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See detailTranslation and Validation of the VISA-P Questionnaire for French-Speaking Patients
Kaux, Jean-François ULiege; DELVAUX, François ULiege; Oppong-Kyei, Julian et al

in Journal of Rehabilitation Medicine (in press)

Background: The Victorian Institute of Sport Assessment-Patella (VISA-P), originally developed in English, assesses the severity of patellar tendinopathy symptoms. To date, no French version of the ... [more ▼]

Background: The Victorian Institute of Sport Assessment-Patella (VISA-P), originally developed in English, assesses the severity of patellar tendinopathy symptoms. To date, no French version of the questionnaire exists. Objectives: The aim of our study was to translate the VISA-P into French and verify its psychometric properties. Methods: The translation and cultural adaptation were performed according to international recommendations in 6 steps: initial translation, translation merging, back translation to the original language, use of an expert committee to reach a prefinal version, test of the prefinal version, and expert committee appraisal of a final version. Afterward, the psychometric properties of the final French version (VISA-PF) were assessed in 92 subjects, divided into 3 groups: pathological subjects (n = 28), asymptomatic subjects (n = 22), and sports-risk subjects (n = 42). Results: All members of the expert committee agreed with the final version. On a scale ranging from 0 to 100, with 100 representing an asymptomatic subject, the average SD scores on the VISA-PF were 53 17 for the pathological group, 99 2 for the healthy group, and 86 14 for the sports-risk group. The test-retest reliability of the VISA-PF was excellent, with good internal consistency. Correlations between the VISA-PF and divergent validity of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) were low, and the correlation coefficient values measured between the VISA-PF scores and converged items of the SF-36 were higher. Conclusion: The VISA-PF is understandable, valid, and suitable for French-speaking patients with patellar tendinopathy. [less ▲]

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See detailComparison of the effect of Platelet Rich Plasma (PRP) with Hyaluronic Acid (HA) injections to treat chronic Jumper's knee
Kaux, Jean-François ULiege; DEROISY, Rita ULiege; SAMSON, Antoine ULiege et al

in Journal of Rehabilitation Medicine (in press)

Introduction: Patellar Tendinopathies (PT) represent a very frequent disorder which incidence can reach 30-50% among jumping sports. This trouble is often rebel to classical treatment. Objective: To ... [more ▼]

Introduction: Patellar Tendinopathies (PT) represent a very frequent disorder which incidence can reach 30-50% among jumping sports. This trouble is often rebel to classical treatment. Objective: To compare the efficacy of a single injection of RPR to a double infiltration of HA at one week interval. Patients/Methods: Thirty-three patients suffering from PT were enrolled into the study and split into two randomized groups . Eighteen patients (Group 1) have received one PRP injection and the other fifteen subjects (Group 2) received two HA infiltrations. Pain and functionality of the knee were evaluated before injection (T0), 6 weeks (T2) and 3 months (T3) after injections: pain with VAS and pressure algometer, algofunctional scores with IKDC and VISA-P questionnaires, ultrasound, isokinetic evaluation (quadriceps contractions : concentric 60°/sec (C60), concentric 240°/sec (C240), excentric 30°/sec (E30) and VAS during testing). Results: At baseline, difference existed only between groups for algometer, tendon thickness and axial hypoechoic area. In both groups, VAS, algometer, IKCD, VISA-P, VAS for isokinetic testing C60, C240 and E30 were significantly improved at T2 and T3 compared to T0. Comparison between the 2 groups showed no difference excepted for algometer, tendon thickness (T2, T3) and axial hypoechoic area (T2). Discussion and conclusions: There existed a similar improvement of the symptoms in both groups. PRP has already shown its efficacy in PT. HA should probably be a new therapeutic opportunity in this indication. Nevertheless, it should better, for further studies, to include a more homogeneous population and a longer follow-up period of time. [less ▲]

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See detailMuscle strength profile of patients with patellar tendinopathy
Kaux, Jean-François ULiege; Libertiaux, Vincent ULiege; Croisier, Jean-Louis ULiege

in Journal of Rehabilitation Medicine (in press)

Introduction: Patellar tendinopathy (PT) is commonly observed in jumping sports. Even if its biomechanic is somewhat explored, no information is known about the muscle strength profile of these patients ... [more ▼]

Introduction: Patellar tendinopathy (PT) is commonly observed in jumping sports. Even if its biomechanic is somewhat explored, no information is known about the muscle strength profile of these patients. Objective: To determine if there exists a specific profile of patients suffering from a PT. Patients: 43 patients (29+/-9.8 y.o) suffering from PT were recruited. To be eligible, the patients must not have suffered from any other traumatic or micro-traumatic injury than the PT on the pathologic limb. Methods: After a physical examination, the tendon damage was assessed by ultrasounds examination. The patients were then tested on an isokinetic dynamometer and the maximum torque (per unit of mass, MTm) developed by the quadriceps and the hamstrings were recorded for various angular velocities. After each test, a visual analog scale (VAS) was used to estimate the pain felt by the patients. Results: No significant correlation was found between the MTm and the demographic variables. The difference in MTm between the healthy and the pathological limbs was significant only at a rate of 60°/s, for both the quadriceps and the hamstrings. Lastly, the VAS score showed that the most intense pain was experienced after the eccentric test. Conclusions: There is no clear patient strength profile emerging from the isokinetic test. This stresses the importance for the clinicians to make testing and to apply a personalized treatment to each patient. Finally, the isokinetic eccentric testing of the quadriceps can be used to induce a mechanical stress on the tendon for a reliable pain assessment. [less ▲]

