{"id":4655,"date":"2023-01-24T16:20:30","date_gmt":"2023-01-24T16:20:30","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/the-ageing-foot-fr\/"},"modified":"2023-01-24T16:45:13","modified_gmt":"2023-01-24T16:45:13","slug":"the-ageing-foot-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/the-ageing-foot-fr\/","title":{"rendered":"Le pied qui vieillit"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Ewa_Jaraczewska\" title=\"User:Ewa Jaraczewska\">Ewa Jaraczewska<\/a> d&rsquo;apr\u00e8s le cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/helene-simpson\/\">Helene Simpson<\/a><\/p>\n<p><b>Contributeurs principaux<\/b> &#8211; <a href=\"\/User:Ewa_Jaraczewska\" class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> et <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"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 type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#Risk_factors\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">Facteurs de risque<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Age-Related_Changes_in_the_Foot\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Changements li\u00e9s \u00e0 l&rsquo;\u00e2ge au niveau du pied<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Physiological_changes\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Changements physiologiques<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Skin\"><span class=\"tocnumber\">2.1.1<\/span> <span class=\"toctext\">La peau<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-6\"><a href=\"#Soft_Tissue\"><span class=\"tocnumber\">2.1.2<\/span> <span class=\"toctext\">Les tissus mous<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Range_of_Motion\"><span class=\"tocnumber\">2.1.3<\/span> <span class=\"toctext\">L&rsquo;amplitude de mouvement<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#Muscle_Strength\"><span class=\"tocnumber\">2.1.4<\/span> <span class=\"toctext\">La force musculaire<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Biomechanical_Changes\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Changements biom\u00e9caniques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Physiotherapy_Intervention\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Intervention en physioth\u00e9rapie<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#General_Principles\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Principes g\u00e9n\u00e9raux<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Therapeutic_Interventions.5B6.5D\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Interventions th\u00e9rapeutiques <sup>(6)<\/sup><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Resources\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Une personne \u00e2g\u00e9e sur quatre souffre de douleurs aux pieds. <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Les douleurs aux pieds peuvent affecter la marche et contribuer aux chutes et \u00e0 l&rsquo;incapacit\u00e9 fonctionnelle des personnes \u00e2g\u00e9es. <sup id=\"cite_ref-:4_2-0\" class=\"reference\"><a href=\"#cite_note-:4-2\">(2)<\/a><\/sup> L&rsquo;\u00e9tiologie des douleurs aux pieds est souvent multifactorielle. Les douleurs au pied peuvent \u00eatre caus\u00e9es par des pathologies musculosquelettiques, ainsi que par des troubles vasculaires et des <a href=\"\/Neurological_Disorders\" title=\"Neurological Disorders\">troubles neurologiques<\/a>, <sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> mais les trois principaux probl\u00e8mes au niveau des pieds chez les personnes \u00e2g\u00e9es sont la <a href=\"\/Foot_Pain\" title=\"Foot Pain\">douleur<\/a>, la neuropathie et les d\u00e9formations.<sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Les d\u00e9formations orthop\u00e9diques les plus courantes chez les personnes \u00e2g\u00e9es incluent l&rsquo;<a href=\"\/Hallux_Valgus\" title=\"Hallux Valgus\">hallux valgus<\/a>, une pro\u00e9minence des <a href=\"\/Metatarsalgia\" title=\"Metatarsalgia\">t\u00eates m\u00e9tatarsiennes<\/a> et une anomalie de la structure de l&rsquo;<a href=\"\/Arches_of_the_Foot\" title=\"Arches of the Foot\">arche<\/a> m\u00e9diale.<sup id=\"cite_ref-:4_2-1\" class=\"reference\"><a href=\"#cite_note-:4-2\">(2)<\/a><\/sup> Globalement, les d\u00e9formations et autres affections du pied sont tr\u00e8s r\u00e9pandues chez les adultes de plus de 65 ans, <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup> ce qui est significatif car ces affections sont associ\u00e9es \u00e0 la fragilit\u00e9 et \u00e0 une activit\u00e9 physique r\u00e9duite.<sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Risk_factors\">Facteurs de risque <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Risk factors\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=2\" title=\"Edit section: Risk factors\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Voici les facteurs de risque de probl\u00e8mes au niveau des pieds chez les personnes \u00e2g\u00e9es :<\/p>\n<ul>\n<li>Le sexe (les femmes sont plus fr\u00e9quemment touch\u00e9es que les hommes) <sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:2_6-0\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/li>\n<li>L&rsquo;ob\u00e9sit\u00e9 <sup id=\"cite_ref-:1_4-2\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>Les maladies chroniques, notamment le <a href=\"\/Diabetes\" title=\"Diabetes\">diab\u00e8te<\/a> et l&rsquo;<a href=\"\/Osteoarthritis\" title=\"Osteoarthritis\">arthrose <\/a><sup id=\"cite_ref-:1_4-3\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>Les neuropathies p\u00e9riph\u00e9riques <sup id=\"cite_ref-:2_6-1\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/li>\n<li>Les troubles neurologiques (par exemple, <a href=\"\/Stroke\" title=\"Accident vasculaire c\u00e9r\u00e9bral\">accident vasculaire c\u00e9r\u00e9bral<\/a>, <a href=\"\/Parkinson%27s\" title=\"Parkinson's\">maladie de Parkinson<\/a>) <sup id=\"cite_ref-:1_4-4\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li><a href=\"\/Oedema_Assessment\" title=\"Oedema Assessment\">L&rsquo;oed\u00e8me des<\/a> membres inf\u00e9rieurs (peut \u00eatre li\u00e9 \u00e0 une pathologie vasculaire ou cardiaque) <sup id=\"cite_ref-:2_6-2\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/li>\n<li>Les chaussures inappropri\u00e9es <sup id=\"cite_ref-:1_4-5\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>Les syndromes et affections g\u00e9riatriques sous-jacents <sup id=\"cite_ref-:1_4-6\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Age-Related_Changes_in_the_Foot\">Changements li\u00e9s \u00e0 l&rsquo;\u00e2ge au niveau du pied <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Age-Related Changes in the Foot\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=3\" title=\"Edit section: Age-Related Changes in the Foot\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Physiological_changes\">Changements physiologiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiological changes\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=4\" title=\"Edit section: Physiological changes\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span class=\"mw-headline\" id=\"Skin\">La peau<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Skin\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=5\" title=\"Edit section: Skin\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les activit\u00e9s den mise en charge imposent des contraintes sp\u00e9cifiques \u00e0 la peau de la surface plantaire du pied. Le pied poss\u00e8de certaines caract\u00e9ristiques pour s&rsquo;adapter \u00e0 la mise en charge :<sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> l&rsquo; <a href=\"\/Skin\" title=\"Skin\">\u00e9piderme<\/a> est plus \u00e9pais dans le pied par rapport aux autres parties du corps ; le <a href=\"\/Skin\" title=\"Skin\">derme<\/a> est d&rsquo;environ 3 mm d&rsquo;\u00e9paisseur et poss\u00e8de un tissu adipeux qui peut r\u00e9sister aux forces de cisaillement ; et le motif de l&rsquo;\u00e9piderme, qui ressemble \u00e0 une empreinte digitale, aide \u00e0 g\u00e9n\u00e9rer suffisamment de friction pendant la marche.<sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Cependant, tous les aspects de la peau changent avec l&rsquo;\u00e2ge. Ces changements affectent non seulement la peau superficielle, mais aussi la r\u00e9ponse vasculaire locale, la thermor\u00e9gulation, la perception sensorielle et la r\u00e9ponse aux blessures, <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> et ces changements incluent :<\/p>\n<ul>\n<li>L&rsquo;aplatissement de la jonction dermo-\u00e9pidermique <sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<li>La diminution du contact entre le derme et l&rsquo;\u00e9piderme, entra\u00eenant une s\u00e9paration de la peau le long de cette interface <sup id=\"cite_ref-:3_8-0\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/li>\n<li>La perte des fibres d&rsquo;\u00e9lastine et de collag\u00e8ne dans le derme. Le derme devient atrophique. Il y a une r\u00e9duction des fibroblastes, et le collag\u00e8ne se d\u00e9sorganise. <sup id=\"cite_ref-:3_8-1\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup> Les fibres de collag\u00e8ne restantes deviennent plus \u00e9paisses et plus rigides. <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/li>\n<li>Une capacit\u00e9 limit\u00e9e du collag\u00e8ne dense \u00e0 se r\u00e9tracter, ce qui entra\u00eene une compression accrue et le d\u00e9veloppement d&rsquo;une hyperk\u00e9ratose (cors et callosit\u00e9s) <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup>\n<ul>\n<li>L&rsquo;hyperk\u00e9ratose est d\u00e9finie comme une augmentation de l&rsquo;\u00e9paisseur de la couche externe de la peau <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Des modification des propri\u00e9t\u00e9s m\u00e9caniques de la peau plantaire, entra\u00eenant une augmentation de la duret\u00e9 <sup id=\"cite_ref-:0_1-5\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> et de la s\u00e9cheresse<\/li>\n<li>Une r\u00e9duction de la densit\u00e9 des glandes sudoripares, qui contribue \u00e0 une alt\u00e9ration de la thermor\u00e9gulation <sup id=\"cite_ref-:0_1-6\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:3_8-2\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/li>\n<li>Une perte de graisse sous-cutan\u00e9e et diminution de la vascularisation du derme, entra\u00eenant une mauvaise thermor\u00e9gulation <sup id=\"cite_ref-:3_8-3\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/li>\n<li>Une r\u00e9duction de la sensation au toucher, \u00e0 la pression et aux vibrations en raison de la diminution des m\u00e9canor\u00e9cepteurs (corpuscules de Meissner et de Pacini) <sup id=\"cite_ref-:3_8-4\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<p>En gros, l&rsquo;\u00e9paississement de la couche externe de la peau et la pr\u00e9sence de callosit\u00e9s peuvent entra\u00eener le d\u00e9veloppement de l\u00e9sions plantaires, provoquant des douleurs et des handicaps importants. Les meilleures strat\u00e9gies de prise en charge sont les orth\u00e8ses sur mesure, qui soutiennent l&rsquo;arche m\u00e9diale et d\u00e9chargent les t\u00eates m\u00e9tatarsiennes.<sup id=\"cite_ref-:2_6-3\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/p>\n<h4><span class=\"mw-headline\" id=\"Soft_Tissue\">Les tissus mous <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Soft Tissue\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=6\" title=\"Edit section: Soft Tissue\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le r\u00f4le du tissu mou plantaire est de prot\u00e9ger les vaisseaux sanguins et les nerfs sous-jacents, et de r\u00e9duire les forces de cisaillement qui se produisent pendant la marche. Le vieillissement a un impact direct sur les tissus mous du pied, amenant une raideur progressive. Il affecte en particulier les tissus du gros orteil, des premi\u00e8re, troisi\u00e8me et cinqui\u00e8me t\u00eates m\u00e9tatarsiennes et du talon. <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> Le coussinet m\u00e9tatarsien devient plus lent \u00e0 r\u00e9cup\u00e9rer apr\u00e8s avoir \u00e9t\u00e9 comprim\u00e9. De m\u00eame, le coussinet (pad graisseaux) du talon dissipe plus d&rsquo;\u00e9nergie lorsqu&rsquo;il est comprim\u00e9, <sup id=\"cite_ref-:0_1-7\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> et le fascia plantaire montre moins de rebondissement en raison de sa rigidit\u00e9. <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup> Les cons\u00e9quences du processus de vieillissement des tissus mous sont comme suit : <sup id=\"cite_ref-:0_1-8\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>Une r\u00e9duction de l&rsquo;amplitude de mouvement (surtout en dorsiflexion de la cheville)<\/li>\n<li>Des affections du <a href=\"\/Achilles_Tendon\" title=\"Achilles Tendon\">tendon d&rsquo;Achille<\/a><\/li>\n<li>Des changements dans la d\u00e9marche : plus de traction que de pouss\u00e9e, moins de propulsion.<\/li>\n<li>Des risque accru de <a href=\"\/Falls\" title=\"Falls\">chutes<\/a><\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Range_of_Motion\">L&rsquo;amplitude de mouvement <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Range of Motion\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=7\" title=\"Edit section: Range of Motion\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le processus de vieillissement affecte la physiologie des articulations, ce qui entra\u00eene des raideurs articulaires. Les changements incluent : <sup id=\"cite_ref-:0_1-9\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>Une r\u00e9duction de la teneur en eau du cartilage<\/li>\n<li>Une r\u00e9duction du volume du liquide synovial et des prot\u00e9oglycanes<\/li>\n<li>La liaison des fibres de collag\u00e8ne<\/li>\n<\/ul>\n<p>Une diminution de la dorsiflexion de la cheville et de l&rsquo;amplitude d&rsquo;inversion-\u00e9version de l&rsquo;articulation sous-talienne chez les personnes \u00e2g\u00e9es contribue \u00e0 r\u00e9duire leur capacit\u00e9 \u00e0 effectuer des t\u00e2ches dynamiques, \u00e0 maintenir un \u00e9quilibre statique en position debout et \u00e0 r\u00e9aliser des activit\u00e9s fonctionnelles.