References of "Croisier, Jean-Louis"
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See detailReliability of unipodal and bipodal counter movement jump landings in a recreational male population
Schwartz, Cédric ULg; Forthomme, Bénédicte ULg; Paulus, Julien ULg et al

in European Journal of Sport Science (in press)

Movement patterns during landing have been suggested to be related to injury risk. The purpose of this study was to determine the inter-session reliability of kinematic variables and ground reaction ... [more ▼]

Movement patterns during landing have been suggested to be related to injury risk. The purpose of this study was to determine the inter-session reliability of kinematic variables and ground reaction forces during landing in a population of male recreational athletes after a counter movement jump. Both unipodal and bipodal landings were evaluated. Furthermore, the possibility to improve landing reliability with a verbal instruction was also studied. Twenty- four male volunteers with no history of lower-extremity trauma were randomly assigned to two groups (with and without verbal landing instruction). An optoelectronic 3D system and force plates were used to measure the lower-limb joint angles and the ground reaction forces during landing. Intraclass correlation values show moderate to excellent inter-session reliability for the bipodal task (ICC average: 0.80, range: 0.46 to 0.97) and poor to excellent reliability for the unipodal task (ICC average: >0.75, range: 0.20 to 0.95). However, large standard errors of measurement values at the ankle joint at impact (27.6 ± 11.5°) and for the vertical ground reaction forces (394 ± 1091 N) show that some variables may not be usable in practice. The verbal instruction had a negative effect on the reliability of unipodal landing but improved the reliability of bipodal landing. These findings show that the reliability of a landing task is influenced by its motor complexity as well as the instruction given to the subject. [less ▲]

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See detailA Novel Accelerometer-Based Method for Stride Length Estimation
Boutaayamou, Mohamed ULg; Schwartz, Cédric ULg; Denoël, Vincent ULg et al

Poster (2017, July 14)

We demonstrate the feasibility of accurately and precisely estimating the left/right average stride length from measured heel/toe accelerations in the gait of healthy, old adults. Our approach relies on ... [more ▼]

We demonstrate the feasibility of accurately and precisely estimating the left/right average stride length from measured heel/toe accelerations in the gait of healthy, old adults. Our approach relies on (1) a novel method that uses only accelerometer data without the need of additional data from, e.g., gyroscopes and/or magnetometers, and on (2) the validation of the results using reference 3D optoelectronic system data. [less ▲]

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See detailHow much should you jump? Reproducibility evaluation of a 3-dimensional fatigability countermovement jump test
Paulus, Julien ULg; Schwartz, Cédric ULg; Tubez, François ULg et al

Conference (2017, July 02)

Introduction With the stop jump, the counter movement jump (CMJ) is probably the most used jump in sport. In the literature, a number of studies use the counter movement jump to explore (neuro-)muscular ... [more ▼]

