{"id":2124,"date":"2022-08-07T17:53:52","date_gmt":"2022-08-07T17:53:52","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/injury-and-healing-within-sports-physiotherapy-fr\/"},"modified":"2022-08-07T17:53:52","modified_gmt":"2022-08-07T17:53:52","slug":"injury-and-healing-within-sports-physiotherapy-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/injury-and-healing-within-sports-physiotherapy-fr\/","title":{"rendered":"Blessure et gu\u00e9rison en physioth\u00e9rapie sportive"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>R\u00e9dacteur original &#8211; <\/b> <a href=\"\/User:Robin_Tacchetti\" title=\"User:Robin Tacchetti\">Robin Tacchetti<\/a> d&rsquo;apr\u00e8s le cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/ian-horsley\/\">Ian Horsley<\/a><br \/><b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Wanda_van_Niekerk\" class=\"mw-userlink\" title=\"User:Wanda van Niekerk\"><bdi>Wanda van Niekerk<\/bdi><\/a>, <a href=\"\/User:Robin_Tacchetti\" class=\"mw-userlink\" title=\"User:Robin Tacchetti\"><bdi>Robin Tacchetti<\/bdi><\/a>, <a href=\"\/User:Lucinda_hampton\" class=\"mw-userlink\" title=\"User:Lucinda hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a href=\"\/User:Tarina_van_der_Stockt\" class=\"mw-userlink\" title=\"User:Tarina van der Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a>, <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a> et <a href=\"\/User:Ewa_Jaraczewska\" class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a><\/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=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Connective_Tissue\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Tissu conjonctif<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Stages_of_Healing\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Les \u00e9tapes de la gu\u00e9rison<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Inflammatory_Phase\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Phase inflammatoire<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Chronic_Inflammation\"><span class=\"tocnumber\">3.1.1<\/span> <span class=\"toctext\">Inflammation chronique<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Proliferation_Phase\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Phase de prolif\u00e9ration<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Remodelling\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Remodelage<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Healing\"><span class=\"tocnumber\">3.4<\/span> <span class=\"toctext\">Gu\u00e9rison<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Mechanical_Loading\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Mise en charge m\u00e9canique<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Effects_of_Mechanical_Loading\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Effets de la mise en charge m\u00e9canique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Appropriate_Time_for_Mechanical_Loading\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Temps appropri\u00e9 pour la mise en charge m\u00e9canique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Loading_by_Physiotherapists\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Mise en charge par le physioth\u00e9rapeute<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-13\"><a href=\"#Calculating_the_Correct_Load\"><span class=\"tocnumber\">4.3.1<\/span> <span class=\"toctext\">Calcul de la mise en charge correcte<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-14\"><a href=\"#Loading_Feedback\"><span class=\"tocnumber\">4.3.2<\/span> <span class=\"toctext\">Commentaires sur la mise en charge<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Soft_Tissue_Injury_Management\"><span class=\"tocnumber\">4.4<\/span> <span class=\"toctext\">Gestion des l\u00e9sions des tissus mous<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-16\"><a href=\"#Traditional_Acute_Injury_Management\"><span class=\"tocnumber\">4.4.1<\/span> <span class=\"toctext\">Gestion traditionnelle des blessures aigu\u00ebs<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-17\"><a href=\"#New_Thoughts_on_Acute_Injury_Management\"><span class=\"tocnumber\">4.4.2<\/span> <span class=\"toctext\">Nouvelles consid\u00e9rations sur la gestion des blessures aigu\u00ebs<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-18\"><a href=\"#Healing_Times\"><span class=\"tocnumber\">4.5<\/span> <span class=\"toctext\">Temps de gu\u00e9rison<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-19\"><a href=\"#Resources\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-20\"><a href=\"#Reference\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">R\u00e9f\u00e9rence<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les tissus mous fournissent un soutien et ont une fonction de protection dans le corps. Ces tissus sont constitu\u00e9s de cellules, de fibres et de mat\u00e9riaux de matrice non cellulaires, le <a href=\"\/Collagen\" title=\"Collagen\">collag\u00e8ne<\/a> \u00e9tant le composant le plus abondant. Lorsqu&rsquo;une blessure des tissus mous survient, les signes cardinaux de l&rsquo;<a href=\"\/Inflammation_Acute_and_Chronic\" title=\"Inflammation Acute and Chronic\">inflammation<\/a> apparaissent : rougeur, gonflement, douleur, perte de mouvement et chaleur.<sup id=\"cite_ref-:5_1-0\" class=\"reference\"><a href=\"#cite_note-:5-1\">(1)<\/a><\/sup><sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup>  La <a href=\"\/Soft_Tissue_Healing\" title=\"Soft Tissue Healing\">gu\u00e9rison<\/a> est un processus qui comprend les \u00e9tapes suivantes : l&rsquo;inflammation, la r\u00e9paration et le remodelage. Chaque phase de la gu\u00e9rison chevauche l&rsquo;autre et n&rsquo;a pas de d\u00e9lai d\u00e9finitif.<sup id=\"cite_ref-:2_3-0\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup>\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Connective_Tissue\">Tissu conjonctif <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Connective Tissue\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=2\" title=\"Edit section: Connective Tissue\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il est important que les physioth\u00e9rapeutes impliqu\u00e9s dans la pr\u00e9vention et la gestion des blessures sportives comprennent la nature biologique et m\u00e9canique des <a href=\"\/Tendon_Physiology\" title=\"Tendon Physiology\">tendons<\/a>, des <a href=\"\/Ligament\" title=\"Ligament\">ligaments<\/a> et des capsules (collectivement connus sous le nom de tissu conjonctif). Deux fonctions importantes du tissu conjonctif sont :\n<\/p>\n<ol>\n<li>De prot\u00e9ger<\/li>\n<li>De soutenir<\/li>\n<\/ol>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Collagen_image_shutterstock_1807269727.