Bart Dingenen

• PhD
• Sport physical therapist at Motion to Balance

Objectives To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR). Design Cross-sectional design. Online survey. Setting Survey platform. Participants Argentinian physical therapists (PTs). Outcome measures The sur...

Athletes who sustain an anterior cruciate ligament (ACL) injury often opt for an ACL reconstruction (ACLR) with the goal and expectation to return to sports at the preinjury level. The proportion of athletes who successfully return to preinjury-level sport is low and disappointing, whereas the rate of second ACL injury in athletes under the age of...

Background: The goal of a rehabilitation programme after anterior cruciate ligament (ACL) reconstruction is to manage a patient's goals and expectations (i.e., returning to physical activities and sports) while minimizing the risk of new injury, particularly a new ACL injury. Although general rehabilitation programmes have been proposed, some fact...

Background: Foot-ankle motion is affected by chronic ankle instability (CAI) in terms of altered kinematics. This study focuses on multisegmental foot-ankle motion and joint coupling in barefoot and taped CAI patients during the three subphases of stance at running. Methods: Foot segmental motion data of 12 controls and 15 CAI participants durin...

Objectives The primary objective of the study was to investigate rehabilitation strategies of Flemish physical therapists before and after anterior cruciate ligament (ACL) reconstruction. Secondly, we aimed to investigate physical therapist’s preferences on continuing education and evaluate their self-rated confidence and competence when treating p...

Contextual factors influence how the athlete, coach, and clinicians view an injury. The main construct to define a sports injury by athletes is the consequence on sports performance. This in turn may also affect the role and responsibilities each have in the continuum of return to play (RTP). As a coach, it is recommended to have an open communicat...

Objectives To explore whether homogeneous subgroups could be discriminated within a population of recreational runners with a running-related injury based on running kinematics evaluated with marker-based two-dimensional video analysis. Design Cross-sectional. Setting Research laboratory. Participants Fifty-three recreational runners (15 males,...

Background: Single-leg hop tests are commonly performed in the forward direction to evaluate functional performance. However, athletes move in multiple directions during pivoting sports. The first aim of this study was to examine test-retest reliability of single-leg hop tests in the forward, medial and rotational direction in non-injured athletes...

Objectives:The purpose of the current study was to compare the results of a progressive strength training protocol for soccer players after anterior cruciate ligament reconstruction (ACLR) with healthy controls, and to investigate the effects of the strength training protocol on peak quadriceps and hamstring muscle strength.Design:Between subjects...

Background Running is a popular form of physical activity with many health benefits. However, the incidence and prevalence of running-related injuries (RRIs) is high. Biomechanical factors may be related to the development of RRIs. Objective This systematic review synthesizes biomechanical risk factors related to the development of RRIs in non-inj...

Objectives: To determine whether two-dimensional video analysis could discriminate running kinematics between recreational runners with and without a running-related knee injury. Design: Case-control. Setting: Research laboratory. Participants: Forty-two recreational runners (5 male-13 female injured; 7 male-17 female non-injured). Running-r...

Introduction The aim of this study was to compare running kinematics between recreational runners with and without running-related knee injury using two-dimensional video analysis. Materials and methods Forty-two recreational runners (18 injured, 24 non-injured) participated in the study. The injured group consisted of runners with anterior or lat...

Introduction The aim of this study was to explore whether homogeneous subgroups could be classified within the running kinematics of a group of recreational runners with a running-related injury (RRI). Materials and methods Fifty-three recreational runners (15 males, 38 females) with an RRI ran on a treadmill at preferred speed. Digital videos wer...

Introduction Return-to-sport testing after anterior cruciate ligament (ACL) reconstruction traditionally occurs during pre-planned activities. The aim of this study was to investigate the relationships between a novel multidirectional reactive agility test, functional performance and patient-reported outcome measures in athletes after ACL reconstru...

Objectives: This study aimed to determine the between-session and inter-rater reliability of the modified tuck jump assessment (TJA). Design: Reliability study. Setting: Human movement laboratory. Participants: Sixteen recreational participants (8 females, 8 males; mean age: 22.4 years) participated in the study. Participants performed the m...

