Temes 2 i 3. Antoni Morral.

13/02/2023

PRIMARY AFFERENTS

TENS

1965

Ronald Melzack Patrick Wall

Melzack and Wall proposed that the Cartesian model of
pain be replaced with the “gate control theory of pain”
Melzack R, Wall PD. Science 1965;150:971–9.

“The dorsal horn is the

site of “state-dependent”
neuronal plasticity and
structural modifications”

Patrick Wall

Assignatura Fisioteràpia en l'aparell

locomotor 2 1
Temes 2 i 3. Antoni Morral. 13/02/2023

TENS Ciclo del dolor

DOLOR

IMPOTENCIA TONO
FUNCIONAL MUSCULAR

RECORRIDO
ARTICULAR
Columna dorsal-lemnisco (cordón posterior). Decusa en bulbo. Tacto.
Vía espino talámica (anterolateral). Decusa en médula. Dolor

ALTENS

ALTENS

Periaqueductal grey (PAG), nucleus raphe magnus (nRM)

and nucleus raphe gigantocellularis

TENS, TENS CONVENCIONAL

ALTENS, TENS ENDORFíNICO

Assignatura Fisioteràpia en l'aparell

locomotor 2 2