Douleurs最新文献

{"title":"Soins en chirurgie ambulatoire – pansement postopératoire","authors":"Rodrigue Deleens","doi":"10.1016/j.douler.2024.04.006","DOIUrl":"10.1016/j.douler.2024.04.006","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141047982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Place de la kinésithérapie et de l’activité physique adaptée pour les personnes souffrant de lombalgie à risque de chronicité","authors":"Demont Anthony","doi":"10.1016/j.douler.2024.03.005","DOIUrl":"10.1016/j.douler.2024.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>La lombalgie commune affectera 4 personnes sur 5 au cours de leur vie et plus de la moitié de la population française a eu au moins un épisode de douleur lombaire dans les 12 derniers mois. La lombalgie commune peut être classée en trois catégories, la poussée aiguë, celle à risque de chronicité et la récidivante. Différents types de douleur peuvent y être associés, à savoir la douleur neuropathique, nociceptive et/ou nociplastique. Les recommandations de bonnes pratiques encouragent le recours à des interventions kinésithérapiques et à l’activité physique adaptée pour le traitement de la lombalgie commune à risque de chronicité afin, d’une part, de diminuer les symptômes et les incapacités du patient mais surtout d’améliorer sa qualité de vie.</p></div><div><h3>Conception de l’étude</h3><p>Examen narratif.</p></div><div><h3>Objectifs</h3><p>Décrire les outils utiles pour l’évaluation du risque de chronicité auprès de personnes souffrant de lombalgie commune ainsi que les types et la posologie des interventions kinésithérapiques et des activités physiques adaptées à leur proposer.</p></div><div><h3>Méthodes</h3><p>Dans cette revue, une recherche documentaire a été effectuée à l’aide de PubMed, Google Scholar, et Embase pour identifier les recommandations de pratiques cliniques rendant compte des outils d’évaluation du risque de chronicité en cas de lombalgie commune ainsi que des interventions kinésithérapiques et des activités physiques adaptées à proposer à ces personnes. Les articles ont été sélectionnés en fonction de leur pertinence par rapport à l’objectif de cet article.</p></div><div><h3>Résultats</h3><p>L’évaluation des facteurs de risque de chronicité est un élément indispensable à maîtriser pour proposer un plan de traitement approprié à l’état de santé de la personne. L’identification précoce des facteurs de chronicisation et la mise en place précoce d’interventions kinésithérapiques et d’activité physique adaptée permettront de réduire le risque de passage à la lombalgie récidivante, nécessairement plus complexe à prendre en soins et nécessitant une coopération étroite entre les différents acteurs de santé intervenant. Toutefois, le choix des interventions kinésithérapiques et des activités physiques adaptées doit être défini selon le type de douleur que présente le patient et selon les facteurs psychosociaux présents. L’activité physique adaptée et sa posologie doit être personnalisée à chaque personne afin d’obtenir les meilleurs effets possibles pour réduire la lombalgie commune.</p></div><div><h3>Introduction</h3><p>Non-specific low back pain will affect 4 out of 5 individuals during their lifetime, and over half of the French population has experienced at least one episode of lower back pain in the last 12 months. Non-specific low back pain can be classified into three categories: acute onset, at risk of chronicity, and persistent. Various types of pain may be associated with it, including neuropathi","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1624568724000647/pdfft?md5=e082d76799bb1747bf03ed22f609dcdf&pid=1-s2.0-S1624568724000647-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141052721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Douleurs et petites fibres : questions posées au professeur Jean-Pascal Lefaucheur","authors":"","doi":"10.1016/j.douler.2024.04.001","DOIUrl":"10.1016/j.douler.2024.04.001","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neural correlates of mindfulness meditation and hypnosis on magnetic resonance imaging: similarities and differences. A scoping review. Reprint","authors":"Sindy Sim ,&nbsp;Igor Lima Maldonado ,&nbsp;Pierre Castelnau ,&nbsp;Laurent Barantin ,&nbsp;Wissam El-Hage ,&nbsp;Frédéric Andersson ,&nbsp;Jean-Philippe Cottier","doi":"10.1016/j.douler.2024.03.001","DOIUrl":"10.1016/j.douler.