References of "GROSDENT, Stéphanie"
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See detailLe renforcement instrumentalisé des muscles du tronc
Vanderthommen, Marc ULg; Demoulin, Christophe ULg; Grosdent, Stéphanie ULg et al

in Kinesitherapie Revue (2010, December), 108

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See detailSpecificity and sensitivity of identifiers specific to clinical lumbar spine instability
Demoulin, Christophe ULg; Cany-Serres, Suzanne; DISTREE, Vincent ULg et al

in Vleeming, Andry; Fitzgerald, Colleen (Eds.) 7th Interdisciplinary World Congress on Low Back & Pelvic Pain - Effective diagnosis and treatment of lumbopelvic pain (2010, November)

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See detailInfluence of back school and physical exercises on pain-related fears
Demoulin, Christophe ULg; Gagnol, Aude; GROSDENT, Stéphanie ULg et al

in Vleeming, Andry; Fitzgerald, Colleen (Eds.) 7th Interdisciplinary World Congress on Low Back & Pelvic Pain - Effective diagnosis and treatment of lumbopelvic pain (2010, November)

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See detailEvaluation des peurs liées à la douleur du lombalgique chronique au moyen du PHODA (Photograph Series of Daily Activities)
Demoulin, Christophe ULg; Accary, Laure; Somville, Pierre-René ULg et al

in Revue du Rhumatisme (2010, November), 77(Supplément 3), 52-53

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See detailEvaluation du contenu du PHODA (Photograph Series of Daily Activities) par des spécialistes du rachis
Demoulin, Christophe ULg; Accary, Laure; Somville, Pierre-René ULg et al

in Revue du Rhumatisme (2010, November), 77(Supplément 3), 52

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See detailInfluence of Sport Activity on Trunk Muscle Performances
Grosdent, Stéphanie ULg; Demoulin, Christophe ULg; Coupas, Amandine et al

Poster (2010, June 24)

Introduction: Lumbar pain among athletes is a common problem and can be challenging for athletic trainers and therapists. Unfortunately, little is known about the capabilities of trunk muscle function in ... [more ▼]

Introduction: Lumbar pain among athletes is a common problem and can be challenging for athletic trainers and therapists. Unfortunately, little is known about the capabilities of trunk muscle function in elite athletes Therefore, an objective assessment of muscle performance is relevant in injury prevention and rehabilitation. The purpose of this study was to examine the specific trunk muscle strength and endurance in different sports i.e. swimming, rowing and tennis. Methods: We assessed maximum isometric trunk extensor, rotator, flexor and lateroflexor muscle strength as well as trunk extensor muscle endurance of 10 swimmers, 10 rowers, 10 tennismen and 10 sedentary students (control group). Strength was measured by means of specific trunk dynamometers. An adaptation of the Sorensen test was performed to assess trunk extensor endurance. Results: Muscle strength appeared generally higher among athletes than among control subjects. However, differences were statistically significant only with swimmers for trunk flexors (p<0.05) and trunk rotators (p<0.05), with rowers for trunk flexors (p<0.05) and with tennismen for dominant lateroflexors (p<0.05) and non-dominant trunk rotators (p<0.05). No significant bilateral difference appeared for trunk lateralflexors strength. For trunk rotators, tennismen were significantly stronger in the non-dominant side (p<0.05). Trunk extensor endurance was higher among rowers than among the other groups. Conclusion: This study underlined several differences in trunk muscle performance between athletes and control subjects as well as within athletes groups in relation to their sports. Further studies would clarify the full significance of these results with respect to performance and injury. [less ▲]

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See detailAnalyse critique de l'évaluation de la fatigue musculaire des muscles extenseurs du tronc
Demoulin, Christophe ULg; Grosdent, Stéphanie ULg; Croisier, Jean-Louis ULg et al

in Julia, M.; Perrey, S.; Dupeyron, A. (Eds.) et al Fatigue musculaire (2010)

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See detailEffectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in chronic low back pain
Demoulin, Christophe ULg; Grosdent, Stéphanie ULg; Capron, Lucile et al

in Joint Bone Spine (2010), 77

Objectives: To evaluate the efficacy of a semi-intensive multidisciplinary outpatient program complying with the requirements of the Belgian National Institute for Health and Disability Insurance and ... [more ▼]

