Olivier Bouquiaux - Academia.edu (original) (raw)
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Papers by Olivier Bouquiaux
Clinical Neurophysiology, Jun 1, 2023
Science & Sports, Feb 1, 2022
Neurophysiologie Clinique-clinical Neurophysiology, 2004
Objectifs.-Évaluer l'utilité de l'examen électromyographique de la langue et de la conduction mot... more Objectifs.-Évaluer l'utilité de l'examen électromyographique de la langue et de la conduction motrice du XII e nerf crânien lorsque la dissection carotidienne ne s'exprime que par des signes périphériques (déviation de la langue, myosis) et quand l'angiographie cérébrale et l'échodoppler ne montrent pas une lésion majeure de l'artère. Méthode.-Nous avons pratiqué l'examen EMG de la langue et l'étude de la latence motrice du XII e nerf crânien (dérivation par électrode aiguille) entre le 15 e et le 21 e jour après le début des manifestations cliniques et tous les trois mois pendant un an. L'échodoppler et l'examen clinique ont été réalisés à la même cadence. Résultats.-Nous avons étudié quatre patients chez qui nous avons observé : dénervation aiguë (fibrillation) ; tracé pauvre ; réponse motrice, évoquée par stimulation du XII e nerf crânien au niveau de la gorge, de petite amplitude et de latence allongée. Nous avons pu mettre en évidence une réinnervation progressive entre le 9 e et le 12 e mois en accord avec l'amélioration des signes cliniques et l'échodoppler toujours négatif. Conclusion.-Cette technique est complémentaire aux examens neuroradiologiques classiques et peut être utile pour distinguer une atteinte périphérique d'une atteinte centrale. Cette étude se révèle aussi utile dans le suivi à long terme (12 mois) des patients.
Journal of the Neurological Sciences, 2002
Revue médicale de Liège, 2004
Multiple sclerosis and related disorders, May 1, 2018
Background: Fatigue is a frequently occurring, often disabling symptom in MS with no single effec... more Background: Fatigue is a frequently occurring, often disabling symptom in MS with no single effective treatment. In current fatigue management interventions, personalized, real-time follow-up is often lacking. The objective of the study is to assess the feasibility of the MS TeleCoach, a novel intervention offering telemonitoring of fatigue and telecoaching of physical activity and energy management in persons with MS (pwMS) over a 12-week period. The goal of the MS TeleCoach, conceived as a combination of monitoring, self-management and motivational messages, is to enhance levels of physical activity thereby improving fatigue in pwMS in an accessible and interactive way, reinforcing self-management of patients. Methods: We conducted a prospective, open-label feasibility study of the MS TeleCoach in pwMS with Expanded Disability Status Scale ≤ 4 and moderate to severe fatigue as measured by the Fatigue Scale for Motor and Cognitive Functions (FSMC). Following a 2-week run-in period to assess the baseline activity level per patient, the target number of activity counts was gradually increased over the 12-week period through telecoaching. The primary efficacy outcome was change in FSMC total score from baseline to study end. A subset of patients was asked to fill in D-QUEST 2.0, a usability questionnaire, to evaluate the satisfaction with the MS TeleCoach device and the experienced service. Results: Seventy-five patients were recruited from 16 centres in Belgium, of which 57 patients (76%) completed the study. FSMC total score (p = 0.009) and motor and cognitive subscores (p = 0.007 and p = 0.02 respectively) decreased from baseline to week 12, indicating an improvement in fatigue. One third of participants with severe fatigue changed to a lower FSMC category for both FSMC total score and subscores. The post-study evaluation of patient satisfaction showed that the intervention was well accepted and that patients were very satisfied with the quality of the professional services. Conclusion: Using MS TeleCoach as a self-management tool in pwMS suffering from mild disability and moderate to severe fatigue appeared to be feasible, both technically and from a content perspective. Its use was associated with improved fatigue levels in the participants who completed the study. The MS Telecoach seems to meet the need for a low-cost, accessible and interactive self-management tool in MS.
