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A Brain-Computer-Interface to Combat Musculoskeletal Pain

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Part of the book series: SpringerBriefs in Electrical and Computer Engineering ((BRIEFSELECTRIC))

Abstract

Over the past several years, our group has conceived a completely new technological approach toward BCIs aimed at reversing the maladaptive plasticity induced by musculoskeletal pain. The EEG activity patterns of participants with chronic pain (tennis elbow) were differentiated from those of healthy, age and sex matched controls during real-time movement performance. Our results showed a dominance of power in the alpha frequency range only that was significantly correlated with the intensity of pain (visual analogue scale scale—VAS). Based on this novel finding, a neurofeedback system was developed allowing real-time monitoring of alpha power during idle time and movement execution (wrist extensions). Two bars were shown to the patient on a feedback screen—one containing continuous alpha power, the other only alpha power during the preparation phase of movement execution. The goal of the participant was to maintain the alpha power below the initial baseline value during movement execution. Three patients were tested using this system and their pain intensities were monitored. All participants were successful in decreasing their alpha power across days. This was accompanied by a reduction in their perceived pain VAS scores. In summary, we have developed a neurofeedback system for musculoskeletal pain that is capable of providing rapid, accurate and reliable neurofeedback in dynamic conditions, allowing the users to train their brain to reduce the pain.

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References

  1. J.J. Daly, N. Hogan, E.M. Perepezko, H.I. Krebs, J.M. Rogers, K.S. Goyal, M.E. Dohring, E. Fredrickson, J. Nethery, R.L. Ruff, Response to upper-limb robotics and functional neuromuscular stimulation following stroke. J. Rehabil. Res. Dev. 42, 723–736 (2005)

    Article  Google Scholar 

  2. S.R. Soekadar, N. Birbaumer, M.W. Slutzky, L.G. Cohen, Brain-machine interfaces in neurorehabilitation of stroke. Neurobiol. Dis. 83, 172–179 (2015)

    Article  Google Scholar 

  3. A. Vuckovic, M.A. Hasan, M. Fraser, B. A. Conway, B. Nasseroleslami, D.B. Allan, Dynamic oscillatory signatures of central neuropathic pain in spinal cord injury. J Pain (2014)

    Google Scholar 

  4. R. Xu, N. Jiang, A. Vuckovic, M. Hasan, N. Mrachacz-Kersting, D. Allan, M. Fraser, B. Nasseroleslami, B. Conway, K. Dremstrup, D. Farina, Movement-related cortical potentials in paraplegic patients: abnormal patterns and considerations for BCI-rehabilitation. Front. Neuroeng. 7, 35 (2014)

    Article  Google Scholar 

  5. P.J. Wrigley, S.M. Gustin, P.M. Macey, P.G. Nash, S.C. Gandevia, V.G. Macefield, P.J. Siddall, L.A. Henderson, Anatomical changes in human motor cortex and motor pathways following complete thoracic spinal cord injury. Cereb. Cortex 19, 224–232 (2009)

    Article  Google Scholar 

  6. S.M. Gustin, P.J. Wrigley, P.J. Siddall, L.A. Henderson, Brain anatomy changes associated with persistent neuropathic pain following spinal cord injury. Cereb. Cortex 20, 1409–1419 (2010)

    Article  Google Scholar 

  7. T. Graven-Nielsen, L. Arendt-Nielsen, Peripheral and central sensitization in musculoskeletal pain disorders: an experimental approach. Curr. Rheumatol. Rep. 4, 313–321 (2002)

    Article  Google Scholar 

  8. L. Arendt-Nielsen, T. Graven-Nielsen, Muscle pain: sensory implications and interaction with motor control. Clin. J. Pain 24, 291–298 (2008)

    Article  Google Scholar 

  9. T. Graven-Nielsen, L. Arendt-Nielsen, P. Madeleine, P. Svensson, Pain mechanisms in chronic musculoskeletal conditions. Ugeskr. Laeger 172, 1824–1827 (2010)

    Google Scholar 

  10. S.M. Schabrun, P.W. Hodges, B. Vicenzino, E. Jones, L.S. Chipchase, Novel adaptations in motor cortical maps: the relation to persistent elbow pain. Med. Sci. Sports Exerc. 47, 681–690 (2015)

