{"id":5354,"date":"2025-05-21T09:08:38","date_gmt":"2025-05-21T07:08:38","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=5354"},"modified":"2025-05-21T12:04:11","modified_gmt":"2025-05-21T10:04:11","slug":"paralysie-obstetricale-du-plexus-brachial-popb","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=5354","title":{"rendered":"Paralysie obst\u00e9tricale du plexus brachial (POPB)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Introduction<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">D\u00e9finition<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Paralysie partielle ou totale p\u00e9riph\u00e9rique<\/li>\n\n\n\n<li>Naissance : traction de la t\u00eate<\/li>\n\n\n\n<li>Dystocie des \u00e9paules (\u00e9paules bloqu\u00e9es dans le bassin alors que la t\u00eate est sortie)<\/li>\n\n\n\n<li>L\u00e9sion du plexus brachial<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Pr\u00e9valence et \u00e9pid\u00e9miologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>1 naissance\/3000<\/li>\n\n\n\n<li>C\u00f4t\u00e9 droit > C\u00f4t\u00e9 gauche<\/li>\n\n\n\n<li>Facteurs maternels : prise pond\u00e9ral>20kg (plus gros b\u00e9b\u00e9, d\u00e9conditionnement \u00e0 l&rsquo;effort), primiparit\u00e9 (accouche pour la premi\u00e8re fois)<\/li>\n\n\n\n<li>Facteurs foetaux : poids de naissance>4kg, pr\u00e9sentation en si\u00e8ge<\/li>\n\n\n\n<li>Facteurs obst\u00e9tricaux : dystocie des \u00e9paules<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Physiopathologie du POPB<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Le plexus brachial<\/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<p><strong>5 racines nerveuses<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C5-C6 : tronc primaire sup\u00e9rieur<\/li>\n\n\n\n<li>C7 : tronc primaire moyen<\/li>\n\n\n\n<li>C8-T1 : tronc primaire inf\u00e9rieur<\/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=\"281\" height=\"372\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-144.avif\" alt=\"\" class=\"wp-image-5360\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-144.avif 281w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-144-227x300.avif 227w\" sizes=\"auto, (max-width: 281px) 100vw, 281px\" \/><\/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>Dermatome<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C4 : diaphragme<\/li>\n\n\n\n<li>C5: \u00e9paule (ABD et RL)<\/li>\n\n\n\n<li>C6 : loge ant du bras (sus et sous-\u00e9pineux, delto\u00efde, biceps, brachial ant\u00e9rieur) -> \u00e9paule (abd et RM), coude (F\u00b0 et supination)<\/li>\n\n\n\n<li>C7 : loge post\u00e9rieur du bras et de l&rsquo;avant-bras. Poignet (E\u00b0 et pronation), main (E\u00b0 des doigts)<\/li>\n\n\n\n<li>C8 : loge ant\u00e9rieure de l&rsquo;AB + th\u00e9nariens. Poignet (F\u00b0) , main (F\u00b0 et opposition du I)<\/li>\n\n\n\n<li>T1 : mains (hypoth\u00e9nariens et interosseux)<\/li>\n<\/ul>\n\n\n\n<p>Impact sensitif : attention aux risques de blessures pour les enfants hyposensibles<\/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=\"319\" height=\"312\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-150.avif\" alt=\"\" class=\"wp-image-5391\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-150.avif 319w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-150-300x293.avif 300w\" sizes=\"auto, (max-width: 319px) 100vw, 319px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Types de l\u00e9sions nerveuses<\/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><strong>Neuropraxie <\/strong>: \u00e9longation, r\u00e9cup\u00e9ration sans s\u00e9quelles<\/li>\n\n\n\n<li><strong>Axonotm\u00e9sis <\/strong>: rupture de la structure nerveuse, moins bon pronostic<\/li>\n\n\n\n<li><strong>Avulsion <\/strong>: rupture compl\u00e8te ou section de tous les \u00e9l\u00e9ments du nerf, r\u00e9cup\u00e9ration impossible<\/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=\"491\" height=\"292\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-147.avif\" alt=\"\" class=\"wp-image-5368\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-147.avif 491w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-147-300x178.avif 300w\" sizes=\"auto, (max-width: 491px) 100vw, 491px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Types de paralysies<\/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\" style=\"flex-basis:66.66%\">\n<h4 class=\"wp-block-heading\">Paralysie partielle<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hautes : C5-C6++<\/li>\n\n\n\n<li>Les plus fr\u00e9quentes<\/li>\n\n\n\n<li>D\u00e9ficit d&rsquo;\u00e9l\u00e9vation\/RL\/abd \u00e9paule<\/li>\n\n\n\n<li>D\u00e9ficit de flexion de coude et supination