Objectives: To evaluate the efficacy of a semi-intensive multidisciplinary outpatient program complying with the requirements of the Belgian National Institute for Health and Disability Insurance and intended for patients with chronic low back pain. Methods: Weincluded 262 patients with nonspecific chronic low back pain, amongwhom136 (73women and 63 men) with a mean pain duration of 11.3 years completed the outpatient program (36 sessions each lasting 2 h). The program consisted of education about back-sparing techniques, interventions by an occupational therapist and psychologist, and physical reconditioning. Three sessions (sessions 1, 18, and 36) were used to evaluate pain intensity, functional impairment, kinesiophobia, cognitive knowledge, knowledge of appropriate spinal movement technique, and physical performance (trunk muscle strength and endurance, mobility of the pelvis and lumbar spine, and aerobic capacity). Results: All study variables were significantly improved at study completion compared to baseline: pain intensity was decreased by 44%, functional impairment by 40%, and kinesiophobia by 11% whereas knowledge was improved by 59%, back-sparing technique by 95%, trunk muscle strength by 40% on average, trunk extensor muscle endurance by 90%, mobility by 8%, and aerobic capacity by 18%. Conclusions: A semi-intensive multidisciplinary outpatient program was beneficial in patients with chronic low back pain. Careful patient selection and increased patient involvement in the program may help to improve adherence. [less ▲]

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See detailIntérêt d'une prise en charge multidisciplinaire ambulatoire semi-intensive dans la lombalgie chronique
Demoulin, Christophe ULg; Grosdent, Stéphanie ULg; capron, Lucile et al

in Revue du Rhumatisme (2010), 77

Objectifs. – Cette étude souhaite apprécier l’efficacité d’un programme pluridisciplinaire ambulatoire semi-intensif, élaboré en fonction des exigences des organismes mutualistes belges et destiné aux ... [more ▼]

Objectifs. – Cette étude souhaite apprécier l’efficacité d’un programme pluridisciplinaire ambulatoire semi-intensif, élaboré en fonction des exigences des organismes mutualistes belges et destiné aux patients lombalgiques chroniques. Méthodes. – Parmi 262 patients souffrant de lombalgie chronique non spécifique inclus dans cette étude, 136 (73 femmes et 63hommes présentant des douleurs depuis 11,3 ans en moyenne) ont achevé un programme ambulatoire (36 séances de deux heures) comportant une éducation à l’économie rachidienne, une approche ergonomique et psychologique ainsi que des séances de reconditionnement physique. Trois séances (initiale [séance 1], intermédiaire (séance 18) et finale [séance 36]) évaluent les paramètres d’intensité de la douleur, d’incapacité fonctionnelle, de kinésiophobie, de connaissances cognitives et gestuelles ainsi que les performances physiques (force et endurance des muscles du tronc, mobilité du complexe lombo-pelvi-fémoral, endurance cardiorespiratoire). Résultats. – Tous les paramètres sont significativement améliorés lors de l’évaluation finale : diminution de l’intensité de la douleur (−44 %), des répercussions fonctionnelles (−40 %) et de la kinésiophobie (−11 %), amélioration des connaissances (+59 %) et de la gestuelle vertébrale (+95 %), augmentation de la force des muscles du tronc (+40 % en moyenne), de l’endurance des extenseurs du tronc (+90 %), de la mobilité (+8 %) et de l’endurance cardiorespiratoire (+18 %). Conclusions. – Une prise en charge pluridisciplinaire ambulatoire semi-intensive s’avère bénéfique pour les patients lombalgiques chroniques. Une adaptation des critères d’inclusion et une implication accrue du patient dans sa rééducation contribueraient à améliorer l’observance du programme. [less ▲]

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See detailReproducibility of dynamometric and non-dynamometric trunk extensor muscle tests in patients with chronic low back pain
Vanderthommen, Marc ULg; Grosdent, Stéphanie ULg; Crielaard, Jean-Michel ULg et al

Poster (2009, September 09)

Background and Aims: Literature describes several dynamometric and non-dynamometric tests to assess trunk extensor muscle performances. In patients with chronic low back pain (CLBP), reproducibility of ... [more ▼]

