Publications by authors named "Philippe Paquette"

Background: Scapular stabilization exercises (SSE) are often included in the treatment of individuals with rotator cuff-related shoulder pain (RCRSP) to decrease pain and improve function. These SSE typically aim to strengthen the scapular muscles and optimize dynamic neuromuscular control of the scapula, which may improve overall shoulder stability and movement quality. No consensus of the recommended SSE for the management of RCRSP is available.

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Objective: Neuromobilization exercises are increasingly advocated in the conservative management of individuals with carpal tunnel syndrome (CTS), as they may mitigate CTS-related signs and symptoms via potential peripheral (ie, musculoskeletal) and central (ie, neurophysiological) adaptations. However, the mechanisms underlying these adaptations have not been studied extensively. Hence, this exploratory and mechanistic study aims to evaluate the potential peripheral and central adaptations that may result in individuals with CTS who have completed a neuromobilization program.

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Article Synopsis
  • * Researchers analyzed images from 41 individuals with unilateral tendinopathy and 35 healthy controls, capturing data in both longitudinal and transverse planes.
  • * A minimal data set was identified through statistical methods, highlighting key biomarkers like mean thickness and echogenicity that effectively differentiated symptomatic from asymptomatic tendons.
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  • The study is a pilot randomized controlled trial aimed at assessing the feasibility and effectiveness of a new preoperative neuromobilization exercise program (NEP) for individuals with carpal tunnel syndrome (CTS) awaiting surgery.
  • A total of 30 participants were divided into two groups—one following the NEP and the other receiving standard care for four weeks, with outcomes measured pre-surgery and four weeks post-surgery.
  • Results indicated high adherence and satisfaction with the NEP, and although some improvements in pain and neurodynamics were noted, the program's overall impact as a standalone intervention was limited, suggesting a need for additional therapeutic components.
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  • Quantitative ultrasound imaging is becoming popular for measuring the movement abilities of peripheral nerves, particularly in relation to carpal tunnel syndrome and the median nerve's ability to glide.
  • This study explored how well ultrasound measurements of nerve movement compare to traditional motion analysis, using a specially designed nerve model in a controlled lab setting.
  • Results showed that ultrasound and motion analysis data matched closely, indicating that ultrasound is a reliable method for researching nerve properties and could aid future studies in this field.
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  • - The study assessed how reliable and consistent the measurements of median nerve movement are during specific upper limb tests in both healthy individuals and those with carpal tunnel syndrome.
  • - The research used advanced techniques like ultrasound imaging and involved repeated tests to quantify nerve excursion, revealing the highest reliability when measurements were averaged from multiple images taken in one session.
  • - It recommends averaging results from three image sequences during clinical assessments and suggests incorporating a second visit for improved accuracy in research.
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Background: The function of specific abdominal muscles can be assessed using both electromyography (EMG) and ultrasound imaging (USI) thickness measures. However, the relationship between these two measurements is not conclusive during sitting isometric trunk efforts.

Objective: This study was conducted to assess the relationship between USI thickness and EMG amplitude measures of the right external oblique (EO) muscle during isometric efforts in the sitting position.

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