References of "Forthomme, Bénédicte"
     in
Bookmark and Share    
Full Text
Peer Reviewed
See detailCurrent opinions on tendinopathy
Kaux, Jean-François ULg; Forthomme, Bénédicte ULg; LE GOFF, Caroline ULg et al

in Journal of Sports Science & Medicine (2011), 10(2), 238-253

Tendinopathy is characterized by pain in the tendon and impaired performance sometimes associated with swelling of the tendon. Its diagnosis is usually clinical but ultrasonography and magnetic resonance ... [more ▼]

Tendinopathy is characterized by pain in the tendon and impaired performance sometimes associated with swelling of the tendon. Its diagnosis is usually clinical but ultrasonography and magnetic resonance imaging can refine the diagnosis. Tendinopathy is highly prevalent and is one of the most frequently self reported musculoskeletal diseases in physical workers and sports people. Nevertheless, it is very difficult to carry out general epidemiologic studies on tendinopathy because of the varying sports cultures and sports habits in different countries. The aetiology of tendinopathy seems to be multi-factorial, involving intrinsic and extrinsic factors. The role of inflammation is still debated but the absence of inflammatory cells does not mean that inflammatory mediators are not implicated. Different theories have been advanced to explain pain and chronicity mechanisms, but these mechanisms remain largely unknown. “Conventional” treatments are generally employed empirically to fight pain and inflammation but they do not modify the histological structure of the tendon. However, these treatments are not completely satisfactory and the recurrence of symptoms is common. Currently, eccentric training remains the treatment of choice for tendinopathy, even though some studies are contradictory. Moreover, many interesting new treatments are now being developed to treat tendinopathy, but there is little evidence to support their use in clinical practice. [less ▲]

Detailed reference viewed: 199 (66 ULg)
Full Text
Peer Reviewed
See detailTrunk muscle profile in tennis players with and without low back pain
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Souchet, Matthieu et al

in Physiotherapy (2011, June), 97

Detailed reference viewed: 79 (26 ULg)
Full Text
Peer Reviewed
See detailIsokinetic assessment of the shoulder rotators: A study of optimal test position
Forthomme, Bénédicte ULg; Dvir, Zeevi; Crielaard, Jean-Michel ULg et al

in Clinical Physiology & Functional Imaging (2011), 31(3), 227-232

Detailed reference viewed: 114 (19 ULg)
See detailL’épaule du sportif : évaluation fonctionnelle et réadaptation
Forthomme, Bénédicte ULg

in Abstract book Congrès de médecine du sport du CHU de Charleroi (2011, March 25)

L’épaule du sportif exige une balance équilibrée entre mobilité et stabilité articulaire, autorisant performance et risque limité de survenue lésionnelle. Cependant, la pratique sportive intensive ... [more ▼]

L’épaule du sportif exige une balance équilibrée entre mobilité et stabilité articulaire, autorisant performance et risque limité de survenue lésionnelle. Cependant, la pratique sportive intensive s’accompagne de diverses adaptations, parfois préjudiciables, que le clinicien devra évaluer et compenser. (1) Des adaptations spécifiques de la mobilité de l’articulation gléno-humérale côté dominant sont fréquemment rapportées chez les « overhead athletes ». Ces modifications se traduisent le plus souvent une rotation externe accrue, associée à une rotation interne réduite. Ce profil pourrait compromettre la stabilité articulaire. Des transformations osseuses et/ou des tissus mous, liées à la gestuelle du lancer, seraient à l’origine du profil de mobilité spécifique. La raideur postérieure, associée à l’hypermobilité en rotation externe, entraînerait des manifestations pathologiques secondaires chez l’athlète, tels que le conflit secondaire, les lésions du bourrelet supérieur (slap lesion) et le conflit interne intra-articulaire. Il semble opportun, sur le plan clinique, de contrôler le pattern de mobilité. Des mesures précises de la raideur de la coiffe postérieure et de la rotation externe, le bras positionné à 90° d’abduction dans le plan frontal, permettent d’objectiver les modifications. Des exercices d’étirement des structures postérieures peuvent être facilement exécutés par le sportif éduqué, après ses entraînements. Le travail de la coiffe des rotateurs internes dans le mode excentrique, sous forme d’exercices de pliométrie par exemple, favorise le contrôle du bras dans les positions extrêmes de l’armer. (2) La modification du pattern de mobilité de la scapula et la position asymétrique des scapulae sur le gril costal en condition de repos portent le nom de dyskinésie scapulaire. La dyskinésie scapulaire apparaît fréquente chez le sportif utilisant les membres supérieurs intensivement. Elle accompagne fréquemment la pathologie d’épaule sans en être une réponse spécifique. Les experts décrivent actuellement plusieurs types de dyskinésie scapulaire, correspondant à des perturbations de coordination et à une fatigabilité accrue des stabilisateurs de la scapula. Ces dyskinésies s’accompagnent souvent d’une raideur du petit pectoral et des structures postérieures (coiffe, capsule). L’observation du sportif au repos ou lors des mouvements du bras, des tests cliniques spécifiques adaptés aux troubles scapulaires et parfois des mesures de force maximale en chaîne fermée ou d’activité myoélectrique des muscles adjacents contribuent à objectiver ces dysfonctions scapulaires. Un traitement ciblé sur le renforcement des muscles essentiels à la stabilité et à la mobilité de la scapula lors des mouvements du bras permettra de restaurer la coordination et l’équilibre de ces groupes musculaires fixateurs. Des étirements spécifiques des structures capsulaires et musculaires postérieures ainsi que du petit pectoral rendront à la scapula sa mobilité et limiteront certaines positions vicieuses (antéprojection de l’épaule) accompagnant la dyskinésie. (3) Le centrage huméral exige une balance équilibrée entre les muscles agonistes et antagonistes, plus précisément entre les muscles rotateurs internes (RI), frénateurs du bras lors de l’armer et effecteurs du lancer, et les rotateurs externes (RE), responsables de la rotation externe lors de l’armer et du contrôle du bras en fin de lancer. L’alternance de contractions concentriques et excentriques rapides, et le respect de l’équilibre des forces agonistes/antagonistes (RE/RI) assurent la performance lors du geste sportif et réduit le risque de survenue lésionnelle. Des perturbations de cet équilibre sont régulièrement décrites lors de l’évaluation isocinétique, réalisée selon un protocole spécifique à l’épaule sportive (position, modes de contraction, vitesses angulaires). Ces déséquilibres apparaissent liés à certaines lésions tendineuses de la coiffe des rotateurs, ce qui justifie leur dépistage par des tests en début de saison. Une prise en charge de qualité, sur les plans préventif et curatif, devra comporter un renforcement adéquat et un suivi longitudinal du profil musculaire de l’athlète. Références FORTHOMME B, CRIELAARD JM, CROISIER JL. (2006). Rééducation de l’épaule du sportif : Proposition d’une fiche d’évaluation fonctionnelle. J Traumatol Sport, 23, 193-202. FORTHOMME B, CRIELAARD JM, CROISIER JL. (2008). Scapular positioning in athlete’s shoulder: particularities, clinical measurements and implications. Sports Med, 38(5), 369-386. FORTHOMME B, CRIELAARD JM, FORTHOMME L, CROISIER JL. (2007). Field performance of javelin throwers: Relationship with isokinetic findings. Isokinet Exerc Sci, 15, 195-202. FORTHOMME B, CROISIER JL, CICCARONE G, CRIELAARD JM, CLOES M. (2005). Factors correlated with volleyball spike velocity. Am J Sports Med, 33(10), 1513-1519. [less ▲]

