References of "Crielaard, Jean-Michel"
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See detailOstéomalacie hypophosphatémique hyperphosphaturique avec hypersécrétion de FGF-23
COLSON, Laurent ULg; Vander Rest, Catherine; Reginster, Jean-Yves ULg et al

in Lettre du Rhumatologue (La) (2012), 387

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See detailValidity of a new self-administered questionnaire assessing back posture habits
Demoulin, Christophe ULg; Martin, E.; GROSDENT, Stéphanie ULg et al

in Abstract Book of 6th Biennial Congress Belgian Back Society (2012, November 17)

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See detailSymptoms associated with lumbar instability in athletes with low back pain
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Tomasella, Marco ULg et al

Poster (2012, November 17)

Introduction. Low back pain (LBP) is common among athletes and can be challenging for athletic trainers and therapists. Unfortunately, little is known about symptoms associated with functional lumbar ... [more ▼]

Introduction. Low back pain (LBP) is common among athletes and can be challenging for athletic trainers and therapists. Unfortunately, little is known about symptoms associated with functional lumbar segmental instability (FLSI) in athletes with LBP. Purpose. To determine subjective and objective symptoms associated with FLSI in athletes with LBP. Materials and Methods. We included 24 male athletes (12 soccer players and 12 tennis players) with non specific LBP mean (± standard deviation) pain intensity (0-100 Visual Analogue Scale) and disability (0-24 Roland-Disability questionnaire) scores reaching respectively 35 (±20) and 4 (±3). Athletes were submitted to a standardized anamnesis (including subjective identifiers of FLSI) and a clinical assessment conducted by a manual therapist who explored objective identifiers of FLSI. Results. According to the manual therapist, 12 athletes (6 tennis and 6 soccer players) presented a FLSI. The two groups did not differ regarding pain intensity and disability (P>0.05). However, athletes with FLSI appeared significantly younger than non FLSI athletes (P<0.01). Only three subjective identifiers appeared significantly related to FLSI in soccer and tennis players with LBP: “reports frequent episodes of muscle spasms”, “reports feelings of giving way or back giving out” and “Pain increased with sudden, trivial, or mild movements”. Regarding objective identifiers of FLSI, “positive prone instability test”, “aberrant movement during active and passive trunk flexion-extension“ and “poor lumbopelvic control” were significantly related to FLSI in these athletes. Conclusions. In this preliminary study, 50% of the athletes with LBP presented a FLSI. Some subjective and objective symptoms are significantly related to FLSI in soccer and tennis players. Implications. Athletes with LSI should be targeted for retraining to restore normal movement control. [less ▲]

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See detailPoint actuel sur la signification des ratios agonistes / antagonistes au membre inférieur
Croisier, Jean-Louis ULg; Delvaux, François ULg; Kaux, Jean-François ULg et al

in Abstract book des XIVèmes Rencontres isocinétiques MEDIMEX / ROTHSCHILD (2012, November)

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See detailPerformances isocinétiques et risque lésionnel de l’épaule chez le joueur de handball de haut niveau
Forthomme, Bénédicte ULg; Schiettecatte, Delphine; GAULT, Clément ULg et al

in Abstract book des XIVèmes Rencontres isocinétiques MEDIMEX / ROTHSCHILD (2012, November)

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See detailTendinopathies et plasma riche en plaquettes (PRP) : applications cliniques. Revue de la littérature
Kaux, Jean-François ULg; Crielaard, Jean-Michel ULg

in Journal de Traumatologie du Sport (2012), 3(29), 174-178

Tendinopathies are common and frequently resisting to actual conservative measures. The aim of this review was to gather the actual knowledge concerning the platelet-rich plasma (PRP) treatment in tendon ... [more ▼]

Tendinopathies are common and frequently resisting to actual conservative measures. The aim of this review was to gather the actual knowledge concerning the platelet-rich plasma (PRP) treatment in tendon lesion. However, given the relative recent knowledge about PRP in sports medical, the studies could not yet reproduce the beneficial effects obtained in-vitro. Most studies about the subject indeed show an improvement in symptoms after PRP treatment but, the few studies of high level of evidence are contradictory. Therefore, there is no evidence of formally advise the use of PRP in the treatment of tendinopathy. So the main research field in the close future will have to determine a standard for the manufacture of PRP and the protocols of the future studies in order to be able to compare them. [less ▲]

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See detailINTERRATER AGREEMENT OF CLINICAL TESTS/SIGNS USED TO IDENTIFY PATIENTS WITH LUMBAR FUNCTIONAL INSTABILITY
Demoulin, Christophe ULg; Emmanuel, P.; DISTREE, Vincent ULg et al

in Journal of Orthopaedic & Sports Physical Therapy (2012, October), 42(10), 57

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See detailAssessment of lumbopelvic movement control in tennis players with and without low back pain
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Lemaire, Vincent et al

Poster (2012, October)

Relevance: LBP is common among tennis players. More than one third of professional tennis players reported LBP as reason for missing at least one tournament. As impaired lumbar motor functions have been ... [more ▼]

Relevance: LBP is common among tennis players. More than one third of professional tennis players reported LBP as reason for missing at least one tournament. As impaired lumbar motor functions have been associated with LBP, it appears particularly relevant to assess lumbopelvic movement control in tennis players. Methods: Twenty amateur tennis players (male, 22.9 ± 3.0 years) were included. Subjects were pooled into two groups: 10 players with chronic LBP (mean pain duration: 3.1 ± 2.6 years, pain severity score: 3.5/10 on a pain visual analogue scale) and 10 players without LBP. The Bent Knee Fall Out (BKFO) test was used to assess the players’ ability to control movement of lumbopelvic region. BKFO was performed in supine position and monitored by means of two pressure biofeedback units inflated to 40 mmHg and positioned under the lumbar spine of the participant. The reliability of this test has been previously assessed. Players were instructed to make an active abduction-external rotation movement of the hip (45°) without concomitant lumbopelvic movement of the pelvis and low back. Pressure modification (mmHg) was recorded, each side was assessed. Results: Tennis players with LBP had a worse lumbopelvic movement control than players without LBP both for dominant (9.0 mm Hg vs 3.4 mmHg, P<0.05) as well for the non-dominant side (9.1 mmHg vs 4.6 mmHg, P<0.05). Conclusions: Tennis players with LBP experience similar alterations of motor control as those observed in sedentary people with LBP. However, it remains unclear if these alterations are the cause of the consequence of chronic LBP. Implications: Further prospective studies should assess the cause or effect relationship and should determine whether motor control exercises are effective in tennis players with chronic LBP. [less ▲]

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See detail1RM PREDICTION AND LOAD-VELOCITY RELATIONSHIP
Jidovtseff, Boris ULg; Cronin, John; Crielaard, Jean-Michel ULg et al

in Abstract book of 8th International Conference on Strength Training (2012, October)

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See detailUne infiltration de plasma riche en plaquettes (PRP) améliore les symptômes des tendinopathies patellaires supérieures
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; Rodriguez de la Cruz, Carlos ULg et al

in 5ème Congrès Commun SFMES & SFTS (2012, October)

Introduction : Le plasma riche en plaquettes (PRP) aurait des effets bénéfiques sur les symptômes des tendinopathies grâce à la libération locale de leurs nombreux facteurs de croissance. Le but de cette ... [more ▼]

Introduction : Le plasma riche en plaquettes (PRP) aurait des effets bénéfiques sur les symptômes des tendinopathies grâce à la libération locale de leurs nombreux facteurs de croissance. Le but de cette étude est d’évaluer les résultats d’une injection de PRP sur la symptomatologie des patients présentant une tendinopathie patellaire supérieure. Matériels et Méthodes : Vingt patients atteints d’une tendinopathie patellaire supérieure, rebelle aux traitements conservateurs classiques depuis au moins 3 mois, ont bénéficié d’une évaluation du statut algo-fonctionnel (EVA, algomètre de pression, VISA-P et IKDC) et des performances physqiues (isocinétique et optojump), ainsi que d’un bilan d’imagerie (échographie et IRM). Ces analyses ont été réalisées en pré-injection ainsi qu’aux 6èmeet 12èmesemaines post-injection. Le test isocinétique évaluait la force des quadriceps et des ischios-jambiers des deux membres suivant différentes modalités (C60°/sec, C240°/sec et E30°/sec). Le test Optojump évaluait la détente et la puissance musculaire par la mesure de la hauteur de saut via deux modalités («Counter Movement Jump » et « Drop Jump »). Le PRP est obtenue à l’aide d’une machine d’aphérèse (COM.TEC, Fresenius-Kabi), permettant d’obtenir une concentration plaquettaire reproductible d’un patient à l’autre, en l’absence quasi totale de globules rouges et blancs. L’infiltration intratendineuse de PRP (6mL) est réalisé à la pointe de la rotule in loco dolenti sans anesthésie locale. Résultats : Les résultats de notre expérimentation démontrent qu’une seule injection locale de PRP accompagnée d’un programme de rééducation excentrique améliore significativement la cicatrisation du tendon patellaire au niveau du score EVA, de l’algomètre de pression, des scores VISA-P et IKDC. Lors du test isocinétique, seuls l’augmentation du MFM des ischios jambiers en C240°/sec, de la différence bilatérale des ischios jambiers en C60°/sec ainsi que de l’EVA en E30°/sec était significative. Les résultats optojump en terme de détente et puissance musculaire ne montrent pas d’amélioration des performances. Néanmoins, l’EVA du « Counter Movement Jump » se voit significativement diminuée après l’infiltration. Enfin, les résultats de l’imagerie (échographie et IRM) ne démontrent pas de modification significative du tendon. Conclusions : L’injection locale de PRP dans le cadre de tendinopathies patellaires supérieure permet une diminution de la symptomatologie douloureuse à 6 semaines, se poursuivant à 12 semaines. La performance fonctionnelle et l’imageries, quant à elles, ne sont pas modifiées. [less ▲]

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See detail1RM PREDICTION AND LOAD-VELOCITY RELATIONSHIP
Jidovtseff, Boris ULg; Cronin, John; Villaret, Jérémy et al

Poster (2012, October)

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See detailPlatelet-rich plasma (PRP) to treat patellar tendinopathy: preliminary results
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; SIMONI, Paolo ULg et al

in Regional Anesthesia & Pain Medicine (2012, September), 37(5 - Suppl 1), 216

Introduction: Patellar tendinopathy, often remain rebel to conservative treatments. Researches have specifically demonstrated the platelets action as mediator and/or enhancer of tissue healing. The aim of ... [more ▼]

Introduction: Patellar tendinopathy, often remain rebel to conservative treatments. Researches have specifically demonstrated the platelets action as mediator and/or enhancer of tissue healing. The aim of our study was to investigate the effect of 1 injection of PRP in patients suffering from chronic patellar tendinopathy. Methods: Patients performed imaging (US and MRI) and functional assessments, and a clinical examination using an algometer, before treatment and 6 weeks after PRP treatment. They were also invited to answer to questionnaire relative to pain and functional status. PRP was obtained from autologous blood using an apheresis system (COM.TEC, Fresenius). The injection of 6mL of PRP was realised without local anaesthesia into the proximal insertion of the patellar tendon. A 48h rest-time was recommended after infiltration. Afterwards, a submaximal eccentric reeducation was initiated 1 week after infiltration 3 times a week during 5 weeks. In case of pain, anti-inflammatory drugs were prohibited and patient were encouraged to take class I or II painkillers. Results: At this time, 10 patients with patellar tendinopathy were included in our study. Pre-injection tests revealed pain of the upper part of the patellar tendon just below the patella, associated with loss of function. Imaging exams confirmed diagnosis. Six weeks post-injection, the clinical status was improved in all patients, with a significant decrease of algo-functional scores. The pain reported during functional assessments was decreased (in particular for the eccentric actions), yet no significant improvement of physical performances was observed. We found no significant differences between imaging exams before and 6 weeks after PRP injection. Conclusion: One in situ injection of PRP clinically improved patients with patellar tendinopathy 6 weeks after treatment. All the 10 patients reported a decrease of pain during day-life and through physical activities. However nor functional performances neither imaging were improved. [less ▲]

