{"id":6778,"date":"2023-06-28T19:55:05","date_gmt":"2023-06-28T19:55:05","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/shoulder-dysfunction-associated-with-stroke-fr\/"},"modified":"2023-06-29T13:46:39","modified_gmt":"2023-06-29T13:46:39","slug":"shoulder-dysfunction-associated-with-stroke-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/shoulder-dysfunction-associated-with-stroke-fr\/","title":{"rendered":"Dysfonctionnement de l&rsquo;\u00e9paule associ\u00e9 \u00e0 l&rsquo;accident vasculaire c\u00e9r\u00e9bral"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Robin_Tacchetti\" title=\"User:Robin Tacchetti\">Robin Tacchetti<\/a> \u00e0 partir du cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/srishti-banerjee\/\">Srishti Banerjee<\/a><br \/>\n<b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Robin_Tacchetti\" class=\"mw-userlink\" title=\"User:Robin Tacchetti\"><bdi>Robin Tacchetti<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a href=\"\/User:Stacy_Schiurring\" class=\"mw-userlink\" title=\"User:Stacy Schiurring\"><bdi>Stacy Schiurring<\/bdi><\/a> et <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#Shoulder_Mechanics_for_Glenohumeral_Stability\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">M\u00e9canique de l&rsquo;\u00e9paule dans la stabilit\u00e9 gl\u00e9no-hum\u00e9rale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Causative_Factors\"><span class=\"tocnumber\">1.2<\/span> <span class=\"toctext\">Facteurs de causalit\u00e9<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-4\"><a href=\"#Flaccidity\"><span class=\"tocnumber\">1.2.1<\/span> <span class=\"toctext\">La flaccidit\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Spasticity\"><span class=\"tocnumber\">1.2.2<\/span> <span class=\"toctext\">La spasticit\u00e9<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Assessment\"><span class=\"tocnumber\">1.3<\/span> <span class=\"toctext\">\u00c9valuation<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Fingerbreadth_Palpation_Method\"><span class=\"tocnumber\">1.3.1<\/span> <span class=\"toctext\">M\u00e9thode de palpation au doigt<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#Anthropometrical_Measurements\"><span class=\"tocnumber\">1.3.2<\/span> <span class=\"toctext\">Mesures anthropom\u00e9triques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Prevention_and_Treatment\"><span class=\"tocnumber\">1.4<\/span> <span class=\"toctext\">Pr\u00e9vention et traitement<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Positioning_and_Education\"><span class=\"tocnumber\">1.4.1<\/span> <span class=\"toctext\">Le positionnement et l&rsquo;\u00e9ducation<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-11\"><a href=\"#Slings\"><span class=\"tocnumber\">1.4.2<\/span> <span class=\"toctext\">Les \u00e9charpes<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Taping\"><span class=\"tocnumber\">1.4.3<\/span> <span class=\"toctext\">Le taping<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Neuromuscular_Electrical_Stimulation\"><span class=\"tocnumber\">1.5<\/span> <span class=\"toctext\">La stimulation \u00e9lectrique neuromusculaire<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Resources\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-15\"><a href=\"#References\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La douleur \u00e0 <a href=\"\/Shoulder\" title=\"\u00c9paule\">l&rsquo;\u00e9paule<\/a> est une complication fr\u00e9quente chez les patients h\u00e9mipl\u00e9giques, <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:2_2-0\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> et la <a href=\"\/Shoulder_Subluxation\" title=\"Shoulder Subluxation\">subluxation de<\/a> la t\u00eate hum\u00e9rale de l&rsquo;\u00e9paule est l&rsquo;une des causes