References of "CRIELAARD, Jean-Michel"
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See detailUsing platelet-rich plasma to treat jumper's knees: Exploring the effect of a second closely-timed infiltration
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; Forthomme, Bénédicte ULg et al

in Journal of Science and Medicine in Sport (in press)

Some clinical series have evaluated the effect of platelet-rich plasma (PRP) in the treatment of proximal patellar tendinopathy. Although it is possible that a single infiltrative administration may prove ... [more ▼]

Some clinical series have evaluated the effect of platelet-rich plasma (PRP) in the treatment of proximal patellar tendinopathy. Although it is possible that a single infiltrative administration may prove to be an effective treatment for this indication, most of the existing studies evaluated the effects of two or three successive infiltrations. The aim of this study was to evaluate whether two infiltrations of PRP proves more effective than a single treatment. DESIGN: Prospective, randomized and comparative study of level 2. METHODS: Twenty patients suffering from chronic proximal patellar tendinopathy were enrolled into the study and split into two randomized groups (one or two infiltrations of PRP, respectively). The 3-month follow-up evaluation consisted of VAS, IKDC and VISA-P scores, along with algometer, isokinetic and ultrasounds evaluations. After 1 year, subjects were contacted to define their functional evolution. RESULTS: The concentration of the PRP used for each infiltration was similar in both groups, and contained no red or white cells. Results revealed no difference in treatment efficacy between the groups. CONCLUSIONS: The comparison between one or two infiltrations of PRP did not reveal any difference between the two groups at short to mid term. A second closely-timed infiltration of PRP to treat proximal patellar tendinopathies is not necessary to improve the efficacy of this treatment in the short term. [less ▲]

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See detailLe point sur l’évaluation de la force des muscles respiratoires
Kellens, Isabelle ULg; Crielaard, Jean-Michel ULg

in Revue Médicale de Liège (in press)

The strength of respiratory muscles is crucial for quality of life, especially for patients with lung or neurological disorders. Several methods can be used to assess them: i.e direct or indirect ... [more ▼]

The strength of respiratory muscles is crucial for quality of life, especially for patients with lung or neurological disorders. Several methods can be used to assess them: i.e direct or indirect, voluntary or involuntary. The conventional spirometry method assesses indirectly the respiratory function by measuring maximum inspiratory and expiratory pressure, which reflects the coordination of all respiratory muscles. Techniques of magnetic and electrical stimulation can detect a specific muscle dysfunction, independently of the patient's motivation, however they are invasive methods as measurements are made in the esophagus and stomach. The voluntary techniques are generally non-invasive and require patient's cooperation. Measures of respiratory muscle strength, coupled to a conventional spirometry, can predict the development of ventilatory support in patients at risk, and may be useful during weaning from mechanical ventilation in intensive care units. [less ▲]

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See detailQualités métrologiques de la version courte du Neurophysiology of Pain Questionnaire
Demoulin, Christophe ULg; Brasseur, P.; Roussel, N. et al

in Revue du Rhumatisme (2015, December), 82S

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See detailCroyances de la population générale au sujet des manipulations vertébrales
Demoulin, Christophe ULg; Baeri, D.; TOUSSAINT, Geoffrey ULg et al

in Revue du Rhumatisme (2015, December), 82S

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See detailTrunk muscle profile in elite tennis players with and without low back pain
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Souchet, Matthieu et al

in Journal of Sports Medicine & Physical Fitness (2015), 55(11), 1354-1362

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See detailPièges à considérer lors de l’évaluation isocinétique
Croisier, Jean-Louis ULg; Kaux, Jean-François ULg; Crielaard, Jean-Michel ULg et al

in Abstract book des XVIIèmes RENCONTRES ISOCINETIQUES DE MEDIMEX (2015, November)

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See detailEvaluation isocinétique de la fatigabilité musculaire du genou: qu'en est-il de la reproductibilité intra-dynamomètre et de la compatibilité inter-dynamomètre?
Paulus, Julien ULg; Krecke, Roland; Bosquet, Laurent et al

Poster (2015, October 26)

Abstract Certains aspects de l'isocinétisme, bien que considéré comme un gold standard de l'évaluation musculaire [1], restent à explorer: entre autre la reproductibilité intra-dynamomètre des index de ... [more ▼]