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/03\/Collagen_image_shutterstock_1807269727.jpg\/300px-Collagen_image_shutterstock_1807269727.jpg\" decoding=\"async\" width=\"300\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/03\/Collagen_image_shutterstock_1807269727.jpg\/450px-Collagen_image_shutterstock_1807269727.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/03\/Collagen_image_shutterstock_1807269727.jpg\/600px-Collagen_image_shutterstock_1807269727.jpg 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Collagen_image_shutterstock_1807269727.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Fibre de collag\u00e8ne<\/p><\/div>\n<\/div>\n<\/div>\n<p>Trois \u00e9l\u00e9ments sont pr\u00e9sents dans tous les tissus conjonctifs, \u00e0 savoir les cellules, les fibres et la matrice extracellulaire. Le <a href=\"\/Collagen\" title=\"Collagen\">collag\u00e8ne<\/a> est la fibre la plus abondante dans les tissus conjonctifs et est compos\u00e9 d&rsquo;unit\u00e9s plus petites appel\u00e9es tropocollag\u00e8ne. Il existe de nombreux types de collag\u00e8ne et chacun a des propri\u00e9t\u00e9s diff\u00e9rentes. Les tendons sont principalement constitu\u00e9s de collag\u00e8ne de type I. Le collag\u00e8ne r\u00e9siste \u00e0 l&rsquo;allongement et \u00e0 la contrainte tandis que la matrice extracellulaire r\u00e9siste \u00e0 la compression.\n<\/p>\n<p>Les diff\u00e9rents types de tissu conjonctif de l&rsquo;organisme sont tous d\u00e9riv\u00e9s d&rsquo;une cellule de base, le fibroblaste. Les fibroblastes se diff\u00e9rencient ensuite en cellules sp\u00e9cialis\u00e9es en fonction du stimulus qui leur est fourni.<sup id=\"cite_ref-:4_4-0\" class=\"reference\"><a href=\"#cite_note-:4-4\">(4)<\/a><\/sup> Le comportement m\u00e9canique de ces diff\u00e9rents types de tissus est influenc\u00e9 par :\n<\/p>\n<ul>\n<li>Les propri\u00e9t\u00e9s physiques du collag\u00e8ne et des autres fibres <sup id=\"cite_ref-:4_4-1\" class=\"reference\"><a href=\"#cite_note-:4-4\">(4)<\/a><\/sup><\/li>\n<li>La disposition des fibres <sup id=\"cite_ref-:4_4-2\" class=\"reference\"><a href=\"#cite_note-:4-4\">(4)<\/a><\/sup><\/li>\n<li>La taille des fibres de collag\u00e8ne<\/li>\n<li>La proportion de fibres de collag\u00e8ne et des autres fibres<\/li>\n<li>La maturit\u00e9 des fibres de collag\u00e8ne<\/li>\n<li>La composition et l&rsquo;\u00e9tat d&rsquo;hydratation de la substance de base<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Stages_of_Healing\">Les \u00e9tapes de la gu\u00e9rison <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Stages of Healing\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=3\" title=\"Edit section: Stages of Healing\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Inflammatory_Phase\">Phase inflammatoire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Inflammatory Phase\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=4\" title=\"Edit section: Inflammatory Phase\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La premi\u00e8re \u00e9tape de la gu\u00e9rison est l&rsquo;<a href=\"\/Inflammation_Acute_and_Chronic\" title=\"Inflammation Acute and Chronic\">inflammation<\/a>. Cette phase, qui culmine g\u00e9n\u00e9ralement entre le 1er et le 3e jour , est marqu\u00e9e par une rougeur, un gonflement, une douleur, une chaleur et une perturbation de la fonction du tissu affect\u00e9.<sup id=\"cite_ref-:5_1-1\" class=\"reference\"><a href=\"#cite_note-:5-1\">(1)<\/a><\/sup> L&rsquo;objectif de la phase inflammatoire est de :<sup id=\"cite_ref-:5_1-2\" class=\"reference\"><a href=\"#cite_note-:5-1\">(1)<\/a><\/sup>\n<\/p>\n<ul>\n<li>Contr\u00f4ler les effets de la blessure<\/li>\n<li>Ramener le tissu bless\u00e9 \u00e0 son \u00e9tat normal<\/li>\n<\/ul>\n<p>L&rsquo;objectif pendant cette p\u00e9riode est d&rsquo;\u00e9viter une inflammation excessive et permettre de passer aux \u00e9tapes suivantes de la gu\u00e9rison jusqu&rsquo;au r\u00e9tablissement complet.<sup id=\"cite_ref-:0_5-0\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>\n<\/p>\n<p>\nPhysiologiquement, le processus inflammatoire se compose des \u00e9v\u00e9nements suivants :<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:428px;\"><a href=\"\/File:Inflammation_healing.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Inflammation_healing.png\/426px-Inflammation_healing.png\" decoding=\"async\" width=\"426\" height=\"299\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Inflammation_healing.png\/639px-Inflammation_healing.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Inflammation_healing.png\/852px-Inflammation_healing.png 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Inflammation_healing.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Inflammation <sup id=\"cite_ref-:6_6-0\" class=\"reference\"><a href=\"#cite_note-:6-6\">(6)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<ol>\n<li>L&rsquo;histamine est lib\u00e9r\u00e9e par les <a href=\"\/Capillaries\" title=\"Capillaries\">capillaires<\/a> endommag\u00e9s, ce qui entra\u00eene une augmentation de la perm\u00e9abilit\u00e9 et une dilatation des vaisseaux<\/li>\n<li>Les prostaglandines maintiennent la vasodilatation<\/li>\n<li>Les amines provoquent la contraction des <a href=\"\/Muscle:_Smooth\" title=\"Muscle: Smooth\">muscles lisses<\/a><\/li>\n<li>Les phagocytes \u00e9liminent les d\u00e9bris (un exemple de phagocyte est le <a href=\"\/Macrophages\" title=\"Macrophages\">macrophage)<\/a><\/li>\n<li>Des m\u00e9diateurs sont lib\u00e9r\u00e9s pour stimuler la phase prolif\u00e9rative <sup id=\"cite_ref-:0_5-1\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/li>\n<\/ol>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:502px;\"><a href=\"\/File:Inflammationchart.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f5\/Inflammationchart.jpg\/500px-Inflammationchart.jpg\" decoding=\"async\" width=\"500\" height=\"313\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f5\/Inflammationchart.jpg\/750px-Inflammationchart.