{"id":6806,"date":"2023-06-30T16:55:16","date_gmt":"2023-06-30T16:55:16","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/lower-limb-tendinopathy-assessment-fr\/"},"modified":"2023-06-30T16:57:37","modified_gmt":"2023-06-30T16:57:37","slug":"lower-limb-tendinopathy-assessment-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/lower-limb-tendinopathy-assessment-fr\/","title":{"rendered":"\u00c9valuation des tendinopathies au membre inf\u00e9rieur"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9ditrice originale <\/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:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/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> 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=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Key_Questions_to_Ask_in_the_Interview_\/_Subjective_Assessment\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Questions cl\u00e9s \u00e0 poser lors de l&rsquo;entretien \/ \u00e9valuation subjective<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Pain_Behaviour\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Comportement face \u00e0 la douleur<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-4\"><a href=\"#Where_is_your_pain?\"><span class=\"tocnumber\">2.1.1<\/span> <span class=\"toctext\">O\u00f9 se trouve votre douleur ?<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#What_aggravates_your_pain?_\/_What_makes_your_pain_worse?\"><span class=\"tocnumber\">2.1.2<\/span> <span class=\"toctext\">Qu&rsquo;est-ce qui aggrave votre douleur ? \/ Qu&rsquo;est-ce qui rempire votre douleur ?<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#24_Hour_Pattern\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Comportement de la douleur sur 24 heures<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Do_you_have_night_pain?\"><span class=\"tocnumber\">2.2.1<\/span> <span class=\"toctext\">Avez-vous des douleurs la nuit ?<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#Do_you_have_any_stiffness_in_the_morning?\"><span class=\"tocnumber\">2.2.2<\/span> <span class=\"toctext\">Avez-vous des raideurs le matin ?<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#24-Hour_Response\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\">R\u00e9ponse \u00e0 l&rsquo;activit\u00e9 dans les 24 heures<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Does_your_pain_subside_or_increase_during_an_activity?\"><span class=\"tocnumber\">2.3.1<\/span> <span class=\"toctext\">Votre douleur diminue-t-elle ou augmente-t-elle au cours d&rsquo;une activit\u00e9 ?<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-11\"><a href=\"#How_do_you_feel_the_day_after?\"><span class=\"tocnumber\">2.3.2<\/span> <span class=\"toctext\">Comment vous sentez-vous le lendemain ?<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Present_History\"><span class=\"tocnumber\">2.4<\/span> <span class=\"toctext\">Histoire actuelle<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-13\"><a href=\"#What_have_you_changed?_\/_What_load_have_you_added?\"><span class=\"tocnumber\">2.4.1<\/span> <span class=\"toctext\">Qu&rsquo;avez-vous chang\u00e9 ? \/ Quelle mise en charge avez-vous ajout\u00e9e ?<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Past_History\"><span class=\"tocnumber\">2.5<\/span> <span class=\"toctext\">Anamn\u00e8se<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Red_Flags_and_Risk_Factors\"><span class=\"tocnumber\">2.6<\/span> <span class=\"toctext\">Drapeaux rouges et facteurs de risque<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-16\"><a href=\"#Goals_and_Expectations\"><span class=\"tocnumber\">2.7<\/span> <span class=\"toctext\">Objectifs et attentes<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-17\"><a href=\"#Patient-Reported_Outcomes\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">R\u00e9sultats rapport\u00e9s par les patients<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-18\"><a href=\"#Physical_Examination_\/_Objective_Examination\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Examen physique \/ \u00c9valuation objective<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-19\"><a href=\"#Pain-provocation_testing\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Tests de provocation de la douleur<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-20\"><a href=\"#Muscle_Strength,_Joint_Range_and_Functional_Assessment\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Force musculaire, amplitude articulaire et \u00e9valuation fonctionnelle<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-21\"><a href=\"#Palpation\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Palpation<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-22\"><a href=\"#Imaging\"><span class=\"tocnumber\">4.4<\/span> <span class=\"toctext\">Imagerie m\u00e9dicale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-23\"><a href=\"#Key_findings_in_Specific_Tendinopathies\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Principales constatations concernant les tendinopathies sp\u00e9cifiques<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-24\"><a href=\"#Patella(6)\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Tendinopathie patellaire <sup>(6)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-25\"><a href=\"#Midportion_Achilles_(12)(13)\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Tendinopathie