کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3068036 1188187 2007 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Recent advances in the treatment of chronic pain with non-invasive brain stimulation techniques
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب (عمومی)
پیش نمایش صفحه اول مقاله
Recent advances in the treatment of chronic pain with non-invasive brain stimulation techniques
چکیده انگلیسی

SummaryBackgroundBrain stimulation is a technique that can guide brain plasticity and thus be suitable to treat chronic pain—a disorder that is associated with substantial reorganisation of CNS activity. In fact, the idea of using invasive and non-invasive brain stimulation for pain relief is not new. Studies from the 1950s investigated the use of this therapeutic method for the treatment of chronic pain. However, recent advancements in the techniques of non-invasive brain stimulation have enhanced their modulatory effects and thus become a new, attractive alternative for chronic pain treatment.Recent developmentsRecent studies with non-invasive brain stimulation—eg, repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS)—using new parameters of stimulation have shown encouraging results. These studies explored alternative sites of stimulation, such as the secondary somatosensory cortex (rather than primary motor cortex) for the treatment of chronic visceral pain and new parameters of stimulation, such as repeated sessions of tDCS with 2 mA for the treatment of chronic central pain.Where next?The investigation of non-invasive brain stimulation for therapeutic effects is in its at initial stages; but the preliminary data make us optimistic. Several questions still need to be addressed before any firm conclusion about this therapy is made. Other parameters of stimulation need to be further explored such as theta-burst stimulation and the combination of tDCS and rTMS. The duration of the therapeutic effects is another important issue to be considered, especially because the current devices for brain stimulation do not allow patients to receive this therapy in their homes; therefore, maintenance therapy regimens, as well as the development of portable stimulators, need to be investigated. Further trials must determine the optimum parameters of stimulation. After that, confirmatory, larger studies are mandatory.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: - Volume 6, Issue 2, February 2007, Pages 188–191
نویسندگان
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