{"id":4712,"date":"2025-05-12T00:03:29","date_gmt":"2025-05-11T22:03:29","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=4712"},"modified":"2025-05-15T17:20:29","modified_gmt":"2025-05-15T15:20:29","slug":"cervicalgies-avec-exces-de-contrainte","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=4712","title":{"rendered":"Cervicalgies avec exc\u00e8s de contrainte"},"content":{"rendered":"\n<h2 id=\"processus-articulaires-posterieurs\" class=\"wp-block-heading\">Processus articulaires post\u00e9rieurs<\/h2>\n\n\n\n<h3 id=\"physiopathologie\" class=\"wp-block-heading\">Physiopathologie<\/h3>\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<h2 id=\"exces-de-contrainte-sur-les-pap-ou-facettes-posterieures-provoquant-des-informations-nociceptives-pas-forcement-visible-a-limagerie\" class=\"wp-block-heading\">Exc\u00e8s de contrainte sur les PAP ou facettes post\u00e9rieures provoquant des informations nociceptives (pas forc\u00e9ment visible \u00e0 l&rsquo;imagerie)<\/h2>\n\n\n\n<p>PAP pourraient provoquer des douleurs projet\u00e9es (irradiation) :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C1\/C2\/C3 (rachis cervical sup) irradie en casque -&gt; \u00e0 l&rsquo;origine de certaines c\u00e9phal\u00e9es cervico-g\u00e9nique<\/li>\n\n\n\n<li>C5\/C6 irradient plus dans l&rsquo;\u00e9paule<\/li>\n<\/ul>\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=\"535\" height=\"412\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-6.avif\" alt=\"\" class=\"wp-image-4769\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-6.avif 535w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-6-300x231.avif 300w\" sizes=\"auto, (max-width: 535px) 100vw, 535px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"diagnostic\" class=\"wp-block-heading\">Diagnostic<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Examen subjectif<\/td><td>Examen physique<\/td><\/tr><tr><td>&#8211; Historique d&rsquo;exc\u00e8s de contrainte<br>&#8211; Douleur en extension et\/ou en rotation<br>&#8211; Possible douleur r\u00e9f\u00e9r\u00e9e<\/td><td>&#8211; Diminution de mobilit\u00e9 globale et intervert\u00e9brale<br>&#8211; Douleur PA<br>&#8211; Test d&rsquo;extension-rotation<br>&#8211; Test de flexion-rotation (cervicales hautes)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Exc\u00e8s de contrainte ou diminution de la capacit\u00e9 \u00e0 accepter la contrainte : sensibilisation de la structure qui peut entra\u00eener de la douleur<\/li>\n\n\n\n<li>Diminution de la mobilit\u00e9 intervert\u00e9brale \u00e0 un \u00e9tage pr\u00e9cis<\/li>\n\n\n\n<li>Test sp\u00e9cifique de flexion-rotation : flexion max + rotation<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"traitement\" class=\"wp-block-heading\">Traitement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Priorit\u00e9 : gestion de la charge<\/li>\n\n\n\n<li>SIN : petit mouvement de mise en contrainte provoque la douleur<\/li>\n\n\n\n<li>&#8211; Traitement de la mobilit\u00e9 : mobilisation passive, sp\u00e9cifiques, globale, active, PA grade 3-4<\/li>\n\n\n\n<li>&#8211; Traitement de la douleur : mobilisation, activation musculaire, PA grade 1-2<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"723\" height=\"123\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-7.avif\" alt=\"\" class=\"wp-image-4771\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-7.avif 723w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-7-300x51.avif 300w\" sizes=\"auto, (max-width: 723px) 100vw, 723px\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"syndrome-myofascial\" class=\"wp-block-heading\">Syndrome myofascial<\/h2>\n\n\n\n<p>Physiopathologie<\/p>\n\n\n\n<p>Douleur d&rsquo;origine musculaire (douleur projet\u00e9 possible)<\/p>\n\n\n\n<p>Physiopathologie non claire aujourd&rsquo;hui : exc\u00e8s de contrainte sur les muscles provoquant des infos nociceptives \/ triggers points \/ cr\u00e9ation de complexes fibreux engendrant douleur \/ manque d&rsquo;oxyg\u00e9nation du muscle<\/p>\n\n\n\n<h3 id=\"diagnostic-2\" class=\"wp-block-heading\">Diagnostic<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Examen subjectif<\/td><td>Examen physique<\/td><\/tr><tr><td>&#8211; Historique d&rsquo;exc\u00e8s de contrainte<br>&#8211; Possible douleur r\u00e9f\u00e9r\u00e9e<br>&#8211; Am\u00e9lioration par auto-massage<\/td><td>&#8211; Reproduction des sympt\u00f4mes connus<br>&#8211; Muscle douloureux quand mis en contrainte<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 id=\"traitement-2\" class=\"wp-block-heading\">Traitement<\/h3>\n\n\n\n<p>Gestion de charge<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Contraction du muscle pour oxyg\u00e9nation et diminution de la douleur<\/li>\n\n\n\n<li>Massage, \u00e9tirement<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Processus articulaires post\u00e9rieurs Physiopathologie Exc\u00e8s de contrainte sur les PAP ou facettes post\u00e9rieures provoquant des informations nociceptives (pas forc\u00e9ment visible \u00e0 l&rsquo;imagerie) PAP pourraient provoquer des douleurs projet\u00e9es (irradiation) : Diagnostic Examen subjectif Examen physique&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=4712\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Cervicalgies avec exc\u00e8s de contrainte\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":[374],"tags":[],"class_list":["post-4712","post","type-post","status-publish","format-standard","hentry","category-pathologie-cervicales"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cervicalgies avec exc\u00e8s de contrainte - wikine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kineaphp.fr\/?p=4712\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta 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