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复杂性局部疼痛综合征 1 型和纤维肌痛综合征中的躯体感觉冲突。

Somatosensory conflicts in complex regional pain syndrome type 1 and fibromyalgia syndrome.

机构信息

The Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, Bath BA11RL, United Kingdom.

出版信息

Curr Rheumatol Rep. 2009 Dec;11(6):461-5. doi: 10.1007/s11926-009-0067-4.

DOI:10.1007/s11926-009-0067-4
PMID:19922737
Abstract

The somatosensory system is an integral component of the motor control system that facilitates the recognition of location and experience of peripheral stimuli, as well as body part position and differentiation. In chronic pain, this system may be disrupted by alterations in peripheral and cortical processing. Clinical symptoms that accompany such changes can be difficult for patients to describe and health care practitioners to comprehend. Patients with chronic pain conditions such as complex regional pain syndrome or fibromyalgia typically describe a diverse range of somatosensory changes. This article describes how sensory information processing can become disturbed in fibromyalgia syndrome and complex regional pain syndrome and how symptoms can potentially be explained by the mechanisms that generate them.

摘要

感觉系统是运动控制系统的一个组成部分,有助于识别位置和体验外周刺激,以及身体部位的位置和差异。在慢性疼痛中,该系统可能会因外周和皮质处理的改变而受到干扰。伴随这些变化的临床症状可能让患者难以描述,也让医疗保健从业者难以理解。患有慢性疼痛病症(如复杂区域疼痛综合征或纤维肌痛症)的患者通常会描述出一系列不同的感觉变化。本文描述了感觉信息处理在纤维肌痛综合征和复杂区域疼痛综合征中是如何变得紊乱的,以及这些机制如何产生潜在的症状。

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本文引用的文献

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Somaesthetic disturbances in fibromyalgia are exaggerated by sensory motor conflict: implications for chronicity of the disease?
在急性疼痛存在的情况下,感觉运动冲突引起的感觉障碍而非运动障碍会增加。
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