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Courbature

  • Published:
Douleur et Analgésie

Résumé

La courbature, définie par la triade douleur, raideur, perte de force, se caractérise par une lésion histologique de nécrose musculaire focalisée. Si l’imagerie radiologique et l’électromyographie sont normales, la force par contre est diminuée et l’on observe une augmentation importante des créatine-phosphokinases sériques. La douler pourrait être due tant à l’accumulation de macrophages et de débris du métabolisme local avec diminution de pH qu’à l’augmentation de volume du membre courbaturé.

Le traitement fait intervenir avant tout le repos, l’antalgie et les thérapies physiques à visée hyperémiante.

Summary

Muscle soreness is characterised by pain, stiffeness and muscle strength loss. Histologically one can observe a focalised muscle necrosis. There are no radiological or EMG signs in muscle soreness. But a major or minor pain, a strength loss depending on the intensity of muscle soreness and biochemical modifications with an increase of CK plasmatic levels are described. Pain is probably due to a lowering of pH by local anoxia and to a limb volum increase.

The treatment is based on rest, antalgia and physical therapy

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Bibliographie

  1. Abraham W.M.: Factors on delayed onset muscle soreness.Med. Sc Sports Exerc. 9, 11–20, 1977.

    CAS  Google Scholar 

  2. Armstrong R.B.: Mechanism of exercise induced delayed onset muscular soreness: a brief review.Med. Sci. Sports Exerc. 16, 529–538 1984.

    PubMed  CAS  Google Scholar 

  3. Asmussen E.: Observations on experimental soreness.Acta Rheum Scand. 2, 109–116, 1956.

    PubMed  CAS  Google Scholar 

  4. Bigland B. andLippold O.C.J.: The relation between force, velocity and integrated electrical activity in human muscle.J. Physiol. 123, 214–224 1954.

    PubMed  CAS  Google Scholar 

  5. Bobbert M.F., Hollander P.A. andHuijing P.A.: Factors in delayed onset muscle soreness of man.Med. Sci. Sports Exerc. 18, 75–81 1986.

    PubMed  CAS  Google Scholar 

  6. Brendstrup P.: Late oedema after muscular exercise.Arch. Phys. Med Rehab. 43, 401–405, 1962.

    CAS  Google Scholar 

  7. Byrnes W.C. andClarkson P.M.: Delayed onset muscle soreness and training.Clin. Sports Med. 5, 605–614, 1986.

    PubMed  CAS  Google Scholar 

  8. Byrnes W.C., Clarkson P.M., White J.S., Hsieh S.S., Fryleman P.M. andMaugham R.J.: Delayed onset muscle soreness following repeated bouts of downhill running.J. Appl. Physiol. 59, 710–715 1985.

    PubMed  CAS  Google Scholar 

  9. Charleson P.M., Byrnes W.C., Mc Cormick K.M., Turcotte L.P. andWhite J.S.: Muscle soreness and creatine kinase activity following isometric, eccentric.Int. J. Sports Med. 7, 152–155, 1986.

    Article  Google Scholar 

  10. Clarkson P.M., Litchfield P., Graves J., Kirwan J. andByrnes W.C.: Serum creatine kinase activity following forearm flexion isometric exercise.Eur. J. Appl. Physiol. 53, 368–371, 1985.

    Article  CAS  Google Scholar 

  11. Clarkson P.M. andTremblay J.: Exercise induce muscle damage repair and adaptation in humans.J. Appl. Physiol. 65, 1–6, 1988.

    PubMed  CAS  Google Scholar 

  12. Danneskiold-Sansöe B., Christinasen E., Lund B. andBach-Andersen R.: Regional muscle tension and pain.Scand. J. Rehab. Med. 15, 17–20, 1982.

    Google Scholar 

  13. Davies C.T.M. andWhite M.J.: Muscle weakness following eccentric work in man.Pflügers Arch. 392, 168–171, 1981.

    Article  PubMed  CAS  Google Scholar 

  14. De Vries H.A.: Quantitative electromyographic investigation of the spasm theory of muscular pain.Am. J. Phys. Med. 45, 119–134, 1966.

    PubMed  Google Scholar 

  15. Friden J., Seger J., Sjöström M. andEckblom B.: Adaptative response in human skeletal muscle subjected to prolonged eccentric training.Int. J. Sports Med. 4, 177–183, 1983.

    Article  PubMed  CAS  Google Scholar 

  16. Friden J., Sjöström M. andEckblom B.: Myofibrillar damage following intense eccentric exercise in man.Int. J. Sports Med. 4, 170–176, 1983.

    Article  PubMed  CAS  Google Scholar 

  17. Friden J.: Muscle soreness after exercise: implication of morphological st changes.Int. J. Sports Med. 5, 57–66, 1984.

    Article  PubMed  CAS  Google Scholar 

  18. Friden J., Sjöström M., andEckblom B.: A morphological study of delayed muscle soreness.Experimentia 37, 506–507, 1981.

    Article  CAS  Google Scholar 

  19. Friden J., Kjorell U. andThornell L.E.: Delayed muscle soreness and cytoskeletal alterations; an immunocytological study in man.Int. J. Sports Med. 5, 15–18, 1984.

    Article  PubMed  CAS  Google Scholar 

  20. Gobelet C., Barras B., Livio J.J. andJoris F.: Lésions musculaires. Traitement conservateur.Z. Unfallchir. Vers. Med. Berufskr. 80, 225–234, 1987.