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See detailCross-cultural adaptation and validation of the Kujala Anterior Knee Pain Scale (AKPS) questionnaire for French-speaking patients
Kaux, Jean-François ULiege; Buckinx, Fanny ULiege; Croisier, Jean-Louis ULiege et al

in Journal of Rehabilitation Medicine (in press)

Introduction: The femoropatellar syndrom is one of the most common knee problem observable. The Kujala Anterior Knee Pain Scale (AKPS) is a questionnaire used to examine the subjective symptoms, such as ... [more ▼]

Introduction: The femoropatellar syndrom is one of the most common knee problem observable. The Kujala Anterior Knee Pain Scale (AKPS) is a questionnaire used to examine the subjective symptoms, such as the functional limitations and the anterior knee pain. Objective: The aims of the study were to translate and cross-culturally adapt the AKPS questionnaire into French and to evaluate the reliability and validity of this translated version of the questionnaire (AKPS- F). Patients : 101 patients with femoropatellar syndrom. Methods: The translation and the inter-cultural adaptation of the questionnaire has been adopted through the international recommendations highlighting 6 different steps : initial translation, translations synthesis, translation back to the original language, committee of experts, test of the pre-final version and the approval from the expert’s committee. Indeed the French version obtained, the participants have filled twice the AKPS with an interval of 7 days, and the Short Form Health in order to evaluate the psychometric properties (the internal coherence, the test-retest fidelity and the built validity). Results:The AKPS shows a high level of fidelity in the test-retest with a score of 0.97. The French translation also has a high internal coherence score with 0.87. The Kujula shows a great correlation with a part of the converging sub-scales from the SF36. There is a low/average correlation noticeable with the diverging sub-scales. There is no floor/ceiling effect. Discussion and conclusions: This study shows that AKPS-F is reliable and valid for the French patients suffering from a femoropatellar syndrom and can therefore be used. [less ▲]

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See detailValidity and reliability of the French translation of the VISA-A questionnaire
Kaux, Jean-François ULiege; Croisier, Jean-Louis ULiege; Bruyère, Olivier ULiege

in Journal of Rehabilitation Medicine (in press)

Introduction: The Victorian Institute of Sport Assessment – Achilles tendinopathy questionnaire (VISA-A) evaluates the clinical severity of Achilles tendinopathy. The aim of this study was to translate ... [more ▼]

Introduction: The Victorian Institute of Sport Assessment – Achilles tendinopathy questionnaire (VISA-A) evaluates the clinical severity of Achilles tendinopathy. The aim of this study was to translate the VISA-A into French and to study the reliability and validity of this French version, the VISA-AF.Method: The VISA-A was translated into French to produce the VISA-AF using a validated methodology in six steps. Thereafter, several psychometric properties of this French version such as test–retest reliability, internal consistency, construct validity and floor and ceiling effects were evaluated. Therefore, we recruited 116 subjects, distributed into 3 groups: pathological patients (n=31), at-risk athletes (n=63) and healthy people (n=22). Results: The final version of the VISA-AF was approved by an expert committee. On a scale ranging from 0 to 100, the average scores of the VISA-AF obtained were 59 (± 18) for the pathological group, 99 (± 1) for the healthy group and 94 (± 7) for the at-risk group. The VISA-AF shows excellent reliability, low correlations with the discriminant subscales of the SF-36 and moderate correlations with the convergent subscales of the SF-36. Conclusions: The French version of the VISA-A is equivalent to its original version and is a reliable and valid questionnaire for French- speaking patients with Achilles tendinopathy. [less ▲]

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See detailCross-cultural adaptation and validation of the Patient-Rated Tennis Elbow Evaluation Questionnaire on lateral elbow tendinopathy for French-speaking patients
Kaux, Jean-François ULiege; Croisier, Jean-Louis ULiege; Bruyère, Olivier ULiege

in Journal of Rehabilitation Medicine (in press)

Introduction: The lateral elbow tendinopathy is a common injury in tennis players and physical workers. The Patient- Rated Tennis Elbow Evaluation (PRTEE) Questionnaire was specifically designed to ... [more ▼]

