{"id":9224,"date":"2024-08-19T18:54:48","date_gmt":"2024-08-19T18:54:48","guid":{"rendered":"https:\/\/urgencephysio.com\/?p=9224"},"modified":"2024-08-20T15:14:34","modified_gmt":"2024-08-20T15:14:34","slug":"lower-extremity-orthotic-treatment-in-stroke-rehabilitation","status":"publish","type":"post","link":"https:\/\/urgencephysio.com\/fr\/2024\/08\/19\/lower-extremity-orthotic-treatment-in-stroke-rehabilitation\/","title":{"rendered":"Traitement orthop\u00e9dique des membres inf\u00e9rieurs dans le cadre de la r\u00e9\u00e9ducation apr\u00e8s un AVC"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"9224\" class=\"elementor elementor-9224\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ff4dbfd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1ff4dbfd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3728904b\" data-id=\"3728904b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3eafbf31 elementor-widget elementor-widget-text-editor\" data-id=\"3eafbf31\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.11.5 - 14-03-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<!-- wp:paragraph -->\n<p><span data-contrast=\"auto\">Les approches orth\u00e9tiques et les m\u00e9thodes neurophysiologiques bas\u00e9es sur l&#039;apprentissage moteur sont essentielles dans la r\u00e9\u00e9ducation apr\u00e8s un AVC. Traditionnellement utilis\u00e9es en phase subaigu\u00eb, des \u00e9tudes r\u00e9centes indiquent que l&#039;utilisation pr\u00e9coce d&#039;orth\u00e8ses en phase aigu\u00eb am\u00e9liore la fonctionnalit\u00e9 du patient.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Les orth\u00e8ses en r\u00e9\u00e9ducation post-AVC visent \u00e0 pr\u00e9venir les complications et \u00e0 assurer l&#039;ind\u00e9pendance fonctionnelle, en s&#039;adaptant aux phases aigu\u00ebs et chroniques. Elles soutiennent les traitements neurophysiologiques, maintiennent la neutralit\u00e9 de la cheville, pr\u00e9viennent les contractures, corrigent les compensations de la marche et offrent un apport sensoriel gr\u00e2ce \u00e0 un positionnement correct et \u00e0 une stabilisation articulaire.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<!-- \/wp:paragraph -->\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75fbefb elementor-widget elementor-widget-heading\" data-id=\"75fbefb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.11.5 - 14-03-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Types d&#039;orth\u00e8ses : <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a5f693 elementor-widget elementor-widget-text-editor\" data-id=\"1a5f693\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<!-- wp:paragraph -->\n<p><b><span data-contrast=\"auto\">Orth\u00e8ses de positionnement :<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"auto\">Utilis\u00e9 t\u00f4t pour maintenir un positionnement correct pendant le repos au lit et la marche.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Orth\u00e8ses fonctionnelles :<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"auto\">Fournit un soutien biom\u00e9canique pour la marche, en conservant l&#039;\u00e9nergie pour lutter contre la fatigue courante chez les patients victimes d&#039;un AVC. Les exemples incluent des supports dans les chaussures, des semelles int\u00e9rieures et des modifications de chaussures pour traiter les d\u00e9formations telles que l&#039;inversion, la flexion, l&#039;extension et les d\u00e9formations en \u00e9quin.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Orth\u00e8ses statiques cheville-pied (AFO) :<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"auto\">Couramment utilis\u00e9s pour maintenir le pied dans une position neutre pendant la marche. Ils fournissent un apport sensoriel correct, emp\u00eachent les sch\u00e9mas de marche synergiques, facilitent l&#039;\u00e9quilibre et r\u00e9duisent la consommation d&#039;\u00e9nergie et la fatigue.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Orth\u00e8ses du genou :<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ol>\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"auto\">Traitez les probl\u00e8mes de genou tels que le recurvatum d\u00fb \u00e0 une faiblesse du quadriceps, \u00e0 la spasticit\u00e9 ou aux probl\u00e8mes de flexion plantaire. Ils peuvent impliquer des orth\u00e8ses AFO ou des orth\u00e8ses sp\u00e9cialis\u00e9es comme l&#039;orth\u00e8se supracondylienne de recurvatum ou la cage su\u00e9doise du genou.