{"id":11398,"date":"2024-11-29T07:56:51","date_gmt":"2024-11-29T07:56:51","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/introduction-to-vestibular-rehabilitation-fr\/"},"modified":"2024-12-01T16:28:28","modified_gmt":"2024-12-01T16:28:28","slug":"introduction-to-vestibular-rehabilitation-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/introduction-to-vestibular-rehabilitation-fr\/","title":{"rendered":"Introduction \u00e0 la r\u00e9\u00e9ducation vestibulaire"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dactrice originale<\/b> &#8211; <a title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\">Jess Bell <\/a> d&rsquo;apr\u00e8s le cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/bernard-tonks\/\" rel=\"nofollow\">Bernard Tonks<\/a><br \/>\n<b>Principales collaboratrices <\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell <\/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:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda Hampton <\/bdi><\/a>, <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:Rucha Gadgil\" href=\"\/User:Rucha_Gadgil\"><bdi>Rucha Gadgil <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Nupur Smit Shah\" href=\"\/User:Nupur_Smit_Shah\"><bdi>Nupur Smit Shah<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Stacy Schiurring\" href=\"\/User:Stacy_Schiurring\"><bdi>Stacy Schiurring<\/bdi><\/a><\/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=\"#Epidemiology\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">\u00c9pid\u00e9miologie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Defining_Dizziness_and_Vertigo\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">D\u00e9finition des \u00e9tourdissements et des vertiges<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Causes_of_Dizziness\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Causes des vertiges et \u00e9tourdissements<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Signs_and_Symptoms_of_Vestibular_Disorders\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Signes et sympt\u00f4mes des troubles vestibulaires<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Anatomy_of_the_Peripheral_Vestibular_System\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Anatomie du syst\u00e8me vestibulaire p\u00e9riph\u00e9rique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Semicircular_Canals\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Canaux semi-circulaires<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Planes_of_Movement\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">Plans de mouvement<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Ampullae\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">Ampoule<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Cupula\"><span class=\"tocnumber\">7.3<\/span> <span class=\"toctext\">Cupule<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#Otoliths\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Organes otolithiques<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#Vestibular_Reflexes\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">R\u00e9flexes vestibulaires<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Vestibulo-spinal_reflex_(VSR)\"><span class=\"tocnumber\">9.1<\/span> <span class=\"toctext\">R\u00e9flexe vestibulospinal (RVS)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Vestibulo-Ocular_Reflex_(VOR)\"><span class=\"tocnumber\">9.2<\/span> <span class=\"toctext\">R\u00e9flexe vestibulo-oculaire (RVO)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Push-Pull_Arrangement_of_the_VOR\"><span class=\"tocnumber\">9.3<\/span> <span class=\"toctext\">Organisation \u00ab push-pull \u00bb du RVO<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-16\"><a href=\"#Gain\"><span class=\"tocnumber\">9.3.1<\/span> <span class=\"toctext\">Gain<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-17\"><a href=\"#Nystagmus\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">Nystagmus<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-18\"><a href=\"#Summary\"><span class=\"tocnumber\">11<\/span> <span class=\"toctext\">R\u00e9sum\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-19\"><a href=\"#References\"><span class=\"tocnumber\">12<\/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=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumbnail tright\"><a class=\"image\" href=\"\/File:Ear_Anatomy.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/80\/Ear_Anatomy.png\/300px-Ear_Anatomy.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/80\/Ear_Anatomy.png\/450px-Ear_Anatomy.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/8\/80\/Ear_Anatomy.png\/600px-Ear_Anatomy.png 2x\" alt=\"Anatomie de l'oreille.png\" width=\"300\" height=\"242\" data-file-width=\"3100\" data-file-height=\"2500\"><\/a><\/div>\n<p>La r\u00e9\u00e9ducation vestibulaire est une approche fond\u00e9e sur des preuves pour prendre en charge les \u00e9tourdissements, les vertiges, la sensibilit\u00e9 au mouvement, les probl\u00e8mes d&rsquo;<a title=\"\u00c9quilibre\" href=\"\/Balance\">\u00e9quilibre<\/a> et de contr\u00f4le postural qui surviennent en raison d&rsquo;un dysfonctionnement <a title=\"Vestibular System\" href=\"\/Vestibular_System\">vestibulaire<\/a>. <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>Les patients souffrant de troubles vestibulaires pr\u00e9sentent g\u00e9n\u00e9ralement des probl\u00e8mes de stabilit\u00e9 du regard, de sensibilit\u00e9 au mouvement, d&rsquo;\u00e9quilibre et de contr\u00f4le postural. La r\u00e9\u00e9ducation vestibulaire est donc ax\u00e9e sur le traitement de ces aspects de pathologie ou de dysfonctionnement. Cependant, l&rsquo;approche th\u00e9rapeutique sp\u00e9cifique d\u00e9pendra de la pathologie et de la pr\u00e9sentation unique de chaque patient. <sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Il est donc essentiel d&rsquo;avoir une compr\u00e9hension d\u00e9taill\u00e9e du syst\u00e8me vestibulaire pour traiter ce groupe de patients.