Integrated Approach for Pain Management in Parkinson Disease.
Identifieur interne : 000228 ( PubMed/Checkpoint ); précédent : 000227; suivant : 000229Integrated Approach for Pain Management in Parkinson Disease.
Auteurs : Christian Geroin [Italie] ; Marialuisa Gandolfi [Italie] ; Veronica Bruno [Canada] ; Nicola Smania [Italie] ; Michele Tinazzi [Italie]Source :
- Current neurology and neuroscience reports [ 1534-6293 ] ; 2016.
English descriptors
- KwdEn :
- MESH :
- complications : Parkinson Disease.
- etiology : Pain.
- methods : Deep Brain Stimulation.
- physiopathology : Pain.
- therapy : Parkinson Disease.
- Animals, Humans, Pain Management, Quality of Life, Spinal Cord Stimulation.
Abstract
Pain, one of the most frequent nonmotor symptoms of Parkinson disease (PD), is recognized as an important component of the illness that adversely affects patient quality of life. The aims of this review are to summarize the current knowledge on the clinical assessment and to provide a detailed overview of the evidence-based pharmacologic and nonpharmacologic approaches to treating pain. Results of a literature search include studies investigating pain/sensory abnormalities in PD. The effects of levodopa administration, deep brain stimulation (DBS), pallidotomy, spinal cord stimulation, rehabilitation, and complementary/alternative medicine are reviewed critically. PD patients have altered pain and sensory thresholds; levodopa and DBS improve pain and change sensory abnormalities toward normal levels through antinociceptive and/or modulatory effects that remain unknown. A wide range of nonpharmacologic approaches require further investigation. A multidisciplinary approach is fundamental in managing pain syndromes in PD.
DOI: 10.1007/s11910-016-0628-7
PubMed: 26879763
Affiliations:
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Scuro 10, 37134, Verona, Italy. christian.geroin@univr.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neuromotor and Cognitive Rehabilitation Research Center (CRRNC), Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author><author><name sortKey="Gandolfi, Marialuisa" sort="Gandolfi, Marialuisa" uniqKey="Gandolfi M" first="Marialuisa" last="Gandolfi">Marialuisa Gandolfi</name><affiliation wicri:level="1"><nlm:affiliation>Neuromotor and Cognitive Rehabilitation Research Center (CRRNC), Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy. marialuisa.gandolfi@univr.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neuromotor and Cognitive Rehabilitation Research Center (CRRNC), Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author><author><name sortKey="Bruno, Veronica" sort="Bruno, Veronica" uniqKey="Bruno V" first="Veronica" last="Bruno">Veronica Bruno</name><affiliation wicri:level="1"><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital, University Health Network, Toronto, ON, Canada. veubru@gmail.com.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital, University Health Network, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Smania, Nicola" sort="Smania, Nicola" uniqKey="Smania N" first="Nicola" last="Smania">Nicola Smania</name><affiliation wicri:level="1"><nlm:affiliation>Neuromotor and Cognitive Rehabilitation Research Center (CRRNC), Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy. nicola.smania@univr.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neuromotor and Cognitive Rehabilitation Research Center (CRRNC), Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author><author><name sortKey="Tinazzi, Michele" sort="Tinazzi, Michele" uniqKey="Tinazzi M" first="Michele" last="Tinazzi">Michele Tinazzi</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Unit, Movement Disorders Division, Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le Scuro 10, 37134, Verona, Italy. michele.tinazzi@univr.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurology Unit, Movement Disorders Division, Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le Scuro 10, 37134, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author></analytic><series><title level="j">Current neurology and neuroscience reports</title><idno type="eISSN">1534-6293</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animals</term><term>Deep Brain Stimulation (methods)</term><term>Humans</term><term>Pain (etiology)</term><term>Pain (physiopathology)</term><term>Pain Management</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (therapy)</term><term>Quality of Life</term><term>Spinal Cord Stimulation</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animals</term><term>Humans</term><term>Pain Management</term><term>Quality of Life</term><term>Spinal Cord Stimulation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Pain, one of the most frequent nonmotor symptoms of Parkinson disease (PD), is recognized as an important component of the illness that adversely affects patient quality of life. The aims of this review are to summarize the current knowledge on the clinical assessment and to provide a detailed overview of the evidence-based pharmacologic and nonpharmacologic approaches to treating pain. Results of a literature search include studies investigating pain/sensory abnormalities in PD. The effects of levodopa administration, deep brain stimulation (DBS), pallidotomy, spinal cord stimulation, rehabilitation, and complementary/alternative medicine are reviewed critically. PD patients have altered pain and sensory thresholds; levodopa and DBS improve pain and change sensory abnormalities toward normal levels through antinociceptive and/or modulatory effects that remain unknown. A wide range of nonpharmacologic approaches require further investigation. A multidisciplinary approach is fundamental in managing pain syndromes in PD.