Central Sensitization in Musculoskeletal Pain: Lost in Translation?
| Autor: | Teodora Trendafilova, Hubert van Griensven, Matthew Low, Annina B. Schmid |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Musculoskeletal pain
Central Nervous System Sensitization medicine.medical_specialty Central sensitization Mechanism (biology) business.industry Physical Therapy Sports Therapy and Rehabilitation Translation (biology) General Medicine Pain responses 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Musculoskeletal Pain Pain assessment Patient-Centered Care Terminology as Topic medicine Humans Enhanced sensitivity 030212 general & internal medicine business Physical Therapy Modalities 030217 neurology & neurosurgery |
| Zdroj: | Journal of Orthopaedic & Sports Physical Therapy. 50:592-596 |
| ISSN: | 1938-1344 0190-6011 |
| Popis: | Central sensitization is a physiological mechanism associated with enhanced sensitivity and pain responses. At present, central sensitization cannot be determined directly in humans, but certain signs and symptoms may be suggestive of it. Although central sensitization has received increasing attention in the clinical literature, there is a risk that certain distinctions are being lost. This paper summarizes current knowledge of the physiology of central sensitization and its possible manifestations in patients, in order to inform a debate about the relevance of central sensitization for physical therapists. It poses 6 challenges associated with the application of central sensitization concepts in clinical practice and makes suggestions for assessment, treatment, and use of terminology. Physical therapists are asked to be mindful of central sensitization and consider potential top-down as well as bottom-up drivers, in the context of a person-centered biopsychosocial approach. |
| Databáze: | OpenAIRE |
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