https://sam.ensam.eu:443 The DSpace digital repository system captures, stores, indexes, preserves, and distributes digital research material. Fri, 15 May 2026 04:31:10 GMT 2026-05-15T04:31:10Z http://hdl.handle.net/10985/17852 Inconsistent anticipatory postural adjustments (APAs) in rugby players: a source of injuries? WANG, Danping; MAHE, Gaël; FANG, Junying; PISCIONE, Julien; COUVET, Serge; RETIERE, Didier; VIDAL, Pierre-Paul; LAPORTE, Sébastien We are developing since 2010 with Thales and the Fédération Française de Rugby (FFR) M-Rex, a new kind of rugby scrum simulator. The study questioned whether it could improve safety and protect players from injury by using it as a tool for training/coaching the packs. To explore the anticipatory postural adjustments (APAs) during the engagement of the ruck, because these predictive neck and back muscles contractions protect the spinal cord at the time of impacts, which is crucial to prevent injuries. We quantified the kinematics and the EMG activities in high-level front row players during their initial engagement, when scrummaging with M-Rex. All studies were performed with one player interacting with the robot, at first, and then with the three players acting together. For most of the tested high-level players, the APA latencies were highly variable from trial to trial even though the engagement resulted in similar impacts. At time, the onset of the electromyography activity in the neck and back muscles showed latencies inferior to 50 ms or even close to zero prior to the impact , which rendered muscle contractions inefficient as APAs. We were also unable to identify clear muscular synergies underlying the APAs because of their great variability on a trial-to-trial basis. Finally, the APAs were not related to the amplitude of the ensuing impact and were asymmetric in most trials. All these characteristics held true, whether the player was playing alone or with two other frontline players. Our result suggest that APAs should be systematically tested in high-level rugby players as well as in any high-level sport men at risk of neck and back injuries. Because APAs can be efficiently trained, our study paves the way to design individual position-specific injury prevention programme. Mon, 01 Jan 2018 00:00:00 GMT http://hdl.handle.net/10985/17852 2018-01-01T00:00:00Z WANG, Danping MAHE, Gaël FANG, Junying PISCIONE, Julien COUVET, Serge RETIERE, Didier VIDAL, Pierre-Paul LAPORTE, Sébastien We are developing since 2010 with Thales and the Fédération Française de Rugby (FFR) M-Rex, a new kind of rugby scrum simulator. The study questioned whether it could improve safety and protect players from injury by using it as a tool for training/coaching the packs. To explore the anticipatory postural adjustments (APAs) during the engagement of the ruck, because these predictive neck and back muscles contractions protect the spinal cord at the time of impacts, which is crucial to prevent injuries. We quantified the kinematics and the EMG activities in high-level front row players during their initial engagement, when scrummaging with M-Rex. All studies were performed with one player interacting with the robot, at first, and then with the three players acting together. For most of the tested high-level players, the APA latencies were highly variable from trial to trial even though the engagement resulted in similar impacts. At time, the onset of the electromyography activity in the neck and back muscles showed latencies inferior to 50 ms or even close to zero prior to the impact , which rendered muscle contractions inefficient as APAs. We were also unable to identify clear muscular synergies underlying the APAs because of their great variability on a trial-to-trial basis. Finally, the APAs were not related to the amplitude of the ensuing impact and were asymmetric in most trials. All these characteristics held true, whether the player was playing alone or with two other frontline players. Our result suggest that APAs should be systematically tested in high-level rugby players as well as in any high-level sport men at risk of neck and back injuries. Because APAs can be efficiently trained, our study paves the way to design individual position-specific injury prevention programme. http://hdl.handle.net/10985/18466 An Initial Passive Phase That Limits the Time to Recover and Emphasizes the Role of Proprioceptive Information LE GOIC, Maeva; WANG, Danping; VIDAL, Catherine; CHIAROVANO, Elodie; LECOMPTE, Jennyfer; DUYSENS, Jacques; VIDAL, Pierre-Paul; LAPORTE, Sébastien In the present experiments, multiple balance perturbations were provided by unpredictable support-surface translations in various directions and velocities. The aim of this study was to distinguish the passive and the active phases during the pre-impact period of a fall. It was hypothesized that it should be feasible if one uses a specific quantitative kinematic analysis to evaluate the dispersion of the body segments trajectories across trials. Moreover, a multi-joint kinematical model was created for each subject, based on a new 3-D minimally invasive stereoradiographic X-ray images to assess subject-specific geometry and inertial parameters. The simulations allowed discriminating between the contributions of the passive (inertia-induced properties) and the active (neuromuscular response) components during falls. Our data show that there is limited time to adjust the way one fall from a standing position. We showed that the pre-impact period is truncated of 200 ms. During the initial part of a fall, the observed trajectory results from the interaction between the destabilizing external force and the body: inertial properties intrinsic to joints, ligaments and musculotendinous system have then a major contribution, as suggested for the regulation of static upright stance. This passive phase is later followed by an active phase, which