{"id":8907,"date":"2024-03-03T15:28:20","date_gmt":"2024-03-03T15:28:20","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/introduction-to-foot-neuropathy-fr\/"},"modified":"2024-03-03T21:27:13","modified_gmt":"2024-03-03T21:27:13","slug":"introduction-to-foot-neuropathy-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/introduction-to-foot-neuropathy-fr\/","title":{"rendered":"Introduction \u00e0 la neuropathie du pied"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dactrice originale <\/b>&#8211; <a title=\"User:Stacy Schiurring\" href=\"\/User:Stacy_Schiurring\">Stacy Schiurring<\/a> bas\u00e9 sur le cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/diane-merwarth\/\" rel=\"nofollow\">Diane Merwarth<\/a><b>Principaux collaborateurs <\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Stacy Schiurring\" href=\"\/User:Stacy_Schiurring\"><bdi>Stacy Schiurring<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Matt Huey\" href=\"\/User:Matt_Huey\"><bdi>Matt Huey<\/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><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Neuroanatomy_Review\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">R\u00e9vision de la neuroanatomie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Peripheral_Neuropathy\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Neuropathie p\u00e9riph\u00e9rique<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Aetiology_of_Peripheral_Neuropathies\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">\u00c9tiologie des neuropathies p\u00e9riph\u00e9riques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Types_of_Peripheral_Neuropathies\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Types de neuropathies p\u00e9riph\u00e9riques<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Sensory_Neuropathy\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Neuropathie sensitive<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Special_Topic:_Loss_of_Protective_Sensation\"><span class=\"tocnumber\">4.1.1<\/span> <span class=\"toctext\">Sujet sp\u00e9cial : la perte de sensation protectrice<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Motor_Neuropathy\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Neuropathie motrice<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Autonomic_Neuropathy\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Neuropathie autonome<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Resources\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Ressources<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Additional_Optional_Reading\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Lectures facultatives suppl\u00e9mentaires<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Clinical_Resources\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Ressources cliniques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#References\"><span class=\"tocnumber\">6<\/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=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le diab\u00e8te est une \u00e9pid\u00e9mie mondiale qui touche plus de 537 millions d&rsquo;adultes dans le monde.<sup id=\"cite_ref-:7_1-0\" class=\"reference\"><a href=\"#cite_note-:7-1\">(1)<\/a><\/sup> Parmi eux, 40 \u00e0 60 millions de personnes souffrent de complications du pied et des membres inf\u00e9rieurs li\u00e9es au diab\u00e8te. Le diab\u00e8te repr\u00e9sente 9 % du co\u00fbt total des soins de sant\u00e9 chez les adultes.<sup id=\"cite_ref-:2_2-0\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/p>\n<p>La neuropathie p\u00e9riph\u00e9rique est une cons\u00e9quence fr\u00e9quente du diab\u00e8te, avec une pr\u00e9valence de 10 \u00e0 85%.<sup id=\"cite_ref-:2_2-1\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> Les cons\u00e9quences de la neuropathie p\u00e9riph\u00e9rique peuvent \u00eatre d\u00e9vastatrices et inclure (1) des ulc\u00e8res du pied, (2) une amputation majeure, (3) des chutes, (4) des l\u00e9sions intracr\u00e2niennes et (5) une diminution de la qualit\u00e9 de vie.<sup id=\"cite_ref-:7_1-1\" class=\"reference\"><a href=\"#cite_note-:7-1\">(1)<\/a><\/sup> Environ une personne diab\u00e9tique sur quatre d\u00e9veloppera un ulc\u00e8re du pied diab\u00e9tique :<\/p>\n<ul>\n<li>les personnes souffrant d&rsquo;un ulc\u00e8re du pied diab\u00e9tique ont un risque de mortalit\u00e9 2,5 fois plus \u00e9lev\u00e9 que les personnes diab\u00e9tiques qui ne d\u00e9veloppent pas d&rsquo;ulc\u00e8re du pied;<\/li>\n<li>leur taux de mortalit\u00e9 se situe \u00e0 42 % dans les cinq ans qui suivent l&rsquo;apparition d&rsquo;un ulc\u00e8re du pied diab\u00e9tique;<\/li>\n<li>apr\u00e8s un an, 20 % des ulc\u00e8res du pied diab\u00e9tique ne sont toujours pas gu\u00e9ris;<\/li>\n<li>le taux de r\u00e9cidive des ulc\u00e8res du pied diab\u00e9tique gu\u00e9ris est de 40 % dans l&rsquo;ann\u00e9e qui suit et de 65 % dans les cinq ans qui suivent. <sup id=\"cite_ref-:2_2-2\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<p>Cette page pr\u00e9sente les causes et les types de neuropathie p\u00e9riph\u00e9rique, en explorant l&rsquo;\u00e9tiologie au-del\u00e0 du diab\u00e8te.<\/p>\n<h2><span id=\"Neuroanatomy_Review\" class=\"mw-headline\">R\u00e9vision de la neuroanatomie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Neuroanatomy Review\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=2\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Neuroanatomy Review\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=2\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 702px;\"><a class=\"image\" href=\"\/File:Nervous_system_division,_shutterstock_ID-_2187989357.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6c\/Nervous_system_division%2C_shutterstock_ID-_2187989357.jpg\/700px-Nervous_system_division%2C_shutterstock_ID-_2187989357.