{"id":3685,"date":"2022-11-10T06:59:59","date_gmt":"2022-11-10T06:59:59","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/biomechanics-of-the-hip-fr\/"},"modified":"2025-12-13T18:03:49","modified_gmt":"2025-12-13T18:03:49","slug":"biomechanics-of-the-hip-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/biomechanics-of-the-hip-fr\/","title":{"rendered":"Biom\u00e9canique de la hanche"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteur original &#8211; <\/b> <a title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\">Ewa Jaraczewska<\/a> d&rsquo;apr\u00e8s le cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/rina-pandya\/\" rel=\"nofollow\">Rina Pandya<\/a><\/p>\n<p><b>Principales collaboratrices<\/b>  &#8211;  <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>,  <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>,  <a class=\"mw-userlink\" title=\"User:Rucha Gadgil\" href=\"\/User:Rucha_Gadgil\"><bdi>Rucha Gadgil<\/bdi><\/a>,  <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda Hampton<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Static_Loading\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">La charge statique<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Koch%E2%80%99s_model\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Mod\u00e8le de Koch<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Bilateral_Limb_Support\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Le soutien bilat\u00e9ral en position debout sur les deux jambes<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Single_Leg_Stance\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">La position debout sur une jambe<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Joint_Forces_at_the_Hip\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Les forces conjointes \u00e0 la hanche<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Dynamic_Model_of_Hip_Biomechanics\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Mod\u00e8le dynamique de la biom\u00e9canique de la hanche<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Clinical_Relevance\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Pertinence clinique<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Painful_Hip\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">La hanche douloureuse<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Stair_Climbing\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">Monter des escaliers<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Lower_Extremity_Amputation\"><span class=\"tocnumber\">7.3<\/span> <span class=\"toctext\">Amputation d&rsquo;un membre inf\u00e9rieur<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#Resources\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<blockquote>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Two_repetitions_of_a_walking_sequence_of_an_individual_recorded_using_a_motion-capture_system.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/97\/Two_repetitions_of_a_walking_sequence_of_an_individual_recorded_using_a_motion-capture_system.gif\/300px-Two_repetitions_of_a_walking_sequence_of_an_individual_recorded_using_a_motion-capture_system.gif\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/97\/Two_repetitions_of_a_walking_sequence_of_an_individual_recorded_using_a_motion-capture_system.gif\/450px-Two_repetitions_of_a_walking_sequence_of_an_individual_recorded_using_a_motion-capture_system.gif 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/97\/Two_repetitions_of_a_walking_sequence_of_an_individual_recorded_using_a_motion-capture_system.gif\/600px-Two_repetitions_of_a_walking_sequence_of_an_individual_recorded_using_a_motion-capture_system.gif 2x\" alt=\"\" width=\"300\" height=\"181\" data-file-width=\"640\" data-file-height=\"387\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Biom\u00e9canique, m\u00e9canique du mouvement.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>\u00ab\u00a0La biom\u00e9canique est tout simplement la physique (m\u00e9canique) du mouvement pr\u00e9sent\u00e9 ou produit par des syst\u00e8mes biologiques. Plus pr\u00e9cis\u00e9ment, la biom\u00e9canique est un domaine d&rsquo;\u00e9tude hautement int\u00e9gr\u00e9 qui examine les forces agissant sur et dans un corps ainsi que celles produites par un corps\u00a0\u00bb.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p><\/blockquote>\n<p>Lorsqu\u2019on aborde la <a title=\"Biomechanics\" href=\"\/Biomechanics\">biom\u00e9canique <\/a> de l\u2019articulation de la <a title=\"Hanche\" href=\"\/Hip\">hanche<\/a>, il faut tenir compte de la fa\u00e7on dont les <a title=\"Os\" href=\"https:\/\/langs.physio-pedia.com\/fr\/bone-fr\/\">os<\/a>, les <a title=\"Ligaments\" href=\"\/Ligament\">ligaments <\/a> et les <a title=\"Muscle\" href=\"\/Muscle\">muscles <\/a> transf\u00e8rent le poids du corps du squelette axial au membre inf\u00e9rieur<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup>.