{"id":10794,"date":"2024-09-24T20:59:29","date_gmt":"2024-09-24T20:59:29","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/sensorimotor-impairment-in-neck-pain-fr\/"},"modified":"2026-06-09T13:13:23","modified_gmt":"2026-06-09T13:13:23","slug":"sensorimotor-impairment-in-neck-pain-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/sensorimotor-impairment-in-neck-pain-fr\/","title":{"rendered":"D\u00e9ficience sensorimotrice dans la cervicalgie"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>Original Editor <\/b>&#8211; <a title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\">Tarina van der Stockt<\/a><\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"Utilisateur:Lauren Lopez\" href=\"\/User:Lauren_Lopez\"><bdi>Lauren Lopez <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Robin Tacchetti\" href=\"\/User:Robin_Tacchetti\"><bdi>Robin Tacchetti <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Wendy Walker\" href=\"\/User:Wendy_Walker\"><bdi>Wendy Walker<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Simisola Ajeyalemi\" href=\"\/User:Simisola_Ajeyalemi\"><bdi>Simisola Ajeyalemi <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Rucha Gadgil\" href=\"\/User:Rucha_Gadgil\"><bdi>Rucha Gadgil<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Jorge Rodr\u00edguez Palomino\" href=\"\/User:Jorge_Rodr%C3%ADguez_Palomino\"><bdi>Jorge Rodr\u00edguez Palomino<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Sensorimotor_Function\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Fonction sensorimotrice<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Sensorimotor_Impairment\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">D\u00e9ficience sensorimotrice<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Symptoms_of_Sensorimotor_Impairment\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Sympt\u00f4mes des d\u00e9ficiences sensorimotrices<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Tests\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Tests<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Proprioception\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Proprioception<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Eye_Movement_Control\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Contr\u00f4le des mouvements oculaires<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#Smooth_Pursuit_Test\"><span class=\"tocnumber\">5.2.1<\/span> <span class=\"toctext\">Poursuite oculaire lente<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-9\"><a href=\"#Smooth_Pursuit_Neck_Torsion_Test\"><span class=\"tocnumber\">5.2.2<\/span> <span class=\"toctext\">Test de poursuite oculaire en torsion cervicale<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Gaze_Stability\"><span class=\"tocnumber\">5.2.3<\/span> <span class=\"toctext\">Stabilit\u00e9 du regard<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Balance_and_Postural_Stability\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">\u00c9quilibre et stabilit\u00e9 posturale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#Differentiation\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Diff\u00e9renciation<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Peripheral_Vestibular_Damage\"><span class=\"tocnumber\">6.1<\/span> <span class=\"toctext\">Atteinte vestibulaire p\u00e9riph\u00e9rique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Acoustic_Neuroma\"><span class=\"tocnumber\">6.2<\/span> <span class=\"toctext\">Neurinome de l&rsquo;acoustique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Vertebrobasilar_Insufficiency\/Cervical_Arterial_Dysfunction\"><span class=\"tocnumber\">6.3<\/span> <span class=\"toctext\">Insuffisance vert\u00e9brobasilaire\/dysfonctionnement art\u00e9riel cervical<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-16\"><a href=\"#Central_Nervous_System_Disorder\"><span class=\"tocnumber\">6.4<\/span> <span class=\"toctext\">Troubles du syst\u00e8me nerveux central<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Benign_Paroxysmal_Positional_Vertigo\"><span class=\"tocnumber\">6.5<\/span> <span class=\"toctext\">Vertige positionnel paroxystique b\u00e9nin<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-18\"><a href=\"#Other_Considerations\"><span class=\"tocnumber\">6.6<\/span> <span class=\"toctext\">Autres consid\u00e9rations<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-19\"><a href=\"#General_Management\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Gestion g\u00e9n\u00e9rale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-20\"><a href=\"#Specific_Sensorimotor_Control_Intervention\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Intervention sp\u00e9cifique en mati\u00e8re de contr\u00f4le sensorimoteur<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-21\"><a href=\"#Proprioception\/_Cervical_Joint_Position_Error_(JPE)_(7)\"><span class=\"tocnumber\">8.1<\/span> <span class=\"toctext\">Proprioception\/ Erreur de perception de la position cervicale <sup>(7)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-22\"><a href=\"#Eye_Movement_Control_2\"><span class=\"tocnumber\">8.2<\/span> <span class=\"toctext\">Contr\u00f4le des mouvements oculaires<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-23\"><a href=\"#Smooth_Pursuit\"><span class=\"tocnumber\">8.2.1<\/span> <span class=\"toctext\">Poursuite oculaire lente<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-24\"><a href=\"#Gaze_Stability_2\"><span class=\"tocnumber\">8.2.2<\/span> <span class=\"toctext\">Stabilit\u00e9 du regard<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-25\"><a href=\"#Balance_and_Postural_Stability_2\"><span class=\"tocnumber\">8.3<\/span> <span class=\"toctext\">\u00c9quilibre et stabilit\u00e9 posturale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-26\"><a href=\"#Resources\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Ressources (en anglais)<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-27\"><a href=\"#References\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La cervicalgie est une affection multifactorielle, influenc\u00e9e par des facteurs psychologiques, sociaux, biologiques et comportementaux.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> La recherche montre qu&rsquo;une d\u00e9ficience de la proprioception cervicale est couramment associ\u00e9e \u00e0 la cervicalgie, entra\u00eenant des perturbations du contr\u00f4le sensorimotrice cervical.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> Le syst\u00e8me proprioceptif du rachis cervical joue un r\u00f4le crucial dans le contr\u00f4le de l&rsquo;\u00e9quilibre et de la posture.