Non-pharmacological interventions for chronic pain in people with spinal cord injury

Boldt, Inga; Eriks‐Hoogland, Inge; Brinkhof, Martin W. G.; Bie, Rob de; Joggi, Daniel; Elm, Erik von

doi:10.1002/14651858.cd009177.pub2

Cited by 130 publications

(158 citation statements)

References 67 publications

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“…Fregni et al 30 have shown that five days of anodal CCTS in M1 decreases patients' pain without interfering with the neuropsychological condition or being associated to the presence of anxiety and depression. Two recent meta-analyses have shown that anodal CCTS in M1 has moderate analgesic effect on spinal cord injury pain 31,32 . The review of Boldt et al 31 has also involved other noninvasive neuromodulatory resources such as rTMS and acupuncture, which however have not shown effect on these patients' pain.…”

Section: Physical Rehabilitation For Neuropathic Pain After Central Nmentioning

confidence: 99%

“…Two recent meta-analyses have shown that anodal CCTS in M1 has moderate analgesic effect on spinal cord injury pain 31,32 . The review of Boldt et al 31 has also involved other noninvasive neuromodulatory resources such as rTMS and acupuncture, which however have not shown effect on these patients' pain.…”

Section: Physical Rehabilitation For Neuropathic Pain After Central Nmentioning

confidence: 99%

“…Exercises were studied in some clinical trials as ways to control pain in spinal cord injury patients. A systematic review with meta-analysis 31 has shown that this physical intervention modality had the best effect on pain decrease, among a series of non-pharmacological interventions involving neuromodulation, acupuncture, TENS, self-hypnosis and cognitive behavioral therapy.…”

Section: Physical Rehabilitation For Neuropathic Pain After Central Nmentioning

confidence: 99%

See 2 more Smart Citations

Physical rehabilitation to treat neuropathic pain

Souza¹,

Carqueja

Baptista³

2016

Revista Dor

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Section: Physical Rehabilitation For Neuropathic Pain After Central Nmentioning

confidence: 99%

Section: Physical Rehabilitation For Neuropathic Pain After Central Nmentioning

confidence: 99%

Section: Physical Rehabilitation For Neuropathic Pain After Central Nmentioning

confidence: 99%

See 1 more Smart Citation

Physical rehabilitation to treat neuropathic pain

Souza¹,

Carqueja

Baptista³

2016

Revista Dor

View full text Add to dashboard Cite

“…Nonetheless, it is important to note that a recent Cochrane Database Systematic Review has found that there is still insufficient evidence for the use of non-pharmacologic interventions (i.e., tDCS, TMS, exercise programs, acupuncture, and others) in the treatment of neuropathic chronic pain, at least in spinal cord-injured patients (Boldt et al 2011). It is also important to note that the conclusion in Boldt et al (2011) is not that these interventions are ineffectual, but that more research with randomized control protocols, adequate sample sizes, and sensitive methods to evaluate outcomes are needed. We fully agree with these conclusions and would like to suggest the same for each of the specific research fields reviewed here.…”

Section: Painmentioning

confidence: 99%

Transcranial direct current stimulation as a tool in the study of sensory-perceptual processing

Costa

Lapenta

Boggio

et al. 2015

Atten Percept Psychophys

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Transcranial direct current stimulation (tDCS) is a non-invasive neuromodulatory technique with increasing popularity in the fields of basic research and rehabilitation. It is an affordable and safe procedure that is beginning to be used in the clinic, and is a tool with potential to contribute to the understanding of neural mechanisms in the fields of psychology, neuroscience, and medical research. This review presents examples of investigations in the fields of perception, basic sensory processes, and sensory rehabilitation that employed tDCS. We highlight some of the most relevant efforts in this area and discuss possible limitations and gaps in contemporary tDCS research. Topics include the five senses, pain, and multimodal integration. The present work aims to present the state of the art of this field of research and to inspire future investigations of perception using tDCS.

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“…Despite the prognostic significance of diminished conscious pain perception in canine SCI, routine clinical evaluation of dogs with SCI has historically focused on locomotor scoring and only a crude assessment of the ‘presence’ or ‘absence’ of a behavioral response to a painful stimulus (Olby et al, 2001; Levine et al, 2009; Lascelles, 2013). Abnormalities in sensory processing such as allodynia and hyperesthesia are reported in up to 90% of human patients after SCI (Boldt et al, 2014). Sensory abnormalities have yet to be thoroughly explored in dogs with SCI, despite being repeatedly documented in rodent models of SCI and in the human clinical setting (Carlton et al, 2009; Felix et al, 2009; Densmore et al, 2010; Lindsey et al, 2010; Hoschouer et al, 2010; Hayes et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

von Frey anesthesiometry to assess sensory impairment after acute spinal cord injury caused by thoracolumbar intervertebral disc extrusion in dogs

Song

Basso

Costa

et al. 2016

The Veterinary Journal

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Sensory threshold (ST) was measured using an electric von Frey anesthesiometer (VFA) in all limbs of 20 normal dogs and 29 dogs with acute thoracolumbar spinal cord injury (SCI) caused by spontaneous intervertebral disc extrusion. ST values were measured at three separate time points in normal dogs and on days 3, 10 and 30 following decompressive surgery in dogs with SCI. ST values were compared between groups and correlated with locomotor recovery in SCI-affected dogs. ST values were significantly higher (consistent with hypoalgesia) in the pelvic limbs of SCI-affected dogs at day 3, day 10 and day 30 when compared to normal dogs (P < 0.05) while no significant difference in thoracic limb ST values was observed between groups. A progressive decrease in pelvic limb ST values occurred in SCI-affected dogs over time, consistent with improvement toward normal sensation or development of allodynia. This finding correlated inversely with locomotor score at 3 and 10 days after surgery. A significant decline in ST values across testing sessions was observed for all limbs of normal and SCI-affected dogs and may be related to patient acclimation, operator training effect, or effect of analgesic medications. This study supports the feasibility of VFA to assess differences in ST between normal and SCI-affected dogs. However, future studies must focus on techniques to minimize or compensate for clinical, environmental and behavioral factors which may impact ST values in the clinical setting.

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Non-pharmacological interventions for chronic pain in people with spinal cord injury

Abstract: Non-pharmacological interventions for chronic pain in people with spinal cord injury.

Cited by 130 publications

References 67 publications

Physical rehabilitation to treat neuropathic pain

Physical rehabilitation to treat neuropathic pain

Transcranial direct current stimulation as a tool in the study of sensory-perceptual processing

von Frey anesthesiometry to assess sensory impairment after acute spinal cord injury caused by thoracolumbar intervertebral disc extrusion in dogs

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