Announcement

Collapse

Evaluation scientifique, liberté d'expression et droit de réponse

Bonjour,

1/ EVALUATION SCIENTIFIQUE

Notre site peut être amené à faire une évaluation scientifique de méthodes pratiquées dans le cadre de la profession de MKDE.

Cette évaluation permet de verifier la validité théorique de la méthode. En effet, la théorie est la base qui permet d'expliquer les résultats obtenus. Le raisonnement doit être logique et fondé sur des observations.
Ce raisonnement ne peut être contraire à la connaissance actuelle reconnue qui permet d'expliquer ces mêmes résultats.

2/ CONTRADICTION

Notre site peut être amené à être en contradiction avec les auteurs d'une méthode ou théorie. Cette contradiction s'appuie sur des faits, une référence ou la logique. Il appartient aux auteurs d'apporter tout élément de preuve qui permet la validation d'un point de la théorie ou méthode.
See more
See less

Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders?

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • PC Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders?

    Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders?

    Abstract

    Background
    Musculoskeletal rehabilitative care and research have traditionally been guided by a structural pathology paradigm and directed their resources towards the structural, functional, and biological abnormalities located locally within the musculoskeletal system to understand and treat Musculoskeletal Disorders (MSD). However the structural pathology model does not adequately explain many of the clinical and experimental findings in subjects with chronic MSD and, more importantly, treatment guided by this paradigm fails to effectively treat many of these conditions.

    Discussion
    Increasing evidence reveals structural and functional changes within the Central Nervous System (CNS) of people with chronic MSD that appear to play a prominent role in the pathophysiology of these disorders. These neuroplastic changes are reflective of adaptive neurophysiological processes occurring as the result of altered afferent stimuli including nociceptive and neuropathic transmission to spinal, subcortical and cortical areas with MSD that are initially beneficial but may persist in a chronic state, may be part and parcel in the pathophysiology of the condition and the development and maintenance of chronic signs and symptoms. Neuroplastic changes within different areas of the CNS may help to explain the transition from acute to chronic conditions, sensory-motor findings, perceptual disturbances, why some individuals continue to experience pain when no structural cause can be discerned, and why some fail to respond to conservative interventions in subjects with chronic MSD. We argue that a change in paradigm is necessary that integrates CNS changes associated with chronic MSD and that these findings are highly relevant for the design and implementation of rehabilitative interventions for this population.

    Summary
    Recent findings suggest that a change in model and approach is required in the rehabilitation of chronic MSD that integrate the findings of neuroplastic changes across the CNS and are targeted by rehabilitative interventions. Effects of current interventions may be mediated through peripheral and central changes but may not specifically address all underlying neuroplastic changes in the CNS potentially associated with chronic MSD. Novel approaches to address these neuroplastic changes show promise and require further investigation to improve efficacy of currents approaches.

    Keywords

    Musculoskeletal disorders Chronic low back pain Osteoarthritis Neuroplasticity Periaqueductal grey Rostral ventromedial medulla Rehabilitation Primary somatosensory cortex Primary motor cortex Limbic Pre-frontal Pain
    Last edited by bernard; 03-04-2017, 08:26 AM.
    sigpic Kay'1
    "Ce qu'il y a de meilleurs dans les religions, ce sont leurs hérétiques" Nietzsche

  • #2
    https://www.somasimple.com/forums/sh...m+missing+link

    Comment


    • #3
      These forums are messy because few of you put tags or use search facilities :angel:
      Simplicity is the ultimate sophistication. L VINCI
      We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

      Everything should be made as simple as possible, but not a bit simpler.
      If you can't explain it simply, you don't understand it well enough. Albert Einstein
      bernard

      Comment

      Working...
      X