{"id":144890,"date":"2025-06-20T09:00:20","date_gmt":"2025-06-20T13:00:20","guid":{"rendered":"https:\/\/wfh.org\/?p=144890"},"modified":"2025-06-23T11:56:38","modified_gmt":"2025-06-23T15:56:38","slug":"integrer-la-therapie-myofasciale-et-comprendre-ce-quest-la-vie-au-dela-des-saignements","status":"publish","type":"post","link":"https:\/\/wfh.org\/fr\/article\/integrer-la-therapie-myofasciale-et-comprendre-ce-quest-la-vie-au-dela-des-saignements\/","title":{"rendered":"Int\u00e9grer la th\u00e9rapie myofasciale et comprendre ce qu\u2019est la vie au-del\u00e0 des saignements"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"144890\" class=\"elementor elementor-144890 elementor-144419\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-05610cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"05610cb\" 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-3fe8e61\" data-id=\"3fe8e61\" 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-dbffadc elementor-widget elementor-widget-text-editor\" data-id=\"dbffadc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 25-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Cette \u00e9tude, intitul\u00e9e \u00ab\u00a0Effectiveness of myofascial therapy (MFT) along with traditional physiotherapy and intermittent prophylaxis on short-term improvement of joint health in hemophilic arthropathy: a randomized control trial\u00a0\u00bb (Efficacit\u00e9 de la th\u00e9rapie myofasciale conjointement \u00e0 la kin\u00e9sith\u00e9rapie traditionnelle et \u00e0 la prophylaxie intermittente sur l\u2019am\u00e9lioration \u00e0 court terme de la sant\u00e9 articulaire en cas d\u2019arthropathie h\u00e9mophilique\u00a0: essai contr\u00f4l\u00e9 randomis\u00e9), a \u00e9t\u00e9 financ\u00e9e par le Registre mondial des troubles de la coagulation (RMTC) par l\u2019interm\u00e9diaire de son <a href=\"https:\/\/wfh.org\/fr\/demander-une-bourse-ou-une-subvention\/programme-de-soutien-a-la-recherche-du-rmtc\/\" target=\"_blank\" rel=\"noopener\">Programme de soutien \u00e0 la recherche<\/a>. Le but \u00e9tait d\u2019\u00e9tudier le potentiel de la th\u00e9rapie myofasciale associ\u00e9e \u00e0 la kin\u00e9sith\u00e9rapie traditionnelle et \u00e0 la prophylaxie intermittente, afin d\u2019am\u00e9liorer la sant\u00e9 articulaire des personnes atteintes d\u2019h\u00e9mophilie A et d\u2019arthropathie, en particulier au niveau des coudes et des genoux. La th\u00e9rapie myofasciale est une technique de th\u00e9rapie manuelle qui vise \u00e0 soulager la douleur et \u00e0 r\u00e9tablir la mobilit\u00e9 en ciblant les tissus myofasciaux, c\u2019est-\u00e0-dire les membranes fines mais solides qui entourent et relient entre eux les muscles, les os et les organes.<\/p>\n<p>Malgr\u00e9 la disponibilit\u00e9 de plus en plus grande de la th\u00e9rapie substitutive, de nombreuses personne atteintes d\u2019h\u00e9mophilie et leurs familles continuent \u00e0 rencontrer des obstacles qui vont bien au-del\u00e0 des sympt\u00f4mes physiques. Cet essai clinique contr\u00f4l\u00e9 randomis\u00e9 visait \u00e0 documenter l\u2019exp\u00e9rience des personnes atteintes d\u2019h\u00e9mophilie et l\u2019am\u00e9lioration de leur sant\u00e9 articulaire par l\u2019administration de th\u00e9rapie myofasciale associ\u00e9e \u00e0 une prophylaxie intermittente.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3b95a5b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b95a5b\" 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-inner-column elementor-element elementor-element-5760898\" data-id=\"5760898\" 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-ab87a01 elementor-widget elementor-widget-image\" data-id=\"ab87a01\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 25-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/wfh.org\/wp-content\/uploads\/2025\/06\/Integrating-myofascial-therapy-and-understanding-life-beyond-the-bleeds-image.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Integrating-myofascial-therapy-and-understanding-life-beyond-the-bleeds-(image)\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTQ0NDI4LCJ1cmwiOiJodHRwczpcL1wvd2ZoLm9yZ1wvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMDZcL0ludGVncmF0aW5nLW15b2Zhc2NpYWwtdGhlcmFweS1hbmQtdW5kZXJzdGFuZGluZy1saWZlLWJleW9uZC10aGUtYmxlZWRzLWltYWdlLmpwZyJ9\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"453\" height=\"583\" src=\"https:\/\/wfh.org\/wp-content\/uploads\/2025\/06\/Integrating-myofascial-therapy-and-understanding-life-beyond-the-bleeds-image.jpg\" class=\"attachment-full size-full wp-image-144428\" alt=\"Induction maneuver (cross hand technique) for a) elbow arthropathy, hands over brachial region and anterior aspect of forearm; c) knee arthropathy, hands above popliteal region and back of leg; and telescopic maneuver for b) upper limb and d) lower limb.\" srcset=\"https:\/\/wfh.org\/wp-content\/uploads\/2025\/06\/Integrating-myofascial-therapy-and-understanding-life-beyond-the-bleeds-image.jpg 453w, https:\/\/wfh.org\/wp-content\/uploads\/2025\/06\/Integrating-myofascial-therapy-and-understanding-life-beyond-the-bleeds-image-84x108.jpg 84w\" sizes=\"(max-width: 453px) 100vw, 453px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Man\u0153uvre d\u2019induction (technique des mains crois\u00e9es) pour a) une arthropathie du coude, mains sur la r\u00e9gion brachiale et aspect ant\u00e9rieur de l\u2019avant-bras ; c) arthropathie du genou, mains sur la r\u00e9gion poplit\u00e9e et l\u2019arri\u00e8re de la jambe ; et man\u0153uvre t\u00e9lescopique pour b) le membre sup\u00e9rieur et d) le membre inf\u00e9rieur.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9c679dc elementor-widget elementor-widget-spacer\" data-id=\"9c679dc\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 25-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\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 class=\"elementor-element elementor-element-9137f0d elementor-widget elementor-widget-text-editor\" data-id=\"9137f0d\" 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<p>Conduite au CTH Ludhiana, l\u2019essai a rassembl\u00e9 31 patient\u00b7es pr\u00e9sentant une h\u00e9mophilie A. Ils et elles ont \u00e9t\u00e9 al\u00e9atoirement r\u00e9parti\u00b7es en deux groupes\u00a0: l\u2019un a re\u00e7u une th\u00e9rapie myofasciale en conjonction avec la kin\u00e9sith\u00e9rapie traditionnelle, et l\u2019autre seulement la kin\u00e9sith\u00e9rapie. Les deux groupes se sont rendus \u00e0 des s\u00e9ances quatre fois par semaine pendant trois semaines, et se sont vu administrer une prophylaxie de FVIII deux fois par semaine. Des \u00e9valuations de sant\u00e9 articulaire ont \u00e9t\u00e9 men\u00e9es aux jours 0, 10 et 21, \u00e0 l\u2019aide du Hemophilia Joint Health Score (HJHS), du Functional Independence Score for Hemophilia (FISH), et des mesures d\u2019amplitude de mouvement (ROM).