Cortical reorganisation and chronic pain: implications for rehabilitation.

Abstract:

:Recent neuroscientific evidence has revealed that the adult brain is capable of substantial plastic change in such areas as the primary somatosensory cortex that were formerly thought to be modifiable only during early experience. These findings have implications for our understanding of chronic pain. Functional reorganisation in both the somatosensory and the motor system was observed in neuropathic and musculoskeletal pain. In patients with chronic low back pain and fibromyalgia the amount of reorganisational change increases with chronicity; in phantom limb pain and other neuropathic pain syndromes cortical reorganisation is correlated with the amount of pain. These central alterations may be viewed as pain memories that influence the processing of both painful and nonpainful input to the somatosensory system as well as its effects on the motor system. Cortical plasticity related to chronic pain can be modified by behavioural interventions that provide feedback to the brain areas that were altered by somatosensory pain memories or by pharmacological agents that prevent or reverse maladaptive memory formation.

journal_name

J Rehabil Med

authors

Flor H

doi

10.1080/16501960310010179

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

66-72

issue

41 Suppl

eissn

1650-1977

issn

1651-2081

pub_type

杂志文章,评审
  • Relation between stimulation characteristics and clinical outcome in studies using electrical stimulation to improve motor control of the upper extremity in stroke.

    abstract:OBJECTIVE:Electrical stimulation can be applied in a variety of ways to the hemiparetic upper extremity following stroke. The aim of this review is to explore the relationship between characteristics of stimulation and the effect of electrical stimulation on the recovery of upper limb motor control following stroke. M...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章,评审

    doi:10.1080/16501970410024190

    authors: de Kroon JR,Ijzerman MJ,Chae J,Lankhorst GJ,Zilvold G

    更新日期:2005-03-01 00:00:00

  • Sex differences in the gait kinematics of patients with Down syndrome: A preliminary report.

    abstract:OBJECTIVE:Sex-specific medicine requires understanding of the specific therapeutic needs and patho-physiology of men and women. In these terms, we investigated sex-related differences in the gait kinematics of patients with Down syndrome. DESIGN:Retrospective observational cohort study. SUBJECTS:A sample of 230 patie...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2507

    authors: Zago M,Condoluci C,Pau M,Galli M

    更新日期:2019-02-01 00:00:00

  • Early supported discharge after stroke.

    abstract::Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported disc...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章,评审

    doi:10.2340/16501977-0042

    authors: Langhorne P,Holmqvist LW,Early Supported Discharge Trialists.

    更新日期:2007-03-01 00:00:00

  • Aerobic capacity explains physical functioning and participation in patients with multiple sclerosis-related fatigue.

    abstract:OBJECTIVE:To investigate whether aerobic capacity explains the level of self-reported physical activity, physical functioning, and participation and autonomy in daily living in persons with multiple sclerosis-related fatigue. DESIGN:A cross-sectional study. PATIENTS:Sixty-two participants with multiple sclerosis-rela...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2306

    authors: Driehuis ER,van den Akker LE,de Groot V,Beckerman H

    更新日期:2018-02-13 00:00:00

  • Neoplastic brachial plexopathy detected by ultrasonography in a patient with chronic cervicobrachialgia.

    abstract:OBJECTIVE:We report here a case of neoplastic brachial plexopathy detected by musculoskeletal ultrasonography in a patient with chronic cervicobrachialgia. METHODS/RESULTS:A 71-year-old man presented at Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey with a one-year history...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-0914

    authors: Kesikburun S,Omaç ÖK,Taşkaynatan MA,Özgül A,Tan AK

    更新日期:2012-02-01 00:00:00

  • Psychometric evaluation of the Northwick Park Dependency Scale.

    abstract:OBJECTIVE:To examine the psychometric properties of the Northwick Park Dependency Scale (NPDS). DESIGN:Review of existing literature and psychometric analysis in relation to other standardized measures of disability in a large neurorehabilitation cohort. SETTING:A regional post-acute specialist inpatient neurorehabil...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章,评审

    doi:10.2340/16501977-0602

    authors: Siegert RJ,Turner-Stokes L

    更新日期:2010-11-01 00:00:00

  • Changes in proprioceptive systems activity during recovery from post-stroke hemiparesis.

