{"id":592,"date":"2022-03-14T05:08:25","date_gmt":"2022-03-14T05:08:25","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/case-study-acquired-brain-injury-in-disasters-and-conflicts-fr\/"},"modified":"2022-03-14T05:08:25","modified_gmt":"2022-03-14T05:08:25","slug":"case-study-acquired-brain-injury-in-disasters-and-conflicts-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/case-study-acquired-brain-injury-in-disasters-and-conflicts-fr\/","title":{"rendered":"\u00c9tude de cas &#8211; L\u00e9sion c\u00e9r\u00e9brale acquise en situation de catastrophe ou de conflit"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"noeditbox\">Bienvenu au <a href=\"\/Rehabilitation_in_Disaster_and_Conflict_Situations_Content_Development_Project\" title=\"Rehabilitation in Disaster and Conflict Situations Content Development Project\">projet de d\u00e9veloppement de contenu pour le cours La r\u00e9adaptation dans des situations de catastrophe et de conflit<\/a>. S&rsquo;il vous pla\u00eet, n&rsquo;\u00e9ditez pas \u00e0 moins que vous ne soyez impliqu\u00e9 dans ce projet, en revanche, revenez dans un avenir proche pour v\u00e9rifier les nouvelles informations ! Si vous souhaitez vous impliquer dans ce projet et obtenir une accr\u00e9ditation pour vos contributions, <a rel=\"nofollow\" class=\"external text\" href=\"mailto:naomioreilly@gmail.com\">veuillez prendre contact avec nous<\/a>!<\/div>\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteurs originaux <\/b> &#8211; &nbsp; <a href=\"\/User:User_Name\" title=\"User:User Name\">User Name<\/a>\n<\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Naomi_O%27Reilly\" class=\"mw-userlink\" title=\"User:Naomi O'Reilly\"><bdi>Naomi O&rsquo;Reilly<\/bdi><\/a>&nbsp; &nbsp;&nbsp; &nbsp;\n<\/p>\n<\/div>\n<div align=\"justify\">\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Title\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Titre<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Abstract\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">R\u00e9sum\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Key_Words\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Mots cl\u00e9s&nbsp;<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Patient_Characteristics\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Caract\u00e9ristiques des patients<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Background\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Contexte<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Examination_Findings\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">R\u00e9sultats d&rsquo;examen<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Observation\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Observation<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Physical_Assessment\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">\u00c9valuation physique<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-9\"><a href=\"#Range_of_Movement\"><span class=\"tocnumber\">5.2.1<\/span> <span class=\"toctext\"><b>Amplitude de mouvement<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Tone\"><span class=\"tocnumber\">5.2.2<\/span> <span class=\"toctext\">Tonicit\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-11\"><a href=\"#Power\"><span class=\"tocnumber\">5.2.3<\/span> <span class=\"toctext\">Force musculaire<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Sensation\"><span class=\"tocnumber\">5.2.4<\/span> <span class=\"toctext\">Sensation<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-13\"><a href=\"#Coordination\"><span class=\"tocnumber\">5.2.5<\/span> <span class=\"toctext\">Coordination<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-14\"><a href=\"#Speech_and_Comprehension\"><span class=\"tocnumber\">5.2.6<\/span> <span class=\"toctext\">Parole et compr\u00e9hension<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Functional_Assessment\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">\u00c9valuation fonctionnelle<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-16\"><a href=\"#Clinical_Impression\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Impression clinique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-17\"><a href=\"#Treatment\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Traitement<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-18\"><a href=\"#Goals_.28Short-term.29\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">Objectifs (\u00e0 court terme)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-19\"><a