{"id":8007,"date":"2023-11-21T01:48:00","date_gmt":"2023-11-21T01:48:00","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/objective-assessment-of-the-shoulder-fr\/"},"modified":"2023-11-22T21:27:58","modified_gmt":"2023-11-22T21:27:58","slug":"objective-assessment-of-the-shoulder-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/objective-assessment-of-the-shoulder-fr\/","title":{"rendered":"\u00c9valuation objective de l\u2019\u00e9paule"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dactrice originale <\/b>&#8211; <a title=\"User:Carin Hunter\" href=\"\/User:Carin_Hunter\">Carin Hunter<\/a> d&rsquo;apr\u00e8s le cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/ian-horsley\/\" rel=\"nofollow\">Ian Horsley<\/a><br \/>\n<b>Principales collaboratrices<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Carin Hunter\" href=\"\/User:Carin_Hunter\"><bdi>Carin Hunter<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#Causes_of_pain\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">Causes de la douleur <\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-3\"><a href=\"#Serious_conditions\"><span class=\"tocnumber\">1.1.1<\/span> <span class=\"toctext\"><b>Probl\u00e8mes de sant\u00e9 graves<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-4\"><a href=\"#Pathoanatomic\"><span class=\"tocnumber\">1.1.2<\/span> <span class=\"toctext\"><b>Anatomopathologie <\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Non-specific_pathoanatomic\"><span class=\"tocnumber\">1.1.3<\/span> <span class=\"toctext\"><b>Anatomopathologie non-sp\u00e9cifique<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-6\"><a href=\"#Neuropathic_pain\"><span class=\"tocnumber\">1.1.4<\/span> <span class=\"toctext\"><b>Douleur neuropathique<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Motor_control\"><span class=\"tocnumber\">1.1.5<\/span> <span class=\"toctext\"><b>Contr\u00f4le moteur<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#History\"><span class=\"tocnumber\">1.2<\/span> <span class=\"toctext\">Anamn\u00e8se<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Objective_Assessment\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">\u00c9valuation objective<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Exclude_Cx_spine\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">\u00c9liminer une origine cervicale <\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#STAR_Assessment\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">\u00c9valuation par l\u2019approche \u00ab STAR \u00bb <\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#SIN\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\">SIN<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-13\"><a href=\"#1._Severity\"><span class=\"tocnumber\">2.3.1<\/span> <span class=\"toctext\"><b>1. S\u00e9v\u00e9rit\u00e9<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-14\"><a href=\"#2.Irritability\"><span class=\"tocnumber\">2.3.2<\/span> <span class=\"toctext\"><b>2.Irritabilit\u00e9<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-15\"><a href=\"#3.Nature\"><span class=\"tocnumber\">2.3.3<\/span> <span class=\"toctext\"><b>3.Nature<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-16\"><a href=\"#Classification_of_SIN:\"><span class=\"tocnumber\">2.3.4<\/span> <span class=\"toctext\"><b>Classification du SIN :<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Management_options\"><span class=\"tocnumber\">2.4<\/span> <span class=\"toctext\">Options de prise en charge<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-18\"><a href=\"#Meaningful_Task_Analysis\"><span class=\"tocnumber\">2.5<\/span> <span class=\"toctext\">Analyse des t\u00e2ches significatives <\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-19\"><a href=\"#Range_of_Motion\"><span class=\"tocnumber\">2.6<\/span> <span class=\"toctext\">Mobilit\u00e9 articulaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-20\"><a href=\"#Active_movement\"><span class=\"tocnumber\">2.7<\/span> <span class=\"toctext\">Tests sp\u00e9ciaux<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-21\"><a href=\"#Special_tests\"><span class=\"tocnumber\">2.8<\/span> <span class=\"toctext\">Tests sp\u00e9ciaux<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-22\"><a href=\"#Shoulder_Symptom_Modification_Procedure\"><span class=\"tocnumber\">2.9<\/span> <span class=\"toctext\">Proc\u00e9dure de modification des sympt\u00f4mes \u00e0 l&rsquo;\u00e9paule<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-23\"><a href=\"#Force_Assessment\"><span class=\"tocnumber\">2.10<\/span> <span class=\"toctext\">\u00c9valuation de la force<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-24\"><a href=\"#Proprioception\"><span class=\"tocnumber\">2.11<\/span> <span class=\"toctext\">Proprioception<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-25\"><a href=\"#References\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>\u00c0 la suite d&rsquo;une \u00e9valuation subjective satisfaisante, nous devrions \u00eatre en mesure d&rsquo;identifier au moins trois diagnostics diff\u00e9rentiels principaux susceptibles d&rsquo;expliquer le probl\u00e8me rencontr\u00e9 par le patient. L&rsquo;\u00e9valuation objective vise \u00e0 r\u00e9duire le nombre de diagnostics diff\u00e9rentiels. Un diagnostic juste nous permettra de prendre en charge et de traiter notre patient plus efficacement.