Introduction With the stop jump, the counter movement jump (CMJ) is probably the most used jump in sport. In the literature, a number of studies use the counter movement jump to explore (neuro-)muscular fatigability [1-4]. However, due to the continuous [1-3] (or semi-continuous [4]) character of the test, the CMJ become drop jumps from the second one. Nevertheless, the drop jump isn't the most frequent jump type in sport. These evaluations, with (semi-)continuous jumps, don't reflect the sport reality and therefore a more effective (neuro-)muscular jumping fatigability evaluation must be validated. Methods Nineteen volleyball players (23,5 ± 3,3 years, 187,6 ± 6,6 cm, 77,5 ± 8,5 kg), with no history of (major) lower limb injury, submitted to two jumping fatigability tests, with seven days between each session, under the direction of a single researcher. The jumping fatigability tests consists of the repetition of 50 maximal CMJ at the rate of 33bpm. Between each CMJ, the subject were asked to make a full triple-extension and to wait the next auditory and visual signal of the metronome to start the hip-knee-ankle flexion. With these instructions, each jump remains a CMJ. Subjects were asked to leap as high as possible from the first to the last CMJ. The jumping height was recorder for each jump with three dimensional camera. The reproducibility was assessed by Standard Error of Measurement (SEM), Minimal Difference needed to be considered real (MD), Coefficient of Variation (CV), Pearson Correlation Coefficient (PCC) with 95% confidence interval, Effect Size Cohen (ES Cohen) with 90% confidence interval, paired Student's t-test, Intraclass Correlation Coefficient (ICC 2,1) with 95% confidence interval and Magnitude-Based Inferences (MBI). Results The results summary is available in the Table 1. In this table, only few parameters are presented and only for the partial sums of the first 10, 20, 25, 30, 40 and 50 jumps. Our analyses were based on the partial sums per interval of one jump and all statistical tests listed in "Methods" section have been considered. The partial sum with twenty-five CMJ have an excellent reproducibility (MBI with 0/99/1; ICC with 0.961 [0.902/0.985]; ES Cohen with -0.03 [-0.17/0.10]; PCC with 0.966 [0.911/0,987] and p-value < 0.0001). Moreover, it induce a great height decrease (-23%) and its duration (45.5 s) is similar to the recommendation for the knee fatigability isokinetic protocol [5]. MBI (+/trivial/-) Height decrease ICC (2,1) Test duration 10 0/100/0 -12,7% 0.967 18 s 20 0/99/1 -19,0% 0.964 36 s 25 0/99/1 -23,0% 0.961 46 s 30 0/98/1 -25,6% 0.955 55 s 40 0/98/1 -32,1% 0.950 73 s 50 0/98/2 -38,4% 0.943 91 s Table 1: reproducibility statistics results depending on the number of jumps considered (magnitude-based inferences (MBI) with percentage chances of better/trivial/worst retest vs test results; height jump decrease (last jump / better jump); ICC (2,1); test duration). Discussion Because of the (semi-)continuous character of a majority of fatigability jumping test [1-4], our test is the first, at our knowledge, to explore the reproducibility of a strict CMJ jumping fatigability task. Considering the statistical (relative and absolute) reproducibility results, twenty-five maximal CMJ seems to be the best compromise between reliability of the data and physiological interpretability of test's results. Indeed, its (relative and absolute) reproducibility is excellent and it induces a greater height decrease than shorter test while remaining similar in total duration than other fatigability tests which explore the anaerobic lactic system. References 1. Bosco et al, Eur J Appl Physiol Occup Physiol, 51(3):357-364, 1983. 2. Cormack et al., Int J Sports Physiol Perform, 3(2):131-44, 2008. 3. Dal Pupo et al., J Sci Med Sport, 17(6):650-5, 2014. 4. Meckel et al., J Strength Cond Res, 29(8):2122-7, 2015. 5. Bosquet et al., Int J Sports Med, 31(2):82-8, 2010. [less ▲]

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See detailExperimental characterisation of tape spring nonlinear compliant mechanisms
Dewalque, Florence ULg; Schwartz, Cédric ULg; Denoël, Vincent ULg et al

Conference (2017, June 29)

Tape springs are compliant mechanisms used as alternative to kinematic joints, for example, in deployable space structures. To reach a detailed understanding of their highly nonlinear behaviour, involving ... [more ▼]

Tape springs are compliant mechanisms used as alternative to kinematic joints, for example, in deployable space structures. To reach a detailed understanding of their highly nonlinear behaviour, involving buckling, the formation of folds, nonlinear vibrations and hysteresis, an experimental set-up is designed. Dynamic and quasi-static tests are performed, as well as small amplitude vibration tests and large amplitude deployments in order to collect data in a broad variety of cases. The acquisition equipment consists of a 3D motion analysis system which triangulates the position of active markers and a force plate. The reproducibility of the acquisitions is assessed and the parameters affecting the measurements are identified. In the end, a finite element model is developed and correlated with the experimental results. [less ▲]

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See detailRelevance of early stretching in overhead athletes
Schwartz, Cédric ULg; Tubez, François ULg; Croisier, Jean-Louis ULg et al

Conference (2017, June 16)

Overhead athletes often develop, over time, a tightness of the posterior structures of the shoulder, which may be associated with injuries. Ten symptomatic (with pain) and ten asymptomatic players with a ... [more ▼]

Overhead athletes often develop, over time, a tightness of the posterior structures of the shoulder, which may be associated with injuries. Ten symptomatic (with pain) and ten asymptomatic players with a tight shoulder were compared and the effect of a self-applied stretching program was evaluated. Before and after the stretching program, pain and stiffness of the shoulder were evaluated. Our results demonstrate that risk factors for shoulder pain such as glenohumeral internal rotation deficit and total range of motion deficit may only be limited in symptomatic athletes. The mobility of the shoulder was significantly improved after the stretching program for both groups. Pain was reduced when present. Because of the limited differences between the symptomatic and asymptomatic athletes, clinicians may find it advantageous to initiate early prevention or rehabilitation programs. [less ▲]

