Que faire face à l’entorse?
Que vous soyez sportif ou non, vous avez tous connu au moins une fois dans votre vie un faux mouvement suivi d’une grosse douleur. L’entorse est le traumatisme articulaire le plus fréquent. Alors qu’est-ce que l’entorse ? L’entorse est une lésion traumatique touchant une articulation et responsable d’un étirement ou d’une rupture des ligaments.
Il y a trois degrés de gravités pour une entorse :
- L’entorse bénigne : le ligament est légèrement distendu sans rupture. L’articulation en question reste fonctionnelle.
- L’entorse moyenne : le ligament est complètement distendu accompagné d’un début de déchirement.
- L’entorse grave : le ligament est complètement rompu et arraché.
Les entorses les plus fréquentes sont l’entorse du genou et l’entorse de la cheville. En effet ces articulations sont peu stables. Donc plus exposés aux faux mouvements.
Comment reconnaît-on une entorse ? Dans un premier temps, l’articulation touchée est très douloureuse et il est difficile de retrouver toute sa mobilité. Un œdème (gonflement) apparaît immédiatement ou quelques heures après le traumatisme. Parfois un hématome apparaît. Si la douleur est très violente, qu’il y a eu une sensation de craquement et qu’il y a une trop grosse difficulté à bouger l’articulation, alors l’entorse est grave et cela nécessite la consultation d’un médecin le plus rapidement possible.
La conduite à tenir face à l’entorse :
Que faire lorsque que l’on subit une entorse ? Voici un moyen mémo-technique pour ne rien oublier.
GREC= Glaçage, repos, élévation, compression.
- Glaçage : Pour éviter qu’un œdème se forme, il faut refroidir le plus vite possible l’articulation touchée. Cela va également réduire le risque d’hématome. Ne jamais mettre de la glace directement en contacte avec la peau. Vous risquez de vous brûler donc pensez à mettre un tissu sur votre blessure avant de glacer.
- Repos : L’articulation doit absolument être au repos. C’est une étape très importante de la guérison. En effet si vous avez une entorse de la cheville, il faut absolument marcher avec des béquilles pendants quelques jours.
- Elévation : Si l’articulation touchée fait partie des membres inférieurs, surélevez le pour faciliter le retour veineux et ainsi éviter des complications sanguines.
- Compression : La compression permet de limiter l’œdème, faciliter la circulation du sang et immobiliser l’articulation. Il existe différents moyens de compression comme une chevillière, le strapping, etc.
Il est fortement recomandé de consulter un médecin. Souvent des médicaments sont à prescrire. Le plus souvent, des médicaments antalgiques du type paracétamol pour la douleur et des anti-inflammatoires suffisent.
La rééducation de l’articulation est très importante dans le processus de guérison. Selon la gravité de l’entorse, il est conseillé de faire 10 à 15 séances de kinésithérapie pour retrouver de la mobilité.
La réathlétisation après l’entorse :
Durant la période de convalescence, un phénomène de déconditionnement avec diminution des qualités physiques apparaît inévitablement. La réathlétisation, c’est l’ensemble des moyens permettant à l’athlète un retour à l’entraînement « normal » ainsi qu’à la compétition après une période de faible activité physique suite à une blessure. Elle doit être programmée, adaptée et spécifique à la pratique sportive de la personne. La durée de la réathlétisation dépend de la gravité du traumatisme. Elle peut durer 3 semaines comme 3 mois. Cette étape est primordiale, que ce soit chez le sportif occasionnel ou chez l’athlète, car elle va déterminer le moment où il pourra reprendre le sport sans danger.
Un programme de réathlétisation bien conduit permet :
- D’assurer une bonne cicatrisation de la lésion par des exercices appropriés.
- De limiter les risques de rechutes.
- De potentialiser les parties du corps non lésées.
- D’avoir une meilleure organisation dans la gestion du retour à la compétition.
- D’introduire dans l’organisation du sportif, du collectif un dispositif de conditionnement physique axé autour de la blessure.
- De diminuer la part du « hasard » dans l’apparition des blessures.
- D’assurer une prise en charge individuelle et rigoureuse dans la prise en charge des blessés.
Un programme de réathlétisation doit absolument être conçu par un préparateur physique ou coach sportif en collaboration avec le médecin et le kinésithérapeute. Il vous permettra d’éviter les erreurs fréquentes : reprise trop précoce de l’entrainement, de la compétition, mauvais respect des délais de cicatrisation, contenu des séances inappropriés, volume et intensité d’entrainement trop élevé, absence de progressivité…
Bien programmée, la réathlétisation s’effectue autour de deux axes principaux qui sont la récupération de la zone de blessure et l’optimisation des qualités physiques des parties non lésées :
- Travail sur les groupes musculaires opérationnels : entretient et optimisation.
- Transition réhabilitation – réentrainement global et spécifique du segment lésé : travail cardio-pulmonaire, renforcement musculaire global et spécifique, proprioception, mobilité, souplesse.
- Réentrainement spécifique du geste sportif, mouvements lents, corrections, répétitions.
- Retour et réintégration sur le terrain et dans le groupe pour les sports collectifs.
Vous savez maintenant à quoi vous attendre face à une entorse. N’oubliez pas, la consultation d’un médecin est primordial surtout si votre entorse est grave.
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