在患有腰椎间盘和慢性腰部疼痛的患者中,脊椎操纵治疗后的大脑功能变化:一个范围审查
Lizhen Cao1, Jing Shu1, Bibao Li2
1Department of Nursing, Hubei University of Chinese Medicine, Wuhan, China.
Frontiers in neurology
|January 22, 2026
概括
脊柱操纵可以通过改变关键区域的大脑活动来缓解腰椎间盘的慢性腰痛. 这种疗法显示出改善疼痛和情绪障碍的潜力.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (LBP) 是腰椎间盘 (LDH) 患者的一个普遍问题.
- 脊柱操纵疗法 (SMT) 被认为具有缓解LBP的潜力.
研究的目的:
- 审查LDH患者慢性LBP中SMT中枢神经机制的证据.
- 总结当前的研究,确定知识差距,并指导未来的研究.
主要方法:
- 使用已建立的框架进行了范围审查.
- 从创立到2025年8月1日,搜索了8个数据库,从169篇文章中选择了10项研究.
- 数据被系统地组织和分类.
主要成果:
- SMT诱导大脑活动和连接的显著变化,调节前额叶皮质,视觉网络和默认模式网络.
- 神经可塑性变化与减少疼痛强度 (VAS) 和功能障碍 (ODI,JOA) 相相关.
- 针点特定的操纵显示出不同的大脑激活模式.
结论:
- 通过调节特定的大脑区域,SMT可以缓解与LDH相关的LBP和情绪障碍.
- 标准化的临床实践和明确的中枢神经机制对于优化疼痛管理至关重要.
相关概念视频
The Scope of Physics
52.4K
Physics is concerned with the interactions of energy, matter, space, and time, in order to discover the underlying mechanisms that underpin all phenomena. The word "physics" comes from the Greek word "phúsis", which means nature. Physics seeks to comprehend the natural world around us at its most fundamental level. It emphasizes the use of quantitative laws to do this, which could be valuable in other fields that want to push the performance boundaries of present...
52.4K
Review and Preview
8.3K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.3K
Review and Preview
10.9K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
10.9K
Functional Brain Systems: Limbic System
6.8K
The limbic system, often called the "emotional brain," is a complex set of structures located deep within the brain. The intricate network of the limbic system supports a wide range of psychological functions, from emotional regulation to memory formation and sensory processing. This functional brain region encompasses specific parts of the diencephalon and the cerebrum, integrating the higher mental functions of the cerebral cortex with the primitive emotional responses of the deep brain...
6.8K
Higher Mental Functions of the Brain: Language
3.5K
Language is a system of communication that allows the expression of thoughts, ideas, and feelings. The brain processes language in both hemispheres.
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
3.5K
Pain
1.3K
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...
1.3K


