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脑电图神经反馈对慢性疼痛成人疼痛主诉影响的范围综述

A Scoping Review of the Effect of EEG Neurofeedback on Pain Complaints in Adults with Chronic Pain.

作者信息

Schuurman Britt B, Lousberg Richel L, Schreiber Jan U, van Amelsvoort Therese A M J, Vossen Catherine J

机构信息

Department of Psychiatry & Neuro-Psychology, School for Mental Health and Neuroscience, Faculty of Health Medicine and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands.

Department of Anaesthesiology and Pain Medicine, Maastricht University Medical Centre, 6229 HX Maastricht, The Netherlands.

出版信息

J Clin Med. 2024 May 10;13(10):2813. doi: 10.3390/jcm13102813.

Abstract

Non-pharmacological treatments such as electroencephalogram (EEG) neurofeedback have become more important in multidisciplinary approaches to treat chronic pain. The aim of this scoping review is to identify the literature on the effects of EEG neurofeedback in reducing pain complaints in adult chronic-pain patients and to elaborate on the neurophysiological rationale for using specific frequency bands as targets for EEG neurofeedback. A pre-registered scoping review was set up and reported following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) extension for Scoping Reviews (PRISMA-ScR). The data were collected by searching for studies published between 1985 and January 2023 in PubMed, EMBASE, and PsycINFO. Thirty-two studies on various types of chronic pain were included. The intervention was well-tolerated. Approximately half of the studies used a protocol that reinforced alpha or sensorimotor rhythms and suppressed theta or beta activity. However, the underlying neurophysiological rationale behind these specific frequency bands remains unclear. There are indications that neurofeedback in patients with chronic pain probably has short-term analgesic effects; however, the long-term effects are less clear. In order to draw more stable conclusions on the effectiveness of neurofeedback in chronic pain, additional research on the neurophysiological mechanisms of targeted frequency bands is definitely worthwhile. Several recommendations for setting up and evaluating the effect of neurofeedback protocols are suggested.

摘要

脑电图(EEG)神经反馈等非药物治疗方法在多学科治疗慢性疼痛的方法中变得越来越重要。本范围综述的目的是识别关于EEG神经反馈对成年慢性疼痛患者疼痛主诉减轻效果的文献,并阐述将特定频段作为EEG神经反馈目标的神经生理学原理。按照系统评价和Meta分析优先报告项目(PRISMA)范围综述扩展版(PRISMA-ScR)的指南,开展并报告了一项预先注册的范围综述。通过检索1985年至2023年1月在PubMed、EMBASE和PsycINFO上发表的研究来收集数据。纳入了32项关于各种类型慢性疼痛的研究。该干预耐受性良好。大约一半的研究使用了强化α或感觉运动节律并抑制θ或β活动的方案。然而,这些特定频段背后的潜在神经生理学原理仍不清楚。有迹象表明,慢性疼痛患者的神经反馈可能具有短期镇痛作用;然而,长期效果尚不清楚。为了就神经反馈对慢性疼痛的有效性得出更稳定的结论,对目标频段的神经生理机制进行更多研究绝对是值得的。提出了一些关于建立和评估神经反馈方案效果的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ee/11122542/dcbcdee7f278/jcm-13-02813-g001.jpg

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