Motorkortikale Repräsentation beim komplex regionalen Schmerzsyndrom Typ I

Krause, Phillip; Förderreuther, Stefanie; Straube, Andreas

doi:10.1007/s00482-005-0417-8

Cited by 9 publications

(3 citation statements)

References 31 publications

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“…Involvement of the central nervous system has an important characteristic: the central disinhibition, present in patients both with and without dystonia, indicated by studies of neurophysiology [24][25][26][27][28] .…”

Section: Physiopathologymentioning

confidence: 99%

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Updates in Complex Regional Pain Syndrome

Aguiar¹,

Camporeze²,

Zapelini³

et al. 2019

jbnc

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Background: The Complex Regional Pain Syndrome (CRPS), known as reflex sympathetic dystrophy, Sudeck atrophy, causalgy or posttraumatic pain has been described as an important cause of chronic morbidity, which acknowledge of clinical limits, pathophysiology and implications of pathogenesis is still little elucidated. Therefore a great dissatisfaction for patients and health professionals has been described regarding to the currently available therapeutic methods. Objectives: The goal of this paper is to discuss the current perspectives of physiopathology, diagnosis and treatment in CRPS. Methods: A review of the literature was carried out using the MEDLINE, LILACS, and SciELO databases, with preference to articles in English, Portuguese and Spanish. Results: The diagnosis is predominantly based in clinical evidences of signs and symptoms. Although it has been described in the literature in many studies and guidelines about the treatment of CRPS, there is no consensus of procedure indications. Between the surgical methods, the use of spinal cord stimulation and others neuromodulators approaches has been described associated to significant rates of success in the management of CRPS. Conclusion: According to the literature and authors experience, the successful treatment of CRPS is based in early diagnosis associated to experienced interdisciplinary team aiming the functional restoration and psychological aspect monitoring.

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Section: Physiopathologymentioning

confidence: 99%

“…Neuropathic pain as well as other symptoms of CRPS may cause changes in motor cortical plasticity beyond the somatosensory cortex 24,31 .…”

Section: Physiopathologymentioning

confidence: 99%

Updates in Complex Regional Pain Syndrome

Aguiar¹,

Camporeze²,

Zapelini³

et al. 2019

jbnc

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“…The motor component of the cerebrovascular system implies an extrinsic innervation of the meningeal vessels, from the cervical (sympathetical), otic, sphenopalatin, and trigeminal ganglia (parasympathetical) and an intrinsic innervation for the small intraparenchimatous vessels, derived from brain stem nuclei such as locus coeruleus [15].…”

Section: Complex Neurovascular Interactions In Primary Headaches: Migmentioning

confidence: 99%

Primary Headaches and their Relationship with the Autonomic Nervous System

Iulian¹,

Irina²,

Victor³

et al. 2017

Current Perspectives on Less-Known Aspects of Headache

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Headache disorders, described as early as 3000 BC, represent both a treatment challenge and a serious public health concern, with impact on the individual and society. Existing research in primary headache syndromes (not being caused by any underlying problem) focuses mainly on pain mechanisms. However, the painful symptomatology is the main encounter for the decreased quality of life and discomfort, the vegetative manifestations that frequently accompany the cephalalgic syndromes represent an important source of distress. Despite the advancement of the understanding of the molecular basis of headache disorders and neurovascular complex interactions, there is still lack of a cohesive understanding of the neurovegetative modulation in different types of primary cephalalgic syndromes. The aim of this chapter is to present an overview of the neurochemical mechanisms and pathways, which subtend dysautonomic manifestations in headache.

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Thinking about movement hurts: The effect of motor imagery on pain and swelling in people with chronic arm pain

Moseley¹,

Zalucki²,

Birklein³

et al. 2008

Arthritis & Rheumatism

163

113

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Objective. Chronic painful disease is associated with pain on movement, which is presumed to be caused by noxious stimulation. We investigated whether motor imagery, in the absence of movement, increases symptoms in patients with chronic arm pain. Methods. Thirty-seven subjects performed a motor imagery task. Pain and swelling were measured before, after, and 60 minutes after the task. Electromyography findings verified no muscle activity. Patients with complex regional pain syndrome (CRPS) were compared with those with non-CRPS pain. Secondary variables from clinical, psychophysical, and cognitive domains were related to change in symptoms using linear regression. Results. Motor imagery increased pain and swelling. For CRPS patients, pain (measured on a 100-mm visual analog scale) increased by a mean ؎ SD of 5.3 ؎ 3.9 mm and swelling by 8% ؎ 5%. For non-CRPS patients, pain increased by 1.4 ؎ 4.1 mm and swelling by 3% ؎ 4%. There were no differences between groups (P > 0.19 for both). Increased pain and swelling related positively to duration of symptoms and performance on a left/right judgment task that interrogated the body schema, autonomic response, catastrophic thoughts about pain, and fear of movement (r > 0.42, P < 0.03 for all). Conclusion. Motor imagery increased pain and swelling in patients with chronic painful disease of the arm. The effect increased in line with the duration of symptoms and seems to be modulated by autonomic arousal and beliefs about pain and movement. The results highlight the contribution of cortical mechanisms to pain on movement, which has implications for treatment.

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Motorkortikale Repräsentation beim komplex regionalen Schmerzsyndrom Typ I

Cited by 9 publications

References 31 publications

Updates in Complex Regional Pain Syndrome

Updates in Complex Regional Pain Syndrome

Primary Headaches and their Relationship with the Autonomic Nervous System

Thinking about movement hurts: The effect of motor imagery on pain and swelling in people with chronic arm pain

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