{"id":23354,"date":"2022-06-20T13:38:00","date_gmt":"2022-06-20T11:38:00","guid":{"rendered":"https:\/\/avoloi.fr\/blog\/?p=23354"},"modified":"2022-06-17T14:00:58","modified_gmt":"2022-06-17T12:00:58","slug":"la-cryotherapie-acte","status":"publish","type":"post","link":"https:\/\/avoloi.fr\/blog\/la-cryotherapie-acte\/","title":{"rendered":"La cryoth\u00e9rapie : un acte r\u00e9serv\u00e9 aux professionnels de sant\u00e9"},"content":{"rendered":"

La cryoth\u00e9rapie est une technique de physioth\u00e9rapie qui consiste \u00e0 placer tout ou partie du corps humain \u00e0 des temp\u00e9ratures n\u00e9gatives extr\u00eames, de -150\u00b0 \u00e0 -190\u00b0. Lorsqu\u2019elle est pratiqu\u00e9e sans un contr\u00f4le strict, elle peut provoquer de graves dommages physiques et esth\u00e9tiques. Se pose alors la question de la l\u00e9gitimit\u00e9 des instituts de beaut\u00e9 \u00e0 pratiquer ces actes, car la cryoth\u00e9rapie est \u00e9galement propos\u00e9e pour l’amincissement et le raffermissement du corps. Deux cas d\u2019esp\u00e8ces ont ainsi \u00e9t\u00e9 soumis \u00e0 la Cour de cassation<\/a>. Les g\u00e9rants des \u00e9tablissements ont \u00e9t\u00e9 mis en cause, l\u2019un en raison de poursuites engag\u00e9es pour br\u00fblures profondes ayant entra\u00een\u00e9 une incapacit\u00e9 temporaire de travail, l\u2019autre \u00e0 la suite d\u2019un signalement \u00e9mis par l\u2019ordre des m\u00e9decins et l’ordre des kin\u00e9sith\u00e9rapeutes. Par deux d\u00e9cisions en date du 10 mai 2022, les juges de la chambre criminelle de la Cour de cassation ont ainsi pr\u00e9cis\u00e9 que les actes cryoth\u00e9rapie sont r\u00e9serv\u00e9s aux professionnels de sant\u00e9 habilit\u00e9s, sous peine d’exercice ill\u00e9gal de la m\u00e9decine.<\/p>\n

Acte m\u00e9dical r\u00e9serv\u00e9 m\u00e9decins et kin\u00e9sith\u00e9rapeutes<\/strong><\/h2>\n

Dans un arr\u00eat\u00e9 du 6 janvier 1962<\/a>, le l\u00e9gislateur pose tr\u00e8s t\u00f4t la liste des actes r\u00e9serv\u00e9s aux professionnels de sant\u00e9.<\/p>\n

Pratiqu\u00e9e \u00e0 des fins m\u00e9dicales, la cryoth\u00e9rapie est un acte de physioth\u00e9rapie. Dispens\u00e9e sans encadrement m\u00e9dical<\/a> ou param\u00e9dical, c’est une pratique dangereuse pour le patient. C\u2019est le cas notamment des s\u00e9ances r\u00e9alis\u00e9es dans un institut de beaut\u00e9 par des esth\u00e9ticiennes, ces derni\u00e8res ayant seulement suivi une formation dispens\u00e9e par l’installateur du mat\u00e9riel.<\/p>\n

La cryoth\u00e9rapie est donc un acte qui doit \u00eatre r\u00e9serv\u00e9 :
\n– Aux seuls m\u00e9decins, lorsqu’elle aboutit \u00e0 la destruction de tissus humains ;
\n– Aux masseurs-kin\u00e9sith\u00e9rapeutes, sur prescription m\u00e9dicale, dans les autres hypoth\u00e8ses th\u00e9rapeutiques.<\/p>\n

Exercice ill\u00e9gal de la m\u00e9decine<\/strong><\/h2>\n

Dans le premier cas d\u2019esp\u00e8ce, l\u2019institut de beaut\u00e9 est condamn\u00e9 par le tribunal correctionnel puis la Cour d’appel de Paris pour blessures involontaires et exercice ill\u00e9gal de la m\u00e9decine. Il voit \u00e9galement son pourvoi rejet\u00e9 par la Cour de cassation<\/a>. Dans sa communication \u00e0 l\u2019attention du public, l’institut laisse en effet entendre des comp\u00e9tences m\u00e9dicales. Il vente les bienfaits de la cryoth\u00e9rapie pour des pathologies s\u00e9v\u00e8res, pouvant induire le patient en erreur.<\/p>\n

L\u2019autre affaire implique un \u00e9tablissement sp\u00e9cialis\u00e9 dans la cryoth\u00e9rapie corps entier. Il est \u00e9galement mis en cause par le conseil d\u00e9partemental de l\u2019Ordre des m\u00e9decins et de celui des masseurs-kin\u00e9sith\u00e9rapeutes pour exercice ill\u00e9gal de la m\u00e9decine et de la kin\u00e9sith\u00e9rapie. Il se d\u00e9fend de pratiquer des actes ayant une quelconque vis\u00e9e th\u00e9rapeutique.<\/p>\n

Le m\u00eame argument avait pr\u00e9c\u00e9demment \u00e9t\u00e9 soulev\u00e9 dans une affaire relative \u00e0 des actes esth\u00e9tiques pratiqu\u00e9s au moyen d\u2019appareils \u00e0 lumi\u00e8re puls\u00e9e. Ainsi, le 31 mars 2020, Cour de cassation<\/a> n\u2019avait alors pas retenu la qualification d’exercice ill\u00e9gal de la m\u00e9decine. Cette fois, la Cour de cassation<\/a> estime que ce motif est inop\u00e9rant. D\u00e8s lors que l\u2019institut reconna\u00eet proposer des s\u00e9ances pour soulager les douleurs, il y a lieu de consid\u00e9rer qu\u2019il exerce ill\u00e9galement un acte r\u00e9serv\u00e9 aux professionnels de sant\u00e9<\/a>.<\/p>\n

Restriction justifi\u00e9e du principe de libre prestation de services<\/strong><\/h2>\n

Les deux instituts mis en cause ont fond\u00e9 leurs moyens de cassation sur la violation des articles 101 et 102 du Trait\u00e9 sur le fonctionnement l\u2019Union europ\u00e9enne et de l\u2019article 49 du Trait\u00e9 instituant la Communaut\u00e9 europ\u00e9enne.<\/p>\n

Il est vrai qu\u2019il r\u00e9sulte de l\u2019arr\u00eat\u00e9 de 1962 une restriction aux principes de libre concurrence, de libert\u00e9 d\u2019\u00e9tablissement et de libre prestation de services garantis par les textes europ\u00e9ens. Mais elle est justifi\u00e9e par la pr\u00e9vention des risques que la pratique de la cryoth\u00e9rapie pr\u00e9sente au regard de la sant\u00e9 publique. La restriction doit \u00eatre n\u00e9cessaire, non discriminatoire, coh\u00e9rente et proportionn\u00e9e \u00e0 la r\u00e9alisation de l\u2019objectif de protection \u00e0 atteindre.<\/p>\n

En pratiquant un acte r\u00e9serv\u00e9 \u00e0 la m\u00e9decine, l\u2019institut encourt donc la sanction d’exercice ill\u00e9gal de la m\u00e9decine doit \u00eatre retenue contre l\u2019institut. De m\u00eame, la jurisprudence consid\u00e8re que la responsabilit\u00e9 du professionnel peut \u00eatre retenue en cas de dommage lorsque l\u2019acte est r\u00e9alis\u00e9 sans prescription m\u00e9dicale, \u00e0 unique vis\u00e9e esth\u00e9tique (Cour d\u2019appel d\u2019Aix-en-Provence, 30 septembre 2021, n\u00b0 20\/06349).<\/p>\n

Image: Photo de NEOSiAM 2021<\/a>\u00a0de\u00a0Pexels<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

La cryoth\u00e9rapie est une technique de physioth\u00e9rapie qui consiste \u00e0 placer tout ou partie du corps humain \u00e0 des temp\u00e9ratures n\u00e9gatives extr\u00eames, de -150\u00b0 \u00e0 -190\u00b0. <\/p>\n","protected":false},"author":2,"featured_media":23355,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[277],"tags":[242,48,708,49],"class_list":["post-23354","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-droit-de-la-sante-droit-medical","tag-medecin","tag-medicale","tag-professionnel-de-sante","tag-sante"],"yoast_head":"\nLa cryoth\u00e9rapie : un acte r\u00e9serv\u00e9 aux professionnels de sant\u00e9<\/title>\n<meta name=\"description\" content=\"La cryoth\u00e9rapie : un acte r\u00e9serv\u00e9 aux professionnels de sant\u00e9 ? Que dit la loi ? 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