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Drigny J, Reboursière E, Praz C, Guermont H, Hulet C, Gauthier A. Changes in passive hamstring stiffness after primary anterior cruciate ligament reconstruction: A prospective study with comparison of healthy controls. Clin Biomech (Bristol, Avon) 2024; 112:106168. [PMID: 38219455 DOI: 10.1016/j.clinbiomech.2023.106168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 12/05/2023] [Accepted: 12/29/2023] [Indexed: 01/16/2024]
Abstract
BACKGROUND The mechanical properties of knee flexors muscles contribute to reducing anterior cruciate ligament loading. This case-control study evaluated the passive knee flexors stiffness after primary anterior cruciate ligament reconstruction with comparison of healthy controls. METHODS After anterior cruciate ligament reconstruction, 88 participants (24.5 [8.6] years, 56,8% males) had two isokinetic tests at 4 and 8 postoperative months with measurement of the passive resistive torque of knee flexors and extensors/flexors strength. In the control group, 44 participants (24.5 [4.3] years, 56,8% males) had one visit with the same procedures. Passive knee flexors stiffness was calculated as the slope of the passive torque-angle curve on the last 10° of knee extension (Nm/°). We investigated the impact of timing and type of surgery (autograft and combined meniscus repair) and persistent knee extension deficits on knee flexors stiffness. FINDINGS At 4 and 8 postoperative months, passive knee flexors stiffness was lower on the operated limb than on the non-operated limb (P < 0.001) but both limbs had significant lower values than controls (P < 0.001). Stiffness was positively correlated with knee flexors strength (P < 0.010), and knee flexors stiffness at 4 months was lower in individuals who underwent surgery <6 months from injury (P = 0.040). Knee extension deficit or the type of surgery did not have a significant influence on knee flexors stiffness. INTERPRETATION Similarly to neuromuscular factors that are traditionally altered after anterior cruciate ligament reconstruction, evaluating passive knee flexors stiffness changes over time could provide supplementary insights into postoperative muscle recovery.
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Affiliation(s)
- Joffrey Drigny
- Service de Médecine Physique et de Réadaptation, Service de Médecine du Sport, CHU de Caen Normandie, Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, 14000 Caen, France.
| | | | - Cesar Praz
- Département d'orthopédie et de traumatologie, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France
| | - Henri Guermont
- Service de Médecine du Sport, CHU de Caen Normandie, 14000 Caen, France
| | - Christophe Hulet
- Département d'orthopédie et de traumatologie, Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, 14000 Caen, France
| | - Antoine Gauthier
- Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, 14000 Caen, France
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Tripon M, Praz C, Ferreira A, Drigny J, Reboursière E, Hulet C. Clinical outcome of iterative meniscal suture after ACL reconstruction at a minimum of 2 years' follow-up. Orthop Traumatol Surg Res 2024; 110:103754. [PMID: 37951303 DOI: 10.1016/j.otsr.2023.103754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 08/10/2023] [Accepted: 08/30/2023] [Indexed: 11/13/2023]
Abstract
INTRODUCTION Failure rates in meniscal suture associated to ACL reconstruction range from 10 to 26.9%, often leading to meniscectomy. In young patients, the wish to conserve the meniscus may lead to iterative suture, if the lesion allows. There are no data available for clinical results of repeat meniscal suture at the same site as the primary lesion in a stabilized knee. The immediate socioeconomic cost, compared to meniscectomy, needs to be taken into account, and benefit needs to be demonstrated. The main aim of the present study was to assess the rate of secondary meniscectomy after iterative meniscal suture in stabilized knees. The study hypothesis was that failure rates are higher in iterative isolated meniscal suture after ligament reconstruction than in primary repair. MATERIAL AND METHODS This single-center retrospective study analyzed patients receiving iterative meniscal suture on stable knee, between 2009 and 2019, with a minimum 26 months' follow-up. Twenty-three patients were analyzed: 15 male, 8 female; mean age at iterative suture, 28.1±7.9 years (range, 14-49 years); mean BMI, 24.2±2.9kg/m2 (range, 19-31). Mean time to recurrence was 38.9±25.1 months (range, 6-93 months). Initial ACL graft used the patellar ligament in 69.6% of cases (n=16) and the hamstrings in 30.4% (n=7). Mean differential laximetry before iterative suture was 1.7±0.3mm (range, 1.2-2.3mm). Iterative suture was in the medial meniscus in 69.6% of cases (16/23) and in the lateral meniscus in 30.4% (7/23). Risk factors for failure, defined by requirement for meniscectomy, were assessed. Functional results were assessed on Knee injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) score and Tegner score. RESULTS The failure rate was 48% (11/23), incorporating all lesions together. Bucket-handle tear was most frequently associated with failure (91%; p<0.01). There was significant improvement after iterative suture in subjective IKDC score (51.6±15.2 vs. 81.3±15.6; p<0.001) and KOOS scores: symptoms and stiffness, 66.6±13.7 vs. 91.1±7.53 (p<0.001); pain, 79.2±12.7 vs. 93.4±7.4 (p<0.01); function, 91.3±11.2 vs. 97.9±4.44 (p<0.001); quality of life, 38.1±23.2 vs. 62.3±30.1 (p<0.001). CONCLUSION The failure rate for iterative meniscal suture on stabilized knee was 48%. Bucket-handle tear was a major risk factor for failure (91%). Despite these high failure rates, functional results systematically improved. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- Martin Tripon
- Département de chirurgie orthopédique et traumatologique, CHU de Caen Normandie, avenue de la Côte de Nacre, 14033 Caen, France.
