{"id":701,"date":"2020-12-03T15:36:16","date_gmt":"2020-12-03T20:36:16","guid":{"rendered":"http:\/\/grievingmaman.com\/?p=701"},"modified":"2021-05-22T21:55:56","modified_gmt":"2021-05-23T01:55:56","slug":"adelie-traumatic-brain-injury-tbi-cimt","status":"publish","type":"post","link":"https:\/\/grievingmaman.com\/fr\/2020\/12\/03\/therapie-adelie-tcim-blessure-grave-cerveau\/","title":{"rendered":"Th\u00e9rapie d'Ad\u00e9lie - TCIM apr\u00e8s une blessure grave au cerveau"},"content":{"rendered":"<p class=\"wp-block-paragraph\" style=\"font-size:18px\">For the English version, click \"EN\" at top-right of the menu<strong> originale <\/strong>de cette publication<strong> (version fran\u00e7aise), <a href=\"https:\/\/grievingmaman.com\/fr\/2020\/12\/03\/therapie-adelie-tcim-blessure-grave-cerveau\/\">\u2630<\/a>.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"english\"><a href=\"#english\">La th\u00e9rapie d'Ad\u00e9lie<\/a><\/h2>\n\n\n\n<p class=\"has-drop-cap has-text-color wp-block-paragraph\" id=\"english\" style=\"color:#1b2b55;font-size:17px\">La blessure d\u2019Ad\u00e9lie est un sujet qui m\u2019a longtemps \u00e9t\u00e9 malaisant, plus particuli\u00e8rement lorsque nous \u00e9tions encore \u00e0 l\u2019h\u00f4pital et obtenions des nouvelles de l\u2019\u00e9quipe m\u00e9dicale en neurologie. Ayant d\u00e9j\u00e0 perdu mon petit Zacka\u00ebl et souffrant d\u2019un profond deuil et d\u2019une d\u00e9pression, j\u2019avais du mal \u00e0 me tenir debout lorsque nous discussions de r\u00e9sultats (tel ceux d\u2019un IRM) au sujet du cerveau d\u2019Ad\u00e9lie. Dans cette publication, je n\u2019irai pas en d\u00e9tails sur sa blessure. En fait, je ne poss\u00e8de pas les informations particuli\u00e8res de sa blessure. Cette publication se portera plut\u00f4t sur un type de th\u00e9rapie que nous entreprenons avec Ad\u00e9lie.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">Notre petite Ad\u00e9lie a subi une blessure grave au cerveau. Elle a \u00e9t\u00e9 frapp\u00e9e par l\u2019orignal du c\u00f4t\u00e9 gauche de son cerveau ce qui a malheureusement provoqu\u00e9 une l\u00e9sion permanente. Dans ma publication pr\u00e9c\u00e9dente <a href=\"https:\/\/grievingmaman.com\/fr\/2020\/11\/18\/adelie-update-mise-a-jour-adelie\/\">Mise \u00e0 jour d\u2019Ad\u00e9lie<\/a>, je parle un peu de certains handicaps qu\u2019Ad\u00e9lie, plus pr\u00e9cis\u00e9ment du c\u00f4t\u00e9 droit.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:15px\"><em><strong>H\u00e9mipar\u00e9sie : un d\u00e9ficit caus\u00e9 par des l\u00e9sions c\u00e9r\u00e9brales ou de la moelle \u00e9pini\u00e8re qui engendre une paralysie partielle ou une faiblesse d'un c\u00f4t\u00e9 du corps. Elle provoque des probl\u00e8mes de force musculaire, de contr\u00f4le musculaire ainsi qu\u2019une raideur musculaire dans les capacit\u00e9s de mouvements.<br><\/strong><\/em><\/p>\n\n\n\n<figure class=\"wp-block-video wp-block-embed is-type-video is-provider-videopress wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"VideoPress Video Player\" aria-label='VideoPress Video Player' width='500' height='281' src='https:\/\/videopress.com\/embed\/zY5Stz1d?preloadContent=metadata&amp;hd=0&amp;cover=1' frameborder='0' allowfullscreen allow='clipboard-write'><\/iframe><script src='https:\/\/v0.wordpress.com\/js\/next\/videopress-iframe.js?m=1674852142'><\/script>\n<\/div><figcaption>Ad\u00e9lie \u00e0 l'h\u00f4pital (3 janvier 2020). Elle n'utilise pas encore sa main gauche mais commence \u00e0 se rendre compte que sa main droite \u00abexiste\u00bb.<\/figcaption><\/figure>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">Pour Ad\u00e9lie, le dommage du c\u00f4t\u00e9 gauche de son cerveau a entra\u00een\u00e9 une h\u00e9mipar\u00e9sie de ses membres droits. Ad\u00e9lie n'utilisait ni sa main droite ni son bras droit, et utilisait le c\u00f4t\u00e9 gauche pour tout. Heureusement, son jeune \u00e2ge est en sa faveur (2 ans au moment de l\u2019accident). Le tissu c\u00e9r\u00e9bral d\u00e9truit ne peut pas retrouver sa fonctionnalit\u00e9, mais d\u2019autres parties de son cerveau peuvent prendre en charge certaines des responsabilit\u00e9s de la zone d\u00e9truite. La r\u00e9\u00e9ducation est donc importante afin de faciliter ce processus d\u2019apprentissage.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"> Th\u00e9rapie par contrainte induite du mouvement (TCIM) <\/h4>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">Au d\u00e9but des ann\u00e9es 1990, une \u00e9tude sur des singes, supervis\u00e9e par le neuroscientifique Edward Taud, a fait des perc\u00e9es majeures dans le domaine de la neuroplasticit\u00e9. Il a d\u00e9couvert et d\u00e9velopp\u00e9 la th\u00e9rapie par contrainte induite du mouvement (TCIM). Cette th\u00e9rapie aide les personnes souffrant d\u2019h\u00e9mipar\u00e9sie une r\u00e9\u00e9ducation du bras et de la main de leur c\u00f4t\u00e9 paralys\u00e9.<br><br>Dans l\u2019\u00e9tude, les membres \u00ab forts \u00bb des singes ont \u00e9t\u00e9 immobilis\u00e9s, les membres qui n\u2019avaient pas \u00e9t\u00e9 affect\u00e9s par une blessure. Pour fonctionner, les singes \u00e9taient donc maintenant forc\u00e9s d'utiliser leurs membres atteints, c\u2019est-\u00e0-dire leur c\u00f4t\u00e9 le plus faible. Beaucoup auraient pens\u00e9 que ceci aurait laiss\u00e9 les singes impuissants. \u00c0 la grande surprise de plusieurs, les singes ont tous peu \u00e0 peu commenc\u00e9 \u00e0 utiliser leur c\u00f4t\u00e9 faible pour manger, jouer et fonctionner.<br><br>Avec la TCIM, les exercices r\u00e9p\u00e9titifs induisent le d\u00e9veloppement de nouvelles voies neuronales dans le cerveau, et les patients r\u00e9apprennent \u00e0 utiliser le membre paralys\u00e9. Le raisonnement de Taub \u00e9tait qu\u2019un singe n\u2019utilisera pas le bras affaibli s\u2019il peut se servir de son bon bras \u00e0 la place. Cet apprentissage de \u00abnon-utilisation\u00bb conduit \u00e0 une d\u00e9t\u00e9rioration suppl\u00e9mentaire. Cependant, si les deux bras sont faibles, il sera oblig\u00e9 de les utiliser. Cela peut sembler paradoxal, mais l'hypoth\u00e8se a \u00e9t\u00e9 confirm\u00e9e par les exp\u00e9riences.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>\u201cM\u00eame si c'est un programme intensif o\u00f9 la th\u00e9rapie se fait sur le bras, c\u2019est en r\u00e9alit\u00e9 le cerveau qui est form\u00e9, pas le bras.\u201d<\/p><cite>Lynne Gauthier,  PROFESSEUR ASSOCI\u00c9e en physioth\u00e9rapie ET KIN\u00c9SIOLOGIE \u2013 l\u2019University of Massachusetts Lowell \u2013 <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2020\/06\/18\/877621475\/a-scientists-pink-cast-leads-to-discovery-about-how-the-brain-responds-to-disabi\">LINK TO SOURCE<\/a><\/cite><\/blockquote><\/figure>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">La TCIM s\u2019av\u00e9rer b\u00e9n\u00e9fique chez les patients qui ont subi l\u2019une des conditions suivantes :<\/p>\n\n\n\n<ul class=\"has-text-color wp-block-list\" style=\"color:#1b2b55\"><li>Accident vasculaire c\u00e9r\u00e9bral (AVC)<\/li><li>Traumatisme cr\u00e2nien (ex. Ad\u00e9lie)<\/li><li>Paralysie