{"id":2577,"date":"2022-08-30T22:06:13","date_gmt":"2022-08-30T22:06:13","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/overuse-injuries-an-individualised-approach-fr\/"},"modified":"2023-10-28T06:41:50","modified_gmt":"2023-10-28T06:41:50","slug":"overuse-injuries-an-individualised-approach-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/overuse-injuries-an-individualised-approach-fr\/","title":{"rendered":"Blessures de surmenage &#8211; une approche individualis\u00e9e"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteur original<\/b>&#8211; <a href=\"\/User:Wanda_van_Niekerk\" title=\"User:Wanda van Niekerk\">Wanda van Niekerk<\/a> bas\u00e9 sur le cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/merike-hopkins\/\">Merike Hopkins<\/a><br \/>\n<b>Principaux collaborateurs<\/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:Lucinda_hampton\" class=\"mw-userlink\" title=\"User:Lucinda hampton\"><bdi>Lucinda Hampton<\/bdi><\/a>,  <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/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> et <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a><\/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><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Definition_of_Overuse_Injuries\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">D\u00e9finition des blessures de surmenage<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Why_Does_Overuse_Lead_to_Injury.3F\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Pourquoi le surmenage entra\u00eene-t-il des blessures ?<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-4\"><a href=\"#Structures_Affected_by_Overuse_Injuries\"><span class=\"tocnumber\">2.1.1<\/span> <span class=\"toctext\">Les structures affect\u00e9es par les blessures de surmenage<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Risk_Factors_of_Overuse_Injuries\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Facteurs de risque des blessures de surmenage<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Physiotherapy_and_Overuse_Injuries\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">La physioth\u00e9rapie et les blessures de surmenage<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Assessment_of_Overuse_Injuries\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">\u00c9valuation des blessures de surmenage<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Diagnosis_of_Overuse_Injury\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Diagnostiquer une blessure de surmenage<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-9\"><a href=\"#Clinical_history\"><span class=\"tocnumber\">4.1.1<\/span> <span class=\"toctext\">L&rsquo;histoire clinique<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Diagnostic_Imaging\"><span class=\"tocnumber\">4.1.2<\/span> <span class=\"toctext\">L&rsquo;imagerie diagnostique<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-11\"><a href=\"#Diagnosis\"><span class=\"tocnumber\">4.1.3<\/span> <span class=\"toctext\">Le diagnostic<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#Management_of_Overuse_Injuries\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Traitement des blessures de surmenage<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/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=Overuse_Injuries_-_an_Individualised_Approach&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=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\"><a href=\"\/File:Runners.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"Runners.jpeg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/16\/Runners.jpeg\/300px-Runners.jpeg\" decoding=\"async\" width=\"300\" height=\"466\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/16\/Runners.jpeg\/450px-Runners.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/16\/Runners.jpeg\/600px-Runners.jpeg 2x\"><\/a><\/div>\n<p>Les <a href=\"\/Overuse_Injuries_in_Sport\" title=\"Overuse Injuries in Sport\">blessures de surmenage<\/a> sont un ph\u00e9nom\u00e8ne courant difficile \u00e0 \u00e9valuer et \u00e0 traiter. Divers facteurs contribuent \u00e0 l&rsquo;apparition de ce type de blessures. Le diagnostic, le traitement et la compr\u00e9hension de la raison de la blessure sont quelques-uns des d\u00e9fis que les cliniciens peuvent avoir \u00e0 relever dans le traitement des athl\u00e8tes souffrant de blessures de surmenage.