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See detailEvaluation isocinétique de la fatigue musculaire au genou : aspects méthodologiques
Croisier, Jean-Louis ULg; Maquet, Didier ULg; Forthomme, Bénédicte ULg et al

in JULIA, M.; PERREY, S.; DUPEYRON, A. (Eds.) et al Fatigue musculaire (2010)

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See detailEffect of the Lengthening of the Protocol on the Reliability of Muscle Fatigue Indicators
Bosquet, Laurent; Maquet, Didier ULg; Forthomme, Bénédicte ULg et al

in International Journal of Sports Medicine (2010), 31(2), 82-88

The aim of this study was to examine absolute and relative reliability of fatigue measures calculated from peak torque or total work during 20, 30, 40 and 50 reciprocal maximal concentric contractions ... [more ▼]

The aim of this study was to examine absolute and relative reliability of fatigue measures calculated from peak torque or total work during 20, 30, 40 and 50 reciprocal maximal concentric contractions performed on an isokinetic dynamometer at 180 ° · s " 1 . Eighteen moderately active men performed 50 reciprocal maximal concentric contractions on three occasions with one 7 – 10 days recovery between each session. Peak torque and total work were computed for each contraction and subsequently summed to compute cumulated performance after respectively 20, 30, 40 and 50 repetitions. Muscle fatigue was determined after 20, 30, 40 and 50 repetitions by the fatigue index, the percent decrease in performance and the slope. Reliability of average peak torque or average total work was similar and was not a! ected by the lengthening of the protocol, although a learning e! ect was evident for knee flexors. Reliability of fatigue measures calculated from peak torque or total work was similar, improved with the lengthening of the protocol and was better for knee extensors. Measuring average peak torque or average total work and the slope during a protocol involving 30 maximal reciprocal concentric contractions appear to represent a better compromise between reliability and physiological interpretability of the data. [less ▲]

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See detailL'évaluation fonctionnelle et musculaire de l'épaule pathologique
Forthomme, Bénédicte ULg

in Livre des résumés du 1er Congrès de la Société Scientifique de Kinésithérapie : "Les outils d'évaluation Peut-on encore les ignorer ?" (2009, October)

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See detailProgramme excentrique dans le traitement de l’hyperlaxité du coude
Kaux, Jean-François ULg; Foidart-Dessalle, Marguerite ULg; Debray, François-Guillaume ULg et al

in Croisier, Jean-Louis; Codine, Philippe (Eds.) Exercice musculaire excentrique (2009)

Introduction: Joint hypermobility involves an increased range of motion compared to normal amplitudes for the same age, sex and ethnic group. Benign Joint Hypermobility Syndrome (BJHS) affects between 5 ... [more ▼]

Introduction: Joint hypermobility involves an increased range of motion compared to normal amplitudes for the same age, sex and ethnic group. Benign Joint Hypermobility Syndrome (BJHS) affects between 5 and 10% of the Caucasian population but it also concern rare hereditary dystrophies with abnormal collagen structure or metabolism (i.e.: Ehlers-Danlos Syndrome (EDS)). Patients with hypermobility suffer from joints problems and chronic pain is the most frequently reported symptom. Case Report: An EDS patient presented pain in the right elbow and the right wrist after a season of tennis. Her physiotherapy consisted of wrist prono-supination and flexion-extension muscle group reinforcement and proprioceptive training. To protect the wrist against excessive load, strengthening exercises of prono-supinator and flexor-extensor muscles of elbow and wrist were undertaken on an isokinetic device after an evaluation. She was also given an orthosis restricting the joint range of motion of the wrist. The patient rapidly noted a decrease in pain and an increase in the stability of her right arm even when playing tennis. Isokinetic evaluation objectified symmetric values and an improvement in maximal torque of 20 to 25% in all trained muscles of the right elbow. She was also given individualized home exercises. Conclusion: The goal of rehabilitation is to avoid hypermobility by using the muscles as a protective brake in the control of joint positioning. Thus, muscles were reinforced in eccentric mode with starting position at the maximum length of these muscles when unstreched. The exercises could be carried out safely on an isokinetic device. Indeed eccentric exercises at slow speed and limited range of joint motion avoided risk of luxation. Patients must be informed that it’s a long-term treatment and that in addition to exercises with the physiotherapist personal home exercises are essential. [less ▲]

