{"id":17413,"date":"2024-12-03T16:18:22","date_gmt":"2024-12-03T15:18:22","guid":{"rendered":"https:\/\/www.corsetdaum.be\/?p=17413"},"modified":"2025-01-22T15:01:31","modified_gmt":"2025-01-22T14:01:31","slug":"essentiel-du-rachis-decembre-2024","status":"publish","type":"post","link":"https:\/\/www.corsetdaum.be\/nl\/essentiel-du-rachis-decembre-2024\/","title":{"rendered":"L’Essentiel du Rachis – D\u00e9cembre 2024"},"content":{"rendered":"
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Depuis 2023, Corset Daum rassemble chaque mois les \u00e9tudes scientifiques les plus int\u00e9ressantes concernant le rachis et le traitement des pathologies qui l’affectent.<\/p>

L\u2019hiver approche mais notre curiosit\u00e9 ne refroidit jamais !<\/p>

Ce mois-ci, nous abordons l’impact du tabac sur la lombalgie, la hernie discale lombaire chez la femme enceinte, les co\u00fbts intangibles de la vie avec la lombalgie, ainsi que l’orientation pr\u00e9coce vers la physioth\u00e9rapie pour les patients atteints de lombalgie.<\/p>

1. \ud83d\udeac<\/span>\u00a0Relation entre la lombalgie chronique et le tabagisme chez les patients trait\u00e9s par une th\u00e9rapie conservatrice<\/a><\/p>

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2. \ud83e\udd30<\/span> Hernie discale lombaire et syndrome de la queue de cheval pendant la grossesse : une revue syst\u00e9matique<\/span><\/a><\/span><\/span><\/p>

3. \ud83c\udf2b\ufe0f<\/span>\u00a0Les co\u00fbts intangibles de la vie avec une lombalgie du point de vue du patient : Une \u00e9tude exploratoire<\/a><\/p>

4.\ud83c\udfcb\ufe0f<\/span>\u00a0Orientation pr\u00e9coce vers la physioth\u00e9rapie pour les lombalgies : une r\u00e9duction des recours \u00e0 l’imagerie avanc\u00e9e et aux consultations sp\u00e9cialis\u00e9es en chirurgie rachidienne<\/a><\/p>

Bonne lecture !<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\nRelation entre la lombalgie chronique et le tabagisme chez les patients trait\u00e9s par une th\u00e9rapie conservatrice\n<\/h2><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Fabiola Cappella, Alessandro Di Rienzo, Mario Chiapponi, Valentina Liverotti, Mauro Dobran<\/i>
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Cette \u00e9tude transversale a examin\u00e9 49 patients atteints de lombalgie chronique, divis\u00e9s en deux groupes : fumeurs et non-fumeurs.\u00a0<\/p>

Les r\u00e9sultats montrent que les fumeurs ressentent une douleur initiale plus intense (\u00e9valu\u00e9e par l’\u00e9chelle NRS) et obtiennent des am\u00e9liorations plus faibles apr\u00e8s une th\u00e9rapie conservatrice (comprenant des exercices posturaux et des analg\u00e9siques).\u00a0<\/p>

Le tabac, par ses effets pro-inflammatoires et cytotoxiques, compromet la nutrition des disques intervert\u00e9braux, aggravant la pathologie et ralentissant le r\u00e9tablissement fonctionnel.\u00a0<\/p>

Les r\u00e9sultats appuient la n\u00e9cessit\u00e9 de sensibiliser les patients au r\u00f4le du tabagisme dans la pr\u00e9vention et le traitement de la lombalgie.<\/p>

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Disponible sur Preprints<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\nHernie discale lombaire et syndrome de la queue de cheval pendant la grossesse : une revue syst\u00e9matique\n<\/h2><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Amna Hussein, Esteban Quiceno, Niels Pacheco-Barrios, Nikhil Dholaria, Annemarie Pico, Giovanni Barbagli, James Kelbert, Diego T. Soto-Rubio, Ibrahim A. Alhalal, Abdullah K. Al-Arfaj, Michael Prim et Ali A. Baaj<\/i>
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Cette revue syst\u00e9matique examine 51 cas de hernie discale lombaire (LDH) et de syndrome de la queue de cheval (CES) survenant pendant la grossesse, touchant environ 1 femme enceinte sur 10 000.<\/p>

Les sympt\u00f4mes principaux incluent des douleurs lombaires et aux membres inf\u00e9rieurs (86,3 %), et des troubles sphinct\u00e9riens (49 %). L\u2019imagerie par IRM, utilis\u00e9e dans 92,2 % des cas, reste l\u2019outil diagnostic de r\u00e9f\u00e9rence.\u00a0<\/p>

Pr\u00e8s de 75 % des patientes ont subi une intervention chirurgicale pr\u00e9natale, principalement des microdiscectomies, avec un faible taux de complications (3,9 %).\u00a0<\/p>

