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Abstract / Annals of Physical and Rehabilitation Medicine 54S (2011) e122e129 e127

fracture de la mallole externe). Un arrt total dactivit sportive a t prescritchez 8 joueuses avec une dure moyenne de 5 semaines.Conclusion . La frquence leve des lsions traumatiques dans notre popula-tion peut tre explique par labsence de tradition de football fminin dans notrepays etpar un entranement et unehygine de vie non adapte cette populationparticulire de sportives.Pour en savoir plusDestombe C, Lejeune L, Guillodo Y, Roudaut A, Jousse S. Incidence et descrip-tion des blessures engendres par la pratique du karat. Revue du Rhumatisme2006;73:269276.doi:10.1016/j.rehab.2011.07.630

P115FRPrvention du risque de tendinopathie patellaire chez desvolleyeurs juniors francaisM. 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 PleFrance. Introduction . La tendinopathie dinsertion du tendon patellaire est particuli-rement frquente dans les sports dimpulsion et notamment dans le Volleyball(prvalence jusqu 40 % dans certaines tudes). Cette pathologie, une foisinstalle, est difcilement soignable sans un arrt relativement prolong de lapratique sportive, associe de nombreuses thrapeutiques. Cest pourquoi laprvention de cette pathologie revt une importance capitale. partir dunerevue de la littrature exhaustive nous avons pu recenser les principaux facteursde risque modiables.Objectif . valuer le caractre prdictif de tendinopathie rotulienne dune bat-terie de tests cliniques et paracliniques raliss en dbut de saison. Matriels et mthodes . Nous avons propos un bilan de prsaison pour les vol-leyeurs du Ple France et du Ple Espoir de Montpellier (30 joueurs au total)an didentier les joueurs prsentant le risque le plus important de survenue detendinopathie. Labatteriede tests ralisecomprenait : un examencliniquestan-dardis (extensibilit, ATCD, paramtres anthropomtriques), une chographiedu tendon rotulien (surface de remodelage, vascularisation), un test isocintique(Con-Trex : 2 vitesses en concentrique et une vitesse en excentrique) et unesrie de tests de dtente (Optojump). Nous avons effectu un suivi prospectif de 1 an an de mesurer lincidence de cette pathologie dans cette population enfonction des facteurs de risque mesurs. Rsultats . La n du suivi prospectif a t xe au mois de juin (n de lasaison). Nous navons donc pour linstant pas danalyse statistique prsentermais celle-ci sera ralise au mois de juillet. Discussion . Nous discuterons de la pertinence de chacun des tests ralissen termes didentication de joueur risque et dune ventuelle modicationde certains dentre eux. Nous proposerons aux entraneurs, aux prparateursphysiques et aux kinsithrapeutes une prise en charge prventive adapte partir de cette valuation.doi:10.1016/j.rehab.2011.07.631

Version anglaise

P110ENPsychological, behavioral and physiological inuence of soccer practice: Experience of a Tunisian female teamA. 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 author.

Keywords: Sport; Soccer; Women; Psychology; Physiology

Objective . To evaluatethe effect of socceron thepsychological, behavioralphysiological status of female players.Subjects and methods . A cross sectional study was conducted with a femsoccer team.A questionnaire wasadministered, involvingdemographicpsylogical, physiological and behavioral data. Results . Twenty players were involved in our study, 18 students and 2 worwomen. The mean age was 19.3 years and the BMI was 22.75. The socinomic level was medium in the majority of cases (16 cases). The fathersworkers in11 casesand themotherswerehousewivesin 15cases.Themotivaof soccer practice was by interest (16 cases), in order to have a new exper(1 case), by challenge (1 case), to lose weight (1 case), and after suggestcase).Eight women planned to have a professionalcareer, 2 thought about cging discipline, 5 intended to attend the Physical Education University apracticed sports occasionally. The majority of women (14) felt brawnier. Mtruation irregularity or amenorrhea was noted in 8 cases, anorexia in 4 casbulimia in 7 cases.Twelveplayers found they becamecalmer,3 more aggresand5 morestressed. In elevencases,signicant support fromfamily andfriwas reported.Conclusion . Female soccer is still a young discipline in Tunisia. As any ointense and competitive physical activity, it can causepsychological and phlogical modications in women. The growing interest accorded to this acis an important indicator of the evolution of our society.Further readingsCazenave N, Le Scanff C, Michel G. tude des enjeux psychologiquesla pratique fminine des sports risques. Annales Mdico-Psychologi2008;166: 850857.doi:10.1016/j.rehab.2011.07.632

P111ENDisabling g lutea l pain: Think of the piriformisA.A. El Oumri , O. Elhilali, H. Abid, F.Z. Arfaoui, N. Hajjaj-Hassouniunit de MPR, hpital El Ayachi, CHU Ibn Sina, route de la plage, 11000 Sale,

Morocco

Corresponding author. Introduction .Sciaticpainsymptomsmentionedrst,aspinaldisorder.Howevan attack is possible when the path of pain is not strictly monoradicular.Case report. A 33-year-old man consulted for left sciatica which wpoorly systematized, truncated at mid-thigh, and occurred abruptly after sintercourse.It wasdisabling, mechanical, non-pulsating, with no notionof imittent claudication or urinary disorders. On examination, the patient wgood general condition, without fever.There was no syndrome or signs of spinal disc-root conict. Pain is exacerby hip abduction-external rotation, and adduction, exion and internal roof the hip.Neurological examination was normal. Painful palpation of the left sciaticwas recurrent and disabling.The inammatory work-up was negative. Radiographs of the lumbar spinpelvis were within normal ranges.The lumbar CT was normal. MRI shows hypertrophy of the piriformis mcompressing the sciatic nerve.The patient was not improved by rest, analgesics, anti-inammatory drugphysical therapy. A total improvement of symptoms was obtained after relaction of manual medicine with musculo-facial release.Conclusion. Managed before a nerve block of the sciatic nerve, a syndromthe sciatic nerve of the by piriformis compression should be sought by spmaneuvers and conrmed by MRI.Manual medicine can contribute to a spectacular improvement.doi:10.1016/j.rehab.2011.07.633

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