Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC2-NIN-CP)

Abrahao Fontes Baptista; Ana Mercia B. L. Fernandes; Katia Nunes Sa; Alexandre Hideki Okano; Andre Russowsky Brunoni; Argelia Lara-Solares; Aziza Jreige Iskandar; Carlos Guerrero; Cesar Amescua-Garcia; Durval Campos Kraychete; Egas Caparelli-Daquer; Elias Atencio; Fabian Piedimonte; Frantz Colimon; Fuad Ahmed Hazime; Joao Batista S. Garcia; John Jairo Hernandez-Castro; Jose Alberto Flores Cantisani; Katia Karina do Monte-Silva; Luis Claudio Lemos Correia; Manuel Sempertegui Gallegos; Marco Antonio Marcolin; Maria Antonieta Ricco; Maria Berenguel Cook; Patricia Bonilla; Pedro Schestatsky; Ricardo Galhardoni; Valquiria Silva; William Delgado Barrera; Wolnei Caumo; Didier Bouhassira; Lucy S. Chipchase; Jean-Pascal Lefaucheur; Manoel Jacobsen Teixeira; Daniel Ciampi de Andrade

doi:10.1097/PR9.0000000000000692

Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC2-NIN-CP)

Abrahao Fontes Baptista, Ana Mercia B. L. Fernandes, Katia Nunes Sa, Alexandre Hideki Okano, Andre Russowsky Brunoni, Argelia Lara-Solares, Aziza Jreige Iskandar, Carlos Guerrero, Cesar Amescua-Garcia, Durval Campos Kraychete, Egas Caparelli-Daquer, Elias Atencio, Fabian Piedimonte, Frantz Colimon, Fuad Ahmed Hazime, Joao Batista S. Garcia, John Jairo Hernandez-Castro, Jose Alberto Flores Cantisani, Katia Karina do Monte-Silva, Luis Claudio Lemos CorreiaManuel Sempertegui Gallegos, Marco Antonio Marcolin, Maria Antonieta Ricco, Maria Berenguel Cook, Patricia Bonilla, Pedro Schestatsky, Ricardo Galhardoni, Valquiria Silva, William Delgado Barrera, Wolnei Caumo, Didier Bouhassira, Lucy S. Chipchase, Jean-Pascal Lefaucheur, Manoel Jacobsen Teixeira, Daniel Ciampi de Andrade

Western Sydney University

Research output: Contribution to journal › Article › peer-review

62 Citations (Scopus)

Abstract

Introduction: 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.

Original language	English
Article number	e692
Number of pages	20
Journal	Pain Reports
Volume	4
Issue number	1
DOIs	https://doi.org/10.1097/PR9.0000000000000692
Publication status	Published - 2019

Open Access - Access Right Statement

Copyright 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The InternationalAssociation 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: http://creative commons attribution-noncommercial-sharealike license 4.0 (ccby-nc-sa)/) which allows others to remix, tweak, and build upon the work noncommercially, as long as the author is credited and the new creations are licensed under the identical terms.

Keywords

chronic pain
magnetic brain stimulation
nociceptive pain
treatment

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10.1097/PR9.0000000000000692

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Baptista, A. F., Fernandes, A. M. B. L., Sa, K. N., Okano, A. H., Brunoni, A. R., Lara-Solares, A., Jreige Iskandar, A., Guerrero, C., Amescua-Garcia, C., Kraychete, D. C., Caparelli-Daquer, E., Atencio, E., Piedimonte, F., Colimon, F., Hazime, F. A., Garcia, J. B. S., Hernandez-Castro, J. J., Cantisani, J. A. F., Karina do Monte-Silva, K., ... Andrade, D. C. D. (2019). Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC2-NIN-CP). Pain Reports, 4(1), Article e692. https://doi.org/10.1097/PR9.0000000000000692

