Somatosensory Symptoms and Signs and Conditioned Pain Modulation in Chronic Post-Stroke Shoulder Pain

Roosink, Meyke; Renzenbrink, Gerbert J.; Buitenweg, Jan R.; Dongen, R.T.M. van; Geurts, Alexander C. H.; IJzerman, Maarten J.

doi:10.1016/j.jpain.2010.10.009

Cited by 68 publications

(99 citation statements)

References 60 publications

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“…Nevertheless, patients with CPSP and MSP had motor and sensory dysfunction more often than those without pain ( that sensory disturbances were often present in patients with shoulder pain 7 and may imply a role for central sensitization in patients with nociceptive pain. 22 As expected, we found that CPSP was closely associated with lesions in the thalamus and brain stem, where the spinothalamic tracts run, 13 whereas MSP was related to lesions involving the corona radiata/basal ganglia, where abundant motor tracks run.…”

Section: Discussionsupporting

confidence: 77%

Musculoskeletal and central pain at 1 year post-stroke: associated factors and impact on quality of life

et al. 2016

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Section: Discussionsupporting

confidence: 77%

Musculoskeletal and central pain at 1 year post-stroke: associated factors and impact on quality of life

et al. 2016

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“…[112][113][114] Patients with hemiplegic shoulder pain have a higher prevalence of altered somatosensory function with reduced sensory thresholds and decreased kinesthesia than patients without pain and normal control subjects. 105,[115][116][117] In addition, patients with shoulder pain have higher rates of allodynia and hyperpathia on both the affected and less affected sides than stroke patients without pain. 116,117 Patients with painful shoulders also have higher heat pain thresholds and lower pain pressure thresholds.…”

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 99%

“…105,[115][116][117] In addition, patients with shoulder pain have higher rates of allodynia and hyperpathia on both the affected and less affected sides than stroke patients without pain. 116,117 Patients with painful shoulders also have higher heat pain thresholds and lower pain pressure thresholds.…”

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,169

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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“…CPM efficacy may predict lower risk of developing chronic pain after thoracotomy (Yarnitsky et al, 2008), while less efficient CPM is sometimes associated with acute or chronic postoperative pain (Yarnitsky, 2010), emphasizing the clinical relevance of using CPM to help identify individuals at risk of developing chronic post-surgical pain. In contrast, others have found no consistent associations between most CPM parameters and prediction of pain after injuries (e.g., stroke) or surgeries (e.g., funnel chest repair) (Grosen, Vase, Pilegaard, Pfeiffer-Jensen, & Drewes, 2014; Roosink et al, 2011; Sangesland, Støren, & Vaegter, 2017). …”

Section: Clinical Relevance Of Pain Modulationmentioning

confidence: 89%

Pain Modulation: From Conditioned Pain Modulation to Placebo and Nocebo Effects in Experimental and Clinical Pain

Damien

Colloca

Belleï-Rodriguez

et al. 2018

International Review of Neurobiology

112

107

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Accumulating evidence reveal important applications of endogenous pain modulation assessment in healthy controls and in patients in clinical settings, as dysregulations in the balance of pain modulatory circuits may facilitate pain and promote chronification of pain. This article reviews data on pain modulation, focusing on the mechanisms and translational aspects of pain modulation from conditioned pain modulation (CPM) to placebo and nocebo effects in experimental and clinical pain. The specific roles of expectations, learning, neural and neurophysiological mechanisms of the central nervous system are briefly reviewed herein. The interaction between CPM and placebo systems in pain inhibitory pathways is highly relevant in the clinic and in randomized controlled trials yet remains to be clarified. Examples of clinical implications of CPM and its relationship to placebo and nocebo effects are provided. A greater understanding of the role of pain modulation in various pain states can help characterize the manifestation and development of chronic pain and assist in predicting the response to pain-relieving treatments. Placebo and nocebo effects, intrinsic to every treatment, can be used to develop personalized therapeutic approaches that improve clinical outcomes while limiting unwanted effects.

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Somatosensory Symptoms and Signs and Conditioned Pain Modulation in Chronic Post-Stroke Shoulder Pain

Cited by 68 publications

References 60 publications

Musculoskeletal and central pain at 1 year post-stroke: associated factors and impact on quality of life

Musculoskeletal and central pain at 1 year post-stroke: associated factors and impact on quality of life

Guidelines for Adult Stroke Rehabilitation and Recovery

Pain Modulation: From Conditioned Pain Modulation to Placebo and Nocebo Effects in Experimental and Clinical Pain

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