Therapeutic Advances in Chronic Disease, 2022 · DOI: 10.1177/20406223221078672 · Published: January 12, 2022
This systematic review and meta-analysis aimed to evaluate the effectiveness of physiotherapy interventions for the management of central neuropathic pain (cNeP) due to any underlying cause. The review included randomised controlled trials that compared physiotherapy interventions to a control condition on pain among people with cNeP. The study found evidence supporting the use of non-invasive neurostimulation, acupuncture, TENS, mirror therapy and exercise for pain management in specific conditions causing cNeP.
Physiotherapists can consider non-invasive neurostimulation for patients with SCI and phantom limb pain.
Further research is needed to validate the benefits of non-invasive neurostimulation for stroke patients.
Clinical guidelines for cNeP management should consider including acupuncture, TENS and mirror therapy.