{"id":12288,"date":"2025-04-19T14:14:15","date_gmt":"2025-04-19T14:14:15","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/overview-of-cervical-spine-assessment-fr\/"},"modified":"2025-04-19T18:30:13","modified_gmt":"2025-04-19T18:30:13","slug":"overview-of-cervical-spine-assessment-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/overview-of-cervical-spine-assessment-fr\/","title":{"rendered":"Vue d&rsquo;ensemble de l&rsquo;\u00e9valuation du rachis cervical"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dactrice originale <\/b>&#8211; <a title=\"User:Jacquie Kieck\" href=\"\/User:Jacquie_Kieck\"> Jacquie Kieck<\/a> d&rsquo;apr\u00e8s le cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/shala-cunningham\/\" rel=\"nofollow\">Shala Cunningham <\/a><br \/>\n<b>Principales collaboratrices<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Jacquie Kieck\" href=\"\/User:Jacquie_Kieck\"><bdi>Jacquie Kieck<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/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=\"#Subjective_Assessment\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anamn\u00e8se et \u00e9valuation subjective<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#History\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Anamn\u00e8se<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Red_Flags\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Signaux d&rsquo;alerte (\u00ab red flags \u00bb)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#The_History_can_be_Suggestive_of_Certain_Conditions\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\">L&rsquo;anamn\u00e8se peut laisser supposer certaines affections<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-6\"><a href=\"#History_suggesting_cervical_spondylosis\"><span class=\"tocnumber\">2.3.1<\/span> <span class=\"toctext\">Anamn\u00e8se sugg\u00e9rant une spondylose cervicale<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#History_suggesting_disc_involvement\"><span class=\"tocnumber\">2.3.2<\/span> <span class=\"toctext\">Anamn\u00e8se sugg\u00e9rant une atteinte discale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Self-Assessment_Questionnaires\"><span class=\"tocnumber\">2.4<\/span> <span class=\"toctext\">Questionnaires d&rsquo;auto-\u00e9valuation<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Objective_Assessment\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">\u00c9valuation objective<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Observation\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\"><b>Observation<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Instability_Testing\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Tests d&rsquo;instabilit\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Vertebral_Artery_Testing\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Tests de l&rsquo;art\u00e8re vert\u00e9brale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Canadian_C-Spine_Rule\"><span class=\"tocnumber\">3.4<\/span> <span class=\"toctext\">R\u00e8gle canadienne concernant la radiographie de la colonne cervicale (\u00ab Canadian C-spine rule \u00bb)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Functional_Screening\"><span class=\"tocnumber\">3.5<\/span> <span class=\"toctext\">D\u00e9pistage fonctionnel<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Palpation\"><span class=\"tocnumber\">3.6<\/span> <span class=\"toctext\">Palpation<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-16\"><a href=\"#Range_of_Motion\"><span class=\"tocnumber\">3.7<\/span> <span class=\"toctext\">Mobilit\u00e9 articulaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Muscle_Testing\"><span class=\"tocnumber\">3.8<\/span> <span class=\"toctext\">Bilan musculaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-18\"><a href=\"#Neurological_Testing\"><span class=\"tocnumber\">3.9<\/span> <span class=\"toctext\">Bilan neurologique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-19\"><a href=\"#Joint_Mobility_Testing\"><span class=\"tocnumber\">3.10<\/span> <span class=\"toctext\">Tests de mobilit\u00e9 passive et accessoire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-20\"><a href=\"#Special_Tests\"><span class=\"tocnumber\">3.11<\/span> <span class=\"toctext\">Tests sp\u00e9ciaux<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-21\"><a href=\"#Classification_of_Cervical_Spine_Pain\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Classification des douleurs cervicales<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-22\"><a href=\"#Resources\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-23\"><a href=\"#References\"><span class=\"tocnumber\">6<\/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=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La cervicalgie est l&rsquo;une des affections musculosquelettiques les plus courantes, repr\u00e9sentant un lourd fardeau personnel et \u00e9conomique<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup>. Les cliniciens sont souvent amen\u00e9s \u00e0 rencontrer des patients souffrant de cervicalgie et d&rsquo;autres affections du rachis cervical. Il est donc essentiel qu&rsquo;ils puissent effectuer en toute confiance une \u00e9valuation exhaustive du rachis cervical. Cette page pr\u00e9sente \u00e9tape par \u00e9tape les principaux \u00e9l\u00e9ments de l&rsquo;\u00e9valuation du rachis cervical, y compris l&rsquo;anamn\u00e8se, l&rsquo;\u00e9valuation subjective et l&rsquo;\u00e9valuation objective (observation et tests). Elle pr\u00e9sente \u00e9galement le syst\u00e8me de classification propos\u00e9 pour le rachis cervical.