title: Pharmacological and non-pharmacological strategies in the integrated treatment of pain in neurorehabilitation. Evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation.
abstract: The interplay between pain and neurorehabilitation is very complex, in that pain may be a target for treatment, but can also have negative effects on neurorehabilitation procedures. Moreover, side effects of drugs, which are currently used to treat pain, may negatively influence rehabilitation outcomes. Because of the lack of guidelines or consensus, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) was aimed to answer some open questions on the treatment of pain in this setting. To this aim, we collected evidence on the pharmacological and non-pharmacological strategies and their role in the integrated approach to pain. Despite the lack of studies in patients undergoing neurorehabilitation, current guidelines on the pharmacological treatment of nociceptive and neuropathic pain may be applied in this setting. Non-pharmacological strategies include physical therapy, invasive procedures, psychological treatments and psychotherapy, which together with pharmacological therapies play a key role in the integrated approach to pain. The ICCPN recommendations offer information to ameliorate the current treatment of pain in neurorehabilitation, and to design future studies to answer the still open questions on this topic.
authors: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona,Verona, Italy - stefano.tamburin@univr.it.
authors: Stefano
authors: S
authors: Tamburin
authors: Marco R
authors: MR
authors: Lacerenza
authors: Gianluca
authors: G
authors: Castelnuovo
authors: Michela
authors: M
authors: Agostini
authors: Stefano
authors: S
authors: Paolucci
authors: Michelangelo
authors: M
authors: Bartolo
authors: Sara
authors: S
authors: Bonazza
authors: Angela
authors: A
authors: Federico
authors: Fabio
authors: F
authors: Formaglio
authors: Emanuele M
authors: EM
authors: Giusti
authors: Gian M
authors: GM
authors: Manzoni
authors: Susanna
authors: S
authors: Mezzarobba
authors: Giada
authors: G
authors: Pietrabissa
authors: Andrea
authors: A
authors: Polli
authors: Andrea
authors: A
authors: Turolla
authors: Giorgio
authors: G
authors: Sandrini
mesh_terms: D000701:Analgesics, Opioid / Q000008:administration & dosage*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D009437:Neuralgia / Q000175:diagnosis / Q000188:drug therapy* / Q000534:rehabilitation*; D059408:Pain Management / Q000379:methods; D026741:Physical Therapy Modalities / Q000592:standards; D011379:Prognosis; D011613:Psychotherapy / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid