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Current methodological approaches in conditioned pain modulation assessment in pediatrics

机译:儿科条件性疼痛调节评估的当前方法学方法

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Conditioned pain modulation (CPM) paradigms have been used in various studies with healthy and non-healthy adult populations in an attempt to elucidate the mechanisms of pain processing. However, only a few studies so far have applied CPM in pediatric populations. Studies finding associations with chronic pain conditions suggest that deficiencies in underlying descending pain pathways may play an important role in the development and persistence of pain early in life. Twelve studies were identified using a PubMed search which examine solely pediatric populations, and these are reviewed with regard to demographics studied, methodological approaches, and conclusions reached. This review aimed to provide both clinicians and researchers with a brief overview of the current state of research regarding the use of CPM in children and adolescents, both healthy and clinical patients. The implications of CPM in experimental and clinical settings and its potential to aid in refining considerations to individualize treatment of pediatric pain syndromes will be discussed.
机译:有条件的疼痛调节(CPM)范式已用于健康和非健康成年人群的各种研究中,试图阐明疼痛处理的机制。但是,到目前为止,只有少数研究在儿科人群中应用了CPM。研究发现与慢性疼痛状况相关联的研究表明,潜在的下行疼痛途径中的缺陷可能在生命早期的疼痛发展和持续中起重要作用。使用PubMed搜索确定了十二项研究,这些研究仅检查了儿科人群,并就所研究的人口统计学,方法论方法和得出的结论进行了综述。这篇综述旨在为临床医生和研究人员提供有关在健康和临床患者的儿童和青少年中使用CPM的研究现状的简要概述。将讨论CPM在实验和临床环境中的含义及其在改进细化考虑以个体化治疗小儿疼痛综合症方面的潜力。

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