{"id":450,"date":"2017-12-10T17:05:17","date_gmt":"2017-12-10T17:05:17","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=450"},"modified":"2017-12-10T17:05:23","modified_gmt":"2017-12-10T17:05:23","slug":"ijpr-2017-245","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-245","title":{"rendered":"IJPR.2017.245"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.5.6\/IJPR.2017.245.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol5_6.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Case Study<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 5; Issue 6\u00a0(December 2017)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a02541-2544<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2017.245<\/h3>\n<h3 style=\"text-align: justify;\">DESENSITISATION THERAPY IN POST STROKE PAIN SYNDROME: A CASE STUDY<\/h3>\n<p style=\"text-align: justify;\"><strong>B\u00a0 Prudhvi Tejasri *<sup>1<\/sup>, R Arunachalam <sup>2<\/sup>, Kumaresan <sup>3<\/sup>, S Kiruthika <sup>4<\/sup>.<\/strong><\/p>\n<p><sup>1* <\/sup>MPT 2<sup>nd<\/sup> yr , Saveetha College Of Physiotherapy, Saveetha University, Chennai, India.<\/p>\n<p><sup>2 <\/sup>Associate Professor, Saveetha College Of Physiotherapy, Saveetha University, Chennai, India.<\/p>\n<p><sup>3 <\/sup>Assistant Professor, Saveetha College Of Physiotherapy, Saveetha University, Chennai, India.<\/p>\n<p><sup>4<\/sup> MPT(neuro), Tutor, Saveetha College Of Physiotherapy, Saveetha University, Chennai, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author:\u00a0 <\/strong>B . Prudhvi Tejasri, \u00a0MPT 2<sup>nd<\/sup> yr , Saveetha College Of Physiotherapy, Saveetha University, Chennai, India. Mobile no.: +917550116979\u00a0<strong>E-Mail: <\/strong>tejasri512@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>Abstract<\/strong>:<\/p>\n<p style=\"text-align: justify;\">A rare disorder in post stroke patients is &#8220;Dejerine Roussy syndrome&#8221; or &#8221; Thalamic pain syndrome &#8221; that is broadly defined as the stroke causing damage to the thalamus. Most commonly affects one hemisphere of brain and leads to lack of sensation on contra lateral side of the body . Thalamic pain syndrome has eponyms as\u201d Central Post Pain Syndrome , Thalamic Hypersthetic Anaesthesia, Central Pain Syndrome\u201d . It was found in 1906 and entitled as &#8220;De Syndrome Thalami Qui&#8221;. Thalamic pain syndrome is characterized by numbness on the affected side which is replaced by burning &amp; tingling sensations. These are accompanied by abnormal sensation of touch which refers to pain . It is a form of neuropathic\u00a0 pain often occur in combination of itching , burning , &amp; tingling sensations in response to stimuli . Following is a \u00a0case of 40 yr old female presenting with wide spread of pain over half of the body\u00a0 attributed to\u00a0 thalamic pain syndrome . Discussion of the characteristics of neuropathic pain\u00a0 and testing techniques\u00a0 by using sensory examination of Fugl Meyer Assessment Scale (FMA) and Nottingham Sensory Assessment (NSA) were described in detail.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words<\/strong>: Thalamic Pain Syndrome , Desensitization, Sensory Re-Education.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Jl Henry, C Lalloo, K Yashpal. Central post stroke pain\u00a0 : an abstruse outcome .\u00a0 pain\u00a0\u00a0\u00a0\u00a0 res manage, 2008;13(1):41-49 .<\/li>\n<li style=\"text-align: justify;\">Dejerine\u00a0 J, Roussy\u00a0 La syndrome\u00a0 thalamique ,\u00a0 the thalamic syndrome .\u00a0 arch neurology , 1969;20(55):559.<\/li>\n<li style=\"text-align: justify;\">Jeffrey R Tuling, Eldon Tunks. Thalamic pain syndrome in a patient presenting with right upper limb pain \u2013 a case report . JCCA , 1999;43(4):243-248.<\/li>\n<li style=\"text-align: justify;\">Bastings, E P Rapisarda , G Pennisi, A Lenaerts , et al. Mehanisms of hand motor recovery after stroke: an elecrophysiological study of central motor pathways . Jrnl of neurological rehabilitation 1997;11:97-108 .<\/li>\n<li style=\"text-align: justify;\">Feys, H M De Weerdt , W J Selz , et al ., Effect of a therapeutic intervention for hemiplegic upper limb in the acute phase after stroke : a single\u00a0 blind RCT. Journal of stroke 1998;(29):785-92 .