{"id":5105,"date":"2025-05-19T10:05:09","date_gmt":"2025-05-19T08:05:09","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=5105"},"modified":"2025-05-19T15:17:55","modified_gmt":"2025-05-19T13:17:55","slug":"reeducation-du-pied-du-nourrisson-les-malpositions-mineures","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=5105","title":{"rendered":"R\u00e9\u00e9ducation du pied du nourrisson &#8211; Les malpositions mineures"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">D\u00e9finition<\/h2>\n\n\n\n<p>\u00abLes malpositions sont des modelages posturaux dus au maintien d\u2019un pied normal dans une m\u00eame position extr\u00eame pendant une p\u00e9riode suffisamment longue pour provoquer un d\u00e9s\u00e9quilibre musculaire\u00bb<br>(M\u00e9taizeau)<br><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fr\u00e9quentes, non douloureuses<br>Souvent dues \u00e0 des contraintes in-ut\u00e9ro, surtout en fin de grossesse, mauvais positionnement foetal<br>Le plus souvent idiopathiques mais peuvent \u00eatre associ\u00e9es \u00e0 d\u2019autres pathologies<br>Rassurer et informer les parents sur l\u2019\u00e9volution de la pathologie et sur le d\u00e9veloppement psychomoteur de l\u2019enfant (marche)<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Evolution et pronostic<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9volution favorable la plupart du temps surtout si la prise en charge est pr\u00e9coce<br>6 semaines \u2013 2 mois maximum<br>Si r\u00e9sultats insuffisants : orientation vers orthop\u00e9diste infantile<br><\/li>\n<\/ul>\n\n\n\n<p><strong>Pour les d\u00e9formations b\u00e9nignes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Prise en charge syst\u00e9matique et pr\u00e9coce<br>Risque aggravation sans traitement<br>Une prise en charge tardive sera de moins bon pronostic<\/li>\n<\/ul>\n\n\n\n<p><strong>Fr\u00e9quence des s\u00e9ances<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>2 \u00e0 3 fois\/semaine<\/li>\n\n\n\n<li>Puis espacement des s\u00e9ances, afin de v\u00e9rifier le maintien des corrections.<\/li>\n\n\n\n<li>Possibilit\u00e9 de surveiller l\u2019\u00e9volution jusqu\u2019\u00e0 la marche, voire plus si besoin.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Pied calcan\u00e9us (talus)<\/h2>\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\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\">Physiopathologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Naissance : exag\u00e9ration de la FD (physiologique)<\/li>\n\n\n\n<li>Simple surveillance avec contr\u00f4le \u00e0 1 puis 2 mois selon le tonus de l&rsquo;enfant<\/li>\n\n\n\n<li>R\u00e9traction du tibial ant et limitation FP \u00e0 90\u00b0 = pathologique<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Traitement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Postures manuelles en FP<\/li>\n\n\n\n<li>Stimulations musculaires des FP<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Appareillage<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Contention souple ou\/et attelle post\u00e9rieure\/ant\u00e9rieure<\/li>\n<\/ul>\n\n\n\n<p>A \u00e9viter : risque de renforcement des releveurs car stimulation en FD<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"197\" height=\"189\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-56.avif\" alt=\"\" class=\"wp-image-5114\"\/><\/figure>\n\n\n\n<p><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"323\" height=\"214\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-53.avif\" alt=\"\" class=\"wp-image-5108\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-53.avif 323w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-53-300x199.avif 300w\" sizes=\"auto, (max-width: 323px) 100vw, 323px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"228\" height=\"226\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-54.avif\" alt=\"\" class=\"wp-image-5109\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-54.avif 228w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-54-150x150.avif 150w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-54-144x144.avif 144w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-54-80x80.avif 80w\" sizes=\"auto, (max-width: 228px) 100vw, 228px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"199\" height=\"240\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-55.avif\" alt=\"\" class=\"wp-image-5110\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Pied valgus<\/h2>\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\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\">Physiopathologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Association d&rsquo;un valgus du bloc calcan\u00e9o-p\u00e9dieux au pied talus<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>ATTENTION :<\/strong> diff\u00e9rent du<strong><em> pied convexe cong\u00e9nital <\/em><\/strong>(si on a un doute = radio) = mvt du m\u00e9diotarse &#8211; flexion dorsal de l\u2019arri\u00e8re pied.<br>Palpation tubercule calcan\u00e9us + Flexion dorsale : si pas flexion dorsale, renvoi chirurgien !