potentielles de cette douleur. Au cours du processus de r\u00e9cup\u00e9ration apr\u00e8s un accident vasculaire c\u00e9r\u00e9bral, jusqu&rsquo;\u00e0 trois quarts des patients souffrent d&rsquo;une subluxation de l&rsquo;\u00e9paule. <sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> La <a href=\"\/Glenohumeral_Joint\" title=\"Glenohumeral Joint\">subluxation gl\u00e9no-hum\u00e9rale<\/a> post-AVC survient g\u00e9n\u00e9ralement 2 \u00e0 3 mois apr\u00e8s l&rsquo;AVC. <sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> La <a href=\"\/Hemiplegic_Shoulder_Subluxation\" title=\"Hemiplegic Shoulder Subluxation\">subluxation de l&rsquo;\u00e9paule h\u00e9mipl\u00e9gique<\/a> est plus fr\u00e9quente dans les cas d&rsquo;h\u00e9mipl\u00e9gie gauche. <sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>La subluxation gl\u00e9no-hum\u00e9rale peut compliquer la r\u00e9adaptation apr\u00e8s un accident vasculaire c\u00e9r\u00e9bral car la fonction de l&rsquo;\u00e9paule est n\u00e9cessaire pour r\u00e9ussir les transferts, effectuer les activit\u00e9s de vie quotidienne, faire fonctionner efficacement la main et maintenir l&rsquo;\u00e9quilibre. De plus, les patients victimes d&rsquo;un accident vasculaire c\u00e9r\u00e9bral aigu en r\u00e9adaptation et dont la fonction motrice des membres sup\u00e9rieurs est faible sont plus vuln\u00e9rables aux l\u00e9sions des tissus mous, aux tendinites et \u00e0 la douleur. Les sites les plus fr\u00e9quents de l\u00e9sions des tissus mous sont le <a href=\"\/Biceps_Brachii\" title=\"Biceps Brachii\">biceps<\/a> et le tendon <a href=\"\/Supraspinatus\" title=\"Supraspinatus\">sus-\u00e9pineux<\/a> du c\u00f4t\u00e9 affect\u00e9. <sup id=\"cite_ref-:5_5-0\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Shoulder_Mechanics_for_Glenohumeral_Stability\">M\u00e9canique de l&rsquo;\u00e9paule dans la stabilit\u00e9 gl\u00e9no-hum\u00e9rale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Shoulder Mechanics for Glenohumeral Stability\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=2\" title=\"Edit section: Shoulder Mechanics for Glenohumeral Stability\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Pour une lecture plus approfondie de l&rsquo;anatomie, des caract\u00e9ristiques cliniques et de la pr\u00e9sentation de la subluxation gl\u00e9no-hum\u00e9rale, veuillez consulter <a href=\"\/Shoulder_Subluxation\" title=\"Shoulder Subluxation\">cet article <\/a>(en anglais).<\/p>\n<p>La stabilit\u00e9 de l&rsquo;\u00e9paule d\u00e9pend des stabilisateurs statiques et dynamiques. Le labrum gl\u00e9no\u00efdien, le ligament gl\u00e9no-hum\u00e9ral et les ligaments coraco-hum\u00e9raux constituent les stabilisateurs statiques. Les stabilisateurs dynamiques permettent de maintenir la t\u00eate hum\u00e9rale dans la fosse gl\u00e9no\u00efde lors de l&rsquo;\u00e9l\u00e9vation du bras et sont constitu\u00e9s du <a href=\"\/Deltoid\" title=\"Deltoid\">delto\u00efde<\/a> et des muscles de la coiffe des rotateurs. <sup id=\"cite_ref-:5_5-1\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Causative_Factors\">Facteurs de causalit\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Causative Factors\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=3\" title=\"Edit section: Causative Factors\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>De nombreux facteurs sont \u00e0 l&rsquo;origine de la subluxation chez les h\u00e9mipl\u00e9giques, notamment<\/p>\n<ul>\n<li>La par\u00e9sie du <a href=\"\/Supraspinatus\" title=\"Supraspinatus\">supra-\u00e9pineux<\/a> et du <a href=\"\/Deltoid\" title=\"Deltoid\">delto\u00efde<\/a> post\u00e9rieur<\/li>\n<li>La flacidit\u00e9 des muscles, ligaments et capsules qui s&rsquo;\u00e9tirent de fa\u00e7on excessive<\/li>\n<li><a href=\"\/Spasticity\" title=\"Spasticit\u00e9\">La