{"id":1330,"date":"2022-03-25T18:37:09","date_gmt":"2022-03-25T17:37:09","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=1330"},"modified":"2022-03-25T18:37:46","modified_gmt":"2022-03-25T17:37:46","slug":"eficacia-de-la-estimualcion-medular-regulada-por-circuito-cerrado-en-el-tratamiento-del-dolor-lumbociatico-cronico","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2022\/03\/25\/eficacia-de-la-estimualcion-medular-regulada-por-circuito-cerrado-en-el-tratamiento-del-dolor-lumbociatico-cronico\/","title":{"rendered":"Eficacia de la estimulaci\u00f3n medular regulada por circuito cerrado en el tratamiento del dolor lumboci\u00e1tico cr\u00f3nico"},"content":{"rendered":"<p class=\"has-text-align-center\">La revista <a rel=\"noreferrer noopener\" href=\"https:\/\/jamanetwork.com\/journals\/jamaneurology\" target=\"_blank\">JAMA Neurology<\/a> ha publicado los resultados de un ensayo cl\u00ednico dirigido a evaular la efectividad de nuevos sistemas de neuromodulaci\u00f3n espinal para el tratamiento del dolor lumboci\u00e1tico cr\u00f3nico.<\/p>\n\n\n\n<p class=\"has-text-align-center\">Los nuevos estimuladores medulares est\u00e1n provistos de un sistema capaz de medir la respuesta neural que genera la estimulaci\u00f3n y de este modo ser\u00edan capaces de autorregular el nivel de estimulaci\u00f3n que deben emitir en cada momento para as\u00ed mantener un grado de respuesta adecuado.<\/p>\n\n\n\n<p class=\"has-text-align-center\">El ensayo cont\u00f3 con un dise\u00f1o doble ciego reclutando un total de 134 participantes en los que se implant\u00f3 el mismo estimulador medular que pod\u00eda ser programado en la modalidad cl\u00e1sica de circuito-abierto, de manera que se programa desde fuera el nivel de estimulaci\u00f3n deseado, o bien en modo de circuito cerrado, siendo capaz en esta ultima modalidad de autorregularse.<\/p>\n\n\n\n<p class=\"has-text-align-center\">Tras llevar a cabo un seguimiento de 36 meses se observ\u00f3 c\u00f3mo los \u00edndices de mejor\u00eda del dolor eran significativamente superiores en los pacientes en los que se aplic\u00f3 la modalidad de circuito cerrado. Se observ\u00f3 adem\u00e1s en estos casos una mejor\u00eda en los cuestionarios de calidad de vida, insominio, escalas de valoraci\u00f3n psicol\u00f3gica y funcional, as\u00ed como en la reducci\u00f3n de consumo de opi\u00e1ceos.&nbsp; El an\u00e1lisis de los par\u00e1metros neurofisiol\u00f3givcos recogidos en los sensores de activaci\u00f3n resultaron adem\u00e1s concordantes con los periodos de mejor\u00eda.<\/p>\n\n\n\n<p><strong><span style=\"text-decoration:underline;\">Fuente:<\/span><\/strong> <a href=\"https:\/\/jamanetwork.com\/journals\/jamaneurology\/article-abstract\/2788004?resultClick=1\" target=\"_blank\" rel=\"noreferrer noopener\">Mekhail N, Levy RM, Deer TR, Kapural L, Li S, Amirdelfan K, Hunter CW, Rosen SM, Costandi SJ, Falowski SM, Burgher AH, Pope JE, Gilmore CA, Qureshi FA, Staats PS, Scowcroft J, McJunkin T, Carlson J, Kim CK, Yang MI, Stauss T, Pilitsis J, Poree L; Evoke Study Group, Brounstein D, Gilbert S, Gmel GE, Gorman R, Gould I, Hanson E, Karantonis DM, Khurram A, Leitner A, Mugan D, Obradovic M, Ouyang Z, Parker J, Single P, Soliday N. Durability of Clinical and Quality-of-Life Outcomes of Closed-Loop Spinal Cord Stimulation for Chronic Back and Leg Pain: A Secondary Analysis of the Evoke Randomized Clinical Trial. JAMA Neurol. 2022 Mar 1;79(3):251-260. doi: 10.1001\/jamaneurol.2021.4998. Erratum in: JAMA Neurol. 2022 Feb 14<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>La revista JAMA Neurology ha publicado los resultados de un ensayo cl\u00ednico dirigido a evaular la efectividad de nuevos sistemas de neuromodulaci\u00f3n espinal para el tratamiento del dolor lumboci\u00e1tico cr\u00f3nico. Los nuevos estimuladores medulares est\u00e1n provistos de un sistema capaz de medir la respuesta neural que genera la estimulaci\u00f3n y de este modo ser\u00edan capaces&#8230;<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[706700519,706700523,706700518,64833440,706700521,706700514,86215848,706700522,706700517],"tags":[],"class_list":["post-1330","post","type-post","status-publish","format-standard","hentry","category-almeria","category-bionica","category-cirugia-de-columna","category-estimulacion-cerebral-profunda","category-futurismo","category-neurocirugia","category-neuromodulacion","category-transhumanismo","category-zerotohero"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-ls","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=1330"}],"version-history":[{"count":3,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1330\/revisions"}],"predecessor-version":[{"id":1333,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1330\/revisions\/1333"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=1330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=1330"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=1330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}