在慢性腰部疼痛中,干部肌肉的nociceptive撤回反射
Hugo Massé-Alarie1,2, Genevieve V Hamer1, Sauro E Salomoni1
1The University of Queensland, NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury & Health, School of Health & Rehabilitation Sciences, Brisbane, Qld, Australia.
慢性腰部疼痛 (CLBP) 改变了干部肌肉对刺激的反应. 这项研究在CLBP个体中发现了修改的感知性戒断反射 (NWR) 模式,这表明脊髓网络组织发生了变化,而不是广泛的敏感化.
科学领域:
- 神经科学是一个神经科学.
- 生物力学 生物力学
- 疼痛研究 疼痛研究
背景情况:
- 慢性腰部疼痛 (CLBP) 与脊柱运动模式的改变有关.
- 大脑运动区域的变化与CLBP相关的运动控制改变有关.
- 感知性戒断反射 (NWR) 可以评估骨干肌脊髓网络.
研究的目的:
- 在患有CLBP的个体中调查干部NWR组织和兴奋性的修改.
- 为了确定NWR模式和值是否在CLBP和对照组之间有所不同.
主要方法:
- 有害的电刺激被应用于引起干部肌肉 (腰部多,直立脊柱,腹肌) 中的NWR.
- 在12名患有CLBP和13名对照人群中,EMG记录了运动反应.
- 分析了NWR模式,发生率和值.
主要成果:
- CLBP参与者表现出明显的NWR模式:腹肌对肋骨刺激的反应更频繁,勃起器脊柱反应更少.
- 一个患有CLBP的小组显示了非常高的NWR值,并增加了腹肌反应.
- 研究结果表明,CLBP中脊柱网络组织发生了变化,而不是普遍的NWR敏感性.
结论:
- 该研究表明,CLBP中脊髓网络组织发生了变化,这可能解释了运动控制的变化.
- NWR敏感性不是CLBP的一个普遍特征.
- 干肌NWR组织提供了对CLBP病理生理学的见解.
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