<\/p>\n<h2><span id=\"Static_Loading\" class=\"mw-headline\">La charge statique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Static Loading\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Static Loading\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=2\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Koch.E2.80.99s_model\"><\/span><span id=\"Koch\u2019s_model\" class=\"mw-headline\">Mod\u00e8le de Koch <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Koch\u2019s model\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=3\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Koch\u2019s model\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=3\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Gluteus_medius_muscle_-_Kenhub.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/ca\/Gluteus_medius_muscle_-_Kenhub.png\/300px-Gluteus_medius_muscle_-_Kenhub.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/ca\/Gluteus_medius_muscle_-_Kenhub.png\/450px-Gluteus_medius_muscle_-_Kenhub.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/ca\/Gluteus_medius_muscle_-_Kenhub.png\/600px-Gluteus_medius_muscle_-_Kenhub.png 2x\" alt=\"\" width=\"300\" height=\"300\" data-file-width=\"680\" data-file-height=\"680\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Moyen fessier<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Koch a \u00e9t\u00e9 le premier \u00e0 introduire un mod\u00e8le statique de la biom\u00e9canique de la hanche. Selon sa th\u00e9orie, le bras de levier du corps et le bras de levier des muscles abducteurs ont un rapport de 2:1. Cela signifie que dans la position debout sur une jambe, le <a title=\"Muscle glut\u00e9al moyen\" href=\"\/Gluteus_Medius\">moyen fessier<\/a> doit g\u00e9n\u00e9rer deux fois la force du poids du corps pour maintenir l&rsquo;\u00e9quilibre et emp\u00eacher le corps de pencher du c\u00f4t\u00e9 non soutenu. Dans ce mod\u00e8le, le moyen fessier est le seul muscle qui offre une r\u00e9sistance aux charges exerc\u00e9es sur le <a title=\"Femur\" href=\"\/Femur\">f\u00e9mur<\/a>. Koch a propos\u00e9 que le moyen fessier traduit ces charges en <a title=\"Load Management\" href=\"\/Load_Management\">charges<\/a> de traction sur la face externe du f\u00e9mur en dessous de l&rsquo;attache du moyen fessier et en charges de compression sur la face externe du tiers distal du f\u00e9mur. Il a \u00e9t\u00e9 not\u00e9, cependant, que la d\u00e9claration originale de Koch n&rsquo;expliquait pas bien comment la charge de traction \u00e9tait convertie en une charge de compression dans la partie distale du f\u00e9mur.<sup id=\"cite_ref-:4_3-0\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup><\/p>\n<h2><span id=\"Bilateral_Limb_Support\" class=\"mw-headline\">Le soutien bilat\u00e9ral en position debout sur les deux jambes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Bilateral Limb Support\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=4\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Bilateral Limb Support\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=4\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le centre de gravit\u00e9 du corps est influenc\u00e9 par la structure corporelle, la posture, l&rsquo;\u00e2ge et le sexe. Les b\u00e9b\u00e9s ont le centre de gravit\u00e9 le plus haut, suivis des enfants, puis des adultes. Une gymnaste peut avoir un centre de gravit\u00e9 plus haut qu&rsquo;un footballeur en raison des diff\u00e9rences dans le d\u00e9veloppement musculaire.<\/p>\n<p>Chez les nouveau-n\u00e9s et jusqu&rsquo;\u00e0 l&rsquo;\u00e2ge de quatre ans, l&rsquo;angle du col du f\u00e9mur est d&rsquo;environ 160 \u00e0 165 degr\u00e9s. <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> La posture debout continue \u00e0 r\u00e9duire cet angle jusqu&rsquo;\u00e0 atteindre un angle de 130 \u00e0 135 degr\u00e9s. Cela reste ensuite inchang\u00e9 tout au long du processus de d\u00e9veloppement du corps et de la croissance <a title=\"Os\" href=\"https:\/\/langs.physio-pedia.com\/fr\/bone-fr\/\">osseuse<\/a>, malgr\u00e9 le temps que l&rsquo;humain passe en position debout et le fait que la masse corporelle continue d&rsquo;augmenter.