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See detailEffects of platelet-rich plasma (PRP) on the healing of Achilles tendons of rats
Kaux, Jean-François ULg; Drion, Pierre ULg; Colige, Alain ULg et al

in Wound Repair & Regeneration : Official Publication of the Wound Healing Society and the European Tissue Repair Society (2012), 20(5), 748-756

Platelet-Rich Plasma (PRP) contains growth factors involved in the tissular healing process. The aim of the study was to determine if an injection of PRP could improve the healing of sectioned Achilles ... [more ▼]

Platelet-Rich Plasma (PRP) contains growth factors involved in the tissular healing process. The aim of the study was to determine if an injection of PRP could improve the healing of sectioned Achilles tendons of rats. After surgery, rats received an injection of PRP (n=60) or a physiological solution (n=60) in situ. After 5, 15 and 30 days, 20 rats of both groups were euthanized and 15 collected tendons were submitted to a biomechanical test using cryo-jaws before performing transcriptomic analyses. Histological and biochemical analyses were performed on the 5 remaining tendons in each group. Tendons in the PRP group were more resistant to rupture at 15 and 30 days. The mechanical stress was significantly increased in tendons of the PRP group at day 30. Histological analysis showed a precocious deposition of fibrillar collagen at day 5 confirmed by a biochemical measurement. The expression of tenomodulin was significantly higher at day 5. The mRNA level of type III collage, matrix metalloproteinase 2, 3 and 9 was similar in the 2 groups at all time points whereas type I collagen was significantly increased at day 30 in the PRP group. In conclusion, an injection of PRP in sectioned rat Achilles tendon influences the early phase of tendons healing and results in an ultimate stronger mechanical resistance. [less ▲]

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See detailCurrent evidence and indications for Prolotherapy with Platelet Rich Plasma in chronic musculoskeletal conditions
Kaux, Jean-François ULg; Crielaard, Jean-Michel ULg

in Regional Anesthesia & Pain Medicine (2012, September), 37(5 - Suppl 1), 104-106

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See detail1RM PREDICTION AND LOAD-VELOCITY RELATIONSHIP
Jidovtseff, Boris ULg; Cronin, John; Crielaard, Jean-Michel ULg et al

in Abstract book of 17th ECSS congres (2012, July)

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See detailInfluence of type of contraction upon tendinous tissue during training: animal model
Kaux, Jean-François ULg; Drion, Pierre ULg; Croisier, Jean-Louis ULg et al

in Meeusen, R; Duchateau, J; Roelands, B (Eds.) et al Book of Abstracts of the 17th annual Congress of the ECSS (2012, July)

Introduction: The treatment of choice for tendinopathies is eccentric reeducation. Although the clinical results appear favourable, the biomechanical changes to the tissue are not yet clear. Materiel and ... [more ▼]

Introduction: The treatment of choice for tendinopathies is eccentric reeducation. Although the clinical results appear favourable, the biomechanical changes to the tissue are not yet clear. Materiel and methods: This study compared the effects of two methods of training (eccentric (E) training and concentric (C) training) with untrained (U) rats. The animals underwent training over a period of five weeks. The tricipital, patellar and Achilles tendons were subsequently removed to perform a traction test to the point of tendon rupture, and a histological analysis was performed. Results: There was a significant improvement in the rupture force of the patellar and tricipital tendons between the U and E groups. The tricipital tendons in the control group presented a significantly smaller cross-section than the E- and C-trained groups. No significant difference was observed for the constraints between the three groups for all three tendons. However, a tendency towards improvement was observed between the trained and the U groups for the patellar tendon. Histological studies demonstrated the development of a greater number of blood vessels and a larger quantity of collagen in the eccentric group. Discussion and conclusion: The mechanical properties of tendons in rats improve after specific training, especially following eccentric training. [less ▲]

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See detailPlatelet-rich plasma (PRP) to treat upper patellar tendinopathies
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; SIMONI, Paolo ULg et al

in Meeusen, R; Duchateau, J; Roelands, B (Eds.) et al Book of Abstracts of the 17th annual Congress of the ECSS (2012, July)

Introduction: Tendinopathies, especially upper patellar tendinopathy also known as jumper’s knee, often remain rebel to conservative treatments. Several experimental studies have shown the healing ... [more ▼]

