Tesi sul tema "Personnes amputées"
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Bonnet, Xavier. "Mise en situation numérique et expérimentale de composants prothétiques pour l'appareillage de personnes amputées du membre inférieur". Phd thesis, Paris, ENSAM, 2009. http://pastel.archives-ouvertes.fr/pastel-00005836.
Testo completoDuclos, Cyril. "Les posteffets moteurs posturaux : mécanismes sous-jacents et exploitation thérapeutique chez les personnes amputées". Thèse, Aix-Marseille 1, 2006. http://hdl.handle.net/1866/6717.
Testo completoVilla, Coralie. "Analyse de la marche des personnes amputées de membre inférieur en situations contraignantes de la vie courante". Phd thesis, Ecole nationale supérieure d'arts et métiers - ENSAM, 2014. http://pastel.archives-ouvertes.fr/pastel-01064361.
Testo completoZabjek, Karl F. "Analyse biomécanique des pieds SACH et Seattle-Light durant la locomotion chez les personnes âgées amputées du membre inférieur". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ35754.pdf.
Testo completoDauriac, Boris. "Contribution à la mise en œuvre et l’évaluation de technologies embarquées pour l’appareillage de personnes amputées du membre inférieur". Thesis, Paris, ENSAM, 2018. http://www.theses.fr/2018ENAM0017/document.
Testo completoProsthetic devices allow people with lower limb amputation to recover their autonomy. Currently, this autonomy is limited in several everyday life situations such as walking on a slope or in stairs. Embedded sensors, frequently integrated inside the prostheses, record kinematic and dynamic data during locomotion. In this context, this PhD thesis aims to contribute to the development of methods for the processing of data provided by these technologies to quantify and improve the adaptation of the prosthesis to the environment. These methods were applied and evaluated in the context of the use of a new prosthetic knee-ankle system controlled by microprocessor (SPCM) developed by Proteor to facilitate the locomotion in situations such as slope or downstairs walking for people with above knee amputation. The first part of the work was devoted to the quantification of the adaptations allowed by the SPCM in different situations of daily life (flat, slope, staircase). The second part of the thesis focused on the estimation of gait parameters (walking speed and slope inclination) and the classification of 4 everyday life situations (flat, slope ascent and descent, stair descent) using machine learning algorithms that can be computed by the SPCM in real time. The body of this work will make it possible to better quantify the user real life activity. This quantification could help the user or the medical team in the activity monitoring but also the manufacturer to improve the adaptation of the prosthetic components to the environment and to verify the SPCM actual use
Groud, Paul-Fabien. "De l'irréversibilité au devenir : diversité des expériences corporelles, prothétiques et du handicap des personnes amputées des membres inférieurs en France". Thesis, Lyon, 2020. http://www.theses.fr/2020LYSE2046.
Testo completoThis dissertation investigates the bodily, prosthetic and disability experiences of lower-limb amputees in France. Building on the methodological tools of anthropology (observations, interviews and contributions from audiovisual anthropology), this research is structured around three ethnographic fieldworks carried out at the Institute of Rehabilitation of the Grenoble University Hospital (CHU), at the Chabloz Orthopaedics company, and at the Association for Advocacy and Study of Amputees (ADEPA). Using a longitudinal approach, it analyses these post-amputation experiences through three temporalities of the life trajectory of amputees: short, medium and long term. This research is first devoted to the study of patient follow-up during the first weeks after amputation, within the hospital rehabilitation unit. Developing the notion of the « stump paradox » (« paradoxe du moignon »), it explores the bio-psycho-social trauma linked to the loss as well as the recomposition of the body and the bodily experiences associated with it, such as that of the phantom limb. It details both the process of adjusting and familiarising to the amputated body and its formatting work in relation to the prothesis. It also sheds light on the essential role of the prosthesis in the rehabilitation process, with the learning of walking with it and its impacts on situations of disability.Second, based on a longitudinal follow-up of the same patients a year and a half after the end of the rehabilitation stay, this research aims to understand the habituation to the amputated body and the evolution of post-hospitalisation bodily experiences. It investigates the processes of adjustment and adaptation of the amputated body with the prothesis and other technical aids. It enquires into the benefit of the prosthesis in the remediation of disability situations. It also highlights the complex relationship to the prosthesis in daily life and in the social experience of disability. The last part of the research focuses on (the study of) the lived experiences of amputees over the past five years. It explores, particularly through the prism of audiovisual anthropology, their diverse experiences of the body/prosthesis alliance (between potentialities, limitations and intimacy) and of disability. It examines the approach and the issues involved in the sharing of these experiences by seasoned amputees towards newly amputated peers.Through anthropological decentring and analysis focused on what is lived in situ by the people concerned, this dissertation deconstructs the ableist approach of amputation and shows the need to go beyond it. It establishes that post-amputation experiences of the body, prothesis and disability must be considered in their diversity, complexity and transformations over time
Fougeron, Nolwenn. "Contribution à la modélisation du membre résiduel des personnes amputées de membre inférieur pour la conception personnalisée de l’emboiture fémorale". Thesis, Paris, HESAM, 2020. http://www.theses.fr/2020HESAE064.
