{"id":6706,"date":"2023-06-23T22:23:02","date_gmt":"2023-06-23T22:23:02","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/tendon-neuroplasticty-fr\/"},"modified":"2023-06-25T18:40:48","modified_gmt":"2023-06-25T18:40:48","slug":"tendon-neuroplasticty-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/tendon-neuroplasticty-fr\/","title":{"rendered":"La neuroplasticit\u00e9 du tendon"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Mandy_Roscher\" title=\"User:Mandy Roscher\">Mandy Roscher<\/a> <b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Mandy_Roscher\" class=\"mw-userlink\" title=\"User:Mandy Roscher\"><bdi>Mandy Roscher<\/bdi><\/a>, <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a href=\"\/User:Tarina_van_der_Stockt\" class=\"mw-userlink\" title=\"User:Tarina van der Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a>, <a href=\"\/User:Lucinda_hampton\" class=\"mw-userlink\" title=\"User:Lucinda hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> et <a href=\"\/User:Robin_Tacchetti\" class=\"mw-userlink\" title=\"User:Robin Tacchetti\"><bdi>Robin Tacchetti<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Background\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Contexte<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Tendon_Adaptations\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">L&rsquo;adaptation des tendons<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Adaptations_at_the_Tendon_Level\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Adaptations au niveau du tendon<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Adaptations_at_the_Brain\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Adaptations au niveau du cerveau<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Pain_and_Tendinopathy\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Douleur et tendinopathie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Additional_Resources\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Ressources suppl\u00e9mentaires<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#References\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Background\">Le contexte<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Background\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;action=edit&amp;section=1\" title=\"Edit section: Background\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La tendinopathie est un terme g\u00e9n\u00e9rique utilis\u00e9 pour classer la pr\u00e9sentation clinique d&rsquo;une <a href=\"\/Pain_Behaviours\" title=\"Pain Behaviours\">douleur<\/a> ou d&rsquo;un dysfonctionnement au niveau d&rsquo;un <a href=\"\/Tendon_Anatomy\" title=\"Tendon Anatomy\">tendon<\/a>, en pr\u00e9sence ou en l&rsquo;absence d&rsquo;une pathologie structurelle. <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> <sup id=\"cite_ref-:4_2-0\" class=\"reference\"><a href=\"#cite_note-:4-2\">(2)<\/a><\/sup> Cliniquement, la tendinopathie se manifeste par une douleur localis\u00e9e d\u00e9pendante de la charge, une tol\u00e9rance r\u00e9duite \u00e0 l&rsquo;exercice, ainsi qu&rsquo;une alt\u00e9ration de la fonction. <sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> La surutilisation dans l&rsquo;environnement de travail ou dans le sport est la cause la plus fr\u00e9quente de pathologie tendineuse. <sup id=\"cite_ref-:4_2-1\" class=\"reference\"><a href=\"#cite_note-:4-2\">(2)<\/a><\/sup><\/p>\n<p>** Le terme tendinopathie fait r\u00e9f\u00e9rence \u00e0 la d\u00e9g\u00e9n\u00e9rescence ou \u00e0 l&rsquo;\u00e9chec de cicatrisation d\u00fb \u00e0 une surcharge continue sans p\u00e9riode de r\u00e9cup\u00e9ration ad\u00e9quate. <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Tendon_Adaptations\">L&rsquo;adaptation des tendons <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Tendon Adaptations\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;action=edit&amp;section=2\" title=\"Edit section: Tendon Adaptations\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les tendons ont la capacit\u00e9 de se modifier en fonction des charges auxquelles ils sont soumis. Ces changements peuvent se produire non seulement au niveau structurel, mais aussi au niveau cortical. <sup id=\"cite_ref-:3_5-0\" class=\"reference\"><a href=\"#cite_note-:3-5\">(5)<\/a><\/sup> La recherche sur les tendons et la tendinopathie s&rsquo;est principalement concentr\u00e9e