The physiotherapist And Anorexia Nervosa

The physiotherapist and
Anorexia Nervosa
Anaïs Burnet et Marie-Julie Diserens
Presentation plan
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Introduction
Problem
Method
Results
Discussion
Conclusion
The physiotherapist and Anorexia Nervosa
Introduction
Anorexia Nervosa
• Psychiatric pathology – part of eating
disorders
• Morbid fear of obesity
• Voluntary food restriction to loose weight
(Diagnostic criterions defined in DSM-IV)
The physiotherapist and Anorexia Nervosa
Introduction
• Prevalence : ~1% of the population in
industrialized countries
• Mean age of onset : between 12 and 20
years
• Long term mortality: 5 to 15 %
The physiotherapist and Anorexia Nervosa
Introduction
Signs and symptoms:
• Physical deconditioning
• Disturbance of body image
• Mood disorders
• Disturbance of social relations
• …
The physiotherapist and Anorexia Nervosa
Research question
• Physiotherapist’s role ?
• Physiotherapy methods (means)!
Which physiotherapy treatment methods
are efficient in the interdisciplinary
treatment of Anorexia Nervosa?
The physiotherapist and Anorexia Nervosa
Relevance of the subject
• Relative high prevalence can be found
as principal problem or as co morbidity
• Hospitalization not necessarily in
specialized structures every
physiotherapist can be faced with this
problem
• Emergence of new treatment structures need to define the potential relevance of
physiotherapy
The physiotherapist and Anorexia Nervosa
Method
Definition of keywords
Research on medical and paramedical
databases
Pathology AND (practitioner OR discipline OR therapy)
Selection of the articles related to the
problem
Analysis of the articles and data extraction
The physiotherapist and Anorexia Nervosa
Results
• Conceptual map
The physiotherapist and Anorexia Nervosa
Discussion
• Quality and paucity of the available articles
• What we expected to find
• What we found
• What is effectively used
What are the conclusions?
The physiotherapist and Anorexia Nervosa
Conclusion
• No magic therapy
• Multidimensional pathology multidimensional treatment required
• Relevance of physiotherapy?
The physiotherapist and Anorexia Nervosa
« Whatever the activity, what
matters is to have an activity with
a source of pleasure and social
exchange with somebody »
P. Jeammet, entretien du 26 juin
2009
Thanks for your attention!
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Birmingham, C. L., Gutierrez, E, Jonat, L, Beumont, P. (2004). Randomized controlled trial of warming in anorexia nervosa.
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