<\/p>\n<h3><span id=\"Causes_of_pain\" class=\"mw-headline\">Causes de la douleur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Causes of pain\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=2\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Causes of pain\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=2\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumbnail tright\"><a class=\"image\" href=\"\/File:Shoulder_Conditions.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage wp-image-7873 alignright\" src=\"https:\/\/langs.physio-pedia.com\/wp-content\/uploads\/2023\/11\/Shoulder_Conditions-1024x576.jpg\" alt=\"Shoulder conditions.jpg\" width=\"714\" height=\"401\" srcset=\"https:\/\/langs.physio-pedia.com\/wp-content\/uploads\/2023\/11\/Shoulder_Conditions-1024x576.jpg 1024w, https:\/\/langs.physio-pedia.com\/wp-content\/uploads\/2023\/11\/Shoulder_Conditions-300x169.jpg 300w, https:\/\/langs.physio-pedia.com\/wp-content\/uploads\/2023\/11\/Shoulder_Conditions-768x432.jpg 768w, https:\/\/langs.physio-pedia.com\/wp-content\/uploads\/2023\/11\/Shoulder_Conditions-1536x864.jpg 1536w, https:\/\/langs.physio-pedia.com\/wp-content\/uploads\/2023\/11\/Shoulder_Conditions.jpg 1920w\" sizes=\"auto, (max-width: 714px) 100vw, 714px\" \/><\/a><\/div>\n<h5><span id=\"Serious_conditions\" class=\"mw-headline\"><b>Probl\u00e8mes de sant\u00e9 graves <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Serious conditions\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=3\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Serious conditions\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=3\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Infection<\/li>\n<li>Cancer\/tumeur<\/li>\n<li>Probl\u00e8me cardiopulmonaire<\/li>\n<li>Maladie inflammatoire<\/li>\n<li>Probl\u00e8me neurologique<\/li>\n<\/ul>\n<h5><span id=\"Pathoanatomic\" class=\"mw-headline\"><b>Anatomopathologie<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Pathoanatomic\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Pathoanatomic\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Fracture dans la r\u00e9gion de l&rsquo;\u00e9paule<\/li>\n<li>Luxation<\/li>\n<li>Arthrose<\/li>\n<li>Tendinopathie calcifiante<\/li>\n<\/ul>\n<h5><span id=\"Non-specific_pathoanatomic\" class=\"mw-headline\"><b>Anatomopathologie non-sp\u00e9cifique <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Non-specific pathoanatomic\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=5\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Non-specific pathoanatomic\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=5\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Conflit sous-acromial<\/li>\n<li>Instabilit\u00e9<\/li>\n<li>Dyskin\u00e9sie<\/li>\n<li>Capsulite r\u00e9tractile (\u00ab \u00e9paule gel\u00e9e \u00bb)<\/li>\n<\/ul>\n<h5><span id=\"Non-specific_pathoanatomic\" class=\"mw-headline\"><b>Dysfonctions non-sp\u00e9cifiques <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Neuropathic pain\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=6\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Neuropathic pain\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Neuropathique<\/li>\n<li>Sensibilisation centrale<\/li>\n<\/ul>\n<h5><span id=\"Motor_control\" class=\"mw-headline\"><b>Dysfonctions neurologiques<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Motor control\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=7\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Motor control\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=7\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Contr\u00f4le du moteur<\/li>\n<li>Nerf cr\u00e2nien<\/li>\n<li>Nerf local<\/li>\n<\/ul>\n<h2><span id=\"Objective_Assessment\" class=\"mw-headline\">\u00c9valuation objective <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Objective Assessment\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Objective Assessment\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=9\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Exclude_Cx_spine\" class=\"mw-headline\">\u00c9liminer une origine cervicale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Exclude Cx spine\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Exclude Cx spine\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li><a