Unpublished conference/Abstract (Scientific congresses and symposiums)
Prevalence of signs of nociception during physiotherapy in patient with disorders of consciousness.
Bonin, Estelle; Binda Fossati, Mariachiara Luisella; Filippini, Maria Maddalena et al.
2020Belgian Pain Society - 1 st Young Researchers Day
 

Files


Full Text
PPT_Bonin_Estelle_YRD_FINAL_VERSION.pptx
Author postprint (5.12 MB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
Pain; Nociception; Disorders of consciousness; Physiotherapy; Behavioural assessment
Abstract :
[en] Patients with disorders of consciousness (DOC) may suffer from neuro-orthopaedics disorders that can lead to potential pain during physiotherapy (PT). These patients are unable to communicate it is therefore a real challenge for clinicians to assess pain and adapt treatment. This randomized double-blind placebo-controlled study aimed to investigate the prevalence of signs of nociception during PT and their changes in relation to a pain-killer. During baseline (D0), pain responsiveness was assessed using the NCS-R (Nociception Coma Scale-Revised): at rest; during a tactile stimulation (TS); during a nociceptive stimulation (NS); and during PT. Then, patient with signs of potential pain during PT was assessed during a placebo and a pain-killer condition (D1 and D2). Our results show that most DOC patients present signs of potential pain during PT (14/19; 73.4%), and a few of them already received analgesic treatment before the study (5/14, 35.7%). During baseline, we found significant differences between the NCS-R score during PT than the three others stimulation, suggesting that passive mobilizations are potentially painful for DOC patient. These difference remains during placebo and treatment condition expect with the NS. We do not found an effect of pain-killer on the NCS-R score during PT and NS. This could be explained by the fact that the NCS-R failed to detect the effect of pain-killer or that this effect was not strong enough. This study point-out that PT may be painful for DOC patients and appropriate assessment and treatment before and during mobilizations should become a priority in clinical setting.
Disciplines :
Neurosciences & behavior
Author, co-author :
Bonin, Estelle  ;  Université de Liège - ULiège > GIGA > GIGA-Consciousness-Coma Science Group ; CHU de Liège - Centre du Cerveau²
Binda Fossati, Mariachiara Luisella 
Filippini, Maria Maddalena
BORNHEIM, Stephen ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Médecine de l'appareil locomoteur (Kiné - ST hospi)
Lejeune, Nicolas
BODART, Olivier  ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de neurologie
Laureys, Steven  ;  Université de Liège - ULiège > Consciousness-Coma Science Group
Thibaut, Aurore ;  Université de Liège - ULiège > Consciousness-Coma Science Group
Chatelle, Camille ;  Université de Liège - ULiège > Consciousness-Coma Science Group
Language :
English
Title :
Prevalence of signs of nociception during physiotherapy in patient with disorders of consciousness.
Publication date :
05 March 2020
Event name :
Belgian Pain Society - 1 st Young Researchers Day
Event organizer :
UCLouvain
Event place :
Brussels, Belgium
Event date :
5 Mars 2020
Available on ORBi :
since 03 May 2020

Statistics


Number of views
125 (10 by ULiège)
Number of downloads
3 (1 by ULiège)

Bibliography


Similar publications



Contact ORBi