Lorsqu’il est grave d’un point de vue lésionnel, l’accident peut être source de nombreuses conséquences dont l’irruption de la douleur et l’apparition de limitations fonctionnelles. Dans un effet domino, ces dernières affectent à leur tour la réalisation des activités du quotidien et conduisent les personnes à se réinventer afin de pouvoir établir une certaine continuité avec leur vie antérieure. Cet article, basé sur des entretiens semi-directifs et des observations en ateliers professionnels auprès de personnes ayant subi un traumatisme orthopédique et participant à un programme de réadaptation à composante professionnelle, a pour objectif d’explorer les stratégies qu’elles ont mises en œuvre pour reprendre leurs activités. Les analyses, effectuées par une équipe interdisciplinaire composée d’anthropologues, sociologue, physiothérapeutes, psychologue et médecin spécialiste en réadaptation, montrent que ces personnes ont développé, avant leur participation au programme, des stratégies personnalisées afin de réaliser l’activité en tenant compte de leurs limitations physiques et en gérant la douleur. Par la suite, le séjour en réadaptation a permis d’accéder à de nouveaux apprentissages, contribuant ainsi à renforcer les capacités, parfois en remettant en cause le savoir expérientiel antérieur. Les connaissances, conseils et outils acquis en réadaptation ont renforcé les capacités d’adaptation à la situation et favorisé la reprise ou une meilleure gestion de l’activité, bien que ces effets ne se traduisent pas systématiquement par une réinsertion professionnelle effective, du fait des facteurs liés à l’état de santé des personnes ou au système de réinsertion professionnelle en général.
When an accident is severe in terms of injuries, it can have multiple consequences, including the onset of pain and functional limitations. Adomino effect takes place, affecting the activities of daily life and leading people to reinvent themselves in order to establish some degree of continuity with their previous lives. The aim of this article, based on semi-structured interviews and observations of vocational workshops with people undergoing rehabilitation with a vocational component following an orthopaedic trauma, is to explore the strategies they used to resume their activities. The analyses, carried out by an interdisciplinary team comprised of anthropologists, a sociologist, physiotherapists, a psychologist, and a doctor specialising in rehabilitation, show that, prior to their participation in the programme, these people developed personalised strategies for carrying out the activity, taking into account their physical limitations and while managing their pain. Subsequently, the rehabilitation stay provided access to new learning, thereby helping to strengthen skills and sometimes challenging previous experiential knowledge. The knowledge, advice and tools acquired during rehabilitation strengthened their ability to adapt to the situation and encouraged them to resume or better manage their activity, although these effects did not systematically translate into effective professional reintegration, due to factors related to their state of health or to the professional reintegration system in general.
When an accident is severe in terms of injuries, it can have multiple consequences, including the onset of pain and functional limitations. Adomino effect takes place, affecting the activities of daily life and leading people to reinvent themselves in order to establish some degree of continuity with their previous lives. The aim of this article, based on semi-structured interviews and observations of vocational workshops with people undergoing rehabilitation with a vocational component following an orthopaedic trauma, is to explore the strategies they used to resume their activities. The analyses, carried out by an interdisciplinary team comprised of anthropologists, a sociologist, physiotherapists, a psychologist, and a doctor specialising in rehabilitation, show that, prior to their participation in the programme, these people developed personalised strategies for carrying out the activity, taking into account their physical limitations and while managing their pain. Subsequently, the rehabilitation stay provided access to new learning, thereby helping to strengthen skills and sometimes challenging previous experiential knowledge. The knowledge, advice and tools acquired during rehabilitation strengthened their ability to adapt to the situation and encouraged them to resume or better manage their activity, although these effects did not systematically translate into effective professional reintegration, due to factors related to their state of health or to the professional reintegration system in general.