Sickle cell disease chronic joint pain: Clinical assessment based on maladaptive central nervous system plasticity

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art_LOPES_Sickle_cell_disease_chronic_joint_pain_Clinical_assessment_2022.PDF (1.65 MB)
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2022
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
FRONTIERS MEDIA SA
Autores
LOPES, Tiago da Silva
BALLAS, Samir K.
SANTANA, Jamille Evelyn Rodrigues Souza
MELO-CARNEIRO, Pedro de
OLIVEIRA, Lilian Becerra de
LOPES, Larissa Conceicao Dias
SILVA, Wellington dos Santos
LUCENA, Rita
Citação
FRONTIERS IN MEDICINE, v.9, article ID 679053, 14p, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Chronic joint pain (CJP) is among the significant musculoskeletal comorbidities in sickle cell disease (SCD) individuals. However, many healthcare professionals have difficulties in understanding and evaluating it. In addition, most musculoskeletal evaluation procedures do not consider central nervous system (CNS) plasticity associated with CJP, which is frequently maladaptive. This review study highlights the potential mechanisms of CNS maladaptive plasticity related to CJP in SCD and proposes reliable instruments and methods for musculoskeletal assessment adapted to those patients. A review was carried out in the PubMed and SciELO databases, searching for information that could help in the understanding of the mechanisms of CNS maladaptive plasticity related to pain in SCD and that presented assessment instruments/methods that could be used in the clinical setting by healthcare professionals who manage chronic pain in SCD individuals. Some maladaptive CNS plasticity mechanisms seem important in CJP, including the impairment of pain endogenous control systems, central sensitization, motor cortex reorganization, motor control modification, and arthrogenic muscle inhibition. Understanding the link between maladaptive CNS plasticity and CJP mechanisms and its assessment through accurate instruments and methods may help healthcare professionals to increase the quality of treatment offered to SCD patients.
Palavras-chave
musculoskeletal pain, symptoms assessment, red cell disorders, practical reasoning, evidence-based medicine
URI
https://observatorio.fm.usp.br/handle/OPI/50845
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/54