sur les tendons eux-m\u00eames et non sur ce qui se passe au niveau de la <a href=\"\/Spinal_cord_anatomy\" title=\"Spinal cord anatomy\">moelle \u00e9pini\u00e8re<\/a> et du <a href=\"\/Brain_Anatomy\" title=\"Brain Anatomy\">cerveau<\/a>. De m\u00eame, la force <a href=\"\/Muscle\" title=\"Muscle\">musculaire<\/a> en relation avec la tendinopathie a fait l&rsquo;objet de plus de recherches que les changements au niveau du <a href=\"\/Motor_Control_and_Learning\" title=\"Motor Control and Learning\">contr\u00f4le moteur<\/a>. Une litt\u00e9rature \u00e9mergente \u00e9tudie maintenant les adaptations corticales qui se produisent lors de tendinopathies. <\/p>\n<h3><span class=\"mw-headline\" id=\"Adaptations_at_the_Tendon_Level\">Adaptations au niveau du tendon <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Adaptations at the Tendon Level\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;action=edit&amp;section=3\" title=\"Edit section: Adaptations at the Tendon Level\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La <a href=\"\/Tendon_Pathophysiology\" title=\"Tendon Pathophysiology\">physiopathologie de la tendinopathie<\/a> n&rsquo;est toujours pas bien comprise. Il existe plusieurs hypoth\u00e8ses et mod\u00e8les qui tentent de d\u00e9crire la pathogen\u00e8se de la tendinopathie, mais les chercheurs et les cliniciens ne savent toujours pas exactement ce qui se passe.<sup id=\"cite_ref-:1_6-0\" class=\"reference\"><a href=\"#cite_note-:1-6\">(6)<\/a><\/sup> Les tendons sont con\u00e7us pour s&rsquo;adapter aux changements de mise en charge. La <a href=\"\/Tendon_Load_and_Capacity\" title=\"Tendon Load and Capacity\">mise encharge et capacit\u00e9 des tendons<\/a> (load and capacity) est un concept selon lequel la capacit\u00e9 d&rsquo;un tendon ne peut jamais que d\u00e9passer la charge qui lui est impos\u00e9e. Lorsqu&rsquo;une charge excessive est impos\u00e9e \u00e0 un tendon, celui-ci peut devenir dysfonctionnel.<\/p>\n<p>** Plusieurs \u00e9tudes ont montr\u00e9 que les tendons ont une plus grande r\u00e9sistance \u00e0 la traction que les muscles, bien qu&rsquo;ils soient moins flexibles <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<p>En 2009, Cook et Purdam ont d\u00e9crit le mod\u00e8le du continuum tendineux, qui permet d&rsquo;\u00e9valuer la tendinopathie en fonction des modifications de la structure du tendon. <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/p>\n<ul>\n<li>Le mod\u00e8le du continuum comporte trois stades : la tendinopathie r\u00e9active, le tendon remani\u00e9 (montrant des anomalies de r\u00e9paration) et la tendinopathie d\u00e9g\u00e9n\u00e9rative. <\/li>\n<li>Un tendon peut se trouver \u00e0 plusieurs stades en m\u00eame temps et, en fonction de l&rsquo;intervention, le tendon peut \u00e9voluer vers le haut ou vers le bas du continuum.<sup id=\"cite_ref-:1_6-1\" class=\"reference\"><a href=\"#cite_note-:1-6\">(6)<\/a><\/sup><\/li>\n<\/ul>\n<p>Les tendons pathologiques sont souvent plus \u00e9pais que leurs homologues non affect\u00e9s. Cette augmentation du diam\u00e8tre en ant\u00e9ropost\u00e9rieur est peut-\u00eatre due au fait que le tendon essaie de maintenir sa capacit\u00e9 de mise encharge. <sup id=\"cite_ref-:2_9-0\" class=\"reference\"><a href=\"#cite_note-:2-9\">(9)<\/a><\/sup> Docking et Cook, 2016, ont men\u00e9 une \u00e9tude sur la rotule et les tendons d&rsquo;Achille. Ils ont constat\u00e9 que les tendons pathologiques, tout en pr\u00e9sentant des zones de d\u00e9sorganisation, avaient une quantit\u00e9 accrue de structure fibrillaire align\u00e9e (la partie \u00ab\u00a0saine\u00a0\u00bb d&rsquo;un tendon) par rapport aux tendons non pathologiques.<sup id=\"cite_ref-:2_9-1\" class=\"reference\"><a href=\"#cite_note-:2-9\">(9)<\/a><\/sup> Cela pourrait potentiellement montrer que les tendons pr\u00e9sentant une pathologie augmentent la quantit\u00e9 de tendon sain pour tenter de maintenir leur hom\u00e9ostasie et leur capacit\u00e9 de charge.<\/p>\n<blockquote><p>\u00ab\u00a0Traitez le beigne et non le trou\u00a0\u00bb <sup id=\"cite_ref-:1_6-2\" class=\"reference\"><a href=\"#cite_note-:1-6\">(6)<\/a><\/sup><\/p><\/blockquote>\n<p>\u00c9tant donn\u00e9 que les tendons pathologiques comportent encore des parties de tendons sains, le principe de r\u00e9adaptation des tendons \u00ab\u00a0traiter le beigne et non le trou\u00a0\u00bb a \u00e9t\u00e9 sugg\u00e9r\u00e9. Par ce principe, l&rsquo;objectif de la r\u00e9adaptation est donc d&rsquo;augmenter la capacit\u00e9 de mise en charge de la structure fibrillaire align\u00e9e, la partie saine ou \u00ab\u00a0beigne\u00a0\u00bb, plut\u00f4t que d&rsquo;essayer de r\u00e9g\u00e9n\u00e9rer le tissu d\u00e9sorganis\u00e9, le \u00ab\u00a0trou\u00a0\u00bb.