<\/p>\n<h2><span class=\"mw-headline\" id=\"Definition_of_Overuse_Injuries\">D\u00e9finition des blessures de surmenage <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Definition of Overuse Injuries\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=2\" title=\"Edit section: Definition of Overuse Injuries\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les blessures de surmenage se caract\u00e9risent par l&rsquo;absence d&rsquo;une cause unique, identifiable ou traumatique. L&rsquo;apparition est graduelle et la blessure est caus\u00e9e par des microtraumatismes r\u00e9p\u00e9t\u00e9s.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> Le terme \u00ab\u00a0surmenage\u00a0\u00bb est utilis\u00e9 car l&rsquo;apparition de ce type de blessures est g\u00e9n\u00e9ralement pr\u00e9cipit\u00e9e par une p\u00e9riode de charge tissulaire inappropri\u00e9e, par exemple : <sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Magnitude ou volume excessif de la charge<\/li>\n<li>R\u00e9cup\u00e9ration insuffisante entre les \u00e9pisodes de mise en charge<\/li>\n<\/ul>\n<h3><span id=\"Why_Does_Overuse_Lead_to_Injury?\"><\/span><span class=\"mw-headline\" id=\"Why_Does_Overuse_Lead_to_Injury.3F\">Pourquoi le surmenage entra\u00eene-t-il des blessures ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Why Does Overuse Lead to Injury?\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=3\" title=\"Edit section: Why Does Overuse Lead to Injury?\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Une blessure de surmenage est g\u00e9n\u00e9ralement caus\u00e9e par des activit\u00e9s r\u00e9p\u00e9titives sur une p\u00e9riode donn\u00e9e. Ces microtraumatismes r\u00e9p\u00e9titifs surchargent la capacit\u00e9 des tissus \u00e0 se r\u00e9parer.<sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Pendant l&rsquo;exercice, les diff\u00e9rents tissus, tels que les <a href=\"\/Muscle_Cells_(Myocyte)\" title=\"Muscle Cells (Myocyte)\">muscles<\/a>, les <a href=\"\/Tendon_Biomechanics\" title=\"Tendon Biomechanics\">tendons<\/a>, les <a href=\"\/Bone\" title=\"Bone\">os<\/a> et les <a href=\"\/Ligament\" title=\"Ligament\">ligaments<\/a>, sont sollicit\u00e9s et subissent un stress physiologique excessif. Apr\u00e8s l&rsquo;activit\u00e9 physique sp\u00e9cifique, les tissus subissent une adaptation afin de se renforcer et d&rsquo;\u00eatre capables de r\u00e9sister \u00e0 un stress similaire dans le futur. Si la capacit\u00e9 d&rsquo;adaptation d&rsquo;un type de tissu sp\u00e9cifique est d\u00e9pass\u00e9e et qu&rsquo;une blessure survient, il s&rsquo;agit le plus souvent d&rsquo;une blessure de surmenage. Par cons\u00e9quent, chez les athl\u00e8tes trop z\u00e9l\u00e9s, qui ne laissent pas suffisamment de temps pour s&rsquo;adapter avant la s\u00e9ance d&rsquo;entra\u00eenement suivante, les dommages tissulaires cumul\u00e9s finissent par d\u00e9passer le seuil que les tissus peuvent supporter, ce qui provoque des douleurs et des dysfonctionnements.<sup id=\"cite_ref-:0_2-2\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<h4><span class=\"mw-headline\" id=\"Structures_Affected_by_Overuse_Injuries\">Les structures affect\u00e9es par les blessures de surmenage<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Structures Affected by Overuse Injuries\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=4\" title=\"Edit section: Structures Affected by Overuse Injuries\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>\n<div class=\"thumbnail tright\"><a href=\"\/File:Overuse_Injuries.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c4\/Overuse_Injuries.jpg\/550px-Overuse_Injuries.jpg\" decoding=\"async\" width=\"550\" height=\"350\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c4\/Overuse_Injuries.jpg\/825px-Overuse_Injuries.