title=\"Spurling's Test\" href=\"\/Spurling%27s_Test\">Test de Spurling<\/a><\/li>\n<li><a title=\"Arm Squeeze Test\" href=\"\/Arm_Squeeze_Test\">Test de compression du bras<\/a><\/li>\n<\/ul>\n<h3><span id=\"STAR_Assessment\" class=\"mw-headline\">\u00c9valuation par l\u2019approche \u00ab STAR \u00bb <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: STAR Assessment\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=11\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: STAR Assessment\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Dans un article de 2015, McClure et Michener ont propos\u00e9 l&rsquo;\u00e9valuation de l&rsquo;\u00e9paule \u00ab STAR \u00bb (\u00ab Staged Approach for Rehabilitation Classification \u00bb). Ils proposent de poser un diagnostic de r\u00e9\u00e9ducation fond\u00e9 sur les r\u00e9sultats de leur \u00e9valuation.<\/p>\n<p>Pour la classification utilis\u00e9e en r\u00e9\u00e9ducation, 3 niveaux d&rsquo;irritabilit\u00e9 sont propos\u00e9s et d\u00e9finis, avec des strat\u00e9gies correspondantes guidant l&rsquo;intensit\u00e9 du traitement et bas\u00e9es sur la th\u00e9orie du stress physique (\u00ab Physical Stress Theory \u00bb).<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p>\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 752px;\"><a class=\"image\" href=\"\/File:STAR_shoulder_Ax.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7e\/STAR_shoulder_Ax.png\/750px-STAR_shoulder_Ax.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7e\/STAR_shoulder_Ax.png\/1125px-STAR_shoulder_Ax.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7e\/STAR_shoulder_Ax.png\/1500px-STAR_shoulder_Ax.png 2x\" alt=\"STAR shoulder Ax.png\" width=\"750\" height=\"411\" data-file-width=\"1982\" data-file-height=\"1086\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Veuillez lire cet article pour plus d&rsquo;informations : <a class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/95\/5\/791\/2686487?login=true\" rel=\"nofollow\">Staged Approach for Rehabilitation Classification <\/a>: Shoulder Disorders (STAR-Shoulder) (en anglais original)<\/p>\n<h3><span id=\"SIN\" class=\"mw-headline\">SIN<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: SIN\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: SIN\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Il est tr\u00e8s important d&rsquo;\u00e9valuer la s\u00e9v\u00e9rit\u00e9, l&rsquo;irritabilit\u00e9 et la nature du probl\u00e8me avant de proc\u00e9der \u00e0 l&rsquo;\u00e9valuation objective. Le SIN permet de savoir avec quelle intensit\u00e9 nous pouvons r\u00e9aliser l&rsquo;\u00e9valuation objective. Si les facteurs du SIN ne sont pas compris correctement, nous risquons de provoquer une aggravation des sympt\u00f4mes chez notre patient tr\u00e8s t\u00f4t dans le processus de l&rsquo;\u00e9valuation objective, ce qui nous obligera \u00e0 l&rsquo;interrompre et ne nous permettra pas de confirmer ou d&rsquo;infirmer le diagnostic diff\u00e9rentiel. <sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2) <\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><\/p>\n<h5><span id=\"1._Severity\" class=\"mw-headline\"><b>1. S\u00e9v\u00e9rit\u00e9 <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: 1. Severity\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=13\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: 1. Severity\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=13\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Par l&rsquo;utilisation de l&rsquo;<a title=\"Visual Analogue Scale (\u00c9chelle visuelle analogique)\" href=\"\/Visual_Analogue_Scale\">\u00c9chelle visuelle analogique<\/a><\/li>\n<\/ul>\n<h5><span id=\"2.Irritability\" class=\"mw-headline\"><b>2.Irritabilit\u00e9 <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: 2.Irritability\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=14\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: 2.Irritability\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=14\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p><a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2813500\/\" rel=\"nofollow\">L&rsquo;irritabilit\u00e9 <\/a><sup id=\"cite_ref-:0_4-0\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup> peut \u00eatre \u00e9valu\u00e9e en questionnant le patient sur :<\/p>\n<ol>\n<li>l&rsquo;intensit\u00e9 n\u00e9cessaire d&rsquo;une activit\u00e9 pour provoquer ses sympt\u00f4mes;<\/li>\n<li>la s\u00e9v\u00e9rit\u00e9 de ses sympt\u00f4mes;<\/li>\n<li>le temps n\u00e9cessaire pour que ses sympt\u00f4mes disparaissent une fois qu&rsquo;ils ont \u00e9t\u00e9 exacerb\u00e9s (c&rsquo;est-\u00e0-dire la persistance de la douleur). <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<\/ol>\n<p>\u00ab <b>QUELLE<\/b> activit\u00e9, apr\u00e8s <b>QUELLE DUR\u00c9E<\/b>, provoque <b>QUELLE INTENSIT\u00c9<\/b> de douleur ? Et <b>COMBIEN DE TEMPS<\/b> cela prend-il pour s&rsquo;att\u00e9nuer ? \u00bb<\/p>\n<h5><span id=\"3.Nature\" class=\"mw-headline\"><b>3.Nature <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: 3.Nature\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=15\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: 3.Nature\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=15\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Pour savoir si leur probl\u00e8me est d&rsquo;ordre :<\/p>\n<ul>\n<li>inflammatoire;<\/li>\n<li>traumatique;<\/li>\n<li>d\u00e9g\u00e9n\u00e9ratif;<\/li>\n<li>m\u00e9canique.