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/f\/f5\/Inflammationchart.jpg 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Inflammationchart.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>tableau de l&rsquo;inflammation<\/p><\/div>\n<\/div>\n<\/div>\n<p>L&rsquo;inflammation peut \u00eatre consid\u00e9r\u00e9e comme ind\u00e9sirable, mais elle constitue la premi\u00e8re \u00e9tape de la gu\u00e9rison. La phase inflammatoire pr\u00e9pare le tissu au processus de r\u00e9paration. Cette <a href=\"\/Complement_System\" title=\"Complement System\">cascade contr\u00f4l\u00e9e chimiquement<\/a> est cruciale pour la gu\u00e9rison et la r\u00e9g\u00e9n\u00e9ration optimale des tissus mous est soutenue par ce processus. L&rsquo;utilisation d&rsquo;<a href=\"\/NSAIDs\" title=\"NSAIDs\">AINS<\/a> pendant cette phase cruciale peut avoir un effet n\u00e9gatif sur la gu\u00e9rison des tissus \u00e0 long terme. <sup id=\"cite_ref-:7_7-0\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup>\n<\/p>\n<p>Il existe des traitements destin\u00e9s \u00e0 limiter le processus chimique susmentionn\u00e9 lorsqu&rsquo;il devient excessif. Deux classes de m\u00e9dicaments sont utilis\u00e9es pour inhiber le processus inflammatoire : les anti-inflammatoires non st\u00e9ro\u00efdiens (AINS) et les corticost\u00e9ro\u00efdes. Cependant, ils peuvent entra\u00eener une inhibition de la synth\u00e8se du <a href=\"\/Collagen\" title=\"Collagen\">collag\u00e8ne<\/a>, ce qui affecte la cicatrisation.\n<\/p>\n<ol>\n<li>Les <a href=\"\/NSAIDs\" title=\"NSAIDs\">AINS<\/a> ont non seulement des propri\u00e9t\u00e9s anti-inflammatoires, mais ils <a href=\"\/Pain_Medications\" title=\"Pain Medications\">soulagent \u00e9galement la douleur<\/a>.<\/li>\n<li>Les <a href=\"\/Corticosteroid_Medication\" title=\"Corticosteroid Medication\">corticost\u00e9ro\u00efdes<\/a> sont g\u00e9n\u00e9ralement inject\u00e9s sur le site de la pathologie et peuvent r\u00e9duire l&rsquo;inflammation et la douleur. <sup id=\"cite_ref-:0_5-2\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/li>\n<\/ol>\n<h4><span class=\"mw-headline\" id=\"Chronic_Inflammation\">Inflammation chronique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Chronic Inflammation\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=5\" title=\"Edit section: Chronic Inflammation\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>L&rsquo;inflammation qui se poursuit pendant plusieurs mois \u00e0 plusieurs ann\u00e9es est appel\u00e9e inflammation chronique. <sup id=\"cite_ref-:1_9-0\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup> Dans le cas d&rsquo;une inflammation chronique, des cellules inflammatoires primaires p\u00e9n\u00e8trent dans la zone tissulaire l\u00e9s\u00e9e. Ces cellules sont les suivantes : <sup id=\"cite_ref-:1_9-1\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup>\n<\/p>\n<ul>\n<li>macrophages<\/li>\n<li>lymphocytes<\/li>\n<li>plasmocytes<\/li>\n<\/ul>\n<p>Ces cellules inflammatoires primaires aggravent les dommages tissulaires et la r\u00e9paration secondaire en produisant des cytokines, des facteurs de croissance et des enzymes. <sup id=\"cite_ref-:0_5-3\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> <sup id=\"cite_ref-:1_9-2\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup> L&rsquo;ampleur de l&rsquo;inflammation chronique est influenc\u00e9e par la cause de la blessure ainsi que par la capacit\u00e9 de l&rsquo;organisme \u00e0 r\u00e9parer et \u00e0 contr\u00f4ler les dommages. <sup id=\"cite_ref-:1_9-3\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup>\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Proliferation_Phase\">Phase de prolif\u00e9ration <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Proliferation Phase\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=6\" title=\"Edit section: Proliferation Phase\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Proliferation_healing.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/53\/Proliferation_healing.png\/300px-Proliferation_healing.png\" decoding=\"async\" width=\"300\" height=\"217\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/53\/Proliferation_healing.png\/450px-Proliferation_healing.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/5\/53\/Proliferation_healing.png\/600px-Proliferation_healing.png 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Proliferation_healing.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Prolif\u00e9ration<\/p><\/div>\n<\/div>\n<\/div>\n<p>Une fois le processus inflammatoire termin\u00e9, la r\u00e9paration des tissus peut avoir lieu. Cette phase consiste en deux actions, la fibroplasie (production de mat\u00e9riel fibreux) et l&rsquo;angiogen\u00e8se (formation de nouveaux vaisseaux sanguins). <sup id=\"cite_ref-:0_5-4\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>\n<\/p>\n<p>Physiologiquement, pendant cette phase, les ph\u00e9nom\u00e8nes suivants se produisent :\n<\/p>\n<ol>\n<li>Des bourgeons capillaires se forment et se d\u00e9veloppent vers la zone bless\u00e9e<\/li>\n<li>Un tissu de granulation est cr\u00e9\u00e9 par des boucles capillaires initiant le flux sanguin<\/li>\n<li>Il y a phagocytose par l&rsquo;entremise de globules blancs sp\u00e9cialis\u00e9s<\/li>\n<li>Les <a href=\"\/Lymphatic_System\" title=\"Lymphatic System\">vaisseaux lymphatiques<\/a> cr\u00e9ent un nouveau syst\u00e8me de drainage<\/li>\n<li>Les fibroblastes contractent la <a href=\"\/Wound_Healing\" title=\"Wound Healing\">plaie<\/a>, tirant les bords de celle-ci l&rsquo;un vers l&rsquo;autre <sup id=\"cite_ref-:1_9-4\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup><\/li>\n<\/ol>\n<h3><span class=\"mw-headline\" id=\"Remodelling\">Remodelage<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Remodelling\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=7\" title=\"Edit section: Remodelling\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Remodelling_healing.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Remodelling_healing.png\/300px-Remodelling_healing.png\" decoding=\"async\" width=\"300\" height=\"350\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Remodelling_healing.png\/450px-Remodelling_healing.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Remodelling_healing.png\/600px-Remodelling_healing.png 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Remodelling_healing.