Detailed reference viewed: 458 (65 ULg)
Full Text
Peer Reviewed
See detailPrévention des lésions tendineuses : mythe ou réalité ?
Delvaux, François ULg; Forthomme, Bénédicte ULg; Kaux, Jean-François ULg et al

in Julia, M.; Hirt, D.; Croisier, Jean-Louis (Eds.) et al Tendon et jonction tendino-musculaire - De la biomécanique aux applications thérapeutiques (2011)

Detailed reference viewed: 66 (13 ULg)
Full Text
Peer Reviewed
See detailAnalyse critique des traitements conservateurs des tendinopathies
Kaux, Jean-François ULg; Forthomme, Bénédicte ULg; LE GOFF, Caroline ULg et al

in Julia, Marc; Hirt, Daniel; Croisier, Jean-Louis (Eds.) et al Tendon et jonction tendino-musculaire (2011)

Detailed reference viewed: 187 (30 ULg)
Full Text
Peer Reviewed
See detailProgramme excentrique et tendinopathie : quels outils, quel programme ?
Forthomme, Bénédicte ULg; KAUX, Jean-François ULg; Crielaard, Jean-Michel ULg et al

in Julia, M.; Hirt, D.; Croisier, Jean-Louis (Eds.) et al Tendon et jonction tendino-musculaire - De la biomécanique aux applications thérapeutiques (2011)

Detailed reference viewed: 124 (12 ULg)
Full Text
Peer Reviewed
See detailQuels critères de retour au sport après tendinopathie ?
Croisier, Jean-Louis ULg; Delvaux, François ULg; Kaux, Jean-François ULg et al

in Julia, M.; Hirt, D.; Croisier, Jean-Louis (Eds.) et al Tendon et jonction tendino-musculaire - De la biomécanique aux applications thérapeutiques (2011)

Detailed reference viewed: 98 (24 ULg)
Full Text
Peer Reviewed
See detailInfluence sur le tissu tendino(-musculaire) du mode de contraction en entraînement : modèle animal
Kaux, Jean-François ULg; Drion, Pierre ULg; Croisier, Jean-Louis ULg et al

in Julia, Marc; Hirt, Daniel; Croisier, Jean-Louis (Eds.) et al Tendon et jonction tendino-musculaire - De la biomécanique aux applications thérapeutiques (2011)

Detailed reference viewed: 101 (27 ULg)
Full Text
Peer Reviewed
See detailUsing 3D to understand human motion
Schwartz, Cédric ULg; Forthomme, Bénédicte ULg; Bruls, Olivier ULg et al

Poster (2010, December)

The understanding and tracking of human motion has been a subject of interest in the scientific community for more than one century. The long history of human motion analysis comes from the large scope of ... [more ▼]

The understanding and tracking of human motion has been a subject of interest in the scientific community for more than one century. The long history of human motion analysis comes from the large scope of applications of such measurement that can be found in medicine, biomechanics, sport, ergonomics, and even civil engineering. More recently, those technologies have also been widely exploited for the development of animation movies and games. Needless to say, the techniques used one century ago significantly differ from those used today. This paper describes in a first part the evolution of the technological capabilities for motion analysis and the actual limitations. From this analysis and in a second part, we describe the experience related to the creation of a motion analysis laboratory at the University of Liège and show how such a platform could be the center of a multidisciplinary research and provide valuable information to various communities. [less ▲]

Detailed reference viewed: 232 (50 ULg)
Full Text
See detailÉvaluation isocinétique : quel protocole, quels profils ?
Croisier, Jean-Louis ULg; Maquet, Didier ULg; Gremeaux, V. et al

in Abstract book du 7ème Congrès du GIBL (2010, November 27)

Detailed reference viewed: 279 (22 ULg)
Full Text
Peer Reviewed
See detailIntrinsic modification of tendon structure after concentric or excentric training
Kaux, Jean-François ULg; Drion, Pierre ULg; Besançon, Benoît et al

