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See detailEvaluation isocinétique de la fatigabilité musculaire du genou: qu'en est-il de la reproductibilité intra-dynamomètre et de la compatibilité inter-dynamomètre?
Paulus, Julien ULg; Krecke, Roland; Bosquet, Laurent et al

Poster (2015, October 26)

Abstract Certains aspects de l'isocinétisme, bien que considéré comme un gold standard de l'évaluation musculaire [1], restent à explorer: entre autre la reproductibilité intra-dynamomètre des index de ... [more ▼]

Abstract Certains aspects de l'isocinétisme, bien que considéré comme un gold standard de l'évaluation musculaire [1], restent à explorer: entre autre la reproductibilité intra-dynamomètre des index de fatigue (quotient des n dernières répétitions par les x premières par exemple) et des paramètres mesurés lors d'une épreuve de fatigabilité musculaire pour le genou mais également la compatibilité inter-dynamomètre de cette même épreuve de résistance à la fatigue. Après étude via à un test-retest, la reproductibilité des index de fatigue semble très insuffisante pour une utilisation clinique ou scientifique, au contraire des paramètres mesurés. De plus, après exploration via la réalisation du protocole sur trois modèles différents, il apparait que la reproductibilité insuffisante des fléchisseurs du genou ne permettrait pas de comparer les résultats obtenus sur différents dynamomètres. Introduction Les tests isocinétiques contribuent largement à l'évaluation de la performance musculaire et en sont considérés comme un gold standard [1]. Les tests de fatigabilité peuvent s'avérer complémentaires des épreuves courtes de force notamment pour évaluer un athlète sollicitant particulièrement la filière anaérobie lactique ou dans des contextes pathologiques spécifiques [2]. Bien que Bosquet et al. [3] aient démontré la reproductibilité d'un protocole de fatigabilité pour le genou, 30 flexions-extensions maximales à 180°.s-1 avec une amplitude de 100°, à notre connaissance, aucune étude, ayant pour objectif d'être exhaustive dans son analyse, n'a été menée sur la reproductibilité des paramètres mesurés (meilleure répétition, cumuls total et partiels) et index de fatigue (quotient des n dernières répétitions par les x premières, du cumul des répétitions par la meilleure,…) bien qu'ils soient proposés directement par les dynamomètres et/ou utilisés en clinique et dans la littérature lors de l'étude de la fatigabilité du genou [4]. Sont-ils suffisamment reproductibles pour que leur utilisation soit scientifiquement validée? La compatibilité des résultats d'une épreuve de fatigabilité du genou entre différents dynamomètres isocinétiques n'a également, à notre connaissance, pas été évaluée récemment, qui plus est sur plus de deux dynamomètres de marques différentes [5]. Est-il envisageable de comparer les résultats obtenus sur des dynamomètres de marques différentes et de généraliser les normes? Méthodes Pour tenter d'apporter un élément de réponse à la première question, dix-huit hommes sains, modérément actifs, ont réalisé trente extensions-flexions maximales du genou à trois occasions sur un Biodex System 3 Pro, en observant sept à dix jours de repos entre chaque session. Afin de compiler onze paramètres mesurés et de construire quarante-quatre index, le moment de force maximum (MFM) et le travail maximal (Wmax) de chaque répétition ont été enregistrés. La reproductibilité de chaque paramètre et index a été évaluée via leur ICC (2,1), SEM et MD respectifs. Pour évaluer la compatibilité inter-dynamomètre du Biodex System 3 Pro, du Con-Trex MJ PM-2 et du Cybex Humac CSMI, vingt-et-un sujets sains, modérément actifs, ont réalisé trente extensions-flexions maximales du genou à trois occasions, en observant six à dix jours de repos entre chaque session. Le MFM et le Wmax de chaque répétition ont été enregistrés. La compatibilité inter-dynamomètre deux-à-deux a été évaluée à l'aide des ICC (3,1), SEM et MD des paramètres mesurés.   