{"id":5705,"date":"2023-04-18T21:59:04","date_gmt":"2023-04-18T21:59:04","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/physical-activity-guidelines-for-spinal-cord-injury-fr\/"},"modified":"2023-12-13T22:05:52","modified_gmt":"2023-12-13T22:05:52","slug":"physical-activity-guidelines-for-spinal-cord-injury-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/physical-activity-guidelines-for-spinal-cord-injury-fr\/","title":{"rendered":"Lignes directrices en mati\u00e8re d&rsquo;activit\u00e9 physique dans le cas d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dacteur original <\/b>&#8211; <a title=\"User:Naomi O'Reilly\" href=\"\/User:Naomi_O%27Reilly\">Naomi O&rsquo;Reilly<\/a> d\u2019apr\u00e8s le cours de<a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/candace-vermaak\/\" rel=\"nofollow\">Candice Vermaak<\/a><b>Principales collaboratrices <\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Naomi O'Reilly\" href=\"\/User:Naomi_O%27Reilly\"><bdi>Naomi O&rsquo;Reilly<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/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:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Merinda Rodseth\" href=\"\/User:Merinda_Rodseth\"><bdi>Merinda Rodseth<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Admin\" href=\"\/User:Admin\"><bdi>Admin<\/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=\"#Development_of_Scientific_Guidelines\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">L&rsquo;\u00e9laboration de lignes directrices scientifiques<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Translating_Scientific_Guidelines_to_Practice_Guidelines\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Traduire les lignes directrices scientifiques en lignes directrices pour la pratique<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Spinal_Cord_Injury_Exercise_Guidelines\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Lignes directrices en mati\u00e8re d&rsquo;activit\u00e9 physique dans le cas d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re <\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Who_Do_They_Apply_To\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">\u00c0 qui s&rsquo;adressent ces lignes directrices ?<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#What_Settings_Do_They_Apply_To\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">\u00c0 quels param\u00e8tres s&rsquo;appliquent-elles ?<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Cardiorespiratory_Fitness_and_Muscle_Strength\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Conditionnement cardiorespiratoire et force musculaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Cardiometabolic_Health\"><span class=\"tocnumber\">3.4<\/span> <span class=\"toctext\">Sant\u00e9 cardiom\u00e9tabolique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Possible_Barriers_and_Facilitators_to_Guidelines\"><span class=\"tocnumber\">3.5<\/span> <span class=\"toctext\">Obstacles et facteurs facilitants dans l&rsquo;application des lignes directrices<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Role_of_Physiotherapy_in_Promoting_Guidelines\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Le r\u00f4le de la physioth\u00e9rapie dans la promotion des lignes directrices<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#Meeting_the_Exercise_Guidelines_in_Low-Income_Countries\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Respecter les recommandations en mati\u00e8re d&rsquo;exercice physique dans les pays \u00e0 faible revenu<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Barriers\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Les obstacles<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Possible_Solutions\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Des solutions possibles<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Resources\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Ressources (en anglais original)<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-15\"><a href=\"#References\"><span class=\"tocnumber\">7<\/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_Guidelines_for_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_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;activit\u00e9 physique est un \u00e9l\u00e9ment essentiel d&rsquo;un mode de vie sain pour les adultes atteints d&rsquo;une <a title=\"Spinal Cord Injury\" href=\"\/Spinal_Cord_Injury\">l\u00e9sion de la moelle \u00e9pini\u00e8re<\/a>. Bien qu&rsquo;il soit reconnu que l&rsquo;<a title=\"Therapeutic Exercise\" href=\"\/Therapeutic_Exercise\">exercice<\/a> est un outil important pour am\u00e9liorer le bien-\u00eatre et renforcer l&rsquo;ind\u00e9pendance des personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re, les lignes directrices g\u00e9n\u00e9rales existantes ont \u00e9t\u00e9 jug\u00e9es incompl\u00e8tes car elles n&rsquo;abordent pas la sant\u00e9 cardiom\u00e9tabolique et les facteurs de risque de <a title=\"Cardiovascular