Non-invasive brain stimulation techniques for chronic pain.
TL;DR: A short-term effect on pain is found of active high-frequency stimulation of the motor cortex in single-dose studies of repetitive transcranial magnetic stimulation and this equates to a 12% reduction in pain, which does not exceed the pre-established criteria for a minimal clinically important difference.
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Abstract: Copyright © 2011 The Cochrane Collaboration. This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 2010, Issue 9. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.
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Citations
Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS)
Jean Pascal Lefaucheur,Nathalie André-Obadia,Andrea Antal,Samar S. Ayache,Chris Baeken,David H. Benninger,Roberto Cantello,Massimo Cincotta,Mamede de Carvalho,Dirk De Ridder,Hervé Devanne,Vincenzo Di Lazzaro,Saša R. Filipović,Friedhelm C. Hummel,Satu K. Jääskeläinen,Vasilios K. Kimiskidis,Giacomo Koch,Berthold Langguth,Thomas Nyffeler,A. Oliviero,Frank Padberg,Emmanuel Poulet,Simone Rossi,Paolo Maria Rossini,John C. Rothwell,Carlos Schönfeldt-Lecuona,Hartwig R. Siebner,Christina W. Slotema,Charlotte J. Stagg,Josep Valls-Solé,Ulf Ziemann,Walter Paulus,Luis Garcia-Larrea +32 more
TL;DR: There is a sufficient body of evidence to accept with level A (definite efficacy) the analgesic effect of high-frequency rTMS of the primary motor cortex (M1) contralateral to the pain and the antidepressant effect of HF-rT MS of the left dorsolateral prefrontal cortex (DLPFC).
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Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014–2018)
Jean Pascal Lefaucheur,André Aleman,Chris Baeken,David H. Benninger,Jerome Brunelin,Vincenzo Di Lazzaro,Saša R. Filipović,Christian Grefkes,Alkomiet Hasan,Friedhelm C. Hummel,Satu K. Jääskeläinen,Berthold Langguth,Letizia Leocani,Alain Londero,Raffaele Nardone,Jean-Paul Nguyen,Thomas Nyffeler,Albino J. Oliveira-Maia,A. Oliviero,Frank Padberg,Ulrich Palm,Walter Paulus,Emmanuel Poulet,Angelo Quartarone,Fady Rachid,Irena Rektorová,Simone Rossi,Hanna Sahlsten,Martin Schecklmann,David Szekely,Ulf Ziemann +30 more
TL;DR: These updated recommendations take into account all rTMS publications, including data prior to 2014, as well as currently reviewed literature until the end of 2018, and are based on the differences reached in therapeutic efficacy of real vs. sham rT MS protocols.
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Large-scale brain systems in ADHD: beyond the prefrontal–striatal model
TL;DR: Progress in delineating large-scale neural systems relevant to ADHD is reviewed and insights emerging from mapping intrinsic brain connectivity networks provide a potentially mechanistic framework for an understanding of aspects of ADHD such as neuropsychological and behavioral inconsistency.
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Modulating cortico-striatal and thalamo-cortical functional connectivity with transcranial direct current stimulation
TL;DR: It is shown for the first time that tDCS modulates functional connectivity of cortico‐striatal and thalamo‐cortical circuits, and here it is highlighted that anodal tDCS over M1 is capable of modulating elements of the cortico-striato‐thalamo‐ cortical functional motor circuit.
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Evidence-based guidelines and secondary meta-analysis for the use of transcranial direct current stimulation in neurological and psychiatric disorders
Felipe Fregni,Mirret M. El-Hagrassy,Kevin Pacheco-Barrios,Kevin Pacheco-Barrios,Sandra Carvalho,Jorge Leite,Marcel Simis,Jerome Brunelin,Ester Miyuki Nakamura-Palacios,Paola Marangolo,Ganesan Venkatasubramanian,Daniel San-Juan,Wolnei Caumo,Marom Bikson,Andre R. Brunoni +14 more
TL;DR: A team of transcranial direct current stimulation experts conducted a systematic review of clinical trials with more than 1 session of stimulation testing, finding some of the indications analyzed in this review can be considered as definitely effective and probably effective.
References
Transcranial DC stimulation coupled with TENS for the treatment of chronic pain: a preliminary study.
Paulo S. Boggio,Edson J. Amancio,Claudio Fernandes Corrêa,Sofia Barros Cecilio,Claudia Aparecida Valasek,Zahid H. Bajwa,Steven D. Freedman,Alvaro Pascual-Leone,Dylan J. Edwards,Felipe Fregni +9 more
TL;DR: The results of a preliminary, randomized, sham-controlled, crossover, clinical study suggest that the combination of TENS with tDCS has a superior effect compared to tDCS alone.
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A preliminary study of transcranial direct current stimulation for the treatment of refractory chronic pelvic pain
TL;DR: Overall and pelvic pain scores were significantly lower after active tDCS treatment compared with sham treatment, as were disability and traumatic stress scores, and these results can guide the design and implementation of further studies investigating this method of neuromodulation for the treatment of refractory chronic pelvic pain.
115
Effect of repetitive transcranial magnetic stimulation over the hand motor cortical area on central pain after spinal cord injury.
TL;DR: The therapeutic efficacy of rTMS was not demonstrated when it was applied to the hand motor cortical area in patients with chronic neuropathic pain at multiple sites in the body, including the lower limbs, trunk, and pelvis, and the effect of time on the NRS score for worst pain was significant with real stimulation but not with sham stimulation.
113
The effects of transcranial direct current stimulation in patients with neuropathic pain from spinal cord injury
Niran Ngernyam,Mark P. Jensen,Preeda Arayawichanon,Narong Auvichayapat,Somsak Tiamkao,Suparerk Janjarasjitt,Wiyada Punjaruk,Anuwat Amatachaya,Benchaporn Aree-uea,Paradee Auvichayapat +9 more
TL;DR: The findings are consistent with the possibility that anodal tDCS over the left M1 may be effective, at least in part, because it results in an increase in M1 cortical excitability, perhaps due to a pain inhibitory effect of motor cortex stimulation that may influence the descending pain modulation system.
109
Transcranial direct current stimulation to lessen neuropathic pain after spinal cord injury: a mechanistic PET study.
Eun Jin Yoon,Yu Kyeong Kim,Yu Kyeong Kim,Yu Kyeong Kim,Hye Ri Kim,Sang Eun Kim,Sang Eun Kim,Sang Eun Kim,Youngjo Lee,Hyung Ik Shin +9 more
TL;DR: The results of this study suggest that anodal stimulation of the motor cortex using tDCS can modulate emotional and cognitive components of pain and normalize excessive attention to pain and pain-related information.
108
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