肌肌关节触发点治疗和条件疼痛调制之间的关联
Tibor M Szikszay1, Wacław M Adamczyk2, Gabriela F Carvalho3
1Institute of Health Sciences, Department of Physiotherapy, Pain and Exercise Research Luebeck (P.E.R.L.), Universität zu Lübeck, Lübeck, Germany; Center of Brain, Behavior and Metabolism (CBBM), Universität zu Lübeck, Lübeck, Germany.
Journal of bodywork and movement therapies
|May 19, 2024
概括
肌肌触发点治疗 (MTrP) 和条件疼痛调制 (CPM) 分享潜在的止痛机制. 在无症状个体中,它们的止痛作用之间发现了强烈的相关性,这表明了共同的途径.
科学领域:
- 疼痛研究 疼痛研究
- 神经科学是一个神经科学.
- 物理治疗是一种物理治疗.
背景情况:
- 肌肌触发点疗法 (MTrP) 被广泛使用,但其机制尚不清楚.
- 潜在的机制包括外周肌肉参与和中心疼痛调制,如有条件的疼痛调制 (CPM).
研究的目的:
- 调查MTrP和CPM的止痛作用之间的相关性.
- 在无症状个体中确定MTrP和CPM的共同潜在机制.
主要方法:
- 94名无症状的参与者接受了轻度,强度或没有压力刺激指甲和MTrP部位.
- 在条件化刺激 (压力) 和MTrP干预之前和之后测量了热痛值.
- 施加压力刺激120秒,保持持续的轻度或强度疼痛.
主要成果:
- 在MTrP和CPM止痛效应之间观察到显著的中度至强度的相关性 (轻度的r=0.53,强度刺激的r=0.73).
- 在轻度刺激后,CPM解释了MTrP效应变异的17.3%,在强度刺激后解释了47.1%.
- 与疼痛相关的特征并不能显著解释止痛药反应的差异.
结论:
- 这些发现表明,MTrP和CPM之间存在共同的潜在机制.
- 这种相关性表明,个体对这些疼痛调节技术的反应是相关的.
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