<\/p>\n<h2><span id=\"Subjective_Assessment\" class=\"mw-headline\">Anamn\u00e8se et \u00e9valuation subjective <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Subjective Assessment\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Subjective Assessment\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=2\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h4><span id=\"History\" class=\"mw-headline\">Anamn\u00e8se<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: History\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: History\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<blockquote><p>Le moyen mn\u00e9motechnique <b>L-M-N-O-P-Q-R-S-T<\/b> est utilis\u00e9 pour couvrir les principaux \u00e9l\u00e9ments d\u2019informations \u00e0 recueillir lors de l\u2019anamn\u00e8se du patient.<\/p><\/blockquote>\n<p><b>\u00ab L \u00bb : \u00ab Location<\/b> <b>of symptoms and level of functional impairments \u00bb<\/b> (localisation des sympt\u00f4mes et importance des limitations fonctionnelles)<\/p>\n<p>Ce tableau r\u00e9sume l&rsquo;origine probable des sympt\u00f4mes en fonction de leur localisation.<\/p>\n<table class=\"wikitable\">\n<caption>Tableau 1. Source probable des sympt\u00f4mes en fonction de leur localisation<sup id=\"cite_ref-:4_3-0\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup><\/caption>\n<tbody>\n<tr>\n<th>Localisation des sympt\u00f4mes<\/th>\n<th>Origine possible des sympt\u00f4mes<\/th>\n<\/tr>\n<tr>\n<td>T\u00eate \/ r\u00e9gion occipitale<\/td>\n<td>Rachis cervical sup\u00e9rieur<\/td>\n<\/tr>\n<tr>\n<td>Douleur localis\u00e9e sans irradiation et sans douleur projet\u00e9e<\/td>\n<td>\n<ul>\n<li>Douleur musculaire<\/li>\n<li>Douleur facettaire<\/li>\n<li>Syndrome facettaire<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Douleur irradi\u00e9e<\/td>\n<td>Irritation d&rsquo;une racine nerveuse<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>\u00ab M \u00bb: \u00ab Medical factors (medication) and mechanism of injury \u00bb (facteurs m\u00e9dicaux (m\u00e9dicaments) et m\u00e9canisme de la blessure)<\/b><\/p>\n<p>Lors de l&rsquo;\u00e9valuation, il convient de d\u00e9terminer pr\u00e9cis\u00e9ment quand et comment la blessure s&rsquo;est produite, quelles forces ont \u00e9t\u00e9 exerc\u00e9es et quelle \u00e9tait la position de la t\u00eate au moment du traumatisme. Il faut \u00e9galement questionner le patient sur tout sympt\u00f4me neurologique associ\u00e9 au traumatisme.<\/p>\n<p><i>Signaux d&rsquo;alerte (\u00ab red flags \u00bb) : douleur intense d\u2019apparition soudaine sans incident ni accident<\/i><\/p>\n<p><b>\u00ab N \u00bb: \u00ab Neurologic examination \u00bb (sympt\u00f4mes neurologiques)<\/b><\/p>\n<p>L&rsquo;\u00e9valuation neurologique vise \u00e0 v\u00e9rifier les fonctions neurologiques et faciliter le diagnostic<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup>. Il est important de d\u00e9terminer si le patient pr\u00e9sente des sympt\u00f4mes d&rsquo;engourdissement, de picotements, de br\u00fblure ou de choc \u00e9lectrique, car ceux-ci indiquent une atteinte neurologique. Il convient d&rsquo;\u00eatre pr\u00e9cis quant \u00e0 la localisation de ces sympt\u00f4mes, c&rsquo;est-\u00e0-dire s&rsquo;ils sont situ\u00e9s dans la zone d&rsquo;un dermatome particulier. Le clinicien doit \u00e9galement noter si les sympt\u00f4mes sont constants ou intermittents et s&rsquo;ils sont associ\u00e9s \u00e0 la position de la t\u00eate.<\/p>\n<p><b>\u00ab O \u00bb : \u00ab Occupation, including limitations \u00bb (profession, y compris les limitations)<\/b><\/p>\n<p>Il faut v\u00e9rifier s&rsquo;il y a des facteurs li\u00e9s au travail ou aux activit\u00e9s qui pourraient \u00eatre pertinents.<\/p>\n<p><b>\u00ab P \u00bb : \u00ab Palliative and provocative symptoms \u00bb (Ce qui soulage et ce qui provoque les sympt\u00f4mes)<\/b><\/p>\n<p>Il importe de d\u00e9terminer ce qui accentue ou att\u00e9nue les sympt\u00f4mes. Il faut \u00e9galement noter le temps n\u00e9cessaire pour que les sympt\u00f4mes s&rsquo;apaisent une fois qu&rsquo;ils se sont intensifi\u00e9s.<\/p>\n<p><i>Signaux d&rsquo;alerte : sympt\u00f4mes constants et incessants ind\u00e9pendamment de la position ou de l&rsquo;activit\u00e9.<\/i><\/p>\n<p><b>\u00ab Q \u00bb : \u00ab Quality of symptoms \u00bb (Caract\u00e9ristiques des sympt\u00f4mes)<\/b><\/p>\n<p>Il convient de tenir compte de la description des sympt\u00f4mes. Est-ce que les douleurs sont d\u00e9crites comme \u00e9tant exquises ? sourdes ? comme des coups de poignards ? comme des chocs \u00e9lectriques ?<\/p>\n<p><b>\u00ab R \u00bb : \u00ab Radiation of symptoms \u00bb (irradiation des sympt\u00f4mes)<\/b><\/p>\n<p>Il faut \u00eatre pr\u00e9cis sur la localisation des irradiations, leur dur\u00e9e et leur caract\u00e8re constant ou li\u00e9 \u00e0 la position ou \u00e0 l&rsquo;activit\u00e9.<\/p>\n<p><i>Signaux d&rsquo;alerte : sympt\u00f4mes irradiant dans plusieurs dermatomes<\/i><\/p>\n<p><b>\u00ab S \u00bb : \u00ab Severity of symptoms \u00bb (gravit\u00e9 des sympt\u00f4mes)<\/b><\/p>\n<p>Il faut noter comment les sympt\u00f4mes affectent les fonctions et les activit\u00e9s.<\/p>\n<p><b>\u00ab T \u00bb : \u00ab Timing of symptoms \u00bb (horaire des sympt\u00f4mes)<\/b><\/p>\n<p>Il faut poser des questions sur la s\u00e9quence et l&rsquo;\u00e9volution des sympt\u00f4mes.<\/p>\n<p><i>Signaux d&rsquo;alerte : douleur qui interrompt le sommeil OU douleur constante.<\/i><\/p>\n<p>Il faut v\u00e9rifier l&rsquo;\u00e2ge du patient et lui poser des questions sur des ant\u00e9c\u00e9dents de cervicalgie, de sympt\u00f4mes constitutionnels (c.-\u00e0-d. \u00e9tourdissements, vertiges, crises de chute et vertige), de paresth\u00e9sie, d&rsquo;engourdissement, de faiblesse ou de raideur.