{"id":5668,"date":"2023-04-17T16:44:26","date_gmt":"2023-04-17T16:44:26","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/physical-activity-promotion-for-people-with-spinal-cord-injury-fr\/"},"modified":"2023-04-17T16:44:26","modified_gmt":"2023-04-17T16:44:26","slug":"physical-activity-promotion-for-people-with-spinal-cord-injury-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/physical-activity-promotion-for-people-with-spinal-cord-injury-fr\/","title":{"rendered":"Promotion de l&rsquo;activit\u00e9 physique pour les personnes souffrant de l\u00e9sions de la moelle \u00e9pini\u00e8re"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>\u00c9diteur original <\/b>&#8211; <a title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\">Tarina van der Stockt<\/a><\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Promoting_Physical_Activity\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Promouvoir l&rsquo;activit\u00e9 physique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Community_Integration_Post-Hospital_Discharge\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Int\u00e9gration communautaire apr\u00e8s la sortie de l&rsquo;h\u00f4pital<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Preparation_for_Discharge_to_Home_and_Community\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Pr\u00e9paration \u00e0 la sortie vers le domicile et la communaut\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Health_and_Personal_Barriers_to_Community_Integration\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Obstacles sanitaires et personnels \u00e0 l&rsquo;int\u00e9gration communautaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Social_and_Environmental_Barriers_to_Community_Integration\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Obstacles sociaux et environnementaux \u00e0 l&rsquo;int\u00e9gration communautaire<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Group_Activity\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Activit\u00e9 de groupe<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Risk_Factors\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Facteurs de risque<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-9\"><a href=\"#Thermoregulation\"><span class=\"tocnumber\">4.1.1<\/span> <span class=\"toctext\">La thermor\u00e9gulation<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Skin_Problems\"><span class=\"tocnumber\">4.1.2<\/span> <span class=\"toctext\">Les probl\u00e8mes de peau<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-11\"><a href=\"#Autonomic_Dysreflexia\"><span class=\"tocnumber\">4.1.3<\/span> <span class=\"toctext\">La dysr\u00e9flexie autonome<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Orthostatic_Hypotension\"><span class=\"tocnumber\">4.1.4<\/span> <span class=\"toctext\">L&rsquo;hypotension orthostatique<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-13\"><a href=\"#Overuse_Injuries\"><span class=\"tocnumber\">4.1.5<\/span> <span class=\"toctext\">Les blessures de surmenage<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Activity_Type\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Type d&rsquo;activit\u00e9<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-15\"><a href=\"#Circuit_training_programme\"><span class=\"tocnumber\">4.2.1<\/span> <span class=\"toctext\"><i>Programme d&rsquo;entra\u00eenement en circuit<\/i><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-16\"><a href=\"#Yoga_class\"><span class=\"tocnumber\">4.2.2<\/span> <span class=\"toctext\"><i>Cours de yoga<\/i><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-17\"><a href=\"#Strengthening_programme\"><span class=\"tocnumber\">4.2.3<\/span> <span class=\"toctext\"><i>Programme de renforcement<\/i><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Aerobic_activities\"><span class=\"tocnumber\">4.2.4<\/span> <span class=\"toctext\"><i>Activit\u00e9s a\u00e9robiques<\/i><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-19\"><a href=\"#Teams\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">L&rsquo;\u00e9quipe<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-20\"><a href=\"#Physiotherapists\"><span class=\"tocnumber\">4.3.1<\/span> <span class=\"toctext\">Les physioth\u00e9rapeutes<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-21\"><a href=\"#Training_of_the_trainers_.28ToT.29\"><span class=\"tocnumber\">4.3.2<\/span> <span class=\"toctext\">Formation des formateurs (Training of the trainers &#8211; ToT)<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-22\"><a href=\"#Additional_Resources\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Ressources suppl\u00e9mentaires<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-23\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il est essentiel que les personnes souffrant d&rsquo;une <a title=\"Spinal Cord Injury\" href=\"\/Spinal_Cord_Injury\">l\u00e9sion de la moelle \u00e9pini\u00e8re<\/a> soient physiquement actives pour rester en bonne sant\u00e9 et \u00e9viter les comorbidit\u00e9s. Toutefois, apr\u00e8s leur sortie de l&rsquo;h\u00f4pital, les personnes souffrant de l\u00e9sions de la moelle \u00e9pini\u00e8re sont relativement inactives, jusqu&rsquo;\u00e0 50 % d&rsquo;entre elles \u00e9tant compl\u00e8tement s\u00e9dentaires.<sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Le r\u00f4le de la r\u00e9adaptation en tant que strat\u00e9gie de r\u00e9int\u00e9gration dans la communaut\u00e9 est de permettre \u00e0 l&rsquo;individu d&rsquo;atteindre \u00ab\u00a0le niveau de participation le plus \u00e9lev\u00e9 possible\u00a0\u00bb et de retrouver \u00ab\u00a0la vie qu&rsquo;il souhaite dans la mesure o\u00f9 son handicap le lui permet\u00a0\u00bb.<sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1) <\/a><\/sup><sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup><\/p>\n<h2><span id=\"Promoting_Physical_Activity\" class=\"mw-headline\">Promouvoir l&rsquo;activit\u00e9 physique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Promoting Physical Activity\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Promoting Physical Activity\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=2\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La promotion de l&rsquo;<a title=\"Physical Activity\" href=\"\/Physical_Activity\">activit\u00e9 physique<\/a> est une partie importante de l&rsquo;\u00e9ducation faisant partie de la r\u00e9adaptation des personnes atteintes de l\u00e9sions de la moelle \u00e9pini\u00e8re. Malheureusement, les personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re per\u00e7oivent de nombreux obstacles \u00e0 l&rsquo;activit\u00e9 physique, notamment le temps, et l&rsquo;\u00e9nergie n\u00e9cessaires, le manque de motivation et de connaissances sur ce qu&rsquo;il faut faire ainsi que o\u00f9 faire de l&rsquo;exercice.<sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Une \u00e9tude men\u00e9e aupr\u00e8s de 73 personnes atteintes de l\u00e9sions de la moelle \u00e9pini\u00e8re au Qu\u00e9bec (Canada) a montr\u00e9 que 43 % des participants ont d\u00e9clar\u00e9 n&rsquo;avoir fait aucune activit\u00e9 physique (0 minutes). Une autre \u00e9tude a examin\u00e9 l&rsquo;activit\u00e9 physique de 277 personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re et a constat\u00e9 que 48 % d&rsquo;entre elles ne pratiquaient aucune forme d&rsquo;activit\u00e9 physique.<sup id=\"cite_ref-:1_3-0\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup><\/p>\n<p>Une \u00e9tude empirique a examin\u00e9 les croyances des physioth\u00e9rapeutes sur l&rsquo;activit\u00e9 physique pour les personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re et les actions des physioth\u00e9rapeutes en ce qui concerne la promotion de l&rsquo;activit\u00e9 physique au cours de leur r\u00e9adaptation et dans la communaut\u00e9. Les auteurs ont constat\u00e9 que les physioth\u00e9rapeutes reconnaissent l&rsquo;importance de l&rsquo;activit\u00e9 physique pour les personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re, mais que la promotion de l&rsquo;activit\u00e9 physique est essentiellement absente de milieux de r\u00e9adaptation des personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re, ceci au Royaume-Uni et en Irlande. Sa promotion a \u00e9t\u00e9 jug\u00e9e incoh\u00e9rente, et les raisons suivantes ont \u00e9t\u00e9 invoqu\u00e9es : <sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ol>\n<li>Formation insuffisante en mati\u00e8re d&rsquo;activit\u00e9 physique et l\u00e9sions de la moelle \u00e9pini\u00e8re<\/li>\n<li>Incertitude quant au r\u00f4le de promotion de l&rsquo;activit\u00e9 physique du physioth\u00e9rapeute au sein de l&rsquo;\u00e9quipe multidisciplinaire<\/li>\n<li>Manque de ressources au sein des milieux de r\u00e9adaptation et de la communaut\u00e9<\/li>\n<li>Les convictions d&rsquo;un physioth\u00e9rapeute ne peuvent pas modifier le comportement des individus, comme leur motivation \u00e0 faire de l&rsquo;exercice.<\/li>\n<li>Les physioth\u00e9rapeutes doivent \u00e9galement r\u00e9fl\u00e9chir \u00e0 leurs propres opinions et pr\u00e9jug\u00e9s sur ce qui constitue une bonne vie et le bien-\u00eatre afin d&rsquo;\u00e9viter de refl\u00e9ter leurs croyances sur le patient. <sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/li>\n<\/ol>\n<h2><span id=\"Community_Integration_Post-Hospital_Discharge\" class=\"mw-headline\">Int\u00e9gration communautaire apr\u00e8s la sortie de l&rsquo;h\u00f4pital <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Community Integration Post-Hospital Discharge\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=3\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Community Integration Post-Hospital Discharge\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=3\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Dans le cadre de la r\u00e9adaptation des personnes souffrant de l\u00e9sions de la moelle \u00e9pini\u00e8re, l&rsquo;espoir joue un r\u00f4le important dans la mani\u00e8re dont les personnes s&rsquo;adaptent \u00e0 leur vie et participent aux activit\u00e9s qui les rapprochent de leurs objectifs. Toutefois, si des probl\u00e8mes de sant\u00e9 ou d&rsquo;environnement continuent d&rsquo;affecter les personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re, leur capacit\u00e9 \u00e0 s&rsquo;auto-motiver et \u00e0 rechercher des activit\u00e9s peut \u00eatre s\u00e9rieusement remise en question.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> C&rsquo;est pourquoi l&rsquo;acc\u00e8s aux <a title=\"Health Care Systems\" href=\"\/Health_Care_Systems\">services de sant\u00e9<\/a> et au soutien de la communaut\u00e9 est si important pour aider \u00e0 respecter les directives d&rsquo;activit\u00e9 physique recommand\u00e9es pour les personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re.<sup id=\"cite_ref-:1_3-1\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup><\/p>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/puG8VVNDqwc?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/zyL2wZuGc9Q?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Preparation_for_Discharge_to_Home_and_Community\" class=\"mw-headline\">Pr\u00e9paration \u00e0 la sortie vers le domicile et la communaut\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Preparation for Discharge to Home and Community\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=4\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Preparation for Discharge to Home and Community\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=4\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le point de vue du patient sur sa pr\u00e9paration \u00e0 la sortie de l&rsquo;h\u00f4pital apr\u00e8s une l\u00e9sion de la moelle \u00e9pini\u00e8re se compose de quatre attributs : l&rsquo;\u00e9tat personnel, la capacit\u00e9 d&rsquo;adaptation, les connaissances et l&rsquo;attente d&rsquo;un soutien. Les probl\u00e8mes de sant\u00e9 secondaires et la capacit\u00e9 d&rsquo;adaptation sont des obstacles personnels qui limitent l&rsquo;int\u00e9gration compl\u00e8te dans la communaut\u00e9 pour les personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re. Les barri\u00e8res sociales et environnementales peuvent conduire \u00e0 l&rsquo;isolement et retarder d&rsquo;autres formes de r\u00e9int\u00e9gration dans la communaut\u00e9, telles que le travail et les activit\u00e9s de loisirs.