{"id":487,"date":"2019-05-14T22:57:28","date_gmt":"2019-05-14T20:57:28","guid":{"rendered":"https:\/\/pes-luxembourg.lu\/bascharage\/?page_id=487"},"modified":"2023-03-26T17:18:42","modified_gmt":"2023-03-26T15:18:42","slug":"reeducation-de-la-main","status":"publish","type":"page","link":"https:\/\/pes-luxembourg.lu\/bascharage\/reeducation-de-la-main\/","title":{"rendered":"R\u00e9\u00e9ducation de la Main"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-title-center fusion-title-text fusion-title-size-one\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:34;line-height:1.41;\">R\u00e9\u00e9ducation de la Main Bascharage<\/h1><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"border:3px solid #f6f6f6;border-radius:50%;\"><img decoding=\"async\" width=\"300\" height=\"300\" title=\"Reeducation de la Main\" src=\"https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-300x300.jpg\" alt class=\"img-responsive wp-image-712\" srcset=\"https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-200x200.jpg 200w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-400x400.jpg 400w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-600x600.jpg 600w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-800x800.jpg 800w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1.jpg 822w\" sizes=\"(max-width: 800px) 100vw, 300px\" \/><\/span><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-1\"><p style=\"text-align: justify;\">La <strong>r\u00e9\u00e9ducation de la main<\/strong> est une <strong>sp\u00e9cialit\u00e9 \u00e0 part enti\u00e8re<\/strong> et qui suit des <strong>r\u00e8gles pr\u00e9cises<\/strong> dans le but d\u2019avoir une r\u00e9cup\u00e9ration fonctionnelle de la main la plus compl\u00e8te possible.<\/p>\n<p style=\"text-align: justify;\">Les objectifs du kin\u00e9sith\u00e9rapeute lors de la r\u00e9\u00e9ducation sont les suivants\u00a0:<\/p>\n<ul style=\"text-align: justify;\">\n<li><strong>Am\u00e9liorer le processus de cicatrisation<\/strong> afin de pr\u00e9venir et \u00e9viter les complications cutan\u00e9es qui pourraient survenir.<\/li>\n<li><strong>Favoriser la r\u00e9sorption de l\u2019\u0153d\u00e8me<\/strong>, \u00e9vitant des complications de cicatrisations secondaires.<\/li>\n<li><strong>Mobiliser<\/strong> de fa\u00e7on pr\u00e9coce les articulations en toute s\u00e9curit\u00e9, en respectant les consignes du chirurgien, les d\u00e9lais de cicatrisation, les attelles, les pansements,\u2026<\/li>\n<li><strong>Retravailler la main<\/strong> dans ses fonctions quotidiennes et adapter les mouvements aux d\u00e9ficits r\u00e9siduels qui pourraient persister.<\/li>\n<li><strong>Stimuler la sensibilit\u00e9<\/strong> de la main pour r\u00e9cup\u00e9rer la sensibilit\u00e9 fine, la sensibilit\u00e9 proprioceptive et la discrimination tactile<\/li>\n<li><strong>Entretenir la souplesse<\/strong> des structures articulaires et myo-tendineuses.