<\/p>\n<p>Selon les r\u00e9sultats de l\u2019\u00e9tude, la sant\u00e9 articulaire \u00e9tait meilleure apr\u00e8s la th\u00e9rapie myofasciale, en particulier pour les genoux. Le groupe qui a b\u00e9n\u00e9fici\u00e9 d\u2019une th\u00e9rapie myofasciale a d\u00e9montr\u00e9 de plus grandes am\u00e9liorations que le groupe contr\u00f4le, avec de grands progr\u00e8s des scores articulaires et d\u2019amplitude de mouvement. La souplesse des genoux et des coudes s\u2019est am\u00e9lior\u00e9e plus fortement au sein du groupe ayant re\u00e7u une th\u00e9rapie myofasciale, bien que seuls les progr\u00e8s li\u00e9s au genou soient significatifs. Les deux groupes ont vu une am\u00e9lioration de leur capacit\u00e9 quotidienne, et le groupe contr\u00f4le a montr\u00e9 des am\u00e9liorations l\u00e9g\u00e8rement sup\u00e9rieures.<\/p>\n<p>Les r\u00e9sultats montrent la faisabilit\u00e9 et l\u2019efficacit\u00e9 \u00e0 court terme de la th\u00e9rapie myofasciale comme auxiliaire \u00e0 la th\u00e9rapie conventionnelle, en particulier dans les environnements disposant de ressources limit\u00e9es. Comme le montre le travail de l\u2019\u00e9quipe du CTH Ludhiana, des soins efficaces ne n\u00e9cessitent pas toujours une technologie co\u00fbteuse. Gr\u00e2ce \u00e0 la continuit\u00e9 des recherches, de la formation et de la collaboration, ce mod\u00e8le d\u2019approche centr\u00e9e sur le patient pourrait am\u00e9liorer les r\u00e9sultats de sant\u00e9, faire \u00e9voluer la pratique clinique et r\u00e9duire les disparit\u00e9s dans la prise en charge de l\u2019h\u00e9mophilie au niveau mondial.<\/p>\n<p>L\u2019\u00e9tude \u00ab\u00a0Effectiveness of myofascial therapy (MFT) along with traditional physiotherapy and intermittent prophylaxis on short-term improvement of joint health in hemophilic arthropathy: a randomized control trial\u00a0\u00bb a \u00e9t\u00e9 publi\u00e9e dans son int\u00e9gralit\u00e9 dans l\u2019<em>Expert Review of Hematology<\/em>\u00a0; elle est disponible <a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/17474086.2025.2495674\" target=\"_blank\" rel=\"noopener\">ici<\/a> (en anglais).<\/p>\n<p>Pour en savoir plus sur le Registre mondial des troubles de la coagulation (RMTC), <a href=\"https:\/\/wfh.org\/fr\/recherche-et-collecte-de-donnees\/registre-mondial-des-troubles-de-la-coagulation\/\" target=\"_blank\" rel=\"noopener\">cliquez ici<\/a>. Pour en savoir plus sur le Programme de soutien \u00e0 la recherche, <a href=\"https:\/\/wfh.org\/fr\/demander-une-bourse-ou-une-subvention\/programme-de-soutien-a-la-recherche-du-rmtc\/\" target=\"_blank\" rel=\"noopener\">c\u2019est ici<\/a>.<\/p>\n<p>&nbsp;<\/p>\n\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>Vivre avec l\u2019h\u00e9mophilie, c\u2019est beaucoup plus que g\u00e9rer les saignements. Les personnes atteintes d\u2019h\u00e9mophilie, en particulier dans les contextes \u00e0 faibles ressources comme l\u2019Inde, doivent non seulement faire face \u00e0 des probl\u00e8mes physiques comme les douleurs articulaires et une mobilit\u00e9 r\u00e9duite mais aussi \u00e0 des difficult\u00e9s sociales, \u00e9motionnelles et financi\u00e8res. Pour leurs aidant\u00b7es, les difficult\u00e9s sont tout aussi pr\u00e9sentes. Ayant admis le besoin d\u2019une approche de soins plus int\u00e9gr\u00e9s, le centre de traitement de l\u2019h\u00e9mophilie (CTH) du Christian Medical College and Hospital de Ludhiana (CTH Ludhiana), en Inde, a men\u00e9 une initiative de recherche centr\u00e9e sur la r\u00e9\u00e9ducation par la kin\u00e9sith\u00e9rapie, tout en explorant l\u2019exp\u00e9rience quotidienne des personnes atteintes d\u2019h\u00e9mophilie et de leurs familles. <\/p>\n","protected":false},"author":13,"featured_media":144422,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[338],"tags":[],"search-category":[85],"class_list":["post-144890","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured-3-fr","search-category-article"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.4 (Yoast SEO v23.4) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Int\u00e9grer