<\/p>\n<h4><span id=\"Red_Flags\" class=\"mw-headline\">Signaux d&rsquo;alerte (\u00ab red flags \u00bb) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Red Flags\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Red Flags\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les <a title=\"Une introduction aux drapeaux rouges pour les pathologies graves\" href=\"\/An_Introduction_to_Red_Flags_in_Serious_Pathology\">signaux d&rsquo;alerte<\/a> (\u00ab\u00a0red flags\u00a0\u00bb) sont des sympt\u00f4mes qui sugg\u00e8rent la pr\u00e9sence d&rsquo;une pathologie grave. Les lignes directrices internationales recommandent d&rsquo;utiliser les signaux d&rsquo;alerte pour identifier les pathologies graves<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup>. Ci-dessous figure une liste des signaux d&rsquo;alerte (\u00ab red flags \u00bb) \u00e0 rechercher lors de l&rsquo;\u00e9valuation du rachis cervical :<\/p>\n<ul>\n<li>diminution importante de la mobilit\u00e9 articulaire avec une apparition soudaine des sympt\u00f4mes<\/li>\n<li>perturbation de l&rsquo;\u00e9quilibre et de la d\u00e9marche<\/li>\n<li>hypor\u00e9flexie ou hyperr\u00e9flexie<\/li>\n<li>douleur constante<\/li>\n<li>douleur intense qui irradie<\/li>\n<li>c\u00e9phal\u00e9es occipitales mod\u00e9r\u00e9es \u00e0 s\u00e9v\u00e8res<\/li>\n<li>douleur faciale<\/li>\n<li>changements psychologiques<\/li>\n<li>sympt\u00f4mes des nerfs cr\u00e2niens<\/li>\n<li>\u00e9tourdissements<\/li>\n<li><a title=\"Horner's Syndrome\" href=\"\/Horner%27s_Syndrome\">syndrome de Horner<\/a><\/li>\n<li>h\u00e9miparesth\u00e9sie<\/li>\n<li>changements intestinaux et v\u00e9sicaux<\/li>\n<li>ataxie<\/li>\n<li>nystagmus<\/li>\n<li>effondrement \u00e9pileptique (\u00ab\u00a0drop attack\u00a0\u00bb)<\/li>\n<li>paresth\u00e9sie de l&rsquo;h\u00e9mivisage<\/li>\n<li>dysphagie<\/li>\n<\/ul>\n<h3><span id=\"The_History_can_be_Suggestive_of_Certain_Conditions\" class=\"mw-headline\">L&rsquo;anamn\u00e8se peut laisser supposer certaines affections <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: The History can be Suggestive of Certain Conditions\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: The History can be Suggestive of Certain Conditions\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h6><em><span id=\"History_suggesting_cervical_spondylosis\" class=\"mw-headline\">Anamn\u00e8se sugg\u00e9rant une spondylose cervicale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: History suggesting cervical spondylosis\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: History suggesting cervical spondylosis\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/em><\/h6>\n<p>Une anamn\u00e8se sugg\u00e9rant une <a title=\"Cervical Spondylosis\" href=\"\/Cervical_Spondylosis\">spondylose cervicale<\/a> serait celle d&rsquo;une personne \u00e2g\u00e9e de plus de 45 ans pr\u00e9sentant des sympt\u00f4mes apparus progressivement et lentement (sans incident particulier). La douleur est g\u00e9n\u00e9ralement unilat\u00e9rale et suit un territoire d&rsquo;irradiation caract\u00e9ristique des l\u00e9sions facettaires. La douleur augmente g\u00e9n\u00e9ralement avec l&rsquo;extension (\u00ab\u00a0fermeture\u00a0\u00bb de l&rsquo;articulation) et diminue avec la flexion (\u00ab\u00a0ouverture\u00a0\u00bb de l&rsquo;articulation). Les niveaux du rachis cervical les plus fr\u00e9quemment touch\u00e9s sont C5, C6 et C7<sup id=\"cite_ref-:3_6-0\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup><sup id=\"cite_ref-:4_3-1\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup>.<\/p>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Facet_Joint_Referral_Pattern_-_Adapted_Shutterstock_-_ID_712431886.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/64\/Facet_Joint_Referral_Pattern_-_Adapted_Shutterstock_-_ID_712431886.jpg\/300px-Facet_Joint_Referral_Pattern_-_Adapted_Shutterstock_-_ID_712431886.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/64\/Facet_Joint_Referral_Pattern_-_Adapted_Shutterstock_-_ID_712431886.jpg\/450px-Facet_Joint_Referral_Pattern_-_Adapted_Shutterstock_-_ID_712431886.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/64\/Facet_Joint_Referral_Pattern_-_Adapted_Shutterstock_-_ID_712431886.jpg\/600px-Facet_Joint_Referral_Pattern_-_Adapted_Shutterstock_-_ID_712431886.jpg 2x\" alt=\"\" width=\"300\" height=\"295\" data-file-width=\"3869\" data-file-height=\"3803\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Figure 1. Territoires d&rsquo;irradiation des l\u00e9sions facettaires<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h6><em><span id=\"History_suggesting_disc_involvement\" class=\"mw-headline\">Anamn\u00e8se sugg\u00e9rant une atteinte discale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: History suggesting disc involvement\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: History suggesting disc involvement\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/em><\/h6>\n<p>Une anamn\u00e8se sugg\u00e9rant une atteinte discale cervicale serait celle d&rsquo;une personne \u00e2g\u00e9e de moins de 60 ans, pr\u00e9sentant des sympt\u00f4mes apparus soudainement. Les sympt\u00f4mes peuvent \u00eatre associ\u00e9s \u00e0 un incident sp\u00e9cifique, tel qu&rsquo;un accident de la route, ou simplement \u00e0 un \u00ab mauvais \u00bb mouvement. La douleur est g\u00e9n\u00e9ralement unilat\u00e9rale et irradie dans la distribution d&rsquo;un dermatome. La douleur augmente g\u00e9n\u00e9ralement avec la flexion. Des picotements et d&rsquo;autres sympt\u00f4mes neurologiques peuvent \u00eatre pr\u00e9sents. Les niveaux les plus couramment touch\u00e9s au rachis cervical sont C5 et C6.