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See detailInfluence of the laboratory context and the size of the markers set on the tennis serve evaluation
Tubez, François ULg; Forthomme, Bénédicte ULg; Croisier, Jean-Louis ULg et al

Conference (2017, June 15)

The purpose of this study was to identify the influence on the tennis serve evaluation of 1/ the test environment and 2/ the number of the markers placed of the player. Two different studies were ... [more ▼]

The purpose of this study was to identify the influence on the tennis serve evaluation of 1/ the test environment and 2/ the number of the markers placed of the player. Two different studies were performed. The first compared a 4 vs. 28 marker set in a laboratory the same day. The second compared a 4 markers test in a laboratory with a 4 markers test on an official tennis court one week apart. We observed similar results between the different tests of both studies. [less ▲]

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See detailTraumatologie des sports olympiques de ballon en salle. Partie 1: le basket-ball
Kaux, Jean-François ULg; Roberjot, Mathieu; DELVAUX, François ULg et al

in Journal de Traumatologie du Sport (2017), 34(2), 108-113

Basketball, handball and volleyball are three indoor ball sports played in the Olympic Games. An important solicitation of the upper limbs is acommon characteristic of these three sports. The main ... [more ▼]

Basketball, handball and volleyball are three indoor ball sports played in the Olympic Games. An important solicitation of the upper limbs is acommon characteristic of these three sports. The main objective of this review of the literature is to analyze the types of injury occurring in thesethree indoor ball games, looking for the specific localizations and their potential causes. Each sport will be discussed in a specific publication.Basketball is a very popular sport with a growing number of participants. The intensity of the game has increased as it has become more physical,leading to an increasing number of injuries. Ankle sprain is the most common injury in basketball. Back pain, finger fracture and tendon injury(jumper’s knee) or knee injury (anterior cruciate ligament tears) are also common. The main mechanism of traumatic injury is direct contact withthe opponent (during games) but there is also an increasing number of over-solicitation injuries. The length of time players must avoid sportsactivities after injury depends on the type of injury involved. [less ▲]

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See detailHow to manage a case of ischial tuberosity avulsion fracture?
Tyberghein, Maëlle; Kaux, Jean-François ULg; GODON, Bernard ULg et al

in The Future of Football Medicine (2017, May)

Introduction Apophyseal avulsion fractures of the pelvis are common among teenage football player. Usually, they are the result of a sudden forceful concentric or eccentric contraction of the muscle ... [more ▼]

