Article

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.
CI - Copyright (c) 2016. Published by Elsevier Masson SAS.

Langue : ANGLAIS