<sup id=\"cite_ref-:0_5-0\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<p>Le centre de gravit\u00e9 du corps est affect\u00e9 par la structure du corps, la posture, l&rsquo;\u00e2ge et le sexe et n&rsquo;est pas toujours situ\u00e9 \u00e0 l&rsquo;int\u00e9rieur du corps. <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup>Par exemple, il peut se d\u00e9placer \u00e0 l&rsquo;ext\u00e9rieur du corps, comme lorsqu&rsquo;une personne touche ses pieds avec ses mains. En position debout sur les deux membres, le <a title=\"Centre of Gravity\" href=\"\/Centre_of_Gravity\">centre de gravit\u00e9<\/a> est situ\u00e9 entre les deux hanches, une force \u00e9gale \u00e9tant exerc\u00e9e sur les deux hanches. Chez l&rsquo;adulte, le centre de gravit\u00e9 du corps est situ\u00e9 \u00e0 environ un centim\u00e8tre en avant du premier segment <a title=\"Sacrum\" href=\"\/Sacrum\">sacr\u00e9<\/a>.<sup id=\"cite_ref-:0_5-1\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> La gravit\u00e9 s&rsquo;exerce sur les membres inf\u00e9rieurs selon un axe vertical. Dans ces conditions de mise encharge, le poids du corps moins le poids des deux jambes est support\u00e9 de mani\u00e8re \u00e9gale sur les t\u00eates f\u00e9morales.<sup id=\"cite_ref-:0_5-2\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/H0SoMQ_L7-k?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<p>Le tissu osseux r\u00e9pond \u00e0 diverses demandes, y compris celles influenc\u00e9es par l&rsquo;environnement. Des r\u00e9ponses sp\u00e9cifiques incluent le d\u00e9veloppement d&rsquo;un os hypertrophique ou atrophique ou une alt\u00e9ration de la qualit\u00e9 de l&rsquo;os dans les zones de compression (os cortical) ou de traction (os spongieux).<sup id=\"cite_ref-:0_5-3\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<p>La stabilit\u00e9 des articulations des membres inf\u00e9rieurs d\u00e9pend de :<sup id=\"cite_ref-:0_5-4\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<ul>\n<li>La g\u00e9om\u00e9trie articulaire : stabilit\u00e9 de la hanche, du genou et de la cheville<\/li>\n<li>L&rsquo;nt\u00e9grit\u00e9 des tissus mous : stabilit\u00e9 des \u00e9l\u00e9ments dynamiques (muscle, tendon, <a title=\"Les fascias\" href=\"\/Fascia\">fascia<\/a>) et statiques (ligaments). En r\u00e9ponse aux demandes, les structures dynamiques ajustent leur longueur. Les structures statiques seront tendues en extension d&rsquo;un c\u00f4t\u00e9 et, corr\u00e9lativement, tendues en flexion de l&rsquo;autre c\u00f4t\u00e9.<sup id=\"cite_ref-:0_5-5\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/li>\n<li>Les ligaments capsulaires de l&rsquo;articulation de la hanche sont essentiels pour maintenir un \u00e9quilibre entre la mobilit\u00e9 et la stabilit\u00e9 de l&rsquo;articulation.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Single_Leg_Stance\" class=\"mw-headline\">La position debout sur une jambe <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Single Leg Stance\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Single Leg Stance\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=5\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 252px;\"><a class=\"image\" href=\"\/File:Pone.0118903.g001.PNG_L.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/07\/Pone.0118903.g001.PNG_L.png\/250px-Pone.0118903.g001.PNG_L.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/07\/Pone.0118903.g001.PNG_L.png\/374px-Pone.0118903.g001.PNG_L.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/07\/Pone.0118903.g001.PNG_L.png\/499px-Pone.0118903.g001.PNG_L.png 2x\" alt=\"\" width=\"250\" height=\"276\" data-file-width=\"2917\" data-file-height=\"3225\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Mod\u00e8les statique et dynamique de la production de force de l&rsquo;abducteur de la hanche (d&rsquo;apr\u00e8s Warrener AG et al.)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Lors de la phase d&rsquo;appui sur une jambe, les ph\u00e9nom\u00e8nes suivants se produisent : <sup id=\"cite_ref-:7_9-0\" class=\"reference\"><a href=\"#cite_note-:7-9\">(9)<\/a><\/sup><\/p>\n<ul>\n<li>Le centre de gravit\u00e9 se d\u00e9place distalement et s&rsquo;\u00e9loigne de la jambe d&rsquo;appui.<\/li>\n<li>La jambe non porteuse devient une partie de la masse corporelle qui agit sur la hanche porteuse.<\/li>\n<\/ul>\n<ul>\n<li>La force descendante exerce un mouvement de rotation autour du centre de la t\u00eate f\u00e9morale.<\/li>\n<li>Les abducteurs, comprenant les fibres sup\u00e9rieures du grand fessier, le tenseur du fascia lata, le moyen et le petit fessier, le pyramidal et l&rsquo;obturateur interne, compensent l&rsquo;action des muscles qui r\u00e9sistent \u00e0 la rotation de la t\u00eate f\u00e9morale. Cela cr\u00e9e un moment autour du centre de la t\u00eate f\u00e9morale.<\/li>\n<li>Le bras de levier des abducteurs est plus court que le bras de levier du poids du corps. Par cons\u00e9quent, la force combin\u00e9e des abducteurs doit \u00eatre un multiple du poids du corps (g\u00e9n\u00e9ralement trois fois le poids du corps), ce qui correspond \u00e0 un rapport de levier de 2,5.