Cortical changes in chronic low back pain: Current state of the art and implications for clinical practice

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• 作者：Benedict Martin W ; Luke Parkitny ; Neil Edward O’ ; Connell ; Hannu Luomajoki ; James Henry McAuley ; Michael Thacker ; G. Lorimer Moseley
• 关键词：Low back pain ; Cortical reorganisation ; Physical therapy
• 刊名：Manual Therapy
• 出版年：2011
• 出版时间：February 2011
• 年：2011
• 卷：16
• 期：1
• 页码：15-20
• 全文大小：167 K

文摘

There is increasing evidence that chronic pain problems are characterised by alterations in brain structure and function. Chronic back pain is no exception. There is a growing sentiment, with accompanying theory, that these brain changes contribute to chronic back pain, although empirical support is lacking. This paper reviews the structural and functional changes of the brain that have been observed in people with chronic back pain. We cast light on the clinical implications of these changes and the possibilities for new treatments but we also advise caution against concluding their efficacy in the absence of solid evidence to this effect.