{"id":27,"date":"2023-08-22T17:19:09","date_gmt":"2023-08-22T15:19:09","guid":{"rendered":"http:\/\/kinequilibre-azur.com\/?page_id=27"},"modified":"2023-09-02T17:25:34","modified_gmt":"2023-09-02T15:25:34","slug":"vertiges-equilibre","status":"publish","type":"page","link":"https:\/\/kinequilibre-azur.com\/fr\/vertiges-equilibre\/","title":{"rendered":"Vertiges &amp; \u00c9quilibre"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">L\u2019\u00e9quilibre &#8211; Physiologie<\/h2>\n\n\n\n<p>L&rsquo;\u00e9quilibration est une t\u00e2che complexe que nous avons tous appris depuis notre plus jeune \u00e2ge. Les informations de trois types de capteurs sont constamment analys\u00e9es par notre cerveau : <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>les<strong> yeux<\/strong> nous permettent de nous situer dans l&rsquo;espace <\/li>\n\n\n\n<li><strong>les capteurs dans les muscles et les articulations<\/strong> (la proprioception) nous informent sur la position des membres, du tronc et de la t\u00eate<\/li>\n\n\n\n<li><strong>l&rsquo;oreille interne <\/strong>(plus pr\u00e9cis\u00e9ment le vestibule) fournit une information sur les rotations et les mouvement horizontaux et verticaux dans l&rsquo;espace <\/li>\n<\/ul>\n\n\n\n<p>Le cerveau int\u00e8gre toutes les informations et les utilise pour donner des ordres aux muscles qui ajustent les mouvements des yeux et la posture. Ainsi nous ajustons constamment notre position pour rester debout sur nos deux pieds.<\/p>\n\n\n\n<p>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"346\" src=\"http:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/equilib-physio-1024x346.png\" alt=\"\" class=\"wp-image-28\" srcset=\"https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/equilib-physio-1024x346.png 1024w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/equilib-physio-300x101.png 300w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/equilib-physio-768x260.png 768w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/equilib-physio-1536x520.png 1536w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/equilib-physio.png 1957w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Lors du vieillissement naturel, toutes les fonctions d\u00e9crites ci-dessus perdent en efficacit\u00e9 et il peut en r\u00e9sulter des difficult\u00e9s d&rsquo;\u00e9quilibration. Diff\u00e9rents acteurs m\u00e9dicaux et param\u00e9dicaux, dont les kin\u00e9sith\u00e9rapeutes, peuvent prendre en charge les personnes \u00e2g\u00e9es.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">La kin\u00e9sith\u00e9rapie de la personne \u00e2g\u00e9e<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>Les kin\u00e9sith\u00e9rapeutes stimulent les fonctions d&rsquo;\u00e9quilibration de leurs patients par des approches diverses, y compris la pratique de la marche. Par ailleurs, ils mettent en place un programme de musculation.<\/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=\"645\" height=\"793\" src=\"https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/age-exercice-1.png\" alt=\"\" class=\"wp-image-243\" srcset=\"https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/age-exercice-1.png 645w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/age-exercice-1-244x300.png 244w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/age-exercice-1-10x12.png 10w\" sizes=\"auto, (max-width: 645px) 100vw, 645px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p>Par contre, souvent la stimulation de l&rsquo;oreille interne (vestibule) est d\u00e9laiss\u00e9e, et des probl\u00e8mes d&rsquo;\u00e9quilibration persistants peuvent en r\u00e9sulter et augmenter le risque de chute. L&rsquo;approche KIN\u00c9quilibre Azur rem\u00e9die \u00e0 ce probl\u00e8me.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">L&rsquo;approche <strong>KIN\u00c9quilibre<\/strong> Azur<\/h2>\n\n\n\n<p><strong>Selon les besoins sp\u00e9cifiques du patient et apr\u00e8s un bilan pr\u00e9cis, nous int\u00e9grons les m\u00e9thodes de r\u00e9\u00e9ducation vestibulaire dans la r\u00e9\u00e9ducation de l\u2019\u00e9quilibre. Notre approche holistique donne <strong>au patient <\/strong>les meilleures chances de retrouver une libert\u00e9 de d\u00e9placement maximale ainsi qu&rsquo;un risque de chute minimal.<\/strong><\/p>\n\n\n\n<p>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Les Vertiges des personnes \u00e2g\u00e9es \u2013 un probl\u00e8me de plus !<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 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>20% des personnes de plus de 60 ans ont des vertiges <\/li>\n\n\n\n<li>30% des personnes de plus de 70 ans ont des vertiges  <\/li>\n\n\n\n<li>Les vertiges augmentent avec l\u2019\u00e2ge <\/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=\"661\" height=\"347\" src=\"http:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/vertigo.png\" alt=\"\" class=\"wp-image-82\" srcset=\"https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/vertigo.png 661w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/vertigo-300x157.png 300w\" sizes=\"auto, (max-width: 661px) 100vw, 661px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><strong>Les cons\u00e9quences des vertiges et des sensations vertigineuses sont : <\/strong><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 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>L&rsquo;augmentation du risque de chute<\/li>\n\n\n\n<li>Des d\u00e9sordres de la marche<\/li>\n\n\n\n<li>La limitation de l\u2019autonomie<\/li>\n\n\n\n<li>L&rsquo;isolement