{"id":5331,"date":"2023-01-21T11:43:43","date_gmt":"2023-01-21T03:43:43","guid":{"rendered":"https:\/\/wilback.com\/?p=5331"},"modified":"2023-12-07T00:01:05","modified_gmt":"2023-12-06T16:01:05","slug":"study007","status":"publish","type":"post","link":"https:\/\/wilback.com\/study007\/","title":{"rendered":"\u8170\u75db\u4e2d\uff0c\u611f\u89ba\u904b\u52d5\u63a7\u5236\u7684\u795e\u7d93\u53ef\u5851\u6027\uff5c\u9aa8\u79d1\u8207\u904b\u52d5\u7269\u7406\u6cbb\u7642\u96dc\u8a8c\uff08JOSPT\uff09\u81e8\u5e8a\u8a55\u8ad6"},"content":{"rendered":"\n<p class=\"is-style-icon_pen\">\u672c\u7bc7\u6587\u7ae0\u7531<strong><span class=\"swl-inline-color has-swl-deep-02-color\">\u591c\u9ece<\/span><\/strong>\u6700\u5f8c\u4e00\u6b21\u66f4\u65b0\u65bc<strong><span class=\"swl-inline-color has-swl-deep-03-color\">2023\u5e7401\u670821\u65e5<\/span><\/strong><\/p>\n\n\n\n<ul>\n<li><strong>\u4e3b\u984c\uff1a<\/strong><a rel=\"noreferrer noopener\" href=\"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2019.8489\" data-type=\"URL\" data-id=\"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2019.8489\" target=\"_blank\">Neuroplasticity of Sensorimotor Control in Low Back Pain<\/a><\/li>\n\n\n\n<li><strong>\u4f86\u6e90\uff1a<\/strong><a rel=\"noreferrer noopener\" href=\"https:\/\/www.jospt.org\/\" data-type=\"URL\" data-id=\"https:\/\/www.jospt.org\/\" target=\"_blank\">Journal of Orthopaedic &amp; Sports Physical Therapy<\/a><\/li>\n\n\n\n<li><strong>\u4f5c\u8005\uff1a<\/strong><span class=\"swl-inline-color has-swl-deep-02-color\"><strong>Simon Brumagne<\/strong><\/span>, PT, PhD, <span class=\"swl-inline-color has-swl-deep-02-color\"><strong>Martin Diers<\/strong><\/span>, PhD, <span class=\"swl-inline-color has-swl-deep-02-color\"><strong>Lieven Danneels<\/strong><\/span>, PT, PhD,<span class=\"swl-inline-color has-swl-deep-02-color\"><strong> G. Lorimer Moseley<\/strong><\/span>, PT, PhD, <span class=\"swl-inline-color has-swl-deep-02-color\"><strong>Paul W. Hodges<\/strong><\/span>, PT, PhD, DSc, MedDr, BPhty (Hons)<\/li>\n\n\n\n<li><strong>\u6587\u7ae0\u985e\u578b\uff1a<\/strong>CLINICAL COMMENTARY<small>\uff08\u81e8\u5e8a\u8a55\u8ad6\uff09<\/small>\uff5cFull Access<small>\uff08\u5b8c\u5168\u5b58\u53d6\uff09<\/small><\/li>\n\n\n\n<li><strong>\u767c\u8868\u65e5\u671f\uff1a<\/strong>2019\/05\/31<\/li>\n\n\n\n<li><strong>\u7ffb\u8b6f\u7de8\u8f2f\uff1a<\/strong>\u591c\u9ece<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group is-style-big_icon_caution\"><div class=\"wp-block-group__inner-container\">\n<ul>\n<li>\u70ba\u4e86\u4f7f\u5167\u5bb9\u6613\u65bc\u7406\u89e3\uff0c\u4e2d\u6587\u6a19\u9ede\u7b26\u865f\u7528\u5bb9\u6613\u7406\u89e3\u7684\u65b9\u5f0f\u6a19\u8a3b\uff0c\u800c\u975e\u4e2d\u6587\u6a19\u6e96\u8a9e\u6cd5\u3002<\/li>\n\n\n\n<li>\u4e00\u90e8\u5206\u5197\u9577\u7684\u53e5\u5b50\u6216\u55ae\u8fad\u8a3b\u89e3\u7528\u3008\u3009\u4f5c\u70ba which, that \u7684\u88dc\u5145\u8aaa\u660e\u3002<\/li>\n\n\n\n<li>\u4e00\u4e9b\u591a\u9805\u76ee\u5217\u8209<small class=\"mininote\">\uff08\u2026, \u2026 and\/or \u2026\uff09<\/small>\uff0c\u70ba\u4e86\u6613\u65bc\u7406\u89e3\uff0c\u6703\u52a0\u4e0a\u539f\u6587\u6c92\u6709\u7684\u300e\u300f\u6216\u662f\u7528<strong>\u5217\u8868<\/strong>\u8868\u793a\u3002<\/li>\n\n\n\n<li>\u500b\u4eba\u7368\u529b\u7de8\u8f2f\u96e3\u514d\u6709\u8aa4\uff0c\u5982\u679c\u6709\u767c\u73fe\u932f\u8aa4\u53ef\u4ee5\u5728\u8a55\u8ad6\u5340\u7559\u8a00\uff0c\u6211\u6703\u518d\u6b21\u6bd4\u5c0d\u3001\u4fee\u6b63\u3002\u611f\u6fc0\u4e0d\u76e1\uff01<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"swell-block-capbox cap_box\" data-colset=\"col2\"><div class=\"cap_box_ttl\"><span>\u591c\u9ece\u5c0d\u672c\u6587\u9032\u884c\u7684\u91cd\u9ede\u7bc0\u9304<\/span><\/div><div class=\"cap_box_content\">\n<ul class=\"-list-under-dashed\">\n<li>\u300c\u53d7\u640d\u7684\u611f\u89ba\u904b\u52d5\u63a7\u5236\u300d\u5df2\u88ab\u8a8d\u70ba\u662f\u6f5b\u5728\u75bc\u75db\u767c\u5c55\u548c\/\u6216\u7dad\u6301\u7684\u4e00\u7a2e\u53ef\u80fd\u6a5f\u5236\uff0c\u81f3\u5c11\u6700\u521d\u662f\u7531\u65bc<strong>\u7d44\u7e54\u8ca0\u8377\u4e0d\u7406\u60f3<\/strong>\u6240\u81f4\u3002<\/li>\n\n\n\n<li>\u8170\u75db\u60a3\u8005\u7684\u4e2d\u6a1e\u795e\u7d93\u7cfb\u7d71\u53ef\u80fd\u767c\u751f\u8b8a\u5316\uff0c\u53ef\u4ee5\u5f9e\u5169\u500b\u89c0\u9ede\u4f86\u8003\u616e\n<ul>\n<li>\u5728\u6574\u500b\u795e\u7d93\u7cfb\u7d71\u4e2d\u89c0\u5bdf\u5230\u50b7\u5bb3\u611f\u53d7\u548c\u75bc\u75db\u8655\u7406\u7684\u8b8a\u5316<\/li>\n\n\n\n<li>\u5927\u8166\u76ae\u5c64\u611f\u89ba\u904b\u52d5\u5340\u57df\u7684\u7d50\u69cb\u548c\u529f\u80fd\u7684\u8b8a\u5316<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u795e\u7d93\u53ef\u5851\u6027<\/strong>\u662f\u6307\u300c\u795e\u7d93\u7cfb\u7d71\u7d93\u6b77\u3008\u7531\u6d3b\u52d5\u548c\u5f37\u5316\u8abf\u7bc0\u7684\u3009\u529f\u80fd\u548c\u7d50\u69cb\u8b8a\u5316\u300d\u7684\u80fd\u529b\u3002<\/li>\n\n\n\n<li>\u8170\u75db\u7684\u81e8\u5e8a\u7d50\u69cb\u6d89\u53ca\u5ee3\u6cdb\u7684\u795e\u7d93\u7db2\u7d61\uff0c\u5305\u62ec\u300c\u8655\u7406\u75bc\u75db\u548c\u50b7\u5bb3\u611f\u53d7\u300d\u3001\u300c\u611f\u89ba\u904b\u52d5\u529f\u80fd\u300d\u4ee5\u53ca\u300c\u8a8d\u77e5\u548c\u60c5\u7dd2\u300d\u7684\u795e\u7d93\u7db2\u7d61\u3002<\/li>\n\n\n\n<li>\u795e\u7d93\u53ef\u5851\u6027\u662f\u7531\u751f\u7269\u904e\u7a0b\u5a92\u4ecb\u7684\uff0c\u9019\u4e9b\u751f\u7269\u904e\u7a0b\u672c\u8eab\u53d7\u5230\u300c\u95dc\u65bc\u75bc\u75db\u548c\u5176\u4ed6\u5fc3\u7406\u73fe\u8c61\u7684\u8a8d\u77e5\u300d\u7684\u5f71\u97ff\u3002<\/li>\n\n\n\n<li>\u6539\u8b8a\u7684\u751f\u7269\u529b\u5b78\u53ef\u80fd\u5177\u6709\u77ed\u671f\u76ca\u8655\uff0c\u4f46\u7531\u65bc\u300c\u810a\u67f1\u7d44\u7e54\u7684\u6162\u6027\u4e0d\u7406\u60f3\u8ca0\u8377\u300d\u4ee5\u53ca\u300c\u96a8\u5f8c\u7684\u50b7\u5bb3\u611f\u53d7\u5668\u6fc0\u6d3b\u300d\uff0c\u7121\u8ad6\u662f\u6a5f\u68b0\u5730\u9084\u662f\u901a\u904e\u708e\u75c7\u7684\u654f\u5316\u6548\u61c9\uff0c\u5b83\u5011\u53ef\u80fd\u6703\u7522\u751f\u9577\u671f\u7684\u5f8c\u679c&nbsp;\u3002<\/li>\n\n\n\n<li>\u795e\u7d93\u53ef\u5851\u6027\u4f7f\u300c\u6539\u8b8a\u795e\u7d93\u529f\u80fd\u548c\u7d50\u69cb\u4ee5\u7522\u751f\u548c\u7dad\u6301\u75bc\u75db\u7684\u6a5f\u5236\u300d\u6210\u70ba\u53ef\u80fd\u4e00\u6a23\uff0c\u5b83\u4e5f\u4f7f\u300c\u6062\u5fa9\u7cfb\u7d71\u4ee5\u89e3\u6c7a\u6216\u6539\u5584 LBP \u7684\u80fd\u529b\u300d\u6210\u70ba\u53ef\u80fd\u3002<\/li>\n\n\n\n<li>\u81e8\u5e8a\u610f\u7fa9\u4e2d\uff0c\u90e8\u5206\u91cd\u9ede\u4ecb\u7d39\u4e86\u4e00\u4e9b\u8003\u616e\u795e\u7d93\u53ef\u5851\u6027\u7684 LBP \u6cbb\u7642\u5275\u65b0\n<ul>\n<li>\u6539\u8b8a\u611f\u89ba\u904b\u52d5\u795e\u7d93\u53ef\u5851\u6027\u7684\u904b\u52d5\u63a7\u5236\u8a13\u7df4<\/li>\n\n\n\n<li>\u884c\u70ba\u65b9\u6cd5\uff1a\u524a\u5f31\u8a13\u7df4<\/li>\n\n\n\n<li>\u611f\u5b98\u8fa8\u5225\u8a13\u7df4<\/li>\n\n\n\n<li>\u8a8d\u77e5\u8a13\u7df4\u65b9\u6cd5<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">\u6458\u8981<\/h2>\n\n\n\n<p>\u8170\u75db (LBP) \u662f\u4e00\u500b\u91cd\u8981\u7684\u91ab\u5b78\u548c\u793e\u6703\u7d93\u6fdf\u554f\u984c\u3002 <span class=\"swl-marker mark_yellow\"><strong>\u53d7\u640d\u7684\u611f\u89ba\u904b\u52d5\u63a7\u5236<\/strong><small class=\"mininote\">\u3014Impaired sensorimotor control\u3015<\/small>\u88ab\u8a8d\u70ba\u662f\u300e\u75bc\u75db\u7684\u6f5b\u5728\u767c\u5c55\u548c\/\u6216\u7dad\u6301\u300f\u7684\u53ef\u80fd\u6a5f\u5236\u3002<\/span> <\/p>\n\n\n\n<p>\u5118\u7ba1\u65e9\u671f\u7684\u5de5\u4f5c\u805a\u7126\u65bc\u808c\u8089\u9aa8\u9abc\u7cfb\u7d71\u5167\u7684\u7d50\u69cb\u548c\u529f\u80fd\u7570\u5e38\u4e0a\uff0c\u4f46\u5728\u904e\u53bb\u7684 20 \u5e74\u4e2d\uff0c\u4eba\u5011\u8d8a\u4f86\u8d8a\u610f\u8b58\u5230 LBP \u60a3\u8005\u4e2d\u6a1e\u795e\u7d93\u7cfb\u7d71\u5167\u4e5f\u53ef\u80fd\u6709\u5ee3\u6cdb\u7684<strong>\u795e\u7d93\u53ef\u5851\u6027\u8b8a\u5316<\/strong><small class=\"mininote\">\u3014extensive neuroplastic changes\u3015<\/small>\u3002 \u9019\u4e9b\u8b8a\u5316\u5305\u62ec\u8207\u795e\u7d93\u7cfb\u7d71\u7684\u7d50\u69cb\uff08\u4f8b\u5982\uff0c\u7070\u8cea\u8b8a\u5316<small class=\"mininote\">\u3014gray matter changes\u3015<\/small>\uff09\u548c\u529f\u80fd\uff08\u4f8b\u5982\uff0c\u611f\u89ba\u548c\u904b\u52d5\u76ae\u5c64\u7684\u7d44\u7e54<small class=\"mininote\">\u3014organization\u3015<\/small>\uff09\u6709\u95dc\u7684\u8b8a\u5316\uff0c\u9019\u4e9b\u8b8a\u5316\u8207\u300e\u75bc\u75db\u548c\u50b7\u5bb3\u611f\u53d7\u7684\u8655\u7406\u300f\u4ee5\u53ca\u300e\u904b\u52d5\u548c\u8ec0\u9ad4\u611f\u89ba\u7cfb\u7d71\u300f\u6709\u95dc\u3002 \u6b64\u5916\uff0c\u81e8\u5e8a\u5e72\u9810<small class=\"mininote\">\u3014clinical interventions\u3015<\/small>\u8d8a\u4f86\u8d8a\u591a\u5730\u65e8\u5728\u300e<span class=\"swl-marker mark_yellow\">\u901a\u904e\u6cbb\u7642\u9a45\u52d5\u795e\u7d93\u53ef\u5851\u6027\uff0c\u4ee5\u6539\u5584\u75bc\u75db\u548c\u611f\u89ba\u904b\u52d5\u529f\u80fd<\/span>\u300f\u3002<\/p>\n\n\n\n<p>\u9019\u7bc7\u8a55\u8ad6\u63d0\u4f9b\u4e86\u300e\u5728\u8170\u75db (LBP)\u4e2d\uff0c\u75bc\u75db\/\u50b7\u5bb3\u611f\u53d7\u548c\u611f\u89ba\u904b\u52d5\u7cfb\u7d71\u7684\u795e\u7d93\u53ef\u5851\u6027\u300f\u7684\u7576\u4ee3\u6982\u8ff0\u3002\u672c\u6587\u91dd\u5c0d\uff1a<\/p>\n\n\n\n<ol>\n<li>\u5b9a\u7fa9\u8207\u810a\u67f1\u63a7\u5236\u548c\u8170\u75db (LBP) \u76f8\u95dc\u7684\u795e\u7d93\u53ef\u5851\u6027<\/li>\n\n\n\n<li>\u7d50\u69cb\u6027\u548c\u529f\u80fd\u6027\u795e\u7d93\u7cfb\u7d71\u767c\u751f\u8b8a\u5316\uff0c\u56e0\u70ba\u5b83\u5011\u8207\u975e\u7279\u7570\u6027\u8170\u75db (LBP) \u548c\u611f\u89ba\u904b\u52d5\u529f\u80fd\u6709\u95dc<\/li>\n\n\n\n<li>\u76f8\u95dc\u81e8\u5e8a\u610f\u7fa9<\/li>\n<\/ol>\n\n\n\n<p>\u300e\u60a3\u6709\u5fa9\u767c\u6027\u548c\u6301\u7e8c\u6027\u8170\u75db (LBP) \u7684\u500b\u9ad4\u300f\u5728\u795e\u7d93\u7cfb\u7d71\u529f\u80fd\u548c\u7d50\u69cb\u7684\u5e7e\u500b\u6a19\u8a8c\u7269\u4e0a\uff0c\u8207\u6c92\u6709\u8170\u75db (LBP) \u7684\u500b\u9ad4\u4e0d\u540c\u3002 <span class=\"swl-marker mark_yellow\">\u795e\u7d93\u53ef\u5851\u6027\u8b8a\u5316\u53ef\u4ee5\u901a\u904e\u81ea\u4e0a\u800c\u4e0b\u7684\u57fa\u65bc\u8a8d\u77e5\u5e72\u9810<small class=\"mininote\">\u3014top-down cognitive-based interventions\u3015<\/small>\u548c\u81ea\u4e0b\u800c\u4e0a\u7684\u7269\u7406\u5e72\u9810<small class=\"mininote\">\u3014bottom-up physical interventions\u3015<\/small>\u4f86\u89e3\u6c7a\u3002<\/span><\/p>\n\n\n\n<p>\u7d50\u5408\u7576\u4ee3\u75bc\u75db\u795e\u7d93\u79d1\u5b78\u6559\u80b2<small class=\"mininote\">\u3014pain neuroscience education\u3015<\/small>\u3001\u4ee5\u8a8d\u77e5\u70ba\u76ee\u6a19\u7684\u611f\u89ba\u904b\u52d5\u63a7\u5236<small class=\"mininote\">\u3014cognition-targeted sensorimotor control\u3015<\/small>\u4ee5\u53ca\u57fa\u65bc\u7269\u7406\u6216\u529f\u80fd\u7684\u6cbb\u7642<small class=\"mininote\">\u3014physical or function-based treatments\u3015<\/small>\u7684\u6574\u5408\u81e8\u5e8a\u65b9\u6cd5\u53ef\u80fd\u6703\u70ba\u5fa9\u767c\u6027\u548c\u6301\u7e8c\u6027\u8170\u75db (LBP) \u60a3\u8005\u5e36\u4f86\u66f4\u597d\u7684\u7d50\u679c\u3002 \u9019\u7a2e\u65b9\u6cd5\u9700\u8981\u8003\u616e\u500b\u9ad4\u4e4b\u9593\u7684\u5dee\u7570\uff0c\u56e0\u70ba\u300e\u6c92\u6709\u55ae\u4e00\u7684\u767c\u73fe\/\u6a5f\u5236\u5b58\u5728\u65bc\u6240\u6709\u500b\u9ad4\u4e2d\u300f\uff0c\u4e26\u4e14\u300e\u5728\u611f\u89ba\u904b\u52d5\u7cfb\u7d71\u4e2d\uff0c\u6c92\u6709\u91dd\u5c0d\u795e\u7d93\u53ef\u5851\u6027\u8b8a\u5316\u7684\u55ae\u4e00\u6cbb\u7642\u65b9\u6cd5\u300f\u53ef\u80fd\u5c0d\u6240\u6709\u8170\u75db (LBP) \u60a3\u8005\u90fd\u6709\u6548\u3002<\/p>\n\n\n\n<p><em><small class=\"mininote\">J Orthop Sports Phys Ther 2019;49(6):402\u2013414. doi:10.2519\/jospt.2019.8489<\/small><\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u5167\u5bb9<\/h2>\n\n\n\n<p>\u8170\u75db (LBP) \u662f\u4e00\u500b\u91cd\u8981\u7684\u91ab\u5b78\u548c\u793e\u6703\u7d93\u6fdf\u554f\u984c <small class=\"mininote\"><sup>[34]<\/sup><\/small> \u3002 \u76ee\u524d\u7684\u6cbb\u7642\u63d0\u4f9b\u4e86\u9069\u5ea6\u4e14\u901a\u5e38\u662f\u77ed\u671f\u7684\u6210\u529f\uff0c\u9019\u53ef\u80fd\u90e8\u5206\u662f\u7531\u65bc\u6211\u5011\u5c0d\u975e\u7279\u7570\u6027\u8170\u75db (LBP) \u6a5f\u5236\u7684\u4e0d\u5b8c\u5168\u7406\u89e3 <small class=\"mininote\"><sup>[12]<\/sup><\/small> \u3002 <span class=\"swl-marker mark_yellow\">\u53d7\u640d\u7684\u611f\u89ba\u904b\u52d5\u63a7\u5236\uff08\u6307\u63a7\u5236\u808c\u8089\u548c\u810a\u67f1\u6392\u5217\u548c\u904b\u52d5\u7684\u6240\u6709\u611f\u89ba\u548c\u904b\u52d5\u904e\u7a0b\uff0c\u4ee5\u6eff\u8db3\u5065\u5eb7\u529f\u80fd\u548c\u810a\u67f1\u8ca0\u8377\u9700\u6c42\uff09\u5df2\u88ab\u8a8d\u70ba\u662f\u6f5b\u5728\u75bc\u75db\u767c\u5c55\u548c\/\u6216\u7dad\u6301\u7684\u4e00\u7a2e\u53ef\u80fd\u6a5f\u5236\uff0c\u81f3\u5c11\u6700\u521d\u662f\u7531\u65bc\u7d44\u7e54\u8ca0\u8377\u4e0d\u7406\u60f3<small class=\"mininote\">\u3014suboptimal tissue loading\u3015<\/small>\u6240\u81f4<\/span> <small class=\"mininote\"><sup>[10,29,82]<\/sup><\/small> \u3002 <\/p>\n\n\n\n<p>\u5118\u7ba1\u65e9\u671f\u7684\u5de5\u4f5c\u805a\u7126\u65bc\u9019\u7a2e\u300c\u7d42\u672b\u5668\u5b98\u529f\u80fd\u969c\u7919<small class=\"mininote\">\u3014end-organ dysfunction\u3015<\/small>\u300d\uff08\u808c\u8089\u9aa8\u9abc\u7cfb\u7d71\u5167\u7684\u7d50\u69cb\u548c\u529f\u80fd\u7570\u5e38\uff09\u4e0a <small class=\"mininote\"><sup>[67]<\/sup><\/small> \uff0c\u4f46\u5728\u904e\u53bb\u7684 20 \u5e74\u4e2d\uff0c\u4eba\u5011\u8d8a\u4f86\u8d8a\u610f\u8b58\u5230<span class=\"swl-marker mark_orange\">\u8170\u75db (LBP) \u60a3\u8005\u7684\u4e2d\u6a1e\u795e\u7d93\u7cfb\u7d71\u4e5f\u53ef\u80fd\u767c\u751f\u8b8a\u5316<\/span>\u3002<\/p>\n\n\n\n<p>\u9019\u53ef\u4ee5\u5f9e\u5169\u500b\u89c0\u9ede\u4f86\u8003\u616e\uff1a\u9996\u5148\uff0c\u5728\u6574\u500b\u795e\u7d93\u7cfb\u7d71\u4e2d\u89c0\u5bdf\u5230\u50b7\u5bb3\u611f\u53d7\u548c\u75bc\u75db\u8655\u7406\u7684\u8b8a\u5316\uff0c\u5176\u6b21\uff0c\u5927\u8166\u76ae\u5c64\u611f\u89ba\u904b\u52d5\u5340\u57df\u7684\u7d50\u69cb\uff08\u4f8b\u5982\uff0c\u7070\u8cea\u640d\u5931<small class=\"mininote\">\u3014gray matter loss\u3015<\/small>\uff09\u548c\u529f\u80fd\uff08\u4f8b\u5982\uff0c\u7d44\u7e54<small class=\"mininote\">\u3014organization\u3015<\/small>\uff09\u7684\u8b8a\u5316\u3002 \u6b64\u5916\uff0c\u81e8\u5e8a\u5e72\u9810\u8d8a\u4f86\u8d8a\u591a\u5730\u65e8\u5728\u300e\u901a\u904e\u6cbb\u7642\u9a45\u52d5\u795e\u7d93\u53ef\u5851\u6027\uff0c\u4ee5\u6539\u5584\u611f\u89ba\u904b\u52d5\u529f\u80fd\u548c\u75bc\u75db\u300f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>\u9019\u7bc7\u8a55\u8ad6\u63d0\u4f9b\u4e86\u300e\u5728\u8170\u75db (LBP)\u4e2d\uff0c\u75bc\u75db\/\u50b7\u5bb3\u611f\u53d7\u548c\u611f\u89ba\u904b\u52d5\u7cfb\u7d71\u7684\u795e\u7d93\u53ef\u5851\u6027\u300f\u7684\u7576\u4ee3\u6982\u8ff0\u3002\u672c\u6587\u91dd\u5c0d\uff1a<\/p>\n\n\n\n<ol>\n<li>\u5b9a\u7fa9\u8207\u810a\u67f1\u63a7\u5236\u548c\u8170\u75db (LBP) \u76f8\u95dc\u7684\u795e\u7d93\u53ef\u5851\u6027<\/li>\n\n\n\n<li>\u7d50\u69cb\u6027\u548c\u529f\u80fd\u6027\u795e\u7d93\u7cfb\u7d71\u767c\u751f\u8b8a\u5316\uff0c\u56e0\u70ba\u5b83\u5011\u8207\u975e\u7279\u7570\u6027\u8170\u75db (LBP) \u548c\u611f\u89ba\u904b\u52d5\u529f\u80fd\u6709\u95dc<\/li>\n\n\n\n<li>\u76f8\u95dc\u81e8\u5e8a\u610f\u7fa9<\/li>\n<\/ol>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u795e\u7d93\u53ef\u5851\u6027\u548c\u8170\u75db<\/h3>\n\n\n\n<p><span class=\"swl-marker mark_yellow\"><strong>\u795e\u7d93\u53ef\u5851\u6027<\/strong>\u662f\u6307\u300e\u795e\u7d93\u7cfb\u7d71\u7d93\u6b77\u3008\u7531\u6d3b\u52d5\u548c\u5f37\u5316\u8abf\u7bc0\u7684\u3009\u529f\u80fd\u548c\u7d50\u69cb\u8b8a\u5316\u300f\u7684\u80fd\u529b<\/span> <small class=\"mininote\"><sup>[13]<\/sup><\/small> \u3002 \u795e\u7d93\u53ef\u5851\u6027\u662f\u4e00\u500b\u6982\u5ff5\uff0c\u5c31\u5176\u5b57\u9762\u610f\u7fa9\u800c\u8a00\uff0c\u5b83\u662f\u5982\u6b64\u5ee3\u6cdb\u4ee5\u81f3\u65bc\u5e7e\u4e4e\u6beb\u7121\u610f\u7fa9\u2014\u2014\u5b83\u53ef\u80fd\u53ea\u662f\u5c07\u6d3b\u8457\u7684\u795e\u7d93\u5143\u6216\u795e\u7d93\u7cfb\u7d71\u8207\u6b7b\u53bb\u7684\u795e\u7d93\u5143\u6216\u795e\u7d93\u7cfb\u7d71\u5340\u5206\u958b\u4f86 <small class=\"mininote\"><sup>[42]<\/sup><\/small> \u3002  \u300e\u5b78\u7fd2\u65b0\u4e8b\u7269\u300f\u3001\u300e\u7522\u751f\u65b0\u8f38\u51fa\uff0c\u4ee5\u57f7\u884c\u65b0\u6d3b\u52d5\u300f\u3001\u300e\u7522\u751f\u65b0\u601d\u60f3\u300f\u3001\u300e\u5275\u9020\u548c\u8a18\u4f4f\u5168\u65b0\u7684\u8996\u89ba\u5834\u666f\u300f\u4ee5\u53ca\u300e\u5728\u4ee5\u524d\u6c92\u6709\u806f\u7e6b\u7684\u6982\u5ff5\u4e4b\u9593\u5efa\u7acb\u65b0\u806f\u7e6b\u300f\u7684\u80fd\u529b\u5c55\u793a\u4e86\u795e\u7d93\u7cfb\u7d71\u3008\u4ee5\u6301\u7e8c\u7684\u201c\u5728\u7dda\u201d\u65b9\u5f0f\u3009\u6301\u7e8c\u8b8a\u5316\u7684\u975e\u51e1\u80fd\u529b\u3002<\/p>\n\n\n\n<p>\u9019\u7a2e\u5728\u7dda\u795e\u7d93\u53ef\u5851\u6027<small class=\"mininote\">\u3014online neuroplasticity\u3015<\/small>\u53ef\u4ee5\u88ab\u6982\u5ff5\u5316\u70ba\u300e<span class=\"swl-marker mark_orange\">\u5927\u8166\u6216\u810a\u9ad3\u4e2d\uff0c\u795e\u7d93\u5143\u548c\u975e\u795e\u7d93\u5143\u7d30\u80de\u7db2\u7d61\u4e4b\u9593\u7684\u5354\u4f5c\u548c\u7af6\u722d<\/span>\u300f\uff0c\u5b83\u5011\u901a\u904e\u795e\u7d93\u751f\u7269\u5b78\uff08\u5373\u795e\u7d93-\u795e\u7d93<small class=\"mininote\">\u3014neuroneural\u3015<\/small>\u3001\u795e\u7d93\u808c\u8089<small class=\"mininote\">\u3014neuromuscular\u3015<\/small>\u3001\u795e\u7d93\u514d\u75ab<small class=\"mininote\">\u3014neuroimmune\u3015<\/small>\u3001\u795e\u7d93\u5167\u5206\u6ccc<small class=\"mininote\">\u3014neuroendocrine\u3015<\/small>\uff09\u9023\u63a5\u5171\u540c\u767c\u63ee\u5f71\u97ff <small class=\"mininote\"><sup>[85]<\/sup><\/small> \u3002 \u7531\u65bc\u795e\u7d93\u548c\u514d\u75ab\uff08\u548c\u514d\u75ab\u6a23\uff09\u7d30\u80de\u7684\u53c3\u8207\uff0c\u9019\u4e9b\u7db2\u7d61\u53ef\u80fd\u66f4\u6e96\u78ba\u5730\u7a31\u70ba\u795e\u7d93\u514d\u75ab\u7db2\u7d61<small class=\"mininote\">\u3014neuroimmune networks\u3015<\/small>\uff08\u53c3\u898b Hodges \u7b49\u4eba <small class=\"mininote\"><sup>[28]<\/sup><\/small> \u7684\u7d9c\u8ff0\uff09\u3002 \u300e\u4efb\u4f55\u7d66\u5b9a\u795e\u7d93\u7db2\u7d61\u7684\u5f71\u97ff\u300f\u53d6\u6c7a\u65bc\u88ab\u8a8d\u70ba\u652f\u914d\u5176\u64cd\u4f5c\u7684\u539f\u5247\uff0c\u5305\u62ec\u6240\u6d89\u53ca\u7684\u7d30\u80de\u6578\u91cf\uff08\u7a31\u70ba\u795e\u7d93\u5143\u8cea\u91cf<small class=\"mininote\">\u3014neuronal mass\u3015<\/small>\uff09\u3001\u7db2\u7d61\u5167\u9023\u63a5\u7684\u7cbe\u5ea6\u548c\u6709\u6548\u6027\uff0c\u4ee5\u53ca\u9ad8\u968e\u7db2\u7d61\u5c0d\u7db2\u7d61\u7684\u81ea\u4e0a\u800c\u4e0b\u52a0\u6b0a <small class=\"mininote\"><sup>[59]<\/sup><\/small> \u3002 \u6bcf\u500b\u7db2\u7d61\u7531\u8a31\u591a\u7d30\u80de\u7d44\u6210\uff0c\u6bcf\u500b\u7d30\u80de\u53c8\u5728\u8a31\u591a\u7db2\u7d61\u4e2d\u2014\u2014\u591a\u4efb\u52d9\u539f\u5247<small class=\"mininote\">\u3014the principle of multitasking\u3015<\/small> <small class=\"mininote\"><sup>[66]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u8170\u75db (LBP) \u7684\u81e8\u5e8a\u7d50\u69cb<small class=\"mininote\">\u3014clinical construct\u3015<\/small>\u6d89\u53ca\u5ee3\u6cdb\u7684\u795e\u7d93\u7db2\u7d61\uff0c\u5305\u62ec\u8655\u7406\u75bc\u75db\u548c\u50b7\u5bb3\u611f\u53d7\uff08\u4f8b\u5982\uff0c\u8abf\u7bc0\u4e0b\u884c\u50b7\u5bb3\u611f\u53d7\u8abf\u88fd<small class=\"mininote\">\u3014regulation of descending nociceptive modulationt\u3015<\/small>\uff09 <small class=\"mininote\"><sup>[61]<\/sup><\/small> \u3001\u611f\u89ba\u904b\u52d5\u529f\u80fd\uff08\u4f8b\u5982\uff0c\u7522\u751f\u904b\u52d5\u8f38\u51fa\u3001\u7de8\u78bc\u611f\u89ba\u8f38\u5165 <small class=\"mininote\"><sup>[21]<\/sup><\/small> \uff09\u4ee5\u53ca\u8a8d\u77e5\u548c\u60c5\u7dd2\uff08\u4f8b\u5982\uff0c\u7de8\u78bc\u4fe1\u5ff5\u548c\u60f3\u6cd5\uff09\u7684\u795e\u7d93\u7db2\u7d61\u3002<\/span> \u4eba\u5011\u53ef\u4ee5\u5c07\u5728\u8eab\u9ad4\uff08\u4f8b\u5982\uff0c\u904b\u52d5\uff09\u6216\u610f\u8b58\uff08\u4f8b\u5982\uff0c\u611f\u89ba\uff09\u4e2d\u65bd\u52a0\u5f71\u97ff\u7684\u795e\u7d93\u7db2\u7d61\u6982\u5ff5\u5316\u70ba\u201c\u52d5\u4f5c<small class=\"mininote\">\u3014action\u3015<\/small>\u201d\u7db2\u7d61\uff0c\u4e26\u4e14\u5c07\u5728\u5927\u8166\u5167\u90e8\u65bd\u52a0\u5f71\u97ff\u7684\u795e\u7d93\u7db2\u7d61\u6982\u5ff5\u5316\u70ba\u201c\u8abf\u88fd<small class=\"mininote\">\u3014modulation\u3015<\/small>\u201d\u7db2\u7d61\uff08\u8acb\u53c3\u95b1 Moseley \u548c Butler  <small class=\"mininote\"><sup>[53]<\/sup><\/small> \u4ee5\u7372\u5f97\u5ee3\u6cdb\u7684\u7d9c\u8ff0\uff09\u3002 <span class=\"swl-marker mark_yellow\">\u8abf\u7bc0\u7db2\u7d61<small class=\"mininote\">\u3014modulation networks\u3015<\/small>\u5c0d\u52d5\u4f5c\u7db2\u7d61<small class=\"mininote\">\u3014action networks\u3015<\/small>\u65bd\u52a0\u7684\u4e0d\u65b7\u8b8a\u5316\u7684\u5f71\u97ff\u7d44\u5408\uff0c\u5141\u8a31\u5be6\u6642\u795e\u7d93\u53ef\u5851\u6027<small class=\"mininote\">\u3014real-time neuroplasticity\u3015<\/small>\uff0c\u4e26\u4e14\u9019\u4e9b\u7db2\u7d61\u5167\u7684\u8f49\u8b8a\uff08\u901a\u904e\u5176\u5f71\u97ff\u529b\u7684\u8b8a\u5316<small class=\"mininote\">\u3014virtue of shifts\u3015<\/small>\uff09\u5141\u8a31\u77ed\u671f\u3001\u4e2d\u671f\u548c\u9577\u671f\u7684\u795e\u7d93\u53ef\u5851\u6027\u3002<\/span><\/p>\n\n\n\n<p>\u5728 LBP \u7684\u80cc\u666f\u4e0b\u5c0d\u795e\u7d93\u53ef\u5851\u6027\u7684\u7814\u7a76\u8003\u616e\u4e86\u57df\u8b5c<small class=\"mininote\">\u3014domain spectrum\u3015<\/small>\uff08\u5f9e\u75bc\u75db\u548c\u50b7\u5bb3\u6027\u8655\u7406\u7684\u7279\u5fb5\u5230\u611f\u89ba\u904b\u52d5\u63a7\u5236\uff09\u3001\u6642\u9593\u8b5c<small class=\"mininote\">\u3014time spectrum\u3015<\/small>\uff08\u5f9e\u529f\u80fd\u7684\u5728\u7dda\u8b8a\u5316\u5230\u529f\u80fd\u548c\u7d50\u69cb\u7684\u9577\u671f\u8b8a\u5316\uff09\u548c\u5fa9\u96dc\u6027\u8b5c<small class=\"mininote\">\u3014complexity spectrum\u3015<\/small>\uff08\u5168\u4eba\u985e\u7814\u7a76\uff0c\u4f8b\u5982\uff0c\u8abf\u67e5 LBP \u60a3\u8005\u5982\u4f55\u5c0b\u6c42\u91ab\u7642\u4fdd\u5065\uff09\u3002 \u9019\u9084\u8003\u616e\u4e86\u7cfb\u7d71\uff08\u4f8b\u5982\uff0c\u7814\u7a76\u300e\u4fc3\u9032\u904b\u52d5\u6216\u5927\u8166\u5c0d\u9ad4\u611f\u523a\u6fc0\u7684\u53cd\u61c9\u300f\u7684\u795e\u7d93\u7db2\u7d61\u7684\u7279\u5fb5\uff09\u548c\u5b50\u7cfb\u7d71\uff08\u4f8b\u5982\uff0c\u5c0d\u810a\u9ad3\u50b7\u5bb3\u611f\u53d7\u5668<small class=\"mininote\">\u3014spinal nociceptors\u3015<\/small>\u3001\u5927\u8166\u63a5\u5730\u795e\u7d93\u5143<small class=\"mininote\">\u3014brain-grounded neurons\u3015<\/small>\u6216\u514d\u75ab\u7d30\u80de\u4e2d\uff0c\u7a81\u89f8\u529f\u6548<small class=\"mininote\">\u3014synaptic efficacy\u3015<\/small>\u8b8a\u5316\u7684\u9ad4\u5916\u7814\u7a76 \uff09\u3002<\/p>\n\n\n\n<p>\u7814\u7a76\u4e0d\u540c\u7684\u76ee\u6a19\u9700\u8981\u4e0d\u540c\u7684\u65b9\u6cd5\uff0c\u4e26\u6d89\u53ca\u4f86\u81ea\u4e0d\u540c\u9818\u57df\u7684\u7814\u7a76\u4eba\u54e1\uff0c\u4e0d\u53ef\u907f\u514d\u5730\u5c0e\u81f4\u4e0d\u540c\u7684\u89e3\u91cb\u548c\u8868\u9054\u9019\u4e9b\u89e3\u91cb\u7684\u8853\u8a9e\u3002 <strong><strong>FIGURE 1<\/strong><\/strong> \u65e8\u5728\u6355\u6349\u300e\u69cb\u6210 LBP \u795e\u7d93\u53ef\u5851\u6027\u7814\u7a76\u9818\u57df\u300f\u7684\u7814\u7a76\u76ee\u6a19\u548c\u76f8\u95dc\u65b9\u6cd5\u7684\u5ee3\u5ea6\u3002 \u4ee5\u4e0b\u90e8\u5206\u4ecb\u7d39\u4e86\u8207 LBP \u76f8\u95dc\u7684 3 \u500b\u9818\u57df\uff0c\u8003\u616e\u4e86\u7814\u7a76\u5982\u4f55\u89e3\u91cb\u300e\u5728\u6642\u9593\u548c\u5fa9\u96dc\u6027\u8b5c<small class=\"mininote\">\u3014complexity