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Remodelage<\/p><\/div>\n<\/div>\n<\/div>\n<p>La phase de remodelage peut durer de 3 semaines \u00e0 12 mois et chevauche la phase de r\u00e9paration. L&rsquo;objectif du remodelage est de diminuer la taille de la <a href=\"\/Wound_Assessment\" title=\"Wound Assessment\">plaie<\/a>, d&rsquo;augmenter la r\u00e9sistance de la <a href=\"\/Scar_Management\" title=\"Scar Management\">cicatrice<\/a> et de modifier la direction des fibres de collag\u00e8ne. L&rsquo;affinement et la modification du collag\u00e8ne pendant cette p\u00e9riode facilitent l&rsquo;augmentation de la r\u00e9sistance des fibres. <sup id=\"cite_ref-:0_5-5\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Physiologiquement, les ph\u00e9nom\u00e8nes suivants se produisent pendant cette phase :\n<\/p>\n<ol>\n<li>Il y a contraction du tissu de granulation<\/li>\n<li>Les fibroblastes forment des liens intercellulaires<\/li>\n<li>Des liaisons transversales entre les cellules se forment, ce qui augmente la r\u00e9sistance du collag\u00e8ne<\/li>\n<li>Il y a renouvellement continue du collag\u00e8ne <sup id=\"cite_ref-:1_9-5\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup><\/li>\n<li>Le collag\u00e8ne de type 3 est remplac\u00e9 par du collag\u00e8ne de type 1 <sup id=\"cite_ref-:6_6-1\" class=\"reference\"><a href=\"#cite_note-:6-6\">(6)<\/a><\/sup><\/li>\n<\/ol>\n<p>L&rsquo;agencement final des fibres de collag\u00e8ne doit correspondre \u00e0 la fonction du tissu.  L&rsquo;alignement d\u00e9pendra des contraintes impos\u00e9es au tissu pendant la gu\u00e9rison.<sup id=\"cite_ref-:1_9-6\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup>\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Healing\">Gu\u00e9rison<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Healing\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=8\" title=\"Edit section: Healing\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Healing_Overlapping_Timeframes.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/85\/Healing_Overlapping_Timeframes.jpeg\/300px-Healing_Overlapping_Timeframes.jpeg\" decoding=\"async\" width=\"300\" height=\"342\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/85\/Healing_Overlapping_Timeframes.jpeg\/450px-Healing_Overlapping_Timeframes.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/8\/85\/Healing_Overlapping_Timeframes.jpeg\/600px-Healing_Overlapping_Timeframes.jpeg 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Healing_Overlapping_Timeframes.jpeg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>R\u00e9ponse de base \u00e0 une l\u00e9sion tissulaire et phases ult\u00e9rieures de gu\u00e9rison se chevauchant<\/p><\/div>\n<\/div>\n<\/div>\n<p>La gu\u00e9rison commence imm\u00e9diatement, mais le <a href=\"\/Collagen\" title=\"Collagen\">collag\u00e8ne<\/a> n&rsquo;est g\u00e9n\u00e9ralement pas mis en place avant le 5e jour suivant la blessure. Cette p\u00e9riode de temps est appel\u00e9e la \u00ab\u00a0phase de latence\u00a0\u00bb. Pendant le temps de latence,  les objectifs de la physioth\u00e9rapie sont orient\u00e9s vers le contr\u00f4le de l&rsquo;<a href=\"\/Edema_Assessment\" title=\"Edema Assessment\">\u0153d\u00e8me<\/a> et de la douleur. Le graphique de droite montre que les diff\u00e9rentes phases de la gu\u00e9rison ne sont pas distinctes et qu&rsquo;elles se chevauchent.\n<\/p>\n<p>La mobilisation tissulaire ax\u00e9e sur le r\u00e9alignement des fibres de collag\u00e8ne peut commencer une fois que la synth\u00e8se du collag\u00e8ne a \u00e9t\u00e9 initi\u00e9e. Un stress l\u00e9ger pendant cette \u00e9tape de la r\u00e9adaptation est appel\u00e9 mise en charge m\u00e9canique et est n\u00e9cessaire pour stimuler l&rsquo;alignement des fibres de collag\u00e8ne. <sup id=\"cite_ref-:0_5-6\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Mechanical_Loading\">Mise en charge m\u00e9canique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Mechanical Loading\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=9\" title=\"Edit section: Mechanical Loading\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les physioth\u00e9rapeutes peuvent jouer un r\u00f4le cl\u00e9 en influen\u00e7ant de mani\u00e8re optimale le processus de gu\u00e9rison. L&rsquo;objectif th\u00e9rapeutique global de tout stimulus est d&rsquo;agir sur deux processus majeurs :\n<\/p>\n<ol>\n<li>La r\u00e9paration du tissu l\u00e9s\u00e9<\/li>\n<li>L&rsquo;adaptation du tissu \u00e0 la charge (ou au stimulus d&rsquo;entra\u00eenement chez les athl\u00e8tes)<\/li>\n<\/ol>\n<p>Un macro-traumatisme (comme un impact ou une collision dans le sport) ou un micro-traumatisme (comme une blessure de surmenage) provoquera une r\u00e9ponse tissulaire. Une charge corrective ou adaptative est n\u00e9cessaire pour la r\u00e9solution d&rsquo;une blessure.<sup id=\"cite_ref-:2_3-1\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup>\n<\/p>\n<p>Le but de la mise en charge m\u00e9canique est d&rsquo;am\u00e9liorer la r\u00e9sistance \u00e0 la traction des tissus bless\u00e9s par la <a href=\"\/Compression\" title=\"Compression\">compression<\/a>, la <a href=\"\/Tension\" title=\"Tension\">tension<\/a> ou la force de <a href=\"\/Shear\" title=\"Shear\">cisaillement<\/a>.<sup id=\"cite_ref-:0_5-7\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Une charge peut \u00eatre de tr\u00e8s l\u00e9g\u00e8re comme un chatouillement, \u00e0 tr\u00e8s \u00e9lev\u00e9e comme une manipulation.<sup id=\"cite_ref-:2_3-2\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> Si la charge appliqu\u00e9e est trop faible ou trop forte, cela peut entra\u00eener une r\u00e9paration de qualit\u00e9 inf\u00e9rieure et potentiellement conduire \u00e0 une condition chronique. Au fur et \u00e0 mesure que le tissu se renforce, la charge appliqu\u00e9e peut \u00eatre augment\u00e9e en veillant \u00e0 ce que le tissu ne soit pas surcharg\u00e9.<sup id=\"cite_ref-:0_5-8\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Une tension trop forte peut provoquer un d\u00e9salignement des fibres de collag\u00e8ne dans les adh\u00e9rences en formation, ce qui entra\u00eene une r\u00e9gression du processus inflammatoire.<sup id=\"cite_ref-:2_3-3\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> <sup id=\"cite_ref-:0_5-9\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> La vid\u00e9o ci-dessous (en anglais) fournit une explication simple de la relation entre la charge et la capacit\u00e9 des tissus et de son lien avec les blessures.\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\/H1rp_v4Dr3g?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup>\n<\/p>\n<p>Pour en savoir plus sur la fa\u00e7on dont la mise en charge m\u00e9canique stimule l&rsquo;adaptation, lisez cet article en anglais (voir la figure 1 de l&rsquo;article) :\n<\/p>\n<p><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4817213\/\">Understanding Mechanobiology: Physical Therapists as a Force in Mechanotherapy and Musculoskeletal Regenerative Rehabilitation<\/a><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup>\n<\/p>\n<h4><span class=\"mw-headline\" id=\"Effects_of_Mechanical_Loading\">Effets de la mise en charge m\u00e9canique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Effects of Mechanical Loading\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=10\" title=\"Edit section: Effects of Mechanical Loading\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Apr\u00e8s une blessure, une courte p\u00e9riode de protection et repos est initialement n\u00e9cessaire<\/li>\n<li>Des p\u00e9riodes trop longues de protection et repos sont d\u00e9l\u00e9t\u00e8res et entra\u00eenent des changements n\u00e9gatifs dans la biom\u00e9canique et la morphologie des tissus en dedans de 2 \u00e0 3 semaines<\/li>\n<li>Une mise en charge m\u00e9canique progressive est plus susceptible de restaurer la r\u00e9sistance et les caract\u00e9ristiques morphologiques<\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Appropriate_Time_for_Mechanical_Loading\">Temps appropri\u00e9 pour la mise en charge m\u00e9canique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Appropriate Time for Mechanical Loading\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=11\" title=\"Edit section: Appropriate Time for Mechanical Loading\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les deux figures ci-dessous donnent un aper\u00e7u du moment appropri\u00e9 pour ajouter de la charge apr\u00e8s une blessure. La figure 1 montre que la teneur en collag\u00e8ne est approximativement \u00e9gale \u00e0 la r\u00e9sistance du tissu \u00e0 la traction. Comme le collag\u00e8ne passe du type III immature au type I au fil du temps, la r\u00e9sistance \u00e0 la traction du tissu augmente. La figure 2 montre les \u00e9tapes de la gu\u00e9rison en fonction de la r\u00e9sistance \u00e0 la traction. Pour une gu\u00e9rison optimale, la charge appliqu\u00e9e doit rester dans les limites des capacit\u00e9s de traction du tissu.\n<\/p>\n<div class=\"row\">\n<div class=\"col-md-6\"> <a href=\"\/File:Tensile_strength_and_collagen_content_post_injury.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c6\/Tensile_strength_and_collagen_content_post_injury.jpg\/600px-Tensile_strength_and_collagen_content_post_injury.jpg\" decoding=\"async\" width=\"600\" height=\"338\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c6\/Tensile_strength_and_collagen_content_post_injury.jpg\/900px-Tensile_strength_and_collagen_content_post_injury.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c6\/Tensile_strength_and_collagen_content_post_injury.jpg\/1200px-Tensile_strength_and_collagen_content_post_injury.jpg 2x\"><\/a><\/div>\n<div class=\"col-md-6\"> <a href=\"\/File:Healing_and_Tensile_strength.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6d\/Healing_and_Tensile_strength.jpeg\/300px-Healing_and_Tensile_strength.jpeg\" decoding=\"async\" width=\"300\" height=\"377\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6d\/Healing_and_Tensile_strength.jpeg\/450px-Healing_and_Tensile_strength.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6d\/Healing_and_Tensile_strength.jpeg\/600px-Healing_and_Tensile_strength.jpeg 2x\"><\/a><\/div>\n<\/p><\/div>\n<h4><span class=\"mw-headline\" id=\"Loading_by_Physiotherapists\">Mise en charge par le physioth\u00e9rapeute <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Loading by Physiotherapists\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=12\" title=\"Edit section: Loading by Physiotherapists\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les physioth\u00e9rapeutes peuvent appliquer des charges m\u00e9caniques aux tissus bless\u00e9s \u00e0 l&rsquo;aide de diff\u00e9rentes techniques telles que le <a href=\"\/Massage\" title=\"Massage\">massage<\/a>, la th\u00e9rapie manuelle, l&rsquo;\u00e9lectroth\u00e9rapie, comme les <a href=\"\/Ultrasound_therapy\" class=\"mw-redirect\" title=\"Ultrasound therapy\">ultrasons<\/a>, et l&rsquo;<a href=\"\/Exercise_-Therapeutic\" class=\"mw-redirect\" title=\"Exercise -Therapeutic\">exercice<\/a>.<sup id=\"cite_ref-:0_5-10\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> <sup id=\"cite_ref-:2_3-4\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> Ces interventions favorisent la r\u00e9paration et le remodelage des tissus l\u00e9s\u00e9s.<sup id=\"cite_ref-:1_9-7\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup> Un indicateur que le tissu est stimul\u00e9 et remodel\u00e9 est lorsque le patient ressent un l\u00e9ger inconfort. Des exemples de mise en charge m\u00e9canique sont le <a href=\"\/Deep_Friction_Massage\" title=\"Deep Friction Massage\">massage par friction transversale profonde<\/a> qui peut am\u00e9liorer les adh\u00e9rences et augmenter la r\u00e9sistance \u00e0 la traction de la cicatrice en cours de gu\u00e9rison.<sup id=\"cite_ref-:0_5-11\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Cependant, Il existe peu de preuves \u00e0 l&rsquo;appui de cette technique. Veuillez voir la vid\u00e9o ci-dessous de Ben Benjamin (en anglais) pour un exemple de massage par friction transversale profonde. Un autre exemple de mise en charge m\u00e9canique est la mobilisation sp\u00e9cifique des tissus mous, comme l&rsquo;explique Hunter.<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> La vid\u00e9o ci-dessous (en anglais) donne un aper\u00e7u plus pr\u00e9cis de ce qu&rsquo;est la mobilisation sp\u00e9cifique des tissus mous.\n<\/p>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/YezCxFFGJXQ?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/qf1tLiSWrNU?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<p>Dans la vid\u00e9o ci-dessous (en anglais), le professeur P. Glasgow donne un point de vue clinique sur l&rsquo;optimisation de la gu\u00e9rison des l\u00e9sions musculaires \u00e0 l&rsquo;aide de la mise en charge m\u00e9canique.\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\/dQNVIxBE0t4?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup>\n<\/p>\n<p>\n<\/p>\n<h5><span class=\"mw-headline\" id=\"Calculating_the_Correct_Load\">Calcul de la mise en charge correcte <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Calculating the Correct Load\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=13\" title=\"Edit section: Calculating the Correct Load\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Les physioth\u00e9rapeutes sont qualifi\u00e9s pour d\u00e9terminer la quantit\u00e9 et le type de charge corrects \u00e0 appliquer \u00e0 un tissu sp\u00e9cifique. Il existe diff\u00e9rents mod\u00e8les de mise en charge disponibles dans la litt\u00e9rature. Pour en savoir plus, cliquez ici :\n<\/p>\n<ul>\n<li>Mod\u00e8le d&rsquo;hom\u00e9ostasie tissulaire : <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.lww.com\/clinorthop\/Fulltext\/2005\/07000\/The_Pathophysiology_of_Patellofemoral_Pain__A.16.aspx\">The pathophysiology of patellofemoral pain : a tissue homeostasis perspective<\/a>.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li>Mod\u00e8le de charge optimale : <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/cor-kinetic.com\/wp-content\/uploads\/2018\/07\/optimal-loading-key-variables-and-mechanisms.pdf\">Optimal loading: key variables and mechanisms<\/a>.<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<h5><span class=\"mw-headline\" id=\"Loading_Feedback\">Commentaires sur la mise en charge <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Loading Feedback\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=14\" title=\"Edit section: Loading Feedback\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Le feedback du patient est essentiel \u00e0 chaque \u00e9tape de la mise en charge pour garantir l&rsquo;alignement du <a href=\"\/Collagen\" title=\"Collagen\">collag\u00e8ne<\/a> et une bonne cicatrisation. Les r\u00e9sultats rapport\u00e9s par les patients peuvent \u00eatre pr\u00e9cieux. Demander au patient de surveiller le gonflement, la raideur et la douleur pendant 24 heures peut aider le th\u00e9rapeute \u00e0 \u00e9valuer correctement l&rsquo;intensit\u00e9 de la charge. De plus, les th\u00e9rapeutes peuvent surveiller le gonflement en <a href=\"\/Girth_Measurement\" title=\"Girth Measurement\">mesurant la circonf\u00e9rence.<\/a>.<sup id=\"cite_ref-:2_3-5\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> Voir ci-dessous un exemple de mesure de la circonf\u00e9rence de la cheville (de CRT Technologies) :\n<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/cG-A3PbS5ow?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup>\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Soft_Tissue_Injury_Management\">Gestion des l\u00e9sions des tissus mous <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Soft Tissue Injury Management\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=15\" title=\"Edit section: Soft Tissue Injury Management\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span class=\"mw-headline\" id=\"Traditional_Acute_Injury_Management\">Gestion traditionnelle des blessures aigu\u00ebs <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=16\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Traditional Acute Injury Management\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=16\" title=\"Edit section: Traditional Acute Injury Management\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le traitement traditionnel des <a href=\"\/Soft_tissue_injuries\" class=\"mw-redirect\" title=\"Soft tissue injuries\">l\u00e9sions des tissus mous<\/a> est appel\u00e9 <a href=\"\/RICE\" title=\"RICE\">RICE<\/a> de l&rsquo;anglaia &#8211; rest, ice, compression and elevation (repos, glace, compression et \u00e9l\u00e9vation).  Malheureusement, le repos ou l&rsquo;immobilisation d&rsquo;une blessure des tissus mous peut entra\u00eener une raideur articulaire, une faiblesse des ligaments et un retard de gu\u00e9rison. L&rsquo;immobilisation totale doit \u00eatre r\u00e9serv\u00e9e aux <a href=\"\/Bone_Healing\" title=\"Bone Healing\">l\u00e9sions osseuses<\/a> ou \u00e0 une rupture compl\u00e8te o\u00f9 le mouvement pourrait causer des dommages suppl\u00e9mentaires. \u00c0 l&rsquo;inverse, l&rsquo;<a href=\"\/Exercise_-Therapeutic\" class=\"mw-redirect\" title=\"Exercise -Therapeutic\">exercice<\/a> et le mouvement sans douleur dans un support prot\u00e9g\u00e9 peuvent renforcer les ligaments et augmenter le renouvellement du <a href=\"\/Collagen\" title=\"Collagen\">collag\u00e8ne<\/a>.<sup id=\"cite_ref-:1_9-8\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup> <sup id=\"cite_ref-:7_7-1\" class=\"reference\"><a href=\"#cite_note-:7-7\">(7)<\/a><\/sup>\n<\/p>\n<h4><span class=\"mw-headline\" id=\"New_Thoughts_on_Acute_Injury_Management\">Nouvelles consid\u00e9rations sur la gestion des blessures aigu\u00ebs <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=17\" class=\"mw-editsection-visualeditor\" title=\"Edit section: New Thoughts on Acute Injury Management\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=17\" title=\"Edit section: New Thoughts on Acute Injury Management\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Objectifs de la gestion de la phase aigu\u00eb :\n<\/p>\n<ul>\n<li>Prot\u00e9ger le tissu bless\u00e9 contre toute nouvelle blessure<\/li>\n<li>Contr\u00f4ler la douleur<\/li>\n<li>Limiter le gonflement<\/li>\n<li>Favoriser une gu\u00e9rison optimale<\/li>\n<\/ul>\n<p>Consid\u00e9rant les objectifs du traitement pendant la phase aigu\u00eb d&rsquo;une blessure, Bleakley et al.<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup> ont mis \u00e0 jour le r\u00e9gime PRICE en d\u00e9veloppant ce qu&rsquo;on appelle maintenant POLICE qui repr\u00e9sente en anglais: Protection, Optimal Loading, Ice, Compression et Elevation (protection, charge optimale, glace, compression et \u00e9l\u00e9vation).