Evolution of somatosensory processing signs after nociceptive targeted surgery in patients with musculoskeletal disorders: a systematic review.

Autor:	Vervullens S; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University Maastricht, the Netherlands.; Pain in Motion International Research Group (PiM) Antwerp, Belgium., Meert L; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University Maastricht, the Netherlands.; Pain in Motion International Research Group (PiM) Antwerp, Belgium., Meeus M; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; Pain in Motion International Research Group (PiM) Antwerp, Belgium.; Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium., Baert I; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; Pain in Motion International Research Group (PiM) Antwerp, Belgium., Heusdens CHW; Department of Orthopedics and Traumatology, University Hospital of Antwerp, Antwerp, Belgium.; Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium., Caethoven C; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium., Charpentier N; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium., Vervliet A; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium., Smeets RJEM; Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University Maastricht, the Netherlands.; Pain in Motion International Research Group (PiM) Antwerp, Belgium.; CIR Revalidatie, Eindhoven, the Netherlands.
Jazyk:	angličtina
Zdroj:	Pain [Pain] 2023 Jul 01; Vol. 164 (7), pp. 1428-1450. Date of Electronic Publication: 2023 Jan 19.
DOI:	10.1097/j.pain.0000000000002867
Abstrakt:	Abstract: Surgery is often advised when conservative treatment fails in musculoskeletal pain conditions, but a substantial proportion still suffers chronic pain after surgery. Somatosensory processing system (SPS) signs were previously studied as potential predictors for chronic postsurgical pain, but results are inconsistent. Therefore, studying the evolution of SPS signs could be of added value. The aim was to summarize all studies that measured how SPS signs evolved after nociceptive targeted surgery in musculoskeletal disorders and to find preoperative, perioperative, and postoperative predictors for the evolution of these SPS signs. Data were summarized, and risk of bias and level of evidence and recommendation were determined. Twenty-one studies were included. Five scored a low, 3 a moderate, and 13 a high risk of bias. In general, no consistent evolution of SPS signs comparing preoperative and postoperative values and predictors for this evolution in musculoskeletal disorders could be found. In most cases, static quantitative sensory testing (QST) did not change or conflicting results were found. On the other hand, dynamic QST mostly improved after surgery. Worthfully mentioning is that worsening of SPS signs was only seen at a follow-up of <3 months after surgery, that conclusions are stronger when evaluating dynamic QST with a follow-up of ≥3 months after surgery, and that pain improvement postsurgery was an important predictor. Future high-quality research should focus on the evolution of SPS signs after nociceptive targeted surgery, accounting for pain improvement groups and focusing on preoperative, perioperative, and postoperative predictors of this evolution. (Copyright © 2023 International Association for the Study of Pain.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu