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Abstract / Annals of Physical and Rehabilitation Medicine 54S (2011) e122e129

fracture de la mallole externe). Un arrt total dactivit sportive a t prescrit


chez 8 joueuses avec une dure moyenne de 5 semaines.
Conclusion. La frquence leve des lsions traumatiques dans notre population peut tre explique par labsence de tradition de football fminin dans notre
pays et par un entranement et une hygine de vie non adapte cette population
particulire de sportives.
Pour en savoir plus
Destombe C, Lejeune L, Guillodo Y, Roudaut A, Jousse S. Incidence et description des blessures engendres par la pratique du karat. Revue du Rhumatisme
2006;73:269276.
doi:10.1016/j.rehab.2011.07.630
P115FR

Prvention du risque de tendinopathie patellaire chez des


volleyeurs juniors francais
M. Julia
MPR, hpital Lapeyronie, CHRU de Montpellier, 371, avenue du
Doyen-Gaston-Giraud, 34295 cedex 5 Montpellier, France
Mots cls : Tendinopathie patellaire ; Prvention ; Volleyball
Prvention du risque de tendinopathie patellaire chez les volleyeurs du Ple
France.
Introduction. La tendinopathie dinsertion du tendon patellaire est particulirement frquente dans les sports dimpulsion et notamment dans le Volleyball
(prvalence jusqu 40 % dans certaines tudes). Cette pathologie, une fois
installe, est difficilement soignable sans un arrt relativement prolong de la
pratique sportive, associe de nombreuses thrapeutiques. Cest pourquoi la
prvention de cette pathologie revt une importance capitale. partir dune
revue de la littrature exhaustive nous avons pu recenser les principaux facteurs
de risque modifiables.
Objectif. valuer le caractre prdictif de tendinopathie rotulienne dune batterie de tests cliniques et paracliniques raliss en dbut de saison.
Matriels et mthodes. Nous avons propos un bilan de prsaison pour les volleyeurs du Ple France et du Ple Espoir de Montpellier (30 joueurs au total)
afin didentifier les joueurs prsentant le risque le plus important de survenue de
tendinopathie. La batterie de tests ralise comprenait : un examen clinique standardis (extensibilit, ATCD, paramtres anthropomtriques), une chographie
du tendon rotulien (surface de remodelage, vascularisation), un test isocintique
(Con-Trex : 2 vitesses en concentrique et une vitesse en excentrique) et une
srie de tests de dtente (Optojump ). Nous avons effectu un suivi prospectif
de 1 an afin de mesurer lincidence de cette pathologie dans cette population en
fonction des facteurs de risque mesurs.
Rsultats. La fin du suivi prospectif a t fixe au mois de juin (fin de la
saison). Nous navons donc pour linstant pas danalyse statistique prsenter
mais celle-ci sera ralise au mois de juillet.
Discussion. Nous discuterons de la pertinence de chacun des tests raliss
en termes didentification de joueur risque et dune ventuelle modification
de certains dentre eux. Nous proposerons aux entraneurs, aux prparateurs
physiques et aux kinsithrapeutes une prise en charge prventive adapte
partir de cette valuation.
doi:10.1016/j.rehab.2011.07.631

Version anglaise
P110EN

A. Jellad , S. Salah , M.A. Bouaziz , S. Boudokhane , Z. Ben Salah


Mdecine physique et radaptation, CHU Fattouma Bourguiba, rue 1er Juin,
5019 Monastir, Tunisia
Corresponding

Objective. To evaluate the effect of soccer on the psychological, behavioral and


physiological status of female players.
Subjects and methods. A cross sectional study was conducted with a female
soccer team. A questionnaire was administered, involving demographic psychological, physiological and behavioral data.
Results. Twenty players were involved in our study, 18 students and 2 working
women. The mean age was 19.3 years and the BMI was 22.75. The socioeconomic level was medium in the majority of cases (16 cases). The fathers were
workers in 11 cases and the mothers were housewives in 15 cases. The motivation
of soccer practice was by interest (16 cases), in order to have a new experience
(1 case), by challenge (1 case), to lose weight (1 case), and after suggestion (1
case). Eight women planned to have a professional career, 2 thought about changing discipline, 5 intended to attend the Physical Education University and 5
practiced sports occasionally. The majority of women (14) felt brawnier. Menstruation irregularity or amenorrhea was noted in 8 cases, anorexia in 4 cases and
bulimia in 7 cases. Twelve players found they became calmer, 3 more aggressive
and 5 more stressed. In eleven cases, significant support from family and friends
was reported.
Conclusion. Female soccer is still a young discipline in Tunisia. As any other
intense and competitive physical activity, it can cause psychological and physiological modifications in women. The growing interest accorded to this activity
is an important indicator of the evolution of our society.
Further readings
Cazenave N, Le Scanff C, Michel G. tude des enjeux psychologiques dans
la pratique fminine des sports risques. Annales Mdico-Psychologiques
2008;166: 850857.
doi:10.1016/j.rehab.2011.07.632
P111EN

Disabling gluteal pain: Think of the piriformis

A.A. El Oumri , O. Elhilali , H. Abid , F.Z. Arfaoui , N. Hajjaj-Hassouni


unit de MPR, hpital El Ayachi, CHU Ibn Sina, route de la plage, 11000 Sale,
Morocco
Corresponding author.
Introduction. Sciatic pain symptoms mentioned first, a spinal disorder. However
an attack is possible when the path of pain is not strictly monoradicular.
Case report. A 33-year-old man consulted for left sciatica which was
poorly systematized, truncated at mid-thigh, and occurred abruptly after sexual
intercourse. It was disabling, mechanical, non-pulsating, with no notion of intermittent claudication or urinary disorders. On examination, the patient was in
good general condition, without fever.
There was no syndrome or signs of spinal disc-root conflict. Pain is exacerbated
by hip abduction-external rotation, and adduction, flexion and internal rotation
of the hip.
Neurological examination was normal. Painful palpation of the left sciatic spine
was recurrent and disabling.
The inflammatory work-up was negative. Radiographs of the lumbar spine and
pelvis were within normal ranges.
The lumbar CT was normal. MRI shows hypertrophy of the piriformis muscle
compressing the sciatic nerve.
The patient was not improved by rest, analgesics, anti-inflammatory drugs and
physical therapy. A total improvement of symptoms was obtained after relaxant
action of manual medicine with musculo-facial release.
Conclusion. Managed before a nerve block of the sciatic nerve, a syndrome of
the sciatic nerve of the by piriformis compression should be sought by specific
maneuvers and confirmed by MRI.
Manual medicine can contribute to a spectacular improvement.

doi:10.1016/j.rehab.2011.07.633

Psychological, behavioral and physiological inuence of


soccer practice: Experience of a Tunisian female team

author.

Keywords: Sport; Soccer; Women; Psychology; Physiology

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