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Electrical Intramuscular Stimulation in Osteoarthritis Enhances the Inhibitory Systems in Pain Processing at Cortical and Cortical Spinal System
Author(s) -
Maria da Graca-Tarragó,
Alícia Deitos,
Aline Patrícia Brietzke,
Iraci Lucena da Silva Torres,
Luciana Paula Cadore Stefani,
Felipe Fregni,
Wolnei Caumo
Publication year - 2015
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/pme.12930
Subject(s) - transcranial magnetic stimulation , osteoarthritis , visual analogue scale , evoked potential , primary motor cortex , inhibitory postsynaptic potential , stimulation , anesthesia , medicine , motor cortex , psychology , silent period , neuroscience , pathology , alternative medicine
To determine if in knee osteoarthritis (KOA), one session of active electrical intramuscular stimulation (a-EIMS) compared with sham causes an effect on the motor cortex excitability parameters [motor evoked potential (MEP; the primary outcome), short intracortical inhibition (SICI), intracortical facilitation (ICF) and cortical silent period (CSP)] and pain measurements [pain pressure threshold (PPT); visual analog scale (VAS) and change in numerical pain scale (NPS 0-10 ) during the conditioned pain modulation (CPM)-task]. This study also set out to determine if serum brain-derived neurotrophic factor (BDNF) mediates the effect of treatment on the cortical spinal system as assessed by MEP and PPT.

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