Download PDF
MSK – Muskuloskelettale Physiotherapie 2025; 29(02): 93-98
DOI: 10.1055/a-2509-3013
Schmerzseiten

Kopf- und Gesichtsschmerzen: Somatosensorische Verzerrungen erkennen und gezielt behandeln

Teil 2 – Pathophysiologie, Charakteristika, Therapieoptionen
Bernhard Taxer
,
Harry von Piekartz
› Further Information
Also available at
    Permissions and Reprints

Chronische Kopf- und Gesichtsschmerzen stellen eine komplexe Herausforderung dar, die oft mit somatosensorischen Verzerrungen einhergeht. Diese Verzerrungen beeinflussen sensorische Wahrnehmung, motorische Kontrolle und emotionale Verarbeitung. Der 2. Teil der Serie beleuchtet aktuelle Erkenntnisse über die Pathophysiologie dieser Schmerzen und stellt einen systematischen Therapieansatz vor, der sich auf die Kombination aus Pain Neuroscience Education (PNE), systematischem sensomotorischem Training (SSMT) und systematischem Gehirntraining (SGT) stützt.

Abstract

Chronic head and facial pain present a complex challenge, often accompanied by somatosensory distortions. These distortions affect sensory perception, motor control, and emotional processing. The second part of this series explores current insights into the pathophysiology of these pain conditions and introduces a systematic therapeutic approach based on a combination of Pain Neuroscience Education (PNE), Systematic Sensorimotor Training (SSMT), and Systematic Brain Training (SBT).



Publication History

Article published online:
15 May 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Williams AC de C, Craig KD. Updating the definition of pain. Pain 2016; 157: 2420-2423
    CrossrefPubMedSearch in Google Scholar
  • 2 Treede R-D, Rief W, Barke A. et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the: International Classification of Diseases (ICD-11: ). Pain 2019; 160: 19-27
    CrossrefPubMedSearch in Google Scholar
  • 3 IASP. IASP Revises Its Definition of Pain for the First Time Since 1979. Im Internet https://bit.ly/4bx5z2p Stand: 17.03.2025
  • 4 Nicholas M, Vlaeyen JWS, Rief W. et al. The IASP classification of chronic pain for ICD-11: chronic primary pain. PAIN 2019; 160: 28-37
    CrossrefPubMedSearch in Google Scholar
  • 5 International Headache Society. ICHD-3 The International Classification of Headache Disorders 3rd edition. ICHD-3 The International Classification of Headache Disorders 3rd edition. Im Internet https://www.ichd-3.org/ Stand: 17.03.2025
  • 6 International Headache Society. International Classification of Orofacial Pain, 1st edition (ICOP). Cephalalgia 2020; 40: 129-221
    CrossrefPubMedSearch in Google Scholar
  • 7 May A, Hoffmann J. Facial pain beyond trigeminal neuralgia. Curr Opin Neurol 2021; 34: 373-377
    CrossrefPubMedSearch in Google Scholar
  • 8 Benoliel R, May A. Orofacial Migraine – A Narrative Review. J Clin Med 2024; 13: 5745
    CrossrefPubMedSearch in Google Scholar
  • 9 Sharav Y, Haviv Y, Benoliel R. Orofacial Migraine or Neurovascular Orofacial Pain from Pathogenesis to Treatment. Int J Mol Sci 2023; 24: 2456
    CrossrefPubMedSearch in Google Scholar
  • 10 von Piekartz H, Taxer B. Kopf- und Gesichtsschmerzen: Somatosensorische Verzerrungen erkennen und gezielt behandeln. Teil 1 – Hintergrund, Untersuchung und Evidenz. MSK – Muskuloskelettale Physiotherapie 2024; 28: 301-311
    Thieme ConnectSearch in Google Scholar
  • 11 Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol 2008; 7: 354-361
    CrossrefPubMedSearch in Google Scholar
  • 12 van der Cruijsen R, Murphy J, Bird G. Alexithymic traits can explain the association between puberty and symptoms of depression and anxiety in adolescent females. PLOS ONE 2019; 14: e0210519
    CrossrefPubMedSearch in Google Scholar
  • 13 De Tommaso M, Vecchio E, Quitadamo SG. et al. Pain-Related Brain Connectivity Changes in Migraine: A Narrative Review and Proof of Concept about Possible Novel Treatments Interference. Brain Sci 2021; 11: 234
    CrossrefPubMedSearch in Google Scholar
  • 14 Ghiggia A, Bottiroli S, Lingiardi V. et al. Alexithymia and psychological distress in fibromyalgia and chronic migraine: A cross-sectional study. J Psychosom Res 2022; 163: 111048
    CrossrefPubMedSearch in Google Scholar
  • 15 Baliki MN, Apkarian AV. Nociception, pain, negative moods and behavior selection. Neuron 2015; 87: 474-491
    CrossrefPubMedSearch in Google Scholar
  • 16 Kuner R, Kuner T. Cellular Circuits in the Brain and Their Modulation in Acute and Chronic Pain. Physiol Rev 2021; 101: 213-258
    CrossrefPubMedSearch in Google Scholar
  • 17 Louw A, Zimney K, O’Hotto C. et al. The clinical application of teaching people about pain. Physiother Theory Pract 2016; 32: 385-395
    CrossrefPubMedSearch in Google Scholar
  • 18 Louw A, Diener I, Butler DS. et al. The Effect of Neuroscience Education on Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain. Arch Phys Med Rehabil 2011; 92: 2041-2056
    CrossrefPubMedSearch in Google Scholar
  • 19 Louw A, Zimney K, Puentedura EJ. et al. The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature. Physiother Theory Pract 2016; 32: 332-355
    CrossrefPubMedSearch in Google Scholar
  • 20 Lorimer Moseley G, Leake HB, Beetsma AJ. et al. Teaching Patients About Pain: The Emergence of Pain Science Education, its Learning Frameworks and Delivery Strategies. J Pain 2024; 25: 104425
    CrossrefPubMedSearch in Google Scholar
  • 21 Leake HB, Moseley GL, Stanton TR. et al. What do patients value learning about pain? A mixed-methods survey on the relevance of target concepts after pain science education. Pain 2021; 162: 2558-2568
    CrossrefPubMedSearch in Google Scholar
  • 22 Dilek B, Ayhan C, Yagci G. et al. Effectiveness of the graded motor imagery to improve hand function in patients with distal radius fracture: A randomized controlled trial. J Hand Ther 2018; 31: 2-9.e1
    CrossrefPubMedSearch in Google Scholar
  • 23 Xia M, Xu P, Yang Y. et al. Frontoparietal Connectivity Neurofeedback Training for Promotion of Working Memory: An fNIRS Study in Healthy Male Participants. IEEE Access 2021; 9: 62316-62331
    CrossrefSearch in Google Scholar
  • 24 Boyd BS. Bodily Relearning: Reteaching Bodily Protection Responses through Insight and Movement Exploration. Noigroup Publication; 2023
    Search in Google Scholar