Revisiting the Corticomotor Plasticity in Low Back Pain: Challenges and Perspectives

被引:30
作者
Masse-Alarie, Hugo [1 ,3 ]
Schneider, Cyril [1 ,2 ]
机构
[1] Univ Laval, CHU Quebec, Res Ctr, Clin Neurosci & Neurostimulat Lab,Neurosci Div, Quebec City, PQ G1V 4G2, Canada
[2] Univ Laval, Fac Med, Dept Rehabil, Quebec City, PQ G1V 4G2, Canada
[3] Univ Queensland, Sch Hlth & Rehabil Sci, NHMRC Ctr Clin Res Excellence Spinal Pain Injury, Brisbane, Qld 4072, Australia
关键词
chronic low back pain; brain; plasticity; motor cortex; subgrouping; motor control exercise; neuromodulation; transcranial magnetic stimulation; repetitive peripheral magnetic stimulation; spine;
D O I
10.3390/healthcare4030067
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Chronic low back pain (CLBP) is a recurrent debilitating condition that costs billions to society. Refractoriness to conventional treatment, lack of improvement, and associated movement disorders could be related to the extensive brain plasticity present in this condition, especially in the sensorimotor cortices. This narrative review on corticomotor plasticity in CLBP will try to delineate how interventions such as training and neuromodulation can improve the condition. The review recommends subgrouping classification in CLBP owing to brain plasticity markers with a view of better understanding and treating this complex condition.
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页数:18
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