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<h2><span id=\"Sensorimotor_Function\" class=\"mw-headline\">Fonction sensorimotrice <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Sensorimotor Function\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Sensorimotor Function\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le rachis cervical poss\u00e8de de nombreux m\u00e9canor\u00e9cepteurs responsables de l&rsquo;entr\u00e9e proprioceptive. Ces r\u00e9cepteurs ont des connexions centrales et r\u00e9flexes avec les syst\u00e8mes vestibulaire et visuel et le syst\u00e8me nerveux central.<sup id=\"cite_ref-:0_6-0\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup> Les m\u00e9canor\u00e9cepteurs de la r\u00e9gion cervicale sup\u00e9rieure permettent de coordonner la vision et les mouvements du cou.<sup id=\"cite_ref-:1_7-0\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> La zone sous-occipitale pr\u00e9sente une densit\u00e9 particuli\u00e8rement \u00e9lev\u00e9e de fuseaux musculaires, ce qui rend cette r\u00e9gion particuli\u00e8rement importante pour le contr\u00f4le sensorimoteur.<sup id=\"cite_ref-:0_6-1\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup><\/p>\n<p>Trois r\u00e9flexes influencent le contr\u00f4le sensorimoteur :<sup id=\"cite_ref-:1_7-1\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<ul>\n<li>R\u00e9flexe cervicocollique<sup id=\"cite_ref-:1_7-2\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup>\n<ul>\n<li>agit sur le r\u00e9flexe vestibulocollique<\/li>\n<li>entra\u00eene l&rsquo;activation des muscles cervicaux<\/li>\n<li>emp\u00eache la rotation excessive du cou<\/li>\n<\/ul>\n<\/li>\n<li>R\u00e9flexe cervico-oculaire<sup id=\"cite_ref-:1_7-3\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup>\n<ul>\n<li>travaille avec les r\u00e9flexes vestibulo-oculaires et optocin\u00e9tiques<\/li>\n<li>contr\u00f4le les muscles extraoculaires<\/li>\n<li>responsable de la clart\u00e9 de la vision lors des mouvements de la t\u00eate<\/li>\n<\/ul>\n<\/li>\n<li>R\u00e9flexe tonique du cou<sup id=\"cite_ref-:1_7-4\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup>\n<ul>\n<li>int\u00e9gr\u00e9 au r\u00e9flexe vestibulospinal<\/li>\n<li>aide \u00e0 maintenir une position stable de la t\u00eate pendant les mouvements du corps en modulant l&rsquo;activit\u00e9 musculaire des membres<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span id=\"Sensorimotor_Impairment\" class=\"mw-headline\">D\u00e9ficience sensorimotrice<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : D\u00e9ficience sensorimotrice\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=3\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : D\u00e9ficience sensorimotrice\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les r\u00e9cepteurs cervicaux peuvent devenir dysfonctionnels \u00e0 la suite d&rsquo;un traumatisme cervical, tel qu&rsquo;un coup de fouet cervical.<sup id=\"cite_ref-:0_6-2\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup> La sensibilit\u00e9 des r\u00e9cepteurs est affect\u00e9e par des changements chimiques, tels que l&rsquo;inflammation. La douleur et le stress psychosocial peuvent \u00e9galement alt\u00e9rer la sensibilit\u00e9 du fuseau musculaire.<sup id=\"cite_ref-:1_7-5\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> Les d\u00e9ficiences et les changements dans les muscles cervicaux (par exemple, atrophie, d\u00e9g\u00e9n\u00e9rescence, infiltration graisseuse, fatigue) affectent l&rsquo;entr\u00e9e aff\u00e9rente cervicale en modifiant la proprioception, la m\u00e9canique articulaire et la sensibilit\u00e9 des fuseaux musculaires.<sup id=\"cite_ref-:1_7-6\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> <b>Le dysfonctionnement des r\u00e9cepteurs cervicaux affecte \u00ab\u00a0l&rsquo;int\u00e9gration, la synchronisation et l&rsquo;accord du contr\u00f4le sensorimoteur\u00a0\u00bb.<\/b><sup id=\"cite_ref-:0_6-3\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup><\/p>\n<blockquote><p>Les l\u00e9sions de la r\u00e9gion cervicale sup\u00e9rieure entra\u00eenent davantage de dysfonctionnements sensorimoteurs que celles de la r\u00e9gion cervicale inf\u00e9rieure, car la r\u00e9gion sup\u00e9rieure contient plus de fuseaux musculaires, est davantage reli\u00e9e aux syst\u00e8mes visuel et vestibulaire et pr\u00e9sente une plus grande activit\u00e9 r\u00e9flexe.<sup id=\"cite_ref-:1_7-7\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> <sup id=\"cite_ref-:5_8-0\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/p><\/blockquote>\n<p>Les changements de stabilit\u00e9 posturale sont dus \u00e0 des modifications de l&rsquo;entr\u00e9e sensorielle entre le rachis cervical sup\u00e9rieur et les structures vestibulaires. Par cons\u00e9quent, les structures vestibulaires du patient sont incapables de distinguer les informations exactes des informations inexactes. Il en r\u00e9sulte un d\u00e9calage sensoriel qui entra\u00eene des sensations d&rsquo;\u00e9tourdissement ou d&rsquo;instabilit\u00e9. Les patients souffrant de cervicalgie peuvent pr\u00e9senter une augmentation de l&rsquo;activit\u00e9 musculaire ou une raideur, car le corps tente de compenser la perte d&rsquo;\u00e9quilibre.<sup id=\"cite_ref-:1_7-8\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<p>En cas de <a title=\"Troubles associ\u00e9s au coup de fouet cervical\" href=\"\/Whiplash_Associated_Disorders\">troubles associ\u00e9s au coup cervical<\/a> (TACF) chronique, plus de 70 % des patients font \u00e9tat d&rsquo;\u00e9tourdissements et 50 % de troubles de la vision et de l&rsquo;\u00e9quilibre,<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> m\u00eame s&rsquo;ils n&rsquo;ont pas de probl\u00e8mes vestibulaires.<sup id=\"cite_ref-:2_10-0\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<p>La d\u00e9ficience sensorimotrice peut \u00eatre conceptualis\u00e9e comme comportant trois piliers : <b>proprioceptif (perception), visuel (contr\u00f4le des mouvements oculaires) et vestibulaire (\u00e9quilibre et stabilit\u00e9 posturale).<\/b><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> La recherche n&rsquo;a pas trouv\u00e9 d&rsquo;association entre ces trois piliers et l&rsquo;utilisation de m\u00e9dicaments, l&rsquo;\u00e2ge, l&rsquo;anxi\u00e9t\u00e9 ou l&rsquo;\u00e9tat de compensation.