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See detailProgramme excentrique dans la pathologie du coude : tendinopathie épicondylienne
Croisier, Jean-Louis ULg; Foidart-Dessalle, Marguerite ULg; Crielaard, Jean-Michel ULg et al

in Croisier, Jean-Louis; Codine, Philippe (Eds.) Exercice musculaire excentrique (2009)

Lateral epicondylitis represents a common overuse injury caused by repetitive gestures through sports activity, industrial work and hobby activities. In spite of many conservative treatment procedures ... [more ▼]

Lateral epicondylitis represents a common overuse injury caused by repetitive gestures through sports activity, industrial work and hobby activities. In spite of many conservative treatment procedures, prolonged symptoms and relapse are frequently reported. The goal of our study was to compare the outcome of patients performing an adapted isokinetic eccentric training with that of patients receiving a non-strengthening classical rehabilitation. Results, dealing with pain score evaluation, disability questionnaire, muscle strength measurement and ultrasonographic examination, highlight the relevance of implementing isokinetic adapted eccentric training in the management of lateral epicondylitis. [less ▲]

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See detailPathologie ischio-jambière : évaluation et renforcement en mode excentrique
Croisier, Jean-Louis ULg; Crielaard, Jean-Michel ULg; Maquet, Didier ULg et al

in Croisier, Jean-Louis; Codine, Philippe (Eds.) Exercice musculaire excentrique (2009)

Undoubtedly, hamstring strains have close connections with the eccentric mode of contraction. Several authors have confirmed the discriminating character of the eccentric isokinetic assessment, in ... [more ▼]

Undoubtedly, hamstring strains have close connections with the eccentric mode of contraction. Several authors have confirmed the discriminating character of the eccentric isokinetic assessment, in particular using a mixed eccentric hamstrings / concentric quadriceps ratio. Low-intensity eccentric contractions promoting healing of good quality are recommended in the early phase of rehabilitation. Subsequently, strengthening exercises at high intensity contractions will be implemented. Tools to be used and specific modalities of the protocols are discussed in this paper. [less ▲]

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See detailRenforcement musculaire excentrique après plastie du LCA
Gremeaux, V.; Forthomme, Bénédicte ULg; Croisier, Jean-Louis ULg

in Croisier, Jean-Louis; Codine, Philippe (Eds.) Exercice musculaire excentrique (2009)

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See detailExplorations isocinétique et électromyographique de l'épaule atteinte d'une lésion du nerf suprascapulaire
Forthomme, Bénédicte ULg; Wang, François-Charles ULg; Mazza, L. et al

in Brunon-Martinez, A.; Codine, Philippe; Hérisson, C. (Eds.) Epaule neurologique et médecine de rééducation (2009)

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See detailScapula alata : facteurs musculaires et neurologiques
Forthomme, Bénédicte ULg; Wang, François-Charles ULg; Sternon, Anne-Catherine et al

in Brunon-Martinez, A.; Codine, Philippe; Hérisson, C. (Eds.) Epaule neurologique et médecine de rééducation (2009)

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See detailQuelles applications du travail excentrique en rééducation ?
Croisier, Jean-Louis ULg; Maquet, Didier ULg; Crielaard, Jean-Michel ULg et al

in Kinesitherapie Revue (2009), 85-86

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See detailEntraînement excentrique des rotateurs d'épaule
Forthomme, Bénédicte ULg; Chague, Lucie ULg; Crielaard, Jean-Michel ULg et al

in Croisier, Jean-Louis; Codine, Philippe (Eds.) Exercice musculaire excentrique (2009)

In this study, we have investigated the influence of the installation on the dynamometer and of the mode of contraction used during a rotator cuff muscle training. 24 subjects were divided into 3 groups ... [more ▼]

