Cervicoscapulalgies Professionnelles by Bernard Fouquet

By Bernard Fouquet

Les cervicoscapulalgies peuvent être reconnues comme maladies professionnelles "hors tableaux de l. a. sécurité sociale" dans de nombreuses professions où le rachis cervical est exposé.
En outre, ces pathologies sont souvent associées à des affections de l'épaule - officiellement reconnues parmi les problems musculo-squelettiques (TMS).

- Une problématique proche des TMS, préoccupation de santé majeure
- Des pathologies fréquentes et dont los angeles gravité suscite de plus en plus d'attention

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Extra resources for Cervicoscapulalgies Professionnelles

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Pain 2009 ; 144 : 147-55. 11 Sjors A, Larsson B, Dahlman J, Falkmer T, Gerdle B. Physiological responses to low-force work and psychosocial stress in women with chronic trapezius myalgia. BMC Musculoskeletal Disorders 2009 ; 10 : 63. 12 Larsson B, Rosendal L, Kristiansen J, Sjogaard G, Sogaard K, Ghafouri B, Abdiu A, Kjaer M, Gerdle B. Responses of algesic and metabolic substances to 8h of repetitive manual work in myalgic human trapezius muscle Pain 2008 ; 140 : 479-90. M. Valtat1 1. Fédération de médecine physique et de réadaptation, hôpital Trousseau, CHU de Tours, 37004 Tours cedex, France.

4 Hägg GM. Human muscle fibre abnormalities related to occupational load. Eur J Appl Physiol 2000 ; 83 : 159-65. 5 Flodgren GM, Hellstrom FB, Fahlstrom M, Crenshaw AG. Effects of 30 versus 60 min of low-load work on intramuscular lactate, pyruvate, glutamate, prostaglandin E2 and oygenation in the trapezius muscle of healthy females. Eur J Appl Physiol 2006 ; 97 : 557-65. 6 Rosendal L, Larsson B, Kristiansen J. Increase in muscle nociceptive substances and anaerobic metabolism in patients with trapezius myalgia : microdialysis in rest and during exercice.

Le syndrome myofascial des scalènes réfère ses douleurs dans la région scapulaire ainsi que dans la région péri et sous-claviculaire. Cependant, l’essentiel des douleurs référées se situe en distalité du membre supérieur selon un trajet C8 pouvant faire évoquer un syndrome de défilé cervico-thoraco-brachial concernant classiquement une irradiation D1 et auquel il est souvent intriqué du fait de la tension de ces muscles liée au syndrome myofascial. La douleur référée du syndrome myofascial du muscle sterno-cléido-mastoïdien se situe essentiellement au crâne, notamment dans la région occipitale ainsi que dans la région périorbitaire.

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