\n<\/p>\n<p>R\u00e9cemment, Dubois et Esculier<sup id=\"cite_ref-:3_20-0\" class=\"reference\"><a href=\"#cite_note-:3-20\">(20)<\/a><\/sup> ont propos\u00e9 un nouvel acronyme contemporain pour la gestion des blessures des tissus mous : <a href=\"\/Peace_and_Love_Principle\" title=\"Peace and Love Principle\">PEACE and LOVE<\/a> (PAIX et AMOUR)<sup id=\"cite_ref-:3_20-1\" class=\"reference\"><a href=\"#cite_note-:3-20\">(20)<\/a><\/sup>. Voir ci-dessous pour mieux comprendre les diff\u00e9rentes \u00e9tapes :\n<\/p>\n<table class=\"wikitable\">\n<caption>\n<\/caption>\n<tbody>\n<tr>\n<th><b>PEACE (jours 1 \u00e0 3)<\/b>\n<\/th>\n<th rowspan=\"6\"><b>and<\/b>\n<\/th>\n<th><b>LOVE (apr\u00e8s quelques jours)<\/b>\n<\/th>\n<\/tr>\n<tr>\n<td><b>P<\/b>: Prot\u00e9ger la zone\n<\/td>\n<td><b>L<\/b>: Loading optimal (mise en charge optimale) pour r\u00e9parer et remodeler les tissus\n<\/td>\n<\/tr>\n<tr>\n<td><b>E<\/b>: \u00c9l\u00e9vation\n<\/td>\n<td><b>O<\/b>: Optimisme du patient qui co\u00efncident avec un meilleur r\u00e9sultat.\n<\/td>\n<\/tr>\n<tr>\n<td><b>A<\/b>: Anti-inflammatoires \u00e0 \u00e9viter pour permettre au processus inflammatoire naturel de se produire.\n<\/td>\n<td><b>V<\/b>: Vascularisation &#8211; exercice a\u00e9robique sans douleur pour augmenter le flux sanguin\n<\/td>\n<\/tr>\n<tr>\n<td><b>C<\/b>: Compression\n<\/td>\n<td rowspan=\"2\"><b>E<\/b>: Exercice &#8211; exercice sans douleur\n<\/td>\n<\/tr>\n<tr>\n<td><b>E<\/b>: \u00c9duquer le patient sur une approche active de la th\u00e9rapie par rapport \u00e0 une approche passive.\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span class=\"mw-headline\" id=\"Healing_Times\">Temps de gu\u00e9rison <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=18\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Healing Times\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=18\" title=\"Edit section: Healing Times\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Avec un bon traitement, les diff\u00e9rents tissus mettront un temps diff\u00e9rent \u00e0 gu\u00e9rir compl\u00e8tement. La compr\u00e9hension du tissu sp\u00e9cifique permet de cibler le moment appropri\u00e9 pour la mise charge progressive pendant la phase de remodelage. <sup id=\"cite_ref-:2_3-6\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> Les d\u00e9lais pr\u00e9vus pour la gu\u00e9rison compl\u00e8te des diff\u00e9rents tissus sont indiqu\u00e9s ci-dessous :\n<\/p>\n<ul>\n<li><a href=\"\/Muscle\" title=\"Muscle\">Muscle <\/a>: jusqu&rsquo;\u00e0 6 mois<\/li>\n<li><a href=\"\/Ligament\" title=\"Ligament\">Ligament <\/a>: jusqu&rsquo;\u00e0 1 an<\/li>\n<li><a href=\"\/Tendon_Load_and_Capacity\" title=\"Tendon Load and Capacity\">Tendon<\/a>: jusqu&rsquo;\u00e0 2-3 ans<\/li>\n<li><a href=\"\/Cartilage\" title=\"Cartilage\">Cartilage articulaire <\/a>: plus de 3 ans<\/li>\n<\/ul>\n<p>Un groupe multidisciplinaire de sp\u00e9cialistes en sciences v\u00e9t\u00e9rinaires, en m\u00e9decine de la r\u00e9adaptation et du sport et en physioth\u00e9rapie et ergoth\u00e9rapie humaines a examin\u00e9 les donn\u00e9es disponibles sur la cicatrisation des tissus musculo-squelettiques.<sup id=\"cite_ref-:8_21-0\" class=\"reference\"><a href=\"#cite_note-:8-21\">(21)<\/a><\/sup> Vous pouvez lire l&rsquo;article complet ici : <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6973127\/\">Fundamental principles of rehabilitation and musculoskeletal tissue healing<\/a>.<sup id=\"cite_ref-:8_21-1\" class=\"reference\"><a href=\"#cite_note-:8-21\">(21)<\/a><\/sup> Veuillez consulter le <b>tableau 2<\/b> de l&rsquo;<a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6973127\/\">article<\/a> qui fournit des d\u00e9lais typiques et un aper\u00e7u des taux approximatifs de gu\u00e9rison des tissus. La vitesse de cicatrisation des tissus d\u00e9pend de divers facteurs tels que le degr\u00e9 d&rsquo;endommagement des tissus.<sup id=\"cite_ref-:8_21-2\" class=\"reference\"><a href=\"#cite_note-:8-21\">(21)<\/a><\/sup>\n<\/p>\n<ul>\n<li>Dans le muscle, \u00ab\u00a0la force, la flexibilit\u00e9 et la susceptibilit\u00e9 \u00e0 une nouvelle blessure sont directement li\u00e9es au tissu cicatriciel\/fibreux interpos\u00e9 entre les fibres de gu\u00e9rison\u00a0\u00bb.<sup id=\"cite_ref-:8_21-3\" class=\"reference\"><a href=\"#cite_note-:8-21\">(21)<\/a><\/sup><\/li>\n<li>Pour les tendons, les ligaments et les fascias, la gu\u00e9rison sera plus longue car ces structures sont g\u00e9n\u00e9ralement moins vascularis\u00e9es. \u00ab\u00a0La vitesse et le degr\u00e9 de gu\u00e9rison d\u00e9pendront de la vascularisation des tissus et du degr\u00e9 de la blessure.\u00a0\u00bb<sup id=\"cite_ref-:8_21-4\" class=\"reference\"><a href=\"#cite_note-:8-21\">(21)<\/a><\/sup><\/li>\n<\/ul>\n<p>Les tissus mous doivent passer par les trois \u00e9tapes de l&rsquo;inflammation, de la r\u00e9paration et du remodelage pour gu\u00e9rir compl\u00e8tement. Les physioth\u00e9rapeutes peuvent aider \u00e0 la gu\u00e9rison en comprenant la timeline (l&rsquo;\u00e9ch\u00e9ancier) du tissu concern\u00e9, et en sachant quand et quelle charge appliquer pendant la phase de remodelage. De bonnes d\u00e9cisions cliniques seront n\u00e9cessaires pour affiner les interventions et surveiller les sympt\u00f4mes. Tous ces facteurs permettront une r\u00e9cup\u00e9ration optimale des tissus mous.<sup id=\"cite_ref-:2_3-7\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup>\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Resources\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=19\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=19\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a href=\"\/Inflammation_Acute_and_Chronic\" title=\"Inflammation Acute and Chronic\">Inflammation Acute and Chronic<\/a><\/li>\n<li><a href=\"\/Wound_Healing\" title=\"Wound Healing\">Wound Healing<\/a><\/li>\n<li><a href=\"\/Figure_of_Eight_Measurement_of_the_Hand\" title=\"Figure of Eight Measurement of the Hand\">Figure en huit : Mesure de la main<\/a><\/li>\n<li><a href=\"\/Figure_of_Eight_Method_of_Measuring_Ankle_Joint_Swelling\" title=\"Figure of Eight Method of Measuring Ankle Joint Swelling\">Figure en 8 &#8211; M\u00e9thode de mesure du gonflement de l&rsquo;articulation de la cheville<\/a><\/li>\n<li><a href=\"\/Peace_and_Love_Principle\" title=\"Peace and Love Principle\">Peace and Love Principle<\/a><\/li>\n<\/ul>\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\/UxvScI5pJuY?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup>\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Reference\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;veaction=edit&amp;section=20\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Reference\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Injury_and_Healing_Within_Sports_Physiotherapy&amp;action=edit&amp;section=20\" title=\"Edit section: Reference\">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-:5-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:5_1-2\">1.2<\/a><\/sup><\/span> <span class=\"reference-text\">Basil MC, Levy BD. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5242505\/\">Specialized pro-resolving mediators: endogenous regulators of infection and inflammation.<\/a> Nature Reviews Immunology. 2016 Jan;16(1):51-67.<\/span>\n<\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Muire PJ, Mangum LH, Wenke JC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2020.01056\/full\">Time course of immune response and immunomodulation during normal and delayed healing of musculoskeletal wounds.<\/a> Frontiers in immunology. 2020 Jun 4;11:1056.<\/span>\n<\/li>\n<li id=\"cite_note-:2-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-2\">3.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-3\">3.3<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-4\">3.4<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-5\">3.5<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-6\">3.6<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-7\">3.7<\/a><\/sup><\/span> <span class=\"reference-text\">Horsley, I. Injury and Healing in Sports Physiotherapy Course. Physioplus. 2022.<\/span>\n<\/li>\n<li id=\"cite_note-:4-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_4-1\">4.1<\/a><\/sup> <sup><a href=\"#cite_ref-:4_4-2\">4.2<\/a><\/sup><\/span> <span class=\"reference-text\">Muntz I, Fenu M, van Osch GJ, Koenderink GH. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/iopscience.iop.org\/article\/10.1088\/1478-3975\/ac42b8\/pdf\">The role of cell\u2013matrix interactions in connective tissue mechanics.<\/a> Physical biology. 2022 Jan 18;19(2):021001.<\/span>\n<\/li>\n<li id=\"cite_note-:0-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_5-0\">5.00<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-1\">5.01<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-2\">5.02<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-3\">5.03<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-4\">5.04<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-5\">5.05<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-6\">5.06<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-7\">5.07<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-8\">5.08<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-9\">5.09<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-10\">5.10<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-11\">5.11<\/a><\/sup><\/span> <span class=\"reference-text\">Norris C. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.taylorfrancis.com\/books\/mono\/10.4324\/9781315101521\/sports-soft-tissue-injuries-christopher-norris\">Sports and soft tissue injuries: A guide for students and therapists<\/a>. Routledge; 2018 Sep 3.<\/span>\n<\/li>\n<li id=\"cite_note-:6-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_6-1\">6.1<\/a><\/sup><\/span> <span class=\"reference-text\">Serra MB, Barroso WA, Silva NN, Silva SD, Borges AC, Abreu IC, Borges MO. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5547704\/\">From inflammation to current and alternative therapies involved in wound healing.<\/a> International journal of inflammation. 2017 Oct;2017.<\/span>\n<\/li>\n<li id=\"cite_note-:7-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:7_7-1\">7.1<\/a><\/sup><\/span> <span class=\"reference-text\">Vuurberg G, Hoorntje A, Wink LM, Van Der Doelen BF, Van Den Bekerom MP, Dekker R, Van Dijk CN, Krips R, Loogman MC, Ridderikhof ML, Smithuis FF. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bjsm.bmj.com\/content\/bjsports\/52\/15\/956.full.pdf\">Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. British journal of sports medicine<\/a>. 2018 Aug 1;52(15):956-.<\/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\">Duchesne E, Dufresne SS, Dumont NA. Impact of inflammation and anti-inflammatory modalities on skeletal muscle healing: from fundamental research to the clinic. Physical therapy. 2017 Aug 1;97(8):807-17.<\/span>\n<\/li>\n<li id=\"cite_note-:1-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-1\">9.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-2\">9.2<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-3\">9.3<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-4\">9.4<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-5\">9.5<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-6\">9.6<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-7\">9.7<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-8\">9.8<\/a><\/sup><\/span> <span class=\"reference-text\">Pahwa R, Goyal A, Bansal P, Jialal I. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK493173\/\">Chronic Inflammation<\/a>. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2021. 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Available from <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=UxvScI5pJuY&amp;t=7s\">https:\/\/www.youtube.com\/watch?v=UxvScI5pJuY&amp;t=7s<\/a> (last accessed 26 February 2022)<\/span>\n<\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220627212137 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.173 seconds Real time usage: 0.190 seconds Preprocessor visited node count: 599\/1000000 Post\u2010expand include size: 234\/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: 18741\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 20.936 1 Special:Contributors\/Injury_and_Healing_Within_Sports_Physiotherapy 100.00% 20.936 1 -total -->\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Robin Tacchetti d&rsquo;apr\u00e8s le cours de Ian HorsleyPrincipaux contributeurs &#8211; Wanda van Niekerk, Robin Tacchetti, Lucinda hampton, Jess Bell, Tarina van der Stockt, Kim Jackson et Ewa Jaraczewska Contenu 1 Introduction 2 Tissu conjonctif 3 Les \u00e9tapes de la gu\u00e9rison 3.1 Phase inflammatoire 3.1.1 Inflammation chronique 3.2 Phase de prolif\u00e9ration 3.3 Remodelage [&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-2124","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/2124","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=2124"}],"version-history":[{"count":0,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/2124\/revisions"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=2124"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}