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2019, Number 1-2

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Rev Mex Med Fis Rehab 2019; 31 (1-2)

Spinal segmental sensitization syndrome: proposed new diagnostic criteria for research

Nakazato NT, Romero VP

Language: Spanish
References: 27
Page: 6-12
PDF size: 254.84 Kb.


ABSTRACT

Introduction: Spinal segmental sensitization syndrome (SSS) is a chronic regional musculoskeletal pain condition, commonly seen in the daily physiatric consultation. It was first described by Fischer in 1997, based on the concepts of Maigne and Gunn. The «persistent bombardment» of nociceptive impulses to the spinal cord, and the nerve root «neurogenic dysfunction» according to Cannon and Rosenblueth law of denervation are the likely causes. The lack of consensus about diagnostic criteria may be one of the main reasons why there is little attention to this syndrome. Material and methods: We present a proposal for diagnostic criteria of SSS, in accordance to the clinical experience of the authors. Results: Operational definition of SSS for diagnosis has been drawn up with the aim of being efficient, with a reduced number of items (only the essentials), to get homogeneous groups of patients to be comparable. It is not meant to be a clinical picture of this syndrome. Conclusions: This set of criteria would bring us a standardized framework for epidemiological research in different countries. We would evaluate the interrater validity, and obtain the prevalence, risk factors, and the most effective rehabilitation treatments for SSS in future studies.


REFERENCES

  1. Fischer AA. New developments in diagnosis of myofascial pain and fibromyalgia. Phys Med Rehab Clin N Am. 1997; 8 (1): 1-21.

  2. Gunn CC. The Gunn approach to the treatment of chronic pain: intramuscular stimulation for myofascial pain of radiculopathic origin. 2nd ed. New Yok: Churchill Livingstone; 1996.

  3. Gunn CC. Radiculopathic pain: diagnosis and treatment of segmental irritation or sensitization. Journal of Musculoskeletal Pain. 1997; 5 (4): 119-134.

  4. Maigne R. Método Maigne. Medicina ortopédica manual: dolor de Origen Vertebral. Barcelona: Publidisa; 2006.

  5. Nakazato T, Camacho G. Simuleurope.org. [Online].; 2017. Available from: http://simul-europe.com/2017/ISPRM/Files/(tomnaka@gmail.com)Prevalence%20SSS%20-%20Poster%20-%20BsAs%202017.pdf.

  6. Suputtitada A. Spinal segmental sensitization and myofascial pain syndrome: evidences and experiences. Int J Phys Med Rehabil. 2015; 3 (4):

  7. Romero P. Consecuencias clínicas de la estimulación sensorial persistente: la sensibilización espinal segmentaria. Boletín El Dolor. 2005; 14: 42-50.

  8. Shah JP, Thaker N. Acupuncture and needling techniques for segmental dysfunction in neuromusculoskeletal pain. In: Valera Garrido F, Minaya MF. Advanced techniques in musculoskeletal medicine & physiotherapy. Elsevier Spain; 2016, p.p. 247-254.

  9. Cannon WB, Rosenblueth A. The supersensitivity of denervated structures: a law of denervation. New York: MacMillan; 1949.

  10. Gunn CC. “Prespondylosis” and some pain syndromes following denervation supersensitivity. Spine. 1980; 5 (2): 185-192.

  11. Kirmayer LJ, Robbins JM. Functional somatic syndromes. In: Kirmayer LJ, Robbins JM. Current concepts of somatization. Washington: American Psychiatric Press; 1991, p.p. 79-106.

  12. Mayou R, Farmer A. Functional somatic symptoms and syndromes. BMJ. 2002; 325: 265-268.

  13. International Association for the Study of Pain (IASP). Classification of chronic pain, Second Edition (Revised). [Online].; 2011 [cited 2016 October] Available from: http://www.iasp-pain.org/PublicationsNews/Content.aspx?ItemNumber=1673&navItemNumber=677.

  14. Fischer AA, Imamura M, Dubo H, Cassius D. Spinal segmental sensitization. In: O’Young B, Young M, Stiens S. Physical medicine & rehabilitation secrets. 3rd ed. New York: Mosby; 2008, p.p. 610-625.

  15. Unverzagt C, Berglund K, Thomas JJ. Dry needling for myofascial trigger point pain: A clinical commentary. Int J Sports Phys Ther. 2015; 10 (3): 402-418.

  16. Suputtitada A. Myofascial pain syndrome and sensitization. Physical Medicine and Rehabilitation Research. 2016; 1 (5): 2-4.

  17. Shah JP, Thaker N. Myofascial pain syndrome. In: Cheng J, Rosenquist R. Fundamentals of pain medicine. Cham: Springer International Publishing AG; 2018, p.p. 177-184.

  18. Belmonte-Serrano MA. El mito de la distinción entre criterios de clasificación y criterios diagnósticos (Cartas al Editor). Reumatol Clin. 2015; 11 (3): 184-191.

  19. Rudwaleit M, Taylr WJ. Classification criteria for psoriatic arthritis and ankylosing spondylitis. Best Pract Res Clin Rheumatol. 2010; 24: 589-604.

  20. Nakazato T, Camacho G. Spinal segmental sensitization syndrome as a common cause of chronico musculoskeletal pain: a case series study. American Academy of Physical Medicine and Rehabilitation. 2014; 6 (8): S143.

  21. Harden RN, Bruehl S, Stanton-Hicks M, Wilson PR. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med. 2007; 8 (4): 327-331.

  22. Wolfe F, Smythe HA, Yunus MB, Bennet RM, Bombardier C, Goldenberg DL et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. report of the multicenter criteria committee. Arthritis Rheum. 1990; 22 (2): 160-172.

  23. Gallardo NJ. La inervación sensitiva segmentaria: dermatomas, miotomas y esclerotomas. Rev Chil Anestesia. 2008; 37: 26-38.

  24. Keegan J, Garrett F. Dermatomes. Anat Rec. 1948; 102: 409-437.

  25. Simons DG, Travell JG, Simons LS. Travell & Simons’ myofascial pain and dysfunction: the trigger point manual. 2nd ed. Baltimore: Williams & Wilkins; 1999.

  26. Inman VT, Saunders JB. Referred pain from skeletal structures. The Journal of Nervous and Mental Disease. 1944; 99 (5): 660-667.

  27. Treede RD, Rief W, Barke A, Aziz Q, Bennet MI, Benoliel R et al. A classification of chronic pain for ICD-11. Pain. 2015; 156 (6): 1003-1007.




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