Author, as appears in the article.: Jensen MP; Day MA; Miró J
Department: Psicologia
URV's Author/s: Miró Martínez, Jordi
Keywords: 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
Abstract: 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.
Thematic Areas: Neurology (clinical) Medicina ii Medicina i General medicine Engenharias iv Clinical neurology Cellular and molecular neuroscience
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: jordi.miro@urv.cat
Author identifier: 0000-0002-1998-6653
Record's date: 2023-03-06
Papper version: info:eu-repo/semantics/submittedVersion
Link to the original source: https://www.nature.com/articles/nrneurol.2014.12
Papper original source: Nature Reviews Neurology. 10 (3): 167-178
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
Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
Article's DOI: 10.1038/nrneurol.2014.12
Entity: Universitat Rovira i Virgili
Journal publication year: 2014
Publication Type: Journal Publications
Repositori URV