不适应性可塑性在调节疼痛压力值后脊髓损伤中的作用
Marta Imamura1, Rafaela Machado Filardi2, Guilherme J M Lacerda1,2
1Instituto de Medicina Física e Reabilitação, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo 04116-040, Brazil.
Healthcare (Basel, Switzerland)
|February 13, 2025
概括
脊髓损伤 (SCI) 疼痛与较低的压力疼痛值 (PPT) 有关. 诸如增加的贝塔脑波和创伤原因等因素预测PPT减少,而年龄可能会增加它.
科学领域:
- 神经科学是一个神经科学.
- 临床医学 临床医学
- 康复科学 康复科学 康复科学
背景情况:
- 脊髓损伤 (SCI) 通常会导致疼痛和残疾.
- 在SCI中疼痛敏感度是使用压力疼痛值 (PPT) 评估的.
- 在SCI患者中影响PPT的因素尚不清楚.
研究的目的:
- 在SCI患者中确定PPT的临床和神经生理预测因子.
- 为了研究调节脊髓损伤后疼痛敏感性的因素.
主要方法:
- 从DEFINE研究中对102名SCI患者进行横截面分析.
- 收集的神经生理学,临床和人口统计数据.
- 使用多变量回归来分析与PPT的关联.
主要成果:
- 较低的双边PPT与增加的中央βEEG频率,创伤病因和不完整的SCI有关.
- 年龄与PPT有积极的关联.
- 44%的参与者报告疼痛,平均双边PPT为8.3kPa.
结论:
- 增加的β振荡和创伤性SCI病因与减少的PPT有关,这表明不适应性可塑性.
- 年龄和潜在的运动功能的改善可能与更具功能性的PPT水平有关.
- 识别PPT预测因子有助于理解SCI中的疼痛机制和神经可塑性.
相关概念视频
Pain
442
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
442
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
Neuroplasticity
269
Neuroplasticity reflects the brain's remarkable capacity to adapt and evolve, responding dynamically to learning, experiences, or injury by reorganizing its neural circuitry. This reorganization involves creating new neural connections and refining old ones through a series of biological processes that contribute to the brain's lifelong development and adaptability.
269
Analgesia and Pain Management
429
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
429