href=\"#Approach\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">Approche<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-20\"><a href=\"#Education\"><span class=\"tocnumber\">7.3<\/span> <span class=\"toctext\">\u00c9ducation<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-21\"><a href=\"#Outcome\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9sultats<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-22\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences&nbsp;<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Title\">Titre<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Title\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=1\" title=\"Edit section: Title\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Polytraumatisme avec l\u00e9sion c\u00e9r\u00e9brale traumatique et fractures multiples suite \u00e0 l&rsquo;effondrement d&rsquo;un b\u00e2timent apr\u00e8s un tremblement de terre.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">[1]<\/a><\/sup>\n<\/p>\n<p>Merci \u00e0 Humanit\u00e9 et Inclusion pour cette<a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/resources.relabhs.org\/resource\/early-rehabilitation-in-conflicts-and-disasters\/\">\u00e9tude de cas tir\u00e9e de R\u00e9adaptation pr\u00e9coce en situations de conflit et de catastrophe &#8211; Manuel clinique<\/a>\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Abstract\">R\u00e9sum\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Abstract\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=2\" title=\"Edit section: Abstract\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Femme de 32 ans, dix jours apr\u00e8s un polytraumatisme avec traumatisme cr\u00e2nien, l\u00e9sions faciales et fractures multiples, extraite des d\u00e9combres d&rsquo;un immeuble effondr\u00e9 3 heures apr\u00e8s le tremblement de terre. Pr\u00e9sente maintenant une faiblesse du c\u00f4t\u00e9 droit et une perte de sensation due \u00e0 une l\u00e9sion c\u00e9r\u00e9brale du c\u00f4t\u00e9 gauche, indiquant une probable implication des lobes pari\u00e9tal et frontal. Une douleur aux c\u00f4tes limite actuellement l&rsquo;\u00e9valuation.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Key_Words\">Mots cl\u00e9s&nbsp;<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Key Words\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=3\" title=\"Edit section: Key Words\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Polytraumatisme, l\u00e9sion c\u00e9r\u00e9brale traumatique, l\u00e9sion faciale, tremblement de terre, r\u00e9adaptation pr\u00e9coce.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Patient_Characteristics\">Caract\u00e9ristiques des patients<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient Characteristics\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=4\" title=\"Edit section: Patient Characteristics\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Background\">contexte<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Background\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=5\" title=\"Edit section: Background\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>Le patient est une femme de 32 ans qui a \u00e9t\u00e9 extraite des d\u00e9combres d&rsquo;un immeuble effondr\u00e9 trois heures apr\u00e8s le tremblement de terre, il y a dix jours. Elle a subi une blessure \u00e0 la t\u00eate et de multiples fractures (hum\u00e9rus gauche, tibia\/p\u00e9ron\u00e9 gauche, c\u00f4tes 7, 8, 9 du c\u00f4t\u00e9 droit) et quelques blessures au visage. Sa s\u0153ur, qui \u00e9tait pr\u00e9sente au moment du sauvetage de la patiente, rapporte une perte de conscience temporaire sur le chemin de l&rsquo;h\u00f4pital et que la patiente \u00e9tait d\u00e9sorient\u00e9e. Elle ne signale aucun vomissement ni aucune crise \u00e9pileptique. L&rsquo;infirmi\u00e8re qui accompagne la patiente au service de r\u00e9adaptation signale que les notes m\u00e9dicales ne sont pas disponibles et qu&rsquo;elle ne conna\u00eet pas bien la patiente.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Examination_Findings\">R\u00e9sultats de l&rsquo;examen<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Examination Findings\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=6\" title=\"Edit section: Examination Findings\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Observation\">Observations<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Observation\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=7\" title=\"Edit section: Observation\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>La patiente est allong\u00e9e dans son lit, elle semble fatigu\u00e9e, \u00e9motive et pleure facilement, mais consent au traitement.\n<\/p>\n<p>Elle porte un pl\u00e2tre gauche, sous le genou, et son bras gauche est en \u00e9charpe.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Physical_Assessment\">\u00c9valuation physique<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Assessment\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=8\" title=\"Edit section: Physical Assessment\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<h4><span class=\"mw-headline\" id=\"Range_of_Movement\"><b>Amplitude de mouvement<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Range of Movement\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=9\" title=\"Edit section: Range of Movement\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<p><b>ROM actif<\/b> : Impossible d&rsquo;\u00e9valuer le c\u00f4t\u00e9 gauche en raison des fractures, mais capable de remuer les doigts et les orteils. Avons demand\u00e9 \u00e0 la patiente de faire des mouvements simples, en pliant son genou droit et en portant sa main \u00e0 sa bouche.\n<\/p>\n<ul>\n<li>Peut bouger sa jambe droite, mais pas dans toute son amplitude de mouvement.<\/li>\n<li>Aucun mouvement observ\u00e9 au niveau du bras droit.<\/li>\n<\/ul>\n<p>\n<b>ROM passif : test\u00e9 dans toutes les articulations (sans pl\u00e2tre) des deux c\u00f4t\u00e9s sans aucun probl\u00e8me not\u00e9.<\/b>\n<\/p>\n<h4><span class=\"mw-headline\" id=\"Tone\">Tonicit\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Tone\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=10\" title=\"Edit section: Tone\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<p>Test\u00e9 du c\u00f4t\u00e9 droit uniquement, le c\u00f4t\u00e9 gauche \u00e9tant immobilis\u00e9 par un pl\u00e2tre et une \u00e9charpe.\n<\/p>\n<ul>\n<li>Membre sup\u00e9rieur flasque<\/li>\n<li>Une certaine r\u00e9sistance \u00e0 la dorsiflexion de la cheville droite<\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Power\">Force musculaire<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Power\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=11\" title=\"Edit section: Power\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<p>\u00c9chelle MRC d&rsquo;Oxford\n<\/p>\n<ul>\n<li>0\/5 Pour tous les principaux groupes musculaires du membre sup\u00e9rieur droit<\/li>\n<li>2\/5 Pour tous les principaux groupes musculaires du membre inf\u00e9rieur droit<\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Sensation\">Sensation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Sensation\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=12\" title=\"Edit section: Sensation\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<p>Lors des tests, une r\u00e9duction de la sensation au toucher l\u00e9ger a \u00e9t\u00e9 not\u00e9e dans le bras et la jambe droite, la proprioception \u00e9tait normale dans tous les membres.\n<\/p>\n<h4><span class=\"mw-headline\" id=\"Coordination\">Coordination<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Coordination\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=13\" title=\"Edit section: Coordination\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<p>Non test\u00e9 en raison de fractures sur le c\u00f4t\u00e9 gauche et d&rsquo;une faiblesse importante sur le c\u00f4t\u00e9 droit.\n<\/p>\n<h4><span class=\"mw-headline\" id=\"Speech_and_Comprehension\">Parole et compr\u00e9hension<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Speech and Comprehension\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=14\" title=\"Edit section: Speech and Comprehension\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<p>La patiente semble communiquer normalement et suivre les instructions de base dans sa propre langue.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Functional_Assessment\">\u00c9valuation fonctionnelle<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Functional Assessment\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=15\" title=\"Edit section: Functional Assessment\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>La patiente est r\u00e9ticente \u00e0 se retourner en raison de la douleur, en particulier autour de sa cage thoracique. Pour s&rsquo;asseoir sans se retourner compl\u00e8tement, il a fallu l&rsquo;aide de deux personnes &#8211; l&rsquo;une pour soutenir les membres inf\u00e9rieurs et l&rsquo;autre pour g\u00e9rer le tronc et le bras.