spasticit\u00e9<\/a> des muscles entra\u00eenant un d\u00e9s\u00e9quilibre musculaire<\/li>\n<li>Extr\u00eames d&rsquo;amplitude de mouvement passif par le th\u00e9rapeute ou le soignant <sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<li>Le mauvais positionnement<\/li>\n<li>Le manque de soutien en position verticale<\/li>\n<li>Le fait de tirer sur le bras h\u00e9mipl\u00e9gique lors du transfert de l&rsquo;individu <sup id=\"cite_ref-:3_6-0\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup><\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Flaccidity\">La flaccidit\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Flaccidity\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=4\" title=\"Edit section: Flaccidity\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>L&rsquo;amplitude de mouvement des membres sup\u00e9rieurs est limit\u00e9e suite \u00e0 un accident vasculaire c\u00e9r\u00e9bral et s&rsquo;aggrave progressivement apr\u00e8s le premier mois.<sup id=\"cite_ref-:1_4-2\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Au cours des trois premi\u00e8res semaines, les patients post-AVC pr\u00e9sentent une inclinaison lat\u00e9rale du tronc vers le c\u00f4t\u00e9 h\u00e9mipl\u00e9gique et les muscles de l&rsquo;\u00e9paule h\u00e9mipl\u00e9gique deviennent flasques.<sup id=\"cite_ref-:5_5-2\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup> <sup id=\"cite_ref-:3_6-1\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup> Ce faible tonus affecte les structures environnantes et entra\u00eene une modification de l&rsquo;alignement de l&rsquo;<a href=\"\/Scapula\" title=\"Scapula\">omoplate<\/a> et de l&rsquo;hum\u00e9rus.<sup id=\"cite_ref-:5_5-3\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup> Les stabilisateurs dynamiques (coiffe des rotateurs, en particulier le sus-\u00e9pineux) \u00e9tant hypotoniques, ils ne peuvent pas maintenir l&rsquo;int\u00e9grit\u00e9 de l&rsquo;articulation gl\u00e9no-hum\u00e9rale.<sup id=\"cite_ref-:3_6-2\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup> Les stabilisateurs statiques sont \u00e9tir\u00e9s en raison du poids du bras en position de d\u00e9pendance.<sup id=\"cite_ref-:5_5-4\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup> Sous l&rsquo;effet de l&rsquo;attraction gravitationnelle sur le bras et de l&rsquo;hypotonie musculaire \u00e0 l&rsquo;\u00e9paule, la t\u00eate hum\u00e9rale se d\u00e9place donc en inf\u00e9rieur et ant\u00e9rieur.<sup id=\"cite_ref-:5_5-5\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup><\/p>\n<h4><span class=\"mw-headline\" id=\"Spasticity\">La spasticit\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Spasticity\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=5\" title=\"Edit section: Spasticity\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Apr\u00e8s la phase de flaccidit\u00e9 qui suit l&rsquo;AVC, les patients h\u00e9mipl\u00e9giques entrent dans une phase de <a href=\"\/Spasticity\" title=\"Spasticit\u00e9\">spasticit\u00e9<\/a>. L&rsquo;\u00e9paule affect\u00e9e devient hypertonique, ce qui entra\u00eene une modification de l&rsquo;alignement de l&rsquo;omoplate. Les muscles qui peuvent devenir particulie\u00e8rement hypertoniques sont le muscle grand dorsal, le grand et le petit pectoral, l&rsquo;\u00e9l\u00e9vateur de l&rsquo;omoplate et les rhombo\u00efdes. <sup id=\"cite_ref-:3_6-3\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup> La s\u00e9v\u00e9rit\u00e9 de la subluxation et de la douleur \u00e0 l&rsquo;\u00e9paule s&rsquo;aggrave lorsque la spasticit\u00e9 se d\u00e9veloppe. <sup id=\"cite_ref-:5_5-6\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Assessment\">\u00c9valuation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Assessment\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=6\" title=\"Edit section: Assessment\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La palpation et les mesures anthropom\u00e9triques sont deux moyens courants de mesurer cliniquement la subluxation gl\u00e9no-hum\u00e9rale.