{"id":1013,"date":"2025-06-21T19:19:13","date_gmt":"2025-06-21T17:19:13","guid":{"rendered":"https:\/\/osteopathe-sendao.fr\/?p=1013"},"modified":"2025-07-06T14:21:35","modified_gmt":"2025-07-06T12:21:35","slug":"rehman-y-et-al-osteopathic-manipulative-treatment-for-chronic-non-cancer-pain-a-systematic-review-and-meta-analysis-jaoa-2020","status":"publish","type":"post","link":"https:\/\/osteopathe-sendao.fr\/index.php\/2025\/06\/21\/rehman-y-et-al-osteopathic-manipulative-treatment-for-chronic-non-cancer-pain-a-systematic-review-and-meta-analysis-jaoa-2020\/","title":{"rendered":"Traitement ost\u00e9opathique des douleurs chroniques non canc\u00e9reuses :  m\u00e9ta-analyse (Rehman et al., JAOA, 2020)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1013\" class=\"elementor elementor-1013\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c3601f1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c3601f1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-43ca47b\" data-id=\"43ca47b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f953b75 elementor-widget elementor-widget-text-editor\" data-id=\"f953b75\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La douleur chronique non canc\u00e9reuse (DNCC) touche de nombreuses personnes, impactant leur qualit\u00e9 de vie, leur capacit\u00e9 \u00e0 travailler et leur bien-\u00eatre global. Face \u00e0 ce fl\u00e9au, l\u2019ost\u00e9opathie est de plus en plus sollicit\u00e9e. Mais qu\u2019en dit la science ?<\/p><p>Une \u00e9tude r\u00e9cente, publi\u00e9e dans le <em>Journal of the American Osteopathic Association<\/em> (JAOA) en 2020 par Rehman et al., s\u2019est pench\u00e9e sur l\u2019efficacit\u00e9 du traitement ost\u00e9opathique manuel (OMT) pour soulager la douleur chronique non canc\u00e9reuse<a href=\"#fn1\"><sup>[1]<\/sup><\/a><a href=\"#fn2\"><sup>[2]<\/sup><\/a><a href=\"#fn3\"><sup>[3]<\/sup><\/a>.<\/p><p><strong>M\u00e9thodologie : une analyse rigoureuse<\/strong><\/p><p>Les auteurs ont men\u00e9 une revue syst\u00e9matique et une m\u00e9ta-analyse regroupant les r\u00e9sultats de 16 essais cliniques randomis\u00e9s, portant sur 1 158 patients adultes. Les \u00e9tudes analys\u00e9es comparaient l\u2019OMT \u00e0 d\u2019autres traitements standards, \u00e0 la kin\u00e9sith\u00e9rapie, \u00e0 des exercices ou \u00e0 des approches pharmacologiques.<\/p><p>La qualit\u00e9 des preuves a \u00e9t\u00e9 \u00e9valu\u00e9e selon la m\u00e9thode GRADE, et le risque de biais a \u00e9t\u00e9 contr\u00f4l\u00e9 avec des outils reconnus.<\/p><p><strong>R\u00e9sultats : efficacit\u00e9 sup\u00e9rieure de l\u2019ost\u00e9opathie<\/strong><\/p><ul><li><strong>R\u00e9duction de la douleur et du handicap<\/strong> : L\u2019OMT s\u2019est r\u00e9v\u00e9l\u00e9e plus efficace que les soins standards pour r\u00e9duire la douleur et le handicap, avec une am\u00e9lioration notable de la qualit\u00e9 de vie.<\/li><li><strong>Effet renforc\u00e9 par l\u2019exercice<\/strong> : Lorsque l\u2019OMT \u00e9tait associ\u00e9e \u00e0 des exercices, la r\u00e9duction de la douleur et du handicap \u00e9tait encore plus marqu\u00e9e.<\/li><li><strong>Techniques sp\u00e9cifiques<\/strong> : L\u2019OMT visc\u00e9rale (manipulations des organes internes) a montr\u00e9 une efficacit\u00e9 sup\u00e9rieure \u00e0 l\u2019OMT g\u00e9n\u00e9rale pour r\u00e9duire la douleur et le handicap.<\/li><li><strong>Pas d\u2019avantage sur la kin\u00e9sith\u00e9rapie ou certains m\u00e9dicaments<\/strong> : L\u2019OMT seule n\u2019a pas montr\u00e9 de sup\u00e9riorit\u00e9 par rapport \u00e0 la kin\u00e9sith\u00e9rapie ou \u00e0 certains traitements m\u00e9dicamenteux comme la gabapentine.