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Percutaneous Peripheral nerve stimulation and neurologic disorders

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292 papers 25 to 100 followers Use of Percutaneous Peripheral nerve and motor point stimulation to modulate the neuroplastic changes ocurred in the peripheral and central nervous Systems in cronic and acute pain patients
By Hugo Silva Pinto Sports medicine MD, neuromuscular pain and dysfunctions private practice
https://www.readbyqxmd.com/read/30042314/spinal-cord-stimulation-for-neuropathic-pain-current-trends-and-future-applications
#1
REVIEW
Ivano Dones, Vincenzo Levi
The origin and the neural pathways involved in chronic neuropathic pain are still not extensively understood. For this reason, despite the wide variety of pain medications available on the market, neuropathic pain is challenging to treat. The present therapeutic alternative considered as the gold standard for many kinds of chronic neuropathic pain is epidural spinal cord stimulation (SCS). Despite its proved efficacy, the favourable cost-effectiveness when compared to the long-term use of poorly effective drugs and the expanding array of indications and technical improvements, SCS is still worldwide largely neglected by general practitioners, neurologists, neurosurgeons and pain therapists, often bringing to a large delay in considering as a therapeutic option for patients affected by neuropathic chronic pain...
July 24, 2018: Brain Sciences
https://www.readbyqxmd.com/read/30176001/combined-transcranial-magnetic-stimulation-and-electroencephalography-of-the-dorsolateral-prefrontal-cortex
#2
Pantelis Lioumis, Reza Zomorrodi, Itay Hadas, Zafiris J Daskalakis, Daniel M Blumberger
Transcranial magnetic stimulation (TMS) is a non-invasive method that produces neural excitation in the cortex by means of brief, time-varying magnetic field pulses. The initiation of cortical activation or its modulation depends on the background activation of the neurons of the cortical region activated, the characteristics of the coil, its position and its orientation with respect to the head. TMS combined with simultaneous electrocephalography (EEG) and neuronavigation (nTMS-EEG) allows for the assessment of cortico-cortical excitability and connectivity in almost all cortical areas in a reproducible manner...
August 17, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/30095546/exercise-is-medicine-for-concussion
#3
REVIEW
John J Leddy, Mohammad N Haider, Michael Ellis, Barry S Willer
Sport-related concussion (SRC) is a physiological brain injury that produces cerebral and systemic effects, including exercise intolerance. Exercise intolerance after concussion is believed to be the result of autonomic nervous system (ANS) dysfunction. Ventilation is inappropriately low for the level of exercise intensity, raising arterial carbon dioxide (PaCO2) levels. Elevated PaCO2 increases cerebral blood flow (CBF) out of proportion to exercise intensity, which is associated with symptoms that limit exercise performance...
August 2018: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/29939960/location-specific-responses-to-nociceptive-input-support-the-purposeful-nature-of-motor-adaptation-to-pain
#4
Alessio Gallina, Sauro E Salomoni, Leanne M Hall, K Tucker, S Jayne Garland, Paul W Hodges
Movement is changed in pain, but the mechanisms remain unclear. Key questions are unresolved such as whether activation can be inhomogeneously distributed within a muscle in a manner that is specific to the location of noxious input. This study addressed this question using high density EMG to study regional redistribution of muscle activation within the vasti muscles and changes in knee extension force direction in response to noxious stimulation applied to muscular and non-muscular tissues around the knee...
June 21, 2018: Pain
https://www.readbyqxmd.com/read/30021587/effect-of-local-infiltration-analgesia-peripheral-nerve-blocks-general-and-spinal-anesthesia-on-early-functional-recovery-and-pain-control-in-total-knee-arthroplasty
#5
M T Berninger, J Friederichs, W Leidinger, P Augat, V Bühren, C Fulghum, W Reng
BACKGROUND: Postoperative pain control and enhanced mobilization, muscle strength and range of motion following total knee arthroplasty (TKA) are pivotal requisites to optimize rehabilitation and early recovery. The aim of the study was to analyze the effect of local infiltration analgesia (LIA), peripheral nerve blocks, general and spinal anesthesia on early functional recovery and pain control in primary total knee arthroplasty. METHODS: Between January 2016 until August 2016, 280 patients underwent primary TKA and were subdivided into four groups according to their concomitant pain and anesthetic procedure with catheter-based techniques of femoral and sciatic nerve block (group GA&FNB, n = 81) or epidural catheter (group SP&EPI, n = 51) in combination with general anesthesia or spinal anesthesia, respectively, and LIA combined with general anesthesia (group GA&LIA, n = 86) or spinal anesthesia (group SP&LIA, n = 61)...
