References of "Vanderthommen, Marc"
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See detailBenefits of a physical training program after back school for chronic low back pain patients
Demoulin, Christophe ULg; Maquet, Didier ULg; Tomasella, Marco ULg et al

in Journal of Musculoskeletal Pain (2006), 14(2), 21-31

Objectives: Compare a treatment combining a back school program and physical training with a treatment consisting of only aback school program undertaken by chronic low back pain [CLBP] patients. Methods ... [more ▼]

Objectives: Compare a treatment combining a back school program and physical training with a treatment consisting of only aback school program undertaken by chronic low back pain [CLBP] patients. Methods: Forty CLBP patients [21 females] completed an educational back school program. Once ended, 17 subjects [the Education-Physical Group [EPG]] started physical training sessions attended twice a week [90 minutes] for six weeks. The others constituted the Education Group [EG]. All subjects performed three tests: the pain visual analog scale, the Dallas questionnaire assessing quality of life, and an ergonomic test at the beginning [Day [D] 1], at the end [D21] of the back school program, and three months later [D120]. The EPG also carried out physical tests at the start and at the end of the physical training. Results: At D21, no significant difference in pain and Dallas scores appeared, although patients of both groups performed the ergonomic test significantly better. At D120, the decrease of pain intensity and the quality of life improvement were significant in both groups [P < 0.05]. The extent of the pain intensity decrease was significantly higher in the EPG compared to the EG. The EPG displayed improvements in most physical assessments [P < 0.05]. Only the increase of knee extensors strength correlated significantly with the improvements of quality of life and ergonomic function scores. Conclusions: This study supports positive effects of a back school program for CLBP patients. Additional physical training sessions lead to lower pain intensity, greater improvement of quality of life than back school sessions only, as well as improvement of muscle performances. The increase of the knee extensors strength might have helped to decrease the pain and improve the quality of life. [less ▲]

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See detailL’évaluation de la musculature rachidienne par le test de Sorensen: revue de la littérature et analyse critique
Demoulin, Christophe ULg; Vanderthommen, Marc ULg; Duysens, Christophe ULg et al

in Revue du Rhumatisme (2006), 73(1), 39-46

La première épreuve d’évaluation de l’endurance isométrique des muscles extenseurs du tronc a été décrite par Hansen dès 1964. En 1984, suite à l’étude de Biering-Sorensen, ce test a été largement diffusé ... [more ▼]

La première épreuve d’évaluation de l’endurance isométrique des muscles extenseurs du tronc a été décrite par Hansen dès 1964. En 1984, suite à l’étude de Biering-Sorensen, ce test a été largement diffusé dans la littérature sous le nom de « test de Sorensen ». Sa notoriété résulte de son prétendu caractère prédictif de l’occurrence, chez les sujets masculins, d’une lombalgie au cours de l’année à venir. Il s’effectue en décubitus ventral avec le tronc en débord de table, les membres inférieurs étant fixés ; dans cette position le sujet doit maintenir le plus longtemps possible son tronc à l’horizontale. Ce test a été utilisé dans de nombreuses études, de façon standardisée ou modifiée. Il semble discriminatif, reproductible et sans danger, mais les avis divergent toujours dans sa capacité à prédire l’apparition d’une lombalgie, de la présence d’une différence intersexuelle et de l’influence du poids corporel sur le temps de maintien. Si la participation des muscles extenseurs de hanche ne fait plus de doute, leur contribution exacte demeure inconnue. L’influence de facteurs individuels (tel que la motivation) constitue toujours un élément limitant l’interprétation des résultats. Malgré ces inconvénients, le test de Sorensen s’est imposé comme un outil de référence pour apprécier les performances musculaires du patient lombalgique et leur évolution suite à un programme de réhabilitation. [less ▲]

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See detailSpinal muscle evaluation using the Sorensen test: a critical appraisal of the literature
Demoulin, Christophe ULg; Vanderthommen, Marc ULg; Duysens, Christophe ULg et al

in Joint Bone Spine (2006), 73

The first test for evaluating the isometric endurance of trunk extensor muscles was described by Hansen in 1964. In 1984, following a study by Biering-Sorensen, this test became known as the “Sorensen ... [more ▼]

The first test for evaluating the isometric endurance of trunk extensor muscles was described by Hansen in 1964. In 1984, following a study by Biering-Sorensen, this test became known as the “Sorensen test” and gained considerable popularity as a tool reported to predict low back pain within the next year in males. The test consists in measuring the amount of time a person can hold the unsupported upper body in a horizontal prone position with the lower body fixed to the examining table. This test has been used in many studies, either in its original version or as variants. Although its discriminative validity, reproducibility, and safety seem good, debate continues to surround its ability to predict low back pain; in addition, the gender-related difference in position-holding time remains unexplained and the influence of body weight unclear. A contribution of the hip extensor muscles to position holding has been established, but its magnitude remains unknown. The influence of personal factors such as motivation complicates the interpretation of the results. Despite these drawbacks, the Sorensen test has become the tool of reference for evaluating muscle performance in patients with low back pain, most notably before and after rehabilitation programs. [less ▲]

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See detailComparison of muscle energetics during voluntary and electrically induced contractions in humans
Vanderthommen, Marc ULg; Duteil, S.; Wary, C. et al

in Rainoldi, A.; Minetto, M. A.; Merletti, R. (Eds.) Biomedical engineering in exercise and sports (2006)

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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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See detailRecommandations pour l'elaboration d'un bilan fonctionnel de base du patient lombalgique
Demoulin, Christophe ULg; Fauconnier, C.; Vanderthommen, Marc ULg et al

in Revue Médicale de Liège (2005), 60(7-8, Jul-Aug), 661-8

This article aims to recommend easy, reproducible and valid physical tests and questionnaires to allow a functional and physical assessment of sub-acute and chronic low back pain patients. We recommend ... [more ▼]

This article aims to recommend easy, reproducible and valid physical tests and questionnaires to allow a functional and physical assessment of sub-acute and chronic low back pain patients. We recommend the pain visual analogue scale, the French translation of the Roland-Morris Disability Questionnaire (EIFEL) and the Dallas questionnaire to appreciate pain intensity and its influence on patients' quality of life. Sorensen's test is recommended in order to assess trunk extensor muscles endurance. We suggest to measure pelvic and lumbar flexion mobility by means of the inclinometer technique. The test described by McQuade is recommended to assess abdominal muscles static endurance. [less ▲]

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See detailComparison of plyometric training combined with electrical stimulation versus plyometric training alone on vertical jump and sprint performance
Lehance, Cédric ULg; Vanderthommen, Marc ULg; Croisier, Jean-Louis ULg et al

in Abstract Book of the 4th International Conference on Strength Training (Serres, Greece) (2004, November)

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See detailTraitement de la lombalgie chronique : intérêts du reconditionnement physique
Vanderthommen, Marc ULg; Demoulin, Christophe ULg; charlier, M. et al

in Abstract book du Symposium FNDLK – Kinésithérapie passive ou active ? (2003, October)

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See detailDOMS : traitement ou prévention ?
Croisier, Jean-Louis ULg; Forthomme, Bénédicte ULg; Maquet, Didier ULg et al

in Actes des 4èmes Journées Belges d’Isocinétisme (2003, October)

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See detailA comparison of voluntary and electrically induced contractions by interleaved H-1- and P-31-NMRS in humans
Vanderthommen, Marc ULg; Duteil, S.; Wary, C. et al

in Journal of Applied Physiology (2003), 94(3), 1012-1024

Skeletal muscle voluntary contractions (VC) and electrical stimulations (ES) were compared in eight healthy men. High-energy phosphates and myoglobin oxygenation were simultaneously monitored in the ... [more ▼]