<\/p>\n<h4><span class=\"mw-headline\" id=\"Fingerbreadth_Palpation_Method\">M\u00e9thode de palpation au doigt <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Fingerbreadth Palpation Method\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=7\" title=\"Edit section: Fingerbreadth Palpation Method\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Pour d\u00e9terminer s&rsquo;il y a effectivement subluxation de l&rsquo;\u00e9paule, les cliniciens peuvent utiliser des techniques de palpation. Deux rep\u00e8res osseux sont palp\u00e9s : l&rsquo;acromion et la t\u00eate de l&rsquo;<a href=\"\/Humerus\" title=\"Humerus\">hum\u00e9rus<\/a>, ce qui permet de d\u00e9terminer combien de largeurs de doigt peuvent tenir dans l&rsquo;espace entre les deux. Le nombre de doigts est corr\u00e9l\u00e9 \u00e0 un syst\u00e8me de classification de la subluxation<sup id=\"cite_ref-:3_6-4\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6) <\/a><\/sup>:<\/p>\n<p>Ainsi, une \u00e9chelle de 0 \u00e0 5 peut \u00eatre utilis\u00e9e : <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<ul>\n<li>0 = pas de subluxation, pas d&rsquo;\u00e9cart<\/li>\n<\/ul>\n<ul>\n<li>1 = \u00bd largeur de doigt d&rsquo;\u00e9cart<\/li>\n<\/ul>\n<ul>\n<li>2 = 1 largeur de doigt d&rsquo;\u00e9cart<\/li>\n<\/ul>\n<ul>\n<li>3 = 1\u00bd largeur de doigt d&rsquo;\u00e9cart<\/li>\n<\/ul>\n<ul>\n<li>4 = 2 largeurs de doigt d&rsquo;\u00e9cart<\/li>\n<\/ul>\n<ul>\n<li>5 = 2\u00bd largeur de doigt d&rsquo;\u00e9cart<\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Anthropometrical_Measurements\">Mesures anthropom\u00e9triques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Anthropometrical Measurements\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=8\" title=\"Edit section: Anthropometrical Measurements\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les mesures anthropom\u00e9triques utilisent un ruban \u00e0 mesurer ou un compas pour d\u00e9terminer la distance entre l&rsquo;acromion et un rep\u00e8re osseux distal. Les cliniciens utilisent g\u00e9n\u00e9ralement l&rsquo;\u00e9picondyle lat\u00e9ral de l&rsquo;hum\u00e9rus ou la t\u00eate de l&rsquo;hum\u00e9rus comme point distal. Le c\u00f4t\u00e9 affect\u00e9 est ensuite compar\u00e9 au c\u00f4t\u00e9 non affect\u00e9.<sup id=\"cite_ref-:3_6-5\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Prevention_and_Treatment\">Pr\u00e9vention et traitement <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Prevention and Treatment\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=9\" title=\"Edit section: Prevention and Treatment\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span class=\"mw-headline\" id=\"Positioning_and_Education\">Le positionnement et l&rsquo;\u00e9ducation <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Positioning and Education\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=10\" title=\"Edit section: Positioning and Education\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Il est essentiel de manipuler et de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Stroke:_Positioning\">positionner<\/a> correctement le membre sup\u00e9rieur affect\u00e9. Une formation et de l&rsquo;\u00e9ducation doivent \u00eatre dispens\u00e9es au personnel clinique, \u00e0 la famille ou aux soignants et au patient. <sup id=\"cite_ref-:5_5-7\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup> Conseils pour la manipulation d&rsquo;un bras h\u00e9mipl\u00e9gique afin de pr\u00e9venir la subluxation :<\/p>\n<ol>\n<li>Lorsque le patient est couch\u00e9 sur le c\u00f4t\u00e9 h\u00e9mipl\u00e9gique, il est important de faire glisser son omoplate (scapula) un peu vers l&rsquo;avant.