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Mindfulness meditation (MM) and hypnosis practices are gaining interest in mental health, but their physiological mechanisms remain poorly understood. This study aimed to synthesize the functional, morphometric and metabolic changes associated with each practice using magnetic resonance imaging (MRI), and to identify their similarities and differences.</p></div><div><h3>Methods</h3><p>MRI studies investigating MM and hypnosis in mental health, specifically stress, anxiety, and depression, were systematically screened following PRISMA guidelines from four research databases (PubMed, Web of Science, Embase, PsycINFO) between 2010 and 2022.</p></div><div><h3>Results</h3><p>In total, 97 references met the inclusion criteria (84 for MM and 13 for hypnosis). This review showed common and divergent points regarding the regions involved and associated brain connectivity during MM practice and hypnosis. The primary commonality between mindfulness and hypnosis was decreased default mode network intrinsic activity and increased central executive network - salience network connectivity. Increased connectivity between the default mode network and the salience network was observed in meditative practice and mindfulness predisposition, but not in hypnosis.</p></div><div><h3>Conclusions</h3><p>While MRI studies provide a better understanding of the neural basis of hypnosis and meditation, this review underscores the need for more rigorous studies.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Douleur et rééducation","authors":"Rodrigue Deleens","doi":"10.1016/j.douler.2024.04.003","DOIUrl":"10.1016/j.douler.2024.04.003","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141047109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/S1624-5687(24)00091-X","DOIUrl":"10.1016/S1624-5687(24)00091-X","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S162456872400091X/pdfft?md5=74739f5ebbc5851d2d0c2b7ec0c500be&pid=1-s2.0-S162456872400091X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141231030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of chitosan mouthwash for oral mucositis: A promising therapeutic approach for head and neck cancer patients following radiotherapy","authors":"Karthikeya Patil ,&nbsp;Sanjay Chikkarasinakere Jogigowda ,&nbsp;Mahima V. Guledgud ,&nbsp;Varusha Sharon Christopher ,&nbsp;Vidya Gowdappa Doddawad ,&nbsp;Pushpa Vittalanahalli Hutchappa","doi":"10.1016/j.douler.2024.03.004","DOIUrl":"10.1016/j.douler.2024.03.004","url":null,"abstract":"<div><h3>Background</h3><p>Chitosan, a biopolymer made from the chitin found in crab shells, has notably come into play because of its multitude of functionalities in oral healthcare. Chitosan has exceptional antibacterial characteristics that enable it to successfully fight off oral germs that cause bad breath, tooth plaque, and gum disease. Moreover, mouthwashes made from chitosan are known for being non-toxic and biocompatible, which promotes tissue repair and offers a healthy alternative to conventional mouthwashes.</p></div><div><h3>Aims and objective</h3><p>The purpose of this study is to assess the effectiveness of chitosan mouthwash for oral mucositis among head and neck cancer patients who had undergone radiotherapy by analysing clinical parameter scores, including VAS, OMAS, and WHO.</p></div><div><h3>Materials and methods</h3><p>This is an in vivo observational study that consists of forty head and neck cancer patients under radiotherapy who have oral mucositis and agreed to participate. The control group (<em>n</em> <!-->=<!--> <!-->20) used chlorhexidine mouthwash and the study group (<em>n</em> <!-->=<!--> <!-->20) used chitosan mouthwash. All patients underwent clinical evaluations for pain/discomfort, ulcers and erythema, and severity of mucositis using VAS, OMAS, and WHO mucositis scores subsequently every 20 days after the start of radiation.</p></div><div><h3>Results</h3><p>The effectiveness of the chitosan mouthwashes in the study group showed reduced mucositis symptoms compared to the control group, with statistical significance.