Douleurs最新文献

{"title":"Lombalgie persistante commune","authors":"Patrick Sichère","doi":"10.1016/j.douler.2024.02.008","DOIUrl":"https://doi.org/10.1016/j.douler.2024.02.008","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327821","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":"Aïe ! La douleur se traite aussi avec humour","authors":"Bernard Calvino","doi":"10.1016/j.douler.2024.02.004","DOIUrl":"https://doi.org/10.1016/j.douler.2024.02.004","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327818","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":"Douleurs bucco-dentaires : questions posées au professeur Yves Boucher","authors":"","doi":"10.1016/j.douler.2024.02.001","DOIUrl":"https://doi.org/10.1016/j.douler.2024.02.001","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327820","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":"George Ramaïoli allie en bandes dessinées quantité et qualité, un défi fort joliment relevé !","authors":"","doi":"10.1016/j.douler.2024.02.002","DOIUrl":"https://doi.org/10.1016/j.douler.2024.02.002","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327819","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":"Covid long et manifestations douloureuses musculosquelettiques","authors":"Pascale Vergne-Salle","doi":"10.1016/j.douler.2024.02.011","DOIUrl":"https://doi.org/10.1016/j.douler.2024.02.011","url":null,"abstract":"<div><p>Le syndrome post-Covid est observé chez 6 à 30 % des patients infectés par le Sars-Cov2. Les manifestations rhumatologiques sont des myalgies, arthralgies, souvent diffuses, associées à de la fatigue. Il est nécessaire d’écarter une complication de la phase aiguë, une décompensation de comorbidité et une autre cause que la Covid-19. L’étape du diagnostic différentiel est importante. La prise en charge est pluridisciplinaire avec une rééducation et des exercices physiques adaptés, le traitement symptomatique des douleurs, la prise en charge des symptômes associés cognitifs, anxiodépressifs, de stress post-traumatique.</p></div><div><p>The incidence of post-COVID-19 syndrome has been reported between 6 and 30% of patients after SARS-CoV-2 infection. The pain syndrome pattern includes arthralgia, myalgia, frequently widespread pain and fatigue. The post-COVID-19 syndrome remains a diagnosis of exclusion, not explained by acute phase complications, decompensation of comorbidities and other causes unrelated to COVD-19. The management of post-COVID-19 syndrome should be multi-disciplinary, with individualized rehabilitation, physical exercises, symptomatic treatment of pain, and management of cognitive and psychological aspects.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328176","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":"Treatment for the central sensitization component of knee pain using systemic manual therapy","authors":"Adi Halili PT DPT NCS","doi":"10.1016/j.douler.2024.01.002","DOIUrl":"https://doi.org/10.1016/j.douler.2024.01.002","url":null,"abstract":"<div><h3>Background</h3><p>The purpose of this study is to test the temporal model hypothesis for mechanism and treatment of central sensitization (CS) in patients with knee pain. The temporal model includes 5 stages: phasic activation of the locus coeruleus noradrenaline system, salient stimuli, threat coding of salient stimuli, central sensitization, and neuronal degeneration. The treatment model includes three elements: reducing afferent visceral input; shifting humoral inflammatory activity away from the brain and the body; and reducing oxidative stress. The use systemic manual therapy protocols (SMT) are proposed to address these components.</p></div><div><h3>Design</h3><p>Cohort retrospective multivariate analysis using a modified adaptive platform design.</p></div><div><h3>Methods</h3><p>Improvement in knee pain and overall symptoms was measured in 467 patients after provision of 364 SMT protocols or protocol combinations, and across episode of care. The outcome tool used was the patient identified problem scale (PIP).</p></div><div><h3>Results</h3><p>Knee pain was improved on average by 1.28/9 (<em>P</em> <!-->&lt;<!--> <!-->0.001), overall improvement was 8.20/90 (<em>P</em> <!-->&lt;<!--> <!-->0.001). Thirty-five combinations containing 15 distinct protocols passed the HPTSAT criteria. These protocols included four with direct effects; the six proposed for their effects on central desensitization; and five protocols with either regional or desensitization effects.</p></div><div><h3>Conclusion</h3><p>An effective treatment for knee pain is possible if in addition to direct intervention over the knee, regional contributors and CS are addressed. The four conditions specified to test the temporal model and treatment hypothesis were met. All three types of interventions to address CS were more effective than oSOC (optimal standard of care)</p></div><div><h3>Historique</h3><p>Le but de cette étude est de tester l’hypothèse du modèle temporel pour le mécanisme et le traitement de la sensibilisation centrale (SC) chez les patients souffrant de douleurs au genou. Le modèle temporel comprend 5 étapes: activation phasique du système de noradrénaline du locus coeruleus, stimuli saillants, codage de la menace des stimuli saillants, sensibilisation centrale et dégénérescence neuronale. Le modèle de traitement comprend trois éléments: réduire l’apport viscéral afférent; déplacer l’activité inflammatoire humorale loin du cerveau et du corps; et réduire le stress oxydatif. L’utilisation de protocoles de thérapie manuelle systémique (SMT) est proposée pour traiter ces composants.</p></div><div><h3>Analyse</h3><p>Analyse multivariée rétrospective d’une cohorte, à l’aide d’une conception de plateforme adaptative modifiée.</p></div><div><h3>Méthodes</h3><p>L’amélioration de la douleur au genou et des symptômes généraux a été mesurée chez 467 patients après la fourniture de 364 protocoles SMT ou combinaisons de protocoles, et à travers l’épisode de soins. L’","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1624568724000258/pdfft?md5=e315a72ec055fa70e02da9b61508b401&pid=1-s2.0-S1624568724000258-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328289","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":"Les troubles de la représentation et de la perception du corps dans le syndrome douloureux régional complexe","authors":"Sessi Acapo ,&nbsp;Arnaud Dupeyron ,&nbsp;Julien Nizard","doi":"10.1016/j.douler.2024.02.003","DOIUrl":"https://doi.org/10.1016/j.douler.2024.02.003","url":null,"abstract":"<div><p>Les troubles de la perception du corps dans le syndrome douloureux régional complexe (SDRC) sont à la fois des altérations de la représentation sensorimotrice du membre (avec des changements de la perception de la forme, de la taille, de la représentation proprioceptive) et de la perception consciente du membre (avec des émotions négatives, une aversion de l’apparence ou la sensation de non-appartenance). Ils sont plus fréquents et plus importants dans le SDRC. À l’heure actuelle, les hypothèses physiopathologiques ne sont pas élucidées. L’échelle de Bath fournit de nombreuses informations qualitatives et quantitatives sur les troubles de la perception corporelle. Son originalité réside dans le dessin de l’image mentale du membre affecté, qui nécessite une coopération entre le patient et l’évaluateur. Les prises en charge thérapeutiques sont encore peu développées. Elles impliquent des stratégies visant des modifications, stimulation, et entraînement de perceptions multisensorielles.</p></div><div><p>Body perception disturbances in Complex Regional Pain Syndrome (CRPS) comprise both alterations in the sensorimotor representation of the limb (changes in the perception of shape, size, and proprioceptive representation) and in the conscious perception of the limb (negative emotions, aversion to appearance or the feeling of disownership). They are more frequent and more significant in CRPS. At present, the pathophysiological hypotheses have not been elucidated. The Bath CRPS Body Perception Disturbance Scale provides a wealth of qualitative and quantitative information. Its originality lies in the drawing of a mental image of the affected limb, which requires cooperation between the patient and the assessor. Therapeutic treatments are still underdeveloped. They involve strategies aimed at modifying, stimulating, and training multisensory perceptions.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328175","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":"Synthèse des travaux nationaux menés sur les structures douleur chronique (SDC)","authors":"Caroline Bizet,&nbsp;Anne Vitoux","doi":"10.1016/j.douler.2023.12.006","DOIUrl":"https://doi.org/10.1016/j.douler.2023.12.006","url":null,"abstract":"<div><p>La douleur chronique représente un enjeu majeur de santé publique, mobilisant des efforts continus pour améliorer les structures dédiées à cette prise en charge. Cet article offre une synthèse complète des travaux nationaux récents sur les structures douleur chronique (SDC), révélant des avancées significatives dans la prise en charge de la douleur chronique en France. De la labellisation à la réforme du modèle de financement des SDC, ces travaux mettent en lumière l’évolution du paysage des SDC et soulignent l’engagement continu envers l’innovation et l’efficacité de ces structures. Les actions menées reflètent une volonté collective de mieux répondre aux besoins des patients souffrant de douleur chronique, marquant ainsi une étape importante dans l’amélioration de la qualité des soins dans ce domaine.</p></div><div><p>Chronic pain represents a major public health challenge, prompting continuous efforts to enhance dedicated structures for its management. This article provides a comprehensive synthesis of recent national efforts on chronic pain units (SDCs), revealing significant advancements in chronic pain care in France. From accreditation to the reform of the SDC financing model, these works illuminate the evolving landscape of SDCs and underscore the ongoing commitment to innovation and efficiency in these structures. The undertaken initiatives reflect a collective determination to better address the needs of patients experiencing chronic pain, marking a crucial milestone in improving the quality of care in this domain.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328174","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":"Parcours de santé des patients souffrants de douleurs chroniques : place aux soins primaires ! Oui… mais comment ?","authors":"Raphaël Kempler ,&nbsp;Alexandre Cauchie ,&nbsp;Magali Roubaub ,&nbsp;Antoine Elyn","doi":"10.1016/j.douler.2024.01.001","DOIUrl":"https://doi.org/10.1016/j.douler.2024.01.001","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328290","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)00018-0","DOIUrl":"https://doi.org/10.1016/S1624-5687(24)00018-0","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1624568724000180/pdfft?md5=5e2e8050d089797ddc4bf1c3c86115e8&pid=1-s2.0-S1624568724000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139548397","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}