<\/li>\n<li>Garder une rotation externe de l&rsquo;\u00e9paule lors de l&rsquo;abduction de l&rsquo;\u00e9paule <sup id=\"cite_ref-:6_8-0\" class=\"reference\"><a href=\"#cite_note-:6-8\">(8)<\/a><\/sup><\/li>\n<\/ol>\n<p>L&rsquo;utilisation de planches d&rsquo;appui, d&rsquo;oreillers et de supports s&rsquo;est av\u00e9r\u00e9e utile pour les patients allong\u00e9s dans un lit ou assis sur une chaise ou un fauteuil roulant. Il a \u00e9t\u00e9 constat\u00e9 que l&rsquo;utilisation de ces types de supports diminuait le d\u00e9placement inf\u00e9rieur de l&rsquo;<a href=\"\/Humerus\" title=\"Humerus\">hum\u00e9rus<\/a>, r\u00e9duisant ainsi la subluxation <a href=\"\/Glenohumeral_Joint\" title=\"Glenohumeral Joint\">gl\u00e9no-hum\u00e9rale<\/a>. <sup id=\"cite_ref-:3_6-6\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup> Voici quelques conseils pour le positionnement \u00e0 l&rsquo;aide d&rsquo;oreillers :<\/p>\n<ol>\n<li>Si le patient est en d\u00e9cubitus dorsal : un oreiller doit \u00eatre plac\u00e9 sous la t\u00eate du patient, en maintenant la t\u00eate et le cou dans une position neutre, un autre soutenant le bras le plus faible et la hanche.<\/li>\n<li>Si le patient est couch\u00e9 sur le c\u00f4t\u00e9 h\u00e9mipl\u00e9gique : placer un ou deux oreillers sous le cou du patient pour \u00e9viter toute flexion lat\u00e9rale ou rotation du cou. Cela permet de maintenir la t\u00eate et le cou dans une position neutre. Un oreiller doit \u00eatre plac\u00e9 sous l&rsquo;\u00e9paule.<\/li>\n<li>Si le patient est couch\u00e9 sur le c\u00f4t\u00e9 le plus fort : placer un oreiller sous le cou et la t\u00eate du patient pour les maintenir dans une position neutre, le bras le plus faible \u00e9tant soutenu par un oreiller.<\/li>\n<li>Si le patient est assis : encourager le patient \u00e0 s&rsquo;asseoir au milieu de la chaise ou du fauteuil roulant, les bras appuy\u00e9s sur un oreiller et l&rsquo;avant-bras sur l&rsquo;oreiller ou sur les genoux.<sup id=\"cite_ref-:6_8-1\" class=\"reference\"><a href=\"#cite_note-:6-8\">(8)<\/a><\/sup><\/li>\n<\/ol>\n<h4><span class=\"mw-headline\" id=\"Slings\">Les \u00e9charpes<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Slings\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=11\" title=\"Edit section: Slings\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les \u00e9charpes \u00e0 l&rsquo;\u00e9paule ont plusieurs objectifs : soutenir l&rsquo;avant-bras en position de flexion du coude, retrouver la sym\u00e9trie de l&rsquo;omoplate, am\u00e9liorer l&rsquo;alignement anatomique et soutenir l&rsquo;\u00e9paule \u00e0 l&rsquo;aide d&rsquo;une manchette. Les soignants ont tendance \u00e0 pr\u00e9f\u00e9rer les \u00e9charpes car ils sont plus faciles \u00e0 utiliser que d&rsquo;autres techniques telles que le taping. <sup id=\"cite_ref-:3_6-7\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup> D&rsquo;un point de vue clinique, les \u00e9charpes peuvent \u00eatre utiles pour \u00e9viter la subluxation pendant les transferts. <sup id=\"cite_ref-:5_5-8\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup> Les \u00e9charpes ont tendance \u00e0 \u00eatre controvers\u00e9es parce qu&rsquo;elles se pr\u00eatent \u00e0 l&rsquo;augmentation des sch\u00e9mas synergiques et du tonus en flexion. Les besoins de chaque patient d\u00e9termineront si une \u00e9charpe serait b\u00e9n\u00e9fique.<sup id=\"cite_ref-:3_6-8\" class=\"reference\"><a href=\"#cite_note-:3-6\">(6)<\/a><\/sup><\/p>\n<p>**Des donn\u00e9es r\u00e9centes montrent que les \u00e9charpes avec attaches proximales et distales sont plus efficaces pour pr\u00e9venir la subluxation.