social<\/li>\n\n\n\n<li>Potentiellement la d\u00e9pression<\/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=\"1000\" height=\"1000\" src=\"http:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/upset-character.jpg\" alt=\"\" class=\"wp-image-149\" srcset=\"https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/upset-character.jpg 1000w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/upset-character-300x300.jpg 300w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/upset-character-150x150.jpg 150w, https:\/\/kinequilibre-azur.com\/wp-content\/uploads\/2023\/08\/upset-character-768x768.jpg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Les bonnes nouvelles<\/h2>\n\n\n\n<p><strong>La kin\u00e9sith\u00e9rapie vestibulaire permet \u00e0 beaucoup de patients de diminuer consid\u00e9rablement les vertiges et les probl\u00e8mes associ\u00e9s (naus\u00e9es).<\/strong><\/p>\n\n\n\n<p><strong>En parall\u00e8le, la kin\u00e9sith\u00e9rapie vestibulaire a un impact b\u00e9n\u00e9fique sur l\u2019\u00e9quilibre et diminue le risque de chutes !<\/strong><\/p>\n\n\n\n<p>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Bibliographie<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aggarwal NT, Bennett DA, Bienias JL, Mendes de Leon CF, Morris MC, Evans DA. The prevalence of dizziness and its association with functional disability in a biracial community population. J Gerontol A Biol Sci Med Sci. 2000;55:M288-M292.<\/li>\n\n\n\n<li>Alyono JC. Vertigo and dizziness: understanding and managing fall risk. Otolaryngol Clin N Am. 2018;51:725-740.<\/li>\n\n\n\n<li>Jahn K, Kressig RW, Bridenbaugh SA, Brandt T, Schniepp R. Dizziness and unstable gait in old age: etiology, diagnosis and treatment. Dtsch Arztebl Int. 2015;112:387-393.<\/li>\n\n\n\n<li>Kundakci B, Sultana A, Taylor AJ, Alshehri MA. The effectiveness of exercise-based vestibular rehabilitation in adult patients with chronic dizziness: a systematic review. F1000Res. 2018;7:276.<\/li>\n\n\n\n<li>Maarsingh OR, Dros J, Schellevis FG, van Weert HC, van der Windt DA, ter RG, van der Horst HE. Causes of persistent dizziness in elderly patients in primary care. Ann Fam Med. 2010;8:1<\/li>\n\n\n\n<li>Martins E, Silva DC, Bastos VH, de Oliveira Sanchez M, Nunes MKG, Orsini M, Ribeiro P, et al. Effects of vestibular rehabilitation in the elderly: a systematic review. Aging Clin Exp Res. 2016;28:599-606.<\/li>\n\n\n\n<li>McDonnell MN, Hillier SL. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2015;1:CD005397.<\/li>\n\n\n\n<li>M\u00fcller M, Strobl R, Jahn K, Linkohr B, Ladwig KH, Mielck A, et al. Impact of vertigo and dizziness on self-perceived participation and autonomy in older adults: results from the KORA-age study. Qual Life Res. 2014;23:2301-2308.<\/li>\n\n\n\n<li>Regauer V, Seckler E, M\u00fcller M, Bauer P. Physical therapy interventions for older people with vertigo, dizziness and balance disorders addressing mobility and participation: a systematic review. BMC Geriatr. 2020;20:494.<\/li>\n\n\n\n<li>Ricci NA, Aratani MC, Don\u00e1 F, Macedo C, Caovilla HH, Ganan\u00e7a FF. A systematic review about the effects of the vestibular rehabilitation in middle-age and older adults. Rev Bras Fis. 2010;14:361-371.<\/li>\n\n\n\n<li>Sherrington C, Fairhall N, Kwok W, Wallbank G, Tiedemann A, Michaleff ZA, Ng CACM, Bauman A.Evidence on physical activity and falls prevention for people aged 65+ years: systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. Int J Behav Nutr Phys Act. 2020 Nov 26;17(1):144.<\/li>\n\n\n\n<li>Taura A, Ohgita H, Funabiki K, Miura M, Naito Y, Ito J. Clinical study of vertigo in the outpatient clinic of Kyoto University Hospital. Acta Otolaryngol Suppl. 2010:29-33.<\/li>\n\n\n\n<li>Thomas E, Battaglia G, Patti A, Brusa J, Leonardi V, Palma A, Bellafiore M. Physical activity programs for balance and fall prevention in elderly. Medicine (Baltimore). 2019 Jul; 98(27): e16218.<\/li>\n\n\n\n<li>Wiltink J, Tschan R, Michal M, Subic-Wrana C, Eckhardt-Henn A, Dieterich M, Beutel ME. Dizziness: anxiety, health care utilization and health behavior&#8211;results from a representative German community survey. J Psychosom Res. 2009;66:417-424.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019\u00e9quilibre &#8211; Physiologie L&rsquo;\u00e9quilibration est une t\u00e2che complexe que nous avons tous appris depuis notre plus jeune \u00e2ge. Les informations de trois types de capteurs sont constamment analys\u00e9es par notre cerveau : Le cerveau int\u00e8gre toutes les informations et les utilise pour donner des ordres aux muscles qui ajustent les mouvements des yeux et la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-27","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kinequilibre-azur.com\/fr\/wp-json\/wp\/v2\/pages\/27","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kinequilibre-azur.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kinequilibre-azur.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kinequilibre-azur.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kinequilibre-azur.com\/fr\/wp-json\/wp\/v2\/comments?post=27"}],"version-history":[{"count":28,"href":"https:\/\/kinequilibre-azur.com\/fr\/wp-json\/wp\/v2\/pages\/27\/revisions"}],"predecessor-version":[{"id":263,"href":"https:\/\/kinequilibre-azur.com\/fr\/wp-json\/wp\/v2\/pages\/27\/revisions\/263"}],"wp:attachment":[{"href":"https:\/\/kinequilibre-azur.com\/fr\/wp-json\/wp\/v2\/media?parent=27"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}