The role of motor learning and neuroplasticity in designing rehabilitation approaches for musculoskeletal pain disorders

被引:104
作者
Boudreau, Shellie A. [1 ]
Farina, Dario [1 ]
Falla, Deborah [1 ]
机构
[1] Aalborg Univ, Ctr Sensory Motor Interact SMI, Dept Hlth Sci & Technol, DK-9220 Aalborg, Denmark
关键词
Plasticity; Skill training; Rehabilitation; Musculoskeletal pain; LOW-BACK-PAIN; TRANSCRANIAL MAGNETIC STIMULATION; PRIMARY SOMATOSENSORY CORTEX; HUMAN TONGUE MUSCULATURE; INDUCED MOVEMENT THERAPY; CHRONIC NECK PAIN; CORTICAL REORGANIZATION; MUSCLE PAIN; SPINAL-CORD; CORTICOMOTOR CONTROL;
D O I
10.1016/j.math.2010.05.008
中图分类号
R49 [康复医学];
学科分类号
100232 [康复医学];
摘要
The extent of cortical neuroplastic changes has been shown to be a key neurophysiological feature that correlates with the level of functional recovery. Therefore, rehabilitation efforts that attempt to maximize cortical reorganization provide the greatest potential for rehabilitation success. This paper reviews the evidence of cortical neuroplastic changes that have been shown to occur in association with experimental or chronic pain disorders. Further, the promising role of novel motor-skill training is discussed in order to best direct the clinician to optimize rehabilitation strategies for patients with musculoskeletal pain disorders. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:410 / 414
页数:5
相关论文
共 67 条
[1]
Chronic pain patients are impaired on an emotional decision-making task [J].
Apkarian, AV ;
Sosa, Y ;
Krauss, BR ;
Thomas, PS ;
Fredrickson, BE ;
Levy, RE ;
Harden, RN ;
Chialvo, DR .
PAIN, 2004, 108 (1-2) :129-136
[2]
Boudreau S, 2010, P 18 INT C SOC EL KI
[3]
Boudreau S, 2010, J ORAL REHABILI 0520
[4]
The effects of intra-oral pain on motor cortex neuroplasticity associated with short-term novel tongue-protrusion training in humans [J].
Boudreau, Shellie ;
Romaniello, Antoinella ;
Wang, Kelun ;
Svensson, Peter ;
Sessle, Barry J. ;
Arendt-Nielsen, Lars .
PAIN, 2007, 132 (1-2) :169-178
[5]
Long-term changes in motor cortical organisation after recovery from subcortical stroke [J].
Byrnes, ML ;
Thickbroom, GW ;
Phillips, BA ;
Mastaglia, FL .
BRAIN RESEARCH, 2001, 889 (1-2) :278-287
[6]
Calford MB, 2002, ADV EXP MED BIOL, V508, P451
[7]
Cheong J Y, 2003, Electromyogr Clin Neurophysiol, V43, P203
[8]
Rapid plasticity of human cortical movement representation induced by practice [J].
Classen, J ;
Liepert, J ;
Wise, SP ;
Hallett, M ;
Cohen, LG .
JOURNAL OF NEUROPHYSIOLOGY, 1998, 79 (02) :1117-1123
[9]
Disruption of attention and working memory traces in individuals with chronic pain [J].
Dick, Bruce D. ;
Rashic, Saifudin .
ANESTHESIA AND ANALGESIA, 2007, 104 (05) :1223-1229
[10]
Attention and somatic awareness in chronic pain [J].
Eccleston, C ;
Crombez, G ;
Aldrich, S ;
Stannard, C .
PAIN, 1997, 72 (1-2) :209-215