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title = "Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC2-NIN-CP)",

abstract = "Introduction: 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.",

keywords = "chronic pain, magnetic brain stimulation, nociceptive pain, treatment",

author = "Baptista, {Abrahao Fontes} and Fernandes, {Ana Mercia B. L.} and Sa, {Katia Nunes} and Okano, {Alexandre Hideki} and Brunoni, {Andre Russowsky} and Argelia Lara-Solares and {Jreige Iskandar}, Aziza and Carlos Guerrero and Cesar Amescua-Garcia and Kraychete, {Durval Campos} and Egas Caparelli-Daquer and Elias Atencio and Fabian Piedimonte and Frantz Colimon and Hazime, {Fuad Ahmed} and Garcia, {Joao Batista S.} and Hernandez-Castro, {John Jairo} and Cantisani, {Jose Alberto Flores} and {Karina do Monte-Silva}, Katia and {Lemos Correia}, {Luis Claudio} and Gallegos, {Manuel Sempertegui} and Marcolin, {Marco Antonio} and Ricco, {Maria Antonieta} and Cook, {Maria Berenguel} and Patricia Bonilla and Pedro Schestatsky and Ricardo Galhardoni and Valquiria Silva and {Delgado Barrera}, William and Wolnei Caumo and Didier Bouhassira and Chipchase, {Lucy S.} and Jean-Pascal Lefaucheur and Teixeira, {Manoel Jacobsen} and Andrade, {Daniel Ciampi de}",

year = "2019",

doi = "10.1097/PR9.0000000000000692",

language = "English",

volume = "4",

journal = "Pain Reports",

issn = "2471-2531",

publisher = "Lippincott Williams and Wilkins",

number = "1",

}

Baptista, AF, Fernandes, AMBL, Sa, KN, Okano, AH, Brunoni, AR, Lara-Solares, A, Jreige Iskandar, A, Guerrero, C, Amescua-Garcia, C, Kraychete, DC, Caparelli-Daquer, E, Atencio, E, Piedimonte, F, Colimon, F, Hazime, FA, Garcia, JBS, Hernandez-Castro, JJ, Cantisani, JAF, Karina do Monte-Silva, K, Lemos Correia, LC, Gallegos, MS, Marcolin, MA, Ricco, MA, Cook, MB, Bonilla, P, Schestatsky, P, Galhardoni, R, Silva, V, Delgado Barrera, W, Caumo, W, Bouhassira, D, Chipchase, LS, Lefaucheur, J-P, Teixeira, MJ & Andrade, DCD 2019, 'Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC2-NIN-CP)', Pain Reports, vol. 4, no. 1, e692. https://doi.org/10.1097/PR9.0000000000000692

TY - JOUR

T1 - Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC2-NIN-CP)

AU - Baptista, Abrahao Fontes

AU - Fernandes, Ana Mercia B. L.

AU - Sa, Katia Nunes

AU - Okano, Alexandre Hideki

AU - Brunoni, Andre Russowsky

AU - Lara-Solares, Argelia

AU - Jreige Iskandar, Aziza

AU - Guerrero, Carlos

AU - Amescua-Garcia, Cesar

AU - Kraychete, Durval Campos

AU - Caparelli-Daquer, Egas

AU - Atencio, Elias

AU - Piedimonte, Fabian

AU - Colimon, Frantz

AU - Hazime, Fuad Ahmed

AU - Garcia, Joao Batista S.

AU - Hernandez-Castro, John Jairo

AU - Cantisani, Jose Alberto Flores

AU - Karina do Monte-Silva, Katia

AU - Lemos Correia, Luis Claudio

AU - Gallegos, Manuel Sempertegui

AU - Marcolin, Marco Antonio

AU - Ricco, Maria Antonieta

AU - Cook, Maria Berenguel

AU - Bonilla, Patricia

AU - Schestatsky, Pedro

AU - Galhardoni, Ricardo

AU - Silva, Valquiria

AU - Delgado Barrera, William

AU - Caumo, Wolnei

AU - Bouhassira, Didier

AU - Chipchase, Lucy S.

AU - Lefaucheur, Jean-Pascal

AU - Teixeira, Manoel Jacobsen

AU - Andrade, Daniel Ciampi de

PY - 2019

Y1 - 2019

N2 - Introduction: 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.

AB - Introduction: 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.

KW - chronic pain

KW - magnetic brain stimulation

KW - nociceptive pain

KW - treatment

UR - http://handle.westernsydney.edu.au:8081/1959.7/uws:49414

UR - https://journals.lww.com/painrpts/Abstract/latest/Latin_American_and_Caribbean_consensus_on.99887.aspx

U2 - 10.1097/PR9.0000000000000692

DO - 10.1097/PR9.0000000000000692

M3 - Article

SN - 2471-2531

VL - 4

JO - Pain Reports

JF - Pain Reports

IS - 1

M1 - e692

ER -

Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC2-NIN-CP)

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