Fert Jérémie, Crelerot Sylvie, Mokry Axelle, Suter Marc R
Centre d'antalgie, Service d'anesthésiologie, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Physiothérapeute MSc, SenseLAB, 1204 Genève.
Rev Med Suisse. 2024 Jun 19;20(879):1205-1208. doi: 10.53738/REVMED.2024.20.879.1205.
Chronic pain is poorly explained by the pathological biomechanical model. Pain neuroscience education (PNE) aims to help patients reconceptualize their pain by understanding its physiology and dissociating it from the notion of threat. It must be combined with functional re-education. Catastrophism and kinesiophobia exacerbate the perception of pain and are an obstacle to movement. Gradual exposure to movement, whether virtual or real, is a tool for managing pain more effectively and regaining optimum functionality. According to the literature, PNE reduces pain intensity, catastrophizing, kinesiophobia, disability and improves functionality.
慢性疼痛很难用病理生物力学模型来解释。疼痛神经科学教育(PNE)旨在通过帮助患者了解疼痛的生理机制并将其与威胁概念相分离,从而使其重新认识自己的疼痛。它必须与功能再教育相结合。灾难化思维和运动恐惧会加剧对疼痛的感知,并且是运动的障碍。逐渐接触运动,无论是虚拟的还是真实的,都是更有效地管理疼痛并恢复最佳功能的一种手段。根据文献,疼痛神经科学教育可降低疼痛强度、灾难化思维、运动恐惧、残疾程度,并改善功能。