References of "Maquet, Didier"
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See detailExtraction of temporal gait parameters using a reduced number of wearable accelerometers
Boutaayamou, Mohamed ULg; Denoël, Vincent ULg; Bruls, Olivier ULg et al

in Proceedings of the 9th International Conference on Bio-inspired Systems and Signal Processing (2016)

Wearable inertial systems often require many sensing units in order to reach an accurate extraction of temporal gait parameters. Reconciling easy and fast handling in daily clinical use and accurate ... [more ▼]

Wearable inertial systems often require many sensing units in order to reach an accurate extraction of temporal gait parameters. Reconciling easy and fast handling in daily clinical use and accurate extraction of a substantial number of relevant gait parameters is a challenge. This paper describes the implementation of a new accelerometer-based method that accurately and precisely detects gait events/parameters from acceleration signals measured from only two accelerometers attached on the heels of the subject’s usual shoes. The first step of the proposed method uses a gait segmentation based on the continuous wavelet transform (CWT) that provides only a rough estimation of motionless periods defining relevant local acceleration signals. The second step uses the CWT and a novel piecewise-linear fitting technique to accurately extract, from these local acceleration signals, gait events, each labelled as heel strike (HS), toe strike (TS), heel-off (HO), toe-off (TO), or heel clearance (HC). A stride-by-stride validation of these extracted gait events was carried out by comparing the results with reference data provided by a kinematic 3D analysis system (used as gold standard) and a video camera. The temporal accuracy ± precision of the gait events were for HS: 7.2 ms ± 22.1 ms, TS: 0.7 ms ± 19.0 ms, HO: ‒3.4 ms ± 27.4 ms, TO: 2.2 ms ± 15.7 ms, and HC: 3.2 ms ± 17.9 ms. In addition, the occurrence times of right/left stance, swing, and stride phases were estimated with a mean error of ‒6 ms ± 15 ms, ‒5 ms ± 17 ms, and ‒6 ms ± 17 ms, respectively. The accuracy and precision achieved by the extraction algorithm for healthy subjects, the simplification of the hardware (through the reduction of the number of accelerometer units required), and the validation results obtained, convince us that the proposed accelerometer-based system could be extended for assessing pathological gait (e.g., for patients with Parkinson’s disease). [less ▲]

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See detailPsychological benefits of a multidisciplinary rehabilitation program after breast cancer
Leclerc, Anne-France ULg; FOIDART-DESSALLE, Marguerite ULg; Bury, Thierry ULg et al

Conference (2015, September 27)

Background : Breast cancer is the most frequent cancer in women, affecting 8 women out of 100. With early detection and improved treatments, the number of deaths linked to this disease has declined ... [more ▼]

Background : Breast cancer is the most frequent cancer in women, affecting 8 women out of 100. With early detection and improved treatments, the number of deaths linked to this disease has declined. However, the disease and its treatments are at the origin of many undesirable side effects such as fatigue, anxiety, weight gain and sleep disorders. The objective of this study is to determine the psychological benefits of a multidisciplinary rehabilitation program among women treated for breast cancer (on average six months after the end of the adjuvant radiotherapy or chimiotherapy). Material and methods : 122 patients were included into a control group (n = 61) and a treated group (n = 61). All participants were submitted to evaluations before the beginning of the trial and after three months. These evaluations included different questionnaires exploring the quality of life, anxiety, depression and various functions and other symptoms related to cancer (EORTC QLQ-C30, EQ-5D, STAI, HADS) and functional assessments. The control group has received no intervention unlike the treated group that received a three-month rehabilitation including supervised physical training (90 min) with three times a week and various psycho-educational sessions (120 min) once a week. Results : After three months, the health status (quality of life) (p < 0,0001), the functional role (p = 0,031), emotional state (p < 0,0001) and physical (p = 0,0045), cognitive (p = 0,0027) and social functions (p = 0,0018) improve significantly in the treated group. This observation also applies to symptoms of fatigue (p < 0,0001), insomnia (p < 0,0001), pain (p = 0,002), dyspnea (p = 0,009), loss of appetite (p = 0,04), anxiety (p < 0,0001) and depression (p < 0,0001) as well as physical parameters obtained through functional assessments. In the control group, these improvements do not appear. Conclusions : This study shows the feasibility and psychological benefits of such a multidisciplinary oncological rehabilitation program in women after their treatments for breast cancer. Additional studies are needed to know the optimal time of beginning (during treatments or after them) and the optimal management time for this support. [less ▲]