Abstract Certains aspects de l'isocinétisme, bien que considéré comme un gold standard de l'évaluation musculaire [1], restent à explorer: entre autre la reproductibilité intra-dynamomètre des index de fatigue (quotient des n dernières répétitions par les x premières par exemple) et des paramètres mesurés lors d'une épreuve de fatigabilité musculaire pour le genou mais également la compatibilité inter-dynamomètre de cette même épreuve de résistance à la fatigue. Après étude via à un test-retest, la reproductibilité des index de fatigue semble très insuffisante pour une utilisation clinique ou scientifique, au contraire des paramètres mesurés. De plus, après exploration via la réalisation du protocole sur trois modèles différents, il apparait que la reproductibilité insuffisante des fléchisseurs du genou ne permettrait pas de comparer les résultats obtenus sur différents dynamomètres. Introduction Les tests isocinétiques contribuent largement à l'évaluation de la performance musculaire et en sont considérés comme un gold standard [1]. Les tests de fatigabilité peuvent s'avérer complémentaires des épreuves courtes de force notamment pour évaluer un athlète sollicitant particulièrement la filière anaérobie lactique ou dans des contextes pathologiques spécifiques [2]. Bien que Bosquet et al. [3] aient démontré la reproductibilité d'un protocole de fatigabilité pour le genou, 30 flexions-extensions maximales à 180°.s-1 avec une amplitude de 100°, à notre connaissance, aucune étude, ayant pour objectif d'être exhaustive dans son analyse, n'a été menée sur la reproductibilité des paramètres mesurés (meilleure répétition, cumuls total et partiels) et index de fatigue (quotient des n dernières répétitions par les x premières, du cumul des répétitions par la meilleure,…) bien qu'ils soient proposés directement par les dynamomètres et/ou utilisés en clinique et dans la littérature lors de l'étude de la fatigabilité du genou [4]. Sont-ils suffisamment reproductibles pour que leur utilisation soit scientifiquement validée? La compatibilité des résultats d'une épreuve de fatigabilité du genou entre différents dynamomètres isocinétiques n'a également, à notre connaissance, pas été évaluée récemment, qui plus est sur plus de deux dynamomètres de marques différentes [5]. Est-il envisageable de comparer les résultats obtenus sur des dynamomètres de marques différentes et de généraliser les normes? Méthodes Pour tenter d'apporter un élément de réponse à la première question, dix-huit hommes sains, modérément actifs, ont réalisé trente extensions-flexions maximales du genou à trois occasions sur un Biodex System 3 Pro, en observant sept à dix jours de repos entre chaque session. Afin de compiler onze paramètres mesurés et de construire quarante-quatre index, le moment de force maximum (MFM) et le travail maximal (Wmax) de chaque répétition ont été enregistrés. La reproductibilité de chaque paramètre et index a été évaluée via leur ICC (2,1), SEM et MD respectifs. Pour évaluer la compatibilité inter-dynamomètre du Biodex System 3 Pro, du Con-Trex MJ PM-2 et du Cybex Humac CSMI, vingt-et-un sujets sains, modérément actifs, ont réalisé trente extensions-flexions maximales du genou à trois occasions, en observant six à dix jours de repos entre chaque session. Le MFM et le Wmax de chaque répétition ont été enregistrés. La compatibilité inter-dynamomètre deux-à-deux a été évaluée à l'aide des ICC (3,1), SEM et MD des paramètres mesurés.   Résultats En ce qui concerne la reproductibilité intra-dynamomètre, les valeurs d'ICC des paramètres mesurés pour les extenseurs du genou sont quasi-systématiquement supérieures à 0.8 tandis que celles pour les fléchisseurs oscillent entre 0.7 et 0.8. Les index de fatigue présentent quant à eux des ICC inférieurs à 0.7 et 0.5 respectivement pour les extenseurs et fléchisseurs. Les valeurs d'ICC ne diffèrent guère entre le MFM et le Wmax (que ce soit pour les extenseurs ou les fléchisseurs ou pour les paramètres mesurés et les index de fatigue). Pour le volet compatibilité inter-dynamomètre, les ICC des paramètres mesurés lors de l'épreuve de fatigabilité musculaire des extenseurs du genou sont très majoritairement supérieurs à 0.8, quelle que soit la paire de dynamomètres considérée. A contrario, les ICC de ces mêmes paramètres mesurés sont presque tous inférieurs à 0.7 pour les fléchisseurs. Les valeurs d'ICC ne diffèrent guère entre le MFM et le Wmax (que ce soit pour les extenseurs ou les fléchisseurs). Logiquement, la compatibilité inter-dynamométrique des index de fatigue n'a pas été étudiée puisque leur reproductibilité intra-dynamomètre a été démontrée comme insuffisante dans la première partie de notre étude. Discussion Considérant qu'un ICC supérieur à 0.8 soit acceptable pour une utilisation clinique [6], nous pouvons conclure que, compte tenu des valeurs obtenues sur notre population, aucun index de fatigue, bien que séduisant compte tenu de leur capacité théorique à caractériser la décroissance de la performance lors d'une épreuve de fatigabilité, ne semble présenter une reproductibilité intra-dynamométrique suffisante pour une utilisation clinique ou de recherche. Seuls les paramètres mesurés tels que la meilleure répétition, les cumuls total ou partiels apparaissent utilisables, en clinique et dans un contexte de recherche, en raison d'une reproductibilité intra-dynamométrique qui peut être qualifiée de (très) haute voire excellente [7, 8]. Des index de fatigue sont donc fréquemment utilisés alors que leur reproductibilité semble très largement insuffisante. La reproductibilité inter-dynamomètre des paramètres mesurés du protocole de fatigue défini par Bosquet et al. [3] permet leur utilisation clinique pour les extenseurs du genou mais est très insuffisante pour les fléchisseurs. Il apparaît donc nécessaire de réaliser les tests à chaque reprise sur le même dynamomètre dans le cadre de suivis longitudinaux ou des comparaisons transversales impliquant les fléchisseurs du genou. Ce manque de compatibilité inter-dynamomètre implique également que les normes soient spécifiques à chaque modèle de dynamomètre isocinétique. Conclusion Nos résultats indiquent que les index de fatigue ne peuvent être utilisés que ce soit dans un contexte clinique ou de recherche pour l'évaluation isocinétique du genou. Seuls les paramètres mesurés sont suffisamment reproductibles pour être employés. Le manque de compatibilité inter-dynamomètre pour les fléchisseurs du genou impliquent d'utiliser le même dynamomètre isocinétique lors de suivis longitudinaux ou de comparaisons transversales. [less ▲]

