慢性疼痛的运动疗法:运动如何改变边缘大脑功能?
Emiko Senba1,2, Katsuya Kami3,2
1Department of Physical Therapy, Osaka Yukioka College of Health Science, 1-1-41 Sojiji, Ibaraki-City, Osaka 567-0801, Japan.
Neurobiology of pain (Cambridge, Mass.)
|December 15, 2023
概括
运动通过激活大脑的奖励系统,使目标导向的行为和克服恐惧回避思维,帮助慢性疼痛患者. 这种疗法针对中皮层-边缘系统来治疗疼痛.
科学领域:
- 神经科学是一个神经科学.
- 疼痛管理 疼痛管理
- 运动生理学 运动生理学
背景情况:
- 慢性疼痛涉及功能受损的边缘系统,导致不适应的恐惧回避行为.
- 与疼痛相关的恐惧过度刺激杏仁体,抑制中部前额叶皮质,并使疼痛慢性化.
研究的目的:
- 阐明运动对慢性疼痛患者有益的神经机制.
- 探索运动如何调节大脑的奖励系统和与恐惧相关的神经回路.
主要方法:
- 对神经机制的审查,将运动,边缘系统和慢性疼痛联系起来.
- 分析受身体活动影响的恐惧条件和灭绝过程.
主要成果:
- 运动会激活杏仁体的基底核中的积极神经元,投射到核以促进奖励行为.
- 运动可以增强恐惧的消灭,并促进慢性疼痛患者的目标导向行为.
- 身体不活动会加剧疼痛,并对身体健康产生负面影响.
结论:
- 通过运动疗法准中皮层-边缘系统是慢性疼痛管理的一个有希望的策略.
- 考虑坚持和节奏的平衡炼处方至关重要.
- 运动与认知行为疗法一起,为慢性疼痛提供了潜在的治疗方法.
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