Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 841-854 |
| Number of pages | 14 |
| Journal | European Journal of Physical and Rehabilitation Medicine |
| Volume | 52 |
| Issue number | 6 |
| Publication status | Published - 2016 |
Keywords
- Brain injuries
- Dementia
- Infectious disease medicine
- Medical oncology
- Motor neuron disease
- Movement disorders
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Assessing and treating pain in movement disorders, amyotrophic lateral sclerosis, severe acquired brain injury, disorders of consciousness, dementia, oncology and neuroinfectivology: Evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation. / Bartolo, M.; Chiò, Adriano; Ferrari, S. et al.
In: European Journal of Physical and Rehabilitation Medicine, Vol. 52, No. 6, 2016, p. 841-854.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Assessing and treating pain in movement disorders, amyotrophic lateral sclerosis, severe acquired brain injury, disorders of consciousness, dementia, oncology and neuroinfectivology: Evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation
AU - Bartolo, M.
AU - Chiò, Adriano
AU - Ferrari, S.
AU - Tassorelli, C.
AU - Tamburin, Stefano
AU - Avenali, M.
AU - Azicnuda, E.
AU - Calvo, Felipe A.
AU - Caraceni, A.T.
AU - DeFazio, G.
AU - De Icco, Roberto
AU - Formisano, R.
AU - Franzoni, S.
AU - Greco, E.
AU - Jedrychowska, I.
AU - Magrinelli, Francesca
AU - Manera, Umberto
AU - Marchioni, E.
AU - Mariotto, Sara
AU - Monaco, S.
AU - Pace, A.
AU - Saviola, Donatella
AU - Springhetti, I.
AU - Tinazzi, M.
AU - De Tanti, Antonio
N1 - Cited By :1 Export Date: 24 March 2017 Correspondence Address: De Tanti, A.; Centro Cardinal Ferrari, Via 4 Novembre 21, Italy; email: antonio.detanti@centrocardinalferrari.it References: Tamburin, S., Paolucci, S., Magrinelli, F., Musicco, M., Sandrini, G., The Italian Consensus Conference on Pain in Neurorehabilitation. 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PY - 2016
Y1 - 2016
N2 - Pain is an important non-motor symptom in several neurological diseases, such as Parkinson's disease, cervical dystonia, amyotrophic lateral sclerosis, severe acquired brain injury, disorders of consciousness and dementia, as well as in oncology and neuroinfectivology. To overcome the lack of evidence-based data on pain management in these diseases, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) has defined criteria for good clinical practice among Italian neurorehabilitation professionals. Here a review of the literature (PubMed, EMBASE and gray literature) on pain characteristics, treatment and impact of pain in a neurorehabilitation setting is provided. Despite the heterogeneity of data, a consensus was reached on pain management for patients with these diseases: it is an approach originating from an analysis of the available data on pain characteristics in each disease, the evolution of pain in relation to the natural course of the disease and the impact of pain on the overall process of rehabilitation. There was unanimous consensus regarding the utility of a multidisciplinary approach to pain therapy, combining the benefits of pharmacological therapy with the techniques of physiotherapy and neurorehabilitation for all the conditions considered. While some treatments could be different depending on pathology, a progressive approach to the pharmacological treatment of pain is advisable, starting with non-opioid analgesics (paracetamol) and nonsteroidal anti-inflammatory drugs as a first-line treatment, and opioid analgesics as a second-line treatment. In cases of pain secondary to spasticity, botulinum neurotoxin, and, in some cases, intrathecal baclofen infusion should be considered. Randomized controlled trials and prospective multicenter studies aimed at documenting the efficacy of pain treatment and their risk-benefit profile are recommended for these conditions. © 2016 Edizioni Minerva Medica.
AB - Pain is an important non-motor symptom in several neurological diseases, such as Parkinson's disease, cervical dystonia, amyotrophic lateral sclerosis, severe acquired brain injury, disorders of consciousness and dementia, as well as in oncology and neuroinfectivology. To overcome the lack of evidence-based data on pain management in these diseases, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) has defined criteria for good clinical practice among Italian neurorehabilitation professionals. Here a review of the literature (PubMed, EMBASE and gray literature) on pain characteristics, treatment and impact of pain in a neurorehabilitation setting is provided. Despite the heterogeneity of data, a consensus was reached on pain management for patients with these diseases: it is an approach originating from an analysis of the available data on pain characteristics in each disease, the evolution of pain in relation to the natural course of the disease and the impact of pain on the overall process of rehabilitation. There was unanimous consensus regarding the utility of a multidisciplinary approach to pain therapy, combining the benefits of pharmacological therapy with the techniques of physiotherapy and neurorehabilitation for all the conditions considered. While some treatments could be different depending on pathology, a progressive approach to the pharmacological treatment of pain is advisable, starting with non-opioid analgesics (paracetamol) and nonsteroidal anti-inflammatory drugs as a first-line treatment, and opioid analgesics as a second-line treatment. In cases of pain secondary to spasticity, botulinum neurotoxin, and, in some cases, intrathecal baclofen infusion should be considered. Randomized controlled trials and prospective multicenter studies aimed at documenting the efficacy of pain treatment and their risk-benefit profile are recommended for these conditions. © 2016 Edizioni Minerva Medica.
KW - Brain injuries
KW - Dementia
KW - Infectious disease medicine
KW - Medical oncology
KW - Motor neuron disease
KW - Movement disorders
M3 - Article
VL - 52
SP - 841
EP - 854
JO - European Journal of Physical and Rehabilitation Medicine
JF - European Journal of Physical and Rehabilitation Medicine
SN - 1973-9087
IS - 6
ER -