Diagnosing and assessing pain in neurorehabilitation: from translational research to the clinical setting. Evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Eur J Phys Rehabil Med. 2016 Oct;52(5):717-729. Epub 2016 Aug 31.

Abstract

Pain is very common in neurorehabilitation, where it may be a target for treatment and have a negative effect on rehabilitation procedures and outcomes. Promising preliminary preclinical data support certain therapeutic approaches to pain, but there is a strong need of adequate preclinical models, experimental settings, outcome measures, and biomarkers that are more relevant for pain within the neurorehabilitation field. Data on the diagnosis and assessment of nociceptive and neuropathic pain (NP) are very scanty in neurorehabilitation, but those from other contexts can be adapted and translated to this specific setting. The Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) has searched and evaluated existing evidence on animal models for the treatment of pain, definition and diagnostic criteria for nociceptive and NP, screening tools and questionnaires, along with diagnostic, clinical and instrumental techniques to distinguish nociceptive from NP and, more generally, to assess pain in the field of neurorehabilitation. The present ICCPN recommendations provide information on the relevance of current preclinical models, and may be helpful in ameliorating pain diagnosis and assessment, which are prerequisites for better application and tailoring of current pharmacological and non-pharmacological treatments. They may also be useful for future studies aimed at filling the gaps in the current knowledge of these topics.

Publication types

  • Review

MeSH terms

  • Animals
  • Consensus Development Conferences as Topic*
  • Disease Models, Animal
  • Evidence-Based Medicine
  • Humans
  • Italy
  • Neuralgia / diagnosis*
  • Neuralgia / rehabilitation*
  • Neurological Rehabilitation / standards*
  • Outcome Assessment, Health Care
  • Practice Guidelines as Topic / standards*
  • Randomized Controlled Trials as Topic
  • Translational Research, Biomedical / standards*