Poster (2010, November 25)

Introduction: It is well known that eccentric training is a successful way of treating chronic tendinopathy. Although clinical results are very positive, beneficial morphological and histological effects ... [more ▼]

Introduction: It is well known that eccentric training is a successful way of treating chronic tendinopathy. Although clinical results are very positive, beneficial morphological and histological effects have not yet been elucidated. The aim of our experiment was to determine if there exist any intrinsic modifications in a tendon trained in concentric or eccentric modes, in a rat model, using an original method of measurement (cryo-jaws). Methods: 18 rats were divided into 3 groups: 6 for the control group, without physical restraint; 12 for a training of1 hour, 3 times a week, for 5 weeks, at a speed of 17m/min (1km/h), on a inclined treadmill: 6 rats running uphill at +15° for the concentric effort (group C) and 6 rats running downhill at -15° for the eccentric effort (group E). After this training period, the Achilles, patellar and tricipital tendons of both limbs were surgically removed in all 18 rats. Tendons taken from five rats of each group were subjected to a tensile test up to rupture using a “cryo” jaw. Tendons of the remaining rat of each group were subjected to a histological study. Results: The results showed significant changes in group E only: (1) an increase of the force required to rupture the patellar and tricipital tendons; (2) an improvement of the ratio between the force necessary to rupture the tricipital tendon and the body mass of the rats; (3) an increase of the surface area of the section of the tricipital tendon. No significant change was observed as far as constraint was concerned between groups. Histologically, we saw, in the group E, more peripheral blood vessels and a greater proportion of collagen. Conclusion: This study showed that the mechanical properties of tendon tissue are enhanced by eccentric training. Tendons become stronger, the amount of collagen increases and there is probably more interaction between collagen fibers (mechanotransduction). [less ▲]

Detailed reference viewed: 72 (8 ULg)
Full Text
See detailRisque lésionnel de l'épaule et isocinétisme chez le joueur de volley-ball
Forthomme, Bénédicte ULg; Duysens, Laura; Pirenne, M. et al

in Expériences en Isocinétisme - Livre des résumés de la 2ème Journée auboise d'Isocinétisme (2010, November)

Detailed reference viewed: 123 (14 ULg)
Full Text
See detailMode excentrique : quel intérêt dans l'évaluation du sportif ?
Croisier, Jean-Louis ULg; Crielaard, Jean-Michel ULg; Forthomme, Bénédicte ULg

in Expériences en Isocinétisme - Livre des résumés de la 2ème Journée auboise d'Isocinétisme (2010, November)

Detailed reference viewed: 167 (16 ULg)
Full Text
See detailProthèses d’épaule – Rééducation
Forthomme, Bénédicte ULg

in Livre des résumés du 24ème Colloque de médecine du sport et de l'appareil locomoteur (2010, November)

Detailed reference viewed: 118 (5 ULg)
Full Text
Peer Reviewed
See detailShoulder function after latissimus dorsi transfer in breast reconstruction
Forthomme, Bénédicte ULg; Heymans, Olivier; Jacquemin, Denise ULg et al

in Clinical Physiology & Functional Imaging (2010), 30(6), 406-412

Background ⁄ Aims: Latissimus dorsi (LD) transfer in the case of breast reconstruction remains frequently used because this muscle provides a good size source of tissue in reconstructive surgery. Given ... [more ▼]

