Diagnosing and assessing painin neurorehabilitation: from translational research to the clinical setting: Evidence and recommendations from the Italian consensus conference on pain in neurorehabilitation

Carlo A. Porro, Giorgio Sandrini, A. Truini, Valeria Tugnoli, Enrico Alfonsi, Laura Berliocchi, Carlo Cacciatori, Silvia La Cesa, Francesca Magrinelli, P. Sacerdote, Massimiliano Valeriani, Stefano Tamburin

Research output: Contribution to journalArticlepeer-review

Abstract

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 certain therapeutic approaches to pain, but there is a strong need of adequate preclinical models, experimental settings, outcome measures, and biomarkers that are more relevant for pain within the neurorehabilitation field. Data on the diagnosis and assessment of nociceptive and neuropathic pain (NP) are very scanty in neurorehabilitation, but those from other contexts can be adapted and translated to this specific setting. The Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) has 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, along with diagnostic, clinical and instrumental techniques to distinguish nociceptive from NPand, more generally, to assess pain in the field of neurorehabilitation. The present ICCPN recommendations provide information on the relevance of current preclinical models, and may be helpful in ameliorating pain diagnosis and assessment, which are prerequisites for better application and tailoring of current pharmacological and non-pharmacological treatments. They may also be useful for future studies aimed at filling the gaps in the current knowledge of these topics.

Original languageEnglish
Pages (from-to)717-729
Number of pages13
JournalEuropean Journal of Physical and Rehabilitation Medicine
Volume52
Issue number5
Publication statusPublished - Oct 1 2016

Keywords

  • Functional neuroimaging
  • Magnetic resonance imaging
  • Neurophysiology
  • Psychophysics
  • Theoretical models
  • Translational medicine

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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