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See detailEvaluation isocinétique du genou: quelle est la compatibilité entre différents dynamomètres?
Paulus, Julien ULg; Crielaard, Jean-Michel ULg; Croisier, Jean-Louis ULg et al

Conference (2015, October 10)

Objective The aim of this study was to assess the compatibility between dynamometer Biodex System 3 Pro, Con-Trex MJ PM-2 and Cybex Humac CSMI of knee extensors and flexors. Material & method Twenty-one ... [more ▼]

Objective The aim of this study was to assess the compatibility between dynamometer Biodex System 3 Pro, Con-Trex MJ PM-2 and Cybex Humac CSMI of knee extensors and flexors. Material & method Twenty-one subjects, moderately active, performed three isokinetic evaluation sessions with six to ten days of rest between each. Each of it, performed on a dynamometer in accordance with a different randomized order, included a concentric evaluation (60°.s-1 & 240°.s-1), eccentric (30°.s-1) and fatigue-resistance protocol (30 concentric repetitions maximum 180°.s-1) for the knee extensors and flexors. The peak torque (PT) and the maximal work (MW) of each repetition were recorded, as well as concentric and mixed agonists/antagonists ratios, to measure the compatibility inter-dynamometer two by two through their respective ICC (3.1), SEM and MD. Results For the short maximal strength test, ICC values for the extensors are almost always higher than 0.85 in concentric mode although they don't exceed 0.61 in eccentric mode. The ICC values for the flexor in slow concentric and eccentric mode are above 0.7, 0.75 and 0.8 for pairs Biodex/Cybex, Biodex/Con-Trex and Cybex/Con-Trex. None of ICC value exceeds 0.75 in fast concentric mode for the flexors. The ratios have ICC values lower than 0.6 except concentric ratio at 60°.s-1 for the pair Cybex/Con-Trex (0.83) and mixed ratio for the pairs Biodex/Cybex (0.73) and Cybex/Con-Trex (0.77). The ICC values of the parameters measured during the extensors fatigue-resistance protocol are mostly above 0.8 regardless of the pair of dynamometers considered. The ICC values of these parameters for the flexors are almost all lower than 0.7. Discussion Although the reproducibility of extensors in concentric mode is high, it's important to inform users, whether in clinical or scientific domain, that different dynamometers provide regular incompatible results and we draw attention to the little reproducibility of the agonist/antagonist ratios. Our results justify the establishment of norms for each dynamometers brand in order to interpret, with relevance, the isokinetic test, either for short maximal strength evaluation or fatigue-resistance protocol. [less ▲]

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See detailCross-Cultural Adaptation And Validation Of The VISA-A Questionnaire In French
Kaux, Jean-François ULg; DELVAUX, François ULg; Oppong-Kyei, Julian et al

Poster (2015, October 08)

