{"id":7949,"date":"2026-01-04T18:56:26","date_gmt":"2026-01-04T17:56:26","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=7949"},"modified":"2026-01-04T18:56:26","modified_gmt":"2026-01-04T17:56:26","slug":"blesse-medullaire-prise-en-charge-et-objectifs-fonctionnels","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=7949","title":{"rendered":"Bless\u00e9 m\u00e9dullaire : prise en charge et objectifs fonctionnels"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Prise en charge et objectifs fonctionnels<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Niveau de l\u00e9sion et autonomie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C4 et au-dessus ; pas de pr\u00e9hension possible, d\u00e9pendance compl\u00e8te AVQ<\/li>\n\n\n\n<li>C5 : prise bi-manuelle, conduite FRE avec fourche<\/li>\n\n\n\n<li>C6 : pr\u00e9hension monomanuelle possible avec effet t\u00e9nod\u00e8se<\/li>\n\n\n\n<li>C7 : idem + transferts en autonomie, FRM sur terrain r\u00e9gulier<\/li>\n\n\n\n<li>C8 : ind\u00e9pendance compl\u00e8te FRM<br>T1 : idem + alimentation, sondage et toilette autonome<\/li>\n\n\n\n<li>T2-T9 : ind\u00e9pendant pour tout, pas de marche<\/li>\n\n\n\n<li>T10 &#8211; L2 : marche possible avec orth\u00e8se en int\u00e9rieur<\/li>\n\n\n\n<li>L3-L5 : autonomie marche avec orth\u00e8ses<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-31-png.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"970\" height=\"532\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-31-png.avif\" alt=\"\" class=\"wp-image-4068\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-31-png.avif 970w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-31-300x165.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-31-768x421.avif 768w\" sizes=\"auto, (max-width: 970px) 100vw, 970px\" \/><\/a><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Objectifs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pr\u00e9vention des complications<\/li>\n\n\n\n<li>Aide \u00e0 la r\u00e9cup\u00e9ration (l\u00e9sions compl\u00e8tes)<\/li>\n\n\n\n<li>Gestion des incapacit\u00e9s (l\u00e9sions incompl\u00e8tes)<\/li>\n\n\n\n<li>Valorisation des capacit\u00e9s restantes<\/li>\n\n\n\n<li>R\u00e9adaptation<\/li>\n<\/ul>\n\n\n\n<p>=&gt; Autonomie maximale en fonction du niveau, \u00e9ducation th\u00e9rapeutique<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">R\u00e9\u00e9ducation<\/h3>\n\n\n\n<p><strong>Verticalisation <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sur table de verticalisation<\/li>\n\n\n\n<li>Pr\u00e9vention des complications respiratoires, transit, r\u00e9adaptation assise, pr\u00e9vention ost\u00e9oporose<\/li>\n<\/ul>\n\n\n\n<p><strong>Lutte contre d\u00e9formation<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Flessum du coude, extensum poignet, doigts<\/li>\n\n\n\n<li>Eviter limitation flexion de hanche et rotation, flexion de genou<\/li>\n<\/ul>\n\n\n\n<p><strong>Travail des transferts<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Types de transferts<\/li>\n\n\n\n<li>Protection des \u00e9paules<\/li>\n\n\n\n<li>Protection sous-l\u00e9sionnelle<\/li>\n<\/ul>\n\n\n\n<p><strong>Travail de l&rsquo;autonomie<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Toilettage, habillage, sondage, exon\u00e9ration, alimentation<\/li>\n\n\n\n<li>Pr\u00e9vention des escarres<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Prise en charge et objectifs fonctionnels Niveau de l\u00e9sion et autonomie Objectifs =&gt; Autonomie maximale en fonction du niveau, \u00e9ducation th\u00e9rapeutique R\u00e9\u00e9ducation Verticalisation Lutte contre d\u00e9formation Travail des transferts Travail de l&rsquo;autonomie<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[406],"tags":[],"class_list":["post-7949","post","type-post","status-publish","format-standard","hentry","category-champ-neuro-atteinte-medullaire"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7949","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=7949"}],"version-history":[{"count":1,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7949\/revisions"}],"predecessor-version":[{"id":7950,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7949\/revisions\/7950"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}