Decrease in current perception thresholds of A-beta fibers by subthreshold noise stimulation using transcutaneous electrical nerve stimulation

Shimo, Kazuhiro; Fukui, Hiroto; Ueta, Hitomi; Naka, Misaki; Miyamoto, Satoshi; Nishikawa, Eruna; Ohga, Satoshi; Matsubara, Takako

doi:10.1097/wnr.0000000000001890

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…This is why clinicians need to gain a clear understanding of the patient's pain experience and beliefs about pain, encouraging patients to pursue the rehabilitation path. There are various non-pharmacological interventions that can be used to alleviate pain [94]. In most cases, the appropriate use of OMT, VR, or NIBS and/or other physical and psychological However, these two aspects are less commonly investigated in the neurological population.…”

Section: Discussionmentioning

confidence: 99%

“…For example, most of the approaches discussed can modulate nociceptive signaling, influencing psychological and emotional aspects of stress and pain and limiting central sensitization underlying CP, while also promoting neuroplasticity in some cases. However, the heterogeneity of CP conditions and the individual response to treatment highlights the need to tailor rehabilitation protocols, considering the role of CP [94].…”

Section: Discussionmentioning

confidence: 99%

“…The non-pharmacological management of chronic stress and pain encompasses a variety of approaches, including both physical and psychological modalities [94].…”

Section: Non-pharmacological Management Of Chronic Stress and Painmentioning

confidence: 99%

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Psycho-Neuroendocrinology in the Rehabilitation Field: Focus on the Complex Interplay between Stress and Pain

Bonanno,

Papa,

Cerasa

et al. 2024

Medicina

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Chronic stress and chronic pain share neuro-anatomical, endocrinological, and biological features. However, stress prepares the body for challenging situations or mitigates tissue damage, while pain is an unpleasant sensation due to nociceptive receptor stimulation. When pain is chronic, it might lead to an allostatic overload in the body and brain due to the chronic dysregulation of the physiological systems that are normally involved in adapting to environmental challenges. Managing stress and chronic pain (CP) in neurorehabilitation presents a significant challenge for healthcare professionals and researchers, as there is no definitive and effective solution for these issues. Patients suffering from neurological disorders often complain of CP, which significantly reduces their quality of life. The aim of this narrative review is to examine the correlation between stress and pain and their potential negative impact on the rehabilitation process. Moreover, we described the most relevant interventions used to manage stress and pain in the neurological population. In conclusion, this review sheds light on the connection between chronic stress and chronic pain and their impact on the neurorehabilitation pathway. Our results emphasize the need for tailored rehabilitation protocols to effectively manage pain, improve treatment adherence, and ensure comprehensive patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Psycho-Neuroendocrinology in the Rehabilitation Field: Focus on the Complex Interplay between Stress and Pain

Bonanno,

Papa,

Cerasa

et al. 2024

Medicina

View full text Add to dashboard Cite

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“…At the peripheral level, TENS activates large myelinated Aβ fibers which inhibit nociceptive transmission in small Aδ and C fibers according to the gate control theory. This relies on presynaptic inhibition of nociceptive input at the dorsal horn [ 51 , 52 ]. Molecular studies show TENS modulates the expression and activity of key pain-related ion channels on peripheral nerves, including voltage-gated sodium channels, TRP channels, inhibiting excitability and neurotransmission in nociceptor [ 53 , 54 ].…”

Section: Types Of Ninptmentioning

confidence: 99%

Multimodal non-invasive non-pharmacological therapies for chronic pain: mechanisms and progress

Shi,

2023

BMC Med

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Background Chronic pain conditions impose significant burdens worldwide. Pharmacological treatments like opioids have limitations. Non-invasive non-pharmacological therapies (NINPT) encompass diverse interventions including physical, psychological, complementary and alternative approaches, and other innovative techniques that provide analgesic options for chronic pain without medications. Main body This review elucidates the mechanisms of major NINPT modalities and synthesizes evidence for their clinical potential across chronic pain populations. NINPT leverages peripheral, spinal, and supraspinal mechanisms to restore normal pain processing and limit central sensitization. However, heterogeneity in treatment protocols and individual responses warrants optimization through precision medicine approaches. Conclusion Future adoption of NINPT requires addressing limitations in standardization and accessibility as well as synergistic combination with emerging therapies. Overall, this review highlights the promise of NINPT as a valuable complementary option ready for integration into contemporary pain medicine paradigms to improve patient care and outcomes.

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Transcutaneous electrical stimulation of the stellate ganglion: A case report on its application in treating carotid sinus syndrome

Hou,

Xu,

Zhang

2024

Medicine

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Rationale: Syncope is a common condition in emergency departments, posing a diagnostic challenge due to its multifactorial nature. Among the potential causes, carotid sinus hypersensitivity leading to carotid sinus syndrome (CSS) is a significant consideration that can severely impact patient quality of life. Despite its importance, establishing effective treatment methods for CSS has been difficult. Patient concerns: A 43-year-old male presented with recurrent episodes of syncope, which significantly affected his daily life and well-being. Diagnoses: After a thorough evaluation, the patient was diagnosed with CSS, a condition that can be difficult to pinpoint and requires specialized diagnostic procedures to confirm. Interventions: The patient was treated with stellate ganglion block therapy, a targeted intervention aimed at addressing the underlying cause of CSS. This treatment was administered over a 12-day period. Outcomes: Following the treatment, the patient’s symptoms showed gradual improvement, and he was discharged after meeting the clinical cure criteria. During a 7-month follow-up, he remained symptom-free. Lessons: The case highlights the effectiveness of transcutaneous stellate ganglion block therapy in treating CSS. It suggests that further research and clinical trials are needed to validate this treatment’s efficacy, potentially offering a new therapeutic option for patients suffering from CSS.

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Decrease in current perception thresholds of A-beta fibers by subthreshold noise stimulation using transcutaneous electrical nerve stimulation

Cited by 3 publications

References 15 publications

Psycho-Neuroendocrinology in the Rehabilitation Field: Focus on the Complex Interplay between Stress and Pain

Psycho-Neuroendocrinology in the Rehabilitation Field: Focus on the Complex Interplay between Stress and Pain

Multimodal non-invasive non-pharmacological therapies for chronic pain: mechanisms and progress

Transcutaneous electrical stimulation of the stellate ganglion: A case report on its application in treating carotid sinus syndrome

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