{"id":1593,"date":"2022-07-15T07:25:20","date_gmt":"2022-07-15T07:25:20","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/nerve-injury-rehabilitation-fr\/"},"modified":"2022-07-15T07:25:20","modified_gmt":"2022-07-15T07:25:20","slug":"nerve-injury-rehabilitation-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/nerve-injury-rehabilitation-fr\/","title":{"rendered":"R\u00e9adaptation des l\u00e9sions nerveuses"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Lucinda_hampton\" title=\"User:Lucinda hampton\">Lucinda Hampton<\/a>\n<\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Lucinda_hampton\" class=\"mw-userlink\" title=\"User:Lucinda hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a href=\"\/User:Chrysolite_Jyothi_Kommu\" class=\"mw-userlink\" title=\"User:Chrysolite Jyothi Kommu\"><bdi>Chrysolite Jyothi Kommu<\/bdi><\/a>, <a href=\"\/User:Wendy_Walker\" class=\"mw-userlink\" title=\"User:Wendy Walker\"><bdi>Wendy Walker<\/bdi><\/a>, <a href=\"\/User:Rachael_Lowe\" class=\"mw-userlink\" title=\"User:Rachael Lowe\"><bdi>Rachel Lowe<\/bdi><\/a> , <a href=\"\/User:Naomi_O%27Reilly\" class=\"mw-userlink\" title=\"User:Naomi O'Reilly\"><bdi>Naomi O&rsquo;Reilly<\/bdi><\/a>, <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a> et <a href=\"\/User:Vidya_Acharya\" class=\"mw-userlink\" title=\"User:Vidya Acharya\"><bdi>Vidya Acharya<\/bdi><\/a>\n<\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Clinically_Relevant_Anatomy\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Anatomie cliniquement pertinente<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Pathological_Process\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Processus pathologique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Pr\u00e9sentation clinique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Assessment\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">\u00c9valuation<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Outcome_Measures\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Mesures des r\u00e9sultats<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Physiotherapy_Management\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Traitement en physioth\u00e9rapie<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Pain_Management\"><span class=\"tocnumber\">6.1<\/span> <span class=\"toctext\">Gestion de la douleur<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Muscle_Weakness\"><span class=\"tocnumber\">6.2<\/span> <span class=\"toctext\">Faiblesse musculaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Functional_deficits_and_sensory_deficit\"><span class=\"tocnumber\">6.3<\/span> <span class=\"toctext\">D\u00e9ficits fonctionnels et d\u00e9ficit sensoriel<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Balance_Deficits\"><span class=\"tocnumber\">6.4<\/span> <span class=\"toctext\">D\u00e9ficits de l&rsquo;\u00e9quilibre<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Joint_Stiffness\"><span class=\"tocnumber\">6.5<\/span> <span class=\"toctext\">Raideur articulaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Emotional_Stress\"><span class=\"tocnumber\">6.6<\/span> <span class=\"toctext\">Stress \u00e9motionnel<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Related_Pages\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Pages associ\u00e9es<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Clinically_Relevant_Anatomy\">Anatomie cliniquement pertinente<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=1\" title=\"Edit section: Clinically Relevant Anatomy\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"floatright\"><a href=\"\/File:Neuron1.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"Neuron1.jpg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d3\/Neuron1.jpg\/300px-Neuron1.jpg\" decoding=\"async\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d3\/Neuron1.jpg\/450px-Neuron1.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d3\/Neuron1.jpg\/600px-Neuron1.jpg 2x\"><\/a><\/div>\n<p>La repousse des nerfs du syst\u00e8me nerveux p\u00e9riph\u00e9rique d\u00e9pend du type de l\u00e9sion. L&rsquo;incapacit\u00e9 fonctionnelle due aux l\u00e9sions nerveuses est \u00e9troitement li\u00e9e \u00e0 la gravit\u00e9 de la l\u00e9sion. Avant de lire cet article, il est conseill\u00e9 d&rsquo;avoir une bonne connaissance du type de l\u00e9sion et des cons\u00e9quences de la d\u00e9nervation.<sup id=\"cite_ref-:1_1-0\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup>. Veuillez lire la rubrique <a href=\"\/Classification_of_Peripheral_Nerve_Injury\" title=\"Classification of Peripheral Nerve Injury\">Classification des l\u00e9sions nerveuses p\u00e9riph\u00e9riques<\/a> en guise d&rsquo;introduction \u00e0 cette page.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Pathological_Process\">Processus pathologique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Pathological Process\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=2\" title=\"Edit section: Pathological Process\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les l\u00e9sions des nerfs p\u00e9riph\u00e9riques ont de nombreuses causes, notamment les l\u00e9sions traumatiques, les infections, les probl\u00e8mes m\u00e9taboliques (l&rsquo;une des causes les plus courantes est le <a href=\"\/Diabetes\" title=\"Diabetes\">diab\u00e8te sucr\u00e9<\/a>), les causes h\u00e9r\u00e9ditaires, l&rsquo;exposition aux toxines, les tumeurs et les causes iatrog\u00e8nes.<sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup>\n<\/p>\n<p>\nWatch the below to grasp the concepts of nerve damage and repair<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/OlNyp0RfiBg?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup>\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Clinical_Presentation\">Pr\u00e9sentation clinique<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=3\" title=\"Edit section: Clinical Presentation\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La pr\u00e9sentation clinique varie selon le nerf affect\u00e9 : sensoriel, moteur ou combin\u00e9.\n<\/p>\n<p>Les signes et sympt\u00f4mes peuvent inclure <sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup>\n<\/p>\n<ul>\n<li>L&rsquo;apparition progressive d&rsquo;un engourdissement, de picotements ou de fourmillements dans les pieds ou les mains, qui peuvent s&rsquo;\u00e9tendre vers le haut dans les jambes et les bras.<\/li>\n<li>Des douleurs aigu\u00ebs, pointues, lancinantes, glaciales ou br\u00fblantes.<\/li>\n<li>Une sensibilit\u00e9 extr\u00eame au toucher<\/li>\n<li>Un manque de coordination et des chutes<\/li>\n<li>Une faiblesse musculaire ou paralysie si les nerfs moteurs sont touch\u00e9s.<\/li>\n<li>Une douleur n\u00e9vromateuse ou causalgique<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Assessment\">\u00c9valuation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Assessment\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=4\" title=\"Edit section: Assessment\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Apr\u00e8s un diagnostic de l\u00e9sion d&rsquo;un nerf p\u00e9riph\u00e9rique, un examen subjectif et objectif complet est n\u00e9cessaire pour obtenir une image claire de la fa\u00e7on dont la l\u00e9sion affecte le patient. L&rsquo;examen doit porter sur\n<\/p>\n<ul>\n<li>L&rsquo;\u00e9valuation de la douleur<\/li>\n<li>Le d\u00e9ficit sensoriel et l&rsquo;\u00e9tat de la peau<\/li>\n<li>La force\/perte musculaire<\/li>\n<li>Les d\u00e9ficits fonctionnels<\/li>\n<li>Les d\u00e9ficits de l&rsquo;\u00e9quilibre<\/li>\n<li>La raideur articulaire<\/li>\n<li>Le stress \u00e9motionnel<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Outcome_Measures\">Mesures des r\u00e9sultats <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Outcome Measures\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=5\" title=\"Edit section: Outcome Measures\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les mesures des r\u00e9sultats d\u00e9pendent de divers crit\u00e8res (par exemple, au membre sup\u00e9rieur ou inf\u00e9rieur) mais peut inclure :\n<\/p>\n<ul>\n<li><a href=\"\/Muscle_Strength_Testing\" title=\"Muscle Strength Testing\">\u00c9chelle d&rsquo;Oxford<\/a><\/li>\n<li><a href=\"\/Berg_Balance_Scale\" title=\"Berg Balance Scale\">\u00c9chelle d&rsquo;\u00e9quilibre de Berg<\/a> ou <a href=\"\/Romberg_Test\" title=\"Romberg Test\">Romberg<\/a><\/li>\n<li><a href=\"\/Visual_Analogue_Scale\" title=\"Visual Analogue Scale\">\u00c9chelle visuelle analogique<\/a><\/li>\n<li>Questionnaire <a href=\"\/Short-form_McGill_Pain_Questionnaire\" title=\"Short-form McGill Pain Questionnaire\">abr\u00e9g\u00e9 de McGill<\/a> sur la douleur<\/li>\n<li><a href=\"\/Nine-Hole_Peg_Test\" title=\"Nine-Hole Peg Test\">Test de dext\u00e9rit\u00e9 Nine-Hole Peg Test<\/a><\/li>\n<\/ul>\n<p>(voir la <a href=\"\/Outcome_Measures\" title=\"Outcome Measures\">base de donn\u00e9es des mesures des r\u00e9sultats<\/a>)\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Physiotherapy_Management\">Prise en charge de la physioth\u00e9rapie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Management\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=6\" title=\"Edit section: Physiotherapy Management\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le traitement est orient\u00e9e vers :\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Pain_Management\">Gestion de la douleur<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Pain Management\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=7\" title=\"Edit section: Pain Management\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La douleur neuropathique affecte la qualit\u00e9 de vie et est une cons\u00e9quence courante des l\u00e9sions nerveuses. Le contr\u00f4le de la douleur est d&rsquo;une importance capitale<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup>. Un soulagement complet est rarement obtenu et 40 \u00e0 60 % trouvent des moyens d&rsquo;obtenir un soulagement partiel. Une approche multidisciplinaire est adopt\u00e9e, avec la plus grande contribution du ou des pharmacologues. Les anticonvulsivants et les antid\u00e9presseurs tricycliques sont les m\u00e9dicaments les plus couramment utilis\u00e9s pour traiter les douleurs neuropathiques. Un physioth\u00e9rapeute peut utiliser d&rsquo;autres modalit\u00e9s qui, selon diverses \u00e9tudes, se r\u00e9v\u00e8lent b\u00e9n\u00e9fiques en tant que m\u00e9decine compl\u00e9mentaire pour le soulagement de la douleur.<sup id=\"cite_ref-:1_1-1\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup> Il s&rsquo;agit notamment de\n<\/p>\n<ul>\n<li><a href=\"\/Massage\" title=\"Massage\">Massage<\/a>, par exemple le massage aromath\u00e9rapique, qui dans certaines \u00e9tudes, s&rsquo;est av\u00e9r\u00e9 aider \u00e0 g\u00e9rer la douleur neuropathique et \u00e0 am\u00e9liorer la qualit\u00e9 de vie<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup>. De nombreuses techniques de massage diff\u00e9rentes ont \u00e9t\u00e9 employ\u00e9es, montrant des avantages pour la gestion de la douleur et la qualit\u00e9 de vie<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup>.<\/li>\n<li><a href=\"\/Transcutaneous_Electrical_Nerve_Stimulation_(TENS)\" title=\"Transcutaneous Electrical Nerve Stimulation (TENS)\">Stimulation \u00e9lectrique transcutan\u00e9e du nerf (TENS)<\/a>. L&rsquo;application du TENS s&rsquo;est av\u00e9r\u00e9e b\u00e9n\u00e9fique pour la r\u00e9duction de la douleur dans les cas de <a href=\"\/Neuropathic_pain\" class=\"mw-redirect\" title=\"Neuropathic pain\">douleurs neuropathiques<\/a>. On a constat\u00e9 qu&rsquo;il \u00e9tait b\u00e9n\u00e9fique s&rsquo;il \u00e9tait utilis\u00e9 \u00e0 100hz en mode constant.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li><a href=\"\/Low-level_laser_therapy\" class=\"mw-redirect\" title=\"Low-level laser therapy\">Th\u00e9rapie au laser de faible niveau<\/a> (LLLT). Des \u00e9tudes ont montr\u00e9 qu&rsquo;il \u00e9tait b\u00e9n\u00e9fique pour le soulagement de la douleur et l&rsquo;acc\u00e9l\u00e9ration de la gu\u00e9rison dans le traitement des douleurs neuropathiques et des d\u00e9ficits neurologiques en tant que th\u00e9rapie adjuvante.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/li>\n<li>Techniques de relaxation<\/li>\n<li><a href=\"\/Acupuncture\" title=\"Acupuncture\">Acupuncture<\/a><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Muscle_Weakness\">Faiblesse musculaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscle Weakness\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=8\" title=\"Edit section: Muscle Weakness\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Une cons\u00e9quence de la d\u00e9nervation est l&rsquo;atrophie musculaire et les d\u00e9ficits fonctionnels subs\u00e9quants. Une jonction neuromusculaire saine est essentielle au contr\u00f4le nerveux des muscles. De nombreuses \u00e9tudes ont montr\u00e9 que le TENS avait un effet positif sur le maintien de la sant\u00e9 des jonctions neuromusculaires et sur la pr\u00e9vention de l&rsquo;atrophie musculaire.