Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20230078-en
Brazilian Journal of Pain
Review Article

Rehabilitation protocols in neuropathic pain: bibliometric review

Protocolos de reabilitação na dor neuropática: revisão bibliométrica

Jessika Mehret Fiusa; Sibele de Andrade Melo Knaut; Emerson Carraro

http://dx.doi.org/10.5935/2595-0118.20230078-en BrJP, vol.6, n4, p.448-453, 2023
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Abstract

BACKGROUND AND OBJECTIVES: Neuropathic pain (NP) affects the afferent somatosensory pathways, generating various symptoms, however, there is difficulty in terms of diagnosis and in the formation of treatment protocols. There is a need to search the current literature for effective resources for the treatment of peripheral neuropathy in rehabilitation. The objective of this study was to describe reproducible assessment and treatment approaches capable of reducing NP.
CONTENTS: Full articles produced between 2018 and 2022, found in the Pubmed, Scielo, Medline, Embase and Cochrane databases were included. Fifteen Boolean descriptors were used, and data were cross-referenced with the words “AND” or “OR”. The selected articles went through the Methodi Ordinatio of classification and organization of studies. Eleven articles were selected and used in this review, two from 2018, five from 2020, and three from 2021. Regarding the type of study, five review articles, one case study, and six intervention studies were obtained. Of these 11 studies, only three used quality of life (QoL) indicators. Most studies used combined interventions, and in more than half of the publications transcranial direct current stimulation (tDCS) was present. The somatosensory rehabilitation method was able to redeem neuropathy through specific techniques.
CONCLUSION: The implications of the neuropathic pain treatment in terms of QoL were left in the background by the bibliometric survey carried out. It is suggested that new studies could associate analgesia techniques with rehabilitation methods, including and measuring the effects on the QoL of these patients.

Keywords

Complex regional pain syndrome, Hyperalgia, Physical therapy, Rehabilitation, Transcutaneous electrical nerve stimulation

Resumo

JUSTIFICATIVA E OBJETIVOS: A dor neuropática (DN) acomete as vias somatossensoriais aferentes, gerando diversos sintomas, entretanto há dificuldades em termos de diagnóstico e na formação de protocolos de tratamento. Há a necessidade de buscar, na literatura atual, recursos eficazes para o tratamento da neuropatia periférica na área da reabilitação. O objetivo deste estudo foi descrever abordagens reprodutíveis de avaliação e tratamento capazes de diminuir a DN. 
CONTEÚDO: Foram incluídos artigos completos produzidos entre os anos de 2018 e 2022, encontrados nos bancos de dados Pubmed, Scielo, Medline, Embase e Cochrane. Foram usados 15 descritores booleanos, e os dados foram cruzados com as palavras “AND” ou “OR”. Os artigos passaram pelo Methodi Ordinatio de classificação e organização de estudos. Foram selecionados e utilizados 11 artigos, sendo dois de 2018, cinco de 2020 e três de 2021. Acerca do tipo de estudo, foram obtidos cinco artigos de revisão, um estudo de caso e seis estudos de intervenção. Desses 11 estudos, apenas três utilizaram indicadores de qualidade de vida (QV). A maioria dos estudos utilizou intervenções combinadas, e em mais da metade das publicações a estimulação transcraniana por corrente contínua (ETCC) estava presente. O método de reabilitação somatossensorial foi capaz de redimir a neuropatia por meio de técnicas específicas. 
CONCLUSÃO: As implicações do tratamento da dor neuropática no quesito QV ficaram em segundo plano pelo levantamento bibliométrico realizado. Sugere-se que novos estudos possam associar técnicas de analgesia a métodos de reabilitação, incluindo e mensurando os efeitos sobre a QV desses pacientes.

Palavras-chave

Estimulação elétrica nervosa transcutânea, Fisioterapia, Hiperalgesia, Síndrome da dor regional,  Reabilitação

References

1 IASP. International Association for The Study of Pain. Chronic Pain https://www.iasp-pain.org/resources/terminology/#Neuropathicpain (2022).

2 Liew BXW, de-la-Llave-Rincón AI, Arias-Buría JL, Ortega-Santiago R, Fernández-de-Las-Peñas C. Understanding the psychophysiological mechanisms related to widespread pressure pain hyperalgesia underpinning carpal tunnel syndrome: a network analysis approach. Pain Med. 2021;22(11):2708-717.

3 Li C, Jirachaipitak S, Wrigley P, Xu H, Euasobhon P. Transcranial direct current stimulation for spinal cord injury-associated neuropathic pain. Korean J Pain. 2021;34(2):156-64.

4 Siemieniuk, R. et al. A living WHO guideline on drugs for covid-19. thebmj 0, 1–14 (2020).

5 Andrade EGR, Rodrigues ILA, Braga SADS, Nogueira LMV, Panarra BACES, Santos MNA, Pereira AA. Knowledge and practices of Primary Care professionals on diabetic neuropathy: study of social representations. Rev Bras Enferm. 2021;74(1):e20190104.

6 Fatma S, Noohu MM. Classification of functionality of people with diabetic peripheral neuropathy based on international classification of functioning, disability and health Core set (ICF-CS) of diabetes mellitus. J Diabetes Metab Disord. 2020;19(1):213-21.

