Evidence map›Paper›PMID 40437546›Full record

Trial reportBMC medicine2025

Targeted limbic self-neuromodulation for alleviating central sensitization symptoms in fibromyalgia.

Ayelet Or-Borichev, Yulia Lerner, Yael Hamrani, Guy Gurevitch, Netali Mor, Maayan Doron, Noam Sarna, Jacob N Ablin, Talma Hendler, Haggai Sharon

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02146495 (Mechanistic Perspective on EEG Based Amygdala Driven NF in Fibromyalgia), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT02146495 nacompletednot on this map

Mechanistic Perspective on EEG Based Amygdala Driven NF in Fibromyalgia

TypeinterventionalSponsorTel-Aviv Sourasky Medical CenterRan2017 to 2022Enrolled70ConditionsFibromyalgia (FM)ArmsSimultaneous EEG and fMRI recordings, Amygdala-Electrical Fingerprint (Amyg-EFP)-NF Trial, Amygdala-Electrical Fingerprint (Amyg-EFP)-NF Sham Trial
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Fibromyalgia in the Era of Brain PET/CT Imaging.Journal of clinical medicine · 2025
    Review
  4. Disrupted Sensorimotor Network Integration in Women With Fibromyalgia Revealed by Resting-State Functional MRI.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Article
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

10 authors.

Ayelet Or-Borichev *Sagol Brain Institute, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv, 6423906, Israel. ayeletorb@gmail.com.
Yulia Lerner *Sagol Brain Institute, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv, 6423906, Israel.
Yael HamraniSagol Brain Institute, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv, 6423906, Israel.
Guy GurevitchSagol Brain Institute, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv, 6423906, Israel.
Netali MorSagol Brain Institute, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv, 6423906, Israel.
Maayan DoronSagol Brain Institute, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv, 6423906, Israel.
Noam SarnaGershon H. Gordon Faculty of Social Sciences, School of Psychological Sciences, Tel-Aviv University, Tel-Aviv, 6997801, Israel.
Jacob N AblinFaculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, 6997801, Israel.
Talma HendlerSagol Brain Institute, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv, 6423906, Israel.
Haggai SharonSagol Brain Institute, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv, 6423906, Israel.

Funding

Israel Science Foundation Grant No. 1573/18
6 · The paper itself

Abstract

backgroundFibromyalgia (FM), involving somatic, cognitive, and affective domains is often regarded as a hallmark central sensitization syndrome. Despite limited current therapeutic options, emerging understanding of its neural underpinnings offers the potential of applying novel neuromodulation strategies. Specifically, limbic dysregulation underlying abnormalities in pain modulation and somatic-affective processing, has been shown to play a key role in FM. Here, we assessed the long-term efficacy of targeted limbic self-neuromodulation for improving clinical disease burden in FM.

methodsForty-seven patients with FM participated in a double-blind, randomized, dual-control study employing a novel specialized neurofeedback probe representing amygdala activity. Patients underwent 10 sessions of either genuine neurofeedback training (NFT = 21), or sham neurofeedback training (NFS = 13), or treatment as usual (TAU = 13). Disease severity and symptom burden were assessed using the Symptom Severity Score (SSS), along with other questionnaires administered before and after treatment. A clinical follow-up was performed 10-12 months post-intervention.

resultsNFT led to a significant immediate and long-term reduction in the SSS (F

conclusionsOur findings support the intimate involvement of limbic brain areas in the pathophysiology of FM and suggest that targeted neuromodulation offers a novel, mechanism-based approach for managing multidomain symptoms in FM.

trial registrationThis study was preregistered with the National Institutes of Health (NIH). REGISTRATION NUMBER: NCT02146495. Name of trial registry: Targeted Limbic Self-modulation as a Potential Treatment for Patients Suffering From Fibromyalgia  https://clinicaltrials.gov/study/NCT02146495 .

Indexed as

Central Nervous System SensitizationFibromyalgiaLimbic SystemAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeBrain-based therapyChronic pain reliefFibromyalgia managementFMRI-informed EEG modelNon-invasive intervention

Identifiers

PMID40437546
PMCPMC12121213

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.