Laurent Pitance

• PhD
• Associate professor at Catholic University of Louvain

The assessment of running kinematics is essential for injury prevention and rehabilitation, including anterior cruciate ligament sprains. Recent advances in computer vision have enabled the development of tools for quantifying kinematics in research and clinical settings. This study evaluated the accuracy of an OpenPifPaf-based markerless method fo...

Patients with anterior cruciate ligament reconstruction frequently present asymmetries in the sagittal plane dynamics when performing single leg jumps but their assessment is inaccessible to health-care professionals as it requires a complex and expensive system. With the development of deep learning methods for human pose detection, kinematics can...

Objective The purpose of this study was to explore the experiences of individuals with persistent nonspecific neck pain who used immersive virtual reality (VR) serious games at home for 2 weeks. Methods In this descriptive qualitative study, semi-structured one-on-one interviews were conducted at the participant’s home after the 2-week period. Int...

Objective To summarise the evidence on the effect of physiotherapy-led versus physician-led care on clinical outcomes, healthcare use, and costs in persons with low back pain. Data sources PubMed, Web of Science, CINAHL, Embase, and PEDro were systematically searched with the latest search performed in July 2024. Reference lists of articles were h...

Objectives We systematically reviewed the reliability and measurement error of exercise-induced hypoalgesia (EIH) in pain-free adults and in adults with musculoskeletal (MSK) pain. Methods We searched EMBASE, PUBMED, SCOPUS, CINAHL, and PSYCINFO from inception to November 2021 (updated in February 2024). In addition, manual searches of the grey li...

Background In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work. Objectives To assess the differences in physical therapy students’ attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis...

Pour répondre aux défis sociétaux, les institutions d'enseignement supérieur se doivent de questionner et de faire évoluer leurs programmes de formation. Dans ce contexte, nombre de programmes ont fait le choix de se réformer selon une approche-programme et en y intégrant de la pédagogie active. Ce symposium a pour visée de réaliser une lecture cri...

Background: Hypermobile Ehlers-Danlos Syndrome (hEDS) is the most common type of EDS. Apart from joint symptoms, people with hEDS have systemic manifestations as a chronic modification of the breathing pattern (functional respiratory complaints (FRCs)) and mental disorders. However, the prevalence of FRCs, and its relationship with mental disorder...

Background: Low back pain (LBP)-related misbeliefs are a risk factor for chronicity and thereby require further attention. Objective: To assess the influence of a mediatised video on LBP-related misbeliefs in the general population and to examine whether these individuals intended to change their behavior to protect their back after viewing the vid...

We thank the authors of the recent JOSPT Blog "Rethinking Mulligan: Concepts Based on the Current Available Literature" about Mobilisation with Movement (MWM). As the authors note, studies which look for changes in joint position using imaging before and after MWMs are rare, 1,2 and those who have conducted these studies suggest factors beyond the...

Objective To compare the cervical kinematics and sensorimotor control (i.e., all the afferent, efferent, central integration, and processing components involved in maintaining joint stability) of people with chronic non-specific neck pain (CNSNP) to healthy controls, as assessed in an immersive virtual reality (VR) environment. Methods A comprehen...

Temporomandibular disorders (TMD) include a group of musculoskeletal disorders that may involve increased responsiveness of nociceptive neurons in the central nervous system (i.e. central sensitization). To test this hypothesis further, the present study examined whether, as compared with healthy subjects, patients with chronic TMD have a greater s...

Objective: To study the relationships between weight, leisure time physical activity (PA), and the onset and persistence of neck pain in adults with non-specific neck pain (NSNP). Design: Etiology and prognosis systematic review. Literature search: Five databases (PubMed, Scopus, Embase, Cochrane Library, PsycINFO) were searched from January 2...

Background: Conflicting results exist between somatosensory profiles of patients with temporomandibular myalgia (TMDm). The objective of this review was to examine whether adults with TMDm show altered responses to dynamic quantitative sensory tests compared with healthy controls. Methods: We searched five electronic databases for studies, exclu...