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/6\/6c\/Nervous_system_division%2C_shutterstock_ID-_2187989357.jpg 1.5x\" alt=\"Nervous system division, shutterstock ID- 2187989357.jpg\" width=\"700\" height=\"525\" data-file-width=\"1000\" data-file-height=\"750\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><b>Syst\u00e8me nerveux central<\/b>: comprend le <a title=\"Brain Anatomy\" href=\"\/Brain_Anatomy\">cerveau<\/a> et la <a title=\"Spinal cord anatomy\" href=\"\/Spinal_cord_anatomy\">moelle \u00e9pini\u00e8re<\/a>. Le syst\u00e8me nerveux central (SNC) est le centre de commande de l&rsquo;organisme. En termes g\u00e9n\u00e9raux, les trois fonctions du SNC sont les suivantes : (1) recevoir des informations sensorielles, (2) traiter ces informations et (3) envoyer des signaux moteurs. Gr\u00e2ce \u00e0 ces m\u00e9canismes, le SNC contr\u00f4le la plupart des fonctions de l&rsquo;organisme, y compris les mouvements, les sensations par l&rsquo;interm\u00e9diaire des cinq sens et les fonctions sup\u00e9rieures telles que la cognition, la conscience et la parole. La moelle \u00e9pini\u00e8re est une extension du cerveau et sert de voie neuronale pour l&rsquo;\u00e9change d&rsquo;informations avec le reste du corps.<\/li>\n<li><b>Syst\u00e8me nerveux p\u00e9riph\u00e9rique<\/b> : r\u00e9seau complexe de nerfs qui transmettent les informations sensorielles <i>en provenance du corps vers le SNC<\/i> via la moelle \u00e9pini\u00e8re et les informations <i>en provenance du SNC vers le corps<\/i> via la moelle \u00e9pini\u00e8re. Parmi les signaux sortants transmis par le syst\u00e8me nerveux p\u00e9riph\u00e9rique (SNP), on peut nommer (1) les informations motrices pour l&rsquo;activit\u00e9 musculaire et (2) le fonctionnement autonome (fr\u00e9quence cardiaque, pression art\u00e9rielle, respiration, digestion, excitation sexuelle).<sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup>\n<ul>\n<li><b>Nerfs moteurs<\/b> : relaient l&rsquo;information aux muscles squelettiques et aux tissus somatiques, pour produire un mouvement volontaire.<\/li>\n<li><b>Nerfs sensitifs <\/b>: transmettent les informations sensorielles provenant de l&rsquo;environnement per\u00e7us les r\u00e9cepteurs sensoriels du corps jusqu&rsquo;au SNC.<\/li>\n<li><b>Syst\u00e8me nerveux autonome<\/b> : il transmet les informations motrices aux visc\u00e8res pour innerver les muscles lisses, le muscle cardiaque et les glandes et assure le maintien de l&rsquo;hom\u00e9ostasie de l&rsquo;organisme. Le syst\u00e8me nerveux autonome comprend deux parties : les divisions <strong>sympathique<\/strong> et <strong>parasympathique<\/strong>, qui innervent les visc\u00e8res. Le syst\u00e8me nerveux sympathique stimule (\u00ab combat ou fuite \u00bb) tandis que le syst\u00e8me nerveux parasympathique inhibe (\u00ab repos et digestion \u00bb) les fonctions de ces organes.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span id=\"Peripheral_Neuropathy\" class=\"mw-headline\">Neuropathie p\u00e9riph\u00e9rique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Peripheral Neuropathy\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=3\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Peripheral Neuropathy\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=3\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le terme \u00ab neuropathie p\u00e9riph\u00e9rique \u00bb (NP) d\u00e9crit de nombreuses affections qui impliquent une atteinte du syst\u00e8me nerveux p\u00e9riph\u00e9rique. Dans un premier temps, ces atteintes se pr\u00e9sentent sous la forme d&rsquo;un dysfonctionnement nerveux d\u00fb \u00e0 des modifications cellulaires et chimiques. Cependant, avec le temps, ce dysfonctionnement nerveux devient une v\u00e9ritable l\u00e9sion nerveuse (l\u00e9sion structurelle), entra\u00eenant une atrophie et une d\u00e9my\u00e9linisation.<sup id=\"cite_ref-:2_2-3\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> Il existe plus de 100 types connus de NP, chacun ayant des sympt\u00f4mes et un pronostic sp\u00e9cifiques. Les sympt\u00f4mes de la NP d\u00e9pendent de la cat\u00e9gorie de nerfs atteint : moteurs, sensitifs ou autonomes.<sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<p>La physiopathologie exacte de la PN d\u00e9pend des processus pathologiques sous-jacents. Cependant, les m\u00e9canismes des l\u00e9sions des nerfs p\u00e9riph\u00e9riques pr\u00e9sentent des r\u00e9actions similaires. Ces r\u00e9actions comprennent (1) la d\u00e9my\u00e9linisation segmentaire, (2) la <a title=\"Wallerian Degeneration\" href=\"\/Wallerian_Degeneration\">d\u00e9g\u00e9n\u00e9rescence wall\u00e9rienne<\/a> et (3) la d\u00e9g\u00e9n\u00e9rescence axonale. <sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Les <b>fa\u00e7ons de classifier les NP<\/b> comprennent :<\/p>\n<ol>\n<li>Cat\u00e9gorisation en fonction du nombre de nerfs touch\u00e9s : mono-neuropathies, neuropathies multifocales, polyneuropathies. <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>Elles peuvent \u00eatre divis\u00e9es en groupes plus petits, tels que la cause de l&rsquo;affection (par exemple, compressive ou non compressive) ou le type de neuropathie (par exemple, <a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Axons?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">axonale<\/a> ou d\u00e9my\u00e9linisante), etc. <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6) <\/a><\/sup><sup id=\"cite_ref-:1_4-2\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<p>Les <b>signes et sympt\u00f4mes courants de la NP<\/b> comprennent :<\/p>\n<ul>\n<li>engourdissements et paresth\u00e9sies;<\/li>\n<li>douleur;<\/li>\n<li>faiblesse musculaire;<\/li>\n<li>atteintes des <a title=\"R\u00e9flexes\" href=\"\/Reflexes\">r\u00e9flexes<\/a> ost\u00e9otendineux. <sup id=\"cite_ref-:1_4-3\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<\/ul>\n<p><strong>Si vous souhaitez en savoir plus sur la neuropathie, lisez cet <a title=\"Neuropathies\" href=\"\/Neuropathies\">article<\/a> optionnel, en anglais original.