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See detailVISA-PF: A Cross-Cultural Adaptation And Validation Of The VISA-P Questionnaire In French
Kaux, Jean-François ULg; Delvaux, François ULg; Oppong-Kyei, Julian et al

Poster (2015, October 08)

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See detailNouveaux traitements conservateurs des tendinopathies chroniques
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; Forthomme, Bénédicte ULg et al

in Revue Médicale de Liège (2015), 70(10), 507-510

The pathophysiological mechanisms of tendinopathies integrate various intrinsic and extrinsic factors. Classic «passive» therapeutics have a limited action. Because of a better pathophysiological ... [more ▼]

The pathophysiological mechanisms of tendinopathies integrate various intrinsic and extrinsic factors. Classic «passive» therapeutics have a limited action. Because of a better pathophysiological understanding of tendinopathies, more recent treatments (injections of various compounds, infiltrations of platelet-rich plasma, stem cells) would lead to a longterm healing. In case of failure of conservative managements and depending on the anatomical site, a surgical approach may be considered. [less ▲]

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See detailPsychological benefits of a multidisciplinary rehabilitation program after breast cancer
Leclerc, Anne-France ULg; FOIDART-DESSALLE, Marguerite ULg; Bury, Thierry ULg et al

Conference (2015, September 27)

Background : Breast cancer is the most frequent cancer in women, affecting 8 women out of 100. With early detection and improved treatments, the number of deaths linked to this disease has declined ... [more ▼]

Background : Breast cancer is the most frequent cancer in women, affecting 8 women out of 100. With early detection and improved treatments, the number of deaths linked to this disease has declined. However, the disease and its treatments are at the origin of many undesirable side effects such as fatigue, anxiety, weight gain and sleep disorders. The objective of this study is to determine the psychological benefits of a multidisciplinary rehabilitation program among women treated for breast cancer (on average six months after the end of the adjuvant radiotherapy or chimiotherapy). Material and methods : 122 patients were included into a control group (n = 61) and a treated group (n = 61). All participants were submitted to evaluations before the beginning of the trial and after three months. These evaluations included different questionnaires exploring the quality of life, anxiety, depression and various functions and other symptoms related to cancer (EORTC QLQ-C30, EQ-5D, STAI, HADS) and functional assessments. The control group has received no intervention unlike the treated group that received a three-month rehabilitation including supervised physical training (90 min) with three times a week and various psycho-educational sessions (120 min) once a week. Results : After three months, the health status (quality of life) (p < 0,0001), the functional role (p = 0,031), emotional state (p < 0,0001) and physical (p = 0,0045), cognitive (p = 0,0027) and social functions (p = 0,0018) improve significantly in the treated group. This observation also applies to symptoms of fatigue (p < 0,0001), insomnia (p < 0,0001), pain (p = 0,002), dyspnea (p = 0,009), loss of appetite (p = 0,04), anxiety (p < 0,0001) and depression (p < 0,0001) as well as physical parameters obtained through functional assessments. In the control group, these improvements do not appear. Conclusions : This study shows the feasibility and psychological benefits of such a multidisciplinary oncological rehabilitation program in women after their treatments for breast cancer. Additional studies are needed to know the optimal time of beginning (during treatments or after them) and the optimal management time for this support. [less ▲]

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See detailPhysical benefits of a multidisciplinary rehabilitation program after breast cancer
Leclerc, Anne-France ULg; FOIDART-DESSALLE, Marguerite ULg; Bury, Thierry ULg et al

Poster (2015, September 26)

Background : Breast cancer is the most frequent cancer in women, affecting 8 women out of 100. With early detection and improved treatments, the number of deaths linked to this disease has declined ... [more ▼]

