Syndrome de Déficience Posturale SDP
En deux mots :
Les symptômes associés à un défaut postural sont très variés. Ils diffèrent d'un individu à l'autre.
Explications :
Les patients en déséquilibre postural peuvent présenter des examens complémentaires complètement normaux malgré une symptomatologie parfois riche. Elle est toujours associée à une hypertonie para-vertébrale latéralisée. Les signes fonctionnels du syndrome postural sont classés de manière variable selon les auteurs.
La classification des symptômes la plus connue est d'origine portugaise :
Le SDP (Syndrome de Déficience Posturale) regroupe différents symptômes classifiés par HM Da Cuñha en 1979*
Cette classification mérite d'être citée car elle est explicite bien que je ne pratique pas la thérapeutique de l'école portugaise.
Signes fonctionnels cardinaux :
Douleur | Céphalée, douleur rétro-oculaire, thoracique, abdominale, arthralgie, rachialgie. |
Déséquilibre | Nausées, étourdissement, vertige, chutes inexplicables. |
Ophtalmologiques | Fatigue visuelle, vision trouble, diplopie, scotomes directionnels, métatopsie. |
"Proprioceptifs" | Dysmétrie, somatoagnosie, erreurs d'appréciation du schéma corporel. |
Signes fonctionnels secondaires (exclusion des maladies organiques donnant les mêmes symptomes) :
Articulaires | Syndrome de l'articulation temporo-mandibulaire, torticolis, lumbago, périarthrite, entorse. |
Neuro-musculaires | Parésies, défaut de contrôle moteur des extrémités. |
Neuro-vasculaires | Paresthésies des extrémités, phénomène de Raynaud. |
Cardio-circulatoires | Tachycardie, lipothymie. |
Respiratoires | Dyspnée, fatigue. |
O.R.L. | Bourdonnements, surdité. |
Psychiques | Dyslexie, dysgraphie, agoraphobie, défaut d'orientation, de localisation spatiale et droite-gauche. Défaut de concentration, pertes de mémoire, asthénie, anxiété, dépression. |
Voir les explications du Pr Quercia
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Références scientifiques :
Agressologie, 28, 941-943, 1987
Martins da Cunha H. Le syndrome de déficience posturale – S.D.P. Actualités en rééducation fonctionnelle et réadaptation, 4 série, L Simone Ed. Paris: Mallon, 1979.
Martins da Cunha H., Alves da Silva O. Syndrome de déficience posturale. Un Nouveau et Grand Chapitre de L’Olphtalmologie, J Fr Ophtalmol (Paris), 1986, 9:747-755
Martins da Cunha, H., Alves da Silva, O. (1980) Alteracoes da Funcao Binocular no Sindrome de Deficiencia Postural, Acta IV Congresso Luso-Hispano-Brasileiro de Oftalmologia, Vol II
Ribeiro da Silva, J., Martins da Cunha, H., Alves da Silva, O., Castanheira Diniz, A. (1982) The convergent Pseudo-Paresis in the Postural Deficiency Syndrome. A Sensorial and Proprioceptive Approach. International Symposium on Strabismus, Florence, Italy
Martins da Cunha, H., Alves da Silva, O. (1983) Semiologia Oftalmologica no Sindrome de Deficiencia Postural, Arquivos Portugueses de Oftalmologia, Vol especial, II serie
https://www.orlandoalvesdasilva.org/proprioception-dysfunction-symptoms
Alves da Silva, O. (1985) Videopht n1, Clermont-Ferrant
Alves da Silva, O., Martins da Cunha, H., (1986) Diplopias posturales, Acta Estrabologica, ENE-DIC, XIV
Martins da Cunha, H., Alves da Silva, O. (1986) Syndrome de déficience posturale. Un Nouveau et Grand Chapitre de L’Olphtalmologie, J Fr Ophtalmol (Paris), 9:747-755
Martins da Cunha, H., Alves da Silva, O. (1986) Disturbances of binocular function in the postural deficiency syndrome. Agressologie, 27(1):63-7
Martins da Cunha, H. (1987) Le syndrome de deficience posturale (SDP). Agressologie, 28(9):941-3
Alves Da Silva O., Mendes A., Pinhal F., Martins Da Cunha H. (1987) A new aspect of convergence insufficiency orthoptic training by improvement of postural deficiency syndrome - P.D.S - Journal Français d'Orthoptique,19, 157-162.