Introduction: The lateral elbow tendinopathy is a common injury in tennis players and physical workers. The Patient- Rated Tennis Elbow Evaluation (PRTEE) Questionnaire was specifically designed to measure pain and functional limitations in patients with lateral epicondylitis. The aims were to adapt the PRTEE questionnaire into French (PRTEE-F) and to evaluate the reliability and validity of this translated version of the questionnaire . Methods: The PRTEE was translated and cross-culturally adapted into French according to international guidelines. To assess the reliability and validity of the PRTEE-F, 115 participants were asked twice to fill in the PRTEE-F, and once the DASH and the SF-36. Internal consistency (using Cronbach’s alpha), test-retest reliability (using intraclass correlation coefficient (ICC), standard error of measurement and minimal detectable change), and convergent and divergent validity (using the Spearman’s correlation coefficients respectively with the DASH and with some subscales of the SF-36) were assessed. Results: The PRTEE was translated into French without any problems. PRTEE-F showed a good test-retest reliability for the overall score (ICC 0.86) and for each item (ICC 0.8-0.96) and a high internal consistency (Cronbach’s alpha 1⁄4 0.98). The correlation analyses revealed high correlation coefficients between PRTEE-F and DASH (convergent validity) and, as expected, a low or moderate correlation with the divergent subscales of the SF-36 (discriminant validity). There was no floor or ceiling effect. Discussion and Conclusions: The PRTEE questionnaire was successfully cross-culturally adapted into French. The PRTEE-F is reliable and valid for evaluating French-speaking patients with lateral elbow tendinopathy. [less ▲]

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See detailShould we exclude elderly patients with chronic obstructive pulmonary disease from a long-time ambulatory pulmonary rehabilitation programme?
CORHAY, Jean-Louis ULiege; NGUYEN DANG, Delphine ULiege; DUYSINX, Bernard ULiege et al

in Journal of Rehabilitation Medicine (2012), 44(5), 466-72

Objective: To assess the outcomes of a 6-month comprehensive multidisciplinary outpatient pulmonary rehabilitation programme in patients with chronic obstructive pulmonary disease according to age. Design ... [more ▼]

Objective: To assess the outcomes of a 6-month comprehensive multidisciplinary outpatient pulmonary rehabilitation programme in patients with chronic obstructive pulmonary disease according to age. Design: Prospective cohort study. Patients: A total of 140 patients with chronic obstructive pulmonary disease (Global Initiative for Chronic Obstructive Lung Disease (GOLD) 3-4) admitted to our centre for pulmonary rehabilitation. Methods: Patients were divided into 3 groups: group A (< 65 years), group B (65-74 years) and group C (>/= 75 years). All the patients received an education and individualized training programme. Pulmonary rehabilitation efficacy was evaluated at 6 months of treatment and 12 months post-treatment. Results: A total of 116 patients completed the pulmonary rehabilitation programme: 59 in group A (85.5%), 40 in group B (80%) and 17 in group C (80.9%). All the parameters studied (number of sessions, 6-min walking distance, isometric quadriceps strength, health-related quality of life, maximal load, peak oxygen uptake, maximal inspiratory and expiratory pressures) were significantly improved in each of the groups at 3 and 6 months compared with baseline. Moreover, percentage changes from baseline at 6 months for all of the parameters studied were not significantly different between age-groups. Conclusion: Pulmonary rehabilitation is efficient in elderly patients with severe and very severe chronic obstructive pulmonary disease, and their compliance with pulmonary rehabilitation was similar to that seen in younger groups. Therefore, elderly patients with chronic obstructive pulmonary disease should not be denied pulmonary rehabilitation. [less ▲]

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See detailMetabolic activity in external and internal awareness networks in severely brain-damaged patients.
Thibaut, Aurore ULiege; Bruno, Marie-Aurélie ULiege; Chatelle, Camille ULiege et al

in Journal of Rehabilitation Medicine (2012), 44(6), 487-94

OBJECTIVE: An extrinsic cerebral network (encompassing lateral frontoparietal cortices) related to external/sensory awareness and an intrinsic midline network related to internal/self-awareness have been ... [more ▼]

OBJECTIVE: An extrinsic cerebral network (encompassing lateral frontoparietal cortices) related to external/sensory awareness and an intrinsic midline network related to internal/self-awareness have been identified recently. This study measured brain metabolism in both networks in patients with severe brain damage. DESIGN: Prospective [18F]-fluorodeoxyglucose-positron emission tomography and Coma Recovery Scale-Revised assessments in a university hospital setting. SUBJECTS: Healthy volunteers and patients in vegetative state/unresponsive wakefulness syndrome (VS/UWS), minimally conscious state (MCS), emergence from MCS (EMCS), and locked-in syndrome (LIS). RESULTS: A total of 70 patients were included in the study: 24 VS/UWS, 28 MCS, 10 EMCS, 8 LIS and 39 age-matched controls. VS/UWS showed metabolic dysfunction in extrinsic and intrinsic networks and thalami. MCS showed dysfunction mostly in intrinsic network and thalami. EMCS showed impairment in posterior cingulate/retrosplenial cortices. LIS showed dysfunction only in infratentorial regions. Coma Recovery Scale-Revised total scores correlated with metabolic activity in both extrinsic and part of the intrinsic network and thalami. CONCLUSION: Progressive recovery of extrinsic and intrinsic awareness network activity was observed in severely brain-damaged patients, ranging from VS/UWS, MCS, EMCS to LIS. The predominance of intrinsic network impairment in MCS could reflect altered internal/self-awareness in these patients, which is difficult to quantify at the bedside. [less ▲]

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