Motor dysfunction of non-traumatic genesis
DOI:
https://doi.org/10.33910/2687-1270-2021-2-3-261-278Keywords:
somatic dysfunction, low back pain, osteoarthritis, neuroplasticity, osteopathy, motoneuron, spinal cord, supraspinal control, afferentationAbstract
About 90% of people faced in their lives with limited mobility and pain in the back or joints of the limbs. But, to date, the etiology and pathogenesis of non-traumatic musculoskeletal pain remains poorly understood despite their relevance is extremely high. This review aims to analyze the current literature data on functional nature of such conditions, which are primary based on somatic dysfunction, accompanied by systemic functional and structural changes in the brain and spinal cord neural pathways. A historical insight into the problem, comparison of clinical signs, methods of treatment are given. Possible role of biomechanics, afferentation, spinal and supraspinal mechanisms in the development of non-traumatic somatic dysfunctions are discussed. We propose that further studies on experimental models of the specific afferent systems and their influence on the reorganization of the spinal neural circuitry, as well as possible intrasegmental and intersegmental reflexes will help to understand the pathophysiological outlines of motor dysfunction in order to develop the effective methods of prevention and treatment.
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