<\/li><li><strong>Retour au travail<\/strong> : L\u2019OMT a permis un retour au travail plus rapide \u00e0 8 semaines, mais cet effet n\u2019\u00e9tait plus significatif \u00e0 12 semaines.<\/li><\/ul><p><strong>S\u00e9curit\u00e9 et tol\u00e9rance<\/strong><\/p><p>Les \u00e9tudes analys\u00e9es n\u2019ont pas rapport\u00e9 d\u2019effets secondaires graves li\u00e9s \u00e0 l\u2019OMT, confirmant la bonne tol\u00e9rance de cette approche<a href=\"#fn4\"><sup>[4]<\/sup><\/a><a href=\"#fn3\"><sup>[3]<\/sup><\/a>.<\/p><p><strong>Conclusion<\/strong><\/p><p>L\u2019ost\u00e9opathie appara\u00eet comme une option efficace et s\u00fbre pour soulager la douleur chronique non canc\u00e9reuse, notamment lorsqu\u2019elle est associ\u00e9e \u00e0 des exercices physiques. Les preuves actuelles sont de qualit\u00e9 mod\u00e9r\u00e9e, ce qui signifie que des \u00e9tudes suppl\u00e9mentaires, avec des effectifs plus importants, sont n\u00e9cessaires pour confirmer ces r\u00e9sultats.<\/p><p>En attendant, l\u2019OMT peut \u00eatre envisag\u00e9e comme une approche compl\u00e9mentaire pour am\u00e9liorer la qualit\u00e9 de vie des patients souffrant de douleurs chroniques.<\/p><p><strong>R\u00e9f\u00e9rence de l\u2019\u00e9tude<\/strong><br \/>Rehman Y. et al., Osteopathic manipulative treatment for chronic non-cancer pain: a systematic review and meta-analysis, <em>Journal of the American Osteopathic Association (JAOA)<\/em>, 2020<a href=\"#fn1\"><sup>[1]<\/sup><\/a><a href=\"#fn2\"><sup>[2]<\/sup><\/a><a href=\"#fn3\"><sup>[3]<\/sup><\/a>.<\/p><ol><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32946545\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32946545\/<\/a><\/li><li><a href=\"https:\/\/www.degruyterbrill.com\/document\/doi\/10.7556\/jaoa.2020.128\/html\">https:\/\/www.degruyterbrill.com\/document\/doi\/10.7556\/jaoa.2020.128\/html<\/a><\/li><li><a href=\"https:\/\/www.osteopotomac.com\/post\/omt-for-chronic-pain-the-evidence-builds\">https:\/\/www.osteopotomac.com\/post\/omt-for-chronic-pain-the-evidence-builds<\/a><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33721921\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/33721921\/<\/a><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>La douleur chronique non canc\u00e9reuse (DNCC) touche de nombreuses personnes, impactant leur qualit\u00e9 de vie, leur capacit\u00e9 \u00e0 travailler et leur bien-\u00eatre global. Face \u00e0 ce fl\u00e9au, l\u2019ost\u00e9opathie est de plus en plus sollicit\u00e9e. Mais qu\u2019en dit la science ? Une \u00e9tude r\u00e9cente, publi\u00e9e dans le Journal of the American Osteopathic Association (JAOA) en 2020 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"on","ocean_gallery_id":[],"footnotes":""},"categories":[7],"tags":[],"class_list":["post-1013","post","type-post","status-publish","format-standard","hentry","category-blog","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Traitement ost\u00e9opathique des douleurs chroniques non canc\u00e9reuses : m\u00e9ta-analyse (Rehman et al., JAOA, 2020) - Carlos SENDAO Ost\u00e9opathe DO MROF<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/osteopathe-sendao.fr\/index.php\/2025\/06\/21\/rehman-y-et-al-osteopathic-manipulative-treatment-for-chronic-non-cancer-pain-a-systematic-review-and-meta-analysis-jaoa-2020\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Traitement ost\u00e9opathique des douleurs chroniques non canc\u00e9reuses : m\u00e9ta-analyse (Rehman et al., JAOA, 2020) - Carlos SENDAO Ost\u00e9opathe DO MROF\" \/>\n<meta property=\"og:description\" content=\"La douleur chronique non canc\u00e9reuse (DNCC) touche de nombreuses personnes, impactant leur qualit\u00e9 de vie, leur capacit\u00e9 \u00e0 travailler et leur bien-\u00eatre global. 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