PERSPE CTIVE D’AVENIR

Il semblerait intéressant de comparer une attelle passive et une attelle dynamique afin d’analyser quel type de dispositif serait le plus efficace pour les patients cérébrolésés atteints de spasticité. En effet, ces deux attelles disposent de mécanismes différents. D’une part, les attelles passives, dénommées aussi statiques, ont pour but de maintenir une partie du corps dans la position thérapeutique souhaitée. Celle-ci permet un positionnement correct afin d’éviter tout risque de rétractions ligamentaires et tendineuses. Tandis que les attelles dynamiques sont destinées à suppléer une fonction déficiente tout en évitant également les potentielles déformations et les rétractions. Cette sorte d’attelle travaille sur l’efficacité d’une correction avec une faible intensité, mais qui perdure dans le temps. Néanmoins, les attelles dynamiques ne peuvent être prescrites que lorsque la spasticité ne s’accompagne pas de troubles sensitifs. Effectivement, l’hypoesthésie engendrerait un risque élevé d’escarres pour le patient.

33 6. CONCLUSION

La prise en charge de la spasticité des patients cérébrolésés se doit d’être rapide et précoce. Effectivement, une rééducation couplée avec des mobilisations et le port d’une attelle peut prévenir les diverses complications liées à l’atteinte cérébrale.

L’objectif de cette recherche visait à comparer l’efficacité d’une attelle expérimentale passive à une attelle placebo, pour une population de cérébrolésés atteints de spasticité aux membres supérieurs.

La petite taille de l’échantillon ne permet pas d’établir de conclusions sur le plan de l’efficacité de l’attelle expérimentale. Pour la tester, il conviendrait d’effectuer une comparaison de ces deux dispositifs auprès d’une plus grande population.

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40 8. ANNEXES

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