{"id":4566,"date":"2023-01-18T18:37:32","date_gmt":"2023-01-18T18:37:32","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/management-of-chronic-ankle-instability-fr\/"},"modified":"2023-01-30T10:12:03","modified_gmt":"2023-01-30T10:12:03","slug":"management-of-chronic-ankle-instability-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/management-of-chronic-ankle-instability-fr\/","title":{"rendered":"Traiter l&rsquo;instabilit\u00e9 chronique de la cheville"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>\u00c9diteur original <\/b>&#8211; <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\/helene-simpson\/\" rel=\"nofollow\">Helene Simpson<\/a><br \/>\n<b>Contributeurs principaux<\/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> et <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Definition_of_Chronic_Ankle_Instability_.28CAI.29\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">D\u00e9finition de l&rsquo;instabilit\u00e9 chronique de la cheville <\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#Long-term_Outcomes\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">R\u00e9sultats \u00e0 long terme<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Mechanical_and_Functional_Instability\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Instabilit\u00e9 m\u00e9canique et fonctionnelle<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Mechanical_Instability\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Instabilit\u00e9 m\u00e9canique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Functional_Instability\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Instabilit\u00e9 fonctionnelle<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Diagnostic_Procedures\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Proc\u00e9dures de diagnostic<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Physiotherapy_Management\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Traitement en physioth\u00e9rapie<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Neuromuscular_Training\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Entra\u00eenement neuromusculaire<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-9\"><a href=\"#Guide_to_Neuromuscular_Training\"><span class=\"tocnumber\">4.1.1<\/span> <span class=\"toctext\">Guide de l&rsquo;entra\u00eenement neuromusculaire<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-10\"><a href=\"#Exercises\"><span class=\"tocnumber\">4.1.1.1<\/span> <span class=\"toctext\">Exercices<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Balance_Training\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Entra\u00eenement de l&rsquo;\u00e9quilibre<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Guide_to_Balance_Training\"><span class=\"tocnumber\">4.2.1<\/span> <span class=\"toctext\">Guide d&rsquo;entra\u00eenement de l&rsquo;\u00e9quilibre<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-13\"><a href=\"#Proprioception\"><span class=\"tocnumber\">4.2.1.1<\/span> <span class=\"toctext\">Proprioception<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-14\"><a href=\"#Therapeutic_Interventions\"><span class=\"tocnumber\">4.2.1.2<\/span> <span class=\"toctext\"><b>Interventions th\u00e9rapeutiques<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Mobilisation\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Mobilisation<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-16\"><a href=\"#Therapeutic_Interventions_2\"><span class=\"tocnumber\">4.3.1<\/span> <span class=\"toctext\">Interventions th\u00e9rapeutiques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Braces_and_Taping\"><span class=\"tocnumber\">4.4<\/span> <span class=\"toctext\">Orth\u00e8ses et Taping<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Taping\"><span class=\"tocnumber\">4.4.1<\/span> <span class=\"toctext\">Taping<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-19\"><a href=\"#Therapeutic_Intervention\"><span class=\"tocnumber\">4.4.1.1<\/span> <span class=\"toctext\">Interventions th\u00e9rapeutiques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-3 tocsection-20\"><a href=\"#Braces\"><span class=\"tocnumber\">4.4.2<\/span> <span class=\"toctext\">Orth\u00e8ses<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-21\"><a href=\"#Therapeutic_intervention_2\"><span class=\"tocnumber\">4.4.2.1<\/span> <span class=\"toctext\">Interventions th\u00e9rapeutiques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-22\"><a href=\"#Flexibility_and_Strength_Training\"><span class=\"tocnumber\">4.5<\/span> <span class=\"toctext\">Entra\u00eenement de la souplesse et de la force<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-23\"><a href=\"#Example_Treatment_Protocol\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Exemple de protocole de traitement<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-24\"><a href=\"#General_Principles\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Principes g\u00e9n\u00e9raux<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-25\"><a href=\"#Phase_1\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Phase 1<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-26\"><a href=\"#Phase_2\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">Phase 2<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-27\"><a href=\"#Phase_3\"><span class=\"tocnumber\">5.4<\/span> <span class=\"toctext\">Phase 3<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-28\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Definition_of_Chronic_Ankle_Instability_(CAI)\"><\/span><span id=\"Definition_of_Chronic_Ankle_Instability_.28CAI.29\" class=\"mw-headline\">D\u00e9finition de l&rsquo;instabilit\u00e9 chronique de la cheville <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Definition of Chronic Ankle Instability (CAI)\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=1\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Definition of Chronic Ankle Instability (CAI)\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=1\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;instabilit\u00e9 chronique de la cheville a \u00e9t\u00e9 d\u00e9finie comme \u00ab\u00a0des \u00e9pisodes r\u00e9p\u00e9titifs d&rsquo;instabilit\u00e9 lat\u00e9rale de la cheville entra\u00eenant de nombreuses entorses de la cheville\u00a0\u00bb. <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> L&rsquo;instabilit\u00e9 chronique fait r\u00e9f\u00e9rence \u00e0 une sensation d&rsquo;appr\u00e9hension au niveau de la cheville, la cheville qui \u00a0\u00bb c\u00e8de \u00a0\u00bb et les entorses r\u00e9currentes de la cheville, persistant pendant au moins six mois apr\u00e8s l&rsquo;entorse initiale.<sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Les signes et sympt\u00f4mes incluent :<sup id=\"cite_ref-:1_2-1\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Douleur en lat\u00e9rale de la cheville<\/li>\n<li>oed\u00e8me chronique<\/li>\n<li>Difficult\u00e9 \u00e0 marcher sur un terrain accident\u00e9<\/li>\n<\/ul>\n<p>\u00c0 partir du mod\u00e8le de Classification internationale du fonctionnement, du handicap et de la sant\u00e9 (CIF), les effets de l&rsquo;instabilit\u00e9 chronique de la cheville sur la fonction et la sant\u00e9 sont les suivants :<\/p>\n<ul>\n<li>En termes de <i>d\u00e9ficiences <\/i>: <sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup>\n<ul>\n<li>Laxit\u00e9 ligamentaire accrue<\/li>\n<li>D\u00e9ficits proprioceptifs<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>En termes de <i>limitations d&rsquo;activit\u00e9 : <\/i><sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup>\n<ul>\n<li>Incapacit\u00e9 de marcher<\/li>\n<li>Incapacit\u00e9 de sauter<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>En termes de <i>participation <\/i>: <sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup>\n<ul>\n<li>Arr\u00eat du sport<\/li>\n<li>Retrait ou diminution de l&rsquo;implication professionnelle<\/li>\n<li>Diminution du niveau d&rsquo;exercice<\/li>\n<li>Changement du type de sport<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span id=\"Long-term_Outcomes\" class=\"mw-headline\">R\u00e9sultats \u00e0 long terme <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Long-term Outcomes\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Long-term Outcomes\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=2\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les patients atteints d&rsquo;instabilit\u00e9 chronique de la cheville connaissent une r\u00e9duction de leur qualit\u00e9 de vie physique. Les traitements peuvent am\u00e9liorer la stabilit\u00e9, mais ils prennent beaucoup de temps et peuvent n\u00e9cessiter un \u00e9quipement sp\u00e9cialis\u00e9. <sup id=\"cite_ref-:1_2-2\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Konradsen et al. <sup id=\"cite_ref-:19_4-0\" class=\"reference\"><a href=\"#cite_note-:19-4\">(4)<\/a><\/sup> ont men\u00e9 une \u00e9tude qui a suivi des patients sept ans apr\u00e8s un traumatisme par inversion de la cheville. Ils ont constat\u00e9 ce qui suit : <sup id=\"cite_ref-:19_4-1\" class=\"reference\"><a href=\"#cite_note-:19-4\">(4)<\/a><\/sup><\/p>\n<ul>\n<li>32 % des patients ont signal\u00e9 des douleurs et un oed\u00e8me chroniques, et des entorses r\u00e9currentes<\/li>\n<li>72 % des sujets pr\u00e9sentant un handicap r\u00e9siduel ont d\u00e9clar\u00e9 que leur cheville les g\u00eanait sur le plan fonctionnel.<\/li>\n<li>4 % des patients ressentaient des douleurs au repos et \u00e9taient gravement handicap\u00e9s.<\/li>\n<li>19% \u00e9taient g\u00ean\u00e9s par des blessures d&rsquo;inversion r\u00e9p\u00e9t\u00e9es<\/li>\n<li>43% de ces sujets ont estim\u00e9 qu&rsquo;ils pouvaient compenser en utilisant une chevill\u00e8re externe.<\/li>\n<li>85 % des personnes qui d\u00e9veloppent une instabilit\u00e9 chronique de la cheville apr\u00e8s une entorse unilat\u00e9rale ont signal\u00e9 des probl\u00e8mes dans la cheville controlat\u00e9rale.<\/li>\n<\/ul>\n<p>Selon Hertel, <sup id=\"cite_ref-:2_5-0\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup> une entorse en entra\u00eene une autre. <sup id=\"cite_ref-:1_2-3\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Et Struijs et Kerkhoffs <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> ont constat\u00e9 qu&rsquo;il y avait une r\u00e9currence de 30% des entorses dans l&rsquo;ann\u00e9e qui suit la blessure. <sup id=\"cite_ref-:1_2-4\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<p>D&rsquo;autres r\u00e9sultats \u00e0 long terme ont \u00e9t\u00e9 rapport\u00e9s :<\/p>\n<ul>\n<li>D\u00e9faillances du cartilage articulaire sur le c\u00f4t\u00e9 m\u00e9dial de l&rsquo;articulation dus \u00e0 : <sup id=\"cite_ref-:1_2-5\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup>\n<ul>\n<li>Une d\u00e9chirure du ligament talo-fibulaire ant\u00e9rieur (LTA) et du ligament calcan\u00e9o-fibulaire (LCF).<\/li>\n<li>Une modification et augmentation de la tension maximale sur le cartilage<\/li>\n<li>Entra\u00eenant une d\u00e9g\u00e9n\u00e9rescence du cartilage tibio-talaire (arthrose).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Anomalie dans le positionnement du talon ant\u00e9rieur <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<li>Modifications des sch\u00e9mas de mouvement dans les chevilles instables : <sup id=\"cite_ref-:1_2-6\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup>\n<ul>\n<li>Atterrissage en plus grande dorsiflexion afin de minimiser le recours aux ligaments lat\u00e9raux et d&rsquo;augmenter la stabilit\u00e9 osseuse<\/li>\n<li>Dans le saut en chute libre : \u00e9version maximale du calcan\u00e9um et d\u00e9placement frontal du corps plus importants<\/li>\n<li>Temps plus court pour atteindre le pic de la force de r\u00e9action au sol lors de l&rsquo;atterrissage en chute libre<\/li>\n<li>Une plus grande force m\u00e9diale de r\u00e9action au sol<\/li>\n<li>Baisse de la hauteur du m\u00e9tatarse pendant l&rsquo;\u00e9lan terminal de la marche<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li class=\"mw-empty-elt\"><\/li>\n<\/ul>\n<h2><span id=\"Mechanical_and_Functional_Instability\" class=\"mw-headline\">Instabilit\u00e9 m\u00e9canique et fonctionnelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Mechanical and Functional Instability\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=3\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Mechanical and Functional Instability\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=3\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il existe deux sous-groupes commun\u00e9ment admis de l&rsquo;instabilit\u00e9 chronique de la cheville : l&rsquo;instabilit\u00e9 m\u00e9canique et l&rsquo;instabilit\u00e9 fonctionnelle. <sup id=\"cite_ref-:1_2-7\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:0_3-3\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> Dans le mod\u00e8le de Hertel <sup id=\"cite_ref-:3_8-0\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup> de stabilit\u00e9 de la cheville, l&rsquo;instabilit\u00e9 m\u00e9canique et fonctionnelle font partie d&rsquo;un continuum. Les entorses r\u00e9currentes se produisent lorsque les deux conditions sont pr\u00e9sentes.<sup id=\"cite_ref-:3_8-1\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/p>\n<h3><span id=\"Mechanical_Instability\" class=\"mw-headline\">Instabilit\u00e9 m\u00e9canique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Mechanical Instability\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=4\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Mechanical Instability\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=4\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;instabilit\u00e9 m\u00e9canique est d\u00e9sign\u00e9e comme une laxit\u00e9 ligamentaire pathologique autour du complexe articulaire de la cheville. <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> L&rsquo;instabilit\u00e9 m\u00e9canique peut \u00eatre caus\u00e9e par divers changements anatomiques qui sont pr\u00e9sents de fa\u00e7on isol\u00e9e ou en combinaison. Ceux-ci peuvent conduire \u00e0 des pathologies responsables de l&rsquo;instabilit\u00e9 de la cheville.<sup id=\"cite_ref-:0_3-4\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<h3><span id=\"Functional_Instability\" class=\"mw-headline\">Instabilit\u00e9 fonctionnelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Functional Instability\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Functional Instability\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=5\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Il n&rsquo;existe pas de d\u00e9finition universellement approuv\u00e9e pour l&rsquo;instabilit\u00e9 fonctionnelle de la cheville. <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> A partir de la d\u00e9finition \u00e9tablie par Evans et al., <sup id=\"cite_ref-:4_11-0\" class=\"reference\"><a href=\"#cite_note-:4-11\">(11)<\/a><\/sup> L&rsquo;instabilit\u00e9 fonctionnelle est un sentiment subjectif de faiblesse. Lentell et al.<sup id=\"cite_ref-:5_12-0\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> d\u00e9crivent l&rsquo;instabilit\u00e9 fonctionnelle comme une douleur \u00e0 la cheville et la perception que la cheville bless\u00e9e est moins fonctionnelle que l&rsquo;autre cheville ou qu&rsquo;elle est moins fonctionnelle qu&rsquo;avant la blessure.<sup id=\"cite_ref-:5_12-1\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> Tropp et al.<sup id=\"cite_ref-:6_13-0\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup> ont conclu que l&rsquo;instabilit\u00e9 fonctionnelle peut \u00eatre d\u00e9finie comme un mouvement articulaire qui ne d\u00e9passe pas les limites physiologiques normales, mais qui n&rsquo;est plus contr\u00f4l\u00e9 volontairement.<sup id=\"cite_ref-:6_13-1\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/p>\n<p>Une alt\u00e9ration du contr\u00f4le proprioceptif et neuromusculaire peut \u00eatre responsable d&rsquo;une instabilit\u00e9 fonctionnelle.<sup id=\"cite_ref-:3_8-2\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/p>\n<p>L&rsquo;instabilit\u00e9 m\u00e9canique se pr\u00e9sente typiquement comme une inversion excessive, une laxit\u00e9 de l&rsquo;arri\u00e8re-pied et une laxit\u00e9 ant\u00e9rieure excessive de l&rsquo;articulation talo-crurale. Elle peut \u00eatre caus\u00e9e par une instabilit\u00e9 ligamentaire ou un processus inflammatoire d\u00e9g\u00e9n\u00e9ratif et chronique. Dans l&rsquo;instabilit\u00e9 fonctionnelle, en revanche, les patients se plaignent de la sensation que la cheville c\u00e8de. Une r\u00e9ponse neuromusculaire retard\u00e9e, les d\u00e9ficits proprioceptifs ou les troubles de l&rsquo;\u00e9quilibre peuvent provoquer ce sympt\u00f4me.<\/p>\n<p>Le tableau 1 r\u00e9sume les causes et les r\u00e9sultats de l&rsquo;instabilit\u00e9 m\u00e9canique et fonctionnelle de la cheville : <sup id=\"cite_ref-:1_2-8\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<div class=\"center\">\n<div class=\"floatnone\"><a class=\"image\" href=\"\/File:CAI-2.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/75\/CAI-2.png\/650px-CAI-2.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/75\/CAI-2.png\/975px-CAI-2.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/75\/CAI-2.png\/1300px-CAI-2.png 2x\" alt=\"\" width=\"650\" height=\"413\"><\/a><\/div>\n<\/div>\n<h2><span id=\"Diagnostic_Procedures\" class=\"mw-headline\">Proc\u00e9dures de diagnostic <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Procedures\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=6\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Diagnostic Procedures\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=6\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les proc\u00e9dures de diagnostic peuvent aider les cliniciens \u00e0 confirmer la pr\u00e9sence de diverses d\u00e9ficiences de la cheville, notamment la r\u00e9duction de l&rsquo;amplitude des mouvements et le handicap per\u00e7u. Cela peut aider \u00e0 d\u00e9finir ou diagnostiquer une condition sp\u00e9cifique. Les cliniciens doivent se demander si les r\u00e9sultats des recherches sugg\u00e8rent une \u00ab\u00a0utilit\u00e9 positive constante\u00a0\u00bb avant de d\u00e9cider de l&rsquo;outil de diagnostic \u00e0 utiliser : <sup id=\"cite_ref-:7_14-0\" class=\"reference\"><a href=\"#cite_note-:7-14\">(14)<\/a><\/sup><\/p>\n<ul>\n<li><b>Test de tiroir ant\u00e9rieur<\/b>: effectu\u00e9 en l\u00e9g\u00e8re flexion du genou pour d\u00e9tendre le gastrocn\u00e9mien. Cependant, Kovaleski et al. <sup id=\"cite_ref-:8_15-0\" class=\"reference\"><a href=\"#cite_note-:8-15\">(15)<\/a><\/sup> sugg\u00e8rent de faire le test avec le genou fl\u00e9chi \u00e0 90\u00b0 et la cheville \u00e0 10\u00b0 de flexion plantaire pour isoler le ligament talo-fibulaire ant\u00e9rieur. <sup id=\"cite_ref-:8_15-1\" class=\"reference\"><a href=\"#cite_note-:8-15\">(15)<\/a><\/sup> Une comparaison bilat\u00e9rale est recommand\u00e9e. <sup id=\"cite_ref-:7_14-1\" class=\"reference\"><a href=\"#cite_note-:7-14\">(14)<\/a><\/sup> Une translation ant\u00e9rieure excessive et l&rsquo;absence d&rsquo;une sensation de fin de mouvement solide indiquent un r\u00e9sultat de test positif.<\/li>\n<li><b>Radiographie sous contrainte ou de stress <\/b>: utilis\u00e9e pour quantifier l&rsquo;\u00e9tendue de la laxit\u00e9 de l&rsquo;articulation de la cheville. Montre la s\u00e9paration des structures articulaires osseuses lorsqu&rsquo;une force est appliqu\u00e9e. Cliniquement, elle permet d&rsquo;identifier une tension excessive dans les structures ligamentaires. Une translation ant\u00e9rieure totale sup\u00e9rieure \u00e0 9 mm ou une translation sup\u00e9rieure \u00e0 5 mm par rapport au c\u00f4t\u00e9 controlat\u00e9ral (ou les deux) indique une laxit\u00e9 significative du ligament talo-fibulaire ant\u00e9rieur. Une laxit\u00e9 pathologique du ligament calcan\u00e9o-fibulaire est d\u00e9montr\u00e9e par un angle d&rsquo;inclinaison du talon sup\u00e9rieur \u00e0 10\u00b0, ou un angle sup\u00e9rieur \u00e0 celui du membre controlat\u00e9ral de plus de 5\u00b0<sup id=\"cite_ref-:7_14-2\" class=\"reference\"><a href=\"#cite_note-:7-14\">(14)<\/a><\/sup><\/li>\n<li><a title=\"MRI Scans\" href=\"\/MRI_Scans\"><b>La raisonnace magn\u00e9tique (IRM)<\/b><\/a>: n&rsquo;est pas consid\u00e9r\u00e9e comme concluante. Les r\u00e9sultats n\u00e9gatifs de l&rsquo;IRM doivent \u00eatre consid\u00e9r\u00e9s avec prudence chez un patient symptomatique et une arthroscopie doit \u00eatre envisag\u00e9e<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li><b>\u00c9chographie diagnostique <\/b>: les preuves sugg\u00e8rent que l&rsquo;\u00e9chographie diagnostique offre une confirmation mod\u00e9r\u00e9e \u00e0 \u00e9lev\u00e9e de la l\u00e9sion ligamentaire lat\u00e9rale. <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup> Elle montre une augmentation de la longueur du ligament lat\u00e9ral lors des tests de tiroir ant\u00e9rieur et d&rsquo;inclinaison du talon chez les personnes ayant des ant\u00e9c\u00e9dents d&rsquo;instabilit\u00e9 chronique de la cheville. <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li><b>Stable force plates<\/b> (plaques de force stables) : propos\u00e9es pour l&rsquo;\u00e9valuation de la stabilit\u00e9 \u00e0 la marche et au saut : <sup id=\"cite_ref-:12_19-0\" class=\"reference\"><a href=\"#cite_note-:12-19\">(19)<\/a><\/sup><\/li>\n<\/ul>\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\/D6JMr-ZPbjQ?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/p>\n<ul>\n<li><b>Injections de cortisone guid\u00e9es par l&rsquo;image<\/b> comme outil de diagnostic clinique : Le consensus Delphi des experts de la European Society of Musculoskeletal Radiology (ESSR) a conclu que les injections anesth\u00e9siques intra-articulaires du pied et de la cheville r\u00e9alis\u00e9es sous guidage par imagerie fournissent des informations pr\u00e9cises sur la source de la douleur<b>. <\/b><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Physiotherapy_Management\" class=\"mw-headline\">Traitement en physioth\u00e9rapie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Management\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=7\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Management\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=7\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le traitement conservateur est le traitement de choix pour les blessures lat\u00e9rales aigu\u00ebs de la cheville &#8211; une approche chirurgicale pour ces blessures est r\u00e9serv\u00e9e aux cas particuliers. <sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup> Les modalit\u00e9s conservatrices actuellement disponibles incluent les \u00e9l\u00e9ments suivants : <sup id=\"cite_ref-:1_2-9\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Entra\u00eenement neuromusculaire<\/li>\n<li>Entra\u00eenement de l&rsquo;\u00e9quilibre<\/li>\n<li>Mobilisation<\/li>\n<li>Contr\u00f4le neuromusculaire par les p\u00e9roniers (notez que l&rsquo;entra\u00eenement avec theraband et isocin\u00e9tique n&rsquo;affecte pas la force de l&rsquo;inverseur de la cheville) <sup id=\"cite_ref-:1_2-10\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<li>Orth\u00e8ses et taping<\/li>\n<li>Entra\u00eenement de la flexibilit\u00e9 et en force<\/li>\n<\/ul>\n<h3><span id=\"Neuromuscular_Training\" class=\"mw-headline\">Entra\u00eenement neuromusculaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Neuromuscular Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=8\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Neuromuscular Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=8\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>De Vries et al. <sup id=\"cite_ref-:9_23-0\" class=\"reference\"><a href=\"#cite_note-:9-23\">(23)<\/a><\/sup> ont constat\u00e9 que l&rsquo;entra\u00eenement neuromusculaire employ\u00e9 seul avait un r\u00e9sultat positif \u00e0 court terme et que les patients d\u00e9veloppaient une meilleure fonction. <sup id=\"cite_ref-:9_23-1\" class=\"reference\"><a href=\"#cite_note-:9-23\">(23)<\/a><\/sup> Ce type d&rsquo;entra\u00eenement est une caract\u00e9ristique essentielle de la majorit\u00e9 des r\u00e9gimes de traitement conservateurs <sup id=\"cite_ref-:9_23-2\" class=\"reference\"><a href=\"#cite_note-:9-23\">(23) <\/a><\/sup><sup id=\"cite_ref-:1_2-11\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<li>une \u00e9tude de Kim et al. <sup id=\"cite_ref-:10_24-0\" class=\"reference\"><a href=\"#cite_note-:10-24\">(24)<\/a><\/sup> a constat\u00e9 que les athl\u00e8tes dont les chevilles sont instables ont un patron de marche alt\u00e9r\u00e9 &#8211; \u00e0 savoir une position relativement invers\u00e9e de la cheville lors du contact initial et de la position interm\u00e9diaire (midstance). La participation \u00e0 six semaines d&rsquo;entra\u00eenement neuromusculaire a imm\u00e9diatement modifi\u00e9 l&rsquo;orientation de la cheville de l&rsquo;athl\u00e8te vers une direction relativement plus invers\u00e9e lors de la r\u00e9ception du saut. En revanche, il n&rsquo;y avait aucun effet sur la marche et la course<sup id=\"cite_ref-:10_24-1\" class=\"reference\"><a href=\"#cite_note-:10-24\">(24)<\/a><\/sup><\/li>\n<li>Selon Guzm\u00e1n-Mu\u00f1oz et al., <sup id=\"cite_ref-:11_25-0\" class=\"reference\"><a href=\"#cite_note-:11-25\">(25)<\/a><\/sup> quatre semaines d&rsquo;entra\u00eenement neuromusculaire ont am\u00e9lior\u00e9 le contr\u00f4le postural chez des joueurs de volley-ball universitaires souffrant d&rsquo;instabilit\u00e9 fonctionnelle de la cheville <sup id=\"cite_ref-:11_25-1\" class=\"reference\"><a href=\"#cite_note-:11-25\">(25)<\/a><\/sup>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:Neuromuscular_reeducation_step_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/65\/Neuromuscular_reeducation_step_1.jpg\/150px-Neuromuscular_reeducation_step_1.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/65\/Neuromuscular_reeducation_step_1.jpg\/225px-Neuromuscular_reeducation_step_1.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/65\/Neuromuscular_reeducation_step_1.jpg\/300px-Neuromuscular_reeducation_step_1.jpg 2x\" alt=\"\" width=\"150\" height=\"216\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>\u00c9tape 1<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:Neuromuscular_reeducation_step_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0e\/Neuromuscular_reeducation_step_2.jpg\/150px-Neuromuscular_reeducation_step_2.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0e\/Neuromuscular_reeducation_step_2.jpg\/225px-Neuromuscular_reeducation_step_2.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0e\/Neuromuscular_reeducation_step_2.jpg\/300px-Neuromuscular_reeducation_step_2.jpg 2x\" alt=\"\" width=\"150\" height=\"216\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>\u00c9tape 2<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:Neuromuscular_reeducation_step_3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8e\/Neuromuscular_reeducation_step_3.jpg\/150px-Neuromuscular_reeducation_step_3.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8e\/Neuromuscular_reeducation_step_3.jpg\/225px-Neuromuscular_reeducation_step_3.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8e\/Neuromuscular_reeducation_step_3.jpg\/300px-Neuromuscular_reeducation_step_3.jpg 2x\" alt=\"\" width=\"150\" height=\"216\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>\u00c9tape 3<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Guide_to_Neuromuscular_Training\" class=\"mw-headline\">Guide de l&rsquo;entra\u00eenement neuromusculaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Guide to Neuromuscular Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Guide to Neuromuscular Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=9\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>L&rsquo;entra\u00eenement neuromusculaire est une \u00ab\u00a0activation inconsciente des contraintes dynamiques en pr\u00e9paration et en r\u00e9ponse aux mouvements et mises en charge articulaires afin de maintenir et de restaurer la stabilit\u00e9 fonctionnelle des articulations\u00a0\u00bb.<sup id=\"cite_ref-:1_2-12\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<p>Objectifs de l&rsquo;entra\u00eenement neuromusculaire :<\/p>\n<ol>\n<li>Optimiser le contr\u00f4le postural des membres inf\u00e9rieurs <sup id=\"cite_ref-:1_2-13\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<li>Restaurer la stabilit\u00e9 active par l&rsquo;entra\u00eenement <sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/li>\n<\/ol>\n<h5><span id=\"Exercises\" class=\"mw-headline\">Exercices<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Exercises\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=10\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Exercises\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Les exercices sont effectu\u00e9s en cha\u00eene ferm\u00e9e et en position fonctionnelle :<\/p>\n<ul>\n<li>Position debout sur un pied sur une planche \u00e0 bascule ou un tapis d&rsquo;\u00e9quilibre.<\/li>\n<li>Lancer de balle debout sur un pied<\/li>\n<li>Coups de pied \u00e0 une jambe avec r\u00e9sistance dans une Theraband et step downs (voir les figures des \u00e9tapes 1 \u00e0 3).<\/li>\n<\/ul>\n<h3><span id=\"Balance_Training\" class=\"mw-headline\">Entra\u00eenement de l&rsquo;\u00e9quilibre <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Balance Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=11\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Balance Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=11\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>En \u00e9tudiant l&rsquo;instabilit\u00e9 fonctionnelle de la cheville et la qualit\u00e9 de vie li\u00e9e \u00e0 la sant\u00e9, Arnold et al. <sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup> ont conclu que l&rsquo;entra\u00eenement de l&rsquo;\u00e9quilibre peut toucher plusieurs articulations et produire des am\u00e9liorations g\u00e9n\u00e9rales. <sup id=\"cite_ref-:1_2-14\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<li>McKeon et al. <sup id=\"cite_ref-:12_19-1\" class=\"reference\"><a href=\"#cite_note-:12-19\">(19)<\/a><\/sup> ont montr\u00e9 que l&rsquo;entra\u00eenement de l&rsquo;\u00e9quilibre am\u00e9liore significativement le contr\u00f4le postural statique et le contr\u00f4le postural dynamique. <sup id=\"cite_ref-:1_2-15\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Une \u00e9tude de cohorte prospective r\u00e9alis\u00e9e par Sefton et al. <sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup> a constat\u00e9 que la r\u00e9adaptation affecte la fonction du syst\u00e8me sensorimoteur. <sup id=\"cite_ref-:1_2-16\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<li>\u00c0 partir d&rsquo;une revue des essais contr\u00f4l\u00e9s randomis\u00e9s, Moll\u00e0 Casanova et al. <sup id=\"cite_ref-:13_29-0\" class=\"reference\"><a href=\"#cite_note-:13-29\">(29)<\/a><\/sup> ont conclu que l&rsquo;entra\u00eenement de l&rsquo;\u00e9quilibre am\u00e9liore significativement la fonctionnalit\u00e9, l&rsquo;instabilit\u00e9 et l&rsquo;\u00e9quilibre dynamique chez les personnes souffrant d&rsquo;instabilit\u00e9 chronique de la cheville. <sup id=\"cite_ref-:13_29-1\" class=\"reference\"><a