Publications of Marguerite DESSALLE
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See detailClinical and electrophysiological investigation of spastic muscle overactivity in patients with disorders of consciousness following severe brain injury
Martens, Géraldine ULiege; Deltombe, Thierry; Foidart-Dessalle, Marguerite ULiege et al

in Clinical Neurophysiology (2019), 130(2),

Objective The clinical and electrophysiological profile of spastic muscle overactivity (SMO) is poorly documented in patients with disorders of consciousness (DOC) following severe cortical and ... [more ▼]

Objective The clinical and electrophysiological profile of spastic muscle overactivity (SMO) is poorly documented in patients with disorders of consciousness (DOC) following severe cortical and subcortical injury. We aim at investigating the link between the clinical observations of SMO and the electrophysiological spastic over-reactivity in patients with prolonged DOC. Methods We prospectively enrolled adult patients with DOC at least 3 months post traumatic or non-traumatic brain injury. The spastic profile was investigated using the Modified Ashworth Scale and the Hmax/Mmax ratio. T1 MRI data and impact of medication were analyzed as well. Results 21 patients were included (mean age: 41 ± 11 years; time since injury: 4 ± 5 years; 9 women; 10 traumatic etiologies). Eighteen patients presented signs of SMO and 11 had an increased ratio. Eight patients presented signs of SMO but no increased ratio. We did not find any significant correlation between the ratio and the MAS score for each limb (all ps > 0.05). The presence of medication was not significantly associated with a reduction in MAS scores or Hmax/Mmax ratios. Conclusions In this preliminary study, the Hmax/Mmax ratio does not seem to reflect the clinical MAS scores in patients with DOC. This supports the fact they do not only present spasticity but other forms of SMO and contracture. Significance Patients with DOC are still in need of optimized tools to evaluate their spastic profile and therapeutic approaches should be adapted accordingly. [less ▲]

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See detailINFLUENCE OF LONG-TERM IMMOBILIZATION OF THE WRIST ON MOTOR IMAGERY ABILITY.
BERNARD, Bénédicte ULiege; Foidart-Dessalle, Marguerite ULiege; Mounier-Poulat et al

Conference (2016)

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See detailEccentric training for elbow hypermobility
Kaux, Jean-François ULiege; Delvaux, François ULiege; Forthomme, Bénédicte ULiege 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 detailA Double-Blind, Placebo Controlled, Randomized Trial to Assess the Impact of a Monthly Administration of 50,000 IU of Vitamin D3 for 6 Months on Serum Levels of 25-Hydroxyvitamin D in Healthy Young Adults
Brunel, Elodie ULiege; SCHNITZLER, Maryline ULiege; Foidart-Dessalle, Marguerite ULiege et al

in International Journal of Endocrinology (2013)

In this double blind, unicentre, randomized, placebo controlled study, we evaluated the changes in 25-hydroxyvitamin D (25(OH)D) serum levels in 150 young Belgian adults (18–30 years), monthly ... [more ▼]

In this double blind, unicentre, randomized, placebo controlled study, we evaluated the changes in 25-hydroxyvitamin D (25(OH)D) serum levels in 150 young Belgian adults (18–30 years), monthly supplemented with 50,000 IU of vitamin D (VTD) or placebo for 6 months, from November 2010 to May 2011. At T0, 30% of the population presented 25(OH)D serum levels below 20 ng/mL. In the VTD-treated group, mean serum levels increased from 21.2 ± 8.2 to 30.6 ± 8.8 ng/mL (𝑃 < 0.001) at T3mo and to 36.0 ± 9.2 ng/mL (𝑃 < 0.001) at T6mo. Despite documented VTD intake, no changes in serum levels were, however, observed in 10% of the treated group. In the placebo group, mean 25(OH)D serum levels decreased from22.8 ± 8.5 to 14.0 ± 6.9 ng/mL at T3mo (𝑃 < 0.001) but returned to values not significantly different from those observed at T0 (23.5 ± 8.6 ng/mL) at T6mo. No difference between serum calcium levels was observed between the groups throughout the study. In conclusion, monthly supplementation with50,000UIofVTDinwinter canwarrant serum25(OH)Dlevels above 20ng/mL in96.2%of thosehealthy young adultswithout inducing unacceptably high 25(OH)D concentration. This supplementation is safe andmay be proposed without 25(OH)D testing. [less ▲]

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See detailEccentric rehabilitation for elbow hypermobility
Kaux, Jean-François ULiege; Forthomme, Bénédicte ULiege; Foidart-Dessalle, Marguerite ULiege et al

in Journal of Novel Physiotherapies (2013), 3(6), 1805

Introduction: Joint hypermobility involves an increased range of motion compared to normal amplitudes for the same age, sex and ethnic group. Patients with hypermobility suffer from joints problems and ... [more ▼]

Introduction: Joint hypermobility involves an increased range of motion compared to normal amplitudes for the same age, sex and ethnic group. Patients with hypermobility suffer from joints problems and chronic pain is the most frequently reported symptom. Eccentric muscle strengthening could be very important to protect hypermobile joints. Case report: An Ehler-Danlos syndrome patient presented pain in the right elbow and the right wrist after a season of tennis. Her physiotherapy (18 sessions, 3 times a week) 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 [30°/s, 60°/s, and 90°/s] within a limited range of motion in flexion and extension, on an isokinetic device after an evaluation. She was also given an ortheosis restricting the joint range of motion of the wrist. 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 an improvement in maximal torque of 20 to 25% in flexion-extension muscles of the right elbow. She was also given individualized home exercises. Conclusion: The goal of rehabilitation 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. [less ▲]

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See detailElectroneuromyographie
WANG, François-Charles ULiege; Foidart-Dessalle, Marguerite ULiege; Chantraine, Alex

in Chantraine, Alex (Ed.) Rééducation neurologique guide pratique de rééducation des affections neurologiques (2013)

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See detailPost-traumatic thoracic outlet syndrome
DUBUISSON, Annie ULiege; lamotte, Catherine; Foidart-Dessalle, Marguerite ULiege et al

in Acta Neurochirurgica (2012)

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See detailPhysiotherapy Intervention for Joint Hypermobility in Three Cases with Heritable Connective Tissue Disorders
Kaux, Jean-François ULiege; Foidart-Dessalle, Marguerite ULiege; Croisier, Jean-Louis ULiege et al

in Journal of Musculoskeletal Pain (2010), 18(3), 254-60

Introduction: In Joint Hypermobility Syndromes, chronic pain is the most disabling symptom. Its origin can be multiple (i.e. subluxations, sprains, pathologies of tendons, ligaments, peripheral nerves ... [more ▼]

Introduction: In Joint Hypermobility Syndromes, chronic pain is the most disabling symptom. Its origin can be multiple (i.e. subluxations, sprains, pathologies of tendons, ligaments, peripheral nerves, multiple operations). The goal of this article was intended to discuss appropriate physiotherapy in hyperlax patients. Patients and Method: The recovery process was analyzed in three cases (Marfan Syndrome, Ehlers-Danlos Syndrome and Osteogenesis Imperfecta). Hypermobility was assessed using the Brighton scale, pain using the Visual Analogue Scale and quality of life using the Medical Outcome Study Short Form-36. Bone density was evaluated by QDR X-ray absorptiometry. We emphasized that it was important to avoid stretching and to train the patient within a controlled range of motion. Submaximal eccentric exercises within a safe range of motion were incorporated to increase the active control of the joint positioning. Thus, in one patient, isokinetic rehabilitation was successfully undertaken. Each treatment had to be adapted to the individual patient and had to include specific home exercises. Conclusion: In each case, physiotherapy gave good results in relation to pain, quality of life and stability of rehabilitated joints. Safety must be assured and specific evaluations such osteodensitometry, cardiac explorations and interventions of bracing, proprioceptive and functional strengthening can be very helpful. [less ▲]

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See detailImagerie médicale & appareil locomoteur - cases report
Kaux, Jean-François ULiege; Foidart-Dessalle, Marguerite ULiege

Conference (2009, May 18)

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See detailProgramme excentrique dans la pathologie du coude : tendinopathie épicondylienne
Croisier, Jean-Louis ULiege; Foidart-Dessalle, Marguerite ULiege; Crielaard, Jean-Michel ULiege et al

in Croisier, Jean-Louis; Codine, Philippe (Eds.) Exercice musculaire excentrique (2009)

Lateral epicondylitis represents a common overuse injury caused by repetitive gestures through sports activity, industrial work and hobby activities. In spite of many conservative treatment procedures ... [more ▼]

Lateral epicondylitis represents a common overuse injury caused by repetitive gestures through sports activity, industrial work and hobby activities. In spite of many conservative treatment procedures, prolonged symptoms and relapse are frequently reported. The goal of our study was to compare the outcome of patients performing an adapted isokinetic eccentric training with that of patients receiving a non-strengthening classical rehabilitation. Results, dealing with pain score evaluation, disability questionnaire, muscle strength measurement and ultrasonographic examination, highlight the relevance of implementing isokinetic adapted eccentric training in the management of lateral epicondylitis. [less ▲]

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See detailProgramme excentrique dans le traitement de l’hyperlaxité du coude
Kaux, Jean-François ULiege; Foidart-Dessalle, Marguerite ULiege; Debray, François-Guillaume ULiege et al

in Croisier, Jean-Louis; Codine, Philippe (Eds.) Exercice musculaire excentrique (2009)

Introduction: Joint hypermobility involves an increased range of motion compared to normal amplitudes for the same age, sex and ethnic group. Benign Joint Hypermobility Syndrome (BJHS) affects between 5 ... [more ▼]

