{"id":10228,"date":"2024-07-13T17:53:59","date_gmt":"2024-07-13T17:53:59","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/evidence-based-assessment-of-pain-in-displaced-persons-case-study-1-fr\/"},"modified":"2024-07-13T17:53:59","modified_gmt":"2024-07-13T17:53:59","slug":"evidence-based-assessment-of-pain-in-displaced-persons-case-study-1-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/evidence-based-assessment-of-pain-in-displaced-persons-case-study-1-fr\/","title":{"rendered":"\u00c9valuation de la douleur fond\u00e9e sur des donn\u00e9es probantes chez les personnes d\u00e9plac\u00e9es &#8211; Histoire de cas 1"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteur original <\/b>&#8211; <a href=\"\/index.php?title=User:Zafer_Altunbazel&amp;action=edit&amp;redlink=1\" class=\"new\" title=\"User:Zafer Altunbazel (page does not exist)\">Zafer Altunbazel<\/a><\/p>\n<p><b>Principales collaboratrices <\/b> &#8211; <a href=\"\/User:Naomi_O%27Reilly\" class=\"mw-userlink\" title=\"User:Naomi O'Reilly\"><bdi>Naomi O&rsquo;Reilly<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> et<a href=\"\/User:Kirenga_Bamurange_Liliane\" class=\"mw-userlink\" title=\"User:Kirenga Bamurange Liliane\"><bdi>Kirenga Bamurange Liliane<\/bdi><\/a>   <\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Title\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Titre<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Abstract\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">R\u00e9sum\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Keywords\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Mots-cl\u00e9s<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Patient_History_and_Characteristics\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Anamn\u00e8se et caract\u00e9ristiques du patient<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Examination_Findings\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">R\u00e9sultats de l&rsquo;\u00e9valuation<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Clinical_Hypothesis\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Hypoth\u00e8ses cliniques<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Title\">Titre<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Title\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;action=edit&amp;section=1\" title=\"Edit section: Title\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Histoire de cas de M. S suite \u00e0 une histoire de d\u00e9placement et de torture<\/p>\n<h2><span class=\"mw-headline\" id=\"Abstract\">R\u00e9sum\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Abstract\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;action=edit&amp;section=2\" title=\"Edit section: Abstract\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>M. S. a des douleurs persistantes et d\u00e9bilitantes et de SSPT \u00e0 la suite d&rsquo;une blessure par balle \u00e0 la hanche il y a quatre ans, trait\u00e9e dans un h\u00f4pital militaire de campagne. Apr\u00e8s la blessure par balle, il a pass\u00e9 un certain temps en prison, o\u00f9 il a \u00e9t\u00e9 tortur\u00e9.<\/p>\n<h2><span class=\"mw-headline\" id=\"Keywords\">Mots-cl\u00e9s<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Keywords\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;action=edit&amp;section=3\" title=\"Edit section: Keywords\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Personne d\u00e9plac\u00e9e, conflit, blessure par balle, blessure complexe, prison, torture, TSPT, douleur persistante<\/p>\n<h2><span class=\"mw-headline\" id=\"Patient_History_and_Characteristics\">Anamn\u00e8se et caract\u00e9ristiques du patient <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient History and Characteristics\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;action=edit&amp;section=4\" title=\"Edit section: Patient History and Characteristics\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>M. S. a \u00e9t\u00e9 r\u00e9f\u00e9r\u00e9 en physioth\u00e9rapie pour des douleurs incapacitantes au mollet, \u00e0 la cheville et au pied gauches. Ses plaintes ont commenc\u00e9 il y a quatre ans, apr\u00e8s qu&rsquo;on lui a tir\u00e9 une balle dans la hanche. La balle a suivi une trajectoire diagonale et s&rsquo;est fragment\u00e9e dans la partie inf\u00e9rieure de son abdomen. Il a \u00e9t\u00e9 op\u00e9r\u00e9 dans un h\u00f4pital militaire et mis en prison o\u00f9 il a \u00e9t\u00e9 soumis \u00e0 la torture apr\u00e8s son traitement m\u00e9dical. La douleur en distal de son genou a commenc\u00e9 \u00e0 ce moment-l\u00e0 et s&rsquo;est aggrav\u00e9e progressivement jusqu&rsquo;\u00e0 aujourd&rsquo;hui. La douleur est constante, aigu\u00eb, de type br\u00fblure, et augmente avec le mouvement et la station debout. Il souffre \u00e9galement de douleurs faciales et de c\u00e9phal\u00e9es r\u00e9guli\u00e8res.