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The mechanism of neurofeedback training for treatment of central neuropathic pain in paraplegia: a pilot study

Overview of attention for article published in BMC Neurology, October 2015
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  • Above-average Attention Score compared to outputs of the same age (57th percentile)
  • Good Attention Score compared to outputs of the same age and source (66th percentile)

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Title
The mechanism of neurofeedback training for treatment of central neuropathic pain in paraplegia: a pilot study
Published in
BMC Neurology, October 2015
DOI 10.1186/s12883-015-0445-7
Pubmed ID
Authors

Muhammad Abul Hassan, Matthew Fraser, Bernard A. Conway, David B. Allan, Aleksandra Vuckovic

Abstract

Central neuropathic pain has a prevalence of 40 % in patients with spinal cord injury. Electroencephalography (EEG) studies showed that this type of pain has identifiable signatures, that could potentially be targeted by a neuromodulation therapy. The aim of the study was to investigate the putative mechanism of neurofeedback training on central neuropathic pain and its underlying brain signatures in patients with chronic paraplegia. Patients' EEG activity was modulated from the sensory-motor cortex, electrode location C3/Cz/C4/P4 in up to 40 training sessions Results. Six out of seven patients reported immediate reduction of pain during neurofeedback training. Best results were achieved with suppressing Ɵ and higher β (20-30 Hz) power and reinforcing α power at C4. Four patients reported clinically significant long-term reduction of pain (>30 %) which lasted at least a month beyond the therapy. EEG during neurofeedback revealed a wide spread modulation of power in all three frequency bands accompanied with changes in the coherence most notable in the beta band. The standardized low resolution electromagnetic tomography analysis of EEG before and after neurofeedback therapy showed the statistically significant reduction of power in beta frequency band in all tested patients. Areas with reduced power included the Dorsolateral Prefrontal Cortex, the Anterior Cingulate Cortex and the Insular Cortex. Neurofeedback training produces both immediate and longer term reduction of central neuropathic pain that is accompanied with a measurable short and long term modulation of cortical activity. Controlled trials are required to confirm the efficacy of this neurofeedback protocol on treatment of pain. The study is a registered UKCRN clinical trial Nr 9824.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 154 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Indonesia 1 <1%
Spain 1 <1%
Brazil 1 <1%
Unknown 151 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 28 18%
Student > Bachelor 23 15%
Researcher 22 14%
Student > Master 16 10%
Other 8 5%
Other 14 9%
Unknown 43 28%
Readers by discipline Count As %
Neuroscience 28 18%
Medicine and Dentistry 25 16%
Engineering 15 10%
Psychology 13 8%
Nursing and Health Professions 10 6%
Other 15 10%
Unknown 48 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 December 2015.
All research outputs
#12,622,341
of 22,830,751 outputs
Outputs from BMC Neurology
#917
of 2,435 outputs
Outputs of similar age
#119,584
of 279,229 outputs
Outputs of similar age from BMC Neurology
#21
of 65 outputs
Altmetric has tracked 22,830,751 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,435 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.7. This one has gotten more attention than average, scoring higher than 62% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 279,229 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.
We're also able to compare this research output to 65 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 66% of its contemporaries.