References of "Tomasella, Marco"
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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 (in press)

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See detailLe contrôle moteur lombopelvien du joueur de footbal élite
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Namurois, Guy et al

in Abstarct Book de la 1ère Journée Guy Namurois (2014, February 22)

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See detailLombostat au long cours versus école du dos périodique
Tomasella, Marco ULg; Demoulin, Christophe ULg; Vanderthommen, Marc ULg et al

in Revue Belge du dommage corporel et de médecine légale (2014), 41ème année(2014/1), 3-12

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See detailAnalyse des caractéristiques biopsychosociales observées chez 1 832 patients consultant pour des douleurs chroniques dans le service d'algologie du CHU de Liège
Faymonville, Marie-Elisabeth ULg; Blavier, Adelaïde ULg; PALMARICCIOTTI, Valérie ULg et al

in Douleur et Analgésie (2014)

This article aims to establish a "profile" of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and ... [more ▼]

This article aims to establish a "profile" of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and modes of pain management. Between 2005 and 2010 we monitored 1832 individual chronic pain patients who attended our pain clinic at the University Hospital of Liège. This paper presents the characteristics of these patients and their test scores before the treatment to assess their health status in a biopsychosocial perspective. Demographic and lifestyle as well as occupational factors, pain disability index, pain belief assessment, hospital anxiety and depression scale, SF-36 (Short Form Health Survey) and pain visual analogue scale are presented. The results have clinical implication; they suggest an adaptation of our therapeutic interventions based on these observations. © 2014 Springer-Verlag France. [less ▲]

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See detailSymptoms associated with lumbar instability in athletes with low back pain
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Tomasella, Marco ULg et al

Poster (2012, November 17)

Introduction. Low back pain (LBP) is common among athletes and can be challenging for athletic trainers and therapists. Unfortunately, little is known about symptoms associated with functional lumbar ... [more ▼]

Introduction. Low back pain (LBP) is common among athletes and can be challenging for athletic trainers and therapists. Unfortunately, little is known about symptoms associated with functional lumbar segmental instability (FLSI) in athletes with LBP. Purpose. To determine subjective and objective symptoms associated with FLSI in athletes with LBP. Materials and Methods. We included 24 male athletes (12 soccer players and 12 tennis players) with non specific LBP mean (± standard deviation) pain intensity (0-100 Visual Analogue Scale) and disability (0-24 Roland-Disability questionnaire) scores reaching respectively 35 (±20) and 4 (±3). Athletes were submitted to a standardized anamnesis (including subjective identifiers of FLSI) and a clinical assessment conducted by a manual therapist who explored objective identifiers of FLSI. Results. According to the manual therapist, 12 athletes (6 tennis and 6 soccer players) presented a FLSI. The two groups did not differ regarding pain intensity and disability (P>0.05). However, athletes with FLSI appeared significantly younger than non FLSI athletes (P<0.01). Only three subjective identifiers appeared significantly related to FLSI in soccer and tennis players with LBP: “reports frequent episodes of muscle spasms”, “reports feelings of giving way or back giving out” and “Pain increased with sudden, trivial, or mild movements”. Regarding objective identifiers of FLSI, “positive prone instability test”, “aberrant movement during active and passive trunk flexion-extension“ and “poor lumbopelvic control” were significantly related to FLSI in these athletes. Conclusions. In this preliminary study, 50% of the athletes with LBP presented a FLSI. Some subjective and objective symptoms are significantly related to FLSI in soccer and tennis players. Implications. Athletes with LSI should be targeted for retraining to restore normal movement control. [less ▲]

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See detailINTERRATER AGREEMENT OF CLINICAL TESTS/SIGNS USED TO IDENTIFY PATIENTS WITH LUMBAR FUNCTIONAL INSTABILITY
Demoulin, Christophe ULg; Emmanuel, P.; DISTREE, Vincent ULg et al

in Journal of Orthopaedic & Sports Physical Therapy (2012, October), 42(10), 57

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See detailAssessment of lumbopelvic movement control in tennis players with and without low back pain
GROSDENT, Stéphanie ULg; Demoulin, Christophe ULg; Lemaire, Vincent et al

Poster (2012, October)

Relevance: LBP is common among tennis players. More than one third of professional tennis players reported LBP as reason for missing at least one tournament. As impaired lumbar motor functions have been ... [more ▼]

