Influence of sensory retraining on cortical reorganization in peripheral neuropathy: A systematic review
Corresponding Author
Kübra Canlı MSc
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye
Correspondence
Kübra Canlı, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.
Email: [email protected]
Search for more papers by this authorJoris Van Oijen MSc
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Search for more papers by this authorJessica Van Oosterwijck PhD
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Pain in Motion International Research Group, Brussels, Belgium
Search for more papers by this authorMira Meeus PhD
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Pain in Motion International Research Group, Brussels, Belgium
Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Antwerpen, Belgium
Search for more papers by this authorSophie Van Oosterwijck MSc
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Pain in Motion International Research Group, Brussels, Belgium
Research Foundation-Flanders (FWO), Brussels, Belgium
Search for more papers by this authorKayleigh De Meulemeester PhD
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Pain in Motion International Research Group, Brussels, Belgium
Search for more papers by this authorCorresponding Author
Kübra Canlı MSc
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye
Correspondence
Kübra Canlı, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.
Email: [email protected]
Search for more papers by this authorJoris Van Oijen MSc
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Search for more papers by this authorJessica Van Oosterwijck PhD
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Pain in Motion International Research Group, Brussels, Belgium
Search for more papers by this authorMira Meeus PhD
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Pain in Motion International Research Group, Brussels, Belgium
Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Antwerpen, Belgium
Search for more papers by this authorSophie Van Oosterwijck MSc
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Pain in Motion International Research Group, Brussels, Belgium
Research Foundation-Flanders (FWO), Brussels, Belgium
Search for more papers by this authorKayleigh De Meulemeester PhD
Department of Rehabilitation Sciences, Spine, Pain and Head Research Unit Ghent, Ghent University, Ghent, Belgium
Pain in Motion International Research Group, Brussels, Belgium
Search for more papers by this authorAnswer questions and earn CME credit.
Abstract
Objective
This study systematically reviewed the literature about sensory retraining effect in comparison to other rehabilitative techniques on cortical reorganization in patients with peripheral neuropathic pain.
Type
Systematic review.
Literature survey
After an electronic search of PubMed, Web of Science, and Embase, risk of bias was assessed using the revised Cochrane risk of bias tool for randomized controlled trials and the ROBINS-1 (Risk of bias in non-randomized studies-of interventions) for non-randomized studies of intervention.
Methodology
The strength of conclusion was determined using the evidence-based guideline development approach.
Synthesis
Limited evidence indicates a higher increase in cortical inhibition and a higher reduction in cortical activation during a motor task of the affected hemisphere after graded motor imagery compared to wait-list. Higher reductions in map volume (total excitability of the cortical representation) of the affected hemisphere after peripheral electrical stimulation (PES) were observed when compared to transcranial direct current stimulation (tDCS) or to sham treatment with limited evidence. No other differences in cortical excitability and representation of the affected and non-affected hemisphere were observed when comparing mirror therapy with sham therapy or tDCS, PES with sham therapy or tDCS, and graded motor imagery with wait-list.
Conclusions
Graded motor imagery and PES result in higher cortical excitability reductions of the affected hemisphere compared to wait-list, tDCS and sham treatment, respectively.
Supporting Information
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| pmrj13126-sup-0001-Appendix S1.pdfPDF document, 465.1 KB | Appendix S1. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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