Disease\" href=\"\/Cardiovascular_Disease\">maladies cardiovasculaires<\/a> dans cette population. <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>L&rsquo;Organisation mondiale de la sant\u00e9 a \u00e9labor\u00e9 des <a class=\"external text\" href=\"http:\/\/www.who.int\/dietphysicalactivity\/factsheet_recommendations\/en\/\" rel=\"nofollow\">recommandations mondiales sur l&rsquo;activit\u00e9 physique pour la sant\u00e9 dans le<\/a> but de fournir aux d\u00e9cideurs politiques nationaux et r\u00e9gionaux des conseils sur la relation dose-r\u00e9ponse entre la fr\u00e9quence, la dur\u00e9e, l&rsquo;intensit\u00e9, le type et la quantit\u00e9 totale d&rsquo;activit\u00e9 physique n\u00e9cessaire \u00e0 la pr\u00e9vention des <a title=\"Non-Communicable Diseases\" href=\"\/Non-Communicable_Diseases\">maladies non transmissibles<\/a>. Bien que l&rsquo;Organisation mondiale de la sant\u00e9 ait sugg\u00e9r\u00e9 que ces recommandations pouvaient \u00eatre appliqu\u00e9es aux adultes pr\u00e9sentant un handicap en adaptant les lignes directrices \u00e0 chaque individu en fonction de sa capacit\u00e9 d&rsquo;exercice et de ses risques ou limitations sp\u00e9cifiques en mati\u00e8re de sant\u00e9, ces recommandations n&rsquo;ont pas \u00e9t\u00e9 sp\u00e9cifiquement adapt\u00e9es \u00e0 la population atteinte de l\u00e9sions de la moelle \u00e9pini\u00e8re. <sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup><\/p>\n<h2><span id=\"Development_of_Scientific_Guidelines\" class=\"mw-headline\">L&rsquo;\u00e9laboration de lignes directrices scientifiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Development of Scientific Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Development of Scientific Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=2\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Des lignes directrices pour les adultes atteints de l\u00e9sions de la moelle \u00e9pini\u00e8re ont \u00e9t\u00e9 \u00e9labor\u00e9es en partenariat avec les principales parties prenantes, selon un processus rigoureux, syst\u00e9matique et participatif, qui a suivi l&rsquo;approche de r\u00e9f\u00e9rence pour la formulation des <a title=\"Clinical Guidelines\" href=\"\/Clinical_Guidelines\">lignes directrices de pratique clinique<\/a>. L&rsquo;\u00e9quipe, en collaboration avec un panel international de chercheurs, de cliniciens, d&rsquo;organisations communautaires, d&rsquo;adultes atteints d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re et de sp\u00e9cialistes de l&rsquo;application des connaissances, a con\u00e7u conjointement un ensemble de lignes directrices sur l&rsquo;exercice qui ont \u00e9t\u00e9 lanc\u00e9es lors de la r\u00e9union annuelle de l&rsquo;International Spinal Cord Society en 2017.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><\/p>\n<p><a class=\"image\" href=\"\/File:SCI-exercise.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b0\/SCI-exercise.jpg\/300px-SCI-exercise.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b0\/SCI-exercise.jpg\/450px-SCI-exercise.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b0\/SCI-exercise.jpg\/600px-SCI-exercise.jpg 2x\" alt=\"\" width=\"300\" height=\"415\"><\/a><a class=\"image\" href=\"\/File:SCIinfographic.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/fa\/SCIinfographic.jpg\/300px-SCIinfographic.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/fa\/SCIinfographic.jpg\/450px-SCIinfographic.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/f\/fa\/SCIinfographic.jpg 2x\" alt=\"\" width=\"300\" height=\"410\"><\/a><\/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\/nqcbIn1XyWo?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/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\/Jd5xaBVaLv0?\" 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>\n<h3><span id=\"Translating_Scientific_Guidelines_to_Practice_Guidelines\" class=\"mw-headline\">Traduire les lignes directrices scientifiques en lignes directrices pour la pratique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Translating Scientific Guidelines to Practice Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=3\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Translating Scientific Guidelines to Practice Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=3\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Un engagement rigoureux et syst\u00e9matique des consommateurs, int\u00e9grant la participation des patients et du public, est un \u00e9l\u00e9ment essentiel du processus de traduction des lignes directrices scientifiques en lignes directrices op\u00e9rationnelles compr\u00e9hensibles par ceux pour qui elles ont \u00e9t\u00e9 con\u00e7ues, avant leur diffusion \u00e0 grande \u00e9chelle.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> L&rsquo;engagement des principales parties prenantes, y compris les personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re, est n\u00e9cessaire pour d\u00e9terminer la meilleure fa\u00e7on de d\u00e9velopper et d&rsquo;utiliser ces ressources afin de faciliter la compr\u00e9hension, l&rsquo;adoption et la mise en \u0153uvre des lignes directrices.