<\/li>\n<\/ul>\n<h5><span id=\"Classification_of_SIN:\" class=\"mw-headline\"><b>Classification du SIN : <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Classification of SIN:\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=16\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Classification of SIN:\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=16\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ol>\n<li>\u00e9lev\u00e9e &#8211; plus de 7 sur 10 (et les douleurs perturbent g\u00e9n\u00e9ralement le sommeil);<\/li>\n<li>mod\u00e9r\u00e9e &#8211; 4 \u00e0 6 sur 10 (et il peut y avoir une douleur intermittente durant la nuit);<\/li>\n<li>l\u00e9g\u00e8re &#8211; pas de douleur au repos.<\/li>\n<\/ol>\n<h3><span id=\"Management_options\" class=\"mw-headline\">Options de prise en charge <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Management options\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=17\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Management options\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=17\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Physioth\u00e9rapie<\/li>\n<li>R\u00e9f\u00e9rence en chirurgie<\/li>\n<li>\u00c9ducation th\u00e9rapeutique sur la douleur<\/li>\n<\/ul>\n<h3><span id=\"Meaningful_Task_Analysis\" class=\"mw-headline\">Analyse des t\u00e2ches significatives <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Meaningful Task Analysis\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=18\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Meaningful Task Analysis\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=18\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Lors de l&rsquo;\u00e9valuation, la flexion, l&rsquo;abduction et la rotation sont souvent \u00e9valu\u00e9es de mani\u00e8re standard. Linda-Joy Lee et Diane Lee proposent une analyse des t\u00e2ches significatives (\u00ab Meaningful Task Analysis \u00bb). Cela signifie que nous devons savoir quels sont les mouvements sp\u00e9cifiques que le patient effectue et qui provoquent sa douleur.<\/p>\n<p>Par exemple :<\/p>\n<ul>\n<li>enlever un pull;<\/li>\n<li>attacher le soutien-gorge;<\/li>\n<li>mettre la ceinture de s\u00e9curit\u00e9.<\/li>\n<\/ul>\n<h3><span id=\"Range_of_Motion\" class=\"mw-headline\">Mobilit\u00e9 articulaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Range of Motion\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=19\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Range of Motion\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=19\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Flexion<\/li>\n<li>Extension<\/li>\n<li>Abduction<\/li>\n<li>Adduction<\/li>\n<li>Rotation interne<\/li>\n<li>Rotation externe<\/li>\n<li>Adduction (flexion) horizontale<\/li>\n<li>Abduction (extension) horizontale<\/li>\n<\/ul>\n<h3><span id=\"Active_movement\" class=\"mw-headline\">Mobilit\u00e9 active <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Active movement\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=20\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Active movement\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=20\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Flexion<\/li>\n<li>Extension<\/li>\n<li>Abduction<\/li>\n<li>Adduction<\/li>\n<li>Rotation interne<\/li>\n<li>Rotation externe<\/li>\n<li>Adduction (flexion) horizontale<\/li>\n<li>Abduction (extension) horizontale<\/li>\n<\/ul>\n<h3><span id=\"Special_tests\" class=\"mw-headline\">Tests sp\u00e9ciaux <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Special tests\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=21\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Special tests\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=21\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><b><a title=\"Crank Test\" href=\"\/Crank_Test\">Test de compression (\u00ab Crank Test \u00bb)<\/a><\/b><\/p>\n<p><b><a title=\"Hawkins \/ Kennedy Impingement Test of the Shoulder\" href=\"\/Hawkins_\/_Kennedy_Impingement_Test_of_the_Shoulder\">Test de Hawkins-Kennedy<\/a><\/b><\/p>\n<p><b><a title=\"Posterior Shoulder Instability\" href=\"\/Posterior_Shoulder_Instability\">Tests d&rsquo;instabilit\u00e9 post\u00e9rieure<\/a><\/b><\/p>\n<p><b><a