Background The mouth-opening muscular performance in patients with temporomandibular disorders (TMDs) is unclear. Understanding the impairments of this muscle group within specific TMDs is important to develop proper management strategies. Objectives Characterize the mouth-opening muscular performance in adults with and without TMDs. Methods PubM...

Background A common misconception about low back pain (LBP) is that the spine is weak and that lumbar flexion should be avoided. Because the beliefs of health-care professionals (HCPs) influence patients, it is important to understand the attitudes of health care professionals towards LBP and lifting. Objectives To assess and compare the perceptio...

Background: Within physical therapy, manual therapy is known to be effective for managing temporomandibular disorders (TMDs). However, manual therapy is a broad term including different approaches applied to different body regions. Aims: This is the first systematic review that aims to evaluate the effectiveness of manual therapy applied specifi...

Abstract Background The assessment of cervical spine kinematic axial rotation performance is of great importance in the context of the study of neck sensorimotor control. However, studies addressing the influence of the level of provocation of spinal pain and the potential benefit of passive manual therapy mobilizations in patients with acute-subac...

Background and purpose: Low back pain (LBP)-related misbeliefs are known to be among risk factors for LBP chronification and for persistence of chronic pain. The main objective of this study was to investigate the current LBP-related beliefs in the general population in Belgium, considering the fact that the last survey in Belgium about the topic...

Background: Evaluation of kinematic axial cervical rotation performance is of major importance in the context of studying sensorimotor control of the neck. However, studies are missing on acute neck pain, on the influence of the level of provocation of spinal pain, and on the potential benefits of manual therapy mobilizations. Methods: A non-random...

Synopsis: Central sensitization is (i) increasingly interpreted as central nervous system hyperexcitability accounting for a general increase in sensitivity, and (ii) used to explain a variety of pain and non-pain symptoms. In this commentary, we argue that such a broad interpretation might not be clinically useful because it fails to distinguish...

Background The term temporomandibular disorder (TMD) includes disorders of the temporomandibular joints (TMJ), masticatory muscles and adjacent tissues. Several studies have examined the effectiveness of manual therapy (MT) for TMDs by evaluating changes in pain and maximum mouth opening (MMO). Nevertheless, the effectiveness of MT exclusively appl...

Background Temporomandibular disorders (TMD) are characterized by complex symptomatology and their assessment can be enhanced using pain drawings (PD). Objectives To evaluate the location and extent of pain in people TMD using digital PD, and to explore their association with clinical features. Reliability of pain extent and pain location using PD...

Objective: In a pragmatic and randomized clinical trial, patients with lateral ankle sprains were assessed, under blinded conditions, for their responsiveness and improvements during Mulligan mobilization-with-movement (MWM) therapy. Methods: Overall, 51 participants with subacute lateral ankle sprains (Grade I–II) were recruited. Following an MWM...

Objectives. The goal of this study was to identify central sensitization-related symptom severity subgroups in a large multicountry sample composed of patients with chronic pain and pain-free individuals using the Central Sensitization Inventory (CSI). Methods. A large, pooled international (n= 8 countries) sample of chronic pain patients plus heal...

Background Prescription behavior in low back pain (LBP) differs between physical therapists with a biomedical versus a biopsychosocial belief, despite the presence of clinical guidelines. Objective To examine (1) the beliefs of physical therapy students and their adherence to clinical LBP guidelines in Belgium and the Netherlands; (2) whether the...

Background An increasing number of studies are focusing on secondary hyperalgesia to better understand central sensitization, as this phenomenon may play an important role in persistent pain. Recent studies have shown that, compared to the classical high frequency stimulation protocol (HFS) at 100 Hz, a protocol using 42 Hz stimulation induces a mo...