c\u00e9r\u00e9brale<\/li><li>Scl\u00e9rose en plaques<\/li><li>L\u00e9sion de la moelle \u00e9pini\u00e8re<\/li><li>Autres conditions neurologiques<\/li><\/ul>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">Les patients atteints d'h\u00e9mipar\u00e9sie seront souvent d\u00e9courag\u00e9s d'utiliser les membres affect\u00e9s en raison de la difficult\u00e9 qu'ils rencontrent. Nous avons v\u00e9cu cela avec Ad\u00e9lie, elle aussi semblait involontairement d\u00e9velopper un \u00ab apprentissage de non-utilisation \u00bb. L\u2019apprentissage de \u00ab non-utilisation \u00bb peut notamment entra\u00eener une d\u00e9t\u00e9rioration suppl\u00e9mentaire de ses membres inactifs. C'\u00e9tait facile pour elle d'utiliser sa main gauche, mais extr\u00eamement difficile pour elle de m\u00eame lever sa main droite. Pendant une longue p\u00e9riode, sa main droite \u00e9tait compl\u00e8tement serr\u00e9e et elle semblait m\u00eame ignorer que sa main droite existait. <br><br>Pendant son s\u00e9jour \u00e0 l'h\u00f4pital, en plus de la physioth\u00e9rapie, Carl et moi lui faisions des \u00e9tirements de sa main plusieurs fois par jour. Sa main droite \u00e9tait souvent froide et bleut\u00e9e en raison de l'absence de circulation.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">La TCIM nous a \u00e9t\u00e9 sugg\u00e9r\u00e9e pour Ad\u00e9lie. Nous nous sommes dit qu\u2019Ad\u00e9lie serait pr\u00eate pour la TCIM une fois qu\u2019elle a r\u00e9-appris \u00e0 marcher. Par contre, Covid et les annulations de ses th\u00e9rapies ont fait en sorte qu\u2019il fallait reporter l\u2019essai de la TCIM. C\u2019est donc en octobre 2020 que nous avons pu finalement aller de l\u2019avant avec cette th\u00e9rapie.<br><br>Nous avions l\u2019option entre un pl\u00e2tre permanent ou amovible. Nous avons opt\u00e9 pour le pl\u00e2tre permanent puisque nous savons \u00e0 quel point notre petite Ad\u00e9lie peut \u00eatre d\u00e9termin\u00e9e. Il serait difficile pour nous de l\u2019enlever et de le remettre si elle ne coop\u00e8re pas. Avec un permanent, nous n\u2019avons pas le choix, nous ne pouvons pas l\u2019enlever, elle l\u2019aura \u00e0 100% du temps.<br><br>Le 6 octobre, le bras gauche d\u2019Ad\u00e9lie (\u00ab son c\u00f4t\u00e9 fort \u00bb) a \u00e9t\u00e9 compl\u00e8tement pl\u00e2tr\u00e9 jusqu'au bout de ses doigts pour la forcer \u00e0 utiliser son c\u00f4t\u00e9 droit, son \u00ab c\u00f4t\u00e9 faible \u00bb. Pendant ce temps, elle ne pouvait utiliser que la main droite qui a donc \u00e9t\u00e9 utilis\u00e9e de mani\u00e8re intensive, main qui normalement est peu utilis\u00e9e par Ad\u00e9lie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" data-attachment-id=\"715\" data-permalink=\"https:\/\/grievingmaman.com\/fr\/img_4270\/\" data-orig-file=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4270.jpeg?fit=935%2C828&amp;ssl=1\" data-orig-size=\"935,828\" data-comments-opened=\"1\" data-image-meta=\"{&quot;created_timestamp&quot;:&quot;1602550199&quot;}\" data-image-title=\"img_4270\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4270.jpeg?fit=935%2C828&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4270.jpeg?resize=386%2C342&#038;ssl=1\" alt=\"\" class=\"wp-image-715\" width=\"386\" height=\"342\"\/><\/figure><\/div>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\"><br>La TCIM a \u00e9t\u00e9 plus difficile les premiers jours, surtout le soir au coucher. Ad\u00e9lie pleurait et me suppliait de l\u2019enlever, \u00ab enl\u00e8ve \u00bb pleurait-elle. C\u2019\u00e9tait inconfortable pour elle et il faut se rappeler que sa main droite \u00e9tait tr\u00e8s limit\u00e9e dans ce qu\u2019elle pouvait faire. Nous devions ainsi \u00eatre l\u00e0 pour l\u2019aider davantage et la r\u00e9conforter en lui disait qu\u2019on ne pouvait pas l\u2019enlever.<\/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-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" data-attachment-id=\"732\" data-permalink=\"https:\/\/grievingmaman.com\/fr\/img_4167-1\/\" data-orig-file=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4167-1.jpeg?fit=4032%2C3024&amp;ssl=1\" data-orig-size=\"4032,3024\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;camera&quot;:&quot;iPhone XR&quot;,&quot;created_timestamp&quot;:&quot;1602340818&quot;,&quot;focal_length&quot;:&quot;4.25&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.008695652173913&quot;}\" data-image-title=\"img_4167-1\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4167-1.jpeg?fit=1024%2C768&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4167-1.jpeg?resize=378%2C283&#038;ssl=1\" alt=\"\" class=\"wp-image-732\" width=\"378\" height=\"283\"\/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" data-attachment-id=\"733\" data-permalink=\"https:\/\/grievingmaman.com\/fr\/img_4168-1\/\" data-orig-file=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4168-1.jpeg?fit=4032%2C3024&amp;ssl=1\" data-orig-size=\"4032,3024\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;camera&quot;:&quot;iPhone XR&quot;,&quot;created_timestamp&quot;:&quot;1602340819&quot;,&quot;focal_length&quot;:&quot;4.25&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.0082644628099174&quot;}\" data-image-title=\"Ad\u00e9lie Therapy with CIMT\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4168-1.jpeg?fit=1024%2C768&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/img_4168-1.jpeg?resize=383%2C287&#038;ssl=1\" alt=\"\" class=\"wp-image-733\" width=\"383\" height=\"287\"\/><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">Ad\u00e9lie s\u2019est habitu\u00e9e assez vite. Elle est une vraie championne. Malheureusement durant le temps de sa th\u00e9rapie, elle a attrap\u00e9 une infection urinaire avec une bact\u00e9rie tr\u00e8s r\u00e9sistante. Ceci a fait en sorte qu\u2019elle ne se sentait pas bien (fi\u00e8vre, manque d\u2019\u00e9nergie, etc), donc nous avons d\u00e9cid\u00e9 d\u2019arr\u00eater la th\u00e9rapie apr\u00e8s 18 jours. C\u2019\u00e9tait seulement quelques jours d\u2019avance, nous voulions environ 3 semaines de TCIM.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">Nous planifions une autre TCIM \u00e0 la mi-janvier. La th\u00e9rapie sera r\u00e9p\u00e9t\u00e9e probablement quelques fois par ann\u00e9e. \u00c0 ce stade, nous ne savons pas si la main et le bras d\u2019Ad\u00e9lie pourront revenir \u00e0 la normale. La TCIM est encore une th\u00e9rapie qui est r\u00e9cente et fait donc l\u2019objet de plusieurs \u00e9tudes.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"721\" data-permalink=\"https:\/\/grievingmaman.com\/fr\/main\/\" data-orig-file=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/main.jpg?fit=3024%2C4032&amp;ssl=1\" data-orig-size=\"3024,4032\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;camera&quot;:&quot;iPhone XR&quot;,&quot;created_timestamp&quot;:&quot;1603902747&quot;,&quot;focal_length&quot;:&quot;4.25&quot;,&quot;iso&quot;:&quot;160&quot;,&quot;shutter_speed&quot;:&quot;0.016666666666667&quot;,&quot;orientation&quot;:&quot;1&quot;,&quot;latitude&quot;:&quot;45.436366666667&quot;,&quot;longitude&quot;:&quot;-75.545708333333&quot;}\" data-image-title=\"main\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/main.jpg?fit=768%2C1024&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/grievingmaman.com\/wp-content\/uploads\/2020\/12\/main.jpg?resize=247%2C330&#038;ssl=1\" alt=\"\" class=\"wp-image-721\" width=\"247\" height=\"330\"\/><figcaption>Main gauche d'Ad\u00e9lie une fois le pl\u00e2tre enlev\u00e9<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\"><br>Pour Ad\u00e9lie, la r\u00e9habilitation se continuera pendant plusieurs ann\u00e9es. Nous sommes confiants que son petit cerveau ira chercher des neurones de quelque part d\u2019autre pour compenser celles d\u00e9truites de son c\u00f4t\u00e9 gauche de son cerveau.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>\u201cLe cerveau est tr\u00e8s stable \u00e0 moins qu\u2019il doit changer.\u201d<\/p><cite>DR. NICO DOSENBACH, PEDIATRIC NEUROLOGIST AND SYSTEMS NEUROSCIENTIST AT WASHINGTON UNIVERSITY SCHOOL OF MEDICINE \u2013 <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2020\/06\/18\/877621475\/a-scientists-pink-cast-leads-to-discovery-about-how-the-brain-responds-to-disabi\">LINK TO SOURCE<\/a><\/cite><\/blockquote><\/figure>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#1b2b55;font-size:17px\">On continuera toujours de travailler fort avec Ad\u00e9lie. En fait, la semaine pass\u00e9e, nous avons re\u00e7u de la r\u00e9troaction tr\u00e8s positive de la part de ses th\u00e9rapeutes et des \u00e9ducatrices de la garderie. Nous remarquons tous une grande am\u00e9lioration de ses membres droits. Elle utilise de plus en plus sa main droite pour les activit\u00e9s qu\u2019elle fait. Bravo Ad\u00e9lie, nous sommes fiers de toi!<\/p>\n\n\n\n<p class=\"has-text-align-center has-text-color has-normal-font-size wp-block-paragraph\" style=\"color:#838b92\">C\u2019est tout pour l\u2019instant! <\/p>\n\n\n\n<p class=\"has-text-align-center has-text-color has-normal-font-size wp-block-paragraph\" style=\"color:#838b92\">S.v.p. partager vos r\u00e9flexions dans les commentaires au bas de la page.<br>Si vous avez appr\u00e9ci\u00e9 cette publication, vous pouvez vous abonner en inscrivant votre courriel et cliquer \u00abAbonnez\u00bb pour recevoir les prochaines!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\"><em><strong>Source :<\/strong> A Scientist\u2019s Pink Cast Leads To Discovery About How The Brain Responds To Disability, Jon Hamilton, June 18, 2020, <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2020\/06\/18\/877621475\/a-scientists-pink-cast-leads-to-discovery-about-how-the-brain-responds-to-disabi\">https:\/\/www.npr.org\/sections\/health-shots\/2020\/06\/18\/877621475\/a-scientists-pink-cast-leads-to-discovery-about-how-the-brain-responds-to-disabi<\/a>, <\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Suite \u00e0 sa blessure au cerveau, Ad\u00e9lie suit une th\u00e9rapie par contrainte induite du mouvement (TCIM). <\/p>","protected":false},"author":185178740,"featured_media":715,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[4197609],"tags":[99636,708033912,16283,33180],"class_list":["post-701","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adelie","tag-accident","tag-adelie","tag-brain","tag-therapy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ad\u00e9lie&#039;s Therapy \u2013 CIMT after a Brain Injury &#8211; Grieving maman<\/title>\n<meta name=\"description\" content=\"Ad\u00e9lie gets constraint-induced movement therapy (CIMT) after traumatic brain injury (TBI). 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