<\/li>\n<\/ul>\n<p>Des forces de la hanche plus importantes sont n\u00e9cessaires pour les personnes qui ont un bassin large et un col du f\u00e9mur court. Ces personnes ont un rapport bras de levier plus important, et ont donc besoin d&rsquo;une plus grande force du muscle abducteur. Ces personnes ont tendance \u00e0 pr\u00e9senter un risque \u00e9lev\u00e9 de pathologies de la hanche, notamment d\u2019arthrose. <sup id=\"cite_ref-:0_5-6\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Cependant, une \u00e9tude de Warrener et al. <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> a montr\u00e9 que la largeur du bassin ne permet pas de pr\u00e9dire la m\u00e9canique des abducteurs de la hanche ou le co\u00fbt locomoteur, que ce soit chez les femmes ou chez les hommes.<\/p>\n<p>Exemples de postures qui indiquent une augmentation du bras de levier et une diminution de la force d\u2019abduction de la hanche : <sup id=\"cite_ref-:7_9-1\" class=\"reference\"><a href=\"#cite_note-:7-9\">(9)<\/a><\/sup><\/p>\n<ul>\n<li>En position couch\u00e9e, les jambes \u00ab\u00a0tombent\u00a0\u00bb vers l&rsquo;ext\u00e9rieur<\/li>\n<li>En position assise avec les chevilles crois\u00e9es, le gros abdomen d&rsquo;un patient force les hanches en abduction et en rotation externe, \u00ab\u00a0\u00e9cartant\u00a0\u00bb les genoux<\/li>\n<\/ul>\n<h2><span id=\"Joint_Forces_at_the_Hip\" class=\"mw-headline\">Les forces conjointes \u00e0 la hanche <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Joint Forces at the Hip\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Joint Forces at the Hip\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=6\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les charges moyennes sur l&rsquo;articulation de la hanche mesur\u00e9es chez des sujets ayant subi une proth\u00e8se totale de la hanche \u00e9taient les suivantes :<\/p>\n<ul>\n<li>\u00c0 la marche \u00e0 environ 4 km\/h : 238% du poids corporel (PC) (160 \u00e0 330% PC)<sup id=\"cite_ref-:1_11-0\" class=\"reference\"><a href=\"#cite_note-:1-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:2_12-0\" class=\"reference\"><a href=\"#cite_note-:2-12\">(12)<\/a><\/sup><\/li>\n<li>Descente d\u2019escalier : 108% \u00e0 260% PC<sup id=\"cite_ref-:3_13-0\" class=\"reference\"><a href=\"#cite_note-:3-13\">(13)<\/a><\/sup><\/li>\n<li>Mont\u00e9e des marches : 251%PC<sup id=\"cite_ref-:2_12-1\" class=\"reference\"><a href=\"#cite_note-:2-12\">(12)<\/a><\/sup><\/li>\n<li>Au lever d\u2019une chaise et \u00e0 la flexion : 40% PC<sup id=\"cite_ref-:3_13-1\" class=\"reference\"><a href=\"#cite_note-:3-13\">(13)<\/a><\/sup><\/li>\n<li>Debout : 32% PC<\/li>\n<li>En appui sur une jambe : 230 \u00e0 290% PC <sup id=\"cite_ref-:1_11-1\" class=\"reference\"><a href=\"#cite_note-:1-11\">(11)<\/a><\/sup><\/li>\n<\/ul>\n<p><i>Remarque<\/i>: \u00ab Les tr\u00e9buchements ou les p\u00e9riodes d\u2019instabilit\u00e9 pendant l\u2019appui sur une jambe peuvent g\u00e9n\u00e9rer des forces r\u00e9sultantes sup\u00e9rieures \u00e0 huit fois le poids du corps. \u00bb<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<p>Les chiffres ci-dessus indiquent que le stress le plus \u00e9lev\u00e9 sur l&rsquo;articulation de la hanche se produit pendant la marche et la descente des escaliers. Le d\u00e9veloppement d\u2019une pathologie de la hanche, par exemple l\u2019<a title=\"Gonarthrose\" href=\"\/Osteoarthritis\">arthrose<\/a>, peut \u00eatre pr\u00e9dite lorsque ces activit\u00e9s sont effectu\u00e9es de mani\u00e8re r\u00e9p\u00e9titive et\/ou dans des conditions d\u00e9ficientes. <sup id=\"cite_ref-:3_13-2\" class=\"reference\"><a href=\"#cite_note-:3-13\">(13)<\/a><\/sup><\/p>\n<h2><span id=\"Dynamic_Model_of_Hip_Biomechanics\" class=\"mw-headline\">Mod\u00e8le dynamique de la biom\u00e9canique de la hanche <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Dynamic Model of Hip Biomechanics\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=7\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Dynamic Model of Hip Biomechanics\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=7\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Selon Koch, <sup id=\"cite_ref-:4_3-1\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup> afin de maintenir la stabilit\u00e9 de la hanche, le moyen fessier doit g\u00e9n\u00e9rer deux fois la force du poids du corps lorsqu\u2019en position sur une seule jambe. Cependant, sur la base de diff\u00e9rentes donn\u00e9es relatives \u00e0 la dynamique de la hanche et d&rsquo;un mod\u00e8le complet de stabilit\u00e9, il a \u00e9t\u00e9 conclu que la bandelette iliotibiale joue un r\u00f4le important dans le maintien de la stabilit\u00e9 de la hanche. Les observations suivantes appuient cette th\u00e9orie :<sup id=\"cite_ref-:0_5-7\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<ul>\n<li>La bandelette ilio-tibiale sert de bande de tension pour soulager la demande m\u00e9tabolique et r\u00e9duire l\u2019activit\u00e9 \u00e9lectrique du moyen fessier pendant la phase d\u2019appui interm\u00e9di\u00e8re de la marche.