spectra\u3015<\/small>\u4e2d\u7684\u6bcf\u4e00\u500b\u300f\u4ee5\u53ca\u300e\u57df\u4e4b\u9593\u7684\u76f8\u4e92\u4f5c\u7528\u300f\u3002<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group is-style-bg_grid\"><div class=\"wp-block-group__inner-container\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1280\" height=\"739\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-01-webp-1280x739.webp\" alt=\"\" class=\"wp-image-5371\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-01-webp-1280x739.webp 1280w, https:\/\/wilback.com\/wp-content\/uploads\/study007-01-webp-768x443.webp 768w, https:\/\/wilback.com\/wp-content\/uploads\/study007-01-webp.webp 1301w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><figcaption class=\"wp-element-caption\">\u00a9 Journal of Orthopaedic &amp; Sports Physical Therapy<\/figcaption><\/figure>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong><strong>FIGURE 1<\/strong><\/strong>\u3001\u8207\u8170\u75db\u60a3\u8005\u8ec0\u5e79\u808c\u8089\u904b\u52d5\u63a7\u5236\u76f8\u95dc\u7684\u795e\u7d93\u53ef\u5851\u6027\u7814\u7a76\uff0c\u6cbf\u8457\u8907\u96dc\u6027\u8b5c\u5ef6\u4f38\uff08\u5782\u76f4\u2014\u2014\u5f9e\u300c\u5b50\u7cfb\u7d71\u300d\u5230\u300c\u7cfb\u7d71\u300d\u548c\u300c\u5168\u4eba\u7814\u7a76\u300d\uff09\u548c\u6cbf\u8457\u6642\u9593\u8b5c\u5ef6\u4f38\uff08\u6c34\u5e73\u2014\u2014\u5f9e\u904b\u52d5\u8f38\u51fa\u7684\u5728\u7dda\u8b8a\u5316\uff0c\u5230\u77ed\u671f\u548c\u9577\u671f\u7684\u795e\u7d93\u53ef\u5851\u6027\u5a92\u4ecb\u7684\u5f71\u97ff\uff09\u3002\u7bc4\u4f8b\u7814\u7a76\u76ee\u6a19\u4ee5\u85cd\u8272\u5b57\u9ad4\u986f\u793a\uff0c\u7bc4\u4f8b\u7814\u7a76\u65b9\u6cd5\u4ee5\u9ed1\u8272\u5b57\u9ad4\u986f\u793a\u53ef\u4ee5\u8a62\u554f\u76ee\u6a19\u3002<\/p>\n\n\n\n<p>\u7e2e\u5beb\uff1aDRG\u3001\u80cc\u6839\u795e\u7d93\u7bc0<small class=\"mininote\">\u3014dorsal root ganglia\u3015<\/small>\uff1b EEG\u3001\u8166\u96fb\u5716<small class=\"mininote\">\u3014electroencephalography\u3015<\/small>\uff1b EMG\u3001\u808c\u96fb\u5716<small class=\"mininote\">\u3014electromyography\u3015<\/small>\uff1b fMRI\u3001\u529f\u80fd\u78c1\u5171\u632f\u6210\u50cf<small class=\"mininote\">\u3014functional magnetic resonance imaging\u3015<\/small>\uff1b M1\u3001\u521d\u7d1a\u904b\u52d5\u76ae\u5c64<small class=\"mininote\">\u3014primary motor cortex\u3015<\/small>\uff1b MEP\u3001\u904b\u52d5\u8a98\u767c\u96fb\u4f4d<small class=\"mininote\">\u3014motor-evoked potential\u3015<\/small>\uff1b SEP\u3001\u9ad4\u611f\u8a98\u767c\u96fb\u4f4d<small class=\"mininote\">\u3014somatosensory-evoked potential\u3015<\/small>\uff1b TMS\u3001\u8de8\u9871\u78c1\u523a\u6fc0<small class=\"mininote\">\u3014transcranial magnetic stimulation\u3015<\/small>\u3002<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\">LBP \u4e2d\uff0c\u75bc\u75db\u548c\u50b7\u5bb3\u611f\u53d7\u904e\u7a0b\u4e2d\u7684\u795e\u7d93\u53ef\u5851\u6027<\/h4>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u50b7\u5bb3\u611f\u53d7\u548c\u75bc\u75db\u8655\u7406\u7684\u795e\u7d93\u53ef\u5851\u6027\u8d8a\u4f86\u8d8a\u88ab\u8a8d\u70ba\u662f\u8170\u75db\uff08LBP\uff09\u7684\u4e3b\u8981\u8ca2\u737b\u8005\uff0c\u5728\u6574\u500b\u795e\u7d93\u7cfb\u7d71\u4e2d\u90fd\u89c0\u5bdf\u5230\u4e86\u8b8a\u5316\u3002<\/span> \u521d\u7d1a\u50b7\u5bb3\u6027\u50b3\u5165\u7684\u654f\u611f\u6027\u589e\u52a0\uff08\u4e00\u7a2e\u7a31\u70ba<strong>\u5468\u570d\u654f\u611f\u5316<\/strong><small class=\"mininote\">\u3014peripheral sensitization\u3015<\/small>\u7684\u73fe\u8c61\uff09\u5728\u8a31\u591a\u60c5\u6cc1\u4e0b\u5f88\u5e38\u898b\uff0c\u5305\u62ec\u8170\u75db\uff08LBP\uff09 <small class=\"mininote\"><sup>[75]<\/sup><\/small> \u3002 \u9019\u53ef\u80fd\u6d89\u53ca\u5c0d\u6df1\u90e8\u7d44\u7e54\u4e2d\u7684\u4e00\u7cfb\u5217\u6709\u5bb3\u523a\u6fc0\u548c\/\u6216\u53d7\u9ad4\u4f5c\u51fa\u53cd\u61c9\u7684\u76ae\u819a\u53d7\u9ad4<small class=\"mininote\">\u3014cutaneous receptors\u3015<\/small>\uff0c\u4f8b\u5982\u90a3\u4e9b\u6f5b\u5728\u5730\u53d7\u5230\u8170\u90e8\u640d\u50b7\u5f71\u97ff\u7684\u4eba\u3002 \u6df1\u90e8\u7d44\u7e54\u50b7\u5bb3\u611f\u53d7\u7e96\u7dad<small class=\"mininote\">\u3014deep tissue nociceptive fibers\u3015<\/small>\u4e3b\u8981\u5c0d\u6709\u5bb3\u7684\u6a5f\u68b0\u548c\u5316\u5b78\uff08\u4f8b\u5982\u708e\u75c7\uff09\u523a\u6fc0\u4f5c\u51fa\u53cd\u61c9 <small class=\"mininote\"><sup>[73]<\/sup><\/small> \u3002 <\/p>\n\n\n\n<p>\u300e\u810a\u9ad3\u4e2d\uff0c\u795e\u7d93\u7db2\u7d61\u7684\u654f\u611f\u6027\u589e\u52a0\u548c\u4e0a\u884c\u6295\u5c04<small class=\"mininote\">\u3014ascending projections\u3015<\/small>\u300f\u6216\u300e\u4e0b\u884c\u6291\u5236\u901a\u8def<small class=\"mininote\">\u3014descending inhibitory pathways\u3015<\/small>\u529f\u80fd\u7684\u53d7\u640d <small class=\"mininote\"><sup>[11]<\/sup><\/small> \uff08\u7a31\u70ba<strong>\u4e2d\u6a1e\u654f\u5316<\/strong><small class=\"mininote\">\u3014central sensitization\u3015<\/small> <small class=\"mininote\"><sup>[89]<\/sup><\/small> \uff09\u300f\u4ee5\u53ca\u300e\u7de8\u78bc\u50b7\u5bb3\u611f\u53d7\u7684\u57fa\u65bc\u5927\u8166<small class=\"mininote\">\u3014brain-grounded\u3015<\/small>\u795e\u7d93\u7db2\u7d61\u7684\u654f\u611f\u6027\u589e\u52a0\u300f\uff0c\u4f7f\u5f97\u9019\u4e9b\u7db2\u7d61\u80fd\u5920\u5728\u4e00\u7cfb\u5217\u7121\u5bb3\u4e8b\u4ef6\u671f\u9593\u6fc0\u6d3b\u3002 \u9019\u7a2e\u795e\u7d93\u53ef\u5851\u6027\u662f\u7531\u751f\u7269\u904e\u7a0b\u5a92\u4ecb\u7684\uff0c\u9019\u4e9b\u751f\u7269\u904e\u7a0b\u672c\u8eab\u53d7\u5230\u300e\u95dc\u65bc\u75bc\u75db\u548c\u5176\u4ed6\u5fc3\u7406\u73fe\u8c61\u7684\u8a8d\u77e5\u300f\u7684\u5f71\u97ff <small><sup>[74]<\/sup><\/small> \u3002 <span class=\"swl-marker mark_yellow\">\u9019\u4e9b\u751f\u7269\u5b78\u904e\u7a0b\u5df2\u5728\u77ed\u671f\u548c\u9577\u671f\u89c0\u5bdf\u5230\uff0c\u4e26\u4e14\u7576\u8207\u6182\u9b31\u75c7\u72c0\u5171\u5b58\u6642\uff0c\u654f\u611f\u6027\u589e\u52a0\u8207\u6025\u6027\u8170\u75db\uff08LBP\uff09\u60c5\u7bc0\u5f8c\u7684\u4e0d\u826f\u7d50\u679c\u6709\u95dc\u3002<\/span><\/p>\n\n\n\n<p>\u5118\u7ba1\u5df2\u7d93\u5728\u52d5\u7269\u6a21\u578b\u7684\u7d30\u80de\u6c34\u5e73\u4e0a\u9032\u884c\u4e86\u5927\u91cf\u7814\u7a76\uff0c\u4ee5\u4e86\u89e3\u795e\u7d93\u7cfb\u7d71\u591a\u500b\u6c34\u5e73\u7684\u751f\u7269\u5b78\u904e\u7a0b\uff08\u53c3\u898b Woolf <small class=\"mininote\"><sup>[88]<\/sup><\/small> \u9032\u884c\u7684\u5168\u9762\u5be9\u67e5\uff09\uff0c\u4f46\u4eba\u985e\u7814\u7a76\u4e00\u76f4\u805a\u7126\u65bc\u7cfb\u7d71\u6c34\u5e73\uff0c\u4f7f\u7528\u65b9\u6cd5\u4ee5\u7814\u7a76\u5167\u6e90\u6027\u75bc\u75db\u6291\u5236\u7cfb\u7d71<small class=\"mininote\">\u3014endogenous pain inhibitory systems\u3015<\/small>\uff08\u901a\u5e38\u5047\u5b9a\u8207\u4e0b\u964d\u7684\u6709\u5bb3\u6291\u5236<small class=\"mininote\">\u3014descending noxious inhibition\u3015<\/small>\u6709\u95dc\uff09\uff0c\u4f8b\u5982\u689d\u4ef6\u6027\u75bc\u75db\u8abf\u7bc0<small class=\"mininote\">\u3014conditioned pain modulation\u3015<\/small> <small class=\"mininote\"><sup>[11]<\/sup><\/small> \u3001\u9060\u96e2\u80cc\u90e8\u7684\u5340\u57df\u7684\u75db\u89ba\u904e\u654f<small class=\"mininote\">\u3014hyperalgesia\u3015<\/small> <small class=\"mininote\"><sup>[38]<\/sup><\/small> \u3001\u810a\u9ad3\u50b7\u5bb3\u53cd\u5c04\u7684\u611f\u53d7\u5340\u57df<small class=\"mininote\">\u3014receptive fields\u3015<\/small> <small class=\"mininote\"><sup>[57]<\/sup><\/small> \u548c\u6642\u9593\u7e3d\u548c<small class=\"mininote\">\u3014temporal summation\u3015<\/small> <small><sup>[20]<\/sup><\/small> \u3002  \u6bcf\u7a2e\u65b9\u6cd5\u90fd\u63d0\u4f9b\u4e86\u9593\u63a5\u8b49\u64da\uff0c\u8868\u660e<span class=\"swl-marker mark_yellow\">\u589e\u52a0\u7684\u654f\u611f\u6027\u88ab\u8a8d\u70ba\u662f\u300e\u5728\u52d5\u7269\u4e2d\uff0c\u89c0\u5bdf\u5230\u7684\u4e2d\u6a1e\u654f\u611f\u5316\u904e\u7a0b<small class=\"mininote\">\u3014central sensitization processes\u3015<\/small>\u300f\u7684\u7279\u5fb5<\/span>\u3002<\/p>\n\n\n\n<p><span class=\"swl-marker mark_orange\">\u91cd\u8981\u7684\u662f\uff0c\u589e\u5f37\u7684\u654f\u611f\u6027\u53ef\u80fd\u6703\u5f71\u97ff\u5176\u4ed6\u611f\u5b98\u4fe1\u865f\u7684\u8655\u7406\u3002<\/span> \u904b\u52d5\u63a7\u5236<small class=\"mininote\">\u3014motor control\u3015<\/small>\u88ab\u300e\u50b7\u5bb3\u611f\u53d7\u7db2\u7d61\u7684\u6df1\u523b\u795e\u7d93\u53ef\u5851\u6027\u300f\u8abf\u7bc0\u3002 \u4f8b\u5982\uff0c\u5468\u570d\u654f\u611f\u5316<small class=\"mininote\">\u3014peripheral sensitization\u3015<\/small>\u610f\u5473\u8457\u300e\u5728\u810a\u9ad3\u548c\u810a\u9ad3\u4e0a\u6c34\u5e73<small class=\"mininote\">\u3014spinal and supraspinal levels\u3015<\/small>\uff0c\u8abf\u7bc0\u904b\u52d5\u7cfb\u7d71\u7684\u50b7\u5bb3\u6027\u963b\u585e<small class=\"mininote\">\u3014nociceptive barrage\u3015<\/small>\u300f\u53ef\u4ee5\u7531\u7121\u5bb3\u7684\u71b1\u548c\u6a5f\u68b0\u8f38\u5165\u4ee5\u53ca\u6b63\u5e38\u808c\u8089\u6d3b\u52d5\u7522\u7269\uff08\u4f8b\u5982\u4e73\u9178\uff09\u7684\u5b58\u5728\u89f8\u767c\u3002 \u6b64\u5916\uff0c\u300e\u8207\u4fdd\u8b77\u76f8\u95dc\u7684\u5ee3\u6cdb\u8abf\u7bc0\u795e\u7d93\u7db2\u7d61\u7684\u654f\u611f\u6027\u300f\u5c07\u64f4\u5927\u53ef\u4ee5\u8abf\u7bc0\u904b\u52d5\u7cfb\u7d71\u7684\u7121\u5bb3\u60c5\u6cc1\u7684\u5ee3\u5ea6\uff0c\u4ee5\u5305\u62ec\u8d85\u51fa\u9ad4\u611f\u8f38\u5165<small class=\"mininote\">\u3014somatosensory inputs\u3015<\/small>\u7684\u60c5\u6cc1\u2014\u2014\u9019\u7a2e\u60c5\u6cc1\u5728\u7576\u4ee3\u5c0d\u4e2d\u6a1e\u654f\u611f\u5316\u7684\u7406\u89e3\u4e2d\u5f97\u5230\u9ad4\u73fe <small><sup>[90]<\/sup><\/small> \u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u904b\u52d5\u7cfb\u7d71\u4e2d\u7684\u795e\u7d93\u53ef\u5851\u6027\uff0c\u4f5c\u70ba\u810a\u9ad3\u904b\u52d5\u63a7\u5236\u7684\u8abf\u7bc0<\/h4>\n\n\n\n<p>\u5f9e\u810a\u67f1\u611f\u89ba\u904b\u52d5\u63a7\u5236<small class=\"mininote\">\u3014sensorimotor control\u3015<\/small>\u7684\u904b\u52d5\u65b9\u9762<small class=\"mininote\">\u3014motor aspect\u3015<\/small>\u4f86\u770b\uff0c\u795e\u7d93\u53ef\u5851\u6027\u7814\u7a76\u4e5f\u6db5\u84cb\u4e86\u8907\u96dc\u6027\u548c\u6642\u9593\u8b5c<small class=\"mininote\">\u3014time spectra\u3015<\/small>\u3002 \u5927\u8166\u548c\u810a\u9ad3\uff08\u53ca\u5176\u4ed6\uff09\u5340\u57df\u7684\u5de8\u5927\u591a\u6a23\u6027\uff08<strong>FIGURE 2<\/strong>\uff09\u6d89\u53ca\u904b\u52d5\u8f38\u51fa<small class=\"mininote\">\u3014motor output\u3015<\/small>\u7684\u7522\u751f\uff0c\u5118\u7ba1\u795e\u7d93\u53ef\u5851\u6027\u5728\u4efb\u4f55\u6c34\u5e73\u90fd\u662f\u53ef\u80fd\u7684\uff0c\u4f46\u8170\u75db\uff08LBP\uff09\u7684\u7814\u7a76\u96c6\u4e2d\u5728\u904b\u52d5\u76ae\u5c64<small class=\"mininote\">\u3014motor cortex\u3015<\/small>\u3002 \u4f8b\u5982\uff0c\u5728\u8a18\u9304\u5176\u6d3b\u52d5\u6642\uff0c\u901a\u904e\u521d\u7d1a\u904b\u52d5\u76ae\u5c64\u4e0a\u7684\u8de8\u9871\u78c1\u523a\u6fc0<small class=\"mininote\">\u3014transcranial magnetic stimulation\u3015<\/small> (TMS) \u63ed\u793a\u4e86\u8ec0\u5e79\u808c\u8089\u523a\u6fc0-\u53cd\u61c9\u8f2a\u5ed3<small class=\"mininote\">\u3014stimulus-response profile\u3015<\/small>\u7684\u8b8a\u5316 <small><sup>[78,80]<\/sup><\/small>\uff08<strong>FIGURE 3<\/strong>\uff09\uff0c\u53cd\u6620\u4e86\u7cfb\u7d71\u6c34\u5e73\u7684\u795e\u7d93\u53ef\u5851\u6027\u3002  \u9019\u4e5f\u53cd\u6620\u300e\u5728 TMS \u76f8\u95dc\u7684\u808c\u8089\u6d3b\u52d5\u4e2d\uff0c\u5c0d\u904b\u52d5\u8a08\u5283\u53cd\u61c9\u300f\u7684\u8b8a\u5316\uff0c\u4e5f\u53cd\u6620\u4e86\u7cfb\u7d71\u6c34\u5e73\u7684\u795e\u7d93\u53ef\u5851\u6027\u3002 \u7136\u800c\uff0c\u524d\u8005\u8207\u4e2d\u671f\u81f3\u9577\u671f\u8ab2\u7a0b\u6709\u95dc\uff0c\u5f8c\u8005\u8207\u77ed\u671f\u81f3\u9577\u671f\u8ab2\u7a0b\u6709\u95dc <small><sup>[79]<\/sup><\/small> \u3002 <\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group is-style-bg_grid\"><div