References of "Kaux, Jean-François"
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See detailMédecine & sport de haut niveau
Kaux, Jean-François ULg

in Sport et Médecine : droit au but (2014, May 15)

L’engouement pour les activités sportives demeure croissant auprès du grand public grâce à toute une série d’activités sportives novatrices (Zumba, Kaerobic, etc…) et de programmes de remise en forme ... [more ▼]

L’engouement pour les activités sportives demeure croissant auprès du grand public grâce à toute une série d’activités sportives novatrices (Zumba, Kaerobic, etc…) et de programmes de remise en forme (« Je cours pour ma forme », etc…), bénéfiques pour la santé. Cependant, les sportifs de haut niveau, professionnels ou non, valides ou handicapés, représentant l’excellence sportive, reconnus par le code et la charte du sport de haut niveau, ne représentent qu’une infime partie de la totalité des sportifs. Le sport de haut niveau repose sur des critères bien établis: la reconnaissance du caractère de haut niveau des disciplines sportives ; les compétitions de références (jeux olympiques, championnats d’Europe et du Monde…) ; la liste des sportifs de haut niveau ; les filières d’accès au sport de haut niveau. Les sportifs pratiquant au meilleur niveau bénéficient généralement de prédispositions physiques, adéquates au sport pratiqué. Cependant, sans entrainement spécifique (au sport pratiqué), ils ne pourraient pas atteindre ce niveau. Le médecin, travaillant dans l’ombre de ces sportifs, est là pour veiller sur leur santé, développer des stratégies de prévention lésionnelle et les soigner en cas de nécessité. Même s’il a la possibilité de superviser médicalement les compétitions sportives « en première loge », il est également souvent sous la pression arbitrale, des médias, des coaches, des présidents, des sportifs eux-mêmes… Au cours de sa carrière, le sportif risque de se blesser plus ou moins gravement, et se voit obligé de quitter la compétition pour laquelle il s’est préparé durant de nombreuses semaines voire des mois ou des années… Dans ce cas, il sera pris en charge par toute une équipe (kiné, chirurgien, préparateur physique, psychologue…) travaillant en synergie afin de le rétablir au plus vite et de retrouver son plus haut niveau. Avant le retour en compétition, une réathlétisation demeure indispensable. Celle-ci correspond à la reprise d’activité physique, comprenant : toute la phase de réadaptation à l’exercice la phase de transition entre les soins et la reprise de l’entraînement. Il s’agit d’un processus nécessaire à la prévention des blessures et à l’adaptation de l’organisme à un programme d’entraînement poussé. Cependant, il se peut que cette période de l’entraînement soit négligée en raison d’un manque de temps en vue d’un objectif trop proche, majorant le risque de récidive ou de nouvelle blessure. Le sportif de haut niveau se doit de garder une hygiène de vie parfaite, en ayant une alimentation équilibrée, et dénuée de toxique (alcool, drogue…) et en respectant des périodes de repos nécessaires entre les différentes phases d’activité physique. De plus, afin d’améliorer ses performances sportives, la préparation physique (endurance, résistance, force musculaire, souplesse…) et l’entrainement spécifique à chaque sport (technique, tactique, adresse et précision…) demeurent indispensables. Dès lors, la tentation de les améliorer artificiellement existe. En effet, le dopage consiste à absorber des substances ou à utiliser des actes médicaux afin d’augmenter artificiellement ses capacités physiques et/ou mentales. Or, l’utilisation de tout médicament devrait être limitée à des indications médicalement justifiées. Le code mondial anti-dopage est régit par l’Agence Mondiale Antidopage (AMA / WADA ; www.wada-ama.org ou www.dopage.be) et la liste des produits dopants est revue chaque année. [less ▲]

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See detailTendinopathies chroniques et Plasma Riche en Plaquettes
KAUX, Jean-François ULg; Drion, Pierre ULg; Croisier, Jean-Louis ULg et al

in Revue Médicale de Liège (2014)

Platelets contain growth factors released during their degranulation following activation. These growth factors promote tissue remodeling, wound healing and angiogenesis. Currently, the clinical effect of ... [more ▼]

Platelets contain growth factors released during their degranulation following activation. These growth factors promote tissue remodeling, wound healing and angiogenesis. Currently, the clinical effect of Platelet-Rich Plasma (PRP) is still discussed or even controversial. Our researches have evaluated the effectiveness of PRP on the healing of animal tendons and human suffering from chronic jumper's knee. [less ▲]

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See detailEccentric training for elbow hypermobility
Kaux, Jean-François ULg; Delvaux, François ULg; Forthomme, Bénédicte ULg et al

in British Journal of Sports Medicine (2014, April), 48(7), 154

Background: Patients with hypermobility suffer from joints problems and chronic pain is the most frequently reported symptom. Objective: Eccentric muscle strengthening could be very important to protect ... [more ▼]

