在受到疼痛威胁的地形选择性运动抑制下
Sonia Betti1,2, Marco Badioli1, Daniela Dalbagno1
1Department of Psychology "Renzo Canestrari," Center for Studies and Research in Cognitive Neuroscience, University of Bologna, Cesena, Italy.
Pain
|June 25, 2024
概括
预期疼痛会在疼痛发生之前触发保护性运动调整. 皮质脊髓刺激 (CSE) 的这些预测性运动变化是特定于受威胁的肢体,并受到焦虑水平的影响.
科学领域:
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
- 发动机控制器的控制器
背景情况:
- 运动适应通常在疼痛开始之前预测性地发生.
- 人类预测运动控制的神经生理机制尚未完全理解.
研究的目的:
- 在预期肌肉特异性上肢疼痛时调查皮质脊髓刺激性 (CSE) 变化.
- 探索特征焦虑与预期运动控制之间的关系.
主要方法:
- 利用Pavlovian威胁调节任务与视觉刺激预测横向前臂或手部疼痛.
- 使用单脉冲横磁刺激 (TMS) 在主要运动皮层上测量CSE.
- 评估了目标上肢肌肉中的运动唤起潜力 (MEP) 和与特征焦虑相关的CSE.
主要成果:
- 对疼痛的预期在受威胁的肢体中诱导了特定的皮质脊髓抑制.
- 抑制模式是按地形组织的:前臂疼痛威胁抑制了前臂和手肌;手疼痛威胁只抑制了手肌.
- 更高的特征焦虑与在疼痛预期期间更大的皮质脊髓抑制有关.
结论:
- 与疼痛相关的运动适应在疼痛威胁时被预测性地启动.
- 预测性运动变化是以地形组织的,并受到个人焦虑水平的影响.
- 了解这些预测机制可能会为与疼痛有关的疾病的新疗法提供信息.
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