title=\"Anterior Drawer Test Of The Shoulder\" href=\"\/Anterior_Drawer_Test_Of_The_Shoulder\">Tests d&rsquo;instabilit\u00e9 ant\u00e9rieure<\/a><\/b><\/p>\n<p><b><a title=\"Jobes Relocation Test\" href=\"\/Jobes_Relocation_Test\">Tests de conflit post\u00e9rieur<\/a><\/b><\/p>\n<p><a title=\"O'Briens Test\" href=\"\/O%27Briens_Test\"><b>Man\u0153uvre de O\u2019Brien<\/b><\/a><\/p>\n<h3><span id=\"Shoulder_Symptom_Modification_Procedure\" class=\"mw-headline\">Proc\u00e9dure de modification des sympt\u00f4mes \u00e0 l&rsquo;\u00e9paule <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Shoulder Symptom Modification Procedure\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=22\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Shoulder Symptom Modification Procedure\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=22\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>D\u00e9crit par Jeremy Lewis en 2009, <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> la <a title=\"Shoulder Symptom Modification Procedure\" href=\"\/Shoulder_Symptom_Modification_Procedure\">\u00ab Shoulder Symptom Modification Procedure \u00bb <\/a>(SSMP, une proc\u00e9dure de modification des sympt\u00f4mes de l&rsquo;\u00e9paule) est une m\u00e9thode fiable <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> pour l&rsquo;\u00e9valuation des personnes pr\u00e9sentant une <a title=\"Subacromial Pain Syndrome\" href=\"\/Subacromial_Pain_Syndrome\">pathologie de la coiffe des rotateurs ou une pathologie sous-acromiale<\/a>. Le SSMP est un ensemble de quatre techniques m\u00e9caniques utilis\u00e9es dans une s\u00e9quence pendant que le patient effectue un mouvement qui reproduit ses sympt\u00f4mes. L&rsquo;objectif est d&rsquo;identifier une ou plusieurs techniques permettant de r\u00e9duire leurs sympt\u00f4mes et\/ou d&rsquo;augmenter leur mobilit\u00e9 et leur fonction.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> Cet outil propose une m\u00e9thode d&rsquo;\u00e9valuation objective de l&rsquo;\u00e9paule qui met l&rsquo;accent sur l&rsquo;identification des mouvements et des techniques qui peuvent contribuer au mouvement symptomatique. <b>L&rsquo;objectif n&rsquo;est pas de nommer la pathologie sous-jacente ni<\/b> <b>d&rsquo;identifier la cause exacte de la douleur.<\/b> Au contraire, ce sont ces mouvements et techniques identifi\u00e9es qui serviront \u00e0 guider le traitement.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 452px;\"><a class=\"image\" href=\"\/File:Shoulder_Symptom_Modification_Tool.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/00\/Shoulder_Symptom_Modification_Tool.png\/450px-Shoulder_Symptom_Modification_Tool.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/00\/Shoulder_Symptom_Modification_Tool.png\/676px-Shoulder_Symptom_Modification_Tool.png 1.5x, https:\/\/www.physio-pedia.com\/images\/0\/00\/Shoulder_Symptom_Modification_Tool.png 2x\" alt=\"Shoulder Symptom Modification Tool.png\" width=\"450\" height=\"631\" data-file-width=\"730\" data-file-height=\"1023\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Les techniques du SSMP <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> sont :<\/p>\n<ol>\n<li><b>Modifications de la cyphose thoracique<\/b> &#8211; Les premi\u00e8res techniques du SSMP visent \u00e0 d\u00e9terminer l&rsquo;impact de l&rsquo;augmentation et de la diminution de la cyphose thoracique sur les sympt\u00f4mes du patient. Si la technique thoracique r\u00e9duit les sympt\u00f4mes de 100 %, l&rsquo;\u00e9valuation est termin\u00e9e et le traitement commence par une combinaison de prise de conscience posturale, d&rsquo;exercices (y compris d&rsquo;exercices de contr\u00f4le moteur pendant l&rsquo;activit\u00e9 qui provoque les sympt\u00f4mes) et de th\u00e9rapie manuelle (pour assurer une bonne compliance des articulations et des tissus mous). Dans ce cas, l&rsquo;objectif du traitement est d&rsquo;am\u00e9liorer l&rsquo;extension thoracique, en particulier lors de l&rsquo;activit\u00e9 ou des activit\u00e9s provocatrices identifi\u00e9es.<\/li>\n<li><b>Techniques de positionnement de la scapula<\/b> &#8211; Si les techniques thoraciques ne soulagent pas ou ne soulagent que partiellement les sympt\u00f4mes, nous \u00e9valuons la modification des sympt\u00f4mes avec les techniques scapulaires.<\/li>\n<li><b>Techniques de positionnement de la t\u00eate hum\u00e9rale<\/b> &#8211; Si les techniques scapulaires ne soulagent pas compl\u00e8tement les sympt\u00f4mes, le clinicien passe \u00e0 l&rsquo;\u00e9valuation des effets des techniques de positionnement de la t\u00eate hum\u00e9rale. L&rsquo;objectif est d&rsquo;am\u00e9liorer les sympt\u00f4mes du patient en utilisant des techniques qui visent \u00e0 faire une d\u00e9pression, une \u00e9l\u00e9vation ou un glissement de la t\u00eate hum\u00e9rale vers l&rsquo;avant ou vers l&rsquo;arri\u00e8re.