Résultats En ce qui concerne la reproductibilité intra-dynamomètre, les valeurs d'ICC des paramètres mesurés pour les extenseurs du genou sont quasi-systématiquement supérieures à 0.8 tandis que celles pour les fléchisseurs oscillent entre 0.7 et 0.8. Les index de fatigue présentent quant à eux des ICC inférieurs à 0.7 et 0.5 respectivement pour les extenseurs et fléchisseurs. Les valeurs d'ICC ne diffèrent guère entre le MFM et le Wmax (que ce soit pour les extenseurs ou les fléchisseurs ou pour les paramètres mesurés et les index de fatigue). Pour le volet compatibilité inter-dynamomètre, les ICC des paramètres mesurés lors de l'épreuve de fatigabilité musculaire des extenseurs du genou sont très majoritairement supérieurs à 0.8, quelle que soit la paire de dynamomètres considérée. A contrario, les ICC de ces mêmes paramètres mesurés sont presque tous inférieurs à 0.7 pour les fléchisseurs. Les valeurs d'ICC ne diffèrent guère entre le MFM et le Wmax (que ce soit pour les extenseurs ou les fléchisseurs). Logiquement, la compatibilité inter-dynamométrique des index de fatigue n'a pas été étudiée puisque leur reproductibilité intra-dynamomètre a été démontrée comme insuffisante dans la première partie de notre étude. Discussion Considérant qu'un ICC supérieur à 0.8 soit acceptable pour une utilisation clinique [6], nous pouvons conclure que, compte tenu des valeurs obtenues sur notre population, aucun index de fatigue, bien que séduisant compte tenu de leur capacité théorique à caractériser la décroissance de la performance lors d'une épreuve de fatigabilité, ne semble présenter une reproductibilité intra-dynamométrique suffisante pour une utilisation clinique ou de recherche. Seuls les paramètres mesurés tels que la meilleure répétition, les cumuls total ou partiels apparaissent utilisables, en clinique et dans un contexte de recherche, en raison d'une reproductibilité intra-dynamométrique qui peut être qualifiée de (très) haute voire excellente [7, 8]. Des index de fatigue sont donc fréquemment utilisés alors que leur reproductibilité semble très largement insuffisante. La reproductibilité inter-dynamomètre des paramètres mesurés du protocole de fatigue défini par Bosquet et al. [3] permet leur utilisation clinique pour les extenseurs du genou mais est très insuffisante pour les fléchisseurs. Il apparaît donc nécessaire de réaliser les tests à chaque reprise sur le même dynamomètre dans le cadre de suivis longitudinaux ou des comparaisons transversales impliquant les fléchisseurs du genou. Ce manque de compatibilité inter-dynamomètre implique également que les normes soient spécifiques à chaque modèle de dynamomètre isocinétique. Conclusion Nos résultats indiquent que les index de fatigue ne peuvent être utilisés que ce soit dans un contexte clinique ou de recherche pour l'évaluation isocinétique du genou. Seuls les paramètres mesurés sont suffisamment reproductibles pour être employés. Le manque de compatibilité inter-dynamomètre pour les fléchisseurs du genou impliquent d'utiliser le même dynamomètre isocinétique lors de suivis longitudinaux ou de comparaisons transversales. [less ▲]