<\/p>\n<h2><span id=\"Epidemiology\" class=\"mw-headline\">\u00c9pid\u00e9miologie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Epidemiology\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Epidemiology\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumbnail tright\"><a class=\"image\" href=\"\/File:Ear.jpeg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/db\/Ear.jpeg\/300px-Ear.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/db\/Ear.jpeg\/450px-Ear.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/db\/Ear.jpeg\/600px-Ear.jpeg 2x\" alt=\"Ear.jpeg\" width=\"300\" height=\"182\" data-file-width=\"4441\" data-file-height=\"2690\"><\/a><\/div>\n<p>Les troubles vestibulaires constituent un probl\u00e8me important \u00e0 l&rsquo;\u00e9chelle mondiale. On estime que 35,4 % des Nord-Am\u00e9ricains \u00e2g\u00e9s de plus de 40 ans ont souffert d&rsquo;une forme ou d&rsquo;une autre de dysfonctionnement vestibulaire. La probabilit\u00e9 de souffrir d&rsquo;un dysfonctionnement vestibulaire augmente avec l&rsquo;\u00e2ge.<sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>80 % des personnes \u00e2g\u00e9es de plus de 65 ans ressentent des \u00e9tourdissements &#8211; dans 30 \u00e0 50 % des cas, ces \u00e9tourdissements sont dus \u00e0 un <a title=\"Introduction to Benign Paroxysmal Positional Vertigo\" href=\"\/Introduction_to_Benign_Paroxysmal_Positional_Vertigo\">vertige paroxystique positionnel b\u00e9nin (VPPB)<\/a>. <sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<li>75 % des adultes \u00e2g\u00e9s de plus de 70 ans pr\u00e9sentent des troubles de l&rsquo;\u00e9quilibre. <sup id=\"cite_ref-:2_3-0\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup><\/li>\n<li>Pr\u00e8s de 85 % des adultes \u00e2g\u00e9s de plus de 80 ans pr\u00e9sentent un dysfonctionnement vestibulaire. <sup id=\"cite_ref-:2_3-1\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup><\/li>\n<\/ul>\n<p>Les personnes souffrant d&rsquo;un dysfonctionnement vestibulaire sont huit fois plus susceptibles de faire une <a title=\"Falls\" href=\"\/Falls\">chute<\/a>, <sup id=\"cite_ref-:2_3-2\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> ce qui est important car les chutes sont associ\u00e9es \u00e0 une morbidit\u00e9, une mortalit\u00e9 <sup id=\"cite_ref-:2_3-3\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> et un co\u00fbt \u00e9conomique significatifs. <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> En outre, le nombre de personnes souffrant d&rsquo;un dysfonctionnement vestibulaire devrait augmenter en raison du vieillissement de la population. <sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h2><span id=\"Defining_Dizziness_and_Vertigo\" class=\"mw-headline\">D\u00e9finition des \u00e9tourdissements et des vertiges <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Defining Dizziness and Vertigo\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Defining Dizziness and Vertigo\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les \u00e9tourdissements et les vertiges ne sont pas des termes interchangeables : <sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>Un \u00e9tourdissement est un terme non sp\u00e9cifique utilis\u00e9 pour d\u00e9crire une vari\u00e9t\u00e9 de sensations telles que la sensation de t\u00eate l\u00e9g\u00e8re, la d\u00e9sorientation et la pr\u00e9syncope. <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<li>Le vertige est un type sp\u00e9cifique d&rsquo;\u00e9tourdissement caract\u00e9ris\u00e9 par l&rsquo;illusion de mouvement de l&rsquo;environnement (par exemple, rotation, tourbillon). <sup id=\"cite_ref-:0_1-5\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<p>Le vertige est caus\u00e9 par des maladies vestibulaires p\u00e9riph\u00e9riques et centrales.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> Il est souvent rotatoire (c&rsquo;est-\u00e0-dire que la pi\u00e8ce semble tourner autour du patient), mais il peut \u00e9galement y avoir des perturbations lin\u00e9aires ou, plus rarement, le patient peut avoir l&rsquo;impression que son corps se d\u00e9place par rapport \u00e0 l&rsquo;environnement. <sup id=\"cite_ref-:0_1-6\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>Les \u00e9tourdissements et les vertiges sont tous deux des ph\u00e9nom\u00e8nes purement subjectifs. Il n&rsquo;existe aucun moyen <a title=\"Outcome Measures\" href=\"\/Outcome_Measures\">objectif<\/a> de les mesurer, c&rsquo;est pourquoi l&rsquo;\u00e9valuation subjective du patient est essentielle. <sup id=\"cite_ref-:0_1-7\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h2><span id=\"Causes_of_Dizziness\" class=\"mw-headline\"> Causes des vertiges et \u00e9tourdissements <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Causes of Dizziness\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Causes of Dizziness\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les causes des vertiges sont nombreuses :<\/p>\n<ul>\n<li>Dysfonctionnement <a