http://hdl.handle.net/2268/109 Search this channel search http://orbi.ulg.ac.be/simple-search http://hdl.handle.net/2268/148478 Title: Epreuves isocinétiques de résistance à la fatigue <br/> <br/>Author, co-author: Croisier, Jean-Louis; Bosquet, L.; Maquet, Didier; Kaux, Jean-François; Delvaux, François; Crielaard, Jean-Michel; Forthomme, Bénédicte Tue, 14 May 2013 14:41:23 GMT http://hdl.handle.net/2268/148421 Title: Return-To-Play criteria after hamstring injury: actual medicine practice in professional soccer <br/> <br/>Author, co-author: Delvaux, François; Rochcongar, Pierre; Bruyère, Olivier; Bourlet, Guillaume; DANIEL, Christophe; Diverse, Pierre; Reginster, Jean-Yves; Croisier, Jean-Louis Mon, 13 May 2013 17:43:26 GMT http://hdl.handle.net/2268/148304 Title: Platelet-rich plasma (PRP) to treat chronic upper patellar tendinopathies <br/> <br/>Author, co-author: Kaux, Jean-François; Croisier, Jean-Louis; Bruyère, Olivier; Rodriguez de la Cruz, Carlos; DANIEL, Christophe; GODON, Bernard; SIMONI, Paolo; ALVAREZ MIEZENTSEVA, Victoria; BRABANT, Gautier; Lapraille, Stuart; Lonneux, Vincent; Noël, David; COLLETTE, Julien; LE GOFF, Caroline; Gothot, André; Crielaard, Jean-Michel <br/> <br/>Abstract: Background: Upper patellar tendinopathies remain often chronic and rebel to a thorough conservative treatment. Moreover, the option of a surgical treatment could be disappointing. New treatments are being developed. Injection of PRP is one of these. Platelets contain lot of growth factors which would have the potentiality to enhance the healing process of tendons. Even if in vitro and animal experiments have demonstrated this stimulation of tendon healing process1, clinical series are subject to controversy2. Methods: Twenty patients with chronic upper patellar tendinopathy were enrolled. Assessments ［VAS, clinical examination with an algometer, algofunctional scores (IKDC and VISA-P), functional assessments (isokinetic and Optojump) and imagery (ultrasounds and MRI)］were made before infiltration of PRP, and 6 weeks and 3 months after. The PRP was obtained by an apheresis system (COM.TEC, Fresenius). Six millilitres of PRP were injected without local anaesthetic. One week after infiltration, patients started a 6-week standardised sub-maximal eccentric reeducation. Results: We observed a very significant improvement of the algofunctional status as soon as 6 weeks after the infiltration of PRP, and continued to a lesser extent up to 3 months. During functional evaluation, pain decreased as well, but without significant improvement of performances. No significant improvements in the imagery were observed. Interestingly, patients who had a VAS equal or below 1 after 3 months post-infiltration were younger (24.7 vs 32.2 y.o.). Moreover, these younger patients had a significant increase of the IKDC score (p=0.003), a significant improvement of pain during isokinetic evaluations (p<0.05), and during Optojump assessments (p=0.01). Seventy-five percent of subjects were able to return to sport, even if only half of these patients recovered the same level than before the tendinopathy. Discussion / Conclusions: This study demonstrates that a local infiltration of PRP associated with a submaximal eccentric protocol is efficient to improve symptoms of chronic upper patellar tendinopathies, non-responsive to classical conservative treatments. However, up to now, there is no consensus on the method to prepare the PRP. Indeed, each technique could provide a very different PRP (variations in the platelet concentrations and of the amount of red and white cells). Mon, 13 May 2013 06:59:11 GMT http://hdl.handle.net/2268/148238 Title: Tables d'évaluation du profil physiologique du sportif francophone de bon niveau. <br/> <br/>Author, co-author: Sturbois, Xavier; Dufrêne, Marc Sun, 12 May 2013 06:54:49 GMT http://hdl.handle.net/2268/148217 Title: Analyse transversale multicentrique d'une population de sportifs francophones de haut niveau. <br/> <br/>Author, co-author: Sturbois, Xavier; Dufrêne, Marc Sun, 12 May 2013 05:46:51 GMT http://hdl.handle.net/2268/148072 Title: Les profils musculaires et pliométriques : quelle utilisation pour l'entraînement ? <br/> <br/>Author, co-author: Jidovtseff, Boris; Crielaard, Jean-Michel Wed, 08 May 2013 09:58:14 GMT http://hdl.handle.net/2268/147835 Title: Syndromes canalaires du pied - Apport des bilans électrophysiologiques <br/> <br/>Author, co-author: Kaux, Jean-François; MASSART, Nicolas; TINANT, France; Crielaard, Jean-Michel; WANG, François-Charles Thu, 02 May 2013 21:06:06 GMT http://hdl.handle.net/2268/147347 Title: Force musculaire isocinétique du couple quadriceps / ischio-jambiers des joueurs de rugby professionnels <br/> <br/>Author, co-author: Julia, Marc; Pereira, B.; Morand, D.; Manic, J.; Barizien, N.; Peyrin, J.; Croisier, Jean-Louis; Coudeyre, E. Thu, 25 Apr 2013 14:01:45 GMT http://hdl.handle.net/2268/147023 Title: Thérapeutiques récentes des tendinopathies du sportif (ondes de choc, injections de plaquettes, ...) <br/> <br/>Author, co-author: Crielaard, Jean-Michel; Kaux, Jean-François Wed, 17 Apr 2013 10:55:01 GMT http://hdl.handle.net/2268/147021 Title: Tendinopathies et lésions particulières de la cheville et du pied du sportif <br/> <br/>Author, co-author: Crielaard, Jean-Michel; Kaux, Jean-François Wed, 17 Apr 2013 10:50:13 GMT http://hdl.handle.net/2268/146884 Title: Syndromes canalaires rares du membre supérieur - Apport des bilans électrophysiologiques <br/> <br/>Author, co-author: Kaux, Jean-François; MASSART, Nicolas; TINANT, France; Crielaard, Jean-Michel; WANG, François-Charles Mon, 15 Apr 2013 19:48:32 GMT http://hdl.handle.net/2268/145772 Title: PROFINTEG: A TOOL FOR REAL-LIFE ASSESSMENT OF ACTIVITIES OF DAILY LIVING IN PATIENTS WITH COGNITIVE IMPAIRMENT <br/> <br/>Author, co-author: Anselme, Patrick; Poncelet, Martine; Bouwens, Sharon; Knips, Stephanie; LEKEU, Françoise; OLIVIER, Catherine; QUITTRE, Anne; Van Heugten, Caroline; Warginaire, Sabine; WOJTASIK, Vinciane; Verhey, Frans; SALMON, Eric; Majerus, Steve <br/> <br/>Abstract: Although there are many instruments for assessing activities of daily living (IADL) in brain injured patients, few instruments specifically target cognitive impairment and its impact on IADL. The present study presents the development of the Profinteg instrument, a tool for real-life assessment as well as rehabilitation of IADL in patients with cognitive impairment. This two-stage instrument covers over 90 activities. Psychometric properties of the different Profinteg measures were explored in twenty-five patients with mild to severe cognitive difficulties and twenty-five caregivers. The feasibility of the Profinteg rehabilitation procedure was explored in three patients. Excellent interrater reliability (r > 0.90, p < 0.01) was observed for all measures. Good sensitivity to changes in IADL disability over time was also observed (T = 2.37, p < 0.02). Significant improvement of IADL functioning was found after rehabilitation guided by Profinteg assessment. The Profinteg instrument detects with precision the difficulties patients encounter in their real-life setting via (1) assessment of a large number of activities and (2) detailed decomposition of activities into sub-activities. The Profinteg tool also provides promising results for guidance of IADL rehabilitation in the patient’s real-life environment. Fri, 29 Mar 2013 04:00:36 GMT http://hdl.handle.net/2268/145080 Title: Exuberant inflammatory reaction after an infiltration of platelet-rich plasma (PRP) <br/> <br/>Author, co-author: Kaux, Jean-François; Croisier, Jean-Louis; LEONARD, Philippe; LE GOFF, Caroline; Crielaard, Jean-Michel <br/> <br/>Abstract: Background: PRP, obtained from centrifuged autologous blood, contains a large quantity of growth factors, which may enhance the tissue 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. Case report: A 35-year-old patient had a right upper patellar tendinopathy which was resistant to all conservative treatments for more than 6 months. The patient was a type 1 diabetic (well controlled). He had an intratendinous infiltration of 6 mL of PRP (8.105 platelets/mm3, almost no red or white blood cells) after disinfection but without local anaesthetic. Immediately following the infiltration, local cryotherapy was performed for 15 minutes. NSAIDs were avoided, but class-1 or -2 pain-killers were authorised if necessary. A standardised sub-maximal eccentric rehabilitation should have been started 1 week after. However, the patient experienced local swelling with erythema, increased heating and pain which appeared just underneath the patella, but without biological inflammatory syndrome. A great Doppler signal in a thicker patellar tendon was observed by US, but there was no sign of local infectious disease demonstrated by either CT or MRI. However, the local inflammation did not decrease after a progressive 3-week treatment of local cryotherapy, local and oral NSAIDs and colchicine 1 mg. Thus, an insidious infection was suspected, even though there was neither evidence of biological inflammatory syndrome nor sign of infectious lesion on imagery examination. An antibiotic therapy (rifampicine 600 mg + minocycline 100 mg) was initiated for 3 months. Finally, a 3-phase bone scintigraphy suggested the presence of a complex regional pain syndrome type 1 treated by a classical physical therapy and concomitant class-2 pain killers. The evolution was favourable after 6 months of symptomatic treatment, and the pain decreased to a level similar to that before the infiltration of PRP. Discussion/Conclusions: This case report draws attention to potential side effects that are linked to this new therapy by infiltration of platelet rich plasma in case of tendinopathy, in particular when used in patients with type 1 diabetes. Thus, the balance between benefits and risks must be carefully evaluated before using this treatment in patients with type 1 diabetes. Reference: Platelet-rich plasma application in the management of chronic tendinopathies. Acta Orthop Belg 2013; 79: 10-15. Tue, 19 Mar 2013 13:15:15 GMT http://hdl.handle.net/2268/145079 Title: Ce cavernome cérébral est-il la cause d'un syndrome parkinsonien ? <br/> <br/>Author, co-author: Benmouna, Karim; DIVE, Dominique; WANG, François-Charles; Martin, Didier; Crielaard, Jean-Michel; Kaux, Jean-François <br/> <br/>Abstract: Nous rapportons le cas d’une patiente présentant un syndrome akinéto-rigide de l’hémicorps gauche dont l’exploration étiologique par résonance magnétique (IRM) a démontré la présence d’un cavernome situé au niveau de la région lenticulaire droite. L’intérêt de cette situation clinique est de déterminer si un lien physiopathologique existe entre la symptomatologie et la lésion révélée par l’IRM.; 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. Tue, 19 Mar 2013 13:08:47 GMT http://hdl.handle.net/2268/144763 Title: The susceptibility of the knee extensors to eccentric exercise-induced muscle damage is not affected by leg dominance but by exercise order . <br/> <br/>Author, co-author: Hody, Stéphanie; Rogister, Bernard; Leprince, Pierre; Laglaine, Thibaud; Croisier, Jean-Louis <br/> <br/>Abstract: The aims of this study were first to compare the response of dominant and non-dominant legs to eccentric exercise and second, to examine whether there is an effect of exercise order on the magnitude of symptoms associated with intense eccentric protocols. Eighteen young men performed 3 sets of 30 maximal eccentric isokinetic (60°.sec-1) contractions of the knee extensors (range of motion, ROM: 0°-100°, 0=full extension) using either dominant or nondominant leg. They repeated a similar eccentric bout using the contralateral leg six weeks later. The sequence of leg’s use was allocated to create equally balanced groups. Four indirect markers of muscle damage including subjective pain intensity, maximal isometric strength, muscle stiffness and plasma CK activity were measured before and 24 hours after exercise. All markers changed significantly following the eccentric bout performed either by dominant or non-dominant legs but no significant difference was observed between legs. Interestingly, the comparison between the first and second eccentric bouts revealed that muscle soreness (-42%, p<0.001), CK activity (-62%, p<0.05) and strength loss (-54%, p<0.01) were significantly lower after the second bout. This study suggests that leg dominance does not influence the magnitude of exercise-induced muscle damage and supports for the first time the existence of a contralateral protection against exercise-induced muscle damage in the lower limbs. Thu, 14 Mar 2013 13:40:08 GMT http://hdl.handle.net/2268/144657 Title: Application pratique du concept de charge de travail au sein d'un club de football professionnel <br/> <br/>Author, co-author: Rodriguez de la Cruz, Carlos; Croisier, Jean-Louis; Vervier, J.; Hody, Stéphanie; Bury, Thierry Tue, 12 Mar 2013 18:54:13 GMT http://hdl.handle.net/2268/144655 Title: Approche préventive de la lésion d'épaule chez le sportif <br/> <br/>Author, co-author: Forthomme, Bénédicte; Gleizes-Cervera, S; Delvaux, François; Kaux, Jean-François; Crielaard, Jean-Michel; Croisier, Jean-Louis Tue, 12 Mar 2013 18:39:48 GMT http://hdl.handle.net/2268/144654 Title: La lésion musculaire des ischio-jambiers <br/> <br/>Author, co-author: Delvaux, François; Rochcongar, Pierre; Ferret, JM; Kaux, Jean-François; Crielaard, Jean-Michel; Croisier, Jean-Louis Tue, 12 Mar 2013 18:36:07 GMT http://hdl.handle.net/2268/144653 Title: L'équilibre de force musculaire agonistes / antagonistes <br/> <br/>Author, co-author: Croisier, Jean-Louis; Delvaux, François; Kaux, Jean-François; Julia, Marc; Crielaard, Jean-Michel; Forthomme, Bénédicte Tue, 12 Mar 2013 18:32:52 GMT http://hdl.handle.net/2268/144650 Title: Le travail excentrique : aspects musculaires et tendineux <br/> <br/>Author, co-author: Kaux, Jean-François; Hody, Stéphanie; Forthomme, Bénédicte; LE GOFF, Caroline; Crielaard, Jean-Michel; Croisier, Jean-Louis Tue, 12 Mar 2013 18:29:27 GMT