<sup id=\"cite_ref-:1_6-3\" class=\"reference\"><a href=\"#cite_note-:1-6\">(6)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/NFJeC2FjNmU?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h3><span class=\"mw-headline\" id=\"Adaptations_at_the_Brain\">Adaptations au niveau du cerveau <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Adaptations at the Brain\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;action=edit&amp;section=4\" title=\"Edit section: Adaptations at the Brain\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Lors d&rsquo;une tendinopathie, les changements se produisent non seulement en p\u00e9riph\u00e9rie, mais aussi dans le syst\u00e8me nerveux central. Tous les mouvements du corps sont repr\u00e9sent\u00e9s dans le cortex moteur primaire du cerveau. Les mouvements sont un r\u00e9sultat de l&rsquo;\u00e9quilibre entre les stimuli excitateurs et inhibiteurs. Chez les personnes souffrant de tendinopathie de la rotule, Rio et al 2015, ont montr\u00e9 que l&rsquo;excitabilit\u00e9 corticospinale \u00e9tait \u00e9lev\u00e9e.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> Parall\u00e8lement, il a \u00e9t\u00e9 d\u00e9montr\u00e9 qu&rsquo;il existe aussi une inhibition corticale lors de tendinopathies.<sup id=\"cite_ref-:3_5-1\" class=\"reference\"><a href=\"#cite_note-:3-5\">(5)<\/a><\/sup> En termes simples, ce ph\u00e9nom\u00e8ne est comparable \u00e0 celui d&rsquo;un apprenti conducteur qui aurait le pied sur l&rsquo;acc\u00e9l\u00e9rateur et le frein et qui appuierait sur ceux-ci en m\u00eame temps. Le fait qu&rsquo;une unit\u00e9 motrice pr\u00e9sente \u00e0 la fois un exc\u00e8s d&rsquo;excitation et un exc\u00e8s d&rsquo;inhibition constitue une strat\u00e9gie de mouvement peu utile, qui peut alt\u00e9rer le contr\u00f4le moteur de l&rsquo;ensemble de la cha\u00eene cin\u00e9tique.<\/p>\n<p>Ces changements neuroplastiques dans le cadre d&rsquo;une tendinopathie sont un concept \u00e9mergent. Un nouveau mod\u00e8le de r\u00e9adaptation des tendons, appel\u00e9 entra\u00eenement neuroplastique des tendons, a \u00e9t\u00e9 propos\u00e9 comme outil de r\u00e9adaptation plus efficace. <sup id=\"cite_ref-:3_5-2\" class=\"reference\"><a href=\"#cite_note-:3-5\">(5)<\/a><\/sup> Ce mod\u00e8le se concentre sur le contr\u00f4le moteur plut\u00f4t que sur la force musculaire en tant que strat\u00e9gie de mise en charge pour traiter la tendinopathie.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/2iZ5x4QXNNI?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Pain_and_Tendinopathy\">Douleur et tendinopathie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Pain and Tendinopathy\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;action=edit&amp;section=5\" title=\"Edit section: Pain and Tendinopathy\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les douleurs tendineuses continuent d&rsquo;intriguer le corps m\u00e9dical. Des tendons pr\u00e9sentant des modifications pathologiques \u00e0 l&rsquo;imagerie peuvent ne pas \u00eatre douloureux. <sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Le ph\u00e9nom\u00e8ne d&rsquo;\u00e9chauffement, o\u00f9 les tendons deviennent moins douloureux pendant l&rsquo;activit\u00e9, ne correspond pas non plus \u00e0 une pr\u00e9sentation typique de la douleur. <sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> <\/p>\n<p>** On pense que la pathologie et la douleur du tendon r\u00e9sultent de l&rsquo;application r\u00e9p\u00e9titive de charges excessives d\u00e9passant la capacit\u00e9 de ce tendon. <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/p>\n<p>Les contributeurs potentiels \u00e0 la nociception dans les tendons pourraient \u00eatre : <sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>La modifications de la matrice extracellulaire, en particulier l&rsquo;augmentation de la production de prostaglandines<\/li>\n<li>L&rsquo;augmentation de la vascularisation<\/li>\n<li>La modification de la structure et de la fonction des t\u00e9nocytes<\/li>\n<li>Les changements biochimiques (cytokines, neuropeptides, neurotransmetteurs