{"id":1766,"date":"2017-06-30T17:53:59","date_gmt":"2017-06-30T15:53:59","guid":{"rendered":"https:\/\/therapiemiroir.com\/therapie-miroir-sdrc\/"},"modified":"2024-01-22T14:42:06","modified_gmt":"2024-01-22T13:42:06","slug":"therapie-miroir-sdrc","status":"publish","type":"post","link":"https:\/\/therapiemiroir.com\/en\/therapie-miroir-sdrc\/","title":{"rendered":"La th\u00e9rapie miroir dans les cas de SDRC"},"content":{"rendered":"<p style=\"text-align: justify;\">Dans un article du mois de juin 2017 (<a href=\"https:\/\/www.arcamax.com\/healthandspirit\/health\/\" target=\"_blank\" rel=\"noopener\">Arcamax<\/a>), il a \u00e9t\u00e9 demand\u00e9 \u00e0 <a href=\"https:\/\/www.arcamax.com\/healthandspirit\/health\/keithroach\/biography\" target=\"_blank\" rel=\"noopener\">Keith Roach<\/a>, m\u00e9decin, de commenter les diff\u00e9rents traitements existants pour soigner le syndrome douloureux r\u00e9gional complexe (SDRC) appel\u00e9 \u00e9galement algoneurodystrophie ou algodystrophie. L&#8217;un des traitements \u00e9voqu\u00e9 pour soulager la douleur a \u00e9t\u00e9 l&#8217;utilisation de la th\u00e9rapie miroir.<\/p>\n<h2 style=\"text-align: justify;\">Qu&#8217;est-ce que le SDRC ?<\/h2>\n<p style=\"text-align: justify;\">Le syndrome douloureux r\u00e9gional complexe correspond \u00e0 un enraidissement progressif et douloureux d&#8217;une articulation. Il survient g\u00e9n\u00e9ralement apr\u00e8s une op\u00e9ration chirurgicale ou suite \u00e0 un traumatisme mais il peut \u00e9galement survenir sans raison apparente claire. Cette pathologie entra\u00eene des douleurs chroniques responsables de difficult\u00e9s de mouvements.<\/p>\n<p style=\"text-align: justify;\">Pour plus de d\u00e9tails, vous pouvez consulter un <a href=\"http:\/\/www.therapiemiroir.com\/sdrc-chez-lenfant\/\" target=\"_blank\" rel=\"noopener\">autre article<\/a> du site.<\/p>\n<h2 style=\"text-align: justify;\">Comment la th\u00e9rapie miroir permet-elle de r\u00e9duire la douleur d&#8217;un SDRC ?<\/h2>\n<p style=\"text-align: justify;\"><a href=\"https:\/\/therapiemiroir.com\/wp-content\/uploads\/2017\/06\/Th\u00e9rapie-miroir-et-SDRC-300x211.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-814 size-medium alignleft\" title=\"Th\u00e9rapie miroir et SDRC\" src=\"https:\/\/therapiemiroir.com\/wp-content\/uploads\/2017\/06\/Th\u00e9rapie-miroir-et-SDRC-300x211.jpg\" alt=\"Th\u00e9rapie miroir et SDRC\" width=\"300\" height=\"211\" srcset=\"https:\/\/therapiemiroir.com\/wp-content\/uploads\/2017\/06\/Th\u00e9rapie-miroir-et-SDRC-300x211.jpg 300w, https:\/\/therapiemiroir.com\/wp-content\/uploads\/2017\/06\/Th\u00e9rapie-miroir-et-SDRC.jpg 550w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>La th\u00e9rapie miroir est une technique qui permet de tromper le cerveau. Lorsqu&#8217;elle est appliqu\u00e9e sur des patients souffrant de douleurs chroniques, l&#8217;image visuelle du membre sain dans le miroir aide \u00e0 ne plus penser \u00e0 la douleur. L&#8217;utilisation du membre sain semble provoquer une nouvelle &#8220;conscience&#8221; dans le membre douloureux. Autrement dit, la th\u00e9rapie miroir donne au patient l&#8217;impression d&#8217;avoir deux membres normaux. Le r\u00e9trocontr\u00f4le visuel permet d&#8217;aider les patients \u00e0 r\u00e9\u00e9duquer les connexions neuronales du cerveau dans le but de r\u00e9tablir une relation normale, et non douloureuse, entre la r\u00e9alisation du mouvement et la r\u00e9troaction sensorielle qu&#8217;il fournit.<\/p>\n<h2 style=\"text-align: justify;\">Les th\u00e9ories concernant la th\u00e9rapie miroir et le SDRC<\/h2>\n<p style=\"text-align: justify;\">La premi\u00e8re th\u00e9orie sugg\u00e8re qu&#8217;elle permet de reconstruire les circuits moteurs et sensoriels. Une autre propose que l&#8217;attention port\u00e9e au membre douloureux aide les patients \u00e0 am\u00e9liorer la perception de ce membre. Encore une autre \u00e9voque qu&#8217;un patient peut rompre le lien entre la peur de d\u00e9placer le membre et la douleur associ\u00e9e.<\/p>\n<p style=\"text-align: justify;\">En principe, dans les cas de SDRC, les patients subissent des modifications de la carte topographique du cerveau. La partie sensori-motrice du cortex correspondant au membre douloureux devient moins active. De ce fait, lorsqu&#8217;un patient veut r\u00e9aliser un mouvement, ce qu&#8217;il s&#8217;attend \u00e0 sentir ne correspond pas \u00e0 l&#8217;entr\u00e9e sensorielle r\u00e9elle et cr\u00e9e un conflit. Avec la th\u00e9rapie miroir, les th\u00e9rapeutes peuvent aider les patients \u00e0 r\u00e9duire cette douleur, r\u00e9tablissant ainsi les modifications corticales.