Neurospine, 2023 · DOI: https://doi.org/10.14245/ns.2346588.294 · Published: September 1, 2023
Neuropathic pain, a common issue after spinal cord injury (SCI), involves heightened sensitivity to stimuli. Current treatments offer only temporary relief, leading researchers to explore alternative strategies like exercise therapy. This study investigates whether exercise can effectively reduce neuropathic pain following traumatic SCI. By analyzing existing research, the review aims to provide a comprehensive understanding of exercise's role in pain management for SCI patients. The results suggest that exercise is indeed effective in alleviating neuropathic pain in animal models of SCI. Specifically, voluntary, continuous training initiated in the subacute phase of mild SCI shows more prominent effects.
Early and continuous exercise programs, especially voluntary ones, should be integrated into SCI rehabilitation to manage neuropathic pain.
Initiating exercise in the subacute phase (7-8 days post-injury) may yield better outcomes in reducing mechanical allodynia.
Voluntary exercises should be prioritized over forced exercises due to their greater effect on neuropathic pain reduction.