This paper addresses the topic of an interdisciplinary approach of chronic pain management from a biopsychosocial perspective. The first section provides an introduction to the definitions and theories of chronic pain...This paper addresses the topic of an interdisciplinary approach of chronic pain management from a biopsychosocial perspective. The first section provides an introduction to the definitions and theories of chronic pain and the various contributing factors (psychological, interpersonal/environmental and social support, and vocational). The second section presents the role of various health care professions (medical doctors, nurses, physical therapists, occupational therapists, psychologists and rehabilitation counselors) and the evidence of their treatment effectiveness. The third section discusses the concept of an interdisciplinary pain rehabilitation program (IPRP) and its evidence to support its effectiveness. Finally, the clinical implications of rehabilitation counseling and psychology as part of the inter-disciplinary program in treating individuals with chronic pain will be highlighted.展开更多
经颅直流电刺激(transcranial direct current stimulation,tDCS)作为一种非侵入性神经调控技术已被用于治疗各种神经精神类疾病。近年来,随着人们对疼痛脑网络机制的逐步深入认识,tDCS在疼痛学相关研究中逐渐成为热点内容。然而,tDCS...经颅直流电刺激(transcranial direct current stimulation,tDCS)作为一种非侵入性神经调控技术已被用于治疗各种神经精神类疾病。近年来,随着人们对疼痛脑网络机制的逐步深入认识,tDCS在疼痛学相关研究中逐渐成为热点内容。然而,tDCS治疗慢性疼痛的镇痛机制尚未完全明确,临床应用仍处于起步阶段,其适应证选择、刺激靶点、调控方法和远期疗效仍需探索。本文就tDCS治疗慢性疼痛的镇痛机制和应用进展进行综述,为该技术的基础研究和临床推广提供科学依据和全新视角。展开更多
文摘This paper addresses the topic of an interdisciplinary approach of chronic pain management from a biopsychosocial perspective. The first section provides an introduction to the definitions and theories of chronic pain and the various contributing factors (psychological, interpersonal/environmental and social support, and vocational). The second section presents the role of various health care professions (medical doctors, nurses, physical therapists, occupational therapists, psychologists and rehabilitation counselors) and the evidence of their treatment effectiveness. The third section discusses the concept of an interdisciplinary pain rehabilitation program (IPRP) and its evidence to support its effectiveness. Finally, the clinical implications of rehabilitation counseling and psychology as part of the inter-disciplinary program in treating individuals with chronic pain will be highlighted.
文摘经颅直流电刺激(transcranial direct current stimulation,tDCS)作为一种非侵入性神经调控技术已被用于治疗各种神经精神类疾病。近年来,随着人们对疼痛脑网络机制的逐步深入认识,tDCS在疼痛学相关研究中逐渐成为热点内容。然而,tDCS治疗慢性疼痛的镇痛机制尚未完全明确,临床应用仍处于起步阶段,其适应证选择、刺激靶点、调控方法和远期疗效仍需探索。本文就tDCS治疗慢性疼痛的镇痛机制和应用进展进行综述,为该技术的基础研究和临床推广提供科学依据和全新视角。
