Ils ont une approche centrée sur le patient. Les MK interviewés utilisent principalement des éléments liés à leur expérience professionnelle (observation, écoute, interprétation) et au ressenti du patient (douleur, difficulté, fatigue) pour individualiser les efforts qu'ils effectuent. L'analyse du discours des MK a permis d'expliciter le processus d'individualisation des efforts effectués par le patient. Le patient pris en soin devait présenter une pathologie du champ musculo-squelettique. L'entretien établissait le cadre de la situation de soin, abordait le thème de l'effort, puis ses implications en pratique. Une étude qualitative exploratoire par entretien semi-directif a été menée auprès de 6 MK libéraux, aux profils d'activités variés. Nous nous sommes ainsi questionnés sur les ressources mises en œuvre par le MK libéral afin d'individualiser les efforts effectués par ses patients actifs, lorsqu'il les accompagne jusqu'à la reprise de leur activité sportive ou de loisir. Il conçoit et propose des contenus adaptés au patient à l'aide des méthodes qu'il juge utiles dans sa pratique. Le MK l'accompagne au retour à la performance envisagée, pour limiter le risque de récidive. Le patient blessé y est confronté lorsqu'il veut reprendre une activité avec un niveau d'exigence spécifique. Dans la littérature, le dosage de l'effort pose problème. The existence of the Chott at the centre of the Hodna basin increases also the risk of the spread of salinity.Le masseur-kinésithérapeute (MK) demande à ses patients de réaliser des efforts via des exercices.
These higher yields pose serious problems of inundation and sediment deposition, furthermore the loss of the water resource and arable land, as rare in Algeria. The obtained results show that the Hodna watershed loses annually about of 403 million m3 of water and 11 milliontons of sediment however, these numbers may be double, taking into account the both variability of the rainfall and the erosion. Assuming that the sub-basins of each group have the same hydrological behaviour, the specific erosion and the depth of runoff calculated from the gauged sub-basins are extrapolated to those ungauged, in each group. Among the four sub-basins of the group (Elham, Bousaâda, M’cif, El Ham) Only Elham sub-basin is gauged by three stations, two into the sub-basin and the third (Rocad sud station) at its outlet. The second sub-basins group (southern) is characterized, contrary to the first one, by a low rainfall and land slope with a mediocre vegetative cover. The two others sub-basins (Lougmane and Barika) are not gauged. For a total area of 9553 km², there are only two gauging stations: K’sob and Sidi Oudah station installed into tow sub-basins K’sob and Soubella respectively. The first sub-basins group (northern) is characterized by a relatively high rainfall, dense vegetative cover and a high land slope. The sub-basins of Hodna can be organized in two groups: the group of sub-basins of the northern and that of the southern. In this paper, we use the reliable data of these stations to quantify the water and sediment yields of Hodna basin furthermore, we examine their harmful impacts. Hodna basin is equipped with 7 gauging stations that are not all reliable. The risk of the spread of salinity is also high. The population of the few villages and all the infrastructures in the bowl are threatened. These two problems have become more visible and persistent last years. At the centre of this letter region, the dry salt lake named “Chott El Hodna” (1150 km²) receives the liquid and solid yields of the all wadis of Hodnaīasin, which poses serious problems of flooding and deposition of sediment. The situation of this basin between two sets of mountains at the north and the south, organizes it as an endorheic basin around an almost flat depression at 400 m altitude.
The Hodna watershed (26 000 km²) is the fifth large basin of Algeria, it is located in the centre of Algeria at 150 km from the Mediterranean Sea.
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