<sup id=\"cite_ref-:2_10-1\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<h2><span id=\"Symptoms_of_Sensorimotor_Impairment\" class=\"mw-headline\">Sympt\u00f4mes d&rsquo;une d\u00e9ficience sensorimotrice<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Sympt\u00f4mes de la d\u00e9ficience sensorimotrice\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=4\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Sympt\u00f4mes de la d\u00e9ficience sensorimotrice\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=4\">\u00e9diter la source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les modifications du contr\u00f4le sensorimoteur chez les patients souffrant de cervicalgie peuvent entra\u00eener une s\u00e9rie de sympt\u00f4mes, notamment une alt\u00e9ration du sens de la position de l&rsquo;articulation cervicale (proprioception), des modifications du contr\u00f4le des mouvements oculaires et des modifications de la stabilit\u00e9 posturale. Les patients peuvent ressentir un \u00e9tourdissement subtil, une sensation de t\u00eate l\u00e9g\u00e8re ou une impression de tournoiement dans la t\u00eate (et non de tournoiement dans l&rsquo;environnement comme dans le cas du vertige). Certains patients font \u00e9tat d&rsquo;une mauvaise perception de la posture t\u00eate-cou (impression que leur t\u00eate \u00ab\u00a0vacille\u00a0\u00bb) ou de troubles visuels tels qu&rsquo;une vision floue, un champ visuel r\u00e9duit, des taches grises, une c\u00e9cit\u00e9 temporaire, une photophobie et des d\u00e9ficiences visuelles. Certains patients souffrant de cervicalgie ont des difficult\u00e9s \u00e0 lire.<sup id=\"cite_ref-:0_6-4\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup><sup id=\"cite_ref-:1_7-9\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/p>\n<p>Les sympt\u00f4mes subjectifs sont plus importants en d\u00e9but de journ\u00e9e lorsque le cou du patient est raide, et plus tard dans la journ\u00e9e lorsque les muscles sont fatigu\u00e9s.<sup id=\"cite_ref-:1_7-10\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> Les sympt\u00f4mes peuvent \u00e9galement \u00eatre provoqu\u00e9s par des mouvements rapides de la t\u00eate, l&rsquo;observation d&rsquo;un objet en mouvement ou la marche dans l&rsquo;obscurit\u00e9.<sup id=\"cite_ref-:1_7-11\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<h2><span id=\"Tests\" class=\"mw-headline\">Tests<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Tests\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Tests\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Proprioception\" class=\"mw-headline\">Proprioception<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Proprioception\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Proprioception\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><b>Erreur de position de l&rsquo;articulation cervicale (JPE)<\/b><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup> est consid\u00e9r\u00e9e comme une mesure primaire de l&rsquo;inad\u00e9quation de l&rsquo;entr\u00e9e aff\u00e9rente cervicale conduisant \u00e0 des anomalies du contr\u00f4le sensorimoteur.<sup id=\"cite_ref-:2_10-2\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup> Elle est souvent positive chez les patients souffrant d&rsquo;un coup de fouet cervical.<sup id=\"cite_ref-:2_10-3\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<p>Pour effectuer ce test, un pointeur laser est fix\u00e9 \u00e0 un bandeau. Le patient est assis \u00e0 90-100 cm d&rsquo;un mur. La t\u00eate du patient commence au point mort. Le patient ferme ensuite les yeux, tourne la t\u00eate et revient \u00e0 la position neutre. L&rsquo;\u00e9valuateur mesure la diff\u00e9rence moyenne entre la position de d\u00e9part et la position d&rsquo;arriv\u00e9e apr\u00e8s trois essais de chaque c\u00f4t\u00e9. Une diff\u00e9rence de plus de 6,5 cm indique un dysfonctionnement (test positif), alors que les valeurs normales sont d&rsquo;environ 3 \u00e0 5 cm. Les patients peuvent avoir des mouvements saccad\u00e9s, \u00ab\u00a0chercher\u00a0\u00bb la bonne position ou d\u00e9passer (signe d&rsquo;une alt\u00e9ration du r\u00e9flexe cervicocollique). Certains patients peuvent se plaindre de sensations d&rsquo;\u00e9tourdissement ou d&rsquo;instabilit\u00e9 pendant le test.<sup id=\"cite_ref-:1_7-12\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/SFjAMaAdqXY?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Eye_Movement_Control\" class=\"mw-headline\">Contr\u00f4le des mouvements oculaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Eye Movement Control\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Eye Movement Control\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Smooth_Pursuit_Test\" class=\"mw-headline\">Poursuite oculaire lente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Smooth Pursuit Test\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Smooth Pursuit Test\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le test de poursuite oculaire lente \u00e9value le contr\u00f4le des mouvements oculaires pendant le suivi d&rsquo;une cible, la t\u00eate et le tronc \u00e9tant en position neutre. Les r\u00e9sultats sont ensuite compar\u00e9s aux performances obtenues lorsque le tronc est tourn\u00e9.<sup id=\"cite_ref-:1_7-13\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<p>Le patient est assis. Un objet (par exemple, un stylo) est d\u00e9plac\u00e9 lentement d&rsquo;un c\u00f4t\u00e9 \u00e0 l&rsquo;autre devant le patient. Le patient suit l&rsquo;objet avec ses seuls yeux. Les signes \u00e0 observer sont les mouvements saccad\u00e9s rapides des yeux (o\u00f9 l&rsquo;on a l&rsquo;impression que l&rsquo;\u0153il essaie de rattraper l&rsquo;objet, en particulier \u00e0 moyenne distance) et la reproduction des sympt\u00f4mes du patient, tels que l&rsquo;\u00e9tourdissement ou la vision floue.<sup id=\"cite_ref-:1_7-14\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<h4><span id=\"Smooth_Pursuit_Neck_Torsion_Test\" class=\"mw-headline\">Test de poursuite oculaire en torsion cervicale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Test de poursuite oculaire en torsion cervicale\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=9\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Test de poursuite oculaire en torsion cervicale\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le test de poursuite oculaire en torsion cervicale (SPNT) surveille les mouvements oculaires pendant la poursuite d&rsquo;une cible avec la t\u00eate neutre puis avec le corps tourn\u00e9 de 45 degr\u00e9s sous la t\u00eate dans l&rsquo;une ou l&rsquo;autre direction.<sup id=\"cite_ref-:2_10-4\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup> Un test positif montre un changement dans le contr\u00f4le des mouvements oculaires avec la rotation du tronc, en particulier une augmentation des mouvements oculaires saccad\u00e9s. Ce ph\u00e9nom\u00e8ne peut \u00eatre observ\u00e9 chez les patients souffrant de cervicalgies dues \u00e0 un coup de fouet cervical.