Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP)
Introduction: Chronic pain (CP) is highly prevalent and generally undertreated health condition. Noninvasive brain stimulation may contribute to decrease pain intensity and influence other aspects related to CP. Objective: To provide consensus-based recommendations for the use of noninvasive brain s...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2019
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/22745
- Acceso en línea:
- https://doi.org/10.1097/PR9.0000000000000692
https://repository.urosario.edu.co/handle/10336/22745
- Palabra clave:
- Mixed pain
Neuropathic pain
Nociceptive pain
RTMS
TDCS
- Rights
- License
- http://purl.org/coar/access_right/c_abf2
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Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP)Mixed painNeuropathic painNociceptive painRTMSTDCSIntroduction: Chronic pain (CP) is highly prevalent and generally undertreated health condition. Noninvasive brain stimulation may contribute to decrease pain intensity and influence other aspects related to CP. Objective: To provide consensus-based recommendations for the use of noninvasive brain stimulation in clinical practice. Methods: Systematic review of the literature searching for randomized clinical trials followed by consensus panel. Recommendations also involved a cost-estimation study. Results: The systematic review wielded 24 transcranial direct current stimulation (tDCS) and 22 repetitive transcranial magnetic stimulation (rTMS) studies. The following recommendations were provided: (1) Level A for anodal tDCS over the primary motor cortex (M1) in fibromyalgia, and level B for peripheral neuropathic pain, abdominal pain, and migraine; bifrontal (F3/F4) tDCS and M1 high-definition (HD)-tDCS for fibromyalgia; Oz/Cz tDCS for migraine and for secondary benefits such as improvement in quality of life, decrease in anxiety, and increase in pressure pain threshold; (2) level A recommendation for high-frequency (HF) rTMS over M1 for fibromyalgia and neuropathic pain, and level B for myofascial or musculoskeletal pain, complex regional pain syndrome, and migraine; (3) level A recommendation against the use of anodal M1 tDCS for low back pain; and (4) level B recommendation against the use of HF rTMS over the left dorsolateral prefrontal cortex in the control of pain. Conclusion: Transcranial DCS and rTMS are recommended techniques to be used in the control of CP conditions, with low to moderate analgesic effects, and no severe adverse events. These recommendations are based on a systematic review of the literature and a consensus made by experts in the field. Readers should use it as part of the resources available to decision-making. Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike License 4.0 (CCBY-NC-SA).Lippincott Williams and Wilkins20192020-05-25T23:57:48Zinfo:eu-repo/semantics/conferenceObjecthttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_c94fapplication/pdfhttps://doi.org/10.1097/PR9.0000000000000692https://repository.urosario.edu.co/handle/10336/22745instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURenghttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85061476557&doi=10.1097%2fPR9.0000000000000692&partnerID=40&md5=5260424fabb556acc843c2f03791a31chttp://purl.org/coar/access_right/c_abf2Baptista, Abrahão FontesFernandes, Ana Mércia B LSá, Katia NunesOkano, Alexandre HidekiBrunoni, André RussowskyLara-Solares, ArgeliaJreige Iskandar, AzizaGuerrero, CarlosAmescua-García, CésarKraychete, Durval CamposCaparelli-Daquer, EgasAtencio, EliasPiedimonte, FabiánColimon, FrantzHazime, Fuad AhmedGarcia, João Batista SCantisani, José Alberto FloresKarina do Monte-Silva, KátiaLemos Correia, Luis ClaudioGallegos, Manuel SempérteguiMarcolin, Marco AntonioRicco, María AntonietaCook, María BerenguelBonilla, PatriciaSchestatsky, PedroGalhardoni, RicardoSilva, ValquíriaDelgado Barrera, WilliamCaumo, WolneiBouhassira, DidierChipchase, Lucy SLefaucheur, Jean-PascalTeixeira, Manoel Jacobsende Andrade, Daniel CiampiHernandez-Castro, John-Jairooai:repository.urosario.edu.co:10336/227452022-05-02T07:37:20Z |
dc.title.none.fl_str_mv |
Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP) |
title |
Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP) |
spellingShingle |
Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP) Mixed pain Neuropathic pain Nociceptive pain RTMS TDCS |
title_short |
Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP) |
title_full |
Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP) |
title_fullStr |
Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP) |
title_full_unstemmed |
Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP) |
title_sort |
Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP) |
dc.subject.none.fl_str_mv |
Mixed pain Neuropathic pain Nociceptive pain RTMS TDCS |
topic |
Mixed pain Neuropathic pain Nociceptive pain RTMS TDCS |
description |
Introduction: Chronic pain (CP) is highly prevalent and generally undertreated health condition. Noninvasive brain stimulation may contribute to decrease pain intensity and influence other aspects related to CP. Objective: To provide consensus-based recommendations for the use of noninvasive brain stimulation in clinical practice. Methods: Systematic review of the literature searching for randomized clinical trials followed by consensus panel. Recommendations also involved a cost-estimation study. Results: The systematic review wielded 24 transcranial direct current stimulation (tDCS) and 22 repetitive transcranial magnetic stimulation (rTMS) studies. The following recommendations were provided: (1) Level A for anodal tDCS over the primary motor cortex (M1) in fibromyalgia, and level B for peripheral neuropathic pain, abdominal pain, and migraine; bifrontal (F3/F4) tDCS and M1 high-definition (HD)-tDCS for fibromyalgia; Oz/Cz tDCS for migraine and for secondary benefits such as improvement in quality of life, decrease in anxiety, and increase in pressure pain threshold; (2) level A recommendation for high-frequency (HF) rTMS over M1 for fibromyalgia and neuropathic pain, and level B for myofascial or musculoskeletal pain, complex regional pain syndrome, and migraine; (3) level A recommendation against the use of anodal M1 tDCS for low back pain; and (4) level B recommendation against the use of HF rTMS over the left dorsolateral prefrontal cortex in the control of pain. Conclusion: Transcranial DCS and rTMS are recommended techniques to be used in the control of CP conditions, with low to moderate analgesic effects, and no severe adverse events. These recommendations are based on a systematic review of the literature and a consensus made by experts in the field. Readers should use it as part of the resources available to decision-making. Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike License 4.0 (CCBY-NC-SA). |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019 2020-05-25T23:57:48Z |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/conferenceObject |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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http://purl.org/coar/resource_type/c_c94f |
dc.identifier.none.fl_str_mv |
https://doi.org/10.1097/PR9.0000000000000692 https://repository.urosario.edu.co/handle/10336/22745 |
url |
https://doi.org/10.1097/PR9.0000000000000692 https://repository.urosario.edu.co/handle/10336/22745 |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061476557&doi=10.1097%2fPR9.0000000000000692&partnerID=40&md5=5260424fabb556acc843c2f03791a31c |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
rights_invalid_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Lippincott Williams and Wilkins |
publisher.none.fl_str_mv |
Lippincott Williams and Wilkins |
dc.source.none.fl_str_mv |
instname:Universidad del Rosario reponame:Repositorio Institucional EdocUR |
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Universidad del Rosario |
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Universidad del Rosario |
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Repositorio Institucional EdocUR |
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