d&rsquo;Achille (partie moyenne du tendon) <sup>(12) <\/sup><sup>(13<\/sup>)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-26\"><a href=\"#Gluteal_Tendinopathy(7)\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">Tendinopathie des fessiers <sup>(7)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-27\"><a href=\"#Proximal_Hamstring_Tendinopathy(8)(14)\"><span class=\"tocnumber\">5.4<\/span> <span class=\"toctext\">Tendinopathie des ischio-jambiers (en proximal) <sup>(8) <\/sup><sup>(14)<\/sup><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-28\"><a href=\"#References\"><span class=\"tocnumber\">6<\/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=Lower_Limb_Tendinopathy_Assessment&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=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La tendinopathie est un terme diagnostique qui d\u00e9crit une vari\u00e9t\u00e9 de conditions tissulaires au sein d&rsquo;un tendon bless\u00e9, qui est aggrav\u00e9e relativement \u00e0 l&rsquo;augmentation de la mise en charge m\u00e9canique. <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> La tendinopathie des membres inf\u00e9rieurs est typiquement caus\u00e9e par une cin\u00e9matique anormale et une surutilisation du tendon. <sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> Une tendinopathie est caract\u00e9ris\u00e9e par une diminution de la transmission de la force du muscle \u00e0 l&rsquo;os, \u00e0 cause d&rsquo;une douleur. <sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><\/p>\n<p>Sur le plan clinique, les cas de tendinopathie varient d&rsquo;un individu \u00e0 l&rsquo;autre, avec des pr\u00e9sentations diff\u00e9rentes en termes de faiblesse, de capacit\u00e9 fonctionnelle, d&rsquo;oed\u00e8me et de douleur. <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> Une \u00e9valuation approfondie est n\u00e9cessaire non seulement pour diagnostiquer la tendinopathie au membre inf\u00e9rieur, mais aussi pour identifier les facteurs contributifs et aggravants qui ont entra\u00een\u00e9 la tendinopathie. Le raisonnement clinique autour des diff\u00e9rents <a href=\"\/Differential_Diagnosis_of_Tendinopathy\" title=\"Diagnostic diff\u00e9rentiel de la tendinopathie\">diagnostics diff\u00e9rentiels<\/a> est \u00e9galement important afin de s&rsquo;assurer que le diagnostic est ad\u00e9quat.<\/p>\n<p>La pathologie peut se produire dans n&rsquo;importe quel tendon, mais dans les membres inf\u00e9rieurs, elle se produit g\u00e9n\u00e9ralement dans les tendons d&rsquo;Achille, rotuliens, des ischio-jambiers et des fessiers. Les tendinopathies des membres inf\u00e9rieurs touchent aussi bien les sportifs que les s\u00e9dentaires. <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<h2><span id=\"Key_Questions_to_Ask_in_the_Interview_.2F_Subjective_Assessment\"><\/span><span class=\"mw-headline\" id=\"Key_Questions_to_Ask_in_the_Interview_\/_Subjective_Assessment\">Questions cl\u00e9s \u00e0 poser lors de l&rsquo;entretien \/ \u00e9valuation subjective <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Key Questions to Ask in the Interview \/ Subjective Assessment\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=2\" title=\"Edit section: Key Questions to Ask in the Interview \/ Subjective Assessment\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"Pain_Behaviour\">Comportement face \u00e0 la douleur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Pain Behaviour\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=3\" title=\"Edit section: Pain Behaviour\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Where_is_your_pain.3F\"><\/span><span class=\"mw-headline\" id=\"Where_is_your_pain?\">O\u00f9 se trouve votre douleur ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Where is your pain?\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=4\" title=\"Edit section: Where is your pain?\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>L&rsquo;une des principales caract\u00e9ristiques de la tendinopathie est la douleur localis\u00e9e qui augmente avec la mise en charge en fonction de la dose. <sup id=\"cite_ref-:0_6-0\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6) <\/a><\/sup><sup id=\"cite_ref-:1_7-0\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7) <\/a><\/sup><sup id=\"cite_ref-:2_8-0\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup> Une personne atteinte de tendinopathie ressent g\u00e9n\u00e9ralement une douleur extr\u00eamement localis\u00e9e, qui s&rsquo;intensifie mais ne s&rsquo;\u00e9tend pas lorsqu&rsquo;une mise en charge est effectu\u00e9e. (La tendinopathie des fessiers, aussi appel\u00e9e tendynopathie de la hanche, est une exception o\u00f9 il peut y avoir une douleur r\u00e9f\u00e9r\u00e9e au membre inf\u00e9rieur) <sup id=\"cite_ref-:2_8-1\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/p>\n<h4><span id=\"What_aggravates_your_pain.3F_.2F_What_makes_your_pain_worse.3F\"><\/span><span class=\"mw-headline\" id=\"What_aggravates_your_pain?_\/_What_makes_your_pain_worse?\">Qu&rsquo;est-ce qui aggrave ou rempire votre douleur ?<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: What aggravates your pain? \/ What makes your pain worse?\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=5\" title=\"Edit section: What aggravates your pain? \/ What makes your pain worse?