References of "Kaux, Jean-François"
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See detailDouleurs chroniques de jambes
Kaux, Jean-François ULiege

Learning material (2018)

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See detailLes tendinopathies
Kaux, Jean-François ULiege

Learning material (2018)

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See detailDegré de satisfaction de patients souffrant de lombalgie chronique à la lecture d’un livre éducatif sur le mal de dos
Demoulin, Christophe ULiege; Pauly, L.; MARTIN, Emilie ULiege et al

in Revue du Rhumatisme (2017, December), 84S

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See detailImpact d’une réathlétisation précoce sur les performances des sportifs amateurs opérés d’une rupture du ligament croisé du genou
Duval, Thomas; LEHANCE, Cédric ULiege; Croisier, Jean-Louis ULiege et al

in Journal de Traumatologie du Sport (2017), 34(4), 203-207

The analysis of the isokinetic test and the questionnaire of KOOS, enabled us to note differences between the two groups using quantifiedvalues; however, the results were significant. On the other hand ... [more ▼]

The analysis of the isokinetic test and the questionnaire of KOOS, enabled us to note differences between the two groups using quantifiedvalues; however, the results were significant. On the other hand, the analysis of the results obtained through the functional tests showed significantdifferences between the two groups, highlighting the increased performance and benefit for the group participating in weekly reathletization.Conclusion. – In the preliminary study, the quantified values for both groups indicated a greater improvement, but non-significant, in the performancesof the experimental group. A study with more large population should be undertaken. [less ▲]

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See detailPlasma riche en plaquettes (PRP) et lésions discales : revue de la littérature
Charneux, Laurent ULiege; Demoulin, Christophe ULiege; Vanderthommen, Marc ULiege et al

in Neuro-Chirurgie (2017), 63(6), 473-477

The spine has been the subject of extensive clinical research since it is the source of many painful complaints. However, there is little scientific evidence concerning the therapeutic proposals. During ... [more ▼]

The spine has been the subject of extensive clinical research since it is the source of many painful complaints. However, there is little scientific evidence concerning the therapeutic proposals. During the course of life, the intervertebral disc degenerates, which over time diminishes its damping capacity and facilitates the expulsion of the nucleus pulposus through the annulus fibrosus. The degeneration of the intervertebral disc (DDI) is the origin of some back pain and various specific treatments have been developed. These include the infiltration at the center of the intervertebral disc of plasma rich platelet (PRP), composed of multiple growth factors which act on the disc degeneration. This treatment is recent and less invasive than surgery. Preliminary results seem promising. However, many gray areas and several parameters remained to be clarified. In an attempt to do this, a literature review was conducted based on bibliographic databases Pubmed, Medline and Scopus® using the following Mesh terms : PRP, platelet-rich plasma, intradiscal disc degeneration, disc, intradiscal, discogenic. This analysis reveals that at the present time, no reported study has a sufficient perspective to judge the effectiveness of the infiltration of PRP. Early harvest results will be used to set the limits of this treatment. Accordingly, it is therefore currently recommended to introduce PRP injection as a complementary solution to comprehensive care of the spine. Future research will need to generate randomized controlled studies including comparing the results with conservative treatment and measure the cost-benefit relationship. [less ▲]

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See detailTraumatologie des sports olympiques de ballon en salle. Partie 3 : le volley-ball et comparaison des 3 sports
Kaux, Jean-François ULiege; Roberjot, Mathieu; DELVAUX, François ULiege et al

in Journal de Traumatologie du Sport (2017), 34(4), 217-222

In volleyball, there is no contact between opponents (excepting faults). Overloading injuries are very frequent, and often involve the knee joint(jumper’s knee), the shoulders (cuff injuries), or the ... [more ▼]

In volleyball, there is no contact between opponents (excepting faults). Overloading injuries are very frequent, and often involve the knee joint(jumper’s knee), the shoulders (cuff injuries), or the spine (spondylolysis). Ankle sprains is the most common trauma, mainly occurring during theattack phase and in the defense position at the net. Among the three Olympic indoor ball sports, volleyball produces the least number of seriousinjuries due to the absence of contact between opponents. Trauma prevalence is mainly observed during games and when the playing surface isinappropriate. [less ▲]

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See detailTraduction en langue française de la version longue du « Back Pain Attitudes Questionnaire » et étude de ses qualités psychométriques
Demoulin, Christophe ULiege; Halleux, Valentine; Darlow, Ben et al

in Mains libres (2017), 4

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See detailEntorse de cheville
COLLIN, Romain ULiege; Zahraoui, Yanis ULiege; Croisier, Jean-Louis ULiege et al

Conference (2017, November 18)

Les traumatismes de la cheville et les lésions qui en résultent sont les plus fréquentes des lésions ostéo-articulaires traumatiques. L’entorse de cheville, en particulier, représente un coût socio ... [more ▼]

Les traumatismes de la cheville et les lésions qui en résultent sont les plus fréquentes des lésions ostéo-articulaires traumatiques. L’entorse de cheville, en particulier, représente un coût socio-économique considérable. Cependant, au fil du temps, la problématique reste identique : comment assurer la meilleure prise en charge et éviter toute récidive ? En effet, on constate que le taux de récidive d’entorse de la cheville est éloquent dans certaines disciplines et que les critères de reprise sportive sont limités, contrairement à d’autres lésions ostéo-articulaires. Nous souhaitons, au travers de cet exposé, mettre en lumière certains facteurs de risque de récidive aux différents temps de la prise en charge. Dans un premier temps, nous abordons quelques entités nosologiques secondaires à un traumatisme de la cheville, et définissons les séquelles fonctionnelles à risque de récidive. Dans un second temps, nous mettons en contraste l’instabilité mécanique et fonctionnelle et développons les avancées en termes de rééducation. L’entorse latérale de cheville s’inscrit le plus souvent dans un mécanisme en inversion. En fonction de l’atteinte ligamentaire, des séquelles d’instabilité et de laxité peuvent apparaître. Les lésions ligamentaires de la syndesmose tibio-fibulaire peuvent être contemporaines d'entorses latérales. Les douleurs et l’instabilité futures potentielles s’expliquent notamment par le rôle biomécanique de la pince bi-malléolaire. L’entorse de l’articulation sous-talienne passe souvent inaperçue et s’associe le plus souvent à l’entorse latérale ou à l’entorse de Chopart. Elle peut être responsable du syndrome du sinus du tarse. La fissuration ou luxation des tendons des fibulaires reste souvent négligée. La douleur rétro-malléolaire externe et l’instabilité imputables à ces lésions justifient souvent une sanction chirurgicale. Les lésions ostéochondrales du dôme du talus s’expriment souvent par des douleurs en charge et une instabilité majeure. Enfin, une neurapraxie ou axonotmnèse par étirement du nerf fibulaire superficiel peut entrainer une instabilité par défaut de contraction des muscles fibulaires. L’entorse de cheville peut induire, dans une certain nombre de cas, une instabilité chronique dite « fonctionnelle », par opposition à l’instabilité mécanique décrite ci-dessus. Cette instabilité fonctionnelle peut être due à un déficit de force des muscles everseurs, une altération des informations proprioceptives venant de la cheville ou encore à un déficit du contrôle neuromusculaire. Les patients souffrant d’instabilité chronique rapportent des épisodes récurrents de dérobement de la cheville lors de leurs activités, ainsi qu’une sensation subjective d’instabilité et d’insécurité. Cette instabilité résiduelle constitue un facteur de risque de l’entorse qu’il faudra corriger afin de permettre une reprise de l’activité dans les meilleures conditions et avec un risque réduit de récidive. La rééducation sera orientée de manière à solliciter progressivement la cheville dans des conditions de plus en plus proche du geste lésionnel afin de stimuler les mécanismes physiologiques de protection de l’articulation. Outre l’instabilité, d’autres troubles tels qu’une diminution d’amplitude en extension dorsale de cheville ou un œdème péri-articulaire seront identifiés lors du bilan de rééducation. Ces troubles devront également faire l’objet d’une prise en charge afin d’avoir une correction des déficits la plus complète possible. Les traumatismes de cheville constituent un véritable problème de santé publique en lien avec leur fréquence de survenue et leur taux de récidive. La prise en charge d’un patient nécessite l’établissement d’un diagnostic précis dans un premier temps, et l’identification rigoureuse des facteurs de risque dans un second temps. Cela permettra au rééducateur d’orienter au mieux sa prise en charge et de ne négliger aucun déficit susceptible de provoquer un nouveau traumatisme. [less ▲]

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See detailOstéochondrites
Kaux, Jean-François ULiege; Maillard, Bérengère

Conference (2017, November 04)

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See detailFixation Techniques in Lower Extremity Syndesmotic Injuries
D'Hooghe, Pieter; York, PJ; Kaux, Jean-François ULiege et al

in Foot & Ankle International (2017), 38(11), 1278-1288

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See detailLa β-alanine dans des épreuves isocinétiques et de sauts répétés, (in)utile?
Paulus, Julien ULiege; Schwartz, Cédric ULiege; Paquot, Nicolas ULiege et al

Poster (2017, October 30)

Introduction La β-alanine (β-A), acide aminé précurseur de la carnosine, a fait l'objet d'un nombre important d'études sans néanmoins parvenir à un consensus quant à son influence sur la performance [1-6 ... [more ▼]

Introduction La β-alanine (β-A), acide aminé précurseur de la carnosine, a fait l'objet d'un nombre important d'études sans néanmoins parvenir à un consensus quant à son influence sur la performance [1-6] et/ou son mécanisme d'action [7]. Notre étude a pour but d'affiner la connaissance de son impact sur des performances maximales lors d'épreuves isocinétiques et de sauts prolongées: les personnes ayant une faible résistance à la fatigue neuromusculaire bénéficieraient-elles davantage des effets de la β-A? Méthodes Neuf hommes (24,5 ± 1,2 ans, 182,1 ± 6,6 cm, 80,2 ± 9,9 kg), ont réalisé deux épreuves d'exploration de la fatigue neuromusculaire avec 48h à 72h de repos entre chaque: un test analytique mono-articulaire, gold standard de l'évaluation musculaire, et une épreuve poly-articulaire dite "fonctionnelle". Ces deux épreuves, complémentaires de par les informations qu'elles permettent d'obtenir, sont respectivement un test isocinétique de résistance à la fatigue (30 extensions/flexions maximales de genou en concentrique à 180°.s-1 sur une amplitude de 100° sur Cybex Humac CSMI) [8] et un test de countermovement jump répétés (35 sauts maximaux enclenchés toutes les 1,82 secondes). Chaque sujet a réalisé quatre fois chaque testing: avant/après 14 jours de supplémentation en β-A (5g/j.) et avant/après 14 jours de prise d'un placebo (lactose) sous forme d'un crossover randomisé en double aveugle avec un wash-out de 14 jours. Résultats Aucun effet global de la supplémentation en β-A n'a été observé, que ce soit pour l'épreuve isocinétique (entre autres, somme du travail total des extenseurs: ES Cohen = 0,06 [CI95%: -0,57/0,68]; Magnitude-Based Inference (MBI) Hopkins: P (positif) 31% / T (trivial) 51% / N (négatif) 18%) ou de sauts répétés (entre autres, somme des hauteurs des 35 sauts: ES Cohen = -0,09 [CI95%: -0,47/0,28]; MBI: P 5% / T 68% / N 26%). Une corrélation négative (inversement proportionnelle), forte et statistiquement significative a néanmoins été observée entre l'impact de la β-A sur la performance et la capacité de résistance à la fatigue neuromusculaire pour l'épreuve isocinétique (entre autres, pente de la régression linéaire du travail total & différence entre somme du travail total des extenseurs avec β-A et placebo: rPearson = - 0,85 [CI95%: -0,97/-0,44] avec une p-value de 0,002). Pour l'épreuve de sauts répétés, les résultats ne sont pas significatifs (rPearson = - 0,31 [CI95%: -0,81/0,44] avec une p-value de 0,409). [less ▲]

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See detailPRP et tendinopathies
Kaux, Jean-François ULiege

Conference (2017, October 14)

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See detailReturn to play after groin injury
Kaux, Jean-François ULiege; Delvaux, François ULiege; LEHANCE, Cédric ULiege et al

Conference (2017, October 10)

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See detailLes effets de la compression externe dynamique péristaltique type Normatec sur la récupération sportive
Kabore, Christophe; Kaux, Jean-François ULiege

in Science & Sports (2017), 32(5), 266-277

Aims. — Recently, several studies have emerged to evaluate the effects on sports recovery of theperistaltic dynamic pneumatic external compression device developed at Newton Center, MA,USA and marketed as ... [more ▼]

Aims. — Recently, several studies have emerged to evaluate the effects on sports recovery of theperistaltic dynamic pneumatic external compression device developed at Newton Center, MA,USA and marketed as the Normatec Pulse Recovery System, with an increased use recently inthe professional and recreational sports communities. Our objective in this review is to evaluatethe effects of Normatec on performance and sports recovery by reviewing the studies publishedto date.News. — We carried out a literature search from 1st July 2016 to 31st October 2016 on theMedline database via PubMed, Scopus and the Cochrane Central Register of Controlled Trials viaOvid, at the end of which we retained for this review the comparative studies between Normatecand placebo, between Normatec and another sports recovery techniques as well as experimentalcontrolled trials, with no restriction on sex and level of training of the participants. All studieswere conducted on healthy subjects aged 18 to 40 years. There were 67 men and 61 women fora total of 128 participants. The selected studies were heterogeneous concerning the modalitiesof exercise before treatment by Normatec, as well as the duration of treatment by Normatec.No adverse effects have been described in the studies included in this review, but without anyspecific control described regarding the potential adverse effects.Conclusion. — Current investigations concerning the sport recovery method using the Normatecdevice have shown a favorable influence on blood lactate clearance, peripheral vascular reac-tivity, post-exercise muscle pain and motion amplitude. However, it does not bring significantgain interest compared to other methods of sport recovery that are cheaper, easier to accessand currently better studied, which must be known by athletes of all levels. However, theseinvestigations provide some insights into the mechanisms underlying the positive effects of thismode of treatment and pave the way for further studies that will contribute to the scientificvalidation of the method of sports recovery by Normatec. [less ▲]

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See detailMultidisciplinary rehabilitation program after breast cancer: benefits on physical function, anthropometry and quality of life.
Leclerc, Anne-France ULiege; Foidart-Dessalle, Marguerite ULiege; Tomasella, Marco ULiege et al

in European Journal of Physical and Rehabilitation Medicine (2017), 53(5), 633-642

BACKGROUND: Different clinical trials show beneficial effects of physical training offered during and / or after breast cancer treatment. However, given the variety of side effects that may be encountered ... [more ▼]

BACKGROUND: Different clinical trials show beneficial effects of physical training offered during and / or after breast cancer treatment. However, given the variety of side effects that may be encountered, physical training could be combined with psychological, relational and social guidance. This kind of multidisciplinary program has been little studied so far. AIM: To determine the benefits of a three-month multidisciplinary rehabilitation program among women after breast cancer treatment. DESIGN: Controlled no-randomized trial. SETTING: University for outcomes, University Hospital Center for interventions. POPULATION: Two hundred and nine outpatients who have been treated for a primary breast carcinoma. METHODS: Patients were divided into a control group (n=106) and an experimental group (n=103) which has benefited from a rehabilitation program of three months including physical training and psycho-educational sessions. The assessments, performed before and after the program, included functional assessments ("Sit and Reach Test", maximal incremental exercise test and "Six-Minute Walk Test"), body composition measurements (body mass index (BMI) and body fat percentage) and a questionnaire (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30). RESULTS: After three months, flexibility, walking distance and all parameters measured during the maximal incremental exercise, except maximal heart rate, were significantly improved in the experimental group. The body fat percentage was significantly decreased and a significant improvement was observed for perceived health status (quality of life), functional role, emotional state, physical, cognitive and social functions and for most symptoms. In the control group, most of these improvements didn't appear and a significant increase in BMI and body fat percentage was observed. CONCLUSIONS: This trial identifies the benefits of a well detailed multidisciplinary rehabilitation program, including physical re-conditioning and psycho-educational sessions, with important improvements in functional capacity, body composition and the majority of functions and symptoms among women after breast cancer treatment. CLINICAL REHABILITATION IMPACT: Through its results, this study could contribute to the development of hospital quality standards for oncologic rehabilitation. Physiotherapists can efficiently propose this kind of multidisciplinary rehabilitation program. [less ▲]

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See detailPrise en charge des tendinopathies en pratique générale
Sauvant, Céline; Kaux, Jean-François ULiege

in La Revue de la Médecine Générale (2017), 346

Tendinopathies can develop in several stages. Different therapeutic means are at our disposal. The continuum model, proposed by Cook and Purdam, provides an understanding of pathophysiology and adapts the ... [more ▼]

Tendinopathies can develop in several stages. Different therapeutic means are at our disposal. The continuum model, proposed by Cook and Purdam, provides an understanding of pathophysiology and adapts the therapeutic strategy to achieve optimal recovery and limitation of recurrences. [less ▲]

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See detailClinical classification criteria for radicular pain caused by lumbar disc herniation: the radicular pain caused by disc herniation (RAPIDH) criteria
Genevay, Stéphane; Courvoisier, Delphine; Konstantinou, Kika et al

in Spine Journal (2017), 17(10), 1464-1471

BACKGROUND CONTEXT: Classification criteria are recommended for diseases that lack specific biomarkers to improve homogeneity in clinical research studies. Because imaging evidence of lumbar disc ... [more ▼]

BACKGROUND CONTEXT: Classification criteria are recommended for diseases that lack specific biomarkers to improve homogeneity in clinical research studies. Because imaging evidence of lumbar disc herniations (LDHs) may not be associated with symptoms, clinical classification criteria based on patient symptoms and physical examination findings are required. PURPOSE: This study aimed to produce clinical classification criteria to identify patients with radicular pain caused by LDH. STUDY DESIGN: The study design was a two-stage process. Phase 1 included a Delphi process and Phase 2 included a cohort study. PATIENT SAMPLE: The patient sample included outpatients recruited from spine clinics in five countries. OUTCOME MEASURES: The outcome measures were items from history and physical examination. MATERIALS AND METHODS: In Phase 1, 17 spine experts participated in a Delphi process to select symptoms and signs suggesting radicular pain caused by LDH. In Phase 2, 19 different clinical experts identified patients they confidently classified as presenting with (1) radicular pain caused by LDH, (2) neurogenic claudication (NC) caused by lumbar spinal stenosis, or (3) non-specific low back pain (NSLBP) with referred leg pain. Patients completed survey items and specialists documented examination signs. A score to predict radicular pain caused by LDH was developed based on the coefficients of the multivariate model. An unrestricted grant of less than US$15,000 was received from MSD: It was used to support the conception of the Delphi, data management, and statistical analysis. No fees were allocated to participating spine specialists. RESULTS: Phase 1 generated a final list of 74 potential symptoms and signs. In Phase 2, 209 patients with pain caused by LDH (89), NC (63), or NSLBP (57) were included. Items predicting radicular pain caused by LDH (p<.05) were monoradicular leg pain distribution, patient-reported unilateral leg pain, positive straight leg raise test <60° (or femoral stretch test), unilateral motor weakness, and asymmetric ankle reflex. The score had an AUC of 0.91. An easy-to-use weighted set of criteria with similar psychometric characteristics is proposed (specificity 90.4%, sensitivity 70.6%). CONCLUSIONS: Classification criteria for identifying patients with radicular pain caused by LDH are proposed. Their use could improve the homogeneity of patients enrolled in clinical research studies. [less ▲]

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See detailTranslation and validation of the VISA-P questionnaire for French-speaking patients
Kaux, Jean-François ULiege; Croisier, Jean-Louis ULiege; Bruyère, Olivier ULiege

in European Journal of Sports Medicine (2017, September), 5(supplement 1), 63

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