<\/p>\n<p>Il ne souffre d&rsquo;aucune maladie transmissible ou non transmissible, mais il souffre d&rsquo;insomnie et de sympt\u00f4mes de stress post-traumatique, ainsi que d&rsquo;anxi\u00e9t\u00e9. Il a des attentes positives face \u00e0 la physioth\u00e9rapie, mais se dit extr\u00eamement inquiet et fatigu\u00e9 \u00e0 cause de ses douleurs. Son score CSI (\u00ab\u00a0inventaire de la sensibilisation centrale\u00a0\u00bb) \u00e9tait sup\u00e9rieur au seuil clinique.<\/p>\n<h2><span class=\"mw-headline\" id=\"Examination_Findings\">R\u00e9sultats de l&rsquo;\u00e9valuation <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Examination Findings\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;action=edit&amp;section=5\" title=\"Edit section: Examination Findings\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;examen physique a r\u00e9v\u00e9l\u00e9 une sensibilit\u00e9 \u00e0 la palpation dans la partie inf\u00e9rieure de son abdomen et sous le genou. L&rsquo;hyperalg\u00e9sie et l&rsquo;allodynie sont pr\u00e9sentes en distal de son genou. Il ne pr\u00e9sente pas de perte de mobilit\u00e9 ou de force musculaire dans les deux membres, mais sa peau est p\u00e2le et il a une perte de poils au niveau du pied et de la cheville gauches. Fait int\u00e9ressant, les tests de tension neurodynamique n&rsquo;ont pas provoqu\u00e9 sa douleur. L&rsquo;\u00e9valuation physique s&rsquo;est r\u00e9v\u00e9l\u00e9e n\u00e9gative pour une c\u00e9phal\u00e9ee de tension et pour une c\u00e9phal\u00e9e cervicog\u00e8ne.<\/p>\n<p>Il a \u00e9t\u00e9 r\u00e9f\u00e9r\u00e9 pour un d\u00e9pistage avanc\u00e9, mais l&rsquo;EMG et l&rsquo;\u00e9chographie doppler n&rsquo;ont r\u00e9v\u00e9l\u00e9 aucune anomalie de la conduction nerveuse ou de la circulation. L&rsquo;IRM n&rsquo;a r\u00e9v\u00e9l\u00e9 aucun signe neurologique pouvant \u00eatre li\u00e9 aux c\u00e9phal\u00e9es. Toutefois, une deuxi\u00e8me r\u00e9f\u00e9rence chez l&rsquo;orthop\u00e9diste a r\u00e9v\u00e9l\u00e9 qu&rsquo;une fracture du nez \u00e9tait encore pr\u00e9sente depuis l&rsquo;\u00e9poque de la prison et qu&rsquo;elle \u00e9tait probablement la cause des c\u00e9phal\u00e9es et des douleurs au visage.<\/p>\n<h2><span class=\"mw-headline\" id=\"Clinical_Hypothesis\">Hypoth\u00e8ses cliniques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Hypothesis\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1&amp;action=edit&amp;section=6\" title=\"Edit section: Clinical Hypothesis\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>\u00c0 partir des informations et des r\u00e9sultats recueillis, il a \u00e9t\u00e9 difficile d&rsquo;\u00e9tablir une hypoth\u00e8se claire, mais un dysfonctionnement du syst\u00e8me nerveux est apparu comme le principal vecteur de la douleur. Une atteinte neurovasculaire due \u00e0 la blessure par balle a pu provoquer une douleur neuropathique et, au fil du temps, d\u00e9clencher une sensibilisation centrale qui a contribu\u00e9 \u00e0 l&rsquo;apparition de sympt\u00f4mes de stress post-traumatique et de c\u00e9phal\u00e9es constantes.<\/p>\n<p><!-- NewPP limit report Cached time: 20220812222641 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.019 seconds Real time usage: 0.024 seconds Preprocessor visited node count: 26\/1000000 Post\u2010expand include size: 95\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 356\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 12.803 1 Special:Contributors\/Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_1 100.00% 12.803 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Zafer Altunbazel Principales collaboratrices &#8211; Naomi O&rsquo;Reilly, Jess Bell etKirenga Bamurange Liliane Contenu 1 Titre 2 R\u00e9sum\u00e9 3 Mots-cl\u00e9s 4 Anamn\u00e8se et caract\u00e9ristiques du patient 5 R\u00e9sultats de l&rsquo;\u00e9valuation 6 Hypoth\u00e8ses cliniques Titre(edit | edit source) Histoire de cas de M. S suite \u00e0 une histoire de d\u00e9placement et de torture R\u00e9sum\u00e9(edit [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-10228","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=10228"}],"version-history":[{"count":0,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10228\/revisions"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=10228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}