Les r\u00e9sultats montrent des issues favorables pour la m\u00e8re et l\u2019enfant, soulignant l\u2019importance d\u2019un diagnostic et d\u2019une prise en charge rapides.<\/p>

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Disponible sur Springer<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\nLes co\u00fbts intangibles de la vie avec une lombalgie du point de vue du patient : Une \u00e9tude exploratoire\n<\/h2><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Nicola L. Saywell, Katherine Thomson, Thomas Adams, Julia Hill<\/em>
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Cette revue de la litt\u00e9rature a analys\u00e9 46 \u00e9tudes pour explorer les dimensions non mon\u00e9taires de la lombalgie chronique (LBP).\u00a0<\/p>

Six cat\u00e9gories principales ont \u00e9merg\u00e9 :\u00a0<\/p>

1. Perceptions de la douleur : la nature impr\u00e9visible et invisible de la douleur complique sa reconnaissance sociale.\u00a0<\/p>

2. Exp\u00e9rience des soins : les patients recherchent souvent une l\u00e9gitimation professionnelle de leur douleur, mais rencontrent fr\u00e9quemment une insatisfaction face aux traitements.\u00a0<\/p>

3. Impact sur l\u2019identit\u00e9 : la douleur chronique modifie profond\u00e9ment le sens de soi, g\u00e9n\u00e9rant frustration et isolement.\u00a0<\/p>

4. Vie suspendue : les limitations physiques et sociales cr\u00e9ent un sentiment de stagnation.\u00a0<\/p>

5. Vie sociale : l\u2019isolement et les tensions dans les relations familiales et professionnelles sont courants.\u00a0<\/p>

6. Vie professionnelle perturb\u00e9e : l\u2019absent\u00e9isme et le pr\u00e9sent\u00e9isme refl\u00e8tent les difficult\u00e9s \u00e0 maintenir une activit\u00e9 professionnelle stable.\u00a0<\/p>

Les auteurs insistent sur l’importance d\u2019une prise en charge plus humaine, reconnaissant l\u2019impact psychosocial de la douleur et soutenant les patients \u00e0 surmonter les stigmatisations.<\/p>

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Disponible sur Taylor & Francis<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\nOrientation pr\u00e9coce vers la physioth\u00e9rapie pour les lombalgies : une r\u00e9duction des recours \u00e0 l'imagerie avanc\u00e9e et aux consultations sp\u00e9cialis\u00e9es en chirurgie rachidienne<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Vikaesh Moorthy, Pei Gin Ong, Jacob Yoong-Leong Oh<\/em>
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Cette recherche a analys\u00e9 311 patients souffrant de lombalgie pour comparer deux approches : l’orientation pr\u00e9coce vers la physioth\u00e9rapie (EPT) avant une consultation sp\u00e9cialis\u00e9e, et la physioth\u00e9rapie de routine (RPT) apr\u00e8s cette consultation.\u00a0<\/p>

Les r\u00e9sultats d\u00e9montrent que l\u2019EPT diminue significativement le recours \u00e0 l\u2019IRM (68,1 % vs 78,7 %), les consultations sp\u00e9cialis\u00e9es en chirurgie rachidienne (1,7 vs 2,2 en moyenne), et les sessions de physioth\u00e9rapie (1,2 vs 1,4 en moyenne).\u00a0<\/p>

Les r\u00e9sultats fonctionnels, mesur\u00e9s par des scores de douleur (VAS) et de qualit\u00e9 de vie (EQ-5D), \u00e9taient comparables entre les groupes. L\u2019\u00e9tude souligne que l\u2019EPT favorise une gestion efficace, diminue les co\u00fbts de sant\u00e9, et encourage une autonomie accrue des patients tout en \u00e9vitant des traitements inutiles.<\/p>

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Disponible sur le Singapore Medical Journal<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Nous nous retrouvons le mois prochain pour de nouvelles avanc\u00e9es sur le rachis !<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Depuis 2023, Corset Daum rassemble chaque mois les \u00e9tudes scientifiques les plus int\u00e9ressantes concernant le rachis et le traitement des … Lire plus<\/a><\/p>","protected":false},"author":9,"featured_media":17414,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[],"class_list":["post-17413","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-edr","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50"],"yoast_head":"\nL'Essentiel du Rachis - D\u00e9cembre 2024 - Corset DAUM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.corsetdaum.be\/nl\/essentiel-du-rachis-decembre-2024\/\" \/>\n<meta property=\"og:locale\" content=\"nl_BE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L'Essentiel du Rachis - D\u00e9cembre 2024 - Corset DAUM\" \/>\n<meta property=\"og:description\" content=\"Depuis 2023, Corset Daum rassemble chaque mois les \u00e9tudes scientifiques les plus int\u00e9ressantes concernant le rachis et le traitement des ... 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