<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Hallux_valgus_2.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/6\/67\/Hallux_valgus_2.jpeg\" decoding=\"async\" width=\"300\" height=\"383\" class=\"thumbimage\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Hallux_valgus_2.jpeg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>D\u00e9formation en Hallux Valgus<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4><span class=\"mw-headline\" id=\"Muscle_Strength\">La force musculaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscle Strength\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=8\" title=\"Edit section: Muscle Strength\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les changements progressifs de la masse musculaire squelettique <a href=\"\/Sarcopenia\" title=\"Sarcopenia\">(sarcop\u00e9nie<\/a>), du m\u00e9tabolisme et de la capacit\u00e9 fonctionnelle sont typiques de la population vieillissante. <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup> Les adultes plus \u00e2g\u00e9s connaissent une r\u00e9duction de la taille et du nombre de fibres musculaires au niveau des muscles du pied. De <a href=\"\/Muscle_Fibre_Types#Type_1\" title=\"Muscle Fibre Types\">grandes unit\u00e9s motrices \u00e0 contraction lente<\/a> se d\u00e9veloppent et les <a href=\"\/Muscle_Fibre_Types#Type_2A\" title=\"Muscle Fibre Types\">fibres de type II<\/a> se d\u00e9nervent. Ces changements indiquent la pr\u00e9sence d&rsquo;une atrophie li\u00e9e \u00e0 l&rsquo;\u00e2ge, qui peut \u00eatre exacerb\u00e9e par le port \u00e0 long terme de chaussures mal adapt\u00e9es. <sup id=\"cite_ref-:0_1-10\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Les cons\u00e9quences de l&rsquo;atrophie des muscles du pied chez les personnes \u00e2g\u00e9es sont les suivantes : <sup id=\"cite_ref-:0_1-11\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>Diminution de la force des fl\u00e9chisseurs plantaires de la cheville (entra\u00eenant une difficult\u00e9 \u00e0 se lever sur le bout des orteils)<\/li>\n<li>Faiblesse des fl\u00e9chisseurs plantaires des orteils, qui affecte n\u00e9gativement la fonction de pr\u00e9hension des orteils pendant les activit\u00e9s de mise en charge (alt\u00e9ration de l&rsquo;\u00e9quilibre statique et dynamique et de la capacit\u00e9 fonctionnelle, risque accru de chutes) <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li>D\u00e9veloppement de d\u00e9formations au niveau des orteils <a href=\"\/Hallux_Valgus\" title=\"Hallux Valgus\">(hallux valgus<\/a> et d\u00e9formations du petit orteil)<\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Arches_of_the_Foot_-_shutterstock_478538809_smaller.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Arches_of_the_Foot_-_shutterstock_478538809_smaller.jpg\/300px-Arches_of_the_Foot_-_shutterstock_478538809_smaller.jpg\" decoding=\"async\" width=\"300\" height=\"287\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Arches_of_the_Foot_-_shutterstock_478538809_smaller.jpg\/450px-Arches_of_the_Foot_-_shutterstock_478538809_smaller.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Arches_of_the_Foot_-_shutterstock_478538809_smaller.jpg\/600px-Arches_of_the_Foot_-_shutterstock_478538809_smaller.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Arches_of_the_Foot_-_shutterstock_478538809_smaller.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Arches plantaires<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span class=\"mw-headline\" id=\"Biomechanical_Changes\">Changements biom\u00e9caniques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Biomechanical Changes\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=9\" title=\"Edit section: Biomechanical Changes\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les modifications des tissus mous, de l&rsquo;amplitude des mouvements et de la force musculaire li\u00e9es \u00e0 l&rsquo;\u00e2ge entra\u00eenent les changements biom\u00e9caniques suivants : <sup id=\"cite_ref-:0_1-12\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>L&rsquo;abaissement de l&rsquo;arche longitudinale m\u00e9diale<\/li>\n<li>Mobilit\u00e9 r\u00e9duite du m\u00e9dio-pied et des m\u00e9tatarsiens<\/li>\n<li>Pieds plus plats et en pronation dynamique<\/li>\n<li>Posture en pied plat<\/li>\n<li>En phase de <a href=\"\/The_Gait_Cycle\" title=\"The Gait Cycle\">pouss\u00e9e<\/a> \u00e0 la marche, le calcan\u00e9um est en moins grande flexion plantaire.<\/li>\n<li>D\u00e9marche moins propulsive<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Physiotherapy_Intervention\">Intervention en physioth\u00e9rapie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Intervention\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=10\" title=\"Edit section: Physiotherapy Intervention\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"General_Principles\">Principes g\u00e9n\u00e9raux <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: General Principles\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=11\" title=\"Edit section: General Principles\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ol>\n<li>Ne vous concentrez pas uniquement sur le pied<\/li>\n<li>\u00c9valuez la cha\u00eene cin\u00e9tique : examinez la posture, la r\u00e9partition du poids et la r\u00e9partition du centre de gravit\u00e9<\/li>\n<li>Proposez un programme comprenant des \u00e9tirements et des renforcements<\/li>\n<li>Utilisez des techniques manuelles pour r\u00e9duire la rigidit\u00e9 des tissus<\/li>\n<li>Stimulez les capteurs plantaires<\/li>\n<li>\u00c9valuez les chaussures<\/li>\n<li>Faites attention lorsque vous choisissez des orth\u00e8ses pour le soutien de la vo\u00fbte plantaire m\u00e9diale de ne pas rendre le pied plus rigide<\/li>\n<\/ol>\n<h3><span id=\"Therapeutic_Interventions(6)\"><\/span><span class=\"mw-headline\" id=\"Therapeutic_Interventions.5B6.5D\">Interventions th\u00e9rapeutiques <sup id=\"cite_ref-:2_6-4\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Therapeutic Interventions(6)\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=12\" title=\"Edit section: Therapeutic Interventions(6)\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><b>Techniques manuelles <\/b>: mobilisation du pied raide et stimulation des r\u00e9cepteurs sensoriels plantaires pour augmenter la proprioception et am\u00e9liorer l&rsquo;\u00e9quilibre.<\/p>\n<p><b><a href=\"\/Stretching\" title=\"Stretching\">\u00c9tirements <\/a><\/b>: \u00e9tirement des muscles du mollet pour r\u00e9duire la pression sur l&rsquo;avant-pied.<\/p>\n<p><b>Renforcement <\/b>: exercices de renforcement des orteils pour am\u00e9liorer la force des muscles intrins\u00e8ques du pied, augmenter la stabilit\u00e9 de l&rsquo;arche plantaire, am\u00e9liorer la phase de pouss\u00e9e des orteils \u00e0 la marche et l&rsquo;\u00e9quilibre pendant la d\u00e9ambulation.<\/p>\n<p><b>\u00c9valuation et modification des chaussures <\/b>: O&rsquo;Rourke et al. <sup id=\"cite_ref-:5_17-0\" class=\"reference\"><a href=\"#cite_note-:5-17\">(17)<\/a><\/sup> ont constat\u00e9 que les personnes \u00e2g\u00e9es portent souvent des chaussures mal adapt\u00e9es ou des chaussures pr\u00e9sentant des caract\u00e9ristiques dangereuses, comme les pantoufles. En portant des pantoufles, l&rsquo;orteil devra s&rsquo;agripper encore plus pour s&rsquo;accrocher \u00e0 la pantoufle. Cela peut contribuer \u00e0 l&rsquo;effondrement de l&rsquo;arche m\u00e9diane et au d\u00e9veloppement d&rsquo;orteils en marteau. <sup id=\"cite_ref-:2_6-5\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup> Les chaussures appropri\u00e9es doivent \u00eatre assez souples pour coussiner le pied et offrir assez de soutient pour emp\u00eacher le pied de s&rsquo;affaisser.<\/p>\n<p><b><a href=\"\/Introduction_to_Orthotics\" title=\"Introduction to Orthotics\">Introduction to Orthotics <\/a><\/b>: collaboration avec un orth\u00e9siste pour effectuer une orth\u00e8se sur mesure qui soutient la vo\u00fbte m\u00e9diale sans augmenter la rigidit\u00e9 du pied. Les orth\u00e8ses appropri\u00e9es doivent permettre d&rsquo;augmenter la capacit\u00e9 d&rsquo;absorption de chocs du pied.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/j_819z3ILH0?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Resources\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=13\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6240965\/pdf\/10.1177_2151459318801756.pdf\">Frailty as an Outcome Predictor After Ankle Fractures: Where Are We Now?<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bmcgeriatr.biomedcentral.com\/articles\/10.1186\/s12877-020-1448-9\">Does the shoe really fit? Characterising ill-fitting footwear among community-dwelling older adults attending geriatric services: an observational cross-sectional study<\/a>.<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=The_Ageing_Foot&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=The_Ageing_Foot&amp;action=edit&amp;section=14\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.00<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.01<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.02<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.03<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-4\">1.04<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-5\">1.05<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-6\">1.06<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-7\">1.07<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-8\">1.08<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-9\">1.09<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-10\">1.10<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-11\">1.11<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-12\">1.12<\/a><\/sup><\/span> <span class=\"reference-text\">Menz HB. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.karger.com\/Article\/Pdf\/368357\">Biomechanics of the ageing foot and ankle: a mini-review.<\/a> Gerontology. 2015;61(4):381-8.<\/span><\/li>\n<li id=\"cite_note-:4-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Zhang B, Lu Q. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/paahjournal.com\/articles\/10.5334\/paah.57\/\">A current review of foot disorder and plantar pressure alternation in the elderly.<\/a> Physical Activity and Health. 2020 Sep 2;4(1).<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Oh-Park M, Kirschner J, Abdelshahed D, Kim DDJ. Painful Foot Disorders in the Geriatric Population: A Narrative Review. Am J Phys Med Rehabil. 2019 Sep;98(9):811-819. <\/span><\/li>\n<li id=\"cite_note-:1-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-1\">4.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-2\">4.2<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-3\">4.3<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-4\">4.4<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-5\">4.5<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-6\">4.6<\/a><\/sup><\/span> <span class=\"reference-text\">Muchna A, Najafi B, Wendel CS, Schwenk M, Armstrong DG, Mohler J. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6647839\/pdf\/nihms-1041883.pdf\">Foot Problems in Older Adults Associations with Incident Falls, Frailty Syndrome, and Sensor-Derived Gait, Balance, and Physical Activity Measures.<\/a> J Am Podiatr Med Assoc. 2018 Mar;108(2):126-139. doi: 10.7547\/15-186. Epub 2017 Aug 30. <\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Helfand AE. Foot problems in older patients: a focused podogeriatric assessment study in ambulatory care. J Am Podiatr Med Assoc. 2004 May-Jun;94(3):293-304. <\/span><\/li>\n<li id=\"cite_note-:2-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-1\">6.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-2\">6.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-3\">6.3<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-4\">6.4<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-5\">6.5<\/a><\/sup><\/span> <span class=\"reference-text\">Simpson H. The Ageing Foot Course. Plus 2022<\/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\">Fenske NA, Lober CW. Structural and functional changes of normal ageing skin. J Am Acad Dermatol. 1986 Oct;15(4 Pt 1):571-85. <\/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> <sup><a href=\"#cite_ref-:3_8-3\">8.3<\/a><\/sup> <sup><a href=\"#cite_ref-:3_8-4\">8.4<\/a><\/sup><\/span> <span class=\"reference-text\">Levine JM. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.lww.com\/aswcjournal\/FullText\/2020\/01000\/Clinical_Aspects_of_Aging_Skin__Considerations_for.4.aspx\">Clinical aspects of ageing skin: Considerations for the wound care practitioner<\/a>. Advances in skin &amp; wound care. 2020 Jan 1;33(1):12-9.<\/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\">Smith L. 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How Aging Affects Your Feet<br \/>\nAvailable from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=j_819z3ILH0\">https:\/\/www.youtube.com\/watch?v=j_819z3ILH0<\/a> (last accessed 17\/09\/2022)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230118212457 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.117 seconds Real time usage: 0.123 seconds Preprocessor visited node count: 426\/1000000 Post\u2010expand include size: 68\/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: 12969\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 12.007 1 Special:Contributors\/The_Ageing_Foot 100.00% 12.007 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 Introduction 1.1 Facteurs de risque 2 Changements li\u00e9s \u00e0 l&rsquo;\u00e2ge au niveau du pied 2.1 Changements physiologiques 2.1.1 La peau 2.1.2 Les tissus mous 2.1.3 L&rsquo;amplitude de mouvement 2.1.4 La force musculaire [&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-4655","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4655","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=4655"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4655\/revisions"}],"predecessor-version":[{"id":4656,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4655\/revisions\/4656"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=4655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}