Complex Adaptive Systems Allostasis in Fibromyalgia - 08/08/11
, Angelica Vargas, MDRésumé |
Fibromyalgia (FM) can be conceptualized as a failed attempt of our main complex adaptive system (the autonomic nervous system) to adjust to a hostile environment. FM cannot be fully understood through the prevailing linear-reductionist medical model. Conversely, FM can be explained using the new complexity theory paradigms. Relentless sympathetic hyperactivity in FM may be a sign of allostasis. Similarly sympathetic hyporeactivity to stress may indicate allostatic load. Dorsal root ganglia have been suggested as important sympathetic-nociceptive short-circuit sites. Autonomic dysfunction also explains non–pain-related FM features. Preliminary genetic evidence supports FM’s dysautonomic nature. A scientific holistic therapy is proposed to harmonize rigid complex systems and, in doing so, to help to improve FM symptoms.
Le texte complet de cet article est disponible en PDF.Keywords : Fibromyalgia, Autonomic nervous system, Complex adaptive systems, Allostasis, Neuropathic pain, Dorsal root ganglia, Complexity science, Holism
Plan
Vol 35 - N° 2
P. 285-298 - mai 2009 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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