<sup id=\"cite_ref-:3_7-0\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/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\/oEOs_0Xor-4?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col-md-6 col-md-offset-3\">\n<div class=\"text-right\"><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Spinal_Cord_Injury_Exercise_Guidelines\" class=\"mw-headline\">Lignes directrices en mati\u00e8re d&rsquo;activit\u00e9 physique dans le cas d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Spinal Cord Injury Exercise Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=4\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Spinal Cord Injury Exercise Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=4\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les lignes directrices relatives \u00e0 l&rsquo;exercice physique fixent des seuils minimaux pour atteindre une bonne condition cardiorespiratoire et une bonne force musculaire et am\u00e9liorer la sant\u00e9 cardiom\u00e9tabolique. Il est recommand\u00e9 d&rsquo;effectuer les exercices en plus de l&rsquo;activit\u00e9 physique occasionnelle que l&rsquo;on peut accumuler au cours de la vie quotidienne. Le moyen de respecter les lignes directrices sugg\u00e9r\u00e9es est de participer r\u00e9guli\u00e8rement \u00e0 des modalit\u00e9s d&rsquo;exercice qui sont durables, agr\u00e9ables et s\u00e9curitaires. <sup id=\"cite_ref-:3_7-1\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7) <\/a><\/sup><sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Les personnes qui ne font pas d\u00e9j\u00e0 de l&rsquo;exercice devraient commencer par des activit\u00e9s de moindre ampleur et augmenter progressivement la dur\u00e9e, la fr\u00e9quence et l&rsquo;intensit\u00e9, afin de progresser vers le respect des lignes directrices. Dans un m\u00eame temps, ils doivent reconna\u00eetre que le fait de s&rsquo;exercer en dessous des niveaux recommand\u00e9s peut ou non entra\u00eener de l\u00e9g\u00e8res modifications de la condition cardiorespiratoire ou de la sant\u00e9 cardiom\u00e9tabolique.<sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h3><span id=\"Who_Do_They_Apply_To\" class=\"mw-headline\">\u00c0 qui s&rsquo;adressent ces lignes directrices ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Who Do They Apply To\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Who Do They Apply To\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=5\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Hommes et femmes \u00e2g\u00e9s de 18 \u00e0 64 ans atteints d&rsquo;une l\u00e9sion chronique de la moelle \u00e9pini\u00e8re, traumatique ou non, plus de 12 mois apr\u00e8s l&rsquo;apparition de la l\u00e9sion, de niveau neurologique C3 ou inf\u00e9rieur, y compris avec t\u00e9trapl\u00e9gie ou parapl\u00e9gie, sans distinction de race, d&rsquo;origine ethnique ou de statut socio-\u00e9conomique, et qui ne sont pas actifs au-del\u00e0 de leurs activit\u00e9s quotidiennes. <sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>Bien que les preuves scientifiques soient actuellement insuffisantes pour tirer des conclusions d\u00e9finitives sur les risques et les avantages de ces lignes directrices pour les personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re depuis moins de 12 mois, \u00e2g\u00e9es de 65 ans ou plus, et pour les personnes souffrant de maladiies concomitantes ou comorbidit\u00e9s, elles peuvent \u00eatre appropri\u00e9es apr\u00e8s consultation d&rsquo;un prestataire de soins de sant\u00e9 avant de commencer un programme d&rsquo;exercices. <sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h3><span id=\"What_Settings_Do_They_Apply_To\" class=\"mw-headline\">\u00c0 quels param\u00e8tres s&rsquo;appliquent-elles ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: What Settings Do They Apply To\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: What Settings Do They Apply To\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=6\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Comme nous le savons, l&rsquo;activit\u00e9 physique peut \u00eatre pratiqu\u00e9e dans diff\u00e9rents lieux, \u00e0 l&rsquo;int\u00e9rieur ou \u00e0 l&rsquo;ext\u00e9rieur, par tous les temps. Les lignes directrices pour l&rsquo;exercice des personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re sont cens\u00e9es s&rsquo;appliquer \u00e0 l&rsquo;exercice et \u00e0 l&rsquo;activit\u00e9 physique pratiqu\u00e9s dans un large \u00e9ventail de contextes, y compris, mais sans s&rsquo;y limiter, les contextes suivants : <sup id=\"cite_ref-:0_1-5\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>\n<blockquote><p>Milieux de r\u00e9adaptation<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Centres de remise en forme<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Domicile des particuliers<\/p><\/blockquote>\n<\/li>\n<\/ul>\n<h3><span id=\"Cardiorespiratory_Fitness_and_Muscle_Strength\" class=\"mw-headline\">Conditionnement cardiorespiratoire et force musculaire<\/span> <span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Cardiorespiratory Fitness and Muscle Strength\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=7\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\">|<\/span> <a title=\"Edit section: Cardiorespiratory Fitness and Muscle Strength\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=7\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\"><a class=\"image\" href=\"\/File:SCI_arm_exercise_-_ID_1864377550.jpeg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4f\/SCI_arm_exercise_-_ID_1864377550.jpeg\/300px-SCI_arm_exercise_-_ID_1864377550.