Background ⁄ Aims: Latissimus dorsi (LD) transfer in the case of breast reconstruction remains frequently used because this muscle provides a good size source of tissue in reconstructive surgery. Given that, the consequences of the LD removal on shoulder function and the actual loss of maximal strength developed must be investigated. Methods: Twenty women (50 ± 7Æ5 years old) were evaluated before surgery, 3 and 6 months after an unilateral transfer of a pedicle flap of LD muscle used for breast reconstruction. Women performed a bilateral shoulder isokinetic assessment [for the internal rotators (IRs) and external rotators and for the abductor and adductor (ADD) muscles] allowing the establishment of bilateral muscular deficit status and the study of agonist ⁄ antagonist muscle ratios. The algofunctional and clinical status of the shoulders was analysed by the means of Constant score and specific shoulder clinical tests. The women did not perform any specific strengthening of muscle shoulder after surgery. Results: The isokinetic assessment showed a muscle weakness 3 and 6 months after LD transfer, mainly on the ADDs (33 ± 9% at 6 months) and on the IRs (16 ± 11% at 6 months). The Constant score significantly decreased after surgery on the operated shoulder. Women with a Constant score impairment showed pain during specific shoulder clinical tests. We also found a correlation between Constant score impairment and internal rotators weakness or rotator muscle imbalance. Conclusion: Given those results, we could advocate a specific shoulder strengthening after LD transfer, focused mainly on the IRs and ADDs. [less ▲]

Detailed reference viewed: 111 (9 ULg)
Full Text
Peer Reviewed
See detailInfluence du mode de contraction sur le tendon : modèle animal
Kaux, Jean-François ULg; Drion, Pierre ULg; Besançon, Benoît et al

in 3ème Congrès Commun SFMS - SFTS (2010, October 01)

Introduction : Les tendinopathies sont fréquentes et touchent aussi bien les membres supérieurs que les membres inférieurs. La rééducation excentrique constitue une thérapeutique de choix dans le ... [more ▼]

Introduction : Les tendinopathies sont fréquentes et touchent aussi bien les membres supérieurs que les membres inférieurs. La rééducation excentrique constitue une thérapeutique de choix dans le traitement des tendinopathies. Malgré les résultats favorables en clinique, les effets morphologiques et biochimiques n’ont pas encore été élucidés. Matériel et méthodes : Dix-huit rats de souche Sprague-Dawley adultes ont été répartis en trois groupes : 6 témoins (groupe T) qui ne sont soumis à aucune contrainte physique ; 6 soumis à un effort concentrique (groupe C), course en montée ; 6 soumis à un effort excentrique (groupe E), course en descente. Les 12 rats des groupes C et E ont dû courir sur un tapis roulant incliné à +15° (groupe C) ou -15° (groupe E) à une vitesse de 17m/min (1km/h) pendant une heure à raison de trois séances par semaine pendant 5 semaines. Au terme de l’entraînement, les tendons achilléens, rotuliens et tricipitaux ont été prélevés bilatéralement. Les tendons de cinq rats de chaque groupe ont bénéficié d’une évaluation biomécanique (test de traction à l’aide de mors type « cryo-jaws »). Les tendons du sixième rat de chaque groupe ont permis l’étude histologique (coloration à l’hématoxyline-éosine et trichrome de Masson). Résultats : Le groupe E présente une augmentation de la tension de rupture des tendons rotuliens (29 ,5% ; p=0,047) et tricipitaux (72% ; p=0,018), une amélioration du rapport Force/Masse pour le tendon tricipital (54% ; p=0,043) ainsi qu’une augmentation de la section tendineuse tricipitale (74% ; p=0,008). Aucune variation pour aucun des tendons entre les groupes n’est relevée pour le paramètre contrainte (=Force/Section). Histologiquement, les tendons du groupe E se caractérisent par une plus grande quantité de vaisseaux sanguins périphériques ainsi qu’une plus grande proportion de collagène. Conclusion : Cette étude démontre que les propriétés mécaniques du tendon sont améliorées après un entraînement excentrique. Le tendon plus résistant augmente sa quantité de collagène et probablement les interactions entre les fibres de collagène. [less ▲]