Introduction: Joint hypermobility involves an increased range of motion compared to normal amplitudes for the same age, sex and ethnic group. Benign Joint Hypermobility Syndrome (BJHS) affects between 5 and 10% of the Caucasian population but it also concern rare hereditary dystrophies with abnormal collagen structure or metabolism (i.e.: Ehlers-Danlos Syndrome (EDS)). Patients with hypermobility suffer from joints problems and chronic pain is the most frequently reported symptom. Case Report: An EDS patient presented pain in the right elbow and the right wrist after a season of tennis. Her physiotherapy consisted of wrist prono-supination and flexion-extension muscle group reinforcement and proprioceptive training. To protect the wrist against excessive load, strengthening exercises of prono-supinator and flexor-extensor muscles of elbow and wrist were undertaken on an isokinetic device after an evaluation. She was also given an orthosis restricting the joint range of motion of the wrist. 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 symmetric values and an improvement in maximal torque of 20 to 25% in all trained muscles of the right elbow. She was also given individualized home exercises. Conclusion: The goal of rehabilitation is to avoid hypermobility by using the muscles as a protective brake in the control of joint positioning. Thus, muscles were reinforced in eccentric mode with starting position at the maximum length of these muscles when unstreched. The exercises could be carried out safely on an isokinetic device. Indeed eccentric exercises at slow speed and limited range of joint motion avoided risk of luxation. Patients must be informed that it’s a long-term treatment and that in addition to exercises with the physiotherapist personal home exercises are essential. [less ▲]

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See detailDysphagie soudaine chez un patient âgé tétraparétique
Kaux, Jean-François ULiege; Ongena, France; WANG, François-Charles ULiege et al

in Annales de Réadaptation et de Médecine Physique (2009), 52(1), 59-62

Cas clinique. - Nous rapportons le cas d'un patient tétraparétique de 92 ans qui a présenté subitement des troubles majeurs de la déglutition dans les suites d'une contusion cervicale. L'examen ... [more ▼]

Cas clinique. - Nous rapportons le cas d'un patient tétraparétique de 92 ans qui a présenté subitement des troubles majeurs de la déglutition dans les suites d'une contusion cervicale. L'examen électrophysiologique en fibre unique au niveau du muscle extenseur commun des doigts a suggéré le diagnostic de myasthénie. Celui-ci a finalement été retenu au vu de l'absence de récidive après de six mois de traitement par pyridostigmine. Discussion. - Nous avons rappelé les différentes caractéristiques de la myasthénie ainsi que la prise en charge de toute dysphagie. Conclusion. - Il est important d'être attentif à tout signe direct et/ou indirect de dysphagie et de toujours les explorer afin de pouvoir en déterminer l'étiologie exacte pour instaurer la prise en charge et le traitement adéquats. [less ▲]

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See detailSudden dysphagia in an elderly quadriparetic patient
Kaux, Jean-François ULiege; Ongena, France; WANG, François-Charles ULiege et al

in Annals of Physical and Rehabilitation Medicine (2009), 52(1), 62-65

Clinical case: We report the case of a 92-year-old quadriparetic patient who suddenly presented a major swallowing disorder following trauma to the neck. A diagnosis of myasthenia gravis was suggested by ... [more ▼]

Clinical case: We report the case of a 92-year-old quadriparetic patient who suddenly presented a major swallowing disorder following trauma to the neck. A diagnosis of myasthenia gravis was suggested by single-fibre EMG of the extensor digitorum communis muscle. In view of the continued absence of dysphagia after 6 months of pyridostigmine treatment, this diagnosis was considered as definitive. Discussion: We review the various characteristics of myasthenia gravis and ways of investigating dysphagia. Conclusion: It is important to be aware of and investigate all the direct and indirect signs of dysphagia and establish the exact aetiology, in order to provide the best possible treatment. [less ▲]

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See detailAn adapted eccentric training in the management of chronic lateral epicondylar tendinopathy
Croisier, Jean-Louis ULiege; Foidart-Dessalle, Marguerite ULiege; Crielaard, Jean-Michel ULiege et al

in Abstract book of 13th Annual Congress of the European College of Sport Science (2008)

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See detailContribution to an adapted physiotherapy in the hyperlaxity syndromes
Kaux, Jean-François ULiege; Foidart-Dessalle, Marguerite ULiege; Toussaint, Geoffrey ULiege et al

in First Annual Congress (of the new style) of the Royal Belgian Society of Physical and Rehabilitation Medicine (RBSPRM) (2005, December 02)

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See detailAdapted eccentric training in chronic lateral epicondylitis rehabilitation
Croisier, Jean-Louis ULiege; Foidart-Dessalle, Marguerite ULiege; Crielaard, Jean-Michel ULiege et al

in Computer Methods in Biomechanics and Biomedical Engineering (2005, September), 8(Supp 1), 55-56

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See detailCinematic and electromyographic analysis of a basic athletic test: the walkover in well trained and beginners young female gymnasts
Foidart-Dessalle, Marguerite ULiege; Krier, P.; De Pasqua, Victor ULiege et al

in Computer Methods in Biomechanics and Biomedical Engineering (2005, September), 8(Supp 1), 027

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