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CURRENT ISSUEEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095

 

European Journal of Physical and Rehabilitation Medicine 2016 October;52(5):741-52

THE ITALIAN CONSENSUS CONFERENCE ON PAIN IN NEUROREHABILITATION - PART I 

    SPECIAL ARTICLES

Pharmacological and non-pharmacological strategies in the integrated treatment of pain in neurorehabilitation. Evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Stefano TAMBURIN 1, Marco R. LACERENZA 2, Gianluca CASTELNUOVO 3, 4, Michela AGOSTINI 5, Stefano PAOLUCCI 6, Michelangelo BARTOLO 7, Sara BONAZZA 8, Angela FEDERICO 1, Fabio FORMAGLIO 9, Emanuele M. GIUSTI 4, Gian M. MANZONI 3, 4, Susanna MEZZAROBBA 10, Giada PIETRABISSA 3, 4, Andrea POLLI 5, Andrea TUROLLA 5, Giorgio SANDRINI 11, 12, on behalf of the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN)

1 Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy; 2 Pain Medicine Center, Humanitas San Pio X, Milan, Italy; 3 Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Ospedale San Giuseppe, Verbania, Italy; 4 Department of Psychology, Catholic University of Milan, Milan, Italy; 5 Laboratory of Kinematics and Robotics, Neurorehabilitation Department, San Camillo Hospital IRCCS, Venice, Italy; 6 Santa Lucia Foundation IRCCS, Rome, Italy; 7 Department of Rehabilitation, Neurorehabilitation Unit, Habilita, Zingonia di Ciserano, Bergamo, Italy; 8 Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy; 9 Palliative Care, Pain Therapy and Rehabilitation Unit, Fondazione Istituto Nazionale dei Tumori IRCCS, Milan, Italy; 10 Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy; 11 C. Mondino National Institute of Neurology Foundation IRCCS, Pavia, Italy; 12 Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy

The interplay between pain and neurorehabilitation is very complex, in that pain may be a target for treatment, but can also have negative effects on neurorehabilitation procedures. Moreover, side effects of drugs, which are currently used to treat pain, may negatively influence rehabilitation outcomes. Because of the lack of guidelines or consensus, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) was aimed to answer some open questions on the treatment of pain in this setting. To this aim, we collected evidence on the pharmacological and non-pharmacological strategies and their role in the integrated approach to pain. Despite the lack of studies in patients undergoing neurorehabilitation, current guidelines on the pharmacological treatment of nociceptive and neuropathic pain may be applied in this setting. Non-pharmacological strategies include physical therapy, invasive procedures, psychological treatments and psychotherapy, which together with pharmacological therapies play a key role in the integrated approach to pain. The ICCPN recommendations offer information to ameliorate the current treatment of pain in neurorehabilitation, and to design future studies to answer the still open questions on this topic.

language: English


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