Neuromodulation : journal of the International Neuromodulation Society
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Randomized Controlled Trial
Repetitive Transcranial Magnetic Stimulation in Managing Mild Traumatic Brain Injury-Related Headaches.
Headache is one of the most common debilitating chronic pain conditions in either active or retired military personnel with mild traumatic brain injury (MTBI). This study assessed the effect of repetitive transcranial magnetic stimulation (rTMS) in alleviating MTBI-related headache (MTBI-HA). ⋯ The studied rTMS protocol appears to be a clinically feasible and effective treatment option in managing MTBI-HA.
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Multicenter Study Observational Study
Results From the Partnership for Advancement in Neuromodulation Registry: A 24-Month Follow-Up.
This longitudinal, clinical outcome study was a multicenter, prospective, observational, registry with a 24-month assessment of patients implanted with spinal cord stimulation (SCS) systems for the management of chronic pain of the trunk and/or limbs. ⋯ Most patients experienced substantial pain relief and a significant improvement in all outcome measures. These results further support the safety, efficacy, and sustainability of SCS in clinical practice.
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Observational Study
Trialing and Maintenance Dosing Using a Low-Dose Intrathecal Opioid Method for Chronic Nonmalignant Pain: A Prospective 36-Month Study.
To evaluate low-dose intrathecal opioid trialing and maintenance with regard to analgesia and psychometric functional capacity. ⋯ This study adds to the growing body of literature suggesting that low-dose intrathecal analgesia without oral opioid supplementation can be efficacious. It appears that this approach may achieve analgesia with lower doses in those with primary nociceptive pain type.
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A research study combining numerical simulation and animal-model experiments has been performed to assess the ability of simulation to accurately calculate temperatures within living tissue during the recharge of a neuromodulation system (Restore Ultra device, Medtronic Neuromodulation, Minneapolis, MN, USA). ⋯ It is shown that numerical simulation using the Pennes bioheat equation is capable of predicting temperature increases within living tissues when implanted heat-generating devices are in use. The device used in the present study does not give rise to temperatures which cause concern of thermal injury or safety. The study was performed for aligned antenna and implant.