<sup id=\"cite_ref-:3_6-1\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup><\/p>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Dermatomes_of_the_Upper_Limb_-_Shutterstock_-_ID_256938601.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0a\/Dermatomes_of_the_Upper_Limb_-_Shutterstock_-_ID_256938601.jpg\/300px-Dermatomes_of_the_Upper_Limb_-_Shutterstock_-_ID_256938601.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0a\/Dermatomes_of_the_Upper_Limb_-_Shutterstock_-_ID_256938601.jpg\/450px-Dermatomes_of_the_Upper_Limb_-_Shutterstock_-_ID_256938601.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0a\/Dermatomes_of_the_Upper_Limb_-_Shutterstock_-_ID_256938601.jpg\/600px-Dermatomes_of_the_Upper_Limb_-_Shutterstock_-_ID_256938601.jpg 2x\" alt=\"\" width=\"300\" height=\"335\" data-file-width=\"4293\" data-file-height=\"4793\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Figure 2. Dermatomes du membre sup\u00e9rieur<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Self-Assessment_Questionnaires\" class=\"mw-headline\">Questionnaires d&rsquo;auto-\u00e9valuation <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Self-Assessment Questionnaires\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Self-Assessment Questionnaires\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les questionnaires d&rsquo;auto-\u00e9valuation utiles pour l&rsquo;\u00e9valuation du rachis cervical comprennent :<\/p>\n<ul>\n<li><a title=\"Neck Disability Index\" href=\"\/Neck_Disability_Index\">\u00c9chelle d&rsquo;incapacit\u00e9 cervicale<\/a> (\u00ab\u00a0Neck Disability Index\u00a0\u00bb ou \u00ab\u00a0NDI\u00a0\u00bb en anglais)<sup id=\"cite_ref-:0_7-0\" class=\"reference\"><a href=\"#cite_note-:0-7\">(7)<\/a><\/sup><sup id=\"cite_ref-:2_8-0\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/li>\n<li><a title=\"\u00ab Patient Specific Function Scale \u00bb ( \u00e9chelle fonctionnelle sp\u00e9cifique au patient)\" href=\"\/Patient_Specific_Functional_Scale\">\u00ab Patient Specific Function Scale \u00bb<\/a> (PSFS, \u00e9chelle fonctionnelle sp\u00e9cifique au patient)<sup id=\"cite_ref-:2_8-1\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/li>\n<li><a title=\"Fear Avoidance Belief Questionnaire\" href=\"\/Fear_Avoidance_Belief_Questionnaire\">\u00ab Fear-Avoidance Belief Questionnaire \u00bb<\/a> (FABQ, questionnaire sur les croyances en mati\u00e8re de peur et d&rsquo;\u00e9vitement)<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/li>\n<li><a title=\"Numeric Pain Rating Scale\" href=\"\/Numeric_Pain_Rating_Scale\">\u00c9chelle num\u00e9rique d&rsquo;\u00e9valuation de la douleur<\/a><sup id=\"cite_ref-:0_7-1\" class=\"reference\"><a href=\"#cite_note-:0-7\">(7)<\/a><\/sup><sup id=\"cite_ref-:2_8-2\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Objective_Assessment\" class=\"mw-headline\">\u00c9valuation objective <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Objective Assessment\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Objective Assessment\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=9\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h4><span id=\"Observation\" class=\"mw-headline\"><b>Observations<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Observation\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=10\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Observation\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Il est important de proc\u00e9der \u00e0 une observation g\u00e9n\u00e9rale de la posture, notamment de la position de la t\u00eate, du cou et des \u00e9paules. De plus, il faut \u00eatre attentif \u00e0 tout signe de <a title=\"Adult-onset Idiopathic Torticollis\" href=\"\/Adult-onset_Idiopathic_Torticollis\">torticolis<\/a>.<\/p>\n<h4><span id=\"Instability_Testing\" class=\"mw-headline\">Tests d&rsquo;instabilit\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Instability Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Instability Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le <a title=\"Sharp Purser Test\" href=\"\/Sharp_Purser_Test\">test de Sharp-Purser<\/a> permet d&rsquo;\u00e9valuer l&rsquo;int\u00e9grit\u00e9 du ligament transverse. Toutefois, la fid\u00e9lit\u00e9, la validit\u00e9 et la s\u00e9curit\u00e9 de ce test suscitent des inqui\u00e9tudes<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup>. La vid\u00e9o ci-dessous d\u00e9montre le test de Sharp-Purser.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/j_qFxxCq7fY?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/p>\n<h4><span id=\"Vertebral_Artery_Testing\" class=\"mw-headline\">Tests de l&rsquo;art\u00e8re vert\u00e9brale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Vertebral Artery Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Vertebral Artery Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<blockquote><p>Les sympt\u00f4mes d&rsquo;insuffisance vert\u00e9brale comprennent des \u00e9tourdissements\/vertiges, des naus\u00e9es\/vomissements, une incapacit\u00e9 \u00e0 se tenir debout, une vision floue\/diplopie, des c\u00e9phal\u00e9es, une paresth\u00e9sie faciale\/paralysie faciale\/difficult\u00e9 \u00e0 avaler.<sup id=\"cite_ref-:1_12-0\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup><\/p><\/blockquote>\n<p>Apr\u00e8s une \u00e9valuation subjective approfondie du rachis cervical, les cliniciens doivent planifier soigneusement l&rsquo;examen physique et tenir compte de toutes les pr\u00e9cautions et contre-indications li\u00e9es \u00e0 l&rsquo;insuffisance vert\u00e9brale.