<sup id=\"cite_ref-:1_1-2\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup>Une \u00e9tude de 2018 a r\u00e9v\u00e9l\u00e9 que l&rsquo;utilisation du TENS \u00e9tait plus b\u00e9n\u00e9fique si elle \u00e9tait retard\u00e9e \u00e0 une semaine apr\u00e8s le traumatisme, l&rsquo;utilisation d&rsquo;un courant 100hz \u00e9tant la plus b\u00e9n\u00e9fique.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup>\n<\/p>\n<p>Les soins musculaires sont de la plus haute importance pour pr\u00e9venir les dommages aux unit\u00e9s musculaires, en particulier pr\u00e9venir : les traumatismes dus \u00e0 la chaleur ou au froid ; les \u00e9tirements excessifs dus \u00e0 la gravit\u00e9 ou \u00e0 des techniques de transfert incorrectes ; les contractures musculaires. Les clips vid\u00e9o ci-dessous donnent un bon guide des techniques de manipulation appropri\u00e9es impliqu\u00e9es dans les exercices d&rsquo;amplitude passive.\n<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/J-YE4lAVEmo?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup>\n<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/CK6Uq7JGy0g?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup>\n<\/p>\n<p>Les techniques employ\u00e9es par le physioth\u00e9rapeute pour atteindre les objectifs ci-dessus sont le massage, l&rsquo;US, l&rsquo;hydroth\u00e9rapie, les attelles, les exercices d&rsquo;amplitude passive et l&rsquo;enseignement des comp\u00e9tences de transfert ad\u00e9quates.\n<\/p>\n<p>Lorsque les exercices de renforcement musculaire peuvent commencer, il est important de ne pas endommager le tissu nerveux en cours de gu\u00e9rison : si des picotements, des engourdissements ou une douleur accrue apparaissent, cela signifie que l&rsquo;exercice est trop dur et peut avoir un effet n\u00e9gatif sur la gu\u00e9rison.\n<\/p>\n<p>Les exercices de renforcement musculaire sont utilis\u00e9s comme il convient, par exemple isom\u00e9triques, progression graduelle du poids, cha\u00eene ouverte-ferm\u00e9e, et l&rsquo;utilisation d&rsquo;\u00e9lingues de soutien peut \u00eatre employ\u00e9e pour aider le mouvement et prendre le poids du membre. Aussi, les techniques d&rsquo;attelles ont souvent leur place dans la prise en charge des l\u00e9sions des nerfs p\u00e9riph\u00e9riques, y compris les attelles postop\u00e9ratoires et les pl\u00e2tres, ainsi que les attelles destin\u00e9es \u00e0 emp\u00eacher le d\u00e9veloppement de d\u00e9formations, ou m\u00eame \u00e0 surmonter les contractures \u00e9tablies et am\u00e9liorer la fonction, et ainsi \u00e0 faciliter le r\u00e9tablissement du patient.<sup id=\"cite_ref-:2_13-0\" class=\"reference\"><a href=\"#cite_note-:2-13\">(13)<\/a><\/sup>. Les attelles statiques et dynamiques peuvent aider \u00e0 reposer les muscles paralys\u00e9s dans une position optimale pour \u00e9viter les \u00e9tirements excessifs et les contractures. Ils aident \u00e9galement \u00e0 permettre aux muscles non affect\u00e9s de fonctionner \u00e0 partir de positions correctes. Voir les exemples dans le clip vid\u00e9o ci-dessous\n<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/XT68ZcEXG5A?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup>\n<\/p>\n<p>Une \u00e9tude r\u00e9cente a r\u00e9v\u00e9l\u00e9 que l&rsquo;exercice physique peut am\u00e9liorer la croissance axonale via un m\u00e9canisme d\u00e9pendant des neurotrophines qui affectent les neurones adultes du ganglion de la racine dorsale.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup>  L&rsquo;activit\u00e9 a\u00e9robique doit \u00e9galement \u00eatre encourag\u00e9e (30 minutes 4 fois par semaine) pour ses bienfaits connus sur la sant\u00e9.