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<h3><span id=\"Health_and_Personal_Barriers_to_Community_Integration\" class=\"mw-headline\">Obstacles sanitaires et personnels \u00e0 l&rsquo;int\u00e9gration communautaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Health and Personal Barriers to Community Integration\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Health and Personal Barriers to Community Integration\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=5\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les l\u00e9sions de la moelle \u00e9pini\u00e8re peuvent directement ou indirectement entra\u00eener l&rsquo;apparition de probl\u00e8mes de sant\u00e9 secondaires, n\u00e9cessitant souvent une intervention m\u00e9dicale et une r\u00e9hospitalisation. Les infections urinaires et les escarres font partie des probl\u00e8mes de sant\u00e9 n\u00e9cessitant une admission \u00e0 l&rsquo;h\u00f4pital. D&rsquo;autres complications concernent le syst\u00e8me respiratoire et le syst\u00e8me gastro-intestinal. <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> Les obstacles sanitaires \u00e0 la r\u00e9insertion dans la communaut\u00e9 les plus importants sont les suivants : douleur, vessie neurog\u00e8ne, spasticit\u00e9, contracture et probl\u00e8mes de sommeil. De plus, un \u00e9quipement inappropri\u00e9, un manque d&rsquo;\u00e9quipement et une d\u00e9faillance de l&rsquo;\u00e9quipement peuvent r\u00e9duire la participation \u00e0 la vie communautaire des personnes atteintes d&rsquo;une l\u00e9sions de la moelle \u00e9pini\u00e8re.<sup id=\"cite_ref-:2_9-0\" class=\"reference\"><a href=\"#cite_note-:2-9\">(9)<\/a><\/sup><\/p>\n<p>Les personnes souffrant d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re font souvent \u00e9tat d&rsquo;un sentiment d&rsquo;isolement et de solitude apr\u00e8s leur sortie de l&rsquo;h\u00f4pital. Cela peut contraster de mani\u00e8re significative avec l&rsquo;amiti\u00e9 qu&rsquo;ils partagent avec les autres patients au cours de leur s\u00e9jour \u00e0 l&rsquo;h\u00f4pital.<\/p>\n<h3><span id=\"Social_and_Environmental_Barriers_to_Community_Integration\" class=\"mw-headline\">Obstacles sociaux et environnementaux \u00e0 l&rsquo;int\u00e9gration communautaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Social and Environmental Barriers to Community Integration\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Social and Environmental Barriers to Community Integration\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=6\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le manque de soutien psychologique et les r\u00e9actions des gens face \u00e0 une l\u00e9sion de la moelle \u00e9pini\u00e8re affectent consid\u00e9rablement leur adaptation \u00e0 leur nouvelle vie. <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> Les facteurs environnementaux et sociaux sont consid\u00e9r\u00e9s comme essentiels pour la participation \u00e0 l&rsquo;activit\u00e9 physique des personnes souffrant d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re, <sup id=\"cite_ref-:3_11-0\" class=\"reference\"><a href=\"#cite_note-:3-11\">(11)<\/a><\/sup> incluant :<\/p>\n<ul>\n<li>Les attitudes de la soci\u00e9t\u00e9 \u00e0 l&rsquo;\u00e9gard de l&rsquo;acceptation et de l&rsquo;int\u00e9gration des personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re<\/li>\n<li>Les politiques gouvernementales offrant des possibilit\u00e9s de retour \u00e0 l&rsquo;\u00e9ducation ou \u00e0 l&#8217;emploi<\/li>\n<li>Les transports publics adapt\u00e9s aux personnes handicap\u00e9es<\/li>\n<li>Les installations facilement accessibles aux utilisateurs de fauteuils roulants<\/li>\n<li>L&rsquo;acc\u00e8s aux espaces publics, y compris les parcs, les plages, les rues et les routes <sup id=\"cite_ref-:2_9-1\" class=\"reference\"><a href=\"#cite_note-:2-9\">(9)<\/a><\/sup><\/li>\n<li>L&rsquo;adaptations pour les personnes \u00e0 mobilit\u00e9 r\u00e9duite fournies par des technologies d&rsquo;assistance<\/li>\n<li>Les logements accessibles qui r\u00e9duisent la d\u00e9pendance \u00e0 l&rsquo;\u00e9gard des soignants <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<li>L&rsquo;ind\u00e9pendance financi\u00e8re <sup id=\"cite_ref-:2_9-2\" class=\"reference\"><a href=\"#cite_note-:2-9\">(9)<\/a><\/sup><\/li>\n<\/ul>\n<p><i>\u00ab\u00a0Les praticiens en r\u00e9adaptation ne doivent pas seulement se demander comment la communaut\u00e9 soutient les personnes atteintes d&rsquo;une Les facteurs environnementaux et sociaux sont consid\u00e9r\u00e9s comme essentiels pour la participation \u00e0 l&rsquo;activit\u00e9 physique des personnes souffrant d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re, mais aussi comment les programmes de r\u00e9adaptation adaptent la communaut\u00e9.<\/i><sup id=\"cite_ref-:3_11-1\" class=\"reference\"><a href=\"#cite_note-:3-11\">(11)<\/a><\/sup><\/p>\n<h2><span id=\"Group_Activity\" class=\"mw-headline\">L&rsquo;activit\u00e9 du groupe <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Group Activity\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=7\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Group Activity\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=7\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;activit\u00e9 physique se concentre sur la mise \u00e0 disposition d&rsquo;un large \u00e9ventail d&rsquo;activit\u00e9s. <sup id=\"cite_ref-:0_1-5\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Si le sport est le principal centre d&rsquo;int\u00e9r\u00eat, cela peut encourager les sportifs, mais d\u00e9courage les personnes qui ne souhaitent pas faire de sport ou qui sont dans l&rsquo;incapacit\u00e9 physique ou financi\u00e8re d&rsquo;y participer. Il peut \u00e9galement d\u00e9courager les personnes qui n&rsquo;aiment pas le sport, mais qui s&rsquo;int\u00e9resseraient \u00e0 d&rsquo;autres activit\u00e9s telles que l&rsquo;entra\u00eenement en r\u00e9sistance ou l&rsquo;a\u00e9robie.<\/p>\n<p>Les activit\u00e9s de groupe pour les personnes souffrant de l\u00e9sions de la moelle \u00e9pini\u00e8re peuvent prendre la forme d&rsquo;un programme de renforcement, d&rsquo;un entra\u00eenement a\u00e9robique ou d&rsquo;un entra\u00eenement en circuit.