Pinheiro Eulália Silva dos Santos, de Queirós Fernanda Costa, Montoya Pedro, Santos Cleber Luz, do Nascimento Marion Alves, Ito Clara Hikari, Silva Manuela, Nunes Santos David Barros, Benevides Silvia, Miranda José Garcia Vivas, Sá Katia Nunes, Baptista Abrahão Fontes
Graduate Program on Medicine and Health, School of Medicine, Federal University of Bahia, Salvador-BA, Brazil.
Laboratory of Functional Electrostimulation, Institute of Health Sciences, Federal University of Bahia, Salvador-BA, Brazil.
PLoS One. 2016 Feb 25;11(2):e0149085. doi: 10.1371/journal.pone.0149085. eCollection 2016.
The main objective of this study is to review and summarize recent findings on electroencephalographic patterns in individuals with chronic pain. We also discuss recent advances in the use of quantitative Electroencephalography (qEEG) for the assessment of pathophysiology and biopsychosocial factors involved in its maintenance over time. Data collection took place from February 2014 to July 2015 in PubMed, SciELO and PEDro databases. Data from cross-sectional studies and longitudinal studies, as well as clinical trials involving chronic pain participants were incorporated into the final analysis. Our primary findings related to chronic pain were an increase of theta and alpha EEG power at rest, and a decrease in the amplitude of evoked potentials after sensory stimulation and cognitive tasks. This review suggests that qEEG could be considered as a simple and objective tool for the study of brain mechanisms involved in chronic pain, as well as for identifying the specific characteristics of chronic pain condition. In addition, results show that qEEG probably is a relevant outcome measure for assessing changes in therapeutic studies.
本研究的主要目的是回顾和总结慢性疼痛患者脑电图模式的近期研究结果。我们还讨论了定量脑电图(qEEG)在评估慢性疼痛随时间维持过程中涉及的病理生理学和生物心理社会因素方面的最新进展。数据收集于2014年2月至2015年7月在PubMed、SciELO和PEDro数据库中进行。横断面研究、纵向研究以及涉及慢性疼痛参与者的临床试验数据被纳入最终分析。我们关于慢性疼痛的主要发现是静息时θ波和α波脑电图功率增加,以及感觉刺激和认知任务后诱发电位幅度降低。本综述表明,qEEG可被视为研究慢性疼痛相关脑机制以及识别慢性疼痛状况特定特征的一种简单而客观的工具。此外,结果表明qEEG可能是评估治疗研究中变化的一个相关结局指标。