运动引起的慢性颈痛低痛觉:叙述性综述

IF 2.3 Q2 SPORT SCIENCES Sports Medicine and Health Science Pub Date : 2024-03-01 DOI:10.1016/j.smhs.2023.09.011
Fernando Rojas-Galleguillos , Cecilia Clark-Hormazábal , Eduardo Méndez-Fuentes , Francisco Guede-Rojas , Cristhian Mendoza , Andrés Riveros Valdés , Claudio Carvajal-Parodi
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摘要

慢性颈痛(CNP)是一个世界性的健康问题,存在多种风险因素。治疗性运动是控制这种病症最广泛使用的治疗方法之一,它可产生一种称为运动诱导低痛觉(EIH)的反应。关于诱导低痛觉的最佳运动方式,目前还没有达成共识。因此,本综述旨在分析和总结有关中枢神经痛患者运动减痛效应的最新研究成果。我们收录了有关 EIH 和 CNP 的文章,研究对象为 18 岁以上、疼痛持续时间超过三个月的患者,并对 EIH 反应进行了测量。排除了研究与合并症相关的 CNP 或测量对运动以外的治疗反应的文章。所审查的研究报告结果各不相同。对健康受试者进行锻炼可降低疼痛敏感性指标;但对慢性疼痛患者的反应则不尽相同。一些研究报告称,运动会增加疼痛强度和降低疼痛敏感性,从而产生不良反应;另一些研究则发现运动没有临床反应;还有一些研究甚至报告称,EIH 会降低疼痛和增加敏感性。对于疼痛患者来说,EIH 是一种可识别、可刺激且有益的治疗反应。仍需对患有中枢神经痛的受试者进行更多研究,以明确促进 EIH 现象的方案和治疗变量。此外,有必要加深对影响 CNP 患者 EIH 的内在和外在因素的了解。
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Exercise-induced hypoalgesia in chronic neck pain: A narrative review

Chronic neck pain (CNP) is a worldwide health problem with several risk factors. One of the most widely used treatments for managing this condition is therapeutic exercise, which could generate a response called exercise-induced hypoalgesia (EIH). There is no consensus on the best exercise modality to induce hypoalgesia. Therefore, this review aims to analyze and synthesize the state-of-the-art about the hypoalgesic effect of exercise in subjects with CNP. We included articles on EIH and CNP in patients older than 18 years, with pain for more than three months, where the EIH response was measured. Articles that studied CNP associated with comorbidities or measured the response to treatments other than exercise were excluded. The studies reviewed reported variable results. Exercise in healthy subjects has been shown to reduce indicators of pain sensitivity; however, in people with chronic pain, the response is variable. Some investigations reported adverse effects with increased pain intensity and decreased pain sensitivity, others found no clinical response, and some even reported EIH with decreased pain and increased sensitivity. EIH is an identifiable, stimulable, and helpful therapeutic response in people with pain. More research is still needed on subjects with CNP to clarify the protocols and therapeutic variables that facilitate the EIH phenomenon. In addition, it is necessary to deepen the knowledge of the intrinsic and extrinsic factors that influence EIH in people with CNP.

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来源期刊
Sports Medicine and Health Science
Sports Medicine and Health Science Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
5.50
自引率
0.00%
发文量
36
审稿时长
55 days
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