Pinto CS, Araya QF, Gutiérrez EH

Idioma: Español
Referencias bibliográficas: 53
Paginas: 64-74
Archivo PDF: 171.81 Kb.

RESUMEN

Los modelos explicativos actuales de los trastornos de dolor músculo esquelético crónico hacen referencia a los mecanismos nociceptivos periféricos e impulsados de manera secundaria a una anomalía estructural y/o post-traumática. A la luz de varias limitaciones presentes en la literatura y de la evidencia disponible, se hace necesario generar una síntesis de conceptos bajo un marco actual de conocimiento, acerca de la re conceptualización del dolor y sus procesos a nivel del sistema nervioso central. Actualmente nuestro entendimiento acerca del dolor y la neuroplasticidad en los trastornos músculo esqueléticos crónicos, en esta última década, la neurociencia moderna está en constante crecimiento. Es por esto que los modelos propuestos y teorías continuamente crecen y evolucionan bajo un requerimiento de una nueva información creciente. Al considerar que naturalmente, las teorías o conceptos que hasta ahora tenemos se podrían considerar equivocadas en el sentido más simplista, pero en un sentido especifico e incluso sutil, sólo necesitan ser consideradas como incompletas en una necesidad de re conceptualizar. Es por esto, que nuestra revisión tiene como objetivo describir y contextualizar las nuevas teorías adaptativas del dolor crónico y ver sus implicancias en la plasticidad y reorganización cortical en disfunciones músculo esqueléticas. Cabe mencionar que las nuevas teorías adaptativas del dolor y los nuevos conocimientos, sugieren y obligan a generar nuevas estrategias que integren todos los sistemas y veamos como piedra angular el trabajo en estructura corticales y subcorticales.

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