{"id":1196,"date":"2024-07-06T14:38:00","date_gmt":"2024-07-06T12:38:00","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=1196"},"modified":"2026-01-04T23:13:22","modified_gmt":"2026-01-04T22:13:22","slug":"cluster-de-laslett-2","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=1196","title":{"rendered":"Cluster de Laslett"},"content":{"rendered":"\n<p><strong>But <\/strong>: suspicion d&rsquo;une douleur d&rsquo;origine sacro-iliaque<br><strong>R\u00e9sultat <\/strong>: 2 tests sur 4 positifs pour diagnostiquer une douleur d&rsquo;origine sacro-iliaque <\/p>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center has-large-font-size\"><strong>Cluster de laslett<\/strong><\/h1>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>1- <strong>Test de distraction<\/strong><br>Patient en d\u00e9cubitus dorsal , le th\u00e9rapeute pose ses mains sur les EIAS et applique 3 \u00e0 6 pouss\u00e9es \u00e0 vitesse mod\u00e9r\u00e9e, en augmentant progressivement la vitesse<br><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Distraction Test | Sacroiliac Joint Provocation\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/OUwzaMVgGMk?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>2 &#8211; <strong>Test de cisaillement post\u00e9rieur<\/strong> (Thigh thrust)<br>Le patient en DD, MK place le membre inf\u00e9rieur \u00e0 tester \u00e0 90\u00b0 de flexion de hanche, genou fl\u00e9chi et en adduction horizontale jusqu&rsquo;\u00e0 ce que le genou se retrouve en regard de la ligne m\u00e9diane du patient. Le MK place une main en contre-appui entre le sacrum et la table, puis applique une force dirig\u00e9e vers le sol dans l&rsquo;axe du f\u00e9mur \u00e0 l&rsquo;aide de son autre main.<br>Application de 3 \u00e0 6 pressions vers le sol \u00e0 haute v\u00e9locit\u00e9 (thrust) en augmentant progressivement la vitesse.<br>Le test est positif s&rsquo;il reproduit la douleur du patient.<br><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"240\" height=\"232\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2024\/07\/image-20.png\" alt=\"\" class=\"wp-image-7999\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>3 &#8211; <strong>Test de compression<\/strong><br>Patient en d\u00e9cubitus lat\u00e9ral, sur le c\u00f4t\u00e9 asymptomatique, hanches fl\u00e9chies \u00e0 45\u00b0 et genoux fl\u00e9chis \u00e0 90\u00b0. Se placer derri\u00e8re le patient et poser les mains sur le bord sup\u00e9rieur de l&rsquo;iliaque.<br>Appliquer 3 \u00e0 6 pouss\u00e9es  \u00e0 vitesse mod\u00e9r\u00e9e, en augmentant progressivement la vitesse<br><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"378\" height=\"357\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2024\/07\/image-21.png\" alt=\"\" class=\"wp-image-8000\" style=\"width:243px;height:auto\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2024\/07\/image-21.png 378w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2024\/07\/image-21-300x283.png 300w\" sizes=\"auto, (max-width: 378px) 100vw, 378px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>4 &#8211; <strong>Test de thrust sacr\u00e9 <\/strong><br>Patient en d\u00e9cubitus ventral, MK pose la base de sa paume au niveau de S2, doigts point\u00e9s vers la t\u00eate du patient. <br>Application de 3 \u00e0 6 pressions vers le sol \u00e0 haute v\u00e9locit\u00e9 (thrust) en augmentant progressivement la vitesse.<br>Le test est positif s&rsquo;il reproduit la douleur du patient.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Sacral Thrust Test | Sacroiliac Joint Provocation\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/7rxOWC9qoOA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Test de Gaeslen (optionnel)<\/strong><br>Le patient en DD, saisit son genou controlat\u00e9ral au c\u00f4t\u00e9 \u00e0 tester, et l&rsquo;am\u00e8ne vers son tronc, en flexion de hanche maximale. <br>Le MK place le membre inf\u00e9rieur \u00e0 tester en dehors de la table, pour l&rsquo;amener en extension maximale de hanche. Il applique ensuite une force dirig\u00e9e vers le sol sur la face ant\u00e9rieure de la cuisse pour augmenter l&rsquo;extension de hanche, tout en majorant la flexion de hanche sur le c\u00f4t\u00e9 controlat\u00e9ral.<br>Cela cr\u00e9er une torsion de la sacro-iliaque (nutation en d\u00e9bord de table et contre nutation de la jambe fl\u00e9chi)<br><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Gaenslen&#039;s Test | Sacroiliac Joint Provocation\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/ED_bYoQk9d4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Cluster of Laslett | Sacroiliac Joint Pain Provocation\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/g8txpsqHYpQ?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Algorithme diagnostic<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"604\" height=\"469\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2024\/07\/image-22.png\" alt=\"\" class=\"wp-image-8002\" style=\"width:622px;height:auto\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2024\/07\/image-22.png 604w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2024\/07\/image-22-300x233.png 300w\" sizes=\"auto, (max-width: 604px) 100vw, 604px\" \/><\/figure>\n\n\n\n<p>Si les 2 premiers tests sont positifs, la douleur est d&rsquo;origine sacro-iliaque. Aucun autre test n&rsquo;est n\u00e9cessaire.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>But : suspicion d&rsquo;une douleur d&rsquo;origine sacro-iliaqueR\u00e9sultat : 2 tests sur 4 positifs pour diagnostiquer une douleur d&rsquo;origine sacro-iliaque Cluster de laslett 1- Test de distractionPatient en d\u00e9cubitus dorsal , le th\u00e9rapeute pose ses mains&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=1196\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Cluster de Laslett\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[475],"tags":[353],"class_list":["post-1196","post","type-post","status-publish","format-standard","hentry","category-tests-et-evaluation-sacro-iliaque","tag-hanche"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/1196","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1196"}],"version-history":[{"count":8,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/1196\/revisions"}],"predecessor-version":[{"id":8003,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/1196\/revisions\/8003"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1196"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1196"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}