<sup id=\"cite_ref-:1_7-15\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> Si le patient obtient de mauvais r\u00e9sultats au test initial de poursuite oculaire lente et que ceux-ci ne changent pas avec la rotation du tronc, il est plus probable qu&rsquo;il s&rsquo;agisse d&rsquo;un trouble du SNC que d&rsquo;une d\u00e9ficience sensorimotrice.<sup id=\"cite_ref-:1_7-16\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/5CdbCpGF1HQ?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/1ThzWu6hbak?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/LN85vCboaao?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Gaze_Stability\" class=\"mw-headline\">Stabilit\u00e9 du regard<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Stabilit\u00e9 du regard\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=10\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Stabilit\u00e9 du regard\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Dans ce test, le patient bouge la t\u00eate tout en se concentrant sur un objet. Le patient s&rsquo;assoit en regardant un point droit devant lui et continue \u00e0 regarder ce point tout en tournant la t\u00eate de gauche \u00e0 droite ou de haut en bas (flexion et extension). Les patients souffrant de cervicalgie peuvent avoir des difficult\u00e9s \u00e0 garder les yeux fix\u00e9s sur un point, et pr\u00e9sentent souvent une vitesse ou une amplitude de mouvement r\u00e9duite (<45 degr\u00e9s).<sup id=\"cite_ref-:1_7-17\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/CuCiVc1ykWM?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Balance_and_Postural_Stability\" class=\"mw-headline\">\u00c9quilibre et stabilit\u00e9 posturale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Balance and Postural Stability\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Balance and Postural Stability\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Souvent, les patients ne se rendent pas compte que leur \u00e9quilibre est affect\u00e9 jusqu&rsquo;\u00e0 ce qu&rsquo;il soit test\u00e9.<sup id=\"cite_ref-:1_7-18\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> Parmi les tests d&rsquo;\u00e9quilibre utiles, citons la station debout bilat\u00e9rale (position confortable et \u00e9troite, les yeux ouverts et ferm\u00e9s pendant 30 secondes, d&rsquo;abord sur une surface ferme puis sur une surface molle, comme une mousse de 10 cm) et la station debout tandem et unipodale (sur une surface ferme, les yeux ouverts et ferm\u00e9s, maintenus pendant 30 secondes). Notez que la position en tandem est souvent d\u00e9ficiente chez les personnes \u00e2g\u00e9es de 45 ans et plus.<sup id=\"cite_ref-:2_10-5\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><sup id=\"cite_ref-:1_7-19\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<p>Les r\u00e9sultats positifs comprennent un balancement important dans une position confortable, une difficult\u00e9 \u00e0 corriger ou \u00e0 pr\u00e9venir le balancement (signes de rigidit\u00e9) et le maintien de la position pendant moins de 30 secondes. Des changements dans les aff\u00e9rences cervicales pourraient \u00eatre \u00e0 l&rsquo;origine du balancement des personnes dans une position confortable apr\u00e8s un coup de fouet cervical.<sup id=\"cite_ref-:1_7-20\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><sup id=\"cite_ref-:2_10-6\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<h2><span id=\"Differentiation\" class=\"mw-headline\">Diff\u00e9renciation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Differentiation\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Differentiation\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Peripheral_Vestibular_Damage\" class=\"mw-headline\">Atteinte vestibulaire p\u00e9riph\u00e9rique<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Atteinte vestibulaire p\u00e9riph\u00e9rique\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=13\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Atteinte vestibulaire p\u00e9riph\u00e9rique\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Atteinte vestibulaire p\u00e9riph\u00e9rique<sup id=\"cite_ref-:2_10-7\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup> comprend le vertige positionnel paroxystique b\u00e9nin, les l\u00e9sions du sac endolymphatique ou une fistule p\u00e9rilymphatique.<sup id=\"cite_ref-:3_22-0\" class=\"reference\"><a href=\"#cite_note-:3-22\">(22)<\/a><\/sup> Environ 35 % des patients souffrant de cervicalgie \u00e0 la suite d&rsquo;un incident violent peuvent pr\u00e9senter une l\u00e9sion vestibulaire.<sup id=\"cite_ref-:3_22-1\" class=\"reference\"><a href=\"#cite_note-:3-22\">(22)<\/a><\/sup> Le test SPNT permet de diff\u00e9rencier une pathologie vestibulaire d&rsquo;un dysfonctionnement des aff\u00e9rences cervicales d\u00fb \u00e0 une cervicalgie. La coordination entre les signaux cervicaux et vestibulaires est n\u00e9cessaire pour que le tronc c\u00e9r\u00e9bral puisse d\u00e9terminer la position de la t\u00eate dans l&rsquo;espace. En cas de pathologie vestibulaire p\u00e9riph\u00e9rique, les patients ont tendance \u00e0 \u00e9prouver plus de difficult\u00e9s \u00e0 adopter des positions difficiles, telles qu&rsquo;une position \u00e9troite sur une surface molle avec les yeux ferm\u00e9s. Il y a \u00e9galement des vertiges prononc\u00e9s.<\/p>\n<h3><span id=\"Acoustic_Neuroma\" class=\"mw-headline\">Neurinome de l&rsquo;acoustique<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Neurinome de l'acoustique\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=14\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Neurinome de l'acoustique\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Dans le cas d&rsquo;un <a title=\"Acoustic Neuroma\" href=\"\/Acoustic_Neuroma\">neurinome acoustique<\/a>, le test SPNT est n\u00e9gatif. Les patients pr\u00e9sentent davantage de troubles de la stabilit\u00e9 posturale lorsqu&rsquo;ils se tiennent debout sur une surface molle avec une base d&rsquo;appui \u00e9troite, les yeux ferm\u00e9s, mais ils sont plus stables dans des positions confortables qu&rsquo;une personne souffrant de cervicalgie et d&rsquo;une d\u00e9ficience sensorimotrice. Les sympt\u00f4mes, tels que les acouph\u00e8nes, la vision floue, la confusion et la perte d&rsquo;audition, sont exacerb\u00e9s lorsque l&rsquo;on marche dans des endroits bond\u00e9s, que l&rsquo;on fait des mouvements brusques ou que l&rsquo;on est stress\u00e9.