title=\"Syst\u00e8me cardiovasculaire\" href=\"\/Cardiovascular_System\">cardiovasculaire<\/a> <sup id=\"cite_ref-:0_1-8\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup>\n<ul>\n<li><a title=\"Accident vasculaire c\u00e9r\u00e9bral\" href=\"\/Stroke\">Accident vasculaire c\u00e9r\u00e9bral<\/a> &#8211; Des rapports r\u00e9cents sugg\u00e8rent que les accidents vasculaires c\u00e9r\u00e9braux sont la cause sous-jacente des sympt\u00f4mes chez environ 3 \u00e0 5 % des patients qui se rendent aux urgences pour des \u00e9tourdissements ou des vertiges. <sup id=\"cite_ref-:3_7-0\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup><\/li>\n<li><a title=\"Orthostatic Hypotension\" href=\"\/Orthostatic_Hypotension\">Hypotension orthostatique<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Heart Arrhythmias: Assessment\" href=\"\/Heart_Arrhythmias:_Assessment\">Arythmies<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Neurological Disorders\" href=\"\/Neurological_Disorders\">Dysfonctionnement neurologique <\/a><sup id=\"cite_ref-:0_1-9\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup>\n<ul>\n<li><a title=\"Multiple Sclerosis (MS)\" href=\"\/Multiple_Sclerosis_(MS)\">Scl\u00e9rose en plaques<\/a> (SEP) <sup id=\"cite_ref-:4_8-0\" class=\"reference\"><a href=\"#cite_note-:4-8\">(8)<\/a><\/sup> &#8211; La SEP peut imiter un dysfonctionnement vestibulaire et provoquer des sympt\u00f4mes tels que des \u00e9tourdissements ou des vertiges.<\/li>\n<\/ul>\n<\/li>\n<li>Dysfonctionnements visuels <sup id=\"cite_ref-:0_1-10\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:5_9-0\" class=\"reference\"><a href=\"#cite_note-:5-9\">(9)<\/a><\/sup>\n<ul>\n<li>Toute affection qui affecte les aff\u00e9rences visuelles peut provoquer des \u00e9tourdissements.<\/li>\n<li>Ils peuvent se produire dans l&rsquo;\u0153il (par exemple, d\u00e9g\u00e9n\u00e9rescence maculaire, cataracte), \u00eatre li\u00e9s au <a title=\"Optic Nerve\" href=\"\/Optic_Nerve\">nerf optique<\/a> ou \u00eatre dus \u00e0 des probl\u00e8mes de traitement visuel.<\/li>\n<\/ul>\n<\/li>\n<li>Vertiges psychog\u00e8nes <sup id=\"cite_ref-:0_1-11\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup>\n<ul>\n<li>Les \u00e9tourdissements peuvent d\u00e9clencher l&rsquo;anxi\u00e9t\u00e9 et l&rsquo;anxi\u00e9t\u00e9 peut provoquer des \u00e9tourdissements. <sup id=\"cite_ref-:5_9-1\" class=\"reference\"><a href=\"#cite_note-:5-9\">(9)<\/a><\/sup><\/li>\n<li>Il n&rsquo;est cependant pas courant de voir des \u00e9tourdissements et des vertiges purement psychog\u00e8nes.<\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Cervicogenic dizziness: screening\" href=\"\/Cervicogenic_dizziness:_screening\">\u00c9tourdissements cervicog\u00e8nes<\/a>\n<ul>\n<li>C&rsquo;est un syndrome clinique caract\u00e9ris\u00e9 par la pr\u00e9sence d&rsquo;\u00e9tourdissements et de douleurs cervicales associ\u00e9es. Il n&rsquo;existe pas de tests cliniques ou de laboratoire d\u00e9finitifs pour les \u00e9tourdissements cervicog\u00e8nes, qui sont par cons\u00e9quent un diagnostic d&rsquo;exclusion. <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/li>\n<li>Les structures musculosquelettiques du rachis cervical (par exemple les <a title=\"Golgi Tendon Organ\" href=\"\/Golgi_Tendon_Organ\">organes tendineux de Golgi<\/a>, les r\u00e9cepteurs articulaires, les <a class=\"mw-redirect\" title=\"Muscle spindles\" href=\"\/Muscle_spindles\">fuseaux musculaires<\/a>) ne peuvent g\u00e9n\u00e9ralement pas provoquer de sensations de vertige. <sup id=\"cite_ref-:0_1-12\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Troubles du syst\u00e8me vestibulaire <sup id=\"cite_ref-:0_1-13\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11) <\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup>\n<ul>\n<li>Traumatisme cr\u00e2nien tel que <a title=\"Whiplash Associated Disorders\" href=\"\/Whiplash_Associated_Disorders\">coup de fouet cervical<\/a> ou <a href=\"\/Assessment_and_Management_of_Concussion\">commotion c\u00e9r\u00e9brale<\/a> <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/li>\n<li>D\u00e9g\u00e9n\u00e9rescence du syst\u00e8me vestibulaire (li\u00e9e \u00e0 l&rsquo;\u00e2ge)<\/li>\n<li>N\u00e9vrite vestibulaire \/ labyrinthite<\/li>\n<li><a title=\"Benign Positional Paroxysmal Vertigo (BPPV)\" href=\"\/Benign_Positional_Paroxysmal_Vertigo_(BPPV)\">VPPB<\/a><\/li>\n<li>Hydrops endolymphatique (par exemple, <a title=\"Meniere's Disease\" href=\"\/Meniere%27s_Disease\">maladie de M\u00e9ni\u00e8re<\/a>)<\/li>\n<li>Ototoxicit\u00e9, barotraumatisme, <a title=\"Acoustic Neuroma\" href=\"\/Acoustic_Neuroma\">schwannome vestibulaire<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>La vid\u00e9o suivante fournit des informations suppl\u00e9mentaires sur certaines causes courantes de vertige (en anglais original).<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/kx4mQB0QzvQ?