Testo completoThe socket connects the prosthesis to the residual limb of the amputee. For transfemoral amputations, it must allow the transfer of mechanical actions while being conformable. However, its design remains mainly qualitative. The pressures at the socket/residual limb interface can be evaluated using the Finite Element (FE) method. However, the design of such models is a challenge for both the reconstruction of geometries, the characterization of tissue behavior and the definition of loadings. This work presents a personalized FE model of the interaction of the residual limb and the socket. Measurements for the characterization of the tissue behavior but also for the definition of loadings, using a musculoskeletal model, supply the EF model. This model was compared with the literature and then used to estimate the influence of certain parameters on the pressures
Simonetti, Emeline. "Contribution au développement et à la validation de méthodes fondées sur la technologie embarquée pour l'analyse quantitative de la locomotion et la rééducation fonctionnelle de la personne amputée de membre inférieur". Thesis, Paris, HESAM, 2020. http://www.theses.fr/2020HESAE052.
Testo completoOne key objective during the rehabilitation of people with lower-limb amputation fitted with a prosthesis is the restoration of a physiological and energy-efficient gait pattern minimizing falling risks due to the loss of balance. Few practical tools are available to provide quantitative data to assist the follow-up of patients in the clinical routine. The development of wearable sensors offers opportunities to quantitatively and objectively describe gait in ecological situations. In this context, the aim of the thesis is to contribute to the development of wearable tools and protocols to support the functional rehabilitation of lower-limb amputees by providing clinically relevant quantitative data. Two complementary approaches have been implemented. The first approach consists in developing biomechanical models of the human body in order to retrieve biomechanically founded parameters. A protocol allowing to accurately estimate the body center of mass acceleration and instantaneous velocity has therefore been proposed based on gait data of ten people with transfemoral amputation and was validated in one person with transfemoral amputation. The second approach consists in identifying patterns in the signals measured by wearable sensors to extract concise descriptors of gait symmetry and dynamic balance. The clinical relevance and reliability of these descriptors have been investigated for the first time in people with lower-limb amputation. The work produced in the course of this thesis has contributed to the clinical transfer of wearable sensors into the clinical practice through the identification of clinically and biomechanically relevant parameters and the validation of original algorithms allowing to quantitatively describe the gait of lower-limb amputees
Bilodeau, Suzie. "L'utilisation de la prothèse chez la personne âgée amputée d'un membre inférieur". Mémoire, Université de Sherbrooke, 1994. http://hdl.handle.net/11143/10901.
Testo completoZabjek, Karl F. "Analyse biomécanique des pieds SACH et Seattle-Light durant la locomotion chez les personnes âgées amputées du membre inférieur". Sherbrooke : Université de Sherbrooke, 1997.
Cerca il testo completoFredericks, Jerome P. "Description and evaluation of the rehabilitation programme for persons with lower limb amputations at Elangeni, Paarl, South Africa". Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20029.
