Presque tout le monde le sait, les exercices, c’est bon pour les douleurs, ou en tout cas, c’est ce que semblent indiquer les preuves actuelles[1]Babatunde, O. O., Jordan, J. L., Van der Windt, D. A., Hill, J. C., Foster, N. E., & Protheroe, J. (2017). Effective treatment options for musculoskeletal pain in primary care: A systematic … Continue reading [2]Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. The … Continue reading. En fait, cela peut même améliorer la douleur instantanément. Vous avez mal, vous faites un exercice, et hop vous avez moins mal. C’est ce qu’on appelle l’hypoalgésie induite par l’exercice[3]Da Silva Santos, R., & Galdino, G. (2018). Endogenous systems involved in exercise-induced analgesia. Journal of Physiology and Pharmacology : An Official Journal of the Polish Physiological … Continue reading.
Comment favoriser l’hypoalgésie induite par l’exercice
Pour la favoriser au maximum, nous avons quelques recherches débutantes qui nous donnent les règles qui vont suivre. Prenez bien garde, ces règles ne sont pas immuables. Au contraire, elles sont basées sur de faibles preuves, mais ce sont les meilleures que nous ayons actuellement.
- Travailler dans une région proche de la zone douloureuse[4]Vaegter, H. B., Lyng, K. D., Yttereng, F. W., Christensen, M. H., Sørensen, M. B., & Graven-Nielsen, T. (2018). Exercise-Induced Hypoalgesia After Isometric Wall Squat Exercise: A Test-Retest … Continue reading.
- S’arranger pour que l’exercice ne redéclenche pas la douleur qu’on cherche à changer[5]Lannersten, L., & Kosek, E. (2010). Dysfunction of endogenous pain inhibition during exercise with painful muscles in patients with shoulder myalgia and fibromyalgia. Pain, 151(1), 77–86..
- Utiliser une intensité suffisante, la plus forte possible[6]Misra, G., Paris, T. A., Archer, D. B., & Coombes, S. A. (2014). Dose-Response Effect of Isometric Force Production on the Perception of Pain. PLoS ONE, 9(2), e88105., pour activer le système nerveux sympathique[7]Smith, B. E., Hendrick, P., Bateman, M., Holden, S., Littlewood, C., Smith, T. O., & Logan, P. (2018). Musculoskeletal pain and exercise—challenging existing paradigms and introducing new. Br J … Continue reading. Assez pour qu’on puisse voir une augmentation de la tension artérielle[8]Oosterwijck, J. Van, Marusic, U., De Wandele, I., Paul, L., Meeus, M., Moorkens, G., … Nijs, J. (2017). The Role of Autonomic Function in Exercise-induced Endogenous Analgesia: A Case-control Study … Continue reading et de la vascularisation de la zone[9]Jones, M. D., Taylor, J. L., & Barry, B. K. (2017). Occlusion of blood flow attenuates exercise-induced hypoalgesia in the occluded limb of healthy adults. Journal of Applied Physiology, 122(5), … Continue reading.
- Privilégier l’isométrique[10]Smith, A., Ritchie, C., Pedler, A., McCamley, K., Roberts, K., & Sterling, M. (2017). Exercise induced hypoalgesia is elicited by isometric, but not aerobic exercise in individuals with chronic … Continue reading [11]Rio, E., Van Ark, M., Docking, S., Moseley, G. L., Kidgell, D., Gaida, J. E., … Cook, J. (2017). Isometric contractions are more analgesic than isotonic contractions for patellar tendon pain: An … Continue reading mais certaines personnes bénéficieront plus d’autres modes de contraction comme l’isotonique[12]https://clinicaltrials.gov/ct2/show/NCT03528746 [13]Riel, H., Vicenzino, B., Jensen, M. B., Olesen, J. L., Holden, S., & Rathleff, M. S. (2018). The effect of isometric exercise on pain in individuals with plantar fasciopathy: A randomized … Continue reading ou même l’exercice général aérobie.