Alves da Silva, O. (1987) Scotometrie directionelle et corrections prismatiques dans le syndrome de deficience posturale. Agressologie, 28(9):945-6
Alves da Silva, O. (1988) A importância das alteracões oftalmológicas no síndrome disfuncional da A.T.M. Rev Port Est Cir Maxilofac, 28(1):35-40
Alves da Silva, O. et al. (1988) Fusion, Visual information and Proprioceptivity. Procedings XVII Meeting of ESA Madrid, J. Murube del Castillo Editor, p.89-93
Alves da Silva, O. et al. (1991) Rastreio Visual em Criancas, Act. Med. Portuguesa, 4:183-187
Bérard, P.V., Alves da Silva, O. (1994) Les prismes posturaux. Leur utilisation en pratique quotidienne. Coup d'Oeil Opht. n°53 p. 29-36
Atkinson, J., Braddick, O. J., Anker, S., Ehrlich, D., King, J., Hartley, T., Castanera de Molina, A., Sireteanu, R., Alves da Silva, O., Pinto, F., Dias, L., Vital-Durand, F., Pinzaru, G., Angi, M., & Atkinson, S. (1996). Co-ordinated infant videorefractive screening programmes in six European centres. Investigative Ophthalmology & Visual Science 37: S1111.
Serrano, G., Alves da Silva, O. (1996) Uma nova abordagem terapeutica. Pedro Nuno Rodrigues: Lisboa.
Dolan, M., Alves da Silva, O., Heitor, M. (2001) “The self-in-place, the self-mis-placed. Proprioception, visual instability, dyslexia”, Current Research on Visual Instability; Implications for People Working with Dyslexia, organised by SWADI and the University of Bristol.
Alves da Silva, O. (2001) La clinique du syndrome de déficience posturale. Les cahiers d'ophtalmologie. Realites Ophtalmologiques, n 4.
Alves da Silva, O. (2001) Dyslexie et ophtalmologie. Realites Ophtalmologiques, 84:35-7.
Alves da Silva, O., Élie, G. 2001. Dyslexie et ophtalmologie, le témoignage d'une maman de dyslexique. Realit Ophtalm. 84: 35-39.
Quercia, P., Robichon, F., Alves da Silva, O. (2003) Dyslexie de Développement et Proprioception: Approche Clinique et Thérapeutique. Beaune : Graine de Lecteur
Dolan, M., Alves da Silva, O., and Heitor, M. (2004) “Humpty Dumpty Biting Cheeks and Tongues: Postural Instability and Dyslexia”, 6th BDA International Conference Dyslexia, The Dividends from Research to Policy and Practice, organized by the British Dyslexia Association.
Alves da Silva, O. (2005) Syndrome de déficience posturale: symptomatologie. Réalités Ophtalmologiques; 121:17-20
Ventura, L.O., Travassos, S.B., Da Silva, O.A., and Dolan, M. (2011) Dislexia e Distúrbios de Aprendizagem. Rio de Janeiro, Cultura Médica.
https://www.orlandoalvesdasilva.org/
Martins da Cunha, H. (1979) Syndrome de déficience posturale. Actualités en reéducation fonctionnelle et réadaptation, 4e série, L. Simon, Ed. Masson, Paris.
Martins da Cunha, H. (1979) Signes fonctionnels du syndrome de deficience posturale (SDP). Syndrome de deficience posturale. Actualites en reeducation fonctionelle et readaptation, 4e série, L. Simon, Ed. Masson, Paris.
Nijboer TC, Olthoff L, Van der Stigchel S, Visser-Meily JM. Prism adaptation
improves postural imbalance in neglect patients. Neuroreport. 2014 Mar
26;25(5):307-11. doi: 10.1097/WNR.0000000000000088. PubMed PMID: 24488029.
Hugues A, Di Marco J, Lunven M, Jacquin-Courtois S, Rossetti Y, Bonan I, Rode
G. Long-lasting reduction in postural asymmetry by prism adaptation after right
brain lesion without neglect. Cogn Process. 2015 Sep;16 Suppl 1:371-5. doi:
10.1007/s10339-015-0704-y. PubMed PMID: 26224267.
Matsuo T, Yamasaki H, Yasuhara H, Hasebe K. Postural stability changes during
large vertical diplopia induced by prism wear in normal subjects. Acta Med
Okayama. 2013;67(3):177-83. PubMed PMID: 23804141.