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4f\/SCI_arm_exercise_-_ID_1864377550.jpeg\/450px-SCI_arm_exercise_-_ID_1864377550.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4f\/SCI_arm_exercise_-_ID_1864377550.jpeg\/600px-SCI_arm_exercise_-_ID_1864377550.jpeg 2x\" alt=\"SCI arm exercise - ID 1864377550.jpeg\" width=\"300\" height=\"196\"><\/a><\/div>\n<p>Cette ligne directrice refl\u00e8te la fr\u00e9quence, l&rsquo;intensit\u00e9 et la dur\u00e9e minimales des exercices combinant les <a title=\"Aerobic Exercise\" href=\"\/Aerobic_Exercise\">exercices d&rsquo;a\u00e9robie<\/a> et de <a title=\"Strength Training in Spinal Cord Injury\" href=\"\/Strength_Training_in_Spinal_Cord_Injury\">musculation<\/a> du haut du corps qui permettent d&rsquo;am\u00e9liorer de mani\u00e8re significative la condition physique. Elle confirme les lignes directrices de 2011 sur l&rsquo;activit\u00e9 physique pour les personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re, mais a \u00e9galement \u00e9t\u00e9 mise \u00e0 jour pour s&rsquo;aligner sur la base de donn\u00e9es probantes en faisant r\u00e9f\u00e9rence \u00e0 \u00ab\u00a0l&rsquo;exercice\u00a0\u00bb plut\u00f4t qu&rsquo;\u00e0 \u00ab\u00a0l&rsquo;activit\u00e9 physique\u00a0\u00bb. Pour am\u00e9liorer leur condition cardiorespiratoire et leur force musculaire, les adultes atteints d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re devraient pratiquer au moins :<\/p>\n<ul>\n<li>\n<blockquote><p>20 minutes d&rsquo;exercices a\u00e9robiques d&rsquo;intensit\u00e9 mod\u00e9r\u00e9e \u00e0 vigoureuse, 2 fois par semaine, et<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>3 s\u00e9ries d&rsquo;exercices de musculation pour chaque grand groupe musculaire fonctionnel, \u00e0 une intensit\u00e9 de mod\u00e9r\u00e9e \u00e0 vigoureuse, 2 fois par semaine<\/p><\/blockquote>\n<\/li>\n<\/ul>\n<h3><span id=\"Cardiometabolic_Health\" class=\"mw-headline\">Sant\u00e9 cardiom\u00e9tabolique<\/span> <span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Cardiometabolic Health\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=8\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\">|<\/span> <a title=\"Edit section: Cardiometabolic Health\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=8\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\"><a class=\"image\" href=\"\/File:SCI_stationary_bike_-_ID_1792745611.jpeg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/82\/SCI_stationary_bike_-_ID_1792745611.jpeg\/300px-SCI_stationary_bike_-_ID_1792745611.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/82\/SCI_stationary_bike_-_ID_1792745611.jpeg\/450px-SCI_stationary_bike_-_ID_1792745611.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/8\/82\/SCI_stationary_bike_-_ID_1792745611.jpeg\/600px-SCI_stationary_bike_-_ID_1792745611.jpeg 2x\" alt=\"SCI stationary bike - ID 1792745611.jpeg\" width=\"300\" height=\"194\"><\/a><\/div>\n<p>Les maladies cardiom\u00e9taboliques, qui incluent un ensemble de pathologies allant de la r\u00e9sistance \u00e0 l&rsquo;insuline au <a title=\"Metabolic Syndrome\" href=\"\/Metabolic_Syndrome\">syndrome m\u00e9tabolique<\/a>, au pr\u00e9diab\u00e8te et, enfin, \u00e0 des pathologies plus graves telles que les <a title=\"Cardiovascular Disease\" href=\"\/Cardiovascular_Disease\">maladies cardiovasculaires<\/a> et le <a title=\"Diabetes Mellitus Type 2\" href=\"\/Diabetes_Mellitus_Type_2\">diab\u00e8te de type 2<\/a>, repr\u00e9sentent actuellement un lourd fardeau sanitaire et \u00e9conomique dans le monde entier, et on pr\u00e9dit que leur pr\u00e9valence devrait s&rsquo;accro\u00eetre. Les facteurs de risque ind\u00e9pendants incluent la position assise prolong\u00e9e, le manque d&rsquo;activit\u00e9 physique, une mauvaise alimentation et une courte dur\u00e9e de sommeil, facteurs qui sont tous devenus monnaie courante dans le monde entier. <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/p>\n<p>Il a \u00e9t\u00e9 d\u00e9montr\u00e9 que les directives 2011 en mati\u00e8re d&rsquo;activit\u00e9 physique pour les personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re am\u00e9liorent de mani\u00e8re significative les r\u00e9sultats en mati\u00e8re de sant\u00e9 cardiom\u00e9tabolique. La nouvelle ligne directrice indique que pour obtenir des avantages sur le plan de la sant\u00e9 cardiom\u00e9tabolique, il est sugg\u00e9r\u00e9 aux adultes atteints d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re de pratiquer au moins :<\/p>\n<ul>\n<li>\n<blockquote><p>30 minutes d&rsquo;exercices a\u00e9robiques d&rsquo;intensit\u00e9 mod\u00e9r\u00e9e \u00e0 vigoureuse, 3 fois par semaine<\/p><\/blockquote>\n<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/F97y4XQSECc?