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Functional_deficits_and_sensory_deficit\">D\u00e9ficits fonctionnels et d\u00e9ficit sensoriel <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Functional deficits and sensory deficit\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=9\" title=\"Edit section: Functional deficits and sensory deficit\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Dans le r\u00e9apprentissage des t\u00e2ches fonctionnelles, le cerveau est utilis\u00e9 pour retrouver une interaction visio-tactile et audio-tactile. Pour le membre sup\u00e9rieur, l&rsquo;accent est mis sur l&rsquo;apprentissage de la motricit\u00e9 fine. Pour le membre inf\u00e9rieur, l&rsquo;\u00e9quilibre et la coordination sont les domaines privil\u00e9gi\u00e9s.\n<\/p>\n<p>La r\u00e9adaptation sensorielle aide \u00e0 la r\u00e9cup\u00e9ration de la sensibilit\u00e9.<sup id=\"cite_ref-:2_13-1\" class=\"reference\"><a href=\"#cite_note-:2-13\">(13)<\/a><\/sup> Dans le cadre de la stimulation sensorielle, le pincement et le tapotement, le brossage et la glace sont r\u00e9guli\u00e8rement utilis\u00e9s.\n<\/p>\n<p>Les d\u00e9ficits de <a href=\"\/Proprioception\" title=\"Proprioception\">proprioception<\/a> peuvent \u00eatre am\u00e9lior\u00e9s en utilisant, par exemple, des ballons d&rsquo;exercice, des tapis d&rsquo;\u00e9quilibre pour les activit\u00e9s de mise en charge, des balles de jonglage pour les membres sup\u00e9rieurs, le <a href=\"\/Yoga\" title=\"Yoga\">yoga<\/a>, le Tai-chi.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup>\n<\/p>\n<p>Les clips vid\u00e9o ci-dessous donnent un aper\u00e7u des exercices de motricit\u00e9 fine.\n<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/HYScddTCH3U?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup>\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Balance_Deficits\">D\u00e9ficits de l&rsquo;\u00e9quilibre <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Balance Deficits\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=10\" title=\"Edit section: Balance Deficits\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>voir le <a href=\"\/Otago_Exercise_Programme\" title=\"Otago Exercise Programme\">programme d&rsquo;\u00e9quilibre d&rsquo;Otago<\/a> comme exemple d&rsquo;un bon programme \u00e9quilibr\u00e9.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Joint_Stiffness\">Raideur articulaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Joint Stiffness\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=11\" title=\"Edit section: Joint Stiffness\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les tissus mous de la r\u00e9gion et des r\u00e9gions adjacentes aliment\u00e9s par le nerf endommag\u00e9 risquent de se contracter s&rsquo;ils sont laiss\u00e9s en position raccourcie. Les exercices d&rsquo;amplitude passive au quotidien sont utiles pour pr\u00e9venir ces probl\u00e8mes, et les attelles statiques amovibles protectrices peuvent \u00e9galement \u00eatre utiles dans la pr\u00e9vention des contractures. Pour les articulations devenues raides, les th\u00e9rapies par ultrasons et par laser se sont av\u00e9r\u00e9es b\u00e9n\u00e9fiques.<sup id=\"cite_ref-:1_1-3\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup>\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Emotional_Stress\">Stress \u00e9motionnel <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Emotional Stress\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=12\" title=\"Edit section: Emotional Stress\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La douleur neuropathique chronique a un effet d\u00e9bilitant sur la vie, entra\u00eenant un stress \u00e9motionnel et une r\u00e9duction de la qualit\u00e9 de vie. Pour traiter correctement un patient souffrant de douleurs neuropathiques, il faut respecter le principe suivant.  L&rsquo;objectif ultime n&rsquo;est pas simplement de r\u00e9duire la douleur mais d&rsquo;obtenir une meilleure qualit\u00e9 de vie. Cela ne peut se faire que si la d\u00e9pression, l&rsquo;anxi\u00e9t\u00e9 et les troubles du sommeil sont \u00e9galement trait\u00e9s.