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自我修复:肌肉骨骼身体疼痛管理的概念——科学证据与作用方式

Self-Healing: A Concept for Musculoskeletal Body Pain Management - Scientific Evidence and Mode of Action.

作者信息

McSwan Joyce, Gudin Jeffrey, Song Xue-Jun, Grinberg Plapler Perola, Betteridge Neil John, Kechemir Hayet, Igracki-Turudic Iva, Pickering Gisele

机构信息

GCPHN Persistent Pain Program, PainWISE, Gold Coast, QLD, Australia.

Department of Anesthesiology, University of Miami, Miller School of Medicine, Miami, FL, USA.

出版信息

J Pain Res. 2021 Sep 21;14:2943-2958. doi: 10.2147/JPR.S321037. eCollection 2021.

Abstract

Traditionally, musculoskeletal pain management has focused on the use of conventional treatments to relieve pain. However, multi-modal integrative medicine including alternative/complementary treatments is becoming more widely used and integrated into treatment guidelines around the world. The uptake of this approach varies according to country, with generally a higher uptake in developed countries and in females aged more than 40 years. Integral to the concept described here, is that the body has an innate ability to self-heal, which can be optimized by the use of integrative medical strategies. Stress triggers for acute or recurring musculoskeletal pain are diverse and can range from physical to psychological. The mechanism by which the body responds to triggers and initiates the self-healing processes is complex, but five body networks or processes are thought to be integral: the nervous system, microcirculation/vasodilation, immune modulation, muscular relaxation/contraction and psychological balance. Multi-modal integrative medicine approaches include nutritional/dietary modification, postural/muscular training exercises, and cognitive behavioral mind/body techniques. This article will review the self-healing concept and provide plausible scientific evidence where available.

摘要

传统上,肌肉骨骼疼痛管理主要侧重于使用传统疗法来缓解疼痛。然而,包括替代/补充疗法在内的多模式整合医学正越来越广泛地被使用,并被纳入世界各地的治疗指南。这种方法的采用情况因国家而异,在发达国家以及40岁以上的女性中采用率通常更高。这里所描述概念的核心是,身体具有自我修复的内在能力,通过使用整合医学策略可以使其得到优化。急性或复发性肌肉骨骼疼痛的应激触发因素多种多样,从身体因素到心理因素都有可能。身体对触发因素做出反应并启动自我修复过程的机制很复杂,但五个身体网络或过程被认为是不可或缺的:神经系统、微循环/血管舒张、免疫调节、肌肉松弛/收缩以及心理平衡。多模式整合医学方法包括营养/饮食调整、姿势/肌肉训练练习以及认知行为心理/身体技巧。本文将回顾自我修复的概念,并在可能的情况下提供合理的科学证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fe/8464648/41f6610424c1/JPR-14-2943-g0001.jpg

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