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<dc:title xml:lang="fr">Étude des altérations des fibres thermonociceptives Aδ dans le vieillissement chez l’Homme</dc:title>
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<dc:subject xml:lang="fr">Vieillissement</dc:subject>
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<dc:subject xml:lang="fr">Froid</dc:subject>
<dc:subject xml:lang="fr">Seuils de détection</dc:subject>
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<dc:subject xml:lang="fr">Diabète type 2</dc:subject>
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<dc:subject xml:lang="en">Perception</dc:subject>
<dc:subject xml:lang="en">Cold</dc:subject>
<dc:subject xml:lang="en">Detection thresholds</dc:subject>
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<dcterms:abstract xml:lang="fr">Le système thermonociceptif, responsable de la perception des variations de température, est sensible aux effets du vieillissement. L'objectif de cette thèse était d'étudier les altérations des fibres thermonociceptives Aδ liées au vieillissement. Pour ce faire, une nouvelle méthode de mesure du seuil de sensibilité au froid a été développée, évaluant la perception au froid entre 30 et 40°C. Nous l'avons comparée à la méthode classique, utilisant des températures inférieures à 30°C, chez des participants jeunes et âgés, en y incluant des mesures de potentiels évoqués (PE). Les résultats montrent une altération de la perception du froid au niveau des extrémités distales chez les personnes âgées. L'analyse des PE révèle l'implication significative des fibres Aδ dans la sensation du froid. Notre méthode novatrice de mesure de seuil au froid offre des perspectives prometteuses pour le dépistage des neuropathies des petites fibres chez les personnes âgées atteintes de diabète de type 2.</dcterms:abstract>
<dcterms:abstract xml:lang="en">The thermo-nociceptive system, responsible for the perception of temperature variations, is vulnerable to the effects of aging. The objective of this thesis was to investigate the age-related alterations of Aδ thermonociceptive fibers. To this end, a new method for measuring cold sensitivity thresholds was developed, evaluating cold perception between 30 and 40°C. We compared this novel method to the traditional method, using temperatures below 30°C, in both young and elderly participants, including measurements of evoked potentials (EP). The results demonstrate an alteration in cold perception at the distal extremities in older individuals. The analysis of EP reveals a significant involvement of Aδ fibers in cold sensation. Our innovative cold threshold measurement method offers promising prospects for screening small fiber neuropathies in elderly individuals with type 2 diabetes.</dcterms:abstract>
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