<\/li>\n<li><b>Techniques de neuromodulation de la douleur et des sympt\u00f4mes<\/b> &#8211; Si les trois premi\u00e8res \u00e9tapes du SSMP ne permettent pas de soulager ou de r\u00e9duire compl\u00e8tement les sympt\u00f4mes, la derni\u00e8re \u00e9tape du SSMP (neuromodulation) consiste \u00e0 \u00e9valuer l&rsquo;influence des techniques manuelles, telles que les proc\u00e9dures bas\u00e9es sur la pression (visant les tissus mous et les articulations), qui peuvent moduler les sympt\u00f4mes de l&rsquo;\u00e9paule et qui sont couramment pratiqu\u00e9es dans les r\u00e9gions cervicale, thoracique et de l&rsquo;\u00e9paule.<\/li>\n<\/ol>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/full\/10.2519\/jospt.2015.5941\" rel=\"nofollow\">Rotator Cuff Tendinopathy: Navigating the Diagnosis Management Conundrum<\/a> (article sur les difficutl\u00e9s du diagnostic et de la prise en charge de la tendinopathie de la coiffe des rotateurs, en anglais original) <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/li>\n<li><a title=\"Shoulder Symptom Modification Procedure\" href=\"\/Shoulder_Symptom_Modification_Procedure#cite_note-:0-7\">SSMP Tool (page Physiopedia sur l&rsquo;outil SSMP, en anglais original)<\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.shoulderdoc.co.uk\/article\/1478\" rel=\"nofollow\">SSMP summary<\/a> par Eleanor Richardson et Jeremy Lewis (une page internet pr\u00e9sentant un r\u00e9sum\u00e9 du SSMP, en anglais original)<\/li>\n<\/ul>\n<h3><span id=\"Force_Assessment\" class=\"mw-headline\">\u00c9valuation de la force <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Force Assessment\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=23\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Force Assessment\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=23\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li><b>D\u00e9finition de la force :<\/b> Capacit\u00e9 du muscle ou d&rsquo;un groupe musculaire \u00e0 d\u00e9velopper une force de contraction maximale contre sa r\u00e9sistance lors d&rsquo;une seule contraction.<\/li>\n<li><b>D\u00e9finition de l&rsquo;endurance :<\/b> Capacit\u00e9 d&rsquo;un muscle ou d&rsquo;un groupe musculaire \u00e0 produire de fa\u00e7on r\u00e9p\u00e9t\u00e9e une force sous-maximale. Cela s&rsquo;apparente donc davantage \u00e0 nos mouvements r\u00e9p\u00e9t\u00e9s dans la vie de tous les jours.<\/li>\n<li><b>D\u00e9finition de la puissance explosive :<\/b> Capacit\u00e9 \u00e0 produire une force maximale en un minimum de temps.<\/li>\n<li><b>D\u00e9finition du taux de d\u00e9veloppement de force :<\/b> C&rsquo;est une mesure scientifique de la vitesse de production de la force. D&rsquo;un point de vue sportif, c&rsquo;est quelque chose que nous devons examiner.<\/li>\n<li><b>D\u00e9finition du d\u00e9lai \u00e9lectrom\u00e9canique :<\/b> Le d\u00e9lai entre le d\u00e9but de l&rsquo;activit\u00e9 \u00e9lectrique et le d\u00e9but mesurable de la force musculaire. Un retard \u00e9lectrom\u00e9canique peut causer une micro-instabilit\u00e9.<\/li>\n<\/ul>\n<p><b>Mesure de la force :<\/b><\/p>\n<p>En ce qui concerne la force isom\u00e9trique, nous pouvons standardiser la mesure en utilisant un dynamom\u00e8tre num\u00e9rique tel qu&rsquo;Activforce 2, qui est connect\u00e9 \u00e0 un t\u00e9l\u00e9phone intelligent par le biais d&rsquo;une application et fournit une valeur instantan\u00e9ment. Lors de l&rsquo;\u00e9valuation, maintenez la contraction pendant trois secondes et notez si le patient ressent de la douleur, car la douleur inhibe la puissance musculaire.<\/p>\n<ul>\n<li>Abduction<\/li>\n<li>Rotation externe<\/li>\n<li>Positions fonctionnelles :\n<ul>\n<li>Rotation externe avec 90 degr\u00e9s d&rsquo;abduction<\/li>\n<li>Rotation interne avec 90 degr\u00e9s d&rsquo;abduction (\u00e9valuation de la force du trap\u00e8ze moyen et du trap\u00e8ze inf\u00e9rieur)<\/li>\n<\/ul>\n<\/li>\n<li>Bras de levier court et bras de levier long<\/li>\n<li>Progressez pour \u00e9valuer dans une position fonctionnelle<\/li>\n<\/ul>\n<p><b>\u00c9valuation de la fonction du muscle grand dentel\u00e9 (musculus serratus anterior)<\/b><\/p>\n<p>Lorsque l&rsquo;on \u00e9value l&rsquo;\u00e9paule, il est important d&rsquo;examiner la fonction du muscle grand dentel\u00e9 en tant que rotateur lat\u00e9ral (rotateur vers le haut) de la scapula. La fa\u00e7on la plus courante d&rsquo;\u00e9valuer le muscle grand dentel\u00e9 est par la protraction.<\/p>\n<ul>\n<li>Bras du patient \u00e0 environ 130 degr\u00e9s de flexion<\/li>\n<li>La main du th\u00e9rapeute sur le dessus du poignet du patient<\/li>\n<li>L&rsquo;autre main du th\u00e9rapeute est sur l&rsquo;angle inf\u00e9rieur de la scapula qui repose dans l&rsquo;espace entre le pouce et l&rsquo;index.