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Pour mener \u00e0 bien cette r\u00e9\u00e9ducation, le kin\u00e9sith\u00e9rapeute dispose d\u2019une <strong>multitude d\u2019accessoires de r\u00e9\u00e9ducation sp\u00e9cifiques<\/strong> (\u0153ufs, balles de r\u00e9\u00e9ducation, toiles \u00e9lastiques, dynamom\u00e8tres \u00e0 doigts, \u2026)<\/p>\n<p style=\"text-align: justify;\">Les cons\u00e9quences fonctionnelles parfois graves et d\u00e9finitives (douleurs, raideurs, d\u00e9formations, adh\u00e9rences,\u2026) dues \u00e0 un traumatisme de la main peuvent \u00eatre en grande partie \u00e9vit\u00e9es par une <strong>prise en charge pluri-disciplinaire<\/strong> (m\u00e9decin, chirurgien, kin\u00e9sith\u00e9rapeute, ergoth\u00e9rapeute, orth\u00e9siste). Il faut n\u00e9anmoins qu\u2019il y ait une bonne communication entre les diff\u00e9rents acteurs de la r\u00e9\u00e9ducation. <strong>L\u2019\u00e9change entre le r\u00e9\u00e9ducateur et le chirurgien est primordial<\/strong>.<\/p>\n<p style=\"text-align: justify;\">Voici une liste non exhaustive des pathologies pouvant n\u00e9cessiter un traitement en kin\u00e9sith\u00e9rapie de la main\u00a0:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Probl\u00e8me de pr\u00e9hension<\/li>\n<li>Faiblesse de la main<\/li>\n<li>Perte de sensibilit\u00e9<\/li>\n<li>Fracture ou entorse du poignet, des doigts, op\u00e9r\u00e9e ou non<\/li>\n<li>Amputation de doigt(s)<\/li>\n<li>Luxation<\/li>\n<li>Maladie de Dupuytren (op\u00e9r\u00e9e ou non)<\/li>\n<li>Op\u00e9ration de suture d\u2019un tendon extenseur ou fl\u00e9chisseur de la main<\/li>\n<li>Op\u00e9ration de suture de poulie<\/li>\n<li>Mains neurologiques\u00a0:\n<ul>\n<li>S\u00e9quelle d\u2019AVC<\/li>\n<li>H\u00e9mipl\u00e9gie, t\u00e9trapl\u00e9gie<\/li>\n<li>Parkinson<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:28;line-height:1.5;\">Comment se d\u00e9roule une s\u00e9ance de kin\u00e9sith\u00e9rapie de la main ?<\/p>\n<p style=\"text-align: justify;\"><\/h2><\/div><\/p>\n<p style=\"text-align: justify;\">En fonction de la pathologie et du stade de la r\u00e9\u00e9ducation, certains points seront diff\u00e9rents mais en r\u00e8gle g\u00e9n\u00e9rale, la s\u00e9ance sera toujours compos\u00e9e des m\u00eames temps.<\/p>\n<p style=\"text-align: justify;\">Tout d\u2019abord, il faudra toujours (sauf sous demande expresse du chirurgien pour quelconque raison) commencer par enlever les bandages, les attelles et autres accessoires, \u2026 Le <a href=\"https:\/\/pes-luxembourg.lu\/bascharage\/kinesitherapeute-bascharage-julie-stiernet\/\">kin\u00e9sith\u00e9rapeute sp\u00e9cialiste de la main<\/a> s\u2019occupera de remettre tout en place en fin de s\u00e9ance et si possible, il vous expliquera comment le faire vous-m\u00eame. Pour pouvoir appr\u00e9cier et manipuler la zone atteinte de fa\u00e7on pr\u00e9cise, il vaut mieux que celle-ci soit mise \u00e0 nu plut\u00f4t qu\u2019emball\u00e9e dans des couches de pansements. Juste apr\u00e8s une op\u00e9ration, m\u00eame si la cicatrice n\u2019est pas encore ferm\u00e9e, la r\u00e9\u00e9ducation doit d\u00e9j\u00e0 d\u00e9buter. Le kin\u00e9sith\u00e9rapeute travaillera avec des gants. Dans un premier temps, il va mobiliser les diff\u00e9rents doigts, le poignet, en respectant la douleur du patient et la r\u00e9sistance des tissus meurtris. Une mobilisation pr\u00e9coce permet de favoriser la cicatrisation intrins\u00e8que des tissus (bonne cicatrisation), de limiter et d\u2019assouplir la cicatrisation extrins\u00e8que (mauvaise cicatrisation, conduisant aux adh\u00e9rences). La mobilisation sera d\u2019abord passive, c\u2019est-\u00e0-dire que c\u2019est le kin\u00e9sith\u00e9rapeute qui fera bouger la main. Au fur et \u00e0 mesure de la r\u00e9\u00e9ducation, la mobilisation deviendra de plus en plus active et g\u00e9r\u00e9e par le patient lui-m\u00eame.