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- W1997553006 abstract "L’insomnie chronique, malgré le développement de molécules et de prise en charge non médicamenteuse comme les thérapies cognitives et comportementales, reste un trouble persistant pour près de 40 % des patients. Il y a donc nécessité de mettre en place des prises en charge adjuvantes, complémentaires des prises en charge classiques ou pour aider à la diminution des thérapies médicamenteuses. Les patients souffrant d’insomnie chronique présentent souvent un hyperéveil cortical concomitant d’une activation du système nerveux autonome lui-même influençant la fréquence et la variabilité du rythme cardiaque. Ainsi, après un rappel de la corrélation entre insomnie et activation du système nerveux autonome, cet article présente un cas clinique de prise en charge d’une insomnie chronique fondée sur l’évaluation de la variabilité du rythme cardiaque et sa modification par biofeedback en utilisant la technique de la cohérence cardiaque. Les modalités d’évaluation et de traitement sont détaillées pour chaque étape de la prise en charge. Bien que cet article soit un cas clinique, il ouvre la voie à de futures études sur de plus grands échantillons qui pourraient valider l’utilisation de la cohérence cardiaque dans le traitement de l’insomnie chronique et déterminer le profil des patients répondeurs.Chronic insomnia, despite the development of hypnotics and of non-pharmacological approaches such as Cognitive and Behavioral Therapy, remains a persistent disorder for nearly 40% of the patients. It is thus required to set up other therapeutic strategies that would decrease the insomnia symptoms and allow the reduction of hypnotic treatment. The patients suffering from chronic insomnia often present a concomitant cortical hyperarousal and an activation of the autonomous nervous system itself that influences the heart rate frequency and variability. In this paper, after describing briefly the links between insomnia and activation of the autonomous nervous system, we present a clinical case where the treatment of chronic insomnia was performed using assessment of the heart rate variability and its modification by the biofeedback technique with cardiac coherence training. Although this article is a single clinical case, it opens up the way for future studies on larger samples, which might validate the use of cardiac coherence in the treatment of chronic insomnia and also determine the profile of the responders to this approach." @default.
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- W1997553006 date "2013-04-01" @default.
- W1997553006 modified "2023-09-27" @default.
- W1997553006 title "Capture ciblée d’exons de gènes d’ataxie couplée au séquençage à haut débit" @default.
- W1997553006 doi "https://doi.org/10.1016/j.neurol.2013.01.039" @default.
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