Introduction Apophyseal avulsion fractures of the pelvis are common among teenage football player. Usually, they are the result of a sudden forceful concentric or eccentric contraction of the muscle attached to the apophysis. Indeed, before ossification, the apophyseal growth cartilage is the weakest point in the musculotendinous unit, making the apophysis vulnerable to injure. Athletes most commonly affected are soccer players when they tackle or shot powerful at goal and gymnasts during floor exercises which imposed sudden and excessive lengthening. Management of these fractures remains unclear. There are no guidelines between conservative and surgical approach even if most publications recommend a surgery if the diastasis exceeds 2cm and a conservative approach on the other hand. Case report A sixteen-year-old high-level player presented at the consultation with right ischial pain. Three months earlier, while he was sprinting, he had felt acute pain opposite the ischial tuberosity which compelled him to stop the training. He had already consulted another physician, who prescribed an X-ray which revealed an avulsion fracture of the ischial tuberosity with a maximal diastasis of 1.9 cm (Fig 1.a.). According to most publications (1,3), surgery is advisable from 2 cm of diastasis. 1.9 cm was within the range between a surgical and a conservative approach, and the conservative one was applied. An isokinetic assessment was planned. It highlighted hamstring strength imbalances with bilateral difference of 31% in concentric strength and 28% in eccentric strength in comparison with the healthy side. The mixed ratio of the hamstrings in eccentric mode at 30°/s to quadriceps in concentric mode at 240°/s was decreased to 0.8, while the lower limit in our clinical practice corresponded to 0.9. The patient was not allowed to resume competition and a rehabilitation by specific and progressive strengthening in both modes of contraction was initiated; in particular the eccentric training was initially submaximal and progressively intensified. Six weeks later, isokinetic assessment was repeated and showed significant improvement of right hamstring strength, particularly for eccentric contraction. The greatest improvement was the mixed Hecc/Qconc ratio wich had increased from 0.8 to 1.44. In regard to radiology, we observed no change since the previous X-Ray (Fig 1.b.). Intensified training on the field was allowed in order to resume competition. Less than one year after the injury, the patient restarted competition successfully with performance levels which were almost the same as before the injury. Discussion Many publications have discussed the surgical versus the conservative approach to treating ischiatic avulsion. Most of the published literature advocate the relevance of surgery when the diastasis exceeds 2 cm because widely displaced fractures may lead to chronic symptomatology if the treatment remains conservative. Different criteria, such as pain relief, ability to perform in sport, gross strength, activity score, X-Rays, are used by authors to demonstrate the recovery after treatment. No study accurately measured the hamstring strength before and after treatment. However, strength imbalance, especially as regards the H/Q mixed ratio, significantly increases the risk of sustaining hamstring injury in soccer player (2). For our patient, the rehabilitation enabled him to re-establish hamstring strength in six weeks with substantial improvement of eccentric assessment. The mixed Hecc/Qconc ratio increased from 0.8 to 1.44. This improvement significantly decreased the risk of recurrence of hamstring injury. Regarding X-Ray imagery, there was no evidence of healing. We advocate that radiological assessment should not be the main recovery criterion and that specific strengthening should be started even when avulsion persists on the X-Ray. Furthermore, hamstring strength should be measured accurately and objectively, e.g. by isokinetism, to be one of the main return to play criterion in association with clinical data. [less ▲]

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See detailImpact on athletic performance of an early return to play following an ACL rupture
Duval, Thomas; LEHANCE, Cédric ULg; DANIEL, Christophe ULg et al

in The Future of Football Medicine (2017, May)

Introduction and purpose: The rupture of the anterior cross ligament (ACL) is the most frequent knee injury incurred during participation in sports and especially in football. Typically, the injured ... [more ▼]

Introduction and purpose: The rupture of the anterior cross ligament (ACL) is the most frequent knee injury incurred during participation in sports and especially in football. Typically, the injured athlete must undergo a surgical reconstruction of the ligaments followed by a lengthy rehabilitation period. However, the timeline for return to competition after this operation remains a challenge. More than one third of the athletes are unable to go back to sport performing at the same level prior to the injury. Approximately 65% of patients who experience this injury are able to return to sport at the same level. The fear of undergoing a new accident remains a major hurdle with this sporting recovery and the persistence of functional deficits is the first cause of repetitive ligament injuries. A reathletization program guided by strength and conditioning coaches results in a greatly reduces the risk of recurring injury by approximately 66% Methods: Our study involved a randomized control test. Our sample included ten subjects, five in the experimental group and five in the control group. Beginning one month post-surgery, the first group participated in weekly reathletization session beginning one week post-operation, associated with rehabilitation in classical physiotherapy, over a period of six months. The second participated solely in standard physiotherapy. Both groups were subjected to an initial isokinetic test as a base measurement to track improvement. After six months, the subjects of the two groups were evaluated using the following tools: an isokinetic test, a questionnaire of KOOS and finally a Hop tests. Results: The analysis of the isokinetic test and the questionnaire of KOOS ( p= 0.30) enabled us to note differences between the two groups using quantified values; however, the results were significant. On the other hand, the analysis of the results obtained through the functional tests showed significant differences between the two groups, highlighting the increased performance and benefit for the group participating in weekly reathletization. The experimental group displayed results in the three jump tests which indicates a greater strength and recovery. For the single hop test and the triple hop, the result is p = 0.04, and for the cross over test, the result is p = 0.02. Conclusion: In our preliminary study, the quantified values for both groups indicated a greater improvement in the performances of the experimental group reathletization. Although during the statistical analysis and especially in the isokinetic test, few elements significantly evolved to see any for the questionnaire KOOS. The preliminary analysis warrants an experiment involving a larger subject pool be completed. A reathletisation program beginning one month after operation has been found to limit the nuisances and long period of inactivities (weight increase, losses of muscular force, decrease of aerobic performances) typically experienced by those who rupture the ACL. This program has been found to be especially effective when coupled with regular physiotherapy meetings. [less ▲]