\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Une mise en charge de traction \u00e9lev\u00e9e, une mise en charge de compression ou une combinaison des deux aggravent normalement la douleur de tendinopathie. La douleur augmente normalement au fur et \u00e0 mesure que cette mise en charge augmente (mais reste tr\u00e8s localis\u00e9e \u00e0 la zone douloureuse).<\/p>\n<h3><span class=\"mw-headline\" id=\"24_Hour_Pattern\">Comportement de la douleur sur 24 heures <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: 24 Hour Pattern\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=6\" title=\"Edit section: 24 Hour Pattern\">\u00e9diter source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Do_you_have_night_pain.3F\"><\/span><span class=\"mw-headline\" id=\"Do_you_have_night_pain?\">Avez-vous des douleurs la nuit ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Do you have night pain?\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=7\" title=\"Edit section: Do you have night pain?\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les douleurs du tendon ne sont g\u00e9n\u00e9ralement pas ressenties la nuit. L&rsquo;exception est la tendinopathie des fessiers, o\u00f9 la douleur nocturne peut survenir en raison d&rsquo;une mise en charge de compression lorsque couch\u00e9 dessus ou lorsque la jambe pend en adduction alors qu&rsquo;elle se trouve sur le dessus.<sup id=\"cite_ref-:2_8-2\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/p>\n<h4><span id=\"Do_you_have_any_stiffness_in_the_morning.3F\"><\/span><span class=\"mw-headline\" id=\"Do_you_have_any_stiffness_in_the_morning?\">Avez-vous des raideurs le matin ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Do you have any stiffness in the morning?\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=8\" title=\"Edit section: Do you have any stiffness in the morning?\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les tendinopathies se manifestent souvent par une douleur et une raideur matinales, qui s&rsquo;att\u00e9nuent normalement assez rapidement avec le mouvement. Les patients souffrant de diverses affections arthritiques ont \u00e9galement tendance \u00e0 ressentir des douleurs matinales, mais celles-ci mettent normalement plus de 30 minutes \u00e0 s&rsquo;att\u00e9nuer, ou ne s&rsquo;att\u00e9nuent pas. <sup id=\"cite_ref-:3_9-0\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup> Il peut \u00eatre utile d&rsquo;enqu\u00eater sur toute affection m\u00e9tabolique, syst\u00e9mique ou inflammatoire afin d&rsquo;exclure d&rsquo;autres diagnostics. <sup id=\"cite_ref-:3_9-1\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"24-Hour_Response\">R\u00e9ponse \u00e0 l&rsquo;activit\u00e9 dans les 24 heures <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: 24-Hour Response\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=9\" title=\"Edit section: 24-Hour Response\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Does_your_pain_subside_or_increase_during_an_activity.3F\"><\/span><span class=\"mw-headline\" id=\"Does_your_pain_subside_or_increase_during_an_activity?\">Votre douleur diminue-t-elle ou augmente-t-elle au cours d&rsquo;une activit\u00e9 ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Does your pain subside or increase during an activity?\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=10\" title=\"Edit section: Does your pain subside or increase during an activity?\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les tendons pr\u00e9sentent g\u00e9n\u00e9ralement un ph\u00e9nom\u00e8ne d&rsquo;\u00e9chauffement. Une douleur qui dispara\u00eet au cours d&rsquo;une activit\u00e9 est g\u00e9n\u00e9ralement un bon indicateur de tendinopathie. <sup id=\"cite_ref-:0_6-1\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6) <\/a><\/sup><sup id=\"cite_ref-:2_8-3\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup> Si la douleur augmente pendant l&rsquo;activit\u00e9, il convient d&rsquo;envisager d&rsquo;autres diagnostics diff\u00e9rentiels concernant les structures entourant le tendon, telles que la gaine et le p\u00e9ritendon.<\/p>\n<h4><span id=\"How_do_you_feel_the_day_after.3F\"><\/span><span class=\"mw-headline\" id=\"How_do_you_feel_the_day_after?\">Comment vous sentez-vous le lendemain ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: How do you feel the day after?\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=11\" title=\"Edit section: How do you feel the day after?\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les tendons sont g\u00e9n\u00e9ralement douloureux le lendemain des activit\u00e9s de stockage d&rsquo;\u00e9nergie. <sup id=\"cite_ref-:0_6-2\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup> L&rsquo;irritabilit\u00e9 d&rsquo;un tendon douloureux est normalement d\u00e9termin\u00e9e par sa r\u00e9ponse \u00e0 l&rsquo;activit\u00e9 dans les 24 heures <sup id=\"cite_ref-:2_8-4\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup> Si la douleur est aggrav\u00e9e 24 heures apr\u00e8s une activit\u00e9, la condition est class\u00e9e comme irritable. Si la douleur est la m\u00eame ou se r\u00e9sorbe dans les 24 heures, elle est class\u00e9e comme stable. <sup id=\"cite_ref-:0_6-3\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup> <sup id=\"cite_ref-:2_8-5\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup> Il s&rsquo;agit d&rsquo;un facteur important \u00e0 prendre en compte pour d\u00e9terminer le stade de la tendinopathie et le point de d\u00e9part de la r\u00e9adaptation.<\/p>\n<h3><span class=\"mw-headline\" id=\"Present_History\">Histoire actuelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Present History\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=12\" title=\"Edit section: Present History\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"What_have_you_changed.3F_.2F_What_load_have_you_added.3F\"><\/span><span class=\"mw-headline\" id=\"What_have_you_changed?_\/_What_load_have_you_added?\">Qu&rsquo;avez-vous chang\u00e9 ? \/ Quelle mise en charge avez-vous ajout\u00e9e ?<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: What have you changed? \/ What load have you added?\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=13\" title=\"Edit section: What have you changed? \/ What load have you added?\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Une nouvelle pouss\u00e9e de douleur au niveau du tendon est normalement due \u00e0 une modification de la mise en charge. <a href=\"\/Tendon_Load_and_Capacity\" title=\"Mise en charge et capacit\u00e9 du tendon\">La capacit\u00e9 d&rsquo;un tendon<\/a> n&rsquo;exc\u00e8de jamais les charges qui lui sont impos\u00e9es et de petits changements peuvent faire une bonne diff\u00e9rence. Un interrogatoire minutieux sur ce que la personne a chang\u00e9 r\u00e9cemment permettra d&rsquo;identifier les facteurs contributifs \u00e0 la tendinopathie. Des changements de mise en charge peuvent r\u00e9sulter de plusieurs facteurs, tels une augmentation de l&rsquo;intensit\u00e9 de l&rsquo;entra\u00eenement, un changement de chaussures, une participation r\u00e9cente \u00e0 un tournoi, une augmentation de la vitesse ou des exercices de pliom\u00e9trie.<\/p>\n<h3><span class=\"mw-headline\" id=\"Past_History\">Anamn\u00e8se <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Past History\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=14\" title=\"Edit section: Past History\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Une enqu\u00eate approfondie sur les ant\u00e9c\u00e9dents est importante pour d\u00e9terminer l&rsquo;origine de la tendinopathie. S&rsquo;agit-il de la premi\u00e8re manifestation ? Y a-t-il des blessures pr\u00e9existantes ? S&rsquo;agit-il d&rsquo;un probl\u00e8me \u00e0 long terme ? Un interrogatoire complet sur les blessures ant\u00e9rieures, les p\u00e9riodes de repos, etc. permet de dresser un bon tableau clinique.<\/p>\n<h3><span class=\"mw-headline\" id=\"Red_Flags_and_Risk_Factors\">Drapeaux rouges et facteurs de risque <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Red Flags and Risk Factors\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=15\" title=\"Edit section: Red Flags and Risk Factors\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Comme pour toutes les maladies, le d\u00e9pistage des drapeaux rouges et l&rsquo;\u00e9tat de sant\u00e9 g\u00e9n\u00e9ral sont extr\u00eamement importants pour ne pas passer \u00e0 c\u00f4t\u00e9 de maladies graves ou sinistres.<\/p>\n<p>Quelques facteurs de risque identifi\u00e9s dans le d\u00e9veloppement des tendinopathies (pour les r\u00e9f\u00e9rences, voir la page sur <a href=\"\/Tendon_Pathophysiology\" title=\"Tendon Pathophysiology\">la physiopathologie des tendons<\/a>) :<\/p>\n<ul>\n<li>Traitement hormonal de substitution<\/li>\n<li>M\u00e9dication contraceptive<\/li>\n<li>Diab\u00e8te<\/li>\n<li>Ob\u00e9sit\u00e9<\/li>\n<li>Adiposit\u00e9 \u00e9lev\u00e9e (pour les tendinopathies aux membres inf\u00e9rieurs)<\/li>\n<li>Utilisation d&rsquo;antibiotiques de type fluoroquinolones<\/li>\n<li>Manque d&rsquo;amplitude de mouvement<\/li>\n<li>Inflexibilit\u00e9 (raideur)<\/li>\n<li>D\u00e9s\u00e9quilibre de force musculaire<\/li>\n<li>Mauvaise vascularisation<\/li>\n<li>Groupe sanguin O<\/li>\n<li>Modification dans la biom\u00e9canique des membres inf\u00e9rieurs<\/li>\n<li>Entra\u00eenement en basse temp\u00e9rature<\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Goals_and_Expectations\">Objectifs et attentes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=16\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Goals and Expectations\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=16\" title=\"Edit section: Goals and Expectations\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Il est important de savoir ce que l&rsquo;on attend de la physioth\u00e9rapie et ce que la personne souhaite retrouver. Cela permet de planifier un plan de traitement complet. Les objectifs d&rsquo;une personne s\u00e9dentaire de 60 ans seront tr\u00e8s diff\u00e9rents de ceux d&rsquo;un athl\u00e8te de haut niveau.<\/p>\n<h2><span class=\"mw-headline\" id=\"Patient-Reported_Outcomes\">R\u00e9sultats rapport\u00e9s par les patients <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=17\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient-Reported Outcomes\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=17\" title=\"Edit section: Patient-Reported Outcomes\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le Victoria Institute of Sport Assessment a mis au point des questionnaires auto-administr\u00e9s pour les tendinopathies.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> Ils sont not\u00e9s sur 100 et un changement de 13 points est consid\u00e9r\u00e9 comme cliniquement significatif. <sup id=\"cite_ref-:0_6-4\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup> Les questionnaires VISA ne d\u00e9tectent pas les petits changements et il est donc conseill\u00e9 de ne les utiliser que toutes les 4 semaines pour enregistrer les progr\u00e8s.