July 18, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/30025379/scapular-muscles-weakness-in-subjects-with-traumatic-anterior-glenohumeral-instability
#6
Walter Ansanello Netto, Gisele Garcia Zanca, Michele Forgiarini Saccol, Salomão Chade Assan Zatiti, Stela Márcia Mattiello
OBJECTIVE: To investigate possible alterations on scapular muscle strength in subjects with traumatic anterior glenohumeral instability. DESIGN: Cross-sectional study. SETTING: Laboratory setting. PARTICIPANTS: Fifty-two subjects of both sexes: 26 healthy and 26 with traumatic anterior glenohumeral instability. MAIN OUTCOME MEASURES: Subjects performed maximal isometric and concentric isokinetic contractions of shoulder protraction and retraction in scapular and sagittal planes, at slow (12...
September 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29925502/2018-consensus-statement-on-exercise-therapy-and-physical-interventions-orthoses-taping-and-manual-therapy-to-treat-patellofemoral-pain-recommendations-from-the-5th-international-patellofemoral-pain-research-retreat-gold-coast-australia-2017
#7
Natalie J Collins, Christian J Barton, Marienke van Middelkoop, Michael J Callaghan, Michael Skovdal Rathleff, Bill T Vicenzino, Irene S Davis, Christopher M Powers, Erin M Macri, Harvi F Hart, Danilo de Oliveira Silva, Kay M Crossley
Patellofemoral pain affects a large proportion of the population, from adolescents to older adults, and carries a substantial personal and societal burden. An international group of scientists and clinicians meets biennially at the International Patellofemoral Research Retreat to share research findings related to patellofemoral pain conditions and develop consensus statements using best practice methods. This consensus statement, from the 5th International Patellofemoral Research Retreat held in Australia in July 2017, focuses on exercise therapy and physical interventions (eg, orthoses, taping and manual therapy) for patellofemoral pain...
September 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29500312/etiology-and-pharmacology-of-neuropathic-pain
#8
REVIEW
Sascha R A Alles, Peter A Smith
Injury to or disease of the nervous system can invoke chronic and sometimes intractable neuropathic pain. Many parallel, interdependent, and time-dependent processes, including neuroimmune interactions at the peripheral, supraspinal, and spinal levels, contribute to the etiology of this "disease of pain." Recent work emphasizes the roles of colony-stimulating factor 1, ATP, and brain-derived neurotrophic factor. Excitatory processes are enhanced, and inhibitory processes are attenuated in the spinal dorsal horn and throughout the somatosensory system...
April 2018: Pharmacological Reviews
https://www.readbyqxmd.com/read/29970994/using-tdcs-as-an-add-on-treatment-prior-to-fes-therapy-in-improving-upper-limb-function-in-severe-chronic-stroke-patients-a-randomized-controlled-study
#9
Nuerjiayi Shaheiwola, Bin Zhang, Jie Jia, Dingguo Zhang
Background: Upper limb function recovery is of vital importance for stroke patients. However, it is difficult to get ideal recovery, especially for patients with severe chronic stroke. As the first randomized controlled long-term trial combining bilateral transcranial direct current stimulation (tDCS) and functional electrical stimulation (FES) therapy, this study examined the efficacy of a novel protocol that included applying tDCS as an add-on treatment prior to FES therapy over the course of a 4-week program...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29907841/comparison-of-knee-stability-strength-deficits-and-functional-score-in-primary-and-revision-anterior-cruciate-ligament-reconstructed-knees
#10
Do Kyung Kim, Geon Park, Kamarulzaman Bin Haji M S Kadir, Liang-Tseng Kuo, Won Hah Park
Comparing to primary surgery, revision ACL reconstruction is more technically demanding and has a higher failure rate. Theoretically, rehabilitation can improve knee function after ACL reconstruction surgery. This study aimed to compare knee stability, strength, and function between primary and revision ACL reconstructed knees. 40 primary and 40 revision ACL reconstruction surgeries were included between April 2013 and May 2016. Patients with revision surgery had a higher anteroposterior translation comparing those with primary reconstruction (median laxity, 2...
June 15, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29203380/periarticular-injection-versus-femoral-nerve-block-for-pain-relief-after-anterior-cruciate-ligament-reconstruction-a-randomized-controlled-trial
#11
Kenji Kurosaka, Sachiyuki Tsukada, Hiroshi Nakayama, Tomoya Iseki, Ryo Kanto, Ryo Sugama, Shinichi Yoshiya
PURPOSE: To compare the effectiveness and safety of periarticular injection (PI) with those of femoral nerve block (FNB) after anterior cruciate ligament (ACL) reconstruction. METHODS: A total of 129 patients scheduled for ACL reconstruction were randomly assigned to receive PI or FNB. Other perioperative interventions were identical for all patients. The primary outcome was the postoperative pain score 24 hours after surgery, which was measured using a 100-mm visual analog scale (VAS)...
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29927768/an-update-on-the-basic-and-clinical-science-of-ketamine-analgesia
#12
Lisa V Doan, Jing Wang
OBJECTIVE: In the context of the current opioid epidemic, there has been a renewed interest in the use of ketamine as an analgesic agent. METHODS: We have reviewed ketamine analgesia. RESULTS: Ketamine is well-known as an antagonist for N-methyl-D-aspartate receptors. In addition, it can regulate the function of opioid receptors and sodium channels. Ketamine also increases signaling through α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors...
June 20, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29713421/failed-back-surgery-syndrome-a-review-article
#13
REVIEW
James R Daniell, Orso L Osti
Postsurgical spine syndrome is becoming an increasingly common challenge for clinicians who deal with spinal disorders owing to the expanding indications for spinal surgery and the aging world population. A multidisciplinary approach is most appropriate for patients who are unlikely to benefit from further formal surgical intervention. Anticonvulsant medications are effective in managing neuropathic pain after surgery, whereas opioids are rarely beneficial. Neuromodulation via a surgically implanted dorsal column neurostimulator is gaining popularity owing to its substantial superiority over conventional medical management and/or further surgical intervention...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29886432/clinical-assessment-of-acute-lateral-ankle-sprain-injuries-roast-2019-consensus-statement-and-recommendations-of-the-international-ankle-consortium
#14
Eamonn Delahunt, Chris M Bleakley, Daniela S Bossard, Brian M Caulfield, Carrie L Docherty, Cailbhe Doherty, François Fourchet, Daniel T Fong, Jay Hertel, Claire E Hiller, Thomas W Kaminski, Patrick O McKeon, Kathryn M Refshauge, Alexandria Remus, Evert Verhagen, Bill T Vicenzino, Erik A Wikstrom, Phillip A Gribble
Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments...
June 9, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29876878/role-of-the-prefrontal-cortex-in-pain-processing
#15
REVIEW
Wei-Yi Ong, Christian S Stohler, Deron R Herr
The prefrontal cortex (PFC) is not only important in executive functions, but also pain processing. The latter is dependent on its connections to other areas of the cerebral neocortex, hippocampus, periaqueductal gray (PAG), thalamus, amygdala, and basal nuclei. Changes in neurotransmitters, gene expression, glial cells, and neuroinflammation occur in the PFC during acute and chronic pain, that result in alterations to its structure, activity, and connectivity. The medial PFC (mPFC) could serve dual, opposing roles in pain: (1) it mediates antinociceptive effects, due to its connections with other cortical areas, and as the main source of cortical afferents to the PAG for modulation of pain...