<\/strong><\/p>\n<\/div>\n<div class=\"mw-parser-output\">\n<h3><span id=\"Aetiology_of_Peripheral_Neuropathies\" class=\"mw-headline\">\u00c9tiologie des neuropathies p\u00e9riph\u00e9riques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Aetiology of Peripheral Neuropathies\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=4\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Aetiology of Peripheral Neuropathies\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=4\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le <a class=\"external text\" href=\"https:\/\/www.nih.gov\" rel=\"nofollow\">\u00ab National Institute of Health \u00bb<\/a> (NIH, institutions gouvernementales des \u00c9tats-Unis qui s&rsquo;occupent de la recherche m\u00e9dicale et biom\u00e9dicale) indique que l&rsquo;\u00e9tiologie de la NP peut avoir de nombreuses causes, y compris des causes m\u00e9taboliques, syst\u00e9miques et toxiques : <sup id=\"cite_ref-:1_4-4\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<ul>\n<li><a title=\"Le diab\u00e8te\" href=\"\/Diabetes\">diab\u00e8te sucr\u00e9 <\/a><sup id=\"cite_ref-:2_2-4\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:1_4-5\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> (cause la plus fr\u00e9quente de NP);<\/li>\n<li><a title=\"Alcoholism\" href=\"\/Alcoholism\">alcoolisme<\/a> chronique; <sup id=\"cite_ref-:2_2-5\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:1_4-6\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>Carences nutritionnelles (par exemple, B1, B6, B12 et vitamine E) <sup id=\"cite_ref-:2_2-6\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:1_4-7\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>affections inflammatoires (par exemple, vascularite); <sup id=\"cite_ref-:1_4-8\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li><a title=\"Hypothyroidism\" href=\"\/Hypothyroidism\">hypothyro\u00efdie; <\/a><sup id=\"cite_ref-:2_2-7\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:1_4-9\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li><a title=\"Autoimmune Disorders\" href=\"\/Autoimmune_Disorders\">maladies auto-immunes<\/a> (par exemple, <a title=\"Sjogren's Syndrome\" href=\"\/Sjogren%27s_Syndrome\">syndrome de Sj\u00f6gren, <\/a><sup id=\"cite_ref-:2_2-8\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup>lupus, <a title=\"Rheumatoid Arthritis\" href=\"\/Rheumatoid_Arthritis\">polyarthrite rhumato\u00efde<\/a>); <sup id=\"cite_ref-:1_4-10\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>infections (par exemple, <a class=\"external text\" href=\"https:\/\/www.lymedisease.org\/rawls-lyme-neuropathy-pain\/\" rel=\"nofollow\">maladie de Lyme,<\/a><sup id=\"cite_ref-:2_2-9\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup>,  <a title=\"Epstein-Barr Virus\" href=\"\/Epstein-Barr_Virus\">virus d&rsquo;Epstein-Barr,<\/a>,  <a title=\"Hepatitis A, B, C\" href=\"\/Hepatitis_A,_B,_C\">h\u00e9patite C,<\/a>,  <a class=\"external text\" href=\"https:\/\/www.nhs.uk\/conditions\/post-herpetic-neuralgia\/#:~:text=Post%2Dherpetic%20neuralgia%20is%20a,full%20recovery%20within%20a%20year.\" rel=\"nofollow\">zona,<\/a>,  <a title=\"Leprosy\" href=\"\/Leprosy\">l\u00e8pre,<\/a>,  <a title=\"Human Immunodeficiency Virus (HIV)\" href=\"\/Human_Immunodeficiency_Virus_(HIV)\">VIH<\/a>,<sup id=\"cite_ref-:1_4-11\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> et <a title=\"Long COVID\" href=\"\/Long_COVID\">COVID-19 de longue dur\u00e9e);<\/a><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup>)<\/li>\n<li><a title=\"Guillain-Barre Syndrome\" href=\"\/Guillain-Barre_Syndrome\">syndrome de Guillain-Barr\u00e9; <\/a><sup id=\"cite_ref-:1_4-12\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>toxines (m\u00e9taux lourds, produits chimiques tels que le mercure, le plomb et l&rsquo;arsenic); <sup id=\"cite_ref-:1_4-13\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>agents de <a title=\"Chemotherapy Side Effects and Syndromes\" href=\"\/Chemotherapy_Side_Effects_and_Syndromes\">chimioth\u00e9rapie;<\/a> <sup id=\"cite_ref-:2_2-10\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:1_4-14\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>m\u00e9dicaments (antibiotiques, m\u00e9dicaments cardiovasculaires); <sup id=\"cite_ref-:1_4-15\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>tumeurs (secondaires \u00e0 une compression ou \u00e0 des <a title=\"Paraneoplastic Syndrome\" href=\"\/Paraneoplastic_Syndrome\">syndromes paran\u00e9oplasiques<\/a> associ\u00e9s); <sup id=\"cite_ref-:1_4-16\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>maladies h\u00e9r\u00e9ditaires (par exemple, <a title=\"Charcot-Marie-Tooth Disease\" href=\"\/Charcot-Marie-Tooth_Disease\">maladie de Charcot-Marie-Tooth<\/a>, <a title=\"Amyloidosis\" href=\"\/Amyloidosis\">amylo\u00efdose<\/a>); <sup id=\"cite_ref-:1_4-17\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>traumatisme ou blessure (par exemple, <a title=\"Carpal Tunnel Syndrome\" href=\"\/Carpal_Tunnel_Syndrome\">syndrome du tunnel carpien<\/a>); <sup id=\"cite_ref-:1_4-18\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>my\u00e9lome multiple et ses traitements; <sup id=\"cite_ref-:1_4-19\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>gammapathie monoclonale de signification ind\u00e9termin\u00e9e ( MGUS pour \u00ab monoclonal gammopathy of undetermined significance \u00bb); <sup id=\"cite_ref-:1_4-20\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4) <\/a><\/sup><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li>idiopathique, lorsqu&rsquo;aucune cause directe ne peut \u00eatre identifi\u00e9e. <sup id=\"cite_ref-:2_2-11\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Types_of_Peripheral_Neuropathies\" class=\"mw-headline\">Types de neuropathies p\u00e9riph\u00e9riques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Types of Peripheral Neuropathies\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=5\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Types of Peripheral Neuropathies\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=5\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Voici un aper\u00e7u des trois types de NP. Rappelons que la classification des NP d\u00e9pend des types de nerfs impliqu\u00e9s et que plusieurs types de NP peuvent \u00eatre pr\u00e9sents en m\u00eame temps. La plupart des personnes atteintes de NP pr\u00e9sentent une polyneuropathie. La compr\u00e9hension des sympt\u00f4mes communs et de la pr\u00e9sentation clinique de chaque type de PN est une comp\u00e9tence utile pour le professionnel de la r\u00e9adaptation, car elle l&rsquo;aide \u00e0 \u00e9laborer un plan de traitement et \u00e0 orienter les patients vers ses coll\u00e8gues de la m\u00e9decine.