class=\"wp-block-group__inner-container\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"901\" height=\"676\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-02-webp.webp\" alt=\"\" class=\"wp-image-5374\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-02-webp.webp 901w, https:\/\/wilback.com\/wp-content\/uploads\/study007-02-webp-768x576.webp 768w\" sizes=\"(max-width: 901px) 100vw, 901px\" \/><figcaption class=\"wp-element-caption\">\u00a9 Journal of Orthopaedic &amp; Sports Physical Therapy<\/figcaption><\/figure>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>FIGURE 2<\/strong>\u3001\u4f7f\u7528\u8de8\u9871\u78c1\u523a\u6fc0 (TMS) \u7e6a\u88fd\u904b\u52d5\u76ae\u8cea\u5716\u3002<br>(A) \u904b\u52d5\u76ae\u8cea\u4e0a\u7684\u523a\u6fc0\u6fc0\u767c\u76ae\u8cea\u5167\u795e\u7d93\u5143<small class=\"mininote\">\u3014intracortical neurons\u3015<\/small>\uff0c\u70ba\u76ae\u5c64\u810a\u9ad3\u7d30\u80de<small class=\"mininote\">\u3014corticospinal cells\u3015<\/small>\u63d0\u4f9b\u7a81\u89f8\u8f38\u5165<small class=\"mininote\">\u3014synaptic input\u3015<\/small>\u3002 (B) \u5f9e\u591a\u88c2\u808c\u7684\u77ed\/\u6df1\u7e96\u7dad (DM) \u548c\u6700\u9577\u7684\u8c4e\u810a\u808c (LES) \u5728 L4 \u6c34\u5e73\u5225\u9032\u884c\u8a18\u9304\u3002 (C) \u4e0b\u964d\u622a\u64ca<small class=\"mininote\">\u3014descending volley\u3015<\/small>\u6fc0\u767c\u810a\u9ad3\u904b\u52d5\u795e\u7d93\u5143\u4e26\u5c0e\u81f4\u904b\u52d5\u8a98\u767c\u96fb\u4f4d (MEP) \uff0c\u5176\u4e3b\u8981\u5728\u5c0d\u5074\u808c\u8089\u4e2d\u3002 (D) \u904b\u52d5\u8a98\u767c\u96fb\u4f4d (MEP) \u8a18\u9304\u5728\u5169\u584a\u808c\u8089\u4e2d\uff08\u4f86\u81ea\u7db2\u683c\u4e0a\u6bcf\u500b\u9ede\u7684\u523a\u6fc0\uff09\uff0c\u653e\u7f6e\u5728\u982d\u76ae\u4e4b\u4e0a\u4e26\u8207\u9802\u9ede (Cz) \u5c0d\u9f4a\u3002 (E) \u70ba\u6bcf\u500b\u808c\u8089\u5f9e\u500b\u9ad4\u548c\u7d44\u6578\u64da\u4e2d\u5275\u5efa\u4e86\u904b\u52d5\u8a98\u767c\u96fb\u4f4d (MEP) \u632f\u5e45\u7684 3-D \u5730\u5716\u3002 \u7d93 Tsao \u7b49\u4eba\u8a31\u53ef\u6539\u7de8\u3002<\/p>\n\n\n\n<p>\u7e2e\u5beb\uff1aDM\u3001\u591a\u88c2\u808c\u7684\u77ed\/\u6df1\u7e96\u7dad<small>\u3014short\/deep fibers of the multifidus\u3015<\/small>\uff1b EMG\u3001\u808c\u96fb\u5716<small>\u3014electromyography\u3015<\/small>\uff1b LES\u3001\u6700\u9577\u7684\u8c4e\u810a\u808c<small>\u3014longissimus erector spinae\u3015<\/small>\uff1b M1\u3001\u521d\u7d1a\u904b\u52d5\u76ae\u5c64<small>\u3014primary motor cortex\u3015<\/small>\uff1b MEP\u3001\u904b\u52d5\u8a98\u767c\u96fb\u4f4d<small>\u3014motor-evoked potential\u3015<\/small>\uff1b TMS\u3001\u8de8\u9871\u78c1\u523a\u6fc0<small>\u3014transcranial magnetic stimulation\u3015<\/small>\u3002<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group is-style-bg_grid\"><div class=\"wp-block-group__inner-container\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"901\" height=\"676\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-03-webp.webp\" alt=\"\" class=\"wp-image-5378\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-03-webp.webp 901w, https:\/\/wilback.com\/wp-content\/uploads\/study007-03-webp-768x576.webp 768w\" sizes=\"(max-width: 901px) 100vw, 901px\" \/><figcaption class=\"wp-element-caption\">\u00a9 Journal of Orthopaedic &amp; Sports Physical Therapy<\/figcaption><\/figure>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>FIGURE 3<\/strong>\u3001\u6d89\u53ca\u611f\u89ba\u904b\u52d5\u63a7\u5236\u7684\u5927\u8166\u3001\u810a\u9ad3\u548c\u5468\u570d\u795e\u7d93\u7cfb\u7d71\u5340\u57df\u3002<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u76f8\u6bd4\u4e4b\u4e0b\uff0c<span class=\"swl-marker mark_yellow\">\u300e\u8207\u9810\u671f\u6709\u5bb3\u523a\u6fc0\u76f8\u95dc\u7684\u8ec0\u5e79\u808c\u8089\u6fc0\u6d3b\u6a21\u5f0f\u7684\u6539\u8b8a<small> <sup>[54]<\/sup><\/small> \u300f\u548c\u300e\u907f\u514d\u7279\u5b9a\u7684\u52d5\u4f5c\u6216\u884c\u70ba\uff0c\u56e0\u70ba\u5b83\u5011\u88ab\u8a8d\u70ba\u662f\u5371\u96aa\u7684\u300f\u90fd\u5373\u6642<small class=\"mininote\">\u3014real-time\u3015<\/small>\u548c\u9577\u671f<small class=\"mininote\">\u3014long term\u3015<\/small>\uff08\u5206\u5225\u5730\uff09\u53cd\u6620\u4e86\u6574\u500b\u4eba\u6c34\u5e73\u7684\u795e\u7d93\u53ef\u5851\u6027\u3002<\/span> \u300e\u5728\u904b\u52d5\u7cfb\u7d71<small class=\"mininote\">\u3014motor system\u3015<\/small>\u4e2d\uff0c\u9019\u4e9b\u8b8a\u5316\u4e2d\u7684\u6bcf\u4e00\u500b\u300f\u90fd\u6709\u53ef\u80fd\u6539\u8b8a\u810a\u67f1\u7684\u751f\u7269\u529b\u5b78\u3002 \u5118\u7ba1\u6709\u4eba\u53ef\u80fd\u6703\u722d\u8faf\u8aaa\u300e\u9019\u7a2e\u751f\u7269\u529b\u5b78\u8b8a\u5316\u662f\u904b\u52d5\u63a7\u5236\u8b8a\u5316\u7684\u76ee\u6a19\uff0c\u4e26\u4e14\u5b83\u70ba\u500b\u9ad4\u63d0\u4f9b\u4e86\u512a\u52e2\uff0c\u4f46\u9019\u4e26\u4e0d\u662f\u76f4\u622a\u4e86\u7576\u7684<small class=\"mininote\">\u3014straightforward\u3015<\/small>\u300f\u3002 <span class=\"swl-marker mark_orange\">\u96d6\u7136\u6539\u8b8a\u7684\u751f\u7269\u529b\u5b78\u53ef\u80fd\u5177\u6709\u77ed\u671f\u76ca\u8655\uff08\u4f8b\u5982\uff0c\u589e\u5f37\u5c0d\u808c\u8089\u6fc0\u6d3b\u589e\u52a0\u7684\u4fdd\u8b77<small> <sup>[29]<\/sup><\/small> \uff09\uff0c\u4f46\u7531\u65bc\u300e\u810a\u67f1\u7d44\u7e54\u7684\u6162\u6027\u4e0d\u7406\u60f3\u8ca0\u8377\u300f\u4ee5\u53ca\u300e\u96a8\u5f8c\u7684\u50b7\u5bb3\u611f\u53d7\u5668\u6fc0\u6d3b\u300f\uff0c\u7121\u8ad6\u662f\u6a5f\u68b0\u5730\u9084\u662f\u901a\u904e\u708e\u75c7\u7684\u654f\u5316\u6548\u61c9<small class=\"mininote\">\u3014sensitizing effects\u3015<\/small>\uff0c\u5b83\u5011\u53ef\u80fd\u6703\u7522\u751f\u9577\u671f\u7684\u5f8c\u679c<small> <sup>[31]<\/sup><\/small> <\/span>\u3002 \u5728\u6574\u500b\u4eba\u7684\u5149\u8b5c\u672b\u7aef<small class=\"mininote\">\u3014end of the spectrum\u3015<\/small>\uff0c<span class=\"swl-marker mark_orange\">\u300e\u907f\u514d\u67d0\u4e9b\u884c\u70ba\u300f\u6216\u300e\u9000\u51fa\u6d3b\u52d5<small> <sup>[30]<\/sup><\/small> \u300f\u6703\u5c0e\u81f4\u5065\u5eb7\u3001\u793e\u6703\u548c\u500b\u4eba\u554f\u984c\u7684\u87ba\u65cb\u5f0f\u4e0b\u964d\u3002<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u9ad4\u611f\u7cfb\u7d71\u4e2d\u7684\u795e\u7d93\u53ef\u5851\u6027\uff0c\u4f5c\u70ba\u810a\u9ad3\u904b\u52d5\u63a7\u5236\u7684\u8abf\u7bc0\u5291<\/h4>\n\n\n\n<p>\u904b\u52d5\u8f38\u51fa<small class=\"mininote\">\u3014motor outputs\u3015<\/small>\u901a\u5e38\u53d6\u6c7a\u65bc\u611f\u89ba\u8f38\u5165<small class=\"mininote\">\u3014sensory inputs\u3015<\/small>\uff0c\u5305\u62ec\u300e\u95dc\u65bc\u8eab\u9ad4\u4f4d\u7f6e\u548c\u904b\u52d5\u7684\u9ad4\u611f\u4fe1\u606f\u300f\u4ee5\u53ca\u300e\u4f86\u81ea\u4e0a\u8ff0\u50b7\u5bb3\u611f\u53d7\u7db2\u7d61\u7684\u8f38\u5165\u300f\u3002 \u56e0\u6b64\uff0c<span class=\"swl-marker mark_yellow\">\u9ad4\u611f\u7cfb\u7d71\u7684\u53ef\u5851\u6027\u53ef\u4ee5\u6539\u8b8a\u904b\u52d5\u884c\u70ba<small class=\"mininote\">\u3014modify motor behavior\u3015<\/small>\u3002<\/span> \u3008\u53ef\u80fd\u7531\u80cc\u89d2<small class=\"mininote\">\u3014dorsal horn\u3015<\/small>\/\u810a\u9ad3\u6216\u66f4\u9ad8\u4e2d\u5fc3\uff08\u4f8b\u5982\u521d\u7d1a\u611f\u89ba\u76ae\u5c64\u8208\u596e\u6027\/\u7d44\u7e54\uff09\u5851\u6027\u8b8a\u5316<small class=\"mininote\">\u3014plastic change\u3015<\/small>\u5a92\u4ecb\u7684\u3009\u611f\u89ba\u8f38\u5165\u89e3\u91cb<small class=\"mininote\">\u3014interpretation of sensory input\u3015<\/small>\u7684\u6e96\u78ba\u6027\u53ef\u80fd\u6703\u767c\u751f\u8b8a\u5316\u3002 \u540c\u6a23\uff0c\u5927\u591a\u6578\u4eba\u985e\u7814\u7a76\u90fd\u5728\u7cfb\u7d71\u6c34\u5e73\u5c0d\u6b64\u9032\u884c\u4e86\u7814\u7a76\u3002 \u4f8b\u5982\uff0c\u6709\u8b49\u64da\u8868\u660e\u300e\u672c\u9ad4\u611f\u53d7\u654f\u92b3\u5ea6<small class=\"mininote\">\u3014proprioceptive acuity\u3015<\/small>\u964d\u4f4e\uff08\u53c3\u898b Tong \u7b49\u4eba\u7684\u8a55\u8ad6 <small><sup>[77]<\/sup><\/small> \uff09\u300f\u3001\u300e\u672c\u9ad4\u611f\u53d7\u8f38\u5165\u6b0a\u91cd<small class=\"mininote\">\u3014weighting of proprioceptive input\u3015<\/small>\u964d\u4f4e <small><sup>[7]<\/sup><\/small> \u300f\u4ee5\u53ca\u300e\u5c0d\u8eab\u9ad4\u5716\u5f0f<small class=\"mininote\">\u3014body schema\u3015<\/small>\u7684\u66f4\u9ad8\u5c64\u6b21\u89e3\u91cb <small><sup>[6]<\/sup><\/small> \u300f\uff0c\u4f46\u6c92\u6709\u76f4\u63a5\u8b49\u64da\u8868\u660e\u300e\u6f5b\u5728\u7684\u795e\u7d93\u53ef\u5851\u6027\u904e\u7a0b\u6216\u795e\u7d93\u7cfb\u7d71\u7684\u76f8\u95dc\u6c34\u5e73\u300f\u3002 \u5f71\u50cf\u5b78 <small><sup>[19]<\/sup><\/small> \u548c\u96fb\u751f\u7406\u5b78\u7814\u7a76<small class=\"mininote\">\u3014electrophysiological studies\u3015<\/small> <small><sup>[69]<\/sup><\/small> \u76ee\u524d\u6b63\u5728\u63d0\u4f9b\u984d\u5916\u7684\u898b\u89e3\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u529f\u80fd\u6027\u548c\u7d50\u69cb\u6027\u5927\u8166\u8b8a\u5316\u548c LBP<\/h3>\n\n\n\n<p>\u6709\u591a\u7a2e\u65b9\u6cd5\u53ef\u4ee5\u7814\u7a76\u795e\u7d93\u7cfb\u7d71\u7684\u529f\u80fd\u548c\u7d50\u69cb\uff0c\u4e26\u4e14\u6bcf\u7a2e\u65b9\u6cd5\u90fd\u7528\u65bc\u7814\u7a76\u3008\u60a3\u6709\u548c\u4e0d\u60a3\u6709 LBP \u7684\u500b\u9ad4\u4e4b\u9593\u660e\u986f\u7684\u3009\u8b8a\u5316\u6216\u5dee\u7570\u3002 \u5982\u4e0a\u6240\u8ff0\uff0c\u5927\u591a\u6578\u4eba\u53ea\u95dc\u6ce8\u8907\u96dc\u6574\u9ad4\u7684\u4e00\u5c0f\u90e8\u5206\uff0c\u5176\u6d89\u53ca\u4e86\u75bc\u75db\u548c\u810a\u67f1\u611f\u89ba\u904b\u52d5\u63a7\u5236\u4e4b\u9593\u7684\u76f8\u4e92\u4f5c\u7528\u3002 \u6bcf\u7a2e\u65b9\u6cd5\u6e2c\u91cf\u795e\u7d93\u529f\u80fd\u548c\/\u6216\u7d50\u69cb\u7684\u4e0d\u540c\u65b9\u9762\u3002 \u8a72<strong> <\/strong><span class=\"swl-marker mark_yellow\"><strong>TABLE <\/strong>\u6982\u8ff0\u4e86\u300e\u53ef\u4ee5\u548c\u4e0d\u80fd\u5f9e\u6bcf\u9805\u63aa\u65bd\u4e2d\u6536\u96c6\u5230\u7684\u4fe1\u606f\u300f\u3001\u300e\u6e2c\u91cf\u7684\u5229\u5f0a\u300f\uff0c\u4ee5\u53ca\u300e\u4e00\u4e9b\u5df2\u7d93\u88ab\u5831\u544a\u7684\u95dc\u65bc LBP \u7684\u8abf\u67e5\u7d50\u679c\u4f8b\u5b50\u300f\u3002 \u9019\u4e9b\u4fe1\u606f\u5c0d\u65bc\u89e3\u91cb\u4e0b\u9762\u7684\u8abf\u67e5\u7d50\u679c\u81f3\u95dc\u91cd\u8981\u3002<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1280\" height=\"1280\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-table1-webp-1280x1280.webp\" alt=\"\" class=\"wp-image-5735\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-table1-webp-1280x1280.webp 1280w, https:\/\/wilback.com\/wp-content\/uploads\/study007-table1-webp-768x768.webp 768w, https:\/\/wilback.com\/wp-content\/uploads\/study007-table1-webp-1536x1536.webp 1536w, https:\/\/wilback.com\/wp-content\/uploads\/study007-table1-webp.webp 1951w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1280\" height=\"1280\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-table2-webp-1280x1280.webp\" alt=\"\" class=\"wp-image-5737\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-table2-webp-1280x1280.webp 1280w, https:\/\/wilback.com\/wp-content\/uploads\/study007-table2-webp-768x768.webp 768w, https:\/\/wilback.com\/wp-content\/uploads\/study007-table2-webp-1536x1536.webp 1536w, https:\/\/wilback.com\/wp-content\/uploads\/study007-table2-webp.webp 1951w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><\/figure>\n\n\n\n<p><strong>TABLE<\/strong>\u3001\u7528\u65bc\u7814\u7a76\u8170\u75db\u795e\u7d93\u53ef\u5851\u6027\u7684\u65b9\u6cd5\u3002<\/p>\n\n\n\n<p>\u7e2e\u5beb\uff1aBOLD\u3001\u8840\u6c27\u6c34\u5e73\u4f9d\u8cf4<small>\u3014blood oxygenation level dependent\u3015<\/small>\uff1b CBF\u3001\u8166\u8840\u6d41\u91cf<small>\u3014cerebral blood flow\u3015<\/small>\uff1b EEG\u3001\u8166\u96fb\u5716<small>\u3014electroencephalography\u3015<\/small>\uff1b fMRI\u3001\u529f\u80fd\u78c1\u5171\u632f\u9020\u5f71<small>\u3014functional magnetic resonance imaging\u3015<\/small>\uff1b LBP\u3001\u8170\u75db<small>\u3014low back pain\u3015<\/small>\uff1b MRI\u3001\u78c1\u5171\u632f\u9020\u5f71<small>\u3014magnetic