Commentry on: Combined transcranial direct current stimulation and breathing controlled electrical stimulation for the management of neuropathic pain after spinal cord injury

Srivastav, Adarsh Kumar; Sharma, Nidhi; Khadayat, Sarita

doi:10.2340/16501977-2577

Cited by 1 publication

(2 citation statements)

References 7 publications

(10 reference statements)

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“…One RCT [ 54 ] of low quality provides additional supporting evidence for NP intensity reduction following tDCS in comparison to sham control, while one RCT crossover of moderate quality did not find a significant difference in NP intensity between active and sham tDCS treatments [ 55 ]. An RCT crossover of very low quality examined a single session of active or sham tDCS, neither of which resulted in reductions in pain intensity following treatment [ 56 ].…”

Section: Treatment Recommendationsmentioning

confidence: 99%

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The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update

et al. 2022

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Study design Clinical practice guidelines. Objectives The objective was to update the 2016 version of the Canadian clinical practice guidelines for the management of neuropathic pain in people with spinal cord injury (SCI). Setting The guidelines are relevant for inpatient, outpatient and community SCI rehabilitation settings in Canada. Methods The guidelines were updated in accordance with the Appraisal of Guidelines for Research and Evaluation II tool. A Steering Committee and Working Group reviewed the relevant evidence on neuropathic pain management (encompassing screening and diagnosis, treatment and models of care) after SCI. The quality of evidence was scored using Grading of Recommendations Assessment, Development and Evaluation (GRADE). A consensus process was followed to achieve agreement on recommendations and clinical considerations. Results The working group identified and reviewed 46 additional relevant articles published since the last version of the guidelines. The panel agreed on 3 new screening and diagnosis recommendations and 8 new treatment recommendations. Two key changes to these treatment recommendations included the introduction of general treatment principles and a new treatment recommendation classification system. No new recommendations to model of care were made. Conclusions The CanPainSCI recommendations for the management of neuropathic pain after SCI should be used to inform practice.

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Section: Treatment Recommendationsmentioning

confidence: 99%

“…One moderate quality RCT crossover did not find a difference between combined tDCS and BreEStim treatment and BreEStim treatment alone [ 55 ]. In consideration with studies examining BreEStim alone, this study did not significantly change the overall quality of evidence to warrant a recommendation for BreEStim.…”

Section: Treatment Recommendationsmentioning

confidence: 99%