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Rien de simple : 10 points pour comprendre la douleur

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  • #16
    A toi, Bernard. Peut t m'aider à le completer?
    Guess learning is a lifestyle, not a passtime.
    Those people who think they know everything are a great annoyance to those of us who do. ~ Isaac Asimov

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    • #17
      Wow, c'est fou comme j'adore ce site, un super site mondial BILINGUE !!!!!!!!!!! sur la physio

      Frédéric
      Frédéric Wellens, pht
      «We often refuse to accept an idea merely because the tone of voice in which it has been expressed is unsympathetic to us.»
      «
      Those who cannot understand how to put their thoughts on ice should not enter into the heat of debate.
      »
      Friedrich Nietzsche
      www.physioaxis.ca
      chroniquesdedouleur blog

      Comment


      • #18
        Je ne suis qu'une Québequoise errante.
        Guess learning is a lifestyle, not a passtime.
        Those people who think they know everything are a great annoyance to those of us who do. ~ Isaac Asimov

        Comment


        • #19
          La dernière version disponible en Anglais:
          http://www.somasimple.com/forums/showthread.php?t=4944
          http://www.somasimple.com/forums/sho...0&postcount=13
          Simplicity is the ultimate sophistication. L VINCI
          We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

          Everything should be made as simple as possible, but not a bit simpler.
          If you can't explain it simply, you don't understand it well enough. Albert Einstein
          bernard

          Comment


          • #20
            Behind the scenes at SomaSimple the moderators study continuously, deal with the issues inherent to our task and decide together how we can advance our mission of sharing relevant and rational information about therapy theory and practice.

            Recently Luke Rickards listed ten things he felt we now know about the nature of painful sensation. It has since been modified and referenced and you’ll see the document below. We have had an intricate and prolonged conversation about each point, and now invite your questions and commentary. The following list has been compiled in an effort to present you with succinct points derived from contemporary pain related research so that you may better understand the view points of the moderators and many of the regular posters at SomaSimple. The list is subject to change as our understanding improves.

            As with all statements born of scientific reasoning these are provisional, but we feel at least a few will stand the test of time. For those interested in gaining a more detailed understanding of the generalized items on the list, we recommend reading the material referenced in the bibliography.

            Signed,

            The Moderators




            Nothing Simple - Ten Steps to Understanding Manual and Movement Therapies for Pain


            1. Pain is a category of complex experiences, not a single sensation produced by a single stimulus.

            2. Nociception (warning signals from body tissues) is neither necessary nor sufficient to produce pain. In other words, pain can occur in the absence of tissue damage.

            3. A pain experience may be induced or amplified by both actual and potential threats.

            4. A pain experience may involve a composite of sensory, motor, autonomic, endocrine, immune, cognitive, affective and behavioural components. Context and meaning are paramount in determining the eventual output response.

            5. The brain maps peripheral and central neural processing into each of these components at multiple levels. Therapeutic input at a single level may be sufficient to resolve a threat response.

            6. Manual and movement therapies may affect peripheral and central neural processes at various stages:
            - transduction of nociception at peripheral sensory receptors
            - transmission of nociception in the peripheral nervous system
            - transmission of nociception in the central nervous system
            - processing and modulation in the brain

            7. Therapies that are most likely to be successful are those that address unhelpful cognitions and fear concerning the meaning of pain, introduce movement in a non-threatening internal and external context, and/or convince the brain that the threat has been resolved.

            8. The corrective physiological mechanisms responsible for resolution are inherent. A therapist need only provide an appropriate environment for their expression.

            9. Tissue length, form or symmetry are poor predictors of pain. The forces applied during common manual treatments for pain generally lack the necessary magnitude and specificity to achieve enduring changes in tissue length, form or symmetry. Where such mechanical effects are possible, the clinical relevance to pain is yet to be established. The predominant effects of manual therapy may be more plausibly regarded as the result of reflexive neurophysiological responses.

