A new paradigm shift in musculoskeletal rehabilitation: why we should exercise the brain?
نویسنده
چکیده
c t f u r pain. This did not occur following general walking exercise, Do you know that we should start looking at the brain when treating musculoskeletal disorders (MSKD) and that exercises can potentially train the brain? Given the high prevalence, impact, and burden of MSKD,1 therapies need to focus on the origin of the problem to be more effective and reduce the economical expenses of these conditions. The latest evidence has highlighted that musculoskeletal rehabilitative therapy, including exercises, should not only look at local structural and functional abnormalities of the MSK system but also into alterations within the central nervous system. These central alterations have demonstrated to have a crucial role in the pathophysiology and clinical manifestations of MSKD.2 Therapeutic exercise has been considered a cornerstone for the rehabilitation of MSKD and is commonly used to treat MSKD due to its positive effects. Exercise treatment aims to restore normal function by altering sensory input, reduce inflammation, decreasing, coordinating and strengthening muscle activity, and promoting the repair and regeneration of tissues.3 Evidence from systematic reviews support the use of therapeutic exercise to improve MSK pain in several conditions. In recent years, there has been abundant evidence through innovative research using functional magnetic resonance imaging (fMRI), transcranial magnetic stimulation (TMS) and positron emission tomography (PET) showing that subjects with chronic MSK conditions present abnormal activation of areas involved in the cognitive affective aspects of pain and injury, including the behavioural s r c
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عنوان ژورنال:
دوره 22 شماره
صفحات -
تاریخ انتشار 2018