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Applying modern pain neuroscience in clinical practice: Criteria for the classification of central sensitization pain
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نویسنده
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nijs j. ,torres-cueco r. ,paul van wilgen c. ,girbés e.l. ,struyf f. ,roussel n. ,oosterwijck j.v. ,daenen l. ,kuppens k. ,vanderweeën l. ,hermans l. ,beckwée d. ,voogt l. ,clark j. ,moloney n. ,meeus m.
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منبع
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pain physician - 2014 - دوره : 17 - شماره : 5 - صفحه:447 -457
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چکیده
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Background: the awareness is growing that central sensitization is of prime importance for the assessment and management of chronic pain,but its classification is challenging clinically since no gold standard method of assessment exists.objectives: designing the first set of classification criteria for the classification of central sensitization pain.methods: a body of evidence from original research papers was used by 18 pain experts from 7 different countries to design the first classification criteria for central sensitization pain.results: it is proposed that the classification of central sensitization pain entails 2 major steps: the exclusion of neuropathic pain and the differential classification of nociceptive versus central sensitization pain. for the former,the international association for the study of pain diagnostic criteria are available for diagnosing or excluding neuropathic pain. for the latter,clinicians are advised to screen their patients for 3 major classification criteria,and use them to complete the classification algorithm for each individual patient with chronic pain. the first and obligatory criterion entails disproportionate pain,implying that the severity of pain and related reported or perceived disability are disproportionate to the nature and extent of injury or pathology (i.e.,tissue damage or structural impairments). the 2 remaining criteria are 1) the presence of diffuse pain distribution,allodynia,and hyperalgesia; and 2) hypersensitivity of senses unrelated to the musculoskeletal system (defined as a score of at least 40 on the central sensitization inventory).limitations: although based on direct and indirect research findings,the classification algorithm requires experimental testing in future studies.conclusion: clinicians can use the proposed classification algorithm for differentiating neuropathic,nociceptive,and central sensitization pain. © 2014,american society of interventional pain physicians,all rights reserved.
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کلیدواژه
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Chronic pain; Classification; Diagnosis; Hypersensitivity; Neuropathic pain
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آدرس
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pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel,belgium,department of physical medicine and physiotherapy,university hospital brussels, Belgium, department of rehabilitation,university of valencia, Spain, transcare,transdisciplinairy painmanegement centre,groningen, Netherlands, department of rehabilitation,university of valencia, Spain, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel, Belgium, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel,belgium,rehabilitation sciences and physiotherapy,antwerp university,antwerp, Belgium, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel,belgium,department of rehabilitation sciences,ghent university,ghent, Belgium, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel,belgium,department of neurology,antwerp university,antwerp, Belgium, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel,belgium,rehabilitation sciences and physiotherapy,antwerp university,antwerp,belgium,department of neurology,antwerp university,antwerp, Belgium, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel,belgium,private practice for spinal manual therapy,schepdaal-dilbeek, Belgium, department of rehabilitation sciences,ghent university,ghent, Belgium, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel, Belgium, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel,belgium,master program in manual physiotherapy,rotterdam university college, Netherlands, psychology and social care,manchester metropolitan university, United Kingdom, pain in motion research group,departments of human physiology and physiotherapy,vrije universiteit brussel,belgium,discipline of physiotherapy,the university of sydney, Australia, department of rehabilitation sciences,ghent university,ghent,belgium,department of neurology,antwerp university,antwerp, Belgium
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Authors
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