    Article  Google Scholar 

  11. S.M. Schabrun, P.W. Hodges, Muscle pain differentially modulates short interval intracortical inhibition and intracortical facilitation in primary motor cortex. J. Pain. 13, 187–194 (2012)

    Article  Google Scholar 

  12. S.M. Schabrun, E. Jones, J. Kloster, P.W. Hodges, Temporal association between changes in primary sensory cortex and corticomotor output during muscle pain. Neuroscience 235, 159–164 (2013)

    Article  Google Scholar 

  13. T. Graven-Nielsen, L. Arendt-Nielsen, Assessment of mechanisms in localized and widespread musculoskeletal pain. Nat. Rev. Rheumatol. 6, 599–606 (2010)

    Article  Google Scholar 

  14. K. Hayashi, S. Shiozawa, N. Ozaki, K. Mizumura, T. Graven-Nielsen, Repeated intramuscular injections of nerve growth factor induced progressive muscle hyperalgesia, facilitated temporal summation, and expanded pain areas. Pain 154, 2344–2352 (2013)

    Article  Google Scholar 

  15. M.J. Bergin, R. Hirata, C. Mista, S.W. Christensen, K. Tucker, B. Vicenzino, P. Hodges, T. Graven-Nielsen, Movement evoked pain and mechanical hyperalgesia after intramuscular injection of nerve growth factor: a model of sustained elbow pain. Pain Med. 16, 2180–2191 (2015)

    Article  Google Scholar 

  16. S. Schabrun, S.W. Christensen, N. Mrachacz-Kersting, T. Graven-Nielsen, Motor cortex reorganization and impaired function in the transition to sustained muscle pain. Cereb. Cortex (2015)

    Google Scholar 

  17. B.K. Coombes, L. Bisset, B. Vicenzino, A new integrative model of lateral epicondylalgia. Br. J. Sports Med. 43, 252–258 (2009)

    Article  Google Scholar 

  18. M.P. Jensen, S. Hakimian, L.H. Sherlin, F. Fregni, New insights into neuromodulatory approaches for the treatment of pain. J Pain. 9, 193–199 (2008)

    Article  Google Scholar 

  19. D.O. Hebb, The Organization of Behavior: A Neuropsychological Theory (Lawrence Erlbaum Associates Inc, Mahwah, NJ, 1949)

    Google Scholar 

  20. L. Michels, M. Moazami-Goudarzi, D. Jeanmonod, Correlations between EEG and clinical outcome in chronic neuropathic pain: surgical effects and treatment resistance. Brain Imag. Behav. 5, 329–348 (2011)

    Article  Google Scholar 

  21. P.F. Chang, L. Arendt-Nielsen, T. Graven-Nielsen, A.C.N. Chen, Psychophysical and EEG responses to repeated experimental muscle pain in humans: pain intensity encodes EEG activity. Brain Res. Bull. 59, 533–543 (2003)

    Article  Google Scholar 

  22. M.P. Jensen, C. Grierson, V. Tracy-Smith, S.C. Bacigalupi, S. Othmer, Neurofeedback treatment for pain associated with complex regional pain syndrome type I. J. Neurother. 11, 45–53 (2007)

    Article  Google Scholar 

  23. J. Christensen, L. Bilde, A. Gustavsson, Socio-economic consequences of pain-intensive diseases in Denmark. (2011)

    Google Scholar 

  24. D.J. McFarland, L.M. McCane, S.V. David, J.R. Wolpaw, Spatial filter selection for EEG-based communication. Electroencephalogr. Clin. Neurophysiol. 103, 386–394 (1997)

    Article  Google Scholar 

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Acknowledgements

We wish to acknowledge our participants and all of the students from the laboratory, both past and present.

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Correspondence to N. Mrachacz-Kersting .

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Mrachacz-Kersting, N. et al. (2017). A Brain-Computer-Interface to Combat Musculoskeletal Pain. In: Guger, C., Allison, B., Ushiba, J. (eds) Brain-Computer Interface Research. SpringerBriefs in Electrical and Computer Engineering. Springer, Cham. https://doi.org/10.1007/978-3-319-57132-4_10

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  • DOI: https://doi.org/10.1007/978-3-319-57132-4_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57131-7

  • Online ISBN: 978-3-319-57132-4

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