دورية أكاديمية

Effects of Transcranial Direct Current Stimulation, Transcranial Pulsed Current Stimulation, and Their Combination on Brain Oscillations in Patients with Chronic Visceral Pain: A Pilot Crossover Randomized Controlled Study.

التفاصيل البيبلوغرافية
العنوان: Effects of Transcranial Direct Current Stimulation, Transcranial Pulsed Current Stimulation, and Their Combination on Brain Oscillations in Patients with Chronic Visceral Pain: A Pilot Crossover Randomized Controlled Study.
المؤلفون: Thibaut A; Neuromodulation Center, Spaulding Rehabilitation Hospital, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States.; Coma Science Group, GIGA-Research, University and University Hospital of Liege, Liege, Belgium., Russo C; Department of Psychology, Milan Center for Neuroscience-NeuroMi, University of Milano-Bicocca, Milano, Italy., Hurtado-Puerto AM; Laboratory for Neuropsychiatry and Neuromodulation, Transcranial Magnetic Stimulation Clinical Service, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States., Morales-Quezada JL; Neuromodulation Center, Spaulding Rehabilitation Hospital, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States.; Center for Integrative Medicine Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States., Deitos A; Post-Graduate Program in Medical Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.; Laboratory of Pain and Neuromodulation, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil., Petrozza JC; Department of Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States., Freedman S; Division of Translational Research, Beth Israel Deaconess Medical Center, Boston, MA, United States., Fregni F; Neuromodulation Center, Spaulding Rehabilitation Hospital, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States.
المصدر: Frontiers in neurology [Front Neurol] 2017 Nov 01; Vol. 8, pp. 576. Date of Electronic Publication: 2017 Nov 01 (Print Publication: 2017).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101546899 Publication Model: eCollection Cited Medium: Print ISSN: 1664-2295 (Print) Linking ISSN: 16642295 NLM ISO Abbreviation: Front Neurol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Lausanne : Frontiers Research Foundation, 2010]-
مستخلص: Objective: Chronic visceral pain (CVP) syndromes are persistently painful disorders with a remarkable lack of effective treatment options. This study aimed at evaluating the effects of different neuromodulation techniques in patients with CVP on cortical activity, through electreocephalography (EEG) and on pain perception, through clinical tests.
Design: A pilot crossover randomized controlled study.
Settings: Out-patient.
Subjects: Adults with CVP (>3 months).
Methods: Participants received four interventions in a randomized order: (1) transcranial pulsed current stimulation (tPCS) and active transcranial direct current stimulation (tDCS) combined, (2) tPCS alone, (3) tDCS alone, and (4) sham condition. Resting state quantitative electroencephalography (qEEG) and pain assessments were performed before and after each intervention. Results were compared with a cohort of 47 healthy controls.
Results: We enrolled six patients with CVP for a total of 21 visits completed. Compared with healthy participants, patients with CVP showed altered cortical activity characterized by increased power in theta, alpha and beta bands, and a significant reduction in the alpha/beta ratio. Regarding tES, the combination of tDCS with tPCS had no effect on power in any of the bandwidths, nor brain regions. Comparing tPCS with tDCS alone, we found that tPCS induced higher increase in power within the theta and alpha bandwidths.
Conclusion: This study confirms that patients with CVP present abnormal EEG-indexed cortical activity compared with healthy controls. Moreover, we showed that combining two types of neurostimulation techniques had no effect, whereas the two interventions, when applied individually, have different neural signatures.
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فهرسة مساهمة: Keywords: chronic visceral pain; electroencephalogram; non-invasive brain stimulation; pain; transcranial direct current stimulation; transcranial pulsed current stimulation
تواريخ الأحداث: Date Created: 20171123 Latest Revision: 20231112
رمز التحديث: 20231112
مُعرف محوري في PubMed: PMC5672558
DOI: 10.3389/fneur.2017.00576
PMID: 29163341
قاعدة البيانات: MEDLINE
الوصف
تدمد:1664-2295
DOI:10.3389/fneur.2017.00576