{"id":10229,"date":"2024-07-13T18:22:26","date_gmt":"2024-07-13T18:22:26","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/evidence-based-assessment-of-pain-in-displaced-persons-case-study-2-fr\/"},"modified":"2024-07-13T18:22:26","modified_gmt":"2024-07-13T18:22:26","slug":"evidence-based-assessment-of-pain-in-displaced-persons-case-study-2-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/evidence-based-assessment-of-pain-in-displaced-persons-case-study-2-fr\/","title":{"rendered":"\u00c9valuation de la douleur fond\u00e9e sur des donn\u00e9es probantes chez les personnes d\u00e9plac\u00e9es &#8211; Histoire de cas 2"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteur original <\/b> &#8211; Zafer Altunbazel<\/p>\n<p><b>Principales collaboratrics<\/b> &#8211; <a href=\"\/User:Naomi_O%27Reilly\" class=\"mw-userlink\" title=\"User:Naomi O'Reilly\"><bdi>Naomi O&rsquo;Reilly<\/bdi><\/a> et <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/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=\"#Key_Words\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Mots-cl\u00e9s <\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Patient_Characteristics\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">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_2&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_2&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. A 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_2&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_2&amp;action=edit&amp;section=2\" title=\"Edit section: Abstract\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>M. A a des douleurs persistantes et incapacitantes \u00e0 l&rsquo;\u00e9paule, accompagn\u00e9es de troubles du sommeil importants, \u00e0 la suite d&rsquo;une p\u00e9riode de d\u00e9tention dans son pays d&rsquo;origine. Il a notamment \u00e9t\u00e9 battu et pouss\u00e9 dans les escaliers.<\/p>\n<h2><span class=\"mw-headline\" id=\"Key_Words\">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_2&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Key Words\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_2&amp;action=edit&amp;section=3\" title=\"Edit section: Key Words\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Personne d\u00e9plac\u00e9e, d\u00e9tention, torture, douleur persistante, troubles du sommeil, diab\u00e8te, hypertension<\/p>\n<h2><span class=\"mw-headline\" id=\"Patient_Characteristics\">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_2&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient Characteristics\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_2&amp;action=edit&amp;section=4\" title=\"Edit section: Patient Characteristics\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>M. A. a \u00e9t\u00e9 r\u00e9f\u00e9r\u00e9 en r\u00e9adaptation pour des douleurs et une limitation s\u00e9v\u00e8re au niveau de l&rsquo;\u00e9paule droite. Il a \u00e9t\u00e9 d\u00e9tenu dans son pays d&rsquo;origine il y a 5 ans et a \u00e9t\u00e9 victime de maltraitance durant cette p\u00e9riode. Il a \u00e9t\u00e9 battu et pouss\u00e9 dans les escaliers, il est tomb\u00e9 plusieurs fois sur ses \u00e9paules. Au cours des mois qui ont suivi sa d\u00e9tention, il n&rsquo;a pu recevoir aucun traitement pour son \u00e9paule et ses douleurs physiques se sont aggrav\u00e9es de jour en jour. Il a d\u00e9velopp\u00e9 des incapacit\u00e9s de plus en plus importantes \u00e0 cause de ses douleurs \u00e0 l&rsquo;\u00e9paule.<\/p>\n<p>Il signale qu&rsquo;on lui a diagnostiqu\u00e9 une gastrite, de l&rsquo;hypertension et du diab\u00e8te, et il est en l\u00e9ger surpoids. Il affirme \u00e9galement qu&rsquo;il souffre de troubles du sommeil car il ressent une douleur trop forte lorsqu&rsquo;il se couche sur son \u00e9paule.<\/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_2&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_2&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;\u00e9valuation physique a r\u00e9v\u00e9l\u00e9 une perte importante de l&rsquo;amplitude articulaire active et passive et une faiblesse au niveau de l&rsquo;\u00e9paule droite. Il garde constamment son bras et son \u00e9paule dans une posture de protection et il a de la douleur \u00e0 la palpation sur toute l&rsquo;articulation de l&rsquo;\u00e9paule. En raison d&rsquo;une r\u00e9action excessive \u00e0 la palpation et aux tests manuels, il n&rsquo;a pas \u00e9t\u00e9 possible de proc\u00e9der \u00e0 une \u00e9valuation compl\u00e8te. La flexion active de l&rsquo;\u00e9paule n&rsquo;est que de 40 degr\u00e9s et il y a une forte cr\u00e9pitation pendant le mouvement. <\/p>\n<p>Il avait g\u00e9n\u00e9ralement des attentes positives face au processus de physioth\u00e9rapie. Toutefois, il est extr\u00eamement inquiet \u00e0 l&rsquo;id\u00e9e de bouger son bras par peur de la douleur. Son score CSI (\u00ab\u00a0inventaire de la sensibilisation centrale\u00a0\u00bb) est inf\u00e9rieur au seuil clinique, mais il pr\u00e9sente des scores \u00e9lev\u00e9s au PSQI (Index de qualit\u00e9 du sommeil de Pittsburgh) et au TSK (Questionnaire de Tampa pour l\u2019\u00e9valuation de l\u2019indice de kin\u00e9siophobie). Une IRM a \u00e9t\u00e9 r\u00e9alis\u00e9e afin de mieux comprendre la situation clinique et a r\u00e9v\u00e9l\u00e9 des d\u00e9chirures musculo-tendineuses au niveau du supra-\u00e9pineux et du long chef du biceps, ainsi qu&rsquo;une l\u00e9sion de Hill-Sachs.<\/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_2&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_2&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 la lumi\u00e8re des informations recueillies lors de l&rsquo;\u00e9valuation, on peut dire que, m\u00eame s&rsquo;il pr\u00e9sente des l\u00e9sions structurelles importantes et une entr\u00e9e nociceptive connexe, sa r\u00e9action exag\u00e9r\u00e9e \u00e0 la palpation et au mouvement n&rsquo;est pas compatible avec ses l\u00e9sions. Il semble que la principale raison de ses incapacit\u00e9s soit la peur de la douleur et du mouvement. Il est donc essentiel d&rsquo;aborder les facteurs cognitifs et comportementaux pour esp\u00e9rer une am\u00e9lioration des facteurs nociceptifs. De plus, il pr\u00e9sente d&rsquo;importantes comorbidit\u00e9s telles que des troubles du sommeil, du diab\u00e8te et de l&rsquo;hypertension, qui entravent la gu\u00e9rison des tissus et diminuent le seuil de tol\u00e9rance \u00e0 la douleur. C&rsquo;est pourquoi ces probl\u00e8mes devraient \u00e9galement \u00eatre cibl\u00e9s.<\/p>\n<p><!-- NewPP limit report Cached time: 20220812222705 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.019 seconds Real time usage: 0.023 seconds Preprocessor visited node count: 25\/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: 213\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 11.102 1 Special:Contributors\/Evidence_Based_Assessment_of_Pain_in_Displaced_Persons_-_Case_Study_2 100.00% 11.102 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Zafer Altunbazel Principales collaboratrics &#8211; Naomi O&rsquo;Reilly et Jess Bell Contenu 1 Titre 2 R\u00e9sum\u00e9 3 Mots-cl\u00e9s 4 Caract\u00e9ristiques du patient 5 R\u00e9sultats de l&rsquo;\u00e9valuation 6 Hypoth\u00e8ses cliniques Titre(edit | edit source) Histoire de cas de M. A suite \u00e0 une histoire de d\u00e9placement et de torture R\u00e9sum\u00e9(edit | edit source) M. [&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-10229","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10229","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=10229"}],"version-history":[{"count":0,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10229\/revisions"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=10229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}