Le patient à la démarche mal assurée

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ARTICLE DE REVUE 



Le patient à la démarche mal

assurée

Stephanie A. Bridenbaugha,b, Reto W. Kressiga

a Felix Platter-Spital, Universitäres Zentrum für Altersmedizin, Basel, Schweiz

b Basel Mobility Center, Basel, Schweiz







    

     





  

     







 





  



   

   



   





  





Symptômes













  





 

 



 

     



 





      



   







     







       



  











SWISS MEDICAL FORUM – FORUM MÉDICAL SUISSE 2015;15(5):94–99

ARTICLE DE REVUE 

     



 

Qu’est-ce qui a changé?











Décits sensoriels

 



    

    



    

  



   









   



    



    

       

  



   





  



Décits cognitifs

     





   



  

 

    





     



    

  





    

 

«dual task»

    







    

   

     





   

 





Evaluations

 

   



 



Anamnèse

  

      

 

Neuromotorische Kontrolle

-Kognitive Defizite

Vestibularsystem

-Benigner Lagerungsschwindel

Hörvermögen

- Presbyacusis

-Tinnitus

Periphere Sensibilität

Polyneuropathie

Muskelkraft

-Sarkopenie

Sehvermögen

- Katarakt

- Makuladegeneration

Figure 1:









Ouïe





Acuité visuelle







Sensibilité périphérique



Force musculaire



Système vestibulaire



Contrôle neuromotrice



SWISS MEDICAL FORUM – FORUM MÉDICAL SUISSE 2015;15(5):94–99

ARTICLE DE REVUE 







   



    







   

    

    



   







      





   



    

     





 







    

     



    

   





    





   





Evaluations de la mobilité









   







   



Test de la montre

    



Mini Mental State Exami-

nation





   

    

   

    

   





    







  

  



Vitesse de déplacement

     







   



     



   











   

Tableau 1:

Evaluation Indications / constatations

Anamnèse



Test de la montre 



Vitesse de déplacement 

Test Timed Up & Go 

Test Stops Walking

when Talking







Analyse électronique

de la marche







SWISS MEDICAL FORUM – FORUM MÉDICAL SUISSE 2015;15(5):94–99

ARTICLE DE REVUE 





     



    





Test Timed Up & Go (TUG)



Timed Up & Go Test

















  



 



Test Imagined Timed Up & Go (TUGi)



 



 











  

  





   

    

«single task»





  

  









     



    



Test Stops Walking when Talking

   











(Stops Walking when Talking)











  



Analyse quantitative de la marche











Basel Mobility Center

Figure 2: 





SWISS MEDICAL FORUM – FORUM MÉDICAL SUISSE 2015;15(5):94–99

ARTICLE DE REVUE 









 



     

   

  



     









   



   





   

     

     





   

   



     

     



    

  



     

    







   





   



Interventions ciblées



     







   





     

  

   



   

    

    



Rythmique Jaques-Dalcroze







  





   



     

  

Figure 3: 





SWISS MEDICAL FORUM – FORUM MÉDICAL SUISSE 2015;15(5):94–99

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