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<h2><span id=\"Signs_and_Symptoms_of_Vestibular_Disorders\" class=\"mw-headline\">Signes et sympt\u00f4mes des troubles vestibulaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Signs and Symptoms of Vestibular Disorders\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Signs and Symptoms of Vestibular Disorders\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Nystagmus (mouvement involontaire des yeux)<\/li>\n<li>Vertiges<\/li>\n<li>\u00c9tourdissements<\/li>\n<li>D\u00e9s\u00e9quilibre ou <a title=\"Ataxia\" href=\"\/Ataxia\">ataxie<\/a><\/li>\n<li>Perturbation de la stabilit\u00e9 du regard (diminution de l&rsquo;acuit\u00e9 visuelle lors des mouvements de la t\u00eate, c&rsquo;est-\u00e0-dire que le <a title=\"\u00c9valuation des syst\u00e8mes vestibulaire et oculomoteur - Le test de D\u00e9pistage Vestibulo-Oculomoteur\" href=\"\/Vestibular_Oculomotor_Motor_Screening_(VOMS)_Assessment\">r\u00e9flexe vestibulo-oculaire (RVO)<\/a> est affect\u00e9)<\/li>\n<\/ul>\n<h2><span id=\"Anatomy_of_the_Peripheral_Vestibular_System\" class=\"mw-headline\">Anatomie du syst\u00e8me vestibulaire p\u00e9riph\u00e9rique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Anatomy of the Peripheral Vestibular System\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Anatomy of the Peripheral Vestibular System\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumbnail tright\"><a class=\"image\" href=\"\/File:EarAnatomy_InternalEar.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/54\/EarAnatomy_InternalEar.png\/399px-EarAnatomy_InternalEar.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/54\/EarAnatomy_InternalEar.png\/599px-EarAnatomy_InternalEar.png 1.5x, https:\/\/www.physio-pedia.com\/images\/5\/54\/EarAnatomy_InternalEar.png 2x\" alt=\"\" width=\"399\" height=\"399\" data-file-width=\"720\" data-file-height=\"720\"><\/a><\/div>\n<p>L&rsquo;oreille externe est constitu\u00e9e du m\u00e9at acoustique externe. La membrane tympanique (c&rsquo;est-\u00e0-dire le tympan) s\u00e9pare l&rsquo;oreille externe de l&rsquo;oreille moyenne. L&rsquo;oreille interne contient l&rsquo;appareil vestibulaire et la cochl\u00e9e.<sup id=\"cite_ref-:0_1-14\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>Comme le montre la figure 3, l&rsquo;appareil vestibulaire se compose des \u00e9l\u00e9ments suivants :<\/p>\n<ol>\n<li>Trois canaux semi-circulaires<\/li>\n<li>L&rsquo;utricule et le saccule, qui forment ensemble les organes otolithiques.<sup id=\"cite_ref-:6_15-0\" class=\"reference\"><a href=\"#cite_note-:6-15\">(15)<\/a><\/sup> Les organes otolithiques sont plac\u00e9s dans la chambre centrale appel\u00e9e \u00ab\u00a0vestibule\u00a0\u00bb.<\/li>\n<\/ol>\n<p>La cochl\u00e9e est \u00e9galement situ\u00e9e dans l&rsquo;oreille interne et est responsable de l&rsquo;audition.<\/p>\n<p>Dans le labyrinthe membraneux de l&rsquo;oreille interne circule un liquide clair et visqueux appel\u00e9 \u00ab\u00a0endolymphe\u00a0\u00bb : <sup id=\"cite_ref-:0_1-15\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:6_15-1\" class=\"reference\"><a href=\"#cite_note-:6-15\">(15)<\/a><\/sup><\/p>\n<ul>\n<li>L&rsquo;acc\u00e9l\u00e9ration de l&rsquo;endolymphe dans l&rsquo;appareil vestibulaire permet de percevoir l&rsquo;\u00e9quilibre.<\/li>\n<li>Dans le canal cochl\u00e9aire, l&rsquo;endolymphe joue un r\u00f4le important dans la perception des sons.<\/li>\n<\/ul>\n<p>Comme l&rsquo;endolymphe circule \u00e0 la fois dans l&rsquo;appareil vestibulaire et dans la cochl\u00e9e, toute affection entra\u00eenant une augmentation de la pression endolymphatique dans l&rsquo;appareil vestibulaire (par exemple, la maladie de M\u00e9ni\u00e8re) affectera \u00e9galement la cochl\u00e9e.<sup id=\"cite_ref-:0_1-16\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h2><span id=\"Semicircular_Canals\" class=\"mw-headline\">Canaux semi-circulaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Semicircular Canals\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Semicircular Canals\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les canaux semi-circulaires contiennent des m\u00e9canor\u00e9cepteurs sp\u00e9cialis\u00e9s qui fournissent des informations sur la vitesse angulaire.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<p>Les canaux semi-circulaires sont au nombre de trois de chaque c\u00f4t\u00e9 du corps (soit six au total) :<\/p>\n<ul>\n<li>ant\u00e9rieurs;<\/li>\n<li>post\u00e9rieurs;<\/li>\n<li>horizontaux (ou lat\u00e9raux).<\/li>\n<\/ul>\n<p>Les canaux ant\u00e9rieurs et post\u00e9rieurs ont un canal conjoint, appel\u00e9 \u00ab\u00a0branche osseuse commune\u00a0\u00bb ou \u00ab\u00a0crus osseum commune\u00a0\u00bb.<sup id=\"cite_ref-:0_1-17\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h3><span id=\"Planes_of_Movement\" class=\"mw-headline\">Plans de mouvement <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Planes of Movement\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Planes of Movement\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Semicircular_Canals_Planes_Movement.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/cb\/Semicircular_Canals_Planes_Movement.png\/300px-Semicircular_Canals_Planes_Movement.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/cb\/Semicircular_Canals_Planes_Movement.png\/450px-Semicircular_Canals_Planes_Movement.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/cb\/Semicircular_Canals_Planes_Movement.png\/600px-Semicircular_Canals_Planes_Movement.png 2x\" alt=\"\" width=\"300\" height=\"356\" data-file-width=\"607\" data-file-height=\"720\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Figure 2. Canaux semi-circulaires &#8211; Plans de mouvement<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Le syst\u00e8me vestibulaire comporte trois plans de mouvement. Chaque plan de mouvement comporte deux canaux semi-circulaires, de sorte qu&rsquo;il y a trois paires coplanaires. <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup> Voir la figure 2.<\/p>\n<ul>\n<li>Les canaux ant\u00e9rieurs et post\u00e9rieurs sont sur le plan vertical.