Evaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.

<h4>Purpose</h4>To assess the efficacy of pregabalin by showing differences in the neuronal activities of fibromyalgia (FM) patients before and after longitudinal treatment using functional magnetic resonance imaging (fMRI).<h4>Materials and methods</h4>In total, 21 female pa...

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Autores principales: Seong-Ho Kim, Youngho Lee, Sunggun Lee, Chi-Woong Mun
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Publicado: Public Library of Science (PLoS) 2013
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Acceso en línea:https://doaj.org/article/16cc053797a54af5bb2c06aeb96655ff
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spelling oai:doaj.org-article:16cc053797a54af5bb2c06aeb96655ff2021-11-18T08:56:28ZEvaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.1932-620310.1371/journal.pone.0074099https://doaj.org/article/16cc053797a54af5bb2c06aeb96655ff2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24040178/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Purpose</h4>To assess the efficacy of pregabalin by showing differences in the neuronal activities of fibromyalgia (FM) patients before and after longitudinal treatment using functional magnetic resonance imaging (fMRI).<h4>Materials and methods</h4>In total, 21 female patients with FM and 11 age- and gender-matched healthy controls participated. FM patients underwent fMRI at baseline and following pharmacological therapy with pregabalin to diminish their pain. Pressure-pain stimuli were delivered on the subject's thumbnail bed during fMRI scans. Brain activation regions in fMRI were evaluated for longitudinal changes using a paired t-test. Changes in clinical features were also assessed with the Fibromyalgia Impact Questionnaire (FIQ), Brief Fatigue Inventory (BFI), Beck Depression Inventory (BDI), Widespread Pain Index (WPI), Symptom Severity Scale Score (SSS), and State-Trait Anxiety Inventory (STAI).<h4>Results</h4>Clinical scores were reduced significantly following therapy with five of the six clinical tests (FIQ, BFI, BDI, WPI, SSS; p < 0.05). Brain activation post-treatment was significantly lower than that pre-treatment in 13 regions of the brain (p < 0.001).<h4>Conclusions</h4>Our findings confirm that pregabalin influences aspects of the whole pain matrix, using fMRI, inducing longitudinal changes in neuronal activity during the pain state, and that it reduces pain and other core symptoms of FM. This method could be applied to other longitudinal clinical trials of pharmacological treatments for FM.Seong-Ho KimYoungho LeeSunggun LeeChi-Woong MunPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 9, p e74099 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Seong-Ho Kim
Youngho Lee
Sunggun Lee
Chi-Woong Mun
Evaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.
description <h4>Purpose</h4>To assess the efficacy of pregabalin by showing differences in the neuronal activities of fibromyalgia (FM) patients before and after longitudinal treatment using functional magnetic resonance imaging (fMRI).<h4>Materials and methods</h4>In total, 21 female patients with FM and 11 age- and gender-matched healthy controls participated. FM patients underwent fMRI at baseline and following pharmacological therapy with pregabalin to diminish their pain. Pressure-pain stimuli were delivered on the subject's thumbnail bed during fMRI scans. Brain activation regions in fMRI were evaluated for longitudinal changes using a paired t-test. Changes in clinical features were also assessed with the Fibromyalgia Impact Questionnaire (FIQ), Brief Fatigue Inventory (BFI), Beck Depression Inventory (BDI), Widespread Pain Index (WPI), Symptom Severity Scale Score (SSS), and State-Trait Anxiety Inventory (STAI).<h4>Results</h4>Clinical scores were reduced significantly following therapy with five of the six clinical tests (FIQ, BFI, BDI, WPI, SSS; p < 0.05). Brain activation post-treatment was significantly lower than that pre-treatment in 13 regions of the brain (p < 0.001).<h4>Conclusions</h4>Our findings confirm that pregabalin influences aspects of the whole pain matrix, using fMRI, inducing longitudinal changes in neuronal activity during the pain state, and that it reduces pain and other core symptoms of FM. This method could be applied to other longitudinal clinical trials of pharmacological treatments for FM.
format article
author Seong-Ho Kim
Youngho Lee
Sunggun Lee
Chi-Woong Mun
author_facet Seong-Ho Kim
Youngho Lee
Sunggun Lee
Chi-Woong Mun
author_sort Seong-Ho Kim
title Evaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.
title_short Evaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.
title_full Evaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.
title_fullStr Evaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.
title_full_unstemmed Evaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.
title_sort evaluation of the effectiveness of pregabalin in alleviating pain associated with fibromyalgia: using functional magnetic resonance imaging study.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/16cc053797a54af5bb2c06aeb96655ff
work_keys_str_mv AT seonghokim evaluationoftheeffectivenessofpregabalininalleviatingpainassociatedwithfibromyalgiausingfunctionalmagneticresonanceimagingstudy
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AT sunggunlee evaluationoftheeffectivenessofpregabalininalleviatingpainassociatedwithfibromyalgiausingfunctionalmagneticresonanceimagingstudy
AT chiwoongmun evaluationoftheeffectivenessofpregabalininalleviatingpainassociatedwithfibromyalgiausingfunctionalmagneticresonanceimagingstudy
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