Diseases of the nervous system III: cerebral palsy, movement disorders and pain perception

Author(s):  
Henry Kwok ◽  
Wai-Him Cheung
Author(s):  
Narayanaswamy Suresh ◽  
Divyani Garg ◽  
Sanjay Pandey ◽  
Rajeev Kumar Malhotra ◽  
Ritu Majumdar ◽  
...  

2021 ◽  
Vol 10 (8) ◽  
pp. 1793
Author(s):  
Vanesa Abuín-Porras ◽  
Vicente Javier Clemente-Suárez ◽  
Gonzalo Jaén-Crespo ◽  
Emmanuel Navarro-Flores ◽  
Helios Pareja-Galeano ◽  
...  

Introduction: Physiotherapy treatment is a common intervention for low back pain (LBP) patients. These interventions have been related to physiological effects in the central nervous system. Thus, the aim of this study was to analyze the effect of physiotherapy treatment in patients with LBP in the autonomic nervous system activation and subjective pain perception of patients. Methods: A total of 30 male subjects diagnosed with non-specific subacute LBP received a 50 min session consisting of (a) a manual therapy based on joint mobilization and soft tissues techniques in the lumbo-pelvic area, (b) a stretching program, and (c) motor control exercises of the core muscles. The autonomic modification of participants was assessed prior to and after the physiotherapy treatment. Results: Heart rate variability (HRV) analysis reported a significant increase in average RR (p = 0.001), RMSSD (p = 0.008), LRMSSD (p = 0.001), SDNN (p = 0.005), and PNN50 (p = 0.024) after the session. Frequency-domain measures showed a significant increase in LF (p = 0.030) and HF (p = 0.014), and a decrease in LF/HF ratio (p = 0.046). A significant decrease was found in minimum HR values (p = 0.001) and average HR (p = 0.001). Moreover, maximal HR decreased its value from 116.7 ± 26.1 to 113.7 ± 40.8 after intervention. In addition, subjective pain perception (VAS scores) was significantly lower (p = 0.001) in the post-session assessment. Conclusions: Physiotherapy treatment produced an increase in parasympathetic nervous system activation and a decrease in subjective pain perception in non-specific subacute LBP patients.


2021 ◽  
Author(s):  
Esther Benedetti ◽  
James Burnett ◽  
Meredith Degnan ◽  
Danielle Horne ◽  
Andres Missair ◽  
...  

The neuronal, chemical, and electrical transmission of pain is a complex and intricate subject that continues to be studied and expounded. This review discusses the relevant physiology and influential factors contributing to the experience and subjective variation in a variety of acute and chronic pain presentations. This review contains 4 figures, 4 tables, and 30 references Keywords: acute pain, chronic pain, somatic pain, neuropathic pain, visceral pain, nociception, pain perception, gender-related pain, cancer pain, spine pain


AORN Journal ◽  
2018 ◽  
Vol 108 (5) ◽  
pp. 516-531
Author(s):  
Jane M. Wick ◽  
Jing Feng ◽  
Ellen Raney ◽  
Michael Aiona

2010 ◽  
Vol 48 (8) ◽  
pp. 765-772 ◽  
Author(s):  
Franziska Heinze ◽  
Katharina Hesels ◽  
Nico Breitbach-Faller ◽  
Thomas Schmitz-Rode ◽  
Catherine Disselhorst-Klug

2020 ◽  
Vol 6 (1) ◽  
pp. 20-29
Author(s):  
Hongjie Jiang ◽  
Rui Wang ◽  
Zhe Zheng ◽  
Junming Zhu

Deep brain stimulation (DBS) has been used as a safe and effective neuromodulation technique for treatment of various diseases. A large number of patients suffering from movement disorders such as dyskinesia may benefit from DBS. Cerebral palsy (CP) is a group of permanent disorders mainly involving motor impairment, and medical interventions are usually unsatisfactory or temporarily active, especially for dyskinetic CP. DBS may be another approach to the treatment of CP. In this review we discuss the targets for DBS and the mechanisms of action for the treatment of CP, and focus on presurgical assessment, efficacy for dystonia and other symptoms, safety, and risks.


2004 ◽  
Vol 52 (Suppl 1) ◽  
pp. S175.4-S175
Author(s):  
L. Tseng ◽  
A. DeSalles ◽  
D. Diaz ◽  
C. Cabatan-Awang

2019 ◽  
Vol 130 (4) ◽  
pp. 634-650 ◽  
Author(s):  
Heberto Suarez-Roca ◽  
Rebecca Y. Klinger ◽  
Mihai V. Podgoreanu ◽  
Ru-Rong Ji ◽  
Martin I. Sigurdsson ◽  
...  

Abstract Baroreceptors are mechanosensitive elements of the peripheral nervous system that maintain homeostasis by coordinating physiologic responses to external and internal stimuli. While it is recognized that carotid and cardiopulmonary baroreceptor reflexes modulate autonomic output to mitigate excessive fluctuations in arterial blood pressure and to maintain intravascular volume, increasing evidence suggests that baroreflex pathways also project to key regions of the central nervous system that regulate somatosensory, somatomotor, and central nervous system arousal. In addition to maintaining autonomic homeostasis, baroreceptor activity modulates the perception of pain, as well as neuroimmune, neuroendocrine, and cognitive responses to physical and psychologic stressors. This review summarizes the role that baroreceptor pathways play in modulating acute and chronic pain perception. The contribution of baroreceptor function to postoperative outcomes is also presented. Finally, methods that enhance baroreceptor function, which hold promise in improving postoperative and pain management outcomes, are presented.


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