Cabinet de Kinésithérapie De Nève Julien

05/11/2025

📣 NEW Consensus Statement 📄

🔍 Critical evidence synthesis on rehabilitation following arthroscopic shoulder stabilisation surgery for traumatic anterior instability

Consensus recommendations for clinical practice and research – commissioned by the British Elbow & Shoulder Society 💪

Article ➡️ https://bit.ly/4oDXSN6

03/10/2025

🥳 🇱🇺🇱🇺🇱🇺

🇱🇺 A historic moment in Luxembourg! 👑

From 3 to 5 October, the country celebrates the “Trounwiessel”, the accession of H.R.H. the Crown Prince Guillaume to the throne, following the abdication of H.R.H. the Grand Duke Henri. 📜

The Grand Duke is Luxembourg’s Head of State, a symbol of continuity, unity, and the country’s values both at home and abroad. 🌍

Here’s what’s on the programme:

– Official ceremonies in Luxembourg City (Friday)

– Public celebrations across the country (Saturday)

– A solemn Te Deum at Notre-Dame Cathedral (Sunday), broadcast on TV and online ⛪📺

A heartfelt thank you to TT.RR.HH. the Grand Duke Henri and the Grand Duchess Maria Teresa for their decades of dedication.

And our warmest wishes to TT.RR.HH. the Grand Duke Guillaume and the Grand Duchess Stéphanie as they begin this new chapter. ✨

👉 Which moment of the are you most looking forward to? 👇

🇱🇺 Moment historique au Luxembourg! 🇱🇺

Du 3 au 5 octobre, le pays vit le « Trounwiessel », l’accession de S.A.R. le Grand-Duc Héritier Guillaume au trône, après l’abdication de S.A.R. le Grand-Duc Henri. 📜

Le Grand-Duc est le chef d’État du Luxembourg, garant de la continuité, de l’unité et des valeurs du pays, tant au Luxembourg qu’à l’international. 🌍

Au programme :

– Cérémonies officielles à Luxembourg-Ville (vendredi)

– Grandes festivités publiques dans tout le pays (samedi)

– Te Deum solennel à la Cathédrale Notre-Dame (dimanche), retransmis à la télévision et en ligne. ⛪📺

Un grand merci à LL.AA.RR. le Grand-Duc Henri et la Grande-Duchesse Maria Teresa pour leurs décennies d’engagement.

Nos vœux les plus chaleureux accompagnent LL.AA.RR. le Grand-Duc Guillaume et la Grande-Duchesse Stéphanie à l’aube de ce nouveau chapitre. ✨

👉 Quel moment du attendez-vous le plus ? 👇



luxembourg.lu - the Grand Duchy's portal, Cour Grand-Ducale, Visit Luxembourg

📸: © Maison du Grand-Duc | Kary Barthelmey and Christian Aschman

03/10/2025

https://www.facebook.com/share/p/17Ay8jqt5Y/

Six Clinically Recognizable Pain Distribution Patterns in Lumbar Spinal Stenosis

■ 🧩 Overview

Based on a study of 2,379 patients with lumbar spinal stenosis (LSS) presenting to a secondary spine center in Denmark, six clinically recognizable pain distribution patterns were identified using digital pain diagrams.

These findings highlight that heterogeneous pain presentations are common in people with LSS and that pain distribution is often more complex than the "textbook" presentations of central or lateral stenosis.

■ 🔹 Class 1: Bilateral posterior leg pain

This pattern was present in 11.4% of the patients (n=272).

It represents pain located in the back of both legs.

This distribution is often considered a "textbook" LSS pain pattern associated with central canal stenosis, where multiple nerve roots are involved.

■ 🔹 Class 2: Bilateral posterior and anterior leg pain

This pattern was identified in 8.7% of patients (n=207).

It involves pain in both the front and back of both legs.

The presence of anterior leg pain in a bilateral pattern illustrates a more complex pain presentation than is typically described.

■ 🔹 Class 3: Unilateral posterior leg pain

This was the most common pattern, found in 26.1% of the patients (n=620).

This class describes pain in the back of a single leg and is often associated with lateral stenosis affecting a single nerve root.

The researchers specifically distinguished this class from Class 4 to highlight the difference between unilateral posterior leg pain with and without a focus on low back pain.

■ 🔹 Class 4: Unilateral posterior leg pain with low back pain

This pattern accounted for 21.0% of the patient sample (n=499).

While other classes also included patients with back pain, this class was named to specifically highlight the combination of unilateral posterior leg pain and low back pain.

Patients in this group reported slightly lower mean leg pain scores compared to the other classes.

■ 🔹 Class 5: Unilateral anterior and posterior leg pain

This pattern was identified in 22.9% of patients (n=545).

It describes pain in both the front and back of a single leg.

The study notes that the proportion of patients with this pattern was greater than the combined proportion of patients with both types of bilateral leg pain (Class 1 and Class 2), underscoring the significant heterogeneity in LSS pain presentations.

■ 🔹 Class 6: Multisite pain

This pattern was found in 9.9% of patients (n=236).

This class had a higher proportion of females (58.9%) than other groups.

Patients in this group also reported slightly greater social isolation scores and were more likely to have experienced pain for more than 12 months.

The identification of this pattern may help clinicians differentiate LSS from other conditions, such as multi-joint osteoarthritis.

■ 🩺 Clinical Relevance

These identified pain distribution patterns may represent clinical LSS phenotypes that could help improve diagnosis, patient-clinician communication, and treatment decisions.

-----------------

⚠️Disclaimer: Sharing a study or a part of it is NOT an endorsement. Please read the original article and evaluate critically.⚠️

Link to Article 👇

03/09/2025

😍 Great illustration of the neurological examination of the upper extremity according to Miller & Thompson

📘 Reference: Thompson, Stephen R., and Mark D. Miller, eds.
Miller's Review of Orthopaedics E-Book. Elsevier Health Sciences, 2025, https://www.eu.elsevierhealth.com/millers-review-of-orthopaedics-9780443112140.html