在患有青少年纤维肌痛的青少年女孩中,增加疼痛引起的初级感觉运动皮质激活
Han Tong1,2,3,4, Thomas C Maloney5,6, Michael F Payne1,2
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Pain
|June 16, 2023
概括
患有青少年纤维肌痛 (JFM) 的青少年女孩经历了高度的疼痛敏感性. 他们的大脑对疼痛刺激显示了增强的感觉运动皮层反应,这可能表明了中央敏感性.
科学领域:
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
- 青少年健康 青少年健康
背景情况:
- 青少年纤维肌痛 (JFM) 是一种影响青少年女孩的慢性疼痛疾病.
- 在JFM中注意到增加的压力敏感性,但大脑机制尚不清楚.
研究的目的:
- 在JFM的青少年女孩中描述疼痛引起的大脑反应.
- 在JFM中识别疼痛过敏的脑中介.
主要方法:
- 功能性MRI被用于扫描33名JFM和33名对照的青少年女孩.
- 用两种强度对指甲施加有害的压力刺激.
- 疼痛强度和不愉快程度使用视觉模拟尺度进行评分.
主要成果:
- JFM组报告了明显更高的疼痛强度和不愉快感.
- 在JFM患者中观察到右侧主要体感皮层 (S1) 激活的增加.
- S1激活与广泛的疼痛得分相关,感觉运动皮层激活介导疼痛差异.
结论:
- 患有JFM的青少年女孩对有害刺激具有高度敏感性.
- 增强的感觉运动皮层反应表明JFM中的中央敏感性或放大了感知输入.
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