{"id":5347,"date":"2023-03-24T19:00:48","date_gmt":"2023-03-24T19:00:48","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/neonatal-physiotherapy-intervention-fr\/"},"modified":"2023-03-25T22:41:57","modified_gmt":"2023-03-25T22:41:57","slug":"neonatal-physiotherapy-intervention-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/neonatal-physiotherapy-intervention-fr\/","title":{"rendered":"Intervention de physioth\u00e9rapie en n\u00e9onatologie"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Robin_Tacchetti\" title=\"User:Robin Tacchetti\">Robin Tacchetti<\/a> bas\u00e9 sur le cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/krista-eskay\/\">Krista Eskay<\/a><br \/>\n<b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Robin_Tacchetti\" class=\"mw-userlink\" title=\"User:Robin Tacchetti\"><bdi>Robin Tacchetti<\/bdi><\/a> et <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/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><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Neonatal_Interventions\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Interventions n\u00e9onatales<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Kangaroo_Care\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Soins kangourous<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Non-Nutritive_Sucking.2FSwallowing\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Succion et d\u00e9glutition non nutritives<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Positioning\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Positionnement<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Range_of_Motion\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Amplitude de mouvement<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Massage\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Massage<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Family_Education\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">\u00c9ducation de la famille<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Environment\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Environnement<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Lighting\"><span class=\"tocnumber\">9.1<\/span> <span class=\"toctext\">\u00c9clairage<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Sound\"><span class=\"tocnumber\">9.2<\/span> <span class=\"toctext\">Son<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Temperature\"><span class=\"tocnumber\">9.3<\/span> <span class=\"toctext\">Temp\u00e9rature de l&rsquo;eau<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Pain\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">La douleur<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Resources\"><span class=\"tocnumber\">11<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-15\"><a href=\"#References\"><span class=\"tocnumber\">12<\/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=Neonatal_Physiotherapy_Intervention&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=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les nourrissons admis dans une unit\u00e9 de soins intensifs n\u00e9onataux (USIN) sont consid\u00e9r\u00e9s comme vuln\u00e9rables en raison de leur pr\u00e9maturit\u00e9 et\/ou de leur conditions m\u00e9dicales importantes.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:2_2-0\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> Au cours du dernier trimestre de la grossesse, le cerveau se d\u00e9veloppe rapidement et subit des modifications neuroplastiques. La plupart des enfants hospitalis\u00e9s dans l&rsquo;unit\u00e9 de soins intensifs n\u00e9onataux \u00e9tant n\u00e9s entre la 22e et la 40e semaine de gestation, <sup id=\"cite_ref-:4_3-0\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup> ce d\u00e9veloppement se produit donc en dehors de l&rsquo;ut\u00e9rus. Les naissances pr\u00e9matur\u00e9es peuvent perturber les sch\u00e9mas de d\u00e9veloppement c\u00e9r\u00e9bral g\u00e9n\u00e9tiquement programm\u00e9s, ce qui peut entra\u00eener des troubles neurod\u00e9veloppementaux tels que des dysfonctionnements moteurs et des probl\u00e8mes comportementaux et cognitifs.<sup id=\"cite_ref-:2_2-1\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> L&rsquo;exposition \u00e0 une surcharge sensorielle dans l&rsquo;unit\u00e9 de soins intensifs n\u00e9onataux (moniteurs, lumi\u00e8res, changements de position, manipulations multiples) et la privation sensorielle des battements de c\u0153ur et de la voix de la m\u00e8re peuvent avoir un effet n\u00e9gatif sur la maturation du cerveau.<sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4) <\/a><\/sup><sup id=\"cite_ref-:4_3-1\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup> L&rsquo;objectif de la physioth\u00e9rapie en USIN est de limiter ces changements neuroplastiques n\u00e9gatifs par des strat\u00e9gies d&rsquo;apaisement et des mouvements visant \u00e0 simuler l&rsquo;environnement inter-ut\u00e9rin.<sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Neonatal_Interventions\">Interventions n\u00e9onatales <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Neonatal Interventions\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=2\" title=\"Edit section: Neonatal Interventions\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Une intervention pr\u00e9coce dans l&rsquo;unit\u00e9 de soins intensifs n\u00e9onataux peut modifier la neuroplasticit\u00e9 et la r\u00e9organisation du cerveau chez les pr\u00e9matur\u00e9s. <sup id=\"cite_ref-:2_2-2\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> La th\u00e9orie qui sous-tend la th\u00e9rapie n\u00e9onatale comporte trois volets : <sup id=\"cite_ref-:4_3-2\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup><\/p>\n<ol>\n<li>prot\u00e9ger le cerveau du nouveau-n\u00e9<\/li>\n<li>optimiser l&rsquo;environnement<\/li>\n<li>soutenir la famille <sup id=\"cite_ref-:4_3-3\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup><\/li>\n<\/ol>\n<p>Les interventions sont individualis\u00e9es et hautement sp\u00e9cialis\u00e9es dans le but de favoriser le d\u00e9veloppement, de pr\u00e9venir les s\u00e9quelles et de promouvoir le lien entre l&rsquo;enfant et sa famille. La recherche montre que les interventions visant \u00e0 impliquer les parents ont des effets significatifs et durables sur les r\u00e9sultats comportementaux et cognitifs des nourrissons. <sup id=\"cite_ref-:2_2-3\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> Un avantage secondaire est que les parents sont moins anxieux et plus confiants en la situation n\u00e9onatale. <sup id=\"cite_ref-:4_3-4\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup><\/p>\n<p>Les sections suivantes traitent de diverses interventions dans l&rsquo;unit\u00e9 de soins intensifs n\u00e9onataux.<\/p>\n<h2><span class=\"mw-headline\" id=\"Kangaroo_Care\">Soins kangourous <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Kangaroo Care\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=3\" title=\"Edit section: Kangaroo Care\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Dans l&rsquo;environnement de l&rsquo;unit\u00e9 de soins intensifs n\u00e9onataux, les soins kangourou, \u00e9galement connus sous le nom de contact peau \u00e0 peau, constituent une approche fr\u00e9quemment utilis\u00e9e pour encourager la cr\u00e9ation de liens entre la m\u00e8re et l&rsquo;enfant. Le contact direct est \u00e9tabli en enlevant tous les v\u00eatements du b\u00e9b\u00e9, \u00e0 l&rsquo;exception de sa couche, et en l&rsquo;allongeant en position couch\u00e9e sur le ventre, sur la poitrine de la m\u00e8re. On a constat\u00e9 que les soins kangourous peuvent avoir un effet neuroprotecteur puisqu&rsquo;ils favorisent la plasticit\u00e9 c\u00e9r\u00e9brale.<sup id=\"cite_ref-:0_5-0\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<h2><span id=\"Non-Nutritive_Sucking\/Swallowing\"><\/span><span class=\"mw-headline\" id=\"Non-Nutritive_Sucking.2FSwallowing\">Succion et d\u00e9glutition non nutritives <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Non-Nutritive Sucking\/Swallowing\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=4\" title=\"Edit section: Non-Nutritive Sucking\/Swallowing\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La succion et la d\u00e9glutition sont des activit\u00e9s fonctionnelles hautement prioritaires dans l&rsquo;unit\u00e9 de soins intensifs n\u00e9onataux qui doivent \u00eatre soutenues par le physioth\u00e9rapeute et les autres aidants. La succion non nutritive permet une stimulation tactile des structures intrabuccales et des muscles faciaux par l&rsquo;interm\u00e9diaire d&rsquo;une t\u00e9tine ou d&rsquo;un doigt gant\u00e9. La recherche montre que la succion non nutritive peut contribuer \u00e0 r\u00e9duire la dur\u00e9e du s\u00e9jour \u00e0 l&rsquo;h\u00f4pital et \u00e0 am\u00e9liorer les comportements alimentaires.<sup id=\"cite_ref-:0_5-1\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Positioning\">Positionnement<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Positioning\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=5\" title=\"Edit section: Positioning\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Un positionnement favorable au d\u00e9veloppement des nourrissons en USIN renforce l&rsquo;alignement normal du squelette et offre la possibilit\u00e9 d&rsquo;effectuer des mouvements normaux. <sup id=\"cite_ref-:3_6-0\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup> En outre, le positionnement peut permettre d&rsquo;apporter des soins \u00e0 la peau et de soutenir la fonction respiratoire. La combinaison de ces trois avantages peut permettre au nourrisson d&rsquo;am\u00e9liorer et de prolonger ses patrons de sommeil.<sup id=\"cite_ref-:0_5-2\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Les recherches indiquent que les nourrissons qui s\u00e9journent longtemps \u00e0 l&rsquo;USIN et qui ne sont pas positionn\u00e9s de mani\u00e8re appropri\u00e9e risquent de souffrir de <a href=\"\/Plagiocephaly\" title=\"Plagiocephaly\">plagioc\u00e9phalie<\/a> positionnelle, de torticolis et d&rsquo;une diminution de la qualit\u00e9 et de la spontan\u00e9it\u00e9 de leurs mouvements.<sup id=\"cite_ref-:0_5-3\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5) <\/a><\/sup><sup id=\"cite_ref-:3_6-1\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup><\/p>\n<h2><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=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Range of Motion\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=6\" title=\"Edit section: Range of Motion\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Des exercices d&rsquo;amplitude passive des mouvements peuvent \u00eatre b\u00e9n\u00e9fiques pour le d\u00e9veloppement osseux, en particulier lorsqu&rsquo;ils sont appliqu\u00e9s aux articulations proximales du nourrisson. Il a \u00e9t\u00e9 sugg\u00e9r\u00e9 dans la litt\u00e9rature que les exercices peuvent entra\u00eener une augmentation l\u00e9g\u00e8re et temporaire de la prise de poids et de la densit\u00e9 osseuse chez les pr\u00e9matur\u00e9s.<sup id=\"cite_ref-:0_5-4\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Massage\">Massage<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Massage\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=7\" title=\"Edit section: Massage\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le massage des nourrissons (c&rsquo;est-\u00e0-dire un contact doux et lent avec les mains) est une m\u00e9thode d&rsquo;intervention pr\u00e9coce qui favorise le d\u00e9veloppement du sens tactile du nouveau-n\u00e9. Certaines donn\u00e9es sugg\u00e8rent que le massage peut favoriser la croissance et la prise de poids des b\u00e9b\u00e9s de faible poids \u00e0 la naissance et des pr\u00e9matur\u00e9s, et r\u00e9duire la dur\u00e9e du s\u00e9jour \u00e0 l&rsquo;h\u00f4pital, <sup id=\"cite_ref-:0_5-5\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> r\u00e9duire le stress n\u00e9onatal <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> et favoriser le sommeil.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> Une recherche de Lu et al.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> a constat\u00e9 que la th\u00e9rapie de massage avec pression mod\u00e9r\u00e9e peut entra\u00eener une prise de poids quotidienne plus importante chez les pr\u00e9matur\u00e9s que la th\u00e9rapie de massage avec pression l\u00e9g\u00e8re.<\/p>\n<h2><span class=\"mw-headline\" id=\"Family_Education\">\u00c9ducation de la famille <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Family Education\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=8\" title=\"Edit section: Family Education\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;\u00e9ducation des familles est une composante importante des soins interventionnels en USIN. Il est important de comprendre comment s&rsquo;occuper d&rsquo;un enfant pr\u00e9matur\u00e9 pour d\u00e9velopper sa posture et ses mouvements, l&rsquo;attachement parent-nourrisson et le maintien de la stabilit\u00e9 physiologique du b\u00e9b\u00e9. L&rsquo;accompagnement de la famille sur la fa\u00e7on de soutenir au mieux le d\u00e9veloppement moteur du b\u00e9b\u00e9 doit porter sur des sujets tels que<\/p>\n<ul>\n<li>l&rsquo;alimentation<\/li>\n<li>l&rsquo;habillage<\/li>\n<li>le positionnement pendant le sommeil<\/li>\n<li>jouer<\/li>\n<li>communiquer<\/li>\n<li>le maintien et le port th\u00e9rapeutiques<\/li>\n<\/ul>\n<p>** La formation peut prendre la forme d&rsquo;informations verbales, d&rsquo;une narration vid\u00e9o et\/ou de sources \u00e9crites.<sup id=\"cite_ref-:0_5-6\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Environment\">Environnement<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Environment\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=9\" title=\"Edit section: Environment\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les plans de soins du d\u00e9veloppement \u00e0 l&rsquo;USIN incluent souvent des techniques visant \u00e0 limiter les cons\u00e9quences des stimuli n\u00e9gatifs tels que l&rsquo;exc\u00e8s de lumi\u00e8re, de sons, etc. Les r\u00e9glementations environnementales ax\u00e9es sp\u00e9cifiquement sur ces facteurs de stress contribuent \u00e0 la stabilit\u00e9 physiologique.<sup id=\"cite_ref-:3_6-2\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Lighting\">\u00c9clairage<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Lighting\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=10\" title=\"Edit section: Lighting\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les r\u00e8gles d&rsquo;\u00e9clairage dans l&rsquo;unit\u00e9 de soins intensifs n\u00e9onatals sont les suivantes :<\/p>\n<ul>\n<li>la zone de l&rsquo;incubateur o\u00f9 se trouve le b\u00e9b\u00e9 ne doit pas \u00eatre directement \u00e9clair\u00e9e (sauf pendant les proc\u00e9dures)<\/li>\n<li>il faut utiliser un couvercle d&rsquo;incubateur, une couverture ou une housse pour r\u00e9duire l&rsquo;exposition directe \u00e0 la lumi\u00e8re<\/li>\n<li>les b\u00e9b\u00e9s n\u00e9cessitant une phototh\u00e9rapie doivent utiliser des masques oculaires<\/li>\n<li>des r\u00e9glages bas doivent \u00eatre utilis\u00e9s la nuit pour que la lumi\u00e8re ambiante suive le cycle nuit\/jour <sup id=\"cite_ref-:0_5-7\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<p>** Il est prouv\u00e9 que l&rsquo;introduction de cycles robustes de lumi\u00e8re et d&rsquo;obscurit\u00e9 a des effets b\u00e9n\u00e9fiques sur le temps d&rsquo;hospitalisation et la prise de poids par rapport aux nourrissons expos\u00e9s \u00e0 une quasi-obscurit\u00e9 constante ou \u00e0 une lumi\u00e8re constante.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Sound\">Son<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Sound\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=11\" title=\"Edit section: Sound\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Dans les unit\u00e9s de soins intensifs n\u00e9onataux, il y a souvent des bruits d\u00e9rangeants de courte dur\u00e9e \u00e0 intervalles irr\u00e9guliers. <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> Afin de r\u00e9duire ces perturbations, la R\u00e9glementation sonore dans les unit\u00e9s de soins intensifs n\u00e9onataux est la suivante :<\/p>\n<ul>\n<li>le niveau sonore id\u00e9al \u00e0 l&rsquo;endroit o\u00f9 se trouve le nourrisson ne doit pas \u00eatre sup\u00e9rieur \u00e0 45 d\u00e9cibels (dB)<\/li>\n<li>les augmentations temporaires du niveau sonore ne doivent pas d\u00e9passer 65 dB <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<\/ul>\n<p>** Dans la population des pr\u00e9matur\u00e9s, 2 \u00e0 10 % des enfants subissent des l\u00e9sions auditives, contre 0,1 % dans la population p\u00e9diatrique g\u00e9n\u00e9rale.<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Temperature\">Temp\u00e9rature<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Temperature\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=12\" title=\"Edit section: Temperature\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les r\u00e8gles relatives \u00e0 la temp\u00e9rature dans l&rsquo;unit\u00e9 de soins intensifs n\u00e9onataux sont \u00e9num\u00e9r\u00e9es ci-dessous :<\/p>\n<ul>\n<li>La temp\u00e9rature ambiante id\u00e9ale dans l&rsquo;USIN est de <i>21<\/i> \u00e0 24\u00b0C<\/li>\n<li>les temp\u00e9ratures id\u00e9ales de l&rsquo;incubateur pendant les 24 premi\u00e8res heures postnatales sont de <i>32,4 \u00b1 1,5 \u00e0 35,0 \u00b1 0,5 \u00b0C<\/i><\/li>\n<li>la temp\u00e9rature id\u00e9ale de l&rsquo;incubateur entre les jours 5 et 14 est de <i>33,5 \u00b10,5 et 32,0 \u00b1 1,5 \u00b0C<\/i><\/li>\n<li>L&rsquo;humidit\u00e9 dans un incubateur pendant les 7 premiers jours postnataux est de 70 %\n<ul>\n<li>et est r\u00e9duite \u00e0 40 % en fonction de la capacit\u00e9 du nourrisson \u00e0 organiser sa temp\u00e9rature corporelle<\/li>\n<li>et peut aussi \u00eatre arr\u00eat\u00e9e apr\u00e8s 21 jours en fonction de la capacit\u00e9 du b\u00e9b\u00e9 \u00e0 maintenir sa temp\u00e9rature <sup id=\"cite_ref-:0_5-8\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Pain\">Douleur<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Pain\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=13\" title=\"Edit section: Pain\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Dans l&rsquo;unit\u00e9 de soins intensifs n\u00e9onataux, les nourrissons sont confront\u00e9s \u00e0 des stimuli nocifs. Il existe plusieurs fa\u00e7ons d&rsquo;att\u00e9nuer la r\u00e9ponse \u00e0 la douleur en fournissant un apport sensoriel :<\/p>\n<ol>\n<li>emmailloter le b\u00e9b\u00e9<\/li>\n<li>fournir une succion non nutritive<\/li>\n<li>fournir du confort tactile\n<ol>\n<li>tapotter les fesses du b\u00e9b\u00e9<\/li>\n<li>le bercer doucement<\/li>\n<\/ol>\n<\/li>\n<li>favoriser la flexion physiologique <sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/li>\n<\/ol>\n<p>**Cette vid\u00e9o par KK Women&rsquo;s and Children&rsquo;s Hospital (en anglais) pr\u00e9sente un r\u00e9sum\u00e9 rapide des diff\u00e9rentes interventions en milieu d&rsquo;USIN :<\/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\/NL9sJd6l7ZY?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\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=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=14\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a href=\"\/Neonatal_Intensive_Care_Unit_(NICU)\" title=\"Neonatal Intensive Care Unit (NICU)\">Neonatal Intensive Care Unit<\/a><\/li>\n<li><a href=\"\/Neonatal_Physiotherapy_Assessment\" title=\"Neonatal Physiotherapy Assessment\">Neonatal Physiotherapy Assessment<\/a><\/li>\n<li><a href=\"\/Neonatal_Pain_Assessment\" title=\"Neonatal Pain Assessment\">Neonatal Pain Assessment<\/a><\/li>\n<li><a href=\"\/Understanding_Newborn_Behaviour\" title=\"Understanding Newborn Behaviour\">Understanding Newborn Behaviour<\/a><\/li>\n<li><a href=\"\/Infant_Terminology_and_Reflexes\" title=\"Infant Terminology and Reflexes\">Infant Terminology and Reflexes<\/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=Neonatal_Physiotherapy_Intervention&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Neonatal_Physiotherapy_Intervention&amp;action=edit&amp;section=15\" 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\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Craig JW, Smith CR. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/s41372-020-0597-1\">Risk-adjusted\/neuroprotective care services in the NICU: the elemental role of the neonatal therapist (OT, PT, SLP)<\/a>. Journal of Perinatology. 2020 Apr;40(4):549-59.<\/span><\/li>\n<li id=\"cite_note-:2-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_2-0\">2,0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-1\">2,1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-2\">2,2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-3\">2,3<\/a><\/sup><\/span> <span class=\"reference-text\">\u00d8berg GK, Girolami GL, Campbell SK, Ustad T, Heuch I, Jacobsen BK, Kaaresen PI, Aulie VS, J\u00f8rgensen L. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/100\/5\/860\/5707308?login=false\">Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter\u2014A Randomized Controlled Trial<\/a>. Physical Therapy. 2020 May 18;100(5):860-9.<\/span><\/li>\n<li id=\"cite_note-:4-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:4_3-2\">3.2<\/a><\/sup> <sup><a href=\"#cite_ref-:4_3-3\">3.3<\/a><\/sup> <sup><a href=\"#cite_ref-:4_3-4\">3.4<\/a><\/sup><\/span> <span class=\"reference-text\">Khurana S, Kane AE, Brown SE, Tarver T, Dusing SC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dmcn.14485\">Effect of neonatal therapy on the motor, cognitive, and behavioral development of infants born preterm: a systematic review<\/a>. Developmental Medicine &amp; Child Neurology. 2020 Jun;62(6):684-92.<\/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><\/span> <span class=\"reference-text\">Haslbeck FB, Bassler D. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.jove.com\/t\/60412\/clinical-practice-protocol-creative-music-therapy-for-preterm-infants?fbclid=IwAR29fl3o37kzh69SUxvFs46v3Ix67HmKGX_KkcT6g7CuG7_eytnytEZOqKI\">Clinical practice protocol of creative music therapy for preterm infants and their parents in the neonatal intensive care unit<\/a>. JoVE (Journal of Visualized Experiments). 2020 Jan 7(155):e60412.<\/span><\/li>\n<li id=\"cite_note-:0-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-2\">5.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-3\">5.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-4\">5.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-5\">5.5<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-6\">5.6<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-7\">5.7<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-8\">5.8<\/a><\/sup><\/span> <span class=\"reference-text\">Do\u011fan \u0130E, Balc\u0131 N\u00c7, G\u00fcnd\u00fcz AG. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.onlinescientificresearch.com\/articles\/physiotherapy-and-rehabilitation-approaches-to-premature-infants-in-neonatal-intensive-care-units.pdf\">Physiotherapy and Rehabilitation Approaches to Premature Infants in Neonatal Intensive Care Units.<\/a> Journal of Physical Medicine Rehabilitation Studies &amp; Reports. SRC\/JPMRS\/168. DOI: doi. org\/10.47363\/JPMRS\/2021 (4). 2022;150:2-5.<\/span><\/li>\n<li id=\"cite_note-:3-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-1\">6.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-2\">6.2<\/a><\/sup><\/span> <span class=\"reference-text\">Sweeney JK, Heriza CB, Blanchard Y, Dusing SC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.lww.com\/pedpt\/Fulltext\/2010\/02210\/Neonatal_Physical_Therapy__Part_II__Practice.2.aspx\">Neonatal physical therapy. Part II: Practice frameworks and evidence-based practice guidelines<\/a>. Pediatric Physical Therapy. 2010 Apr 1;22(1):2-16.<\/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\">\u00c1lvarez MJ, Fern\u00e1ndez D, G\u00f3mez-Salgado J, Rodr\u00edguez-Gonz\u00e1lez D, Ros\u00f3n M, Lape\u00f1a S. The effects of massage therapy in hospitalized preterm neonates: A systematic review. Int J Nurs Stud. 2017 Apr;69:119-36. <\/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\">Firmino C, Rodrigues M, Franco S, Ferreira J, Sim\u00f5es AR, Castro C, et al. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.mdpi.com\/1660-4601\/19\/17\/10953\">Nursing interventions that promote sleep in preterm newborns in the neonatal intensive care units: an integrative review<\/a>. International Journal of Environmental Research and Public Health. 2022; 19(17):10953.<\/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\">Lu LC, Lan SH, Hsieh YP, Lin LY, Chen JC, Lan SJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1744388119302579\">Massage therapy for weight gain in preterm neonates: A systematic review and meta-analysis of randomized controlled trials<\/a>. Complementary Therapies in Clinical Practice. 2020 May 1;39:101168.<\/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\">Hazelhoff EM, Dudink J, Meijer JH, Kervezee L. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnins.2021.634034\/full\">Beginning to see the light: lessons learned from the development of the circadian system for optimizing light conditions in the neonatal intensive care unit<\/a>. Frontiers in Neuroscience. 2021 Mar 18;15:634034.<\/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\">Almadhoob A, Ohlsson A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.cochrane.org\/CD010333\/NEONATAL_sound-reduction-management-neonatal-intensive-care-unit-preterm-or-very-low-birthweight-infants\">Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants<\/a>. Cochrane Database of Systematic Reviews. 2015(1).<\/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\">Casavant SG, Bernier K, Andrews S, Bourgoin A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/s3.eu-west-2.amazonaws.com\/files.bliss.org.uk\/documents\/Health-professionals\/Bliss-Baby-Charter\/Noise_Levels_Guidelines_for_NNU.pdf?mtime=20180405114626\">Noise in the neonatal intensive care unit: what does the evidence tell us?<\/a>. Advances in Neonatal Care. 2017 Aug 1;17(4):265-73.<\/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\">Bertsch M, Reuter C, Czedik-Eysenberg I, Berger A, Olischar M, Bartha-Doering L, Giordano V. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2020.01055\/full\">The \u201cSound of Silence\u201d in a Neonatal Intensive Care Unit\u2014Listening to Speech and Music Inside an Incubator<\/a>. Frontiers in psychology. 2020 May 26;11:1055.<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Eskay, K. Neonatal Physiotherapy Intervention. Plus. 2023<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230324141135 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.102 seconds Real time usage: 0.111 seconds Preprocessor visited node count: 331\/1000000 Post\u2010expand include size: 88\/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: 11079\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 8.995 1 Special:Contributors\/Neonatal_Physiotherapy_Intervention 100.00% 8.995 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Robin Tacchetti bas\u00e9 sur le cours de Krista Eskay Principaux contributeurs &#8211; Robin Tacchetti et Jess Bell Contenu 1 Introduction 2 Interventions n\u00e9onatales 3 Soins kangourous 4 Succion et d\u00e9glutition non nutritives 5 Positionnement 6 Amplitude de mouvement 7 Massage 8 \u00c9ducation de la famille 9 Environnement 9.1 \u00c9clairage 9.2 Son 9.3 [&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-5347","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5347","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=5347"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5347\/revisions"}],"predecessor-version":[{"id":5357,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5347\/revisions\/5357"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=5347"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}