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/li>\n<li>Les patients <a title=\"Amputations\" href=\"https:\/\/langs.physio-pedia.com\/fr\/amputations-fr\/\">amput\u00e9s <\/a> sous le genou pr\u00e9sentent une fonction compromise de la bandelette ilio-tibiale en tant que stabilisateur de l\u2019articulation de la hanche en raison de la perte de son attache distale. <sup id=\"cite_ref-:0_5-8\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Clinical_Relevance\" class=\"mw-headline\">Pertinence clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Relevance\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=8\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Relevance\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=8\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Painful_Hip\" class=\"mw-headline\">La hanche douloureuse <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Painful Hip\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Painful Hip\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=9\">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 class=\"image\" href=\"\/File:Bigstock-Senior-woman-using-a-cane-225325693.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/00\/Bigstock-Senior-woman-using-a-cane-225325693.jpeg\/300px-Bigstock-Senior-woman-using-a-cane-225325693.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/00\/Bigstock-Senior-woman-using-a-cane-225325693.jpeg\/450px-Bigstock-Senior-woman-using-a-cane-225325693.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/00\/Bigstock-Senior-woman-using-a-cane-225325693.jpeg\/600px-Bigstock-Senior-woman-using-a-cane-225325693.jpeg 2x\" alt=\"\" width=\"300\" height=\"449\" data-file-width=\"1068\" data-file-height=\"1600\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Utiliser correctement une canne r\u00e9duit les douleurs \u00e0 la hanche<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>La prise en charge d&rsquo;une douleur de la hanche doit inclure une r\u00e9duction de la force de r\u00e9action de l&rsquo;articulation. Cela peut se faire de la mani\u00e8re suivante :<\/p>\n<ul>\n<li>R\u00e9duction de la <a title=\"Body Mass Index\" href=\"\/Body_Mass_Index\">masse corporelle<\/a><\/li>\n<li>Augmentation de la force de l&rsquo;abducteur<\/li>\n<li>Diminuer le bras de levier en rapprochant le centre de gravit\u00e9 du centre de la t\u00eate f\u00e9morale avec :\n<ul>\n<li>Boiterie(<a title=\"Gait: Antalgic\" href=\"\/Gait:_Antalgic\">d\u00e9marche antalgique<\/a>)<\/li>\n<li>L\u2019utilisation d\u2019une <a title=\"Cannes\" href=\"https:\/\/langs.physio-pedia.com\/fr\/canes-fr\/\">canne <\/a> dans la main oppos\u00e9e \u2013 lorsque environ 15 % du poids du corps est appliqu\u00e9 sur la canne, cela r\u00e9duit la force de r\u00e9action de l\u2019articulation de 50 %. <sup id=\"cite_ref-:5_16-0\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Lorsqu\u2019une personne utilise une canne comme appui, la force de r\u00e9action de l\u2019articulation est r\u00e9duite car \u00ab la force de r\u00e9action canne-sol agit \u00e0 une distance beaucoup plus grande du centre de la hanche que les muscles abducteurs \u00bb.<sup id=\"cite_ref-:5_16-1\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup> M\u00eame lorsqu\u2019une petite mise en charge est prise par la canne, le patient est capable de r\u00e9duire la demande des muscles abducteurs pour maintenir la stabilit\u00e9 de l\u2019articulation pendant la marche. <sup id=\"cite_ref-:5_16-2\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/p>\n<h3><span id=\"Stair_Climbing\" class=\"mw-headline\">Monter des escaliers <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Stair Climbing\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=10\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Stair Climbing\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=10\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Lors de la <i>mont\u00e9e <\/i> des <a title=\"Stair Gait\" href=\"\/Stair_Gait\">escaliers<\/a>, les patients souffrant d\u2019arthrose d\u00e9montrent :<sup id=\"cite_ref-:6_17-0\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/p>\n<ul>\n<li>Une <a title=\"Amplitude articulaire\" href=\"\/Range_of_Motion\">amplitude <\/a> limit\u00e9e du mouvement de la hanche dans les trois <a title=\"Cardinal Planes and Axes of Movement\" href=\"\/Cardinal_Planes_and_Axes_of_Movement\">plans <\/a> : sagittal, transversal et frontal.