Cerebral Palsy Link to Sensorimotor System, Cognition, Emotion and Nociplastic Pain
Wolfgang Laube1, Mathilde Sengoelge1
1Department for Health Sciences, Medicine and Research, Faculty of Health and Medicine, Center for Health Sciences and Medicine, A-3500 Krems, Austria.
Insights
Cerebral palsy (CP) involves brain damage affecting sensorimotor function, cognition, and emotion, leading to chronic pain. Early interventions are key for managing pain and improving function in individuals with CP.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Pain Medicine
Background:
- Brain damage before, during, or after birth alters sensorimotor function, impacting cognition, emotion, and pain perception.
- This leads to functional developmental disorders and chronic deconditioning, affecting the brain's neuromatrix structure and function.
- Individuals with cerebral palsy (CP) exhibit a high prevalence of chronic pain syndromes.
Purpose of the Study:
- To review the intricate connections between the sensorimotor system, cognition, emotion, and pain in individuals with deconditioning or delayed sensorimotor development.
- To specifically apply these concepts to individuals with cerebral palsy (CP).
- To highlight the role of CP as both a predisposing and causal factor for nociplastic pain.
Main Methods:
- This study is a narrative review of existing literature.
- It synthesizes information on the pathophysiology of sensorimotor alterations and their systemic effects.
- The review focuses on the link between developmental disorders and chronic pain conditions.
Main Results:
- Altered sensorimotor function due to brain damage is intrinsically linked to cognitive, emotional, and behavioral changes.
- Chronic deconditioning exacerbates these alterations, contributing to primary and secondary degenerative diseases.
- Cerebral palsy (CP) is identified as a significant factor in the development of nociplastic pain.
Conclusions:
- Therapeutic interventions are essential for optimizing movement, cognitive, and emotional functions in individuals with CP.
- Effective management strategies are crucial for reducing the high prevalence of chronic pain in this population.
- Addressing sensorimotor deficits is key to improving overall quality of life for individuals with CP.
Abstract:
This narrative review provides an overview of the link between the sensorimotor system, cognition, emotion and pain syndromes in persons due to deconditioning or delayed sensorimotor development, then applied to persons with cerebral palsy (CP). The brain damage that occurs before, during or even after birth pathophysiologically alters the structure and subsequent function of the sensorimotor function, which is inseparably linked to cognition, emotion, behavior and pain. This damage results in a functional developmental disorder that also affects the structure and function of the neuromatrix in a graded manner due to chronic deconditioning. It is the basis for both primary and secondary chronic degenerative diseases. This leads to an increasing prevalence of chronic pain syndromes, which may be very high in persons with CP. Thus, CP is both a disposing factor and a causal factor for nociplastic pain, defined as persistent pain arising from altered nociception without evidence of tissue or somatosensory damage. Therapy interventions are crucial to optimize movement, cognition and emotion, as well as pain reduction in persons with CP.
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