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/p>\n<h4><span class=\"mw-headline\" id=\"Taping\">Le taping<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Taping\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=12\" title=\"Edit section: Taping\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le <a href=\"\/Taping\" title=\"Le taping\">taping<\/a> est une autre option pour pr\u00e9venir et\/ou traiter la subluxation de l&rsquo;articulation <a href=\"\/Glenohumeral_Joint\" title=\"Glenohumeral Joint\">gl\u00e9no-hum\u00e9rale<\/a>. Les avantages du taping sont les suivants<\/p>\n<ul>\n<li>Meilleure gestion de la <a href=\"\/Spasticity\" title=\"Spasticit\u00e9\">spasticit\u00e9<\/a><\/li>\n<li>Stabilise les articulations<\/li>\n<li>Facilite la fonction musculaire<\/li>\n<li>Diminue la douleur et l&rsquo;<a href=\"\/Inflammation_Acute_and_Chronic\" title=\"Inflammation Acute and Chronic\">inflammation<\/a><\/li>\n<\/ul>\n<p>Bien qu&rsquo;il y ait peu d&rsquo;\u00e9vidences scientifiques sur le taping pour la subluxation de l&rsquo;\u00e9paule, une \u00e9tude r\u00e9alis\u00e9e en 2020 par Deng et al. <sup id=\"cite_ref-:4_10-0\" class=\"reference\"><a href=\"#cite_note-:4-10\">(10)<\/a><\/sup> a d\u00e9montr\u00e9 que le kinesio taping \u00e9tait b\u00e9n\u00e9fique pour r\u00e9duire la subluxation de l&rsquo;\u00e9paule et am\u00e9liorer la fonction motrice du membre sup\u00e9rieur. Ils ont conclu que les avantages du taping pouvaient \u00eatre dus \u00e0 la stimulation sensorielle, \u00e0 la limitation des mouvements et \u00e0 la facilitation de l&rsquo;activation musculaire.<sup id=\"cite_ref-:4_10-1\" class=\"reference\"><a href=\"#cite_note-:4-10\">(10)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Neuromuscular_Electrical_Stimulation\">La stimulation \u00e9lectrique neuromusculaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Neuromuscular Electrical Stimulation\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=13\" title=\"Edit section: Neuromuscular Electrical Stimulation\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La stimulation \u00e9lectrique neuromusculaire est un outil qui s&rsquo;est av\u00e9r\u00e9 efficace pour traiter et pr\u00e9venir la subluxation gl\u00e9no-hum\u00e9rale. Plus la stimulation \u00e9lectrique neuromusculaire est appliqu\u00e9e t\u00f4t apr\u00e8s l&rsquo;AVC, meilleurs sont les r\u00e9sultats. La stimulation \u00e9lectrique fonctionnelle ou la stimulation intra-musculaire peuvent \u00eatre appliqu\u00e9es en se concentrant sur le <a href=\"\/Supraspinatus\" title=\"Supraspinatus\">sus-\u00e9pineux<\/a>, le <a href=\"\/Deltoid\" title=\"Deltoid\">delto\u00efde post\u00e9rieur<\/a> et le <a href=\"\/Biceps_Brachii\" title=\"Biceps Brachii\">long chef du biceps<\/a>. On pense que la stimulation \u00e9lectrique neuromusculaire dans cette population de patients pr\u00e9vient la fonte musculaire et favorise la r\u00e9cup\u00e9ration motrice.<sup id=\"cite_ref-:5_5-9\" class=\"reference\"><a href=\"#cite_note-:5-5\">(5)<\/a><\/sup><\/p>\n<p>Voir la vid\u00e9o de Saebo UK pour une d\u00e9monstration de l&rsquo;utilisation de la stimulation \u00e9lectrique neuromusculaire apr\u00e8s un AVC :<\/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\/ID7Q9kVvEmI?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Resources\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=14\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a href=\"\/Shoulder_Subluxation\" title=\"Shoulder Subluxation\">Shoulder Subluxation<\/a><\/li>\n<li><a href=\"\/Stroke:_Positioning\" title=\"Stroke: Positioning\">Stroke: Positioning<\/a><\/li>\n<\/ul>\n<ul>\n<li><a href=\"\/Stroke\" title=\"Accident vasculaire c\u00e9r\u00e9bral\">Accident vasculaire c\u00e9r\u00e9bral<\/a><\/li>\n<li><a href=\"\/Shoulder_Dislocation\" title=\"Shoulder Dislocation\">Shoulder dislocation<\/a><\/li>\n<li><a href=\"\/Shoulder\" title=\"\u00c9paule\">\u00c9paule<\/a><\/li>\n<li>Pour plus d&rsquo;informations sur les gabarits thermoplastiques et les \u00e9lingues d&rsquo;\u00e9paule, veuillez consulter : Paci M, Nannetti L, Rinaldi LA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.rehab.research.va.gov\/jour\/05\/42\/4\/pdf\/Paci.pdf\">Glenohumeral subluxation in hemiplegia: An overview<\/a>. J Rehabil Res Dev. 2005 Jul-Aug;42(4):557-68.