Background and Aims: Literature describes several dynamometric and non-dynamometric tests to assess trunk extensor muscle performances. In patients with chronic low back pain (CLBP), reproducibility of such assessments remains understudied. The purpose of this study was to compare reproducibility of two dynamometric tests and of the widely used Sorensen test. Methods: 44 patients (22 men, 22 women; age range: 30-60 years) with CLBP (mean Roland-Morris disability scores reaching 6 ± 3.4) were randomized into two groups attending two assessment sessions. Group 1 (12 men and 12 women) underwent two tests (i.e. a maximal strength test (figure 1) and a static endurance test requiring to maintain as long as possible a torque of 50 percent of maximal strength previously determined (figure 2)) performed on a specific trunk extensor dynamometer (David Back). Group 2 (10 men and 10 women) was submitted to the non-dynamometric Sorensen test (lifting the upper trunk and maintaining the horizontal position) (figure 3). For both groups, tests were performed twice (spaced by 15 minutes) during the first session (intra-session reproducibility) and once during the second session (inter-session reproducibility) happening 2 to 7 days later. Results: Mean torques reached 2.67 ± 0.63 Nm/Kg (women) and 3.66 ± 0.75 Nm/Kg (men) for the strength test. Mean maintaining times were 83 ± 34 s for the endurance test and 99 ± 28 s for the Sorensen test. The Table presents coefficient of variations (CV) and limits of agreement (LOA) related to the intra-session and inter-session reproducibility. Conclusions: Reproducibility appeared satisfactory for the strength test, moderate for the Sorensen test and low for the dynamometric endurance test in patients with moderate CLBP. [less ▲]

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See detailCardiovascular Responses to Static Assessments of Trunk Muscles
Demoulin, Christophe ULg; Grosdent, Stéphanie ULg; Bury, Thierry ULg et al

in Journal of Musculoskeletal Pain (2009), 17(4), 378-389

Objectives: To investigate the cardiovascular responses to standard static assessments of strength and endurance of trunk extensor muscles. Methods: Trunk extensor performances of ten healthy men, 48.2±5 ... [more ▼]

Objectives: To investigate the cardiovascular responses to standard static assessments of strength and endurance of trunk extensor muscles. Methods: Trunk extensor performances of ten healthy men, 48.2±5.6 years, and 10 healthy women, 49±5.7 years, were assessed by means of a maximum static strength test [consisting in maximal voluntary contractions [MVC] performed with a specific dynamometer], and two static endurance tests [the Sorensen test, and a 50 percent MVC test]. Heart rate [HR], auscultatory systolic [SBP], and diastolic blood pressure [DBP] were recorded throughout the tests. Results: The MVCs induced significant increases of HR and SBP [mean peak values averaging 90 [female] to 95 [male] beats per minute and 133 [female] to 141 [male] mmHg]. The HR, SBP, and DBP values increased significantly across time throughout both endurance static tests. At the end of these tests, mean HR, SBP, and DBP reached 114 to 122 beats per minute, 172 to 185 mmHg, and 112 to 120 mmHg. Genders differed significantly with regard to holding times [longer in females], but a gender effect was only found on SBP [higher in males]. Heart rate and SBP increases were significantly higher in males than in female subjects. Conclusions: The strength test seems less demanding than expected, though our results need to be confirmed. Standard static endurance tests yield sizeable functional stress on the cardiovascular system. Our study emphasizes the need to exclude subjects with cardiac trouble from such efforts and suggests the relevance of monitoring cardiovascular parameters if tests are performed until exhaustion. [less ▲]

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See detailMise au point d’une épreuve originale de quantification du statut fonctionnel du sujet fibromyalgique
Maquet, Didier ULg; Lehance, Cédric ULg; Mouette, Eric et al

in Revue du Rhumatisme (2008), 75

Objectif Mettre au point une épreuve de "monitoring" du statut fonctionnel du sujet fibromyalgique durant une période de 24 heures. Patients et Méthodes Vingt-six patientes fibromyalgiques, diagnostiquées ... [more ▼]