<\/p>\n<p>Pour une discussion plus approfondie sur le diagnostic clinique et la prise en charge des l\u00e9sions neuropathiques p\u00e9riph\u00e9riques, y compris un arbre de d\u00e9cision clinique, veuillez lire cet <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1186\/s42466-020-00064-2\" rel=\"nofollow\">article de recherche<\/a> de 2022 suppl\u00e9mentaire optionnel, en anglais original.<\/p>\n<h3><span id=\"Sensory_Neuropathy\" class=\"mw-headline\">Neuropathie sensitive <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Sensory Neuropathy\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=6\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Sensory Neuropathy\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<blockquote><p>\u00ab Les neuropathies sensitives font r\u00e9f\u00e9rence \u00e0 une multitude de maladies qui entra\u00eenent une perte de sensation n&rsquo;importe o\u00f9 dans le corps &#8230; (les neuropathies sensitives) peuvent \u00eatre subdivis\u00e9es en pathologies des petites fibres (provoquant surtout de la douleur) et des grosses fibres (provoquant surtout de l&rsquo;ataxie). \u00bb <sup id=\"cite_ref-:3_9-0\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/p><\/blockquote>\n<p>Pour classer une neuropathie sensorielle, il est important d&rsquo;identifier la taille de la fibre nerveuse et le degr\u00e9 de my\u00e9linisation. Certaines maladies, comme le diab\u00e8te, peuvent entra\u00eener une polyneuropathie sensorielle.<sup id=\"cite_ref-:3_9-1\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/p>\n<ul>\n<li><b>Neuropathies des petites fibres<\/b> (fibres A\u03b4 et petites fibres C non my\u00e9linis\u00e9es) :\n<ul>\n<li>elles transmettent des stimuli nocifs et des signaux thermiques;<\/li>\n<li>les fibres A\u03b4 r\u00e9gulent la fonction sympathique et parasympathique pr\u00e9ganglionnaire;<\/li>\n<li>les fibres C r\u00e9gulent la fonction autonome postganglionnaire.<\/li>\n<li><strong>Sympt\u00f4mes :<\/strong> douleur fulgurante de type \u00ab br\u00fblure \u00bb accompan\u00e9e de paresth\u00e9sies,<sup id=\"cite_ref-:3_9-2\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup> alt\u00e9ration de la sensibilit\u00e9 \u00e0 la douleur et la temp\u00e9rature et alt\u00e9ration des fonctions autonomes<sup id=\"cite_ref-:4_10-0\" class=\"reference\"><a href=\"#cite_note-:4-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><b>Neuropathies des grosses fibres<\/b> (fibres A\u03b2) :\n<ul>\n<li>les fibres A\u03b2 r\u00e9gulent les aff\u00e9rences sensorielles proprioceptives de la vibration et du toucher;<\/li>\n<li>elles peuvent \u00eatre impliqu\u00e9es dans le d\u00e9veloppement de l&rsquo;ataxie. <sup id=\"cite_ref-:3_9-3\" class=\"reference\"><a href=\"#cite_note-:3-9\">(9)<\/a><\/sup><\/li>\n<li><strong>Sympt\u00f4mes<\/strong> : perte de la sensation de la position articulaire et vibratoire, ataxie sensorielle <sup id=\"cite_ref-:4_10-1\" class=\"reference\"><a href=\"#cite_note-:4-10\">(10)<\/a><\/sup> et troubles de la marche qui en r\u00e9sultent. <sup id=\"cite_ref-:2_2-12\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<div class=\"mw-parser-output\">\n<blockquote>\n<h4><span id=\"Special_Topic:_Loss_of_Protective_Sensation\" class=\"mw-headline\">Sujet sp\u00e9cial : la perte de sensation protectrice <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Special Topic: Loss of Protective Sensation\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=7\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Special Topic: Loss of Protective Sensation\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=7\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La perte de sensation protectrice (PDSP) est une complication fr\u00e9quente chez les patients atteints de neuropathie diab\u00e9tique. La NP li\u00e9e au diab\u00e8te est un \u00ab processus anatomique diffus \u00bb qui affecte les fibres nerveuses sensitives et autonomes et, dans les cas les plus avanc\u00e9s, les fibres motrices distales. Les sympt\u00f4mes ont tendance \u00e0 se d\u00e9velopper distalement, dans les orteils, puis \u00e0 progresser en se propageant proximalement. Ce processus pathologique entra\u00eene une PDSP, c&rsquo;est-\u00e0-dire que la personne est incapable de percevoir les traumatismes mineurs et les blessures d&rsquo;origine m\u00e9canique, thermique ou chimique.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/p>\n<p>Le PDSP est un sympt\u00f4me important utilis\u00e9 dans la classification des plaies du pied diab\u00e9tique <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> car le pied est plus vuln\u00e9rable aux traumatismes physiques et thermiques et pr\u00e9dispose aux d\u00e9formations. <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<p><b>M\u00e9canismes courants de blessures li\u00e9s aux PDSP<\/b> :<\/p>\n<ol>\n<li><b>exposition \u00e0 une pression constante et prolong\u00e9e<\/b>, comme le port de chaussures trop serr\u00e9es;<\/li>\n<\/ol>\n<ol>\n<li><b>exposition \u00e0 des pressions mod\u00e9r\u00e9es \u00e0 \u00e9lev\u00e9es r\u00e9p\u00e9t\u00e9es<\/b>, qui provoque le d\u00e9veloppement d&rsquo;un durillon, lequel agit \u00e0 son tour comme une source de pression;<\/li>\n<li><b>exposition \u00e0 une pression \u00e9lev\u00e9e et de courte dur\u00e9e<\/b>, comme le fait de marcher sur un objet coupant qui provoque une blessure ou une autre l\u00e9sion.<sup id=\"cite_ref-:2_2-13\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<\/ol>\n<p>Pour plus d&rsquo;informations sur l&rsquo;\u00e9valuation de la PDSP, veuillez lire <a title=\"Assessment of Foot Neuropathies\" href=\"\/Assessment_of_Foot_Neuropathies\">cet article<\/a>.<\/p><\/blockquote>\n<p><i>Toutes les photos ont \u00e9t\u00e9 fournies et utilis\u00e9es avec l&rsquo;aimable autorisation de Diane Merwarth PT.<\/i><\/p>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 155px;\">\n<div style=\"width: 155px;\">\n<div class=\"thumb\" style=\"width: 150px;\">\n<div style=\"margin: 40.5px auto;\"><a class=\"image\" title=\"Exemple du premier m\u00e9canisme : exposition \u00e0 une pression constante et prolong\u00e9e.\" href=\"\/File:LOPS_mechanism_1.1.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/97\/LOPS_mechanism_1.1.png\/120px-LOPS_mechanism_1.1.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/97\/LOPS_mechanism_1.1.png\/180px-LOPS_mechanism_1.1.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/97\/LOPS_mechanism_1.1.png\/240px-LOPS_mechanism_1.1.png 2x\" alt=\"Exemple du premier m\u00e9canisme : exposition \u00e0 une pression constante et prolong\u00e9e.\" width=\"120\" height=\"69\" data-file-width=\"990\" data-file-height=\"570\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Exemple du premier m\u00e9canisme : exposition \u00e0 une pression constante et prolong\u00e9e.<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 155px;\">\n<div style=\"width: 155px;\">\n<div class=\"thumb\" style=\"width: 150px;\">\n<div style=\"margin: 22px auto;\"><a class=\"image\" title=\"Exemple du premier m\u00e9canisme : exposition \u00e0 une pression constante et prolong\u00e9e.\" href=\"\/File:LOPS_mechanism_1.2.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/95\/LOPS_mechanism_1.2.png\/120px-LOPS_mechanism_1.2.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/95\/LOPS_mechanism_1.2.png\/180px-LOPS_mechanism_1.2.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/95\/LOPS_mechanism_1.2.png\/240px-LOPS_mechanism_1.2.png 2x\" alt=\"Exemple du premier m\u00e9canisme : exposition \u00e0 une pression constante et prolong\u00e9e.\" width=\"120\" height=\"106\" data-file-width=\"502\" data-file-height=\"442\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Exemple du premier m\u00e9canisme : exposition \u00e0 une pression constante et prolong\u00e9e.<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 155px;\">\n<div style=\"width: 155px;\">\n<div class=\"thumb\" style=\"width: 150px;\">\n<div style=\"margin: 15px auto;\"><a class=\"image\" title=\"Exemple du deuxi\u00e8me m\u00e9canisme : exposition \u00e0 des pressions mod\u00e9r\u00e9es \u00e0 \u00e9lev\u00e9es r\u00e9p\u00e9t\u00e9es.\" href=\"\/File:LOPS_mechanism_2.1.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/LOPS_mechanism_2.1.png\/72px-LOPS_mechanism_2.1.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/LOPS_mechanism_2.1.png\/108px-LOPS_mechanism_2.1.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/LOPS_mechanism_2.1.png\/144px-LOPS_mechanism_2.1.png 2x\" alt=\"Exemple du deuxi\u00e8me m\u00e9canisme : exposition \u00e0 des pressions mod\u00e9r\u00e9es \u00e0 \u00e9lev\u00e9es r\u00e9p\u00e9t\u00e9es.\" width=\"72\" height=\"120\" data-file-width=\"274\" data-file-height=\"457\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Exemple du deuxi\u00e8me m\u00e9canisme : exposition \u00e0 des pressions mod\u00e9r\u00e9es \u00e0 \u00e9lev\u00e9es r\u00e9p\u00e9t\u00e9es.<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 155px;\">\n<div style=\"width: 155px;\">\n<div class=\"thumb\" style=\"width: 150px;\">\n<div style=\"margin: 15px auto;\"><a class=\"image\" title=\"Exemple du troisi\u00e8me m\u00e9canisme : exposition \u00e0 une pression \u00e9lev\u00e9e de courte dur\u00e9e.\" href=\"\/File:LOPS_mechanism_3.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/66\/LOPS_mechanism_3.png\/97px-LOPS_mechanism_3.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/66\/LOPS_mechanism_3.png\/146px-LOPS_mechanism_3.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/66\/LOPS_mechanism_3.png\/194px-LOPS_mechanism_3.png 2x\" alt=\"Exemple du troisi\u00e8me m\u00e9canisme : exposition \u00e0 une pression \u00e9lev\u00e9e de courte dur\u00e9e.\" width=\"97\" height=\"120\" data-file-width=\"1129\" data-file-height=\"1394\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Exemple du troisi\u00e8me m\u00e9canisme : exposition \u00e0 une pression \u00e9lev\u00e9e de courte dur\u00e9e.<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h3><span id=\"Motor_Neuropathy\" class=\"mw-headline\">Neuropathie motrice <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Motor Neuropathy\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=8\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Motor Neuropathy\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=8\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<blockquote><p>La neuropathie motrice est le r\u00e9sultat d&rsquo;une atteinte des nerfs moteurs.<sup id=\"cite_ref-:2_2-14\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/p><\/blockquote>\n<p><b>Les signes de neuropathie motrice comprennent<\/b> :<\/p>\n<ul>\n<li><strong>D\u00e9formations du pied<\/strong> r\u00e9sultant de d\u00e9s\u00e9quilibres musculaires dans le pied <sup id=\"cite_ref-:2_2-15\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> et de la glycation non enzymatique des prot\u00e9ines. <sup id=\"cite_ref-:6_14-0\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup>\n<ul>\n<li>Les d\u00e9formations les plus courantes sont (1) l&rsquo;orteil en marteau, (2) l&rsquo;orteil en griffe et (3) le pied \u00e9quin. <sup id=\"cite_ref-:2_2-16\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><strong>Modifications de la d\u00e9marche<\/strong> pouvant entra\u00eener des raccourcissements tendineux.\n<ul>\n<li>Les tendons les plus souvent atteints sont (1) le tendon d&rsquo;Achille et (2) les tendons des muscles fl\u00e9chisseurs de l&rsquo;hallux. <sup id=\"cite_ref-:2_2-17\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><strong>Perte des <a title=\"R\u00e9flexes\" href=\"\/Reflexes\">r\u00e9flexes ost\u00e9otendineux<\/a><\/strong> (ROT) <sup id=\"cite_ref-:2_2-18\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<li>D&rsquo;autres signes et sympt\u00f4mes peuvent \u00eatre pr\u00e9sents, notamment :\n<ul>\n<li>spasmes musculaires et crampes;<\/li>\n<li>faiblesse musculaire ou paralysie;<\/li>\n<li>atrophie musculaire. <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 155px;\">\n<div style=\"width: 155px;\">\n<div class=\"thumb\" style=\"width: 150px;\">\n<div style=\"margin: 45px auto;\"><a class=\"image\" title=\"Orteil en marteau avec vo\u00fbte plantaire accentu\u00e9e\" href=\"\/File:Hammer_toe,_provided_by_Diane_Merwarth_PT.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hammer_toe%2C_provided_by_Diane_Merwarth_PT.png\/120px-Hammer_toe%2C_provided_by_Diane_Merwarth_PT.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hammer_toe%2C_provided_by_Diane_Merwarth_PT.png\/180px-Hammer_toe%2C_provided_by_Diane_Merwarth_PT.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hammer_toe%2C_provided_by_Diane_Merwarth_PT.png\/240px-Hammer_toe%2C_provided_by_Diane_Merwarth_PT.png 2x\" alt=\"Orteil en marteau avec vo\u00fbte plantaire accentu\u00e9e\" width=\"120\" height=\"60\" data-file-width=\"786\" data-file-height=\"392\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Orteil en marteau avec vo\u00fbte plantaire accentu\u00e9e<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 155px;\">\n<div style=\"width: 155px;\">\n<div class=\"thumb\" style=\"width: 150px;\">\n<div style=\"margin: 41px auto;\"><a class=\"image\" title=\"Pied plat\" href=\"\/File:Charcot_foot,_provided_by_Diane_Merwarth_PT.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bf\/Charcot_foot%2C_provided_by_Diane_Merwarth_PT.png\/120px-Charcot_foot%2C_provided_by_Diane_Merwarth_PT.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bf\/Charcot_foot%2C_provided_by_Diane_Merwarth_PT.png\/180px-Charcot_foot%2C_provided_by_Diane_Merwarth_PT.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bf\/Charcot_foot%2C_provided_by_Diane_Merwarth_PT.png\/240px-Charcot_foot%2C_provided_by_Diane_Merwarth_PT.png 2x\" alt=\"Pied plat\" width=\"120\" height=\"68\" data-file-width=\"643\" data-file-height=\"363\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Pied plat<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 155px;\">\n<div style=\"width: 155px;\">\n<div class=\"thumb\" style=\"width: 150px;\">\n<div style=\"margin: 25.5px auto;\"><a class=\"image\" title=\"Chevauchement d'orteils avec hallux valgus\" href=\"\/File:Cross-over_toes,_provided_by_Diane_Merwarth_PT.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/87\/Cross-over_toes%2C_provided_by_Diane_Merwarth_PT.png\/120px-Cross-over_toes%2C_provided_by_Diane_Merwarth_PT.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/87\/Cross-over_toes%2C_provided_by_Diane_Merwarth_PT.png\/180px-Cross-over_toes%2C_provided_by_Diane_Merwarth_PT.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/8\/87\/Cross-over_toes%2C_provided_by_Diane_Merwarth_PT.png\/240px-Cross-over_toes%2C_provided_by_Diane_Merwarth_PT.png 2x\" alt=\"Chevauchement d'orteils avec hallux valgus\" width=\"120\" height=\"99\" data-file-width=\"671\" data-file-height=\"553\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Chevauchement d&rsquo;orteils avec hallux valgus<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<p><i>Toutes les photos ont \u00e9t\u00e9 fournies et utilis\u00e9es avec l&rsquo;aimable autorisation de Diane Merwarth PT.<\/i><\/p>\n<h3><span id=\"Autonomic_Neuropathy\" class=\"mw-headline\">Neuropathie autonome <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Autonomic Neuropathy\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=9\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Autonomic Neuropathy\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=9\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<blockquote><p>\u00ab Les neuropathies autonomes sont un ensemble de syndromes et de maladies affectant les neurones autonomes, que ce soit les neurones parasympathiques ou les neurones sympathiques, ou bien les deux \u00e0 la fois. Les neuropathies autonomes peuvent \u00eatre de nature h\u00e9r\u00e9ditaire ou acquise. \u00bb <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p><\/blockquote>\n<p>Les signes et les sympt\u00f4mes de la neuropathie autonome peuvent se manifester dans une grande vari\u00e9t\u00e9 de syst\u00e8mes de l&rsquo;organisme. Nombre de ces d\u00e9ficiences peuvent affecter la d\u00e9marche du patient, l&rsquo;exposant ainsi \u00e0 un risque accru de dysfonctionnement du pied et de d\u00e9veloppement de plaies. D&rsquo;autres d\u00e9ficiences peuvent augmenter le risque de chute d&rsquo;une personne (par exemple, une augmentation de la fr\u00e9quence et de l&rsquo;urgence urinaires ou une diminution de la capacit\u00e9 \u00e0 analyser visuellement l&rsquo;environnement de mani\u00e8re efficace).<\/p>\n<ul>\n<li><b>Syst\u00e8me cardiovasculaire :<\/b>\n<ul>\n<li>le corps peut r\u00e9agir plus lentement aux changements de position du corps, au stress, \u00e0 l&rsquo;activit\u00e9 physique, au sommeil et \u00e0 la respiration (par exemple, sensation de t\u00eate l\u00e9g\u00e8re lors d&rsquo;un changement de position ou d&rsquo;exercice physique); <sup id=\"cite_ref-:5_17-0\" class=\"reference\"><a href=\"#cite_note-:5-17\">(17)<\/a><\/sup><\/li>\n<li>alt\u00e9ration de la perception de la douleur thoracique permettant de reconna\u00eetre un \u00e9v\u00e9nement cardiaque tel qu&rsquo;un infarctus. <sup id=\"cite_ref-:2_2-19\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> <sup id=\"cite_ref-:5_17-1\" class=\"reference\"><a href=\"#cite_note-:5-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li><b>Syst\u00e8me digestif.