la th\u00e9rapie myofasciale et comprendre ce qu\u2019est la vie au-del\u00e0 des saignements | FMH - F\u00e9d\u00e9ration mondiale de l\u2019h\u00e9mophilie<\/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:\/\/wfh.org\/fr\/article\/integrer-la-therapie-myofasciale-et-comprendre-ce-quest-la-vie-au-dela-des-saignements\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Int\u00e9grer la th\u00e9rapie myofasciale et comprendre ce qu\u2019est la vie au-del\u00e0 des saignements\" \/>\n<meta property=\"og:description\" content=\"Vivre avec l\u2019h\u00e9mophilie, c\u2019est beaucoup plus que g\u00e9rer les saignements. Les personnes atteintes d\u2019h\u00e9mophilie, en particulier dans les contextes \u00e0 faibles ressources comme l\u2019Inde, doivent non seulement faire face \u00e0 des probl\u00e8mes physiques comme les douleurs articulaires et une mobilit\u00e9 r\u00e9duite mais aussi \u00e0 des difficult\u00e9s sociales, \u00e9motionnelles et financi\u00e8res. Pour leurs aidant\u00b7es, les difficult\u00e9s sont tout aussi pr\u00e9sentes. Ayant admis le besoin d\u2019une approche de soins plus int\u00e9gr\u00e9s, le centre de traitement de l\u2019h\u00e9mophilie (CTH) du Christian Medical College and Hospital de Ludhiana (CTH Ludhiana), en Inde, a men\u00e9 une initiative de recherche centr\u00e9e sur la r\u00e9\u00e9ducation par la kin\u00e9sith\u00e9rapie, tout en explorant l\u2019exp\u00e9rience quotidienne des personnes atteintes d\u2019h\u00e9mophilie et de leurs familles.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/wfh.org\/fr\/article\/integrer-la-therapie-myofasciale-et-comprendre-ce-quest-la-vie-au-dela-des-saignements\/\" \/>\n<meta property=\"og:site_name\" content=\"FMH - F\u00e9d\u00e9ration mondiale de l\u2019h\u00e9mophilie\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/wfhemophilia\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-06-20T13:00:20+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-06-23T15:56:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/wfh.org\/wp-content\/uploads\/2025\/06\/Integrating-myofascial-therapy-and-understanding-life-beyond-the-bleeds-header.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Mitch Semienchuk\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mitch Semienchuk\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/wfh.org\/fr\/article\/integrer-la-therapie-myofasciale-et-comprendre-ce-quest-la-vie-au-dela-des-saignements\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/wfh.org\/fr\/article\/integrer-la-therapie-myofasciale-et-comprendre-ce-quest-la-vie-au-dela-des-saignements\/\"},\"author\":{\"name\":\"Mitch Semienchuk\",\"@id\":\"https:\/\/wfh.org\/fr\/#\/schema\/person\/f57928f0dd0ca8906b81082895256d8f\"},\"headline\":\"Int\u00e9grer la th\u00e9rapie myofasciale et comprendre ce qu\u2019est la vie au-del\u00e0 des saignements\",\"datePublished\":\"2025-06-20T13:00:20+00:00\",\"dateModified\":\"2025-06-23T15:56:38+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/wfh.org\/fr\/article\/integrer-la-therapie-myofasciale-et-comprendre-ce-quest-la-vie-au-dela-des-saignements\/\"},\"wordCount\":767,\"publisher\":{\"@id\":\"https:\/\/wfh.org\/fr\/#organization\"},\"image\":{\"@id\":\"https:\/\/wfh.org\/fr\/article\/integrer-la-therapie-myofasciale-et-comprendre-ce-quest-la-vie-au-dela-des-saignements\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/wfh.org\/wp-content\/uploads\/2025\/06\/Integrating-myofascial-therapy-and-understanding-life-beyond-the-bleeds-header.jpg\",\"articleSection\":[\"Featured 3 - 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