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See detailPhysical benefits of a multidisciplinary rehabilitation program after breast cancer
Leclerc, Anne-France ULg; FOIDART-DESSALLE, Marguerite ULg; Bury, Thierry ULg et al

Poster (2015, September 26)

Background : Breast cancer is the most frequent cancer in women, affecting 8 women out of 100. With early detection and improved treatments, the number of deaths linked to this disease has declined ... [more ▼]

Background : Breast cancer is the most frequent cancer in women, affecting 8 women out of 100. With early detection and improved treatments, the number of deaths linked to this disease has declined. However, the disease and its treatments are at the origin of many undesirable side effects such as fatigue, anxiety, weight gain and decreased physical fitness. The objective of this study is to determine the physical benefits of a multidisciplinary rehabilitation program among women treated for breast cancer (on average six months after the end of the adjuvant radiotherapy or chimiotherapy). Material and methods : 122 patients were included into a control group (n = 61) and a treated group (n = 61). All participants were submitted to evaluations before the beginning of the trial and after three months. These evaluations included functional assessments (a maximal incremental exercise protocol on a cycle ergometer, flexibility by Sit and Reach Test and walking distance by Six-Minute Walk Test), anthropometric and body composition measurements (Body Mass Index and body fat percentage) and different questionnaires on quality of life, anxiety and other symptoms related to cancer. The control group has received no intervention unlike the treated group that received a three-month rehabilitation including supervised physical training (90 min) with three times a week and various psycho-educational sessions (120 min) once a week. Results : After three months, maximal oxygen consumption (p < 0,0001), maximal aerobic power (p < 0,0001), peak of ventilation (p < 0,0001) and time to exhaustion (p = 0,0055) during the maximal incremental exercise protocol improve significantly in the treated group. This observation also applies to flexibility (p < 0,0001), walking distance in six minutes (p < 0,0001) and different physical and psychological parameters obtained through questionnaires. In the control group, these improvements do not appear and a significant increase in body mass index (p = 0,032) and body fat percentage (p = 0,034) is observed while these data remain constant in the treated group. Conclusions : This study shows the feasibility and physical benefits of such a multidisciplinary oncological rehabilitation program in women after their treatments for breast cancer. Additional studies are needed to know the optimal time of beginning (during treatments or after them) and the optimal management time for this support. [less ▲]

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See detailGait quantification through accelerometers and clinical tests: application to pathological gait
DEMONCEAU, Marie ULg; Boutaayamou, Mohamed ULg; Maquet, Didier ULg et al

Conference (2015, January 30)

Gait gives essential information to physiotherapists in the screening and follow-up of their patients suffering from orthopaedic, geriatric or neurologic diseases. Most of time, clinical practitioners ... [more ▼]

Gait gives essential information to physiotherapists in the screening and follow-up of their patients suffering from orthopaedic, geriatric or neurologic diseases. Most of time, clinical practitioners rely on visual observation of their patients during specific clinical tests that can highlight gait abnormalities (e,g., the Tinetti assessment tool, the timed up and go test, the 6 minutes walking test), but these tests provide little quantified information about gait. These rough methods are also limited by inter-rater subjectivity and lack of acuteness in the detection of subtle impairments. On the other hand, instrumented gait analyses offer a sharper investigation with the ability to record and quantify gait events that cannot be caught at simple visual observation. Unfortunately, cutting edge technologies often pay the price of a limited number of strides extracted, the need of a strictly controlled laboratory environment, development and maintenance by a specialized staff. For these reasons, instrumented gait analysis may stand beyond the financial and technical reach of many rehabilitative centres and private practitioners. Accelerometer technologies have considerably developed with the progress of wireless technologies. These lightweight and low-cost sensors allow quantified gait analyses that are not restricted to a laboratory environment but can also be used in medical offices and in combination with common clinical gait tests. This presentation relates the experiences of our departments with accelerometer systems and clinical testing in gait analysis of patients suffering from Parkinson’s disease. The aim of this intervention is to cross ideas and knowledge of clinical practitioners and engineers in the development a new gait analysis tool that could integrate routine evaluation of patients suffering from Parkinson’s disease and other conditions characterized by gait impairments. [less ▲]

