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内源性阿片肽与运动相关的镇痛作用减弱:现代模型、测量方法和作用机制。

Endogenous Opioids and Exercise-Related Hypoalgesia: Modern Models, Measurement, and Mechanisms of Action.

机构信息

University of North Carolina Greensboro, Department of Kinesiology, Greensboro, NC, USA.

Southeastern Louisiana University, Department of Kinesiology and Health Studies, Hammond, LA, USA.

出版信息

Adv Neurobiol. 2024;35:137-155. doi: 10.1007/978-3-031-45493-6_8.

DOI:10.1007/978-3-031-45493-6_8
PMID:38874722
Abstract

This chapter will focus on the role exercise appears to have on activation and modulating factors within the central nervous system related to endogenous like opioids and its possible contribution to exercise-induced hypoalgesia. The implications for the exercise-mediated alterations of CNS activation factors related to opioids, specifically endorphins and enkephalins, will be presented. In this update, we discuss utilization of new technology and methods to monitor mechanisms of opioid involvement to suggest their contribution with exercise mediated hypoalgesia as well as their relationships to alterations of perceptions of pain and mood. Several special populations were included to suggest that not all individuals will respond to the exercise by mediating hypoalgesia. Factors that may confound the current understanding and suggestions from the recent literature will be presented as well as suggestions for future investigations.

摘要

本章将重点介绍运动对内源性阿片样物质等中枢神经系统激活和调节因子的作用,以及其对运动诱导镇痛的可能贡献。本文将介绍与阿片类物质(特别是内啡肽和脑啡肽)相关的中枢神经系统激活因子的运动介导改变的意义。在本更新中,我们讨论了利用新技术和方法来监测阿片类物质参与的机制,以表明它们对运动介导的镇痛作用的贡献,以及它们与疼痛和情绪感知改变的关系。还纳入了几个特殊人群,以表明并非所有个体都会通过介导镇痛来对运动做出反应。本文还介绍了可能混淆当前理解的因素以及来自最近文献的建议,并为未来的研究提供了建议。

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Effects of transcranial direct current stimulation on pain, mood and serum endorphin level in the treatment of fibromyalgia: A double blinded, randomized clinical trial.经颅直流电刺激对纤维肌痛症疼痛、情绪和血清内啡肽水平的影响:一项双盲、随机临床试验。
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Low-dose, non-supervised, health insurance initiated exercise for the treatment and prevention of chronic low back pain in employees. Results from a randomized controlled trial.低剂量、无监督、由健康保险发起的运动对员工慢性下腰痛的治疗和预防作用。一项随机对照试验的结果
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Occlusion of blood flow attenuates exercise-induced hypoalgesia in the occluded limb of healthy adults.血流阻断会减弱健康成年人被阻断肢体的运动诱导性痛觉减退。
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Central μ-Opioidergic System Activation Evoked by Heavy and Severe-Intensity Cycling Exercise in Humans: a Pilot Study Using Positron Emission Tomography with 11C-Carfentanil.高强度和极强度骑行运动诱发人体中枢μ-阿片肽能系统激活:一项使用11C-卡芬太尼正电子发射断层扫描的初步研究
Int J Sports Med. 2017 Jan;38(1):19-26. doi: 10.1055/s-0042-114779. Epub 2017 Jan 10.
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Mu-opioid receptor inhibition decreases voluntary wheel running in a dopamine-dependent manner in rats bred for high voluntary running.在为高自主运动量培育的大鼠中,μ-阿片受体抑制以多巴胺依赖的方式减少自主轮转运动。
Neuroscience. 2016 Dec 17;339:525-537. doi: 10.1016/j.neuroscience.2016.10.020. Epub 2016 Oct 13.
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Exercise-induced hypoalgesia: Pain tolerance, preference and tolerance for exercise intensity, and physiological correlates following dynamic circuit resistance exercise.运动诱导的痛觉减退:动态循环抗阻运动后的疼痛耐受性、对运动强度的偏好和耐受性以及生理相关性。
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Influence of moderate intensity physical activity levels and gender on conditioned pain modulation.中等强度身体活动水平及性别对条件性疼痛调制的影响
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