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/1yOm5n2k1pA?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<h3><span id=\"Risk_Factors\" class=\"mw-headline\">Facteurs de risque <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Risk Factors\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=8\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Risk Factors\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=8\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les facteurs de risque suivants doivent \u00eatre pris en compte lors de l&rsquo;instruction ou la participation \u00e0 une activit\u00e9 physique. En plus des connaissances, il est n\u00e9cessaire d&rsquo;apprendre \u00e0 g\u00e9rer ces facteurs de risque afin de garantir la s\u00e9curit\u00e9 de toutes les personnes pr\u00e9sentes.<\/p>\n<h4><span id=\"Thermoregulation\" class=\"mw-headline\">La thermor\u00e9gulation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Thermoregulation\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Thermoregulation\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Une l\u00e9sion de la moelle \u00e9pini\u00e8re \u00e0 un niveau vert\u00e9bral \u00e9lev\u00e9 (c&rsquo;est-\u00e0-dire T6 en montant) est plus susceptible d&rsquo;entra\u00eener des probl\u00e8mes de r\u00e9gulation de la temp\u00e9rature corporelle. Cex-ci peuvent survenir apr\u00e8s une l\u00e9sion de la moelle \u00e9pini\u00e8re et durer toute la vie.<\/p>\n<p>Le syst\u00e8me nerveux autonome contr\u00f4le la thermor\u00e9gulation, la voie descendante du syst\u00e8me sympathique \u00e9tant responsable du maintien de l&rsquo;hom\u00e9ostasie du corps en r\u00e9ponse aux changements de l&rsquo;environnement. Ces deux fonctions sont affect\u00e9es lors d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re.<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<p>En situation de d\u00e9r\u00e8glement de la temp\u00e9rature, les personnes souffrant d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re pr\u00e9sentent les sympt\u00f4mes suivants :<\/p>\n<ul>\n<li>Transpiration au-dessus du niveau de la l\u00e9sion et transpiration minimale ou inexistante en dessous du niveau de la l\u00e9sion<\/li>\n<li><a title=\"Hyperthermia\" href=\"\/Hyperthermia\">Hyperthermie<\/a> due \u00e0 l&rsquo;exercice physique<\/li>\n<li>Fi\u00e8vre sans infection<\/li>\n<li>Temp\u00e9rature corporelle \u00e9lev\u00e9e ou basse en fonction de la temp\u00e9rature ambiante<\/li>\n<\/ul>\n<h4><span id=\"Skin_Problems\" class=\"mw-headline\">Les probl\u00e8mes de peau <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Skin Problems\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=10\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Skin Problems\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=10\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Des l\u00e9sions cutan\u00e9es peuvent appara\u00eetre \u00e0 la suite de mauvaises postures et positions lors de la pratique d&rsquo;activit\u00e9s physiques. Ces blessures sont tr\u00e8s s\u00e9rieuses et peuvent entra\u00eener des complications secondaires.<\/p>\n<p>Les <a title=\"Pressure Ulcers\" href=\"\/Pressure_Ulcers\">escarres<\/a> ou ulc\u00e8res de d\u00e9cubitus apparaissent lorsqu&rsquo;une pression est exerc\u00e9e sur une pro\u00e9minence osseuse pendant un certain temps. Elles peuvent \u00e9galement \u00eatre dues \u00e0 des forces de cisaillement exerc\u00e9es sur la peau lors de certains mouvements comme la rotation, la torsion ou le glissement.<\/p>\n<p>Les probl\u00e8mes de peau peuvent \u00eatre \u00e9vit\u00e9s si les mesures suivantes sont prises : <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<ul>\n<li>R\u00e9duir le nombre d&rsquo;heures d&rsquo;assise<\/li>\n<li>Maintenir une bonne posture pendant l&rsquo;exercice<\/li>\n<li>utiliser un \u00e9quipement appropri\u00e9, ce qui implique de s&rsquo;assurer que l&rsquo;\u00e9quipement est d&rsquo;un poids et d&rsquo;une taille ad\u00e9quats<\/li>\n<li>Disposer d&rsquo;un fauteuil roulant bien r\u00e9gl\u00e9, avec un coussin, un dossier et des accoudoirs ad\u00e9quats.<\/li>\n<\/ul>\n<h4><span id=\"Autonomic_Dysreflexia\" class=\"mw-headline\">La dysr\u00e9flexie autonome <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Autonomic Dysreflexia\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=11\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Autonomic Dysreflexia\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La dysr\u00e9flexie autonome se caract\u00e9rise par une hypertension paroxystique en r\u00e9ponse \u00e0 un stimulus non sp\u00e9cifique situ\u00e9 en dessous du niveau de la l\u00e9sion. Le stimulus d\u00e9clencheur de la dysr\u00e9flexie autonome peut \u00eatre :<\/p>\n<ul>\n<li>Une douleur somatique<\/li>\n<li>Une impaction f\u00e9cale<\/li>\n<li>Une distension abdominale<\/li>\n<\/ul>\n<p>La dysr\u00e9flexie autonome peut \u00eatre pr\u00e9sente aux stades aigu et chronique d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re et peut entra\u00eener des sympt\u00f4mes d\u00e9bilitants, inclant : :<\/p>\n<ul>\n<li>Maux de t\u00eate lancinants<\/li>\n<li>Anxi\u00e9t\u00e9<\/li>\n<li>Vision floue<\/li>\n<li>Transpiration<\/li>\n<\/ul>\n<p>Dans des situations plus graves, elle peut provoquer une h\u00e9morragie c\u00e9r\u00e9brale, un \u0153d\u00e8me pulmonaire ou des crises d&rsquo;\u00e9pilepsie.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<h4><span id=\"Orthostatic_Hypotension\" class=\"mw-headline\">L&rsquo;hypotension orthostatique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Orthostatic Hypotension\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=12\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Orthostatic Hypotension\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>\u00ab\u00a0L&rsquo;<a title=\"Orthostatic Hypotension\" href=\"\/Orthostatic_Hypotension\">hypotension orthostatique<\/a> est g\u00e9n\u00e9ralement consid\u00e9r\u00e9e comme une r\u00e9duction de la pression art\u00e9rielle systolique de 20 mmHg ou plus, ou une r\u00e9duction de la pression art\u00e9rielle diastolique de 10 mmHg ou plus, lors du passage de la position couch\u00e9e \u00e0 la position debout, ind\u00e9pendamment de la pr\u00e9sence de sympt\u00f4mes.