<\/p>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:International_Framework_for_Examination_of_the_Cervical_Region_for_Potential_of_Vascular_Pathologies_of_the_Neck_Prior_to_Musculoskeletal_Intervention_International_IFOMPT_Cervical_Framework_Fig_5.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/de\/International_Framework_for_Examination_of_the_Cervical_Region_for_Potential_of_Vascular_Pathologies_of_the_Neck_Prior_to_Musculoskeletal_Intervention_International_IFOMPT_Cervical_Framework_Fig_5.jpeg\/300px-International_Framework_for_Examination_of_the_Cervical_Region_for_Potential_of_Vascular_Pathologies_of_the_Neck_Prior_to_Musculoskeletal_Intervention_International_IFOMPT_Cervical_Framework_Fig_5.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/de\/International_Framework_for_Examination_of_the_Cervical_Region_for_Potential_of_Vascular_Pathologies_of_the_Neck_Prior_to_Musculoskeletal_Intervention_International_IFOMPT_Cervical_Framework_Fig_5.jpeg\/450px-International_Framework_for_Examination_of_the_Cervical_Region_for_Potential_of_Vascular_Pathologies_of_the_Neck_Prior_to_Musculoskeletal_Intervention_International_IFOMPT_Cervical_Framework_Fig_5.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/de\/International_Framework_for_Examination_of_the_Cervical_Region_for_Potential_of_Vascular_Pathologies_of_the_Neck_Prior_to_Musculoskeletal_Intervention_International_IFOMPT_Cervical_Framework_Fig_5.jpeg\/600px-International_Framework_for_Examination_of_the_Cervical_Region_for_Potential_of_Vascular_Pathologies_of_the_Neck_Prior_to_Musculoskeletal_Intervention_International_IFOMPT_Cervical_Framework_Fig_5.jpeg 2x\" alt=\"\" width=\"300\" height=\"228\" data-file-width=\"632\" data-file-height=\"480\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Examen physique selon le cadre international de l&rsquo;IFOMPT pour l&rsquo;\u00e9valuation de la r\u00e9gion cervicale en vue de d\u00e9tecter des pathologies vasculaires potentielles du cou avant une intervention musculosquelettique<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>De plus, le clinicien doit r\u00e9fl\u00e9chir \u00e0 sa capacit\u00e9 \u00e0 r\u00e9aliser certains tests et se former davantage si n\u00e9cessaire.<sup id=\"cite_ref-:1_12-1\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup><\/p>\n<p>Les tests suivants peuvent \u00eatre inclus dans l&rsquo;\u00e9valuation de l&rsquo;insuffisance de l&rsquo;art\u00e8re vert\u00e9brale<sup id=\"cite_ref-:3_6-2\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup> :<\/p>\n<ul>\n<li>Test Hautant<\/li>\n<li>Test de l&rsquo;art\u00e8re vert\u00e9brale (quadrant)<\/li>\n<li>Test de position pr\u00e9-manipulation<\/li>\n<\/ul>\n<h4><span id=\"Canadian_C-Spine_Rule\" class=\"mw-headline\">R\u00e8gle canadienne concernant la radiographie de la colonne cervicale (\u00ab Canadian C-spine rule \u00bb) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Canadian C-Spine Rule\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Canadian C-Spine Rule\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La <a title=\"Canadian C-Spine Rule\" href=\"\/Canadian_C-Spine_Rule\">R\u00e8gle canadienne concernant la radiographie de la colonne cervicale (\u00ab Canadian C-spine rule \u00bb)<\/a> est un outil d&rsquo;aide \u00e0 la d\u00e9cision qui permet de d\u00e9terminer quand il convient d&rsquo;effectuer une radiographie chez les patients victimes d&rsquo;un traumatisme. Cet outil a un rapport de vraisemblance n\u00e9gatif tr\u00e8s faible. Cela signifie que si le r\u00e9sultat est n\u00e9gatif, il n&rsquo;y a qu&rsquo;une tr\u00e8s faible probabilit\u00e9 que le patient soit toujours atteint de cette affection (c&rsquo;est-\u00e0-dire, dans le cas de la R\u00e8gle canadienne concernant la radiographie de la colonne cervicale, que le patient ait toujours besoin d&rsquo;une radiographie)<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><sup id=\"cite_ref-:3_6-3\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup>.<\/p>\n<h4><span id=\"Functional_Screening\" class=\"mw-headline\">D\u00e9pistage fonctionnel <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Functional Screening\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Functional Screening\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>En g\u00e9n\u00e9ral, un test fonctionnel comprend le mouvement de flexion cervicale haute (\u00ab chin tuck \u00bb), la flexion, l&rsquo;extension et la rotation cervicales, ainsi que les mouvements des \u00e9paules.<\/p>\n<h4><span id=\"Palpation\" class=\"mw-headline\">Palpation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Palpation\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=15\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Palpation\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=15\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La palpation comprend la palpation des muscles importants du rachis cervical, \u00e0 savoir les muscles trap\u00e8zes,sternocl\u00e9idomasto\u00efdiens, sous-occipitaux et scal\u00e8nes. Il faut \u00e9galement palper les apophyses \u00e9pineuses et les articulations facettaires.<\/p>\n<h4><span id=\"Range_of_Motion\" class=\"mw-headline\">Mobilit\u00e9 articulaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Range of Motion\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=16\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Range of Motion\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=16\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Lors de l&rsquo;\u00e9valuation de la mobilit\u00e9 du rachis cervical, il convient de noter les sympt\u00f4mes associ\u00e9s aux mouvements. En g\u00e9n\u00e9ral, il n&rsquo;y a pas de surpression lors du test de l&rsquo;amplitude des mouvements du rachis cervical, car le poids de la t\u00eate suffit.