{"id":5657,"date":"2026-07-12T14:58:40","date_gmt":"2026-07-12T12:58:40","guid":{"rendered":"https:\/\/blueportance.com\/?page_id=5657"},"modified":"2026-08-13T13:29:03","modified_gmt":"2026-08-13T11:29:03","slug":"dossiers-experts","status":"publish","type":"page","link":"https:\/\/blueportance.com\/en\/centre-de-connaissances\/dossiers-experts\/","title":{"rendered":"CDC 3_Dossiers Experts_HUB"},"content":{"rendered":"\n<title>Dossiers experts | Centre de connaissances Blue Portance<\/title>\n  <meta name=\"description\" content=\"Douleur, flux du vivant, voies de circulation et facteurs d'entrave : les quatre dossiers experts du Centre de connaissances Blue Portance.\">\n  <script type=\"application\/ld+json\">\n  {\n    \"@context\":\"https:\/\/schema.org\",\n    \"@type\":\"CollectionPage\",\n    \"name\":\"Dossiers experts \u2014 Centre de connaissances Blue Portance\",\n    \"description\":\"R\u00e9f\u00e9rentiel scientifique consacr\u00e9 \u00e0 la douleur, au fonctionnement 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rgba(0,0,0,.2);background:rgba(0,0,0,.02);border-radius:10px;font-size:.85rem;color:#666;line-height:1.55}\n    .bp-de-links{margin:24px 0 0;padding:18px 20px;border:1px solid #e4edf4;border-radius:12px;background:#f8fbff}\n    .bp-de-links h2{margin:0 0 8px;color:#1a4d72;font-size:1rem}.bp-de-links p{margin:0;color:#5f6972;font-size:.9rem;line-height:1.55}\n    .bp-de-links a{color:#185FA5;font-weight:600;text-decoration:none}.bp-de-links a:hover{text-decoration:underline}\n    @media(max-width:720px){.bp-de-grid{grid-template-columns:1fr}.bp-de-card{min-height:0}}\n    @media(max-width:560px){.bp-de-wrap{padding:28px 16px 44px}.bp-de-hero h1{font-size:1.6rem}}\n  <\/style>\n\n\n<div class=\"bp-de-wrap\">\n  <nav class=\"bp-de-breadcrumb\" aria-label=\"Fil d'Ariane\"><a href=\"\/\">Blue Portance<\/a> \u2192 <a href=\"\/centre-de-connaissances\/\">Centre de connaissances<\/a> \u2192 Dossiers experts<\/nav>\n  <header class=\"bp-de-hero\">\n    <h1>Dossiers experts<\/h1>\n    <p class=\"bp-de-subtitle\">Le r\u00e9f\u00e9rentiel scientifique, anatomique et biom\u00e9canique du Centre de connaissances Blue Portance<\/p>\n    <p class=\"bp-de-intro\">Les dossiers experts suivent une progression : comprendre la douleur, expliquer le fonctionnement dynamique du vivant, \u00e9tudier les structures qui assurent la circulation des contraintes, fluides et informations, puis montrer comment la position assise prolong\u00e9e peut entraver ces circulations. Ils constituent le socle d&rsquo;approfondissement auquel renvoient les Questions fr\u00e9quentes, les Situations v\u00e9cues et les Cas cliniques.<\/p>\n  <\/header>\n  <nav class=\"bp-de-grid\" aria-label=\"Domaines des dossiers experts\">\n    <a class=\"bp-de-card bp-de-card--foundation\" href=\"\/centre-de-connaissances\/dossiers-experts\/comprendre-la-douleur\/\">\n      <div class=\"bp-de-icon\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\"><path d=\"M9.5 4.5a3 3 0 0 0-4 2.8c0 .7.2 1.3.6 1.8A3.4 3.4 0 0 0 7 15.7V19\"><\/path><path d=\"M14.5 4.5a3 3 0 0 1 4 2.8c0 .7-.2 1.3-.6 1.8a3.4 3.4 0 0 1-.9 6.6V19\"><\/path><path d=\"M9.5 4.5V19M14.5 4.5V19M9.5 8h5M9.5 12h5M9.5 16h5\"><\/path><\/svg><\/div>\n      <h2>01 \u2014 Comprendre la douleur<\/h2>\n      <p>Comprendre ce qu&rsquo;est la douleur, pourquoi elle appara\u00eet, pourquoi elle peut persister alors qu&rsquo;aucune l\u00e9sion n&rsquo;est visible et pourquoi elle n&rsquo;est pas toujours ressentie \u00e0 l&rsquo;endroit o\u00f9 se situe son origine.