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/c\/c4\/Overuse_Injuries.jpg 2x\"><\/a><\/div>\n<p><a href=\"\/Bone\" title=\"Bone\">Bone<\/a><\/p>\n<ul>\n<li>ex. les <a href=\"\/Bone_Stress_Injuries\" title=\"Bone Stress Injuries\">l\u00e9sions osseuses de stress<\/a>, les <a href=\"\/Stress_Fractures\" title=\"Stress Fractures\">fracture de stress<\/a>, l&rsquo;<a href=\"\/Osteitis_Pubis\" title=\"Osteitis Pubis\">ost\u00e9ite<\/a>, la p\u00e9riostite, l&rsquo;apophysite.<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"\/Tendon_Anatomy\" title=\"Tendon Anatomy\">Tendons<\/a>\n<ul>\n<li>ex. <a href=\"\/Tendinopathy\" title=\"Tendinopathy\">tendinopathie<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"\/Ligament\" title=\"Ligament\">Ligaments<\/a>\n<ul>\n<li>ex. la l\u00e9sion du ligament collat\u00e9ral cubital interne chez les lanceurs de baseball<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"\/Muscle\" title=\"Muscle\">Muscle<\/a>\n<ul>\n<li>ex. les <a href=\"\/Myofascial_Pain\" title=\"Myofascial Pain\">douleurs myofasciales<\/a>, les <a href=\"\/Compartment_Syndrome\" title=\"Compartment Syndrome\">syndromes de loge chroniques<\/a>, les douleurs musculaires induites par l&rsquo;exercice.<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"\/Bursitis\" title=\"Bursitis\">Bourses<\/a>\n<ul>\n<li><a href=\"\/Subacromial_Pain_Syndrome\" title=\"Subacromial Pain Syndrome\">bourse sous-acromiale<\/a>, bourse du grand trochanter<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"\/Neurone\" title=\"Neurone\">Nerfs<\/a>\n<ul>\n<li>ex. les syndromes de compression nerveuse<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"\/Cartilage\" title=\"Cartilage\">Cartilage<\/a><\/li>\n<li><a href=\"\/Skin\" title=\"Skin\">Skin<\/a>\n<ul>\n<li>ex. les ampoules<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Risk_Factors_of_Overuse_Injuries\">Facteurs de risque des blessures de surmenage <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Risk Factors of Overuse Injuries\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=5\" title=\"Edit section: Risk Factors of Overuse Injuries\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les charges d&rsquo;entra\u00eenement, les calendriers de comp\u00e9tition intenses et une r\u00e9cup\u00e9ration inad\u00e9quate ou insuffisante sont quelques-uns des facteurs qui exposent les athl\u00e8tes \u00e0 un risque plus \u00e9lev\u00e9 de d\u00e9velopper une blessure de surmenage. Les facteurs de risque peuvent \u00e9galement \u00eatre class\u00e9s en facteurs de risque intrins\u00e8ques et extrins\u00e8ques : <sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><sup id=\"cite_ref-:3_4-0\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><\/p>\n<ul>\n<li>Facteurs de risque intrins\u00e8ques\n<ul>\n<li>Les probl\u00e8mes d&rsquo;alignement, par exemple un genu valgum ou varum, une <a href=\"\/Patella_alta\" title=\"Patella alta\">patella alta<\/a>, une ant\u00e9version du col du f\u00e9mur.<\/li>\n<li><a href=\"\/Leg_Length_Discrepancy\" title=\"Leg Length Discrepancy\">Une diff\u00e9rence de longueur de jambe<\/a><\/li>\n<li>Un d\u00e9s\u00e9quilibre musculaire<\/li>\n<li>Une faiblesse musculaire<\/li>\n<li>Des probl\u00e8mes de flexibilit\u00e9, tels qu&rsquo;un resserrement g\u00e9n\u00e9ralis\u00e9 des muscles, une limitation de l&rsquo;amplitude des mouvements des articulations.<\/li>\n<li>Composition corporelle<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Facteurs de risque extrins\u00e8ques\n<ul>\n<li>Les erreurs de charge d&rsquo;entra\u00eenement, telles qu&rsquo;un volume, une intensit\u00e9 ou une augmentation excessifs, une r\u00e9cup\u00e9ration inad\u00e9quate.