<sup id=\"cite_ref-:2_10-8\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<h3><span id=\"Vertebrobasilar_Insufficiency.2FCervical_Arterial_Dysfunction\"><\/span><span id=\"Vertebrobasilar_Insufficiency\/Cervical_Arterial_Dysfunction\" class=\"mw-headline\">Insuffisance vert\u00e9brobasilaire\/dysfonction art\u00e9rielle cervicale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Insuffisance vert\u00e9brobasilaire\/dysfonction art\u00e9rielle cervicale\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=15\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Insuffisance vert\u00e9brobasilaire\/dysfonction art\u00e9rielle cervicale\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=15\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Une insuffisance<a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Cervical_Arterial_Dysfunction\" rel=\"nofollow\">vert\u00e9brobasilaire\/dysfonctionnement art\u00e9riel<\/a> cervical doit \u00eatre exclue. Les patients peuvent se plaindre d&rsquo;une vision double, ce qui n&rsquo;est pas typiquement le cas des troubles somatosensoriels.<sup id=\"cite_ref-:1_7-21\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> La dissection de l&rsquo;art\u00e8re vert\u00e9brale est rare mais doit toujours \u00eatre envisag\u00e9e lors de l&rsquo;\u00e9valuation d&rsquo;un patient pr\u00e9sentant des changements sensorimoteurs, en particulier s&rsquo;il se pr\u00e9sente avec une forte cervicalgie et une c\u00e9phal\u00e9e d&rsquo;un c\u00f4t\u00e9 et qu&rsquo;il pr\u00e9sente \u00ab\u00a0un dysfonctionnement neurologique sp\u00e9cifique transitoire ou continu\u00a0\u00bb.<sup id=\"cite_ref-:3_22-2\" class=\"reference\"><a href=\"#cite_note-:3-22\">(22)<\/a><\/sup><\/p>\n<h3><span id=\"Central_Nervous_System_Disorder\" class=\"mw-headline\">Trouble du syst\u00e8me nerveux central<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Trouble du syst\u00e8me nerveux central\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=16\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Trouble du syst\u00e8me nerveux central\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=16\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Dans le cas des troubles du syst\u00e8me nerveux central (SNC), les sympt\u00f4mes restent inchang\u00e9s lors du test SPNT. Un trouble du SNC doit \u00eatre envisag\u00e9 si le patient a re\u00e7u un coup direct \u00e0 la t\u00eate.<sup id=\"cite_ref-:3_22-3\" class=\"reference\"><a href=\"#cite_note-:3-22\">(22)<\/a><\/sup><\/p>\n<h3><span id=\"Benign_Paroxysmal_Positional_Vertigo\" class=\"mw-headline\">Vertige positionnel paroxystique b\u00e9nin<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Vertige positionnel paroxystique b\u00e9nin\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=17\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Vertige positionnel paroxystique b\u00e9nin\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=17\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Dans le cas du <a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Benign_Paroxysmal_Positional_Vertigo:Continuing_Professional_Development_Package\" rel=\"nofollow\">vertige paroxystique positionnel b\u00e9nin (VPPB)<\/a>, les sympt\u00f4mes sont \u00e9pisodiques et d\u00e9clench\u00e9s par des changements de position de la t\u00eate, comme le fait de bouger dans le lit ou de se pencher. Les vertiges et les \u00e9tourdissements durent g\u00e9n\u00e9ralement une minute ou moins.<\/p>\n<h3><span id=\"Other_Considerations\" class=\"mw-headline\">Autres consid\u00e9rations <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Other Considerations\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=18\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Other Considerations\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=18\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>L&rsquo;anxi\u00e9t\u00e9, les m\u00e9dicaments et le stress doivent \u00e9galement \u00eatre pris en compte dans le diagnostic diff\u00e9rentiel.<\/li>\n<li>Tout signe ou sympt\u00f4me du SNC sans cause claire constitue un signal d&rsquo;alerte et le patient doit \u00eatre orient\u00e9 vers un m\u00e9decin.<sup id=\"cite_ref-:1_7-22\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations sur les tests sp\u00e9cifiques de diff\u00e9renciation, veuillez consulter la page 6 de <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2017.7052\" rel=\"nofollow\">cet article.<\/a><\/p>\n<h2><span id=\"General_Management\" class=\"mw-headline\">Gestion g\u00e9n\u00e9rale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Gestion g\u00e9n\u00e9rale\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=19\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Gestion g\u00e9n\u00e9rale\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=19\">\u00e9diter la source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Chez les patients pr\u00e9sentant une d\u00e9ficience sensorimotrice minime, la prise en charge conventionnelle peut \u00eatre suffisante.<sup id=\"cite_ref-:2_10-9\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<p>Les traitements sp\u00e9cifiques comprennent<\/p>\n<ul>\n<li>Th\u00e9rapie manipulative : am\u00e9liore les \u00e9tourdissements et la proprioception cervicale<\/li>\n<li>Entra\u00eenement ax\u00e9 sur le contr\u00f4le neuromusculaire : am\u00e9liore la proprioception cervicale<\/li>\n<li>Entra\u00eenement de l&rsquo;endurance des muscles cervicaux : am\u00e9liore l&rsquo;\u00e9quilibre<\/li>\n<li>Acupuncture : am\u00e9liore l&rsquo;\u00e9quilibre et la proprioception cervicale<\/li>\n<li>Entra\u00eenement \u00e0 la stabilit\u00e9 du regard, \u00e0 la proprioception et \u00e0 la coordination \u0153il-cou : am\u00e9lioration de la d\u00e9ficience sensorimotrice, de l&rsquo;amplitude des mouvements, de la cervicalgie et de l&rsquo;invalidit\u00e9<\/li>\n<li>R\u00e9\u00e9ducation vestibulaire : peut am\u00e9liorer les probl\u00e8mes d&rsquo;\u00e9quilibre et les \u00e9tourdissements chez les patients souffrant d&rsquo;un coup de fouet cervical<\/li>\n<li>R\u00e9\u00e9ducation de l&rsquo;\u00e9quilibre<\/li>\n<li>Th\u00e9rapie des points g\u00e2chettes<\/li>\n<li>Exercices d&rsquo;amplitude de mouvement et de proprioception du cou<\/li>\n<li>FNP<\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.google.com\/url?q=https:\/\/www.physio-pedia.com\/Deep_Neck_Flexor_Stabilisation_Protocol&#038;sa=U&#038;ved=0ahUKEwinzbyU7fvbAhUJ04MKHS_eDHkQFggEMAA&#038;client=internal-uds-cse&#038;cx=003210640657906468448:p3m4k4p9rg8&#038;usg=AOvVaw0apb4VnTCKl4mChHrmTs3Y\" rel=\"nofollow\">Renforcement des fl\u00e9chisseurs cervicaux profonds<\/a><sup id=\"cite_ref-:1_7-23\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/li>\n<\/ul>\n<p>Ces traitements ne peuvent \u00e0 eux seuls am\u00e9liorer tous les dysfonctionnements sensorimoteurs. Les patients souffrant de d\u00e9ficiences sensorimotrices importantes accompagn\u00e9es de cervicalgies ont besoin d&rsquo;une prise en charge cibl\u00e9e des zones affect\u00e9es pour aider \u00e0 g\u00e9rer les sympt\u00f4mes et \u00e9viter les rechutes.