<\/p>\n<p style=\"text-align: justify;\">Ensuite, si la main est gonfl\u00e9e, le kin\u00e9sith\u00e9rapeute pourra faire un drainage de la main et appliquer de la cryoth\u00e9rapie pour essayer de d\u00e9senfler la zone. Cet \u0153d\u00e8me est tout \u00e0 fait normal dans un premier temps mais le gonflement reste tout de m\u00eame \u00e0 surveiller. En effet, il n\u2019est pas rare qu\u2019apr\u00e8s un traumatisme de la main, un patient d\u00e9veloppe de l\u2019algoneurodystrophie.<\/p>\n<p style=\"text-align: justify;\">Pour tout ce qui est op\u00e9ration, une fois que la plaie est referm\u00e9e, le kin\u00e9sith\u00e9rapeute va pouvoir travailler la cicatrice \u00e0 l\u2019aide de diff\u00e9rentes techniques de massage cicatriciel et du <a href=\"https:\/\/pes-luxembourg.lu\/bascharage\/lpg-cellu-m6-bascharage\/\">mat\u00e9riel d\u2019endermologie LPG<\/a>.<\/p>\n<p style=\"text-align: justify;\">Une fois que le m\u00e9decin aura donn\u00e9 son accord, le travail en force pourra commencer. Il sera d\u2019abord plus analytique, contre la r\u00e9sistance manuelle appliqu\u00e9e par le kin\u00e9. Puis, avec du petit mat\u00e9riel. Au fur et \u00e0 mesure, le renforcement sera de plus en plus fonctionnel. On essayera de se rapprocher des gestes de tous les jours pour que la main puisse remplir son r\u00f4le dans les activit\u00e9s du quotidien.<\/p>\n<p style=\"text-align: justify;\">Lorsque la main a subi une perte de sensibilit\u00e9, le kin\u00e9sith\u00e9rapeute travaillera \u00e9galement l\u2019aspect sensoriel de la main par des exercices de discrimination. Il travaillera avec le patient sa capacit\u00e9 de reconna\u00eetre les mati\u00e8res, les formes des objets, la position de la main dans l\u2019espace.<\/p>\n<p style=\"text-align: justify;\">Au cours de la r\u00e9\u00e9ducation, le patient recevra des exercices \u00e0 faire \u00e0 la maison pour son auto-r\u00e9\u00e9ducation. Ce travail \u00e0 domicile constitue une partie essentielle de la r\u00e9\u00e9ducation. Plus le patient est compliant, respecte le port des orth\u00e8ses et fait ses exercices, plus sa r\u00e9cup\u00e9ration sera rapide et meilleure.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":8139,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.13 (Yoast SEO v21.2) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>R\u00e9\u00e9ducation de la Main - P\u00f4le Equilibre&amp;Sant\u00e9 de Bascharage<\/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:\/\/pes-luxembourg.lu\/bascharage\/reeducation-de-la-main\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"R\u00e9\u00e9ducation de la Main\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pes-luxembourg.lu\/bascharage\/reeducation-de-la-main\/\" \/>\n<meta property=\"og:site_name\" content=\"P\u00f4le Equilibre&amp;Sant\u00e9 de Bascharage\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pes.bascharage\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-26T15:18:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2023\/03\/Kine-Main.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1750\" \/>\n\t<meta property=\"og:image:height\" content=\"904\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/pes-luxembourg.lu\/bascharage\/reeducation-de-la-main\/\",\"url\":\"https:\/\/pes-luxembourg.lu\/bascharage\/reeducation-de-la-main\/\",\"name\":\"R\u00e9\u00e9ducation de la Main - 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