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See detailIsokinetic profil of subjects with proximal patellar tendinopathy
Croisier, Jean-Louis ULg; Roberjot, Mathieu; DELVAUX, François ULg et al

in The Future of Football Medicine (2017, May)

Introduction: Proximal patellar tendinopathy is relatively common among sportsmen, even among football players who do repetitive shooting sessions. However, the strength profile of subjects with proximal ... [more ▼]

Introduction: Proximal patellar tendinopathy is relatively common among sportsmen, even among football players who do repetitive shooting sessions. However, the strength profile of subjects with proximal patellar tendinopathies is rarely described and the isokinetic profile remains unknown. Purpose: We aimed to determine the strength profile of subjects suffering from this frequently recurrent pathology. Methods: Forty-three players (29,1±8.5 y.o.; 78.1±11.9kg; 179.3±7.2cm) with chronic proximal patellar tendinopathy confirmed by ultrasounds were recruited. Quadriceps and hamstrings muscular performances of the healthy and pathological side were measured using an isokinetic dynamometer (Cybex Norm) at the concentric speed of 60°/s (C60) and 240°/s (C240) and at the eccentric speed of 30°/s (E30 - only for hamstrings). A visual analogic scale of pain (VAS) has also been used after each isokinetic test in order to associate the level of complaints and the intensity of contractions. Results: The results (Table 1) for the isokinetic tests comparing the healthy (HS) to the pathological side (PS) are significant for the different conditions of contraction and test speeds, as for the results of the VAS associated to those tests (p<0.01). Indeed, pathological limbs had a maximum peak torque for the quadriceps at C60 and at C240 lower than healthy limbs (2.17 ± 0.68 N.m/kg vs 2.47 ± 0.55 N.m/kg, p = 0.0003 and 1.46 ± 0.42 N.m/kg vs. 1.56 ± 0.31 N.m/kg, p = 0.02, respectively); this represents a bilateral difference of 14% for C60 and 7% in C240. In E30, pathological limbs were also weaker than the healthy limbs (2.46 ± 0.91 N.m/kg vs 2.79 ± 0.96 N.m/kg, p = 0.0008) which represents a difference of 13% between healthy and pathological limbs. For the hamstrings of the pathological limbs, we observed a maximum peak torque at C60 and C240 lower than for the hamstrings of the healthy limbs (1.26 ± 0.37 N.m/kg vs. 1.37 ± 0.36 N.m/kg, p = 0.006 and 0.80 ± 0.23 N.m/kg vs 0.85 ± 0.20 N.m/kg, p = 0.04). The bilateral differences of hamstring strength were 8.7% in C60 and 6% in C240. The PS were more painful than the HS (VAS C60: 3.47 ± 2.65 vs 0.20 ± 1.05; p>0.01; VAS C240: 2.83 ± 2.47 vs. 0.68 ± 0.10; p>0.01; VAS E30: 5,26 ± 2.78 vs 0.58 ± 1.93; p>0.01). The difference of pain can be seen especially in eccentric mode. This observation suggest that isokinetic tests, beyond the measure of strength, could represent a pain provocation test, even with a possible pronostic value for the efficacy of treatment. Conclusions: In our study, the isokinetic results of patients with proximal patellar tendinopathy showed a significant difference in strength profile between the HS and the PS as well as VAS associated with each tests. However, the diversity of outcomes recorded in our population suggests that an individualized rehabilitation treatment is probably more relevant than a common protocol for the healing of this tendon pathology. Isokinetic tests can also represent a tool for assessment of treatment planning. Finally, it would seem that isokinetic tests in the eccentric mode on the quadriceps can be a pain assessment tool for the pathological tendon. [less ▲]

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See detailEccentric training for tendon healing after lesion: a rat model
Kaux, Jean-François ULg; Libertiaux, Vincent ULg; Leprince, Pierre ULg et al

in American Journal of Sports Medicine (2017), 45(6), 1440-1446

BACKGROUND:The tendon is a dynamic entity that remodels permanently. Platelet-rich plasma (PRP) injection has been shown to have a beneficial effect on tendon healing after lesion in rats. Furthermore ... [more ▼]