Introduction: Tendinopathies, especially upper patellar tendinopathy also known as jumper’s knee, often remain rebel to conservative treatments. Several experimental studies have shown the healing properties of platelet and their growth factors. These factors have the potentiality to improve healing of different tissues: bones, muscles, tendons... Researches have specifically demonstrated the platelets action as mediator and/or enhancer of tissue healing. On the other hand, such treatment has been totally removed of list of doping treatments. The aim of our study was to investigate the effect of 1 injection of PRP in patients suffering from chronic jumper’s knee. Methods: Patients performed imaging (US and MRI) and functional assessments, and a clinical examination using an algometer, before treatment and 6 weeks after PRP treatment. They were also invited to answer to questionnaire relative to pain and functional status. PRP was obtained from autologous blood using an apheresis system (COM.TEC, Fresenius). The injection of 6mL of PRP was realised without local anaesthesia into the proximal insertion of the patellar tendon. A 48h rest-time was recommended after infiltration. Afterwards, a submaximal eccentric reeducation was initiated 1 week after infiltration 3 times a week during 5 weeks. In case of pain, anti-inflammatory drugs were prohibited and patient were encouraged to take class I or II painbrakers. Our protocol was approved by Ethic Committee of University and University Hospital of Liège. Results: Eighteen patients with jumper’s knee were included in our study. Pre-injection tests revealed pain of the upper part of the patellar tendon just below the patella, associated with loss of function. Imaging exams confirmed diagnosis. Six weeks post-injection, the clinical status was improved for the majority of the patients, with a significant decrease of algo-functional scores. The pain reported during functional assessments was decreased (in particular for the eccentric actions), yet no significant improvement of physical performances was observed. We found no significant differences between imaging exams before and 6 weeks after PRP injection. Conclusion: One in situ injection of PRP clinically improved patients with jumper’s knee 6 weeks after treatment. Most patients reported a decrease of pain during day-life and through physical activities. However nor functional performances neither imaging were improved. A followup at 3 months is actually in process to evaluate more long term efficacy of PRP treatment. [less ▲]

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See detailApplications cliniques du plasma riche en plaquettes (PRP) dans les lésions tendineuses : revue de la littérature
Smets, Fanny; Croisier, Jean-Louis ULg; Forthomme, Bénédicte ULg et al

in Science & Sports (2012), 27(3), 141-153

Tendinopathies are common and frequently resisting to actual conservative measures. The aim of this review was to gather the actual knowledge concerning the platelet-rich plasma (PRP) treatment in tendon ... [more ▼]

Tendinopathies are common and frequently resisting to actual conservative measures. The aim of this review was to gather the actual knowledge concerning the platelet-rich plasma (PRP) treatment in tendon lesion. The interest of this well-known technique, applied since almost 15 years in facial and dental surgery, is growing in the sports world because of its potential ability to treat refractory tendinopathies and to get back quickly a functional use. However, given the relative recent knowledge about PRP in sports medical, the studies could not yet reproduce the beneficial effects obtained in-vitro. Most studies about the subject indeed show an improvement in symptoms after PRP treatment but, because of the many biases introduced, such as the lack of population, the lack of control group or the many different kind of PRP used, the studies cannot be conferred a high level of evidence. Therefore, there is no evidence of formally advise the use of PRP in the treatment of tendinopathy. So the main research field in the close future will have to determine a standard for the manufacture of PRP and the protocols of the future studies in order to be able to compare them. [less ▲]

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See detailTrunk and knee performance of rowers
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Gauthier, Stéphanie et al

Poster (2012, June)

This study showed some difference in trunk and knee extensors strength between rowers and control subjects as well as between rowers and non-rowing athletes. The increased performances of extensor muscles ... [more ▼]

This study showed some difference in trunk and knee extensors strength between rowers and control subjects as well as between rowers and non-rowing athletes. The increased performances of extensor muscles in elite rowers appear to be probably related to the specificity of this sport. In the drive phase of rowing, rowers sequentially push with the legs and then pull with the arms and lower back, requiring both muscular strength and endurance. However, no difference was shown between groups regarding dynamic and static trunk extensor endurance. Further study is required to clarify if trunk and knee muscle strength and/or endurance are related to rowing performance. [less ▲]

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