| | - César Praz
- Département de chirurgie orthopédique et traumatologique, CHU de Caen Normandie, avenue de la Côte de Nacre, 14033 Caen, France
| | - Alexandre Ferreira
- Département de chirurgie orthopédique et traumatologique, CHU de Caen Normandie, avenue de la Côte de Nacre, 14033 Caen, France
| | - Joffrey Drigny
- Département de médecine du sport, CHU de Caen, avenue de la Côte de Nacre, 14033 Caen, France
| | - Emmanuel Reboursière
- Département de médecine du sport, CHU de Caen, avenue de la Côte de Nacre, 14033 Caen, France
| | - Christophe Hulet
- Département de chirurgie orthopédique et traumatologique, CHU de Caen Normandie, avenue de la Côte de Nacre, 14033 Caen, France
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Drigny J, Calmès A, Reboursière E, Hulet C, Gauthier A. Changes in the Force-Velocity Relationship of Knee Muscles After Anterior Cruciate Ligament Reconstruction Using the Isokinetic 2-Point Model. Int J Sports Physiol Perform 2023; 18:1336-1344. [PMID: 37673416 DOI: 10.1123/ijspp.2023-0108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 07/27/2023] [Accepted: 07/28/2023] [Indexed: 09/08/2023]
Abstract
PURPOSE After anterior cruciate ligament reconstruction (ACL-R), knee muscle strength symmetry is used as part of the return-to-sport criteria. However, little is known about the changes in the force-velocity (F-V) relationship, which could affect athletic performance. This study investigated the F-V relationship of knee muscles at 4 and 8 months after ACL-R, using the 2-point method tested by isokinetic dynamometry. METHODS A total of 103 physically trained individuals (24.6 [9.3] y, 59.2% male) who underwent primary ACL-R were included. Demographic information and surgery characteristics were collected at 6 weeks postoperatively. Isokinetic knee flexors' and extensors' peak torques were measured at 60° and 240° per second in the concentric mode at 4 and 8 months postoperative. Peak torques and angular velocities were converted to force and linear velocity for calculating maximum isometric force (F0) and the slope of the regression line (F-V slope). RESULTS At 4 and 8 months postoperative, F0 was significantly lower and F-V slope was significantly less steep (less negative) on the operated leg compared with the nonoperated leg for knee extensors (P < .001) and flexors (P < .001-.002). The limb symmetry index calculated using F0 was lower than the limb symmetry indexes assessed at 60° and 240° per second, especially for knee flexors (P < .001). The use of patellar tendon grafts was associated with lower F0 and a less steep F-V slope compared with hamstring tendon grafts (P < .010). CONCLUSION The isokinetic 2-point model assessing the F-V relationship provides additional and relevant insight for evaluating knee muscle strength after ACL-R.
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Affiliation(s)
- Joffrey Drigny
- Service de Médecine Physique et de Réadaptation, Service de Médecine du Sport, CHU de Caen Normandie, Normandie Université, UNICAEN, INSERM, COMETE, GIP CYCERON, Caen, France
| | - Anaelle Calmès
- Service de Médecine du Sport, CHU de Caen Normandie, Normandie Université, UNICAEN, Caen, France
| | - Emmanuel Reboursière
- Service de Médecine du Sport, CHU de Caen Normandie, Normandie Université, UNICAEN, Caen, France
| | - Christophe Hulet
- Département d'orthopédie et de traumatologie, CHU de Caen Normandie, Normandie Université, UNICAEN, INSERM, COMETE, GIP CYCERON, Caen, France
| | - Antoine Gauthier
- Normandie Université, UNICAEN, INSERM, COMETE, GIP CYCERON, Caen, France
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Pamart N, Drigny J, Azambourg H, Remilly M, Macquart M, Lefèvre A, Lahjaily K, Parienti JJ, Rocamora A, Guermont H, Desvergée A, Ollitrault P, Tournoux F, Saloux E, Normand H, Reboursière E, Gauthier A, Hodzic A. Effects of a 20-Week High-Intensity Strength Training Program on Muscle Strength Gain and Cardiac Adaptation in Untrained Men: Preliminary Results of a Prospective Longitudinal Study. JMIR Form Res 2023; 7:e47876. [PMID: 37874630 PMCID: PMC10630871 DOI: 10.2196/47876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 08/19/2023] [Accepted: 08/20/2023] [Indexed: 10/25/2023] Open
Abstract
BACKGROUND As strength sports gain popularity, there is a growing need to explore the impact of sustained strength training on cardiac biventricular structure and function, an area that has received less attention compared to the well-established physiological cardiac adaptation to endurance training. OBJECTIVE This study aims to implement a 20-week high-intensity strength training program to enhance maximal muscle strength and evaluate its impact on cardiac biventricular adaptation in healthy, untrained men. METHODS A total of 27 healthy and untrained young men (mean age 22.8, SD 3.2 years) participated in a strength training program designed to increase muscle strength. The training program involved concentric, eccentric, and isometric exercise phases, conducted over a consecutive 20-week time frame with a frequency of 3 weekly training sessions. Participants were evaluated before and after 12 and 20 weeks of training through body composition analysis (bioelectrical impedance), a 12-lead resting electrocardiogram, 3D transthoracic echocardiography, cardiopulmonary exercise testing, and muscle isokinetic dynamometry. The progression of strength training loads was guided by 1-repetition maximum (RM) testing during the training program. RESULTS Of the initial cohort, 22 participants completed the study protocol. No injuries were reported. The BMI (mean 69.8, SD 10.8 kg/m² vs mean 72, SD 11 kg/m²; P=.72) and the fat mass (mean 15.3%, SD 7.5% vs mean 16.5%, SD 7%; P=.87) remained unchanged after training. The strength training program led to significant gains in 1-RM exercise testing as early as 4 weeks into training for leg extension (mean 69.6, SD 17.7 kg vs mean 96.5, SD 31 kg; P<.001), leg curl (mean 43.2, SD 9.7 kg vs mean 52.8, SD 13.4 kg; P<.001), inclined press (mean 174.1, SD 41.1 kg vs mean 229.2, SD 50.4 kg; P<.001), butterfly (mean 26.3, SD 6.2 kg vs mean 32.5, SD 6.6 kg; P<.001), and curl biceps on desk (mean 22.9, SD 5.2 kg vs mean 29.6, SD 5.2 kg; P<.001). After 20 weeks, the 1-RM leg curl, bench press, pullover, butterfly, leg extension, curl biceps on desk, and inclined press showed significant mean percentage gains of +40%, +41.1%, +50.3%, +63.5%, +80.1%, +105%, and +106%, respectively (P<.001). Additionally, the isokinetic evaluation confirmed increases in maximal strength for the biceps (+9.2 Nm), triceps (+11.6 Nm), quadriceps (+46.8 Nm), and hamstrings (+25.3 Nm). In this paper, only the training and muscular aspects are presented; the cardiac analysis will be addressed separately. CONCLUSIONS This study demonstrated that a short-term high-intensity strength training program was successful in achieving significant gains in muscle strength among previously untrained young men. We intend to use this protocol to gain a better understanding of the impact of high-intensity strength training on cardiac physiological remodeling, thereby providing new insights into the cardiac global response in strength athletes. TRIAL REGISTRATION ClinicalTrials.gov NCT04187170; https://clinicaltrials.gov/study/NCT04187170.
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Affiliation(s)
- Nicolas Pamart
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université Jean Monnet, Saint Etienne, France
| | - Joffrey Drigny
- Department of Sports Medicine, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Hélène Azambourg
- Department of Sports Medicine, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Marion Remilly
- Department of Sports Medicine, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | | | | | - Kamal Lahjaily
- Department of Cardiology, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Jean Jacques Parienti
- Centre de Recherche Clinique, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Amélia Rocamora
- Centre de Recherche Clinique, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Henri Guermont
- Department of Sports Medicine, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Antoine Desvergée
- Department of Sports Medicine, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Pierre Ollitrault
- Department of Sports Medicine, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
- Department of Cardiology, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Francois Tournoux
- Research Center of the Montreal University Hospital, Montreal University, Montreal, QC, Canada
| | - Eric Saloux
- Department of Cardiology, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Hervé Normand
- Inserm Comete, GIP Cyceron, Normandie Université, Caen, France
| | - Emmanuel Reboursière
- Department of Sports Medicine, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
| | - Antoine Gauthier
- UFR STAPS, Normandie Université, Caen, France
- Inserm Comete, GIP Cyceron, Normandie Université, Caen, France
| | - Amir Hodzic
- Department of Sports Medicine, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
- Department of Cardiology, Normandie Université, Centre Hospitalier Universitaire de Caen Normandie, Caen, France
- Inserm Comete, GIP Cyceron, Normandie Université, Caen, France
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Guermont H, Mittelheisser G, Reboursière E, Gauthier A, Drigny J. Shoulder muscle imbalance as a risk factor for shoulder injury in elite badminton players: A prospective study. Phys Ther Sport 2023; 61:149-155. [PMID: 37062162 DOI: 10.1016/j.ptsp.2023.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 04/01/2023] [Accepted: 04/03/2023] [Indexed: 04/18/2023]
Abstract
OBJECTIVES To assess the impact of preseason shoulder testing on the risk of significant shoulder injury (SSI) in elite badminton players. DESIGN Prospective cohort study. SETTING Secondary care, academic medical center. PARTICIPANTS Nineteen elite badminton players (19.37 ± 4.79 years, n = 13 males). MAIN OUTCOME MEASURES At preseason, they had shoulder examination tests including the table-to-acromion distance and the glenohumeral rotation range of motion. The glenohumeral internal rotation deficit (GIRD) was calculated. Isokinetic internal and external rotator shoulder muscle strength was tested at 60°/s (concentric and eccentric modes) and 240°/s (concentric mode). Bilateral strength ratio (non-dominant:dominant) and unilateral agonist:antagonist conventional and functional ratios (FR: eccentric-to-concentric) were calculated. RESULTS During the follow-up time of 38 weeks, SSIs were assessed by an experienced sport physician and 42% of the participants sustained at least one SSI at their dominant side. The preseason GIRD and FR at 240°/s (FR240) were independently associated with SSIs (G2 = 6.28, p = .012 and G2 = 6.23, p = .013, respectively). FR240 < 0.69 (odds ratio = 28.0) and GIRD> 14° (odds ratio = 36.14) were predictors for SSIs. CONCLUSIONS Lower functional deceleration ratio and greater GIRD are associated with a higher risk of SSI at the dominant side in elite badminton players.
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Affiliation(s)
- Henri Guermont
- Service de Médecine Du Sport, UNICAEN, Normandie Univ, CHU de Caen Normandie, Caen, France
| | - Gaëtan Mittelheisser
- Department of Sport Medicine, French National Institute of Sports (INSEP), Paris, France
| | - Emmanuel Reboursière
- Service de Médecine Du Sport, UNICAEN, Normandie Univ, CHU de Caen Normandie, Caen, France
| | | | - Joffrey Drigny
- Service de Médecine Du Sport, UNICAEN, Normandie Univ, CHU de Caen Normandie, Caen, France; UNICAEN, INSERM, COMETE, GIP CYCERON, Caen, France; Service de Médecine Physique et de Réadaptation, UNICAEN, Normandie Univ, CHU de Caen Normandie, Caen, France.
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Pizzoferrato AC, Arzel O, Reboursière E, Rousseau M, Blanchard V. Impact de sessions d’éducation périnéale chez des adolescentes. Prog Urol 2022; 32:735-743. [DOI: 10.1016/j.purol.2022.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 06/28/2022] [Accepted: 07/01/2022] [Indexed: 10/15/2022]
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Cousergue C, Saloux E, Reboursière E, Rocamora A, Milliez P, Normand H, Hodzic A. Age impacts left atrial functional remodeling in athletes. PLoS One 2022; 17:e0271628. [PMID: 35839256 PMCID: PMC9286255 DOI: 10.1371/journal.pone.0271628] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Accepted: 07/05/2022] [Indexed: 12/28/2022] Open
Abstract
Aim Age-associated changes in cardiac filling and function are well known in the general population. Yet, the effect of aging on left atrial (LA) function, and its interaction with left ventricular (LV) adaptation, remain less described when combined with high-intensity chronic training. We aimed to analyze the effects of aging on LA and LV functions in trained athletes. Methods and results Ninety-five healthy highly-trained athletes referred for resting echocardiography were included. Two groups of athletes were retrospectively defined based on age: young athletes aged <35 years (n = 54), and master athletes aged ≥35 years (n = 41). All subjects were questioned about their sports practice. Echocardiographic analysis of LV systolic and diastolic functions (2D-echo, 3D-echo, and Doppler), as well as LA 2D dimensions and phasic deformations assessed by speckle tracking, were analyzed. Master athletes (mean age = 46.3 ± 8.3 years, mean duration of sustained training = 13.7 ± 8.9 years) exhibited significantly stiffer LV and LA with reduced LV early diastolic functional parameters (ratio E/A, peak e’, and ratio e’/a’), LA reservoir and conduit strain, whereas LA volume, LA contractile strain and LV peak a’ were higher, compared to young athletes. Multivariate regression analysis confirmed that age was predictive of peak e’, LA reservoir strain and LA conduit strain, independently of training variables. LA phasic strains were strongly associated with LV diastolic function. Conclusions Regardless of chronic sports practice, master athletes exhibited age-related changes in LA function closely coupled to LV diastolic properties, which led to LV filling shifts to late diastole.
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Affiliation(s)
- Cynthia Cousergue
- Department of Cardiology, Normandie Univ, UNICAEN, CHU Caen Normandie, Caen, France
| | - Eric Saloux
- Department of Cardiology, Normandie Univ, UNICAEN, CHU Caen Normandie, Caen, France
- EA4650 (SEILIRM), FHU REMOD-VHF, Caen, France
- Normandie Univ, UNICAEN, Caen, France
| | - Emmanuel Reboursière
- Department of Sports Medecine, Normandie Univ, UNICAEN, CHU Caen Normandie, Inserm Comete, GIP Cyceron, Caen, France
| | - Amélia Rocamora
- Centre de Recherche Clinique (CRC), CHU Caen Normandie, Caen, France
| | - Paul Milliez
- Department of Cardiology, Normandie Univ, UNICAEN, CHU Caen Normandie, Caen, France
- EA4650 (SEILIRM), FHU REMOD-VHF, Caen, France
- Normandie Univ, UNICAEN, Caen, France
| | - Hervé Normand
- Department of Sports Medecine, Normandie Univ, UNICAEN, CHU Caen Normandie, Inserm Comete, GIP Cyceron, Caen, France
- Department of Clinical Physiology, Normandie Univ, UNICAEN, CHU Caen Normandie, Inserm Comete, GIP Cyceron, Caen, France
| | - Amir Hodzic
- Department of Cardiology, Normandie Univ, UNICAEN, CHU Caen Normandie, Caen, France
- Department of Sports Medecine, Normandie Univ, UNICAEN, CHU Caen Normandie, Inserm Comete, GIP Cyceron, Caen, France
- Department of Clinical Physiology, Normandie Univ, UNICAEN, CHU Caen Normandie, Inserm Comete, GIP Cyceron, Caen, France
- * E-mail:
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Drigny J, Ferrandez C, Gauthier A, Guermont H, Praz C, Reboursière E, Hulet C. Knee strength symmetry at 4 months is associated with criteria and rates of return to sport after anterior cruciate ligament reconstruction. Ann Phys Rehabil Med 2022; 65:101646. [PMID: 35167984 DOI: 10.1016/j.rehab.2022.101646] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 12/24/2021] [Accepted: 01/24/2022] [Indexed: 11/18/2022]
Abstract
BACKGROUND Strength limb symmetry index (LSI) is a useful criterion to help in return-to-sport performance (RTP) after anterior cruciate ligament reconstruction (ACLR). OBJECTIVES We aimed to assess whether knee extensor and flexor LSI values at 4 months after ACLR are associated with those recommended at 8 months after ACLR for RTP (80%, 85% and 90%) and with successful RTP after 2 years. METHODS This was prospective cohort study of 113 participants who underwent primary ACLR. Personal factors such as demographic and sport information, injury and surgery characteristics were collected at 6 weeks after surgery. Isokinetic strength LSI (60°/s) was calculated at 4 months (LSI[4m]) and 8 months (LSI[8m]) for knee extensors (Q-LSI) and flexors (H-LSI). Participants were followed at 2 years after ACLR to determine their self-reported RTP. Multiple linear regression analysis was used to determine associations between personal factors and LSI at 4 and 8 months. Associations between passing the optimal cut-off thresholds and RTP were tested with chi-square tests and odds ratios (ORs) with effect sizes (ES). RESULTS Among the 113 participants (mean age 25.2 [SD 9.7] years; 42% females), extended tourniquet time and lower level of pre-injury sport were associated with lower Q-LSI[4m] and H-LSI[4m]. Bone-patellar tendon-bone graft was associated with lower Q-LSI[4m] and Q-LSI[8m], and older age was associated with lower Q-LSI[4m]. For knee extensors, Q-LSI[4m] >59% was associated with Q-LSI[8m] >80% (OR= 31.50, p <0.001, large ES) and increased odds of successful RTP (60% vs 31%, OR= 3.45, p= 0.003, medium ES). For knee flexors, H-LSI[4m] >72% was associated with H-LSI[8m] >90% (OR= 6.03, p <0.001, large ES) and increased odds of successful RTP (53% vs 23%, OR= 3.76, p= 0.013, small-to-medium ES). CONCLUSIONS After primary ACLR, 4-month post-operative strength symmetry was negatively associated with age, pre-injury sport and tourniquet time and bone-patellar tendon-bone graft. Four-month post-operative LSI was associated with 8-month post-operative LSI, and Q-LSI[4m] >59% or H-LSI[4m] >72% was associated with increased RTP rates after 2 years. CLINICALTRIALS.GOV: : NCT04071912.