            10. Conditioning for the purposes of fitness and function or to promote general circulation or exercise-induced analgesia can be performed concurrently but points 6 and 9 above should remain salient.





            Bibliography

            Books:

            Pain: The Science of Suffering - Patrick Wall
            The Challenge of Pain - Patrick Wall, Ronald Melzack
            Explain Pain - David Butler, Lorimer Moseley
            The Sensitive Nervous System - David Butler
            Phantoms in the Brain - V. S. Ramachandran
            Topical Issues in Pain Vol's 1-5 - Louis Giffiord (ed)
            The Feeling of What Happens - Antonio Damasio
            Clinical Neurodynamics - Michael Shacklock
            The Science and Practice of Manual Therapy - Eyal Lederman

            Research articles:
            Melzack R. Pain and the neuromatrix in the brain. J Dental Ed. 2001;65:1378-82.
            Craig AD. Pain mechanisms: Labeled lines versus convergence in central processing. Ann Rev Neurosci. 2003;26:130.
            Craig AD. How do you feel? Interoception: the sense of the physiological condition of the body. Nature Rev Neurosci. 2002;3:655-66.
            Henderson LA, Gandevia SC, Macefield VG. Somatotopic organization of the processing of muscle and cutaneous pain in the left and right insula cortex: A single-trial fMRI study. Pain. 2007;128:20-30.
            Olausson H, Lamarre Y, Backlund H, Morin C, Wallin BG, Starck G, Ekholm S, Strigo I, Worsley K, Vallbo AB, Bushnell MC. Unmyelinated tactile afferents signal touch and project to insular cortex. Nature Neurosci. 2002;5:900–904.
            Moseley GL. A pain neuromatrix approach to patients with chronic pain. Manual Ther. 2003;8:130-40.
            Moseley GL. Unravelling the barriers to reconceptualisation of the problem in chronic pain: The actual and perceived ability of patients and health professionals to understand the neurophysiology. J Pain. 2003;4:184-89.
            Moseley GL, Arntz A. The context of a noxious stimulus affects the pain it evokes. Pain. 2007;133(1-3):64-71.
            Moseley, GL, Nicholas, MK and Hodges, PW. A randomized controlled trial of intensive neurophysiology education in chronic low back pain. Clin J Pain. 2004;20:324-30.
            Crombez G, Vlaeyen JWS, Heuts PH et al. Pain-related fear is more disabling than pain itself. Evidence on the role of pain-related fear in chronic back pain disability. Pain. 1999;80:329-40.
            Zusman M. Forebrain-mediated sensitization of central pain pathways: 'non-specific' pain and a new image for manual therapy. Manual Ther. 2002;7:80-88.
            Dorko B. The analgesia of movement: Ideomotor activity and manual care. J Osteopathic Med. 2003;6:93-95.
            Threlkeld AJ. The effects of manual therapy on connective tissue. Phys Ther. 1992;72:893-902.
            Lederman E. The myth of core stability. Retrieved at: http://www.ppaonline.co.uk/
            Simplicity is the ultimate sophistication. L VINCI
            We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

            Everything should be made as simple as possible, but not a bit simpler.
            If you can't explain it simply, you don't understand it well enough. Albert Einstein
            bernard

            Comment


            • #21
              Nothing Simple - Ten Steps to Understanding Manual and Movement Therapies for Pain
              Rien de simple – Dix Points pour comprendre les thérapies manuelles et de mouvement pour la douleur.
              Simplicity is the ultimate sophistication. L VINCI
              We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

              Everything should be made as simple as possible, but not a bit simpler.
              If you can't explain it simply, you don't understand it well enough. Albert Einstein
              bernard

              Comment


              • #22
                Merci. Next?
                Guess learning is a lifestyle, not a passtime.
                Those people who think they know everything are a great annoyance to those of us who do. ~ Isaac Asimov

                Comment


                • #23
                  1. Pain is a category of complex experiences, not a single sensation produced by a single stimulus.
                  1. La douleur fait partie des expériences complexes et n'est pas une simple sensation produite par un seul stimulus.
                  Simplicity is the ultimate sophistication. L VINCI
                  We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

