坐骨神经痛的疼痛会抑制对腓肠神经刺激的下肢伤害性反射。
Pain in sciatica depresses lower limb nociceptive reflexes to sural nerve stimulation.
作者信息
Willer J C, Barranquero A, Kahn M F, Sallière D
出版信息
J Neurol Neurosurg Psychiatry. 1987 Jan;50(1):1-5. doi: 10.1136/jnnp.50.1.1.
Abstract
The inhibitory effects of acute pain produced by the Lasègue's manoeuvre on the lower limb nociceptive flexion reflexes induced by electrical sural nerve stimulation were explored in patients complaining of sciatica as a result of an identified unilateral disc protrusion. Lassègue's manoeuvre on the affected side produced a typical radicular pain and resulted in a powerful depression of nociceptive reflexes elicited either in the normal or in the affected lower limb. Simultaneously, patients reported relief of the electrically-induced pain. In contrast, painless Lasègue's manoeuvre on the normal side had no effect on these parameters.
摘要
对于因明确的单侧椎间盘突出而患有坐骨神经痛的患者，研究了直腿抬高试验产生的急性疼痛对电刺激腓肠神经诱发的下肢伤害性屈曲反射的抑制作用。患侧的直腿抬高试验产生典型的神经根性疼痛，并导致正常或患侧下肢诱发的伤害性反射显著抑制。同时，患者报告电诱发疼痛减轻。相比之下，正常侧无痛的直腿抬高试验对这些参数没有影响。
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本文引用的文献
1
STUDIES ON THE RELIEF OF PAIN BY COUNTERIRRITATION.
J Clin Invest. 1941 Jan;20(1):13-20. doi: 10.1172/JCI101190.
2
Ethyl chloride spray for painful muscle spasm.
Arch Phys Med Rehabil. 1952 May;33(5):291-8.
3
The influence of skin temperature upon the pain threshold as evoked by thermal radiation.
Science. 1951 Aug 10;114(2954):149-50. doi: 10.1126/science.114.2954.149.
4
MASSAGE WITH ICE (CRYOKINETICS) IN THE TREATMENT OF PAINFUL CONDITIONS OF THE MUSCULOSKELETAL SYSTEM.
Arch Phys Med Rehabil. 1964 May;45:233-8.
5
Historical methods of counter-irritation.
Ann Phys Med. 1956 Jul;3(3):90-9. doi: 10.1093/rheumatology/iii.3.90.
6
Relief of dental pain by ice massage of the hand.
Can Med Assoc J. 1980 Jan 26;122(2):189-91.
7
Psychophysical and electrophysiological approaches to the pain-relieving effects of heterotopic nociceptive stimuli.
Brain. 1984 Dec;107 ( Pt 4):1095-112. doi: 10.1093/brain/107.4.1095.
8
Ice massage and transcutaneous electrical stimulation: comparison of treatment for low-back pain.
Pain. 1980 Oct;9(2):209-217. doi: 10.1016/0304-3959(80)90008-1.
9
Ischemic pain nonsegmentally produces a predominant reduction of pain and thermal sensitivity in man: a selective role for endogenous opioids.
Brain Res. 1982 Nov 11;251(1):83-92. doi: 10.1016/0006-8993(82)91276-8.
10
Human nociceptive reactions: effects of spatial summation of afferent input from relatively large diameter fibers.
Brain Res. 1980 Nov 17;201(2):465-70. doi: 10.1016/0006-8993(80)91054-9.
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