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See detailEvaluation isocinétique du genou: quelle est la compatibilité entre différents dynamomètres?
Paulus, Julien ULg; Crielaard, Jean-Michel ULg; Croisier, Jean-Louis ULg et al

Conference (2015, October 10)

Objective The aim of this study was to assess the compatibility between dynamometer Biodex System 3 Pro, Con-Trex MJ PM-2 and Cybex Humac CSMI of knee extensors and flexors. Material & method Twenty-one ... [more ▼]

Objective The aim of this study was to assess the compatibility between dynamometer Biodex System 3 Pro, Con-Trex MJ PM-2 and Cybex Humac CSMI of knee extensors and flexors. Material & method Twenty-one subjects, moderately active, performed three isokinetic evaluation sessions with six to ten days of rest between each. Each of it, performed on a dynamometer in accordance with a different randomized order, included a concentric evaluation (60°.s-1 & 240°.s-1), eccentric (30°.s-1) and fatigue-resistance protocol (30 concentric repetitions maximum 180°.s-1) for the knee extensors and flexors. The peak torque (PT) and the maximal work (MW) of each repetition were recorded, as well as concentric and mixed agonists/antagonists ratios, to measure the compatibility inter-dynamometer two by two through their respective ICC (3.1), SEM and MD. Results For the short maximal strength test, ICC values for the extensors are almost always higher than 0.85 in concentric mode although they don't exceed 0.61 in eccentric mode. The ICC values for the flexor in slow concentric and eccentric mode are above 0.7, 0.75 and 0.8 for pairs Biodex/Cybex, Biodex/Con-Trex and Cybex/Con-Trex. None of ICC value exceeds 0.75 in fast concentric mode for the flexors. The ratios have ICC values lower than 0.6 except concentric ratio at 60°.s-1 for the pair Cybex/Con-Trex (0.83) and mixed ratio for the pairs Biodex/Cybex (0.73) and Cybex/Con-Trex (0.77). The ICC values of the parameters measured during the extensors fatigue-resistance protocol are mostly above 0.8 regardless of the pair of dynamometers considered. The ICC values of these parameters for the flexors are almost all lower than 0.7. Discussion Although the reproducibility of extensors in concentric mode is high, it's important to inform users, whether in clinical or scientific domain, that different dynamometers provide regular incompatible results and we draw attention to the little reproducibility of the agonist/antagonist ratios. Our results justify the establishment of norms for each dynamometers brand in order to interpret, with relevance, the isokinetic test, either for short maximal strength evaluation or fatigue-resistance protocol. [less ▲]

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See detailCross-Cultural Adaptation And Validation Of The VISA-A Questionnaire In French
Kaux, Jean-François ULg; DELVAUX, François ULg; Oppong-Kyei, Julian et al

Poster (2015, October 08)

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See detailVISA-PF: A Cross-Cultural Adaptation And Validation Of The VISA-P Questionnaire In French
Kaux, Jean-François ULg; Delvaux, François ULg; Oppong-Kyei, Julian et al

Poster (2015, October 08)

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See detailNouveaux traitements conservateurs des tendinopathies chroniques
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; Forthomme, Bénédicte ULg et al

in Revue Médicale de Liège (2015), 70(10), 507-510

The pathophysiological mechanisms of tendinopathies integrate various intrinsic and extrinsic factors. Classic «passive» therapeutics have a limited action. Because of a better pathophysiological ... [more ▼]

The pathophysiological mechanisms of tendinopathies integrate various intrinsic and extrinsic factors. Classic «passive» therapeutics have a limited action. Because of a better pathophysiological understanding of tendinopathies, more recent treatments (injections of various compounds, infiltrations of platelet-rich plasma, stem cells) would lead to a longterm healing. In case of failure of conservative managements and depending on the anatomical site, a surgical approach may be considered. [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

in European Cancer Congress : Abstract book (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 detailEFFECT OF TRUNK MOTOR CONTROL TRAINING IN ELITE SOCCER PLAYERS WITH LOW BACK PAIN
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Rodriguez de la Cruz, Carlos ULg et al

Poster (2015, September 18)

Background and aims: The purpose of this study was to examine the effect of a motor control training program on the lumbopelvic motor control (LMC) in elite soccer players with a history of low back pain ... [more ▼]

