Sensorimotor returning in complex regional pain syndrome parallels pain reduction

Patients with complex regional pain syndrome (CRPS) and intractable pain showed a shrinkage of cortical maps on primary (SI) and secondary somatosensory cortex (SII) contralateral to the affected limb. This was paralleled by an impairment of the two‐point discrimination thresholds. Behavioral treatm...

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Veröffentlicht in:Annals of neurology 2005-03, Vol.57 (3), p.425-429
Hauptverfasser: Pleger, Burkhard, Tegenthoff, Martin, Ragert, Patrick, Förster, Ann-Freya, Dinse, Hubert R., Schwenkreis, Peter, Nicolas, Volkmar, Maier, Christoph
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container_end_page 429
container_issue 3
container_start_page 425
container_title Annals of neurology
container_volume 57
creator Pleger, Burkhard
Tegenthoff, Martin
Ragert, Patrick
Förster, Ann-Freya
Dinse, Hubert R.
Schwenkreis, Peter
Nicolas, Volkmar
Maier, Christoph
description Patients with complex regional pain syndrome (CRPS) and intractable pain showed a shrinkage of cortical maps on primary (SI) and secondary somatosensory cortex (SII) contralateral to the affected limb. This was paralleled by an impairment of the two‐point discrimination thresholds. Behavioral treatment over 1 to 6 months consisting of graded sensorimotor retuning led to a persistent decrease in pain intensity, which was accompanied by a restoration of the impaired tactile discrimination and regaining of cortical map size in contralateral SI and SII. This suggests that the reversal of tactile impairment and cortical reorganization in CRPS is associated with a decrease in pain. Ann Neurol 2005;57:425–429
doi_str_mv 10.1002/ana.20394
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source Wiley Online Library Journals Frontfile Complete
subjects Biological and medical sciences
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Fundamental and applied biological sciences. Psychology
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Somesthesis and somesthetic pathways (proprioception, exteroception, nociception)
interoception
electrolocation. Sensory receptors
Vertebrates: nervous system and sense organs
title Sensorimotor returning in complex regional pain syndrome parallels pain reduction
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