de l&rsquo;AB<\/li>\n\n\n\n<li>Acquisition du main-bouche difficile<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Paralysie compl\u00e8te<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pronostic plus m\u00e9diocre<\/li>\n\n\n\n<li>C8-T1<\/li>\n\n\n\n<li>Bras\/poignet\/main<\/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=\"190\" height=\"258\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-148.avif\" alt=\"\" class=\"wp-image-5369\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Evolution<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00e8s la naissance -> 2-3 ans<\/li>\n\n\n\n<li>Pr\u00e9cocit\u00e9 des soins et \u00e9tendue des l\u00e9sions<\/li>\n\n\n\n<li>R\u00e9cup\u00e9ration\n<ul class=\"wp-block-list\">\n<li>Massive\/flasque : premiers jours jusqu&rsquo;\u00e0 6 mois<\/li>\n\n\n\n<li>Interm\u00e9diaire : repousse nerveuse plusieurs mois<\/li>\n\n\n\n<li>S\u00e9quellaire<\/li>\n<\/ul>\n<\/li>\n<\/ul>\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\">S\u00e9quelles<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Attitudes vicieuses<\/li>\n\n\n\n<li>Torticolis cong\u00e9nital associ\u00e9<\/li>\n\n\n\n<li>Raideurs articulaires<\/li>\n\n\n\n<li>Troubles sensitifs<\/li>\n\n\n\n<li>D\u00e9s\u00e9quilibre musculaire<\/li>\n\n\n\n<li>Membre atteint plus petit<\/li>\n\n\n\n<li>Difficult\u00e9s psychomotrices<\/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=\"286\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/image-149.avif\" alt=\"\" class=\"wp-image-5370\" style=\"width:122px;height:auto\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Attitudes vicieuses<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Epaule : RL\/ADD\/\u00e9l\u00e9vation ; r\u00e9traction du subscapulaire et d\u00e9formation de la t\u00eate hum\u00e9rale<\/li>\n\n\n\n<li>Coude : l\u00e9g\u00e8re flexion du coude si C7 et pronation<\/li>\n\n\n\n<li>Poignet et main : main en breloque, poignet et main non fonctionnels<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Traitement chirurgical<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Chirurgie nerveuse : greffe et\/ou transfert nerveux<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Biceps : cotation &lt;3 \u00e0 l&rsquo;\u00e2ge de 3 mois<\/li>\n\n\n\n<li>R\u00e9cup\u00e9ration absente ou partielle<\/li>\n\n\n\n<li>Pl\u00e2tre ou corset en RL de l&rsquo;\u00e9paule 3 semaines<\/li>\n\n\n\n<li>Bon r\u00e9sultat<\/li>\n\n\n\n<li>Date d&rsquo;intervention discut\u00e9 entre 3 et 6 mois<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Chirurgie palliative<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plus de r\u00e9cup\u00e9ration nerveuse<\/li>\n\n\n\n<li>Am\u00e9liorer la fonction du MS<\/li>\n\n\n\n<li>Transferts musculaires<\/li>\n\n\n\n<li>Intervention osseuse : arthrod\u00e8se \u00e9paule\/poignet &#8211; ost\u00e9otomie de d\u00e9rotation hum\u00e9rale<\/li>\n\n\n\n<li>Injection de toxine botulique<\/li>\n\n\n\n<li>Moins efficace que la chirurgie nerveuse<\/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\">La prise en charge en r\u00e9\u00e9ducation du POPB<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Bilan<\/h3>\n\n\n\n<p><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/Bilan-POPB.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Fichier PDF du bilan<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Anamn\u00e8se<\/h4>\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>\u00c2ge<\/li>\n\n\n\n<li>Poids \u00e0 la naissance<\/li>\n\n\n\n<li>Taille \u00e0 la naissance<\/li>\n\n\n\n<li>Courbe p\u00e9rim\u00e8tre cr\u00e2nien<\/li>\n\n\n\n<li>Grossesse : <strong>prise de poids<\/strong><\/li>\n\n\n\n<li><strong>Accouchement<\/strong><\/li>\n\n\n\n<li>Parcours de soins<\/li>\n\n\n\n<li>Professionnels de sant\u00e9<\/li>\n\n\n\n<li>Fratrie<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li>Mode d\u2019alimentation et installations<\/li>\n\n\n\n<li>Reflux<\/li>\n\n\n\n<li>Traitements<\/li>\n\n\n\n<li>Sommeil<\/li>\n\n\n\n<li>Pleurs, douleurs<\/li>\n\n\n\n<li>Mode de garde<\/li>\n\n\n\n<li>Mode de portage et installation<\/li>\n\n\n\n<li>Conseils d\u00e9j\u00e0 mis en place<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Observation<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vigilance \/ interaction<\/li>\n\n\n\n<li>Poursuite visuelle<\/li>\n\n\n\n<li><strong>Attitude spontan\u00e9e : du b\u00e9b\u00e9 + position du bras (\u00e9paule\/coude\/poignet)<\/strong><\/li>\n\n\n\n<li>Jonctions &#8211; Succion (asym\u00e9trie ?)