Evidence map›Paper›PMID 42330351›Full record

GuidelinePain medicine (Malden, Mass.)2026

American Academy of Pain Medicine consensus guidelines on neuromodulation technologies and neurocomputer interfaces for pain management and functional recovery.

Trent Emerick, Kevin E Vorenkamp, Vinicius Tieppo Francio, Shriya Srinivasan, Priyanka Singla, Joel Castellanos, Farshad M Ahadian, Zheyan Chen, Anna Lepesteur Gianlorenco, Danielle Sarno and 3 more

Abstract readReviewPractice Guideline
In one paragraph

Guideline in Pain medicine (Malden, Mass.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Trent EmerickDepartment of Anesthesiology and Perioperative Medicine, Division of Chronic Pain, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.ORCID 0000-0002-3802-5946
Kevin E VorenkampDepartment of Anesthesiology, Division of Pain Medicine, Duke University Health System, Durham, NC, United States.ORCID 0000-0001-8416-7964
Vinicius Tieppo FrancioDepartment of Anesthesiology, Division of Pain Medicine, Washington University School of Medicine, St. Louis, MO, United States.ORCID 0000-0001-6513-0058
Shriya SrinivasanHarvard John A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, MA, United States.ORCID 0000-0002-2508-1324
Priyanka SinglaDepartment of Anesthesiology, University of Virginia, Charlottesville, VA, United States.ORCID 0009-0008-8038-6762
Joel CastellanosDepartment of Anesthesiology, Division of Pain Medicine, University of California, San Diego, La Jolla, CA, United States.
Farshad M AhadianDepartment of Anesthesiology, Division of Pain Medicine, University of California, San Diego, La Jolla, CA, United States.ORCID 0000-0003-3451-0992
Zheyan ChenDepartment of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Oregon Health & Science University, Portland, OR, United States.ORCID 0009-0002-6300-0780
Anna Lepesteur GianlorencoDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States.
Danielle SarnoDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States.ORCID 0000-0003-4782-0287
Nalini SehgalDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States.
Nikhil MurthyDepartment of Neurological Surgery, UC San Diego School of Medicine, San Diego, CA, United States.
Antje M BarreveldDepartment of Anesthesiology, Tufts School of Medicine, Pain Medicine, Newton-Wellesley Hospital, Newton, MA, United States.ORCID 0000-0003-1126-2797

Funding

The American Academy of Pain Medicine Foundation
6 · The paper itself

Abstract

objectiveTo provide an evidence-based framework for healthcare professionals to use neuromodulation technologies to restore neuromuscular function and relieve pain.

methodsAn expert panel, convened by the American Academy of Pain Medicine Foundation, conducted a literature review of English-language studies published between 2015 and 2025 using PubMed, the Cochrane Library, Web of Science, and Scopus (detailed in Supplementary Material S2). The panel screened abstracts, extracted key data, and evaluated evidence quality using a modified United States Preventive Services Task Force criteria. A Delphi process was used to achieve expert consensus on clinical recommendations for various neuromodulation technologies: artificial intelligence-guided and robotic rehabilitation systems, virtual/augmented reality interfaces, brain-computer interfaces, electrical nerve stimulation (encompassing peripheral nerve stimulation transcutaneous electrical stimulation), vagus nerve stimulation, multifidus neurostimulation, surgery (eg, regenerative peripheral nerve interface), scrambler therapy, spinal cord stimulation for motor restoration, and transcranial magnetic stimulation.

resultsThe panel provided clinical recommendations and discussed mechanisms of action, evidence, and clinical considerations for each intervention. Evidence for these technologies is evolving, with some showing promising results in areas like improving upper limb function post-stroke, improving functional spine-related outcomes, and reducing chronic pain.

conclusionsNeuromodulation technologies offer a promising approach for neuromuscular restoration, focusing on interventions that promote functional recovery rather than solely providing symptomatic care. Areas for future research include more high-quality, large-scale studies with consistent outcome measures.

Indexed as

Brain-Computer InterfacesPain ManagementRecovery of FunctionConsensusHumansSpinal Cord StimulationTranscranial Magnetic StimulationTranscutaneous Electric Nerve Stimulationbrain-computer interfacesneuromodulationneuromuscular restorationperipheral nerve stimulationspinal cord stimulationtranscranial magnetic stimulation

Identifiers

PMID42330351
PMCPMC13725064

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.