<\/p>\n<h2>Des preuves de l&#8217;efficacit\u00e9 de la th\u00e9rapie miroir dans le traitement du SDRC<\/h2>\n<h3 style=\"padding-left: 30px;\">Traitement de la douleur<\/h3>\n<p style=\"text-align: justify;\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12509620\" target=\"_blank\" rel=\"noopener\">McCabe et al.<\/a>\u00a0ont \u00e9tudi\u00e9 8 sujets en supposant qu&#8217;une perturbation entre les connexions motrices et sensorielles \u00e9taient \u00e0 l&#8217;origine du SDRC. Ils ont constat\u00e9 que la th\u00e9rapie miroir \u00e9tait utile pour la r\u00e9duction de la douleur chez les patients pr\u00e9sentant ce syndrome depuis moins de 8 semaines (cas pr\u00e9coces) et qu&#8217;elle a entra\u00een\u00e9 une r\u00e9duction de la rigidit\u00e9 dans les cas interm\u00e9diaires (SDRC &lt; ou = 1 an). Cependant, aucun changement n&#8217;a \u00e9t\u00e9 observ\u00e9 pour les cas de SDRC chroniques. En conclusion, la th\u00e9rapie miroir permet de r\u00e9tablir la relation sans douleur entre le retour sensoriel et l&#8217;ex\u00e9cution motrice.<\/p>\n<p style=\"text-align: justify;\">Dans leur \u00e9tude, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20202141\" target=\"_blank\" rel=\"noopener\">Sato et al.<\/a>\u00a0ont mis en place, sur 5 patients atteints de SDRC, un syst\u00e8me de r\u00e9troaction visuelle bas\u00e9 sur un miroir. Les\u00a0r\u00e9sultats ont montr\u00e9 que 4 des patients ont ressenti une r\u00e9duction de 50% de l&#8217;intensit\u00e9 de la douleur. La th\u00e9rapie miroir se pr\u00e9sente donc comme un traitement alternatif et prometteur pour le SDRC.<\/p>\n<h3 style=\"padding-left: 30px; text-align: justify;\">Am\u00e9lioration de la fonction motrice<\/h3>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/www.archives-pmr.org\/article\/S0003-9993(15)01560-9\/fulltext\" target=\"_blank\" rel=\"noopener\">Pervane Vural et al.<\/a>\u00a0ont \u00e9tudi\u00e9 les effets de la th\u00e9rapie miroir sur les fonctions motrices des membres sup\u00e9rieurs et l&#8217;intensit\u00e9 de la douleur chez les patients atteints d&#8217;h\u00e9mipl\u00e9gie accompagn\u00e9s d&#8217;un SDRC. Les deux groupes (contr\u00f4le et th\u00e9rapie miroir) ont re\u00e7u un programme de r\u00e9adaptation conventionnelle, et le groupe th\u00e9rapie miroir a re\u00e7u un programme de th\u00e9rapie miroir suppl\u00e9mentaire. Apr\u00e8s 4 semaines de r\u00e9\u00e9ducation, les deux groupes ont eu des am\u00e9liorations pour les fonctions motrices et la perception de la douleur. Cependant, les r\u00e9sultats sont meilleurs dans le groupe th\u00e9rapie miroir. En conclusion, la th\u00e9rapie miroir se r\u00e9v\u00e8le \u00eatre une technique prometteuse dans la r\u00e9cup\u00e9ration motrice du membre sup\u00e9rieur.<\/p>\n<h2 style=\"text-align: justify;\">Conclusion<\/h2>\n<p style=\"text-align: justify;\">La th\u00e9rapie miroir peut \u00eatre une option efficace pour traiter le patient souffrant de douleur chronique (SDRC) dans le cas o\u00f9 celui-ci n&#8217;a pas r\u00e9pondu \u00e0 d&#8217;autres traitements. Elle permet \u00e9galement de retrouver une commande motrice au niveau du membre douloureux.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dans un article du mois de juin 2017 (Arcamax), il a \u00e9t\u00e9 demand\u00e9 \u00e0 Keith Roach, m\u00e9decin, de commenter les diff\u00e9rents traitements existants pour soigner le syndrome douloureux r\u00e9gional complexe (SDRC) appel\u00e9 \u00e9galement algoneurodystrophie ou algodystrophie. L&#8217;un des traitements \u00e9voqu\u00e9 pour soulager la douleur a \u00e9t\u00e9 l&#8217;utilisation de la th\u00e9rapie miroir. Qu&#8217;est-ce que le SDRC [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1398,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[43,42,33,44,45],"tags":[46,47,48,49,50,51],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>La th\u00e9rapie miroir dans les cas de SDRC - Th\u00e9rapie Miroir<\/title>\n<meta name=\"description\" content=\"Le syndrome douloureux r\u00e9gional complexe (SDRC) associe douleurs et difficult\u00e9s de mouvements. 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