Integrated manual therapies: IASP taskforce viewpoint

PAIN Reports, Год журнала: 2024, Номер 9(6), С. e1192 - e1192

Опубликована: Окт. 29, 2024

Abstract Introduction: Manual therapy refers to a range of hands-on interventions used by various clinical professionals, such as osteopaths, osteopathic physicians, chiropractors, massage therapists, physiotherapists, and physical treat patients experiencing pain. Objectives: To present existing evidence mechanisms effectiveness manual in Methods: This Clinical Update focuses on the 2023 International Association for Study Pain Global Year Integrative Care. Current models examples integrative are discussed. Results: The evolution concepts recent years presented current gaps knowledge guide future research highlighted. Mechanisms discussed, including specific contextual effects. Findings from animal humans inflammatory markers, fibrosis, behaviours. There is low moderate levels that effect sizes small large pain function tension headache, cervicogenic fibromyalgia, back pain, neck knee hip Conclusion: therapies appear be effective variety conditions with minimal safety concerns. opportunities integrate new its educational, clinical, models. also well-suited fostering person-centred approach care, requiring clinician relinquish some their power person consulting. Integrated have recently demonstrated fascinating illustrating adaptability capacity address contemporary societal challenges.

Язык: Английский

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Analgesia for the Bayesian Brain: How Predictive Coding Offers Insights Into the Subjectivity of Pain

Current Pain and Headache Reports, Год журнала: 2023, Номер 27(11), С. 631 - 638

Опубликована: Июль 8, 2023

Abstract Purpose of Review In order to better treat pain, we must understand its architecture and pathways. Many modulatory approaches pain management strategies are only poorly understood. This review aims provide a theoretical framework perception modulation in assist clinical understanding research analgesia anesthesia. Recent Findings Limitations traditional models for have driven the application new data analysis models. The Bayesian principle predictive coding has found increasing neuroscientific research, providing promising background principles consciousness perception. It can be applied subjective pain. Summary Pain viewed as continuous hierarchical process bottom-up sensory inputs colliding with top-down modulations prior experiences, involving multiple cortical subcortical hubs matrix. Predictive provides mathematical model this interplay.

Язык: Английский

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Neuroplasticity of pain processing mechanisms with long-term meditation: Insights from pain-related EEG oscillations

Research Square (Research Square), Год журнала: 2025, Номер unknown

Опубликована: Янв. 15, 2025

The experience of pain is a combined product bottom-up and top-down influences mediated by attentional emotional factors. Meditation states traits are characterized enhanced attention/emotion regulation expanded self-awareness that can be expected to modify processing. main objective the present study was explore effects long-term meditation on neural mechanisms EEG pain-related oscillations (PROs) were analyzed in highly experienced practitioners novices during non-meditative resting state with respect (a) local frequency-specific temporal synchronizing characteristics reflect mainly mechanisms, (b) spatial patterns communication noxious information, (c) pre-stimulus expectancy, (d) P3b component potential compare emotional/cognitive reappraisal events expert novice meditators. Main results demonstrated (long-term) meditators as compared non-experienced (short-term) (1) synchronizations multispectral (from theta-alpha gamma) PROs substantially suppressed at primary secondary somatosensory regions contra-lateral stimulation within 200 ms after stimulus; (2) alpha activity significantly increased same regions, which predicted synchronization meditators; (3) decrease non-significant. These novel observations provide evidence even when subjected outside meditation, exhibit pro-active inhibition areas resulting processing sensory information early stages painful input. appraisal reduced but remains preserved revealing capacity dissociate reactive processes control.

Язык: Английский

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Beyond Needling: Integrating a Bayesian Brain Model into Acupuncture Treatment

Brain Sciences, Год журнала: 2025, Номер 15(2), С. 192 - 192

Опубликована: Фев. 13, 2025

Acupuncture is a medical tool in which sterile needle used to penetrate and stimulate certain body area (acupoint), inducing series of sensations such as numbness, dullness, or aching, often referred de-qi. But that all? In this article, we adopt Bayesian perspective explore the cognitive affective aspects acupuncture beyond needling, specifically, how integrates bottom-up sensory signals with top-down predictions perception. We propose way discern treatment result predictive coding, probabilistic, inferential process our brain. Active inference from both prior experience expectations acupuncture, when integrated incoming signals, creates unique, individual internal generative model perception acupuncture. A framework coding may, therefore, aid elucidating quantifying components facilitate understanding their differential interactions determining treatment. Thus, perception-based presented article may expand on perceive treatment, simply inserting needles into one encompasses complex healing supported by belief hope regaining health. By exploring factors influence responsiveness review sheds light why more effective some individuals than others.