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Bilan de la motricit\u00e9<\/h4>\n\n\n\n<h5 class=\"wp-block-heading\">Tonus passif<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Signe du foulard (majorit\u00e9 \u00e0 la naissance chez POPB) : coude ne d\u00e9passe pas l&rsquo;axe du corps normalement. Le POPB rend l&rsquo;\u00e9paule laxe<\/li>\n\n\n\n<li>Souplesse rachis globale<\/li>\n\n\n\n<li>Ration F\u00b0\/Ext\u00b0<\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\">Tests de motricit\u00e9 provoqu\u00e9e<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suspensions lat\u00e9rales<\/li>\n\n\n\n<li>Retournements<\/li>\n\n\n\n<li>Ramp\u00e9 : r\u00e9action amphibienne ?<\/li>\n\n\n\n<li>Balancier des MI<\/li>\n\n\n\n<li>Petite sir\u00e8ne<\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\">NEMS<\/h5>\n\n\n\n<h5 class=\"wp-block-heading\">Types de pr\u00e9hension<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/lh3.googleusercontent.com\/proxy\/GyES0TOgxU1FgtJWLFGYqDCCOYaF6p4dIiXqVOe5xgSqa_JiBu102-EATV7OlQZBsaHD_qiyCTSkX4KwfCetwb_GHnfhXC3UZoMqY09WhjEk7CvIQcBwWSRWwEhfdMseEsZ9NA\">Cubito-palmaire<\/a> (\u00e0 bout de bras) : ratisser et fermer main (4 mois)<\/li>\n\n\n\n<li><a href=\"https:\/\/static.wixstatic.com\/media\/476f5f_de7f3fb771434c7d8fc2d6e09d83a7d6~mv2.png\/v1\/fill\/w_630,h_302,al_c,lg_1,q_90\/476f5f_de7f3fb771434c7d8fc2d6e09d83a7d6~mv2.webp\">Digito-palmaire<\/a> : prise \u00e0 pleine main (5-6 mois)<\/li>\n\n\n\n<li><a href=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEhFNZ-j0upyLsniI7GTmqSRESauv6tVbzNnIMqBOj9q0XeDk0S_R7SIeMuexmjFgrNzf17N4yw9PRpgAp6OpjAyWOXWEAULuzl1cqIVCkr5-NFVL50AbeJINAaPVU63OsCc32K6rPZ95bs\/s1600\/Pr%C3%A9hension+fine.jpg\">Pouce index <\/a>(8-9 mois)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Bilan orthop\u00e9dique<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Amplitudes articulaires : rachis cervical  (R\/F\/S), \u00e9paule\/coude\/poignet\/main<\/li>\n\n\n\n<li>D\u00e9formations : cr\u00e2ne\/face<\/li>\n\n\n\n<li>Mobilit\u00e9 du sacrum dans les 3 plans de l&rsquo;espace<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Bilan musculaire<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Testing des muscles touch\u00e9s<\/li>\n\n\n\n<li>Cotation de 0 \u00e0 3 : 0 (aucune contraction) ; 1 (contraction per\u00e7ue \u00e0 la palpation) ; 2 (mouvement complet en apesanteur ou incomplet contre pesanteur) ; 3 (mouvement complet contre pesanteur)<\/li>\n\n\n\n<li>Epaule\/coude\/poignet\/doigts<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Objectifs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pr\u00e9server les mobilit\u00e9s articulaires<\/li>\n\n\n\n<li>Lutter contre les r\u00e9tractions musculaires<\/li>\n\n\n\n<li>S&rsquo;assurer de la mise en place de la motricit\u00e9 volontaire globale (tronc et MS)<\/li>\n\n\n\n<li>Veiller \u00e0 l&rsquo;int\u00e9gration et l&rsquo;exploration du c\u00f4t\u00e9 atteint<\/li>\n\n\n\n<li>Surveiller la r\u00e9cup\u00e9ration nerveuse spontan\u00e9e ou en post-op\u00e9ratoire<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Principes<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mobilisations douces et indolores et proche de l&rsquo;articulation<\/li>\n\n\n\n<li>Mobilisation en d\u00e9coaptation : respect du cartilage de croissance<\/li>\n\n\n\n<li>Pas de r\u00e9\u00e9ducation avant 3 semaines de vie<\/li>\n\n\n\n<li>Optimiser les prises bi-manuelles<\/li>\n\n\n\n<li>Ne pas intercaler d&rsquo;autres articulations dans les mobilisations<\/li>\n\n\n\n<li>Vision globale de l&rsquo;enfant<\/li>\n\n\n\n<li>Associer les parents \u00e0 la r\u00e9\u00e9ducation<\/li>\n\n\n\n<li>Respecter les rythmes d&rsquo;acquisitions motrices de l&rsquo;enfant<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Introduction D\u00e9finition Pr\u00e9valence et \u00e9pid\u00e9miologie Physiopathologie du POPB Le plexus brachial 5 racines nerveuses Dermatome Impact sensitif : attention aux risques de blessures pour les enfants hyposensibles Types de l\u00e9sions nerveuses Types de paralysies Paralysie&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=5354\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Paralysie obst\u00e9tricale du plexus brachial (POPB)\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-5354","post","type-post","status-publish","format-standard","hentry","category-champ-pediatrie"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5354","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=5354"}],"version-history":[{"count":19,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5354\/revisions"}],"predecessor-version":[{"id":5393,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5354\/revisions\/5393"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5354"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}