<\/li>\n<li>Pour plus d&rsquo;informations sur les \u00e9charpes, veuillez consulter : Stolzenberg D, Siu G, Cruz E. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1310\/tsr1905-444\">Current and future interventions for glenohumeral subluxation in hemiplegia secondary to stroke<\/a>. Top Stroke Rehabil. 2012 Sep-Oct;19(5):444-56. Veuillez noter que seul le r\u00e9sum\u00e9 est disponible gratuitement, en anglais.<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Shoulder_Dysfunction_Associated_with_Stroke&amp;action=edit&amp;section=15\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\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\">Deng P, Zhao Z, Zhang S, Xiao T, Li Y. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/0269215520964950?casa_token=nV0OP4WgZI8AAAAA%3A7WnxN_iuvvSp2WzLGRqEojOSaO7wyKXMQVWf6FvHpfcfX7kJO4fd8zsWfN7S8h2hl_KDgw2yLgYj\">Effect of kinesio taping on hemiplegic shoulder pain: A systematic review and meta-analysis of randomized controlled trials.<\/a> Clinical Rehabilitation. 2021 Mar;35(3):317-31.<\/span><\/li>\n<li id=\"cite_note-:2-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:2_2-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Kumar P, Fernando C, Mendoza D, Shah R. R<a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/10833196.2021.2019369?scroll=top&amp;needAccess=true\">isk and associated factors for hemiplegic shoulder pain in people with stroke: A systematic literature review. Physical Therapy Reviews<\/a>. 2022 Aug 15;27(3):191-204.<\/span><\/li>\n<li id=\"cite_note-:0-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Arya KN, Pandian S, Bhatnagar N, Sharma A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.neurologyindia.com\/article.asp?issn=0028-3886;year=2021;volume=69;issue=5;spage=1309;epage=1317;aulast=Arya\">Rehabilitation of the Shoulder Subluxation Based on Ultrasonographic Findings among Post Stroke Subjects: A Case Series<\/a>. Neurology India. 2021 Sep 1;69(5):1309.<\/span><\/li>\n<li id=\"cite_note-:1-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-1\">4.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-2\">4.2<\/a><\/sup><\/span> <span class=\"reference-text\">Anwer S, Alghadir A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7400080\/\">Incidence, prevalence, and risk factors of hemiplegic shoulder pain: a systematic review.<\/a> International journal of environmental research and public health. 2020 Jul;17(14):4962.<\/span><\/li>\n<li id=\"cite_note-:5-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-2\">5.2<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-3\">5.3<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-4\">5.4<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-5\">5.5<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-6\">5.6<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-7\">5.7<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-8\">5.8<\/a><\/sup> <sup><a href=\"#cite_ref-:5_5-9\">5.9<\/a><\/sup><\/span> <span class=\"reference-text\">Razaq S, Azam Rathore F. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/ecommons.aku.edu\/cgi\/viewcontent.cgi?article=1153&amp;context=pjns\">An overview of pathophysiology, assessment and management strategies of post stroke shoulder subluxation.<\/a> Pakistan Journal of Neurological Sciences (PJNS). 2016;11(3):42-8.<\/span><\/li>\n<li id=\"cite_note-:3-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-1\">6.