دورية أكاديمية
أعرض في EDS

Effects of Non-Invasive Brain Stimulation on Clinical Pain Intensity and Experimental Pain Sensitivity Among Individuals with Central Post-Stroke Pain: A Systematic Review.

التفاصيل البيبلوغرافية
العنوان: Effects of Non-Invasive Brain Stimulation on Clinical Pain Intensity and Experimental Pain Sensitivity Among Individuals with Central Post-Stroke Pain: A Systematic Review.
المؤلفون: Ramger BC; Physical Therapy Division, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, NC, USA., Bader KA; Physical Therapy Division, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, NC, USA., Davies SP; Physical Therapy Division, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, NC, USA., Stewart DA; Physical Therapy Division, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, NC, USA., Ledbetter LS; Research and Education, Duke University Medical Center Library, Durham, NC, USA., Simon CB; Physical Therapy Division, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, NC, USA., Feld JA; Physical Therapy Division, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, NC, USA.
المصدر: Journal of pain research [J Pain Res] 2019 Dec 13; Vol. 12, pp. 3319-3329. Date of Electronic Publication: 2019 Dec 13 (Print Publication: 2019).
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Dove Medical Press Country of Publication: New Zealand NLM ID: 101540514 Publication Model: eCollection Cited Medium: Print ISSN: 1178-7090 (Print) Linking ISSN: 11787090 NLM ISO Abbreviation: J Pain Res Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Auckland, N.Z.] : Dove Medical Press
مستخلص: Purpose: Central post-stroke pain (CPSP) is a neuropathic disorder resulting in pain and disability. An emerging treatment for CPSP is non-invasive brain stimulation including direct current stimulation [tDCS] and repetitive transcranial magnetic stimulation [rTMS]. This systematic review analyzes the efficacy and quality of non-invasive brain stimulation intervention studies for CPSP.
Methods: Studies were sought from three research databases published between 2007 and 2017. Studies were included if the sole intervention was non-invasive brain stimulation and the primary outcome either clinical or experimental pain intensity. Studies were qualitatively assessed for risk of bias.
Results: Of 1107 articles extracted, six met eligibility criteria. Five studies found a decrease in pain intensity (p<0.05) immediately and 3 weeks after rTMS or tDCS was delivered over the primary motor cortex. For experimental pain, one study found thermal pain thresholds improved for those receiving tDCS compared to sham (p<0.05), while another found normalization of the cold detection threshold only after rTMS (p<0.05). Qualitative assessment revealed only one study rated as "excellent/good" quality, while the other five were rated as "fair" or "poor".
Conclusion: Non-invasive brain stimulation may have a therapeutic effect on pain level for individuals with CPSP, as evidenced by significant decreases in clinical and experimental pain scores. However, despite the impact of CPSP and the promise of non-invasive brain stimulation, few rigorous studies have been performed in this area. Future studies should aim to standardize treatment parameters, measure both clinical and experimental pain, and include long-term follow-up.
Competing Interests: The authors report no conflicts of interest or sources of financial support for this work.
(© 2019 Ramger et al.)
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معلومات مُعتمدة: L30 AG064712 United States AG NIA NIH HHS
فهرسة مساهمة: Keywords: pain management; stroke; transcranial direct current stimulation; transcranial magnetic stimulation
تواريخ الأحداث: Date Created: 20191220 Latest Revision: 20220411
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6916700
DOI: 10.2147/JPR.S216081
PMID: 31853195
قاعدة البيانات: MEDLINE
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