Frontiers in Neurology (May 2018)

What Is the Role of the Placebo Effect for Pain Relief in Neurorehabilitation? Clinical Implications From the Italian Consensus Conference on Pain in Neurorehabilitation

  • Gianluca Castelnuovo,
  • Gianluca Castelnuovo,
  • Emanuele Maria Giusti,
  • Emanuele Maria Giusti,
  • Gian Mauro Manzoni,
  • Gian Mauro Manzoni,
  • Donatella Saviola,
  • Samantha Gabrielli,
  • Marco Lacerenza,
  • Giada Pietrabissa,
  • Giada Pietrabissa,
  • Roberto Cattivelli,
  • Roberto Cattivelli,
  • Chiara Anna Maria Spatola,
  • Chiara Anna Maria Spatola,
  • Alessandro Rossi,
  • Giorgia Varallo,
  • Margherita Novelli,
  • Valentina Villa,
  • Francesca Luzzati,
  • Andrea Cottini,
  • Carlo Lai,
  • Eleonora Volpato,
  • Eleonora Volpato,
  • Cesare Cavalera,
  • Francesco Pagnini,
  • Francesco Pagnini,
  • Valentina Tesio,
  • Lorys Castelli,
  • Mario Tavola,
  • Riccardo Torta,
  • Marco Arreghini,
  • Loredana Zanini,
  • Amelia Brunani,
  • Ionathan Seitanidis,
  • Giuseppe Ventura,
  • Paolo Capodaglio,
  • Guido Edoardo D’Aniello,
  • Guido Edoardo D’Aniello,
  • Federica Scarpina,
  • Andrea Brioschi,
  • Matteo Bigoni,
  • Lorenzo Priano,
  • Lorenzo Priano,
  • Alessandro Mauro,
  • Alessandro Mauro,
  • Giuseppe Riva,
  • Giuseppe Riva,
  • Daniele Di Lernia,
  • Claudia Repetto,
  • Camillo Regalia,
  • Enrico Molinari,
  • Enrico Molinari,
  • Paolo Notaro,
  • Stefano Paolucci,
  • Giorgio Sandrini,
  • Giorgio Sandrini,
  • Susan Simpson,
  • Susan Simpson,
  • Brenda Kay Wiederhold,
  • Santino Gaudio,
  • Jeffrey B. Jackson,
  • Stefano Tamburin,
  • Fabrizio Benedetti

DOI
https://doi.org/10.3389/fneur.2018.00310
Journal volume & issue
Vol. 9

Abstract

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BackgroundIt is increasingly acknowledged that the outcomes of medical treatments are influenced by the context of the clinical encounter through the mechanisms of the placebo effect. The phenomenon of placebo analgesia might be exploited to maximize the efficacy of neurorehabilitation treatments. Since its intensity varies across neurological disorders, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCP) summarized the studies on this field to provide guidance on its use.MethodsA review of the existing reviews and meta-analyses was performed to assess the magnitude of the placebo effect in disorders that may undergo neurorehabilitation treatment. The search was performed on Pubmed using placebo, pain, and the names of neurological disorders as keywords. Methodological quality was assessed using a pre-existing checklist. Data about the magnitude of the placebo effect were extracted from the included reviews and were commented in a narrative form.Results11 articles were included in this review. Placebo treatments showed weak effects in central neuropathic pain (pain reduction from 0.44 to 0.66 on a 0–10 scale) and moderate effects in postherpetic neuralgia (1.16), in diabetic peripheral neuropathy (1.45), and in pain associated to HIV (1.82). Moderate effects were also found on pain due to fibromyalgia and migraine; only weak short-term effects were found in complex regional pain syndrome. Confounding variables might have influenced these results.Clinical implicationsThese estimates should be interpreted with caution, but underscore that the placebo effect can be exploited in neurorehabilitation programs. It is not necessary to conceal its use from the patient. Knowledge of placebo mechanisms can be used to shape the doctor–patient relationship, to reduce the use of analgesic drugs and to train the patient to become an active agent of the therapy.

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