Relevance: LBP is common among tennis players. More than one third of professional tennis players reported LBP as reason for missing at least one tournament. As impaired lumbar motor functions have been associated with LBP, it appears particularly relevant to assess lumbopelvic movement control in tennis players. Methods: Twenty amateur tennis players (male, 22.9 ± 3.0 years) were included. Subjects were pooled into two groups: 10 players with chronic LBP (mean pain duration: 3.1 ± 2.6 years, pain severity score: 3.5/10 on a pain visual analogue scale) and 10 players without LBP. The Bent Knee Fall Out (BKFO) test was used to assess the players’ ability to control movement of lumbopelvic region. BKFO was performed in supine position and monitored by means of two pressure biofeedback units inflated to 40 mmHg and positioned under the lumbar spine of the participant. The reliability of this test has been previously assessed. Players were instructed to make an active abduction-external rotation movement of the hip (45°) without concomitant lumbopelvic movement of the pelvis and low back. Pressure modification (mmHg) was recorded, each side was assessed. Results: Tennis players with LBP had a worse lumbopelvic movement control than players without LBP both for dominant (9.0 mm Hg vs 3.4 mmHg, P<0.05) as well for the non-dominant side (9.1 mmHg vs 4.6 mmHg, P<0.05). Conclusions: Tennis players with LBP experience similar alterations of motor control as those observed in sedentary people with LBP. However, it remains unclear if these alterations are the cause of the consequence of chronic LBP. Implications: Further prospective studies should assess the cause or effect relationship and should determine whether motor control exercises are effective in tennis players with chronic LBP. [less ▲]

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See detailLa maladie d'Hirayama
WANG, François-Charles ULg; GÖBELS, Catherine ULg; TOMASELLA, Marco ULg et al

in Correspondances en Nerf & Muscle (2011), XV(7), 246-252

La MH reste une maladie rare et sa physiopathologie, toujours incertaine, rend le choix thérapeutique quelque peu hasardeux. Le port du collier cervical semble indiqué en phase évolutive dans les formes ... [more ▼]

La MH reste une maladie rare et sa physiopathologie, toujours incertaine, rend le choix thérapeutique quelque peu hasardeux. Le port du collier cervical semble indiqué en phase évolutive dans les formes les plus typiques. Lorsque se surajoute une compression visible de la moelle cervicale en position neutre, une image cavitaire intra-médullaire ou une atteinte débordant les cornes antérieures, un geste chirurgical devra être discuté. [less ▲]

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

in Physiotherapy (2011, June), 97

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See detailInfluence of back school and physical exercises on pain-related fears
Demoulin, Christophe ULg; Gagnol, Aude; GROSDENT, Stéphanie ULg et al

in Vleeming, Andry; Fitzgerald, Colleen (Eds.) 7th Interdisciplinary World Congress on Low Back & Pelvic Pain - Effective diagnosis and treatment of lumbopelvic pain (2010, November)

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See detailEffectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in chronic low back pain
Demoulin, Christophe ULg; Grosdent, Stéphanie ULg; Capron, Lucile et al

in Joint Bone Spine (2010), 77

Objectives: To evaluate the efficacy of a semi-intensive multidisciplinary outpatient program complying with the requirements of the Belgian National Institute for Health and Disability Insurance and ... [more ▼]

Objectives: To evaluate the efficacy of a semi-intensive multidisciplinary outpatient program complying with the requirements of the Belgian National Institute for Health and Disability Insurance and intended for patients with chronic low back pain. Methods: Weincluded 262 patients with nonspecific chronic low back pain, amongwhom136 (73women and 63 men) with a mean pain duration of 11.3 years completed the outpatient program (36 sessions each lasting 2 h). The program consisted of education about back-sparing techniques, interventions by an occupational therapist and psychologist, and physical reconditioning. Three sessions (sessions 1, 18, and 36) were used to evaluate pain intensity, functional impairment, kinesiophobia, cognitive knowledge, knowledge of appropriate spinal movement technique, and physical performance (trunk muscle strength and endurance, mobility of the pelvis and lumbar spine, and aerobic capacity). Results: All study variables were significantly improved at study completion compared to baseline: pain intensity was decreased by 44%, functional impairment by 40%, and kinesiophobia by 11% whereas knowledge was improved by 59%, back-sparing technique by 95%, trunk muscle strength by 40% on average, trunk extensor muscle endurance by 90%, mobility by 8%, and aerobic capacity by 18%. Conclusions: A semi-intensive multidisciplinary outpatient program was beneficial in patients with chronic low back pain. Careful patient selection and increased patient involvement in the program may help to improve adherence. [less ▲]

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See detailIntérêt d'une prise en charge multidisciplinaire ambulatoire semi-intensive dans la lombalgie chronique
Demoulin, Christophe ULg; Grosdent, Stéphanie ULg; capron, Lucile et al

in Revue du Rhumatisme (2010), 77

Objectifs. – Cette étude souhaite apprécier l’efficacité d’un programme pluridisciplinaire ambulatoire semi-intensif, élaboré en fonction des exigences des organismes mutualistes belges et destiné aux ... [more ▼]

