条件疼痛调节对人类素诱导的扩散肌肉过敏症的影响
Jürg Schliessbach1,2, Andreas Siegenthaler3, Thomas Graven-Nielsen4
1Institute of Interventional Pain Medicine Zurich, IISZ, Zurich, Switzerland.
Scandinavian journal of pain
|June 9, 2023
概括
促进有条件疼痛调制 (CPM) 与肌肉疼痛扩散的增加相关. 然而,抑制性CPM限制了过敏症,这表明疼痛调节策略可能有利于肌肉损伤患者.
科学领域:
- 疼痛研究 疼痛研究
- 神经科学是一个神经科学.
- 肌肉骨健康 肌肉骨健康
背景情况:
- 肌肉疼痛可能涉及超痛症,由于外周和中心敏感化,超出了受伤部位.
- 内源性疼痛抑制在这种现象中的作用仍然不清楚.
研究的目的:
- 为了研究内源性疼痛抑制如何影响在实验性肌肉疼痛中传播超痛.
- 为了确定条件疼痛调制 (CPM) 能力是否会影响肌肉损伤后的超痛症的程度.
主要方法:
- 在30名男性志愿者中评估CPM,使用冷压器测试和压力疼痛值 (PPT).
- 将参与者分为抑制或促进CPM组.
- 诱导肌肉疼痛和过敏症通过素注射到上肌肉.
- 在注射前和注射后最多60分钟,在各种肌肉部位和四肢测量PPT.
主要成果:
- 在注射后,PPT在肌肉 (脊上肌,脊下肌,骨肌) 降低,并在四肢 (手指,脚) 增加.
- 促进CPM组在多个时间点 (5,10,15,20,40分钟) 呈现过敏症.
- 抑制性CPM组仅在10分钟和15分钟后表现出过敏症,在肌肌中存在显著的群体差异.
结论:
- 与抑制性CPM相比,促进CPM与更广泛的过敏症有关.
- 缺陷的内源性疼痛调节可能会增加对肌肉疼痛和扩散性过敏症的敏感性.
- 增强内源性疼痛调节的策略可以为肌肉损伤恢复提供临床优势.
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