Background and aims: The purpose of this study was to examine the effect of a motor control training program on the lumbopelvic motor control (LMC) in elite soccer players with a history of low back pain (LBP). Methods: Twenty-four male elite soccer players (mean age of 18.3 years) filled in questionnaires related to LBP and were divided into two groups: 12 players with a history of LBP (LBP group) and 12 players without a history of LBP (no LBP group). Then, they performed five LMC tests [the Bent Knee Fall Out test (BKFO), the Knee Lift Abdominal Test (KLAT), the Sitting Knee Extension Test (SKET), the Waiter’s Bow (WB) and the test of the transversus abdominis (TrA)] which were conducted and scored (0=failed, 1=correct) by a physiotherapist, blinded to the medical history of the participants. The total LMC score (ranging from 0 to 5) was calculated by adding the score at each test. During the following 10 weeks, the no LBP group conducted a soccer training as usual while LBP group performed an additional specific core stability program (1h/week). Results: At baseline, the participants of the LBP group had a worse LMC than the no LBP group (mean LMC score of 1.1 vs 3.1, p<0.01). The between-groups difference was particularly marked for the BKFO (p<0.01), KLAT (p<0.01) and SKET (p<0.05) tests. At the end of the intervention program, the LMC score of the players with a history of LBP increased significantly (p<0.0001) and was similar to the score of the players without a history of LBP (mean LMC score of 3.2 vs 3.3, p=1.00). Conclusions: LMC can be decreased in elite active soccer players with a history of LBP. Specific core stability program is effective to improve LMC in these players. [less ▲]

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See detailInfluence du Kinésiotape® sur les performances musculaires des ischio-jambiers
BAUVIR, Philippe ULg; Kaux, Jean-François ULg; Pondant, Laurent et al

in Journal de Traumatologie du Sport (2015), 32(3), 110-115

Objective The aim of this controlled, randomized, and double-blind study was to determine whether Kinesiotape® placed on healthy hamstrings could influence the isokinetic performances of this muscle group ... [more ▼]

Objective The aim of this controlled, randomized, and double-blind study was to determine whether Kinesiotape® placed on healthy hamstrings could influence the isokinetic performances of this muscle group and of its antagonist, the quadriceps. Methods Twelve healthy men, aged 18–30 years, were subjected to an isokinetic evaluation in 3 different conditions (without Kinesiotape®, placebo Kinesiotape® to hamstrings, facilitation Kinesiotape® to hamstrings) in randomized order. The 3 sessions assessed peak torque (N.m), work (J) and angle to peak torque (°) in concentric 60 and 240°/s for hamstrings and quadriceps, and in eccentric 30°/s for hamstrings. Results Isokinetic performances in the 3 different conditions were not significantly different (P>0.05) in particular for the hamstrings concentric and eccentric peak torques. Only the angle to peak torque for hamstrings in eccentric 30°/s was modified when comparing placebo Kinesiotape® with no Kinesiotape® condition (P<0.05). Conclusion Kinesiotape® intervention in healthy subjects’ hamstrings did not influence neither the strength of this muscular group nor the performances of its antagonist, the quadriceps. [less ▲]

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See detailCross-cultural adaptation and validation of the VISA-P questionnaire in French
Kaux, Jean-François ULg; Delvaux, François ULg; Oppong-Kyei, Julian et al

in European Journal of Sports Medicine (2015, September), 3(Suppl 1), 112

Introduction: The Victorian Institute of Sports Assessment–Patellar (VISA-P), originally developed for English-speaking patients, assesses the severity of patellar tendinopathy symptoms. Although this ... [more ▼]

Introduction: The Victorian Institute of Sports Assessment–Patellar (VISA-P), originally developed for English-speaking patients, assesses the severity of patellar tendinopathy symptoms. Although this questionnaire has already been translated into different languages, it has never been adapted for French-speaking patients, which is surprising. Indeed, French is not only spoken by most than 275 millions of people all around the world. The aim of our study was to validate a French version and verify its psychometric properties. Materials and Methods: The translation and cultural adaptation were performed according to international recommendations in six steps: initial translation, translation merging, back translation to the original language, expert committee review to test the pre-final version, and expert committee appraisal. Once the final French version (VISA-PF) was obtained, certain psychometric properties were assessed in 92 subjects were included and divided into three groups: pathological subjects (n = 28), asymptomatic subjects (n = 22) and sports-risk subjects (n = 42). Results: The different members of the expert committee agreed with the final version. The average scores of the VISA-PF obtained were 53 (± 17) for the pathological group, 99 (± 2) for the healthy group and 86 (± 14) for the sports-risk group. The test-retest reliability of the VISA-PF was excellent with an intra-class correlation coefficient of 0.99 and good internal consistency (α = 0.9). Correlations between the VISA-PF and diverging measures of the SF-36 were low and the correlation coefficient values measured between the VISA-PF scores and converged items of the SF-36 were higher. Conclusion: The VISA-PF is understandable, reliable and suitable for French-speaking patients with patellar tendinopathy. [less ▲]