iMAX: un nouvel outil pour évaluer l'excitabilité des axones moteurs périphériques (une étude... more iMAX: un nouvel outil pour évaluer l'excitabilité des axones moteurs périphériques (une étude prospective multicentrique) iMAX: a new tool for the assessment of motor axon excitability (a multicenter prospective study) Objectifs The aim of this study was to validate by a multicentric approach a new electrodiagnostic technique called iMAX to evaluate the peripheral motor axons excitability. Matériel / Patients et méthodes iMAX (the lowest intensity allowing a maximal response) and two other excitability parameters, iUP and threshold were prospectively derived from three nerves (median, ulnar and fibular) in four university centers (Liège, Marseille, Fraiture and Nice). iMAX procedure was applied in 28 healthy volunteers and 32 patients with a demyelinating (CIDP, GBS, CMT1a) or axonal peripheral neuropathy. Résultats The iMAX parameters of healthy volunteers were not significantly different in the four centers. The test-retest reproducibility was good (Spearman's correlation coefficient > 0.5). Upper limits of normal were established using the 95th percentile. Comparison of the results between volunteers and patient groups indicated significant increases in iMAX parameters especially with the CMT1a and CIDP groups. In CMT1a, iMAX abnormalities were homogeneous at the three stimulation sites, which was not the case for CIDP. Discussion - Conclusion The iMAX procedure is reliable and allows to demonstrate disorders of motor axons excitability. The iMAX technique should prove useful in routine clinical practice as it is a fast (5'), non-invasive procedure, easily applicable without dedicated software or devices.Peer reviewe
Revue Neurologique, Dec 1, 2011
Revue médicale de Liège, Oct 1, 2005
PubMed, 2004
It is now 30 years since the first motor unit number estimation (MUNE) technique was introduced b... more It is now 30 years since the first motor unit number estimation (MUNE) technique was introduced by Allan McComas as a way of providing an objective, sensitive and reproducible means of measuring the number of motor axons in living human muscle or muscle group. MUNE techniques have substantially evolved over the past decade and have been applied, with increasing frequency, to the study of age effects on motoneurone population and muscle denervating disorders such as amyotrophic lateral sclerosis (ALS), spinal muscular atrophy, poliomyelitis and different types of inherited and acquired peripheral neuropathies. In the future, one of the most important topics involving MUNE, will probably be its use in monitoring the progress of ALS patients undergoing experimental drug trials. However, among incremental, multiple point stimulation, spike-triggered averaging, F-wave analysis and statistical methods, there is no consensus about the best MUNE method. There is only a general feeling that some techniques are more valid than others. For this reason, in the present review, brief descriptions of the distinct MUNE methods are presented. In the second part of the paper, advantages and limitations (alternation, sampling errors, temporal registration etc...) of the most commonly employed procedures are considered.
Neurological Sciences, Jan 2, 2020
Supplements to Clinical neurophysiology, 2003
... Neuromuscular transmission defects, as frequently observed in patients with ALS ( [Mulder eta... more ... Neuromuscular transmission defects, as frequently observed in patients with ALS ( [Mulder etal., 1959] , [Carleton and Brown, 1979] and [Bernstein and Antel, 1981] ), could induce changes of motor response size which could be interpreted as a different unit or activation of a ...
Revue médicale de Liège, Nov 1, 2021
Postherpetic neuralgia is the most feared complication of herpes zoster (HZ). The incidence incre... more Postherpetic neuralgia is the most feared complication of herpes zoster (HZ). The incidence increases with age. Nevertheless, around 5 % of HZ patients will experience a motor deficiency known as segmental zoster paresis (SZP) according to the affected dermatome. Abdominal pseudohernia is an exceptional clinical presentation of SZP, involving the T6-L1 dermatomas. The recognition of this rare complication of HZ prevents unnecessary explorations and interventions. There is no specific treatment but in general the evolution is favorable and spontaneous healing is observed within several months.