et m\u00e9tabolites)<\/li>\n<li>Les modifications des canaux ioniques \u00e0 l&rsquo;int\u00e9rieur des membranes cellulaires dans les t\u00e9nocytes<\/li>\n<\/ul>\n<p>Cependant, aucun de ces facteurs n&rsquo;explique enti\u00e8rement les processus de douleur et il est probable qu&rsquo;une combinaison de ces facteurs et d&rsquo;autres facteurs corticaux soit \u00e0 l&rsquo;origine de la douleur au niveau du tendon <sup id=\"cite_ref-:0_1-5\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>La douleur li\u00e9e \u00e0 la tendinopathie est multiforme et n\u00e9cessite une \u00e9valuation compl\u00e8te et un plan de traitement multimodale<\/p>\n<h2><span class=\"mw-headline\" id=\"Additional_Resources\">Ressources suppl\u00e9mentaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Additional Resources\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;action=edit&amp;section=6\" title=\"Edit section: Additional Resources\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.physiospot.com\/physiopedia\/an-interview-with-professor-jill-cook-on-tendinopathy\/\">An Interview With Professor Jill Cook on Tendinopathy<\/a><\/p>\n<p><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/soundcloud.com\/bmjpodcasts\/treat-the-donut-not-the-hole-what-utc-imaging-teaches-us-about-tendon-pathology-dr-sean-docking\">Treat the donut, not the hole: What UTC imaging teaches us about tendon pathology.<\/a> Dr Sean Docking<\/p>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Tendon_Neuroplasticty&amp;action=edit&amp;section=7\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-: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\">Rio E, Moseley L, Purdam C, Samiric T, Kidgell D, Pearce AJ, Jaberzadeh S, Cook J. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.bodyinmind.org\/wp-content\/uploads\/Rio2013.pdf\">The pain of tendinopathy: physiological or pathophysiological?<\/a>. Sports medicine. 2014 Jan 1;44(1):9-23.<\/span><\/li>\n<li id=\"cite_note-:4-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Loiacono C, Palermi S, Massa B, Belviso I, Romano V, Di Gregorio A, Sirico F, Sacco AM. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6723894\/\">Tendinopathy: pathophysiology, therapeutic options, and role of nutraceutics. A narrative literature review<\/a>. Medicina. 2019 Aug 7;55(8):447.<\/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\">Millar NL, Silbernagel KG, Thorborg K, Kirwan PD, Galatz LM, Abrams GD. Tendinopathy. Nat Rev Dis Primers. 2021;7(1):1. <\/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\">Silbernagel KG, Hanlon S, Sprague A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/meridian.allenpress.com\/jat\/article\/55\/5\/438\/436804\/Current-Clinical-Concepts-Conservative-Management\">Current clinical concepts: conservative management of Achilles tendinopathy<\/a>. 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Best practice &amp; research<\/a> Clinical rheumatology. 2019 Feb 1;33(1):122-40.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230622140704 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.050 seconds Real time usage: 0.052 seconds Preprocessor visited node count: 242\/1000000 Post\u2010expand include size: 101\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/100 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 9324\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 7.810 1 Special:Contributors\/Tendon_Neuroplasticty 100.00% 7.810 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Mandy Roscher Principaux contributeurs &#8211; Mandy Roscher, Kim Jackson, Tarina van der Stockt, Lucinda hampton, Jess Bell et Robin Tacchetti Contenu 1 Contexte 2 L&rsquo;adaptation des tendons 2.1 Adaptations au niveau du tendon 2.2 Adaptations au niveau du cerveau 3 Douleur et tendinopathie 4 Ressources suppl\u00e9mentaires 5 R\u00e9f\u00e9rences Le contexte(edit | edit [&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-6706","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6706","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=6706"}],"version-history":[{"count":2,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6706\/revisions"}],"predecessor-version":[{"id":6733,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6706\/revisions\/6733"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=6706"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}