<\/p>\n<h4><span id=\"Muscle_Testing\" class=\"mw-headline\">Bilan musculaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscle Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=17\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Muscle Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=17\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La cervicalgie est souvent associ\u00e9e \u00e0 une faiblesse des <a title=\"Cervical Deep Neck Flexors\" href=\"\/Cervical_Deep_Neck_Flexors\">fl\u00e9chisseurs cervicaux profonds<\/a>, ce qui entra\u00eene un manque d&rsquo;endurance et une diminution de la capacit\u00e9 \u00e0 maintenir le cou dans une position donn\u00e9e<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup>. Le test de flexion cervicale profonde (\u00e9galement appel\u00e9 <a title=\"Cranio\u2010cervical Flexion Test\" href=\"\/Cranio%E2%80%90cervical_Flexion_Test\">\u00ab\u00a0test de flexion cr\u00e2niocervicale\u00a0\u00bb<\/a>) et le test d&rsquo;endurance des fl\u00e9chisseurs cervicaux peuvent \u00eatre r\u00e9alis\u00e9s pour \u00e9valuer la force et l&rsquo;endurance des fl\u00e9chisseurs cervicaux profonds.<\/p>\n<h4><span id=\"Neurological_Testing\" class=\"mw-headline\">Bilan neurologique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Neurological Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=18\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Neurological Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=18\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le <a title=\"D\u00e9pistage neurologique\" href=\"\/Neurological_Screen\">d\u00e9pistage neurologique<\/a> comprend l&rsquo;\u00e9valuation des r\u00e9flexes, des dermatomes et des myotomes. Il est important d&rsquo;inclure \u00e9galement un examen des <a title=\"Cranial Nerves\" href=\"\/Cranial_Nerves\">nerfs cr\u00e2niens<\/a> et des tests de tension neurale des membres sup\u00e9rieurs (c&rsquo;est-\u00e0-dire des tests neurodynamiques).<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/yZ5kV7dJoZw?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<h4><span id=\"Joint_Mobility_Testing\" class=\"mw-headline\">Tests de mobilit\u00e9 passive et accessoire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Joint Mobility Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=19\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Joint Mobility Testing\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=19\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les tests de mouvements passifs, de mouvements passifs physiologiques intervert\u00e9braux et de mouvements passifs accessoires intervert\u00e9braux (glissements) font partie de l&rsquo;\u00e9valuation du rachis cervical afin d&rsquo;\u00e9valuer la mobilit\u00e9 articulaire.<\/p>\n<h4><span id=\"Special_Tests\" class=\"mw-headline\">Tests sp\u00e9ciaux <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Special Tests\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=20\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Special Tests\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=20\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Test de compression cervicale :\n<ul>\n<li>une douleur lors de ce test peut indiquer un probl\u00e8me de disque intervert\u00e9bral, une fracture vert\u00e9brale ou une irritation des racines nerveuses (en cas de sympt\u00f4mes irradiants)<\/li>\n<li>ce test peut \u00eatre modifi\u00e9 pour solliciter des tissus sp\u00e9cifiques : en appliquant une compression alors que le cou est davantage fl\u00e9chi, on comprime le disque et le corps vert\u00e9bral, tandis qu&rsquo;en appliquant une compression alors que le cou est davantage en extension, on comprime l&rsquo;articulation facettaire et le nerf \u00e0 sa sortie du trou de conjugaison<\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Cervical Distraction Test\" href=\"\/Cervical_Distraction_Test\">Test de traction cervicale <\/a>:\n<ul>\n<li>une diminution de la douleur lors de la traction cervicale peut indiquer une pathologie discale, une compression de la racine nerveuse ou une atteinte facettaire<\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Spurling's Test\" href=\"\/Spurling%27s_Test\">Test de Spurling A <\/a><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup> :\n<ul>\n<li>ce test est utilis\u00e9 pour d\u00e9tecter une compression d&rsquo;une racine nerveuse cervicale<\/li>\n<li>le test poss\u00e8de une bonne sp\u00e9cificit\u00e9, mais une faible sensibilit\u00e9, et est particuli\u00e8rement utile lorsqu&rsquo;il est utilis\u00e9 en association avec d&rsquo;autres tests<\/li>\n<\/ul>\n<\/li>\n<li>Ensemble de test (\u00ab test item cluster \u00bb) :\n<ul>\n<li>cet ensemble de tests comprenant le <a title=\"Spurling's Test\" href=\"\/Spurling%27s_Test\">test de Spurling<\/a>, le <a title=\"Neurodynamic Assessment\" href=\"\/Neurodynamic_Assessment\">test de tension neurale des membres sup\u00e9rieurs 1<\/a>, le <a title=\"Cervical Distraction Test\" href=\"\/Cervical_Distraction_Test\">test de traction cervicale<\/a> et le <a title=\"Cervical Flexion-Rotation Test\" href=\"\/Cervical_Flexion-Rotation_Test\">test de flexion-rotation cervicale<\/a> pr\u00e9sente une grande justesse diagnostique par rapport aux \u00e9tudes par EMG<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Bakody Sign\" href=\"\/Bakody_Sign\">Test d&rsquo;abduction de l&rsquo;\u00e9paule<\/a> (signe de Bakody) :\n<ul>\n<li>ce test a \u00e9t\u00e9 con\u00e7u pour \u00e9valuer la douleur radiculaire &#8211; il peut sugg\u00e9rer une atteinte d&rsquo;un nerf cervical, mais ne permet