<\/li>\n<li style=\"text-align: justify;\">Wade T D , Measurement in neurological rehabilitation . Oxford : oxford university press. Published in April 23, 1992.<\/li>\n<li style=\"text-align: justify;\">Katerina Machackova, Jana Vyskotova, Jaroslav Opavsky, Hana Sochorova. The assessment of extent of recovery of hand sensorimotor functions in the group of rehabilitated patients after sroke in post acute stage . Acta univ Palacki olomuc gymn , 2010;40(1):37-43.<\/li>\n<li style=\"text-align: justify;\">Sullivan, J E and\u00a0 LD\u00a0 Sensory dysfunction following stroke: incidence , significance , examination\u00a0 and intervention.\u00a0 Stroke rehabilitation, 2008;15(3):200-17.<\/li>\n<li style=\"text-align: justify;\">Fugl \u2013 meyer AR, Jaasko L, Leyman I, The post stroke hemiplegic patient . A method for evaluation of physical performance . scand J rehabilitation medicine 1980;7(1):13-31.<\/li>\n<li style=\"text-align: justify;\">Adams , NB Lincoln , JM Jackson The reliability and revision of nottingham sensory assessment for stroke patients. Journal of physiotherapy , 1998;84(11):358-365.<\/li>\n<li style=\"text-align: justify;\">Lincoln, N B, Crow, J L Jackson, J M Waters , G R\u00a0 Adams , S A\u00a0 &amp; Hodgson .P , The unreliability of sensory assessment .\u00a0 jrnl of clinical rehabilitation , 1991;5(4):273-82.<\/li>\n<li style=\"text-align: justify;\">Carey L M. et al ., Tactile and proprioceptive discrimination loss after stroke : Training effects and quantitative measurement. Crit reviews in physical and rehabilitation\u00a0 1995;74(6):602-11.<\/li>\n<li style=\"text-align: justify;\">Robert Teasell, Norine Foley, Sanjit K Bhogal, Katherine Salter. Management of post stroke pain ,\u00a0 7<sup>th<\/sup> edition , www. Ebrsr.com , 2012 .<\/li>\n<li style=\"text-align: justify;\">Winward, C E Halligan, P W , Wade\u00a0 D T. Current practice and clinical relevance of\u00a0 somato sensory assessment after stroke.\u00a0 clinical rehabilitation , 1999;13(1):48-55.<\/li>\n<li style=\"text-align: justify;\">Mc Geoch PD , Williams L , can vestibular caloric stimulation be used to treat Dejerine \u2013 Roussy Syndrome ? medical hypotheses. 2007;69:486-88.<\/li>\n<li style=\"text-align: justify;\">Craig AD , mechanism of thalamic pain : in Henry JL, Panju A , Yashpal K , Central neuropathic pain : focus on post stroke pain . seattle IASP press : 2007;81-99.<\/li>\n<li style=\"text-align: justify;\">Chih-Chung Chen, Yu-Fen Chuang,\u00a0Andrew Chih-Wei Huang,\u00a0Chih-Kuang Chen , The antalgic effects of non-invasive physical modalities on central post-stroke pain: a systematic review. J Phys Ther Sci. 2016 Apr;28(4):1368\u20131373.<\/li>\n<li style=\"text-align: justify;\">Boivie J, Leijon G, Johansson I. Central post-stroke pain: a study of the mechanisms through analysis of the sensory abnormalities. Pain. 1989;37:173\u2013185.<\/li>\n<li style=\"text-align: justify;\">Klit H, Finnerup NB, Jensen TS. Central post-stroke pain: clinical characteristics, pathophysiology, and management. Lancet Neurol. 2009;8:857\u2013868.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> B Prudhvi Tejasri, R Arunachalam, Kumaresan, S Kiruthika. DESENSITISATION THERAPY IN POST STROKE PAIN SYNDROME: A CASE STUDY. Int J Physiother\u00a0Res 2017;5(6):2541-2544. DOI: 10.16965\/ijpr.2017.245 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Case Study Volume 5; Issue 6\u00a0(December 2017) Page No.:\u00a02541-2544 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2017.245 DESENSITISATION THERAPY IN POST STROKE PAIN SYNDROME: A CASE STUDY B\u00a0 Prudhvi Tejasri *1, R Arunachalam 2, Kumaresan 3, S Kiruthika 4. 1* MPT 2nd yr , Saveetha College Of Physiotherapy, Saveetha University, Chennai, India. 2 Associate Professor, Saveetha College Of Physiotherapy, Saveetha<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-245\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-450","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/450"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=450"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/450\/revisions"}],"predecessor-version":[{"id":457,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/450\/revisions\/457"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}