<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup>\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Related_Pages\">Pages connexes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Related Pages\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=13\" title=\"Edit section: Related Pages\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a href=\"\/Brachial_plexus_injury\" class=\"mw-redirect\" title=\"Brachial plexus injury\">Brachial Plexus Injury<\/a><\/li>\n<li><a href=\"\/Accessory_Nerve_Cranial_Nerve_11\" title=\"Accessory Nerve Cranial Nerve 11\">Nerf accessoire<\/a><\/li>\n<li><a href=\"\/Sciatic_Nerve_Injury\" title=\"Sciatic Nerve Injury\">L\u00e9sion du nerf sciatique<\/a><\/li>\n<li><a href=\"\/Diabetic_Neuropathy\" title=\"Diabetic Neuropathy\">Neuropathie diab\u00e9tique<\/a><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Nerve_Injury_Rehabilitation&amp;action=edit&amp;section=14\" title=\"Edit section: References\">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-:1-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-3\">1.3<\/a><\/sup><\/span> <span class=\"reference-text\">Reza Salman Roghani and Seyed Mansoor Rayegani (2012). Basics of Peripheral Nerve Injury Rehabilitation, Basic Principles of Peripheral Nerve Disorders, Dr. Seyed Mansoor Rayegani (Ed.), ISBN: 978-953-51-0407-0, InTech, Available from: <a rel=\"nofollow\" class=\"external free\" href=\"http:\/\/www.intechopen.com\/books\/basic-principles-of-peripheral-nervedisorders\/basics-of-peripheral-nerve-injury-rehabilitation\">http:\/\/www.intechopen.com\/books\/basic-principles-of-peripheral-nervedisorders\/basics-of-peripheral-nerve-injury-rehabilitation<\/a> (last accessed 24.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Mayo clinic. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/peripheral-neuropathy\/symptoms-causes\/syc-20352061\">Peripheral neuropathy.<\/a> Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/peripheral-neuropathy\/symptoms-causes\/syc-20352061\">https:\/\/www.mayoclinic.org\/diseases-conditions\/peripheral-neuropathy\/symptoms-causes\/syc-20352061<\/a> (last accessed 24.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Dr. Simon Freilich. Nerve damage and repair. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=OlNyp0RfiBg&amp;feature=youtu.be\">https:\/\/www.youtube.com\/watch?v=OlNyp0RfiBg&amp;feature=youtu.be<\/a> (last accessed 24.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Medscape. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/emedicine.medscape.com\/article\/1270360-clinical\">Peripheral nerve injuries clinical presentation<\/a>. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/emedicine.medscape.com\/article\/1270360-clinical\">https:\/\/emedicine.medscape.com\/article\/1270360-clinical<\/a> (last accessed 24.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Michael D Robinson, Steven Shannon.Rehabilitation of peripheral nerve injuries.PMID: 11878078.DOI: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/doi.org\/10.1016\/s1047-9651(03)00074-3\">10.1016\/s1047-9651(03)00074-3.<\/a>PubMed.gov. National Library of Medicine. National Centre for Biotechnology Information.<\/span>\n<\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Gok Metin, Zehra &amp; Arikan D\u00f6nmez, Ay\u015fe &amp; Izgu, Nur &amp; Ozdemir, Leyla &amp; Emre Arslan, Ismail. (2017). Aromatherapy Massage for Neuropathic Pain and Quality of Life in Diabetic Patients. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing. 49. 10.1111\/jnu.12300. (last accessed 25.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">The foundation for peripheral neuropathy. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.foundationforpn.org\/living-well\/integrative-therapies\/massage\/\">Massage for neuropathy<\/a>. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.foundationforpn.org\/living-well\/integrative-therapies\/massage\/\">https:\/\/www.foundationforpn.org\/living-well\/integrative-therapies\/massage\/<\/a> (last accessed 25.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Yameen F, Shahbaz NN, Hasan Y, Fauz R, Abdullah M. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22204173\">Efficacy of transcutaneous electrical nerve stimulation and its different modes in patients with trigeminal neuralgia.<\/a> JPMA-Journal of the Pakistan Medical Association. 2011 May 1;61(5):437. (last accessed 25.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Cotler HB, Chow RT, Hamblin MR, Carroll J. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4743666\/\">The use of low level laser therapy (LLLT) for musculoskeletal pain.<\/a> MOJ orthopedics &amp; rheumatology. 2015;2(5). Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4743666\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4743666\/<\/a> (last accessed 26.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Su HL, Chiang CY, Lu ZH, Cheng FC, Chen CJ, Sheu ML, Sheehan J, Pan HC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29940857\">Late administration of high-frequency electrical stimulation increases nerve regeneration without aggravating neuropathic pain in a nerve crush injury.<\/a> BMC neuroscience. 2018 Dec;19(1):37.(last accessed 25.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Kellog community college. PROM upper extremity. Available from:<a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=J-YE4lAVEmo&amp;t=30s\">https:\/\/www.youtube.com\/watch?v=J-YE4lAVEmo&amp;t=30s<\/a> (last accessed 27.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Kelloge community college. PROM lower extremity. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=CK6Uq7JGy0g&amp;t=6s\">https:\/\/www.youtube.com\/watch?v=CK6Uq7JGy0g&amp;t=6s<\/a> (last accessed 27.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-:2-13\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_13-0\">13.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_13-1\">13.1<\/a><\/sup><\/span> <span class=\"reference-text\">G K Frykman, J Waylett. Rehabilitation of Peripheral nerve injuries.PubMed.gov.National Library of Medicine.National Centre for Biotechnology Information.Orthop Clin North Am. 1981 Apr;12(2):361-79.<\/span>\n<\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">HomeCEU Dynamic splinting. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=XT68ZcEXG5A\">https:\/\/www.youtube.com\/watch?v=XT68ZcEXG5A<\/a> (last accessed 25.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\"><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.pnas.org\/content\/101\/22\/8473\">Voluntary exercise increases axonal regeneration from sensory neurons<\/a>\n<p>Raffaella Molteni, Jun-Qi Zheng, Zhe Ying, Fernando G\u00f3mez-Pinilla, Jeffery L. Twiss<br \/>\nProceedings of the National Academy of Sciences Jun 2004, 101 (22) 8473- Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.pnas.org\/content\/101\/22\/8473\">https:\/\/www.pnas.org\/content\/101\/22\/8473<\/a>8478; DOI:10.1073\/pnas.0401443101 (last accessed 26.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Dr Ben Kim. Simlpe ways to improve balance and proprioception. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=KDvJpp6-ID0\">https:\/\/www.youtube.com\/watch?v=KDvJpp6-ID0<\/a> (last accessed 27.3.2019)<\/span>\n<\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">MSUrehabed. Hand motor skills. 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Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5701895\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5701895\/<\/a> (last accessed 27.3.2019)<\/span>\n<\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220511180821 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.085 seconds Real time usage: 0.093 seconds Preprocessor visited node count: 306\/1000000 Post\u2010expand include size: 187\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 13535\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 22.089 1 Special:Contributors\/Nerve_Injury_Rehabilitation 100.00% 22.089 1 -total -->\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Lucinda Hampton Principaux contributeurs &#8211; Lucinda hampton, Chrysolite Jyothi Kommu, Wendy Walker, Rachel Lowe , Naomi O&rsquo;Reilly, Kim Jackson et Vidya Acharya Contenu 1 Anatomie cliniquement pertinente 2 Processus pathologique 3 Pr\u00e9sentation clinique 4 \u00c9valuation 5 Mesures des r\u00e9sultats 6 Traitement en physioth\u00e9rapie 6.1 Gestion de la douleur 6.2 Faiblesse musculaire 6.3 [&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-1593","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/1593","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=1593"}],"version-history":[{"count":0,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/1593\/revisions"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=1593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}