Clinical Neurophysiology, Jun 1, 2023
Science & Sports, Feb 1, 2022
Neurophysiologie Clinique-clinical Neurophysiology, 2004
Objectifs.-Évaluer l'utilité de l'examen électromyographique de la langue et de la conduction mot... more Objectifs.-Évaluer l'utilité de l'examen électromyographique de la langue et de la conduction motrice du XII e nerf crânien lorsque la dissection carotidienne ne s'exprime que par des signes périphériques (déviation de la langue, myosis) et quand l'angiographie cérébrale et l'échodoppler ne montrent pas une lésion majeure de l'artère. Méthode.-Nous avons pratiqué l'examen EMG de la langue et l'étude de la latence motrice du XII e nerf crânien (dérivation par électrode aiguille) entre le 15 e et le 21 e jour après le début des manifestations cliniques et tous les trois mois pendant un an. L'échodoppler et l'examen clinique ont été réalisés à la même cadence. Résultats.-Nous avons étudié quatre patients chez qui nous avons observé : dénervation aiguë (fibrillation) ; tracé pauvre ; réponse motrice, évoquée par stimulation du XII e nerf crânien au niveau de la gorge, de petite amplitude et de latence allongée. Nous avons pu mettre en évidence une réinnervation progressive entre le 9 e et le 12 e mois en accord avec l'amélioration des signes cliniques et l'échodoppler toujours négatif. Conclusion.-Cette technique est complémentaire aux examens neuroradiologiques classiques et peut être utile pour distinguer une atteinte périphérique d'une atteinte centrale. Cette étude se révèle aussi utile dans le suivi à long terme (12 mois) des patients.
Journal of the Neurological Sciences, 2002
Revue médicale de Liège, 2004
Multiple sclerosis and related disorders, May 1, 2018
Background: Fatigue is a frequently occurring, often disabling symptom in MS with no single effec... more Background: Fatigue is a frequently occurring, often disabling symptom in MS with no single effective treatment. In current fatigue management interventions, personalized, real-time follow-up is often lacking. The objective of the study is to assess the feasibility of the MS TeleCoach, a novel intervention offering telemonitoring of fatigue and telecoaching of physical activity and energy management in persons with MS (pwMS) over a 12-week period. The goal of the MS TeleCoach, conceived as a combination of monitoring, self-management and motivational messages, is to enhance levels of physical activity thereby improving fatigue in pwMS in an accessible and interactive way, reinforcing self-management of patients. Methods: We conducted a prospective, open-label feasibility study of the MS TeleCoach in pwMS with Expanded Disability Status Scale ≤ 4 and moderate to severe fatigue as measured by the Fatigue Scale for Motor and Cognitive Functions (FSMC). Following a 2-week run-in period to assess the baseline activity level per patient, the target number of activity counts was gradually increased over the 12-week period through telecoaching. The primary efficacy outcome was change in FSMC total score from baseline to study end. A subset of patients was asked to fill in D-QUEST 2.0, a usability questionnaire, to evaluate the satisfaction with the MS TeleCoach device and the experienced service. Results: Seventy-five patients were recruited from 16 centres in Belgium, of which 57 patients (76%) completed the study. FSMC total score (p = 0.009) and motor and cognitive subscores (p = 0.007 and p = 0.02 respectively) decreased from baseline to week 12, indicating an improvement in fatigue. One third of participants with severe fatigue changed to a lower FSMC category for both FSMC total score and subscores. The post-study evaluation of patient satisfaction showed that the intervention was well accepted and that patients were very satisfied with the quality of the professional services. Conclusion: Using MS TeleCoach as a self-management tool in pwMS suffering from mild disability and moderate to severe fatigue appeared to be feasible, both technically and from a content perspective. Its use was associated with improved fatigue levels in the participants who completed the study. The MS Telecoach seems to meet the need for a low-cost, accessible and interactive self-management tool in MS.
