运动疗法在慢性疼痛中的研究进展

The progress of exercise therapy in chronic pain

随着现代化生活方式的推进,慢性疼痛愈发普遍存在。由于致痛因素的复杂性和疼痛发病机制的不明确性,治疗后仍存在无法完全缓解和远期疗效欠佳的问题,这给慢性疼痛病人造成了较大的精神压力和失控感,使其生活质量下降和社会能力退缩。研究发现,运动可以通过减少炎症发作、增强痛觉下行抑制作用以及改善不良情绪来发挥镇痛作用。因此,运动作为一种低成本、低风险、长短期疗效结合的疗法对慢性疼痛的预防和治疗具有重要意义。本文综述近年来运动疗法在慢性疼痛中的作用和运动镇痛的机制,以期为慢性疼痛病人提供运动康复的依据。

The prevalence of chronic pain is on the rise as a result of the progress in contemporary living.Due to the complexity of pain causing factors and the uncertainty of pain pathogenesis,there are still problems of incomplete relief and poor long-term efficacy after treatment,which causes significant mental pressure and loss of control in patients with chronic pain,leading to a decline in their quality of life and social ability.Studies have demonstrated that exercise can effectively alleviate pain by mitigating inflammatory responses,enhancing pain descending inhibitory effect,and ameliorating negative affective states.Hence,exercise,as a low-cost,low-risk,and short-to long-term efficacy combined therapy,holds significant importance in the prevention and treatment of chronic pain.This article reviewed the recent role of exercise therapy in chronic pain and the mechanisms of exercise-induced analgesia,with the aim of providing a basis for exercise rehabilitation in chronic pain patients.