{"id":3918,"date":"2025-01-30T10:56:58","date_gmt":"2025-01-30T09:56:58","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/soins-chiropratiques-associes-a-la-reduction-des-evenements-indesirables-lies-aux-opioides\/"},"modified":"2025-01-30T10:57:11","modified_gmt":"2025-01-30T09:57:11","slug":"soins-chiropratiques-associes-a-la-reduction-des-evenements-indesirables-lies-aux-opioides","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/soins-chiropratiques-associes-a-la-reduction-des-evenements-indesirables-lies-aux-opioides\/","title":{"rendered":"Soins chiropratiques associ\u00e9s \u00e0 la r\u00e9duction des \u00e9v\u00e9nements ind\u00e9sirables li\u00e9s aux opio\u00efdes"},"content":{"rendered":"
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Une nouvelle \u00e9tude dirig\u00e9e par des chercheurs des h\u00f4pitaux universitaires Connor Whole Health a r\u00e9v\u00e9l\u00e9 que les adultes atteints de sciatique nouvellement diagnostiqu\u00e9s qui avaient initialement re\u00e7u une manipulation vert\u00e9brale chiropratique (CSM) \u00e9taient nettement moins susceptibles de ressentir Suivi d’un an par rapport \u00e0 ceux qui re\u00e7oivent des soins m\u00e9dicaux habituels.<\/p>\n

L’\u00e9tude met en \u00e9vidence la valeur du CSM en tant qu’approche potentielle d’\u00e9pargne opio\u00efde dans la gestion de la sciatique, un trouble du dos bas caract\u00e9ris\u00e9 par une douleur, un engourdissement ou une faiblesse rayonnant en raison d’une racine nerveuse comprim\u00e9e.<\/p>\n

\u00ab\u00a0\u00c0 la lumi\u00e8re de la crise des opio\u00efdes en cours, ces r\u00e9sultats soulignent l’importance d’offrir des alternatives non pharmacologiques fond\u00e9es sur des preuves pour la gestion de la douleur\u00a0\u00bb, a d\u00e9clar\u00e9 le Dr Fran\u00e7oise Adan, chef de la sant\u00e9 et du bien-\u00eatre en chef de la sant\u00e9 et du bien-\u00eatre de l’UH Connor Whole Health.<\/p>\n

Publi\u00e9 dans Plos un<\/i>cette \u00e9tude de cohorte r\u00e9trospective a utilis\u00e9 des donn\u00e9es du r\u00e9seau de diamants Trinetx, dont plus de 744 000 patients. Les chercheurs ont constat\u00e9 que seulement 0,09% des patients de la cohorte CSM ont connu une ORADE dans un d\u00e9lai d’un an, contre 0,30% dans la cohorte de soins m\u00e9dicaux habituels. Cela s’est traduit par un rapport de risque de 0,29 (IC \u00e0 95%: 0,25 \u00e0 0,32), ce qui signifie que les receveurs CSM \u00e9taient 71% moins susceptibles d’avoir une ORADE. De plus, les b\u00e9n\u00e9ficiaires du CSM \u00e9taient \u00e9galement 32% moins susceptibles d’\u00eatre prescrits par les opio\u00efdes oraux.<\/p>\n

\u00ab\u00a0Bien que des \u00e9tudes pr\u00e9c\u00e9dentes aient d\u00e9montr\u00e9 une probabilit\u00e9 r\u00e9duite de prescription d’opio\u00efdes chez les patients recevant des soins chiropratiques, notre \u00e9tude est la premi\u00e8re \u00e0 se concentrer sur les \u00e9v\u00e9nements ind\u00e9sirables li\u00e9s aux opio\u00efdes, ajoutant une couche de pertinence clinique pour notre travail\u00a0\u00bb, a d\u00e9clar\u00e9 Robert Trager, DC, auteur principal de l’\u00e9tude.<\/p>\n

Selon Roshini Srinivasan, MD, co-auteur et m\u00e9decin r\u00e9sident de l’h\u00f4pital universitaire de Duke, \u00ab\u00a0ce travail souligne que la manipulation de la vert\u00e9brale chiropratique n’est pas seulement une modalit\u00e9 analg\u00e9sique et de r\u00e9habilitation efficace – mais peut-\u00eatre plus important encore, peut \u00eatre une vie analg\u00e9sique.\u00a0\u00bb<\/p>\n

L’\u00e9tude a exclu les patients atteints de trouble ant\u00e9rieur d’Orade et d’opio\u00efdes et a utilis\u00e9 la correspondance des scores de propension pour \u00e9quilibrer les cohortes sur des variables cl\u00e9s telles que l’\u00e2ge, le sexe, d’autres troubles de la consommation de substances, des m\u00e9dicaments et d’autres facteurs.<\/p>\n

Les chercheurs ont reconnu les limites inh\u00e9rentes aux \u00e9tudes r\u00e9trospectives, telles que la confusion et les contraintes non mesur\u00e9es potentielles li\u00e9es \u00e0 l’utilisation de donn\u00e9es r\u00e9elles. Cependant, ils ont soulign\u00e9 que leurs r\u00e9sultats s’alignent sur les directives de pratique clinique recommandant la manipulation de la colonne vert\u00e9brale dans le cadre d’une approche multimodale du traitement de la sciatique.<\/p>\n

Les auteurs appellent \u00e0 des recherches plus approfondies pour explorer si la r\u00e9duction observ\u00e9e d’Orades est attribuable \u00e0 l’intervention CSM elle-m\u00eame ou pourrait \u00eatre due aux effets plus larges de la visite des cliniciens non pharmacologiques tels que des chiropraticiens ou des physioth\u00e9rapeutes.<\/p>\n

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Une nouvelle \u00e9tude dirig\u00e9e par des chercheurs des h\u00f4pitaux universitaires Connor Whole Health a r\u00e9v\u00e9l\u00e9<\/p>\n","protected":false},"author":1,"featured_media":3919,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[3747,171,3772,16,77,3773,172,411,656,279],"class_list":["post-3918","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-addictions","tag-associes","tag-aux","tag-chiropratiques","tag-des","tag-evenements","tag-indesirables","tag-lies","tag-opioides","tag-reduction","tag-soins","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"\nSoins chiropratiques associ\u00e9s \u00e0 la r\u00e9duction des \u00e9v\u00e9nements ind\u00e9sirables li\u00e9s aux opio\u00efdes - RVH-Synergie.org<\/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:\/\/rvh-synergie.org\/actualites\/soins-chiropratiques-associes-a-la-reduction-des-evenements-indesirables-lies-aux-opioides\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Soins chiropratiques associ\u00e9s \u00e0 la r\u00e9duction des \u00e9v\u00e9nements ind\u00e9sirables li\u00e9s aux opio\u00efdes - 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