{"id":5722,"date":"2025-06-11T10:09:30","date_gmt":"2025-06-11T08:09:30","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=5722"},"modified":"2026-01-05T10:10:05","modified_gmt":"2026-01-05T09:10:05","slug":"le-patient-hemiplegique","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=5722","title":{"rendered":"Physiopathologie et tableau clinique de l&rsquo;AVC"},"content":{"rendered":"\n<h2 id=\"tableau-clinique\" class=\"wp-block-heading\">Tableau clinique<\/h2>\n\n\n\n<h3 id=\"selon-la-zone-touchee\" class=\"wp-block-heading\">Selon la zone touch\u00e9e<\/h3>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"379\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/06\/image-70-1024x379.avif\" alt=\"\" class=\"wp-image-5724\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/06\/image-70-1024x379.avif 1024w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/06\/image-70-300x111.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/06\/image-70-768x284.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/06\/image-70.avif 1055w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 id=\"selon-le-territoire-touche\" class=\"wp-block-heading\">Selon le territoire touch\u00e9<\/h3>\n\n\n\n<h4 id=\"lhemiplegie-cortical\" class=\"wp-block-heading\">L&rsquo;h\u00e9mipl\u00e9gie cortical<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Partielle dans son intensit\u00e9 et \u00ab\u00a0incompl\u00e8te\u00a0\u00bb, c&rsquo;est-\u00e0-dire ne touchant pas tous les territoires moteurs de l&rsquo;h\u00e9micorps<\/li>\n\n\n\n<li>Elle est brachiofaciale<\/li>\n\n\n\n<li>Elle est non proportionnelle : l&rsquo;atteinte au membre sup\u00e9rieur est dissoci\u00e9e entre la main (s\u00e9v\u00e8re) et le bras (moins nette)<\/li>\n<\/ul>\n\n\n\n<h4 id=\"lhemiplegie-capsulaire\" class=\"wp-block-heading\">L&rsquo;h\u00e9mipl\u00e9gie capsulaire<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Massive et totale dans son intensit\u00e9<\/li>\n\n\n\n<li>Topographiquement compl\u00e8te, touchant tous les secteurs<\/li>\n\n\n\n<li>Elle est proportionnelle : tous les segments de membres sont atteints de la m\u00eame fa\u00e7on<\/li>\n<\/ul>\n\n\n\n<h3 id=\"les-troubles-associes\" class=\"wp-block-heading\">Les troubles associ\u00e9s<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Troubles m\u00e9n\u00e9sique<\/li>\n\n\n\n<li>Troubles affectifs<\/li>\n\n\n\n<li>Troubles dysex\u00e9cutifs<\/li>\n<\/ul>\n\n\n\n<h2 id=\"les-complications\" class=\"wp-block-heading\">Les complications<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Escarres<\/li>\n\n\n\n<li>Pneumopathie de d\u00e9glutition<\/li>\n\n\n\n<li>SDRC<\/li>\n\n\n\n<li>Oed\u00e8me<\/li>\n\n\n\n<li>Troubles psycho-affectifs<\/li>\n\n\n\n<li>Troubles v\u00e9sico-sphinct\u00e9riens<\/li>\n\n\n\n<li>Chutes<\/li>\n\n\n\n<li>D\u00e9pression<\/li>\n\n\n\n<li>TVP<\/li>\n<\/ul>\n\n\n\n<h2 id=\"la-spasticite\" class=\"wp-block-heading\">La spasticit\u00e9<\/h2>\n\n\n\n<h3 id=\"schemas-les-plus-courant\" class=\"wp-block-heading\">Sch\u00e9mas les plus courant<\/h3>\n\n\n\n<p>Les groupes musculaires les plus souvent spastiques sont :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Au niveau des membres inf\u00e9rieurs <\/strong>\n<ul class=\"wp-block-list\">\n<li>muscles extenseurs et rotateurs internes de la hanche<\/li>\n\n\n\n<li>quadriceps<\/li>\n\n\n\n<li>triceps sural, tibial post\u00e9rieur et fl\u00e9chisseurs des orteils<\/li>\n\n\n\n<li>(triple flexion au stade grabataire)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Au niveau des membres sup\u00e9rieurs<\/strong>\n<ul class=\"wp-block-list\">\n<li>muscles adducteurs et rotateurs internes de l&rsquo;\u00e9paule<\/li>\n\n\n\n<li>fl\u00e9chisseurs du coude<\/li>\n\n\n\n<li>fl\u00e9chisseurs du poignet, doigts, pronateur<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 id=\"repercussion-fonctionnelle\" class=\"wp-block-heading\">R\u00e9percussion fonctionnelle<\/h3>\n\n\n\n<p>La spasticit\u00e9 d&rsquo;un muscle peut th\u00e9oriquement limiter la commande motrice de son antagoniste, et ainsi avoir des r\u00e9percussions fonctionnelles n\u00e9fastes.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Si la contraction des releveurs est insuffisante pour s&rsquo;opposer \u00e0 celle du triceps sural spastique, la marche sera perturb\u00e9e avec l&rsquo;apparition d&rsquo;un fauchage, d&rsquo;un \u00e9quin associ\u00e9 ou non \u00e0 un varus du pied ou d&rsquo;un r\u00e9curvatum du genou<\/li>\n\n\n\n<li>Si la spasticit\u00e9 des fl\u00e9chisseurs des doigts et du poignet est importante, elle peut limiter l&rsquo;expression des extenseurs, d\u00e9j\u00e0 par\u00e9si\u00e9s par l&rsquo;atteinte motrice, et \u00eatre \u00e0 l&rsquo;origine d&rsquo;une majoration des incapacit\u00e9s de pr\u00e9hension<\/li>\n<\/ul>\n\n\n\n<p>Elle peut aussi \u00eatre b\u00e9n\u00e9fique<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>La spasticit\u00e9 et la r\u00e9duction de longueur du TS permettent \u00e0 ce muscle de produire une force pour un \u00e9tirement moins important que chez le sujet normal<\/li>\n\n\n\n<li>La spasticit\u00e9 du quadriceps qui se renforce en position debout peut permettre la station debout et la marche chez un sujet n&rsquo;ayant pas de commande volontaire suffisante de celui-ci<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tableau clinique Selon la zone touch\u00e9e Selon le territoire touch\u00e9 L&rsquo;h\u00e9mipl\u00e9gie cortical L&rsquo;h\u00e9mipl\u00e9gie capsulaire Les troubles associ\u00e9s Les complications La spasticit\u00e9 Sch\u00e9mas les plus courant Les groupes musculaires les plus souvent spastiques sont : R\u00e9percussion&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=5722\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Physiopathologie et tableau clinique de l&rsquo;AVC\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":[402],"tags":[],"class_list":["post-5722","post","type-post","status-publish","format-standard","hentry","category-champ-neuro-avc"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Physiopathologie et tableau clinique de l&#039;AVC - 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=5722\" \/>\n<meta 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