<sup id=\"cite_ref-:0_6-5\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup><\/p>\n<p>Tendinopathie patellaire &#8211; Patella Tendinopathy &#8211; VISA-P<\/p>\n<p>Tendinopathie d&rsquo;Achille &#8211; Achilles Tendinopathy &#8211; <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/physio-pedia.com\/VISA-A_scale\">VISA-A<\/a><\/p>\n<p>Tendinopathie des ischio-jambiers &#8211; Hamstring Tendinopathy &#8211; VISA-H<\/p>\n<p>Tendinopathie des fessiers &#8211; Gluteal Tendinopathy &#8211; VISA- G<\/p>\n<h2><span id=\"Physical_Examination_.2F_Objective_Examination\"><\/span><span class=\"mw-headline\" id=\"Physical_Examination_\/_Objective_Examination\">Examen physique \/ \u00c9valuation objective <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=18\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Examination \/ Objective Examination\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=18\" title=\"Edit section: Physical Examination \/ Objective Examination\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;examen physique sert \u00e0 v\u00e9rifier l&rsquo;hypoth\u00e8se que vous avez \u00e9labor\u00e9e par raisonnement clinique \u00e0 partir des informations obtenues lors de l&rsquo;\u00e9valuation subjective.<\/p>\n<h3><span class=\"mw-headline\" id=\"Pain-provocation_testing\">Tests de provocation de la douleur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=19\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Pain-provocation testing\">de l&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=19\" title=\"Edit section: Pain-provocation testing\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La mise en charge dos\u00e9e est un moyen utile de confirmer le diagnostic de tendinopathie. <sup id=\"cite_ref-:0_6-6\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup> Une douleur qui reste localis\u00e9e au tendon et qui s&rsquo;intensifie avec l&rsquo;augmentation de la mise en charge est un bon indicateur de la pr\u00e9sence d&rsquo;une tendinopathie. <sup id=\"cite_ref-:0_6-7\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6) <\/a><\/sup><sup id=\"cite_ref-:2_8-6\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/p>\n<p>Lors des tests de mise en charge progressive, les deux questions importantes \u00e0 se poser sont les suivantes<\/p>\n<p>1. Est-ce douloureux ?<\/p>\n<p>2. O\u00f9 se situe la douleur ?<\/p>\n<p>Pour chaque tendon, des mouvements sp\u00e9cifiques le soumettent \u00e0 des charges de compression et de traction. La mise en charge progressive varie donc en fonction du tendon \u00e9valu\u00e9. Pour ce faire. il suffit d&rsquo;effectuer une mise en charge jusqu&rsquo;\u00e0 un point qui confirme le diagnostic seulement, sans surcharger le tendon et aggraver la condition.<sup id=\"cite_ref-:3_9-2\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/p>\n<h3><span id=\"Muscle_Strength.2C_Joint_Range_and_Functional_Assessment\"><\/span><span class=\"mw-headline\" id=\"Muscle_Strength,_Joint_Range_and_Functional_Assessment\">Force musculaire, amplitude articulaire et \u00e9valuation fonctionnelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=20\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscle Strength, Joint Range and Functional Assessment\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=20\" title=\"Edit section: Muscle Strength, Joint Range and Functional Assessment\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;\u00e9valuation de l&rsquo;ensemble de la cha\u00eene cin\u00e9tique est extr\u00eamement importante pour d\u00e9terminer les facteurs contributifs. Encore une fois, cela est propre \u00e0 chaque tendinopathie et il n&rsquo;y a pas de \u00ab\u00a0recette\u00a0\u00bb pour cette \u00e9valuation. L&rsquo;\u00e9valuation de la force musculaire et de l&rsquo;amplitude de mouvement des muscles et des articulations concern\u00e9s permet d&rsquo;orienter le traitement.<\/p>\n<h3><span class=\"mw-headline\" id=\"Palpation\">Palpation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=21\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Palpation\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=21\" title=\"Edit section: Palpation\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La palpation douloureuse du tendon est peu sp\u00e9cifique dans le diagnostic de la tendinopathie. Les tendons pathologiques sont g\u00e9n\u00e9ralement douloureux \u00e0 la palpation, mais d&rsquo;autres affections peuvent \u00e9galement rendre les tendons douloureux \u00e0 la palpation. Un tendon peut \u00eatre douloureux \u00e0 la palpation et ne pas \u00eatre \u00e0 l&rsquo;origine des sympt\u00f4mes pr\u00e9sent\u00e9s. L&rsquo;absence de douleur \u00e0 la palpation peut, par contre, permettre d&rsquo;exclure une tendinopathie.