<\/li>\n<li>Les canaux ant\u00e9rieurs et post\u00e9rieurs sont \u00e9galement orient\u00e9s selon deux plans diagonaux :\n<ul>\n<li>Plan LARP = plan ant\u00e9rieur gauche droit post\u00e9rieur (\u00ab\u00a0Left Anterior Right Posterior plane\u00a0\u00bb)<\/li>\n<li>Plan RALP = plan ant\u00e9rieur droit post\u00e9rieur gauche (\u00ab\u00a0Right Anterior Left Posterior plane\u00a0\u00bb)<\/li>\n<\/ul>\n<\/li>\n<li>Les canaux horizontaux sont positionn\u00e9s \u00e0 un angle de 30 degr\u00e9s (c&rsquo;est-\u00e0-dire pr\u00e8s de l&rsquo;horizontale).<\/li>\n<\/ul>\n<h3><span id=\"Ampullae\" class=\"mw-headline\">Ampoule<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ampullae\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Ampullae\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;ampoule est une zone \u00e9largie dans les canaux semi-circulaires (voir figure 3). Elle contient les neurones qui d\u00e9tectent les mouvements de la t\u00eate. Les neurones sont int\u00e9gr\u00e9s dans une matrice de vaisseaux sanguins et de tissu conjonctif appel\u00e9e \u00ab\u00a0cr\u00eate ampullaire\u00a0\u00bb. Ces neurones sont reli\u00e9s \u00e0 des m\u00e9canor\u00e9cepteurs sp\u00e9cialis\u00e9s appel\u00e9s \u00ab\u00a0cellules cili\u00e9es\u00a0\u00bb. <sup id=\"cite_ref-:7_18-0\" class=\"reference\"><a href=\"#cite_note-:7-18\">(18)<\/a><\/sup> Chaque cellule cili\u00e9e contient un grand nombre de filaments d&rsquo;actine r\u00e9ticul\u00e9s, appel\u00e9s \u00ab\u00a0st\u00e9r\u00e9ocils\u00a0\u00bb. Les st\u00e9r\u00e9ocils se d\u00e9placent en r\u00e9ponse \u00e0 l&rsquo;acc\u00e9l\u00e9ration de l&rsquo;endolymphe. <sup id=\"cite_ref-:7_18-1\" class=\"reference\"><a href=\"#cite_note-:7-18\">(18)<\/a><\/sup> Ils agissent essentiellement comme des capteurs de mouvement qui convertissent les mouvements angulaires de la t\u00eate en d\u00e9charges neuronales aff\u00e9rentes. <sup id=\"cite_ref-:0_1-18\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h3><span id=\"Cupula\" class=\"mw-headline\">Cupule<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Cupula\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=10\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Cupula\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Vestibular_Equilibrium_and_Semicircular_Canals.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Vestibular_Equilibrium_and_Semicircular_Canals.jpg\/300px-Vestibular_Equilibrium_and_Semicircular_Canals.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Vestibular_Equilibrium_and_Semicircular_Canals.jpg\/450px-Vestibular_Equilibrium_and_Semicircular_Canals.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Vestibular_Equilibrium_and_Semicircular_Canals.jpg\/600px-Vestibular_Equilibrium_and_Semicircular_Canals.jpg 2x\" alt=\"\" width=\"300\" height=\"148\" data-file-width=\"1280\" data-file-height=\"631\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Figure 3 Ampoule et cupule<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>La cupule est la partie g\u00e9latineuse de la cr\u00eate ampullaire dans laquelle les cellules cili\u00e9es sont contenues. Elle s&rsquo;\u00e9tend de la cr\u00eate ampullaire jusqu&rsquo;au toit de l&rsquo;ampoule.<sup id=\"cite_ref-:0_1-19\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>La cupule cr\u00e9e une barri\u00e8re liquide &#8211; l&rsquo;endolymphe ne peut pas circuler \u00e0 l&rsquo;int\u00e9rieur de la cupule, mais elle est affect\u00e9e par les mouvements de l&rsquo;endolymphe autour d&rsquo;elle : <sup id=\"cite_ref-:8_19-0\" class=\"reference\"><a href=\"#cite_note-:8-19\">(19)<\/a><\/sup><\/p>\n<ul>\n<li>Lorsqu&rsquo;un individu tourne la t\u00eate (c&rsquo;est-\u00e0-dire qu&rsquo;il fait un mouvement angulaire), l&rsquo;inertie de l&rsquo;endolymphe g\u00e9n\u00e8re une force sur la cupule, la repoussant dans la direction oppos\u00e9e au mouvement de la t\u00eate (voir figure 3).<\/li>\n<li>Cela d\u00e9place les cellules cili\u00e9es dans la cr\u00eate ampullaire.<\/li>\n<\/ul>\n<p>Les acc\u00e9l\u00e9rations lin\u00e9aires, cependant, cr\u00e9ent une force \u00e9gale de chaque c\u00f4t\u00e9 de la cupule, de sorte qu&rsquo;il n&rsquo;y a pas de d\u00e9placement. <sup id=\"cite_ref-:8_19-1\" class=\"reference\"><a href=\"#cite_note-:8-19\">(19)<\/a><\/sup> Les canaux semi-circulaires sont donc incapables de d\u00e9tecter les mouvements lin\u00e9aires et sont \u00e9galement insensibles \u00e0 la gravit\u00e9. <sup id=\"cite_ref-:0_1-20\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h2><span id=\"Otoliths\" class=\"mw-headline\">Organes otolithiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Otoliths\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Otoliths\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Contrairement aux canaux semi-circulaires, les organes otolithiques d\u00e9tectent les mouvements (acc\u00e9l\u00e9rations) translationnels ou lin\u00e9aires, <sup id=\"cite_ref-:8_19-2\" class=\"reference\"><a href=\"#cite_note-:8-19\">(19)<\/a><\/sup> y compris : <sup id=\"cite_ref-:0_1-21\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>de l&rsquo;avant \u00e0 l&rsquo;arri\u00e8re;<\/li>\n<li>de haut en bas;<\/li>\n<li>d&rsquo;un c\u00f4t\u00e9 \u00e0 l&rsquo;autre (sans rotation);<\/li>\n<li>la position statique de la t\u00eate par rapport \u00e0 la gravit\u00e9.