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-2\">6.2<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-3\">6.3<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-4\">6.4<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-5\">6.5<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-6\">6.6<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-7\">6.7<\/a><\/sup> <sup><a href=\"#cite_ref-:3_6-8\">6.8<\/a><\/sup><\/span> <span class=\"reference-text\">Paci M, Nannetti L, Rinaldi LA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.rehab.research.va.gov\/jour\/05\/42\/4\/pdf\/paci.pdf\">Glenohumeral subluxation in hemiplegia: An overview<\/a>. Journal of rehabilitation research &amp; development. 2005 Jul 1;42(4).<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Kumar P, Mardon M, Bradley M, Gray S, Swinkels A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/94\/11\/1622\/2735442?login=false\">Assessment of glenohumeral subluxation in poststroke hemiplegia: comparison between ultrasound and fingerbreadth palpation methods<\/a>. Phys Ther. 2014 Nov;94(11):1622-31.<\/span><\/li>\n<li id=\"cite_note-:6-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_8-1\">8.1<\/a><\/sup><\/span> <span class=\"reference-text\">Banerjee, S. Shoulder Dysfunction Associated with Neurological Disorders. Plus. 2022<\/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\">Kim, M.G., Lee, S.A., Park, E.J., Choi, M.K., Kim, J.M., Sohn, M.K., Jee, S.J., Kim, Y.W., Son, J.E., Lee, S.J. and Hwang, K.S., 2022. E<a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9408021\/#B17-ijerph-19-09975\">lastic Dynamic Sling on Subluxation of Hemiplegic Shoulder in Patients with Subacute Stroke: A Multicenter Randomized Controlled Trial<\/a>. <i>International Journal of Environmental Research and Public Health<\/i>, <i>19<\/i>(16), p.9975.<\/span><\/li>\n<li id=\"cite_note-:4-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_10-0\">10.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_10-1\">10.1<\/a><\/sup><\/span> <span class=\"reference-text\">Deng P, Zhao Z, Zhang S, Xiao T, Li Y. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0269215520964950?journalCode=crea\">Effect of kinesio taping on hemiplegic shoulder pain: A systematic review and meta-analysis of randomized controlled trials<\/a>. Clin Rehabil. 2021 Mar;35(3):317-331. <\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230614204334 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.072 seconds Real time usage: 0.081 seconds Preprocessor visited node count: 323\/1000000 Post\u2010expand include size: 96\/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: 9485\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 8.949 1 Special:Contributors\/Shoulder_Dysfunction_Associated_with_Stroke 100.00% 8.949 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Robin Tacchetti \u00e0 partir du cours de Srishti Banerjee Principaux contributeurs &#8211; Robin Tacchetti, Jess Bell, Stacy Schiurring et Kim Jackson Contenu 1 Introduction 1.1 M\u00e9canique de l&rsquo;\u00e9paule dans la stabilit\u00e9 gl\u00e9no-hum\u00e9rale 1.2 Facteurs de causalit\u00e9 1.2.1 La flaccidit\u00e9 1.2.2 La spasticit\u00e9 1.3 \u00c9valuation 1.3.1 M\u00e9thode de palpation au doigt 1.3.2 Mesures [&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-6778","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6778","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=6778"}],"version-history":[{"count":2,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6778\/revisions"}],"predecessor-version":[{"id":6781,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6778\/revisions\/6781"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=6778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}