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Sensomotorik und antinozizeptive Systeme und deren Kapazität

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Sensomotorik und Schmerz

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Zusammenfassung

Die Schmerzwahrnehmung, -modulation und -toleranz ist eine Gehirnleistung. Hemmsysteme modifizieren die Prozesse im unbewussten und bewussten Bereich. Die Antinozizeption erfolgt bereits als Teil des motorischen Programms. Sport steigert die Kapazität der Schmerzmodulation und -hemmung, wobei die Belastungsintensität sehr bedeutsam ist. Die physische Kondition ist eine Determinante der Schmerzhemmung. Sie geht vom PFC, MI, dem Dienzephalon, dem Hirnstamm, dem Locus coeruleus und dem PAG aus. Auch Testosteron ist mit ihr verknüpft.

Die Kapazität der Schmerzhemmung ergibt sich aus der „conditioned pain modulation“ (CPM), einem „Schmerz-hemmt-Schmerz-Mechanismus“ und der „exercise induced hypoalgesia“ (EIH). Beide Mechanismen interagieren. Die EIH ist bei Gesunden sicher durch ermüdendes Training auslösbar. Die Alterung mindert die Kapazität. Liegt eine CPM vor, reagieren Patienten wie Gesunde. Eine abnorme CPM diagnostiziert eine Dysfunktion auch der EIH. Grundsätzlich besteht aber Konsensus für die Belastungstherapie.

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  1. Altach, Österreich

    Wolfgang Laube

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Laube, W. (2020). Sensomotorik und antinozizeptive Systeme und deren Kapazität. In: Sensomotorik und Schmerz. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60512-7_8

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  • DOI: https://doi.org/10.1007/978-3-662-60512-7_8

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