{"id":229,"date":"2020-10-22T15:38:11","date_gmt":"2020-10-22T13:38:11","guid":{"rendered":"http:\/\/osteopathie-nice.fr\/?p=229"},"modified":"2020-12-31T15:11:56","modified_gmt":"2020-12-31T14:11:56","slug":"losteopathie-ameliore-la-severite-du-syndrome-de-lintestin-irritable","status":"publish","type":"post","link":"https:\/\/osteopathie-nice.fr\/index.php\/2020\/10\/22\/losteopathie-ameliore-la-severite-du-syndrome-de-lintestin-irritable\/","title":{"rendered":"L&#8217;ost\u00e9opathie diminue la s\u00e9v\u00e9rit\u00e9 du syndrome de l&#8217;intestin irritable : Essai contr\u00f4l\u00e9 randomis\u00e9 pilote en simple aveugle"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large is-style-rounded\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/10\/pexels-kat-jayne-735966-1024x683.jpg\" alt=\"ventre atteint de SII\" class=\"wp-image-155\" srcset=\"https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/10\/pexels-kat-jayne-735966-1024x683.jpg 1024w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/10\/pexels-kat-jayne-735966-300x200.jpg 300w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/10\/pexels-kat-jayne-735966-768x513.jpg 768w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/10\/pexels-kat-jayne-735966-1536x1025.jpg 1536w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/10\/pexels-kat-jayne-735966-2048x1367.jpg 2048w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/10\/pexels-kat-jayne-735966-1200x801.jpg 1200w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/10\/pexels-kat-jayne-735966-1980x1321.jpg 1980w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>R\u00e9sum\u00e9 en anglais sur <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22546751\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pubmed<\/a>.<\/p>\n\n\n\n<p>Blanche-Ma\u00eblle Florance<sup>&nbsp; 1 <\/sup>,&nbsp;Gregory Frin,&nbsp;Raffaella Dainese,&nbsp;Marie-H\u00e9l\u00e8ne N\u00e9bot-Vivinus,&nbsp;Eug\u00e9nia Marine Barjoan,&nbsp;Sophie Marjoux,&nbsp;Jean-Pierre Laurens,&nbsp;Jean-Luc Payrouse,&nbsp;Xavier H\u00e9buterne,&nbsp;Thierry Piche<a href=\"https:\/\/translate.google.com\/about\/intl\/en_ALL\/\"><\/a><a href=\"https:\/\/translate.google.com\/community?source=web\"><\/a><a href=\"https:\/\/www.google.com\/policies\"><\/a><\/p>\n\n\n\n<p>Publi\u00e9 dans l&rsquo; European Journal of Gastroenterology &amp; Hepatology 2012 Aug;24(8):944-9<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Contexte: <\/h3>\n\n\n\n<p>Les auteurs de cette \u00e9tude pilote constatent que les patients souffrant de syndrome du colon irritable ont un int\u00e9r\u00eat grandissant pour les m\u00e9decines alternatives, y compris l&rsquo;ost\u00e9opathie. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Objectif:<\/h3>\n\n\n\n<p> \u00e9valuer l&rsquo;effet d&rsquo;une prise en charge ost\u00e9opathique sur la s\u00e9v\u00e9rit\u00e9 du syndrome du colon irritable dans une \u00e9tude contr\u00f4l\u00e9e randomis\u00e9e avec traitement placebo.<\/p>\n\n\n\n<p>M\u00e9thode: Les auteurs ont inclus prospectivement 30 patients atteints de syndrome de l&rsquo;intestin irritable (23 femmes, 7 hommes, \u00e2ge moyen 45,8 \u00b1 16,4 ans) r\u00e9pondant aux crit\u00e8res de Rome III. Les patients ont \u00e9t\u00e9 randomis\u00e9s avec un rapport 2\/1 pour recevoir soit l&rsquo;ost\u00e9opathie soit un placebo ost\u00e9opathique (20 patients trait\u00e9s par ost\u00e9opathie \/ 10 patients trait\u00e9 par un placebo). Deux consultations ont \u00e9t\u00e9 effectu\u00e9es dans les deux groupes avec un intervalle de 7 jours (consultation \u00e0 JO et consultation \u00e0 J7). Les patients ont \u00e9t\u00e9 suivis sur une p\u00e9riode de 3 semaines (jusqu&rsquo;\u00e0 J28). Le crit\u00e8re de jugement principal \u00e9tait l&rsquo;am\u00e9lioration d&rsquo;au moins 25 % du score de s\u00e9v\u00e9rit\u00e9 SII \u00e0 J7 (score des sympt\u00f4mes sp\u00e9cifiques du Syndrome de l&rsquo;intestin irritable). Les crit\u00e8res de jugement secondaires \u00e9taient l&rsquo;impact sur la qualit\u00e9 de la vie, sur des facteurs psychologiques, et sur les habitudes de d\u00e9f\u00e9cation.