Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives
Identifieur interne : 000204 ( Main/Exploration ); précédent : 000203; suivant : 000205Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives
Auteurs : Marina De Tommaso [Italie] ; Lars Arendt-Nielsen [Danemark] ; Ruth Defrin [Israël] ; Miriam Kunz [Pays-Bas] ; Gisele Pickering [France] ; Massimiliano Valeriani [Danemark, Italie]Source :
- Behavioural Neurology [ 0953-4180 ] ; 2016.
Abstract
Neurodegenerative diseases are going to increase as the life expectancy is getting longer. The management of neurodegenerative diseases such as Alzheimer's disease (AD) and other dementias, Parkinson's disease (PD) and PD related disorders, motor neuron diseases (MND), Huntington's disease (HD), spinocerebellar ataxia (SCA), and spinal muscular atrophy (SMA), is mainly addressed to motor and cognitive impairment, with special care to vital functions as breathing and feeding. Many of these patients complain of painful symptoms though their origin is variable, and their presence is frequently not considered in the treatment guidelines, leaving their management to the decision of the clinicians alone. However, studies focusing on pain frequency in such disorders suggest a high prevalence of pain in selected populations from 38 to 75% in AD, 40% to 86% in PD, and 19 to 85% in MND. The methods of pain assessment vary between studies so the type of pain has been rarely reported. However, a prevalent nonneuropathic origin of pain emerged for MND and PD. In AD, no data on pain features are available. No controlled therapeutic trials and guidelines are currently available. Given the relevance of pain in neurodegenerative disorders, the comprehensive understanding of mechanisms and predisposing factors, the application and validation of specific scales, and new specific therapeutic trials are needed.
Url:
DOI: 10.1155/2016/7576292
PubMed: 27313396
PubMed Central: 4904074
Affiliations:
- Danemark, France, Israël, Italie, Pays-Bas
- Auvergne (région administrative), Auvergne-Rhône-Alpes, Groningue (province), Jutland du Nord, Latium
- Aalborg, Clermont-Ferrand, Groningue, Rome
- Université d'Aalborg
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Le document en format XML
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Marina" uniqKey="De Tommaso M" first="Marina" last="De Tommaso">Marina De Tommaso</name><affiliation wicri:level="1"><nlm:aff id="I1">Neurophysiopathology of Pain Section, SMBNOS Department, Bari Aldo Moro University, Bari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Neurophysiopathology of Pain Section, SMBNOS Department, Bari Aldo Moro University, Bari</wicri:regionArea><wicri:noRegion>Bari</wicri:noRegion></affiliation></author><author><name sortKey="Arendt Nielsen, Lars" sort="Arendt Nielsen, Lars" uniqKey="Arendt Nielsen L" first="Lars" last="Arendt-Nielsen">Lars Arendt-Nielsen</name><affiliation wicri:level="4"><nlm:aff id="I2">Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Center for Sensory-Motor Interaction, Aalborg University, Aalborg</wicri:regionArea><orgName type="university">Université d'Aalborg</orgName><placeName><settlement 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Nord</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I7">Division of Neurology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Neurology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author></analytic><series><title level="j">Behavioural Neurology</title><idno type="ISSN">0953-4180</idno><idno type="eISSN">1875-8584</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Neurodegenerative diseases are going to increase as the life expectancy is getting longer. The management of neurodegenerative diseases such as Alzheimer's disease (AD) and other dementias, Parkinson's disease (PD) and PD related disorders, motor neuron diseases (MND), Huntington's disease (HD), spinocerebellar ataxia (SCA), and spinal muscular atrophy (SMA), is mainly addressed to motor and cognitive impairment, with special care to vital functions as breathing and feeding. Many of these patients complain of painful symptoms though their origin is variable, and their presence is frequently not considered in the treatment guidelines, leaving their management to the decision of the clinicians alone. However, studies focusing on pain frequency in such disorders suggest a high prevalence of pain in selected populations from 38 to 75% in AD, 40% to 86% in PD, and 19 to 85% in MND. The methods of pain assessment vary between studies so the type of pain has been rarely reported. However, a prevalent nonneuropathic origin of pain emerged for MND and PD. In AD, no data on pain features are available. No controlled therapeutic trials and guidelines are currently available. Given the relevance of pain in neurodegenerative disorders, the comprehensive understanding of mechanisms and predisposing factors, the application and validation of specific scales, and new specific therapeutic trials are needed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Beiske, A G" uniqKey="Beiske A">A. G. Beiske</name></author><author><name sortKey="Loge, J H" uniqKey="Loge J">J. H. Loge</name></author><author><name sortKey="R Nningen, A" uniqKey="R Nningen A">A. Rønningen</name></author><author><name sortKey="Svensson, E" uniqKey="Svensson E">E. Svensson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Merskey, H" uniqKey="Merskey H">H. Merskey</name></author><author><name sortKey="Bogduk, N" uniqKey="Bogduk N">N. 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Jaffe</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li><li>France</li><li>Israël</li><li>Italie</li><li>Pays-Bas</li></country><region><li>Auvergne (région administrative)</li><li>Auvergne-Rhône-Alpes</li><li>Groningue (province)</li><li>Jutland du Nord</li><li>Latium</li></region><settlement><li>Aalborg</li><li>Clermont-Ferrand</li><li>Groningue</li><li>Rome</li></settlement><orgName><li>Université d'Aalborg</li></orgName></list><tree><country name="Italie"><noRegion><name sortKey="De Tommaso, Marina" sort="De Tommaso, Marina" uniqKey="De Tommaso M" first="Marina" last="De Tommaso">Marina De Tommaso</name></noRegion><name sortKey="Valeriani, Massimiliano" sort="Valeriani, Massimiliano" uniqKey="Valeriani M" first="Massimiliano" last="Valeriani">Massimiliano Valeriani</name></country><country name="Danemark"><region name="Jutland du Nord"><name sortKey="Arendt Nielsen, Lars" sort="Arendt Nielsen, Lars" uniqKey="Arendt Nielsen L" first="Lars" last="Arendt-Nielsen">Lars Arendt-Nielsen</name></region><name sortKey="Valeriani, Massimiliano" sort="Valeriani, Massimiliano" uniqKey="Valeriani M" first="Massimiliano" last="Valeriani">Massimiliano Valeriani</name></country><country name="Israël"><noRegion><name sortKey="Defrin, Ruth" sort="Defrin, Ruth" uniqKey="Defrin R" first="Ruth" last="Defrin">Ruth Defrin</name></noRegion></country><country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Kunz, Miriam" sort="Kunz, Miriam" uniqKey="Kunz M" first="Miriam" last="Kunz">Miriam Kunz</name></region></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Pickering, Gisele" sort="Pickering, Gisele" uniqKey="Pickering G" first="Gisele" last="Pickering">Gisele Pickering</name></region><name sortKey="Pickering, Gisele" sort="Pickering, Gisele" uniqKey="Pickering G" first="Gisele" last="Pickering">Gisele Pickering</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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