Background: Patients with hypermobility suffer from joints problems and chronic pain is the most frequently reported symptom. Objective: Eccentric muscle strengthening could be very important to protect hypermobile joints. Design: Case report. Patient: A girl (16 y.o.) affected by an Ehler-Danlos syndrome presented pain in the right elbow and the right wrist after a season of tennis. Interventions: Her training consisted of wrist prono-supination and flexion-extension muscle group reinforcement and proprioceptive training. To protect the wrist against excessive load, the eccentric strengthening exercises of prono-supinator and flexor-extensor muscles of elbow and wrist were undertaken gradually, at increasing speeds within a limited range of motion in flexion and extension, on an isokinetic device after an evaluation. She was also given an orthesis restricting the joint range of motion of the wrist. Main outcome measurements: The evaluation was made by isokinetic evaluation, visual analog scale and MOS-SF36 questionnaire before and after training. Results: The patient rapidly noted a decrease in pain and an increase in the stability of her right arm even when playing tennis. Isokinetic evaluation objectified a significant improvement in maximal torque in flexion-extension muscles of the right elbow. She was also given individualized home exercises. Conclusions: The goal of this eccentric training is to avoid hypermobility by using the muscles as a protective brake in the control of joint positioning. Muscles can be reinforced in eccentric mode with starting position at the maximum length of these muscles when unstreched. The exercises can be carried out safely on an isokinetic device, at slow speed and limited range of joint motion to avoid risk of luxation. Thus, in this case report, the eccentric exercises using an isokinetic device were effective to safely reinforce the muscles as a protective brake for joint hypermobility and prevent pain during practicing tennis. [less ▲]

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See detailEccentric training improves tendon biomechanical properties: a rat model
Kaux, Jean-François ULg; Drion, Pierre ULg; Libertiaux, Vincent et al

in British Journal of Sports Medicine (2014, April), 48(7), 155

Background: Even if eccentric exercises appear favourable in primary prevention of tendons lesions and, especially, in secondary prevention after tendinopathy, the biomechanical changes to the tissue are ... [more ▼]

Background: Even if eccentric exercises appear favourable in primary prevention of tendons lesions and, especially, in secondary prevention after tendinopathy, the biomechanical changes to the tissue are not yet clear. Objective: We aimed to better define the biomechanical changes that affect healthy tendon after eccentric and concentric training. Design: Randomised controlled trial. Participants: Eighteen Sprague-Dawley rats of 2 months. Interventions: The six rats in the control group (U) were not subjected to physical exercise. The 12 remaining rats (6 in each group) ran on a treadmill set at a +15° incline for concentric training (C) or a -15° incline for eccentric training (E), at a speed of 17 m/min for 1 h, three times per week for 5 weeks. Main Outcome Measurements: The tricipital, patellar and Achilles tendons were subsequently removed to perform a traction test until rupture, and a histological analysis was performed. Results: There was a significant improvement in the rupture force of the patellar and tricipital tendons between the U and E groups. The tricipital tendons in the control group presented a significantly smaller cross-section than the E- and C-trained groups, but none between E and C groups. No significant difference was observed for the mechanical stress at rupture per surface unit between the three groups for all three tendons. However, a tendency towards improvement these values was observed between the trained and the U groups for the patellar tendon. Histological studies demonstrated the tendency of the development of a greater number of blood vessels and a larger quantity of collagen in the eccentric group. Conclusions: The mechanical properties of tendons in rats improve after specific training, especially following eccentric training. Our results partly explained how mechanical loading, especially in eccentric mode, could improve the tendon structure. [less ▲]

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See detailPRP and tendinopathy, from in vitro to clinical trials
Kaux, Jean-François ULg

Conference (2014, March 15)

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See detailOndes de choc et tendinopathies : expérience clinique du CHU de Liège
Kaux, Jean-François ULg

Conference (2014, March 11)

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See detailRevue épidémiologique des blessures lors de la pratique du rugby à XV
Kaux, Jean-François ULg; Julia, Marc; Chupin, Marie et al

in Journal de Traumatologie du Sport (2014), 31(1), 49-53

Rugby is an increasingly popular sport. Full contact being a major characteristic of rugby, injuries are not uncommon. The incidence of injury in Rugby Union reaches 30–91 per 1,000 hours of game time ... [more ▼]

Rugby is an increasingly popular sport. Full contact being a major characteristic of rugby, injuries are not uncommon. The incidence of injury in Rugby Union reaches 30–91 per 1,000 hours of game time. This epidemiological review of injuries in rugby players reports their localization, nature, causes, moment of occurrence in matches and seasonal trends as well as the influence of the player’s position, field conditions, and duration of off time after injury. [less ▲]