<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Traitement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Postures en flexion plantaire et en inversion du pied<\/li>\n\n\n\n<li>Stimulations musculaires fl\u00e9chisseurs plantaires<\/li>\n\n\n\n<li>Stimulations des muscles fl\u00e9chisseurs des orteils<\/li>\n\n\n\n<li>Stimulations du tibial post\u00e9rieur<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Appareillage<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Contention souple en \u00e9quin et varus<\/li>\n\n\n\n<li>Attelle post\u00e9rieure et plaquette<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"330\" height=\"134\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-57.avif\" alt=\"\" class=\"wp-image-5115\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-57.avif 330w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-57-300x122.avif 300w\" sizes=\"auto, (max-width: 330px) 100vw, 330px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"259\" height=\"198\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-58.avif\" alt=\"\" class=\"wp-image-5119\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"128\" height=\"106\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-59.avif\" alt=\"\" class=\"wp-image-5120\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Pied supinatus<\/h2>\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\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\">Physiopathologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Attitude du bloc calcan\u00e9o-p\u00e9dieux en supination<br>Hyperactivit\u00e9 du Tibial Ant\u00e9rieur<br>Hyperactivit\u00e9 de l\u2019Adducteur et du Long Fl\u00e9chisseur du Gros orteil<br>Pas d\u2019\u00e9quin de l\u2019arri\u00e8re pied<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Traitement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Postures manuelles (\u00e9tirements muscles inverseurs)<br>Stimulations des \u00e9verseurs<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Appareillage<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>contention souple adh\u00e9sive<\/li>\n\n\n\n<li>goutti\u00e8re post\u00e9rieure<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"232\" height=\"275\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-60.avif\" alt=\"\" class=\"wp-image-5125\" style=\"width:169px;height:auto\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"245\" height=\"186\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-61.avif\" alt=\"\" class=\"wp-image-5126\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">M\u00e9tatarsus adductus<\/h2>\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\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\">Physiopathologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00e9viation articulaire dans le plan frontal des m\u00e9tatarsiens, donc tr\u00e8s rigide<\/li>\n\n\n\n<li>Avant-pied en adduction sans composante de supination<\/li>\n\n\n\n<li>Bord interne concave<\/li>\n\n\n\n<li>Stylo\u00efde du V\u00e8me m\u00e9tatarsien saillante<\/li>\n\n\n\n<li>Hyperactivit\u00e9 de l\u2019ADD du gros orteil<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Traitement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Assouplissement du bord interne<\/li>\n\n\n\n<li>Etirement de l\u2019Adducteur du Gros Orteil<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Appareillage<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Avec plaquette<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"158\" height=\"157\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-64.avif\" alt=\"\" class=\"wp-image-5133\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-64.avif 158w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-64-150x150.avif 150w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-64-144x144.avif 144w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-64-80x80.avif 80w\" sizes=\"auto, (max-width: 158px) 100vw, 158px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"152\" height=\"201\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-62.avif\" alt=\"\" class=\"wp-image-5129\" style=\"width:136px;height:auto\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"167\" height=\"142\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-63.avif\" alt=\"\" class=\"wp-image-5131\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">M\u00e9tatarsus varus<\/h2>\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\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\">Physiopathologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00e9viation au niveau de l\u2019articulation tarso-m\u00e9tatarsienne<\/li>\n\n\n\n<li>Supination (face plantaire regarde en DD) et adduction de l\u2019avant pied (origine articulaire)<\/li>\n\n\n\n<li>Hyperactivit\u00e9 de l\u2019Adducteur du gros Orteil et Tibial Ant\u00e9rieur<\/li>\n\n\n\n<li>Hyperactivit\u00e9 du Long Fl\u00e9chisseur du gros Orteil<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Clinique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bord externe convexe, bord interne concave<\/li>\n\n\n\n<li>Equinisme du 1er m\u00e9tatarse<\/li>\n\n\n\n<li>Saillie de la stylo\u00efde du 5\u00e8me m\u00e9tatarse (ADD +++)<\/li>\n\n\n\n<li>Cavus de la voute plantaire, en regard de M1<\/li>\n\n\n\n<li>Arri\u00e8re pied normal sans aucune d\u00e9viation du calcan\u00e9um<\/li>\n\n\n\n<li>R\u00e9traction du Tibial Ant\u00e9rieur<\/li>\n\n\n\n<li>R\u00e9traction de l\u2019Adducteur du Gros orteil<\/li>\n\n\n\n<li>Long Fl\u00e9chisseur du Gros Orteil : supination+++<\/li>\n<\/ul>\n\n\n\n<p><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-67.avif\">Classification de Beck<\/a><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"190\" height=\"197\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-65.avif\" alt=\"\" class=\"wp-image-5137\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"209\" height=\"169\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-66.avif\" alt=\"\" class=\"wp-image-5143\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Traitement<\/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<ul class=\"wp-block-list\">\n<li>Mobilisations-Postures manuelles: en abduction<br>et pronation de l\u2019avant-pied<\/li>\n\n\n\n<li>Etirement de la voute plantaire<\/li>\n\n\n\n<li>Etirement du Tibial Ant\u00e9rieur et de l\u2019Adducteur du gros orteil<\/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 is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"170\" height=\"132\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-68.avif\" alt=\"\" class=\"wp-image-5145\" style=\"width:167px;height:auto\"\/><\/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>Travail musculaire des fibulaires et extenseur commun par stimulations cutan\u00e9es : stabilisation de la correction obtenue<\/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=\"156\" height=\"123\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-69.avif\" alt=\"\" class=\"wp-image-5146\" style=\"width:166px;height:auto\"\/><\/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\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\">Appareillages<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plaquettes<\/li>\n\n\n\n<li>Plaquettes + attelle post\u00e9rieure en thermo formable<\/li>\n\n\n\n<li>Si l\u2019enfant lutte contre appareillage, contention adh\u00e9sive souple\/attelle (attention au valgus arri\u00e8re pied)<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"154\" height=\"163\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-71.avif\" alt=\"\" class=\"wp-image-5150\" style=\"width:142px;height:auto\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Pied creux<\/h2>\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\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\">Physiopathologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Augmentation de la voute plantaire<\/li>\n\n\n\n<li>R\u00e9traction de l\u2019apon\u00e9vrose plantaire<\/li>\n\n\n\n<li>Pas de d\u00e9viation dans le plan frontal<\/li>\n\n\n\n<li>Aggravation durant la croissance<\/li>\n\n\n\n<li>Cause souvent neurologique<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Traitement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mobilisation \/ posture<\/li>\n\n\n\n<li>Appareillage par plaquette<\/li>\n\n\n\n<li><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-74.avif\">Attelle de Perlstein<\/a> (attelle de nuit)<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"273\" height=\"227\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-72.avif\" alt=\"\" class=\"wp-image-5152\" style=\"width:190px;height:auto\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"255\" height=\"210\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-73.avif\" alt=\"\" class=\"wp-image-5154\" style=\"width:202px;height:auto\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Pied plat de l&rsquo;enfant<\/h2>\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\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\">Physiopathologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Genu valgum<\/li>\n\n\n\n<li>Pied plats<\/li>\n\n\n\n<li>Valgus d&rsquo;arri\u00e8re pied<\/li>\n\n\n\n<li>Typique \u00e0 3 ans<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Caract\u00e9ristiques<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Souple, indolore, r\u00e9ductible en digitigrade<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Etiologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pathologies musculaires, neurologiques<\/li>\n\n\n\n<li>Hyperlaxit\u00e9, hyper ant\u00e9version f\u00e9morale<\/li>\n\n\n\n<li>Ob\u00e9sit\u00e9<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Traitement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kin\u00e9sith\u00e9rapie peu efficace<\/li>\n\n\n\n<li>V\u00e9rifier qu\u2019il n\u2019existe pas de r\u00e9traction du tendon d\u2019Achille (pied plat secondaire)<\/li>\n\n\n\n<li>Surveillance<\/li>\n\n\n\n<li>Semelles apr\u00e8s 3-4 ans (Podologue) si douleur en charge uniquement<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"283\" height=\"338\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-75.avif\" alt=\"\" class=\"wp-image-5158\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-75.avif 283w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-75-251x300.avif 251w\" sizes=\"auto, (max-width: 283px) 100vw, 283px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9finition \u00abLes malpositions sont des modelages posturaux dus au maintien d\u2019un pied normal dans une m\u00eame position extr\u00eame pendant une p\u00e9riode suffisamment longue pour provoquer un d\u00e9s\u00e9quilibre musculaire\u00bb(M\u00e9taizeau) Evolution et pronostic Pour les d\u00e9formations b\u00e9nignes&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=5105\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0R\u00e9\u00e9ducation du pied du nourrisson &#8211; Les malpositions mineures\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":[376],"tags":[],"class_list":["post-5105","post","type-post","status-publish","format-standard","hentry","category-champ-pediatrie"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5105","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=5105"}],"version-history":[{"count":21,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5105\/revisions"}],"predecessor-version":[{"id":5164,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5105\/revisions\/5164"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5105"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5105"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}