of all our patients.The local pain and abnormal arch opposite the articulation met after the disjunction often facilitate the diagnosis can sometimes be more difficult. The usual radiographs centered on the sternoclavicular joint are often difficult to justify the use of scanner, if possible with a 3D reconstruction that allows accurate diagnosis. As part of the emergency, ultrasound examination is useful as descrambling. Taking buoyant therapeutic allows the recovery of function and improvement of quality of life.


PubMed | CHU Ibn Rochd
Type: | Journal: Annals of physical and rehabilitation medicine | Year: 2016

The isokinetic allows precise and reproducible measurement of muscle strength in the normal state and in various pathological contexts. Its use in neurological diseases is limited, despite its vast scope. To report the profile isokinetic knee during the decisive cauda equina syndrome as a buoyant building program, through 2 comments.Observation 1: patient aged 58 years, without particular pathological ATCDS, which has a cauda equina syndrome of herniated disc L4/L5 made. On physical examination, quadriceps (Q) 4 and hamstrings (IJ) to 5 bilaterally, the bullpen ankle 1of both sides. The isokinetic evaluation of the knee found a strength deficit and Q IJ with an imbalance of IJ/Q ratios on both sides, what motivated a sun rehabilitation of muscles by isokinetic knee? Observation 2: patient aged 44, without specific disease ATCDS, which has a cauda equina syndrome of, herniated disc L4/L5 made. On physical examination, quadriceps (Q), hamstrings (IJ) and relievers ankle are 4 bilaterally. The isokinetic evaluation of the knee found a strength deficit and Q IJ with an imbalance of IJ/Q ratios on both sides, which helped steer functional rehabilitation.The isokinetic concept is based on the performance of a unidirectional analytical movement at a constant angular speed set by the experimenter. The resistance is variable, managed by the dynamometer and permanently locked to the subjects efforts capabilities. The isokinetic can be used in various pathological contexts and can adapt to the patients potential, including the neurological patient. Isokinetic quantifies the importance of muscle weakness, develop and monitor well oriented building programs.


PubMed | CHU Ibn Rochd
Type: | Journal: Annals of physical and rehabilitation medicine | Year: 2016

Tuberculosis of the central nervous system is a major cause of morbidity and mortality in developing countries. Myelitis is the most common manifestation of spinal tuberculosis.we report the epidemiological characteristics, clinical and functional aspects in a group of 14 patients with tuberculous myelitis after functional rehabilitation.Over a period of 4 years, 14 cases of tuberculous myelitis were admitted for functional rehabilitation. Are reported, the epidemiological, clinical and complications. The neurological status according to ASIA, mobility and sphincter control evaluated by the MIF.The majority of patients were male (8 women and 6 women), average age was 29 years (19-39), the average length of stay in rehabilitation is 79.1 days (21-103), paraplegia was complete in 9 patients according to ASIA classification. Six patients had multifocal tuberculosis. All patients had sphincter dysfunction and required learning self-catheterisation; 3 patients had complications. The results of the MIF on admission averaged 54.1 out of 126 (42-59) to exit 75 (69-89). One patient died after six months of its release and a patient seen after 2 years, recovered a standalone operation.TB especially in its medullary location in Morocco constitutes a public health problem. The main goal of rehabilitation is to increase patient independence and reduce disability. A large proportion of patients with non-traumatic injury to the cord can reach a good level of mobility and autonomy sphincter. The failure is significantly reduced during rehabilitation.


PubMed | CHU Ibn Rochd
Type: | Journal: Annals of physical and rehabilitation medicine | Year: 2016

Isokinetic is a reference method for evaluation of muscle strength. It enables a functional diagnosis specifying levels of disability and performance deficits in the subject knee osteoarthritis.To determine the profile isokinetic knee osteoarthritis in the subject compared to a healthy population.Prospective study, descriptive and analytical cohort of 6 months of 30 knee OA patients compared with 15 healthy subjects collected in physical medicine and functional rehabilitation of Ibn Rushd University Hospital, Casablanca, Morocco. The 2 groups received a clinical and paraclinical evaluation more isokinetic evaluation.The mean age was 42.5311.41 years with female predominance (80%). The isokinetic evaluation noted a significant difference in the maximum torque peak (PCM) of the quadriceps (Q) and IJ between the 2 groups evaluated, a significant difference of work and the power of the Q and IJ between the 2 groups. It was found, in addition, no significant difference of both the fatigue index of Q and that the ratio IJ IJ/Q between the 2 groups assessed.Knee osteoarthritis is associated with pain and limitation of functional capacity but also to muscle weakness that affects itself the course of the disease where the interest of muscle strengthening the quadriceps and hamstrings which allows to increase muscle strength, stability and joint mobility leading to better pain tolerance and therefore a better quality of life.


PubMed | CHU Ibn Rochd
Type: | Journal: Annals of physical and rehabilitation medicine | Year: 2016

Originally developed for the purpose of muscle strengthening, mainly for knee muscles, the isokinetic has gradually seen its scope expand to other joints, especially in muscle testing, becoming one of reference. Son methods applied to the pathology of the shoulder is relatively recent and, to date, the rules for implementing the tests and rehabilitation remain unclear. The aim of study is to define the contribution of the isokinetic evaluation in the management of shoulder tendon.This is a descriptive and analytical prospective study, over one year on 30 patients with tendinitis of the rotator cuff of the shoulder compared to 15 subjects from the general population, collected in physical medicine and CHU Ibn Rushd reeducation of Casablanca, in whom was performed isokinetic evaluation of the shoulder to 60/s and 120/s.These 30 patients whose average age is 30 years [24-73 years], there was a female predominance (80%), the dominant shoulder was mostly achieved. Statistical tests have objectified a significant difference in muscle strength of the medial and lateral rotators between the two groups assessed and between healthy and shoulder injured shoulder in patients with tendinitis of the rotator cuff against it by did not notice a significant difference in muscle strength between the dominant and non-dominant shoulder in the group of the general population.A force deficit shoulder rotator muscles is a predictor of occurrence of tendinitis of the rotator cuff of the shoulder.

Loading CHU Ibn Rochd collaborators
Loading CHU Ibn Rochd collaborators