BACKGROUND:The tendon is a dynamic entity that remodels permanently. Platelet-rich plasma (PRP) injection has been shown to have a beneficial effect on tendon healing after lesion in rats. Furthermore, eccentric exercise seems to improve the mechanical quality of the tendon. HYPOTHESIS:A combination of PRP injection and eccentric training might be more effective than either treatment alone. STUDY DESIGN:Controlled laboratory study. METHODS:Adult male rats were anesthetized, an incision was performed in the middle of their left patellar tendon and an injection of physiological fluid (PF) or homologous PRP was randomly made at the lesion level. The rats were then divided into 2 groups: the eccentric group, undergoing eccentric training 3 times a week, and the untrained group, without any training. Thus, 4 groups were compared. After 5 weeks, the tendons were removed and their ultimate tensile strength and energy were measured. Tendons were frozen for proteomic analyses when all biomechanical tests were completed. Statistical analysis was performed with linear mixed effect models. RESULTS:No significant difference was found between the treatments using PF injection or PRP injection alone. However, the value of the ultimate tensile force at rupture was increased by 4.5 N (108% of control, P = .006) when eccentric training was performed. An intragroup analysis revealed that eccentric training significantly improved the ultimate force values for the PRP group. Proteomic analysis revealed that eccentric training led to an increase in abundance of several cytoskeletal proteins in the PF group, while a decrease in abundance of enzymes of the glycolytic pathway occurred in the PRP treated groups, indicating that this treatment might redirect the exercise-driven metabolic plasticity of the tendon. CONCLUSION: Eccentric training altered the metabolic plasticity of tendon and led to an improvement of injured tendon resistance regardless of the treatment injected (PF or PRP). CLINICAL RELEVANCE:This study demonstrates the necessity of eccentric rehabilitation and training in cases of tendon lesion regardless of the treatment carried out. [less ▲]

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See detailAmbulatory System for Gait Analysis
Boutaayamou, Mohamed ULg; Bruls, Olivier ULg; Croisier, Jean-Louis ULg et al

Conference (2017, April 29)

We describe the principle and use of a wireless, 3-axis accelerometer-based ambulatory system that records acceleration signals and automatically analyses them to characterize normal and pathological gait ... [more ▼]

We describe the principle and use of a wireless, 3-axis accelerometer-based ambulatory system that records acceleration signals and automatically analyses them to characterize normal and pathological gait. The associated algorithm is versatile enough to detect, on a stride-by-stride basis, refined gait parameters that quantify subtle gait disturbances in, e.g., in Parkinson’s disease in a rater-independent way. The experimental results show the potential of the developed accelerometer-based technique to be used in neurology (e.g., characterization of Parkinsonian gait: slowness, shuffling, short steps, freezing of gait, asymmetries in gait), rehabilitation, geriatrics (ex. monitoring activity parameters in the elderly), orthopedics and sport. [less ▲]

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See detailMotion analysis: a prevention tool
Schwartz, Cédric ULg; CROISIER, Jean-Louis ULg; Forthomme, Bénédicte ULg et al

Conference (2017, April 28)

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See detailPrevalence of sarcopenia accoring to 10 different operational definitions of the frailty.
Buckinx, Fanny ULg; Reginster, Jean-Yves ULg; Beaudart, Charlotte ULg et al

in Osteoporosis International (2017, March), 28 Suppl 1

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See detailSarcopenia in nursing home residents: the senior cohort.
Buckinx, Fanny ULg; Reginster, Jean-Yves ULg; Beaudart, Charlotte ULg et al

in Osteoporosis International (2017, March), 28 Suppl 1

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See detailFactors to be considered to perform a kinematic evaluation of the tennis serve
Tubez, François ULg; Forthomme, Bénédicte ULg; Croisier, Jean-Louis ULg et al

in Journal of Medecine and Science in Tennis (2017), 22

With the 2D video cameras and later the appearance of 3D measurement methods, the tennis serve has been increasingly studied. In order to improve the biomechanical evaluation of the tennis serve. Our goal ... [more ▼]

With the 2D video cameras and later the appearance of 3D measurement methods, the tennis serve has been increasingly studied. In order to improve the biomechanical evaluation of the tennis serve. Our goal is to provide a comprehensive view of the major factors of an evaluation protocol. [less ▲]

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