MéthodeRééducation sensitive des douleurs neuropathiques
La méthode de rééducation sensitive diminue les douleurs neuropathiques depuis la peau partiellement engourdie ou hypersensible au toucher. Elle comprend plusieurs techniques, dont la rééducation de l’hyposensibilité qui a pour objectif d’améliorer la qualité de la sensibilité tactile cutanée, voire de la normaliser.
Cette rééducation passe notamment par l’évaluation régulière de la qualité de l’hypoesthésie tactile, illustrée par le seuil de perception à la pression (SPP).
Parfois, l’hypoesthésie n’est pas accessible, car la peau est recouverte d’un tacon douloureux. En médecine depuis 1979, il y a lieu de parler d'allodynie mécanique. La définition originale est de Merskey & Bogduk (1994):
"Douleur causée par un stimulus qui normalement ne produit pas de douleur" Traduction de Malenfant 1998. Lors de la première séance d’ergothérapie, en cherchant à réaliser le bilan diagnostique de lésions axonales, le test de discrimination de deux points statiques, est alors intestable.
Lorsque cette hypersensibilité au toucher est présente,elle est un frein à tout autre traitement physique, car tout contact direct au coeur de ce territoire hypersensible, s’il est en soi, sur le moment, encore supportable, ce contact entraîne un post-effet très douloureux de plusieurs heures, voire de plusieurs nuits sans repos. Cette hypersensibilité au toucher provient des lésions axonales des fibres a-beta largement myélinisées. Plus précisément, après une lésion nerveuse périphérique d'un nerf de la peau, un bourgeonnement aberrant prolifère dans la corne postérieure de la moëlle épinière et expliquerait qu’un stimulus non nociceptif soit perçu de manière nociceptive (hypersensibilité au toucher). Ce mécanisme est un des modèles explicatifs des différents mécanismes de sensibilisation centrale. La méthode de rééducation sensitive des douleurs permet de renverser, petit à petit, ces mécanismes de sensitization, même de nombreuses années après l'apparition des douleurs neuropathiques provoquées.
Vidéo
Thérapie pour les blessures neuropathiques
Douleurs neuropathiques - Interview
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A paraître Montpellier: Sauramps Médical
Tome 21, Volume 1, PREVIEW
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EnseignementDerniers Cours
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RééducationNos thérapeutes
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[website] =>
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[tel] => +33 3 84 73 66 65
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[website] =>
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[city] => J6Z 1H9 Bois-des-Filion
[tel] => 001 450 965 9555
[address] => 431,Bd Adolphe Chapleau; suite 101
[firstname] => Marylène
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[formatted_address] => 187 Rue Raymond Losserand, 75014 Paris, France
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[website] =>
[email] => romeu.pauline@gmail.com
[country] => France
[city] => 75014 Paris
[tel] => 0033608885172
[address] => 187 rue raymond losserand
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[lastname] => ROMEU
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[website] => http://www.cpergotherapie.ca/
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[city] => H1N 1E5 MONTREAL (Qc)
[tel] => +1 514 255 3777
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[firstname] => Sophie
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[email] => ergoschluep@evs-hin.ch
[country] => Schweiz
[city] => 3012 BERN
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[address] => Bonstettenstrasse 2
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[formatted_address] => 1 r. André Vésale, 2674 Luxembourg
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[website] =>
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[country] => LUXEMBOURG
[city] => L-2674 LUXEMBOURG
[tel] =>
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[lastname] => RAVENEL
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[formatted_address] => 9180 Boulevard Lacroix, Saint-Georges, QC G5Y 5P4, Canada
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[website] =>
[email] => anita.gagnon@ergoaca.com
[country] => Canada
[city] => G5Y 5P4 ST-GEORGES
[tel] => 001 418 496 3958
[address] => Boulevard Lacroix 9180
[firstname] => Anita
[lastname] => GAGNON
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[website] =>
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[country] => France
[city] => 81000 / ALBI
[tel] => +33 5 63 48 20 20
[address] => Rue Angely Cavaillé
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[lastname] => RAMIREZ
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[formatted_address] => Canada,8000 Boul Langelier,Saint-Léonard,Quebec,H1P 3K2
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[website] => https://physiotherapieuniverselle.com/
[email] => s.chapdelaine@physiotherapieuniverselle.com
[country] => Canada
[city] => H1P 3K2 Saint-Léonard (Qc)
[tel] => +1 514 990 9299
[address] => 8000 Boul Langelier bureau 102
[firstname] => Sarah
[lastname] => CHAPDELAINE
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[latitude] => 48.4656479
[longitude] => -68.51614599999999
[zoom] => 0
[formatted_address] => 395 Boulevard Jessop, Rimouski, QC, Canada
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[website] =>
[email] => riou.genevieve@sylvaintrudel.com
[country] => Canada
[city] => G5L 1M9 RIMOUSKY (Qc)
[tel] => +1 418 721 0027 poste 226
[address] => 395, Boulevard Jessop, 2ème étage
[firstname] => Geneviève
[lastname] => RIOU
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[latitude] => 46.2096987