resonance imaging\u3015<\/small>\uff1b PET\u3001\u6b63\u5b50\u65b7\u5c64\u9020\u5f71<small>\u3014positron emission tomography\u3015<\/small>\uff1b SEP\u3001\u9ad4\u611f\u8a98\u767c\u96fb\u4f4d<small>\u3014somatosensory-evoked potential\u3015<\/small>\uff1b TMS\u3001\u7d93\u9871\u78c1\u523a\u6fc0<small>\u3014transcranial magnetic stimulation\u3015<\/small>\u3002<\/p>\n\n\n\n<div style=\"height:41px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u5982\u4e0a\u6240\u8ff0\uff0c\u5206\u5225\u5730\u8003\u616e\u300e\u5927\u8166\u4e0d\u540c\u90e8\u4f4d\u7684\u795e\u7d93\u53ef\u5851\u6027\u300f\u548c\u300e\u611f\u89ba\u904b\u52d5\u63a7\u5236\u76f8\u4e92\u4f5c\u7528\u300f\u7684\u8b49\u64da\u53ef\u80fd\u6703\u7522\u751f\u554f\u984c\u548c\u6df7\u6dc6\uff0c\u4f46\u7531\u65bc\u8fc4\u4eca\u70ba\u6b62\u5df2\u9032\u884c\u7684\u7814\u7a76\u7684\u6027\u8cea\uff0c\u9019\u6a23\u505a\u662f\u5fc5\u8981\u7684\u3002 \u4ee5\u4e0b\u90e8\u5206\uff0c\u5206\u5225\u5730\u8a0e\u8ad6\u300e\u8207\u75bc\u75db\u548c\u50b7\u5bb3\u611f\u53d7\u8655\u7406\u3001\u904b\u52d5\u7cfb\u7d71\u548c\u9ad4\u611f\u7cfb\u7d71\u76f8\u95dc\u7684\u5927\u8166\u8b8a\u5316\u300f\u3002 \u5118\u7ba1\u9019\u4e9b\u90e8\u5206\u63d0\u4f9b\u4e86\u4e00\u7a2e\u5283\u5206\u4fe1\u606f<small class=\"mininote\">\u3014compartmentalize information\u3015<\/small>\u7684\u65b9\u6cd5\uff0c\u4f46\u5b83\u5011\u4e0d\u61c9\u88ab\u89e3\u91cb\u70ba\u300e\uff08\u5728\u75bc\u75db\u4e2d\uff09\u795e\u7d93\u53ef\u5851\u6027\u91cd\u8981\u6027\u7684\u76f8\u4e92\u7af6\u722d\u7406\u8ad6<small class=\"mininote\">\u3014competing theories\u3015<\/small>\uff0c\u800c\u662f\u540c\u4e00\u6574\u9ad4\u7684\u4e0d\u540c\u5143\u7d20\u300f\u3002 \u6709\u5fc5\u8981\u8003\u616e\u57df\u4e4b\u9593\u7684\u5ee3\u6cdb\u91cd\u758a\uff08\u4f8b\u5982\uff0c\u4e2d\u6a1e\u654f\u5316<small class=\"mininote\">\u3014central sensitization\u3015<\/small>\u5c0d\u904b\u52d5\u8f38\u51fa\u7684\u5f71\u97ff\uff09\uff0c\u9019\u5c07\u5728\u4e0b\u9762\u7a81\u51fa\u986f\u793a\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u8207\u300c\u75bc\u75db\u548c\u50b7\u5bb3\u6027\u8655\u7406\u300d\u76f8\u95dc\u7684\u5927\u8166\u529f\u80fd\u548c\u7d50\u69cb\u8b8a\u5316<\/h4>\n\n\n\n<p>\u5f9e\u75bc\u75db\u548c\u50b7\u5bb3\u611f\u53d7\u8655\u7406\u7684\u89d2\u5ea6\u4f86\u770b\uff0c<span class=\"swl-marker mark_orange\"><strong>\u8166\u96fb\u5716<\/strong><small>\u3014electroencephalography\u3015<\/small><strong> (EEG) \u7814\u7a76<\/strong>\u8868\u660e\u300e\u6162\u6027 LBP \u60a3\u8005\u5c0d\u6709\u5bb3\u523a\u6fc0\u7684\u76ae\u5c64\u53cd\u61c9<small>\u3014cortical responses\u3015<\/small>\u66f4\u5927<\/span>\uff0c\u5305\u62ec EEG \u7684 N80 \u6210\u5206\u589e\u5f37\uff0c\u9019\u88ab\u8a8d\u70ba\u53cd\u6620\u4e86\u611f\u89ba\u76ae\u5c64<small>\u3014sensory cortex\u3015<\/small>\u7684\u6fc0\u6d3b\u300f <small><sup>[14]<\/sup><\/small> \u3002 <span class=\"swl-marker mark_yellow\"><strong>\u884c\u70ba\u7814\u7a76<\/strong>\u8868\u660e\u300e\u5728\u60a3\u6709 LBP \u7684\u4eba\u4e2d\uff0c\u65bd\u52a0\u65bc\u8170\u690e\u7684\u523a\u6fc0\u6703\u51fa\u73fe\u89f8\u6478\u75db<small>\u3014allodynia\u3015<\/small>\u548c\u75db\u89ba\u904e\u654f<small>\u3014hyperalgesia\u3015<\/small> <small><sup>[22]<\/sup><\/small> \uff0c\u4e26\u4e14\u50b7\u5bb3\u6027\u53cd\u5c04<small>\u3014nociceptive reflexes\u3015<\/small>\u6709\u6240\u6539\u8b8a\u300f\u3002<\/span> \u6b64\u5916\uff0c\u4e00\u4e9b <small><sup>[11]<\/sup><\/small>\uff08\u4f46\u4e0d\u662f\u5168\u90e8 <small><sup>[38,47]<\/sup><\/small> \uff09\u7814\u7a76\u8868\u660e\u300e\u6162\u6027\u6216\u6025\u6027 LBP \u4e2d\u689d\u4ef6\u6027\u75bc\u75db\u8abf\u7bc0<small>\u3014conditioned pain modulation\u3015<\/small>\u53d7\u640d\uff0c\u9019\u8868\u660e\u53d7\u640d\u7684\u4e0b\u884c\u6291\u5236<small>\u3014descending inhibition\u3015<\/small>\u662f\u4e2d\u6a1e\u654f\u5316\u7684\u4e00\u500b\u7279\u5fb5\u300f\u3002 <strong>\u529f\u80fd\u6027\u78c1\u5171\u632f\u9020\u5f71 (MRI) \u7814\u7a76<\/strong>\u8868\u660e\u300e\u6162\u6027 LBP \u60a3\u8005\u5728\u5c0d\u6709\u5bb3\u523a\u6fc0\u4f5c\u51fa\u53cd\u61c9\u6642\uff0c\u5c0e\u6c34\u7ba1\u5468\u908a\u7070\u8cea<small>\u3014periaqueductal gray\u3015<\/small>\u7684\u5c40\u90e8\u8166\u8840\u6d41\u91cf<small>\u3014regional cerebral blood flow\u3015<\/small>\u964d\u4f4e\uff0c\u4e26\u4e14\u521d\u7d1a\u548c\u6b21\u7d1a\u9ad4\u611f\u76ae\u5c64\u548c\u5916\u5074\u773c\u7aa9\u984d\u8449\u76ae\u8cea<small>\u3014lateral orbitofrontal cortex\u3015<\/small>\u7684\u6fc0\u6d3b\u66f4\u9ad8\u5730\u589e\u52a0\u300f\u3002 <span class=\"swl-marker mark_orange\">\u9019\u4e9b\u767c\u73fe\u8868\u660e\u300e\u5c0e\u6c34\u7ba1\u5468\u908a\u7070\u8cea<small>\u3014periaqueductal gray\u3015<\/small>\u6240\u670d\u52d9\u7684\u4e0b\u884c\u6291\u5236\u7cfb\u7d71<small>\u3014descending inhibitory system\u3015<\/small>\u529f\u80fd\u969c\u7919\u300f <small><sup>[22]<\/sup><\/small> \u3002<\/span><\/p>\n\n\n\n<p><strong>\u7d50\u69cb MRI \u7814\u7a76<\/strong>\u8868\u660e\u5b58\u5728\u548c\u4e0d\u5b58\u5728 LBP \u7684\u500b\u9ad4\u4e4b\u9593\u5b58\u5728\u7cfb\u7d71\u6027\u5dee\u7570\uff0c\u4f8b\u5982\uff0c\u5728\u80cc\u5916\u5074\u524d\u984d\u8449\u76ae\u8cea<small>\u3014dorsolateral prefrontal cortex\u3015<\/small>\u3001\u9873\u8449<small>\u3014temporal lobes\u3015<\/small>\u3001\u8166\u5cf6<small>\u3014insula\u3015<\/small>\u3001\u521d\u7d1a\u8ec0\u9ad4\u611f\u89ba\u76ae\u8cea<small>\u3014primary somatosensory cortex\u3015<\/small>\u3001\u80fc\u80dd\u9ad4<small>\u3014corpus callosum\u3015<\/small>\u548c\u5167\u56ca<small>\u3014internal capsule\u3015<\/small>\u3002 \u4f11\u606f\u671f\u9593\u529f\u80fd\u9023\u901a\u6027\u7814\u7a76<small>\u3014functional connectivity studies\u3015<\/small>\u7684\u7d50\u679c\u610f\u5473\u8457\u300e\u5167\u5074\u524d\u984d\u8449\u76ae\u8cea<small>\u3014medial prefrontal cortex\u3015<\/small>\u3001\u6263\u5e36\u76ae\u8cea<small>\u3014cingulate cortex\u3015<\/small>\u3001\u674f\u4ec1\u6838<small>\u3014amygdala\u3015<\/small>\u3001\u8166\u5cf6<small>\u3014insula\u3015<\/small>\u548c\u611f\u89ba\u904b\u52d5\u6574\u5408\u5340\u57df<small>\u3014sensorimotor integration regions\u3015<\/small>\u7684\u6fc0\u6d3b\u589e\u5f37\uff0c\u540c\u6642\u6253\u4e82\u5728\u9ed8\u8a8d\u6a21\u5f0f\u7db2\u7d61<small>\u3014default-mode network\u3015<\/small>\uff08\u4e00\u500b\u5927\u898f\u6a21\u7684\u5927\u8166\u5340\u57df\u7db2\u7d61\uff0c\u5176\u7dad\u6301\u5927\u8166\u7684\u975c\u6b62\u72c0\u614b<small>\u3014resting state\u3015<\/small>\u4e26\u53c3\u8207\u795e\u7d93\u529f\u80fd\uff0c\u5305\u62ec\u81ea\u6211\u7684\u795e\u7d93\u57fa\u790e\uff09\u4e2d\u7684\u529f\u80fd\u9023\u63a5<small>\u3014disrupted functional connectivity\u3015<\/small>\u300f<small><sup>[1,5,26,27,41]<\/sup><\/small> \u3002 \u66f4\u5177\u9ad4\u5730\u8aaa\uff0c<span class=\"swl-marker mark_yellow\"><strong>\u9020\u5f71\u7814\u7a76<\/strong>\u7d50\u679c\u986f\u793a\u300e\u4f9d\u6838<small>\u3014nucleus accumbens\u3015<\/small>\u548c\u5167\u5074\u524d\u984d\u8449\u76ae\u8cea\u4e4b\u9593\u7684\u529f\u80fd\u9023\u63a5\u4ee5\u53ca\u5927\u8166\u5340\u57df\u4e4b\u9593\u7684\u7d50\u69cb\u9023\u63a5\uff08\u767d\u8cea\u975e\u7b49\u5411\u6027\u6307\u6a19<small>\u3014white matter fractional anisotropy\u3015<\/small>\uff09\u8868\u660e\u9019\u7a2e\u9023\u63a5\u6a21\u5f0f\u53ef\u80fd\u662f\u7121\u6cd5\u6062\u5fa9\u7684\u98a8\u96aa\u56e0\u7d20\u3002 \u9019\u4e9b\u767c\u73fe\u589e\u52a0\u4e86\u8d8a\u4f86\u8d8a\u591a\u7684\u8b49\u64da\u8868\u660e\u300e\u5728\u6025\u6027\u75bc\u75db\u7684\u8abf\u7bc0\u548c\u6162\u6027\u75bc\u75db\u7684\u8abf\u7bc0\u4e2d\uff0c\u76ae\u8cea\u908a\u7de3\u7cfb\u7d71<small>\u3014corticolimbic system\u3015<\/small>\u767c\u63ee\u7684\u95dc\u9375\u4f5c\u7528\u300f<small><sup>[58]<\/sup><\/small><\/span> \u3002 <span class=\"swl-marker mark_orange\"><strong>\u76ae\u8cea\u908a\u7de3\u7cfb\u7d71<\/strong><small>\u3014corticolimbic system\u3015<\/small>\u662f\u734e\u52f5\u548c\u6fc0\u52f5\u884c\u70ba\u7684\u6838\u5fc3\u3002 \u96d6\u7136\u4e3b\u8981\u8207\u6539\u8b8a\u7684\u611f\u89ba\u8655\u7406<small>\u3014modified sensory processing\u3015<\/small>\u6709\u95dc\uff0c\u4f46\u9019\u4e5f\u4e0d\u80fd\u8207\u611f\u89ba\u904b\u52d5\u529f\u80fd\u5206\u958b\uff0c\u56e0\u70ba\u904b\u52d5\u884c\u70ba<small>\u3014motor behaviors\u3015<\/small>\u5c07\u901a\u904e\u7de9\u89e3\u6216\u6fc0\u767c\u75bc\u75db\u8207\u734e\u52f5\u548c\u61f2\u7f70\u806f\u7e6b\u8d77\u4f86\u3002<\/span><\/p>\n\n\n\n<p>\u6b64\u5916\uff0c\u6162\u6027\u75bc\u75db\u7684\u7279\u5fb5\u901a\u5e38\u662f\u300e\u75bc\u75db\u7684\u60c5\u611f<small>\u3014affective\u3015<\/small>\/\u60c5\u7dd2<small>\u3014emotional\u3015<\/small>\u7dad\u5ea6\uff08\u5176\u201c\u4e0d\u6109\u5feb\u201d\uff09\u8d85\u904e\u4e86\u75bc\u75db\u7684\u611f\u5b98\u8fa8\u5225<small>\u3014sensory discriminative\u3015<\/small>\u7dad\u5ea6\u300f <small><sup>[53]<\/sup><\/small> \u3002 \u5f71\u50cf\u5b78\u7814\u7a76\u8b49\u5be6\u4e86\u9019\u4e00\u89c0\u5bdf\uff0c<span class=\"swl-marker mark_orange\">\u56e0\u70ba\u75bc\u75db\u671f\u9593\u7684\u5927\u8166\u6fc0\u6d3b\u6a21\u5f0f\u4f3c\u4e4e\u96a8\u8457 LBP \u7684\u6301\u7e8c\u800c\u8f49\u5411\u60c5\u611f\/\u60c5\u7dd2\u76f8\u95dc\u7684\u5927\u8166\u5340\u57df <small><sup>[2,4]<\/sup><\/small> <\/span>\u3002 \u9019\u53ef\u4ee5\u6839\u64da\u300e\u3008\u70ba\u4e0d\u6109\u5feb\u7de8\u78bc<small>\u3014encode for unpleasantness\u3015<\/small>\u7684\u3009\u795e\u7d93\u7db2\u7d61\u7684\u5f71\u97ff\u589e\u52a0\u300f\u548c\u300e\u3008\u70ba\u5f37\u5ea6\u548c\u611f\u89ba\u7279\u5fb5\u7de8\u78bc<small>\u3014encode for intensity and sensory features\u3015<\/small>\u7684\u3009\u795e\u7d93\u7db2\u7d61\u7684\u5f71\u97ff\u6e1b\u5c11\u300f\u4f86\u6982\u5ff5\u5316\u3002<\/p>\n\n\n\n<p>\u7e3d\u4e4b\uff0c<span class=\"swl-marker mark_yellow\">\u529f\u80fd\u548c\u7d50\u69cb\u7684\u8b8a\u5316\u5b58\u5728\u65bc\u6574\u500b\u795e\u7d93\u7cfb\u7d71\uff0c\u4e26\u4e14\u5f71\u97ff\u50b7\u5bb3\u611f\u53d7\u548c\u75bc\u75db\u7684\u8655\u7406\u3002 \u6bcf\u4e00\u500b\u90fd\u6709\u6f5b\u529b\u53bb\u6539\u8b8a\u5c0d\u75bc\u75db\u7684\u89e3\u91cb<small>\u3014interpretation of pain\u3015<\/small>\u3001\u9ad4\u611f\u8f38\u5165\u7684\u89e3\u91cb<small>\u3014interpretation of somatosensory inputs\u3015<\/small>\uff0c\u4ee5\u53ca\u904b\u52d5\u8f38\u51fa<small>\u3014motor output\u3015<\/small>\u3002<\/span> \u5728\u4ee5\u4e0b\u90e8\u5206\u4e2d\u5c07\u8003\u616e\u9019\u4e00\u7d50\u679c\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u8207\u300c\u904b\u52d5\u7cfb\u7d71\u300d\u76f8\u95dc\u7684\u5927\u8166\u529f\u80fd\u548c\u7d50\u69cb\u8b8a\u5316<\/h4>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u4e00\u4e9b\u795e\u7d93\u53ef\u5851\u6027\u8b8a\u5316\u5df2\u5f9e\u810a\u67f1\u904b\u52d5\u63a7\u5236\u7684\u89d2\u5ea6\u9032\u884c\u4e86\u89e3\u91cb\uff0c\u9019\u53ef\u80fd\u6703\u5f71\u97ff\u3008\u8207\u75bc\u75db\u76f8\u95dc\u7684\u3009\u795e\u7d93\u7db2\u7d61\u7684\u904b\u52d5\u8f38\u51fa\u80cc\u666f\u4e0b\u7684\u7d44\u7e54\u8ca0\u8377\u548c\u904b\u52d5\u6a21\u5f0f\u3002<\/span> <strong>\u8de8\u9871\u78c1\u523a\u6fc0<\/strong><small>\u3014Transcranial magnetic stimulation\u3015<\/small>\u5df2\u88ab\u7528\u65bc\u7814\u7a76\u3008\u8207\u63a7\u5236\u7279\u5b9a\u8ec0\u5e79\u808c\u8089\u76f8\u95dc\u7684\u3009\u904b\u52d5\u76ae\u5c64\u5340\u57df\u7684\u7d44\u7e54\u548c\u795e\u7d93\u7db2\u7d61\u7279\u6027\u3002 \u9019\u4e9b\u7814\u7a76\u767c\u73fe\u300e\u5728\u8a31\u591a\u60a3\u6709\u6162\u6027 LBP \u7684\u500b\u9ad4\u4e2d\uff0c\u76ae\u8cea\u8f38\u5165\u5230\u6df1\u90e8\u8179\u90e8\u808c\u8089\u7684\u8208\u596e\u6027\u5cf0\u503c\u5340\u57df<small>\u3014area of peak excitability\u3015<\/small> <small><sup>[80]<\/sup><\/small> \u4f4d\u65bc\u4e0d\u540c\u7684\u4f4d\u7f6e\uff08\u66f4\u591a\u7684\u5f8c\u5916\u5074<small>\u3014posterolateral\u3015<\/small>\uff09\uff0c\u4e26\u4e14\u80cc\u90e8\u8f03\u9577\uff08\u4f8b\u5982\uff0c\u6700\u9577\u808c\uff09\u548c\u8f03\u77ed\uff08\u4f8b\u5982\uff0c\u591a\u88c2\u808c\uff09\u808c\u8089\u7684\u55ae\u7368\u8868\u793a\u6709\u66f4\u5927\u7684\u91cd\u758a\uff08<strong>FIGURE 