Evidence map›Paper›PMID 25287554›Full record

Trial reportPain medicine (Malden, Mass.)2014

Baseline brain activity predicts response to neuromodulatory pain treatment.

Mark P Jensen, Leslie H Sherlin, Felipe Fregni, Ann Gianas, Jon D Howe, Shahin Hakimian

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03032497 nacompletednot on this mapstarted 2017, after this paper: background citation

Feasibility of a Brain-Computer Interface (BCI)-Based Adaptive Sensing and Feedback for Chronic Pain Management

TypeinterventionalSponsorTan Tock Seng HospitalRan2017 to 2019Enrolled25ConditionsPain, ChronicArmsEEG-based BCI analysis of fear avoidance
NCT03744897 nacompletednot on this mapstarted 2017, after this paper: background citation

Effect of Hypnosis Combined to Transcranial Direct Stimulation in Cortical Activity and Pain Perception in Healthy Females

TypeinterventionalSponsorHospital de Clinicas de Porto AlegreRan2017 to 2018Enrolled48ConditionsPain Perception, Pain AcuteArmsHypnotic analgesia, a-tDCS, Hypnotic analgesia + a-tDCS, s-tDCS
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  3. Non-invasive brain stimulation techniques for chronic pain.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Non-invasive brain stimulation techniques for chronic pain.The Cochrane database of systematic reviews · 2018
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Mark P JensenDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington.
Leslie H Sherlin
Felipe Fregni
Ann Gianas
Jon D Howe
Shahin Hakimian
University of Washington · USMassachusetts General Hospital · US

Funding

Cortical Modulation of Chronic PainR21HD058049 · NICHD · UNIVERSITY OF WASHINGTON · PI JENSEN, MARK P · 2009 to 2010
$432k
NICHD NIH HHS R21 HD058049NICHD NIH HHS R21HD058049
6 · The paper itself

Abstract

objectivesThe objective of this study was to examine the associations between baseline electroencephalogram (EEG)-assessed brain oscillations and subsequent response to four neuromodulatory treatments. Based on available research, we hypothesized that baseline theta oscillations would prospectively predict response to hypnotic analgesia. Analyses involving other oscillations and the other treatments (meditation, neurofeedback, and both active and sham transcranial direct current stimulation) were viewed as exploratory, given the lack of previous research examining brain oscillations as predictors of response to these other treatments.

designRandomized controlled study of single sessions of four neuromodulatory pain treatments and a control procedure.

methodsThirty individuals with spinal cord injury and chronic pain had their EEG recorded before each session of four active treatments (hypnosis, meditation, EEG biofeedback, transcranial direct current stimulation) and a control procedure (sham transcranial direct stimulation).

resultsAs hypothesized, more presession theta power was associated with greater response to hypnotic analgesia. In exploratory analyses, we found that less baseline alpha power predicted pain reduction with meditation.

conclusionsThe findings support the idea that different patients respond to different pain treatments and that between-person treatment response differences are related to brain states as measured by EEG. The results have implications for the possibility of enhancing pain treatment response by either 1) better patient/treatment matching or 2) influencing brain activity before treatment is initiated in order to prepare patients to respond. Research is needed to replicate and confirm the findings in additional samples of individuals with chronic pain.

Indexed as

AdultAgedBrainChronic PainCross-Over StudiesElectroencephalographyFemaleHumansHypnosisMaleMeditationMiddle AgedNeurofeedbackPain ManagementSpinal Cord InjuriesTranscranial Direct Current StimulationChronic PainElectroencephalographyNonpharmacological TreatmentsSpinal Cord Injury

Identifiers

PMID25287554
PMCPMC4467571
OpenAlexW1907976367

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.