Nociplastic Pain Criteria or Recognition of Central Sensitization? Pain Phenotyping in the Past, Present and Future

被引：175

作者：

Nijs, Jo ^{[1
,2
,3
]}

Lahousse, Astrid ^{[1
,4
]}

Kapreli, Eleni ^{[5
]}

Bilika, Paraskevi ^{[5
]}

Saracoglu, Ismail ^{[6
]}

Malfliet, Anneleen ^{[1
,2
,4
]}

Coppieters, Iris ^{[1
,2
]}

De Baets, Liesbet ^{[1
]}

Leysen, Laurence ^{[1
]}

Roose, Eva ^{[1
]}

Clark, Jacqui ^{[1
,7
]}

Voogt, Lennard ^{[1
,8
]}

Huysmans, Eva ^{[1
,2
,4
]}

机构：

[1] Vrije Univ Brussel, Fac Phys Educ & Physiotherapy, Dept Physiotherapy Human Physiol & Anat, Pain Mot Res Grp PAIN, B-1050 Brussels, Belgium

[2] Univ Hosp Brussels, Dept Phys Med & Physiotherapy, Chron Pain Rehabil, B-1050 Brussels, Belgium

[3] Univ Gothenburg, Univ Gothenburg Ctr Person Centred Care GPCC, Dept Hlth & Rehabil,Sahlgrenska Acad, Unit Physiotherapy,Inst Neurosci & Physiol, S-40530 Gothenburg, Sweden

[4] Res Fdn Flanders FWO, B-1000 Brussels, Belgium

[5] Univ Thessaly, Physiotherapy Dept, Clin Exercise Physiol & Rehabil Res Lab, Fac Hlth Sci, Lamia 38221, Greece

[6] Kutahya Hlth Sci Univ, TR-43100 Kutahya, Turkey

[7] Specialist Pain Physiotherapy Clin, Pains & Brains, New Plymouth 4310, New Zealand

[8] Univ Appl Sci Rotterdam, NL-3015 Rotterdam, Netherlands

来源：

JOURNAL OF CLINICAL MEDICINE | 2021年 / 10卷 / 15期

关键词：

nociplastic pain; precision medicine; neuropathic; central sensitization; nociceptive; LOW-BACK-PAIN; MECHANISMS-BASED CLASSIFICATIONS; EXERCISE-INDUCED HYPOALGESIA; QUALITY-OF-LIFE; NEUROPATHIC PAIN; CLINICAL CLASSIFICATION; MUSCULOSKELETAL PAIN; SLEEP DISTURBANCES; POSTOPERATIVE PAIN; TEMPORAL SUMMATION;

D O I：

10.3390/jcm10153203

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Recently, the International Association for the Study of Pain (IASP) released clinical criteria and a grading system for nociplastic pain affecting the musculoskeletal system. These criteria replaced the 2014 clinical criteria for predominant central sensitization (CS) pain and accounted for clinicians' need to identify (early) and correctly classify patients having chronic pain according to the pain phenotype. Still, clinicians and researchers can become confused by the multitude of terms and the variety of clinical criteria available. Therefore, this paper aims at (1) providing an overview of what preceded the IASP criteria for nociplastic pain ('the past'); (2) explaining the new IASP criteria for nociplastic pain in comparison with the 2014 clinical criteria for predominant CS pain ('the present'); and (3) highlighting key areas for future implementation and research work in this area ('the future'). It is explained that the 2021 IASP clinical criteria for nociplastic pain are in line with the 2014 clinical criteria for predominant CS pain but are more robust, comprehensive, better developed and hold more potential. Therefore, the 2021 IASP clinical criteria for nociplastic pain are important steps towards precision pain medicine, yet studies examining the clinimetric and psychometric properties of the criteria are urgently needed.

引用

页数：14

共 94 条

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