4<\/strong>\uff09\u300f <small><sup>[71,78]<\/sup><\/small> \u3002 \u5c31\u795e\u7d93\u7db2\u7d61\u800c\u8a00\uff0c\u53ef\u4ee5\u901a\u904e\u5169\u7a2e\u65b9\u5f0f\u5c07\u9019\u4e9b\u5dee\u7570\u6982\u5ff5\u5316\uff1a\uff081\uff09\u4f5c\u70ba\u4e00\u7a2e\u7cfb\u7d71\u6027\u5dee\u7570<small>\u3014systematic difference\u3015<\/small>\uff0c\u5176\u4e2d\u521d\u7d1a\u904b\u52d5\u76ae\u8cea\u7d30\u80de\u53c3\u8207\u3008\u9a45\u52d5\u67d0\u4e9b\u8ec0\u5e79\u808c\u8089\u7684\u3009\u52d5\u4f5c\u795e\u7d93\u7db2\u7d61 <small><sup>[80]<\/sup><\/small> \uff0c\u548c\uff082\uff09\u4f5c\u70ba\u3008\u9a45\u52d5\u7279\u5b9a\u808c\u8089\u7684\u3009\u795e\u7d93\u7db2\u7d61\u5c0d\u9019\u4e9b\u808c\u8089\u7684\u7279\u7570\u6027\u964d\u4f4e <small><sup>[78]<\/sup><\/small> \uff0c\u9019\u7a2e\u60c5\u6cc1\u610f\u5473\u8457\u300e\u5dee\u7570\u6fc0\u6d3b\u55ae\u7368\u808c\u8089<small>\u3014differentially activate separate muscles\u3015<\/small>\u7684\u80fd\u529b\u964d\u4f4e\u300f\u3002<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group is-style-bg_grid\"><div class=\"wp-block-group__inner-container\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"901\" height=\"676\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-04-webp.webp\" alt=\"\" class=\"wp-image-5383\" style=\"width:676px;height:507px\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-04-webp.webp 901w, https:\/\/wilback.com\/wp-content\/uploads\/study007-04-webp-768x576.webp 768w\" sizes=\"(max-width: 901px) 100vw, 901px\" \/><figcaption class=\"wp-element-caption\">\u00a9 Journal of Orthopaedic &amp; Sports Physical Therapy<\/figcaption><\/figure>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong><strong>FIGURE 4<\/strong><\/strong>\u3001LBP \u4e2d\u904b\u52d5\u76ae\u8cea\u7684\u91cd\u7d44<small>\u3014reorganization\u3015<\/small>\u3002 \u7528\u65bc\u300e\u591a\u88c2\u808c\u7684\u77ed\/\u6df1\u7e96\u7dad (DM)\u300f\uff08\u5de6\u5074\u7684\u4e00\u7d44\u6aa2\u6e2c<small>\u3014left panels\u3015<\/small>\uff09\u548c\u300e\u6700\u9577\u7684\u8c4e\u810a\u808c (LES)\u300f\uff08\u53f3\u5074\u7684\u4e00\u7d44\u6aa2\u6e2c\uff09\u3001\u7528\u65bc\u5065\u5eb7\uff08\u9802\u90e8\u7684\u4e00\u7d44\u6aa2\u6e2c\uff09\u548c LBP \u7d44\uff08\u5e95\u90e8\u7684\u4e00\u7d44\u6aa2\u6e2c\uff09\u7684\u5de6\u53f3\u904b\u52d5\u76ae\u8cea\u7684\u6a19\u6e96\u5316\u5716<small>\u3014Normalized maps\u3015<\/small>\u3002 \u865b\u7dda\u8868\u793a\u77e2\u72c0\u9762\u548c\u984d\u72c0\u9762\uff0c\u5728\u9802\u9ede (Cz) \u8655\u76f8\u4ea4\u3002 \u8acb\u6ce8\u610f\u300e\u591a\u88c2\u808c\u7684\u77ed\/\u6df1\u7e96\u7dad (DM) \u7684\u904b\u52d5\u76ae\u8cea\u5716\u8207 LBP \u7d44\u4e2d\u7684\u6700\u9577\u7684\u8c4e\u810a\u808c (LES) \u91cd\u758a\uff0c\u800c\u8207\u5065\u5eb7\u7d44\u4e2d\u7684\u6700\u9577\u7684\u8c4e\u810a\u808c (LES) \u76f8\u6bd4\uff0c\u591a\u88c2\u808c\u7684\u77ed\/\u6df1\u7e96\u7dad (DM) \u4f4d\u65bc\u5f8c\u9762\u300f\u3002\u7d93 Tsao \u7b49\u4eba\u8a31\u53ef\u6539\u7de8 <small><sup>[78]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p>\u7e2e\u5beb\uff1aDM\u3001\u591a\u88c2\u808c\u7684\u77ed\/\u6df1\u7e96\u7dad<small>\u3014short\/deep fibers of the multifidus\u3015<\/small>\uff1b LBP\u3001\u8170\u75db<small>\u3014low back pain\u3015<\/small>\uff1b LES\u3001\u6700\u9577\u7684\u8c4e\u810a\u808c<small>\u3014longissimus erector spinae\u3015<\/small>\u3002<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u5df2\u7d93\u78ba\u5b9a\u300e\u76ae\u8cea\u7d44\u7e54\u7684\u9019\u4e9b\u5dee\u7570\u300f\u548c\u300e\u75bc\u75db\u7684\u6301\u7e8c\u6642\u9593\u548c\u56b4\u91cd\u7a0b\u5ea6 <small><sup>[71]<\/sup><\/small> \u300f\u4ee5\u53ca\u300e\u904b\u52d5\u884c\u70ba\u7684\u7279\u5fb5\u300f\u4e4b\u9593\u5b58\u5728\u95dc\u806f\uff0c\u4f8b\u5982\u5728\u59ff\u52e2\u6311\u6230 <small><sup>[80]<\/sup><\/small> \u548c\u810a\u67f1\u904b\u52d5 <small><sup>[18]<\/sup><\/small> \u4e2d\u52df\u96c6\u808c\u8089\u7684\u6642\u9593\u3002 \u5f8c\u9762\u7684\u9019\u4e9b\u89c0\u5bdf\u5c0e\u81f4\u4e86\u8207\u7d44\u7e54\u8ca0\u8377\u6709\u95dc\u7684\u5047\u8a2d\u3002 \u53e6\u4e00\u7a2e\u89c0\u9ede\u662f\u300e\u9019\u4e9b\u8b8a\u5316\u53ef\u80fd\u53cd\u6620\u4e86\u7cfb\u7d71\u529f\u80fd\u7684\u6539\u8b8a<small class=\"mininote\">\u3014modified function\u3015<\/small>\uff0c\uff08\u7531\u65bc\u5c0d\u7d44\u7e54\u8ca0\u8377\u5f71\u97ff\u7684\u6548\u529b\uff09\u9019\u8207\u75bc\u75db\u7121\u95dc\uff0c\u4f46\u4ecd\u8207\u8abf\u7bc0\uff08\u4f8b\u5982\u8207\u6539\u8b8a\u7684\u50b3\u5165\u8f38\u5165<small class=\"mininote\">\u3014altered afferent input\u3015<\/small>\u6216\u75bc\u75db\u8a8d\u77e5\u76f8\u95dc\u7684\u90a3\u4e9b\uff09\u548c\u52d5\u4f5c\u7db2\u7d61\u4e4b\u9593\u7684\u76f8\u4e92\u4f5c\u7528\u8b8a\u5316\u7684\u8868\u9054\u76f8\u95dc\u300f\u3002 \u300e\u76ae\u8cea\u904b\u52d5\u8f38\u5165<small class=\"mininote\">\u3014corticomotor inputs\u3015<\/small>\u5c0d\u652f\u6490\u7b56\u7565<small class=\"mininote\">\u3014bracing strategy\u3015<\/small>\u7684\u53cd\u61c9\u6027\u589e\u52a0\uff08\u4f8b\u5982\uff0c\u6dfa\u5c64\u8179\u808c\uff09 <small><sup>[81]<\/sup><\/small> \u300f\u548c\u300e\u5c0d\u6d89\u53ca\u810a\u67f1\u63a7\u5236\u7d30\u5fae\u5fae\u8abf\u7684\u808c\u8089\u7684\u8f38\u5165\u6e1b\u5c11\uff08\u4f8b\u5982\uff0c\u8179\u6a6b\u808c\uff09 <small><sup>[81]<\/sup><\/small> \u300f\u7684\u8b49\u64da\uff0c\u518d\u6b21\u63d0\u9ad8\u4e86\u6b21\u6700\u4f73\u7d44\u7e54\u8ca0\u8377<small>\u3014suboptimal tissue loading\u3015<\/small>\u7684\u53ef\u80fd\u6027\u3002 \u6709\u5f85\u89e3\u6c7a\u7684\u4e00\u500b\u554f\u984c\u662f\u300e\u795e\u7d93\u53ef\u5851\u6027\u7684\u9019\u4e9b\u5f71\u97ff\u662f\u5426\u6703\u63d0\u4f9b\u985e\u4f3c\u65bc\u6539\u8b8a\u7b56\u7565\u4ee5\u9069\u61c9\u9700\u6c42\u8b8a\u5316\u7684\u884c\u70ba\u512a\u52e2<small class=\"mininote\">\u3014behavioral advantage\u3015<\/small>\uff0c\u9084\u662f\u6703\u5c0e\u81f4\u985e\u4f3c\u65bc\u7cfb\u7d71\u5d29\u6f70\u7684\u884c\u70ba\u52a3\u52e2<small class=\"mininote\">\u3014behavioral disadvantage\u3015<\/small>\u300f <small><sup>[31]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p><strong>\u5c0d\u8de8\u9871\u78c1\u523a\u6fc0 (TMS)<\/strong> \u53cd\u61c9\u7684\u8b8a\u5316\u5f88\u96e3\u89e3\u91cb\uff0c\u56e0\u70ba\u53cd\u61c9\u5e45\u5ea6\u53d6\u6c7a\u65bc\u76ae\u8cea\u4e2d\u7684\u7d30\u80de\u548c\u810a\u9ad3\u4e2d\u7684\u7d30\u80de\uff08\u5373\u904b\u52d5\u795e\u7d93\u5143<small class=\"mininote\">\u3014motoneuron\u3015<\/small>\uff09\u7684\u8208\u596e\u6027\uff08<strong>FIGURE 2<\/strong>\uff09\u3002 \u4f8b\u5982\uff0c\u300e\u5728 LBP \u60a3\u8005\u4e2d\uff0c\u559a\u8d77\u8c4e\u810a\u808c\u53cd\u61c9\u7684\u95be\u503c\u8b8a\u5316\u300f\u4e0d\u80fd\u5340\u5206\u810a\u9ad3\u3001\u76ae\u8cea\u6216\u5169\u8005\u7684\u8b8a\u5316 <small><sup>[76]<\/sup><\/small> \u3002 \u53ef\u4ee5\u4f7f\u7528\u6210\u5c0d\u7684\u8de8\u9871\u78c1\u523a\u6fc0 (TMS) \u8108\u885d\u4f86\u8a55\u4f30\u76ae\u8cea\u7684\u8208\u596e\u6027\u3002 \u4f7f\u7528\u9019\u4e9b\u65b9\u6cd5\uff0c\u76ae\u8cea\u5167\u6291\u5236<small class=\"mininote\">\u3014intracortical inhibition\u3015<\/small>\u548c\u4fc3\u9032 LBP \u60a3\u8005\u8179\u808c\u7684\u76ae\u8cea\u810a\u9ad3\u8f38\u5165<small class=\"mininote\">\u3014corticospinal inputs\u3015<\/small>\u8868\u660e\u300e\u521d\u7d1a\u904b\u52d5\u76ae\u5c64\u7a81\u89f8\u529f\u80fd\u7684\u6539\u8b8a\u300f <small><sup>[48]<\/sup><\/small> \u3002 \u9019\u4e9b\u89c0\u5bdf\u8b49\u5be6\u4e86\u76ae\u5c64\u6d89\u5165<small class=\"mininote\">\u3014cortical involvement\u3015<\/small>\uff0c\u4f46\u5c1a\u672a\u63d0\u4f9b\u660e\u78ba\u7684\u89e3\u91cb\u3002<\/p>\n\n\n\n<p>\u6700\u8fd1\u7684\u5de5\u4f5c\uff08\u5728 Hodges \u7b49\u4eba\u4e2d\u9032\u884c\u4e86\u8a73\u7d30\u5be9\u67e5 <small><sup>[28]<\/sup><\/small> \uff09\u4e5f\u5f37\u8abf\u4e86\u5927\u8166\u904b\u52d5\u5340\u57df\u795e\u7d93\u81a0\u8cea\u7d30\u80de<small class=\"mininote\">\u3014glial cell\u3015<\/small>\u6d3b\u52d5\u7684\u65b0\u8b8a\u5316 <small><sup>[44]<\/sup><\/small> \u3002  \u795e\u7d93\u81a0\u8cea\u7d30\u80de\u53ef\u4ee5\u591a\u7a2e\u65b9\u5f0f\u5f71\u97ff\u795e\u7d93\u5143\u7684\u6fc0\u6d3b\u3002 \u300e\u904b\u52d5\u76ae\u5c64\u7684\u8ec0\u9ad4\u7279\u5b9a\u7d44\u7e54\u80cc\u90e8<small class=\"mininote\">\u3014somatotopically organized back\u3015<\/small>\u548c\u817f\u90e8\u5340\u57df\u7684\u5c0f\u795e\u7d93\u81a0\u8cea\u7d30\u80de<small class=\"mininote\">\u3014microglia\u3015<\/small>\u6fc0\u6d3b\u589e\u52a0\u300f\u5df2\u7d93\u88ab\u78ba\u5b9a <small><sup>[44]<\/sup><\/small> \uff0c\u4f46\u529f\u80fd\u5f8c\u679c\u5c1a\u4e0d\u6e05\u695a\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u8207\u300c\u9ad4\u611f\u7cfb\u7d71\u300d\u76f8\u95dc\u7684\u5927\u8166\u529f\u80fd\u548c\u7d50\u69cb\u8b8a\u5316<\/h4>\n\n\n\n<p>\u5728 LBP \u4e2d\uff0c\u5df2\u7d93\u4f7f\u7528 MRI \u5c0d\u611f\u89ba\u904b\u52d5\u529f\u80fd\u9032\u884c\u4e86\u8a31\u591a\u89c0\u5bdf\u3002 \u9996\u5148\uff0c\u300e\u5c0f\u8166\u4e0a\u8173<small class=\"mininote\">\u3014superior cerebellar peduncle\u3015<\/small>\uff08\u672c\u9ad4\u611f\u89ba\u8f38\u5165\u5230\u66f4\u9ad8\u4e2d\u5fc3\u7684\u4e2d\u7e7c\u5340\uff09\u7684\u767d\u8cea\u5b8c\u6574\u6027<small class=\"mininote\">\u3014white matter integrity\u3015<\/small>\u964d\u4f4e\uff08\u9019\u5df2\u7d93\u88ab\u89e3\u91cb\u70ba\u6697\u793a\u4fee\u6539\u7684\u9023\u63a5\u6027<small class=\"mininote\">\u3014modified connectivity\u3015<\/small>\uff09\u300f\u8207\u300e\u4f86\u81ea\u80cc\u90e8\u7684\u672c\u9ad4\u611f\u89ba\u4fe1\u865f\uff08\u7528\u65bc\u7ad9\u7acb\u59ff\u52e2\u63a7\u5236\uff09\u7684\u5229\u7528\u7387\u964d\u4f4e\u300f\u4e4b\u9593\u5b58\u5728\u95dc\u4fc2\u5df2\u7d93\u88ab\u89c0\u5bdf\u5230\uff08<strong>FIGURE 5<\/strong>\uff09 <small><sup>[62,64]<\/sup><\/small> \uff0c\u9019\u53ef\u80fd\u610f\u5473\u8457\u5ffd\u7565\u4e86\u6709\u95dc\u80cc\u90e8\u4f4d\u7f6e\/\u904b\u52d5\u7684\u4fe1\u606f\u3002 \u7b2c\u4e8c\uff0c\u9032\u4e00\u6b65\u652f\u6301\u9019\u4e00\u89c0\u5bdf\uff0c\u6d89\u53ca\u808c\u68ad\u8f38\u5165<small class=\"mininote\">\u3014muscle spindle input\u3015<\/small>\uff08\u7279\u5b9a\u9ad4\u611f\u8f38\u5165\uff09\u9ad8\u968e\u8655\u7406\u7684\u5927\u8166\u5340\u57df\u7684\u529f\u80fd MRI \u986f\u793a\u300e\u8207\u6c92\u6709 LBP \u7684\u60a3\u8005\u76f8\u6bd4\uff0c\u6709 LBP \u7684\u60a3\u8005\u5c0d\u80cc\u90e8\u808c\u8089\u632f\u52d5<small class=\"mininote\">\u3014back muscle vibration\u3015<\/small>\u7684\u53cd\u61c9\u6d3b\u52d5\u8f03\u5c11\uff0c\u800c\u5c0d\u8e1d\u90e8\u808c\u8089\u632f\u52d5<small class=\"mininote\">\u3014ankle muscle vibration\u3015<\/small>\u7684\u53cd\u61c9\u6d3b\u52d5\u8f03\u591a\u300f <small><sup>[23,25]<\/sup><\/small> \u3002 \u7b2c\u4e09\uff0c\u611f\u89ba\u904b\u52d5\u975c\u6b62\u72c0\u614b\u7db2\u7d61<small class=\"mininote\">\u3014sensorimotor resting-state network\u3015<\/small>\u986f\u8457\u91cd\u7d44\uff0c\u9019\u53ef\u80fd\u5c0e\u81f4\u80cc\u90e8\u611f\u89ba\u4fe1\u865f\u7684\u6548\u7528\u767c\u751f\u4fee\u6539\u3002 \u300e\u8207\u6574\u5408\u76f8\u95dc\u7684\u5927\u8166\u5340\u57df\u300f\u548c\u300e\u8655\u7406\u904b\u52d5\u7684\u611f\u89ba\u548c\u904b\u52d5\u4fe1\u865f\u300f\u4e4b\u9593\u7684\u529f\u80fd\u9023\u63a5\u6027<small class=\"mininote\">\u3014functional connectivity\u3015<\/small>\u8f03\u4f4e <small><sup>[63]<\/sup><\/small> \u3002<\/p>\n\n\n\n<div class=\"wp-block-group is-style-bg_grid\"><div class=\"wp-block-group__inner-container\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"901\" height=\"901\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-05-webp.webp\" alt=\"\" class=\"wp-image-5393\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-05-webp.webp 901w, https:\/\/wilback.com\/wp-content\/uploads\/study007-05-webp-768x768.webp 