- S’il déclenche des douleurs dans une région éloignée c’est même encore mieux[14]Alsouhibani, A., Vaegter, H. B., & Hoeger Bement, M. (2018). Systemic Exercise-Induced Hypoalgesia Following Isometric Exercise Reduces Conditioned Pain Modulation. Pain Medicine..
Même en respectant ces règles, il est possible que vous ne puissiez pas déclencher l’HIE à chaque séance. Heureusement, ce n’est qu’un tout petit effet des exercices sur la douleur, d’autres entrent sûrement en jeu.
References
| ↑1 | Babatunde, O. O., Jordan, J. L., Van der Windt, D. A., Hill, J. C., Foster, N. E., & Protheroe, J. (2017). Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PloS one, 12(6), e0178621. |
|---|---|
| ↑2 | Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. The Cochrane database of systematic reviews, 4(4), CD011279. |
| ↑3 | Da Silva Santos, R., & Galdino, G. (2018). Endogenous systems involved in exercise-induced analgesia. Journal of Physiology and Pharmacology : An Official Journal of the Polish Physiological Society, 69(1), 3–13. |
| ↑4 | Vaegter, H. B., Lyng, K. D., Yttereng, F. W., Christensen, M. H., Sørensen, M. B., & Graven-Nielsen, T. (2018). Exercise-Induced Hypoalgesia After Isometric Wall Squat Exercise: A Test-Retest Reliabilty Study. Pain Medicine. |
| ↑5 | Lannersten, L., & Kosek, E. (2010). Dysfunction of endogenous pain inhibition during exercise with painful muscles in patients with shoulder myalgia and fibromyalgia. Pain, 151(1), 77–86. |
| ↑6 | Misra, G., Paris, T. A., Archer, D. B., & Coombes, S. A. (2014). Dose-Response Effect of Isometric Force Production on the Perception of Pain. PLoS ONE, 9(2), e88105. |
| ↑7 | Smith, B. E., Hendrick, P., Bateman, M., Holden, S., Littlewood, C., Smith, T. O., & Logan, P. (2018). Musculoskeletal pain and exercise—challenging existing paradigms and introducing new. Br J Sports Med, bjsports-2017-098983. |
| ↑8 | Oosterwijck, J. Van, Marusic, U., De Wandele, I., Paul, L., Meeus, M., Moorkens, G., … Nijs, J. (2017). The Role of Autonomic Function in Exercise-induced Endogenous Analgesia: A Case-control Study in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and Healthy People. Pain Physician, 20(3), E389–E399. |
| ↑9 | Jones, M. D., Taylor, J. L., & Barry, B. K. (2017). Occlusion of blood flow attenuates exercise-induced hypoalgesia in the occluded limb of healthy adults. Journal of Applied Physiology, 122(5), 1284–1291. |
| ↑10 | Smith, A., Ritchie, C., Pedler, A., McCamley, K., Roberts, K., & Sterling, M. (2017). Exercise induced hypoalgesia is elicited by isometric, but not aerobic exercise in individuals with chronic whiplash associated disorders. Scandinavian Journal of Pain, 15(1), 14–21. |
| ↑11 | Rio, E., Van Ark, M., Docking, S., Moseley, G. L., Kidgell, D., Gaida, J. E., … Cook, J. (2017). Isometric contractions are more analgesic than isotonic contractions for patellar tendon pain: An in-season randomized clinical trial. Clinical Journal of Sport Medicine, 27(3), 253–259. |
| ↑12 | https://clinicaltrials.gov/ct2/show/NCT03528746 |
| ↑13 | Riel, H., Vicenzino, B., Jensen, M. B., Olesen, J. L., Holden, S., & Rathleff, M. S. (2018). The effect of isometric exercise on pain in individuals with plantar fasciopathy: A randomized crossover trial. Scandinavian Journal of Medicine & Science in Sports, 28(12), 2643–2650. |
| ↑14 | Alsouhibani, A., Vaegter, H. B., & Hoeger Bement, M. (2018). Systemic Exercise-Induced Hypoalgesia Following Isometric Exercise Reduces Conditioned Pain Modulation. Pain Medicine. |