</p></div><div><h3>Conclusion</h3><p>Chitosan, a naturally derived biopolymer from chitin, holds great potential in the treatment of oral mucositis due to its anti-inflammatory properties, and it has a positive overall impact on the quality of life.</p></div><div><h3>Contexte</h3><p>Le chitosane, un biopolymère fabriqué à partir de la chitine présente dans les carapaces de crabe, est notamment entré en jeu en raison de sa multitude de fonctionnalités en santé buccodentaire. Le chitosane possède des caractéristiques antibactériennes exceptionnelles qui lui permettent de combattre avec succès les germes buccaux responsables de la mauvaise haleine, de la plaque dentaire, et des maladies des gencives. De plus, les bains de bouche à base de chitosane sont connus pour être non toxiques et biocompatibles, ce qui favorise la réparation des tissus et offre une alternative saine aux bains de bouche classiques.</p></div><div><h3>Buts et objectifs</h3><p>Le but de cette étude est d’évaluer l’efficacité du bain de bouche au chitosane pour la mucite buccale chez les patients atteints d’un cancer de la tête et du cou et ayant subi une radiothérapie. Pour cela, une analyse des scores des paramètres cliniques, notamment VAS, OMAS, et OM, a été menée.</p></div><div><h3>Matériel et méthodes</h3><p>Il s’agit d’une étude observationnelle in vivo portant sur quarante patients atteints d’un cancer de la tête et du cou, sous","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un droit à mourir dans la dignité plutôt qu’un droit à être soulagé avec efficacité ?","authors":"Marc Lévêque","doi":"10.1016/j.douler.2024.04.008","DOIUrl":"10.1016/j.douler.2024.04.008","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Contents","authors":"","doi":"10.1016/S1624-5687(24)00081-7","DOIUrl":"https://doi.org/10.1016/S1624-5687(24)00081-7","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1624568724000817/pdfft?md5=ce377538ec8ddd69a9de69d1f97e2ada&pid=1-s2.0-S1624568724000817-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141242856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blocs neurolytiques ?","authors":"Bénédicte Bouche ,&nbsp;Stéphane Fournier ,&nbsp;Manuel Roulaud ,&nbsp;Philippe Rigoard","doi":"10.1016/j.douler.2024.03.002","DOIUrl":"10.1016/j.douler.2024.03.002","url":null,"abstract":"<div><p>La douleur neuropathique reste très difficile à soulager avec un impact considérable sur la qualité de vie. Au même titre qu’une optimisation pharmacologique adaptée, la prise en charge des douleurs neuropathiques relève souvent de l’algologie interventionnelle incluant les blocs neurolytiques. Les blocs neurolytiques sont indiqués dans les douleurs neuropathiques focalisées intraitables, dans la prise en charge de la spasticité et en oncologie. Ils utilisent plusieurs agents « lytiques » qu’ils soient chimiques, physiques ou thermiques. Les blocs neurolytiques ne peuvent s’inscrire que dans une prise en charge globale avec une évaluation des facteurs de vulnérabilité psychosociaux et un suivi rapproché et individualisé. Ils nécessitent dans la plupart des cas des blocs anesthésiants diagnostiques et sélectifs. La place des blocs neurolytiques peut être pensée et intégrée dans un schéma multimodal dès l’élaboration initiale du projet thérapeutique d’un patient souffrant d’une douleur neuropathique focalisée.</p></div><div><p>Neuropathic pain remains extremely difficult to relieve, with a considerable impact on quality of life. In addition to appropriate pharmacological optimization, the management of neuropathic pain often involves interventional algology, including neurolytic blocks. Neurolytic blocks are indicated for intractable focal neuropathic pain, in the management of spasticity and in oncology. They use a variety of “lytic” agents, whether chemical, physical or thermal. Neurolytic blocks can only be used as part of a comprehensive treatment plan, including assessment of psychosocial vulnerability factors and a close individualized follow-up. In most cases, they require diagnostic and selective anesthetic blocks. The role of neurolytic blocks can be considered and integrated into a multimodal scheme from the initial development of the therapeutic plan for a patient suffering from focal neuropathic pain.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141035331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}