pas de poser un diagnostic<\/li>\n<li>le client est invit\u00e9 \u00e0 placer la main du c\u00f4t\u00e9 affect\u00e9 sur sa t\u00eate si les sympt\u00f4mes diminuent, le test est positif<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span id=\"Classification_of_Cervical_Spine_Pain\" class=\"mw-headline\">Classification des douleurs cervicales <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Classification of Cervical Spine Pain\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=21\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Classification of Cervical Spine Pain\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=21\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Un syst\u00e8me de classification permet d&rsquo;identifier des groupes pr\u00e9sentant des caract\u00e9ristiques communes. Les syst\u00e8mes de classification aident \u00e0 d\u00e9terminer les interventions qui produiraient les meilleurs r\u00e9sultats cliniques au sein de groupes de patients sp\u00e9cifiques<sup id=\"cite_ref-:3_6-4\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup>. Fritz et al.<sup id=\"cite_ref-:5_19-0\" class=\"reference\"><a href=\"#cite_note-:5-19\">(19)<\/a><\/sup> ont constat\u00e9 que lorsque les sujets recevaient les interventions d\u00e9termin\u00e9es \u00e0 l&rsquo;aide du syst\u00e8me de classification propos\u00e9 bas\u00e9 sur le traitement, ils pr\u00e9sentaient une r\u00e9duction plus importante de leur handicap que ceux dont les interventions n&rsquo;\u00e9taient pas d\u00e9termin\u00e9es de cette mani\u00e8re<sup id=\"cite_ref-:5_19-1\" class=\"reference\"><a href=\"#cite_note-:5-19\">(19)<\/a><\/sup>.<\/p>\n<table class=\"wikitable\">\n<caption>Tableau 2. Syst\u00e8me de classification propos\u00e9 du rachis cervical<sup id=\"cite_ref-:3_6-5\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup><\/caption>\n<tbody>\n<tr>\n<th><b>Classification<\/b><\/th>\n<th><b>Caract\u00e9ristiques principales<\/b><\/th>\n<th><b>R\u00e9sultats de l&rsquo;\u00e9valuation<\/b><\/th>\n<th><b>Interventions principales<\/b><\/th>\n<\/tr>\n<tr>\n<td>Cervicalgie avec r\u00e9duction de la mobilit\u00e9<\/td>\n<td>Mobilit\u00e9<\/td>\n<td>\n<ul>\n<li>Apparition r\u00e9cente<\/li>\n<\/ul>\n<ul>\n<li>Absence de sympt\u00f4mes projet\u00e9s<\/li>\n<li>Diminution de la mobilit\u00e9 en rotation et\/ou en flexion lat\u00e9rale<\/li>\n<li>Restriction de la mobilit\u00e9 segmentaire cervicale et thoracique<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Mobilisation\/manipulation du rachis<\/li>\n<li>Exercices de mobilisations actives<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Cervicalgie avec douleurs irradi\u00e9es<\/td>\n<td>Centralisation<\/td>\n<td>\n<ul>\n<li>Sympt\u00f4mes radiculaires\/irradi\u00e9s au quadrant sup\u00e9rieur<\/li>\n<li>P\u00e9riph\u00e9risation et\/ou centralisation des sympt\u00f4mes lors de mouvements<\/li>\n<li>Pr\u00e9sence de signes de compression de la racine nerveuse<\/li>\n<li>Peut avoir un diagnostic m\u00e9dical de radiculopathie cervicale (ensemble de test \u00ab\u00a0cluster\u00a0\u00bb)<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Traction cervicale manuelle\/m\u00e9canique<\/li>\n<li>Mouvements r\u00e9p\u00e9t\u00e9s pour centraliser les sympt\u00f4mes<\/li>\n<li>Th\u00e9rapie manuelle<\/li>\n<li>Programme d&rsquo;exercices \u00e0 domicile de r\u00e9traction du rachis cervical et d&rsquo;entra\u00eenement des fl\u00e9chisseurs cervicaux profonds<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Cervicalgie accompagn\u00e9e de troubles de la coordination des mouvements<\/td>\n<td>Entra\u00eenement en endurance<\/td>\n<td>\n<ul>\n<li>Douleur et incapacit\u00e9s l\u00e9g\u00e8res<\/li>\n<li>Dur\u00e9e plus longue des sympt\u00f4mes<\/li>\n<li>Aucun signe de compression d&rsquo;une racine nerveuse<\/li>\n<li>Pas de p\u00e9riph\u00e9risation\/centralisation lors des mouvements<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Exercices de renforcement et d&rsquo;endurance des muscles cervicaux et du quadrant sup\u00e9rieur<\/li>\n<li>Exercices de conditionnement a\u00e9robique<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Cervicalgie (douleur)<\/td>\n<td>Douleur<\/td>\n<td>\n<ul>\n<li>Douleur et incapacit\u00e9s \u00e9lev\u00e9es<\/li>\n<li>Apparition r\u00e9cente des sympt\u00f4mes<\/li>\n<li>\u00c9v\u00e9nement traumatique d\u00e9clencheur<\/li>\n<li>Douleur projet\u00e9e possible<\/li>\n<li>Mauvaise tol\u00e9rance aux \u00e9valuations et\/ou aux interventions<\/li>\n<li>Diagnostic m\u00e9dical peut \u00eatre un trouble associ\u00e9 au coup de fouet cervical<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Mouvements actifs et doux (selon tol\u00e9rance)<\/li>\n<li>Mouvement des r\u00e9gions adjacentes<\/li>\n<li>Modalit\u00e9s physiques<\/li>\n<li>Modification des activit\u00e9s<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Cervicalgie accompagn\u00e9e de c\u00e9phal\u00e9es<\/td>\n<td>C\u00e9phal\u00e9e<\/td>\n<td>\n<ul>\n<li>C\u00e9phal\u00e9e unilat\u00e9rale dont l&rsquo;apparition est pr\u00e9c\u00e9d\u00e9e d&rsquo;une cervicalgie ou associ\u00e9e \u00e0 une cervicalgie<\/li>\n<li>Mobilit\u00e9 du rachis cervical g\u00e9n\u00e9ralement limit\u00e9e<\/li>\n<li>Mobilit\u00e9 segmentaire cervicale\/thoracique limit\u00e9e possible<\/li>\n<li>Test de flexion cr\u00e2nio-cervicale : souvent mauvais<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Manipulation\/mobilisation du rachis<\/li>\n<li>Entra\u00eenement des fl\u00e9chisseurs cervicaux profonds<\/li>\n<li>Traitement des tissus mous\/points g\u00e2chettes<\/li>\n<li>Enseignement concernant la posture et entra\u00eenement postural<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=22\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=22\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/www.ifompt.org\/site\/ifompt\/IFOMPT%20Cervical%20Framework%20final%20September%202020.pdf\" rel=\"nofollow\">International Framework for Examination of the Cervical Region for potential of vascular pathologies of the neck prior to Orthopaedic Manual Therapy (OMT) Intervention: International IFOMPT Cervical<\/a> <sup id=\"cite_ref-:1_12-2\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup> (document PDF pr\u00e9sentant un cadre international pour l&rsquo;\u00e9valuation de la r\u00e9gion cervicale afin de d\u00e9tecter d&rsquo;\u00e9ventuelles pathologies vasculaires du cou avant d&rsquo;entreprendre de la th\u00e9rapie manuelle orthop\u00e9dique, en anglais original)<\/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=Overview_of_Cervical_Spine_Assessment&amp;veaction=edit&amp;section=23\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Overview_of_Cervical_Spine_Assessment&amp;action=edit&amp;section=23\">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\">Safiri S, Kolahi AA, Hoy D, Buchbinder R, Mansournia MA, Bettampadi D, et al. <a class=\"external text\" href=\"https:\/\/www.bmj.com\/content\/368\/bmj.m791\" rel=\"nofollow\">Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017<\/a>. BMJ. 2020 Mar 26;368:m791. <\/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\">Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM, et al. <a class=\"external text\" href=\"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-021-04957-4\" rel=\"nofollow\">Neck pain: global epidemiology, trends and risk factors<\/a>. BMC Musculoskelet Disord. 2022 Jan 3;23(1):26. <\/span><\/li>\n<li id=\"cite_note-:4-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Hurley RW, Adams MCB, Barad M, Bhaskar A, Bhatia A, Chadwick A, et al. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8639967\/\" rel=\"nofollow\">Consensus practice guidelines on interventions for cervical spine (facet) joint pain from a multispecialty international working group<\/a>. Regional Anesthesia &amp; Pain Medicine (Internet). 2021 Nov 7 (cited 2022 Jan 20);47(1). <\/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\">Shahrokhi M, Asuncion RM. Neurologic exam. InStatPearls (Internet) 2022 Jan 20. StatPearls Publishing.<\/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\">Childs, J.D., Cleland, J.A., Elliott, J.M., Teyhen, D.S., Wainner, R.S., Whitman, J.M., Sopky, B.J., Godges, J.J., Flynn, T.W., Delitto, A. and Dyriw, G.M. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2008.0303\" rel=\"nofollow\">Neck pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association<\/a>. Journal of Orthopaedic &amp; Sports Physical Therapy. 2008; 38(9):A1-A34.<\/span><\/li>\n<li id=\"cite_note-:3-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-1\">6.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-2\">6.2<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-3\">6.3<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-4\">6.4<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-5\">6.5<\/a><\/sup><\/span> <span class=\"reference-text\">Cunningham, S. An Overview of Cervical Spine Assessment. Course. Plus. 2023.<\/span><\/li>\n<li id=\"cite_note-:0-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_7-1\">7.1<\/a><\/sup><\/span> <span class=\"reference-text\">Cleland JA, Childs JD, Whitman JM. Psychometric Properties of the neck disability index and numeric pain rating scale in patients with mechanical neck pain. 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Pain. 1993;52(2):157\u201368. <\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Mansfield CJ, Domnisch C, Iglar L, Boucher L, Onate J, Briggs M. Systematic review of the diagnostic accuracy, reliability, and safety of the sharp-purser test. Journal of Manual &amp; Manipulative Therapy. 2019;28(2):72\u201381. <\/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\">The Student Physical Therapist. Sharp-Purser Test. 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Physical Therapy. 2007 May 1;87(5):513\u201324.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20240626075927\nCache expiry: 0\nReduced expiry: true\nComplications: (show\u2010toc)\nCPU time usage: 0.090 seconds\nReal time usage: 0.106 seconds\nPreprocessor visited node count: 371\/1000000\nPost\u2010expand include size: 117\/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: 12106\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%   13.051      1 Special:Contributors\/Overview_of_Cervical_Spine_Assessment\n100.00%   13.051      1 -total\n--><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dactrice originale &#8211; Jacquie Kieck d&rsquo;apr\u00e8s le cours de Shala Cunningham Principales collaboratrices &#8211; Jacquie Kieck, Jess Bell et Kim Jackson Contenu 1 Introduction 2 Anamn\u00e8se et \u00e9valuation subjective 2.1 Anamn\u00e8se 2.2 Signaux d&rsquo;alerte (\u00ab red flags \u00bb) 2.3 L&rsquo;anamn\u00e8se peut laisser supposer certaines affections 2.3.1 Anamn\u00e8se sugg\u00e9rant une spondylose cervicale 2.3.2 Anamn\u00e8se sugg\u00e9rant une [&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-12288","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12288","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=12288"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12288\/revisions"}],"predecessor-version":[{"id":12290,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12288\/revisions\/12290"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=12288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}