aude aguilaniu

Background : L’entorse latérale de cheville est la blessure de cheville la plus fréquente. La fatigue semble jouer un rôle dans ce traumatisme car c’est en fin de match (de football ou le rugby) que l’entorse de cheville se produit le plus souvent. L’objectif de cette étude est d’évaluer la reproductibilité d’un test de résistance à la fatigue et d’analyser les différences des scores obtenus en fonction des caractéristiques de notre population. Matériel & Méthode : nous avons recruté 40 sujets volontaires actifs (25 hommes, 15femmes, 23.2±2.7ans) avec ou sans antécédent d’entorses. Ils ont réalisé un test de résistance à la fatigue en appui unipodal avec un outil de destabilisation Myolux®. Les sujets devaient réaliser un nombre maximal de répétitions d’inversion lente et d’éversion rapide. Ce test a été réalisé à deux reprises à une semaine d’intervalle. Des sous-catégories ont été formées dans notre population. Résultats : la reproductibilité relative était bonne ICC =0.80 [0.69-0...

audience: researcher, professional, studentIntroduction: After a first lateral ankle sprain, ankle proprioception may often be altered and contribute to a high risk of re-injury. The joint position reproduction (JPR) test enable to evaluate a joint proprioception. Isokinetic dynamometer is a reliable tool to assess the JPR ability. However, this tool is expensive and not always adapted to assessment on field. This study aimed to establish the reliability of ipsilateral JPR as used in clinical practice with a commercialized destabilization device (Myolux®). Material & Methods: fifteen recreationally-active young adults (30 ankles) were assessed by the same clinician twice, six to eight days apart. Measurements were performed with subjects in a sitting position. The participants were wearing the Myolux®. This device allowed a movement from 5° of eversion to 30° of inversion. After familiarization, the test consisted of ten repetitions of ipsilateral JPR imposed randomly by the connect...

Background: Recommendations are available for assessment criteria for safe return-to-play (RTP) after a lateral ankle sprain. However, their current use among physicians is unknown. Methods: French-speaking physicians in Belgium, France and Switzerland were asked to complete an online survey and report their clinical assessment of selected RTP criteria. Results:The respondent sample (n = 109) included physicians with and without Sports Medicine education, varied level of experience and proportion of athletes in their practice population. Pain was the most selected criterion for safe RTP (90% of physicians), followed by ability to engage in functional tasks (82%), functional instability (73%), range of motion (61%), proprioception (47%), mechanical instability (39%), strength (38%) and swelling (31%). A low proportion of physicians use quantitative measures to assess these criteria (between 4% and 53%). Conclusions: A large proportion of physicians consider the recommended criteria f...

INTRODUCTION: After a Musculo-skeletal injury, monitoring rehabilitation could help practitioners to objectify improvement and to decide how to adapt their treatment. Muscle strength is one essential component of rehabilitation in general. One – Repetition Maximal (1-RM) is a reliable measure that helps practitioners to quantitatively assess muscle strength (Grgic et al., 2020). A large majority of muscles could be assessed with 1-RM, however we do not know if the assessment of ankle muscle strength could be assessed using 1-RM in reliable way. The aim of this study was to determine the level of Intrarater agreement of ankle 1-RM. METHODS: Twenty-fou r healthy young adults (10 women and 14 men) volunteered to participate in this study. One – Repetition maximal of ankle evertors, invertors and dorsiflexors were measured with participants lying supine with the calf of tested ankle on a step (knee flexed approximately to 30-40°) and a complete flexion of the other leg. The measurement ...

Background The incidence of lateral ankle sprain (LAS) in sports and risk of LAS re-injury is high. Objective The purpose of this study was to see how physicians use existing recommendations in the literature to decide a safe return-to-play (RTP) after a LAS. We hypothesize that physicians are using the published recommendations to make this RTP decision. Design An online survey was designed to identify clinical practice patterns to decide a RTP decision after a LAS. Setting The physicians were contacted by e-mail containing an electronic link for survey access between January and February 2019. They were instructed to answer all questions that related to their clinical practice of patients after a LAS. Patients (or Participants) 109 physicians answered the entire survey. Among the 109 physicians, 59 had a sport education and 50 had no specific sport education. Interventions (or assessment of risk factors) Physicians selected the criteria and details on the assessment they used in d...

BACKGROUND Recommendations are available for assessment criteria for safe return-to-play (RTP) after a lateral ankle sprain. However, their current use among physicians is unknown. METHODS French-speaking physicians in Belgium, France and Switzerland were asked to complete an online survey and report their clinical assessment of selected RTP criteria. RESULTS The respondent sample (n=109) included physicians with and without Sports Medicine education, varied level of experience and proportion of athletes in their practice population. Pain was the most selected criterion for safe RTP (90% of physicians), followed by ability to engage in functional tasks (82%), functional instability (73%), range of motion (61%), proprioception (47%), mechanical instability (39%), strength (38%) and swelling (31%). A low proportion of physicians use quantitative measures to assess these criteria (between 4% and 53%). CONCLUSIONS A large proportion of physicians consider the recommended criteria for RT...