{"id":7744,"date":"2026-01-03T11:41:23","date_gmt":"2026-01-03T10:41:23","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=7744"},"modified":"2026-01-03T11:41:23","modified_gmt":"2026-01-03T10:41:23","slug":"traitement-et-reeducation-sla","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=7744","title":{"rendered":"Traitement et r\u00e9\u00e9ducation SLA"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Traitements<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">M\u00e9dicaments<\/h3>\n\n\n\n<p>Riluzole orale : seul traitement \u00e0 ce jour<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Action sur exc\u00e8s de glutamate toxique pour les MTN : permet la recapture du glutamate dans la fente synaptique<\/li>\n\n\n\n<li>Ne fait pas r\u00e9cup\u00e9rer les fonctions perdeues<\/li>\n\n\n\n<li>Allongement  de la survie modeste (moyenne 2 ans)<\/li>\n\n\n\n<li>(+3 m\u00e9dicaments en acc\u00e8s d\u00e9rogatoire)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Traitements symptomatiques<\/h3>\n\n\n\n<p><strong>Objectif : soulager les sympt\u00f4mes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Crampes <\/strong>: d\u00e9riv\u00e9 de la quinine, magn\u00e9sium<\/li>\n\n\n\n<li><strong>Hypertonie spastique<\/strong> : baclof\u00e8ne, toxine butolique, \u00e9tirement des cha\u00eenes spastiques<\/li>\n\n\n\n<li><strong>Douleurs musculaires<\/strong> : antalgiques, massage<\/li>\n\n\n\n<li><strong>Douleurs articulaires<\/strong> (capsulite d&rsquo;\u00e9paule fr\u00e9quente) : antalgiques, mobilisations douces<\/li>\n\n\n\n<li><strong>Ultrasons, chaleur antalgique, TENS<\/strong> : utilisables<\/li>\n\n\n\n<li><strong>Hyper\u00e9motivit\u00e9 pseudo bulbaire<\/strong> : inhibiteur de la recapture de la s\u00e9rotonine<\/li>\n\n\n\n<li><strong>Hypersalivation <\/strong>: atropine en sublingual<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Traitements des complications<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Kin\u00e9sith\u00e9rapie respiratoire<\/strong> : d\u00e9sencombrement, assistance \u00e0 la toux, VNI<\/li>\n\n\n\n<li><strong>Mesures di\u00e9t\u00e9tiques <\/strong>: adaptation des textures, suppl\u00e9mentation<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">R\u00e9\u00e9ducation<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Recommandation HAS <\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pas de m\u00e9canoth\u00e9rapie ni de travail en charge ou excentrique, pas d&rsquo;\u00e9lectrostimulation excito-motrice, pause fr\u00e9quente de r\u00e9cup\u00e9ration <\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Indications kin\u00e9sith\u00e9rapiques<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mobilisations passives et actives aid\u00e9es des membres<\/li>\n\n\n\n<li>Lutte contre l&rsquo;enraidissement articulaire<\/li>\n\n\n\n<li>Lutte contre la spasticit\u00e9<\/li>\n\n\n\n<li>Massage \/ techniques antalgiques<\/li>\n\n\n\n<li>Travail de la marche\/posture\/\u00e9quilibre\/verticalisation<\/li>\n\n\n\n<li>Kin\u00e9 respiratoire \/d\u00e9sencombrement<\/li>\n\n\n\n<li>Respecter la fatigabilit\u00e9<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Principes de faible intensit\u00e9<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Physiopathologie de la SLA : cycles de d\u00e9nervation\/r\u00e9innervation it\u00e9ratifs jusqu&rsquo;\u00e0 ce que les neurones n&rsquo;arrivent plus \u00e0 se r\u00e9innerver<\/li>\n\n\n\n<li>Les exercices intensifs permettent une moins bonne r\u00e9innervation<\/li>\n\n\n\n<li>L&rsquo;\u00e9lectrostimulation aggrave la maladie et entra\u00eene une amyotrophie rapide<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Traitements M\u00e9dicaments Riluzole orale : seul traitement \u00e0 ce jour Traitements symptomatiques Objectif : soulager les sympt\u00f4mes Traitements des complications R\u00e9\u00e9ducation Recommandation HAS Indications kin\u00e9sith\u00e9rapiques Principes de faible intensit\u00e9<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[405],"tags":[],"class_list":["post-7744","post","type-post","status-publish","format-standard","hentry","category-champ-neuro-sla"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7744","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7744"}],"version-history":[{"count":1,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7744\/revisions"}],"predecessor-version":[{"id":7746,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7744\/revisions\/7746"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7744"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7744"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7744"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}