J Orthop Sports Phys Ther. 2021 May;51(5):204-206. doi: 10.2519/jospt.2021.10340. Epub 2021 Mar 15.
Central sensitization is (1) increasingly interpreted as central nervous system hyperexcitability that accounts for a general increase in sensitivity, and (2) used to explain a variety of pain and nonpain symptoms. In this commentary, we argue that such a broad interpretation might not be clinically useful because it fails to distinguish one patient from another based on pathophysiological mechanisms and does not facilitate tailored treatment. We recommend that clinicians use a person-centered approach when assessing and managing patients, considering the different interacting processes/mechanisms that can contribute to a patient's clinical presentation. .
中枢敏化被（1）越来越多地解释为中枢神经系统的过度兴奋，它导致了敏感性的普遍增加，（2）用于解释各种疼痛和非疼痛症状。在这篇评论中，我们认为这种广泛的解释可能在临床上没有用处，因为它不能根据病理生理机制将一个病人与另一个病人区分开来，也不能促进针对性的治疗。我们建议临床医生在评估和管理患者时采用以人为本的方法，考虑到不同的相互作用的过程/机制，这些过程/机制可能导致患者的临床表现。