<br>Le score de s\u00e9v\u00e9rit\u00e9 SII est un score des sympt\u00f4mes sp\u00e9cifiques du SII (IBS symptom severity scale). Cette \u00e9chelle \u00e9value la s\u00e9v\u00e9rit\u00e9 des plaintes et leur impact sur la qualit\u00e9 de vie. Un score de 75-174 = sympt\u00f4mes l\u00e9gers, de 175-299 = sympt\u00f4mes mod\u00e9r\u00e9ment s\u00e9v\u00e8res, de 300-500 = sympt\u00f4mes s\u00e9v\u00e8res. Ainsi une baisse de 25 % du score de s\u00e9v\u00e9rit\u00e9 correspond \u00e0 une baisse de 125 points.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-rounded\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"684\" src=\"https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/09\/AdobeStock_171835187moitie-1024x684.jpg\" alt=\"mains sur ventre traitant troubles digestifs\" class=\"wp-image-76\" srcset=\"https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/09\/AdobeStock_171835187moitie-1024x684.jpg 1024w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/09\/AdobeStock_171835187moitie-300x200.jpg 300w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/09\/AdobeStock_171835187moitie-768x513.jpg 768w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/09\/AdobeStock_171835187moitie-1536x1025.jpg 1536w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/09\/AdobeStock_171835187moitie-2048x1367.jpg 2048w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/09\/AdobeStock_171835187moitie-1200x801.jpg 1200w, https:\/\/osteopathie-nice.fr\/wp-content\/uploads\/2020\/09\/AdobeStock_171835187moitie-1980x1322.jpg 1980w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">R\u00e9sultats: <\/h3>\n\n\n\n<p>Le score de s\u00e9v\u00e9rit\u00e9 a diminu\u00e9 dans les deux groupes \u00e0 J7 et J28. A J7, cette diminution \u00e9tait significativement plus marqu\u00e9e chez les patients recevant l&rsquo;ost\u00e9opathie par rapport \u00e0 ceux recevant la proc\u00e9dure placebo (-32,2 \u00b1 29,1 vs -9,0 \u00b1 -16,0, p=0,01). Cette diff\u00e9rence n&rsquo;a malheureusement pas persist\u00e9 \u00e0 J28 (p=0,4). L<\/p>\n\n\n\n<p>A J0 le score de s\u00e9v\u00e9rit\u00e9 du SII \u00e9tait de 304.5 (230-324) dans le groupe trait\u00e9 et 266 (230-289) dans le groupe placebo. Le groupe trait\u00e9 par ost\u00e9opathie a \u00e9t\u00e9 significativement am\u00e9lior\u00e9, la s\u00e9v\u00e9rit\u00e9 \u00e0 J7 \u00e9tait de 190 (111-190) et \u00e0 J28 de 229 (133-283), correspondant respectivement \u00e0 33,7% et 25, % d&rsquo;am\u00e9lioration. La procedure placebo a aussi r\u00e9duit la s\u00e9v\u00e9rit\u00e9 du SII \u00e0 16% \u00e0 J7 (228 (184-268)) et 24% \u00e0 J28 ( 191(152-270)) La r\u00e9duction du score de s\u00e9v\u00e9rit\u00e9 \u00e0 J7 \u00e9tait donc significativement plus prononc\u00e9 dans le groupe trait\u00e9 . Cependant la diff\u00e9rence n&rsquo;est plus significative \u00e0 J28.<\/p>\n\n\n\n<p>Se la m\u00eame fa\u00e7on que pour le score de s\u00e9v\u00e9rit\u00e9 l&rsquo;am\u00e9lioration de la qualit\u00e9 de vie \u00e9tait plus marqu\u00e9e \u00e0 J7 dans le groupe trait\u00e9 compar\u00e9 au placebo mais il n&rsquo;y a plus de diff\u00e9rence significatives \u00e0 J28.<\/p>\n\n\n\n<p>La fr\u00e9quence des selles et la consistance ne sont pas significativement modifi\u00e9es.