Background : Breast cancer is the most frequent cancer in women, affecting 8 women out of 100. With early detection and improved treatments, the number of deaths linked to this disease has declined. However, the disease and its treatments are at the origin of many undesirable side effects such as fatigue, anxiety, weight gain and decreased physical fitness. The objective of this study is to determine the physical benefits of a multidisciplinary rehabilitation program among women treated for breast cancer (on average six months after the end of the adjuvant radiotherapy or chimiotherapy). Material and methods : 122 patients were included into a control group (n = 61) and a treated group (n = 61). All participants were submitted to evaluations before the beginning of the trial and after three months. These evaluations included functional assessments (a maximal incremental exercise protocol on a cycle ergometer, flexibility by Sit and Reach Test and walking distance by Six-Minute Walk Test), anthropometric and body composition measurements (Body Mass Index and body fat percentage) and different questionnaires on quality of life, anxiety and other symptoms related to cancer. The control group has received no intervention unlike the treated group that received a three-month rehabilitation including supervised physical training (90 min) with three times a week and various psycho-educational sessions (120 min) once a week. Results : After three months, maximal oxygen consumption (p < 0,0001), maximal aerobic power (p < 0,0001), peak of ventilation (p < 0,0001) and time to exhaustion (p = 0,0055) during the maximal incremental exercise protocol improve significantly in the treated group. This observation also applies to flexibility (p < 0,0001), walking distance in six minutes (p < 0,0001) and different physical and psychological parameters obtained through questionnaires. In the control group, these improvements do not appear and a significant increase in body mass index (p = 0,032) and body fat percentage (p = 0,034) is observed while these data remain constant in the treated group. Conclusions : This study shows the feasibility and physical benefits of such a multidisciplinary oncological rehabilitation program in women after their treatments for breast cancer. Additional studies are needed to know the optimal time of beginning (during treatments or after them) and the optimal management time for this support. [less ▲]

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See detailEFFECT OF TRUNK MOTOR CONTROL TRAINING IN ELITE SOCCER PLAYERS WITH LOW BACK PAIN
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Rodriguez de la Cruz, Carlos ULg et al

Poster (2015, September 18)

Background and aims: The purpose of this study was to examine the effect of a motor control training program on the lumbopelvic motor control (LMC) in elite soccer players with a history of low back pain ... [more ▼]

Background and aims: The purpose of this study was to examine the effect of a motor control training program on the lumbopelvic motor control (LMC) in elite soccer players with a history of low back pain (LBP). Methods: Twenty-four male elite soccer players (mean age of 18.3 years) filled in questionnaires related to LBP and were divided into two groups: 12 players with a history of LBP (LBP group) and 12 players without a history of LBP (no LBP group). Then, they performed five LMC tests [the Bent Knee Fall Out test (BKFO), the Knee Lift Abdominal Test (KLAT), the Sitting Knee Extension Test (SKET), the Waiter’s Bow (WB) and the test of the transversus abdominis (TrA)] which were conducted and scored (0=failed, 1=correct) by a physiotherapist, blinded to the medical history of the participants. The total LMC score (ranging from 0 to 5) was calculated by adding the score at each test. During the following 10 weeks, the no LBP group conducted a soccer training as usual while LBP group performed an additional specific core stability program (1h/week). Results: At baseline, the participants of the LBP group had a worse LMC than the no LBP group (mean LMC score of 1.1 vs 3.1, p<0.01). The between-groups difference was particularly marked for the BKFO (p<0.01), KLAT (p<0.01) and SKET (p<0.05) tests. At the end of the intervention program, the LMC score of the players with a history of LBP increased significantly (p<0.0001) and was similar to the score of the players without a history of LBP (mean LMC score of 3.2 vs 3.3, p=1.00). Conclusions: LMC can be decreased in elite active soccer players with a history of LBP. Specific core stability program is effective to improve LMC in these players. [less ▲]

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See detailLumbopelvic motor control and low back pain in elite soccer players: a cross-sectional study
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Rodriguez de la Cruz, Carlos ULg et al

in Journal of Sports Sciences (2015)

This study aimed to investigate the relationship between the history of low back pain and quality of lumbopelvic motor control in soccer players. Forty-three male elite soccer players (mean age, 18.2 ± 1 ... [more ▼]

This study aimed to investigate the relationship between the history of low back pain and quality of lumbopelvic motor control in soccer players. Forty-three male elite soccer players (mean age, 18.2 ± 1.4 years) filled in questionnaires related to low back pain and attended a session to assess lumbopelvic motor control by means of five tests (the bent knee fall out test, the knee lift abdominal test, the sitting knee extension test, the waiter ’ s bow and the transversus abdominis test). A physiotherapist, blinded to the medical history of the participants, scored (0 = failed, 1 = correct) the performance of the players for each of the tests resulting in a lumbopelvic motor control score ranging from 0 to 5. Forty-seven per cent of the soccer players reported a disabling low back pain episode lasting at least two consecutive days in the previous year. These players scored worse lumbopelvic motor control than players without a history of low back pain (lumbopelvic motor control score of 1.8 vs. 3.3, P < 0.01). The between-groups difference was particularly marked for the bent knee fall out test, the knee lift abdominal test and the transversus abdominis test (P < 0.01). In conclusion, most soccer players with a history of low back pain had an altered lumbopelvic motor control. Further research should examine whether lumbopelvic motor control is etiologically involved in low back pain episodes in soccer players. [less ▲]

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