Sorkpor Setor K, Montero-Hernandez Samuel, Miao Hongyu, Pollonini Luca, Ahn Hyochol
Florida State University, College of Nursing, Tallahassee, FL, USA.
Neurophotonics Center, Boston University, Boston, MA, USA.
Geriatr Nurs. 2023 Nov-Dec;54:135-143. doi: 10.1016/j.gerinurse.2023.09.005. Epub 2023 Oct 1.
Low back pain (LBP) disproportionately affects older black adults, often leading to inadequate treatment due to clinician biases. Objective pain measures are imperative, and Functional Near-Infrared Spectroscopy (fNIRS) shows promise for pain detection.
To determine the impact of listening to home-based preferred web app-based music on underlying pain processing mechanisms at the central nervous level in older black adults aged ≥65 with LBP.
Twenty older black adults with LBP listened to preferred music twice daily for four days using the MUSIC CARE® app. Neuroimaging data were collected using fNIRS. Data were transformed to changes in oxy-hemoglobin and deoxy-hemoglobin concentrations and analyzed.
Significant cortical activation pattern differences were observed between pre-and post-intervention scans, particularly in somatosensory regions. Post-intervention scans showed significantly reduced hemodynamic activities.
Preferred music listening has the potential to alleviate pain, and fNIRS emerges as a promising tool for exploring cortical-level pain-related neural circuits.
腰痛（LBP）对老年黑人成年人的影响尤为严重，由于临床医生的偏见，往往导致治疗不足。客观的疼痛测量至关重要，功能近红外光谱（fNIRS）在疼痛检测方面显示出前景。
确定聆听基于家庭的、首选的网络应用程序音乐对年龄≥65岁的患有LBP的老年黑人成年人中枢神经系统水平潜在疼痛处理机制的影响。
20名患有LBP的老年黑人成年人使用MUSIC CARE®应用程序，每天听两次首选音乐，持续四天。使用fNIRS收集神经影像数据。数据转换为氧合血红蛋白和脱氧血红蛋白浓度的变化并进行分析。
干预前后扫描之间观察到明显的皮质激活模式差异，特别是在体感区域。干预后扫描显示血流动力学活动显著降低。
聆听首选音乐有可能缓解疼痛，fNIRS成为探索皮质水平疼痛相关神经回路的有前景的工具。