\n<\/p>\n<p>Une fois debout, la patiente ne signale aucun vertige et peut s&rsquo;asseoir sans soutien. Les jambes de la patiente n&rsquo;atteignant pas le sol, elles ont \u00e9t\u00e9 soutenues par un bloc. L&rsquo;\u00e9quilibre en position assise en mouvement n&rsquo;a pas \u00e9t\u00e9 test\u00e9 en raison du manque de fonction des bras et de la douleur lors du mouvement du tronc. Pour l&rsquo;instant, la patiente a besoin d&rsquo;une assistance compl\u00e8te pour toutes les t\u00e2ches de base, comme manger et boire et les soins personnels. Elle est soutenue par les membres de sa famille.\n<\/p>\n<p>Les transferts, la station debout et la marche n&rsquo;ont pas \u00e9t\u00e9 \u00e9valu\u00e9s en raison d&rsquo;une force musculaire de 2\/5 dans la jambe droite. En raison de l&rsquo;absence de notes m\u00e9dicales, on suppose initialement que la jambe et le bras gauches ne peuvent pas supporter de poids.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Clinical_Impression\">Impression clinique<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=16\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Impression\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=16\" title=\"Edit section: Clinical Impression\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Faiblesse du c\u00f4t\u00e9 droit et perte de sensation due \u00e0 la LCA du c\u00f4t\u00e9 gauche, indiquant une probable atteinte des lobes pari\u00e9tal et frontal. La douleur thoracique est un facteur limitant pour l&rsquo;\u00e9valuation et une limite probable pour le traitement, \u00e0 moins qu&rsquo;elle ne soit mieux contr\u00f4l\u00e9e. Le membre sup\u00e9rieur droit est peu tonique, manque d&rsquo;activit\u00e9 et pr\u00e9sente un risque de subluxation de l&rsquo;\u00e9paule et de d\u00e9veloppement de douleur \u00e0 l&rsquo;\u00e9paule. Augmentation du tonus des fl\u00e9chisseurs plantaires du c\u00f4t\u00e9 droit et risque de raccourcissement musculaire. La patiente est actuellement enti\u00e8rement d\u00e9pendante pour tous les transferts et les activit\u00e9s quotidiennes. A not\u00e9 que la patiente \u00e9tait en larmes et qu&rsquo;elle pourrait avoir besoin d&rsquo;une \u00e9valuation plus approfondie en raison du traumatisme psychologique r\u00e9cent et de l&rsquo;atteinte du lobe frontal.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Treatment\">Traitement<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=17\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Treatment\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=17\" title=\"Edit section: Treatment\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<h3><span id=\"Goals_(Short-term)\"><\/span><span class=\"mw-headline\" id=\"Goals_.28Short-term.29\">Objectifs (\u00e0 court terme)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=18\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Goals (Short-term)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=18\" title=\"Edit section: Goals (Short-term)\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>Sortir la patiente du lit pour l&rsquo;asseoir et clarifier la mise en charge sur la jambe gauche et les pr\u00e9cautions pour le membre sup\u00e9rieur gauche.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Approach\">Approche<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=19\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Approach\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=19\" title=\"Edit section: Approach\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>Augmenter le temps de position assise droite pour le momen et permettre la mise en charge en position assise par le pied droit tout en maintenant un bon positionnement de la cheville. La patiente doit s&rsquo;asseoir r\u00e9guli\u00e8rement sur une chaise mais a besoin d&rsquo;un transfert vers la chaise pour le moment.\n<\/p>\n<p>\u00c9viter les complications li\u00e9es \u00e0 l&rsquo;immobilit\u00e9 en changeant r\u00e9guli\u00e8rement de position, en conseillant \u00e0 la patiente de remuer les doigts et les orteils et en maintenant le mouvement du c\u00f4t\u00e9 gauche lorsque la douleur et les sites de fracture le permettent.\n<\/p>\n<p>Confirmer le statut de mise en charge sur la jambe gauche avec l&rsquo;\u00e9quipe m\u00e9dicale. Si la patiente ne supporte pas de poids, envisager une attelle pour la cheville droite afin de maintenir la longueur du muscle au repos.\n<\/p>\n<p>Commencer des exercices r\u00e9guliers et r\u00e9p\u00e9t\u00e9s de la jambe droite pour am\u00e9liorer l&rsquo;activit\u00e9 et la force musculaire. Lorsque le fessier et le quadriceps droits sont \u00e0 4\/5 sur l&rsquo;\u00e9chelle MRC d&rsquo;Oxford, la patiente peut se tenir debout sur cette jambe avec de l&rsquo;aide.