Objectif Mettre au point une épreuve de "monitoring" du statut fonctionnel du sujet fibromyalgique durant une période de 24 heures. Patients et Méthodes Vingt-six patientes fibromyalgiques, diagnostiquées selon les critères du Collège Américain de Rhumatologie et 21 sujets volontaires contrôles féminins sont inclus dans cette étude. La quantification du statut fonctionnel est réalisée à partir du « Sense Wear Pro® Armband » (basé sur un système d'accélérométrie et de capteurs thermiques) placé au niveau du bras des sujets contrôles et fibromylagiques durant 24 heures. Ce dispositif, particulièrement léger et porté en l'absence de toute gêne particulière, permet, à partir d'un logiciel, de calculer divers paramètres dont la dépense énergétique totale (Kcal), le nombre de pas, le temps en position allongée, le temps de sommeil, la dépense énergétique réalisée à différents niveaux d'intensité d'activité physique (0 à 1 équivalent métabolique (MET), 2 à 3 MET, > à 3 ou 4 MET, … ). Résultats Au terme de cette épreuve originale de monitoring de statut fonctionnel durant 24 heures, nous observons une modification significative du statut fonctionnel de la population fibromyalgique en comparaison de la population contrôle, appariée en termes de paramètres biométriques. La dépense énergétique (Kcal) mesurée à une intensité comprise entre 1 et 2 MET, 3 et 4 MET ou encore à une intensité supérieure à 4 MET apparaît significativement réduite chez les patients fibromyalgiques. Par contre, aucune différence significative ne s'observe pour la dépense énergétique comprise entre 0 et 1 MET, le temps mesuré en position allongée et le temps de sommeil. Enfin, le nombre de pas accomplis sur 24 heures diffère significativement entre les 2 groupes (7776 pas chez les fibromyalgiques versus 11068 pas chez les sujets contrôles). Discussion Ces observations originales illustrent non seulement l'altération du statut fonctionnel du fibromyalgique mais aussi un certain ralentissement fonctionnel puisque aucune différence ne s'observe pour la dépense énergétique mesurée entre 0 et 1 MET alors qu'au-delà, les différences apparaissent significatives. Conclusion Cette étude propose une épreuve particulièrement sensible de monitoring du statut fonctionnel du sujet fibromyalgique. Ce test, ne sollicitant aucune participation volontaire du patient, pourrait constituer une épreuve de choix dans la quantification de statut fonctionnel du fibromyalgique, notamment dans le cadre du suivi longitudinal du patient ou encore la quantification des bénéfices éventuels apportés par diverses thérapeutiques. L'épreuve apparaît, en outre, transférable à de multiples situations pathologiques. [less ▲]

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See detailExplorations algo-fonctionnelles comparatives entre populations fibromyalgique et lombalgique chronique
Demoulin, Christophe ULg; Maquet, Didier ULg; Delcourt, D. et al

in Revue du Rhumatisme (2007), 74(10-11), 982

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See detailBenefits of an out-patient multidisciplinary rehabilitation program in the treatment of chronic low back pain
Vanderthommen, Marc ULg; Demoulin, Christophe ULg; GROSDENT, Stéphanie ULg et al

in Abstract book of 6th Interdisciplinary World Congress on Low Back & Pelvic Pain (2007)

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See detailInter-session, inter-tester and inter-site reproducibility of isometric trunk muscle strength measurements
Demoulin, Christophe ULg; Grosdent, Stéphanie ULg; Debois, I. et al

in Isokinetics & Exercise Science (2006), 14(4), 317-325

The purpose of this study was to investigate the inter-session, inter-tester and inter-site reproducibility of trunk muscle strength scores in flexion, extension, lateral flexion and rotation. Ten healthy ... [more ▼]

The purpose of this study was to investigate the inter-session, inter-tester and inter-site reproducibility of trunk muscle strength scores in flexion, extension, lateral flexion and rotation. Ten healthy students were tested on four apparatus with a 7-10 day break between sessions. The first two sessions were identical while the other two differed either by the tester or by the site. Furthermore, 10 patients with chronic low back dysfunction (CLBD) were assessed with the four apparatus, once only. For all tests, CV ranged from 3.4% to 7.6% and from 3.9% to 8.1% in the inter-session and inter-tester studies, respectively (p > 0.05 except for inter-session reproducibility of trunk flexor strength). Peak torque (PT) was more variable from site to site with a CV ranging from 4.2% to 12.7%, particularly in extension and left lateral flexion (p < 0.05). No statistically significant difference in the strength ratios (flexion/extension, right/left lateral-flexion and right/left rotation) were found between sessions or testers (4.9% < CV < 9.7%). The inter-site reproducibility of ratios was lower. Comparison between the CLBD patients and the healthy subjects with regard to PT normalized to body weight indicated significantly decreased performance for the former except for flexion and rotation scores in males. We conclude that in the case of healthy subjects, inter-session and inter-tester trunk strength measurements derived from these devices are reproducible. The low inter-site reproducibility suggests that caution should be exercised when interpreting findings originating from different sites. The lower extension strength scores in CLBD patients test lends some validity to the system. However, further studies focusing on reproducibility and validity of this system in CLBD patients are critical before any conclusion regarding their clinical viability may be drawn. [less ▲]

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