Testo completoENGLISH ABSTRACT: Lower limb amputations cause multiple physical, psychological, environmental and socioeconomic barriers. Individuals who have suffered a lower limb amputation require comprehensive rehabilitation to ensure social integration and economic self-sufficiency. In addition, constant monitoring and evaluation is an essential part of human service delivery programmes. However, the amputation rehabilitation programme offered at Elangeni an outpatient rehabilitation centre for clients with physical disabilities in Paarl, Western Cape, South Africa is not monitored, and has not been evaluated since its inception in 2000. Thus, the current study evolved to describe and evaluate the rehabilitation programme for persons with lower limb amputations at Elangeni. A mixed method descriptive design was implemented. All persons who received rehabilitation, after a major lower limb amputation at Elangeni, between 2000 to 2011, were included in the study population. In addition, the physiotherapist and occupational therapist that provided amputation rehabilitation at Elangeni, at the time of the study, were interviewed. Thirty participants who met the study inclusion criteria were identified. Quantitative data was collected using a researcher designed, structured demographic questionnaire, an International Classification of Function checklist based questionnaire and a participant rehabilitation folder audit form. Two interview schedules one for clients and one for therapists were used for guidance during semi structured interviews. Quantitative data was entered onto a spread sheet and analysed by a statistician using Statistica, version 8. Qualitative data was thematically analysed according to predetermined themes. No programme vision, mission or objectives could be identified for the amputation rehabilitation programme. Poor record keeping practices and a lack of statistics were found. Rehabilitation was impairment focused with no attention given to social integration. Clients who received prosthetic rehabilitation showed improved functional ability with regard to picking up objects from the floor (p = 0.031) getting up from the floor (p = 0.00069), getting out of the house (p = 0.023), going up and down stairs with a handrail (p = 0.037) and moving around in the yard (p = 0.0069), climbing stairs without a handrail (p = 0.037), going up and down a kerb (p = 0.0082) walking or propelling a wheelchair more than 1km (0.0089) and walking in inclement weather (0.017). A lack of indoor mobility training had a statistically significant negative impact on the participants’ ability to lift and carry objects (p 0.011), standing up from sitting (p = 0.042), getting around inside the house (p = 0.00023), picking up objects from the floor (p = 0.00068), getting up from the floor (p = 0.0072), getting out of the house (p = 0.0016), going up and down stairs with a handrail (p = 0.019), moving around in the yard (0.0013), going up and down stairs with-out a hand-rail (p = 0.019), getting up and down a kerb (p = 0.0022), walking or wheeling 1km or more (p = 0.0032) and using transport (p = 0.0034). Failure to address community mobility during rehabilitation had a statistically significant negative impact on all aspects of community mobility scores except doing transfers and driving. In conclusion, for the study participants, Elangeni failed to provide rehabilitation according to the social model of disability and Community Based Rehabilitation principles. It is recommended that managers, service providers, and clients re-consider the purpose of Elangeni and develop a vision and objectives for that service. In addition, management should take an active role in service monitoring and evaluation and provide guidance and mentorship to therapists.