href=\"#cite_note-:13-29\">(29)<\/a><\/sup><\/li>\n<\/ul>\n<h4><span id=\"Guide_to_Balance_Training\" class=\"mw-headline\">Guide d&rsquo;entra\u00eenement de l&rsquo;\u00e9quilibre <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Guide to Balance Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=12\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Guide to Balance Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La litt\u00e9rature indique que les mesures d&rsquo;\u00e9quilibre suivantes devraient guider la pratique clinique. Cependant, De Vries et al. <sup id=\"cite_ref-:9_23-3\" class=\"reference\"><a href=\"#cite_note-:9-23\">(23)<\/a><\/sup> n&rsquo;ont pas trouv\u00e9 de corr\u00e9lation avec la fonction :<\/p>\n<ul>\n<li>Centre-of-pressure (COP) excursion <sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Time-to-boundary (TTB) after landing <sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/li>\n<li>Peak plantar analysis <sup id=\"cite_ref-32\" class=\"reference\"><a href=\"#cite_note-32\">(32)<\/a><\/sup><\/li>\n<li><a title=\"Star Excursion Balance Test\" href=\"\/Star_Excursion_Balance_Test\">Test d&rsquo;\u00e9quilibre \u00e0 excursion en \u00e9toile (SEBT)<\/a><\/li>\n<\/ul>\n<h5><span id=\"Proprioception\" class=\"mw-headline\">Proprioception<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Proprioception\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Proprioception\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>La kinesth\u00e9sie et le sens de la position des articulations sont g\u00e9n\u00e9ralement alt\u00e9r\u00e9s chez les patients souffrant d&rsquo;instabilit\u00e9 chronique de la cheville. <sup id=\"cite_ref-:14_33-0\" class=\"reference\"><a href=\"#cite_note-:14-33\">(33)<\/a><\/sup> Les m\u00e9thodes utilis\u00e9es pour tester la proprioception incluent :<\/p>\n<ul>\n<li>La kinesth\u00e9sie : \u00e9valu\u00e9e \u00e0 l&rsquo;aide du seuil de d\u00e9tection du mouvement passif <sup id=\"cite_ref-:1_2-17\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<li>Sens de la position des articulations : \u00e9valuation \u00e0 l&rsquo;aide de la reproduction active et passive de la position des articulations <sup id=\"cite_ref-:1_2-18\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<h5><span id=\"Therapeutic_Interventions\" class=\"mw-headline\"><b>Interventions th\u00e9rapeutiques <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Therapeutic Interventions\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=14\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Therapeutic Interventions\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=14\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>R\u00e9gime d&rsquo;exercices multi-stations une fois par semaine <sup id=\"cite_ref-:1_2-19\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup>\n<ul>\n<li>Entra\u00eenement de la cheville sur disque, coussin d&rsquo;\u00e9quilibre<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Exercices de perturbation avec un tube \u00e9lastique <sup id=\"cite_ref-34\" class=\"reference\"><a href=\"#cite_note-34\">(34) <\/a><\/sup><sup id=\"cite_ref-:1_2-20\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup>\n<ul>\n<li>Quatre exercices comprenant le tir\u00e9 avant, le tir\u00e9 arri\u00e8re, le crossover et le crossover invers\u00e9, effectu\u00e9s 3 fois par semaine. Le protocole standard comprend 3 s\u00e9ries de 15 r\u00e9p\u00e9titions avec une bande de r\u00e9sistance en se tenant debout sur la jambe affect\u00e9e.<\/li>\n<li>Objectif : maintenir l&rsquo;alignement et la stabilit\u00e9<\/li>\n<li>R\u00e9sultat : am\u00e9lioration de l&rsquo;\u00e9quilibre en 4 semaines<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span id=\"Mobilisation\" class=\"mw-headline\">Mobilisation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Mobilisation\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=15\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Mobilisation\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=15\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Une dorsiflexion limit\u00e9e de la cheville pendant le jogging et la marche est consid\u00e9r\u00e9e comme un facteur de risque d&rsquo;entorses r\u00e9currentes pour les raisons suivantes : <sup id=\"cite_ref-:1_2-21\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup>\n<ul>\n<li>Incapacit\u00e9 d&rsquo;atteindre la position v\u00e9rouill\u00e9e (closed-packed) de l&rsquo;articulation de la cheville en la phase d&rsquo;appui (\u00e0 la marche)<\/li>\n<li>Tendance du patient \u00e0 bloquer le m\u00e9dio-pied en supination<\/li>\n<li>Le centre de gravit\u00e9 se d\u00e9place lat\u00e9ralement, ce qui rend l&rsquo;articulation de la cheville vuln\u00e9rable \u00e0 la supination et \u00e0 une entorse<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Selon Westad et al., <sup id=\"cite_ref-:15_35-0\" class=\"reference\"><a href=\"#cite_note-:15-35\">(35)<\/a><\/sup> les techniques de mobilisation avec mouvement utilis\u00e9es pour traiter les articulations p\u00e9riph\u00e9riques \u00e9taient sup\u00e9rieures \u00e0 un placebo, mais pas \u00e0 d&rsquo;autres interventions m\u00e9dicales ou de physioth\u00e9rapie <sup id=\"cite_ref-:15_35-1\" class=\"reference\"><a href=\"#cite_note-:15-35\">(35)<\/a><\/sup><\/li>\n<li>Les r\u00e9sultats d&rsquo;une revue syst\u00e9matique et d&rsquo;une m\u00e9ta-analyse de Weerasekara et al. <sup id=\"cite_ref-:16_36-0\" class=\"reference\"><a href=\"#cite_note-:16-36\">(36)<\/a><\/sup> sugg\u00e8rent qu&rsquo;une intervention de mobilisation avec mouvement a imm\u00e9diatement b\u00e9n\u00e9fici\u00e9 aux patients souffrant d&rsquo;instabilit\u00e9 chronique de la cheville en augmentant l&rsquo;amplitude de mouvement en dorsiflexion <sup id=\"cite_ref-:16_36-1\" class=\"reference\"><a href=\"#cite_note-:16-36\">(36)<\/a><\/sup><\/li>\n<\/ul>\n<h5><span id=\"Therapeutic_Interventions_2\" class=\"mw-headline\">Interventions th\u00e9rapeutiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Therapeutic Interventions\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=16\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Therapeutic Interventions\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=16\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>La technique de <a title=\"Mulligan Manual Therapy\" href=\"\/Mulligan_Manual_Therapy\">mobilisation avec mouvement de Mulligan<\/a> doit inclure les \u00e9l\u00e9ments suivants :<\/p>\n<ul>\n<li>Glissement fibulaire \u00e0 l&rsquo;articulation tibio-fibulaire distale et proximale<\/li>\n<\/ul>\n<ul>\n<li>Glissement talaire<\/li>\n<\/ul>\n<p>Helene Simpson recommande \u00e9galement d&rsquo;utiliser une technique de mobilisation avec mouvement qui inclut la mobilit\u00e9 du m\u00e9dio-pied au niveau de l&rsquo;os naviculaire.