In this study, we have investigated the influence of the installation on the dynamometer and of the mode of contraction used during a rotator cuff muscle training. 24 subjects were divided into 3 groups. Two groups of 8 subjects performed a training of the Internal Rotators (IR) in concentric mode (60°/s and 240°/s) and of the External Rotators in eccentric mode (60°/s). The first group was trained at 45° of abduction; the second was trained at 90° of abduction. The third group did not perform any shoulder training. All patients were assessed thanks to the isokinetic device ((3) x 60°/s concentric – (5) x 240°/s concentric – (4) x 60°/s eccentric) before and after training. Only the group trained at 45° of abduction increased the isokinetic maximal peak torque (+ p) in concentric mode during the second isokinetic assessment. No subject showed improvement through the eccentric exercise. They also improved the throw of the ball (+ 8.5 %). Possible feeling of discomfort and signs of subacromial conflict explained that no progression was recorded after training at 90° of abduction. Likewise, the eccentric mode would major the inhibition limiting the strength increase. Even if 90° of abduction seems more specific for assessment, 45° of abduction is more suitable for training. [less ▲]

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See detailConcept d'équilibre agonistes / antagonistes de l'épaule
Forthomme, Bénédicte ULg; Crielaard, Jean-Michel ULg; Croisier, Jean-Louis ULg

in Croisier, Jean-Louis; Codine, Philippe (Eds.) Exercice musculaire excentrique (2009)

Besides the concentric classical ratios, the eccentric isokinetic assessment of the muscle shoulder allows us to build some specific ratios. The mixed ratio combines the eccentric maximal contraction of ... [more ▼]

Besides the concentric classical ratios, the eccentric isokinetic assessment of the muscle shoulder allows us to build some specific ratios. The mixed ratio combines the eccentric maximal contraction of the external rotators (ER) and the concentric maximal strength of the internal rotators (IR). The mixed ratio is frequently decreased among overhead athletes. This imbalance could rise to shoulder tendinopathy, but seemed to be linked with field performance. The functional ratio corresponds to the balance between the ER in concentric mode and the IR in eccentric contraction. The unstable shoulder shows a trend to lower functional ratios, highlighting the weakness of the eccentric IR in that pathology. [less ▲]

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See detailIsokinetic assessment of the scapular muscles in serratus anterior dysfunction
Forthomme, Bénédicte ULg; Wang, François-Charles ULg; Crielaard, Jean-Michel ULg et al

in Journal of Rehabilitation Medicine Supplement (2008, June), 47

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See detailQuel protocole pour l’évaluation de la résistance à la fatigue du genou ?
Croisier, Jean-Louis ULg; Maquet, Didier ULg; Forthomme, Bénédicte ULg et al

in Abstract book de la 6ème Journée Belge d’Isocinétisme du GIBL (2008, March)

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See detailEvaluation isocinétique des muscles scapulaires : application à une neuropathie
Forthomme, Bénédicte ULg; Wang, François-Charles ULg; Sternon, Anne-Catherine ULg et al

in Abstract book de la 6ème Journée Belge d’Isocinétisme du GIBL (2008, March)

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See detailProtocole de résistance à la fatigue adapté aux rotateurs internes et externes de l’épaule
Forthomme, Bénédicte ULg; Maquet, Didier ULg; Lehance, Cédric ULg et al

in Abstract book de la 6ème Journée Belge d'Isocinétisme (2008, March)

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See detailScapular positioning in athlete's shoulder : particularities, clinical measurements and implications.
Forthomme, Bénédicte ULg; Crielaard, Jean-Michel ULg; Croisier, Jean-Louis ULg

in Sports Medicine (2008), 38(5), 369-86

Despite the essential role played by the scapula in shoulder function, current concepts in shoulder training and treatment regularly neglect its contribution. The 'scapular dyskinesis' is an alteration of ... [more ▼]