                  Everything should be made as simple as possible, but not a bit simpler.
                  If you can't explain it simply, you don't understand it well enough. Albert Einstein
                  bernard

                  Comment


                  • #24
                    2. Nociception (warning signals from body tissues) is neither necessary nor sufficient to produce pain. In other words, pain can occur in the absence of tissue damage.
                    2. La nociception (signaux d'alarme provenant du corps) n'est ni nécessaire ni suffisante pour engendrer une douleur. En d'autre termes, la douleur peut survenir en l'absence de dommages corporels.
                    Simplicity is the ultimate sophistication. L VINCI
                    We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

                    Everything should be made as simple as possible, but not a bit simpler.
                    If you can't explain it simply, you don't understand it well enough. Albert Einstein
                    bernard

                    Comment


                    • #25
                      Done
                      Guess learning is a lifestyle, not a passtime.
                      Those people who think they know everything are a great annoyance to those of us who do. ~ Isaac Asimov

                      Comment


                      • #26
                        3. A pain experience may be induced or amplified by both actual and potential threats.
                        3. Une expérience douloureuse peut être induite et à la fois amplifiée par un danger actuel voire potentiel.


                        4. A pain experience may involve a composite of sensory, motor, autonomic, endocrine, immune, cognitive, affective and behavioural components. Context and meaning are paramount in determining the eventual output response.

                        4. L'expérience de la douleur peut impliquer une combinaison d'éléments sensoriel, moteur, autonome, endocrinien, immunitaire, cognitif, affectif et comportemental. Le contexte et la signification sont primordiaux dans l'éventuelle suite à donner.
                        Simplicity is the ultimate sophistication. L VINCI
                        We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

                        Everything should be made as simple as possible, but not a bit simpler.
                        If you can't explain it simply, you don't understand it well enough. Albert Einstein
                        bernard

                        Comment


                        • #27
                          merci. 1-4 sont faits
                          Guess learning is a lifestyle, not a passtime.
                          Those people who think they know everything are a great annoyance to those of us who do. ~ Isaac Asimov

                          Comment


                          • #28
                            5. The brain maps peripheral and central neural processing into each of these components at multiple levels. Therapeutic input at a single level may be sufficient to resolve a threat response.

                            5. Le cerveau cartographie les stimuli périphériques et centraux dans chacune de ces composantes et à plusieurs niveaux. Le stimulus thérapeutique, à un seul de ces niveaux, peut être suffisant pour répondre à une menace atteinte.
                            Simplicity is the ultimate sophistication. L VINCI
                            We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

                            Everything should be made as simple as possible, but not a bit simpler.
                            If you can't explain it simply, you don't understand it well enough. Albert Einstein
                            bernard

                            Comment


                            • #29
                              6. Manual and movement therapies may affect peripheral and central neural processes at various stages:
                              - transduction of nociception at peripheral sensory receptors
                              - transmission of nociception in the peripheral nervous system
                              - transmission of nociception in the central nervous system
                              - processing and modulation in the brain

                              6. Les thérapies manuelles ou par le mouvement sont susceptiblesd' peuvent affecter le processus central et périphérique à plusieurs niveaux:
                              -- Transduction de la nociception au niveau
                              des récepteurs sensoriels périphériques.
                              -- Transmission de la nociception dans le système nerveux périphérique .
                              -- Transmission de la nociception dans le système nerveux central.
                              -- Le traitement de la nociception et
                              la sa modulation dans le cerveau.
                              Simplicity is the ultimate sophistication. L VINCI
                              We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

                              Everything should be made as simple as possible, but not a bit simpler.
                              If you can't explain it simply, you don't understand it well enough. Albert Einstein
                              bernard

                              Comment


                              • #30
                                ca faisait trop longtemps que je ne m'etais pas penché dessus
                                ------------------------------------------------------
                                french physio
                                like paediatrics and sports trauma

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