<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup> Les sympt\u00f4mes peuvent \u00eatre pr\u00e9sents pendant des ann\u00e9es apr\u00e8s une l\u00e9sion de la moelle \u00e9pini\u00e8re et ils peuvent s&rsquo;aggraver avec le temps.<\/p>\n<p>La pr\u00e9sentation typique de l&rsquo;hypotension orthostatique inclut : <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/p>\n<ul>\n<li>Vertiges<\/li>\n<li>\u00c9tourdissements<\/li>\n<li>\u00c9v\u00e9nements syncopaux<\/li>\n<\/ul>\n<h4><span id=\"Overuse_Injuries\" class=\"mw-headline\">Les blessures de surutilisation <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Overuse Injuries\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=13\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Overuse Injuries\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=13\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les personnes souffrant d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re se plaignent souvent de douleurs aux \u00e9paules en raison de la surutilisation. Lorsqu&rsquo;elle est n\u00e9glig\u00e9e, elle peut durer de nombreuses ann\u00e9es et entra\u00eener des probl\u00e8mes plus graves. La cause de la douleur est g\u00e9n\u00e9ralement multifactorielle, mais elle est tr\u00e8s probablement due \u00e0 :<\/p>\n<ul>\n<li><a title=\"Rotator Cuff Tears\" href=\"\/Rotator_Cuff_Tears\">Une l\u00e9sion de la coiffe des rotateurs<\/a><\/li>\n<li>Un conflit sous-acromial<\/li>\n<\/ul>\n<p><a title=\"Impingement \/ Instability Differentiation\" href=\"\/Impingement_\/_Instability_Differentiation\">Le syndrome de conflit<\/a> correspond \u00e0 une compression ou \u00e0 un pincement du tendon du muscle de la coiffe des rotateurs qui peut provoquer des micro-d\u00e9chirures dans le tendon. Si le probl\u00e8me persiste, les tendons risquent d&rsquo;\u00eatre davantage endommag\u00e9s, ce qui peut entra\u00eener des douleurs et une incapacit\u00e9 \u00e0 utiliser l&rsquo;\u00e9paule.<\/p>\n<p>Les options de traitement d\u00e9pendent de la cause du probl\u00e8me et de l&rsquo;importance des dommages subis par les structures de l&rsquo;\u00e9paule. Les interventions propos\u00e9es sont les suivantes <sup id=\"cite_ref-:6_19-0\" class=\"reference\"><a href=\"#cite_note-:6-19\">(19)<\/a><\/sup><\/p>\n<ul>\n<li>Repos<\/li>\n<li>Modification de l&rsquo;\u00e9quipement<\/li>\n<li>Modification de l&rsquo;environnement<\/li>\n<li>Modification de la posture et du mouvement<\/li>\n<li>Exercices th\u00e9rapeutiques<\/li>\n<li>Injection dans le tendon<\/li>\n<li>R\u00e9paration chirurgicale du tendon <sup id=\"cite_ref-:6_19-1\" class=\"reference\"><a href=\"#cite_note-:6-19\">(19)<\/a><\/sup><\/li>\n<\/ul>\n<p>Regardez cette vid\u00e9o pour obtenir des informations d\u00e9taill\u00e9es sur les complications mentionn\u00e9es ci-dessus :<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/HXVaLdhsBuk?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/p>\n<h3><span id=\"Activity_Type\" class=\"mw-headline\">Type d&rsquo;activit\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Activity Type\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=14\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Activity Type\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=14\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Circuit_training_programme\" class=\"mw-headline\"><i>Programme d&rsquo;entra\u00eenement en circuit <\/i><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Circuit training programme\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=15\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Circuit training programme\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=15\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>\u00ab\u00a0L&rsquo;entra\u00eenement en circuit consiste en une s\u00e9rie cons\u00e9cutive d&rsquo;exercices chronom\u00e9tr\u00e9s effectu\u00e9s l&rsquo;un apr\u00e8s l&rsquo;autre avec des p\u00e9riodes de repos plus ou moins longues entre chaque exercice\u00a0\u00bb.<sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/BR2HlXfQXYU?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/p>\n<h4><span id=\"Yoga_class\" class=\"mw-headline\"><i>Cours de yoga <\/i><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Yoga class\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=16\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Yoga class\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=16\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le yoga est une forme d&rsquo;exercice. Il comprend deux \u00e9l\u00e9ments de base, la posture et la respiration, et se compose d&rsquo;exercices d&rsquo;assouplissement, d&rsquo;exercices de renforcement et d&rsquo;exercices de respiration.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/slC4JwTX1Nc?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<h4><span id=\"Strengthening_programme\" class=\"mw-headline\"><i>Programme de renforcement <\/i><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Strengthening programme\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=17\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Strengthening programme\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=17\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les exercices de renforcement se concentrent sur l&rsquo;augmentation de la force des muscles ou groupes de muscles cibl\u00e9s. Ils affectent la puissance musculaire, l&rsquo;endurance et la masse musculaire.<sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/k7vTlHzYoug?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/p>\n<h4><span id=\"Aerobic_activities\" class=\"mw-headline\"><i>Activit\u00e9s a\u00e9robiques <\/i><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Aerobic activities\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=18\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Aerobic activities\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=18\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les exercices d&rsquo;a\u00e9robie ou d&rsquo;endurance constituent la base du conditionnement cardiovasculaire. Pendant les exercices d&rsquo;a\u00e9robie, la fr\u00e9quence cardiaque et la respiration doivent augmenter en r\u00e9ponse aux activit\u00e9s effectu\u00e9es. Des exemples incluent le v\u00e9lo \u00e0 bras, l&rsquo;entra\u00eenement elliptique, la natation et la danse.