<\/b> Les troubles digestifs peuvent inclure : <sup id=\"cite_ref-:5_17-2\" class=\"reference\"><a href=\"#cite_note-:5-17\">(17)<\/a><\/sup>\n<ul>\n<li>sensations de ballonnement et de pl\u00e9nitude, et naus\u00e9es;<\/li>\n<li>vomissements;<\/li>\n<li>constipation;<\/li>\n<li>diarrh\u00e9e;<\/li>\n<li>incontinence f\u00e9cale;<\/li>\n<li>gastropar\u00e9sie;<\/li>\n<li>troubles de la d\u00e9glutition.<\/li>\n<\/ul>\n<\/li>\n<li><b>Syst\u00e8me urog\u00e9nital :<\/b>\n<ul>\n<li>Des troubles de la vessie : <sup id=\"cite_ref-:5_17-3\" class=\"reference\"><a href=\"#cite_note-:5-17\">(17)<\/a><\/sup>\n<ul>\n<li>alt\u00e9ration de la capacit\u00e9 \u00e0 ressentir le besoin d&rsquo;uriner;<\/li>\n<li>incontinence urinaire;<\/li>\n<li>infections de la vessie dues \u00e0 la r\u00e9tention urinaire.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li><b>Syst\u00e8me t\u00e9gumentaire :<\/b>\n<ul>\n<li>Glycation non-enzymatique des prot\u00e9ines : <sup id=\"cite_ref-:2_2-20\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:6_14-1\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup>\n<ul>\n<li>Cela provoque un \u00e9paississement, une tension et une rigidit\u00e9 de la peau du pied. Ces modifications de la peau entra\u00eenent des pressions suppl\u00e9mentaires sur les pro\u00e9minences osseuses, ce qui peut accro\u00eetre le risque pour le patient de d\u00e9velopper un ulc\u00e8re isch\u00e9mique \u00e0 ces endroits.<sup id=\"cite_ref-:2_2-21\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<li>Elle pr\u00e9dispose la peau \u00e0 la formation de fissures cutan\u00e9es. <sup id=\"cite_ref-:2_2-22\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> <sup id=\"cite_ref-:6_14-2\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>Elle provoque une contracture des structures fasciales, ce qui peut entra\u00eener une d\u00e9formation des articulations du pied. <sup id=\"cite_ref-:6_14-3\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<li>Elle provoque une alt\u00e9ration de la gu\u00e9rison des plaies. <sup id=\"cite_ref-:6_14-4\" class=\"reference\"><a href=\"#cite_note-:6-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Glandes sudoripares :\n<ul>\n<li>Il peut y avoir des probl\u00e8mes de r\u00e9gulation de la transpiration ou des changements dans les comportements de transpiration (par exemple, augmentation des sueurs nocturnes ou de la transpiration en mangeant). Cela peut affecter consid\u00e9rablement la capacit\u00e9 de l&rsquo;organisme \u00e0 r\u00e9guler la temp\u00e9rature corporelle. <sup id=\"cite_ref-:2_2-23\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:5_17-4\" class=\"reference\"><a href=\"#cite_note-:5-17\">(17)<\/a><\/sup><\/li>\n<li>L&rsquo;anhidrose (peau s\u00e8che) est \u00e9galement possible. <sup id=\"cite_ref-:2_2-24\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li><b>Yeux :<\/b>\n<ul>\n<li>Il peut y avoir des probl\u00e8mes d&rsquo;adaptation de la pupille aux changements de lumi\u00e8re et une c\u00e9cit\u00e9 nocturne lors de la conduite. <sup id=\"cite_ref-:5_17-5\" class=\"reference\"><a href=\"#cite_note-:5-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Une <b>inconscience de l&rsquo;hypoglyc\u00e9mie<\/b> peut se d\u00e9velopper. <sup id=\"cite_ref-:5_17-6\" class=\"reference\"><a href=\"#cite_note-:5-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 155px;\">\n<div style=\"width: 155px;\">\n<div class=\"thumb\" style=\"width: 150px;\">\n<div style=\"margin: 27px auto;\"><a class=\"image\" title=\"Dry fissured skin. Photo provided by and used with kind permission from Diane Merwarth PT.\" href=\"\/File:Fissured_skin,_provided_by_Diane_Merwarth_PT.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/26\/Fissured_skin%2C_provided_by_Diane_Merwarth_PT.png\/120px-Fissured_skin%2C_provided_by_Diane_Merwarth_PT.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/26\/Fissured_skin%2C_provided_by_Diane_Merwarth_PT.png\/180px-Fissured_skin%2C_provided_by_Diane_Merwarth_PT.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/2\/26\/Fissured_skin%2C_provided_by_Diane_Merwarth_PT.png\/240px-Fissured_skin%2C_provided_by_Diane_Merwarth_PT.png 2x\" alt=\"Dry fissured skin. Photo provided by and used with kind permission from Diane Merwarth PT.\" width=\"120\" height=\"96\" data-file-width=\"605\" data-file-height=\"484\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Peau s\u00e8che et fissur\u00e9e. <i>Photo fournie et utilis\u00e9e avec l&rsquo;aimable autorisation de Diane Merwarth PT.<\/i><\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=10\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h4><span id=\"Additional_Optional_Reading\" class=\"mw-headline\">Lectures facultatives suppl\u00e9mentaires <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Additional Optional Reading\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=11\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Additional Optional Reading\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/woundinfection-institute.com\/wp-content\/uploads\/IWII-CD-2022-web-1.pdf\" rel=\"nofollow\">International Wound Infection Institute (IWII) Wound Infection in Clinical Practice.<\/a> Wounds International. (un guide des meilleures pratiques concernant l&rsquo;infection des plaies en pratique clinique, en anglais original) 2022.<\/li>\n<\/ul>\n<h4><span id=\"Clinical_Resources\" class=\"mw-headline\">Ressources cliniques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Resources\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=12\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Resources\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li><a class=\"external text\" href=\"http:\/\/www.neuropathyaction.org\/downloads\/naf_what_is_neuropathy_brochure(final).pdf\" rel=\"nofollow\">Neuropathy Overview<\/a> de la <a class=\"external text\" href=\"http:\/\/www.neuropathyaction.org\/index.htm\" rel=\"nofollow\">Neuropathy Action Foundation<\/a> (une brochure d&rsquo;\u00e9ducation pour les patients concernant la neuropathie, en anglais original)<\/li>\n<li>Veuillez visionner cette vid\u00e9o optionnelle de 8 minutes pour une vue d&rsquo;ensemble des types de neuropathie p\u00e9riph\u00e9rique (en anglais original). Veuillez noter que cette vid\u00e9o aborde des informations qui d\u00e9passent le cadre de la neuropathie des pieds.