<sup id=\"cite_ref-:2_10-10\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup> Les approches combin\u00e9es se sont av\u00e9r\u00e9es les plus efficaces pour ces patients.<sup id=\"cite_ref-:1_7-24\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<h2><span id=\"Specific_Sensorimotor_Control_Intervention\" class=\"mw-headline\">Intervention sp\u00e9cifique de contr\u00f4le sensorimoteur<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Intervention sp\u00e9cifique de contr\u00f4le sensorimoteur\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=20\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Intervention sp\u00e9cifique de contr\u00f4le sensorimoteur\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=20\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les protocoles d&rsquo;entra\u00eenement sensorimoteur (EMS), qui comprennent des exercices proprioceptifs, oculo-cervicaux, tactiles et visuomoteurs, visent \u00e0 corriger les d\u00e9ficiences sensorimotrices. Ces protocoles se concentrent sur la proprioception des articulations, le contr\u00f4le oculomoteur et l&rsquo;\u00e9quilibre.<sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<p>Le programme doit \u00eatre adapt\u00e9 aux sympt\u00f4mes pr\u00e9sent\u00e9s par chaque patient.<sup id=\"cite_ref-:1_7-25\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> Les patients ne doivent pas ressentir une augmentation de la douleur ou des c\u00e9phal\u00e9es ; si c&rsquo;est le cas, les exercices doivent \u00eatre moins difficiles et effectu\u00e9s dans une position plus soutenue, comme la position allong\u00e9e. Pendant les exercices vestibulaires, les patients peuvent ressentir une augmentation temporaire des sympt\u00f4mes, tels que des naus\u00e9es, des \u00e9tourdissements subtils ou des troubles visuels.<\/p>\n<p>Les exercices doivent \u00eatre effectu\u00e9s 1 \u00e0 2 fois par jour, en commen\u00e7ant par 3 \u00e0 5 r\u00e9p\u00e9titions et en progressant jusqu&rsquo;\u00e0 10. Les patients doivent commencer dans une position plus facile et stable et \u00e0 une vitesse permettant des mouvements pr\u00e9cis. L&rsquo;amplitude et la vitesse doivent \u00eatre augment\u00e9es au fur et \u00e0 mesure que le patient s&rsquo;am\u00e9liore, en progressant vers des surfaces plus molles ou des positions plus difficiles, telles que la position en tandem.<\/p>\n<p><b>Lignes directrices g\u00e9n\u00e9rales<\/b><\/p>\n<ul>\n<li>Travaillez sur les aspects qui provoquent des \u00e9tourdissements, en commen\u00e7ant par de petits mouvements lents et en progressant graduellement<\/li>\n<li>Commencez en position assise, puis passez \u00e0 la position debout, \u00e0 la position debout en tandem et \u00e0 la marche.<\/li>\n<li>Augmentez la dur\u00e9e des exercices de 30 secondes 2 fois par jour, \u00e0 1-2 minutes 3 fois par jour, et jusqu&rsquo;\u00e0 5 minutes 5 fois par jour.<\/li>\n<li>La vision doit d&rsquo;abord \u00eatre sans restriction, puis \u00e9voluer vers une vision p\u00e9riph\u00e9rique restreinte.<\/li>\n<li>Lorsque vous pratiquez le mouvement des yeux ou la stabilit\u00e9 du regard, commencez par un point, puis un mot, puis une carte de visite<sup id=\"cite_ref-:4_24-0\" class=\"reference\"><a href=\"#cite_note-:4-24\">(24)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Proprioception.2F_Cervical_Joint_Position_Error_.28JPE.29_.5B7.5D\"><\/span><span id=\"Proprioception\/_Cervical_Joint_Position_Error_(JPE)_(7)\" class=\"mw-headline\">Proprioception\/ Erreur de perception de la position cervicale <sup id=\"cite_ref-:1_7-26\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Proprioception\/ Cervical Joint Position Error (JPE) (7)\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=21\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Proprioception\/ Cervical Joint Position Error (JPE) (7)\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=21\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le patient est assis devant un mur avec un pointeur laser fix\u00e9 \u00e0 un bandeau (comme pour l&rsquo;\u00e9valuation). Le patient ram\u00e8ne sa t\u00eate en position neutre \u00e0 partir de n&rsquo;importe quelle direction, comme la rotation ou l&rsquo;extension. L&rsquo;entra\u00eenement doit se concentrer sur la direction la plus difficile ou la plus symptomatique en tournant vers ou \u00e0 partir du c\u00f4t\u00e9 d\u00e9ficient. Le patient commence par ouvrir les yeux. Ils passent ensuite aux yeux ferm\u00e9s, mais ouvrent les yeux pour v\u00e9rifier leur position. Les progressions comprennent des arr\u00eats \u00e0 certains intervalles, tels que 20 degr\u00e9s ou 40 degr\u00e9s, l&rsquo;ex\u00e9cution de l&rsquo;exercice dans diff\u00e9rentes positions debout et le tra\u00e7age d&rsquo;une figure en huit avec le laser.<\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/h-0ny-oJLXM?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/Lvn-7szFuxQ?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/8e21TaQm70w?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Eye_Movement_Control_2\" class=\"mw-headline\">Contr\u00f4le des mouvements oculaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Eye Movement Control\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=22\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Eye Movement Control\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=22\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Smooth_Pursuit\" class=\"mw-headline\">Poursuite oculaire lente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Smooth Pursuit\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=23\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Smooth Pursuit\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=23\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le patient s&rsquo;exerce \u00e0 la poursuite douce, c&rsquo;est-\u00e0-dire qu&rsquo;il suit un objet des yeux tout en gardant la t\u00eate immobile. Ils font ensuite pivoter leur tronc et r\u00e9p\u00e8tent l&rsquo;exercice.<sup id=\"cite_ref-:1_7-27\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> Les patients peuvent s&rsquo;entra\u00eener \u00e0 la maison en d\u00e9pla\u00e7ant leur pouce devant eux et en suivant le mouvement avec leurs yeux. Ils doivent commencer avec le corps et la t\u00eate en position neutre, avant de passer \u00e0 des torsions de 30 et 45 degr\u00e9s.<sup id=\"cite_ref-:4_24-1\" class=\"reference\"><a href=\"#cite_note-:4-24\">(24)<\/a><\/sup><\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/KwoINGT6dCs?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/LdvdY8i9ivg?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/w5IQyZzKiqs?