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<h3><span id=\"Possible_Barriers_and_Facilitators_to_Guidelines\" class=\"mw-headline\">Obstacles et facteurs facilitants dans l&rsquo;application des lignes directrices <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Possible Barriers and Facilitators to Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Possible Barriers and Facilitators to Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=9\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le groupe charg\u00e9 de l&rsquo;\u00e9laboration des lignes directrices a de plus identifi\u00e9 les obstacles et les facteurs facilitants propres \u00e0 ces lignes directrices : <sup id=\"cite_ref-:0_1-6\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>La sp\u00e9cification de lignes directrices diff\u00e9rentes pour l&rsquo;am\u00e9lioration de la condition physique et de la sant\u00e9 cardiom\u00e9tabolique pourrait cr\u00e9er une certaine confusion (les gens pourraient ne pas savoir quelle ligne directrice suivre), tout comme l&rsquo;existence de lignes directrices diff\u00e9rentes de celles pr\u00e9conis\u00e9es pour la population en g\u00e9n\u00e9ral<\/li>\n<li>L&rsquo;utilisation du terme \u00ab\u00a0exercice\u00a0\u00bb, par opposition \u00e0 \u00ab\u00a0activit\u00e9 physique\u00a0\u00bb dans la ligne directrice, peut limiter la r\u00e9flexion sur les types d&rsquo;activit\u00e9s auxquelles les personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re peuvent participer<\/li>\n<li>L&rsquo;importance d&rsquo;am\u00e9liorer sa condition physique pourrait \u00eatre \u00e9clips\u00e9e par le lancement d&rsquo;une nouvelle ligne directrice sur la sant\u00e9 cardiom\u00e9tabolique<\/li>\n<\/ul>\n<h2><span id=\"Role_of_Physiotherapy_in_Promoting_Guidelines\" class=\"mw-headline\">Le r\u00f4le de la physioth\u00e9rapie dans la promotion des lignes directrices <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Role of Physiotherapy in Promoting Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=10\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Role of Physiotherapy in Promoting Guidelines\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=10\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les <a title=\"Physiotherapy \/ Physical Therapy\" href=\"\/Physiotherapy_\/_Physical_Therapy\">physioth\u00e9rapeutes<\/a> ont toujours eu une relation \u00e9troite avec l&rsquo;exercice, car leur profession a \u00e9t\u00e9 fond\u00e9e sur le travail des sp\u00e9cialistes en gymnastique correctective et a une riche histoire de prescription d&rsquo;exercices de r\u00e9adaptation. La crise mondiale de l&rsquo;inactivit\u00e9 physique et l&rsquo;\u00e9pid\u00e9mie de <a title=\"Non-Communicable Diseases\" href=\"\/Non-Communicable_Diseases\">maladies non transmissibles<\/a> li\u00e9es au mode de vie ont cr\u00e9\u00e9 un besoin urgent de s&rsquo;appuyer sur notre riche histoire en mati\u00e8re de prescription d&rsquo;exercice et de d\u00e9velopper nos approches en mati\u00e8re de prescription d&rsquo;activit\u00e9 physique. La cr\u00e9ation d&rsquo;une population plus active n\u00e9cessite une r\u00e9flexion et une action communes de la part de nombreuses parties prenantes ; les physioth\u00e9rapeutes doivent s&rsquo;engager activement aupr\u00e8s des individus et des communaut\u00e9s.<\/p>\n<blockquote><p><i>\u00ab\u00a0Les physioth\u00e9rapeutes sont id\u00e9alement plac\u00e9s pour contribuer \u00e0 la diffusion de ces directives d&rsquo;activit\u00e9 physique pour les personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re, car ils interagissent quotidiennement avec les patients au d\u00e9but de leur parcours apr\u00e8s leur l\u00e9sion de la moelle \u00e9pini\u00e8re\u00a0\u00bb.<\/i> Dot Tussler, physioth\u00e9rapeute \u00e0 l&rsquo;h\u00f4pital Stoke Mandeville<\/p><\/blockquote>\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\/Giqt6jT27nU?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-:1_11-0\" class=\"reference\"><a href=\"#cite_note-:1-11\">(11)<\/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\/w6P3hQSUr-Y?