<\/p>\n      <ul class=\"bp-de-topics\"><li>Pourquoi ai-je mal&nbsp;?<\/li><li>Douleur nociplastique<\/li><li>Hypersensibilisation du syst\u00e8me nerveux<\/li><\/ul>\n      <span class=\"bp-de-cta\">Explorer les m\u00e9canismes fondamentaux \u2192<\/span>\n    <\/a>\n    <a class=\"bp-de-card\" href=\"\/centre-de-connaissances\/dossiers-experts\/flux-du-vivant\/\">\n      <div class=\"bp-de-icon\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\"><path d=\"M12 3v5M12 16v5M3 12h5M16 12h5\"><\/path><circle cx=\"12\" cy=\"12\" r=\"4\"><\/circle><path d=\"M6.5 6.5 9 9M15 15l2.5 2.5M17.5 6.5 15 9M9 15l-2.5 2.5\"><\/path><\/svg><\/div>\n      <h2>02 \u2014 Le vivant : une organisation en flux permanents<\/h2>\n      <p>Comprendre comment le vivant maintient son \u00e9quilibre gr\u00e2ce au mouvement, aux \u00e9changes et \u00e0 la variabilit\u00e9 : alternance charge\/d\u00e9charge, circulation sanguine, lymphatique et interstitielle, transmission nerveuse, glissement tissulaire.<\/p>\n      <ul class=\"bp-de-topics\"><li>Variabilit\u00e9 m\u00e9canique et capacit\u00e9 d&rsquo;adaptation<\/li><li>Alternance charge\/d\u00e9charge<\/li><li>M\u00e9canotransduction<\/li><\/ul>\n      <span class=\"bp-de-cta\">Explorer le fonctionnement du vivant \u2192<\/span>\n    <\/a>\n    <a class=\"bp-de-card\" href=\"\/centre-de-connaissances\/dossiers-experts\/voies-de-circulation\/\">\n      <div class=\"bp-de-icon\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\"><path d=\"M8 3.5c1.4 1.6 1.4 3.3 0 5s-1.4 3.4 0 5 1.4 3.4 0 7\"><\/path><path d=\"M16 3.5c-1.4 1.6-1.4 3.3 0 5s1.4 3.4 0 5-1.4 3.4 0 7\"><\/path><path d=\"M8.8 6h6.4M8.8 10h6.4M8.8 14h6.4M8.8 18h6.4\"><\/path><\/svg><\/div>\n      <h2>03 \u2014 Les voies de circulation : fonctions et dysfonctionnements<\/h2>\n      <p>Explorer les structures anatomiques qui permettent aux mouvements, forces, fluides et informations de circuler : fascias, nerfs, vaisseaux, muscles, rachis et interfaces de glissement.<\/p>\n      <ul class=\"bp-de-topics\"><li>Fascias et glissement tissulaire<\/li><li>Structures nerveuses et vasculaires<\/li><li>Rachis, bassin et interfaces<\/li><\/ul>\n      <span class=\"bp-de-cta\">Explorer les voies de circulation \u2192<\/span>\n    <\/a>\n    <a class=\"bp-de-card\" href=\"\/centre-de-connaissances\/dossiers-experts\/assise-douloureuse\/\">\n      <div class=\"bp-de-icon\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\"><path d=\"M12 3v18M3 12h18\"><\/path><circle cx=\"12\" cy=\"12\" r=\"8.5\"><\/circle><\/svg><\/div>\n      <h2>04 \u2014 Position assise : quand les flux du vivant sont entrav\u00e9s<\/h2>\n      <p>Comprendre comment l&rsquo;assise prolong\u00e9e peut perturber simultan\u00e9ment plusieurs dynamiques du vivant : immobilit\u00e9 relative, dur\u00e9e d&rsquo;exposition, concentration des appuis et faible variabilit\u00e9.<\/p>\n      <ul class=\"bp-de-topics\"><li>Immobilit\u00e9 relative et dur\u00e9e d&rsquo;exposition<\/li><li>Concentration des appuis<\/li><li>Perte de variabilit\u00e9 m\u00e9canique<\/li><\/ul>\n      <span class=\"bp-de-cta\">Explorer les m\u00e9canismes d&rsquo;entrave \u2192<\/span>\n    <\/a>\n  <\/nav>\n  <section class=\"bp-de-links\">\n    <h2>Du r\u00e9f\u00e9rentiel aux situations concr\u00e8tes<\/h2>\n    <p>Les dossiers experts constituent le niveau d&rsquo;approfondissement scientifique du Centre de connaissances. Ils compl\u00e8tent les <a href=\"\/centre-de-connaissances\/questions\/\">Questions fr\u00e9quentes<\/a>, les <a href=\"\/centre-de-connaissances\/situations-vecues\/\">Situations v\u00e9cues<\/a>, les <a href=\"\/centre-de-connaissances\/cas-cliniques\/\">Cas cliniques<\/a> et l&rsquo;<a href=\"\/analyse-douleur\/\">Analyse personnalis\u00e9e<\/a>.<\/p>\n  <\/section>\n  <p class=\"bp-de-note\"><strong>Note&nbsp;:<\/strong> ces contenus sont destin\u00e9s \u00e0 l&rsquo;information et \u00e0 la compr\u00e9hension des m\u00e9canismes. Ils ne constituent ni un diagnostic m\u00e9dical, ni une prescription, et ne remplacent pas l&rsquo;avis d&rsquo;un professionnel de sant\u00e9.<br><br>\u00a9 Gil Ayache. Les concepts, mod\u00e8les biom\u00e9caniques, figures fondatrices, sch\u00e9mas, terminologie, repr\u00e9sentations graphiques, textes originaux et principes pr\u00e9sent\u00e9s sur cette page constituent des \u0153uvres prot\u00e9g\u00e9es par le droit d&rsquo;auteur. Ils sont mis \u00e0 disposition de Blue Portance dans le cadre d&rsquo;une convention de mise \u00e0 disposition de propri\u00e9t\u00e9 intellectuelle, sans transfert des droits patrimoniaux ni de la qualit\u00e9 d&rsquo;auteur.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dossiers experts | Centre de connaissances Blue Portance Blue Portance \u2192 Centre de connaissances \u2192 Dossiers experts Dossiers experts Le r\u00e9f\u00e9rentiel scientifique, anatomique et biom\u00e9canique du Centre de connaissances Blue Portance Les dossiers experts suivent une progression : comprendre la douleur, expliquer le fonctionnement dynamique du vivant, \u00e9tudier les structures qui assurent la circulation des [&#8230;]\n","protected":false},"author":6,"featured_media":0,"parent":5599,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"pathologie_secondaire":[],"effet_positif":[],"class_list":["post-5657","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.1 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Dossiers Experts | Centre de connaissances Blue Portance<\/title>\n<meta name=\"description\" content=\"Coccygodynie, n\u00e9vralgie pudendale, structures impliqu\u00e9es : acc\u00e9dez aux dossiers experts sur les douleurs en position assise\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blueportance.com\/en\/centre-de-connaissances\/dossiers-experts\/\" \/>\n<meta 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