{"id":4748,"date":"2023-01-31T13:59:35","date_gmt":"2023-01-31T13:59:35","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/the-role-of-the-diaphragm-in-trunk-stability-fr\/"},"modified":"2023-01-31T19:23:58","modified_gmt":"2023-01-31T19:23:58","slug":"the-role-of-the-diaphragm-in-trunk-stability-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/the-role-of-the-diaphragm-in-trunk-stability-fr\/","title":{"rendered":"Le r\u00f4le du diaphragme dans la stabilit\u00e9 du tronc"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Carin_Hunter\" title=\"User:Carin Hunter\">Carin Hunter<\/a> \u00e0 partir du cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/rina-pandya\/\">Rina Pandya<\/a><br \/>\n<b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Carin_Hunter\" class=\"mw-userlink\" title=\"User:Carin Hunter\"><bdi>Carin Hunter<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a href=\"\/User:Merinda_Rodseth\" class=\"mw-userlink\" title=\"User:Merinda Rodseth\"><bdi>Merinda Rodseth<\/bdi><\/a> et <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/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=\"#1._Overview_on_Muscle_systems\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">1. Aper\u00e7u des syst\u00e8mes musculaires<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#2._Important_Concepts_in_Relation_to_Diaphragm_Rehabilitation\"><span class=\"tocnumber\">1.2<\/span> <span class=\"toctext\">2. Concepts importants en relation avec la r\u00e9adaptation du diaphragme<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#The_Diaphragm.27s_Role_in_Balance_and_Gait\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Le r\u00f4le du diaphragme dans l&rsquo;\u00e9quilibre et la marche<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#The_Diaphragm_as_a_Core_Stabiliser\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\"><b>Le diaphragme comme stabilisateur du tronc<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Muscle_of_Abdominal_Straining_and_Weight_Lifting\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\"><b>Muscle de l&rsquo;effort abdominal et de l&rsquo;halt\u00e9rophilie<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Trunk_stability\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Stabilit\u00e9 du tronc<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Additional_Resources\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Ressources suppl\u00e9mentaires<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&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_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Cette page traite du r\u00f4le du diaphragme dans la stabilit\u00e9 du tronc. Ce muscle ne doit pas \u00eatre oubli\u00e9 lorsque l&rsquo;on travaille avec des patients apr\u00e8s une ventilation m\u00e9canique assist\u00e9e, ou chez des personnes souffrant de douleurs lombaires ou de dysfonctionnement de la marche ou de l&rsquo;\u00e9quilibre. Cette page comprend une br\u00e8ve pr\u00e9sentation des muscles de la respiration et aborde des concepts pertinents pour la r\u00e9adaptation du diaphragme et l&rsquo;am\u00e9lioration de la stabilit\u00e9 du tronc.<\/p>\n<h3><span class=\"mw-headline\" id=\"1._Overview_on_Muscle_systems\">1. Aper\u00e7u des syst\u00e8mes musculaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: 1. Overview on Muscle systems\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=2\" title=\"Edit section: 1. Overview on Muscle systems\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le <b>syst\u00e8me musculaire local<\/b> est compos\u00e9 d&rsquo;une couche profonde de muscles \u00e0 contraction lente qui contr\u00f4lent les mouvements intersegmentaires. Ces muscles r\u00e9pondent aux changements de posture et aux charges extrins\u00e8ques.<\/p>\n<p>Les principaux muscles locaux sont les suivants :<\/p>\n<ul>\n<li><a href=\"\/Transversus_Abdominis\" title=\"Transversus Abdominis\">Transverse de l&rsquo;abdomen<\/a><\/li>\n<li><a href=\"\/Lumbar_Multifidus\" title=\"Lumbar Multifidus\">Multifide<\/a><\/li>\n<li><a href=\"\/Internal_Abdominal_Oblique\" title=\"Internal Abdominal Oblique\">Oblique interne de l&rsquo;abdomen<\/a><\/li>\n<li><a href=\"\/Transversospinales\" title=\"Transversospinales\">Transversaire \u00e9pineux<\/a><\/li>\n<li>Muscles du <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Pelvic_Floor_Anatomy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal#Pelvic_Floor_Myology_.5B2.5D.5B4.5D\">plancher pelvien<\/a><\/li>\n<\/ul>\n<p>Le <b>syst\u00e8me musculaire global<\/b> comprend des muscles longs \u00e0 contraction rapide qui poss\u00e8dent un long bras de levier pour produire les couples de force et mouvements grossiers.