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Influence of sensory retraining on cortical reorganization in peripheral neuropathy: A systematic review.
Canli, Kübra; Van Oijen, Joris; Van Oosterwijck, Jessica; Meeus, Mira; Van Oosterwijck, Sophie; De Meulemeester, Kayleigh.
Afiliación
  • Canli K; Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.
  • Van Oijen J; Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium.
  • Van Oosterwijck J; Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium.
  • Meeus M; Pain in Motion International Research Group, Brussels, Belgium.
  • Van Oosterwijck S; Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium.
  • De Meulemeester K; Pain in Motion International Research Group, Brussels, Belgium.
PM R ; 16(8): 888-907, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38155585
ABSTRACT

OBJECTIVE:

This study systematically reviewed the literature about sensory retraining effect in comparison to other rehabilitative techniques on cortical reorganization in patients with peripheral neuropathic pain. TYPE Systematic review. LITERATURE SURVEY After an electronic search of PubMed, Web of Science, and Embase, risk of bias was assessed using the revised Cochrane risk of bias tool for randomized controlled trials and the ROBINS-1 (Risk of bias in non-randomized studies-of interventions) for non-randomized studies of intervention.

METHODOLOGY:

The strength of conclusion was determined using the evidence-based guideline development approach.

SYNTHESIS:

Limited evidence indicates a higher increase in cortical inhibition and a higher reduction in cortical activation during a motor task of the affected hemisphere after graded motor imagery compared to wait-list. Higher reductions in map volume (total excitability of the cortical representation) of the affected hemisphere after peripheral electrical stimulation (PES) were observed when compared to transcranial direct current stimulation (tDCS) or to sham treatment with limited evidence. No other differences in cortical excitability and representation of the affected and non-affected hemisphere were observed when comparing mirror therapy with sham therapy or tDCS, PES with sham therapy or tDCS, and graded motor imagery with wait-list.

CONCLUSIONS:

Graded motor imagery and PES result in higher cortical excitability reductions of the affected hemisphere compared to wait-list, tDCS and sham treatment, respectively.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades del Sistema Nervioso Periférico Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: PM R Asunto de la revista: MEDICINA FISICA / REABILITACAO / TRAUMATOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades del Sistema Nervioso Periférico Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: PM R Asunto de la revista: MEDICINA FISICA / REABILITACAO / TRAUMATOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos