Sawada Atsushi, Yamakage Michiaki
Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-Ku, Sapporo, 060-8543, Japan.
JA Clin Rep. 2024 Feb 10;10(1):10. doi: 10.1186/s40981-024-00694-4.
Neuromodulation by magnetic field through the AT-04 (ait® (AT-04); Peace of Mind Co., Ltd., Kumamoto, Japan) has improved allodynia in neuropathic pain model rats. This report focuses on neuromodulation through magnetic field exposure using the AT-04 that provided an analgesic effect in a patient with neuropathic pain.
A 47-year-old man presented with flaccid paralysis and extensive neuropathic pain and scored 7 on the 11-point Numerical Rating Scale (NRS) for his left upper limb. The patient was treated with neuromodulation by magnetic field exposure using the AT-04. Baseline NRS scores were obtained three times daily during the baseline period (days 1-5). Magnetic field exposure was then performed for 30 min three times daily (morning, noon, and evening) at home for 36 days, which was termed the intervention period (days 6-41). During the baseline period, the median NRS score was 7 and the baseline NRS score for calculating the percentage of nonoverlap data (PND) was 6. During the intervention period, the median NRS score was 4 and the PND value of the NRS score was 77.8% (28/36). Neuromodulation by magnetic field exposure using the AT-04 effectively decreased the patient's NRS score. The patient had no adverse effects during the intervention period.
Neuromodulation by magnetic field exposure using the AT-04 was effective in decreasing the NRS score in a patient with neuropathic pain. The AT-04 portable magnetic field-generating device shows potential as a therapeutic option for refractory neuropathic pain.
通过AT - 04(ait®(AT - 04);日本熊本安心株式会社)磁场进行的神经调节改善了神经性疼痛模型大鼠的痛觉过敏。本报告重点关注使用AT - 04通过磁场暴露进行的神经调节,该方法对一名神经性疼痛患者产生了镇痛效果。
一名47岁男性出现弛缓性麻痹和广泛的神经性疼痛,其左上肢在11点数字评定量表(NRS)上得分为7分。该患者接受了使用AT - 04通过磁场暴露进行的神经调节治疗。在基线期(第1 - 5天),每天三次获取基线NRS评分。然后在居家期间每天三次(上午、中午和晚上)进行30分钟的磁场暴露,持续36天,此为干预期(第6 - 41天)。在基线期,NRS评分中位数为7分,用于计算非重叠数据百分比(PND)的基线NRS评分为6分。在干预期,NRS评分中位数为4分,NRS评分的PND值为77.8%(28/36)。使用AT - 04通过磁场暴露进行的神经调节有效降低了患者的NRS评分。患者在干预期未出现不良反应。
使用AT - 04通过磁场暴露进行的神经调节可有效降低神经性疼痛患者的NRS评分。AT - 04便携式磁场发生装置显示出作为难治性神经性疼痛治疗选择的潜力。