<sup id=\"cite_ref-:1_2-22\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<h3><span id=\"Braces_and_Taping\" class=\"mw-headline\">Orth\u00e8ses et Taping <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Braces and Taping\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=17\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Braces and Taping\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=17\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Taping\" class=\"mw-headline\">Le taping<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Taping\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=18\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Taping\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=18\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Hubbard et Cordova <sup id=\"cite_ref-37\" class=\"reference\"><a href=\"#cite_note-37\">(37)<\/a><\/sup> ont constat\u00e9 que la laxit\u00e9 m\u00e9canique diminuait apr\u00e8s l&rsquo;application d&rsquo;un taping <sup id=\"cite_ref-:1_2-23\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Delahunt et al. <sup id=\"cite_ref-38\" class=\"reference\"><a href=\"#cite_note-38\">(38)<\/a><\/sup> n&rsquo;ont constat\u00e9 aucun changement dans la stabilit\u00e9 \u00ab\u00a0r\u00e9elle\u00a0\u00bb, mais la perception de la stabilit\u00e9 par les patients \u00e9tait significativement am\u00e9lior\u00e9e (56 %) <sup id=\"cite_ref-:1_2-24\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Hopper et al. <sup id=\"cite_ref-39\" class=\"reference\"><a href=\"#cite_note-39\">(39)<\/a><\/sup> ont constat\u00e9 que le taping Mulligan n&rsquo;avait aucun impact sur le contr\u00f4le neuromusculaire pendant l&rsquo;\u00e9quilibre statique et dynamique <sup id=\"cite_ref-:1_2-25\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<h5><span id=\"Therapeutic_Intervention\" class=\"mw-headline\">Interventions th\u00e9rapeutiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Therapeutic Intervention\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=19\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Therapeutic Intervention\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=19\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Les techniques de taping suivantes ont \u00e9t\u00e9 \u00e9valu\u00e9es cliniquement : <sup id=\"cite_ref-:1_2-26\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Sling subtalaire lat\u00e9rale (visant \u00e0 r\u00e9sister \u00e0 l&rsquo;inversion sous-talienne)<\/li>\n<\/ul>\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\/hTQjt7vGNCw?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-40\" class=\"reference\"><a href=\"#cite_note-40\">(40)<\/a><\/sup><\/p>\n<ul>\n<li>Repositionnement fibulaire, <sup id=\"cite_ref-41\" class=\"reference\"><a href=\"#cite_note-41\">(41)<\/a><\/sup> dont le m\u00e9canisme exact de r\u00e9duction de l&rsquo;incidence des entorses est inconnu<\/li>\n<\/ul>\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\/CRuWvtMmPKw?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-42\" class=\"reference\"><a href=\"#cite_note-42\">(42)<\/a><\/sup><\/p>\n<ul>\n<li>L&rsquo;application de la m\u00e9thode Kinesio Taping dans la pr\u00e9vention des entorses de la cheville n&rsquo;a eu aucun effet sur l&rsquo;activation musculaire du long p\u00e9ronier <sup id=\"cite_ref-43\" class=\"reference\"><a href=\"#cite_note-43\">(43)<\/a><\/sup><\/li>\n<\/ul>\n<h4><span id=\"Braces\" class=\"mw-headline\">Orth\u00e8ses<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Braces\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=20\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Braces\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=20\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Aucun effet significatif n&rsquo;a \u00e9t\u00e9 constat\u00e9 sur la fonction et l&rsquo;\u00e9quilibre lorsqu&rsquo;une orth\u00e8se a \u00e9t\u00e9 appliqu\u00e9e. <sup id=\"cite_ref-:1_2-27\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Les r\u00e9sultats suivants sont int\u00e9ressants :<\/p>\n<ul>\n<li>Barlow et al. <sup id=\"cite_ref-44\" class=\"reference\"><a href=\"#cite_note-44\">(44)<\/a><\/sup> ont d\u00e9couvert que les orth\u00e8ses affectent l&rsquo;activit\u00e9 neuromusculaire pendant la marche, ce qui peut aider \u00e0 diminuer les entorses<\/li>\n<li>Feger et al. <sup id=\"cite_ref-45\" class=\"reference\"><a href=\"#cite_note-45\">(45)<\/a><\/sup> ont \u00e9tudi\u00e9 l&rsquo;effet des orth\u00e8ses de cheville sur les activit\u00e9s musculaires des membres inf\u00e9rieurs pendant les exercices fonctionnels :\n<ul>\n<li>Fente avant : r\u00e9duction de l&rsquo;activit\u00e9 musculaire pendant le contact pr\u00e9-initial dans le gastrocn\u00e9mien lat\u00e9ral et le contact post-initial dans le p\u00e9ronier<\/li>\n<li>Test d&rsquo;\u00e9quilibre \u00e0 excursion en \u00e9toile : diminution de l&rsquo;activit\u00e9 musculaire du p\u00e9ronier, du gastrocn\u00e9mien lat\u00e9ral, du droit f\u00e9moral et du moyen fessier lors de l&rsquo;\u00e9quilibre en allongement vers l&rsquo;avant (anterior reach)<\/li>\n<li>Allongement vers l&rsquo;avant (anterior reach) : r\u00e9duction significative de l&rsquo;activit\u00e9 des muscles de la cuisse et de l&rsquo;activit\u00e9 musculaire totale<\/li>\n<li>Allongement en post\u00e9ro-lat\u00e9ral (Posterolateral reach) : r\u00e9duction consid\u00e9rable de l&rsquo;activit\u00e9 du moyen fessier<\/li>\n<li>\u00c9quilibre sur un pied les yeux ferm\u00e9s, \u00e9quilibre \u00e0 excursion en \u00e9toile, allongement en post\u00e9ro-m\u00e9dial, ou pendant les exercices de saut en lat\u00e9ral : pas de diff\u00e9rences entre les conditions avec et sans attelles<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Janssen et al. <sup id=\"cite_ref-46\" class=\"reference\"><a href=\"#cite_note-46\">(46)<\/a><\/sup> ont soumis un protocole pour \u00e9valuer l&rsquo;effet des orth\u00e8ses par rapport aux exercices neuromusculaires. <sup id=\"cite_ref-:1_2-28\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2) <\/a><\/sup>D&rsquo;apr\u00e8s leur publication de 2014 <sup id=\"cite_ref-:20_47-0\" class=\"reference\"><a href=\"#cite_note-:20-47\">(47) <\/a><\/sup>: \u00a0\u00bb l&rsquo;orth\u00e8se s&rsquo;est av\u00e9r\u00e9e sup\u00e9rieure \u00e0 l&rsquo;entra\u00eenement neuromusculaire pour r\u00e9duire l&rsquo;incidence mais pas la gravit\u00e9 des entorses de cheville r\u00e9currentes auto-d\u00e9clar\u00e9es apr\u00e8s les soins habituels\u00a0\u00bb <sup id=\"cite_ref-:20_47-1\" class=\"reference\"><a href=\"#cite_note-:20-47\">(47)<\/a><\/sup><\/li>\n<li>Fuerst et al. <sup id=\"cite_ref-:17_48-0\" class=\"reference\"><a href=\"#cite_note-:17-48\">(48)<\/a><\/sup> ont affirm\u00e9 que les personnes souffrant d&rsquo;instabilit\u00e9 de la cheville peuvent b\u00e9n\u00e9ficier d&rsquo;une orth\u00e8se semi-rigide pour maintenir les angles d&rsquo;inversion de la cheville \u00ab\u00a0dans une amplitude comparable aux valeurs des personnes en bonne sant\u00e9\u00a0\u00bb. <sup id=\"cite_ref-:17_48-1\" class=\"reference\"><a href=\"#cite_note-:17-48\">(48)<\/a><\/sup><\/li>\n<\/ul>\n<h5><span id=\"Therapeutic_intervention_2\" class=\"mw-headline\">Interventions th\u00e9rapeutiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Therapeutic intervention\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=21\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Therapeutic intervention\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=21\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Les mesures visant \u00e0 \u00e9valuer l&rsquo;efficacit\u00e9 de l&rsquo;utilisation d&rsquo;orth\u00e8ses chez les patients souffrant d&rsquo;instabilit\u00e9 chronique de la cheville ne sont pas assez sensibles pour \u00e9valuer la stabilit\u00e9 dynamique<sup id=\"cite_ref-:1_2-29\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Helene Simpson sugg\u00e8re de continuer \u00e0 utiliser les orth\u00e8ses : <sup id=\"cite_ref-:1_2-30\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup>\n<ul>\n<li>En raison des donn\u00e9es concernant les entorses aigu\u00ebs de la cheville et la pr\u00e9vention des entorses r\u00e9currentes, pendant un an apr\u00e8s la blessure.<\/li>\n<li>Pour la rentabilit\u00e9 et l&rsquo;efficacit\u00e9 temporelle<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span id=\"Flexibility_and_Strength_Training\" class=\"mw-headline\">Entra\u00eenement de la flexibilit\u00e9 et en force <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Flexibility and Strength Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=22\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Flexibility and Strength Training\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=22\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><i>La flexibilit\u00e9 :<\/i><\/p>\n<p>Les concepts traditionnels d&rsquo;exercices de flexibilit\u00e9 dans l&rsquo;instabilit\u00e9 chronique de la cheville comprennent des \u00e9tirements du sol\u00e9aire et du gastrocn\u00e9mien, effectu\u00e9s 3 fois pendant 30 secondes.