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See detailExuberant inflammatory reaction as a side effect of platelet-rich plasma infiltration for treating one case of tendinopathy
Kaux, Jean-François ULg; Croisier, Jean-Louis ULg; LEONARD, Philippe ULg et al

in Clinical Journal of Sport Medicine (2014), 24(2), 150-152

Platelet-rich plasma (PRP) contains a large quantity of growth factors, which may enhance tendon healing processes. Local infiltration of PRP represents a relatively new treatment for tendinopathies. To ... [more ▼]

Platelet-rich plasma (PRP) contains a large quantity of growth factors, which may enhance tendon healing processes. Local infiltration of PRP represents a relatively new treatment for tendinopathies. To date, no side effects have been reported after infiltration of PRP to treat tendinopathy. We reported a case of exuberant inflammatory reaction after one infiltration of PRP to treat jumper’s knee in a type 1 diabetic patient who was 35 years old. Injections of PRP must be proposed after careful consideration for patients with morbidity risks linked to insulin-dependent diabetes. [less ▲]

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See detailVascular Endothelial Growth Factor-111 (VEGF-111) and tendon healing: preliminary results in a rat model of tendon injury
Kaux, Jean-François ULg; Janssen, Lauriane ULg; Drion, Pierre ULg et al

in Muscle, Ligaments and Tendons Journal (2014), 1(5), 25-28

Tendon lesions are among the most frequent musculoskeletal pathologies. Vascular endothelial growth factor (VEGF) is known to regulate angiogenesis. VEGF-111, a biologically active and proteolysis ... [more ▼]

Tendon lesions are among the most frequent musculoskeletal pathologies. Vascular endothelial growth factor (VEGF) is known to regulate angiogenesis. VEGF-111, a biologically active and proteolysis-resistant splice variant of this family, was recently identified. This study aimed at evaluating whether VEGF-111 could have a therapeutic interest in tendon pathologies. Surgical section of one Achilles tendon of rats was performed before a local injection of either saline or VEGF-111. After 5, 15 and 30 days, the Achilles tendons of 10 rats of both groups were sampled and submitted to a biomechanical tensile test. The force necessary to induce tendon rupture was greater for tendons of the VEGF-111 group (p<0.05) while the section areas of the tendons were similar. The mechanical stress was similar at 5 and 15 days in the both groups but was improved for the VEGF-111 group at day 30 (p <0.001). No difference was observed in the mRNA expression of collagen III, tenomodulin and MMP-9. In conclusion, we observed that a local injection of VEGF-111 improves the early phases of the healing process of rat tendons after a surgical section. Further confirmatory experimentations are needed to consolidate our results. [less ▲]

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See detailIsocinétisme : aspects spécifiques chez le sportif
Croisier, Jean-Louis ULg; Kaux, Jean-François ULg; Crielaard, Jean-Michel ULg et al

in Kinésithérapie Scientifique (2014), 550

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See detailChevilles douloureuses et instables
Kaux, Jean-François ULg

Learning material (2014)

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See detailFractures de fatigue
Kaux, Jean-François ULg

Learning material (2014)

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See detailCe cavernome cérébral est-il la cause d'un syndrome parkinsonien ?
Benmouna, Karim; DIVE, Dominique ULg; WANG, François-Charles ULg et al

in Revue Médicale de Liège (2013), 68(12), 613-616

We report the case of a patient presenting with an akineto-rigid syndrome of the left hemibody whose etiological exploration by magnetic resonance imaging showed the presence of a cavernoma located in the ... [more ▼]

We report the case of a patient presenting with an akineto-rigid syndrome of the left hemibody whose etiological exploration by magnetic resonance imaging showed the presence of a cavernoma located in the right lenticular region. The interest of this situation lies in establishing whether pathophysiological link may exist between such symptoms and the lesion. [less ▲]

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See detailTraitement médical des tendinopathies du genou
Kaux, Jean-François ULg

Conference (2013, November 23)

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See detailLa qualité de force relative : paramètre sous-exploité ?
Croisier, Jean-Louis ULg; Delvaux, François ULg; Cordonnier, Caroline ULg et al

in Livret des interventions - XVèmes Rencontres Médimex - "Isocinétisme - Actualités et Controverses" (2013, November)

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See detailRééducation des plasties du LCA : quels pièges ?
Croisier, Jean-Louis ULg; BAUVIR, Philippe ULg; NAMUROIS, Marie-Hélène ULg et al

in Abstract Book du Symposium d'Axxon - Actualité en Kinésithérapie (2013, November)

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See detailLe mode excentrique appliqué aux rotateurs d'épaule
Forthomme, Bénédicte ULg; Kaux, Jean-François ULg; Crielaard, Jean-Michel ULg et al

in Livret des interventions - XVèmes Rencontres Médimex - "Isocinétisme - Actualités et Controverses" (2013, November)

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