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Affiliation(s)
- Joffrey Drigny
- Service de Médecine Physique et de Réadaptation, Service de Médecine du Sport, CHU de Caen Normandie, Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, Caen 14000, France.
| | - Clémence Ferrandez
- Service de Médecine Physique et de Réadaptation, Service de Médecine du Sport, CHU de Caen Normandie, Caen 14000, France
| | - Antoine Gauthier
- Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, Caen 14000, France
| | - Henri Guermont
- Service de Médecine du Sport, CHU de Caen Normandie, Caen 14000, France
| | - César Praz
- Département d'orthopédie et de traumatologie, Normandie Univ, UNICAEN, CHU de Caen Normandie, Caen 14000, France
| | | | - Christophe Hulet
- Département d'orthopédie et de traumatologie, Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, Caen 14000, France
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Guermont H, Le Van P, Marcelli C, Reboursière E, Drigny J. Epidemiology of Injuries in Elite Badminton Players: A Prospective Study. Clin J Sport Med 2021; 31:e473-e475. [PMID: 32852303 DOI: 10.1097/jsm.0000000000000848] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Accepted: 02/28/2020] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To determine the incidence and characteristics of injuries in elite badminton players over a competitive season. DESIGN Prospective cohort study. SETTING The French National Institute of Sport, Expertise, and Performance (INSEP). PARTICIPANTS Twenty international elite badminton players. INDEPENDENT VARIABLES The type, the location, the occurrence of the injury (match or training), the footwork type, the type of shot, and the perceived fatigue were collected. MAIN OUTCOME MEASURES Injury incidence rates were calculated per 1000 hours of play (Hop). RESULTS Thirty-five injuries were collected over 10 210 hours of player exposure with an overall incidence rate of 3.4 injuries per 1000 Hop, with higher incidence during matches than training (11.6 vs 2.08; P < 0.05). Lower-limb injuries (LLI) were the most frequent (54.3%) especially on the foot (22.9%), and upper-limb injury rate (37.1%) was higher compared with previous studies. The most common type was musculotendinous injuries (51.4%). The smash and the lunge were the most frequent causes of upper-limb injury and LLI, respectively. Injuries occurred mostly during the first third of play (46.2%). CONCLUSIONS This is the first prospective study to investigate badminton injuries among international badminton players. Further studies are needed to confirm our results on larger samples.
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Affiliation(s)
- Henri Guermont
- Normandie Univ, UNICAEN, Service de Rhumatologie CHU de Caen Normandie, Caen, France
- Normandie Univ, UNICAEN, Service de Médecine du Sport, CHU de Caen Normandie, Caen, France
| | - Philippe Le Van
- Department of Sport Medicine, French National Institute of Sports (INSEP), Paris, France
| | - Christian Marcelli
- Normandie Univ, UNICAEN, Service de Rhumatologie CHU de Caen Normandie, Caen, France
| | - Emmanuel Reboursière
- Normandie Univ, UNICAEN, Service de Médecine du Sport, CHU de Caen Normandie, Caen, France
| | - Joffrey Drigny
- Normandie Univ, UNICAEN, Service de Médecine du Sport, CHU de Caen Normandie, Caen, France
- Normandie Univ, UNICAEN, Service de Médecine Physique et de Réadaptation, CHU de Caen Normandie, Caen, France ; and
- Unité UMR-S 1075 INSERM/Unicaen COMETE, Caen, France
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Chagué F, Reboursière E, Israël J, Hager JP, Ngassa P, Geneste M, Guinoiseau JP, Garet G, Girardin J, Sarda J, Cottin Y, Zeller M. Smoking and Vaping in Amateur Rugby Players, Coaches and Referees: Findings from a Regional Survey Might Help to Define Prevention Targets. Int J Environ Res Public Health 2021; 18:ijerph18115720. [PMID: 34073509 PMCID: PMC8198015 DOI: 10.3390/ijerph18115720] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 05/18/2021] [Accepted: 05/20/2021] [Indexed: 01/02/2023]
Abstract
A high prevalence of cigarette smoking has been documented in France, and new patterns of tobacco and nicotine consumption are emerging, especially in some sports. In the amateur rugby population, data are scarce on harmful consumption and on the awareness of the risk of smoking. We analyzed the consumption of tobacco and other nicotine products in French amateur players, coaches and referees. Amateur players (>12 years old), coaches and referees participating in the Burgundy amateur championship were invited to answer an electronic, anonymous questionnaire during the 2017–2018 sport season. Among the 683 subjects (gender ratio M/F = 0.9), 176 (25.8%) were current smokers, including 32.4% of the referees and 28.2% of the coaches. The prevalence of smokers was higher in females (37.5%) than in males (24.6%). Most (86.4%) smoked within 2 h before/after a rugby session. Only 28 subjects (4.1%) usually vaped; 21 of them (75%) vaped within 2 h before/after a rugby session. Other tobacco or nicotine products were infrequent. The awareness about the risks of smoking before/after sport was incomplete, including in coaches and referees. The prevalence of cigarette smoking is alarming across the whole spectrum of rugby amateur actors. Education programs are urgently needed to reduce tobacco consumption in this at-risk population.
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Affiliation(s)
- Frédéric Chagué
- Cardiology Department, University Hospital Center Dijon Bourgogne, 21000 Dijon, France;
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Correspondence: ; Tel.: +33-619-748-171
| | - Emmanuel Reboursière
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Sport Medicine Department, University Hospital Center, 14000 Caen, France
| | - Jean Israël
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Cardiology Department, General Hospital, 91640 Bligny, France
| | - Jean-Philippe Hager
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Sport Medicine Department, Centre Orthopédique Santy, 69008 Lyon, France
| | - Patrice Ngassa
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Sport Medicine Department, Polyclinique Saint-Laurent, 35700 Rennes, France
| | - Marc Geneste
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Jean-Pierre Guinoiseau
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Gilles Garet
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Jacques Girardin
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Jacques Sarda
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Yves Cottin
- Cardiology Department, University Hospital Center Dijon Bourgogne, 21000 Dijon, France;
| | - Marianne Zeller
- Physiopathologie et Epidémiologie Cérébro-Cardiovasculaires (PEC2), EA 7460 UFR Sciences de Santé, University of Bourgogne Franche Comté, 21000 Dijon, France;
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Tréhout M, Leroux E, Bigot L, Jego S, Leconte P, Reboursière E, Morello R, Chapon PA, Herbinet A, Quarck G, Dollfus S. A web-based adapted physical activity program (e-APA) versus health education program (e-HE) in patients with schizophrenia and healthy volunteers: study protocol for a randomized controlled trial (PEPSY V@Si). Eur Arch Psychiatry Clin Neurosci 2021; 271:325-337. [PMID: 32458107 DOI: 10.1007/s00406-020-01140-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Accepted: 05/04/2020] [Indexed: 02/07/2023]
Abstract
Patients with schizophrenia (SZ) have a high level of cardiovascular morbidity and some clinical symptoms of illness remain resistant to pharmacological approaches. A large number of studies support the effectiveness of physical activity (PA) in SZ. The aims of this trial is to assess the effects of a remote, web-based adapted PA program (e-APA) compared to a health education program (e-HE) on brain plasticity in SZ and healthy volunteers (HV) and on psychiatric, neurocognitive, circadian and physical variables. The study is an interventional, multicenter, randomized open-label trial. Forty-two SZ will be randomized to either the active group (e-APA, N = 21) or nonactive group (e-HE, N = 21), and 21 HV will be matched to SZ according to age, gender, and level of PA in both e-APA and e-HE groups. Interventions will consist of 32 sessions (2 × 60 min/week, for 16 weeks) via supervised home-based videoconferencing. Cerebral magnetic resonance imaging, psychiatric symptoms, neurocognitive and circadian rhythms assessments as well as physical tests and biological analyses will be assessed at baseline and 16 weeks after the intervention. To our knowledge, this is the first study aiming to evaluate the efficacy of APA delivered by supervised home-based videoconferencing in SZ. Moreover, using multimodal MRI, this study could clarify the pathophysiological mechanisms underlying the efficacy of APA. Finally, this innovative approach might also increase participation in long-term PA since PA-based programs are known to have low adherence and early dropout. Trial registration: ClinicalTrials.gov identifier: NCT03261817. Registered on 16 August 2017.
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Affiliation(s)
- Maxime Tréhout
- CHU de Caen Normandie, Service de Psychiatrie, Centre Esquirol, 14000, Caen, France
- Normandie Univ, UNICAEN, UFR de Médecine, 14000, Caen, France
- Normandie Univ, UNICAEN, ISTS EA 7466, GIP CYCERON, 14000, Caen, France
| | - Elise Leroux
- Normandie Univ, UNICAEN, ISTS EA 7466, GIP CYCERON, 14000, Caen, France
| | | | - Solenne Jego
- Normandie Univ, UNICAEN, ISTS EA 7466, GIP CYCERON, 14000, Caen, France
| | - Pascal Leconte
- Normandie Univ, UNICAEN/INSERM, UMR 1075, COMETE, PFRS, 14000, Caen, France
- Normandie Univ, UNICAEN, UFR STAPS, 14000, Caen, France
| | | | - Rémy Morello
- CHU de Caen Normandie, Unité de Biostatistiques et Recherche Clinique, 14000, Caen, France
| | | | | | - Gaëlle Quarck
- Normandie Univ, UNICAEN/INSERM, UMR 1075, COMETE, PFRS, 14000, Caen, France
- Normandie Univ, UNICAEN, UFR STAPS, 14000, Caen, France
| | - Sonia Dollfus
- CHU de Caen Normandie, Service de Psychiatrie, Centre Esquirol, 14000, Caen, France.
- Normandie Univ, UNICAEN, UFR de Médecine, 14000, Caen, France.
- Normandie Univ, UNICAEN, ISTS EA 7466, GIP CYCERON, 14000, Caen, France.
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Ambroise B, Reboursière E, Drouet J, Corre P, Benateau H, Veyssière A. La prévention secondaire des fractures de la région nasale par un masque de protection faciale chez les sportifs – Étude rétrospective comparative à propos de 19 cas. Sci Sports 2020. [DOI: 10.1016/j.scispo.2020.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ollitrault P, Pellissier A, Reboursière E, Milliez P, Hodzic A. The “V1 continuum” on the surface ECG of apparently healthy athletes. Scand J Med Sci Sports 2020; 30:2275-2276. [DOI: 10.1111/sms.13801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Accepted: 08/03/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Pierre Ollitrault
- Department of Cardiology Caen University Hospital Normandie Univ UniCaen Caen France
| | - Arnaud Pellissier
- Department of Cardiology Caen University Hospital Normandie Univ UniCaen Caen France
| | - Emmanuel Reboursière
- Clinical Physiology and Sports Medecine Department Caen University Hospital Normandie Univ UniCaen INSERM COMETE Caen France
| | - Paul Milliez
- Department of Cardiology Caen University Hospital Normandie Univ UniCaen Caen France
| | - Amir Hodzic
- Clinical Physiology and Sports Medecine Department Caen University Hospital Normandie Univ UniCaen INSERM COMETE Caen France
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Drigny J, Gremeaux V, Peullier A, Reboursière E, Ruet A, Joussain C. A short educational program to reduce barriers to physical activity in patients with coronary artery disease. Ann Phys Rehabil Med 2020; 63:574-577. [PMID: 31981837 DOI: 10.1016/j.rehab.2019.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2019] [Revised: 11/08/2019] [Accepted: 12/10/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Joffrey Drigny
- Service de médecine physique et de réadaptation, CHU de Caen, avenue de la Côte de Nacre, 14000, Caen, France; Service de médecine du sport, Unicaen, CHU de Caen Normandie, Normandie university, 14000 Caen, France; UMR-S 1075 Inserm/Unicaen COMETE, 14000 Caen, France.
| | - Vincent Gremeaux
- Division de médecine physique et réadaptation, Swiss olympic medical center, institute of sport sciences, CHUV, university of Lausanne, 1011 Lausanne, Switzerland
| | | | - Emmanuel Reboursière
- Service de médecine du sport, Unicaen, CHU de Caen Normandie, Normandie university, 14000 Caen, France
| | - Alexis Ruet
- Service de médecine physique et de réadaptation, CHU de Caen, avenue de la Côte de Nacre, 14000, Caen, France
| | - Charles Joussain
- Inserm UMR 1179, université de Versailles Saint-Quentin en Yvelines, 78180 Montigny-le-Bretonneux, France; Service de médecine physique et de réadaptation, Raymond-Poincaré hospital, AP-HP, Garches, France
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15
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Chagué F, Georges M, Israël J, Guinoiseau J, Garet G, Ngassa P, Reboursière E, Geneste M, Hager J, Dincher J, Cottin Y, Zeller M. High prevalence of tobacco-related risky behaviors among amateur rugby players, coaches and referees: It is time to act! Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Drigny J, Reboursière E, Desvergée A, Ruet A, Hulet C. Concurrent Exertional Compartment Syndrome and Functional Popliteal Artery Entrapment Syndrome: A Case Report. PM R 2019; 11:669-672. [PMID: 30689303 DOI: 10.1002/pmrj.12081] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Accepted: 12/07/2018] [Indexed: 11/11/2022]
Abstract
Exertional leg pain is a common and disabling condition in athletes with challenging diagnosis and management. We report the case of a 29-year-old rugby player with a history and clinical examination consistent with chronic exertional compartment syndrome (CECS). Compartment pressure measurement was supportive of the diagnosis. However, magnetic resonance angiography (MRA) with provocative maneuvers showed functional popliteal artery entrapment syndrome (PAES). For the treatment of CECS, bilateral fasciotomy of the anterolateral compartments permitted return to full sport participation in 8 weeks. A follow-up MR angiogram at 12 months showed resolution of the popliteal entrapment leading us to hypothesize a possible relationship between CECS and functional PAES.
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Affiliation(s)
- Joffrey Drigny
- Service de Médecine Physique et de Réadaptation, Service de Médecine du Sport, Unité Inserm COMETE, UMR U1075, CHU de Caen, Caen, France
| | | | - Antoine Desvergée
- Service de Médecine Physique et de Réadaptation, Service de Médecine du Sport, CHU de Caen, Caen, France
| | - Alexis Ruet
- Service de Médecine Physique et de Réadaptation, CHU de Caen, Caen, France
| | - Christophe Hulet
- Département D'orthopédie-Traumatologie, Unité Inserm COMETE, UMR U1075, CHU de Caen, Caen, France
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Drigny J, Reboursière E, Ruet A, Gremeaux V. Effect of a physical activity seminar including motivational counseling on removal of the barriers to physical activity in coronary artery disease patients. Ann Phys Rehabil Med 2017. [DOI: 10.1016/j.rehab.2017.07.189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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