About relieving the physical therapy and the change of the perceptual threshold

关于缓解物理治疗和知觉阈值的变化

• 批准号: 16300181
• 负责人: MIYAKE Naoyuki
• 金额: $ 3.84万
• 依托单位: The University of Tokyo
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16300181/
• 关键词: Rheumatic disease; Physical therapy; Skin sympathetic nerve activity; Perceptual threshold; Current perception; C fiber; Rise of threshold; 交感神経活動; 閾値上昇; C繊維

(Introduction) About the analgesic effect of the stimulation to the pain of the rheumatic disease and the unusual sensation and the electric stimulus and the action machine beginnings With the influence on the skin sympathetic nerve activity by sympathetic nerve skin blood stream reaction (SFR) and sympathetic nerve skin reaction (SSR). It aimed to clarify the change of the perceptual threshold with current perception threshold device (CPT).(Subjects and Methods) Subjects are 30 rheumatic disease patients who appeal for the pain and the unusual sensation in the outpatient care. The low frequency acupuncture energizing treatment, and the stimulation time is 15 minutes respectively. One treatment a week was done for three months. SFR uses laser Doppler blood flowmeter f● the measuring method. The blood stream change with the electric stimulus is recorded. SSR derived the electrical change with the electric stimulus. CPT had level (mA) by which the current at 2000Hz, 250Hz, and 5Hz time w … More as perceived and measured CPT. Endpoint of the patient's own evaluation was improvement level and QOL evaluation method (SF-36) at passing pain scale (pain relief scale).(Result) When electricity was stimulated to the rheumatic disease patient, the rise of the control of the skin sympathetic nerve activity, an increase in the skin blood style the vasodilator machine beginning of both by the control of the tension of the skin sympathetic nerve that ruled the one and the cutaneous blood vessel by the axon reflex of the limited part was thought. Moreover, there is a possibility to bring the rise of the threshold for Second Pain felt as a nociceptive stimulus because 5Hz rose intentionally by the pain threshold. A thin nonmedullated nerve before the neurological disorder extended widely was suggested and it was suggested to be able to expect. the therapeutic gain at the trouble time.In addition, when electricity and the temperature heat is stimulated, the ventricular rate and the blood pressure also can almost be a little an influence the whole body that causes the change in the mind function from no admission, adjust also by the patient who has the senior citizen in clinical and the mental illness, etc., and think the change to be a treatment method to be able to expect the analgesic effect handily. Less

（引言）关于刺激对风湿性疾病疼痛、异常感觉和电刺激的镇痛作用及作用机制，从交感神经皮肤血流反应（SFR）和交感神经皮肤反应（SSR）对皮肤交感神经活动的影响开始。目的：阐明电流知觉阈装置（CPT）对知觉阈的影响。（对象与方法）对象为30例风湿性疾病患者，他们在门诊中以疼痛和异常感觉为主诉。低频针刺激发治疗，刺激时间分别为15 min.每周进行一次治疗，持续三个月。SFR的测量方法采用激光多普勒血流计。记录血流随电刺激的变化。SSR是通过电刺激引起的电变化而产生的。CPT具有在2000 Hz、250 Hz和5 Hz时的电流水平（mA）， ...更多信息 感知和测量CPT。患者自我评价的终点是疼痛缓解量表（疼痛缓解量表）的改善水平和QOL评价方法（SF-36）。（结果）当电刺激风湿病患者时，皮肤交感神经活动的控制上升，皮肤血液类型的血管扩张机开始增加，这是通过控制支配皮肤交感神经的张力和通过有限部分的轴突反射的皮肤血管来实现的。此外，有可能使第二疼痛的阈值升高，因为5 Hz故意升高了疼痛阈值。在神经系统疾病广泛扩展之前，一条细的无髓神经被提出，并被认为能够预期。此外，当电和温度热刺激时，心室率和血压也几乎可以从不入院就引起精神功能改变的全身影响，在临床上也被有老年人和精神疾病的患者所调节等，并且认为改变为治疗方法可以方便地预期镇痛效果。少