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In a large German study, the authors found that lower age, lower baseline spinal function and more than 10 years of education indicated a better response to acupuncture.
66 69 Consequently when planning the rehabilitation programme, a clinician should assess the potential contribution of spinal function and central sensitisation.
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Suggested priority areas for future research include: understanding interactions between intervertebral discs and adjacent vertebrae; developing prosthetic and tissue-engineered discs; and quantifying spinal function during rehabilitation.
The basis that underlies MMT is that the interactions between the body and the bedding system influence spinal function probably via compression of the circulation system of the spinal cord.
Such spinal function can be revealed by its influence on the muscle power of the arms and legs.
Research has shown that brain systems can induce a lasting (memory-like) alteration in spinal function.
Ischemia-reperfusion resulted in injury of the spines, while BYHWD significantly improved spinal function.
Activity-dependent changes in spinal function encompass long-term potentiation (LTP) of individual synapses as well as an increase in neuronal and non-neuronal excitation in the spinal dorsal horn, leading to increased pain sensitivity, i.e. central sensitization (Ji et al., 2003; Sandkühler, 2009).
Whilst it is open for debate whether greater movement irregularity should be interpreted as an impairment of spinal function, this study did not demonstrate changes in either direction (greater or lesser irregularity) in response to pain reduction.
Non-invasive functional MRI offers the possibility of studying spinal cord function and central sensitisation processes.
Somatosensory evoked potentials (SSEPs) monitor global spinal cord function, and the interpretation of motor loss is based on inferred rather than direct measurements.
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