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[formatted_address] => 602 Boulevard Renault, Beauceville, QC G5X 1M9, Canada
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[website] =>
[email] => e.letourneau@readaptationba.com
[country] => Canada
[city] => QC G5X 1M9 BEAUCEVILLE
[tel] =>
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[firstname] => EVA
[lastname] => LETOURNEAU
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[website] =>
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[country] => France
[city] => 38410 ST-MARTIN D'URIAGE
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[firstname] => Armelle
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[formatted_address] => 32 Rue Paul Vaillant Couturier, Maisons-Alfort, France
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[website] =>
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[country] => France
[city] => 94700 MAISONS ALFORT
[tel] => +33 1 34 40 11 90
[address] => 32, rue Paul Vaillant Couturier
[firstname] => Thérèse
[lastname] => FABRIKANT
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[city] => 8008 ZURICH
[tel] =>
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[firstname] => Ulla
[lastname] => JOERN GOOD
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[website] =>
[email] =>
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[city] => 28000 CHARTRES
[tel] => 06 66 65 05 68
[address] => 34 avenue du Docteur Maunoury
[firstname] => Gaëlle
[lastname] => HENNEQUIN
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[formatted_address] => 225 Rue Sherbrooke Est, Montreal, QC, Canada
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[website] => http://villamedica.ca
[email] => valeriecalva@hotmail.com
[country] => Canada
[city] => H2X 1C9 MONTREAL (Qc)
[tel] => +1 514-288-8201 #4561
[address] => 225 rue Sherbrooke est
[firstname] => Valerie
[lastname] => CALVA
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[latitude] => 48.10190559999999
[longitude] => -77.8015571
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[formatted_address] => 975 Rue Germain, Val-d'Or, QC J9P 7H7, Canada
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[website] =>
[email] => Pier-Anne.Lacroix@hotmail.fr
[country] => Canada
[city] => J9P 7H7 VAL D'OR
[tel] =>
[address] => CRDP de Val dOr; 975, rue Germain
[firstname] => Pier-Anne
[lastname] => LACROIX
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[website] => www.h-ju.ch
[email] => ergotherapie.hrp@h-ju.ch
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[city] => 2900 Porrentruy
[tel] => +41 32 465 67 72
[address] => rue de l'hôpital 9
[firstname] => Géraldine
[lastname] => DENOEL-VALLAT
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[formatted_address] => Van Swietenplein 1, 9728 NT Groningen, Netherlands
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[website] =>
[email] => hilkemiranda@gmail.com
[country] => Netherlands
[city] => 9728 NT GRONINGEN
[tel] => 0031 50-5245190
[address] => Van Swietenplein 1
[firstname] => Miranda
[lastname] => VENEMA
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[latitude] => 46.7997899
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[formatted_address] => Rue Hans-Geiler 6, 1700 Fribourg, Switzerland
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[website] =>
[email] => reeducation.sensitive@cliniquegenerale.ch
[country] => Suisse
[city] => 1700 Fribourg
[tel] => 026 2500 622
[address] => Rue Hans-Geiler 6
[firstname] => Marion
[lastname] => VITTAZ
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[latitude] => 45.3279415
[longitude] => -73.73399979999999
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[formatted_address] => Canada,464 Boulevard Saint-Jean Baptiste suite 202,MERCIER,Quebec,J6R 2B1
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[website] => https://www.sarahbouchardergo.com/
[email] => sarah.bouchard.ergo@hotmail.com
[country] => Canada
[city] => J6R 2B1 MERCIER
[tel] => +1 450 691 3799
[address] => 464 Boulevard Saint-Jean Baptiste suite 202
[firstname] => Sarah
[lastname] => BOUCHARD
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[latitude] => 45.1409443
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[formatted_address] => France,route d’Uriage 1750,38410,ST-MARTIN D’URIAGE
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[website] =>
[email] => ergotherapeutes@ch-uriage.fr
[country] => France
[city] => 38410 ST-MARTIN D’URIAGE
[tel] => +33 4 76 76 48 00 poste 462
[address] => route d’Uriage 1750
[firstname] => Elise
[lastname] => CHASTANG
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[mapAddress] => Array
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[latitude] => 45.41761839999999
[longitude] => -73.4889913
[zoom] => 8
[formatted_address] => 170 Boulevard Taschereau, La Prairie, QC J5R 5H6, Canada
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[website] => http://www.physioroussillon.com/
[email] => veronikgibeau@hotmail.ca
[country] => Canada
[city] => J5R 5H6 LA PRAIRIE
[tel] => +1 450-444-4044
[address] => 170 Boulevard Taschereau
[firstname] => Véronik
[lastname] => GIBEAU
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[latitude] => 46.9690528
[longitude] => -70.57772749999998
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[formatted_address] => Canada,Chemin des Poirier,Montmagny,Quebec,G5V 3X8
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[website] => http://www.physioergoplus.com/
[email] => c.lesaffre.ergo@physioergoplus.com
[country] => Canada
[city] => G5V 3X8 MONTMAGNY (Qc)
[tel] => 418 321 2937
[address] => 226, Ch. Des Poirier
[firstname] => Cécile
[lastname] => MAURICE LESAFFRE
)
Plus de thérapeutes