Matsuo T, Yabuki A, Hasebe K, Shira YH, Imai S, Ohtsuki H. Postural stability
changes during the prism adaptation test in patients with intermittent and
constant exotropia. Invest Ophthalmol Vis Sci. 2010 Dec;51(12):6341-7. doi:
10.1167/iovs.10-5840. Epub 2010 Jun 30. PubMed PMID: 20592222.
Robey JH, Boyle K. The role of prism glass and postural restoration in
managing a collegiate baseball player with bilateral sacroiliac joint
dysfunction: a case report. Int J Sports Phys Ther. 2013 Oct;8(5):716-28. PubMed
PMID: 24175150; PubMed Central PMCID: PMC3811731.
Gandemer L, Parseihian G, Kronland-Martinet R, Bourdin C. Spatial Cues
Provided by Sound Improve Postural Stabilization: Evidence of a Spatial Auditory
Map? Front Neurosci. 2017 Jun 26;11:357. doi: 10.3389/fnins.2017.00357.
eCollection 2017. PubMed PMID: 28694770; PubMed Central PMCID: PMC5483472.
Tilikete C, Rode G, Rossetti Y, Pichon J, Li L, Boisson D. Prism adaptation to
rightward optical deviation improves postural imbalance in left-hemiparetic
patients. Curr Biol. 2001 Apr 3;11(7):524-8. PubMed PMID: 11413004.
Matheron E, Kapoula Z. Incidence of vertical phoria on postural control during
binocular vision: what perspective for prevention to nonspecific chronic pain
management? Med Hypothesis Discov Innov Ophthalmol. 2015 Spring;4(1):27-30.
PubMed PMID: 25861672; PubMed Central PMCID: PMC4389295.
Sheedy JE, Parsons SD. Vertical yoked prism--patient acceptance and postural
adjustment. Ophthalmic Physiol Opt. 1987;7(3):255-7. PubMed PMID: 3684280.
Menzocchi M, Mecacci G, Zeppi A, Carli G, Santarcangelo EL. Hypnotizability
and Performance on a Prism Adaptation Test. Cerebellum. 2015 Dec;14(6):699-706.
doi: 10.1007/s12311-015-0671-y. PubMed PMID: 25913127.
Dotov DG, Frank TD, Turvey MT. Balance affects prism adaptation: evidence
from the latent aftereffect. Exp Brain Res. 2013 Dec;231(4):425-32. doi:
10.1007/s00221-013-3707-x. Epub 2013 Sep 26. PubMed PMID: 24071925.
Quercia P, Quercia M, Feiss LJ, Allaert F. The distinctive vertical
heterophoria of dyslexics. Clin Ophthalmol. 2015 Sep 25;9:1785-97. doi:
10.2147/OPTH.S88497. eCollection 2015. PubMed PMID: 26445526; PubMed Central
PMCID: PMC4590632.
Redding GM, Rossetti Y, Wallace B. Applications of prism adaptation: a
tutorial in theory and method. Neurosci Biobehav Rev. 2005 May;29(3):431-44.
Review. PubMed PMID: 15820548.
Ten Brink AF, Visser-Meily JM, Nijboer TC. Study protocol of 'Prism
Adaptation in Rehabilitation': a randomized controlled trial in stroke patients
with neglect. BMC Neurol. 2015 Feb 4;15:5. doi: 10.1186/s12883-015-0263-y. PubMed
PMID: 25648350; PubMed Central PMCID: PMC4326203.
Matheron E, Kapoula Z. Vertical heterophoria and postural control in
nonspecific chronic low back pain. PLoS One. 2011 Mar 30;6(3):e18110. doi:
10.1371/journal.pone.0018110. PubMed PMID: 21479210; PubMed Central PMCID:
PMC3068140.
Kapoula Z, Gaertner C, Matheron E. Spherical lenses and prisms lead to
postural instability in both dyslexic and non dyslexic adolescents. PLoS One.
2012;7(11):e46739. doi: 10.1371/journal.pone.0046739. Epub 2012 Nov 5. PubMed
PMID: 23144786; PubMed Central PMCID: PMC3489872.
Preoteasa D. [The use of prisms in postural equilibrium]. Oftalmologia. 1996
Oct-Dec;40(4):331-9. Review. Romanian. PubMed PMID: 8962861.
Isotalo E, Kapoula Z, Feret PH, Gauchon K, Zamfirescu F, Gagey PM. Monocular
versus binocular vision in postural control. Auris Nasus Larynx. 2004
Mar;31(1):11-7. PubMed PMID: 15041048.
Matheron E, Kapoula Z. Vertical phoria and postural control in upright stance
in healthy young subjects. Clin Neurophysiol. 2008 Oct;119(10):2314-20. doi:
10.1016/j.clinph.2008.06.016. Epub 2008 Aug 28. PubMed PMID: 18760665.
Matheron E, Lê TT, Yang Q, Kapoula Z. Effects of a two-diopter vertical prism
on posture. Neurosci Lett. 2007 Aug 23;423(3):236-40. Epub 2007 Aug 1. PubMed
PMID: 17709195.
Hobaek Siegenthaler M. Unresolved Congenital Torticollis and Its Consequences:
A Report of 2 Cases. J Chiropr Med. 2017 Sep;16(3):257-261. doi:
10.1016/j.jcm.2017.05.004. Epub 2017 Sep 28. PubMed PMID: 29097958; PubMed
Central PMCID: PMC5659808.
da Cunha HM. [Postural deficiency syndrome]. Agressologie. 1987
Oct;28(9):941-3. French. PubMed PMID: 3445900.
Souvestre PA, Landrock CK, Blaber AP. Reducing incapacitating symptoms during
space flight: is postural deficiency syndrome an applicable model? Hippokratia.
2008 Aug;12 Suppl 1:41-8. PubMed PMID: 19048092; PubMed Central PMCID:
PMC2577399.
Preoteasa D. [The use of prisms in postural equilibrium]. Oftalmologia. 1996
Oct-Dec;40(4):331-9. Review. Romanian. PubMed PMID: 8962861.
Martins da Cunha H, Alves da Silva O. Disturbances of binocular function in
the postural deficiency syndrome. Agressologie. 1986 Jan;27(1):63-7. PubMed PMID:
3717512.
Kapoula Z, Gaertner C, Matheron E. Spherical lenses and prisms lead to
postural instability in both dyslexic and non dyslexic adolescents. PLoS One.
2012;7(11):e46739. doi: 10.1371/journal.pone.0046739. Epub 2012 Nov 5. PubMed
PMID: 23144786; PubMed Central PMCID: PMC3489872.
Da Cunha HM, Da Silva OA. [Postural deficiency syndrome. Its importance in
ophthalmology]. J Fr Ophtalmol. 1986;9(11):747-55. French. PubMed PMID: 3571839.
Brogren E, Forssberg H, Hadders-Algra M. Influence of two different sitting
positions on postural adjustments in children with spastic diplegia. Dev Med
Child Neurol. 2001 Aug;43(8):534-46. PubMed PMID: 11508919.
Espinheira FJ, Landeiro J, Teixeira AM. [Postural deficiency--in our
experience]. Stoma (Lisb). 1990;2(15 5N1):55-7. Portuguese. PubMed PMID: 2135627.
da Silva OA. [Directional scotometry and prismatic correction in postural
deficiency syndrome]. Agressologie. 1987 Oct;28(9):945-6. French. PubMed PMID:
3445901.
Quercia P, Seigneuric A, Chariot S, Bron A, Creuzot-Garcher C, Robichon F.
[Proprioception changes induced by prismatic glasses wear in children suffering
from developmental dyslexia]. J Fr Ophtalmol. 2007 Apr;30(4):380-9. French.
PubMed PMID: 17486030.
Quercia P, Seigneuric A, Chariot S, Vernet P, Pozzo T, Bron A,
Creuzot-Garcher C, Robichon F. [Ocular proprioception and developmental dyslexia.
Sixty clinical observations]. J Fr Ophtalmol. 2005 Sep;28(7):713-23. French.
PubMed PMID: 16208221.
Amblard B, Assaiante C, Vaugoyeau M, Baroni G, Ferrigno G, Pedotti A.
Voluntary head stabilisation in space during oscillatory trunk movements in the
frontal plane performed before, during and after a prolonged period of
weightlessness. Exp Brain Res. 2001 Mar;137(2):170-9. PubMed PMID: 11315545.
Souvestre PA, Landrock CK, Blaber AP. New paradigm for understanding
in-flight decision making errors: a neurophysiological model leveraging human
factors. Hippokratia. 2008 Aug;12 Suppl 1:78-83. PubMed PMID: 19048097; PubMed Central PMCID: PMC2577407.
http://www.dysproprioception.fr/documents_pdf/12_10_extrait_du_livre.pdf
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