Travail excentrique sous-maximal sur dynamomètre isocinétique et traitement des épicondylites chroniques

in Actes du Congrès de la Société Royale Belge de Médecine Physique et de Réhabilitation (2002, November)

Influence of anesthesia on isokinetic muscle performance in patients with impingement syndrome

in Isokinetics & Exercise Science (2002, March), 10

Isokinetic eccentric exercises in treating chronic tendinitis

in Isokinetics & Exercise Science (2002, March), 10

Quelle rééducation pour quelle pathologie d’épaule ?

in Actes des IVèmes Journées Interdisciplinaires de Médecine, Kinésithérapie et Podothérapie (2002, January)

Hamstring muscle strain recurrence and strength performance disorders

in American Journal of Sports Medicine (2002), 30(2, Mar-Apr), 199-203

We determined the frequency of strength disorders in 26 athletes with a history of hamstring muscle injury and recurrent strains and discomfort. We also assessed the effectiveness of rehabilitation to ... [more ▼]

We determined the frequency of strength disorders in 26 athletes with a history of hamstring muscle injury and recurrent strains and discomfort. We also assessed the effectiveness of rehabilitation to correct muscle performance. After concentric and eccentric isokinetic assessment, 18 athletes were found to have strength deficits, as determined by statistically selected cutoffs of peak torque, bilateral differences, and the flexors/quadriceps ratio. The discriminating character of the eccentric trial was demonstrated, combining a preferential eccentric peak torque deficit and a significant reduction of the mixed eccentric flexors/concentric quadriceps ratio. The athletes with muscle imbalances followed a rehabilitation program individually adapted from their strength profile. Treatment length was from 10 to 30 sessions and resulted in isokinetic parameter normalization in 17 of 18 subjects. Isokinetically corrected subjects were observed for 12 months after return to athletics. None sustained a clinically diagnosed hamstring muscle reinjury. Subjective intensity of pain and discomfort were significantly reduced, and they all returned to their prior level of competition. These results demonstrate that persistent muscle strength abnormalities may give rise to recurrent hamstring injuries and discomfort. An individualized rehabilitation program emphasizing eccentric training based on specific deficits contributes to a decrease in symptoms on return to sports. [less ▲]

Treatment of recurrent tendinitis by isokinetic eccentric exercises

in Isokinetics & Exercise Science (2001), 9(2-3), 133-141

The purpose of this study was to determine the effectiveness of eccentric training models in treating various types of tendinitis and evaluate protection from re-injury when returning to causal activities ... [more ▼]

The purpose of this study was to determine the effectiveness of eccentric training models in treating various types of tendinitis and evaluate protection from re-injury when returning to causal activities, Isokinetic eccentric training was administered to 34 patients with chronic tendinitis (9 Achilles, 10 patellar and 15 epicondyllar) with a long duration of symptoms and failure of conventional treatment. Following training which consisted of 20 to 30 sessions of progressive increase of load and speed parameters, a significant reduction of pain indicated by the visual analog scale (average initial value > 6.5, final score less than or equal to 2.5). Seventy four percent of the patients were completely relieved or presented marked decrease in symptoms when returning to sport and occupational activities. and only 12% reported no change in their functional state. At the end of treatment. isokinetic assessment revealed no significant concentric or eccentric peak torque asymmetries between involved and non-involved sides. In comparison with pretreatment ultrasound observations which showed systematic hypoechoic lesions and thickness, 14/34 patients recovered homogeneous tendon structure and normalization of the diameter and 15 presented improvement in echostructure. Our treatment model proposing isokinetic eccentric exercises presents a very satisfactory short-term effect on three different localizations of chronic tendinitis. [less ▲]

Exercices excentriques appliqués au traitement des tendinites

in Kine 2000, Revue Européenne de la Kinésithérapie (2000), 11

Exercices excentriques appliqués au traitement des tendinites

in Actes du Congrès Eurokiné 1999 (1999, November)

Indications et modalités de la rééducation isocinétique de l'épaule

in Actes de la 2e Journée Belge d'Isocinétisme (1999, March 20)

Tendinites rotuliennes et achilléennes: intérêt des exercices isocinétiques excentriques

in Progrès en Médecine Physique et de Réadaptation (3ème série) (1999)