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Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP)

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dc.creatorBaptista, Abrahão Fontesspa
dc.creatorFernandes, Ana Mércia B Lspa
dc.creatorSá, Katia Nunesspa
dc.creatorOkano, Alexandre Hidekispa
dc.creatorBrunoni, André Russowskyspa
dc.creatorLara-Solares, Argeliaspa
dc.creatorJreige Iskandar, Azizaspa
dc.creatorGuerrero, Carlosspa
dc.creatorAmescua-García, Césarspa
dc.creatorKraychete, Durval Camposspa
dc.creatorCaparelli-Daquer, Egasspa
dc.creatorAtencio, Eliasspa
dc.creatorPiedimonte, Fabiánspa
dc.creatorColimon, Frantzspa
dc.creatorHazime, Fuad Ahmedspa
dc.creatorGarcia, João Batista Sspa
dc.creatorHernandez-Castro, John-Jairo
dc.creatorCantisani, José Alberto Floresspa
dc.creatorKarina do Monte-Silva, Kátiaspa
dc.creatorLemos Correia, Luis Claudiospa
dc.creatorGallegos, Manuel Sempérteguispa
dc.creatorMarcolin, Marco Antoniospa
dc.creatorRicco, María Antonietaspa
dc.creatorCook, María Berenguelspa
dc.creatorBonilla, Patriciaspa
dc.creatorSchestatsky, Pedrospa
dc.creatorGalhardoni, Ricardospa
dc.creatorSilva, Valquíriaspa
dc.creatorDelgado Barrera, Williamspa
dc.creatorCaumo, Wolneispa
dc.creatorBouhassira, Didierspa
dc.creatorChipchase, Lucy Sspa
dc.creatorLefaucheur, Jean-Pascalspa
dc.creatorTeixeira, Manoel Jacobsenspa
dc.creatorde Andrade, Daniel Ciampispa
dc.date.accessioned2020-05-25T23:57:48Z
dc.date.available2020-05-25T23:57:48Z
dc.date.created2019spa
dc.description.abstractIntroduction: Chronic pain (CP) is highly prevalent and generally undertreated health condition. Noninvasive brain stimulation may contribute to decrease pain intensity and influence other aspects related to CP. Objective: To provide consensus-based recommendations for the use of noninvasive brain stimulation in clinical practice. Methods: Systematic review of the literature searching for randomized clinical trials followed by consensus panel. Recommendations also involved a cost-estimation study. Results: The systematic review wielded 24 transcranial direct current stimulation (tDCS) and 22 repetitive transcranial magnetic stimulation (rTMS) studies. The following recommendations were provided: (1) Level A for anodal tDCS over the primary motor cortex (M1) in fibromyalgia, and level B for peripheral neuropathic pain, abdominal pain, and migraine; bifrontal (F3/F4) tDCS and M1 high-definition (HD)-tDCS for fibromyalgia; Oz/Cz tDCS for migraine and for secondary benefits such as improvement in quality of life, decrease in anxiety, and increase in pressure pain threshold; (2) level A recommendation for high-frequency (HF) rTMS over M1 for fibromyalgia and neuropathic pain, and level B for myofascial or musculoskeletal pain, complex regional pain syndrome, and migraine; (3) level A recommendation against the use of anodal M1 tDCS for low back pain; and (4) level B recommendation against the use of HF rTMS over the left dorsolateral prefrontal cortex in the control of pain. Conclusion: Transcranial DCS and rTMS are recommended techniques to be used in the control of CP conditions, with low to moderate analgesic effects, and no severe adverse events. These recommendations are based on a systematic review of the literature and a consensus made by experts in the field. Readers should use it as part of the resources available to decision-making. Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike License 4.0 (CCBY-NC-SA).eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1097/PR9.0000000000000692
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22745
dc.language.isoengspa
dc.publisherLippincott Williams and Wilkinsspa
dc.relation.citationIssueNo. 1
dc.relation.citationTitlePain Reports
dc.relation.citationVolumeVol. 4
dc.relation.ispartofPain Reports, Vol.4, No.1 (2019)spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85061476557&doi=10.1097%2fPR9.0000000000000692&partnerID=40&md5=5260424fabb556acc843c2f03791a31cspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordMixed painspa
dc.subject.keywordNeuropathic painspa
dc.subject.keywordNociceptive painspa
dc.subject.keywordRTMSspa
dc.subject.keywordTDCSspa
dc.titleLatin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC 2 -NIN-CP)spa
dc.typeconferenceObjecteng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaDocumento de conferenciaspa
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