<\/li>\n<li>Les surfaces<\/li>\n<li>Les chaussures<\/li>\n<li>\u00c9quipement<\/li>\n<li>Les conditions environnementales<\/li>\n<li><a href=\"\/Nutrition\" title=\"La nutrition\">La nutrition<\/a><\/li>\n<li>Facteurs psychologiques<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Physiotherapy_and_Overuse_Injuries\">La physioth\u00e9rapie et les blessures de surmenage <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy and Overuse Injuries\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=6\" title=\"Edit section: Physiotherapy and Overuse Injuries\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les physioth\u00e9rapeutes sont des d\u00e9fenseurs de l&rsquo;<a href=\"\/Physical_Activity\" title=\"Physical Activity\">activit\u00e9 physique<\/a> et sont \u00e9troitement impliqu\u00e9s et investis dans le r\u00e9tablissement d&rsquo;un niveau de fonction appropri\u00e9 chez leurs patients. Ce niveau de fonction est diff\u00e9rent pour chaque patient ou athl\u00e8te, et il est crucial d&rsquo;utiliser une approche personnalis\u00e9e et individualis\u00e9e. Pour aider les athl\u00e8tes \u00e0 retrouver leur plus haut niveau de fonctionnement et \u00e0 retourner au jeu, il faut avoir une bonne connaissance du sport sp\u00e9cifique de l&rsquo;athl\u00e8te et comprendre les exigences physiques et psychologiques de ce sport.<sup id=\"cite_ref-:1_5-0\" class=\"reference\"><a href=\"#cite_note-:1-5\">(5)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:401px;\"><a href=\"\/File:Tugboats_Analogy_Image.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/10\/Tugboats_Analogy_Image.jpg\/399px-Tugboats_Analogy_Image.jpg\" decoding=\"async\" width=\"399\" height=\"224\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/10\/Tugboats_Analogy_Image.jpg\/599px-Tugboats_Analogy_Image.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/10\/Tugboats_Analogy_Image.jpg\/798px-Tugboats_Analogy_Image.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Tugboats_Analogy_Image.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Image expliquant le traitement des blessures de surmenage<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>L&rsquo;\u00e9ducation des patients est importante dans le traitement des blessures de surmenage. En outre, il est tr\u00e8s utile d&rsquo;impliquer l&rsquo;\u00e9quipe multidisciplinaire et les entra\u00eeneurs. L&rsquo;approche du traitement ou de l&rsquo;intervention est bas\u00e9e sur la <a href=\"\/Load_Management\" title=\"Load Management\">gestion de la charge<\/a> et\/ou des forces qui ont caus\u00e9 la blessure afin que le tissu impliqu\u00e9 dispose d&rsquo;un temps de gu\u00e9rison suffisant, mais aussi pour construire une r\u00e9sistance \u00e0 ces forces.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> Une image utile \u00e0 utiliser pour \u00e9duquer les patients sur leur blessure de surmenage est celle de deux remorqueurs tirant l&rsquo;un contre l&rsquo;autre. Le remorqueur vert (bon) conduira la blessure de surmenage vers la gu\u00e9rison et le retour \u00e0 la fonction ou au sport, tandis que le remorqueur rouge \u00e9loignera la blessure de surmenage de la gu\u00e9rison et l&rsquo;entra\u00eenera vers une pathologie plus grave. La cl\u00e9 est de trouver l&rsquo;\u00e9quilibre et d&rsquo;alimenter le remorqueur vert avec toutes les interventions n\u00e9cessaires pour faciliter la gu\u00e9rison, mais pas d&rsquo;une mani\u00e8re qui alimente le remorqueur rouge et aggrave la pathologie.<sup id=\"cite_ref-:1_5-1\" class=\"reference\"><a href=\"#cite_note-:1-5\">(5)<\/a><\/sup> Lors de l&rsquo;\u00e9laboration d&rsquo;un plan de traitement, il est essentiel d&rsquo;\u00e9duquer le client et d&rsquo;adopter une approche multidisciplinaire et holistique. Il convient d&rsquo;\u00e9tablir un calendrier dynamique et flexible et d&rsquo;int\u00e9grer au plan d&rsquo;intervention une progression en plusieurs phases, fond\u00e9e sur des donn\u00e9es probantes et fonctionnelle.<\/p>\n<h2><span class=\"mw-headline\" id=\"Assessment_of_Overuse_Injuries\">\u00c9valuation des blessures de surmenage <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Assessment of Overuse Injuries\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=7\" title=\"Edit section: Assessment of Overuse Injuries\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les facteurs cl\u00e9s \u00e0 prendre en compte dans l&rsquo;\u00e9valuation d&rsquo;une blessure de surmenage incluent : <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<ul>\n<li>la structure concern\u00e9e<\/li>\n<li>la nature et la gravit\u00e9 de la blessure<\/li>\n<li>la dur\u00e9e de la blessure depuis l&rsquo;apparition des sympt\u00f4mes &#8211; cela aidera \u00e0 