<\/li>\n<li>Le th\u00e9rapeute applique une force vers le bas avec la main qui est sur le poignet<\/li>\n<li>Le th\u00e9rapeute \u00e9value ce qui c\u00e8de en premier :\n<ul>\n<li>L&rsquo;<b>hum\u00e9rus<\/b> &#8211; le bras tombe, suivi de la scapula qui fait une rotation m\u00e9diale (rotation vers le bas)<\/li>\n<li>La <b>scapula<\/b>, la scapula fait d&rsquo;abord une rotation m\u00e9diale (vers le bas). Cela indique une d\u00e9ficience du muscle grand dentel\u00e9 en tant que rotateur lat\u00e9ral (vers le haut) de la scapula.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span id=\"Proprioception\" class=\"mw-headline\">Proprioception<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Proprioception\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=24\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Proprioception\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=24\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La <a title=\"Proprioception\" href=\"\/Proprioception\">proprioception<\/a> elle-m\u00eame peut \u00eatre consid\u00e9r\u00e9e comme comprenant plusieurs sous-composantes :<\/p>\n<p><b>Proprioception (perception de la position des articulations) :<\/b> La proprioception est notre capacit\u00e9 \u00e0 percevoir le positionnement de nos articulations et de nos membres. Elle est souvent mesur\u00e9e gr\u00e2ce \u00e0 la perception de la position articulaire (\u00ab Joint Position Sense \u00bb) &#8211; la perception de la position articulaire prise de mani\u00e8re active (\u00ab Active Joint Position Sense \u00bb) et la perception de la position articulaire prise de mani\u00e8re passive (\u00ab Passive Joint Position Sense \u00bb). La perception de la position articulaire d\u00e9termine la capacit\u00e9 d&rsquo;une personne \u00e0 percevoir un angle dans lequel son articulation est positionn\u00e9e puis, apr\u00e8s avoir d\u00e9plac\u00e9 le membre, \u00e0 reproduire activement ou passivement le m\u00eame angle articulaire <sup id=\"cite_ref-:1_11-0\" class=\"reference\"><a href=\"#cite_note-:1-11\">(11)<\/a><\/sup> (mesur\u00e9 cliniquement comme un test de reproduction d&rsquo;angle).<\/p>\n<p><b>Kinesth\u00e9sie :<\/b> La kinesth\u00e9sie est la conscience du mouvement du corps humain (perception du mouvement). <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> Le perception du mouvement fait r\u00e9f\u00e9rence \u00e0 la capacit\u00e9 de ressentir le mouvement des articulations, y compris la dur\u00e9e, la direction, l&rsquo;amplitude, la vitesse, l&rsquo;acc\u00e9l\u00e9ration et la synchronisation des mouvements.<sup id=\"cite_ref-:1_11-1\" class=\"reference\"><a href=\"#cite_note-:1-11\">(11)<\/a><\/sup><\/p>\n<p><b>Perception de la force :<\/b> La perception de la force (\u00ab Sense of Force \u00bb ou SoF) est \u00e9galement connu sous le nom de perception de l&rsquo;effort musculaire. Il s&rsquo;agit de la capacit\u00e9 \u00e0 reproduire (ou \u00e0 atteindre) un niveau de force d\u00e9sir\u00e9 une ou plusieurs fois. On pense que la perception de la force provient de la r\u00e9troaction aff\u00e9rente des organes tendineux de Golgi situ\u00e9s dans nos tendons, des fuseaux musculaires situ\u00e9s dans nos muscles et des r\u00e9cepteurs proprioceptifs situ\u00e9s dans notre peau.<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<p><b>Perception du changement de vitesse (\u00ab Sense of Change in Velocity \u00bb ou SoV) :<\/b> Il s&rsquo;agit de notre capacit\u00e9 \u00e0 d\u00e9tecter les vibrations provenant d&rsquo;objets oscillants plac\u00e9s contre la peau. <sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup> On pense que ces influx nerveux voyagent \u00e0 travers le m\u00eame type de grands nerfs aff\u00e9rents (A\u03b1\u03b2) que ceux de la proprioception. <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<p>La proprioception est particuli\u00e8rement importante dans la r\u00e9gion l&rsquo;\u00e9paule en raison du manque de congruence articulaire de l&rsquo;articulation gl\u00e9nohum\u00e9rale qui donne l&rsquo;impression d&rsquo;une balle de golf sur un tee. En raison de la pr\u00e9disposition de cette articulation \u00e0 l&rsquo;instabilit\u00e9, le traitement neuronal est essentiel pour la stabilit\u00e9 de la t\u00eate hum\u00e9rale. Par cons\u00e9quent, la position de l&rsquo;\u00e9paule dans l&rsquo;espace est l&rsquo;une des mesures les plus couramment utilis\u00e9es pour \u00e9valuer la fonction sensorielle de l&rsquo;\u00e9paule.<\/p>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;veaction=edit&amp;section=25\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Objective_Assessment_of_the_Shoulder&amp;action=edit&amp;section=25\">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\">McClure PW, Michener LA. Staged Approach for Rehabilitation Classification: Shoulder Disorders (STAR-Shoulder). Phys Ther. 2015 May;95(5):791-800. doi: 10.2522\/ptj.20140156. Epub 2014 Dec 11. PMID: 25504491.<\/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\">Petersen EJ, Thurmond SM, Jensen GM. Severity, Irritability, Nature, Stage, and Stability (SINSS): A clinical perspective. Journal of Manual &amp; Manipulative Therapy. 2021 May 15:1-3.<\/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\">Koury MJ, Scarpelli E. A manual therapy approach to evaluation and treatment of a patient with a chronic lumbar nerve root irritation. Physical therapy. 1994 Jun 1;74(6):548-60.<\/span><\/li>\n<li id=\"cite_note-:0-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:0_4-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Sayres LR. Defining irritability: the measure of easily aggravated symptoms. British Journal of Therapy and Rehabilitation. 1997 Jan;4(1):18-37.<\/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\">Barakatt, E. T., Romano, P. S., Riddle, D. L., Beckett, L. A., &amp; Kravitz, R. (2009). An Exploration of Maitland&rsquo;s Concept of Pain Irritability in Patients with Low Back Pain. <i>The Journal of manual &amp; manipulative therapy<\/i>, <i>17<\/i>(4), 196\u2013205. https:\/\/doi.org\/10.1179\/106698109791352175<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Lewis, J. S. (2009) Rotator cuff tendinopathy\/subacromial impingement syndrome: is it time for a new method of assessment? British Journal of Sports Medicine, Vol 43, pp. 259-264<\/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\">Lewis JS, McCreesh K, Barratt E, Hegedus EJ, Sim J. Inter-rater Reliability of the Shoulder Symptom Modification Procedure in People with Shoulder Pain. BMJ Open Sport &amp; Exercise Medicine. 2016 Nov 1;2(1):e000181<\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Eleanor Richardson &amp; Jeremy Lewis. The Shoulder Symptom Modification Procedure (SSMP). https:\/\/www.shoulderdoc.co.uk\/article\/1478<\/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\">Lewis J, Mccreesh K, Roy JS, Ginn K. Rotator Cuff Tendinopathy: Navigating The Diagnosis-Management Conundrum. Journal Of Orthopaedic &amp; Sports Physical Therapy. 2015 N<\/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\">Lewis J, McCreesh K, Roy JS, Ginn K. Rotator cuff tendinopathy: navigating the diagnosis-management conundrum. Journal of orthopaedic &amp; sports physical therapy. 2015 Nov;45(11):923-37.<\/span><\/li>\n<li id=\"cite_note-:1-11\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_11-0\">11.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_11-1\">11.1<\/a><\/sup><\/span> <span class=\"reference-text\">Riemann, B. L., &amp; Lephart, S.M. (2002). The sensorimotor system, part 1: the physiological basis of functional joint stability. <i>Journal of Athletic Training, 37<\/i>(1),71-79.<\/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\">Sherrington CS. On the proprio-ceptive system, especially in its reflex aspect. Brain. 1907;29:467\u2013482.<\/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\">Hung, Y. J. (2015). Neuromuscular control and rehabilitation of the unstable ankle. <i>World Journal of Orthopedics<\/i>, <i>6<\/i>(5), page 434.<\/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\">Gilman, S., <i>Joint position sense and vibration sense: anatomical organisation and assessment.<\/i>Journal of neurology, neurosurgery, and psychiatry, 2002. <b>73<\/b>(5): p. 473-7.<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Shakoor, N., A. Agrawal, and J.A. Block, <i>Reduced lower extremity vibratory perception in osteoarthritis of the knee.<\/i>Arthritis and rheumatism, 2008. <b>59<\/b>(1): p. 117-21.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20231023061224 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.073 seconds Real time usage: 0.077 seconds Preprocessor visited node count: 262\/1000000 Post\u2010expand include size: 62\/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: 6598\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 8.309 1 Special:Contributors\/Objective_Assessment_of_the_Shoulder 100.00% 8.309 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dactrice originale &#8211; Carin Hunter d&rsquo;apr\u00e8s le cours de Ian Horsley Principales collaboratrices &#8211; Carin Hunter, Kim Jackson et Tarina van der Stockt Contenu 1 Introduction 1.1 Causes de la douleur 1.1.1 Probl\u00e8mes de sant\u00e9 graves 1.1.2 Anatomopathologie 1.1.3 Anatomopathologie non-sp\u00e9cifique 1.1.4 Douleur neuropathique 1.1.5 Contr\u00f4le moteur 1.2 Anamn\u00e8se 2 \u00c9valuation objective 2.1 \u00c9liminer une [&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-8007","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8007","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=8007"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8007\/revisions"}],"predecessor-version":[{"id":8020,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8007\/revisions\/8020"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=8007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}