AFRIKAANSE OPSOMMING: Onderste ledemate amputasies impak negatief op `n persoon se fisiese, sielkundige en sosiale funksionering. Individue wat ’n amputasie ondergaan het benodig omvattende rehabilitasie om sosiale integrasie en ekonomiese onafhanklikheid te verseker. Konstante monitering en evaluasie is ’n essensiële deel van rehabilitasie programme. Nietemin die amputasie rehabilitasie program wat by Elangeni aangebied word, word nie gemoniteer nie en was nog nooit geëvalueer nie. Dus het hierdie studie dit ten doel om die rehabilitasie programme vir persone met onderste ledemate amputasies by Elangeni te beskryf en te evalueer. Kwantitatiewe en kwalitatiewe navorsingsmetodes is in kombinasie gebruik in die studie. Alle persone wat rehabilitasie by Elangeni ontvang het na ’n onderste ledemaat amputasie, sowel as die terapeute wat by Elangeni werk, het die studie populasie gevorm. In totaal het 32 persone aan die studie deelgeneem. Kwantitatiewe data is met behulp van `ʼn demografiese vraelys, `ʼn ICF gebaseerde vraelys, en `ʼn leer oudit vorm ingesamel. Twee onderhoud skedules, een vir die kliënte en een vir die terapeute, is gebruik as riglyn tydens insameling van kwalitatiewe data. Kwantitatiewe data is statisties ontleed deur ʼn statistikus wat gebruik gemaak het van Statistica 8. Voorafbepaalde temas is gebruik tydens tematies ontleding van kwalitatiewe data. Geen program visie, missie of doelwitte kon geïdentifiseer word nie. Swak rekord houdings praktyke was gevind. Rehabilitasie het gefokus op die fisiese en nie op sosiale integrasie nie. Die kliënte wat prostetiese rehabilitasie ontvang het, het statisties beduidend beter gevaar ten opsigte van optel van voorwerpe van die vloer af (p = 0.031), om van die vloer af op te staan (p = 0.00069), om uit die huis uit te kom (p = 0.023), om trappe met `ʼn handreling te klim (p = 0.037), om op die erf rond te beweeg (p = 0.0069), om trappe sonder `ʼn reling te klim (p = 0.037), om by sypaadjies op en af te gaan (p = 0.0082), om meer as `ʼn kilometer te loop of met die rolstoele te ry (0.0089) en om in ongure weer te loop (0.017). `ʼn Tekort aan heropleiding van mobiliteit binne die huis het `ʼn statisties beduidende impak gehad op die vermoë om goed te dra (p 0.011), op te staan van sit af (p = 0.042), in die huis rond te beweeg (p = 0.00023), voorwerpe van die vloer af op te tel (p = 0.00068), van die vloer af op te staan (p = 0.0072), uit die huis uit te kom (p = 0.0016), trappe met `ʼn handreling te klim (p = 0.019), in die erf rond te beweeg (0.0013), trappe sonder `ʼn handreling te klim (p = 0.019), by `n sypaadjie op en af te gaan (p = 0.0022), meer as 1km te loop of met die rystoel te ry (p = 0.0032) en om vervoer te gebruik (p = 0.0034). `ʼn Gebrek aan heropleiding van gemeenskapsmobiliteit het `ʼn statisties negatiewe impak gehad op alle aspekte van gemeenskapsintegrasie behalwe die doen van oorplasings en bestuur. Rehabilitasie praktyke was nie gebaseer op die sosiale model van gestremdheid en Gemeenskap Gebaseerde Rehabilitasie beginsels nie. Dit word aanbeveel dat diens verskaffers, kliënte en bestuurders oor die fokus van rehabilitasie by Elangeni moet besin. Daar moet ʼn visie en doelwitte vir die diens ontwikkel word. Voorts moet bestuurders van distrik vlak ʼn aktiewe rol speel in die monitering en evaluasie van dienste en mentorskap aan terapeute verseker.
Childers, Walter Lee. "Motor control in persons with a trans-tibial amputation during cycling". Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/44910.
Testo completoMilde, Christopher [Verfasser], e Herta [Akademischer Betreuer] Flor. "Cortical representation of illusory body perception in healthy persons and amputees: implications for the understanding and treatment of phantom limb pain / Christopher Milde ; Betreuer: Herta Flor". Heidelberg : Universitätsbibliothek Heidelberg, 2018. http://d-nb.info/1177385074/34.
Testo completoZidarov, Diana. "Évolution de la qualité de vie des personnes amputées d'un membre inférieur suite à une réadaptation fonctionnelle". Thèse, 2008. http://hdl.handle.net/1866/7600.
Testo completoSpivock, Michaël D. "Le profil d'activité physique des personnes ayant subi une amputation du membre inférieur de cause traumatique /". 2002. http://proquest.umi.com/pqdweb?did=766443751&sid=34&Fmt=2&clientId=9268&RQT=309&VName=PQD.
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