Abstract:
:The management of pain in persons with neurological injuries is challenging and complex. A holistic view and clinical approach are necessary when addressing pain in patients with neurological impairment because interpreting signs and symptoms and deciphering sources of pain is never a straightforward process. This problem is further magnified with the management of central pain syndromes. The best approach is to have a good understanding of the clinical characteristics commonly found in this patient population, in particular for patients with stroke, multiple sclerosis (MS), or spinal cord injury (SCI), as central pain manifests differently between these groups. This paper will focus on the history, clinical presentation, pathophysiology, assessment, and treatment of central pain in patients with these types of neurological conditions. In addition to being at risk for a decline in quality of life, patients with pain syndromes are also prone to adverse responses to treatments (e.g., opioid addiction). It is therefore important to methodically analyze the similarities and differences between patients with different pain syndromes.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Hassaballa D,Harvey RLdoi
10.3233/NRE-208003subject
Has Abstractpub_date
2020-01-01 00:00:00pages
285-297issue
3eissn
1053-8135issn
1878-6448pii
NRE208003journal_volume
47pub_type
杂志文章abstract:BACKGROUND:Endocrinopathy, including hypogonadism, is common following traumatic brain injury (TBI). Prior evidence suggests hypogonadism is associated with poorer function. OBJECTIVE:Determine the feasibility, safety, and efficacy of testosterone (T) therapy in hypogonadal men following TBI in acute rehabilitation. ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-192992
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Children with cerebral palsy show dysfunctional postural control which interferes with their functional performance and daily-life activities. OBJECTIVE:The aim of the study was to identify the effect of a 3D supporting garment on trunk postural control and interjoint coordination during gait in children wi...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161349
更新日期:2016-06-23 00:00:00
abstract::Long-term outcome assessment of people with spinal cord injury (SCI) beyond acute rehabilitation is becoming an increasingly important issue as life expectancies for people with SCI approach those of the general population. This article provides information about research on the long-term physical and psychological we...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1995-5106
更新日期:1995-01-01 00:00:00
abstract::Removal of an indwelling catheter and the initiation of intermittent catheterization (IC) has become a standard urological goal over the past decades. While realistic for men it is more difficult for women, mainly due to their anatomical differences and lack of development of a satisfactory external collection device....
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1994-4407
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:Many with a history of mild traumatic brain injury (TBI) experience sleep problems, which are also common symptoms of stress-related and mood disorders. OBJECTIVE:To determine if sleep problems contributed unique variance to post-concussive symptoms above and beyond symptoms of posttraumatic stress disorder...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-192702
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Meta analysis of studies was carried out to examine the effectiveness of functional task training with mental practice on functional performance following stroke. SEARCH STRATEGY:An exhaustive search was conducted using computerized databases such as MEDLINE, PubMed, Cochrane, PsycINFO, and EBSCO (CINAHL). ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,meta分析
doi:10.3233/NRE-2012-0751
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Neurorehabilitation technologies such as robot therapy (RT) and transcranial Direct Current Stimulation (tDCS) can promote upper limb (UL) motor recovery after stroke. OBJECTIVE:To explore the effect of anodal tDCS with uni-lateral and three-dimensional RT for the impaired UL in people with sub-acute and ch...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-151251
更新日期:2015-01-01 00:00:00
abstract::The purpose of this study was to examine and compare the cognitive profiles of three groups of Israeli individuals who exhibit cognitive deficits for diverse reasons, using the Neurobehavioural Cognitive Status Examination (Cognistat, former name NCSE). The test is a standardized cognitive screening instrument which i...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1997-9302
更新日期:1997-01-01 00:00:00
abstract::Twenty five (25) out of 29 patients (86%) with unequivocal memorydisorders who received Memory Compensation Training (MCT) completed both a brief survey regarding their use of memory compensations and the Memory Compensation Questionnaire. Twenty-two (22) of the 25 patients (88%) reported daily use of memory compensat...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::Outcome of 295 rehabilitation patients with mild, moderate, and severe brain injury was investigated prospectively at five regional medical centers using the Neurobehavioral Rating Scale. Mean factor scale scores were generally low. with the cognition mean highest and the excitement mean lowest. Regardless of scale, t...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1995-5308
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Significant results have been shown when an upper limb robot-assisted rehabilitation is delivered to stroke patients. OBJECTIVE:To evaluate the effects of upper limb robot-assisted rehabilitation on motor recovery in stroke patients who underwent a treatment based on a haptic device. METHODS:Thirty-nine st...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-172166
更新日期:2018-01-01 00:00:00
abstract::We conducted a small pilot study that examined the effect of a 4-week period of unloaded leg cycling on spasticity in individuals with multiple sclerosis (MS). The sample included 22 individuals with MS who were assigned using a quasi-experimental method into either exercise (n = 12) or control (n = 10) conditions. Th...
journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/NRE-2009-0486
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:There are a few reports on the impact of central facial palsy and dysarthria on quality of life (QOL) in stroke patients. OBJECTIVE:To investigate the impact of central facial palsy on QOL compared with dysarthria during the chronic phase in patients with first-ever strokes. METHODS:This study represents a...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161355
更新日期:2016-06-27 00:00:00
abstract:INTRODUCTION:The importance of structure in post-acute brain injury rehabilitation is repeatedly mentioned in clinical practice. However, there has been little exploration of the key elements of structure that promote greater levels of functioning and emotional/behavioural stability and how these elements are optimally...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141082
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Gait impairment, balance problems and falls have a negative impact on independence in ADL and quality of life of patients affected by Hereditary Spastic Paraplegia (HSP). Since no pharmacological options are available, treatments rely mostly on rehabilitation therapy, although almost no data on this topic ex...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141196
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Pisa syndrome (PS) is a clinical condition frequently associated with Parkinson's disease (PD). It is characterized by a trunk lateral flexion higher than 10 degrees and reversible when lying. One pathophysiological hypothesis is the altered verticality perception, due to a somatosensory impairment. Osteopat...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-203068
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Despite the potential behavioral and neurological benefits of Mindfulness Meditation (MM), its use in treating stroke related communication disabilities appears to be underexplored. Specifically, aphasia, a language disorder resulting from stroke, may be amenable to the benefits of MM because of the observed...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161323
更新日期:2016-04-06 00:00:00
abstract:BACKGROUND AND AIMS:Good assessment is an essential component of effective patient management. Yet the sheer volume of available assessment instruments presents a barrier for the clinician or researcher to (a) be knowledgeable about suitable measures and (b) keep up-to-date with new measures that are published. In orde...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-130898
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Balance impairment is a major clinical concern in patients with parkinsonism. Balance training with tetra-ataxiometric posturography (Tetrax) is known to improve balance function through visual biofeedback effects. OBJECTIVE:In this study, we evaluated the effects of balance training with Tetrax in patients...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-192850
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:It is unclear whether mental simulation without actual muscle contraction associated with actual motion can increase the excitability of the spinal neural function. OBJECTIVE:To determine the best method for mental simulation without actual muscle contraction, we analyzed the F-wave of thenar muscles after ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130942
更新日期:2013-01-01 00:00:00
abstract::Integration of systems of service for individuals who have sustained a brain injury (BI) is critical to their successful recovery and reintegration into the community [6,7,33]. The Toronto Acquired Brain Injury (ABI) Network, an umbrella organization of 17 partners in the city of Toronto, Canada, is attempting to crea...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::A significant number of people with multiple sclerosis experience pathological laughing and weeping. This article presents two perspectives on these symptoms. First, the neurological literature is reviewed. Then, the patient's perspective is described in an essay written by a man who lives with pathological laughing a...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1995-5410
更新日期:1995-01-01 00:00:00
abstract::The ability of the adult central nervous system to recover from injury is highly limited. Limiting factors in the repair process appear to be a combination of an inhibiting environment and the restricted intrinsic capacity of the neuron to reactivate its regenerative machinery. Studies using experimental treatments de...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1998-10204
更新日期:1998-01-01 00:00:00
abstract::Brain injury claims frequently involve the use of experts to evaluate and document extent of impairment. These experts can cover a wide array of specialities, many of which are delineated in this article. It is pointed out that there are crucial differences between a clinical evaluation and a medical-legal evaluation ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:To present a framework for the diagnosis and treatment of inner ear disorders, with an emphasis on problems common to neuro-rehabilitation. INTRODUCTION:Disorders of the inner ear can cause hearing loss, tinnitus, vertigo and imbalance. Hearing loss can be conductive, sensorineural, or mixed; conductive hea...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-130868
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Strengths-based approaches are increasingly utilized in health care, but little is known about their practical application in rehabilitation with families after pediatric acquired brain injury (ABI). OBJECTIVE:To describe a strengths-based model, Solution-Focused Brief Therapy (SFBT) and its clinical applic...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-1601315
更新日期:2016-03-23 00:00:00
abstract:INTRODUCTION:Although deemed a globally accepted framework, there remains scare evidence on the process and outcome of implementing the International Classification of Functioning, Disability and Health (ICF) within neurorehabilitation. OBJECTIVES:This review briefly explores the existing, broader literature and then ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-141185
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Attention deficits are common after acquired brain injury (ABI) and adversely impact academic, vocational and social outcomes. The role of cognitive interventions in post-ABI attention rehabilitation remains unclear. OBJECTIVE:To evaluate effectiveness of cognitive interventions in treating attention defici...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.3233/NRE-151225
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Persons with moderate to severe TBI are at increased risk for unintentional injury or harm in the home and community; however, there is currently no standard measure of safety risk they face now and in the future. OBJECTIVE:To develop comprehensive and content valid scales and item pools for assessing safet...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161369
更新日期:2016-06-30 00:00:00
abstract:OBJECTIVES:Prism Adaptation (PA) is a technique used in the rehabilitation of unilateral spatial neglect. Several researchers have reported positive results on a number of tasks, but negative outcomes have also been reported. These conflicting results could be due to the use of prisms of different power. The aim of thi...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130908
更新日期:2013-01-01 00:00:00