<\/li>\n<\/ul>\n<p>L&rsquo;utricule et le saccule contiennent tous deux une macule dans laquelle sont ancr\u00e9es les cellules cili\u00e9es neuronales. <sup id=\"cite_ref-:0_1-22\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:9_20-0\" class=\"reference\"><a href=\"#cite_note-:9-20\">(20)<\/a><\/sup> Les cellules cili\u00e9es se trouvent sous une couche g\u00e9latineuse, elle-m\u00eame situ\u00e9e sous la membrane otolithique. <sup id=\"cite_ref-:9_20-1\" class=\"reference\"><a href=\"#cite_note-:9-20\">(20)<\/a><\/sup><\/p>\n<p>La membrane otolithique contient des cristaux de carbonate de calcium, appel\u00e9s \u00ab\u00a0otoconies\u00a0\u00bb.<sup id=\"cite_ref-:9_20-2\" class=\"reference\"><a href=\"#cite_note-:9-20\">(20)<\/a><\/sup><\/p>\n<p>La membrane otolithique est plus lourde que les structures et les fluides environnants en raison du poids des otoconies. En raison de ce poids, lorsqu&rsquo;un individu penche la t\u00eate, la gravit\u00e9 fait bouger la membrane par rapport \u00e0 la macule. Cela d\u00e9place les cellules cili\u00e9es et g\u00e9n\u00e8re un potentiel de r\u00e9cepteur.<sup id=\"cite_ref-:9_20-3\" class=\"reference\"><a href=\"#cite_note-:9-20\">(20)<\/a><\/sup><\/p>\n<p>L&rsquo;anatomie du syst\u00e8me vestibulaire est r\u00e9sum\u00e9e dans la vid\u00e9o suivante (en anglais original).<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/P3aYqxGesqs?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/p>\n<h2><span id=\"Vestibular_Reflexes\" class=\"mw-headline\">R\u00e9flexes vestibulaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Vestibular Reflexes\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Vestibular Reflexes\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Vestibulo-spinal_reflex_.28VSR.29\"><\/span><span id=\"Vestibulo-spinal_reflex_(VSR)\" class=\"mw-headline\">R\u00e9flexe vestibulospinal (RVS) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Vestibulo-spinal reflex (VSR)\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Vestibulo-spinal reflex (VSR)\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le RVS stabilise le corps. <sup id=\"cite_ref-:10_22-0\" class=\"reference\"><a href=\"#cite_note-:10-22\">(22)<\/a><\/sup> Cependant, bien que l&rsquo;\u00e9valuation de l&rsquo;\u00e9quilibre active le r\u00e9flexe vestibulospinal d&rsquo;un individu, elle ne fournit pas suffisamment d&rsquo;informations sur l&rsquo;appareil vestibulaire pour \u00eatre pertinente dans ce groupe de patients. <sup id=\"cite_ref-:0_1-23\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h3><span id=\"Vestibulo-Ocular_Reflex_.28VOR.29\"><\/span><span id=\"Vestibulo-Ocular_Reflex_(VOR)\" class=\"mw-headline\">R\u00e9flexe vestibulo-oculaire (RVO) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Vestibulo-Ocular Reflex (VOR)\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Vestibulo-Ocular Reflex (VOR)\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le RVO maintient la vision stable lors des mouvements de la t\u00eate. <sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup> Le RVO est compos\u00e9 de deux \u00e9l\u00e9ments qui travaillent ensemble pour assurer la stabilit\u00e9 du regard lorsque la t\u00eate tourne. <sup id=\"cite_ref-:0_1-24\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:10_22-1\" class=\"reference\"><a href=\"#cite_note-:10-22\">(22)<\/a><\/sup><\/p>\n<ul>\n<li>RVO angulaire<sup id=\"cite_ref-:10_22-2\" class=\"reference\"><a href=\"#cite_note-:10-22\">(22)<\/a><\/sup>\n<ul>\n<li>M\u00e9di\u00e9 par les canaux semi-circulaires<\/li>\n<li>Compense la rotation<\/li>\n<li>Principalement responsable de la stabilit\u00e9 du regard<\/li>\n<\/ul>\n<\/li>\n<li>RVO lin\u00e9aire <sup id=\"cite_ref-:10_22-3\" class=\"reference\"><a href=\"#cite_note-:10-22\">(22)<\/a><\/sup>\n<ul>\n<li>M\u00e9di\u00e9 par les organes otolithiques<\/li>\n<li>Compense la translation<\/li>\n<li>Plus important lors de la visualisation d&rsquo;une cible proche et lorsque la t\u00eate se d\u00e9place \u00e0 des fr\u00e9quences relativement \u00e9lev\u00e9es<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span id=\"Push-Pull_Arrangement_of_the_VOR\" class=\"mw-headline\">Organisation \u00ab push-pull \u00bb du RVO <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Push-Pull Arrangement of the VOR\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=15\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Push-Pull Arrangement of the VOR\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=15\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Lorsqu&rsquo;un individu tourne la t\u00eate vers la droite : <sup id=\"cite_ref-:0_1-25\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>Le canal horizontal droit est excit\u00e9 et le gauche est inhib\u00e9 (dans une organisation \u00ab push-pull \u00bb).<\/li>\n<li>Le canal horizontal droit active les muscles droit m\u00e9dial droit et droit lat\u00e9ral gauche pour tirer les yeux vers la gauche.<\/li>\n<li>Le canal horizontal gauche inhibe le muscle droit lat\u00e9ral droit et le muscle droit m\u00e9dial gauche, ce qui permet ce mouvement.<\/li>\n<\/ul>\n<p>Le RVO est le r\u00e9flexe humain le plus rapide &#8211; il se produit en 14 millisecondes environ. <sup id=\"cite_ref-:0_1-26\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Cette rapidit\u00e9 s&rsquo;explique par le fait que la voie du RVO : <sup id=\"cite_ref-:11_24-0\" class=\"reference\"><a href=\"#cite_note-:11-24\">(24)<\/a><\/sup><\/p>\n<ul>\n<li>est relativement courte;<\/li>\n<li>utilise uniquement les informations sensorielles du syst\u00e8me vestibulaire pour activer les motoneurones n\u00e9cessaires.