Journal
ANNALS OF PHYSICAL AND REHABILITATION MEDICINE
Volume 59, Issue 5-6, Pages 294-301Publisher
ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER
DOI: 10.1016/j.rehab.2016.10.001
Keywords
CRPS; Pain; Spatial neglect; Body representation; Reference frame; Motor neglect; ADL; Prism adaptation
Categories
Funding
- Hospices Civils de Lyon
- Inserm
- LabEx Cortex [ANR-11-LABX-0042]
- LabEx Cortex (IHU CeSaMe) [ANR-10-IBHU-0003]
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Complex regional pain syndrome (CRPS) is a dehabilitating chronic condition occurring with peripheral lesions. There is growing consensus for a central contribution to CRPS. Although the nature of this central body representation disorder is increasingly debated, it has been repeatedly argued that CRPS results in motor neglect of the affected side. The present article describes a comprehensive and quantitative case report demonstrating that: (1) not all patients with chronic CRPS exhibit decreased spatial attention for the affected side and (2) patients may actually exhibit a substantial, broad and reliable attentional bias toward the painful side, akin to spatial neglect for the healthy side. This unexpected result agrees with the idea that patients can be hyper-attentive toward their pathological side as a manifestation of lowered pain threshold, allodynia and kinesiophobia. (C) 2016 Published by Elsevier Masson SAS.
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