Aloisi Anna M, Berlincioni Vanna, Torta Riccardo, Nappi Rossella E, Tassorelli Cristina, Barale Francesco, Ieraci Valentina, Giusti Emanuele M, Pietrabissa Giada, Tamburin Stefano, Manzoni Gian M, Castelnuovo Gianluca
Behavioral Neurophysiology Laboratory, Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy -
Eur J Phys Rehabil Med. 2016 Oct;52(5):730-740. Epub 2016 Sep 16.
Pain is frequent in patients undergoing neurorehabilitation, but there is a number of still unanswered questions on this topic. The Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) was constituted with the purpose to identify the best practices that can be used in this context. In this article we summarize the existing evidence and recommendations provided by the ICCPN about the role of gender, psycho-social factors and anthropological-cultural dimensions on pain in neurorehabilitation. Sex, gender, psycho-social variables, anthropological and cultural features may influence pain expression, and its pharmacological and non-pharmacological outcome, but the role of these factors has not been consistently explored in neurorehabilitation. There is a number of psychological factors that can be correlated with or represent a predictor for pain, or may influence the treatment and outcome of neurorehabilitation programs. All these factors should be considered when designing these programs, and future studies should incorporate them as potential covariates that may influence outcome.
疼痛在接受神经康复治疗的患者中很常见，但关于这个主题仍有许多问题尚未得到解答。意大利神经康复疼痛共识会议（ICCPN）的成立目的是确定可在此背景下使用的最佳实践方法。在本文中，我们总结了ICCPN提供的关于性别、心理社会因素和人类学文化维度在神经康复疼痛中作用的现有证据和建议。性别、性、心理社会变量、人类学和文化特征可能会影响疼痛表达及其药物和非药物治疗效果，但这些因素在神经康复中的作用尚未得到一致探讨。有许多心理因素可能与疼痛相关或可作为疼痛的预测指标，或者可能影响神经康复计划的治疗和效果。在设计这些计划时应考虑所有这些因素，未来的研究应将它们作为可能影响治疗效果的潜在协变量纳入其中。