Objective: To identify assessment tools used to evaluate patients with temporomandibular disorders (TMD) considered to be clinically most useful by a panel of international experts in TMD physical therapy (PT). Methods: A Delphi survey method administered to a panel of international experts in TMD PT was conducted over three rounds from October...

Various noninvasive measurement devices can be used to assess cervical motion. The size, complexity, and cost of gold-standard systems make them not suited to clinical practice, and actually difficult to use outside a dedicated laboratory. Nowadays, ultra-low-cost inertial measurement units are available, but without any packaging or a user-friendl...

Various noninvasive measurement devices can be used to assess cervical motion. Size, complexity and cost of gold-standard systems make them not suited in clinical practice, and actually difficult to use outside dedicated laboratory. Nowadays, ultra-low-cost inertial measurement units are available but without any packaging nor user-friendly interfa...

Sensorimotor control strategies during cervical axial rotation movements have been previously explored in narrow age ranges but never concurrently in Children and Seniors during a well-standardized task. However, the lifespan developmental approach provides a framework for research in human sensorimotor control of the head-neck complex. A cross-sec...

Kinematic behavior during fast cervical rotations is a useful parameter for assessing sensorimotor control performances in neck-pain patients. However, the influence of age in asymptomatic individuals from children to older people still needs to be explored. Our aim was to assess the impact of age on sensorimotor control performance of the head-nec...

Introduction: Le raisonnement clinique apparaît souvent complexe et malgré différents modèles théoriques proposés, son enseignement dans le domaine neuro-musculo-squelettique reste un challenge (Danneels et al., 2011). Pour développer l’apprentissage du raisonnement clinique et structurer les connaissances des étudiants, notre équipe propose comme...

Rationale Kinematic behavior during fast cervical rotations is a useful parameter for assessing sensorimotor control performances in neck-pain patients. However, in asymptomatic individuals from children to seniors, the influence of age still needs to be explored. Aim and method We assessed the impact of age on sensorimotor control performance of...

Introduction An increasing number of clinical studies involving a range of chronic pain conditions report widespread mechanical pressure pain hypersensitivity, which is commonly interpreted as resulting from central sensitization (CS). Secondary hyperalgesia (increased pinprick sensitivity surrounding the site of injury) is considered to be a manif...

Background: Altered lower limb movement patterns (LLMP) during the forward step down (FSD) test have been studied in people suffering from knee instability. However, ankle dorsiflexion range of motion (ADROM) seems to be related to LLMP but no causal inference has been defined between those variables. Objective: Our goals were to evaluate (1) ps...

Isometric bite force control, via measures of force accuracy, force steadiness and force proprioception, was assessed in patients with myogenic temporomandibular disorders (TMDs) compared to healthy controls. Twelve people with myogenic TMDs and twelve age- and gender-matched asymptomatic controls performed maximal voluntary contractions (MVC) of u...

Central Sensitization (CS) involves the amplification of neural signaling within the central nervous system, which evokes pain hypersensitivity. The Central Sensitization Inventory (CSI) assesses 25 overlapping health-related symptom dimensions that have been found to be associated with CS-related disorders. Previous studies have found satisfactory...

Methods: Thirty-six healthy subjects (Neck Disability Index < 5) volunteered to participate. Neck position sense was evaluated using a three-dimensional motion analyzer. To create the environment, a hypobaric chamber was used to simulate artificial moderate altitude. Head repositioning error was measured by asking the subject to perform a head-to-...

Objective: To review and update the evidence for different forms of manual therapy (MT) and exercise for patients with different stages of non-specific neck pain (NP). Data sources: MEDLINE, Cochrane-Register-of-Controlled-Trials, PEDro, EMBASE. Method: A qualitative systematic review covering a period from January 2000 to December 2015 was co...

Background: Previous studies have reported strength deficit in hip abduction, extension and external rotation in females with patellofemoral pain (PFP) when compared with healthy control; however, there is conflicting evidence for a decrease in hip muscle endurance. Therefore, it seems important to evaluate hip muscle endurance in females with PFP...

IFOMPT2016 Intergrating Reserach into practice IFOMPT2016-317

Presentation Preference: Poster Has the abstract been previously presented?: No Background: Pain neurophysiology education is an important component in the physiotherapy management of patients with chronic musculoskeletal pain. However the amount pain education in physiotherapy curricula is only recently growing and the awareness and skills of work...

Presentation Preference: Oral Has the abstract been previously presented?: No Background: Central sensitization has been proposed as a pathophysiological pain mechanism in which central nervous system neurons become hyperexcitable, resulting in hypersensitivity to both noxious and non-noxious stimuli. The Central Sensitization Inventory (CSI) is a...

Presentation Preference: Oral Has the abstract been previously presented?: No Background: Patients with Temporomandibular disorders (TMD) might exhibit widespread clinical pain, as well as greater sensitivity to experimental pain than pain-free controls, suggesting a role of central pathophysiologic mechanisms in TMD. Purpose: Our study objective w...

Objective: The purposes of this study were to (1) evaluate the reliability and reproducibility of chest expansion (CE) measurement on 2 different levels and (2) observe relationships between upper and lower CE measurements and lung function. Methods: Fifty-three healthy subjects aged between 18 and 39 years were recruited. Chest expansion measur...

Background: Substantial deficits in performance of hip abductor in patients with common lower extremity injuries are reported in literature. Therefore, assessing hip abductor endurance might be of major importance for clinicians and researchers. Purposes: The purpose of this study was to examine the test-retest reliability of two hip abductor en...

Manual therapy and exercise have been extensively used to treat musculoskeletal conditions such as Temporomandibular disorders (TMD). The evidence regarding their effectiveness provided by early systematic reviews is outdated. Summarize evidence from and evaluate the methodological quality of randomized controlled trial's (RCT) that examined the ef...

The purpose of this clinical study was to compare the immediate- and short-term effects of lumbar Mulligan sustained natural apophyseal glides (SNAGs) on patients with nonspecific low back pain with respect to 2 new kinematic algorithms (KA) for range of motion and speed as well as pain, functional disability, and kinesiophobia. This was a 2-armed...

Background: Nebulized drugs are frequently administrated through tracheostomy in clinical routine. So far, the amount of drug deposited into the lung in these patients remains unknown. The aim of our pharmacokinetic study was to compare lung delivery of amikacin in the same subjects in two settings: spontaneously breathing through a tracheostomy a...

L’approccio del concetto Mulligan nella valutazione e nel trattamento delle disfunzioni muscoloscheletriche è relativamente recente. Esso è clinicamente pertinente nei casi di limitazione di movimenti attivi causati dal dolore o dalla rigidità o di limitazione funzionale proveniente da una disfunzione articolare. Il concetto Mulligan è fondato su u...

Objectif et cadre de l’étude Les troubles musculo-squelettiques peuvent avoir une origine neurogène sous-jacente, mais les techniques de traitement dites « neurodynamiques » restent encore peu étudiées. Le test ULNT1 (Upper Limb Neural Test1) permet de mettre en évidence les réactions neuro-biomécaniques du nerf médian, y compris son origine proxim...

Introduction Le syndrome fémoro-patellaire (SFP) est une des pathologies du genou les plus fréquemment rencontrées dans les cabinets de kinésithérapie du sport et est typiquement recensée chez la femme et l’adolescente sportive. D’après plusieurs auteurs, ce syndrome peut provoquer à long terme de l’arthrose fémoro-patellaire avec les conséquences...

Introduction Les douleurs cervicales ont une incidence sur un an qui se situe entre 10,4 % et 21,3 % au sain de la population générale avec, entre 50 % et 80 % de rechute ou de chronicité dans les cinq années qui suivent l’épisode douloureux [1,2]. Dans ce type d’affections on remarque des perturbations du contrôle sensori-moteur [3]. Selon une rev...

El enfoque del concepto Mulligan en la evaluación y el tratamiento de las disfunciones musculoesqueléticas es relativamente reciente. Desde el punto de vista clínico, es pertinente en casos de limitaciones de movimientos activos a causa de dolor o rigidez o en casos de limitación funcional por una disfunción articular. El concepto Mulligan se basa...

Introduction: La lombalgie commune fait partie des pathologies musculosquelettiques les plus fréquentes pour lesquelles les patients font appel à des soins médicaux [1]. Elle est aussi la cause la plus importante de limitations d'activités et d'absentéisme à travers le monde [2]. Jusqu'à 75 % de la population occidentale active souffre de lombalgie...

Purpose/background: Patellofemoral pain (PFP) is a common knee conditions experienced by adolescents and young adults, seen particularly in women. Clinicians and researchers need to understand how proximal, local, or distal factors may influence the development of PFP and affect individuals once they have developed PFP. Proximal factors are the fo...

L'approche du concept Mulligan dans l'évaluation et le traitement des dysfonctions musculosquelettiques est relativement récente. Elle est cliniquement pertinente dans des cas de limitations de mouvements actifs causés par la douleur ou la raideur, ou de limitation fonctionnelle provenant d'une dysfonction articulaire. Le concept Mulligan est fondé...

http://eposterliverpool.eurospine.org/cm_data/eposter/QF28.PDF

Intranasal deposition of aerosols is often studied using in vitro nasal cavity models. However, the relevance of these models to predict in vivo human deposition has not been validated. This study compared in vivo nasal aerosol deposition and in vitro deposition in a human plastinated head model (NC1) and its replica constructed from CT-scan (NC2)....

Background: Open-vent jet nebulizers are frequently used to promote drug deposition in the lung, but their clinical efficacy and indications are not clear. Our study compared lung deposition of amikacin using two different configurations of a jet nebulizer (Sidestream(®)): one vented (N1) and one unvented with a corrugated piece of tubing (N2). M...

Objectifs L’administration nasale de médicaments sous forme d’aérosol est largement utilisée par les otorhinolaryngologistes. Bien qu’elle manque d’évaluations cliniques, la nébulisation ORL se présente comme une option thérapeutique intéressante pour l’administration nasale de médicaments. Les aérosols permettraient de cibler les sites anatomiques...

Aim: Intranasal aerosol administration of drugs is widely used by ENT specialists. Although clinical evidence is still lacking, intranasal nebulization appears to be an interesting therapeutic option for local drug delivery, targeting anatomic sites beyond the nasal valve. The sonic nebulizer NL11SN associates a 100Hertz (Hz) sound to the aerosoli...

Background: Our study investigated the influence of the cannula's inner diameter (ID) and of its removal on the expected respiratory dose of amikacin, using three different jet nebulizer configurations (Sidestream(®)): vented (N1), unvented with a piece of corrugated tubing attached to the expiratory limb of the T attachment (N2), and unvented alo...

Adenotonsillar hypertrophy is a common paediatric/otolaryngological disorder that may be associated with secondary growth or facial growth impairment, sleep disturbances, neurocognitive deficits, or smell loss. Surgical removal of the hypertrophic tissue eliminates the mechanical obstacle of the airways and is therefore curative in most cases. The...

To quantify the amount of aerosol deposited in different parts of the airways with a commercially available nasal sonic jet nebulizer (NJN) using a sound effect, and to compare its performance with a new nasal mesh nebulizer (NMN). Seven healthy non-smoking male volunteers aged 21-36 years with a mean weight of 77±10 kg were included in this single...

Jet nebulizers coupled to spacers are frequently used to promote drug lung deposition, but their clinical efficacy has not been established. Few in vivo studies have been performed with mesh nebulizers, commonly used to nebulize antibiotics. Our study compared inhaled mass and urinary drug concentration of amikacin by using three different nebulize...