Neurofeedback Treatment for Pain Associated with Complex Regional Pain Syndrome Type I

ABSTRACT Introduction. Complex Regional Pain Syndrome Type I (CRPS-I) is a devastating pain condition that is refractory to standard care. Preliminary evidence suggests the possibility that neurofeedback training might benefit patients with chronic pain, including patients with CRPS-I. The current study sought to address the need for more information about the effects of neurofeedback on pain in persons with chronic pain by (1) determining the average decrease in pain in patients with CRPS-I following neurofeedback training, (2) identifying the percent of patients reporting pain decreases that are clinically meaningful, and (3) documenting other benefits of neurofeedback training. Method. Eighteen individuals with CRPS-I participating in a multidisciplinary treatment program were administered 0–10 numerical rating scale measures of pain intensity at their primary pain site, as well as pain at other sites and other symptoms, before and after a 30 minute neurofeedback training session. A series of t-tests w...

[1]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[2]  S. Bruehl,et al.  Psychological and Behavioral Aspects of Complex Regional Pain Syndrome Management , 2006, The Clinical Journal of Pain.

[3]  M. Hanley,et al.  Pain interference in persons with spinal cord injury: classification of mild, moderate, and severe pain. , 2006, The journal of pain : official journal of the American Pain Society.

[4]  G. Macfarlane,et al.  Epidemiology of pain , 2006 .

[5]  John D E Gabrieli,et al.  Control over brain activation and pain learned by using real-time functional MRI. , 2005, Proceedings of the National Academy of Sciences of the United States of America.

[6]  S. Othmer.  Interhemispheric EEG Training , 2005 .

[7]  R. Harden,et al.  Current diagnosis and therapy of complex regional pain syndrome: refining diagnostic criteria and therapeutic options , 2005, Expert review of neurotherapeutics.

[8]  S. Othmer,et al.  Efficacy of Neurofeedback for Pain Management , 2005 .

[9]  M. Boswell,et al.  Weiner's Pain Management : A Practical Guide for Clinicians , 2005 .

[10]  V. Pollock,et al.  TOVA Results Following Inter-Hemispheric Bipolar EEG Training , 2005 .

[11]  J. Gill,et al.  Complex regional pain syndrome: which treatments show promise? , 2005, The Journal of family practice.

[12]  Andrea Sime Lcsw.  Case Study of Trigeminal Neuralgia Using Neurofeedback and Peripheral Biofeedback , 2004 .

[13]  D. Ehde,et al.  Chronic Pain Secondary to Disability: A Review , 2003, The Clinical journal of pain.

[14]  D. Turk.  Clinical Effectiveness and Cost-Effectiveness of Treatments for Patients With Chronic Pain , 2002, The Clinical journal of pain.

[15]  J. Farrar,et al.  Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale , 2001, PAIN.

[16]  D. V. Nelson,et al.  Treatment of fibromyalgia incorporating EEG-Driven stimulation: a clinical outcomes study. , 2001, Journal of clinical psychology.

[17]  G. Kwakkel,et al.  Treatment of reflex sympathetic dystrophy (CRPS type 1): a research synthesis of 21 randomized clinical trials. , 2001, Journal of pain and symptom management.

[18]  C. Cleeland,et al.  Assessing symptom distress in cancer patients: the M.D. Anderson Symptom Inventory. , 2000, Cancer.

[19]  C. Cleeland,et al.  Assessing symptom distress in cancer patients , 2000 .

[20]  Katherine R. Edwards,et al.  When is cancer pain mild, moderate or severe? Grading pain severity by its interference with function , 1995, Pain.

[21]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[22]  E. Barowsky,et al.  Thermal Biofeedback in the Treatment of Symptoms Associated With Reflex Sympathetic Dystrophy , 1987, Journal of child neurology.

[23]  E. Blanchard.  The use of temperature biofeedback in the treatment of chronic pain due to causalgia , 1979, Biofeedback and self-regulation.