在强化肌肉疼痛中的安慰剂和安慰剂效应背后的神经机制
Min Chen1, Xiao Wu2, Libo Zhang3
1Department of Anesthesiology, Shenzhen Samii Medical Center, Guangdong Province, China.
NeuroImage
|October 1, 2024
概括
在强化肌肉疼痛中,安慰剂镇痛和nocebo过敏镇痛显示出不同的神经基础. 安慰剂疼痛缓解比nocebo疼痛恶化更强大,持续时间更长.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 疼痛研究 疼痛研究
背景情况:
- 疼痛感知是主观的,并受到心理因素的影响,如安慰剂止痛和nocebo超痛.
- 之前的研究主要使用过渡性疼痛来研究这些影响,使得强化疼痛机制的理解较少.
研究的目的:
- 为了研究安慰剂止痛和nocebo超止痛在强度肌肉疼痛的神经机制.
- 在持续疼痛模型中,比较安慰剂与nocebo效应的持续时间和强度.
主要方法:
- 通过向按摩器肌肉注入高血压盐水输液,利用了15分钟的强化肌肉疼痛诱导.
- 收集的实时视觉模拟尺度 (VAS) 疼痛评分和功能磁共振成像 (fMRI) 数据.
- 通过有条件学习诱导的安慰剂止痛和nocebo过敏症.
主要成果:
- 安慰剂疼痛缓解比nocebo高疼痛缓解更为明显,持续时间更长.
- 实时疼痛评级与多个大脑区域的神经活动有显著的相关性.
- 布坦体参与了这两种效应,而尾状体和其他区域显示了对安慰剂和nocebo反应的差异激活.
结论:
- 强化肌肉疼痛模式有效地允许研究安慰剂和nocebo机制.
- 安慰剂疼痛缓解和nocebo高疼痛缓解似乎涉及不同的,而不是共同的神经基质.
相关概念视频
The Placebo Effect
6.1K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.1K
Skeletal Muscle Relaxants: Therapeutic Uses
475
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
475
Classification of Skeletal Muscle Relaxants
2.4K
Skeletal muscle relaxants are a group of drugs that can reduce muscle stiffness and induce temporary paralysis to relieve pain. These agents can act centrally to reduce muscle tone or spasms in painful conditions such as multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or spinal injuries; they are called antispasmodics or spasmolytics.
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
2.4K
Peripherally and Centrally Acting Muscle Relaxants: A Comparison
3.2K
Skeletal muscle relaxants can target the central nervous system [CNS] to reduce muscle tension or act directly at the neuromuscular junction to induce temporary paralysis. These two classes of muscle relaxants are called centrally acting muscle relaxants and peripherally acting muscle relaxants. They differ in their action, mechanism, administration route, and clinical uses.
Centrally acting muscle relaxants can be further divided into spasmolytic and antispasmodic drugs. Spasmolytic...
Centrally acting muscle relaxants can be further divided into spasmolytic and antispasmodic drugs. Spasmolytic...
3.2K
Nociception
27.7K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.7K
Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K