<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/YTsu-HN8nw4?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/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=Introduction_to_Foot_Neuropathy&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Introduction_to_Foot_Neuropathy&amp;action=edit&amp;section=13\">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-:7-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_1-0\">1.0<\/a><\/sup><sup><a href=\"#cite_ref-:7_1-1\">1.1<\/a><\/sup><\/span> <span class=\"reference-text\">Hicks CW, Wang D, Windham BG, Matsushita K, Selvin E. <a class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/s41598-021-98565-w\" rel=\"nofollow\">Prevalence of peripheral neuropathy defined by monofilament insensitivity in middle-aged and older adults in two US cohorts<\/a>. Scientific reports. 2021 Sep 27;11(1):19159.<\/span><\/li>\n<li id=\"cite_note-:2-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_2-0\">2.00<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-1\">2.01<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-2\">2.02<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-3\">2.03<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-4\">2.04<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-5\">2.05<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-6\">2.06<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-7\">2.07<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-8\">2.08<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-9\">2.09<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-10\">2.10<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-11\">2.11<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-12\">2.12<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-13\">2.13<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-14\">2.14<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-15\">2.15<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-16\">2.16<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-17\">2.17<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-18\">2.18<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-19\">2.19<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-20\">2.20<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-21\">2.21<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-22\">2.22<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-23\">2.23<\/a><\/sup><sup><a href=\"#cite_ref-:2_2-24\">2.24<\/a><\/sup><\/span> <span class=\"reference-text\">Merwarth, D. Understanding the Foot Programme. Introduction to Foot Neuropathy. Physioplus. 2023.<\/span><\/li>\n<li id=\"cite_note-:0-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_3-0\">3.0<\/a><\/sup><sup><a href=\"#cite_ref-:0_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">National Institute of Health. Peripheral Neuropathy. Available from: <a class=\"external free\" href=\"https:\/\/www.ninds.nih.gov\/health-information\/disorders\/peripheral-neuropathy#toc-what-is-peripheral-neuropathy-\" rel=\"nofollow\">https:\/\/www.ninds.nih.gov\/health-information\/disorders\/peripheral-neuropathy#toc-what-is-peripheral-neuropathy-<\/a> (accessed 3\/August\/2023).<\/span><\/li>\n<li id=\"cite_note-:1-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_4-0\">4.00<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-1\">4.01<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-2\">4.02<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-3\">4.03<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-4\">4.04<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-5\">4.05<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-6\">4.06<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-7\">4.07<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-8\">4.08<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-9\">4.09<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-10\">4.10<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-11\">4.11<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-12\">4.12<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-13\">4.13<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-14\">4.14<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-15\">4.15<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-16\">4.16<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-17\">4.17<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-18\">4.18<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-19\">4.19<\/a><\/sup><sup><a href=\"#cite_ref-:1_4-20\">4.20<\/a><\/sup><\/span> <span class=\"reference-text\">Hammi C, Yeung B. 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Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=YTsu-HN8nw4\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=YTsu-HN8nw4<\/a> (last accessed 16\/August\/2023)<\/span><\/li>\n<\/ol>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dactrice originale &#8211; Stacy Schiurring bas\u00e9 sur le cours de Diane MerwarthPrincipaux collaborateurs &#8211; Stacy Schiurring, Jess Bell et Matt Huey Contenu 1 Introduction 2 R\u00e9vision de la neuroanatomie 3 Neuropathie p\u00e9riph\u00e9rique 3.1 \u00c9tiologie des neuropathies p\u00e9riph\u00e9riques 4 Types de neuropathies p\u00e9riph\u00e9riques 4.1 Neuropathie sensitive 4.1.1 Sujet sp\u00e9cial : la perte de sensation protectrice 4.2 [&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-8907","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8907","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=8907"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8907\/revisions"}],"predecessor-version":[{"id":8914,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/8907\/revisions\/8914"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=8907"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}