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See detailOncologie et revalidation physique
Leclerc, Anne-France ULg; Foidart-Dessalle, Marguerite ULg; COUCKE, Philippe ULg et al

in Abstract Book du Colloque "Femmes et Santé" (Université d'Hiver) (2015, January 26)

Le cancer constitue une maladie fréquente en Belgique puisqu'un homme sur trois et une femme sur quatre sont confrontés à la maladie avant l'âge de septante-cinq ans (Fondation Registre du Cancer, 2008 ... [more ▼]

Le cancer constitue une maladie fréquente en Belgique puisqu'un homme sur trois et une femme sur quatre sont confrontés à la maladie avant l'âge de septante-cinq ans (Fondation Registre du Cancer, 2008). La détection précoce et l'amélioration des traitements du cancer, généralement une combinaison de chirurgie, radiothérapie, chimiothérapie, hormonothérapie et thérapie ciblée, ont permis une augmentation du taux de survie. Cependant, ces traitements peuvent être à l'origine de nombreux effets secondaires, non seulement précoces, mais également tardifs, réduisant la qualité de vie. De nombreux programmes de réhabilitation après cancer sont basés sur la psychothérapie et le support social uniquement, or ceux-ci n'agissent généralement pas sur les problèmes physiques encourus par les patients tels que la fatigue, la prise de poids et la diminution des capacités fonctionnelles. C'est pourquoi nous émettons l'hypothèse qu'une revalidation physique, associée à des séances psycho-éducatives et constituant ainsi une prise en charge multidisciplinaire, permettrait d'améliorer d'autant plus la qualité de vie et le bien-être tant physique que psychologique des patients ayant été traités pour un cancer. [less ▲]

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See detailDevelopment and validation of an accelerometer-based method for quantifying gait events
Boutaayamou, Mohamed ULg; Schwartz, Cédric ULg; Stamatakis, Julien et al

in Medical Engineering & Physics (2015)

An original signal processing algorithm is presented to automatically extract, on a stride-by-stride basis, four consecutive fundamental events of walking, heel strike (HS), toe strike (TS), heel-off (HO ... [more ▼]

An original signal processing algorithm is presented to automatically extract, on a stride-by-stride basis, four consecutive fundamental events of walking, heel strike (HS), toe strike (TS), heel-off (HO), and toe-off (TO), from wireless accelerometers applied to the right and left foot. First, the signals recorded from heel and toe three-axis accelerometers are segmented providing heel and toe flat phases. Then, the four gait events are defined from these flat phases. The accelerometer-based event identification was validated in seven healthy volunteers and a total of 247 trials against reference data provided by a force plate, a kinematic 3D analysis system, and video camera. HS, TS, HO, and TO were detected with a temporal accuracy ± precision of 1.3 ms ± 7.2 ms, ‒4.2 ms ± 10.9 ms, ‒3.7 ms ± 14.5 ms, and ‒1.8 ms ± 11.8 ms, respectively, with the associated 95% confidence intervals ranging from ‒6.3 ms to 2.2 ms. It is concluded that the developed accelerometer-based method can accurately and precisely detect HS, TS, HO, and TO, and could thus be used for the ambulatory monitoring of gait features computed from these events when measured concurrently in both feet. [less ▲]

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See detailContribution of a Trunk Accelerometer System to the Characterization of Gait in Patients With Mild-to-Moderate Parkinson’s Disease
Demonceau, Marie ULg; Donneau, Anne-Françoise ULg; CROISIER, Jean-Louis ULg et al

in IEEE Journal of Biomedical and Health Informatics (2015)

OBJECTIVE: Gait disturbances like shuffling and short steps are obvious at visual observation in patients with advanced Parkinson's disease (PD). However, quantitative methods are increasingly used to ... [more ▼]