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See detailValidation of the French translation of the VISA-A
Kaux, Jean-François ULg; Delvaux, François ULg; Oppong-Kyei, Julian et al

in European Journal of Sports Medicine (2015, September), 3(Suppl 1), 112-113

Introduction : The Victorian Institute of Sports Assessment– Achilles (VISA-A) was designed to evaluate the clinical severity of Achilles tendinopathy. It has been developed in English and therefore is ... [more ▼]

Introduction : The Victorian Institute of Sports Assessment– Achilles (VISA-A) was designed to evaluate the clinical severity of Achilles tendinopathy. It has been developed in English and therefore is not adapted for French-speaking patients. Although this questionnaire has already been translated into different languages but not in French. French is spoken by most than 275 millions of people and is one of the 2 official languages of the International Olympic Committee, and one of the 6 official languages and one of the 2 working languages of the United Nation Organisation. The aim of this study was to translate this questionnaires into French and to study its reliability and validity. Methods : The questionnaire was translated into French (VISA-AF) according to the "guidelines for the process of cross-cultural adaptation of self-report measures" using six steps: translation, synthesis, back translation, expert committee review, pretesting, and appraisal of the adaptation process by the expert committee. Once the final versions obtained, several psychometric proprieties such as test-retest fidelity, internal coherence, construct validity and floor and ceiling effects were evaluated. We recruited 116 subjects who were distributed in 3 groups: pathological patients (n=31), at risk athletes (n=63), healthy people (n=22). Results : The questionnaire was approved by the expert committee after the pre-final version test. On a scale ranging from 0 (theoretical minimum) to 100 (asymptomatic subject), the average scores of the VISA-PF obtained were 59 (± 18) for the pathological group, 99 (± 1) for the healthy group and 94 (± 7) for the sports-risk group. The VISA-A-F shows excellent reliability. The VISA-AF shows low correlations with the divergent sub-scales of the SF-36 and moderate correlations with the convergent sub-scales of the SF-36. No floor and ceiling effects were detected during the evaluation of the two questionnaires. Conclusion : The French versions of the VISA-A is equivalent to its original version and is reliable and valid questionnaire for French speaking patients with Achilles tendinopathy. [less ▲]

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See detailOne injection of platelet-rich plasma associated to a submaximal eccentric protocol to treat chronic jumper's knee
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; Bruyère, Olivier ULg et al

in The Journal of sports medicine and physical fitness (2015), 55(9), 953-61

INTRODUCTION: Jumper's knee is a frequent chronic overuse syndrome of the upper part of the patellar tendon. Platelets contain lots of growth factors which could enhance the healing process of tendons ... [more ▼]

INTRODUCTION: Jumper's knee is a frequent chronic overuse syndrome of the upper part of the patellar tendon. Platelets contain lots of growth factors which could enhance the healing process of tendons. METHODS: Twenty patients with chronic upper patellar tendinopathy were enrolled. Assessments were made before infiltration of PRP, and 6 weeks and 3 months after the infiltration, using a 10--point Visual Analogic Scale, clinical examinations with a pressure algometer, algofunctional scores (IKDC and VISA--P), functional assessments (isokinetic and optojump evaluations) and imagery (ultrasounds and MRI). The PRP was obtained with an apheresis system (COM.TEC, Fresenius). Six millilitres of PRP were injected without local anaesthetic. One week after infiltration, patients started a standardised sub--maximal eccentric reeducation. RESULTS: Pain during daily activities significantly decreased with time. During functional evaluation, it decreased as well, but without significant functional improvement. No improvements in the imagery measurements were observed. Younger patients seemed to be more susceptible to have an improvement of pain by the PRP infiltration. CONCLUSION: This study demonstrates that a local infiltration of PRP associated with a submaximal eccentric protocol can improve symptoms of chronic jumper's knee in patients non--responsive to classical conservative treatments. [less ▲]