Background: Limited evidence exists on neuromuscular risk factors for anterior cruciate ligament injuries, with most work mainly focussing on the strength of hamstrings and quadriceps muscles. In this prospective pilot study, we explored if neuromuscular activation patterns of the quadriceps and hamstrings during a drop vertical jump influence ante...

Objectives: To examine test-retest reliability of two-dimensional measured frontal and sagittal plane kinematics during running, and to determine how many steps to include to reach and maintain a stable mean. Design: Reliability study. Setting: Research laboratory. Participants: Twenty-one recreational runners. Main outcome measures: Later...

Objective: To systematically review literature investigating the relationship between hip muscle strength and dynamic lower extremity valgus during movement tasks in asymptomatic females. Methods: Four databases (CINAHL, SPORTDiscus, Embase and Ovid MEDLINE) were searched in February 2017. Studies investigating the relationship between hip muscl...

This masterclass takes a multidimensional approach to movement assessment in clinical practice. It seeks to provide innovative views on both emerging and more established methods of assessing movement within the world of movement health, injury prevention and rehabilitation. A historical perspective of the value and complexity of human movement, th...

Background: A comprehensive perspective on foot and lower limb joint coupling is lacking since previous studies did not consider the multi-articular nature of the foot and lower limb neither accounted for biomechanical heterogeneity. Research question: The current manuscript describes a novel methodological process for detection and exploration...

Background: Investigate differences in multi-segment foot kinematics between controls and participants with chronic ankle instability during running with a midfoot striking pattern and to evaluate the effect of Low-Dye and High-Dye taping. Methods: Three-dimensional multi-segment foot kinematics of 12 controls and 15 participants with chronic an...

Almost all athletes who have suffered an anterior cruciate ligament (ACL) injury expect a full return to sports at the same pre-injury level after ACL reconstruction (ACLR). Detailed patient information on the reasonable outcomes of the surgery may be essential to improve patient satisfaction. Pre-operative rehabilitation before ACLR should be cons...

Athletes who have sustained an anterior cruciate ligament (ACL) injury often opt for an ACL reconstruction (ACLR) with the goal and expectation to resume sports. Unfortunately, the proportion of athletes successfully returning to sport is relatively low, while the rate of second ACL injury has been reported to exceed 20% after clearance to return t...

Objectives: To evaluate multi-segmental foot kinematic patterns in chronic ankle instability (CAI) participants during walking, and to investigate the influence of high-Dye and low-Dye taping on these kinematic patterns. Design: Cross-sectional study. Methods: Kinematic data of 12 non-injured controls and 15 CAI participants were measured with...

Objectives: To investigate the temporal relationship between two-dimensional measured frontal plane joint angles and three-dimensional measured kinematic profiles during the stance phase of running, and to assess the intra- and intertester reliability of the two-dimensional angles. Design: Observational study. Setting: Research laboratory. Pa...

Study Design Controlled laboratory study with a prospective cohort design. Background Postural stability deficits during single-leg stance have been reported in persons with anterior cruciate ligament (ACL) injury, ACL reconstruction, and chronic ankle instability. It remains unclear whether impaired postural stability is a consequence or cause of...

Background: Whilst many studies measure large numbers of biomechanical parameters and associate these to anterior cruciate ligament injury risk, they cannot be considered as anterior cruciate ligament injury risk factors without evidence from prospective studies. A review was conducted to systematically assess the in vivo biomechanical literature...

The aim of this systematic review was (i) to identify neuromuscular markers that have been predictive of a primary non-contact ACL injury, (ii) to assess whether proposed risk factors have been supported or refuted in the literature from cohort and case-control studies, and (iii) to reflect on the body of research that aims at developing field base...

De doelstelling van deze studie was het evalueren van de invloed van schoenen en zolen op spieractivatietijden bij 15 personen met chronische enkelinstabiliteit. De elektrische activiteit van negen spieren van de onderste extremiteit werd gemeten tijdens de overgang van bipodale naar unipodale stand. Deze studie stelde een vroegere spieractivatie v...

The purpose was to assess if variation in sagittal plane landing kinematics is associated with variation in neuromuscular activation patterns of the quadriceps-hamstrings muscle groups during drop vertical jumps (DVJ).Fifty female athletes performed three DVJ. The relationship between peak knee and hip flexion angles and the amplitude of four EMG v...

Canonical Correlation Analysis (CCA) versus linear regression. (PDF)

To investigate differences in rigid-foot and multi-segmental foot kinematics between healthy (control) and chronic ankle instability (CAI) participants during running and to evaluate the effect of low-Dye (LD) and high-Dye (HD) taping on foot kinematics of CAI subjects. Cross-sectional, comparative study. Kinematic data of 12 controls and 15 CAI pa...

Context: Participants with chronic ankle instability (CAI) use an altered neuromuscular strategy to shift weight from double-legged to single-legged stance. Shoes and foot orthoses may influence these muscle-activation patterns. Objective: To evaluate the influence of shoes and foot orthoses on onset times of lower extremity muscle activity in p...

The goal of this study was to evaluate postural stability during the transition from double-leg stance (DLS) to single-leg stance (SLS) in anterior cruciate ligament reconstructed (ACLR) (n=20) and non-injured control subjects (n=20). All ACLR subjects had fully returned to their pre-injury sport participation. Both groups were similar for age, gen...

AIM: The aim of this study was to evaluate the influence of shoes and foot orthoses on lower extremity muscle activation patterns in healthy subjects during the transition from double-leg stance to single-leg stance. METHODS: Eight male and seven female young asymptomatic adults who wear foot orthoses were recruited. Muscle activation onset times...

Background: An anterior cruciate ligament injury may lead to deteriorations in postural stability. The goal of this study was to evaluate postural stability during the transition from double-leg stance to single-leg stance of both legs in anterior cruciate ligament injured subjects and non-injured control subjects with a standardized methodology....

Recent developments in wireless capture of muscle activity signals have improved the freedom of motion and the ease of use. Nevertheless, no study has examined the quality of wireless electromyographic technology during water activities. In this study the performance of a surface electromyography (SEMG) wireless system on dry land and in water was...

Deficits in neuromuscular control are believed to increase re-injury risk after anterior cruciate ligament reconstruction (ACLR). Previous studies mainly focused on muscles at the operated knee, less on muscles around other joints of the operated and non-operated leg. To evaluate lower extremity muscle onset times during the transition from double-...

Despite recent advances in rehabilitation and secondary prevention strategies after anterior cruciate ligament reconstruction (ACLR), re-injury rates remain high and long-term outcomes are often disappointing. Deficits in postural stability are shown to be important. To evaluate postural stability during the transition from double-leg stance to sin...

Acute and overuse knee injuries are common in sports involving jump-landing movements, especially in female athletes. More erect sagittal plane movement patterns are believed to increase injury risk. Whilst three-dimensional (3D) measurements are considered to be the gold standard, they are complex and two-dimensional (2D) video analysis may be a v...

A high knee abduction moment (KAM) and an erect movement pattern during landing have been suggested as anterior cruciate ligament (ACL) injury risk factors. Previous research focused mainly on determination of parameters with a predictive value for ACL injuries. However, few studies have investigated neuromuscular activity patterns. To investigate...

Background: The determination of anatomical reference frames in the rearfoot during three-dimensional multisegment foot modeling has been hindered by a variety of factors. One of these factors is related to the difficulty in palpating, or the absence of, anatomical landmarks. A novel device (the Calcaneal Marker Device) aimed at standardizing mark...

To investigate the reliability and validity of the measurement of lateral trunk motion (LTM) in two-dimensional (2D) video analysis of unipodal functional screening tests. Observational study. Research laboratory. Forty-three injury-free female athletes. Knee valgus (KV) and lateral trunk motion (LTM) angles were measured with a standard digital ca...

Objective: Comparing the onset times of lower limb activation and muscle activation patterns between a group of swimmers and a control group. Methods: Thirteen young promising swimmers participated in this controlled laboratory study. The onset of muscle activity of eleven muscles of the lower limb and trunk was measured during the transition from...