Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives

Neurodegenerative diseases are going to increase as the life expectancy is getting longer. The management of neurodegenerative diseases such as Alzheimer’s disease (AD) and other dementias, Parkinson’s disease (PD) and PD related disorders, motor neuron diseases (MND), Huntington’s disease (HD), spi...

Full description

Saved in:
Bibliographic Details
Main Authors: Marina de Tommaso, Lars Arendt-Nielsen, Ruth Defrin, Miriam Kunz, Gisele Pickering, Massimiliano Valeriani
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2016/7576292
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832556338882805760
author Marina de Tommaso
Lars Arendt-Nielsen
Ruth Defrin
Miriam Kunz
Gisele Pickering
Massimiliano Valeriani
author_facet Marina de Tommaso
Lars Arendt-Nielsen
Ruth Defrin
Miriam Kunz
Gisele Pickering
Massimiliano Valeriani
author_sort Marina de Tommaso
collection DOAJ
description Neurodegenerative diseases are going to increase as the life expectancy is getting longer. The management of neurodegenerative diseases such as Alzheimer’s disease (AD) and other dementias, Parkinson’s disease (PD) and PD related disorders, motor neuron diseases (MND), Huntington’s disease (HD), spinocerebellar ataxia (SCA), and spinal muscular atrophy (SMA), is mainly addressed to motor and cognitive impairment, with special care to vital functions as breathing and feeding. Many of these patients complain of painful symptoms though their origin is variable, and their presence is frequently not considered in the treatment guidelines, leaving their management to the decision of the clinicians alone. However, studies focusing on pain frequency in such disorders suggest a high prevalence of pain in selected populations from 38 to 75% in AD, 40% to 86% in PD, and 19 to 85% in MND. The methods of pain assessment vary between studies so the type of pain has been rarely reported. However, a prevalent nonneuropathic origin of pain emerged for MND and PD. In AD, no data on pain features are available. No controlled therapeutic trials and guidelines are currently available. Given the relevance of pain in neurodegenerative disorders, the comprehensive understanding of mechanisms and predisposing factors, the application and validation of specific scales, and new specific therapeutic trials are needed.
format Article
id doaj-art-63a308e10984418f9ac7a77555aebf55
institution Kabale University
issn 0953-4180
1875-8584
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Behavioural Neurology
spelling doaj-art-63a308e10984418f9ac7a77555aebf552025-02-03T05:45:46ZengWileyBehavioural Neurology0953-41801875-85842016-01-01201610.1155/2016/75762927576292Pain in Neurodegenerative Disease: Current Knowledge and Future PerspectivesMarina de Tommaso0Lars Arendt-Nielsen1Ruth Defrin2Miriam Kunz3Gisele Pickering4Massimiliano Valeriani5Neurophysiopathology of Pain Section, SMBNOS Department, Bari Aldo Moro University, Bari, ItalyCenter for Sensory-Motor Interaction, Aalborg University, Aalborg, DenmarkDepartment of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, IsraelDepartment of General Practice, Section Gerontology, University Medical Center Groningen, Groningen, NetherlandsCHU Clermont-Ferrand, Centre de Pharmacologie Clinique, Clermont-Ferrand, FranceCenter for Sensory-Motor Interaction, Aalborg University, Aalborg, DenmarkNeurodegenerative diseases are going to increase as the life expectancy is getting longer. The management of neurodegenerative diseases such as Alzheimer’s disease (AD) and other dementias, Parkinson’s disease (PD) and PD related disorders, motor neuron diseases (MND), Huntington’s disease (HD), spinocerebellar ataxia (SCA), and spinal muscular atrophy (SMA), is mainly addressed to motor and cognitive impairment, with special care to vital functions as breathing and feeding. Many of these patients complain of painful symptoms though their origin is variable, and their presence is frequently not considered in the treatment guidelines, leaving their management to the decision of the clinicians alone. However, studies focusing on pain frequency in such disorders suggest a high prevalence of pain in selected populations from 38 to 75% in AD, 40% to 86% in PD, and 19 to 85% in MND. The methods of pain assessment vary between studies so the type of pain has been rarely reported. However, a prevalent nonneuropathic origin of pain emerged for MND and PD. In AD, no data on pain features are available. No controlled therapeutic trials and guidelines are currently available. Given the relevance of pain in neurodegenerative disorders, the comprehensive understanding of mechanisms and predisposing factors, the application and validation of specific scales, and new specific therapeutic trials are needed.http://dx.doi.org/10.1155/2016/7576292
spellingShingle Marina de Tommaso
Lars Arendt-Nielsen
Ruth Defrin
Miriam Kunz
Gisele Pickering
Massimiliano Valeriani
Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives
Behavioural Neurology
title Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives
title_full Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives
title_fullStr Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives
title_full_unstemmed Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives
title_short Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives
title_sort pain in neurodegenerative disease current knowledge and future perspectives
url http://dx.doi.org/10.1155/2016/7576292
work_keys_str_mv AT marinadetommaso paininneurodegenerativediseasecurrentknowledgeandfutureperspectives
AT larsarendtnielsen paininneurodegenerativediseasecurrentknowledgeandfutureperspectives
AT ruthdefrin paininneurodegenerativediseasecurrentknowledgeandfutureperspectives
AT miriamkunz paininneurodegenerativediseasecurrentknowledgeandfutureperspectives
AT giselepickering paininneurodegenerativediseasecurrentknowledgeandfutureperspectives
AT massimilianovaleriani paininneurodegenerativediseasecurrentknowledgeandfutureperspectives