consists of a corrective response to the postural perturbation. We believe that during a fall from standing height, it takes about 300 ms for postural responses to start correcting the body trajectory, while the impact is expected to occur around 700 ms. It has been argued that this time is sufficient to change the way one falls and that this makes it possible to apply safer ways of falling, for example by using martial arts fall techniques. Also, our results imply visual and vestibular information are not congruent with the beginning of the on-going fall. This consequence is to be noted as subjects prepare to the impact on the basis of sensory information, which would be uniquely mainly of proprioceptive origin at the fall onset. One limitation of the present analysis is that no EMG was included so far but these data are the subject of a future study. Mon, 01 Jan 2018 00:00:00 GMT http://hdl.handle.net/10985/18466 2018-01-01T00:00:00Z LE GOIC, Maeva WANG, Danping VIDAL, Catherine CHIAROVANO, Elodie LECOMPTE, Jennyfer DUYSENS, Jacques VIDAL, Pierre-Paul LAPORTE, Sébastien In the present experiments, multiple balance perturbations were provided by unpredictable support-surface translations in various directions and velocities. The aim of this study was to distinguish the passive and the active phases during the pre-impact period of a fall. It was hypothesized that it should be feasible if one uses a specific quantitative kinematic analysis to evaluate the dispersion of the body segments trajectories across trials. Moreover, a multi-joint kinematical model was created for each subject, based on a new 3-D minimally invasive stereoradiographic X-ray images to assess subject-specific geometry and inertial parameters. The simulations allowed discriminating between the contributions of the passive (inertia-induced properties) and the active (neuromuscular response) components during falls. Our data show that there is limited time to adjust the way one fall from a standing position. We showed that the pre-impact period is truncated of 200 ms. During the initial part of a fall, the observed trajectory results from the interaction between the destabilizing external force and the body: inertial properties intrinsic to joints, ligaments and musculotendinous system have then a major contribution, as suggested for the regulation of static upright stance. This passive phase is later followed by an active phase, which consists of a corrective response to the postural perturbation. We believe that during a fall from standing height, it takes about 300 ms for postural responses to start correcting the body trajectory, while the impact is expected to occur around 700 ms. It has been argued that this time is sufficient to change the way one falls and that this makes it possible to apply safer ways of falling, for example by using martial arts fall techniques. Also, our results imply visual and vestibular information are not congruent with the beginning of the on-going fall. This consequence is to be noted as subjects prepare to the impact on the basis of sensory information, which would be uniquely mainly of proprioceptive origin at the fall onset. One limitation of the present analysis is that no EMG was included so far but these data are the subject of a future study. http://hdl.handle.net/10985/17795 Collaborative sensorimotor intelligence: the scrum as a model WANG, Danping; MAHE, Gaël; FANG, Junying; PISCIONE, Julien; COUVET, Serge; RETIERE, Didier; VIDAL, Pierre-Paul; LAPORTE, Sébastien AimUsing M-Rex, a rugby scrum simulator, we developed tools to describe scrummaging forces and to prevent accident.MethodsWe tested three groups of frontliners at national level. The simulator was passive or responded to the player(s) to simulate the reaction of opposite players. Sensors in the beam measured the force exerted by each of the players. Their movements were recorded with a Codamotion system.ResultsThe force signals exhibited two phases: a transient phase, similar to a damped sinusoid with a dominant frequency around 5 Hz when the players scrummaged alone and with a wider range when playing together; then, a sustained phase could be decomposed in two components: a DC component remained stable whether frontliners played alone or together. In contrast, its variability decreased when the frontliners played together compared with when they played alone. As for the oscillations, the frontliners exhibited a large variability in their ability to synchronise their efforts during the sustained phase. The synchronisation between the hooker and the props was quite efficient, while it was always missing between two props. Finally, we were able to study postural readjustments and their synchronisation among players during the sustained phase.ConclusionThis study shows that by using adequate methods, it is possible to assess the frontline collective intelligence. These findings may pave the way for innovative methods of training to improve players’ collective behaviour. Mon, 01 Jan 2018 00:00:00 GMT http://hdl.handle.net/10985/17795 2018-01-01T00:00:00Z WANG, Danping MAHE, Gaël FANG, Junying PISCIONE, Julien COUVET, Serge RETIERE, Didier VIDAL, Pierre-Paul LAPORTE, Sébastien AimUsing M-Rex, a rugby scrum simulator, we developed tools to describe scrummaging forces and to prevent accident.MethodsWe tested three groups of frontliners at national level. The simulator was passive or responded to the player(s) to simulate the reaction of opposite players. Sensors in the beam measured the force exerted by each of the players. Their movements were recorded with a Codamotion system.ResultsThe force signals exhibited two phases: a transient phase, similar to a damped sinusoid with a dominant frequency around 5 Hz when the players scrummaged alone and with a wider range when playing together; then, a sustained phase could be decomposed in two components: a DC component