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Gaze_Stability_2\" class=\"mw-headline\">Stabilit\u00e9 du regard<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifier la section : Stabilit\u00e9 du regard\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=24\">\u00e9diter<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifier la section : Stabilit\u00e9 du regard\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=24\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>L&rsquo;entra\u00eenement doit se concentrer sur le mouvement qui provoque le plus de sympt\u00f4mes. Le patient fixe un point sur le mur en face de lui, puis bouge la t\u00eate tout en gardant les yeux fix\u00e9s sur ce point. Le patient peut \u00e9galement s&rsquo;asseoir sur un tabouret pendant que le th\u00e9rapeute d\u00e9place le tronc du patient, ce dernier gardant les yeux fix\u00e9s sur l&rsquo;objet. Les progr\u00e8s comprennent le changement de l&rsquo;objet sur lequel le patient se concentre, le changement de l&rsquo;arri\u00e8re-plan par des rayures ou des carreaux, l&rsquo;augmentation de la vitesse et de l&rsquo;amplitude des mouvements, la restriction de la vision p\u00e9riph\u00e9rique et le fait de se tenir debout plut\u00f4t qu&rsquo;assis.<sup id=\"cite_ref-:1_7-28\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/8sbtnA1NXrs?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/qBT-hcP9GLU?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-32\" class=\"reference\"><a href=\"#cite_note-32\">(32)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/tVED9yLnLoQ?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-33\" class=\"reference\"><a href=\"#cite_note-33\">(33)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Balance_and_Postural_Stability_2\" class=\"mw-headline\">\u00c9quilibre et stabilit\u00e9 posturale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Balance and Postural Stability\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=25\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Balance and Postural Stability\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=25\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;entra\u00eenement \u00e0 l&rsquo;\u00e9quilibre peut entra\u00eener une augmentation des \u00e9tourdissements et des raideurs musculaires. Ces deux \u00e9l\u00e9ments ne sont pas souhaitables pour un patient souffrant de cervicalgie, car ils augmentent les sympt\u00f4mes. Le th\u00e9rapeute doit donc surveiller le patient et progresser lentement.<sup id=\"cite_ref-:1_7-29\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<p>L&rsquo;entra\u00eenement \u00e0 l&rsquo;\u00e9quilibre doit commencer au niveau que le patient a d\u00e9montr\u00e9 lors de l&rsquo;\u00e9valuation, avec pour objectif d&rsquo;atteindre 30 secondes d&rsquo;\u00e9quilibre statique en position debout. Les progressions incluent le changement de position debout ou de surface et la fermeture des yeux.<sup id=\"cite_ref-:1_7-30\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup> Les \u00e9preuves fonctionnelles comprennent la marche en changeant la position de la t\u00eate (rotation, regard vers le haut ou vers le bas) tout en maintenant la m\u00eame vitesse et la m\u00eame direction. Les progr\u00e8s ult\u00e9rieurs comprennent le changement de la surface et de la vitesse de marche.<sup id=\"cite_ref-:1_7-31\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><\/p>\n<p>Les patients peuvent pratiquer ces exercices chez eux, de pr\u00e9f\u00e9rence dans un coin de la maison o\u00f9 ils peuvent se r\u00e9tablir s&rsquo;ils perdent l&rsquo;\u00e9quilibre.<sup id=\"cite_ref-:0_6-5\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup> Certaines recherches ont montr\u00e9 que les exercices de coordination du cou am\u00e9liorent l&rsquo;\u00e9quilibre. <sup id=\"cite_ref-34\" class=\"reference\"><a href=\"#cite_note-34\">(34)<\/a><\/sup><\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/WepFpg8x5uI?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-35\" class=\"reference\"><a href=\"#cite_note-35\">(35)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=26\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=26\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Voir les pages 8 et 9 pour d&rsquo;autres exercices sensori-moteurs et des recommandations th\u00e9rapeutiques: Kristjansson E, Treleaven J. <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/wp-content\/uploads\/2018\/07\/Sensorimotor-function-and-dizziness-in-neck-pain_Implication-for-assessment-and-management1.pdf\" rel=\"nofollow\">Sensorimotor function and dizziness in neck pain: implications for assessment and management<\/a>. Journal of Orthopaedic &#038; Sports Physical Therapy. 2009 May;39(5):364-77.<\/li>\n<li>Treleaven J. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2017.7052\" rel=\"nofollow\">Dizziness, unsteadiness, visual disturbances, and sensorimotor control in traumatic neck pain<\/a>. Journal of Orthopaedic &#038; Sports Physical Therapy. 2017 Jul;47(7):492-502.<\/li>\n<\/ul>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;veaction=edit&#038;section=27\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Sensorimotor_Impairment_in_Neck_Pain&#038;action=edit&#038;section=27\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Qu N, Tian H, De Martino E, Zhang B. Neck Pain: <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9337601\/\" rel=\"nofollow\">Do We Know Enough About the Sensorimotor Control System<\/a>?. Frontiers in Computational Neuroscience. 2022;16.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Blomgren J, Strandell E, Jull G, Vikman I, R\u00f6ijezon U. Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review. BMC Musculoskelet Disord. 2018;19(1):415. <\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">de Zoete RMJ, Osmotherly PG, Rivett DA, Snodgrass SJ. Seven cervical sensorimotor control tests measure different skills in individuals with chronic idiopathic neck pain. Braz J Phys Ther. 2020;24(1):69-78.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Moggioli F, P\u00e9rez-Fern\u00e1ndez T, Li\u00e9bana S, Corredor EB, Armijo-Olivo S, Fernandez-Carnero J, et al. <a class=\"external text\" href=\"https:\/\/bmjopen.bmj.com\/content\/12\/2\/e058190\" rel=\"nofollow\">Analysis of sensorimotor control in people with and without neck pain using inertial sensor technology: study protocol for a 1-year longitudinal prospective observational study<\/a>. BMJ open. 2022;12(2):p.e058190.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Peng B, Yang L, Li Y, Liu T, Liu Y. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s40122-020-00230-z\" rel=\"nofollow\">Cervical proprioception Impairment in neck pain-pathophysiology, clinical evaluation, and management: a narrative review.<\/a> Pain and Therapy. 2021 Jun;10(1):143-64.