慢性疼痛治疗中的神经调控远程监控综述

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY
Tammy Zhong, Hannah M. William, Max Y. Jin, Alaa Abd-Elsayed
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引用次数: 0

摘要

综述目的神经调控技术已成为治疗慢性疼痛的有效方法。这些技术包括各种神经刺激模式,包括脊髓刺激(SCS)、背根神经节刺激(DRG-S)和周围神经刺激(PNS)。研究一致表明,使用这些模式治疗的患者在疼痛强度、生活质量和减少阿片类药物用量方面都有明显改善。然而,神经调控也带来了一些挑战,例如需要经常亲自随访以确保植入设备的正常功能。我们的综述探讨了影响当前神经调控用户依从性的因素,并研究了远程监控如何减轻其中的一些挑战。我们还讨论了近期与神经调控远程监控相关的研究结果。近期研究结果虽然神经调控设备的远程监控功能是一项新兴技术,但已有令人鼓舞的结果支持其在改善慢性疼痛患者的治疗效果方面发挥作用。本综述讨论了神经调控疗法目前面临的挑战,并强调了远程监控的作用。随着该领域的不断发展,了解神经调控远程监控的重要性对于优化疼痛治疗效果至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Review of Remote Monitoring in Neuromodulation for Chronic Pain Management

Purpose of Review

Neuromodulation techniques have emerged as promising strategies for managing chronic pain. These techniques encompass various modalities of nerve stimulation, including Spinal Cord Stimulation (SCS), Dorsal Root Ganglion Stimulation (DRG-S), and Peripheral Nerve Stimulation (PNS). Studies consistently demonstrate significant improvements in pain intensity, quality of life, and reduced opioid usage among patients treated with these modalities. However, neuromodulation presents challenges, such as the need for frequent in-person follow-up visits to ensure proper functionality of the implanted device. Our review explored factors impacting compliance in current neuromodulation users and examined how remote monitoring can mitigate some of these challenges. We also discuss outcomes of recent studies related to remote monitoring of neuromodulation.

Recent Findings

While remote monitoring capabilities for neuromodulation devices is an emerging development, there are promising results supporting its role in improving outcomes for chronic pain patients. Higher patient satisfaction, improved pain control, and reduced caretaker burdens have been observed with the use of remote monitoring.

Summary

This review discusses the current challenges with neuromodulation therapy and highlights the role of remote monitoring. As the field continues to evolve, understanding the importance of remote monitoring for neuromodulation is crucial for optimizing pain management outcomes.

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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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