\n<\/p>\n<p>Commencer la r\u00e9adaptation sensorielle du c\u00f4t\u00e9 droit.\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Education\">\u00c9ducation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=20\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Education\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=20\" title=\"Edit section: Education\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>Conseiller et enseigner \u00e0 la s\u0153ur du patient l&rsquo;importance de changer r\u00e9guli\u00e8rement de position et la mani\u00e8re de le faire.\n<\/p>\n<p>Apprendre \u00e0 sa s\u0153ur \u00e0 faire quotidiennement et en toute s\u00e9curit\u00e9 des exercices d&rsquo;amplitude passive pour le bras droit, en notant que l&rsquo;abduction et la flexion avant doivent rester en dessous du niveau horizontal.\n<\/p>\n<p>L&rsquo;informer du risque de d\u00e9velopper une douleur \u00e0 l&rsquo;\u00e9paule et de la fa\u00e7on de prendre soin de son bras en soutenant son poids lorsqu&rsquo;il est en position verticale et en \u00e9vitant de tirer dessus.\n<\/p>\n<p>L&rsquo;informer de la possibilit\u00e9 que son humeur soit alt\u00e9r\u00e9e ou faible de fa\u00e7on continue. Utiliser sa s\u0153ur pour identifier les stimuli motivants\/int\u00e9ressants pour des activit\u00e9s significatives et pour surveiller son humeur.\n<\/p>\n<p>L&rsquo;informer sur le d\u00e9veloppement possible d&rsquo;une douleur \u00e0 l&rsquo;\u00e9paule et sur la fa\u00e7on de prendre soin de son bras. S&rsquo;assurer que sa s\u0153ur est consciente du besoin d&rsquo;assistance de la patiente dans ses activit\u00e9s quotidiennes.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"Outcome\">R\u00e9sultats<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=21\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Outcome\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=21\" title=\"Edit section: Outcome\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Au fur et \u00e0 mesure que la douleur des c\u00f4tes diminue, le patient peut participer plus activement \u00e0 sa mobilit\u00e9 au lit.<br \/>\nUne fois que la patiente a suffisamment de force dans son membre inf\u00e9rieur droit pour se tenir debout et\/ou que les fractures ont gu\u00e9ri ou que le statut de mise en charge est pass\u00e9 \u00e0 une mise en charge compl\u00e8te (selon la premi\u00e8re \u00e9ventualit\u00e9), elle devrait alors \u00eatre en mesure de travailler sur la position debout et le pas.\n<\/p>\n<p>Pour l&rsquo;instant, il n&rsquo;est pas possible de pr\u00e9dire l&rsquo;\u00e9volution de la fonction de son bras droit, mais une fois la fracture du bras gauche gu\u00e9rie, elle devrait \u00eatre plus ind\u00e9pendante dans ses activit\u00e9s quotidiennes.\n<\/p>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences&nbsp;<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=22\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts&amp;action=edit&amp;section=22\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Lathia C, Skelton P, Clift Z. Early Rehabilitation in Conflicts and Disasters. Handicap International: London, UK. 2020.<\/span>\n<\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p><\/div>\n<p><!-- NewPP limit report Cached time: 20220308130120 Cache expiry: 0 Dynamic content: true Complications: [] CPU time usage: 0.033 seconds Real time usage: 0.037 seconds Preprocessor visited node count: 99\/1000000 Post\u2010expand include size: 87\/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: 517\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 10.785 1 Special:Contributors\/Case_Study_-_Acquired_Brain_Injury_in_Disasters_and_Conflicts 100.00% 10.785 1 -total -->\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Bienvenu au projet de d\u00e9veloppement de contenu pour le cours La r\u00e9adaptation dans des situations de catastrophe et de conflit. S&rsquo;il vous pla\u00eet, n&rsquo;\u00e9ditez pas \u00e0 moins que vous ne soyez impliqu\u00e9 dans ce projet, en revanche, revenez dans un avenir proche pour v\u00e9rifier les nouvelles informations ! Si vous souhaitez vous impliquer dans ce [&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-592","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/592","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=592"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/592\/revisions"}],"predecessor-version":[{"id":593,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/592\/revisions\/593"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}