<\/li>\n<li>Un moment maximal de rotation externe de la hanche inf\u00e9rieure au normal<\/li>\n<\/ul>\n<p>En <i>descendant les<\/i> escaliers, ces patients d\u00e9montrent :<\/p>\n<ul>\n<li>Une augmentation de l&rsquo;appui sur le tronc ipsilat\u00e9ral<\/li>\n<\/ul>\n<ul>\n<li>Une r\u00e9duction de l&rsquo;amplitude du mouvement dans le plan sagittal<\/li>\n<li>Un moment d&rsquo;extension externe maximal inf\u00e9rieur au normal<\/li>\n<li>Un moment de rotation externe de pointe inf\u00e9rieur au normal<\/li>\n<li>Un moment d&rsquo;adduction de la hanche plus \u00e9lev\u00e9 que normal<\/li>\n<li>Une impulsion du moment d&rsquo;adduction de la hanche plus \u00e9lev\u00e9e que normal<\/li>\n<li>Un moment d\u2019impulsion de rotation interne plus \u00e9lev\u00e9 que normal <sup id=\"cite_ref-:6_17-1\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<p>L\u2019approche physioth\u00e9rapeutique visant \u00e0 am\u00e9liorer la mont\u00e9e et la descente des escaliers pour les personnes souffrant d\u2019arthrose peut inclure les \u00e9l\u00e9ments suivants :<\/p>\n<ul>\n<li>Le <a title=\"Transcutaneous Electrical Nerve Stimulation (TENS)\" href=\"\/Transcutaneous_Electrical_Nerve_Stimulation_(TENS)\">TENS <\/a> comme option pour r\u00e9duire la douleur li\u00e9e \u00e0 l\u2019arthrose du genou \u00e0 un stade pr\u00e9coce<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/li>\n<li><a title=\"Strength Training\" href=\"\/Strength_Training\">L&rsquo;entra\u00eenement en r\u00e9sistance<\/a> pour am\u00e9liorer la masse musculaire de la hanche. On a constat\u00e9 une corr\u00e9lation positive avec les performances lors de la mont\u00e9e d&rsquo;escaliers et celles du lever de chaise.<sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/li>\n<li>La prescription d&rsquo;un <a title=\"Endurance Exercise\" href=\"\/Endurance_Exercise\">entra\u00eenement en endurance<\/a> pour les patients souffrant d&rsquo;une arthrose mod\u00e9r\u00e9e \u00e0 s\u00e9v\u00e8re de la hanche. Cela peut am\u00e9liorer la capacit\u00e9 d&rsquo;endurance des extenseurs du genou, qui jouent un r\u00f4le important dans la vie quotidienne. <sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Lower_Extremity_Amputation\" class=\"mw-headline\">Amputation des membres inf\u00e9rieurs <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Lower Extremity Amputation\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=11\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Lower Extremity Amputation\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=11\">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 class=\"image\" href=\"\/File:Above_knee_amputation.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bd\/Above_knee_amputation.png\/300px-Above_knee_amputation.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bd\/Above_knee_amputation.png\/450px-Above_knee_amputation.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bd\/Above_knee_amputation.png\/600px-Above_knee_amputation.png 2x\" alt=\"\" width=\"300\" height=\"206\" data-file-width=\"956\" data-file-height=\"656\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Amputation au-dessus du genou<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Les patients amput\u00e9s au-dessus du genou pr\u00e9sentent un sch\u00e9ma de marche de <a title=\"Trendelenburg Gait\" href=\"\/Trendelenburg_Gait\">Trendelenburg <\/a> positif malgr\u00e9 des abducteurs de hanches intacts. Cependant, dans ce groupe de patients, le moyen fessier n&rsquo;est pas en mesure d&rsquo;assurer une stabilit\u00e9 ad\u00e9quate de la hanche pendant la marche en raison de la perte de l&rsquo;action de la bandelette iliotibiale qui assure une stabilit\u00e9 articulaire suppl\u00e9mentaire.<sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/p>\n<p>Le traitement peut inclure la technique chirurgicale de t\u00e9nod\u00e8se de la bandelette iliotibiale et des structures lat\u00e9rales des tissus mous jusqu&rsquo;au f\u00e9mur distal.<sup id=\"cite_ref-:0_5-9\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressources (dans la langue originale)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ol>\n<li>Zaghloul A, Elalfy MM. <a class=\"external text\" href=\"http:\/\/biomedres.us\/pdfs\/BJSTR.MS.ID.002267.pdf\" rel=\"nofollow\">Hip Joint: Embryology, Anatomy and Biomechanics<\/a>. Biomed J Sci &amp; Tech Res, 2018 12(3).<\/li>\n<li>Hip Biomechanics <a class=\"external free\" href=\"https:\/\/www.orthobullets.com\/recon\/9064\/hip-biomechanics\" rel=\"nofollow\">https:\/\/www.orthobullets.com\/recon\/9064\/hip-biomechanics<\/a><\/li>\n<\/ol>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Biomechanics_of_the_Hip&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">McLester J, Pierre PS. Applied Biomechanics. Jones &amp; Bartlett Learning; 2019 Mar 8.