7 Barros GA, Colhado OC. Giublin ML. Clinical presentation and diagnosis of neuropathic pain. Rev. Dor.2016;17(1):15-9.

8 Araújo CAA. Fiscalizar e alfabetizar: dois papéis dos observatórios de meios latinoamericanos. Em Questão. 2006;12:131-48.

9 Pagani RN, Kovaleski JL, Resende LM. Methodi Ordinatio: a proposed methodology to select and rank relevant scientific papers encompassing the impact factor, number of citation, and year of publication. Scientometrics. 2015;105:2109-135.

10 Mansor M, Shan Lee Z, San LP, Mei Ng M, Al-Abd N, Kassim M. Inhibitory effects of biofeedback electrostimulation therapy on pain and cortisol levels in chronic neuropathic pain: a randomized-controlled trial. Turk J Phys Med Rehabil. 2021;67(1):62-8.

11 O’Neill F, Sacco P, Bowden E, Asher R, Burnside G, Cox T, Nurmikko T. Patient-delivered ETCC on chronic neuropathic pain in prior responders to TMS (a randomized controlled pilot study). J Pain Res. 2018;11:3117-28.

12 Packham TL, Spicher CJ, MacDermid JC, Quintal I, Buckley N. Evaluating a sensitive issue: reliability of a clinical evaluation for allodynia severity. Somatosens Mot Res. 2020;37(1):22-7.

13 Bonifácio de Assis ED, Martins WKN, de Carvalho CD, Ferreira CM, Gomes R, de Almeida Rodrigues ET, Meira UM, de Holanda LJ, Lindquist AR, Morya E, Mendes CKTT, de Assis TCG, de Oliveira EA, Andrade SM. Effects of rTMS and ETCC on neuropathic pain after brachial plexus injury: a randomized placebo-controlled pilot study. Sci Rep. 2022;12(1):1440.

14 Bouchard S, Quintal I, Barquet O, Moutet F, Andrade Melo K, Spicher JM. A. Douleurs neuropathiques : méthode d’évaluation clinique et de rééducation sensitive. EM Consulte. 2021;34.

15 Ferreira CM, de Carvalho CD, Gomes R, Bonifácio de Assis ED, Andrade SM. Transcranial direct current stimulation and mirror therapy for neuropathic pain after brachial plexus avulsion: a randomized, double-blind, controlled pilot study. Front Neurol. 2020;11:568261.

16 Li S, Stampas A, Frontera J, Davis M, Li S. Combined transcranial direct current stimulation and breathing-controlled electrical stimulation for management of neuropathic pain after spinal cord injury. J Rehabil Med. 2018;50(9):814-20.

17 Rice ASC, Finnerup NB, Kemp HI, Currie GL, Baron R. Sensory profiling in animal models of neuropathic pain: a call for back-translation. Pain. 2018;159(5):819-24.

18 Houde F, Harvey MP, Tremblay Labrecque PF, Lamarche F, Lefebvre A, Leonard G. Combining transcranial direct current stimulation and transcutaneous electrical nerve stimulation to relieve persistent pain in a patient suffering from complex regional pain syndrome: a case report. J Pain Res. 2020;13:467-73.

19 Cho E, Kim W. Effect of acupuncture on diabetic neuropathy: a narrative review. Int J Mol Sci. 2021;22(16):8575.

20 Xue T, Zhang X, Xing Y, Liu S, Zhang L, Wang X, Yu M. Advances about immunoinflammatory pathogenesis and treatment in diabetic peripheral neuropathy. Front Pharmacol. 20214;12:748193.

21 Karpov VY, Medvedev IN, Kazakov DA, Sibgatulina FR. Physiological basis of rehabilitation for ulnar neuritis. Biomed Pharmacol J. 2020;13(2):585-90.

22 Dosenovic, S. et al. Static mechanical allodynia (SMA) is a paradoxical painful hypo-aesthesia: Observations derived from neuropathic pain patients treated with somatosensory rehabilitation. Mot Res. 2020;25(1):77-92.

23 Arrate B, Branchet MC. Les troubles sensitifs de la main. Kinésithérapie la Rev. 2020;20:61-8.

24 Packham TL, Spicher CJ, MacDermid JC, Michlovitz S, Buckley DN. Somatosensory rehabilitation for allodynia in complex regional pain syndrome of the upper limb: A retrospective cohort study. J Hand Ther. 2018;31(1):10-9.

25 Spicher CJ, Horisberger F, Desfoux N, Schönenweid F. L’allodynie mécanique masque une hypoesthésie: Observations topographiques de 23 patients douloureux neuropathiques chroniques. Douleur Analg. 2008;21:239-51.

26 Ferreira G, Silva-Filho E, de Oliveira A, de Lucena C, Lopes J, Pegado R. Transcranial direct current stimulation improves quality of life and physical fitness in diabetic polyneuropathy: a pilot double blind randomized controlled trial. J Diabetes Metab Disord. 2020;19(1):32735.
 

Submitted date:
06/23/2023

Accepted date:
09/21/2023

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