Vol 6. N°3. 2011  |  Noviembre de 2011


REVISIONES

ABRIENDO LA COMPUERTA PARA EL ENTENDIMIENTO DEL DOLOR. (RONALD MELZACK, PATRICK D. WALL –1965)

OPENING THE GATE TO THE UNDERSTANDING OF PAIN. (RONALD MELZACK, PATRICK D. WALL – 1965)
Juan Carlos Acevedo González, MD
(Pág. 155)


RESUMEN:

El entendimiento del dolor a través de la historia ha sido marcado por eventos que han cambiado radicalmente el curso de las investigaciones y consecuentemente de los tratamientos. Cuando Melzack y Wall desarrollaron la ""Teoría de la Compuerta"" lograron aclarar fenómenos elementales del dolor y crearon tópicos de investigaciones básicas y clínicas. Dieron sustento, con su teoría, a múltiples tratamientos de dolor que son la base de procedimientos que en la actualidad realizamos. Los aspectos psicológicos, el componente clínico y la base estructural anatomofisiológica fueron poco a poco conformando una de las teorías más completas de la ciencia médica y por supuesto principio básico para el mejor tratamiento del dolor. Son 50 años que se cumplen de la publicación de aquel artículo en la revista Science (Pain Mechanism: a new theory. A gate control system modulates sensory input from the skin before it evoques pain perception and response. Ronald Melzack and Patrick Wall. Science. 19 november 1965, volu- men 150, number 3699), el cual ha sido reconocido hasta la actualidad como la referencia bibliográfica más utilizada en la ciencia médica en los últimos 50 años. Este análisis no es solo científico sino humano, permitiendo recordar esta teoría básica y conociendo la biografía de dos científicos.


PALABRAS CLAVE: dolor; teoría de la compuerta; Ronald Melzack; Patrick Wall


ABSTRACT:

The quest to acquire knowledge and understanding of pain has had crucial moments in which the evolution of the process has been dramatically changed. These moments have been revelations that have opened the path to rethinking previously accepted knowledge and created new horizons of research, understanding and treatment. When Melzack and Wall first described what would come to be known as the ""Gate Control theory"" they were able not only to clarify basic aspects of pain development but to lead the way to further basic and clinical research studies. They psychological aspects, the clinical basis and the structural anatomical and physiological components created one of the most complete theories in medical sciences and the ground for the basic management of pain. It has been fifty years since the original article was published in Science magazine (Pain Mechanism: a new theory. A gate control system modulates sensory input from the skin before it evokes pain perception and response. Ronald Melzack and Patrick Wall. Science. November 19, 1965 volume 150, number 3699). It has been recognized even until today as the most cited refer- ence in medical journals in the past 50 years. The paper was written during a very particular moment in scientific history and the context of two very different lives, which illustrates the incredible process that leads to scientific development. The analysis of what this paper has symbolized to pain science must be done not only from a purely scientific view point but from a human one as well.


KEY WORDS: pain; Gate control; Ronald Melzack; Patrick Wall


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