Evidence of motor system reorganization in complex regional pain syndrome type 1: A case report

作者: Marie-Philippe Harvey , Samuel Maher-Bussières , Elysa Emery , Marylie Martel , Francis Houde

DOI: 10.1080/24740527.2017.1422116

关键词: DorsumRehabilitationTranscranial magnetic stimulationMotor imagerySomatosensory systemMotor systemComplex regional pain syndromeCentral nervous systemMedicinePhysical medicine and rehabilitation

摘要: ABSTRACTBackground: Central nervous system reorganization, particularly in networks devoted to somatosensation, is thought be a significant feature of complex regional pain syndrome (CRPS).Aims: In the present case report, we evaluated corticomotor woman suffering from CRPS, as she started and completed her rehabilitation, order explore whether CRPS could also linked changes motor networks.Methods: The patient, 58-year-old woman, was diagnosed with right-hand CRPS. Transcranial magnetic stimulation measures, reflecting strength corticospinal projections, were before, during, after an 8-week graded imagery (GMI) program.Results: Before treatment, patient reported disability, projections first dorsal interosseous affected hand reduced compared healthy, unaffected hand. Pain disability decreased GMI program. These w...

参考文章(34)
Arno M Janssen, Thom F Oostendorp, Dick F Stegeman, The coil orientation dependency of the electric field induced by TMS for M1 and other brain areas Journal of Neuroengineering and Rehabilitation. ,vol. 12, pp. 47- 47 ,(2015) , 10.1186/S12984-015-0036-2
Flavia Di Pietro, Tasha R Stanton, G. Lorimer Moseley, Martin Lotze, James H McAuley, Interhemispheric somatosensory differences in chronic pain reflect abnormality of the healthy side. Human Brain Mapping. ,vol. 36, pp. 508- 518 ,(2015) , 10.1002/HBM.22643
De Q. H. Tran, Silvia Duong, Pietro Bertini, Roderick J. Finlayson, Treatment of Complex Regional Pain Syndrome: A Review of the Evidence Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 57, pp. 149- 166 ,(2010) , 10.1007/S12630-009-9237-0
H. Devanne, B. A. Lavoie, C. Capaday, Input-output properties and gain changes in the human corticospinal pathway Experimental Brain Research. ,vol. 114, pp. 329- 338 ,(1997) , 10.1007/PL00005641
Giovanni Abbruzzese, Carlo Trompetto, Clinical and research methods for evaluating cortical excitability. Journal of Clinical Neurophysiology. ,vol. 19, pp. 307- 321 ,(2002) , 10.1097/00004691-200208000-00005
Frank Birklein, Complex regional pain syndrome Journal of Neurology. ,vol. 252, pp. 131- 138 ,(2005) , 10.1007/S00415-005-0737-8
Ilkka Laakso, Akimasa Hirata, Yoshikazu Ugawa, Effects of coil orientation on the electric field induced by TMS over the hand motor area. Physics in Medicine and Biology. ,vol. 59, pp. 203- 218 ,(2014) , 10.1088/0031-9155/59/1/203
Burkhard Pleger, Frank Janssen, Peter Schwenkreis, Birgit Völker, Christoph Maier, Martin Tegenthoff, Repetitive transcranial magnetic stimulation of the motor cortex attenuates pain perception in complex regional pain syndrome type I. Neuroscience Letters. ,vol. 356, pp. 87- 90 ,(2004) , 10.1016/J.NEULET.2003.11.037
Monica A. Perez, Bjarke K. S. Lungholt, Kathinka Nyborg, Jens B. Nielsen, Motor skill training induces changes in the excitability of the leg cortical area in healthy humans Experimental Brain Research. ,vol. 159, pp. 197- 205 ,(2004) , 10.1007/S00221-004-1947-5