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-:2_12-0\" class=\"reference\"><a href=\"#cite_note-:2-12\">(12)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Meeting_the_Exercise_Guidelines_in_Low-Income_Countries\" class=\"mw-headline\">Respecter les recommandations en mati\u00e8re d&rsquo;exercice physique dans les pays \u00e0 faible revenu <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Meeting the Exercise Guidelines in Low-Income Countries\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=11\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Meeting the Exercise Guidelines in Low-Income Countries\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Barriers\" class=\"mw-headline\">Les obstacles<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Barriers\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Barriers\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les \u00e9tudes sur la vie quotidienne des personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re dans les pays \u00e0 faible revenu sont limit\u00e9es. Les informations tir\u00e9es des publications existantes font \u00e9tat d&rsquo;un risque accru d&rsquo;<a title=\"Pressure Ulcers\" href=\"\/Pressure_Ulcers\">escarres<\/a> et d&rsquo;infections entra\u00eenant un d\u00e9c\u00e8s pr\u00e9matur\u00e9. <sup id=\"cite_ref-:6_13-0\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup> Une \u00e9tude men\u00e9e en Inde \u00e9num\u00e8re les d\u00e9fis suivants dans la gestion des l\u00e9sions de la moelle \u00e9pini\u00e8re : <sup id=\"cite_ref-:4_14-0\" class=\"reference\"><a href=\"#cite_note-:4-14\">(14)<\/a><\/sup><\/p>\n<ul>\n<li>Soins pr\u00e9hospitaliers inad\u00e9quats<\/li>\n<li>Manque d&rsquo;int\u00e9gration communautaire<\/li>\n<li>Probl\u00e8mes d&rsquo;acc\u00e8s et de mobilit\u00e9 dans la communaut\u00e9<\/li>\n<li>Sensibilisation insuffisante \u00e0 l&rsquo;\u00e9gard des l\u00e9sions de moelle \u00e9pini\u00e8re<\/li>\n<li>Analphab\u00e9tisme et \u00e9ducation insuffisante des patients<\/li>\n<li>Inad\u00e9quation de la r\u00e9adaptation physique et professionnelle et obstacles financiers.<sup id=\"cite_ref-:4_14-1\" class=\"reference\"><a href=\"#cite_note-:4-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<p>Le soutien de la famille est le facteur le plus important dans la promotion de la r\u00e9adaptation d&rsquo;une personne atteinte d&rsquo;une l\u00e9sion m\u00e9dullaire.<sup id=\"cite_ref-:4_14-2\" class=\"reference\"><a href=\"#cite_note-:4-14\">(14)<\/a><\/sup> Dans une autre \u00e9tude, l&rsquo;utilisation d&rsquo;une m\u00e9thode de <a title=\"Introduction \u00e0 la t\u00e9l\u00e9sant\u00e9\" href=\"\/Introduction_to_Telehealth\">t\u00e9l\u00e9sant\u00e9<\/a> peu co\u00fbteuse a permis d&rsquo;am\u00e9liorer les fonctions des personnes atteintes d&rsquo;une l\u00e9sion m\u00e9dullaire.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup> Une \u00e9tude internationale comparant la situation des personnes atteintes de l\u00e9sion de la moelle \u00e9pini\u00e8re dans des pays \u00e0 revenu \u00e9lev\u00e9, moyen et faible a r\u00e9v\u00e9l\u00e9 que les principaux obstacles \u00e0 l&rsquo;obtention de soins de sant\u00e9 ad\u00e9quats \u00e9taient les suivants :<sup id=\"cite_ref-:5_16-0\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/p>\n<ul>\n<li>Co\u00fbt des soins de sant\u00e9<\/li>\n<li>Transport (acc\u00e8s, disponibilit\u00e9 ou co\u00fbt)<\/li>\n<li>Disponibilit\u00e9 des services (connaissances limit\u00e9es du personnel m\u00e9dical en mati\u00e8re de l\u00e9sions m\u00e9dullaires)<\/li>\n<\/ul>\n<p>Parmi les autres obstacles, citons l&rsquo;absence d&rsquo;acc\u00e8s \u00e0 un fauteuil roulant ou des fauteuils roulants trop chers, un \u00e9quipement inappropri\u00e9 entra\u00eenant l&rsquo;apparition d&rsquo;escarres, un fauteuil roulant non adapt\u00e9 \u00e0 l&rsquo;environnement domestique, un entretien insuffisant ou inad\u00e9quat de l&rsquo;\u00e9quipement, l&rsquo;absence de conditions domestiques favorables, les \u00ab\u00a0toilettes de brousse\u00a0\u00bb dans les zones rurales, l&rsquo;absence de revenus suffisants pour acheter les appareils n\u00e9cessaires, le manque d&rsquo;acc\u00e8s aux lieux publics, les probl\u00e8mes de douleur chronique, l&rsquo;ennui, le sentiment d&rsquo;inutilit\u00e9, l&rsquo;attitude n\u00e9gative de la part de la famille, des amis et des voisins.<sup id=\"cite_ref-:6_13-1\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup> Le climat a \u00e9galement \u00e9t\u00e9 signal\u00e9 comme un obstacle pour les personnes atteintes de l\u00e9sions m\u00e9dullaires dans les pays \u00e0 faibles ressources. <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/p>\n<p>Le co\u00fbt des soins de sant\u00e9 est le facteur le plus d\u00e9cisif pour l&rsquo;avenir des personnes atteintes d&rsquo;une l\u00e9sion de la moelle \u00e9pini\u00e8re, car si elles n&rsquo;ont pas les moyens de payer les soins de sant\u00e9, elles sont exclues du syst\u00e8me.