{"id":1758,"date":"2016-07-19T08:31:19","date_gmt":"2016-07-19T06:31:19","guid":{"rendered":"https:\/\/www.lecokon.fr\/kine\/?p=1758"},"modified":"2026-10-02T18:32:58","modified_gmt":"2026-10-02T16:32:58","slug":"bilan-diagnostic-kine-cancer-du-sein","status":"publish","type":"post","link":"https:\/\/www.lecokon.fr\/kine\/bilan-diagnostic-kine-cancer-du-sein\/","title":{"rendered":"BDK et cancer du sein : construire un bilan utile en 2026"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1758\" class=\"elementor elementor-1758\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-sec1758 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"sec1758\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-col1758\" data-id=\"col1758\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-txt1758 elementor-widget elementor-widget-text-editor\" data-id=\"txt1758\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<h2>BDK et cancer du sein : construire un bilan utile en 2026<\/h2>\n<p>Le bilan diagnostic kin\u00e9sith\u00e9rapique (BDK) n&rsquo;est pas une formalit\u00e9 administrative : il structure la prise en charge, permet de poser le diagnostic kin\u00e9sith\u00e9rapique, de fixer les objectifs, de choisir les techniques adapt\u00e9es et d&rsquo;assurer la coordination avec le m\u00e9decin prescripteur.<\/p>\n\n<h2>Le BDK est-il obligatoire ?<\/h2>\n<p>Oui. Dans le cadre d&rsquo;un traitement th\u00e9rapeutique, le masseur-kin\u00e9sith\u00e9rapeute \u00e9tablit un bilan comprenant le diagnostic kin\u00e9sith\u00e9rapique, les objectifs de soins ainsi que le choix des actes et techniques jug\u00e9s appropri\u00e9s.<\/p>\n<p>Le Code de la sant\u00e9 publique pr\u00e9cise \u00e9galement que ce bilan est tenu \u00e0 la disposition du m\u00e9decin prescripteur et que le traitement est retrac\u00e9 dans une fiche de synth\u00e8se.<\/p>\n\n<h2>Que doit contenir un BDK dans le cadre d&rsquo;un cancer du sein ?<\/h2>\n<p>Il n&rsquo;existe pas un formulaire unique impos\u00e9 pour toutes les situations. Le contenu doit \u00eatre adapt\u00e9 \u00e0 la patiente et \u00e0 la probl\u00e9matique fonctionnelle rencontr\u00e9e.<\/p>\n<ul>\n<li>motif de prise en charge et prescription ;<\/li>\n<li>ant\u00e9c\u00e9dents et traitements oncologiques utiles \u00e0 la prise en charge ;<\/li>\n<li>type de chirurgie et \u00e9ventuelle reconstruction ;<\/li>\n<li>\u00e9tat des cicatrices et des tissus ;<\/li>\n<li>douleurs et sympt\u00f4mes rapport\u00e9s ;<\/li>\n<li>mobilit\u00e9 de l&rsquo;\u00e9paule et du membre sup\u00e9rieur ;<\/li>\n<li>force, fonction et retentissement dans les activit\u00e9s quotidiennes ;<\/li>\n<li>pr\u00e9sence ou suspicion de lymph\u0153d\u00e8me ;<\/li>\n<li>activit\u00e9 physique, objectifs et attentes de la patiente ;<\/li>\n<li>diagnostic kin\u00e9sith\u00e9rapique ;<\/li>\n<li>objectifs de soins et plan de traitement ;<\/li>\n<li>\u00e9l\u00e9ments n\u00e9cessitant une coordination ou une orientation vers un autre professionnel.<\/li>\n<\/ul>\n\n<h2>Pourquoi le BDK est particuli\u00e8rement utile apr\u00e8s un cancer du sein<\/h2>\n<p>Deux patientes ayant eu la m\u00eame chirurgie peuvent pr\u00e9senter des probl\u00e9matiques tr\u00e8s diff\u00e9rentes. L&rsquo;une peut \u00eatre limit\u00e9e par une raideur d&rsquo;\u00e9paule, une autre par une cicatrice adh\u00e9rente, une douleur, une peur du mouvement ou un lymph\u0153d\u00e8me.<\/p>\n<p>Le BDK permet donc de sortir d&rsquo;une logique de protocole standardis\u00e9 pour construire une prise en charge r\u00e9ellement individualis\u00e9e.<\/p>\n\n<h2>Le BDK comme outil de communication<\/h2>\n<p>Le BDK sert aussi de support aux \u00e9changes avec le m\u00e9decin prescripteur et les autres professionnels impliqu\u00e9s. La fiche de synth\u00e8se permet de transmettre les \u00e9l\u00e9ments essentiels du bilan, les objectifs et l&rsquo;\u00e9volution de la prise en charge.<\/p>\n<p>L&rsquo;Assurance Maladie rappelle en 2025 que le BDK est un outil majeur d&rsquo;information, de coordination et d&rsquo;am\u00e9lioration de la qualit\u00e9 des soins.<\/p>\n\n<h2>Facturation du BDK : attention aux anciennes cotations<\/h2>\n<p>Les anciennes cotations qui apparaissaient dans cet article de 2016 ne sont plus d&rsquo;actualit\u00e9. En 2026, l&rsquo;Assurance Maladie indique notamment une facturation \u00e0 <strong>10,7 AMK<\/strong> pour le bilan li\u00e9 aux traitements de r\u00e9\u00e9ducation et r\u00e9adaptation fonctionnelle, et \u00e0 <strong>10,8 AMK<\/strong> pour certaines r\u00e9\u00e9ducations neurologiques et musculaires.<\/p>\n<p>Comme pour toute cotation, il faut v\u00e9rifier la NGAP et les r\u00e8gles conventionnelles en vigueur au moment de la facturation.<\/p>\n\n<h2>Un mod\u00e8le de BDK cancer du sein<\/h2>\n<p>J&rsquo;avais cr\u00e9\u00e9 \u00e0 l&rsquo;origine un mod\u00e8le de BDK sp\u00e9cifique au cancer du sein. Il peut rester une base de r\u00e9flexion pour structurer son propre bilan, mais il doit \u00eatre adapt\u00e9 \u00e0 sa pratique actuelle, \u00e0 son logiciel, aux recommandations et aux textes en vigueur.<\/p>\n<p><a href=\"https:\/\/lecokon.fr\/kine\/wp-content\/uploads\/BDKcancersein.pdf\"><strong>\u2192 T\u00e9l\u00e9charger l&rsquo;ancien mod\u00e8le de BDK cancer du sein<\/strong><\/a><\/p>\n\n<h2>\u00c0 retenir<\/h2>\n<p>Un bon BDK n&rsquo;est pas une liste de cases \u00e0 remplir. Il doit permettre de comprendre la situation de la patiente, de formuler un diagnostic kin\u00e9sith\u00e9rapique, de fixer des objectifs coh\u00e9rents et de suivre leur \u00e9volution.<\/p>\n\n<h2>Sources officielles<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000020953322\/\">Code de la sant\u00e9 publique \u2013 article R4321-2<\/a><\/li>\n<li><a href=\"https:\/\/www.ameli.fr\/masseur-kinesitherapeute\/exercice-liberal\/facturation-remuneration\/tarifs-conventionnels\/bilan-diagnostic-kinesitherapique\">Assurance Maladie \u2013 Bilan diagnostic kin\u00e9sith\u00e9rapique<\/a><\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Que doit contenir un BDK apr\u00e8s un cancer du sein ? \u00c9valuation, diagnostic kin\u00e9sith\u00e9rapique, objectifs, coordination et r\u00e8gles de facturation actualis\u00e9es.<\/p>\n","protected":false},"author":1,"featured_media":3598,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ocean_front_end_style_editor":"no","ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[27],"tags":[],"class_list":["post-1758","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-se-former","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - 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