Autor según el artículo: Jensen, Mark P; Day, Melissa A; Miro, Jordi
Departamento: Psicologia
Autor/es de la URV: Miró Martínez, Jordi
Palabras clave: 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
Resumen: 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.
Áreas temáticas: Neurology (clinical) Medicina ii Medicina i General medicine Engenharias iv Clinical neurology Cellular and molecular neuroscience
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
Direcció de correo del autor: jordi.miro@urv.cat
Identificador del autor: 0000-0002-1998-6653
Fecha de alta del registro: 2024-10-12
Versión del articulo depositado: info:eu-repo/semantics/submittedVersion
Enlace a la fuente original: https://www.nature.com/articles/nrneurol.2014.12
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
Referencia al articulo segun fuente origial: Nature Reviews Neurology. 10 (3): 167-178
Referencia de l'ítem segons les normes APA: Jensen, Mark P; Day, Melissa A; Miro, Jordi (2014). Neuromodulatory treatments for chronic pain: Efficacy and mechanisms. Nature Reviews Neurology, 10(3), 167-178. DOI: 10.1038/nrneurol.2014.12
DOI del artículo: 10.1038/nrneurol.2014.12
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2014
Tipo de publicación: Journal Publications