OBJECTIVE: Gait disturbances like shuffling and short steps are obvious at visual observation in patients with advanced Parkinson's disease (PD). However, quantitative methods are increasingly used to evaluate the wide range of gait abnormalities that may occur over the disease course. The goal of this study was to test the ability of a trunk accelerometer system to quantify the effects of PD on several gait features when walking at self-selected speed. METHODS: We recruited 96 subjects split into three age-matched groups: 32 healthy controls (HC), 32 PD patients at Hoehn and Yahr stage < II (PD-1), and 32 patients at Hoehn & Yahr stage II-III (PD-2). The following outcomes were extracted from the signals of the tri-axial accelerometer worn on the lower back: stride length, cadence, regularity index, symmetry index and mechanical powers yielded in the cranial-caudal, antero-posterior and medial-lateral directions. Walking speed was measured using a stopwatch. RESULTS: beside other gait features, the PD-1 and the PD-2 groups showed significantly reduced stride length normalized to height (p<0.02) and symmetry index (p<0.009) in comparison to the HC. Regularity index was the only feature significantly decreased in the PD-2 group as compared with the two other groups (p<0.01). The clinical relevance of this finding was supported by significant correlations with mobility and gait scales (r is around -0.3; p<0.05). CONCLUSION: Gait quantified by a trunk accelerometer may provide clinically useful information for the screening and follow-up of PD patients. [less ▲]

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See detailEfficacy and cost-effectiveness: A study of different treatment approaches in a tertiary pain centre
VANHAUDENHUYSE, Audrey ULg; Gillet, Aline ULg; MALAISE, Nicole ULg et al

in European Journal of Pain (London, England) (2015)

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See detailAdded value of a triaxial accelerometer assessing gait parameters to predict falls and mortality among nursing home residents: A two-year prospective study.
Buckinx, Fanny ULg; Beaudart, Charlotte ULg; Slomian, Justine ULg et al

in Technology and health care : official journal of the European Society for Engineering and Medicine (2015), 23

BACKGROUND: Gait impairment seems to be a risk factor for falls and mortality. Because gait change cannot be determined easily with classical clinical tests, some authors have suggested that it might be ... [more ▼]

BACKGROUND: Gait impairment seems to be a risk factor for falls and mortality. Because gait change cannot be determined easily with classical clinical tests, some authors have suggested that it might be useful to use a gait-analysis system among elderly community-dwelling people. OBJECTIVE: The main objective of the present study was to determine the predictive value of a quantitative evaluation of the gait characteristics in nursing home residents for the occurrence of falls and death performed using a tri-axial accelerometer (Locometrix(R)). MATERIAL AND METHODS: One hundred elderly nursing home residents (80 women and 20 men, mean age 86.4 +/- 6.04 years) were included in this study with the aim to follow them for 2 years. Deaths and falls were systematically recorded. A quantitative evaluation of a 10-second walk was performed with a tri-axial accelerometer (Locometrix(R)). Demographic data (i.e age, sex, body mass index) and clinical data (i.e. fall risk evaluated by the Tinetti test) were also recorded. RESULTS: During the two years of follow-up, 27 patients died. After adjustment on all potential confounding variables, only body mass index was significantly associated with the risk of mortality with an odds ratio of 0.86 (95% CI: 0.77-0.96, p=0.04). At the end of the study period, 440 falls had occurred (mean: 4.44 +/- 6.79 falls per patient) but no single factors were independently associated with fall incidence. CONCLUSION: Our results show that a quantitative gait analysis performed using a tri-axial accelerometer is not predictive of long-term falls and mortality among nursing home residents. [less ▲]

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See detailProgramme de revalidation multidisciplinaire post-cancer du sein : analyse des bénéfices éventuels sur la fonction physique et la qualité de vie
LECLERC, Anne-France ULg; FOIDART-DESSALLE, Marguerite ULg; COUCKE, Philippe ULg et al

in AFPSA - 8e congrès francophone, Psychologie de la Santé - Evolutions sociales, innovations & politiques - Résumé des communications (2014, December 16)

Introduction : Le cancer du sein ainsi que ses traitements sont à l'origine de nombreux effets secondaires indésirables. L'objectif de l'étude est de déterminer les bénéfices éventuels, tant sur le plan ... [more ▼]