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See detailExploring the effect of a second closely-timed infiltration of PRP to treat proximal patellar tendinopathy
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; Forthomme, Bénédicte ULg et al

in European Journal of Sports Medicine (2015, September), 3(Suppl 1), 54

Introduction: Some clinical series have evaluated the effect of platelet-rich plasma (PRP) in the treatment of proximal patellar tendinopathy. Although it is possible that a single infiltrative ... [more ▼]

Introduction: Some clinical series have evaluated the effect of platelet-rich plasma (PRP) in the treatment of proximal patellar tendinopathy. Although it is possible that a single infiltrative administration may prove to be an effective treatment for this indication, most of the existing studies evaluated the effects of 2 or 3 successive infiltrations. The aim of this study was to evaluate whether 2 infiltrations of PRP proves more effective than a single treatment. Material and methods: Twenty patients suffering from chronic proximal patellar tendinopathy were enrolled into the study and split into two randomized groups (1 or 2 infiltrations of PRP, respectively). The 3-month follow-up evaluation consisted of VAS, IKDC and VISA-P scores, along with algometer, isokinetic and ultrasounds evaluations. After 1 year, subjects were contacted to define their functional evolution. Results: The concentration of the PRP used for each infiltration was similar in both groups, and contained no red or white cells. Results revealed no difference in treatment efficacy between the groups. Discussion and conclusion: The comparison between 1 or 2 infiltrations of PRP did not reveal any difference between the 2 groups at short to mid term. A second closely-timed infiltration of PRP to treat chronic proximal patellar tendinopathy is not necessary to improve the efficacy of this treatment in the short term. [less ▲]

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See detailOne-year follow-up of platelet-rich plasma infiltration to treat chronic proximal patellar tendinopathies
Kaux, Jean-François ULg; Bruyère, Olivier ULg; Croisier, Jean-Louis ULg et al

in European Journal of Sports Medicine (2015, September), 3(Suppl 1), 113

Introduction: Infiltration of Platelet-Rich Plasma (PRP) may be considered as a recent therapeutic option for chronic tendinopathies. The aim of this study is to evaluate the clinical status and the ... [more ▼]

Introduction: Infiltration of Platelet-Rich Plasma (PRP) may be considered as a recent therapeutic option for chronic tendinopathies. The aim of this study is to evaluate the clinical status and the return to sports activities in patients with chronic upper patellar tendinopathies. Material and methods : Twenty subjects with chronic upper patellar tendinopathy benefited from 1 infiltration of PRP. The follow-up (up to 1 year) was assessed by means of a Visual Anologue Scale (VAS), the International Knee Documentation Committee (IKDC) form and the Victorian Institute of Sport Assessment (VISA-P) score. Moreover, subjects had to answer an information questionnaire concerning their life and sports activities. Results : Seventy percents of the patients reported a favourable evolution with decrease of pain, and returned to sports activities. With time, VAS dropped significantly and both IKDC and VISA-P scores improved also significantly. Conclusion : This study confirms that a local injection of PRP coupled with a program of eccentric rehabilitation for treating a chronic jumper's knee, improves pain symptoms and the functionalities of the subjects’ knee up to 1 year after injection. [less ▲]

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See detailEffectiveness of High Intensity Radial Shock Wave Therapy in The Treatment of Chronic Plantar Fasciitis
Demoulin, Christophe ULg; Vanderthommen, Marc ULg; Fromm, Aurélien et al

in Jacobs Journal of Physical Rehabilitation Medicine (2015), 1(3), 0117

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