    CAS  Google Scholar 

  21. Howell J.N., Chilar A.G., Ford G., David D. andGates T.: An e electromyographic study of elbow motion during post exercise muscle soreness.J. Appl. Physiol. 58, 1713–1718, 1985.

    PubMed  CAS  Google Scholar 

  22. Hunter J.B. andCritz J.B.: Effect of training on plasma enzyme levels in man.J. Appl. Physiol. 31, 20–23, 1971.

    PubMed  CAS  Google Scholar 

  23. Janssen E., Kuipers H., Verstappen F. andCostill D.: Influence of an anti-inflammatory drug on muscle soreness.Med. Sci. Sports Exerc. 15, 165, 1983 (abstract).

    Google Scholar 

  24. Jessup G.T.: Consistency of muscle spasm theory of delayed soreness with the general couuse of local blood flow.Med. Sci. Sports Exerc. 12, 121, 1980.

    Google Scholar 

  25. Jones D.A.: Muscle fatigue due to changes beyond the neuromuscular junction:In: Human muscle fatigue: physiological mechanisms. Ciba Symposium, 1982.

  26. Kivirikko K.I.: Urinary excretion of hydroxyproline in health and disease.International review of connective tissue research, New York, Academic Press,15, 41–115, 1970.

    Google Scholar 

  27. Komi P.V. andBuskirk E.R.: Effects of eccentric and concentric muscle conditionning on tension and electrical activity of human muscle.Ergonomics 15, 417–434, 1972.

    Article  PubMed  CAS  Google Scholar 

  28. Komi P.V. andRusko H.: Quantitative evaluation of mechanical and electrical changes during fatigue loading of eccentric and concentric work.Scand. J. Rehab. Med. (Suppl.)3, 121–126, 1974.

    CAS  Google Scholar 

  29. Mc Glynn G.H., Laughlin N.T. andRowe W.: Effect of electromyographic feedback and static stretching on artificially induced muscle soreness,Am. J. Phys. Med. Rehab. 58, 139–148, 1979.

    CAS  Google Scholar 

  30. Maxwell J.H. andBloor C.M.: Effects of conditionning on exertionnal rhabdomyolysis and serum creatine kinase after severe exercise.Enzyme 26, 177–181, 1981.

    PubMed  CAS  Google Scholar 

  31. Newham D.J., Jones D.A. andEdwards R.H.T.: Large delayed plasma creatine kinase changes after stepping exercise.Muscle Nerve 6, 380–385, 1983.

    Article  PubMed  CAS  Google Scholar 

  32. Newham D.J., Mc Phail G., Mills K.R. andEdwards R.H.T.: Ultrastructural changes after concentric and eccentric contractions of human muscle.J. Neurol. Sci 61, 109–122, 1983.

    Article  PubMed  CAS  Google Scholar 

  33. Newham D.J., Mills K.R., Quigley B.M. andEdwards R.H.T.: Pain and fatigue after concentric and eccentric muscle contractions.Clin. Sci. 64, 55–62, 1983.

    PubMed  CAS  Google Scholar 

  34. Noakes T.D. andCarter J.W.: The responses on plasma biochemical parameters to a 56 km race in novice and experienced ultra marathon runners.Eur. J. Appl. Physiol. 49, 179–186, 1982.

    Article  CAS  Google Scholar 

  35. Salminen A. andVikko U.: Acid hyaluromidase activities in mouse cardiac and skeletal muscle following exhaustive exercise.Eur. J. Appl. Physiol. 47, 57–64, 1981.

    Article  CAS  Google Scholar 

  36. Sjöström M., Angquist K.A., Bylund A.C., Friden J., Gustavson L. andSchersten T.: Morphometric analysis of human muscle fibers type.Muscle Nerve 5, 538–553, 1982.

    Article  PubMed  Google Scholar 

  37. Schwane J.A., Johnson S.R., Vandenakker C.B. andArmstrong R.B.: Delayed onset muscular soreness and plasma CK and LDH activities after downhill running.Med. Sci. Sports Exerc. 15, 51–56, 1983.

    PubMed  CAS  Google Scholar 

  38. Schwane J.A., Williams J.S. andSloan J.H.: Effects of training on delayed muscle soreness and serum creatine kinase activity after running.Med. Sci. Sports Exerc. 19, 584–590, 1987.

    PubMed  CAS  Google Scholar 

  39. Talag T.S.: Residual soreness as influenced by concentric, eccentric and static contractions.Res. Q. 44, 458–469, 1973.

    PubMed  CAS  Google Scholar 

  40. Tiidus P.M. andJanuzzo C.D.: Effects of intensity and duration of muscular exercise on delayed soreness and serum enzyme activities.Med. Sci. Sport. Exerc. 15, 461–465, 1985.

    Google Scholar 

  41. Triffleti P., Liechtfield, P.E., Clarkson P.M. andByrnes W.C.: Creatine kinase and muscle soreness after repeated isometric exercise.Med. Sci. Sports Exerc. 20, 242–248, 1988.

    Article  Google Scholar 

  42. Yackzam L., Adams C. andFrancis K.T.: The effects of ice massage on delayed muscle soreness.Am. J. Sports Med. 12, 159–165, 1984.

    Article  Google Scholar 

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  1. Service de médecine physique et rééducation fonctionnelle; Hôpital régional, Sion et Hôpital Orthopédique, 1950 Sion, Lausanne

    C. Gobelet

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Gobelet, C. Courbature. Doul. et Analg. 2, 127–129 (1989). https://doi.org/10.1007/BF03013668

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  • DOI: https://doi.org/10.1007/BF03013668

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