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Noninvasive neuromodulation for rehabilitation of sensorimotor function and reduction of chronic pain
ConclusionFurther efforts are warranted to adapt neuromodulation/neurostimulation protocols per patient owing to neuroplastic changes that favor vs. hinder improvement of function. A sole solution for all cases is not suggested. An individualized approach relying on biomarkers and clinical outcomes should ease the implementation in clinical practice of noninvasive neuromodulation as an innovative therapeutic option to speed-up recovery towards gains beyond those already reached, thus to further improve the quality of life.
Source: Neurophysiologie Clinique - August 1, 2018 Category: Neuroscience Source Type: research

Kinesiophobia after complex regional pain syndrome type one in a case of stroke hemiplegia and effect of cognitive behavior therapy.
Authors: Sethy D, Sahoo S PMID: 29736085 [PubMed]
Source: Indian Journal of Psychiatry - May 9, 2018 Category: Psychiatry Tags: Indian J Psychiatry Source Type: research

Utility of Radionuclide Bone Scintigraphy in Complex Regional Pain Syndrome
AbstractPurpose of ReviewTo describe the current understanding of the role of three-phase bone scintigraphy (TPBS) in the diagnosis and management of complex regional pain syndrome (CRPS), discuss its advantages and limitations, and present three examples of TPBS patterns typically seen in CRPS patients.Recent FindingsCRPS is a debilitating disorder frequently presenting with pain to ordinarily non-painful stimuli, redness, swelling, following fractures, stroke, myocardial infarction, surgery, or even minor trauma, and its diagnosis, based on clinical criteria and supportive imaging findings, is difficult. Of the available...
Source: Current Pain and Headache Reports - February 1, 2018 Category: Neurology Source Type: research

Usefulness and effectiveness of herbal medicines in stroke: Narrative review
ABSTRACT Stroke causes various disabilities, reducing the quality of life and motivation for life. It is also one of the major causes of death in the aging population. Therefore, prevention and treatment are crucial. In conventional medicine, thrombolysis and various surgical techniques have been developed and used to treat stroke, but, despite the advancements and benefits, many patients still experience various disabilities. In East Asian countries, herbal prescriptions have been widely used for the treatment and prevention of stroke. Recently, the efficacy of herbal complexes as an adjunct to conventional treatment has ...
Source: Traditional and Kampo Medicine - September 30, 2016 Category: Complementary Medicine Authors: Ki ‐Ho Cho, Seungwon Kwon Tags: REVIEW Source Type: research

Complex neuropathic pain states
Publication date: Available online 23 September 2016 Source:Anaesthesia & Intensive Care Medicine Author(s): Rhian P. Lewis, Indre Kriukelyte In this article we discuss complex neuropathic pain states: diabetic peripheral neuropathic pain (DPNP), phantom limb pain (PLP), central post-stroke pain (CPSP), and complex regional pain syndrome (CRPS). Pain in these conditions can often be severe, significantly affect quality of life and be resistant to current treatment options. Multidisciplinary assessment and treatment is essential.
Source: Anaesthesia and intensive care medicine - September 23, 2016 Category: Anesthesiology Source Type: research

Demystifying Poststroke Pain: From Etiology to Treatment
Publication date: Available online 16 June 2016 Source:PM&R Author(s): Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder...
Source: PMandR - July 10, 2016 Category: Rehabilitation Source Type: research

Demystifying post-stroke pain: from etiology to treatment
Publication date: Available online 16 June 2016 Source:PM&R Author(s): Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Pain following stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This is in part due to the esoteric nature of post-stroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who develop pain include central post-stroke pain (CPSP), complex regional pain syndrome (CRPS), and pain associated with spasticity and shoulder subluxation. Each disorder ...
Source: PMandR - June 15, 2016 Category: Rehabilitation Source Type: research

Demystifying Poststroke Pain: From Etiology to Treatment
Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Tags: Narrative Review Source Type: research

Coexistence of Deep Vein Thrombosis, Heterotopic Ossification, and Complex Regional Pain Syndrome due to Hemorrhagic Stroke
A patient who developed hemiplegia related to a hemorrhagic stroke and who had not been started on venous thromboembolism prophylaxis or a physical medicine and rehabilitation program was admitted to our clinic on the 4th month after the event. Our patient had pain, swelling, redness, increased temperature at the right lower extremity, range of motion limitation at the hip and knee, deep vein thrombosis (DVT) and complex regional pain syndrome (CRPS) at the same side lower extremity, and heterotopic ossification (HO) at the hip.
Source: Journal of Stroke and Cerebrovascular Diseases - January 8, 2016 Category: Neurology Authors: Engin Koyuncu, Güldal Funda Nakipoğlu Yüzer, Didem Yenigün, Neşe Özgirgin Tags: Case Studies Source Type: research

Pamidronate effect compared with a steroid on complex regional pain syndrome type I: Pilot randomised trial.
CONCLUSIONS: Intravenous pamidronate therapy was safe, well tolerated and appeared as effective as a steroid for pain control for post-stroke CRPS. However, this result should be interpreted with caution, since it included a relatively small number of patients. Further larger controlled studies followed over a longer period are needed to validate these findings and to determine clinical treatment standards. PMID: 26819359 [PubMed - in process]
Source: The Netherlands Journal of Medicine - January 1, 2016 Category: Journals (General) Authors: Eun Young H, Hyeyun K, Sang Hee I Tags: Neth J Med Source Type: research

The Effects of Mirror Therapy in Stroke Patients with Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study
To investigate the effects of mirror therapy (MT) on upper limb motor functions, spasticity and pain intensity in patients with hemiplegia accompanied by complex regional pain syndrome type 1 (CRPSt1).
Source: Archives of Physical Medicine and Rehabilitation - December 23, 2015 Category: Rehabilitation Authors: Secil Pervane Vural, Guldal Funda Nakipoglu Yuzer, Didem Sezgin Ozcan, Sibel Demir Ozbudak, Nese Ozgirgin Source Type: research

Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study
To investigate the effects of mirror therapy on upper limb motor functions, spasticity, and pain intensity in patients with hemiplegia accompanied by complex regional pain syndrome type 1.
Source: Archives of Physical Medicine and Rehabilitation - December 23, 2015 Category: Rehabilitation Authors: Secil Pervane Vural, Guldal Funda Nakipoglu Yuzer, Didem Sezgin Ozcan, Sibel Demir Ozbudak, Nese Ozgirgin Tags: Original research Source Type: research

Guideline of neuropathic pain treatment and dilemma from neurological point of view.
Authors: Yang CM, Chen NC, Shen HC, Chou CH, Yeh PS, Lin HJ, Chang CY, Cheng TJ, Lin KC Abstract Neuropathic pain is a complicated symptomatic disease as migraine in recent years. Not because the pain character differed from the nociceptive inflammatory symptoms but because of its complexity of mechanisms. Though peripheral sensitization, ectopic discharge, central sensitization, central re-organization and loss of inhibition play part of roles in mechanisms, however, based on this mechanistic treatment, the outcome still disappointed physicians and patients, exampled as central post-stroke central pain (CPSP). The...
Source: Acta Neurologica Taiwanica - December 12, 2015 Category: Neurology Tags: Acta Neurol Taiwan Source Type: research

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