<sup id=\"cite_ref-:5_16-1\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/p>\n<h3><span id=\"Possible_Solutions\" class=\"mw-headline\">Des solutions possibles <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Possible Solutions\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=13\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Possible Solutions\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=13\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>L&rsquo;\u00e9ducation des familles<\/li>\n<li>Le soutien aux familles<\/li>\n<li>Des visites de suivi r\u00e9guli\u00e8res avec un sp\u00e9cialiste pour contr\u00f4ler les progr\u00e8s accomplis<\/li>\n<li>Des visites \u00e0 domicile par l&rsquo;entremise de programmes de sensibilisation de la communaut\u00e9 par l&rsquo;\u00e9quipe multidisciplinaire<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressources (en anglais original)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>National Centre for Sport &amp; Exercise Medicine<\/p>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/ncsem-em.org.uk\/wp-content\/uploads\/2020\/11\/Spinal-cord-injury-guidelines.pdf\" rel=\"nofollow\">Spinal Cord Injury Exercise Guidelines<\/a><\/li>\n<\/ul>\n<p>SCI Action Canada<\/p>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/sciguidelines.ubc.ca\/resources\/resources-for-professionals\/\" rel=\"nofollow\">A Physiotherapist\u2019s Guide to Promoting Physical Activity to Clients who have Spinal Cord Injuries<\/a><\/li>\n<li>Vermaak C, Ferreira S, Terblanche E, Derman W. <a class=\"external text\" href=\"https:\/\/ajod.org\/index.php\/ajod\/article\/view\/988\/1839\" rel=\"nofollow\">Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities<\/a>. African Journal of Disability, 2022;11:a988.<\/li>\n<\/ul>\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_Guidelines_for_Spinal_Cord_Injury&amp;veaction=edit&amp;section=15\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Physical_Activity_Guidelines_for_Spinal_Cord_Injury&amp;action=edit&amp;section=15\">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> <sup><a href=\"#cite_ref-:0_1-6\">1.6<\/a><\/sup><\/span> <span class=\"reference-text\">Ginis KA, van der Scheer JW, Latimer-Cheung AE, Barrow A, Bourne C, Carruthers P, Bernardi M, Ditor DS, Gaudet S, de Groot S, Hayes KC. Evidence-based Scientific Exercise Guidelines for Adults with Spinal Cord Injury: An Update and a New Guideline. Spinal Cord. 2018 Apr;56(4):308.<\/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\">World Health Organization. <a class=\"external text\" href=\"http:\/\/www.who.int\/dietphysicalactivity\/factsheet_recommendations\/en\/\" rel=\"nofollow\">Global recommendations on physical activity for health<\/a>. World Health Organization; 2010.<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">National Centre for Sport &amp; Exercise Medicine 2017.Scientific exercise guidelines for adults with spinal cord injury launched at International Spinal Cord Society Annual Scientific Meeting. Available at:<a class=\"external free\" href=\"https:\/\/www.ncsem-em.org.uk\/2017\/10\/26\/scientific-exercise-guidelines-for-adults-with-spinal-cord-injury-launched-at-international-spinal-cord-society-annual-scientific-meeting\/\" rel=\"nofollow\">https:\/\/www.ncsem-em.org.uk\/2017\/10\/26\/scientific-exercise-guidelines-for-adults-with-spinal-cord-injury-launched-at-international-spinal-cord-society-annual-scientific-meeting\/<\/a>. (last accessed 16\/11\/2021)<\/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\">National Centre for Sport and Exercise Medicine. Prof Vicky Tolfrey | Why We Need SCI-Specific Evidence. Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/nqcbIn1XyWo\" rel=\"nofollow\">https:\/\/youtu.be\/nqcbIn1XyWo<\/a>(last accessed 20\/02\/19)<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">National Centre for Sport and Exercise Medicine. Jan van der Scheer | How SCI Exercise Guidelines were Developed. Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/Jd5xaBVaLv0\" rel=\"nofollow\">https:\/\/youtu.be\/Jd5xaBVaLv0<\/a>(last accessed 20\/02\/19)<\/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\">Armstrong MJ, Mullins CD, Gronseth GS, et al. <a class=\"external text\" href=\"https:\/\/implementationscience.biomedcentral.com\/track\/pdf\/10.1186\/s13012-018-0745-6.pdf\" rel=\"nofollow\">Impact of patient involvement on clinical practice guideline development: a parallel group study<\/a>. Implementation Sci 2018;13(55).<\/span><\/li>\n<li id=\"cite_note-:3-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_7-1\">7.1<\/a><\/sup><\/span> <span class=\"reference-text\">Martin Ginis KA, Hicks AL, Latimer AE, Warburton DE, Bourne C, Ditor DS, et al. The development of evidence-informed physical activity guidelines for adults with spinal cord injury. Spinal Cord. 2011;49:1088\u201396.<\/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\">National Centre for Sport and Exercise Medicine. Jan van der Scheer | How the Guidelines will be Translated. Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/oEOs_0Xor-4\" rel=\"nofollow\">https:\/\/youtu.be\/oEOs_0Xor-4<\/a>(last accessed 20\/02\/19)<\/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\">Vincent GE, Jay SM, Sargent C, Vandelanotte C, Ridgers ND, Ferguson SA. Improving Cardiometabolic Health with Diet, Physical Activity, and Breaking Up Sitting: What about Sleep?. Frontiers in Physiology. 2017 Nov 8;8:865.<\/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\">SCIActionCanada. Physical Activity Guidelines for Adults with SCI &#8211; 2. 