<\/p>\n<h3><span class=\"mw-headline\" id=\"Imaging\">Imagerie m\u00e9dicale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=22\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Imaging\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=22\" title=\"Edit section: Imaging\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;\u00e9chographie et l&rsquo;IRM sont utilis\u00e9es pour visualiser les tendons. L&rsquo;IRM est plus sp\u00e9cifique et peut donner plus d&rsquo;informations, mais elle est aussi beaucoup plus ch\u00e8re. L&rsquo;imagerie visant \u00e0 confirmer que les tendons sont \u00e0 l&rsquo;origine des sympt\u00f4mes doit \u00eatre interpr\u00e9t\u00e9e avec prudence. Il a \u00e9t\u00e9 d\u00e9montr\u00e9 que les anomalies et les pathologies d\u00e9tect\u00e9es \u00e0 l&rsquo;imagerie n&rsquo;ont qu&rsquo;une faible corr\u00e9lation avec la douleur et la fonction. De m\u00eame, les tendons qui ne pr\u00e9sentent pas de changements pathologiques \u00e0 l&rsquo;imagerie peuvent se r\u00e9v\u00e9ler douloureux. (3) L&rsquo;imagerie peut \u00eatre utile en cas de pr\u00e9sentation clinique compliqu\u00e9e afin d&rsquo;inclure ou d&rsquo;exclure d&rsquo;autres diagnostics diff\u00e9rentiels. <sup id=\"cite_ref-:0_6-8\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Key_findings_in_Specific_Tendinopathies\">Principales constatations concernant les tendinopathies sp\u00e9cifiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=23\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Key findings in Specific Tendinopathies\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=23\" title=\"Edit section: Key findings in Specific Tendinopathies\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Patella.5B6.5D\"><\/span><span class=\"mw-headline\" id=\"Patella(6)\">Tendinopathie patellaire <sup id=\"cite_ref-:0_6-9\" class=\"reference\"><a href=\"#cite_note-:0-6\">(6)<\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=24\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Patella(6)\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=24\" title=\"Edit section: Patella(6)\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Douleur localis\u00e9e au p\u00f4le inf\u00e9rieur de la rotule <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/p>\n<p>La douleur augmente lors d&rsquo;activit\u00e9s d&rsquo;extension du genou qui stockent et lib\u00e8rent de l&rsquo;\u00e9nergie, comme les sauts ou les changements rapides de direction<\/p>\n<p>Souvent chez les athl\u00e8tes \u00e2g\u00e9s de 15 \u00e0 30 ans qui pratiquent le basket-ball, le volley-ball, les \u00e9preuves de saut en athl\u00e9tisme, le tennis et le football ou tout autre sport comportant des sauts ou des changements de direction<\/p>\n<p>\u00c9valuation de la mise en charge progressive (la douleur doit rester localis\u00e9e et augmenter avec l&rsquo;augmentation de la mise en charge pour confirmer le diagnostic) :<\/p>\n<ul>\n<li>Squat l\u00e9ger (peu profond)<\/li>\n<li>Squat profond<\/li>\n<li>Petit saut<\/li>\n<li>Grand saut<\/li>\n<\/ul>\n<h3><span id=\"Midportion_Achilles_.5B12.5D.5B13.5D\"><\/span><span class=\"mw-headline\" id=\"Midportion_Achilles_(12)(13)\">Tendinopatie d&rsquo;Achille (partie moyenne du tendon) <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12) <\/a><\/sup><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=25\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Midportion Achilles (12)(13)\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=25\" title=\"Edit section: Midportion Achilles (12)(13)\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Douleur localis\u00e9e \u00e0 2-6 cm de l&rsquo;insertion du tendon d&rsquo;Achille<\/p>\n<p>Aggrav\u00e9e par les exercices de stockage et de lib\u00e9ration de l&rsquo;\u00e9nergie (par exemple, le saut, la course) et non par les mouvements r\u00e9p\u00e9titifs (par exemple, la natation, le cyclisme)<\/p>\n<p>La raideur matinale est un signe caract\u00e9ristique <sup id=\"cite_ref-:3_9-3\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/p>\n<p>\u00c9valuation de la mise en charge progressive :<\/p>\n<ul>\n<li>Lever sur le bout des pieds \u00e0 deux jambes<\/li>\n<li>Lever sur le bout du pied unipodal<\/li>\n<li>Saut \u00e0 deux jambes<\/li>\n<li>Petit saut sur une jambe<\/li>\n<li>Grand saut sur une jambe<\/li>\n<li>Grands sauts sur une jambe de suite<\/li>\n<li>Sauts longs vers l&rsquo;avant sur une jambe<\/li>\n<\/ul>\n<h3><span id=\"Gluteal_Tendinopathy.5B7.5D\"><\/span><span class=\"mw-headline\" id=\"Gluteal_Tendinopathy(7)\">Tendinopathie des fessiers <sup id=\"cite_ref-:1_7-1\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=26\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Gluteal Tendinopathy(7)\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=26\" title=\"Edit section: Gluteal Tendinopathy(7)\">\u00e9diter source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Douleur au niveau du grand trochanter<\/p>\n<p>Plus fr\u00e9quente chez les femmes s\u00e9dentaires de plus de 49 ans<\/p>\n<p>La douleur r\u00e9f\u00e8re souvent dans la partie lat\u00e9rale de la cuisse<\/p>\n<p>Les t\u00e2ches sur une seule jambe sont souvent douloureuses<\/p>\n<p>Aggrav\u00e9e par les mises en charge de compression :<\/p>\n<ul>\n<li>S&rsquo;appuyer sur une hanche en position debout &#8211; adduction relative de la hanche<\/li>\n<li>S&rsquo;assoir avec la jambe crois\u00e9e<\/li>\n<li>Les t\u00e2ches sur une seule jambe avec une inclinaison lat\u00e9rale excessive du bassin (la hanche se d\u00e9place en adduction relative)<\/li>\n<li>Franchir la ligne m\u00e9diane pendant la course<\/li>\n<li>Dormir sur le c\u00f4t\u00e9 &#8211; du c\u00f4t\u00e9 de la hanche douloureuse (compression directe)<\/li>\n<li>Dormir sur le c\u00f4t\u00e9 &#8211; du c\u00f4t\u00e9 de la hanche non douloureuse (lorsque la hanche douloureuse du dessus \u00a0\u00bbtombe\u00a0\u00bb en