Introduction : Le cancer du sein ainsi que ses traitements sont à l'origine de nombreux effets secondaires indésirables. L'objectif de l'étude est de déterminer les bénéfices éventuels, tant sur le plan physique que psychologique, d’un programme de revalidation multidisciplinaire chez des femmes ayant été traitées pour un cancer du sein. Méthodologie : 122 patientes ont été recrutées, 61 faisant partie du groupe contrôle et 61 du groupe traité. Celui-ci a bénéficié d’une revalidation de trois mois comprenant un entraînement physique supervisé et diverses sessions psycho-éducatives. Les évaluations, effectuées avant et après la prise en charge, ont inclus des mesures anthropométriques et de composition corporelle, une évaluation des capacités fonctionnelles et différents questionnaires. Résultats : Au terme des trois mois, l’état de santé (qualité de vie), le rôle fonctionnel, l’état émotionnel et les fonctions physiques, cognitives et sociales s’améliorent significativement au sein du groupe traité. Cette observation s’applique également aux symptômes de fatigue, d'insomnie, de douleur, de dyspnée, de perte d'appétit, d’anxiété et de dépression ainsi qu'aux paramètres physiques obtenus par l'intermédiaire des évaluations fonctionnelles. Au sein du groupe contrôle, ces améliorations n’apparaissent pas et une augmentation significative de l'indice de masse corporelle et du pourcentage de graisse corporelle est observée. Conclusion : Cette étude préliminaire montre ainsi la faisabilité et les effets bénéfiques d’une prise en charge multidisciplinaire chez des femmes au terme de leurs traitements pour le cancer du sein. [less ▲]

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See detailProgramme de revalidation multidisciplinaire post-cancer du sein : analyse des bénéfices éventuels sur la fonction physique et la qualité de vie
LECLERC, Anne-France ULg; FOIDART-DESSALLE, Marguerite ULg; COUCKE, Philippe ULg et al

in 29ème Congrès de la Sofmer et 19ème Congrès européen de Médecine Physique et de Réadaptation : Abstract book (2014, May 26)

Objective: To determine the potential benefits, both physically and psychologically, of a multidisciplinary rehabilitation program among women treated for breast cancer. Materials and Methods: Thirty ... [more ▼]

Objective: To determine the potential benefits, both physically and psychologically, of a multidisciplinary rehabilitation program among women treated for breast cancer. Materials and Methods: Thirty patients were recruited, sixteen in the control group and fourteen in the treated group. This group has benefited from a rehabilitation of three months including a supervised training and various psycho-educational sessions. The assessments, performed before and after the programme, included anthropometric and body composition measurements, a functional assessment and various questionnaires. Results: After three months, the health state (quality of life), emotional state, physical, cognitive and social functions and the symptoms of insomnia and anxiety significantly improve in the treated group. This observation also applies to the flexibility, maximal aerobic power / body weight, time to exhaustion during the physical effort test and walking distance in six minutes. In the control group, these improvements do not appear. Discussion: This preliminary study demonstrates the feasibility and benefits of a multidisciplinary approach in women after their treatments for breast cancer. [less ▲]

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See detailValidity and Reliability of the French Version of the STarT Back Screening Tool for Patients With Low Back Pain.
Bruyère, Olivier ULg; Demoulin, Maryline; Beaudart, Charlotte ULg et al

in Spine (2014), 39(2), 123-128

Study Design. Observational prospective study.Objective. Our objective was to assess the reliability and validity of the French version of the Keele STarT Back Screening Tool (SBST).Summary of Background ... [more ▼]

Study Design. Observational prospective study.Objective. Our objective was to assess the reliability and validity of the French version of the Keele STarT Back Screening Tool (SBST).Summary of Background Data. The SBST is a recently validated tool developed to identify subgroups of patients with low back pain (LBP) to guide early secondary prevention in primary care.Methods. Outpatients with LBP aged 18 years or more, attending a rehabilitation centre, a back school, a private physiotherapy unit or a fitness centre were included. Patients were assessed through the SBST, Roland-Morris Disability Questionnaire (RMDQ), Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ), Medical Outcomes Survey Short Form 36 (SF-36) questionnaire, and a pain visual analogic scale (VAS). Test-retest reliability was assessed with Kappa score or the intraclass correlation coefficient (ICC), internal consistency of the psychological subscale with the Cronbach alpha coefficient, construct validity with the Spearman's correlation coefficient, and floor and ceiling effects by percentage frequency of lowest or highest possible score achieved by respondents.Results. 108 patients with LBP were included. The test-retest reliability of the SBST total score was excellent with an ICC of 0.90 (0.81-0.95). The Cronbach alpha coefficient was 0.73 showing a good internal consistency for the psychological subscale. High Spearman's correlation coefficients of 0.74 between SBST and RMDQ, and 0.74 between the SBST and OMPSQ were observed. As expected, low to moderate correlations were observed between the SBST total score and some dissimilar measures of the SF-36. The lowest possible SBST score was observed for 8 patients (7.4%) whereas only three patients (2.8%) had the highest possible SBST score.Conclusion. The French version of the SBST is a reliable and valid questionnaire consistent with the original English version. Therefore, this new version may help French-speaking clinicians and scientists to stratify patients with LBP. [less ▲]

