发病后的时间可能至关重要:建议在症状出现后的早期阶段评估非药物神经调节方法联合使用的效果。

Time since onset might be of essence: A recommendation to assess the effects of combination of non-pharmacological neuromodulatory approaches at early stage since symptoms onset.

作者信息

Agostinho Mariana, Weissman Fogel Irit, Treister Roi

机构信息

The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.

Centre for Interdisciplinary Health Research, CIIS, Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal.

出版信息

Front Neurol. 2023 Jan 30;14:1115370. doi: 10.3389/fneur.2023.1115370. eCollection 2023.

Abstract

In the past decade researchers began to assess the potential beneficial effects of non-invasive brain stimulation (NIBS) combined with a behavioral task as a treatment approach for various medical conditions. Transcranial direct current stimulation (tDCS) applied to the motor cortex combined with another treatment approach has been assessed as analgesic treatment in neuropathic and non-neuropathic pain conditions, and was found to exert only modest pain relief. Our group results show that combined tDCS and mirror therapy dramatically reduced acute phantom limb pain intensity with long-lasting effects, potentially preventing pain chronification. A review of the scientific literature indicates that our approach differs from that of others: We applied the intervention at the acute stage of the disease, whereas other studies applied the intervention in patients whose disease had already been established. We suggest that the timing of administration of the combined intervention is critical. Unlike in patients with chronic painful condition, in which the maladaptive plasticity associated with pain chronification and chronicity is well-consolidated, early treatment at the acute pain stage may be more successful in counterbalancing the not-yet consolidated maladaptive plasticity. We encourage the research community to test our hypothesis, both in the treatment of pain, and beyond.

摘要

在过去十年中,研究人员开始评估无创脑刺激(NIBS)与行为任务相结合作为各种医学病症治疗方法的潜在益处。应用于运动皮层的经颅直流电刺激(tDCS)与另一种治疗方法相结合,已被评估为治疗神经性和非神经性疼痛病症的镇痛疗法,但发现其仅能适度缓解疼痛。我们团队的结果表明,tDCS与镜像疗法相结合可显著降低急性幻肢痛的强度,并具有持久效果,有可能防止疼痛慢性化。对科学文献的回顾表明,我们的方法与其他方法不同:我们在疾病的急性期应用干预措施,而其他研究则在疾病已经确诊的患者中应用干预措施。我们认为联合干预的给药时机至关重要。与慢性疼痛病症患者不同,在慢性疼痛病症中,与疼痛慢性化和持续性相关的适应性不良可塑性已经充分巩固,而在急性疼痛阶段进行早期治疗可能更成功地抵消尚未巩固的适应性不良可塑性。我们鼓励研究界在疼痛治疗及其他领域检验我们的假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6024/9923174/c071a90dc1dc/fneur-14-1115370-g0001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索