L'école du dos dans la lombalgie chronique. Techniques et résultats.
Scientific conference (2013, April 20)Detailed reference viewed: 57 (17 ULg)
Rachis cervical. Anatomie, Physiopathologie, Séméiologie.
Learning material (2013)Detailed reference viewed: 17 (2 ULg)
Initiation aux thérapies manuelles (Partim 1) DIM de Maigne et Manipulations vertébrales.
Learning material (2013)Detailed reference viewed: 11 (0 ULg)
Déviations rachidiennes. Hyperlordose et Spondylolisthésis.
Learning material (2013)Detailed reference viewed: 9 (0 ULg)
Symptoms associated with lumbar instability in athletes with low back pain
GROSDENT, Stéphanie ; Demoulin, Christophe ; Tomasella, Marco 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 ▲]Detailed reference viewed: 88 (12 ULg)
INTERRATER AGREEMENT OF CLINICAL TESTS/SIGNS USED TO IDENTIFY PATIENTS WITH LUMBAR FUNCTIONAL INSTABILITY
Demoulin, Christophe ; ; DISTREE, Vincent et al
in Journal of Orthopaedic & Sports Physical Therapy (2012, October), 42(10), 57Detailed reference viewed: 17 (4 ULg)
Assessment of lumbopelvic movement control in tennis players with and without low back pain
GROSDENT, Stéphanie ; Demoulin, Christophe ; 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 ▲]Detailed reference viewed: 87 (9 ULg)
Instabilité fonctionnelle lombaire. Pertinence des tests cliniques. Traitement et progression.
Conference (2012, April 23)Detailed reference viewed: 8 (0 ULg)
Radiculopathies. Stratégie diagnostique du bilan ENMG.
Conference (2011, December 06)Detailed reference viewed: 19 (3 ULg)
Juvenile Muscular atrophy of the Distal Upper Extremity (JMADUE) : Hirayama's disease
WANG, François-Charles ; TOMASELLA, Marco
Conference (2011, December 02)Detailed reference viewed: 48 (8 ULg)
La maladie d'Hirayama
WANG, François-Charles ; GÖBELS, Catherine ; TOMASELLA, Marco et al
in Correspondances en Nerf & Muscle (2011), XV(7), 246-252
La MH reste une maladie rare et sa physiopathologie, toujours incertaine, rend le choix thérapeutique quelque peu hasardeux. Le port du collier cervical semble indiqué en phase évolutive dans les formes ... [more ▼]
La MH reste une maladie rare et sa physiopathologie, toujours incertaine, rend le choix thérapeutique quelque peu hasardeux. Le port du collier cervical semble indiqué en phase évolutive dans les formes les plus typiques. Lorsque se surajoute une compression visible de la moelle cervicale en position neutre, une image cavitaire intra-médullaire ou une atteinte débordant les cornes antérieures, un geste chirurgical devra être discuté. [less ▲]Detailed reference viewed: 127 (9 ULg)
Trunk muscle profile in tennis players with and without low back pain
GROSDENT, Stéphanie ; Demoulin, Christophe ; et al
in Physiotherapy (2011, June), 97Detailed reference viewed: 94 (27 ULg)
Influence of back school and physical exercises on pain-related fears
Demoulin, Christophe ; ; GROSDENT, Stéphanie 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)Detailed reference viewed: 56 (14 ULg)
Les neuropathies tronculaires compressives sous l'angle de l'imagerie.
in WANG, François-Charles (Ed.) BLOG ENMG Prof F.C. Wang http://enmgblog.blogspot.be/ (2010, May 04)Detailed reference viewed: 11 (4 ULg)
Effectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in chronic low back pain
Demoulin, Christophe ; Grosdent, Stéphanie ; 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 ▲]Detailed reference viewed: 76 (22 ULg)