<\/p>\n<p>Les principaux muscles globaux sont les suivants :<\/p>\n<ul>\n<li><a href=\"\/Erector_Spinae\" title=\"Erector Spinae\">Muscles \u00e9recteurs du rachis<\/a><\/li>\n<li><a href=\"\/External_Abdominal_Oblique\" title=\"External Abdominal Oblique\">Oblique externe de l&rsquo;abdomen<\/a><\/li>\n<li><a href=\"\/Rectus_Abdominis\" title=\"Rectus Abdominis\">Muscle grand droit de l&rsquo;abdomen<\/a><\/li>\n<li><a href=\"\/Quadratus_Lumborum\" title=\"Quadratus Lumborum\">Carr\u00e9 des lombes<\/a><\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations, veuillez consulter cette page : <a href=\"\/Muscles_of_Respiration\" title=\"Muscles of Respiration\">Muscles of Respiration<\/a>.<\/p>\n<h3><span class=\"mw-headline\" id=\"2._Important_Concepts_in_Relation_to_Diaphragm_Rehabilitation\">2. Concepts importants en relation avec la r\u00e9adaptation du diaphragme <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: 2. Important Concepts in Relation to Diaphragm Rehabilitation\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=3\" title=\"Edit section: 2. Important Concepts in Relation to Diaphragm Rehabilitation\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><b><u>1. Une pompe thoraco-abdominale<\/u><\/b><\/p>\n<ul>\n<li>Le diaphragme joue un r\u00f4le important dans le retour veineux. Lors de l&rsquo;inspiration, le diaphragme descend. Ce mouvement du diaphragme augmente la pression dans la cavit\u00e9 abdominale et diminue la pression dans la cavit\u00e9 intrathoracique.<sup id=\"cite_ref-:1_1-0\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup> L&rsquo;augmentation de la pression dans la cavit\u00e9 abdominale entra\u00eene la compression de la <a href=\"\/Vena_Cava#Inferior_Vena_Cava_.28IVC.29\" title=\"Vena Cava\">veine cave inf\u00e9rieure<\/a>, aidant ainsi \u00e0 d\u00e9placer le sang, contre la gravit\u00e9, vers l&rsquo;oreillette droite du c\u0153ur. <sup id=\"cite_ref-:1_1-1\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1) <\/a><\/sup><sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup><\/li>\n<li>Il en va de m\u00eame pour les vaisseaux lymphatiques abdominaux. <sup id=\"cite_ref-:1_1-2\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup> La pression n\u00e9gative intrathoracique, caus\u00e9e par la descente du diaphragme, et la compression des vaisseaux lymphatiques abdominaux qui en r\u00e9sulte entra\u00eenent un mouvement ascendant de la lymphe. Les valves du canal thoracique emp\u00eacheront la lymphe de redescendre.<sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/32Bhf37qXUQ?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><b><u>2. Les man\u0153uvres de Valsalva<\/u><\/b><\/p>\n<ul>\n<li>La man\u0153uvre de Valsalva est d\u00e9finie comme une expiration forc\u00e9e contre une glotte ferm\u00e9e. <sup id=\"cite_ref-:2_4-0\" class=\"reference\"><a href=\"#cite_note-:2-4\">(4)<\/a><\/sup> Elle est associ\u00e9e \u00e0 une augmentation de la pression intrathoracique et intra-abdominale.<\/li>\n<li>Ce simple mouvement est associ\u00e9 \u00e0 une r\u00e9ponse cardiovasculaire complexe et \u00e0 d&rsquo;autres m\u00e9canismes de r\u00e9gulation.<sup id=\"cite_ref-:2_4-1\" class=\"reference\"><a href=\"#cite_note-:2-4\">(4)<\/a><\/sup>\n<ul>\n<li>Le but premier de ces m\u00e9canismes est de contr\u00f4ler la pression art\u00e9rielle.<sup id=\"cite_ref-:2_4-2\" class=\"reference\"><a href=\"#cite_note-:2-4\">(4)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Les m\u00e9decins peuvent \u00e9valuer les variations de la pression art\u00e9rielle et de la fr\u00e9quence cardiaque pendant et apr\u00e8s une man\u0153uvre de Valsalva pour diagnostiquer ou confirmer le diagnostic de toute une s\u00e9rie d&rsquo;affections.