June 6, 2018: Molecular Neurobiology
https://www.readbyqxmd.com/read/29876962/impact-of-transcranial-direct-current-stimulation-on-structural-plasticity-of-the-somatosensory-system
#16
Raphael Hirtz, Thomas Weiss, Ralph Huonker, Otto W Witte
While there is a growing body of evidence regarding the behavioral and neurofunctional changes in response to the longitudinal delivery of transcranial direct current stimulation (tDCS), there is limited evidence regarding its structural effects. Therefore, the present study was intended to investigate the effect of repeatedly applied anodal tDCS over the primary somatosensory cortex on the gray matter (GM) and white matter (WM) compartment of the brain. Structural tDCS effects were, moreover, related to effects evidenced by functional imaging and behavioral assessment...
August 2018: Journal of Neuroscience Research
https://www.readbyqxmd.com/read/29877965/physiology-of-transcranial-direct-current-stimulation
#17
Charlotte J Stagg, Andrea Antal, Michael A Nitsche
Direct current stimulation is a neuromodulatory noninvasive brain stimulation tool, which was first introduced in animal and human experiments in the 1950s, and added to the standard arsenal of methods to alter brain physiology as well as psychological, motor, and behavioral processes and clinical symptoms in neurological and psychiatric diseases about 20 years ago. In contrast to other noninvasive brain stimulation tools, such as transcranial magnetic stimulation, it does not directly induce cerebral activity, but rather alters spontaneous brain activity and excitability by subthreshold modulation of neuronal membranes...
September 2018: Journal of ECT
https://www.readbyqxmd.com/read/29899693/mechanisms-of-transcranial-magnetic-stimulation-treating-on-post-stroke-depression
#18
REVIEW
Xiaoqin Duan, Gang Yao, Zhongliang Liu, Ranji Cui, Wei Yang
Post-stroke depression (PSD) is a neuropsychiatric affective disorder that can develop after stroke. Patients with PSD show poorer functional and recovery outcomes than patients with stroke who do not suffer from depression. The risk of suicide is also higher in patients with PSD. PSD appears to be associated with complex pathophysiological mechanisms involving both psychological and psychiatric problems that are associated with functional deficits and neurochemical changes secondary to brain damage. Transcranial magnetic stimulation (TMS) is a non-invasive way to investigate cortical excitability via magnetic stimulation of the brain...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29910145/therapeutic-impact-of-motor-cortex-rtms-in-patients-with-chronic-neuropathic-pain-even-in-the-absence-of-an-analgesic-response-a-case-report
#19
Hasan Hodaj, Jean-François Payen, Jean-Pascal Lefaucheur
OBJECTIVE: To show that repetitive transcranial magnetic stimulation (rTMS) delivered at high frequency over the motor cortex can improve patients with chronic pain syndrome even if this procedure does not provide an analgesic response. CASE REPORT: A 77-year-old woman presented with drug-resistant chronic neuropathic pain affecting both lower limbs due to segmental spine compression at T9-T10 level. She underwent an rTMS protocol with an induction phase of 12 rTMS sessions during three weeks and a maintenance phase of 3 additional rTMS sessions for 5 weeks...
June 14, 2018: Neurophysiologie Clinique, Clinical Neurophysiology
https://www.readbyqxmd.com/read/29565950/pulsed-radiofrequency-treatment-for-chronic-post-surgical-orchialgia-a-double-blind-sham-controlled-randomized-trial-three-month-results
#20
Diab Fuad Hetta, Ali Mohammed Mahran, Emad Eldien Kamal
BACKGROUND: Chronic post-surgical pain in the groin region represents a challenge for the managing physician and is a burden on the quality of life of the patient. None of the existing interventions or medical treatment is satisfactory. OBJECTIVES: We aim to evaluate the analgesic efficacy of pulsed radiofrequency (PRF) applied to the ilioinguinal nerve and the genital branch of the genitofemoral nerve for patients suffering from chronic post-surgical orchialgia...
March 2018: Pain Physician
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