position d&rsquo;adduction relative)<\/li>\n<\/ul>\n<h3><span id=\"Proximal_Hamstring_Tendinopathy.5B8.5D.5B14.5D\"><\/span><span class=\"mw-headline\" id=\"Proximal_Hamstring_Tendinopathy(8)(14)\">Tendinopathie des ischio-jambiers (en proximal) <sup id=\"cite_ref-:2_8-7\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8) <\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=27\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Proximal Hamstring Tendinopathy(8)(14)\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=27\" title=\"Edit section: Proximal Hamstring Tendinopathy(8)(14)\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Douleur localis\u00e9e \u00e0 la tub\u00e9rosit\u00e9 ischiatique<\/p>\n<p>Ph\u00e9nom\u00e8ne d&rsquo;\u00e9chauffement pr\u00e9sent<\/p>\n<p>Provoqu\u00e9e chez les activit\u00e9s impliquant une flexion profonde de la hanche (mise en charge de compression) :<\/p>\n<ul>\n<li>Squat<\/li>\n<li>Fente<\/li>\n<li>S&rsquo;asseoir (en particulier sur des surfaces plus dures)<\/li>\n<li>Douleureux lors des activit\u00e9s de stockage d&rsquo;\u00e9nergie, mais pas normalement lors de la marche lente, de la station debout ou de la position allong\u00e9e.<\/li>\n<\/ul>\n<p>\u00c9valuation de la mise en charge progressive :<\/p>\n<ul>\n<li>Pont avec genou pli\u00e9 sur une jambe (faible mise en charge)<\/li>\n<li>Pont avec genou pli\u00e9 \u00e0 long levier sur une jambe (mise en charge mod\u00e9r\u00e9e)<\/li>\n<li>Mouvement d&rsquo;arabesque (mise en charge \u00e9lev\u00e9e)<\/li>\n<li>Deadlift \u00e0 une jambe (mise en charge \u00e9lev\u00e9e)<\/li>\n<\/ul>\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Single_Leg_Long_Lever_Bridge.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/dd\/Single_Leg_Long_Lever_Bridge.png\/300px-Single_Leg_Long_Lever_Bridge.png\" decoding=\"async\" width=\"300\" height=\"301\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/dd\/Single_Leg_Long_Lever_Bridge.png\/450px-Single_Leg_Long_Lever_Bridge.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/dd\/Single_Leg_Long_Lever_Bridge.png\/600px-Single_Leg_Long_Lever_Bridge.png 2x\" data-file-width=\"616\" data-file-height=\"618\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Single_Leg_Long_Lever_Bridge.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Pont avec genou pli\u00e9 \u00e0 long levier sur une jambe<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Single_leg_dead_lift.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/94\/Single_leg_dead_lift.jpg\/300px-Single_leg_dead_lift.jpg\" decoding=\"async\" width=\"300\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/94\/Single_leg_dead_lift.jpg\/450px-Single_leg_dead_lift.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/9\/94\/Single_leg_dead_lift.jpg 2x\" data-file-width=\"500\" data-file-height=\"500\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Single_leg_dead_lift.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Arabesque<\/p>\n<\/div>\n<\/div>\n<\/div>\n<table width=\"100%\" cellspacing=\"1\" cellpadding=\"1\"><\/table>\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=Lower_Limb_Tendinopathy_Assessment&amp;veaction=edit&amp;section=28\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lower_Limb_Tendinopathy_Assessment&amp;action=edit&amp;section=28\" 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-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Canosa-Carro, L., Bravo-Aguilar, M., Abu\u00edn-Porras, V., Almaz\u00e1n-Polo, J., Garc\u00eda-P\u00e9rez-de-Sevilla, G., Rodr\u00edguez-Costa, I., L\u00f3pez-L\u00f3pez, D., Navarro-Flores, E. and Romero-Morales, C., 2022. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0011502921001905\">Current understanding of the diagnosis and management of the tendinopathy: An update from the lab to the clinical practice<\/a>. <i>Disease-a-Month<\/i>, <i>68<\/i>(10), p.101314.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">S\u00e1nchez Romero EA, Pollet J, Mart\u00edn P\u00e9rez S, Alonso P\u00e9rez JL, Mu\u00f1oz Fern\u00e1ndez AC, Pedersini P, Barrag\u00e1n Carballar C, Villafa\u00f1e JH. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7466193\/\">Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review<\/a>. Medicina. 2020 Jul 28;56(8):378.<\/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\">dos Santos Franco YR, Miyamoto GC, Franco KF, de Oliveira RR, Cabral CM. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/systematicreviewsjournal.biomedcentral.com\/articles\/10.1186\/s13643-019-1058-9\">Exercise therapy in the treatment of tendinopathies of the lower limbs: a protocol of a systematic review<\/a>. Systematic Reviews. 2019 Dec;8(1):1-6.<\/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\">Burton I. Autoregulation in resistance training for lower limb tendinopathy: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fphys.2021.704306\/full\">A potential method for addressing individual factors, intervention issues, and inadequate outcomes<\/a>. Frontiers in Physiology. 2021;12.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Mitham K, Mallows A, Debenham J, Seneviratne G, Malliaras P. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/msc.1506\">Conservative management of acute lower limb tendinopathies: A systematic review.<\/a> Musculoskeletal Care. 2021 Mar 1;19(1):110-26.<\/span><\/li>\n<li id=\"cite_note-:0-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-1\">6.