<sup id=\"cite_ref-:1_2-31\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Un nouveau protocole sugg\u00e8re d&rsquo;inclure des \u00e9tirements du fascia plantaire et de marcher \u00e0 reculons.<sup id=\"cite_ref-:18_49-0\" class=\"reference\"><a href=\"#cite_note-:18-49\">(49)<\/a><\/sup> Helene Simpson recommande les mobilisations neurales et les \u00e9tirements en extension des orteils (du long fl\u00e9chisseur de l&rsquo;hallux et extension du gros orteil).<sup id=\"cite_ref-:1_2-32\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<p><i>La force :<\/i><\/p>\n<p>Une m\u00e9ta-analyse r\u00e9alis\u00e9e par Arnold et al. <sup id=\"cite_ref-50\" class=\"reference\"><a href=\"#cite_note-50\">(50)<\/a><\/sup> sur les d\u00e9ficits de force concentrique des p\u00e9roniers a trouv\u00e9 :<\/p>\n<ul>\n<li>Aucune relation de cause \u00e0 effet entre les d\u00e9ficits et la perte de stabilit\u00e9 fonctionnelle<\/li>\n<li>Il n&rsquo;est pas facile de d\u00e9tecter une faiblesse des p\u00e9roniers<\/li>\n<li>Les tests isocin\u00e9tiques \u00e0 vitesse lente peuvent maximiser les diff\u00e9rences<\/li>\n<\/ul>\n<ul>\n<li>Une faiblesse des inverseurs<\/li>\n<\/ul>\n<p>Lors des exercices de renforcement, la co-contraction musculaire est donc essentielle. Les protocoles de traitement doivent inclure :<\/p>\n<ul>\n<li>\u00c9l\u00e9vation sur le bout des pieds bilat\u00e9rale (calf raises)<\/li>\n<\/ul>\n<ul>\n<li>Short foot exercises <sup id=\"cite_ref-:18_49-1\" class=\"reference\"><a href=\"#cite_note-:18-49\">(49)<\/a><\/sup><\/li>\n<\/ul>\n<p>La force est importante et doit \u00eatre incluse dans toute r\u00e9adaptation.<\/p>\n<h2><span id=\"Example_Treatment_Protocol\" class=\"mw-headline\">Exemple de protocole de traitement <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Example Treatment Protocol\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=23\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Example Treatment Protocol\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=23\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Helene Simpson donne un exemple de son protocole de traitement pour le traitement de l&rsquo;instabilit\u00e9 chronique de la cheville.<sup id=\"cite_ref-:1_2-33\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<h3><span id=\"General_Principles\" class=\"mw-headline\">Principes g\u00e9n\u00e9raux <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: General Principles\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=24\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: General Principles\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=24\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ol>\n<li>La fixation d&rsquo;objectifs est essentielle\n<ul>\n<li>C&rsquo;est un effort d&rsquo;\u00e9quipe<\/li>\n<li>L&rsquo;athl\u00e8te doit prendre ses responsabilit\u00e9s<\/li>\n<\/ul>\n<\/li>\n<li>La stabilit\u00e9 posturale doit \u00eatre abord\u00e9e<\/li>\n<li>Inclure la stabilit\u00e9 proximale, en particulier les articulations de la hanche et du genou<\/li>\n<li>Inclure un focus sur les stabilisateurs locaux de la cheville et du pied<\/li>\n<li>La r\u00e9cup\u00e9ration de l&rsquo;amplitude du mouvement de dorsiflexion est une priorit\u00e9<\/li>\n<li>Inclure un entra\u00eenement cardio-vasculaire<\/li>\n<li>Int\u00e9grer des exercices en salle de sport pour am\u00e9liorer la conformit\u00e9 aux exercices<\/li>\n<li>\u00c9valuer les chaussures et les techniques sp\u00e9cifiques au sport<\/li>\n<\/ol>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:Retraining_MLA.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3e\/Retraining_MLA.jpg\/150px-Retraining_MLA.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3e\/Retraining_MLA.jpg\/225px-Retraining_MLA.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3e\/Retraining_MLA.jpg\/300px-Retraining_MLA.jpg 2x\" alt=\"\" width=\"150\" height=\"216\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>R\u00e9adaptation du ligament m\u00e9dial de la cheville<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Phase_1\" class=\"mw-headline\">Phase 1 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Phase 1\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=25\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Phase 1\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=25\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><b>Entra\u00eenement cardio-vasculaire<\/b><\/p>\n<ul>\n<li>Cyclisme<\/li>\n<li>Hydroth\u00e9rapie ou natation<\/li>\n<li>Marche\n<ul>\n<li>D&rsquo;avant et de reculons<\/li>\n<li>\u00c9chelle : longueur de la foul\u00e9e, \u00ab\u00a0Panth\u00e8re rose\u00a0\u00bb, talon-orteil, gros orteil, placement du pied<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Exercices de <b>contr\u00f4le postural et d&rsquo;\u00e9quilibre<\/b>, notamment :<\/p>\n<ul>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:Tibialis_posterior_training.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/28\/Tibialis_posterior_training.png\/150px-Tibialis_posterior_training.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/28\/Tibialis_posterior_training.png\/225px-Tibialis_posterior_training.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/2\/28\/Tibialis_posterior_training.png\/300px-Tibialis_posterior_training.png 2x\" alt=\"\" width=\"150\" height=\"100\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>R\u00e9entra\u00eenement du tibial post\u00e9rieur<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Pilates<\/li>\n<li>Short foot exercises<\/li>\n<li>R\u00e9adaptation du tibial post\u00e9rieur<\/li>\n<\/ul>\n<p>Exercices de <b>renforcement<\/b> \u00e0 inclure :<\/p>\n<ul>\n<li>Leg press<\/li>\n<li>\u00c9l\u00e9vation sur le bout des pieds (Calf raises), exercices avec bande \u00e9lastique theraband<\/li>\n<li>Flexion des ischio-jambiers (Hamstring curls)<\/li>\n<li>Bridging (fessiers)<\/li>\n<li>Muscles abdominaux<\/li>\n<\/ul>\n<ul>\n<li>Neurodynamique et flexibilit\u00e9<\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:Lounges.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/34\/Lounges.jpg\/150px-Lounges.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/34\/Lounges.jpg\/225px-Lounges.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/3\/34\/Lounges.jpg\/300px-Lounges.jpg 2x\" alt=\"\" width=\"150\" height=\"216\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Fentes<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:Balance_and_proximal_control.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/ee\/Balance_and_proximal_control.jpg\/150px-Balance_and_proximal_control.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/ee\/Balance_and_proximal_control.jpg\/225px-Balance_and_proximal_control.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/ee\/Balance_and_proximal_control.jpg\/300px-Balance_and_proximal_control.jpg 2x\" alt=\"\" width=\"150\" height=\"216\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>\u00c9quilibre et contr\u00f4le proximal<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Phase_2\" class=\"mw-headline\">Phase 2 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Phase 2\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=26\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Phase 2\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=26\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><b>Entra\u00eenement cardio-vasculaire<\/b><\/p>\n<ul>\n<li>Course \u00e0 pied<\/li>\n<li>Elliptique<\/li>\n<li>Stepper<\/li>\n<li>Machine \u00e0 ramer<\/li>\n<\/ul>\n<p><b>Force fonctionnelle<\/b><\/p>\n<ul>\n<li>Fentes modifi\u00e9es<\/li>\n<li>Squats : bilat\u00e9raux, sur une jambe<\/li>\n<li>Activit\u00e9 sur une seule jambe<\/li>\n<\/ul>\n<p><b>Entra\u00eenement de l&rsquo;\u00e9quilibre<\/b><\/p>\n<ul>\n<li>Avion, test d&rsquo;\u00e9quilibre \u00e0 excursion en \u00e9toile<\/li>\n<li>Bosu, Balance pad, planche d&rsquo;\u00e9quilibre<\/li>\n<\/ul>\n<p><b>\u00c9valuation des chaussures<\/b><\/p>\n<h3><span id=\"Phase_3\" class=\"mw-headline\">Phase 3 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Phase 3\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=27\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Phase 3\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=27\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><b>Entra\u00eenement cardio-vasculaire<\/b><\/p>\n<ul>\n<li>Exercices et comp\u00e9tences sp\u00e9cifiques au sport<\/li>\n<li>En endurance<\/li>\n<li>Terrain<\/li>\n<\/ul>\n<p><b>\u00c9quilibre\/ fonction\/ agilit\u00e9<\/b><\/p>\n<ul>\n<li>Sauter, sauter \u00e0 la corde, atterrir<\/li>\n<li>Sauts multiples<\/li>\n<li>Sauts verticaux<\/li>\n<\/ul>\n<p><b>Int\u00e9gration d&rsquo;activit\u00e9s sp\u00e9cifiques au sport<\/b>, mais sans compromettre la qualit\u00e9 du mouvement<\/p>\n<p><b>Surveillance de la douleur<\/b><\/p>\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=Management_of_Chronic_Ankle_Instability&amp;veaction=edit&amp;section=28\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Management_of_Chronic_Ankle_Instability&amp;action=edit&amp;section=28\">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\">Hertel J. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC164367\/\" rel=\"nofollow\">Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability.<\/a> J Athl Train. 2002 Dec;37(4):364-375.<\/span><\/li>\n<li id=\"cite_note-:1-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_2-0\">2.00<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-1\">2.01<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-2\">2.02<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-3\">2.03<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-4\">2.04<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-5\">2.05<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-6\">2.06<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-7\">2.07<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-8\">2.08<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-9\">2.09<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-10\">2.10<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-11\">2.11<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-12\">2.12<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-13\">2.13<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-14\">2.14<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-15\">2.15<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-16\">2.16<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-17\">2.17<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-18\">2.18<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-19\">2.19<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-20\">2.20<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-21\">2.21<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-22\">2.22<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-23\">2.23<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-24\">2.24<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-25\">2.25<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-26\">2.26<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-27\">2.27<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-28\">2.28<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-29\">2.29<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-30\">2.30<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-31\">2.31<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-32\">2.32<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-33\">2.33<\/a><\/sup><\/span> <span class=\"reference-text\">Simpson H. Chronic Ankle Instability Course. Physiopedia 2022<\/span><\/li>\n<li id=\"cite_note-:0-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-2\">3.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-3\">3.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-4\">3.4<\/a><\/sup><\/span> <span class=\"reference-text\">Hiller CE, Kilbreath SL, Refshauge KM. <a class=\"external text\" href=\"https:\/\/meridian.allenpress.com\/jat\/article\/46\/2\/133\/191250\/Chronic-Ankle-Instability-Evolution-of-the-Model\" rel=\"nofollow\">Chronic ankle instability: evolution of the model<\/a>. Journal of athletic training. 2011 Mar;46(2):133-41.<\/span><\/li>\n<li id=\"cite_note-:19-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:19_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:19_4-1\">4.1<\/a><\/sup><\/span> <span class=\"reference-text\">Konradsen L, Bech L, Ehrenbjerg M, Nickelsen T. Seven years follow-up after ankle inversion trauma. Scand J Med Sci Sports. 2002 Jun;12(3):129-35.<\/span><\/li>\n<li id=\"cite_note-:2-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:2_5-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Hertel J. Immobilisation for acute severe ankle sprain. Lancet. 2009 Feb 14;373(9663):524-6. <\/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\">Struijs PA, Kerkhoffs GM. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2907605\/\">Ankle sprain<\/a>. BMJ Clin Evid. 2010 May 13;2010:1115.<\/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\">Wikstrom EA, Hubbard TJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.archives-pmr.org\/article\/S0003-9993(10)00253-4\/fulltext\">Talar positional fault in persons with chronic ankle instability<\/a>. Arch Phys Med Rehabil. 2010 Aug;91(8):1267-71.<\/span><\/li>\n<li id=\"cite_note-:3-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_8-1\">8.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_8-2\">8.2<\/a><\/sup><\/span> <span class=\"reference-text\">Hertel J. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC164367\/\">Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability.<\/a> J Athl Train. 2002 Dec;37(4):364-375<\/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\">Tropp H. Commentary: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC164386\/\">Functional Ankle Instability Revisited<\/a>. 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J Athl Train. 2009 Nov-Dec;44(6):653-62. <\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230109192135 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.236 seconds Real time usage: 0.250 seconds Preprocessor visited node count: 955\/1000000 Post\u2010expand include size: 146\/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: 33489\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 13.128 1 Special:Contributors\/Management_of_Chronic_Ankle_Instability 100.00% 13.128 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Ewa Jaraczewska d&rsquo;apr\u00e8s le cours de Helene Simpson Contributeurs principaux &#8211; Ewa Jaraczewska, Jess Bell et Kim Jackson Contenu 1 D\u00e9finition de l&rsquo;instabilit\u00e9 chronique de la cheville 1.1 R\u00e9sultats \u00e0 long terme 2 Instabilit\u00e9 m\u00e9canique et fonctionnelle 2.1 Instabilit\u00e9 m\u00e9canique 2.2 Instabilit\u00e9 fonctionnelle 3 Proc\u00e9dures de diagnostic 4 Traitement en physioth\u00e9rapie 4.1 [&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-4566","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4566","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=4566"}],"version-history":[{"count":9,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4566\/revisions"}],"predecessor-version":[{"id":4735,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4566\/revisions\/4735"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=4566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}