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Wednesday, September 5, 2007

A pain neuromatrix approach to patients with chronic pain

A very good read that supplements my belief in practicing Z Health.


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A pain neuromatrix approach to patients with chronic pain

G. L. Moseley*,w
nDepartment of Physiotherapy, University of Queensland, Australia, wDepartment of Physiotherapy, Royal Brisbane Hospital, Brisbane, Australia

SUMMARY. This paper presents an approach to rehabilitation of pain patients. The fundamental principles of the approach are (i) pain is an output of the brain that is produced whenever the brain concludes that body tissue is in danger and action is required, and (ii) pain is a multisystem output that is produced when an individual-specific cortical pain neuromatrix is activated. When pain becomes chronic, the efficacy of the pain neuromatrix is strengthened via nociceptive and non-nociceptive mechanisms, which means that less input, both nociceptive and non-nociceptive, is required to produce pain. The clinical approach focuses on decreasing all inputs that imply that
body tissue is in danger and then on activating components of the pain neuromatrix without activating its output. Rehabilitation progresses to increase exposure to threatening input across sensory and non-sensory domains.

Here's the full article. Please copy and paste
http://prdupl02.ynet.co.il/ForumFiles/8980632.pdf

1 Comments:

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