Pathophysiologie der peripheren Schmerzentstehung – therapeutische Angriffspunkte

Sprott, Haiko

doi:10.1024/1661-8157/a002495

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, an important aim of chronic pain treatment (increase in function and activity) was achieved with PRMT [ 61 ]. Positive psycho-emotional effects, including a decrease in depressive symptoms, increase the motivation to maintain physical integrity, which is associated with an increase in personal activity [ 20 , 69 , 70 ]. Perceiving the back as a pleasant body part might reduce negative self-referential processing and open the patients towards treatments aiming at cognitive emotion regulation, e.g., mindfulness training [ 71 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Psycho-Regulatory Massage Therapy on Pain and Depression in Women with Chronic and/or Somatoform Back Pain: A Randomized Controlled Trial

2020

View full text Add to dashboard Cite

Chronic unspecific back pain (cBP) is often associated with depressive symptoms, negative body perception, and abnormal interoception. Given the general failure of surgery in cBP, treatment guidelines focus on conservative therapies. Neurophysiological evidence indicates that C-tactile fibers associated with the oxytonergic system can be activated by slow superficial stroking of the skin in the back, shoulder, neck, and dorsal limb areas. We hypothesize that, through recruitment of C-tactile fibers, psycho-regulatory massage therapy (PRMT) can reduce pain in patients with cBP. In our study, 66 patients were randomized to PRMT or CMT (classical massage therapy) over a 12-week period and tested by questionnaires regarding pain (HSAL= Hamburger Schmerz Adjektiv Liste; Hamburg Pain adjective list), depression (BDI-II = Beck depression inventory), and disability (ODI = Oswestry Disability Index). In all outcome measures, patients receiving PRMT improved significantly more than did those receiving CMT. The mean values of the HSAL sensory subscale decreased by −51.5% in the PRMT group compared to −6.7% in the CMT group. Depressive symptoms were reduced by −55.69% (PRMT) and −3.1% (CMT), respectively. The results suggest that the superiority of PRMT over CMT may rely on its ability to activate the C-tactile fibers of superficial skin layers, recruiting the oxytonergic system.

show abstract