Pain in focal dystonias - A focused review to address an important component of the disease

Micol Avenali, R De Icco, M Tinazzi, G Defazio, L Tronconi, G Sandrini, C Tassorelli

Research output: Contribution to journalReview article

Abstract

Focal dystonia is characterized by involuntary muscle contractions that cause abnormal postures and/or twisting movements in a segment of the body. Motor symptoms have a major impact on disability in this condition, but the presence of pain represents an additional source of impairment and poor quality of life. Notwithstanding that pain occurs in up to 70% of patients with cervical dystonia and in a relevant proportion of subjects with focal dystonia of the limbs, it has received very little attention from researchers and controlled trials are scant. The aim of this review is to summarize the current knowledge on the clinical assessment and management of pain in focal dystonias. The search results will inform on the types of pain reported in focal dystonias, on the tools that are used to quantify pain and on the efficacy of pharmacological and non-pharmacological approaches. The collated data will hopefully improve the clinical management of focal dystonia and also stimulate future research on dystonia-associated pain. Optimization of the outcome indeed requires the identification and the management of all the factors that determine disability and hence relies on a multidisciplinary approach.

Original languageEnglish
JournalParkinsonism and Related Disorders
DOIs
Publication statusE-pub ahead of print - Apr 27 2018

Fingerprint

Dystonic Disorders
Pain
Torticollis
Dystonia
Pain Measurement
Pain Management
Muscle Contraction
Posture
Smooth Muscle
Extremities
Quality of Life
Research Personnel
Pharmacology

Cite this

Pain in focal dystonias - A focused review to address an important component of the disease. / Avenali, Micol; De Icco, R; Tinazzi, M; Defazio, G; Tronconi, L; Sandrini, G; Tassorelli, C.

In: Parkinsonism and Related Disorders, 27.04.2018.

Research output: Contribution to journalReview article

@article{647297b4b7884b57abd08d12ec539bd9,
title = "Pain in focal dystonias - A focused review to address an important component of the disease",
abstract = "Focal dystonia is characterized by involuntary muscle contractions that cause abnormal postures and/or twisting movements in a segment of the body. Motor symptoms have a major impact on disability in this condition, but the presence of pain represents an additional source of impairment and poor quality of life. Notwithstanding that pain occurs in up to 70{\%} of patients with cervical dystonia and in a relevant proportion of subjects with focal dystonia of the limbs, it has received very little attention from researchers and controlled trials are scant. The aim of this review is to summarize the current knowledge on the clinical assessment and management of pain in focal dystonias. The search results will inform on the types of pain reported in focal dystonias, on the tools that are used to quantify pain and on the efficacy of pharmacological and non-pharmacological approaches. The collated data will hopefully improve the clinical management of focal dystonia and also stimulate future research on dystonia-associated pain. Optimization of the outcome indeed requires the identification and the management of all the factors that determine disability and hence relies on a multidisciplinary approach.",
author = "Micol Avenali and {De Icco}, R and M Tinazzi and G Defazio and L Tronconi and G Sandrini and C Tassorelli",
note = "Copyright {\circledC} 2018 Elsevier Ltd. All rights reserved.",
year = "2018",
month = "4",
day = "27",
doi = "10.1016/j.parkreldis.2018.04.030",
language = "English",
journal = "Parkinsonism and Related Disorders",
issn = "1353-8020",
publisher = "Elsevier BV",

}

TY - JOUR

T1 - Pain in focal dystonias - A focused review to address an important component of the disease

AU - Avenali, Micol

AU - De Icco, R

AU - Tinazzi, M

AU - Defazio, G

AU - Tronconi, L

AU - Sandrini, G

AU - Tassorelli, C

N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.

PY - 2018/4/27

Y1 - 2018/4/27

N2 - Focal dystonia is characterized by involuntary muscle contractions that cause abnormal postures and/or twisting movements in a segment of the body. Motor symptoms have a major impact on disability in this condition, but the presence of pain represents an additional source of impairment and poor quality of life. Notwithstanding that pain occurs in up to 70% of patients with cervical dystonia and in a relevant proportion of subjects with focal dystonia of the limbs, it has received very little attention from researchers and controlled trials are scant. The aim of this review is to summarize the current knowledge on the clinical assessment and management of pain in focal dystonias. The search results will inform on the types of pain reported in focal dystonias, on the tools that are used to quantify pain and on the efficacy of pharmacological and non-pharmacological approaches. The collated data will hopefully improve the clinical management of focal dystonia and also stimulate future research on dystonia-associated pain. Optimization of the outcome indeed requires the identification and the management of all the factors that determine disability and hence relies on a multidisciplinary approach.

AB - Focal dystonia is characterized by involuntary muscle contractions that cause abnormal postures and/or twisting movements in a segment of the body. Motor symptoms have a major impact on disability in this condition, but the presence of pain represents an additional source of impairment and poor quality of life. Notwithstanding that pain occurs in up to 70% of patients with cervical dystonia and in a relevant proportion of subjects with focal dystonia of the limbs, it has received very little attention from researchers and controlled trials are scant. The aim of this review is to summarize the current knowledge on the clinical assessment and management of pain in focal dystonias. The search results will inform on the types of pain reported in focal dystonias, on the tools that are used to quantify pain and on the efficacy of pharmacological and non-pharmacological approaches. The collated data will hopefully improve the clinical management of focal dystonia and also stimulate future research on dystonia-associated pain. Optimization of the outcome indeed requires the identification and the management of all the factors that determine disability and hence relies on a multidisciplinary approach.

U2 - 10.1016/j.parkreldis.2018.04.030

DO - 10.1016/j.parkreldis.2018.04.030

M3 - Review article

C2 - 29724604

JO - Parkinsonism and Related Disorders

JF - Parkinsonism and Related Disorders

SN - 1353-8020

ER -