768w\" sizes=\"(max-width: 901px) 100vw, 901px\" \/><figcaption class=\"wp-element-caption\">\u00a9 Journal of Orthopaedic &amp; Sports Physical Therapy<\/figcaption><\/figure>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>FIGURE 5<\/strong>\u3001\u975e\u7279\u7570\u6027\u8170\u75db\u60a3\u8005\u7684\u767d\u8cea\u5fae\u7d50\u69cb<small class=\"mininote\">\u3014white matter microstructure\u3015<\/small>\u8207\u672c\u9ad4\u611f\u53d7\u6b0a\u91cd<small class=\"mininote\">\u3014proprioceptive weighting\u3015<\/small>\uff08\u7528\u65bc\u59ff\u52e2\u63a7\u5236\uff09\u4e4b\u9593\u7684\u95dc\u806f\u3002<br>(A) \u5de6\u53f3\u5c0f\u8166\u4e0a\u8173\u7684\u53ef\u8996\u5316\u3002 (B) \u975e\u7279\u7570\u6027\u8170\u75db\u60a3\u8005\u7ad9\u7acb\u5728\u7a69\u5b9a\u652f\u6490\u9762\u4e0a\u6642\uff0c\u300e\u53f3\u5074\u5c0f\u8166\u4e0a\u8173\u7684\u5e73\u5747\u64f4\u6563\u7387 (MD) \u300f\u8207\u300e\u97ff\u61c9\u8e1d\u95dc\u7bc0\u808c\u8089\u632f\u52d5\u7684\u58d3\u529b\u4e2d\u5fc3 (CoP) \u79fb\u4f4d\u300f\u4e4b\u9593\u95dc\u4fc2\u7684\u6563\u9ede\u5716<small class=\"mininote\">\u3014scatter plot\u3015<\/small> (r = 0.65, P = .003) \u3002\u7d93 Pijnenburg <small><sup>[62]<\/sup><\/small> \u548c Pijnenburg <small><sup>[64]<\/sup><\/small> \u7b49\u4eba\u8a31\u53ef\u6539\u7de8\u3002<\/p>\n\n\n\n<p>\u7e2e\u5beb\uff1aCoP\u3001\u58d3\u529b\u4e2d\u5fc3<small>\u3014center of pressure\u3015<\/small>\uff1b MD\u3001\u5e73\u5747\u64f4\u6563\u7387<small>\u3014mean diffusivity\u3015<\/small>\u3002<\/p>\n<\/div><\/div>\n\n\n\n<p>\u540c\u6a23\uff0c\u9019\u4e9b\u5dee\u7570\/\u8b8a\u5316\u4e2d\u7684\u6bcf\u4e00\u500b\u90fd\u53ef\u80fd\u610f\u5473\u8457\u300e\u63a7\u5236\u904b\u52d5\u7684\u80fd\u529b\u53d7\u640d\u300f\uff08\u4f8b\u5982\uff0c\u611f\u89ba\u904b\u52d5\u7db2\u7d61<small class=\"mininote\">\u3014sensorimotor network\u3015<\/small>\u7684\u529f\u80fd\u9023\u63a5\u6027<small class=\"mininote\">\u3014functional connectivity\u3015<\/small>\u8f03\u4f4e\uff0c\u9019\u8207\u52d5\u614b\u611f\u89ba\u904b\u52d5\u4efb\u52d9<small class=\"mininote\">\u3014dynamic sensorimotor task\u3015<\/small>\u7684\u6027\u80fd\u8f03\u6162\u76f8\u95dc\uff0c\u5982 5 \u6b21\u5750\u5230\u7ad9\u5230\u5750<small class=\"mininote\">\u3014sit-to-stand-to-sit\u3015<\/small>\uff09 <small><sup>[63]<\/sup><\/small> \u6216\u8005\u300e\u8207\u795e\u7d93\u7db2\u7d61\u4e4b\u9593\u7684\u7af6\u722d\u76f8\u95dc\u7684\u4e0d\u540c\u89e3\u91cb\u300f\uff08\u90a3\u4e9b\u670d\u52d9\u65bc\u611f\u89ba\u904b\u52d5\u529f\u80fd\u7684\u7db2\u7d61\u6b63\u5728\u5931\u53bb\u5f71\u97ff\u529b\uff0c\u800c\u90a3\u4e9b\u670d\u52d9\u65bc\u75bc\u75db\u548c\u4fdd\u8b77\u7684\u7db2\u7d61\u6b63\u5728\u7372\u5f97\u5f71\u97ff\u529b\uff09\u3002 \u8207\u6b64\u76f8\u95dc\u7684\u662f\u89c0\u5bdf\u5230\u300e\u5fa9\u767c\u6027 LBP \u60a3\u8005\u5728\u6d89\u53ca\u75bc\u75db\u8a8d\u77e5\u8abf\u7bc0\u7684\u5927\u8166\u5340\u57df\u4e2d\uff0c\u986f\u793a\u51fa\u6bd4\u5065\u5eb7\u5c0d\u7167\u7d44\u66f4\u5927\u7684\u76ae\u8cea\u539a\u5ea6<small class=\"mininote\">\u3014greater cortical thickness\u3015<\/small>\u300f\uff0c\u4e26\u4e14\u5b83\u5011\u9084\u986f\u793a\u51fa\u76ae\u8cea\u589e\u539a<small class=\"mininote\">\u3014cortical thickening\u3015<\/small>\u8207\u75bc\u75db\u5f37\u5ea6\u4e4b\u9593\u7684\u76f8\u95dc\u6027 <small><sup>[8]<\/sup><\/small> \u3002 \u518d\u6b21\u8b49\u660e\u4e86\u89e3\u958b<small class=\"mininote\">\u3014disentangling\u3015<\/small>\u795e\u7d93\u53ef\u5851\u6027\u7684\u611f\u89ba\u8655\u7406\u548c\u904b\u52d5\u63a7\u5236\u65b9\u9762\u7684\u56f0\u96e3\u3001\u300e\u5f9e\u5750\u5230\u7ad9\u5230\u5750\u7684\u8868\u73fe\u53d7\u640d<small class=\"mininote\">\u3014impaired sit-to-stand-to-sit performance\u3015<\/small>\u300f\u8207\u300e\u5599\u90e8\u524d\u6263\u5e36\u8ff4\u76ae\u8cea<small class=\"mininote\">\u3014rostral anterior cingulate cortex\u3015<\/small>\u7684\u76ae\u8cea\u539a\u5ea6\u6e1b\u5c11\u300f\u4e4b\u9593\u5b58\u5728\u95dc\u4fc2 <small><sup>[8]<\/sup><\/small> \uff0c\u4ee5\u53ca\u300e\u76ae\u8cea\u539a\u5ea6\u548c\u7070\u8cea\u9ad4\u7a4d\u7684\u5340\u57df\u8b8a\u5316\u300f\u8207\u300e\u904b\u52d5\u63a7\u5236\u3001\u8170\u9aa8\u76c6\u63a7\u5236\u7684\u81e8\u5e8a\u6e2c\u8a66\u300f\u4ee5\u53ca\u300e\u8179\u6a6b\u808c\u548c\u591a\u88c2\u808c\u7684\u500b\u9ad4\u6536\u7e2e\u300f\u4e4b\u9593\u7684\u76f8\u95dc\u6027 <small><sup>[40]<\/sup><\/small> \u3002<\/p>\n\n\n\n<p>\u985e\u4f3c\u65bc\u904b\u52d5\u76ae\u8cea\u5730\u5716\u7684\u7814\u7a76\uff0c\u5df2\u7d93\u4f7f\u7528\u4e86\u5e7e\u7a2e\u65b9\u6cd5\u4f86\u7814\u7a76\u611f\u89ba\u76ae\u8cea\u7684\u76ae\u8cea\u7d44\u7e54\u3002 \u97ff\u61c9\u6025\u6027\u6709\u5bb3\u8f38\u5165\u7684\u9ad4\u611f\u8a98\u767c\u96fb\u4f4d<small class=\"mininote\">\u3014somatosensory-evoked potentials\u3015<\/small>\u7684\u7814\u7a76\u8868\u660e\u300e\u53cd\u61c9\u7684\u7279\u5b9a\u6210\u5206\u7684\u4fee\u6539\uff0c\u5305\u62ec\u90a3\u4e9b\u88ab\u89e3\u91cb\u70ba\u5728\u6b21\u7d1a\u8ec0\u9ad4\u611f\u89ba\u76ae\u8cea<small class=\"mininote\">\u3014secondary somatosensory cortex\u3015<\/small>\u548c\u524d\u6263\u5e36\u8ff4\u76ae\u8cea<small class=\"mininote\">\u3014anterior cingulate cortex\u3015<\/small>\u9032\u884c\u6697\u793a\u8655\u7406\u7684\u6210\u5206\uff0c\u9019\u4e9b\u6210\u5206\u88ab\u8a8d\u70ba\u53cd\u6620\u4e86\u75bc\u75db\u9ad4\u9a57\u7684\u60c5\u611f\/\u60c5\u7dd2\u6210\u5206\u300f <small><sup>[69]<\/sup><\/small> \u3002 \u8acb\u6ce8\u610f\u300e\u795e\u7d93\u7cfb\u7d71\u591a\u500b\u5c64\u9762\u7684\u4e2d\u6a1e\u654f\u5316<small class=\"mininote\">\u3014central sensitization\u3015<\/small>\u6703\u5c0e\u81f4\u5c0d\u6709\u5bb3\u8f38\u5165\u7684\u654f\u611f\u6027\u589e\u52a0\uff0c\u5f9e\u800c\u5c0e\u81f4\u89f8\u6478\u75db<small class=\"mininote\">\u3014allodynia\u3015<\/small>\/\u75db\u89ba\u904e\u654f<small class=\"mininote\">\u3014hyperalgesia\u3015<\/small>\u300f\u3002<\/p>\n\n\n\n<p>\u8166\u96fb\u5716<small class=\"mininote\">\u3014Electroencephalography\u3015<\/small>\u986f\u793a\u300e\u3008\u8207\u624b\u81c2\u904b\u52d5\u5f15\u8d77\u7684\u59ff\u52e2\u64fe\u52d5<small class=\"mininote\">\u3014postural perturbation\u3015<\/small>\u76f8\u95dc\u7684\u3009\u76ae\u8cea\u6d3b\u52d5\u5340\u57df\u66f4\u5927\u300f <small><sup>[35]<\/sup><\/small> \uff0c\u4ee5\u53ca\u300e\u3008\u8207\u8eab\u9ad4\u8cea\u5fc3\u4f4d\u79fb\u5e45\u5ea6\u548c\u707d\u96e3\u6027\u7a0b\u5ea6\u76f8\u95dc\u7684\u3009\u610f\u5916\u59ff\u52e2\u64fe\u52d5\u7684\u665a\u671f\u8166\u96fb\u5716\u967d\u6027\u53cd\u61c9\u5e45\u5ea6\u66f4\u5927\u300f <small><sup>[36]<\/sup><\/small> \u3002 \u5728\u6162\u6027 LBP \u60a3\u8005\u4e2d\uff0c\u300e\u5c0d\u80cc\u90e8\u7121\u5bb3\u548c\u6709\u5bb3\u89f8\u89ba\u523a\u6fc0<small class=\"mininote\">\u3014tactile stimulation\u3015<\/small>\u7684\u521d\u7d1a\u611f\u89ba\u76ae\u5c64\u5cf0\u503c\u53cd\u61c9<small class=\"mininote\">\u3014peak primary sensory cortex response\u3015<\/small>\u7684\u4f4d\u7f6e\u300f\u88ab\u64f4\u5927\u548c\u8f49\u79fb\uff08<strong>FIGURE 6<\/strong>\uff09 <small><sup>[19]<\/sup><\/small> \u3002 \u65bd\u52a0\u65bc\u55ae\u500b\u8170\u690e\u7684\u7121\u75db\u58d3\u529b<small class=\"mininote\">\u3014Nonpainful pressure\u3015<\/small> <small><sup>[33]<\/sup><\/small> \u6703\u559a\u8d77\u7e7c\u767c\u6027\u9ad4\u611f\u76ae\u8cea\u53cd\u61c9<small class=\"mininote\">\u3014secondary somatosensory cortex response\u3015<\/small>\uff0c\u9019\u7a2e\u53cd\u61c9\u5728\u6709 LBP \u7684\u4eba\u4e2d\u6bd4\u6c92\u6709  LBP \u7684\u4eba\u8981\u5c0f <small><sup>[33]<\/sup><\/small> \u3002\u5176\u4e2d\u4e00\u4e9b\u8b8a\u5316\u8207\u6162\u6027\u76f8\u95dc <small><sup>[19]<\/sup><\/small> \u3002 \u4f7f\u7528\u904b\u52d5\u884c\u52d5\u7684\u5fc3\u50cf<small class=\"mininote\">\u3014mental imagery of motor actions\u3015<\/small>\u9032\u884c\u7684\u529f\u80fd\u6027 MRI \u7814\u7a76\u986f\u793a\u300e\u8207\u5065\u5eb7\u5c0d\u7167\u7d44\u76f8\u6bd4\uff0c\u5728\u6162\u6027 LBP \u60a3\u8005\u4e2d\uff0c\u5de6\u5074\u8f14\u52a9\u904b\u52d5\u5340<small class=\"mininote\">\u3014supplementary motor area\u3015<\/small>\u548c\u53f3\u5074\u9873\u8449\u4e0a\u8ff4<small class=\"mininote\">\u3014superior temporal gyrus\u3015<\/small>\u548c\u8166\u6e9d<small class=\"mininote\">\u3014sulcus\u3015<\/small>\uff08\u8207\u904b\u52d5\u60f3\u50cf<small class=\"mininote\">\u3014motor imagery\u3015<\/small>\u76f8\u95dc\u7684\u5340\u57df\uff09\u5167\u7684\u5927\u8166\u6fc0\u6d3b\u6e1b\u5c11\uff0c\u4f46\u904b\u52d5\u610f\u8c61\u76f8\u95dc\u7db2\u7d61\u4e4b\u9593\u7684\u529f\u80fd\u9023\u63a5\u6027\u7684\u64f4\u6563\u548c\u975e\u7279\u7570\u6027\u589e\u5f37\u300f <small><sup>[83]<\/sup><\/small> \u3002<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group is-style-bg_grid\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"901\" height=\"676\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-06-webp.webp\" alt=\"\" class=\"wp-image-5713\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-06-webp.webp 901w, https:\/\/wilback.com\/wp-content\/uploads\/study007-06-webp-768x576.webp 768w\" sizes=\"(max-width: 901px) 100vw, 901px\" \/><figcaption class=\"wp-element-caption\">\u00a9 Journal of Orthopaedic &amp; Sports Physical Therapy<\/figcaption><\/figure>\n\n\n\n<p><strong>FIGURE 6<\/strong>\u3001\u8170\u75db\u4e2d\u9ad4\u611f\u76ae\u8cea\u7684\u91cd\u7d44\u3002 \u5c0d\u65bc\u6162\u6027\u80cc\u75db\u60a3\u8005\u548c\u5065\u5eb7\u5c0d\u7167\u7d44\uff0c\u624b\u6307\u548c\u80cc\u90e8\u5076\u6975<small class=\"mininote\">\u3014dipole\u3015<\/small>\u7684\u5e73\u5747\u4f4d\u7f6e\u300e\u7531 37 \u901a\u9053\u751f\u7269\u78c1\u529b\u8a08<small class=\"mininote\">\u301437-channel biomagnetometer\u3015<\/small>\u5f9e\u5c0d\u5074\u534a\u7403<small class=\"mininote\">\u3014hemisphere contralateral\u3015<\/small>\u5230\u523a\u6fc0\u90e8\u4f4d\uff08\u5728 70 \u6beb\u79d2\u7bc4\u570d\u5167\uff09\u300f\u88ab\u8a18\u9304\u4e0b\u4f86\u3002 \u4f4d\u7f6e\u88ab\u793a\u610f\u6027\u5730\u758a\u52a0<small class=\"mininote\">\u3014superimposed schematically\u3015<\/small>\u5728\u78c1\u5171\u632f\u5716\u50cf\u4e0a\u3002 \u7d93 Flor \u7b49\u4eba\u7684\u8a31\u53ef\u6539\u7de8 <small><sup>[83]<\/sup><\/small> \u3002<\/p>\n<\/div><\/div>\n\n\n\n<p>\u7531\u65bc\u904b\u52d5\u8868\u73fe\u6c92\u6709\u6539\u8b8a\uff0c\u9019\u500b\u7d50\u679c\u53ef\u80fd\u88ab\u89e3\u91cb\u70ba\u611f\u89ba\u904b\u52d5\u7cfb\u7d71\u529f\u80fd\u53d7\u640d\uff0c\u9700\u8981\u66f4\u591a\u7684\u795e\u7d93\u6d89\u5165\u624d\u80fd\u5b8c\u6210\u4efb\u52d9\uff0c\u6216\u8005\u88ab\u89e3\u91cb\u70ba\u4ee5\u904e\u5ea6\u8208\u596e\u70ba\u7279\u5fb5\u7684\u4e2d\u6a1e\u654f\u5316 <small><sup>[83]<\/sup><\/small> \u3002 <span class=\"swl-marker mark_yellow\">\u300e\u6709\u548c\u6c92\u6709 LBP \u7684\u500b\u9ad4\u4e4b\u9593\uff0c\u9019\u4e9b\u5dee\u7570\u4e2d\u7684\u6bcf\u4e00\u500b\u300f\u90fd\u53ef\u80fd\u63d0\u4f9b\u884c\u70ba\u512a\u52e2<small>\u3014behavioral advantage\u3015<\/small>\uff0c\u9019\u985e\u4f3c\u65bc\u4fc3\u9032\u4fdd\u8b77<small class=\"mininote\">\u3014promote protection\u3015<\/small>\u7684\u4fee\u8a02\u7b56\u7565<small class=\"mininote\">\u3014revised strategy\u3015<\/small>\u6216\u7cfb\u7d71\u5d29\u6f70\u3002 \u5169\u8005\u90fd\u53ef\u80fd\u5728\u7d44\u7e54\u8ca0\u8377\u6c34\u5e73\u4e0a\u7522\u751f\u8ca0\u9762\u5f8c\u679c\u3002<\/span><\/p>\n\n\n\n<p><span class=\"swl-marker mark_orange\">\u6709\u660e\u986f\u5ee3\u6cdb\u7684\u8b49\u64da\u8868\u660e LBP \u60a3\u8005\u7684\u795e\u7d93\u7cfb\u7d71\u7d50\u69cb\u548c\u884c\u70ba\u767c\u751f\u4e86\u6539\u8b8a\u3002 \u9019\u4e9b\u8b49\u64da\u4e2d\u7684\u5927\u90e8\u5206\u90fd\u6d89\u53ca\u300e\u8207\u63a7\u5236\u810a\u67f1\u548c\u810a\u67f1\u8ca0\u8377\u76f8\u95dc\u7684\u611f\u89ba\u548c\u904b\u52d5\u904e\u7a0b\u300f\u3002\u7136\u800c\uff0c\u9019\u4e26\u4e0d\u662f\u552f\u4e00\u53ef\u80fd\u7684\u89e3\u91cb\uff0c\u8003\u616e\u5230\u300e\u8207\u810a\u67f1\u904b\u52d5\u63a7\u5236\u548c\u611f\u89ba\u8655\u7406\u76f8\u95dc\u7684\u904e\u7a0b\u300f\u662f\u901a\u904e\u591a\u7a2e\u6a5f\u5236\u5728\u75bc\u75db\u7684\u7522\u751f\u548c\u7dad\u6301\u4e2d\u76f8\u4e92\u4f5c\u7528\u7684\u6574\u9ad4\u7684\u4e00\u90e8\u5206\uff0c\u53ef\u4ee5\u5f9e\u73fe\u6709\u6587\u737b\u4e2d\u5f97\u51fa\u5f88\u591a\u7d50\u8ad6\u3002<\/span><\/p>\n<\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u81e8\u5e8a\u610f\u7fa9<\/h3>\n\n\n\n<p><span class=\"swl-marker mark_orange\">\u6b63\u5982\u795e\u7d93\u53ef\u5851\u6027\u4f7f\u300e\u6539\u8b8a\u795e\u7d93\u529f\u80fd\u548c\u7d50\u69cb\u4ee5\u7522\u751f\u548c\u7dad\u6301\u75bc\u75db\u7684\u6a5f\u5236\u300f\u6210\u70ba\u53ef\u80fd\u4e00\u6a23\uff0c\u5b83\u4e5f\u4f7f\u300e\u6062\u5fa9\u7cfb\u7d71\u4ee5\u89e3\u6c7a\u6216\u6539\u5584 LBP \u7684\u80fd\u529b\u300f\u6210\u70ba\u53ef\u80fd\u3002<\/span> \u611f\u89ba\u548c\u904b\u52d5\u904e\u7a0b\u7684\u6574\u5408\u63d0\u9ad8\u4e86\u6062\u5fa9\u6b63\u5e38\u689d\u4ef6\u7684\u5e7e\u500b\u6f5b\u5728\u76ee\u6a19\u7684\u53ef\u80fd\u6027\u3002 \u4ee5\u4e0b\u90e8\u5206\u91cd\u9ede\u4ecb\u7d39\u4e86\u4e00\u4e9b\u8003\u616e\u795e\u7d93\u53ef\u5851\u6027\u7684 LBP \u6cbb\u7642\u5275\u65b0\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u6539\u8b8a\u611f\u89ba\u904b\u52d5\u795e\u7d93\u53ef\u5851\u6027\u7684\u904b\u52d5\u63a7\u5236\u8a13\u7df4<\/h4>\n\n\n\n<p>\u5f9e\u810a\u67f1\u904b\u52d5\u63a7\u5236\u7684\u8996\u89d2\u4f86\u770b\uff0c<span class=\"swl-marker mark_orange\">\u300e\u4ee5\u904b\u52d5\u6280\u80fd\u5b78\u7fd2\u70ba\u76ee\u6a19\u7684\u8a13\u7df4\u300f\u5df2\u88ab\u8b49\u660e\u53ef\u4ee5\u4f7f\u53c3\u8207\u6fc0\u6d3b\u7279\u5b9a\u8ec0\u5e79\u808c\u8089\u7684\u521d\u7d1a\u904b\u52d5\u76ae\u5c64\u7db2\u7d61\u7684\u4f4d\u7f6e\u6b63\u5e38\u5316\uff0c\u800c\u6b65\u884c\u7b49\u4e00\u822c\u904b\u52d5\u5247\u4e0d\u6703\uff08\u5716 7\uff09<\/span> <small><sup>[79]<\/sup><\/small> \u3002 <span class=\"swl-marker mark_yellow\">\u9019\u4e9b\u5e72\u9810\u63aa\u65bd\u9084\u53ef\u4ee5\u6539\u5584\u75bc\u75db\u548c\u5931\u80fd\uff0c\u5c24\u5176\u662f\u5c0d\u65bc\u7279\u5b9a\u7684\u60a3\u8005\u5b50\u7fa4\u7d44 <\/span><small><sup>[68]<\/sup><\/small> \u3002  <span class=\"swl-marker mark_yellow\">\u975e\u4fb5\u5165\u6027\u8166\u523a\u6fc0<small class=\"mininote\">\u3014noninvasive brain stimulation\u3015<\/small>\u5df2\u88ab\u5efa\u8b70\u4f5c\u70ba\u4fc3\u9032\u904b\u52d5\u76ae\u5c64\u5716\u7d44\u7e54\u6062\u5fa9\u7684\u4e00\u7a2e\u9078\u64c7\uff0c\u4e26\u53d6\u5f97\u4e86\u7a4d\u6975\u7684\u521d\u6b65\u7d50\u679c<\/span> <small><sup>[72]<\/sup><\/small> \u3002 \u7136\u800c\uff0c\u6700\u8fd1\u7684\u5de5\u4f5c\u5f37\u8abf\uff0c\u7576\u61c9\u7528\u65bc LBP \u60a3\u8005\u6642\uff0c\u4ee5\u975e\u4fb5\u5165\u6027\u5927\u8166\u6cbb\u7642\u70ba\u76ee\u6a19\u7684\u795e\u7d93\u8ff4\u8def<small class=\"mininote\">\u3014neural circuits\u3015<\/small>\u4e0d\u6703\u50cf\u5728\u7121\u75db\u500b\u9ad4\u4e2d\u90a3\u6a23\u505a\u51fa\u53cd\u61c9 <small><sup>[70]<\/sup><\/small> \u3002 \u9700\u8981\u9032\u4e00\u6b65\u7684\u5de5\u4f5c\u4f86\u4e86\u89e3\u5982\u4f55\u6700\u597d\u5730\u5229\u7528\u9019\u4e9b\u65b9\u6cd5\u3002<\/p>\n\n\n\n<div class=\"wp-block-group is-style-bg_grid\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"901\" height=\"676\" src=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-07-webp.webp\" alt=\"\" class=\"wp-image-5714\" style=\"width:676px;height:507px\" srcset=\"https:\/\/wilback.com\/wp-content\/uploads\/study007-07-webp.webp 901w, https:\/\/wilback.com\/wp-content\/uploads\/study007-07-webp-768x576.webp 768w\" sizes=\"(max-width: 901px) 100vw, 901px\" \/><figcaption class=\"wp-element-caption\">\u00a9 Journal of Orthopaedic &amp; Sports Physical Therapy<\/figcaption><\/figure>\n\n\n\n<p><strong>FIGURE 7<\/strong>\u3001\u8a13\u7df4\u5c0d\u8170\u75db\u60a3\u8005\u904b\u52d5\u76ae\u5c64\u6709\u6a5f\u9ad4\u7684\u5f71\u97ff\u3002\u5728\u904b\u52d5\u76ae\u5c64\uff0c\u8179\u6a6b\u808c\u8868\u793a\u7684\u6b78\u4e00\u5316\u7d93\u9871\u78c1\u523a\u6fc0\u5716\uff0c(A) \u986f\u793a\u6280\u80fd\u7684\u904b\u52d5\u63a7\u5236\u8a13\u7df4\uff08\u4e4b\u524d\u548c\u4e4b\u5f8c\uff09\u3001 (B) \u986f\u793a\u6b65\u884c\u7df4\u7fd2\uff08\u4e4b\u524d\u548c\u4e4b\u5f8c\uff09\u3002\u865b\u7dda\u8868\u793a\u6b63\u9762\u548c\u77e2\u72c0\u9762\u4e26\u5728\u9802\u9ede\u76f8\u4ea4\u3002\u8acb\u6ce8\u610f\uff0c\u6280\u80fd\u7684\u904b\u52d5\u8a13\u7df4\uff08\u800c\u975e\u6b65\u884c\u8a13\u7df4\uff09\u6703\u8a98\u767c\u904b\u52d5\u76ae\u5c64\u5716\u5411\u7121\u75db\u500b\u9ad4\u4e2d\u89c0\u5bdf\u5230\u7684\u4f4d\u7f6e\u79fb\u52d5\u3002 \u7d93 Tsao \u7b49\u4eba\u8a31\u53ef\u6539\u7de8 <small><sup>[79]<\/sup><\/small> \u3002<\/p>\n<\/div><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">\u884c\u70ba\u65b9\u6cd5\uff1a\u524a\u5f31\u8a13\u7df4<\/h4>\n\n\n\n<p>\u57fa\u65bc\u8868\u660e\u300e\u60c5\u611f\u548c\u611f\u89ba\u795e\u7d93\u7db2\u7d61\u4e4b\u9593\u5e73\u8861\u88ab\u6539\u8b8a\u300f\u7684\u8b49\u64da\uff0c\u521d\u6b65\u767c\u73fe\u53ef\u4ee5\u901a\u904e<strong>\u524a\u5f31\u8a13\u7df4<\/strong>\uff08\u66ab\u8b6f\uff09<small class=\"mininote\">\u3014extinction training\u3015<\/small>\u8a08\u5283\u4f7f LBP \u60a3\u8005\u7684\u9019\u7a2e\u5e73\u8861\u6b63\u5e38\u5316 <small><sup>[16]<\/sup><\/small> \u3002 <span class=\"swl-marker mark_yellow\">\u524a\u5f31\u8a13\u7df4\u805a\u7126\u65bc\u6d88\u9664\u8207\u75bc\u75db\u76f8\u95dc\u7684\u884c\u70ba\u548c\u589e\u52a0\u5065\u5eb7\u884c\u70ba\u3002 \u5b83\u5305\u62ec\u75bc\u75db\u8868\u9054\u7684\u5f71\u97f3\u53cd\u994b<small class=\"mininote\">\u3014video feedback\u3015<\/small>\u4ee5\u53ca\u75bc\u75db\u4e0d\u76f8\u5bb9\u884c\u70ba<small class=\"mininote\">\u3014pain-incompatible behaviors\u3015<\/small>\u7684\u8a13\u7df4\u3001\u5de5\u4f5c\u76f8\u95dc\u548c\u793e\u4ea4\u6d3b\u52d5\u7684\u589e\u52a0\u3001\u7269\u7406\u6cbb\u7642\u548c\u85e5\u7269\u7ba1\u7406\u3002 \u60a3\u8005\u53c3\u8207\u89d2\u8272\u626e\u6f14\u4ee5\u6e1b\u5c11\u75bc\u75db\u884c\u70ba\u4e26\u589e\u52a0\u5065\u5eb7\u884c\u70ba\u3002 <\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u611f\u5b98\u8fa8\u5225\u8a13\u7df4<\/h4>\n\n\n\n<p>\u6162\u6027 LBP \u60a3\u8005\u5728\u901a\u5e38\u75bc\u75db\u5340\u57df\u300e\u88ab\u7834\u58de\u7684\u8eab\u9ad4\u5f62\u8c61<small class=\"mininote\">\u3014disrupted body image\u3015<\/small>\u300f\u8868\u660e\u9700\u8981\u5c08\u6ce8\u65bc\u6062\u5fa9\u6b63\u5e38\u8eab\u9ad4\u5f62\u8c61\u6216\u589e\u5f37\u8eab\u9ad4\u611f\u77e5\u7684\u6cbb\u7642\u65b9\u6848 <small><sup>[51]<\/sup><\/small> \u3002 \u5230\u76ee\u524d\u70ba\u6b62\uff0c\u6709\u9650\u7684\u7814\u7a76\u805a\u7126\u65bc\u6162\u6027\u808c\u8089\u9aa8\u9abc\u75bc\u75db\u60a3\u8005\u5e38\u898b\u7684\u626d\u66f2\u8eab\u9ad4\u5f62\u8c61\u7684\u6cbb\u7642\u4e0a\u3002 \u7136\u800c\uff0c\u6700\u8fd1\u5df2\u7d93\u8868\u660e\uff0c<span class=\"swl-marker mark_yellow\">\u7576 LBP \u60a3\u8005\u5728\u8a72\u90e8\u4f4d\u7684\u5be6\u9a57\u6027\u75bc\u75db\u523a\u6fc0\u671f\u9593\uff0c\u7372\u5f97\u5176\u80cc\u90e8\u7684\u8996\u89ba\u5be6\u6642\u53cd\u994b<small class=\"mininote\">\u3014visual real-time feedback\u3015<\/small>\u6642\uff0c\u65bd\u52a0\u5230\u8a72\u90e8\u4f4d\u7684\u6025\u6027\u75bc\u75db\u523a\u6fc0\u7684\u611f\u77e5\u5f37\u5ea6\u6703\u964d\u4f4e <small><sup>[17]<\/sup><\/small> \u3002<\/span> \u9019\u7a2e\u65b9\u6cd5\u4e0d\u50c5\u9069\u7528\u65bc\u6025\u6027\u5be6\u9a57\u6027\u75bc\u75db\uff0c\u4e5f\u9069\u7528\u65bc\u81e8\u5e8a\u4e0a\u66f4\u76f8\u95dc\u7684\u904b\u52d5\u8a98\u767c\u75bc\u75db<small class=\"mininote\">\u3014movement-induced pain\u3015<\/small>\u3002<\/p>\n\n\n\n<p>\u6b64\u5916\uff0c\u5728\u53cd\u8986\u7684\u8170\u690e\u904b\u52d5\u671f\u9593\u770b\u5230\u80cc\u90e8\u6e1b\u5c11\u4e86\u904b\u52d5\u8a98\u767c\u7684\u75bc\u75db\uff0c\u81f3\u5c11\u5728\u77ed\u671f\u5167\u662f\u9019\u6a23 <small><sup>[86]<\/sup><\/small> \u3002 \u7fd2\u6163\u6027\u75bc\u75db\u751a\u81f3\u53ef\u4ee5\u300e\u901a\u904e\u6162\u6027\u75bc\u75db\u90e8\u4f4d\u7684\u8996\u89ba\u5be6\u6642\u53cd\u994b\u300f\u88ab\u6e1b\u8f15 <small><sup>[15]<\/sup><\/small> \uff0c\u4e26\u4e14\u9996\u6b21\u6709\u8b49\u64da\u8868\u660e\u9019\u7a2e\u65b9\u6cd5\u53ef\u4ee5\u589e\u5f37\u6309\u6469\u7b49\u6cbb\u7642\u6548\u679c <small><sup>[43]<\/sup><\/small> \u3002 \u4e0b\u4e00\u500b\u6311\u6230\u5c07\u662f\u5728\u66f4\u5927\u7684\u6a23\u672c\u4e2d\u8abf\u67e5\u300e\u662f\u5426\u53ef\u4ee5\u901a\u904e\u61c9\u7528\u5be6\u6642\u53cd\u994b\u4f86\u4fc3\u9032\u75bc\u75db\u6cbb\u7642\uff0c\u4f8b\u5982\u624b\u6cd5\u6cbb\u7642\u6216\u6d88\u5f31\u8a13\u7df4\u300f\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u8a8d\u77e5\u8a13\u7df4\u65b9\u6cd5<\/h4>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">LBP \u60a3\u8005\u7684\u6cbb\u7642\u4e5f\u53ef\u80fd\u4e0d\u662f\u805a\u7126\u65bc\u5206\u5fc3\u548c\u93ae\u75db\uff0c\u800c\u662f\u901a\u904e\u300e\u6d88\u9664\u5371\u96aa\u7dda\u7d22\u300f\u3001\u300e\u5340\u5206\u5b89\u5168\u7dda\u7d22\u300f\u548c\u300e\u589e\u52a0\u7de8\u78bc\u4efb\u52d9\u6027\u80fd\u7684\u795e\u7d93\u7db2\u7d61\u300f\u7684\u5f71\u97ff\u4f86\u6e1b\u5c11\u4fdd\u8b77\u6027\u795e\u7d93\u7db2\u7d61\u7684\u5f71\u97ff\uff0c\u5f9e\u800c\u7cbe\u78ba\u7de8\u78bc\u75db\u82e6\u4e8b\u4ef6<\/span> <small><sup>[56,85]<\/sup><\/small> \u3002 \u9019\u4e9b\u8209\u63aa\uff08\u4f8b\u5982\uff0c\u5206\u7d1a\u904b\u52d5\u610f\u8c61<small class=\"mininote\">\u3014graded motor imagery\u3015<\/small>\uff09\u5c1a\u8655\u65bc\u65e9\u671f\u968e\u6bb5\uff0c\u4ecd\u6709\u5f85\u5168\u9762\u6e2c\u8a66\uff0c\u4f46\u91cd\u8981\u7684\u662f\uff0c\u5b83\u5011\u662f\u6839\u64da\u300e\u795e\u7d93\u53ef\u5851\u6027\u539f\u5247\u300f\u548c\u300e\u6709\u8a31\u591a\u6f5b\u5728\u9014\u5f91\u53ef\u4ee5\u8a2a\u554f\u7cfb\u7d71\u7684\u6982\u5ff5\u300f\u88ab\u958b\u767c\u7684\u3002<\/p>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u795e\u7d93\u53ef\u5851\u6027\u8b8a\u5316\u53ef\u4ee5\u901a\u904e\u81ea\u4e0a\u800c\u4e0b\u7684\u57fa\u65bc\u8a8d\u77e5\u7684\u5e72\u9810\u63aa\u65bd<\/span>\uff08\u5982\u6559\u80b2\u3001\u8a8d\u77e5\u884c\u70ba\u7642\u6cd5\u3001\u904b\u52d5\u610f\u8c61\u3001\u7279\u5b9a\u904b\u52d5\u8a13\u7df4\uff09<span class=\"swl-marker mark_yellow\">\u548c\u81ea\u4e0b\u800c\u4e0a\u7684\u7269\u7406\u5e72\u9810\u63aa\u65bd<\/span>\uff08\u5982\u5916\u5468\u611f\u89ba\u523a\u6fc0 <small><sup>[49]<\/sup><\/small> \u3001\u904b\u52d5\u548c\u624b\u6cd5\u6cbb\u7642\uff09\u4f86\u89e3\u6c7a\u3002 \u4e00\u7a2e\u7d9c\u5408\u7684\u7576\u4ee3\u795e\u7d93\u79d1\u5b78\u548c\u81e8\u5e8a\u65b9\u6cd5\u53ef\u4ee5\u5c07\u5f37\u5316\u75bc\u75db\u795e\u7d93\u79d1\u5b78\u6559\u80b2\u8207\u4ee5\u8a8d\u77e5\u70ba\u76ee\u6a19\u7684\u611f\u89ba\u904b\u52d5\u63a7\u5236\u8a13\u7df4\u76f8\u7d50\u5408 <small><sup>[32,52,55,60]<\/sup><\/small> \u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7d50\u8ad6<\/h2>\n\n\n\n<p><span class=\"swl-marker mark_yellow\">\u300e\u60a3\u6709\u5fa9\u767c\u6027\u548c\u6162\u6027 LBP \u7684\u4eba\u300f\u8207\u300e\u6c92\u6709 LBP 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class=\"wp-block-heading\">\u81f4\u8b1d<\/h2>\n\n\n\n<p>\u8a72\u7814\u7a76\u6a5f\u69cb\u6240\u4f9d\u64da\u7684\u8ad6\u58c7\u300c\u904b\u52d5\u63a7\u5236\u548c\u8170\u75db\u7684\u6700\u65b0\u6280\u8853\uff1a\u570b\u969b\u81e8\u5e8a\u548c\u7814\u7a76\u5c08\u5bb6\u8ad6\u58c7\u300d\u5f97\u5230\u4e86\u6fb3\u5927\u5229\u4e9e\u570b\u5bb6\u885b\u751f\u548c\u91ab\u5b78\u7814\u7a76\u59d4\u54e1\u6703\uff08\u8207\u5317\u7f8e\u810a\u67f1\u5354\u6703\u5408\u4f5c\uff09\u7684\u652f\u6301\u3002 \u8ad6\u58c7\u7531 Paul Hodges \u535a\u58eb\u4e3b\u6301\u3002<\/p>\n\n\n\n<p class=\"is-style-balloon_box2\">\u66f4\u65b0\u7d00\u9304<\/p>\n\n\n\n<p class=\"is-style-bg_stripe\">2023\/01\/21 \u767c\u4f48\u672c\u6587<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u9019\u7bc7\u8a55\u8ad6\u63d0\u4f9b\u4e86\u300e\u5728\u8170\u75db 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