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Van Houcke J, Khanduja V, Pattyn C, Audenaert E. The history of biomechanics in total hip arthroplasty. Indian Journal of Orthopaedics. 2017 Aug;51(4):359-67.<\/span><\/li>\n<li id=\"cite_note-:4-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Fetto J, Leali A, Moroz A. <a class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/10986162_Evolution_of_the_Koch_model_of_the_biomechanics_of_the_hip_Clinical_perspective\" rel=\"nofollow\">Evolution of the Koch model of the biomechanics of the hip: a clinical perspective.<\/a> J Orthop Sci. 2002;7(6):724-30. <\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Feger J. Femoral neck-shaft angle. Reference article, Radiopaedia.org. (accessed on 07 Mar 2022) https:\/\/doi.org\/10.53347\/rID-81120<\/span><\/li>\n<li id=\"cite_note-:0-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-2\">5.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-3\">5.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-4\">5.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-5\">5.5<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-6\">5.6<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-7\">5.7<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-8\">5.8<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-9\">5.9<\/a><\/sup><\/span> <span class=\"reference-text\">Fetto JF. <a class=\"external text\" href=\"https:\/\/www.hindawi.com\/journals\/aorth\/2019\/5804642\/\" rel=\"nofollow\">A dynamic model of hip joint biomechanics: The contribution of soft tissues<\/a>. Advances in Orthopedics. 2019 Jun 4;2019.<\/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\">Dygut J, Piwowar M. The real rotational capacity of the human joints\u2013the muscular and gravitational torques and the foot as a platform. Acta of Bioengineering &amp; Biomechanics. 2024 Jul 1;26(3).<\/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\">Mock FRCS Cardiff. Free body diagram hip. 2016. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=H0SoMQ_L7-k\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=H0SoMQ_L7-k<\/a> (last accessed 27\/02\/2022)<\/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\">Xu W, Ghaziani AO, Khanduja V, Pattyn C, Duquesne K, Van Couwenberghe G, Audenaert E. Anatomy, biomechanics and function of the hip capsule: A narrative review from a surgeons perspective. Clinical Biomechanics. 2025 Jul 1;127:106588.<\/span><\/li>\n<li id=\"cite_note-:7-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:7_9-1\">9.1<\/a><\/sup><\/span> <span class=\"reference-text\">Pandya R. Biomechanics of the Hip Course. Plus. 2022.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Warrener AG, Lewton KL, Pontzer H, Lieberman DE. <a class=\"external text\" href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0118903\" rel=\"nofollow\">A wider pelvis does not increase locomotor cost in humans, with implications for the evolution of childbirth<\/a>. PLoS One. 2015 Mar 11;10(3):e0118903.<\/span><\/li>\n<li id=\"cite_note-:1-11\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_11-0\">11.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_11-1\">11.1<\/a><\/sup><\/span> <span class=\"reference-text\">Rydell NW. Forces acting on the femoral head prosthesis. A study on strain gauge supplied prostheses in living persons. Acta Orthop Scand. 1966;37:Suppl 88:1-132. <\/span><\/li>\n<li id=\"cite_note-:2-12\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_12-0\">12.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_12-1\">12.1<\/a><\/sup><\/span> <span class=\"reference-text\">Bergmann G, Deuretzbacher G, Heller M, Graichen F, Rohlmann A, Strauss J, Duda GN. Hip contact forces and gait patterns from routine activities. J Biomech. 2001 Jul;34(7):859-71. <\/span><\/li>\n<li id=\"cite_note-:3-13\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_13-0\">13.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_13-1\">13.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_13-2\">13.2<\/a><\/sup><\/span> <span class=\"reference-text\">Luepongsak N, Amin S, Krebs DE, McGibbon CA, Felson D. The contribution of type of daily activity to loading across the hip and knee joints in the elderly. Osteoarthritis Cartilage. 2002 May;10(5):353-9. <\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Bergmann G, Deuretzbacher G, Heller M, Graichen F, Rohlmann A, Strauss J, Duda GN. Hip contact forces and gait patterns from routine activities. J Biomech. 2001 Jul;34(7):859-71.<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Wei ZF, Kim JH, Kim MK, Hwang-Bo G. <a class=\"external text\" href=\"https:\/\/www.e-sciencecentral.org\/upload\/kspm\/pdf\/kspm-20-3-57.pdf\" rel=\"nofollow\">Effect of Gluteus Medius Strengthening Exercise on Iliotibial Band Tension: Randomized Controlled Trials.<\/a> Korean Society of Physical Medicine. 2025 Aug 31;20(3):57-70.<\/span><\/li>\n<li id=\"cite_note-:5-16\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_16-0\">16.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-1\">16.1<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-2\">16.2<\/a><\/sup><\/span> <span class=\"reference-text\">Lim LA, Carmichael SW, Cabanela ME. <a class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/%28SICI%291097-0185%2819990615%29257%3A3%3C110%3A%3AAID-AR8%3E3.0.CO%3B2-2\" rel=\"nofollow\">Biomechanics of total hip arthroplasty.<\/a> The Anatomical Record: An Official Publication of the American Association of Anatomists. 1999 Jun 15;257(3):110-6.<\/span><\/li>\n<li id=\"cite_note-:6-17\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_17-0\">17.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_17-1\">17.1<\/a><\/sup><\/span> <span class=\"reference-text\">Hall M, Wrigley TV, Kean CO, Metcalf BR, Bennell KL. <a class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/jor.23407\" rel=\"nofollow\">Hip biomechanics during stair ascent and descent in people with and without hip osteoarthritis.<\/a> Journal of Orthopaedic Research. 2017 Jul;35(7):1505-14.<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Steingrebe H, Sell S, Ehmann H, Stein T. <a class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0021929025002210\" rel=\"nofollow\">Hip and trunk biomechanics and dynamic balance during steady-state stair walking in people with mild-to-moderate hip osteoarthritis.<\/a> Journal of biomechanics. 2025 May 1;185:112709.<\/span><\/li>\n<li id=\"cite_note-19\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-19\">\u2191<\/a><\/span> <span class=\"reference-text\">Iijima H, Eguchi R, Shimoura K, Yamada K, Aoyama T, Takahashi M. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7190707\/pdf\/41598_2020_Article_64176.pdf\" rel=\"nofollow\">Transcutaneous electrical nerve stimulation improves stair climbing capacity in people with knee osteoarthritis.<\/a> Scientific reports. 2020 Apr 29;10(1):1-9.<\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Bieler T, Kristensen AL, Nyberg M, Magnusson SP, Kjaer M, Beyer N. Exercise in patients with hip osteoarthritis\u2013effects on muscle and functional performance: A randomized trial. Physiotherapy Theory and Practice. 2021 May 8:1-2.<\/span><\/li>\n<li id=\"cite_note-21\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-21\">\u2191<\/a><\/span> <span class=\"reference-text\">Burgess LC, Taylor P, Wainwright TW, Swain ID. Strength and endurance deficits in adults with moderate-to-severe hip osteoarthritis, compared to healthy, older adults. Disability and Rehabilitation. 2021 Jun 20:1-8.<\/span><\/li>\n<li id=\"cite_note-22\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-22\">\u2191<\/a><\/span> <span class=\"reference-text\">Vandenberg NW, Wheatley BB, Carpenter RD, Christiansen CL, Stoneback JW, Gaffney BM. Feasibility of predicting changes in gait biomechanics following muscle strength perturbations using optimal control in patients with transfemoral amputation. Computer Methods in Biomechanics and Biomedical Engineering. 2024 Aug 29:1-5.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20251209070712\nCache expiry: 0\nReduced expiry: true\nComplications: (show\u2010toc)\nCPU time usage: 0.096 seconds\nReal time usage: 0.113 seconds\nPreprocessor visited node count: 411\/1000000\nPost\u2010expand include size: 75\/2097152 bytes\nTemplate argument size: 0\/2097152 bytes\nHighest expansion depth: 3\/100\nExpensive parser function count: 0\/100\nUnstrip recursion depth: 0\/20\nUnstrip post\u2010expand size: 13664\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%    8.349      1 Special:Contributors\/Biomechanics_of_the_Hip\n100.00%    8.349      1 -total\n--><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Ewa Jaraczewska d&rsquo;apr\u00e8s le cours de Rina Pandya Principales collaboratrices &#8211; Ewa Jaraczewska, Jess Bell, Rucha Gadgil, Lucinda Hampton et Kim Jackson Contenu 1 Introduction 2 La charge statique 2.1 Mod\u00e8le de Koch 3 Le soutien bilat\u00e9ral en position debout sur les deux jambes 4 La position debout sur une jambe 5 [&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-3685","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3685","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=3685"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3685\/revisions"}],"predecessor-version":[{"id":13318,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3685\/revisions\/13318"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=3685"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}