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusion:<\/h3>\n\n\n\n<p>L&rsquo;ost\u00e9opathie semble diminuer la gravit\u00e9 des sympt\u00f4mes du SII et son impact sur la qualit\u00e9 de vie \u00e0 court terme. Malheureusement, aucune diff\u00e9rence statistiquement significative n&rsquo;a \u00e9t\u00e9 mise en \u00e9vidence \u00e0 J28. Le crit\u00e8re de juge-ment principal \u00e9tant ambitieux et les effectifs assez faibles, d&rsquo;autres recherches doivent \u00eatre men\u00e9es afin d&rsquo;\u00e9valuer l&rsquo;impact de l&rsquo;ost\u00e9opathie dans la prise en charge des sympt\u00f4mes du syndrome du colon irritable.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Le mot de l&rsquo;ost\u00e9opathe <a href=\"https:\/\/osteopathie-nice.fr\/index.php\/blanche-maelle-florance-osteopathe-a-nice\/\">Blanche-Ma\u00eblle FLORANCE<\/a>:<\/h2>\n\n\n\n<p>Cette \u00e9tude a \u00e9t\u00e9 r\u00e9alis\u00e9e entre 2008 et 2011 dans mes premi\u00e8res ann\u00e9es d&rsquo;exercice en tant qu&rsquo;ost\u00e9opathe. Les patients inclus dans l&rsquo;\u00e9tude venaient du CHU de Nice et \u00e9taient en moyenne avec un score de s\u00e9v\u00e9rit\u00e9 du SII dans la cat\u00e9gorie s\u00e9v\u00e8re. Ils \u00e9taient d\u00e9j\u00e0 sous traitement m\u00e9dical et les r\u00e9sultats montrent l&rsquo;effet de l&rsquo;ost\u00e9opathie en plus du traitement m\u00e9dical et non \u00e0 la place du traitement.<\/p>\n\n\n\n<p>Avec mon exp\u00e9rience de plus de 10 ans dans ce domaine, apr\u00e8s avoir re\u00e7u des centaines de patients atteints de troubles digestifs je constate que pour ces pathologies chroniques il faut un suivi de plusieurs s\u00e9ances pour que l&rsquo;effet dure dans le temps. Les symptomatologies et les histoires sont extr\u00eamement variables et j&rsquo;avance petit \u00e0 petit avec chaque patient. J&rsquo;adapte les s\u00e9ances et leur espacement en fonction de l&rsquo;am\u00e9lioration des sympt\u00f4mes.<\/p>\n\n\n\n<p>L&rsquo;ost\u00e9opathie traite le patient en globalit\u00e9 et am\u00e9liore tout l&rsquo;\u00e9tat g\u00e9n\u00e9ral. Les patients sont soulag\u00e9s non seulement au niveau digestif mais aussi de leur dos et tout leur corps. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9sum\u00e9 en anglais sur Pubmed. Blanche-Ma\u00eblle Florance&nbsp; 1 ,&nbsp;Gregory Frin,&nbsp;Raffaella Dainese,&nbsp;Marie-H\u00e9l\u00e8ne N\u00e9bot-Vivinus,&nbsp;Eug\u00e9nia Marine Barjoan,&nbsp;Sophie Marjoux,&nbsp;Jean-Pierre Laurens,&nbsp;Jean-Luc Payrouse,&nbsp;Xavier H\u00e9buterne,&nbsp;Thierry Piche Publi\u00e9 dans l&rsquo; European Journal of Gastroenterology &amp; Hepatology 2012 Aug;24(8):944-9 &hellip; <\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_focuskw":"L'ost\u00e9opathie am\u00e9liore la s\u00e9v\u00e9rit\u00e9 du syndrome de l'intestin irritable","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"L'ost\u00e9opathie am\u00e9liore la s\u00e9v\u00e9rit\u00e9 du syndrome de l'intestin irritable . Une \u00e9tude sur l'efficacit\u00e9 de l'ost\u00e9opathie r\u00e9alis\u00e9 \u00e0 Nice.","footnotes":""},"categories":[6,9],"tags":[],"class_list":["post-229","post","type-post","status-publish","format-standard","hentry","category-motifs-de-consultation","category-publication-scientifique"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>L&#8217;ost\u00e9opathie diminue la s\u00e9v\u00e9rit\u00e9 du syndrome de l&#8217;intestin irritable : Essai contr\u00f4l\u00e9 randomis\u00e9 pilote en simple aveugle - Ost\u00e9opathe Nice Centre - Blanche-Ma\u00eblleFlorance<\/title>\n<meta name=\"description\" content=\"L&#039;ost\u00e9opathie am\u00e9liore la s\u00e9v\u00e9rit\u00e9 du syndrome de l&#039;intestin irritable . 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