<\/li>\n<\/ul>\n<p>En raison de cette vitesse, le RVO doit \u00eatre tr\u00e8s pr\u00e9cis (c&rsquo;est-\u00e0-dire 98 % ou plus) pour garantir que le champ visuel ne devienne pas flou ou ne \u00ab\u00a0saute\u00a0\u00bb pas lorsqu&rsquo;une personne bouge la t\u00eate. <sup id=\"cite_ref-:0_1-27\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:11_24-1\" class=\"reference\"><a href=\"#cite_note-:11-24\">(24)<\/a><\/sup><\/p>\n<p>La vid\u00e9o suivante fournit une description d\u00e9taill\u00e9e du RVO (en anglais original).<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/r_6y2D-6oDQ?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/p>\n<h4><span id=\"Gain\" class=\"mw-headline\">Gain<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gain\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=16\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Gain\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=16\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le gain RVO est d\u00e9fini comme le rapport entre la vitesse de l&rsquo;\u0153il et la vitesse de la t\u00eate pendant les mouvements de la t\u00eate. Il est souvent utilis\u00e9 comme mesure physiologique de la fonction vestibulaire et tend \u00e0 diminuer avec l&rsquo;\u00e2ge.<sup id=\"cite_ref-:12_26-0\" class=\"reference\"><a href=\"#cite_note-:12-26\">(26)<\/a><\/sup><\/p>\n<p>Id\u00e9alement, le gain du VOR est d&rsquo;environ 1,0 <sup id=\"cite_ref-:12_26-1\" class=\"reference\"><a href=\"#cite_note-:12-26\">(26)<\/a><\/sup>, ce qui signifie que la v\u00e9locit\u00e9 des yeux doit \u00eatre \u00e9gale \u00e0 la v\u00e9locit\u00e9 de la t\u00eate. <sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup> Le gain RVO est g\u00e9n\u00e9ralement compris entre 0,96 et 0,97, mais il peut varier entre 0,5 et 2. <sup id=\"cite_ref-:0_1-28\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Il a \u00e9t\u00e9 propos\u00e9 qu&rsquo;un gain RVO inf\u00e9rieur \u00e0 0,68 soit le seuil critique entre un gain normal et un gain trop faible. <sup id=\"cite_ref-:12_26-2\" class=\"reference\"><a href=\"#cite_note-:12-26\">26)<\/a><\/sup><\/p>\n<p>Le gain RVO est m\u00e9di\u00e9 par le contr\u00f4le du syst\u00e8me nerveux central (SNC) dans un processus appel\u00e9 \u00ab\u00a0adaptation\u00a0\u00bb. Lorsque le SNC modifie le gain RVO, il change la sensibilit\u00e9 du r\u00e9flexe pour permettre aux personnes de s&rsquo;adapter \u00e0 l&rsquo;environnement. Ainsi, les exercices de stabilit\u00e9 du regard, qui font partie de la r\u00e9\u00e9ducation vestibulaire, peuvent \u00eatre consid\u00e9r\u00e9s comme des exercices d&rsquo;adaptation.<sup id=\"cite_ref-:0_1-29\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h2><span id=\"Nystagmus\" class=\"mw-headline\">Nystagmus<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Nystagmus\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=17\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Nystagmus\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=17\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le nystagmus est l&rsquo;un des signes de dysfonctionnement vestibulaire et se d\u00e9finit comme \u00ab\u00a0un mouvement rythmique, involontaire, rapide et oscillatoire des yeux\u00a0\u00bb.<sup id=\"cite_ref-:13_28-0\" class=\"reference\"><a href=\"#cite_note-:13-28\">(28)<\/a><\/sup><\/p>\n<p>Il peut se traduire par des mouvements lents ou rapides ou une combinaison des deux.<sup id=\"cite_ref-:13_28-1\" class=\"reference\"><a href=\"#cite_note-:13-28\">(28)<\/a><\/sup> Les mouvements peuvent : <sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/p>\n<ul>\n<li>s&rsquo;effectuer d&rsquo;un c\u00f4t\u00e9 \u00e0 l&rsquo;autre (nystagmus horizontal);<\/li>\n<li>s&rsquo;effectuer de haut en bas (nystagmus vertical);<\/li>\n<li>s&rsquo;effectuer en cercle (nystagmus rotatif);<\/li>\n<li>\u00eatre continus ou soudains; <sup id=\"cite_ref-:13_28-2\" class=\"reference\"><a href=\"#cite_note-:13-28\">(28)<\/a><\/sup><\/li>\n<li>\u00eatre li\u00e9s \u00e0 des d\u00e9clencheurs sp\u00e9cifiques en lien avec le regard ou le positionnement de la t\u00eate; <sup id=\"cite_ref-:13_28-3\" class=\"reference\"><a href=\"#cite_note-:13-28\">(28)<\/a><\/sup><\/li>\n<li>\u00eatre pathologiques ou physiologiques (c&rsquo;est-\u00e0-dire normaux). <sup id=\"cite_ref-:0_1-30\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<p>Bien que chaque r\u00e9flexe ait une composante centrale et p\u00e9riph\u00e9rique, le syst\u00e8me des saccades (c&rsquo;est-\u00e0-dire les mouvements oculaires rapides) est consid\u00e9r\u00e9 comme ayant une m\u00e9diation plus centrale et le RVO, une m\u00e9diation plus p\u00e9riph\u00e9rique. Par cons\u00e9quent, le nystagmus peut \u00eatre consid\u00e9r\u00e9 comme une combinaison de r\u00e9flexes p\u00e9riph\u00e9riques et centraux.<sup id=\"cite_ref-:0_1-31\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>Les types de nystagmus comprennent :<\/p>\n<ul>\n<li>\u00c0 ressort\n<ul>\n<li>L&rsquo;\u0153il se d\u00e9place lentement vers le c\u00f4t\u00e9 o\u00f9 il y a inhibition, ou la diminution de l&rsquo;activit\u00e9, puis revient \u00ab\u00a0comme un ressort\u00a0\u00bb vers le centre. <sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/li>\n<li>Peut \u00eatre \u00e0 m\u00e9diation centrale ou p\u00e9riph\u00e9rique <sup id=\"cite_ref-:0_1-32\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Pendulaire : <sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup>\n<ul>\n<li>L&rsquo;\u0153il bouge de fa\u00e7on sinuso\u00efdale (comme un pendule).