Reprendre le jeu après une commotion cérébrale
Transcription
Reprendre le jeu après une commotion cérébrale
traumatologie Reprendre le soccer apres une commotion cerebrale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`WN G" F(90(+30("1(&"90'.!8%(&"(."1(&"3%0/(&"37(+.0'X+(-(+."6'*!.%(11(&N G" a0'.!8%(0"1(&"9'&&(&"(."1(&"1'+,(0&"(+"/8%!9(2"(."0(#$!0"1(&".',.!8%(&"(+"3/E(+&!#(2"(+" '..'8%("(."(+",$+.0(<'..'8%(: !"#$%D%'%#,940>?+%/25<;E4+%9A+/%/2349/4%<8F-0>?+ G" JLKMHJM:"^_@`W N G" F(#$!0"(."90'.!8%(0"1(&".(,6+!8%(&"3("5(%"3(".A.(N G" F(90(+30("17(+.0'X+(-(+.",$-91(."9$%0"0(.0$%#(0"#$.0("91',(" 3'+&"17'1!4+(-(+.:" !"#$%&"'00!#()"="1'"\+"37%+"(+.0'X+(-(+." &'+&"&>-9.?-(&2"#$%&"A.(&"90A."9$%0"%+"0(.$%0"="1'",$-9/.!.!$+:" b!&,%.()"'#(,"17(+.0'X+(%0"3("#$.0("0(.$%0"'%"5(%N G" @(&"(+.0'X+(%0&"3$!#(+."&7'&&%0(0"8%("17'.61Z.("(&."0(#(+%"="&$+" +!#('%"3("5(%"6'*!.%(1"(."8%7!1"'",$+\'+,("(+"&(&"-$>(+&"9$%0" 0(90(+30("1("5(%: !"#$%G%'%H+42?,%I%;9%/25<)404023 !"#$" %&%'() &*+,-./012342$56/78012-597246:06/; <=>>?27942 9--47 $56/7801?2@98A4B2+=+2CD= EEEFG5-./01-59746:06/;FB5HI/709H0 JKCLM2LC<NLL>>2-5;/42<==C> !"#$$!%&'()'*+,+-./!012!%+(3!4&+.*3!&53/&653 trauma return to soccer Following a Concussion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é<4 H#24<<#$+0# ()5@)#6**#(,I!'/#("/"(7"-
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