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Orth\u00e8ses de marche (KAFO, HKAFO) :<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"auto\">Utilis\u00e9 pour les patients n\u00e9cessitant un soutien \u00e0 long terme, bien qu&#039;ils soient g\u00e9n\u00e9ralement \u00e9vit\u00e9s dans la r\u00e9\u00e9ducation apr\u00e8s un AVC en raison du soutien important qu&#039;ils n\u00e9cessitent. Convient aux personnes incapables de retrouver la marche apr\u00e8s de multiples \u00e9v\u00e9nements c\u00e9r\u00e9brovasculaires ou des soins intensifs prolong\u00e9s.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<!-- \/wp:paragraph -->\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a72b55 elementor-widget elementor-widget-text-editor\" data-id=\"7a72b55\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<!-- wp:paragraph -->\n<p><span class=\"TextRun SCXW35366020 BCX0\" lang=\"TR-TR\" xml:lang=\"TR-TR\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW35366020 BCX0\">En utilisant <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">appropri\u00e9<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">orth\u00e8ses<\/span><span class=\"NormalTextRun SCXW35366020 BCX0\"> peut <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">de mani\u00e8re significative<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">am\u00e9liorer<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">postural<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">contr\u00f4le<\/span><span class=\"NormalTextRun SCXW35366020 BCX0\">, <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">d\u00e9marche<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">vitesse<\/span><span class=\"NormalTextRun SCXW35366020 BCX0\">, <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">et<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">dans l&#039;ensemble<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">mobilit\u00e9<\/span><span class=\"NormalTextRun SCXW35366020 BCX0\"> dans <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">accident vasculaire c\u00e9r\u00e9bral<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">patients<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">par<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">adressage<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">sp\u00e9cifique<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">biom\u00e9canique<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">probl\u00e8mes<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">et<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">justificatif<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">le<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">r\u00e9cup\u00e9ration<\/span> <span class=\"NormalTextRun SpellingErrorV2Themed SCXW35366020 BCX0\">processus<\/span><span class=\"NormalTextRun SCXW35366020 BCX0\">.<\/span><\/span><span class=\"EOP SCXW35366020 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<!-- \/wp:paragraph -->\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Les approches orth\u00e9tiques et les m\u00e9thodes neurophysiologiques bas\u00e9es sur l\u2019apprentissage moteur sont cruciales dans la r\u00e9\u00e9ducation apr\u00e8s un AVC. Traditionnellement utilis\u00e9es dans la phase subaigu\u00eb, des \u00e9tudes r\u00e9centes indiquent que l\u2019utilisation pr\u00e9coce d\u2019orth\u00e8ses dans la phase aigu\u00eb am\u00e9liore la fonctionnalit\u00e9 du patient. Les orth\u00e8ses dans la r\u00e9\u00e9ducation apr\u00e8s un AVC visent \u00e0 pr\u00e9venir les complications et \u00e0 assurer l\u2019ind\u00e9pendance fonctionnelle, en s\u2019adaptant \u00e0 la fois aux phases aigu\u00ebs et chroniques. Elles soutiennent les processus neurophysiologiques [\u2026]<\/p>","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[16,18,20,21],"tags":[25,26],"acf":[],"_links":{"self":[{"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/posts\/9224"}],"collection":[{"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/comments?post=9224"}],"version-history":[{"count":4,"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/posts\/9224\/revisions"}],"predecessor-version":[{"id":9228,"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/posts\/9224\/revisions\/9228"}],"wp:attachment":[{"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/media?parent=9224"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/categories?post=9224"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgencephysio.com\/fr\/wp-json\/wp\/v2\/tags?post=9224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}