    abstract:OBJECTIVE:To investigate the activity of proprioceptive systems during early recovery of motor function after ischaemic stroke in a prospective, longitudinal, functional imaging study. METHODS:Ten patients with unilateral infarction of the posterior internal capsule were investigated using oxygen-15-water positron emi...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-0089

    authors: Thiel A,Aleksic B,Klein JCh,Rudolf J,Heiss WD

    更新日期:2007-09-01 00:00:00

  • Mechanical traction for mechanical neck disorders: a systematic review.

    abstract:OBJECTIVE:To assess whether mechanical traction, either alone or in combination with other treatments, improves pain, function/disability, patient satisfaction and global perceived effect in adults with mechanical neck disorders. METHODS:We conducted a systematic review up to September 2004 of randomized controlled tr...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章,评审

    doi:10.1080/16501970600583029

    authors: Graham N,Gross AR,Goldsmith C,Cervical Overview Group.

    更新日期:2006-05-01 00:00:00

  • Pool exercise for patients with fibromyalgia or chronic widespread pain: a randomized controlled trial and subgroup analyses.

    abstract:OBJECTIVE:To evaluate the effects of pool exercise in patients with fibromyalgia and chronic widespread pain and to determine characteristics influencing the effects of treatment. METHODS:A total of 134 women with fibromyalgia and 32 with chronic widespread pain were randomized to a 20-session pool exercise and a 6-se...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.2340/16501977-0409

    authors: Mannerkorpi K,Nordeman L,Ericsson A,Arndorw M,GAU Study Group.

    更新日期:2009-09-01 00:00:00

  • Establishing score equivalence of the Functional Independence Measure motor scale and the Barthel Index, utilising the International Classification of Functioning, Disability and Health and Rasch measurement theory.

    abstract:INTRODUCTION:Two widely used outcome measures to assess functioning in neurological rehabilitation are the Functional Independence Measure (FIM™) and the Barthel Index. The current study aims to establish the equivalence of the total score of the FIM™ motor scale and the Barthel Index through the application of the Int...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2225

    authors: Prodinger B,O'Connor RJ,Stucki G,Tennant A

    更新日期:2017-05-16 00:00:00

  • Effects of intensive therapy using gait trainer or floor walking exercises early after stroke.

    abstract:OBJECTIVE:To analyse the effects of gait therapy for patients after acute stroke in a randomized controlled trial. METHODS:Fifty-six patients with a mean of 8 days post-stroke participated in: (i) gait trainer exercise; (ii) walking training over ground; or (iii) conventional treatment. Patients in the gait trainer ex...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.2340/16501977-0304

    authors: Peurala SH,Airaksinen O,Huuskonen P,Jäkälä P,Juhakoski M,Sandell K,Tarkka IM,Sivenius J

    更新日期:2009-02-01 00:00:00

  • Predictive factors for work capacity in patients with musculoskeletal disorders.

    abstract:OBJECTIVE:To identify predictive factors for work capacity in patients with musculoskeletal disorders. DESIGN:A descriptive, evaluative, quantitative study. SUBJECTS/PATIENTS:The study was based on 385 patients who participated in a rehabilitation programme. METHODS:Patients were divided into 2 groups depending on t...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.1080/16501970510030255

    authors: Lydell M,Baigi A,Marklund B,Månsson J

    更新日期:2005-09-01 00:00:00

  • Time-course and determinants of spasticity during the first six months following first-ever stroke.

    abstract:OBJECTIVE:To explore the occurrence of, and risk factors for, spasticity until 6 months after first-ever stroke. METHODS:Forty-nine patients were examined at day 2-10, at 1 month, and at 6 months. The modified Ashworth Scale was used to assess resistance to passive movements. A comprehensive clinical examination was p...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-0509

    authors: Lundström E,Smits A,Terént A,Borg J

    更新日期:2010-04-01 00:00:00

  • Clinical and sonographic risk factors for hemiplegic shoulder pain: A longitudinal observational study.

    abstract:OBJECTIVE:To identify baseline risk factors associated with hemiplegic shoulder pain during the first 6 months after a stroke and to investigate changes in these risk factors over time. DESIGN:Longitudinal observational study. PATIENTS:A total of 94 patients with first-ever unilateral stroke lesion within 1 month aft...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-1238

    authors: Kim YH,Jung SJ,Yang EJ,Paik NJ

    更新日期:2014-01-01 00:00:00

  • Convergent validity and responsiveness of the EQ-5D utility weights for stroke survivors.

    abstract:OBJECTIVE:This prospective study examined the convergent validity and responsiveness of the EuroQoL-5 Dimensions Health Questionnaire (EQ-5D) utility weights in stroke survivors at the subacute stage. METHODS:Repeated assessments were conducted in rehabilitation wards of a medical centre. A study cohort was recruited ...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2069

    authors: Lu WS,Huang SL,Yang JF,Chen MH,Hsieh CL,Chou CY

    更新日期:2016-04-01 00:00:00

  • The practice of physical and rehabilitation medicine in sub-Saharan Africa and Antarctica: a white paper or a black mark?

    abstract:INTRODUCTION:The medical specialty of physical and rehabilitation medicine has had a proven impact on people with disabilities and on healthcare systems. Documents such as the White Book on Physical and Rehabilitation Medicine in Europe have been important in defining the scope of practice within various regions. Howev...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章,评审

    doi:10.2340/16501977-0367

    authors: Haig AJ,Im J,Adewole D,Nelson V,Krabak B

    更新日期:2009-05-01 00:00:00

  • Children's adjustment to a parent's stroke: determinants of health status and psychological problems, and the role of support from the rehabilitation team.

    abstract:OBJECTIVE:To investigate the support given to young children of patients with stroke by rehabilitation teams and to identify characteristics of the patients, spouses and children that relate to children's adjustment 2 months after the patient's discharge. SUBJECTS AND METHODS:Seventy-seven children (< or =18 years of ...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.1080/16501970510025990

    authors: Visser-Meily A,Post M,Meijer AM,Maas C,Ketelaar M,Lindeman E

    更新日期:2005-07-01 00:00:00

  • Take charge: Patients' experiences during participation in a rehabilitation programme for burnout.

    abstract:OBJECTIVE:The aim of this study was to explore the experiences of patients with burnout during a rehabilitation programme. PATIENTS AND METHODS:Eighteen patients with burnout were interviewed at the end of a one-year rehabilitation programme. The programme consisted of 2 groups, one with a focus on cognitively-oriente...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-0534

    authors: Fjellman-Wiklund A,Stenlund T,Steinholtz K,Ahlgren C

    更新日期:2010-05-01 00:00:00

  • Use of International Classification of Functioning, Disability and Health (ICF) to describe patient-reported disability in multiple sclerosis and identification of relevant environmental factors.

    abstract:OBJECTIVE:To use the International Classification of Functioning, Disability and Health (ICF) to describe patient-reported disability in multiple sclerosis and identify relevant environmental factors. METHODS:Cross-sectional survey of 101 participants in the community. Their multiple sclerosis-related problems were li...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-0002

    authors: Khan F,Pallant JF

    更新日期:2007-01-01 00:00:00

  • Does inspiration efficiency influence the stability limits of the trunk in patients with chronic low back pain?

    abstract:OBJECTIVE:To determine the effects of diaphragm-strengthening training on the stability limits of the trunk and inspiratory function in patients with low back pain. DESIGN:A randomized comparative trial including a diaphragm training group that took part in conventional training together with diaphragm strengthening, ...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2645

    authors: Finta R,Boda K,Nagy E,Bender T

    更新日期:2020-03-31 00:00:00

  • World Health Organization Global Disability Action Plan: The Mongolian Perspective.

    abstract:OBJECTIVE:To provide an update on disability and rehabilitation in Mongolia, and to identify potential barriers and facilitators for implementation of the World Health Organization (WHO) Global Disability Action Plan (GDAP). METHODS:A 4-member rehabilitation team from the Royal Melbourne Hospital conducted an intensiv...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2207

    authors: Khan F,Amatya B,Avirmed B,Yi YK,Shirmen B,Abbott G,Galea MP

    更新日期:2018-04-18 00:00:00

  • Unified Balance Scale: an activity-based, bed to community, and aetiology-independent measure of balance calibrated with Rasch analysis.

    abstract:OBJECTIVE:To build a new activity-based, "bed to community", aetiology-independent measure of balance within the neurological rehabilitation setting by merging some existing scales. METHODS:Balance scales were selected using a conceptual framework and subsequently administered to a convenience sample of adult patients...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-0797

    authors: La Porta F,Franceschini M,Caselli S,Cavallini P,Susassi S,Tennant A

    更新日期:2011-04-01 00:00:00

  • Feasibility of task-specific brain-machine interface training for upper-extremity paralysis in patients with chronic hemiparetic stroke.