<sup id=\"cite_ref-:2_4-3\" class=\"reference\"><a href=\"#cite_note-:2-4\">(4)<\/a><\/sup><\/li>\n<li><b>D\u00e9tection des souffles cardiaques :<\/b>\n<ul>\n<li>La man\u0153uvre de Valsalva peut \u00e9galement \u00eatre utilis\u00e9e cliniquement pour classer les souffles cardiaques comme \u00e9tant cliniquement \u00e0 droite ou \u00e0 gauche. <sup id=\"cite_ref-:1_1-3\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1) <\/a><\/sup><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5) <\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Pour en savoir plus sur ce test, veuillez consulter cette page : <a href=\"\/Valsalva_Test\" title=\"Valsalva Test\">Valsalva Test.<\/a><\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/Z4BxBh46h_Q?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h2><span id=\"The_Diaphragm's_Role_in_Balance_and_Gait\"><\/span><span class=\"mw-headline\" id=\"The_Diaphragm.27s_Role_in_Balance_and_Gait\">Le r\u00f4le du diaphragme dans l&rsquo;\u00e9quilibre et la marche <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: The Diaphragm's Role in Balance and Gait\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=4\" title=\"Edit section: The Diaphragm's Role in Balance and Gait\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le diaphragme est principalement un <a href=\"\/Muscles_of_Respiration\" title=\"Muscles of Respiration\">muscle de la respiration<\/a> et il contr\u00f4le la <a href=\"\/How_We_Breathe\" title=\"How We Breathe\">fa\u00e7on dont nous respirons<\/a>. Toutefois, il joue \u00e9galement un r\u00f4le important dans la stabilisation du tronc pour am\u00e9liorer l&rsquo;\u00e9quilibre et la marche <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> en conjonction avec les muscles abdominaux et les muscles paraspinaux. <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"The_Diaphragm_as_a_Core_Stabiliser\"><b>Le diaphragme comme stabilisateur central <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: The Diaphragm as a Core Stabiliser\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=5\" title=\"Edit section: The Diaphragm as a Core Stabiliser\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Diaphragm_cylinder.png\" class=\"image\"><img loading=\"lazy\" alt=\"Diaphragm cylinder.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/5d\/Diaphragm_cylinder.png\/300px-Diaphragm_cylinder.png\" decoding=\"async\" width=\"300\" height=\"313\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/5d\/Diaphragm_cylinder.png\/450px-Diaphragm_cylinder.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/5\/5d\/Diaphragm_cylinder.png\/600px-Diaphragm_cylinder.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Diaphragm_cylinder.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Le <a href=\"\/Diaphragm_Anatomy_and_Differential_Diagnosis\" title=\"L'anatomie du diaphragme et le diagnostic diff\u00e9rentiel\">diaphragme<\/a>, le multifide, le transverse de l&rsquo;abdomen et les muscles du plancher pelvien agissent en unit\u00e9 au centre de diverses cha\u00eenes cin\u00e9tiques fonctionnelles. Il a \u00e9t\u00e9 not\u00e9 que les actions coop\u00e9ratives de ces muscles contr\u00f4lent la pression intra-abdominale, fixent le tronc et r\u00e9duisent les contraintes sur la colonne vert\u00e9brale, en particulier dans la r\u00e9gion lombaire. <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9) <\/a><\/sup><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Muscle_of_Abdominal_Straining_and_Weight_Lifting\"><b>Muscle de l&rsquo;effort abdominal et de l&rsquo;halt\u00e9rophilie <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscle of Abdominal Straining and Weight Lifting\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=6\" title=\"Edit section: Muscle of Abdominal Straining and Weight Lifting\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La contraction du diaphragme et des muscles de la paroi abdominale ant\u00e9rieure entra\u00eene une augmentation de la pression intra-abdominale au cours de processus normaux comme la miction, la d\u00e9f\u00e9cation, les vomissements et la parturition (accouchement).<sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/JgYOWf2OCKA?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Trunk_stability\">Stabilit\u00e9 du tronc <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Trunk stability\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=7\" title=\"Edit section: Trunk stability\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il existe deux types d&rsquo;instabilit\u00e9 vert\u00e9brale : <sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<ol>\n<li><b>L&rsquo;instabilit\u00e9 brute :<\/b> d\u00e9placement radiographique \u00e9vident de la vert\u00e8bre associ\u00e9 \u00e0 un d\u00e9ficit neurologique et \u00e0 une d\u00e9formation.<\/li>\n<li> <b> Instabilit\u00e9 fonctionnelle \/ clinique :<\/b> L&rsquo;instabilit\u00e9 clinique est \u00ab\u00a0la perte de la capacit\u00e9 de la colonne vert\u00e9brale \u00e0 maintenir ses sch\u00e9mas de d\u00e9placement sous des charges physiologiques, de sorte qu&rsquo;il n&rsquo;y a pas de d\u00e9ficit neurologique initial ou suppl\u00e9mentaire, pas de d\u00e9formation majeure et pas de douleur incapacitante\u00a0\u00bb. <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<\/ol>\n<ul>\n<li>La force de stabilistion assure la stabilit\u00e9 du tronc proximal afin de permettre la mobilit\u00e9 distale. Par cons\u00e9quent, la plupart des exercices prescrits par les physioth\u00e9rapeutes se concentreront sur la mobilit\u00e9 des extr\u00e9mit\u00e9s ainsi que la stabilisation du tronc et de la r\u00e9gion lombaire et les techniques de respiration profonde. <sup id=\"cite_ref-:0_3-3\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3) <\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<li>L&rsquo;entra\u00eenement des stabilisateurs implique la coordination des entr\u00e9es sensorielles et motrices, incluant :\n<ul>\n<li>Le contr\u00f4le neuromusculaire<\/li>\n<li>Les composants structurels passifs (\u00e9l\u00e9ments osseux et ligamentaires)<\/li>\n<li>Les composants mobiles actifs (29 paires d&rsquo;\u00e9l\u00e9ments musculaires) <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>De plus amples informations sur la r\u00e9adaptation du diaphragme sont disponibles ici : <a href=\"\/Diaphragm_Rehabilitation\" title=\"La r\u00e9adaptation du diaphragme\">La r\u00e9adaptation du diaphragme<\/a><\/p>\n<h3><span class=\"mw-headline\" id=\"Additional_Resources\">Ressources suppl\u00e9mentaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Additional Resources\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=8\" title=\"Edit section: Additional Resources\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li><a href=\"\/Core_Strengthening\" title=\"Core Strengthening\">Renforcement des stabilisateurs<\/a><\/li>\n<li><a href=\"\/Diaphragmatic_Breathing_Exercises\" title=\"Diaphragmatic Breathing Exercises\">Exercices de respiration diaphragmatique<\/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_Role_of_the_Diaphragm_in_Trunk_Stability&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=The_Role_of_the_Diaphragm_in_Trunk_Stability&amp;action=edit&amp;section=9\" 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-:1-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-3\">1.3<\/a><\/sup><\/span> <span class=\"reference-text\">Bains KN, Kashyap S, Lappin SL. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK519558\/\">Anatomy, Thorax, Diaphragm.<\/a> StatPearls (Internet). 2021 Jul 26.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">McCool FD, Manzoor K, Minami T. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.chestmed.theclinics.com\/article\/S0272-5231(18)30012-1\/fulltext\">Disorders of the diaphragm.<\/a> Clinics in chest medicine. 2018 Jun 1;39(2):345-60.<\/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><\/span> <span class=\"reference-text\">Pandya R. The Role of the Diaphragm in Trunk Stability Course. Plus , 2022.<\/span><\/li>\n<li id=\"cite_note-:2-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_4-1\">4.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_4-2\">4.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_4-3\">4.3<\/a><\/sup><\/span> <span class=\"reference-text\">Pstras L, Thomaseth K, Waniewski J, Balzani I, Bellavere F. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/apha.12639\">The Valsalva manoeuvre: physiology and clinical examples<\/a>. Acta physiologica. 2016 Jun;217(2):103-19.<\/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\">Roy JK, Roy TS, Mukhopadhyay SC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/chapter\/10.1007\/978-3-319-99540-3_7\">Heart sound: Detection and analytical approach towards diseases.<\/a> InModern Sensing Technologies 2019 (pp. 103-145). Springer, Cham.<\/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\">Wirth K, Hartmann H, Mickel C, Szilvas E, Keiner M, Sander A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s40279-016-0597-7\">Core stability in athletes: a critical analysis of current guidelines.<\/a> Sports medicine. 2017 Mar;47(3):401-14.<\/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\">Kocjan J, Gzik-Zroska B, Nowakowska K, Burkacki M, Sucho\u0144 S, Michnik R, Czy\u017cewski D, Adamek M. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0208697\">Impact of diaphragm function parameters on balance maintenance.<\/a> Plos one. 2018 Dec 28;13(12):e0208697.<\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Wilhelm M. <i><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/ttu-ir.tdl.org\/handle\/2346\/86961\">The Effect of Low Back Pain History on Multifidus Co-contraction During Common Lumbosacral Voluntary Stabilizing Contractions<\/a><\/i> (Doctoral dissertation).<\/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\">Hodges PW, Gurfinkel VS, Brumagne S, Smith TC, Cordo PC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s00221-002-1040-x\">Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration.<\/a> Experimental brain research. 2002 Jun;144(3):293-302.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Michael S, Erik S, Udo S, Edward L. Atlas of Anatomy: General Anatomy and the Musculoskeletal System.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Panjabi MM. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1050641103000440\">Clinical spinal instability and low back pain.<\/a> Journal of electromyography and kinesiology. 2003 Aug 1;13(4):371-9.<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Kim E, Lee H. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.jstage.jst.go.jp\/article\/jpts\/25\/6\/25_jpts-2012-124\/_article\/-char\/ja\/\">The effects of deep abdominal muscle strengthening exercises on respiratory function and lumbar stability.<\/a> Journal of physical therapy science. 2013 Jun 25;25(6):663-5.<\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Walters S, GradCert B. <i><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/profile\/Sherrilyn-Walters\/publication\/343569590_Investigation_into_intra-abdominal_pressure_and_neuromuscular_activation_to_increase_force_production_in_traditional_martial_arts_practitioners\/links\/61295e860360302a006125a4\/Investigation-into-intra-abdominal-pressure-and-neuromuscular-activation-to-increase-force-production-in-traditional-martial-arts-practitioners.pdf\">Investigation into intra-abdominal pressure and neuromuscular activation to increase force production in traditional martial arts practitioners<\/a><\/i> (Doctoral dissertation, University of Southern Queensland).<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230128201109 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.075 seconds Real time usage: 0.081 seconds Preprocessor visited node count: 245\/1000000 Post\u2010expand include size: 150\/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: 9199\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 17.360 1 Special:Contributors\/The_Role_of_the_Diaphragm_in_Trunk_Stability 100.00% 17.360 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Carin Hunter \u00e0 partir du cours de Rina Pandya Principaux contributeurs &#8211; Carin Hunter, Jess Bell, Merinda Rodseth et Kim Jackson Contenu 1 Introduction 1.1 1. Aper\u00e7u des syst\u00e8mes musculaires 1.2 2. Concepts importants en relation avec la r\u00e9adaptation du diaphragme 2 Le r\u00f4le du diaphragme dans l&rsquo;\u00e9quilibre et la marche 3 [&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-4748","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4748","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=4748"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4748\/revisions"}],"predecessor-version":[{"id":4753,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4748\/revisions\/4753"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=4748"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}