remained stable whether frontliners played alone or together. In contrast, its variability decreased when the frontliners played together compared with when they played alone. As for the oscillations, the frontliners exhibited a large variability in their ability to synchronise their efforts during the sustained phase. The synchronisation between the hooker and the props was quite efficient, while it was always missing between two props. Finally, we were able to study postural readjustments and their synchronisation among players during the sustained phase.ConclusionThis study shows that by using adequate methods, it is possible to assess the frontline collective intelligence. These findings may pave the way for innovative methods of training to improve players’ collective behaviour. http://hdl.handle.net/10985/11376 An Attempt of Early Detection of Poor Outcome after Whiplash WANG, Danping; LECOMPTE, Jennyfer; BLANCHO, Sophie; SANDOZ, Baptiste; FEYDY, Antoine; LINDBERG, Pavel; ADRIAN, Julien; CHIAROVANO, Elodie; DE WAELE, Catherine; VIDAL, Pierre-Paul; LAPORTE, Sébastien The main concern with whiplash is that a large proportion of whiplash patients experience disabling symptoms or whiplash-associated disorders (WAD) for months if not years following the accident. Therefore, identifying early prognostic factors of WAD development is important as WAD have widespread clinical and economic consequences. In order to tackle that question, our study was specifically aimed at combining several methods of investigation in the same WAD patients at the acute stage and 6 months later. Our longitudinal, open, prospective, multi-center study included 38 whiplash patients, and 13 healthy volunteers matched for age, gender, and socio-economic status with the whiplash group. Whiplash patients were evaluated 15–21 days after road accident, and 6 months later. At each appointment, patients underwent a neuropsychological evaluation, a full clinical neurological examination, neurophysiological and postural tests, oto-neurological tests, cervical spine cord magnetic resonance imaging (MRI) with tractography (DTI). At 6 months, whiplash patients were categorized into two subgroups based on the results of the Diagnostic and Statistical Manual of Mental Disorders as having either favorable or unfavorable progression [an unfavorable classification corresponding to the presence of post-concussion symptom (PCS)] and we searched retrospectively for early prognostic factors of WAD predicting the passage to chronicity. We found that patients displaying high level of catastrophizing at the acute stage and/or post-traumatic stress disorder associated with either abnormalities in head or trunk kinematics, abnormal test of the otolithic function and at the Equitest or a combination of these syndromes, turned to chronicity. This study suggests that low-grade whiplash patients should be submitted as early as possible after the trauma to neuropsychological and motor control tests in a specialized consultation. In addition, they should be evaluated by a neuro-otologist for a detailed examination of vestibular functions, which should include cervical vestibular evoked myogenic potential. Then, if diagnosed at risk of WAD, these patients should be subjected to an intensive preventive rehabilitation program, including vestibular rehabilitation if required. Fri, 01 Jan 2016 00:00:00 GMT http://hdl.handle.net/10985/11376 2016-01-01T00:00:00Z WANG, Danping LECOMPTE, Jennyfer BLANCHO, Sophie SANDOZ, Baptiste FEYDY, Antoine LINDBERG, Pavel ADRIAN, Julien CHIAROVANO, Elodie DE WAELE, Catherine VIDAL, Pierre-Paul LAPORTE, Sébastien The main concern with whiplash is that a large proportion of whiplash patients experience disabling symptoms or whiplash-associated disorders (WAD) for months if not years following the accident. Therefore, identifying early prognostic factors of WAD development is important as WAD have widespread clinical and economic consequences. In order to tackle that question, our study was specifically aimed at combining several methods of investigation in the same WAD patients at the acute stage and 6 months later. Our longitudinal, open, prospective, multi-center study included 38 whiplash patients, and 13 healthy volunteers matched for age, gender, and socio-economic status with the whiplash group. Whiplash patients were evaluated 15–21 days after road accident, and 6 months later. At each appointment, patients underwent a neuropsychological evaluation, a full clinical neurological examination, neurophysiological and postural tests, oto-neurological tests, cervical spine cord magnetic resonance imaging (MRI) with tractography (DTI). At 6 months, whiplash patients were categorized into two subgroups based on the results of the Diagnostic and Statistical Manual of Mental Disorders as having either favorable or unfavorable progression [an unfavorable classification corresponding to the presence of post-concussion symptom (PCS)] and we searched retrospectively for early prognostic factors of WAD predicting the passage to chronicity. We found that patients displaying high level of catastrophizing at the acute stage and/or post-traumatic stress disorder associated with either abnormalities in head or trunk kinematics, abnormal test of the otolithic function and at the Equitest or a combination of these syndromes, turned to chronicity. This study suggests that low-grade whiplash patients should be submitted as early as possible after the trauma to neuropsychological and motor control tests in a specialized consultation. In addition, they should be evaluated by a neuro-otologist for a detailed examination of vestibular functions, which should include cervical vestibular evoked myogenic potential. Then, if diagnosed at risk of WAD, these patients should be subjected to an intensive preventive rehabilitation program, including vestibular rehabilitation if required.