{"id":1398,"date":"2014-12-06T12:09:36","date_gmt":"2014-12-06T12:09:36","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=1398"},"modified":"2021-04-25T06:38:40","modified_gmt":"2021-04-25T06:38:40","slug":"praesentation-af-et-case-studie-af-lorimor-moseley-2005-smerte-pain","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=1398","title":{"rendered":"Pr\u00e6sentation af et Case-studie af Lorimor Moseley, 2005"},"content":{"rendered":"

Case-studie:\u00a0Opsummering p\u00e5 studie fra G., L., Moseley, 2005 Widespread brain activity during an abdominal task <\/a><\/em>markedly reduced after pain physiology education: fMRI<\/a>\u00a0<\/em>evaluation of a single patient with chronic low back pain<\/a>,\u00a0<\/em><\/strong><\/p>\n

\"Sk\u00e6rmbilledeHvem er Lorimor Moseley<\/strong><\/p>\n

Lorimor Moseley en er en af de store smerteteoretikere og er bedst kendt som forfatteren bag Explain Pain bogen.<\/p>\n

Case-studie:<\/strong><\/p>\n

Moseley beskriver i ovenst\u00e5ende studie hvordan ens tanker omkring smerter kan p\u00e5virke den m\u00e5de vi bev\u00e6ger os p\u00e5.<\/p>\n

I hans\u00a0case-studie fra 2005 m\u00f8der vi en 34 \u00e5rig kvinde med kroniske l\u00e6ndesmerter (opstod 4,5 \u00e5r tilbage i forbindelse med et arbejdsrelaterede fald). Kvinde blev om at lave en mave\u00f8velse efter en protocol af Jull og Richardson \u00a0(posterior tilt af b\u00e6kken og aktivering af tvansversus abdominis), samtidig blev taget en fMRI scanning af hjerneaktivitet.<\/p>\n

\"Sk\u00e6rmbillede<\/a> \"Sk\u00e6rmbillede<\/a> \"Sk\u00e6rmbillede<\/a><\/p>\n

Efter scanningen var opgaven at kvinden skulle g\u00e5 hjem og lave \u00f8velsen i 5 minutter for hver v\u00e5gne time i l\u00f8bet af en uge (skulle registerer det i en dagbog, den vidste at complience p\u00e5 80%).<\/p>\n

Ugen efter fik hun taget en scanning igen. Mellem de to scanninger var der ikke rigtig nogen forskel.
\n<\/em><\/p>\n

Den tredje scanning blev taget i samme udgangstilling, men f\u00f8rst efter at kvinden havde modtaget 2,5 times smerteuddannelse af Lorimor Moseley..<\/p>\n

Efter smerteuddannelse var der mindre\u00a0aktivitet p\u00e5 scanningerne under udf\u00f8relsen af \u00f8velsen. Resultaterne tyder p\u00e5, at smerteuddannelse kan \u00e6ndre hjerneaktivitet (trusselniveuet) under udf\u00f8relsen af opgaven. Et resultat selv ikke de fleste\u00a0smertestillende piller\u00a0ville kunne give.<\/p>\n

Studiet er fra\u00a0G Lorimer Moseley \u201c<\/a><\/p>\n

\"Sk\u00e6rmbillede<\/a>
There was widespread cortical activity associated with performance of the abdominal drawing-in task, including activity in primary somatosensory cortex, anterior cingulate cortex, association areas (parietal cortex) and frontal cortex. The second scan (Fig.1B) also shows widespread activity across several cortical areas, although there is a general reduction in brain activation. The final scan (Fig. 1C), conducted following pain physiology education, shows a marked reduction in cortical activation in all but the primary somatosensory cortex. In particular, the final scan shows that performance of the task did not involve activation of the cingulate, frontal, or insular cortices, components of the so-called \u2018pain matrix\u2019. Figure 1D shows differences in brain activity during performance of the task between the second and third scans (i.e. activity during task performance in scan two minus activity during task performance during scan three)<\/figcaption><\/figure>\n

Jeg vil anbefale at se denne TED-talk\u00a0med Moseley hvis man ikke allerede har set dem.<\/p>\n