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旋转关节相关的肩部疼痛的主要疼痛来源:对当前证据的叙述性审查

Chi Ngai Lo¹, Bernard Pui Lam Leung^2,3, Grant Sanders⁴

¹Family Care Physiotherapy Clinic, Clementi, Singapore.

Musculoskeletal care

|June 14, 2023

概括

旋转手套相关的肩部疼痛 (RCRSP) 可能源于生化因素,而不仅仅是机械问题. 目前的证据表明,化学疼痛来源与RCRSP的联系比以前认为的更为强烈.

科学领域:

整形外科整形外科整形外科
疼痛医学医学疼痛医学
生物化学生物化学

背景情况:

旋转手套相关的肩部疼痛 (RCRSP) 具有复杂且不清楚的疼痛机制.
传统的肩膀撞击概念可能无法准确地解释RCRSP.
机械因素,如减少的亚体空间不太可能是RCRSP的直接贡献者.

研究的目的:

为了探索RCRSP的潜在疼痛来源.
根据当前的研究,对RCRSP疼痛机制进行分类.
将焦点从机械转移到生化疼痛假设.

主要方法:

关于RCRSP当前研究的叙述性综述.
对调查机械,神经病和中央疼痛机制的研究进行分析.
评估证据,将RCRSP与不同疼痛源相关联.

主要成果:

对RCRSP机械感知因子的研究产生了相互矛盾的结果.
对RCRSP的神经病和中心疼痛机制的调查是有限的和不确定的.
在RCRSP和化学感知性疼痛来源之间存在中等到强烈的相关性.

结论:

目前的研究表明,RCRSP病因学的生物化学观点.
未来的RCRSP研究和临床管理可能会从生物化学重点中受益.
对于RCRSP来说,传统的机械假设可能与生化因素相比不太相关.

关键词:

中心敏感化的中心敏感化.这是一种神经病的精神病.这是一个可怕的感觉.疼痛的机制疼痛的机制与旋转相关的肩部疼痛与旋转相关的肩部疼痛.

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