<\/span><\/li>\n<li id=\"cite_note-:0-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-1\">6.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-2\">6.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-3\">6.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-4\">6.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-5\">6.5<\/a><\/sup><\/span> <span class=\"reference-text\">Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Manual therapy. 2008 Feb 1;13(1):2-11.<\/span><\/li>\n<li id=\"cite_note-:1-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_7-0\">7.00<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-1\">7.01<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-2\">7.02<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-3\">7.03<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-4\">7.04<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-5\">7.05<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-6\">7.06<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-7\">7.07<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-8\">7.08<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-9\">7.09<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-10\">7.10<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-11\">7.11<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-12\">7.12<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-13\">7.13<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-14\">7.14<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-15\">7.15<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-16\">7.16<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-17\">7.17<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-18\">7.18<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-19\">7.19<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-20\">7.20<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-21\">7.21<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-22\">7.22<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-23\">7.23<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-24\">7.24<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-25\">7.25<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-26\">7.26<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-27\">7.27<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-28\">7.28<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-29\">7.29<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-30\">7.30<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-31\">7.31<\/a><\/sup><\/span> <span class=\"reference-text\">Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. journal of orthopaedic &#038; sports physical therapy. 2009 May;39(5):364-77.<\/span><\/li>\n<li id=\"cite_note-:5-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:5_8-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Treleaven J, Clamaron-Cheers C, Jull G. <a class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1356689X11001214\" rel=\"nofollow\">Does the region of pain influence the presence of sensorimotor disturbances in neck pain disorders?<\/a>. Manual therapy. 2011 Dec 1;16(6):636-40. Abstract: (Accessed 26 June 2018)<\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Boo M, Matheson G, Lumba-Brown A. Smooth Pursuit Eye-Movement Abnormalities Associated With Cervical Spine Whiplash: A Scientific Review and Case Report. <i>Cureus<\/i>. 2020;12(8):e9872.<\/span><\/li>\n<li id=\"cite_note-:2-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_10-0\">10.00<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-1\">10.01<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-2\">10.02<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-3\">10.03<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-4\">10.04<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-5\">10.05<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-6\">10.06<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-7\">10.07<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-8\">10.08<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-9\">10.09<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-10\">10.10<\/a><\/sup><\/span> <span class=\"reference-text\">Treleaven J, LowChoy N, Darnell R, Panizza B, Brown-Rothwell D, Jull G. Comparison of sensorimotor disturbance between subjects with persistent whiplash-associated disorder and subjects with vestibular pathology associated with acoustic neuroma. Archives of physical medicine and rehabilitation. 2008 Mar 1;89(3):522-30.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Treleaven J. Management of sensorimotor control in musculoskeletal disorders. Grieve&rsquo;s Modern Musculoskeletal Physiotherapy E-Book: Grieve&rsquo;s Modern Musculoskeletal Physiotherapy E-Book. 2024 Apr 2;374.<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Treleaven J. Dizziness, Unsteadiness, Visual Disturbances, and Sensorimotor Control in Traumatic Neck Pain. 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Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=WepFpg8x5uI\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=WepFpg8x5uI<\/a> (last accessed 28\/06\/18)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20260526061349\nCache expiry: 0\nReduced expiry: true\nComplications: (show\u2010toc)\nCPU time usage: 0.219 seconds\nReal time usage: 0.230 seconds\nPreprocessor visited node count: 850\/1000000\nPost\u2010expand include size: 467\/2097152 bytes\nTemplate argument size: 0\/2097152 bytes\nHighest expansion depth: 3\/100\nExpensive parser function count: 0\/100\nUnstrip recursion depth: 0\/20\nUnstrip post\u2010expand size: 30419\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%   12.474      1 Special:Contributors\/Sensorimotor_Impairment_in_Neck_Pain\n100.00%   12.474      1 -total\n--><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Original Editor &#8211; Tarina van der Stockt Principaux contributeurs &#8211; Tarina van der Stockt , Kim Jackson , Jess Bell , Lauren Lopez , Robin Tacchetti , Ewa Jaraczewska , Wendy Walker, Simisola Ajeyalemi , Rucha Gadgil et Jorge Rodr\u00edguez Palomino Contenu 1 Introduction 2 Fonction sensorimotrice 3 D\u00e9ficience sensorimotrice 4 Sympt\u00f4mes des d\u00e9ficiences sensorimotrices [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-10794","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10794","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=10794"}],"version-history":[{"count":15,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10794\/revisions"}],"predecessor-version":[{"id":14146,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10794\/revisions\/14146"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=10794"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}