iMAX: un nouvel outil pour évaluer l'excitabilité des axones moteurs périphériques (une étude... more iMAX: un nouvel outil pour évaluer l'excitabilité des axones moteurs périphériques (une étude prospective multicentrique) iMAX: a new tool for the assessment of motor axon excitability (a multicenter prospective study) Objectifs The aim of this study was to validate by a multicentric approach a new electrodiagnostic technique called iMAX to evaluate the peripheral motor axons excitability. Matériel / Patients et méthodes iMAX (the lowest intensity allowing a maximal response) and two other excitability parameters, iUP and threshold were prospectively derived from three nerves (median, ulnar and fibular) in four university centers (Liège, Marseille, Fraiture and Nice). iMAX procedure was applied in 28 healthy volunteers and 32 patients with a demyelinating (CIDP, GBS, CMT1a) or axonal peripheral neuropathy. Résultats The iMAX parameters of healthy volunteers were not significantly different in the four centers. The test-retest reproducibility was good (Spearman's correlation coefficient > 0.5). Upper limits of normal were established using the 95th percentile. Comparison of the results between volunteers and patient groups indicated significant increases in iMAX parameters especially with the CMT1a and CIDP groups. In CMT1a, iMAX abnormalities were homogeneous at the three stimulation sites, which was not the case for CIDP. Discussion - Conclusion The iMAX procedure is reliable and allows to demonstrate disorders of motor axons excitability. The iMAX technique should prove useful in routine clinical practice as it is a fast (5'), non-invasive procedure, easily applicable without dedicated software or devices.Peer reviewe
Revue Neurologique, Dec 1, 2011
Revue médicale de Liège, Oct 1, 2005
PubMed, 2004
It is now 30 years since the first motor unit number estimation (MUNE) technique was introduced b... more It is now 30 years since the first motor unit number estimation (MUNE) technique was introduced by Allan McComas as a way of providing an objective, sensitive and reproducible means of measuring the number of motor axons in living human muscle or muscle group. MUNE techniques have substantially evolved over the past decade and have been applied, with increasing frequency, to the study of age effects on motoneurone population and muscle denervating disorders such as amyotrophic lateral sclerosis (ALS), spinal muscular atrophy, poliomyelitis and different types of inherited and acquired peripheral neuropathies. In the future, one of the most important topics involving MUNE, will probably be its use in monitoring the progress of ALS patients undergoing experimental drug trials. However, among incremental, multiple point stimulation, spike-triggered averaging, F-wave analysis and statistical methods, there is no consensus about the best MUNE method. There is only a general feeling that some techniques are more valid than others. For this reason, in the present review, brief descriptions of the distinct MUNE methods are presented. In the second part of the paper, advantages and limitations (alternation, sampling errors, temporal registration etc...) of the most commonly employed procedures are considered.
Neurological Sciences, Jan 2, 2020
Supplements to Clinical neurophysiology, 2003
... Neuromuscular transmission defects, as frequently observed in patients with ALS ( [Mulder eta... more ... Neuromuscular transmission defects, as frequently observed in patients with ALS ( [Mulder etal., 1959] , [Carleton and Brown, 1979] and [Bernstein and Antel, 1981] ), could induce changes of motor response size which could be interpreted as a different unit or activation of a ...
Revue médicale de Liège, Nov 1, 2021
Postherpetic neuralgia is the most feared complication of herpes zoster (HZ). The incidence incre... more Postherpetic neuralgia is the most feared complication of herpes zoster (HZ). The incidence increases with age. Nevertheless, around 5 % of HZ patients will experience a motor deficiency known as segmental zoster paresis (SZP) according to the affected dermatome. Abdominal pseudohernia is an exceptional clinical presentation of SZP, involving the T6-L1 dermatomas. The recognition of this rare complication of HZ prevents unnecessary explorations and interventions. There is no specific treatment but in general the evolution is favorable and spontaneous healing is observed within several months.