<\/p>\n<h3><span id=\"Teams\" class=\"mw-headline\">L&rsquo;\u00e9quipe<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Teams\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=19\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Teams\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=19\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Physiotherapists\" class=\"mw-headline\">Les physioth\u00e9rapeutes<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapists\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=20\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Physiotherapists\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=20\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les physioth\u00e9rapeutes faisant preuve d&rsquo;une attitude de soutien sont d&rsquo;importants facteurs de motivation pour les personnes souffrant d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re qui souhaitent s&rsquo;engager dans une activit\u00e9 physique. Cette attitude leur donne un sentiment d&rsquo;autonomie, d&rsquo;espoir et d&rsquo;encouragement. Le fait d&rsquo;engager des physioth\u00e9rapeutes handicap\u00e9s pour animer des cours d&rsquo;activit\u00e9 physique peut avoir un effet positif sur les participants et modifier le st\u00e9r\u00e9otype selon lequel les personnes handicap\u00e9es sont toujours des patients.<sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/p>\n<h4><span id=\"Training_of_the_trainers_(ToT)\"><\/span><span id=\"Training_of_the_trainers_.28ToT.29\" class=\"mw-headline\">Formation des formateurs (Training of the Trainer &#8211; ToT) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Training of the trainers (ToT)\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=21\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Training of the trainers (ToT)\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=21\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Lorsque les ressources en personnel sp\u00e9cialis\u00e9 sont limit\u00e9es, le recours \u00e0 des b\u00e9n\u00e9voles form\u00e9s peut s&rsquo;av\u00e9rer tr\u00e8s rentable. En outre, une \u00e9tude r\u00e9alis\u00e9e par Lim et al. <sup id=\"cite_ref-:4_27-0\" class=\"reference\"><a href=\"#cite_note-:4-27\">(27)<\/a><\/sup> montre que les interventions fournies par des b\u00e9n\u00e9voles sont susceptibles d&rsquo;\u00eatre plus durables, d&rsquo;\u00e9liminer les barri\u00e8res de communication et de fournir un mod\u00e8le positif. Il est \u00e9galement important que les programmes d&rsquo;activit\u00e9 physique men\u00e9s par des b\u00e9n\u00e9voles soient s\u00e9curitaires et qu&rsquo;aucun \u00e9v\u00e9nement ind\u00e9sirable grave ne soit signal\u00e9.<sup id=\"cite_ref-:4_27-1\" class=\"reference\"><a href=\"#cite_note-:4-27\">(27)<\/a><\/sup><\/p>\n<p>Le mod\u00e8le de formation des formateurs peut \u00eatre utilis\u00e9 pour les programmes d&rsquo;activit\u00e9s de groupe, car il permet de former des \u00e9ducateurs locaux et d&rsquo;am\u00e9liorer la durabilit\u00e9 des programmes.<sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup> L&rsquo;objectif d&rsquo;une intervention de formation des formateurs est de former des b\u00e9n\u00e9voles ou des participants \u00e0 des groupes d&rsquo;activit\u00e9 physique pour qu&rsquo;ils deviennent des instructeurs capables de diriger l&rsquo;activit\u00e9, de r\u00e9pondre aux questions et de renforcer l&rsquo;apprentissage.<sup id=\"cite_ref-:5_29-0\" class=\"reference\"><a href=\"#cite_note-:5-29\">(29)<\/a><\/sup> Les formateurs ne peuvent r\u00e9ussir que s&rsquo;ils disposent de suffisamment de temps et d&rsquo;instructions d\u00e9taill\u00e9es pendant la formation. Dans les lignes directrices du CDC <sup id=\"cite_ref-:5_29-1\" class=\"reference\"><a href=\"#cite_note-:5-29\">(29)<\/a><\/sup> pour le mod\u00e8le de formation des formateurs, les \u00e9l\u00e9ments suivants sont pris en compte lors de l&rsquo;\u00e9laboration d&rsquo;un programme de formation :<\/p>\n<ul>\n<li>Pr\u00e9-\u00e9valuation des comp\u00e9tences et des int\u00e9r\u00eats des formateurs potentiels<\/li>\n<li>\u00c9laboration du manuel d&rsquo;apprentissage<\/li>\n<li>Le choix des sujets \u00e0 traiter<\/li>\n<li>Pratique des comp\u00e9tences et retour d&rsquo;information<\/li>\n<li>Plan d&rsquo;action et soutien au suivi <sup id=\"cite_ref-:5_29-2\" class=\"reference\"><a href=\"#cite_note-:5-29\">(29)<\/a><\/sup><\/li>\n<\/ul>\n<p>Les crit\u00e8res d&rsquo;\u00e9ligibilit\u00e9 pour les formateurs sont les suivants :<\/p>\n<ul>\n<li>\u00catre engag\u00e9 et flexible<\/li>\n<li>Avoir un int\u00e9r\u00eat pour la formation ou des comp\u00e9tences avanc\u00e9es dans ce domaine<\/li>\n<li>Compl\u00e9ter l&rsquo;ensemble du programme de formation<\/li>\n<\/ul>\n<h2><span id=\"Additional_Resources\" class=\"mw-headline\">Ressources suppl\u00e9mentaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Additional Resources\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=22\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Additional Resources\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=22\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ol>\n<li>YouTube. Adaptive Yoga Class for People with Spinal Cord Injuries, 2021 <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=0zIaNrEE5LU&amp;t=1185s\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=0zIaNrEE5LU&amp;t=1185s<\/a><\/li>\n<li>YouTube. Shepherd Center Workout Routine for People with Spinal Cord Injury, 2015 <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=-Ew-N5Ux0Ns\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=-Ew-N5Ux0Ns<\/a><\/li>\n<\/ol>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;veaction=edit&amp;section=23\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury&amp;action=edit&amp;section=23\">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\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-4\">1.