{"id":2980,"date":"2024-12-20T01:56:55","date_gmt":"2024-12-20T00:56:55","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/une-reeducation-plus-precoce-ameliore-les-resultats-des-commotions-cerebrales-suggere-une-etude\/"},"modified":"2024-12-20T01:56:57","modified_gmt":"2024-12-20T00:56:57","slug":"une-reeducation-plus-precoce-ameliore-les-resultats-des-commotions-cerebrales-suggere-une-etude","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/une-reeducation-plus-precoce-ameliore-les-resultats-des-commotions-cerebrales-suggere-une-etude\/","title":{"rendered":"Une r\u00e9\u00e9ducation plus pr\u00e9coce am\u00e9liore les r\u00e9sultats des commotions c\u00e9r\u00e9brales, sugg\u00e8re une \u00e9tude"},"content":{"rendered":"
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Les personnes qui souffrent de sympt\u00f4mes persistants de commotion c\u00e9r\u00e9brale devraient consulter une th\u00e9rapie physique d\u00e8s que possible, sugg\u00e8re une nouvelle \u00e9tude de l’Oregon Health & Science University.<\/p>\n

M\u00eame si la plupart des gens se remettent naturellement d’une commotion c\u00e9r\u00e9brale dans les quatre semaines, l’\u00e9tude a r\u00e9v\u00e9l\u00e9 que les personnes qui retardaient la th\u00e9rapie physique pr\u00e9sentaient des d\u00e9ficits persistants li\u00e9s \u00e0 leur temps de r\u00e9action pour l’\u00e9quilibre, la fonction motrice (ou les mouvements du corps pour effectuer des t\u00e2ches) et l’utilisation des informations sensorielles. \u00e0 la vue et au toucher \u2013 pour l\u2019\u00e9quilibre. La recherche publi\u00e9e cette semaine dans le Journal de physioth\u00e9rapie et de r\u00e9adaptation<\/i>.<\/p>\n

\u00ab\u00a0Cela signifie qu’ils sont \u00e9quilibr\u00e9s et ne r\u00e9agissent pas aussi rapidement qu’une personne ayant des temps de r\u00e9action normaux\u00a0\u00bb, a d\u00e9clar\u00e9 l’auteur principal Laurie King, Ph.D., PT, MCR, professeur de neurologie \u00e0 l’\u00c9cole de m\u00e9decine de l’OHSU. \u00ab\u00a0Si vous avez subi une commotion c\u00e9r\u00e9brale et que vous ne r\u00e9agissez pas aussi rapidement en contr\u00f4lant votre \u00e9quilibre, il est naturel d’\u00e9viter les situations pr\u00e9caires.\u00a0\u00bb<\/p>\n

Cela pourrait \u00e0 son tour amener les gens \u00e0 \u00e9viter les activit\u00e9s physiques b\u00e9n\u00e9fiques, notamment l\u2019exercice et la r\u00e9adaptation.<\/p>\n

\u00ab\u00a0Nous avons des gens qui viennent et disent qu’ils vont bien\u00a0\u00bb, a d\u00e9clar\u00e9 King. \u00ab\u00a0Ensuite, quand nous les mettons au d\u00e9fi de tourner la t\u00eate tout en regardant un point fixe, ils disent : ‘Whoa, \u00e7a me donne la naus\u00e9e.'\u00a0\u00bb<\/p>\n

Une r\u00e9adaptation ant\u00e9rieure semble permettre au cerveau de retrouver un \u00e9tat d’\u00e9quilibre plus normal, a-t-elle d\u00e9clar\u00e9.<\/p>\n

En revanche, lorsque la th\u00e9rapie physique est retard\u00e9e, le cerveau peut s\u2019adapter \u00e0 la blessure en compensant la mauvaise utilisation des informations sensorielles. En effet, les patients deviennent trop d\u00e9pendants de la vision plut\u00f4t que de leur syst\u00e8me vestibulaire, les organes sensoriels de l\u2019oreille interne qui aident \u00e0 maintenir l\u2019\u00e9quilibre. Les patients avaient un contr\u00f4le de l’\u00e9quilibre \u00ab plus b\u00e2cl\u00e9 \u00bb pour compenser les temps de r\u00e9action retard\u00e9s, a d\u00e9clar\u00e9 King, ce qui peut expliquer des taux plus \u00e9lev\u00e9s de nouvelles blessures apr\u00e8s une premi\u00e8re commotion c\u00e9r\u00e9brale.<\/p>\n

\u00ab\u00a0Il semble y avoir une fen\u00eatre d’opportunit\u00e9 d’ici deux mois\u00a0\u00bb, a d\u00e9clar\u00e9 King. \u00ab\u00a0Apr\u00e8s ce point, le cerveau compense d’une mani\u00e8re qui n’est pas bonne. Si la vision est votre strat\u00e9gie pour maintenir l’\u00e9quilibre et que vous \u00eates dans une pi\u00e8ce sombre, vous n’allez pas tr\u00e8s bien fonctionner.\u00a0\u00bb<\/p>\n

L’essai contr\u00f4l\u00e9 randomis\u00e9 comprenait 203 personnes r\u00e9parties en un groupe d’intervention ayant re\u00e7u une th\u00e9rapie physique une semaine apr\u00e8s le test du projet, et un groupe t\u00e9moin qui avait commenc\u00e9 le traitement six semaines apr\u00e8s le test. Les deux groupes ont \u00e9t\u00e9 \u00e9valu\u00e9s pour le contr\u00f4le de leur \u00e9quilibre apr\u00e8s avoir subi six semaines de r\u00e9\u00e9ducation avec des physioth\u00e9rapeutes agr\u00e9\u00e9s. Les participants sont entr\u00e9s dans l\u2019\u00e9tude deux \u00e0 12 semaines apr\u00e8s leur blessure.<\/p>\n

Bien que la plupart des gens se remettent naturellement d\u2019une commotion c\u00e9r\u00e9brale en quatre semaines, on estime que 30 % d\u2019entre eux souffrent de probl\u00e8mes persistants \u2013 et la physioth\u00e9rapie pourrait \u00eatre la plus importante pour ce groupe de personnes.<\/p>\n

Le d\u00e9fi consiste \u00e0 identifier correctement ce groupe, a d\u00e9clar\u00e9 King.<\/p>\n

Pour l\u2019avenir, King a d\u00e9clar\u00e9 que la recherche sugg\u00e8re deux domaines d\u2019am\u00e9lioration pour les professionnels de la sant\u00e9, en particulier dans les \u00e9tablissements de soins primaires\u00a0:<\/p>\n

    \n
  • Des directives plus claires\u00a0: lorsque les m\u00e9decins de soins primaires \u00e9valuent des patients ayant subi une commotion c\u00e9r\u00e9brale, ils devraient disposer de directives plus claires quant au moment o\u00f9 les orienter vers une th\u00e9rapie physique. Par exemple, si un patient pr\u00e9sente encore des sympt\u00f4mes quatre semaines apr\u00e8s la blessure, il devrait \u00eatre imm\u00e9diatement orient\u00e9 vers un physioth\u00e9rapeute.<\/li>\n<\/ul>\n

    <\/p>\n

      \n
    • De meilleurs tests\u00a0:\u00a0l’identification des sympt\u00f4mes de chaque patient varie actuellement selon la pratique, c’est pourquoi l’\u00e9laboration de meilleures normes de test est un objectif important de la recherche qui se poursuit \u00e0 l’OHSU.<\/li>\n<\/ul>\n

      <\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

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