Douleur et Analgésie

, Volume 2, Issue 4, pp 137–146 | Cite as

Les cervicobrachialgies occupationnelles chroniques (CBOC): éléments sémiologiques et mécanismes nociceptifs

  • J. F. Arroyo
  • M. L. Cohen
  • G. D. Champion


Les cervico-brachialgies chroniques représentent une entité nosologique fort complexe. Fréquemment rapportées en association avec certaines contraintes mécaniques (bras, rachis cervical et ceinture scapulaire en particulier), elles se développent, plus communément, au cours d’activités professionnelles caractéristiques ce qui justifie le terme supplémentaire d’ «occupationnelles» (CBOC). Cette entité place le clinicien devant un difficile problème médical pour lequel il n’existe à l’heure actuelle aucune approche étiopathogénique et thérapeutique satisfaisante. Cependant, en faisant appel à des données neurophysiologiques complexes, dont les perturbations paraissent, jouer un rôle essentiel dans la genèse et la chronicité des symptômes, différents mécanismes nociceptifs peuvent être mis en évidence.

D’autre part il est nécessaire, impérativement, de prendre en compte la dimension psycho-affective ainsi que l’impact médicosocial qu’entourent les douleurs chroniques et, en particulier, les CBOC.


Chronic cervicobrachial pain disorders are a complex nosological entity. Frequently related to mechanical constraints involving the upper limbs, neck and shoulder girdle, they develop commonly during the performance of certain characteristic work tasks. Hence the use of the synonym «occupational cervicobrachial disorder».

This entity presents the clinician with a difficult medical problem for which there is at the present time neither a satisfactory aetiopathogenic basis nor therapeutic approach. In spite of this there are clues that disturbed nociceptive mechanisms may be playing an essential role in the genesis and chronicity of symptoms. These disturbances of nociceptive neurophysiology must be considered in conjunction with concepts of psychoaffective components and medicosocial problems which are commonly associated with all chronic pain disorders, in particular chronic occupational cervicobrachial pain.

Key words

Upper limb pain cervicobrachial overuse RSI 


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Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • J. F. Arroyo
    • 2
  • M. L. Cohen
    • 1
  • G. D. Champion
    • 1
  1. 1.Rheumatology DepartmentSt. Vincent’s HospitalSydney
  2. 2.Clinique MédicaleHôpital Cantonal UniversitaireGenève 4

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