2011 Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/F97y4XQSECc\" rel=\"nofollow\">https:\/\/youtu.be\/F97y4XQSECc<\/a> <\/span><\/li>\n<li id=\"cite_note-:1-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:1_11-0\">\u2191<\/a><\/span> <span class=\"reference-text\">National Centre for Sport and Exercise Medicine. Dot Tussler | The Importance of SCI Exercise Guidelines for Physios. Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/Giqt6jT27nU\" rel=\"nofollow\">https:\/\/youtu.be\/Giqt6jT27nU<\/a>(last accessed 20\/02\/19)<\/span><\/li>\n<li id=\"cite_note-:2-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:2_12-0\">\u2191<\/a><\/span> <span class=\"reference-text\">National Centre for Sport and Exercise Medicine. Dot Tussler | Role of Physios in helping People with SCI be Active. Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/w6P3hQSUr-Y\" rel=\"nofollow\">https:\/\/youtu.be\/w6P3hQSUr-Y<\/a>(last accessed 20\/02\/19)<\/span><\/li>\n<li id=\"cite_note-:6-13\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_13-0\">13.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_13-1\">13.1<\/a><\/sup><\/span> <span class=\"reference-text\">\u00d8derud T. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5442511\/pdf\/AJOD-3-80.pdf\" rel=\"nofollow\">Surviving spinal cord injury in low-income countries.<\/a> Afr J Disabil. 2014 Aug 26;3(2):80. <\/span><\/li>\n<li id=\"cite_note-:4-14\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_14-0\">14.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_14-1\">14.1<\/a><\/sup> <sup><a href=\"#cite_ref-:4_14-2\">14.2<\/a><\/sup><\/span> <span class=\"reference-text\">Chhabra H, Sharma S, Arora M. <a class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/sc2017102.pdf\" rel=\"nofollow\">Challenges in the comprehensive management of spinal cord injury in India and the Asian Spinal Cord network region: findings of a survey of experts, patients and consumers<\/a>. Spinal Cord 2018, 56: 71\u201377.<\/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\">Tyagi N, Amar Goel S, Alexander M. <a class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/s41394-019-0212-x#citeas\" rel=\"nofollow\">Improving the quality of life after spinal cord injury in India with telehealth<\/a>. Spinal Cord Ser Cases 2019, 5 (70).<\/span><\/li>\n<li id=\"cite_note-:5-16\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_16-0\">16.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-1\">16.1<\/a><\/sup><\/span> <span class=\"reference-text\">Pacheco Barzallo D, O\u00f1a A, Gemperli A. Unmet health care needs and inequality: <a class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/epdf\/10.1111\/1475-6773.13738\" rel=\"nofollow\">A cross-country comparison of the situation of people with spinal cord injury.<\/a> Health Serv Res. 2021 Dec;56 Suppl 3(Suppl 3):1429-1440.<\/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\">Reinhardt JD, Middleton J, B\u00f6kel A, Kovindha A, Kyriakides A, Hajjioui A, Kouda K, Kujawa J. Environmental Barriers Experienced by People With Spinal Cord Injury Across 22 Countries: Results From a Cross-Sectional Survey. Archives of Physical Medicine and Rehabilitation 2020,101(12): 2144-2156.<\/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\">Renaud R, Locke HN, Hariharan R, Chamberlain MA, O&rsquo;Connor RJ. <a class=\"external text\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29582900\/\" rel=\"nofollow\">Developing a spinal cord injury rehabilitation service in Madagascar<\/a>. J Rehabil Med. 2018 May 8;50(5):402-405.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220725180346 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.103 seconds Real time usage: 0.119 seconds Preprocessor visited node count: 357\/1000000 Post\u2010expand include size: 237\/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: 13494\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 21.483 1 Special:Contributors\/Physical_Activity_Guidelines_for_Spinal_Cord_Injury 100.00% 21.483 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Naomi O&rsquo;Reilly d\u2019apr\u00e8s le cours deCandice VermaakPrincipales collaboratrices &#8211; Naomi O&rsquo;Reilly, Ewa Jaraczewska, Kim Jackson, Tarina van der Stockt , Jess Bell, Merinda Rodseth et Admin Contenu 1 Introduction 2 L&rsquo;\u00e9laboration de lignes directrices scientifiques 2.1 Traduire les lignes directrices scientifiques en lignes directrices pour la pratique 3 Lignes directrices en mati\u00e8re [&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-5705","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5705","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=5705"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5705\/revisions"}],"predecessor-version":[{"id":8206,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5705\/revisions\/8206"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=5705"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}