nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2024-6-97-104nnp-2424Research ArticleREVIEWSОБЗОРЫPain and cognitive functions – the battle for cognitive reserveБолевой синдром и когнитивные функции – борьба за когнитивный резервhttps://orcid.org/0000-0002-7384-6715АхмеджановаЛ. Т.AkhmedzhanovaL. T.

 119021, Москва, ул. Россолимо, 11, стр. 1 

 11, Rossolimo St., Build. 1, Moscow 119021 

https://orcid.org/0000-0002-3833-532XТабееваГ. Р.TabeevaG. R.

 119021, Москва, ул. Россолимо, 11, стр. 1 

 11, Rossolimo St., Build. 1, Moscow 119021 

https://orcid.org/0000-0002-5397-9422МандраЕ. В.MandraE. V.

 119021, Москва, ул. Россолимо, 11, стр. 1 

 11, Rossolimo St., Build. 1, Moscow 119021 

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияDepartment of Nervous Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Russian Federation20241712202416697104Copyright © Akhmedzhanova L.T., Tabeeva G.R., Mandra E.V., 20242024Ахмеджанова Л.Т., Табеева Г.Р., Мандра Е.В.Akhmedzhanova L.T., Tabeeva G.R., Mandra E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/2424

Back pain and headache are the most common pain syndromes and have a significant impact on patients' quality of life. In the process of pain chronification emotional-affective, cognitive and motivational components can be distinguished. Cognitive impairments (CI), such as attention deficits, memory loss, reduced learning and decision-making abilities, are observed in almost one third of patients with chronic pain. The spectrum of CI in patients with chronic back pain is age-dependent. Primary headaches are also associated with the development of CI. An important measure to prevent CI in chronic pain is effective pain relief. Lornoxicam is a non-steroidal anti-inflammatory drug that acts at different levels of pain formation. The mutual influence of back pain and headache on cognitive function and the maintenance of cognitive potential in the complex treatment of patients are discussed.

Боль в спине и головная боль являются наиболее частыми болевыми синдромами и оказывают значимое влияние на качество жизни пациентов. В процессе хронизации боли выделяют эмоционально-аффективный, когнитивный и мотивационный компоненты. Когнитивные нарушения (КН), такие как дефицит внимания, снижение памяти, снижение способности к обучению и принятию решений, наблюдаются почти у трети пациентов с хронической болью. При этом спектр КН у пациентов с хронической болью в спине зависит от возраста. Первичная головная боль также ассоциирована с развитием КН. Важной мерой профилактики КН при хронической боли является эффективное купирование болевого синдрома. Лорноксикам – нестероидный противовоспалительный препарат, который работает на разных уровнях формирования боли. Обсуждаются взаимное влияние боли в спине и головной боли на когнитивные функции, а также поддержание когнитивного потенциала при комплексном лечении пациентов.

боль в спинеголовная больмигреньголовная боль напряжениякогнитивные нарушениябиопсихокогнитивная модель боликинезиотерапиялорноксикамКсефокамback painheadachemigrainetension headachecognitive impairmentbiopsychocognitive model of painkinesiotherapyLornoxicamXefocamСтатья спонсируется компанией «Нижфарм»This article has been supported by NizhpharmReferencesCimmino MA, Ferrone C, Cutolo M. Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol. 2011 Apr;25(2):173-83. doi: 10.1016/j.berh.2010.01.012Cimmino MA, Ferrone C, Cutolo M. Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol. 2011 Apr;25(2):173-83. doi: 10.1016/j.berh.2010.01.012Higgins DM, Martin AM, Baker DG, et al. The Relationship Between Chronic Pain and Neurocognitive Function: A Systematic Review. Clin J Pain. 2018 Mar;34(3):262-75. doi: 10.1097/AJP.0000000000000536Higgins DM, Martin AM, Baker DG, et al. 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The authors declare that there are no conflicts of interest present.