Browsing by Author "Hammami, Nadhir"
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- Concentric isokinetic strengthening program's impact on knee biomechanical parameters, physical performance and quality of life in overweight/obese women with chronic meniscal lesionsPublication . Hammami, Nadhir; Mechraoui, Amani; Hattabi, Soukaina; Forte, Pedro; Sampaio, Tatiana; Sortwell, Andrew; Teixeira, José Eduardo; Branquinho, Luís; Ferraz, Ricardo; Bouassida, AnissaMeniscal injuries are one of the most common intra-articular knee injuries. Different treatments are presented depending on the symptoms and duration of meniscus tears, such as arthroscopic partial meniscectomy, physiotherapy, or even pharmacological treatment. The purpose was to investigate the effect of a concentric isokinetic knee muscle strengthening program on strength, joint range of motion, physical performance, quality of life and pain tolerance in overweight/obese women with chronic meniscal lesions. Twenty-four overweight/obese women were randomized into two groups. A control group (CG) performed a usual rehabilitation program plus isokinetic muscle strengthening (IMS) in the continuous passive motion mode and measured with an isokinetic dynamometer. An experimental group (EG) performed the same program in combination with IMS in the isokinetic active mode. The peak torque of the knee extensors (PTE) and flexors (PTF), sit-to-stand test, stair climb test, joint amplitude, heel-to-buttock distance, Thessaly test, KOOS questionnaire of pain and quality of life were measured pre- and post-protocol. After the intervention, the sit-stand number for both groups was significantly higher (p < 0.001) and the time to climb stairs was significantly reduced for the EG (p < 0.001). A significant improvement in joint range of motion, life quality (p < 0.001), relief in knee pain (p < 0.001) and in the post-program evaluation at the EG (p < 0.05) was noted. There was no significant difference in PTE and PTF between groups at 60 & DEG;/s and 180 & DEG;/s. The IMS in the active mode could be an effective therapeutic modality in managing middle-aged patients suffering from a degenerative meniscal tear.
- Examining the link between isokinetic strength metrics and ball speed in women’s soccerPublication . Ölmez, Cengiz; Hammami, Nadhir; Yücelsoy, Büşra; Hattabi, Soukaina; Forte, Pedro; Sortwell, Andrew; Khezami, Mehrzia Amani; İnce, AlparslanThe shot performance of female soccer players is one of the most critical factors in winning a soccer match. It is essential to thoroughly clarify the kinetic factors that can improve shot performance. This study explores the connections between ball velocity post-shooting and isokinetic knee extension (EXT) and flexion (FLX) strength performances among female soccer players. Thirteen voluntary players from professional leagues took part in the research study. The study analyzed the average and peak concentric (Con) and eccentric (Ecc) torques, isometric (Iso) strength performances at angular velocities of 60 /s, 180 /s and 300 /s, the time required to reach peak torque, and ball velocities during shooting. The relationships among these variables were investigated separately for the dominant (D) and non-dominant (ND) legs. The analysis unveiled significant correlations between ball velocities and D-EXT (Absolute) peak torque at an angular velocity of 60 /s (r = 0.597; p < 0.05), D-%IPS (r = -0.580; p < 0.05), and ND-FLX (Absolute) average torque (r = 0.559; p < 0.05). Moreover, notable associations were observed between ball velocities and ND-EXT (Absolute) (r = 0.581; p < 0.05), as well as ND-FLX (Absolute) (r = 0.602; p < 0.05) average torques at an angular velocity of 180 /s. Additionally, significant relationships were found between ball velocities and peak (r = 0.664; p = 0.013) and average (r = 0.660; p = 0.014) torques generated during ND-EXT (Absolute) at an angular velocity of 300 /s. However, the connections between the time to reach peak torque, eccentric and isometric forces, and ball velocities were not statistically significant (p > 0.05). The results of the study indicate that enhancing concentric isokinetic strength development at 60 /s, 180 /s, and 300 /s angular velocities, along with balanced strengthening of the ND extremity, holds paramount importance in elevating shot performance among female soccer players, particularly in the context of rapid shot strategies.
- Isokinetic Knee Strengthening Impact on Physical and Functional Performance, Pain Tolerance, and Quality of Life in Overweight/Obese Women with Patellofemoral Pain SyndromePublication . Hammami, Nadhir; Bouzouraa, Eya; Ölmez, Cengiz; Hattabi, Soukaina; Mhimdi, Najla; Khezami, Mehrzia Amani; Forte, Pedro; Sortwell, Andrew; Bouassida, Anissa; Jemni, MonèmPatellofemoral syndrome is a common osteoarticular condition that affects many individuals. Various treatment options are available, with a significant emphasis on targeted muscle-strengthening exercises. The purpose of this study was to investigate the effect of isokinetic muscle strengthening on muscle strength, joint range of motion, quality of life, physical performance, and pain tolerance in overweight/obese women with patellofemoral syndrome. Methods: Twenty-four overweight or obese women with patellofemoral syndrome participated in the study during September and October 2023 in a private medical facility for physical medicine and functional rehabilitation. They were randomly assigned to one of two groups for six weeks of isokinetic muscle strengthening. The first group (ISO.G) followed a rehabilitation program combined with isokinetic muscle strengthening. A second group (PCM.G) followed a rehabilitation program that includes an isokinetic protocol in passive compensation movement. The extensors’ peak torque was measured before and after training. Results: The flexors’ peak torque, stair climbing test, 10 m walk, chair lift, monopodal support, goniometric knee flexion test, heel–buttock distance measurement, pain, and quality of life scores improved significantly in both groups. The ISO.G, on the other hand, benefited from a significant increase in quadriceps muscle strength revealed by the extensors’ peak torque. Conclusions: For the treatment of patellofemoral syndrome, isokinetic muscle strengthening in concentric mode appears to have a significant advantage over the classic rehabilitation program with isokinetic passive compensation, particularly in muscle strength gain, in addition to the improvement of joint range of motion, quality of life, physical performance, and pain tolerance. Isokinetic training may be recommended as a beneficial approach for the rehabilitative treatment of patellofemoral pain syndrome in overweight/obese women.