The role of neuroplasticity in experimental neck pain: A study of potential mechanisms impeding clinical outcomes of training

作者: Bjarne Rittig-Rasmussen , Helge Kasch , Anders Fuglsang-Frederiksen , Peter Svensson , Troels Staehelin Jensen

DOI: 10.1016/J.MATH.2014.04.010

关键词:

摘要: Training is a mainstay in the clinical management of neck pain, yet, effects various training protocols are only small to moderate and improvements required. Previous investigations nervous system indicate correlation between neuroplastic adaptation functional recovery. The interaction pain thus needs further exploration. This was randomized experimental study on corticomotor excitability. Healthy volunteers were no training. Primary endpoints excitability assessed by transcranial magnetic stimulation electromyography measured as changes amplitudes latencies motor evoked potentials (MEPs), recorded at baseline after 30 min, 1 h, week. Additionally, correlations MEPs learning, concomitant muscle strength, fatigue investigated. Data analyzed repeated measurement ANOVA, paired t tests, Grubbs' outlier test coefficients. Results indicated that significantly enhanced inhibition for results induce long-lasting pathways. may limit outcome painful conditions contrast pain-free conditions.

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