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Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici

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

Periodicità: Bimestrale

ISSN 1973-9087

Online ISSN 1973-9095


European Journal of Physical and Rehabilitation Medicine 2016 Aug 31

Diagnosing and assessing pain in neurorehabilitation: from translational research to the clinical setting. Evidence and recommendations from the Italian Consensus conference on Pain in Neurorehabilitation

Carlo A. PORRO 1, Giorgio SANDRINI 2, 3, Andrea TRUINI 4, Valeria TUGNOLI 5, Enrico ALFONSI 2, 3, Laura BERLIOCCHI 6, Carlo CACCIATORI 7, Silvia LA CESA 4, Francesca MAGRINELLI 7, Paola SACERDOTE 8, Massimiliano VALERIANI 9, Stefano TAMBURIN 7, on behalf of the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN)

1 Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; 2 C. Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy; 3 Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy; 4 Department of Neurology and Psychiatry, University Sapienza, Rome, Italy; 5 Neurological Unit, University Hospital of Ferrara, Ferrara, Italy; 6 Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy; 7 Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy; 8 Department of Pharmacological and Biomolecular Sciences, University of Milan, Milan, Italy; 9 Division of Neurology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy

Pain is very common in neurorehabilitation, where it may be a target for treatment and have a negative effect on rehabilitation procedures and outcomes. Promising preliminary preclinical data support some therapeutic approaches to pain, but there is a strong need of adequate preclinical models, experimental settings, outcome measures, and biomarkers that could be more relevant for pain within the neurorehabilitation field. Data on diagnosis and assessment of nociceptive and neuropathic pain (NP) are very scanty in neurorehabilitation, but those from other contexts can be adapted and translated in this specific setting. The Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) searched and evaluated existing evidence on animal models for the treatment of pain, definition and diagnostic criteria for nociceptive and NP, screening tools and questionnaires, together with diagnostic clinical and instrumental techniques for separating nociceptive from NP and more in general for the assessment of pain in the field of neurorehabilitation. The present ICCPN recommendations give information on the relevance of current preclinical models, and may be helpful for ameliorating pain diagnosis and assessment, which are prerequisites for better application and tailoring of current pharmacological and non-pharmacological treatments for pain in neurorehabilitation. They may also be useful for future studies aimed to fill the knowledge gaps on these topics.

lingua: Inglese


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