Detailed reference viewed: 104 (14 ULg)
Full Text
Peer Reviewed
See detailPhysiotherapy Intervention for Joint Hypermobility in Three Cases with Heritable Connective Tissue Disorders
Kaux, Jean-François ULg; Foidart-Dessalle, Marguerite ULg; Croisier, Jean-Louis ULg et al

in Journal of Musculoskeletal Pain (2010), 18(3), 254-60

Introduction: In Joint Hypermobility Syndromes, chronic pain is the most disabling symptom. Its origin can be multiple (i.e. subluxations, sprains, pathologies of tendons, ligaments, peripheral nerves ... [more ▼]

Introduction: In Joint Hypermobility Syndromes, chronic pain is the most disabling symptom. Its origin can be multiple (i.e. subluxations, sprains, pathologies of tendons, ligaments, peripheral nerves, multiple operations). The goal of this article was intended to discuss appropriate physiotherapy in hyperlax patients. Patients and Method: The recovery process was analyzed in three cases (Marfan Syndrome, Ehlers-Danlos Syndrome and Osteogenesis Imperfecta). Hypermobility was assessed using the Brighton scale, pain using the Visual Analogue Scale and quality of life using the Medical Outcome Study Short Form-36. Bone density was evaluated by QDR X-ray absorptiometry. We emphasized that it was important to avoid stretching and to train the patient within a controlled range of motion. Submaximal eccentric exercises within a safe range of motion were incorporated to increase the active control of the joint positioning. Thus, in one patient, isokinetic rehabilitation was successfully undertaken. Each treatment had to be adapted to the individual patient and had to include specific home exercises. Conclusion: In each case, physiotherapy gave good results in relation to pain, quality of life and stability of rehabilitated joints. Safety must be assured and specific evaluations such osteodensitometry, cardiac explorations and interventions of bracing, proprioceptive and functional strengthening can be very helpful. [less ▲]

Detailed reference viewed: 180 (47 ULg)
Full Text
Peer Reviewed
See detailInfluence of the contraction mode on the tendon structure - Rat model
Kaux, Jean-François ULg; Drion, Pierre ULg; Besançon, Benoît et al

in 2nd Congress of European College of Sport & Exercise Physicians - Conference Brochure 2010: Abstracts and CVs (2010, September 09)

Introduction: Tendinopathies are common in sport and affect both upper and lower limbs. Eccentric rehabilitation is a successful way of treating them and now is becoming the “gold treatment”. Although ... [more ▼]

Introduction: Tendinopathies are common in sport and affect both upper and lower limbs. Eccentric rehabilitation is a successful way of treating them and now is becoming the “gold treatment”. Although clinical results are very favorable, beneficial morphological and histological effects have not yet been elucidated. The aim of our experiment was to determine if there exist any intrinsic modifications in a tendon trained in concentric or eccentric modes, in a rat model. Methods: 18 rats were divided into 3 groups: 6 for the control group, without physical restraint; 12 for a training of1 hour, 3 times a week, for 5 weeks, at a speed of 17m/min (1km/h), on a inclined treadmill: 6 rats running uphill at +15° for the concentric effort (group C) and 6 rats running downhill at -15° for the eccentric effort (group E). After this training period, the Achilles, patellar and tricipital tendons of both limbs were surgically removed in all 18 rats. Tendons taken from five rats of each group were subjected to a tensile test up to rupture using a “cryo” jaw. Tendons of the remaining rat of each group were subjected to a histological study. Results: The results showed significant changes in group E only: (1) an increase of the force required to rupture the patellar and tricipital tendons; (2) an improvement of the ratio between the force necessary to rupture the tricipital tendon and the body mass of the rats; (3) an increase of the surface area of the section of the tricipital tendon. No significant change was observed as far as constraint was concerned between groups. Histologically, we saw, in the group E, more peripheral blood vessels and a greater proportion of collagen. Conclusion: This study showed that the mechanical properties of tendon tissue are enhanced by eccentric training. Tendons become stronger, the amount of collagen increases and there is probably more interaction between collagen fibers (mechanotransduction). [less ▲]

Detailed reference viewed: 54 (7 ULg)