Skip to main content

Abstrait

Les neuropathies se manifestent par un déficit sensitivo-moteur des extrémités prédominant aux membres inférieurs. Suivant la prédominance des signes cliniques, on peut faire état de formes motrices, sensitives ou trophiques. Les formes sensitives correspondent aux situations où les troubles sensitifs subjectifs et objectifs sont au premier plan et l’atteinte motrice absente ou modérée. Les neuropathies ataxiantes se caractérisent par l’importance des troubles de la sensibilité profonde qui sont responsables de troubles de I’équilibre et de la marche et objectivés par une diminution de la sensibilité distale au diapason et une instabilité accentuée à la fermeture des yeux (signe de Romberg).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. Nardone A, Grasso M, Schieppati M (2006) Balance control in peripheral neuropathy: are patients equally unstable under static and dynamic conditions? Gait Posture 23: 364–73

    Article  PubMed  Google Scholar 

  2. Capaday C, Stein RB (1986) Amplitude modulation of the soleus H-reflex in the human during walking and standing. J Neurosci 6: 1308–13

    PubMed  CAS  Google Scholar 

  3. Kuntzer T, Antoine JC, Steck AJ (2004) Clinical features and pathophysiological basis of sensory neuronopathies (ganglionopathies). Muscle Nerve 30: 255–68

    Article  PubMed  Google Scholar 

  4. Leger JM (2005) A review of the medical management of chronic inflammatory demyelinating polyradiculoneuropathy. Expert Opin Pharmacother 6: 569–82

    Article  PubMed  Google Scholar 

  5. White CM, Pritchard J, Turner-Stokes L (2004) Exercise for people with peripheral neuropathy. Cochrane Database Syst Rev CD003904

    Google Scholar 

  6. Lindeman E, Leffers P, Spaans F et at. (1995) Strength training in patients with myotonic dystrophy and hereditary motor and sensory neuropathy: a randomized clinical trial. Arch Phys Med Rehabil 76: 612–20

    Article  PubMed  CAS  Google Scholar 

  7. Ruhland JL, Shields RK (1997) The effects of a home exercise program on impairment and health-related quality of life in persons with chronic peripheral neuropathies. Phys Ther 77: 1026–39

    PubMed  CAS  Google Scholar 

  8. Richardson JK, Sandman D, Vela S (2001) A focused exercise regimen improves clinical measures of balance in patients with peripheral neuropathy. Arch Phys Med Rehabil 82: 205–9

    Article  PubMed  CAS  Google Scholar 

  9. Pitetti KH, Barrett PJ, Abbas D (1993) Endurance exercise training in Guillain-Barre syndrome. Arch Phys Med Rehabil 74: 761–5

    Article  PubMed  CAS  Google Scholar 

  10. Richardson JK, Hurvitz EA (1995) Peripheral neuropathy: a true risk factor for falls. J Gerontol A Biol Sci Med Sci 50: M211–5

    PubMed  CAS  Google Scholar 

  11. Thoumie P, Mevellec E (2002) Relation between walking speed and muscle strength is affected by somatosensory loss in multiple sclerosis. J Neurol Neurosurg Psychiatry 73: 313–5

    Article  PubMed  CAS  Google Scholar 

  12. Priplata AA, Patritti BL, Niemi JB et at. (2006) Noise-enhanced balance control in patients with diabetes and patients with stroke. Ann Neurol 59: 4–12

    Article  PubMed  Google Scholar 

  13. Priplata AA, Niemi JB, Harry JD, Lipsitz LA, Collins JJ (2003) Vibrating insoles and balance control in elderly people. Lancet 362: 1123–4

    Article  PubMed  Google Scholar 

  14. Kleyweg RP, van der Meche FG, Schmitz PI (1991) Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain-Barre syndrome. Muscle Nerve 14: 1103–9

    Article  PubMed  CAS  Google Scholar 

  15. Shy ME, Blake J, Krajewski K et at. (2005) Reliability and validity of the CMT neuropathy score as a measure of disability. Neurology 64: 1209–14

    PubMed  CAS  Google Scholar 

  16. Merkies IS, Schmitz PI, van der Meche FG, van Doom PA (2000) Psychometric evaluation of a new sensory scale in immune-mediated polyneuropathies. Inflammatory Neuropathy Cause and Treatment (INCAT) Group. Neurology 54: 943–9

    CAS  Google Scholar 

  17. Merkies IS, Schmitz PI, van der Meche FG, Samijn JP, van Doom PA (2002) Clinimetric evaluation of a new overall disability scale in immune mediated polyneuropathies. J Neurol Neurosurg Psychiatry 72: 596–601

    Article  PubMed  CAS  Google Scholar 

  18. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B (1992) Measuring balance in the elderly: validation of an instrument. Can J Public Health 83 Suppl 2: S7–11

    Google Scholar 

  19. Duncan PW, Weiner DK, Chandler J, Studenski S (1990) Functional reach: a new clinical measure of balance. J Gerontol 45: M192–7

    PubMed  CAS  Google Scholar 

  20. Missaoui B, Lobet X, Delorme D, Stephan P, Thoumie P (2007) Place respective des approches cliniques et instrumentales dans la rééducation des déficits de la proprioception. Neurophysiol Clin 37: 284

    Google Scholar 

  21. Cayla A (2007) Étude d’acceptabilité d’un livret d’activités physiques pour patients avec neuropathie chronique ataxiante. In: Mastère d’Ingénierie de la reeducation, du handicap et de la performance motrice. Faculté des sciences du sport: Poitiers, p. 61

    Google Scholar 

  22. McNair P., Stanley SN, Strauss GR (1996) Knee bracing: effects of proprioception. Arch Phys Med Rehabil 77: 287–9

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag France, Paris

About this chapter

Cite this chapter

Thoumie, P. et al. (2008). Rééducation de I’équilibre et de la marche et neuropathies ataxiantes. In: Actualités en rééducation des maladies neuro-musculaires de l’adulte. Springer, Paris. https://doi.org/10.1007/978-2-287-79013-3_12

Download citation

  • DOI: https://doi.org/10.1007/978-2-287-79013-3_12

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-79012-6

  • Online ISBN: 978-2-287-79013-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics