Autor segons l'article: Jensen MP; Day MA; Miró J
Departament: Psicologia
Autor/s de la URV: Miró Martínez, Jordi
Paraules clau: Transcranial magnetic stimulation Stress reduction Spinal-cord-injury Review Priority journal Pain management Neurotransmitter agents Neurophysiology Neuropathic pain Neuromodulation Neurofeedback Mindfulness meditation Meditation Hypnotic analgesia Hypnosis Humans Functional connectivity Fibromyalgia syndrome Emotion Electrostimulation Electric stimulation therapy Eeg biofeedback treatment Clinical importance Clinical effectiveness Chronic pain Brain Autogenic training Attention Analgesia
Resum: Chronic pain is common, and the available treatments do not provide adequate relief for most patients. Neuromodulatory interventions that modify brain processes underlying the experience of pain have the potential to provide substantial relief for some of these patients. The purpose of this Review is to summarize the state of knowledge regarding the efficacy and mechanisms of noninvasive neuromodulatory treatments for chronic pain. The findings provide support for the efficacy and positive side-effect profile of hypnosis, and limited evidence for the potential efficacy of meditation training, noninvasive electrical stimulation procedures, and neurofeedback procedures. Mechanisms research indicates that hypnosis influences multiple neurophysiological processes involved in the experience of pain. Evidence also indicates that mindfulness meditation has both immediate and long-term effects on cortical structures and activity involved in attention, emotional responding and pain. Less is known about the mechanisms of other neuromodulatory treatments. On the basis of the data discussed in this Review, training in the use of self-hypnosis might be considered a viable 'first-line' approach to treat chronic pain. More-definitive research regarding the benefits and costs of meditation training, noninvasive brain stimulation and neurofeedback is needed before these treatments can be recommended for the treatment of chronic pain. © 2014 Macmillan Publishers Limited.
Àrees temàtiques: Neurology (clinical) Medicina ii Medicina i General medicine Engenharias iv Clinical neurology Cellular and molecular neuroscience
Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
Adreça de correu electrònic de l'autor: jordi.miro@urv.cat
Identificador de l'autor: 0000-0002-1998-6653
Data d'alta del registre: 2023-03-06
Versió de l'article dipositat: info:eu-repo/semantics/submittedVersion
Enllaç font original: https://www.nature.com/articles/nrneurol.2014.12
Referència a l'article segons font original: Nature Reviews Neurology. 10 (3): 167-178
Referència de l'ítem segons les normes APA: Jensen MP; Day MA; Miró J (2014). Neuromodulatory treatments for chronic pain: Efficacy and mechanisms. Nature Reviews Neurology, 10(3), 167-178. DOI: 10.1038/nrneurol.2014.12
URL Document de llicència: http://repositori.urv.cat/ca/proteccio-de-dades/
DOI de l'article: 10.1038/nrneurol.2014.12
Entitat: Universitat Rovira i Virgili
Any de publicació de la revista: 2014
Tipus de publicació: Journal Publications
Repositori URV