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-5\">1.5<\/a><\/sup><\/span> <span class=\"reference-text\">Williams TL, Smith B, Papathomas A. <a class=\"external text\" href=\"http:\/\/eprints.leedsbeckett.ac.uk\/3094\/3\/Williams%20et%20al%20%282016%29%20PA%20SCI%20Physiotherapists%20Repository%20Version.pdf\" rel=\"nofollow\">Physical activity promotion for people with spinal cord injury: physiotherapists\u2019 beliefs and actions<\/a>. Disability and rehabilitation. 2018 Jan 2;40(1):52-61.<\/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\">Nunnerley JL, Hay-Smith EJ, Dean SG. <a class=\"external text\" href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.3109\/09638288.2012.723789\" rel=\"nofollow\">Leaving a spinal unit and returning to the wider community: an interpretative phenomenological analysis<\/a>. Disability and Rehabilitation. 2013 Jul 1;35(14):1164-73.<\/span><\/li>\n<li id=\"cite_note-:1-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Rocchi M, Routhier F, Latimer-Cheung A et al. <a class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/sc2016181.pdf\" rel=\"nofollow\">Are adults with spinal cord injury meeting the spinal cord injury-specific physical activity guidelines? A look at a sample from a Canadian province<\/a>. Spinal Cord 2017; 55: 454\u2013459.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Dorsett P, Geraghty T, Sinnott A et al. <a class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/scsandc201746.pdf\" rel=\"nofollow\">Hope, coping and psychosocial adjustment after spinal cord injury<\/a>. Spinal Cord Ser Cases 3, 2017;17046 <\/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\">W Cape biokineticist throws a lifeline to spinal cord injury patients. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=puG8VVNDqwc\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=puG8VVNDqwc<\/a>(last accessed 21\/11\/2021)<\/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\">Mandela Monday: Adapted Physical Activity Community Groups. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=zyL2wZuGc9Q&amp;t=15s\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=zyL2wZuGc9Q&amp;t=15s<\/a> (last accessed 22\/11\/2021)<\/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\">Nunnerley JL, Hay-Smith EJ, Dean SG. Leaving a spinal unit and returning to the wider community: an interpretative phenomenological analysis. Disabil Rehabil. 2013 Jul;35(14):1164-73. <\/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\">Du Plessis M, McGaffin CR, Molepo T, Oelofse R, Van Zyl S, Mashola MK. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6111384\/\" rel=\"nofollow\">Perceived readiness for hospital discharge: Patients with spinal cord injury versus physiotherapists.<\/a> S Afr J Physiother. 2018;74(1):437. <\/span><\/li>\n<li id=\"cite_note-:2-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_9-1\">9.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_9-2\">9.2<\/a><\/sup><\/span> <span class=\"reference-text\">Kashif M, Jones S, Darain H, Iram H, Raqib A, Butt AA. <a class=\"external text\" href=\"https:\/\/jpma.org.pk\/article-details\/9320?article_id=9320\" rel=\"nofollow\">Factors influencing the community integration of patients following traumatic spinal cord injury: a systematic review<\/a>. J Pak Med Assoc. 2019 Sep;69(9):1337-1343. <\/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\">Dickson A, Ward R, O&rsquo;Brien G, Allan D, O&rsquo;Carroll R. Difficulties adjusting to post-discharge life following a spinal cord injury: an interpretative phenomenological analysis. Psychol Health Med. 2011 Aug;16(4):463-74. <\/span><\/li>\n<li id=\"cite_note-:3-11\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_11-0\">11.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_11-1\">11.1<\/a><\/sup><\/span> <span class=\"reference-text\">Chang FH, Liu CH, Hung HP. An in-depth understanding of the impact of the environment on participation among people with spinal cord injury. Disabil Rehabil. 2018 Sep;40(18):2192-2199. <\/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\">Ahmed N, Quadir MM, Rahman MA, Alamgir H. Community integration and life satisfaction among individuals with spinal cord injury living in the community after receiving institutional care in Bangladesh. Disabil Rehabil. 2018 May;40(9):1033-1040.<\/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\">Exercise and Spinal Cord injury. 2011 Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/1yOm5n2k1pA\" rel=\"nofollow\">https:\/\/youtu.be\/1yOm5n2k1pA<\/a>(last accessed 22\/11\/2021)<\/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\">Grossmann F, Flueck JL, Perret C, Meeusen R, Roelands B. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8049141\/pdf\/fphys-12-636997.pdf\" rel=\"nofollow\">The Thermoregulatory and Thermal Responses of Individuals With a Spinal Cord Injury During Exercise, Acclimation and by Using Cooling Strategies-A Systematic Review.<\/a> Front Physiol. 2021 Apr 1;12:636997. <\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Hsieh J, Benton B, Titus L, Gabison S, McIntyre A, Wolfe D, Teasell R. <a class=\"external text\" href=\"https:\/\/scireproject.com\/wp-content\/uploads\/Pressure-Injury_FINAL.pdf\" rel=\"nofollow\">Skin integrity and pressure injuries following spinal cord injury.<\/a> Spinal cord injury rehabilitation evidence. Vancouver, BC: Spinal Cord Injury Research Evidence (SCIRE) Professional Project. 2020:1-23.<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Rabchevsky AG, Kitzman PH. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s13311-011-0025-5\" rel=\"nofollow\">Latest approaches for the treatment of spasticity and autonomic dysreflexia in chronic spinal cord injury<\/a>. Neurotherapeutics. 2011 Apr;8(2):274-82.<\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. The Consensus Committee of the American Autonomic Society and the American Academy of Neurology. Neurology. 1996 May;46(5):1470. <\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Claydon VE, Steeves JD, Krassioukov A. <a class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/3101855.pdf\" rel=\"nofollow\">Orthostatic hypotension following spinal cord injury: understanding clinical pathophysiology.<\/a> Spinal cord. 2006 Jun;44(6):341-51.<\/span><\/li>\n<li id=\"cite_note-:6-19\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_19-0\">19.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_19-1\">19.1<\/a><\/sup><\/span> <span class=\"reference-text\">Van Straaten MG, Cloud BA, Zhao KD, Fortune E, Morrow MMB. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5532812\/\" rel=\"nofollow\">Maintaining Shoulder Health After Spinal Cord Injury: A Guide to Understanding Treatments for Shoulder Pain<\/a>. Arch Phys Med Rehabil. 2017 May;98(5):1061-1063. <\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Exercise After Spinal Cord Injury: Complications to Avoid. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=HXVaLdhsBuk\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=HXVaLdhsBuk<\/a> (last accessed 22\/11\/2021)<\/span><\/li>\n<li id=\"cite_note-21\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-21\">\u2191<\/a><\/span> <span class=\"reference-text\">Walker B. What is Circuit Training and Examples of Circuit Training Workouts? Stretch Coach 2020. Available at: <a class=\"external free\" href=\"https:\/\/stretchcoach.com\/articles\/circuit-training\/\" rel=\"nofollow\">https:\/\/stretchcoach.com\/articles\/circuit-training\/<\/a>.(last accessed 23\/11\/2021)<\/span><\/li>\n<li id=\"cite_note-22\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-22\">\u2191<\/a><\/span> <span class=\"reference-text\">Spinal Cord Injury Fitness Integrated Training (Rumah Aafiyah, Malaysia) 2020. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=BR2HlXfQXYU\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=BR2HlXfQXYU<\/a>(last accessed 22\/11\/2021)<\/span><\/li>\n<li id=\"cite_note-23\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-23\">\u2191<\/a><\/span> <span class=\"reference-text\">Spinal Cord Injury Patients Share Thoughts on Yoga and More, 2021. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=slC4JwTX1Nc\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=slC4JwTX1Nc<\/a>(last accessed 22\/11\/2021)<\/span><\/li>\n<li id=\"cite_note-24\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-24\">\u2191<\/a><\/span> <span class=\"reference-text\">Bennie JA, Shakespear-Druery J, De Cocker K. <a class=\"external text\" href=\"https:\/\/sportsmedicine-open.springeropen.com\/track\/pdf\/10.1186\/s40798-020-00271-w.pdf\" rel=\"nofollow\">Muscle-strengthening Exercise Epidemiology: a New Frontier in Chronic Disease Prevention<\/a>. Sports Med-Open 2020<i>;<\/i> 6 (40). <\/span><\/li>\n<li id=\"cite_note-25\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-25\">\u2191<\/a><\/span> <span class=\"reference-text\">Exercise After Spinal Cord Injury: How to Adapt Equipment. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=k7vTlHzYoug\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=k7vTlHzYoug<\/a>(last accessed 22\/11\/2021)<\/span><\/li>\n<li id=\"cite_note-26\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-26\">\u2191<\/a><\/span> <span class=\"reference-text\">International perspective on Spinal Cord Injury. Chapter 6. Attitudes, relationships and adjustment. WHO 2013: 121-137.<\/span><\/li>\n<li id=\"cite_note-:4-27\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_27-0\">27.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_27-1\">27.1<\/a><\/sup><\/span> <span class=\"reference-text\">Lim SER, Cox NJ, Tan QY et al<i>.<\/i> <a class=\"external text\" href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40520-020-01556-6.pdf\" rel=\"nofollow\">Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review.<\/a> Aging Clin Exp Res 2021;33:843\u2013853.<\/span> <\/li>\n<li id=\"cite_note-28\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-28\">\u2191<\/a><\/span> <span class=\"reference-text\">Mormina M, Pinder S. <a class=\"external text\" href=\"https:\/\/globalizationandhealth.biomedcentral.com\/track\/pdf\/10.1186\/s12992-018-0420-3.pdf\" rel=\"nofollow\">A conceptual framework for the training of trainers (ToT) interventions in global health<\/a>. Global Health 2018;14(100). <\/span><\/li>\n<li id=\"cite_note-:5-29\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_29-0\">29.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_29-1\">29.1<\/a><\/sup> <sup><a href=\"#cite_ref-:5_29-2\">29.2<\/a><\/sup><\/span> <span class=\"reference-text\">CDC. Understanding the Training of Trainers Model. Available at: <a class=\"external free\" href=\"https:\/\/www.cdc.gov\/healthyschools\/professional_development\/documents\/17_279600_TrainersModel-FactSheet_v3_508Final.pdf\" rel=\"nofollow\">https:\/\/www.cdc.gov\/healthyschools\/professional_development\/documents\/17_279600_TrainersModel-FactSheet_v3_508Final.pdf<\/a> (last accessed 22\/11\/2021)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220725180450 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.150 seconds Real time usage: 0.176 seconds Preprocessor visited node count: 490\/1000000 Post\u2010expand include size: 277\/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: 19143\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 19.645 1 Special:Contributors\/Physical_Activity_Promotion_for_People_with_Spinal_Cord_Injury 100.00% 19.645 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Tarina van der Stockt Principaux contributeurs &#8211; Ewa Jaraczewska, Tarina van der Stockt, Kim Jackson et Jess Bell Contenu 1 Introduction 2 Promouvoir l&rsquo;activit\u00e9 physique 3 Int\u00e9gration communautaire apr\u00e8s la sortie de l&rsquo;h\u00f4pital 3.1 Pr\u00e9paration \u00e0 la sortie vers le domicile et la communaut\u00e9 3.2 Obstacles sanitaires et personnels \u00e0 l&rsquo;int\u00e9gration communautaire [&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-5668","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5668","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=5668"}],"version-history":[{"count":0,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5668\/revisions"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=5668"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}