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26879763</PMID><DateCreated><Year>2016</Year><Month>02</Month><Day>16</Day></DateCreated><DateCompleted><Year>2016</Year><Month>08</Month><Day>04</Day></DateCompleted><DateRevised><Year>2016</Year><Month>02</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1534-6293</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>4</Issue><PubDate><Year>2016</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Current neurology and neuroscience reports</Title><ISOAbbreviation>Curr Neurol Neurosci Rep</ISOAbbreviation></Journal><ArticleTitle>Integrated Approach for Pain Management in Parkinson Disease.</ArticleTitle><Pagination><MedlinePgn>28</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11910-016-0628-7</ELocationID><Abstract><AbstractText>Pain, one of the most frequent nonmotor symptoms of Parkinson disease (PD), is recognized as an important component of the illness that adversely affects patient quality of life. The aims of this review are to summarize the current knowledge on the clinical assessment and to provide a detailed overview of the evidence-based pharmacologic and nonpharmacologic approaches to treating pain. Results of a literature search include studies investigating pain/sensory abnormalities in PD. The effects of levodopa administration, deep brain stimulation (DBS), pallidotomy, spinal cord stimulation, rehabilitation, and complementary/alternative medicine are reviewed critically. PD patients have altered pain and sensory thresholds; levodopa and DBS improve pain and change sensory abnormalities toward normal levels through antinociceptive and/or modulatory effects that remain unknown. A wide range of nonpharmacologic approaches require further investigation. A multidisciplinary approach is fundamental in managing pain syndromes in PD.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Geroin</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Neuromotor and Cognitive Rehabilitation Research Center (CRRNC), Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy. christian.geroin@univr.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gandolfi</LastName><ForeName>Marialuisa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Neuromotor and Cognitive Rehabilitation Research Center (CRRNC), Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy. marialuisa.gandolfi@univr.it.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurorehabilitation Unit, Azienda Ospedaliera Universitaria Integrata, P.le Scuro 10, 37134, Verona, Italy. marialuisa.gandolfi@univr.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bruno</LastName><ForeName>Veronica</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital, University Health Network, Toronto, ON, Canada. veubru@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smania</LastName><ForeName>Nicola</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Neuromotor and Cognitive Rehabilitation Research Center (CRRNC), Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy. nicola.smania@univr.it.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Neurorehabilitation Unit, Azienda Ospedaliera Universitaria Integrata, P.le Scuro 10, 37134, Verona, Italy. nicola.smania@univr.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tinazzi</LastName><ForeName>Michele</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Neurology Unit, Movement Disorders Division, Department of Neurological, Biomedical and Movement Sciences, University of Verona, P.le Scuro 10, 37134, Verona, Italy. michele.tinazzi@univr.it.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Curr Neurol Neurosci Rep</MedlineTA><NlmUniqueID>100931790</NlmUniqueID><ISSNLinking>1528-4042</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D046690" MajorTopicYN="N">Deep Brain Stimulation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="Y">Pain</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062187" MajorTopicYN="N">Spinal Cord Stimulation</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Nonmotor symptoms</Keyword><Keyword MajorTopicYN="N">Pain</Keyword><Keyword MajorTopicYN="N">Pain management</Keyword><Keyword MajorTopicYN="N">Sensory thresholds</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>2</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>2</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>8</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26879763</ArticleId><ArticleId IdType="doi">10.1007/s11910-016-0628-7</ArticleId><ArticleId IdType="pii">10.1007/s11910-016-0628-7</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Geroin, Christian" sort="Geroin, Christian" uniqKey="Geroin C" first="Christian" last="Geroin">Christian Geroin</name></noRegion><name sortKey="Gandolfi, Marialuisa" sort="Gandolfi, Marialuisa" uniqKey="Gandolfi M" first="Marialuisa" last="Gandolfi">Marialuisa Gandolfi</name><name sortKey="Smania, Nicola" sort="Smania, Nicola" uniqKey="Smania N" first="Nicola" last="Smania">Nicola Smania</name><name sortKey="Tinazzi, Michele" sort="Tinazzi, Michele" uniqKey="Tinazzi M" first="Michele" last="Tinazzi">Michele Tinazzi</name></country><country name="Canada"><noRegion><name sortKey="Bruno, Veronica" sort="Bruno, Veronica" uniqKey="Bruno V" first="Veronica" last="Bruno">Veronica Bruno</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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