Язык: Английский

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EEG oscillations reveal neuroplastic changes in pain processing associated with long-term meditation

Scientific Reports, Год журнала: 2025, Номер 15(1)

Опубликована: Март 27, 2025

The experience of pain is a combined product bottom-up and top-down influences mediated by attentional emotional factors. Meditation states traits are characterized enhanced attention/emotion regulation expanded self-awareness that can be expected to modify processing. main objective the present study was explore effects long-term meditation on neural mechanisms EEG pain-related oscillations (PROs) were analysed in highly experienced practitioners novices during non-meditative resting state with respect (a) local frequency-specific temporal synchronizing characteristics reflect mainly mechanisms, (b) spatial patterns communication noxious information, (c) pre-stimulus expectancy, (d) P3b component potential compare emotional/cognitive reappraisal events expert novice meditators. Main results demonstrated (long-term) meditators as compared non-experienced (short-term) (1) synchronizations multispectral (from theta-alpha gamma) PROs substantially suppressed at primary secondary somatosensory regions contra-lateral stimulation within 200 ms after stimulus; (2) alpha activity significantly increased same regions, which predicted synchronization meditators; (3) decrease non-significant. These novel observations provide evidence even when subjected outside meditation, exhibit pro-active inhibition areas resulting processing sensory information early stages painful input. appraisal reduced but remains preserved revealing capacity dissociate reactive processes control.

Язык: Английский

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Development, Insults and Predisposing Factors of the Brain’s Predictive Coding System to Chronic Perceptual Disorders—A Life-Course Examination

Brain Sciences, Год журнала: 2024, Номер 14(1), С. 86 - 86

Опубликована: Янв. 16, 2024

The predictive coding theory is currently widely accepted as the theoretical basis of perception and chronic perceptual disorders are explained maladaptive compensation brain to a prediction error. Although this gives us general framework work with, it still not clear who may be more susceptible and/or vulnerable aberrations in system. In paper, we study changes through lens tinnitus pain. We take step back understand how system develops from infancy, what different neural bio markers that characterise acute, transition phases factors pose risk aberration Through aim identify people at higher developing reflection aberrant coding, thereby giving future studies facets incorporate their investigation early tinnitus, pain other coding. therefore view paper encourage thinking behind development preclinical biomarkers

Язык: Английский

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The Bayliss–Starling Prize Lecture: The developmental physiology of spinal cord and cortical nociceptive circuits

The Journal of Physiology, Год журнала: 2024, Номер 602(6), С. 1003 - 1016

Опубликована: Март 1, 2024

Abstract When do we first experience pain? To address this question, need to know how the developing nervous system processes potential or real tissue‐damaging stimuli in early life. In newborn, nociception preserves life through reflex avoidance of tissue damage and engagement parental help. Importantly, also forms starting point for experiencing learning about pain setting level adult sensitivity. This review, which arose from Bayliss–Starling Prize Lecture, focuses on basic developmental neurophysiology nociceptive circuits spinal cord, brainstem cortex that form building blocks our experience. image

Язык: Английский

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Chronic pain – A maladaptive compensation to unbalanced hierarchical predictive processing

NeuroImage, Год журнала: 2024, Номер 297, С. 120711 - 120711

Опубликована: Июнь 26, 2024

The ability to perceive pain presents an interesting evolutionary advantage adapt ever-changing environment. However, in the case of chronic (CP), perception hinders capacity system changing sensory environments. Similar other perceptual disorders, CP is also proposed be a maladaptive compensation aberrant predictive processing. local-global oddball paradigm relies on learning hierarchical rules and processing environmental irregularities at local global level. Prediction errors (PE) between actual predicted input typically trigger update forward model limit probability encountering future PEs. It has been hypothesised that updating, reflected increased deviance decreased deviance. In present study, we used examine how influences relative healthy controls. As hypothesised, observed stimulus characteristics evoked heightened stimulus-driven PE. This accompanied by respective changes theta phase locking correlated with subjective perception. Changes deviant stimulus-driven-PE could explained dampened attention-related responses. Changing context auditory did not however show difference context-driven These findings suggest updating where constant presence disrupts non-nociceptive domains. Furthermore, hypothesise auditory-processing based biomarker identified here marker domain-general dysfunction confirmed research.

Язык: Английский

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Pain Classification and Intensity Estimation Through the Analysis of Facial Action Units

Lecture notes in computer science, Год журнала: 2024, Номер unknown, С. 229 - 241

Опубликована: Янв. 1, 2024

Язык: Английский

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The hierarchical predictive coding framework of post-traumatic stress disorder

Medical Hypotheses, Год журнала: 2024, Номер 188, С. 111365 - 111365

Опубликована: Май 9, 2024

Язык: Английский

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