<\/li>\n<li>Seuls des mouvements oculaires lents sont pr\u00e9sents &#8211; il n&rsquo;y a pas de phase rapide.<\/li>\n<li>A m\u00e9diation centrale <sup id=\"cite_ref-:0_1-33\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span id=\"Summary\" class=\"mw-headline\">R\u00e9sum\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Summary\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=18\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Summary\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=18\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Le dysfonctionnement vestibulaire est un probl\u00e8me important, en particulier chez les <a title=\"Older People - An Introduction\" href=\"\/Older_People_-_An_Introduction\">personnes \u00e2g\u00e9es<\/a>.<\/li>\n<li>Il existe de nombreuses causes d&rsquo;\u00e9tourdissements, qui seront toutes trait\u00e9es diff\u00e9remment.<\/li>\n<li>\u00ab\u00a0\u00c9tourdissements\u00a0\u00bb et \u00ab\u00a0vertiges\u00a0\u00bb ne sont pas des termes interchangeables.<\/li>\n<li>Il est essentiel de comprendre l&rsquo;anatomie du syst\u00e8me vestibulaire pour \u00e9laborer un plan de prise en charge efficace en r\u00e9\u00e9ducation vestibulaire.<\/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=Introduction_to_Vestibular_Rehabilitation&amp;veaction=edit&amp;section=19\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Introduction_to_Vestibular_Rehabilitation&amp;action=edit&amp;section=19\">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-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.00<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.01<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.02<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.03<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-4\">1.04<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-5\">1.05<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-6\">1.06<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-7\">1.07<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-8\">1.08<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-9\">1.09<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-10\">1.10<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-11\">1.11<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-12\">1.12<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-13\">1.13<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-14\">1.14<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-15\">1.15<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-16\">1.16<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-17\">1.17<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-18\">1.18<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-19\">1.19<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-20\">1.20<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-21\">1.21<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-22\">1.22<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-23\">1.23<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-24\">1.24<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-25\">1.25<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-26\">1.26<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-27\">1.27<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-28\">1.28<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-29\">1.29<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-30\">1.30<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-31\">1.31<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-32\">1.32<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-33\">1.33<\/a><\/sup><\/span> <span class=\"reference-text\">Tonks B. 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Available from: <a class=\"external free\" href=\"https:\/\/dizziness-and-balance.com\/practice\/nystagmus\/pendular.html\" rel=\"nofollow\">https:\/\/dizziness-and-balance.com\/practice\/nystagmus\/pendular.html<\/a><\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20231114072221 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.157 seconds Real time usage: 0.166 seconds Preprocessor visited node count: 716\/1000000 Post\u2010expand include size: 148\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/100 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 24670\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 12.108 1 Special:Contributors\/Introduction_to_Vestibular_Rehabilitation 100.00% 12.108 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dactrice originale &#8211; Jess Bell d&rsquo;apr\u00e8s le cours de Bernard Tonks Principales collaboratrices &#8211; Jess Bell , Kim Jackson , Lucinda Hampton , Tarina van der Stockt , Rucha Gadgil , Nupur Smit Shah et Stacy Schiurring Contenu 1 Introduction 2 \u00c9pid\u00e9miologie 3 D\u00e9finition des \u00e9tourdissements et des vertiges 4 Causes des vertiges et \u00e9tourdissements [&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-11398","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/11398","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=11398"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/11398\/revisions"}],"predecessor-version":[{"id":11408,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/11398\/revisions\/11408"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=11398"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}