Skeletal muscle voluntary contractions (VC) and electrical stimulations (ES) were compared in eight healthy men. High-energy phosphates and myoglobin oxygenation were simultaneously monitored in the quadriceps by interleaved H-1- and P-31-NMR spectroscopy. For the VC protocol, subjects performed five or six bouts of 5 min with a workload increment of 10% of maximal voluntary torque (MVT) at each step. The ES protocol consisted of a 13-min exercise with a load corresponding to 10% MVT. For both protocols, exercise consisted of 6-s isometric contractions and 6-s rest cycles. For an identical mechanical level (10% MVT), ES induced larger changes than VC in the P-i-to-phosphocreatine ratio [1.38 +/- 1.14 (ES) vs. 0.13 +/- 0.04 (VC)], pH [6.69 +/- 0.11 (ES) vs. 7.04 +/- 0.07 (VC)] and myoglobin desaturation [43 +/- 15.9 (ES) vs. 6.1 +/- 4.6% (VC)]. ES activated the muscle facing the NMR coil to a greater extent than did VCs when evaluated under identical technical conditions. This metabolic pattern can be interpreted in terms of specific temporal and spatial muscle cell recruitment. Furthermore, at identical levels of energy charge, the muscle was more acidotic and cytoplasm appeared more oxygenated during ES than during VC. These results are in accordance with a preferential recruitment of type II fibers and a relative muscle hyperperfusion during ES. [less ▲]

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See detailDelayed onset muscle soreness induced by eccentric isokinetic exercise
Croisier, Jean-Louis ULg; Camus, Gérard; Forthomme, Bénédicte ULg et al

in Isokinetics & Exercise Science (2003), 11(1), 21-29

Delayed onset muscle soreness (DOMS) follows unaccustomed muscular exercise, most notably in the eccentric mode. That concept refers to a dull ache combined with tenderness, stiffness and weakness of the ... [more ▼]

Delayed onset muscle soreness (DOMS) follows unaccustomed muscular exercise, most notably in the eccentric mode. That concept refers to a dull ache combined with tenderness, stiffness and weakness of the previously active muscles. lsokinetic device constitutes a specific model in generating and investigating DOMS. Respective effects of concentric and eccentric actions have been compared, emphasizing on the variability in the response (serum activity of CK for instance). The particular sensitivity of the hamstrings was underlined although causes remained unexplained. Some treatment have been proposed in the management of DOMS. Several studies reported that anti-inflammatory agents fail to alleviate pain and discomfort even if other authors indicated a relative effectiveness. Based on the repeated-bout effect, submaximal eccentric exercise currently represent the most useful preventive strategy. [less ▲]

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See detailLe reconditionnement physique du lombalgique chronique fréquentant une école du dos : expérience au CHU-Liège
Charlier, Marie; Demoulin, Christophe ULg; Tomasella, Marco ULg et al

in Actes du First International Symposium of the Belgian Back Society (2002, December)

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See detailBlood flow variation in human muscle during electrically stimulated exercise bouts
Vanderthommen, Marc ULg; Depresseux, J. C.; Dauchat, L. et al

in Archives of Physical Medicine & Rehabilitation (2002), 83(7), 936-941

OBJECTIVES: To evaluate, with a high spatial resolution, the blood flow variations in human skeletal muscle during neuromuscular electric stimulation (NMES) and hence to gain better understanding of the ... [more ▼]

OBJECTIVES: To evaluate, with a high spatial resolution, the blood flow variations in human skeletal muscle during neuromuscular electric stimulation (NMES) and hence to gain better understanding of the mechanisms of muscle spatial recruitment during NMES. DESIGN: One thigh was submitted to 3 stimulation bouts of different durations (S1=4min, S2=8min, S3=12min) with a workload corresponding to 10% of quadriceps maximal isometric voluntary torque. SETTING: A cyclotron research center at a Belgian university. PARTICIPANTS: Ten healthy male volunteers. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Participants were studied with positron emission tomography and H(2)(15)O. Tissue blood flow was evaluated during the last 4 minutes of each stimulation bout in multiple regions of interest (ROIs) selected in the transverse section of the stimulated thigh. RESULTS: Mean tissue blood flow was significantly lower during S1 (5.9+/-1.3mL. min(-1). 100g(-1)) than during S2 (10.6+/-3.4mL. min(-1). 100g(-1)) and S3 (11.6+/-3.7mL. min(-1). 100g(-1)) (P<.05). For each ROI, an arbitrary tissue blood flow activation level of 5mLmin(-1)100g(-1) was fixed. The mean percentage of activated ROIs reached 42.4%, 62.7%, and 63.6% during S1, S2, and S3, respectively. Between S1 and S3, the newly recruited ROIs were preferentially located far from the electrode. CONCLUSION: During NMES, new muscular regions situated far from the stimulation site are recruited. These recruitment mechanisms are particular and contrast with the recruitment of motor units seen during voluntary contraction. [less ▲]

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See detailA multistage field test of wheelchair users for evaluation of fitness and prediction of peak oxygen consumption
Vanderthommen, Marc ULg; Francaux, M.; Colinet, Cédrik et al

in Journal of Rehabilitation Research & Development (2002), 39(6, Nov-Dec), 685-692

An incremental multistage field test (MFT) for wheelchair users was developed to evaluate physical fitness and predict peak oxygen consumption (VO2). Using auditory feedback, the participants (n = 37 ... [more ▼]

An incremental multistage field test (MFT) for wheelchair users was developed to evaluate physical fitness and predict peak oxygen consumption (VO2). Using auditory feedback, the participants (n = 37) were directed to wheel around an octagonal course, increasing their velocity every minute until exhaustion. Wheelchair velocity and metabolic parameters were recorded with the use of a speedometer and a portable spirometer system. The average number of exercise levels performed (MFT score) was 9.17 +/- 5.81, resulting in a peak heart rate (HR) of 99.0 +/- 13.9% of the theoretical maximum. A test-retest analysis (n = 10) showed that the MFT was reliable regarding MFT score, peak VO2, and peak HR reached. Stepwise multiple regression based on individual, wheelchair, propulsion technique, and physiological parameters revealed that the MFT score was the best and only predictor of peak VO2 (mL/min/kg) (= 18.03 + 0.78 MFT score, r(2) = 0.59). The MFT assesses wheelchair mobility and estimates peak VO2 encountered during the test. [less ▲]

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See detailHamstring muscle strain recurrence and strength performance disorders
Croisier, Jean-Louis ULg; Forthomme, Bénédicte ULg; Namurois, Marie-Hélène ULg et al

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 ▲]

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See detailElectromyostimulation en medecine du sport
Vanderthommen, Marc ULg; Crielaard, Jean-Michel ULg

in Revue Médicale de Liège (2001), 56(5), 391-5

Neuromuscular electrical stimulation (NMES) is frequently used to strengthen the normal muscle. In medicine, several investigators have highlighted the value of NMES when treating amyotrophy related to ... [more ▼]

Neuromuscular electrical stimulation (NMES) is frequently used to strengthen the normal muscle. In medicine, several investigators have highlighted the value of NMES when treating amyotrophy related to immobilization. The efficacy of NMES of the quadriceps during rehabilitation following anterior cruciate ligament surgery has been well documented. These electrical stimulation programs are composed of stimulation--rest cycles and are performed with the aid of percutaneous electrodes situated in regard to muscle motor points. The stimulation frequency is chosen to induce tetanic contractions and is generally situated between 50 and 100 Hz. During NMES, the trainer or the physiotherapist can accurately modulate a large number of parameters but the sensory discomfort linked to the current intensity remains the major limitation for strength improvement. In the context of rehabilitation, the association of NMES with voluntary exercises is superior to the isolated utilization of the classic program composed of isometric voluntary contractions. To explain this advantage of associating NMES with voluntary contractions, it has been hypothesized that the electrically induced contractions impose specific patterns of muscle recruitment and a particular metabolic solicitation. [less ▲]

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See detailValidation d'un test d'évaluation du comportement gestuel du patient lombalgique chronique
Vanderthommen, Marc ULg; Boulanger, A.S.; DEFAWEUX, Michel ULg et al

in Annales de Réadaptation et de Médecine Physique (2001), 44

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See detailL'Ecole du dos
Crielaard, Jean-Michel ULg; Henrotin, Yves ULg; DEFAWEUX, Michel ULg et al

in Bulletin d'Education du Patient à sa Maladie (2001), 20

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