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See detailEvaluation of the impact of 6-month training by whole body vibration on the risk of falls among nursing home residents, observed over a 12-month period: a single blind, randomized controlled trial.
Buckinx, Fanny ULg; Beaudart, Charlotte ULg; Maquet, Didier ULg et al

in Aging Clinical & Experimental Research (2014), 26(4), 369-376

BACKGROUND: We have previously shown that short sessions of whole body vibration (WBV) were not able to significantly improve fall risk among nursing home residents but some trends towards an improvement ... [more ▼]

BACKGROUND: We have previously shown that short sessions of whole body vibration (WBV) were not able to significantly improve fall risk among nursing home residents but some trends towards an improvement of motor capacity were observed. OBJECTIVE: The objective of the present study was to evaluate the impact of 6-month training by WBV on functional and motor abilities among nursing home residents observed over a 12-month period. METHODS: Patients were randomized into two groups: the WBV group which received three training sessions every week composed of five series of 15 s of vibration at 30 Hz intensity for a period of 6 months and a control group with normal daily life. The impact of this training on the risk of falls was assessed blindly after 6 and 12 months by the Tinetti Test, the "Timed Up and Go" test and a quantitative evaluation of a 10-s walk performed with a tri-axial accelerometer. The occurrence of falls was also observed. RESULTS: 62 elderly healthy volunteers, (47 women and 15 men, mean age 83.2 +/- 7.9 years) were included in this study. There was no significant difference between the two groups regarding the Tinetti test (p = 0.75), the "Timed Up and Go" test (p = 0.19) and the Locometrix(R) test, except for the step length, measured by dual task (p < 0.01). No significant inter-group difference in the frequency of falls was observed during the 12 months of research. A total of 42 falls were recorded during the first 6 months of experimentation: 24 falls in the treated group and 18 in the control group (p = 0.60). During the next 6 months, 19 falls occurred: 8 falls in the treated group and 11 in the control group (p = 0.52). CONCLUSION: This study failed to establish the effectiveness of low doses of WBV, under the conditions used in our study, on functional and motor abilities of institutionalized elderly patients. However, given the positive results of other studies, further investigations, with modified therapeutic protocols, seem necessary to clarify the effects of WBV in the elderly. [less ▲]

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See detailFibromyalgie post-traumatique : mythe ou réalité ?
Crielaard, Jean-Michel ULg; Maquet, Didier ULg

in Lucas, Pierre; Stehman, Michel (Eds.) Les troubles somatoformes (2014)

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See detailFacteurs de risque de chute chez des sujets résidant en maison de repos : étude prospective d'une durée de 2 ans
Buckinx, Fanny ULg; Beaudart, Charlotte ULg; Slomian, Justine ULg et al

in Gériatrie et Psychologie Neuropsychiatrie du Vieillissement (2014), 12(1), 164-165

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See detailFacteurs pronostiques de décès chez des sujets résidant en maison de repos suivis d'une manière prospective pendant une période de 2 ans
Buckinx, Fanny ULg; Beaudart, Charlotte ULg; Slomian, Justine ULg et al

in Gériatrie et Psychologie Neuropsychiatrie du Vieillissement (2014), 12(1), 73-74

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See detailEvolution sur deux ans des capacités fonctionnelles et motrices de sujets âgés résidant en maison de repos
Buckinx, Fanny ULg; Beaudart, Charlotte ULg; Slomian, Justine ULg et al

in Gériatrie et Psychologie Neuropsychiatrie du Vieillissement (2014), 12(1), 57-58

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See detailPrognostic factors of death among nursing homes residents followed prospectively for a period of 2 years
Buckinx, Fanny ULg; Slomian, Justine ULg; Maquet, Didier ULg et al

in Osteoporosis International (2014), 25(2), 121-122

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