Stroke, complex regional pain syndrome and phantom limb pain: can commonalities direct future management?

Full Abstract

Despite being different conditions, complex regional pain syndrome type 1, phantom limb pain and stroke share some potentially important similarities. This report examines experimental and clinical findings from each patient population. It identifies common aspects of symptomatic presentation, sensory phenomena and patterns of cortical reorganization. Based on these common findings, we argue that established principles of stroke rehabilitation are also applicable to rehabilitation of complex regional pain syndrome type 1 and phantom limb pain. In addition, we contend that promising treatment approaches for complex regional pain syndrome type 1 and phantom limb pain may be helpful in stroke rehabilitation. Examples of emerging supportive evidence for these hypotheses are provided and discussed.

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Author information

Author/s: Acerra, Nicole E (NE); Souvlis, Tina (T); Moseley, G Lorimer (GL);

Affiliation: Division of Physiotherapy, The University of Queensland, Brisbane, Australia.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Review

Journal: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine (J Rehabil Med), published in Sweden. (Language: eng)

Reference: 2007-Mar; vol 39 (issue 2) : pp 109-14

Dates: Created 2007/03/12; Completed 2007/04/02; Revised 2007/11/15;

PMID: 17351691, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Evidence-Based Medicine
Exercise Movement Techniques
Humans
Imagination - physiology
Motor Cortex - physiology
Motor Skills - physiology

Phantom Limb - diagnosis; physiopathology; rehabilitation
Physical Therapy Modalities
Psychomotor Performance - physiology
Recovery of Function
Reflex Sympathetic Dystrophy - diagnosis; physiopathology; rehabilitation
Stroke - diagnosis; physiopathology; rehabilitation

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