comprendre la progression de la pathologie<\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Diagnosis_of_Overuse_Injury\">Diagnostiquer une blessure de surmenage <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnosis of Overuse Injury\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=8\" title=\"Edit section: Diagnosis of Overuse Injury\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span class=\"mw-headline\" id=\"Clinical_history\">L&rsquo;histoire clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical history\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=9\" title=\"Edit section: Clinical history\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Il s&rsquo;agit d&rsquo;un outil important et pr\u00e9cieux pour le diagnostic d&rsquo;une blessure de surmenage.<\/li>\n<li>\u00c9coutez ce que vous dit votre patient, l&rsquo;entra\u00eeneur ou tout autre personnel m\u00e9dical travaillant avec l&rsquo;athl\u00e8te !<\/li>\n<li>\u00c9tablissez les facteurs causaux sp\u00e9cifiques (intrins\u00e8ques et extrins\u00e8ques)<\/li>\n<li>Consid\u00e9rez \u00e9galement les forces cr\u00e9\u00e9es sur les structures lorsque l&rsquo;athl\u00e8te ne participe pas au sport (comme lors des travaux m\u00e9nagers, du jardinage) &#8211; il est essentiel de comprendre la quantit\u00e9 totale de forces cr\u00e9\u00e9es sur la structure concern\u00e9e.<\/li>\n<li>Tenez compte de certaines populations plus \u00e0 risque de blessures de surmenage, telles que :\n<ul>\n<li>Les enfants &#8211; la nature changeante de l&rsquo;entra\u00eenement et de la comp\u00e9tition dans les sports des jeunes, associ\u00e9e \u00e0 un syst\u00e8me musculo-squelettique immature.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li>Les athl\u00e8tes f\u00e9minines<a href=\"\/Female_Athlete_Triad\" title=\"Female Athlete Triad\">(Triade des athl\u00e8tes f\u00e9minines<\/a>) <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/li>\n<li>Les <a href=\"\/Ageing_and_the_Locomotor_System\" title=\"Ageing and the Locomotor System\">athl\u00e8tes plus \u00e2g\u00e9s<\/a> &#8211; des facteurs tels que la perte de densit\u00e9 osseuse ou d&rsquo;anciens probl\u00e8mes d\u00e9g\u00e9n\u00e9ratifs qui peuvent pr\u00e9disposer aux blessures de surmenage.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Diagnostic_Imaging\">L&rsquo;imagerie diagnostique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Imaging\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=10\" title=\"Edit section: Diagnostic Imaging\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li><a href=\"\/X-Rays\" title=\"X-Rays\">Radiographies simples<\/a> &#8211; pour diagnostiquer les anomalies osseuses associ\u00e9es ou fortuites.<\/li>\n<li><a href=\"\/Ultrasound_Scans\" title=\"Ultrasound Scans\">Ultrasons<\/a> &#8211; m\u00e9thode d&rsquo;imagerie efficace pour les <a href=\"\/Tendinopathy\" title=\"Tendinopathy\">tendinopathies<\/a>, bien qu&rsquo;elle soit d\u00e9pendante de l&rsquo;op\u00e9rateur.<\/li>\n<li><a href=\"\/MRI_Scans\" title=\"MRI Scans\">IRM<\/a><\/li>\n<li><a href=\"\/CT_Scans\" title=\"CT Scans\">Tomodensitom\u00e9trie<\/a><\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Diagnosis\">Le diagnostic<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnosis\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=11\" title=\"Edit section: Diagnosis\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Identifiez la ou les structures concern\u00e9es, la nature et la gravit\u00e9, ainsi que la dur\u00e9e de la pathologie depuis le d\u00e9but. Cela permettra de mieux comprendre l&rsquo;\u00e9volution de la pathologie. Un diagnostic pr\u00e9coce r\u00e9duit consid\u00e9rablement les obstacles \u00e0 un processus de gu\u00e9rison optimal.<\/p>\n<h2><span class=\"mw-headline\" id=\"Management_of_Overuse_Injuries\">Traitement des blessures de surmenage <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Management of Overuse Injuries\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=12\" title=\"Edit section: Management of Overuse Injuries\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumbnail tright\"><a href=\"\/File:Hypothetical_relationship_between_chronic_training_load_and_weekly_changes_in_training_load_figure.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hypothetical_relationship_between_chronic_training_load_and_weekly_changes_in_training_load_figure.jpg\/499px-Hypothetical_relationship_between_chronic_training_load_and_weekly_changes_in_training_load_figure.jpg\" decoding=\"async\" width=\"499\" height=\"338\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hypothetical_relationship_between_chronic_training_load_and_weekly_changes_in_training_load_figure.jpg\/749px-Hypothetical_relationship_between_chronic_training_load_and_weekly_changes_in_training_load_figure.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hypothetical_relationship_between_chronic_training_load_and_weekly_changes_in_training_load_figure.jpg\/998px-Hypothetical_relationship_between_chronic_training_load_and_weekly_changes_in_training_load_figure.jpg 2x\"><\/a><\/div>\n<p>Une intervention adapt\u00e9e \u00e0 la phase est n\u00e9cessaire pour le traitement des blessures de surmenage. Les athl\u00e8tes se pr\u00e9sentent \u00e0 diff\u00e9rents stades de progression de la pathologie (c&rsquo;est-\u00e0-dire que certains se pr\u00e9senteront tr\u00e8s t\u00f4t avec une r\u00e9action de surmenage, tandis que d&rsquo;autres peuvent avoir lutt\u00e9 contre une blessure depuis beaucoup plus longtemps et la pathologie de la blessure est beaucoup plus avanc\u00e9e). Les objectifs du traitement peuvent inclure : <sup id=\"cite_ref-:3_4-1\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><\/p>\n<ul>\n<li>Identifier et traiter la cause de la blessure<\/li>\n<li>R\u00e9duire l&rsquo;<a href=\"\/Inflammation_Acute_and_Chronic\" title=\"Inflammation Acute and Chronic\">inflammation<\/a> et la <a href=\"\/Pain_Behaviours\" title=\"Pain Behaviours\">douleur<\/a><\/li>\n<li>Favoriser la <a href=\"\/Soft_Tissue_Healing\" title=\"Soft Tissue Healing\">gu\u00e9rison<\/a><\/li>\n<li>Pr\u00e9venir les complications<\/li>\n<li>R\u00e9tablir l&rsquo;usage normal de la zone bless\u00e9e<\/li>\n<li>\u00c9laborer une strat\u00e9gie de retour au jeu, en fonction des sympt\u00f4mes.<\/li>\n<\/ul>\n<p><i><b>Optimiser la cicatrisation des tissus en chargeant syst\u00e9matiquement, progressivement et de mani\u00e8re optimale les structures afin d&rsquo;assurer la restauration de la fonction et de la capacit\u00e9.<\/b><\/i><\/p>\n<p>Les modalit\u00e9s de traitement peuvent inclure :<\/p>\n<ul>\n<li>Repos relatif ou progressif \u00e9vitant les activit\u00e9s aggravantes tout en maintenant la condition physique. <sup id=\"cite_ref-:2_10-0\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/li>\n<li>Protocoles de r\u00e9cup\u00e9ration\n<ul>\n<li><a href=\"\/Cryotherapy\" title=\"La cryoth\u00e9rapie\">Cryoth\u00e9rapie<\/a> et <a href=\"\/Manual_Therapy\" title=\"La th\u00e9rapie manuelle\">techniques de th\u00e9rapie manuelle<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"\/Manual_Therapy\" title=\"La th\u00e9rapie manuelle\">Th\u00e9rapie manuelle<\/a><\/li>\n<li><a href=\"\/Strength_Training\" title=\"Strength Training\">Renforcement<\/a> et r\u00e9habilitation <sup id=\"cite_ref-:2_10-1\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup>\n<ul>\n<li>Mise en charge appropri\u00e9e \u00e0 la phase<\/li>\n<li>Exercices pour une mise en charge et un conditionnement progressifs (et aussi pour limiter les effets du d\u00e9sentra\u00eenement)<\/li>\n<\/ul>\n<\/li>\n<li>Orientation vers les prestataires de soins de sant\u00e9 appropri\u00e9s\n<ul>\n<li>Psychologues &#8211; pr\u00e9paration psychologique au retour au jeu<\/li>\n<li>Di\u00e9t\u00e9ticiens &#8211; conseils nutritionnels appropri\u00e9s tenant compte de la demande \u00e9nerg\u00e9tique du sport.<\/li>\n<li>M\u00e9decin ou sp\u00e9cialistes du sport<\/li>\n<\/ul>\n<\/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=Overuse_Injuries_-_an_Individualised_Approach&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Overuse_Injuries_-_an_Individualised_Approach&amp;action=edit&amp;section=13\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Ch\u00e9ron C, Le Scanff C, Leboeuf-Yde C. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/chiromt.biomedcentral.com\/articles\/10.1186\/s12998-017-0135-1\">Association between sports type and overuse injuries of extremities in adults: a systematic review.<\/a> Chiropractic &amp; manual therapies. 2017 Dec;25(1):1-0.<\/span><\/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> <sup><a href=\"#cite_ref-:0_2-2\">2.2<\/a><\/sup><\/span> <span class=\"reference-text\">Clarsen B. Overuse injuries in sport: development, validation and application of a new surveillance method.(dissertation). Oslo Sports Trauma Research Centre. Norwegian School of Sports Sciences. 2015<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">DiFiori JP, Benjamin HJ, Brenner JS, Gregory A, Jayanthi N, Landry GL, Luke A. Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. British journal of sports medicine. 2014 Feb 1;48(4):287-8.<\/span><\/li>\n<li id=\"cite_note-:3-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_4-1\">4.1<\/a><\/sup><\/span> <span class=\"reference-text\">Brukner P. Clinical Sports Medicine: Injuries. McGraw-Hill Education (Australia) Pty Limited; 2017.<\/span><\/li>\n<li id=\"cite_note-:1-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_5-1\">5.1<\/a><\/sup><\/span> <span class=\"reference-text\">Merike Hopkins. An Individualised Approach to Overuse Injuries. Plus , Course. 2021<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Silbernagel KG, Hanlon S, Sprague A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7249277\/\">Current clinical concepts: conservative management of Achilles tendinopathy.<\/a> Journal of athletic training. 2020 May;55(5):438-47.<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Aicale R, Tarantino D, Maffulli N. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6282309\/\">Overuse injuries in sport: a comprehensive overview<\/a>. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1-1.<\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Wu M, Fallon R, Heyworth BE. Overuse injuries in the pediatric population. Sports medicine and arthroscopy review. 2016 Dec 1;24(4):150-8.<\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Thein-Nissenbaum J, Hammer E. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5532188\/\">Treatment strategies for the female athlete triad in the adolescent athlete: current perspectives<\/a>. Open access journal of sports medicine. 2017;8:85.<\/span><\/li>\n<li id=\"cite_note-:2-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_10-0\">10.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-1\">10.1<\/a><\/sup><\/span> <span class=\"reference-text\">Cardoso TB, Pizzari T, Kinsella R, Hope D, Cook JL. Current trends in tendinopathy management. Best Practice &amp; Research Clinical Rheumatology. 2019 Feb 1;33(1):122-40.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220829130235 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.099 seconds Real time usage: 0.127 seconds Preprocessor visited node count: 225\/1000000 Post\u2010expand include size: 71\/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: 5667\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 21.941 1 Special:Contributors\/Overuse_Injuries_-_an_Individualised_Approach 100.00% 21.941 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original&#8211; Wanda van Niekerk bas\u00e9 sur le cours de Merike Hopkins Principaux collaborateurs &#8211; Wanda van Niekerk, Lucinda Hampton, Kim Jackson, Tarina van der Stockt et Jess Bell Contenu 1 Introduction 2 D\u00e9finition des blessures de surmenage 2.1 Pourquoi le surmenage entra\u00eene-t-il des blessures ? 2.1.1 Les structures affect\u00e9es par les blessures de surmenage [&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-2577","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/2577","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=2577"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/2577\/revisions"}],"predecessor-version":[{"id":7801,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/2577\/revisions\/7801"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=2577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}