    abstract:OBJECTIVE:Brain-machine interface training was developed for upper-extremity rehabilitation for patients with severe hemiparesis. Its clinical application, however, has been limited because of its lack of feasibility in real-world rehabilitation settings. We developed a new compact task-specific brain-machine interface...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2275

    authors: Nishimoto A,Kawakami M,Fujiwara T,Hiramoto M,Honaga K,Abe K,Mizuno K,Ushiba J,Liu M

    更新日期:2018-01-10 00:00:00

  • Violence to and maltreatment of people with disabilities: a short review.

    abstract:OBJECTIVE:Violence to disabled persons constitutes a major ethical problem. The European Academy of Rehabilitation Medicine has debated the matter; it presents this short report to alert a wider audience to the problem, with the aim of provoking debate and facilitating prevention. DESIGN:The Academy has produced a ful...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章,评审

    doi:10.1080/16501970500476092

    authors: Heilporn A,André JM,Didier JP,Chamberlain MA

    更新日期:2006-01-01 00:00:00

  • Comparison of two 6-minute walk tests to assess walking capacity in polio survivors.

    abstract:OBJECTIVE:To compare walking dynamics and test-retest reliability for 2 frequently applied walk tests in polio survivors: the 6-minute walk test (6MWT) to walk as far as possible; and the 6-minute walking energy cost test (WECT) at comfortable speed. DESIGN:Observational study. PARTICIPANTS:Thirty-three polio survivo...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2264

    authors: Brehm MA,Verduijn S,Bon J,Bredt N,Nollet F

    更新日期:2017-11-21 00:00:00

  • Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease.

    abstract:OBJECTIVE:To investigate the validity and reliability of the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), a brief questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease. DESIGN:Methodological research (cross-sectional study). SUBJECTS:A total of 332 patients, mean age...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-0942

    authors: Bäck M,Jansson B,Cider A,Herlitz J,Lundberg M

    更新日期:2012-04-01 00:00:00

  • "The acceptance" of living with chronic pain - an ongoing process: A qualitative study of patient experiences of multimodal rehabilitation in primary care.

    abstract:OBJECTIVE:To explore patient experiences of participating in multimodal pain rehabilitation in primary care. SUBJECTS:Twelve former patients (7 women and 5 men) in multimodal rehabilitation in primary care were interviewed about their experiences of multimodal rehabilitation. METHODS:The interviews were analysed usin...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2286

    authors: Pietilä Holmner E,Stålnacke BM,Enthoven P,Stenberg G

    更新日期:2018-01-10 00:00:00

  • AbobotulinumtoxinA and rehabilitation vs rehabilitation alone in post-stroke spasticity: A cost-utility analysis.

    abstract:OBJECTIVE:To investigate costs and quality-adjusted life years of rehabilitation combined with abobotulinumtoxinA (aboBoNT-A) (rehab/aboBoNT-A) vs rehabilitation alone (rehab) in post-stroke spasticity in Italy. DESIGN:Based on both Italian National Health Service and societal perspectives, a 2-year cost-utility analy...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2636

    authors: Lazzaro C,Baricich A,Picelli A,Caglioni PM,Ratti M,Santamato A

    更新日期:2020-02-07 00:00:00

  • Developing a spinal cord injury rehabilitation service in Madagascar.

    abstract::Rehabilitation for people with spinal cord injury in many low- and middle-income countries is not avail-able or is in the early stages of development. However, rehabilitation is recognized as crucial in order to optimize functional recovery and outcomes for patients with spinal cord injury. With an increasing incidenc...

    journal_title:Journal of rehabilitation medicine

    pub_type: 杂志文章

    doi:10.2340/16501977-2323

    authors: Renaud R,Locke HN,Hariharan R,Chamberlain MA,O'Connor RJ

    更新日期:2018-05-08 00:00:00

  • Effect of forced use therapy on posture in children with hemiplegic cerebral palsy: a pilot study.

    abstract:OBJECTIVE:To evaluate the impact of forced use therapy on posture in children with hemiplegic cerebral palsy. DESIGN:Single group pre- and post-training assessments. SUBJECTS:Eight children (mean age 10.5 years (standard deviation 1.26 years)) with hemiplegic cerebral palsy Levels I and II on the gross motor function...

    journal_title:Journal of rehabilitation medicine

    pub_type: 临床试验,杂志文章

    doi:10.2340/16501977-0920

    authors: Ballaz L,Huffenus AF,Lamarre C,Koclas L,Lemay M

    更新日期:2012-03-01 00:00:00