Objectifs. – Cette étude souhaite apprécier l’efficacité d’un programme pluridisciplinaire ambulatoire semi-intensif, élaboré en fonction des exigences des organismes mutualistes belges et destiné aux patients lombalgiques chroniques. Méthodes. – Parmi 262 patients souffrant de lombalgie chronique non spécifique inclus dans cette étude, 136 (73 femmes et 63hommes présentant des douleurs depuis 11,3 ans en moyenne) ont achevé un programme ambulatoire (36 séances de deux heures) comportant une éducation à l’économie rachidienne, une approche ergonomique et psychologique ainsi que des séances de reconditionnement physique. Trois séances (initiale [séance 1], intermédiaire (séance 18) et finale [séance 36]) évaluent les paramètres d’intensité de la douleur, d’incapacité fonctionnelle, de kinésiophobie, de connaissances cognitives et gestuelles ainsi que les performances physiques (force et endurance des muscles du tronc, mobilité du complexe lombo-pelvi-fémoral, endurance cardiorespiratoire). Résultats. – Tous les paramètres sont significativement améliorés lors de l’évaluation finale : diminution de l’intensité de la douleur (−44 %), des répercussions fonctionnelles (−40 %) et de la kinésiophobie (−11 %), amélioration des connaissances (+59 %) et de la gestuelle vertébrale (+95 %), augmentation de la force des muscles du tronc (+40 % en moyenne), de l’endurance des extenseurs du tronc (+90 %), de la mobilité (+8 %) et de l’endurance cardiorespiratoire (+18 %). Conclusions. – Une prise en charge pluridisciplinaire ambulatoire semi-intensive s’avère bénéfique pour les patients lombalgiques chroniques. Une adaptation des critères d’inclusion et une implication accrue du patient dans sa rééducation contribueraient à améliorer l’observance du programme. [less ▲]

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See detailElectrophysiologic contribution to cervical pain
WANG, François-Charles ULg; TOMASELLA, Marco ULg

in Revue du Rhumatisme et des Maladies Osteo-Articulaires (2008)

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See detailLa stabilisation fonctionnelle lombaire : Défintion du concept et arguments scientifiques
Demoulin, Christophe ULg; DISTREE, Vincent ULg; TOMASELLA, Marco ULg et al

in Abstract book des Mardis de la Kinésithérapie (2008)

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See detailBenefits of an out-patient multidisciplinary rehabilitation program in the treatment of chronic low back pain
Vanderthommen, Marc ULg; Demoulin, Christophe ULg; GROSDENT, Stéphanie ULg et al

in Abstract book of 6th Interdisciplinary World Congress on Low Back & Pelvic Pain (2007)

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See detailLumbar functional instability : a critical appraisal of the literature
Demoulin, Christophe ULg; Distree, Vincent ULg; Tomasella, Marco ULg

in Annales de Réadaptation et de Médecine Physique (2007), 50

The goals of this paper were to define the concept of instability, to describe the way it can be assessed, to report on impairments of the spine stabilization system in patients with low back pain (LBP ... [more ▼]

The goals of this paper were to define the concept of instability, to describe the way it can be assessed, to report on impairments of the spine stabilization system in patients with low back pain (LBP), to cite the recommended exercises and, lastly, to examine the results of programs based on lumbar stabilization. Patients suffering from lumbar instability appear to belong to a particular subgroup of subjects with LBP. In the literature, several definitions of lumbar instability have been proposed. Radiological instability, for instance, differs from functional instability. Diagnosis remains difficult: the relevance of static and dynamic radiographs appears limited whereas several signs and clinical instability tests have been described in the literature but remain controversial. The functional stability system of the spine consists of three interdependent components: the passive, the active and the neuromuscular subsystems. The benefits of lumbar stabilization programs for LBP patients have been underlined. Lumbar stabilization exercises are aimed at sensorimotor reprogrammation of spine stabilizer muscles intended to improve their motor control skill and delay of response and consequently to compensate for weakness of the passive stabilization system. [less ▲]

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See detailL’instabilité lombaire fonctionnelle : revue de la littérature
Demoulin, Christophe ULg; Distree, Vincent ULg; Tomasella, Marco ULg et al

in Annales de Réadaptation et de Médecine Physique (2007), 50

Les patients lombalgiques présentant une instabilité lombaire semblent constituer un sous-groupe particulier. De nombreuses définitions de l’instabilité lombaire ont été proposées. L’instabilité ... [more ▼]

Les patients lombalgiques présentant une instabilité lombaire semblent constituer un sous-groupe particulier. De nombreuses définitions de l’instabilité lombaire ont été proposées. L’instabilité radiologique se distingue de l’instabilité fonctionnelle. Leur diagnostic demeure délicat : l’intérêt des clichés radiographiques statique et dynamique semble limité tandis que plusieurs signes et tests cliniques de l’instabilité ont été décrits dans la littérature mais demeurent controversés. Trois éléments composent le système de stabilisation fonctionnelle de la colonne : les sous-systèmes passif, actif et neuromusculaire qui sont interdépendants. L’intérêt de programmes de stabilisation lombaire pour les patients lombalgiques a été démontré. Les exercices de stabilisation lombaire visent une reprogrammation sensorimotrice des muscles stabilisateurs de la colonne afin d’améliorer leur potentiel, leur temps de réponse et ainsi compenser des déficits du système passif de stabilisation. Cet article souhaite définir le concept d’instabilité, préciser les moyens de son évaluation, appréhender les anomalies du système de stabilisation présentes chez les sujets lombalgiques, décrire les principaux exercices recommandés dans la littérature et enfin rapporter les bénéfices observés à la suite de programmes de stabilisation lombaire. [less ▲]

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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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