Transcranial Direct Current Stimulation and Visual Illusion Effect According to Sensory Phenotypes in Patients With Spinal Cord Injury and Neuropathic Pain
| Autor: | Joan Vidal, David Moriña, Dolors Soler, Xavier Navarro, Hatice Kumru |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Analgesic Sensory system Transcranial Direct Current Stimulation Neuropathic pain 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation 030202 anesthesiology medicine Humans Brief Pain Inventory Spinal cord injury Spinal Cord Injuries Aged Pain Measurement Transcranial direct-current stimulation Optical illusion business.industry Neurological Rehabilitation sensory symptoms Middle Aged medicine.disease Combined Modality Therapy Illusions spinal cord injury visual illusion Patient Outcome Assessment Anesthesiology and Pain Medicine Mood Neurology Visual Perception Neuralgia Female Neurology (clinical) transcranial direct current stimulation business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Pain r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol instname |
| ISSN: | 1526-5900 |
| Popis: | Treatment of neuropathic pain (NP) in patients with spinal cord injury (SCI) remains a major challenge. The aim of the present study is to investigate if the effect of transcranial direct current stimulation combined with visual illusion, following a previously published protocol, has differential effects on pain-related sensory symptoms according to sensory phenotypes profiles. One hundred and thirty SCI patients with NP participated in this open-label trial. Sixty-five patients were given a daily 20-minutes combined treatment of transcranial direct current stimulation and visual illusion for 2 weeks. Sixty-five patients served as a control group. Clinical assessment was performed before and 2 weeks later, by using Neuropathic Pain Symptom Inventory (NPSI), Brief Pain Inventory, and Patient Health Questionnaire-9. There was significant improvement in the combined treatment group according to NPSI, Brief Pain Inventory, and Patient Health Questionnaire-9, but no changes in the control group. Following a cluster analysis of NPSI items at baseline assessment, 5 subgroups of patients with different pain-related characteristics were identified among the treated group, although differences between clusters were not significant. There was also improvement in mood, sleep quality, and enjoyment of life in the treated group. Despite a reduction of NP with the combined treatment, the analysis of sensory phenotype pain profiles does not provide a predictive value regarding the analgesic results of this combined neuromodulatory treatment. Perspective: In this article we confirm the analgesic effect of a combined neuromodulatory therapy, transcranial direct current stimulation associated with visual illusion in patients with NP after an SCI. We have identified 5 clusters of NP with distinct sensory phenotypes, but there was not any specific sensory phenotype cluster that significantly responded to the combined therapy better than the other. (C) Published by Elsevier Inc. on behalf of United States Association for the Study of Pain, Inc. |
| Databáze: | OpenAIRE |
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