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-2\">6.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-3\">6.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-4\">6.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-5\">6.5<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-6\">6.6<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-7\">6.7<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-8\">6.8<\/a><\/sup> <sup><a href=\"#cite_ref-:0_6-9\">6.9<\/a><\/sup><\/span> <span class=\"reference-text\">Malliaras P, Cook J, Purdam C, Rio E. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdfplus\/10.2519\/jospt.2015.5987\">Patellar tendinopathy: clinical diagnosis, load management, and advice for challenging case presentations.<\/a> journal of orthopaedic &amp; sports physical therapy. 2015 Nov;45(11):887-98.<\/span><\/li>\n<li id=\"cite_note-:1-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-1\">7.1<\/a><\/sup><\/span> <span class=\"reference-text\">Grimaldi A, Mellor R, Hodges P, Bennell K, Wajswelner H, Vicenzino B. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/profile\/Bill_Vicenzino\/publication\/276362252_Gluteal_Tendinopathy_A_Review_of_Mechanisms_Assessment_and_Management\/links\/555db77208ae8c0cab2af237\/Gluteal-Tendinopathy-A-Review-of-Mechanisms-Assessment-and-Management.pdf\">Gluteal tendinopathy: a review of mechanisms, assessment and management<\/a>. Sports Medicine. 2015 Aug 1;45(8):1107-19.<\/span><\/li>\n<li id=\"cite_note-:2-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_8-1\">8.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_8-2\">8.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_8-3\">8.3<\/a><\/sup> <sup><a href=\"#cite_ref-:2_8-4\">8.4<\/a><\/sup> <sup><a href=\"#cite_ref-:2_8-5\">8.5<\/a><\/sup> <sup><a href=\"#cite_ref-:2_8-6\">8.6<\/a><\/sup> <sup><a href=\"#cite_ref-:2_8-7\">8.7<\/a><\/sup><\/span> <span class=\"reference-text\">Goom TS, Malliaras P, Reiman MP, Purdam CR. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/profile\/Bill_Vicenzino\/publication\/276362252_Gluteal_Tendinopathy_A_Review_of_Mechanisms_Assessment_and_Management\/links\/555db77208ae8c0cab2af237\/Gluteal-Tendinopathy-A-Review-of-Mechanisms-Assessment-and-Management.pdf\">Proximal hamstring tendinopathy: clinical aspects of assessment and management<\/a>. journal of orthopaedic &amp; sports physical therapy. 2016 Jun;46(6):483-93<\/span><\/li>\n<li id=\"cite_note-:3-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_9-1\">9.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_9-2\">9.2<\/a><\/sup> <sup><a href=\"#cite_ref-:3_9-3\">9.3<\/a><\/sup><\/span> <span class=\"reference-text\">Rio E. Lower Limb Tendinopathy Assessment Course. Plus. 2019<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">MacDermid JC, Silbernagel KG. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdfplus\/10.2519\/jospt.2015.6054\">Outcome evaluation in tendinopathy: foundations of assessment and a summary of selected measures.<\/a> journal of orthopaedic &amp; sports physical therapy. 2015 Nov;45(11):950-64.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Dan M, Parr W, Broe D, Cross M, Walsh WR. Biomechanics of the knee extensor mechanism and its relationship to patella tendinopathy: A review. J Orthop Res. 2018;36(12):3105-12.<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Martin RL, Chimenti R, Cuddeford T, Houck J, Matheson JW, McDonough CM, Paulseth S, Wukich DK, Carcia CR. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/full\/10.2519\/jospt.2018.0302\">Achilles pain, stiffness, and muscle power deficits: Midportion achilles tendinopathy revision 2018: Clinical practice guidelines linked to the international classification of functioning, disability and health from the orthopaedic section of the american physical therapy association<\/a>. Journal of Orthopaedic &amp; Sports Physical Therapy. 2018 May;48(5):A1-38.<\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Murphy M, Rio E, Debenham J, Docking S, Travers M, Gibson W. EVALUATING THE PROGRESS OF MID-PORTION ACHILLES TENDINOPATHY DURING REHABILITATION: A REVIEW OF OUTCOME MEASURES FOR SELF- REPORTED PAIN AND FUNCTION. Int J Sports Phys Ther. 2018;13(2):283-92.<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Beatty NR, F\u00e9lix I, Hettler J, Moley PJ, Wyss JF. Rehabilitation and Prevention of Proximal Hamstring Tendinopathy. Curr Sports Med Rep. 2017;16(3):162-71. <\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230629181254 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.081 seconds Real time usage: 0.089 seconds Preprocessor visited node count: 343\/1000000 Post\u2010expand include size: 60\/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: 11732\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 8.614 1 Special:Contributors\/Lower_Limb_Tendinopathy_Assessment 100.00% 8.614 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9ditrice originale &#8211; Mandy Roscher Principaux contributeurs &#8211; Mandy Roscher, Kim Jackson, Jess Bell, Tarina van der Stockt et Robin Tacchetti Contenu 1 Introduction 2 Questions cl\u00e9s \u00e0 poser lors de l&rsquo;entretien \/ \u00e9valuation subjective 2.1 Comportement face \u00e0 la douleur 2.1.1 O\u00f9 se trouve votre douleur ? 2.1.2 Qu&rsquo;est-ce qui aggrave votre douleur ? 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