Despite the essential role played by the scapula in shoulder function, current concepts in shoulder training and treatment regularly neglect its contribution. The 'scapular dyskinesis' is an alteration of the normal scapular kinematics as part of scapulohumeral rhythm, which has been shown to be a nonspecific response to a host of proximal and distal shoulder injuries. The dyskinesis can react in many ways with shoulder motion and function to increase the dysfunction. Thoracic kyphosis, acromio-clavicular joint disorders, subacromial or internal impingement, instability or labral pathology can alter scapular kinematics. Indeed, alteration of scapular stabilizing muscle activation, inflexibility of the muscles and capsule-ligamentous complex around the shoulder may affect the resting position and motion of the scapula. Given the interest in the scapular positioning and patterns of motion, this article aims to give a detailed overview of the literature focusing on the role of the scapula within the shoulder complex through the sports context. Such an examination of the role of the scapula requires the description of the normal pattern of scapula motion during shoulder movement; this also implies the study of possible scapular adaptations with sports practice and scapular dyskinesis concomitant to fatigue, impingement and instability. Different methods of scapular positioning evaluation are gathered from the literature in order to offer to the therapist the possibility of detecting scapular asymmetries through clinical examinations. Furthermore, current concepts of rehabilitation dealing with relieving symptoms associated with inflexibility, weakness or activation imbalance of the muscles are described. Repeating clinical assessments throughout the rehabilitation process highlights improvements and allows the therapist to actualize rationally his or her intervention. The return to the field must be accompanied by a transitory phase, which is conducive to integrating new instructions during sports gestures. On the basis of the possible scapular disturbance entailed in sports practice, a preventive approach that could be incorporated into training management is encouraged. [less ▲]

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See detailPlace de l'isocinétisme dans l'évaluation et la rééducation des coiffes opérées
Croisier, Jean-Louis ULg; Crielaard, Jean-Michel ULg; Forthomme, Bénédicte ULg

in Brunon-Martinez, A.; Codine, Philippe; Hérisson, C. (Eds.) Coiffe des rotateurs opérée et rééducation (2008)

The isokinetic testing has been found to be useful for quantifying the recovery of shoulder strength after repair of the rotator cuff. Measurements focus in particular on bilateral asymmetry and agonist ... [more ▼]

The isokinetic testing has been found to be useful for quantifying the recovery of shoulder strength after repair of the rotator cuff. Measurements focus in particular on bilateral asymmetry and agonist / antagonist imbalance. Frequently, more than one year is needed for the recovery of muscle strength performances. The dynamometer may also be used as a rehabilitative device, even if the isokinetic training conditions remain sparse in literature. [less ▲]

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See detailTechniques de rééducation des coiffes réparées chirurgicalement
Forthomme, Bénédicte ULg; Crielaard, Jean-Michel ULg; Croisier, Jean-Louis ULg

in Brunon-Martinez, A.; Codine, Philippe; Hérisson, C. (Eds.) Coiffe des rotateurs opérée et rééducation (2008)

Rotator cuff tears that do not respond to non-operative care may require surgical intervention. There are numerous surgical techniques to repair rotator cuff tears. Recently, arthroscopic rotator cuff ... [more ▼]

Rotator cuff tears that do not respond to non-operative care may require surgical intervention. There are numerous surgical techniques to repair rotator cuff tears. Recently, arthroscopic rotator cuff repairs have become more popular. An abduction pillow is used after rotator repair to alleviate stress on the cuff repair; the use of the pillow ranges 4 to 5 weeks. In the first phase (0 to 4 weeks), the immediate postoperative period, the rehabilitation goals are to (1) protect the healing soft tissues, (2) prevent the negative effects of immobilization, (3) diminish postoperative pain and inflammation. Passive range of motion should be performed to minimize the patient’s chances of developing adhesive capsulite shoulder. Phase II (4 to 6 weeks), the intermediate phase, emphasizes the advancement of shoulder mobility. During this phase, the patients range of motion is gradually increased by using passive, active assisted and active range of motion joint mobilization techniques and stretching (mainly in patients with less motion than desirable). The third phase (up to 6 weeks), the dynamic strengthening phase is focused on improving the patient’s strength, power and endurance while maintaining a functional range of motion of the shoulder joint. Muscular balance and dynamic joint stability should be achieved before aggressive strengthening exercises such as plyometrics or functional throwing. [less ▲]

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See detailRenforcement musculaire et rééducation : apport de l’isocinétisme
Croisier, Jean-Louis ULg; Maquet, Didier ULg; Codine, P. et al

in Kotzki, N.; Dupeyron, A. (Eds.) Renforcement musculaire et reprogrammation motrice (2008)

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