vestimИзвестия Национальной академии наук Беларуси. Серия медицинских наукProceedings of the National Academy of Sciences of Belarus, Medical series1814-60232524-2350The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"vestim-340Research ArticleОБЗОРЫREVIEWSВЛИЯНИЕ ВЕРТЕБРОГЕННЫХ ПОЯСНИЧНЫХ ДОРСАЛГИЙ НА НЕЙРОПЛАСТИЧНОСТЬ ГОЛОВНОГО МОЗГАEFFECT OF LOW BACK PAIN ON CEREBRAL NEUROPLASTICITYАнацкаяЛ. Н.AnatskaiaL.

канд. мед. наук, ведущий научный сотрудник неврологического отдела.

M. D., Ph. D. (Med.), Chief Researcher fellow, Research Department of Neurology.

anatskaia@tut.byЗабаровскийВ. К.ZabarovskiV.

канд. мед. наук, ведущий научный сотрудник неврологического отдела.

M. D., Ph. D., Chief Researcher fellow, Research Department of Neurology.

zabarovski@tut.byСвинковскаяТ. В.SvinkouskayaT.

врач отделения функциональной диагностики.

M. D., Neurophysiology Diagnostics Department.

kuprac@mail.ruРеспубликанский научно-практический центр неврологии и нейрохирургииRepublican Research and Clinical Center of Neurology and Neurosurgery20161301201704103113Copyright © Анацкая Л.Н., Забаровский В.К., Свинковская Т.В., 20172017Анацкая Л.Н., Забаровский В.К., Свинковская Т.В.Anatskaia L., Zabarovski V., Svinkouskaya T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestimed.belnauka.by/jour/article/view/340

Показано, что переход острой вертеброгенной поясничной боли в подострую, рецидивирующую и хроническую обусловлен развитием дезадаптивного состояния нейропластичности центральной нервной системы в связи с аномальнойфункциональной, нейрохимической и анатомической модификацией нейронных сетей головного мозга (ГМ). В связи с этим диагностика пациентов с вертеброгенной рецидивирующей и хронической поясничной болью должна быть направлена на выявление не только скелетно-мышечных нарушений, но и изменений нейропластичности ГМ, а лечебно-восстановительные мероприятия – на улучшение церебральной нейропластичности. Одним из перспективных методов улучшения нейропластичности ГМ является мануальная и целевая тренирующая терапия.

It is shown that development of subacute, recurrent and chronic low back pain is the result of maladaptive neuroplasticity condition of the central nervous system due to abnormal functional, neurochemical and anatomical modification of the brain neural networks. In this connection, a diagnostic study of patients with recurrent and chronic low back pain should be directed not only to the identification of musculoskeletal abnormalities, but also changes in cerebral neuroplasticity. Treatment and rehabilitation measures should be also aimed improving cerebral neuroplasticity. One of the promising methods for improving neuroplasticity are a manual therapy and targeted training therapy.

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The authors declare that there are no conflicts of interest present.