Learned control over spinal nociception: Transfer and stability of training success in a long-term study

Bäumler, Maximilian; Feller, M.; Krafft, Stefanie; Schiffer, Manuela; Sommer, Jens; Straube, Andreas; Weinges, Fabian; Ruscheweyh, Ruth

doi:10.1016/j.clinph.2017.09.109

Cited by 5 publications

(1 citation statement)

References 33 publications

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“…The nociceptive flexion reflex (RIII) is a widely investigated neurophysiological tool for the clinical evaluation of neuropathic pain [10]. Learned strategies for RIII suppression without presentation of feedback and the RIII feedback training gave encouraging results [11]. The cutaneous silent period (CuSP), a transient suppression of electromyographic voluntary activity that follows painful stimuli, could serve as an objective functional measure of the δ fibers in peripheral neuropathies, it is simple and well tolerated [12].…”

Section: Small Fibre Neuropathymentioning

confidence: 99%

A Systematic Review of the Diagnostic Methods of Small Fiber Neuropathies in Rehabilitation

2020

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This systematic review describes the several methods to diagnose and measure the severity of small fiber neuropathies and aims to guide the physician to define all the diagnostic approaches for adopting the best strategies described in the current literature. The search was conducted in PubMed, EMBASE, Cochrane Library and Web of Science. Two reviewers independently reviewed and came to consensus on which articles met inclusion/exclusion criteria. The authors excluded all the duplicates, animals’ studies, and included the English articles in which the diagnostic measures were finalized to assess the effectiveness of rehabilitation and pharmacologic treatment of patients with small fiber neuropathies. The search identified a total of 975 articles with the keywords “small fiber neuropathy” AND “rehabilitation” OR “therapy” OR “treatment”. Seventy-eight selected full-text were analyzed by the reviewers. Forty-one publications met the inclusion criteria and were included in the systematic review. Despite the range of diagnostic tools for the assessment of small fiber neuropathy, other robust trials are needed. In addition, always different diagnostic approaches are used, a unique protocol could be important for the clinicians. More research is needed to build evidence for the best diagnostic methodologies and to delineate a definitive diagnostic protocol.

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Section: Small Fibre Neuropathymentioning

confidence: 99%