Contribution of the sensory innervation of the spine in low back pain: review and clinical commentary
| Autor: | Pascal Charpentier, Frédéric Viseux, Philippe Villeneuve, Antoine Lemaire, Daniel Martins, Annarita Mora |
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| Přispěvatelé: | Laboratoire d'Automatique, de Mécanique et d'Informatique industrielles et Humaines - UMR 8201 (LAMIH), Centre National de la Recherche Scientifique (CNRS)-Université Polytechnique Hauts-de-France (UPHF)-INSA Institut National des Sciences Appliquées Hauts-de-France (INSA Hauts-De-France) |
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Physiology [SDV]Life Sciences [q-bio] Movement kinematic evaluation Sensory system 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Sensory impairment health services administration medicine Humans 030203 arthritis & rheumatology Lumbar Vertebrae business.industry sensory impairment Lumbosacral Region Low back pain Sensory Systems Biomechanical Phenomena Spine (zoology) Etiology population characteristics medicine.symptom business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Somatosensory and Motor Research Somatosensory and Motor Research, Taylor & Francis, 2021, 38 (1), pp.27-33. ⟨10.1080/08990220.2020.1840344⟩ |
| ISSN: | 1369-1651 0899-0220 |
| DOI: | 10.1080/08990220.2020.1840344⟩ |
| Popis: | International audience; Few validated tests allow a precise aetiological diagnosis of Low Back Pain (LBP), and the difficulty of clinical evaluations could be one of the reasons to explain the lack of effectiveness in the therapeutic management of chronic LBP. However, an implication of a sensory impairment in the control of sensorimotor circuits could be suggested. Interactive and specific responses between nociceptive nerve fibres and the paraspinal musculature motor control could have clinical implications, in particular through kinematic evaluation. Following an introduction to the link between the sensory innervation of the spine and pain, we then summarise the maladaptive movement in LBP at the kinematic and neuropathological level. A clinical objectification of these kinematic adaptations at the lumbar spine level, would clarify the aetiological diagnosis causes of chronic LBP, and so help optimising therapeutic strategies by proposing a relevant and precise clinical model of this painful condition. |
| Databáze: | OpenAIRE |
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