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首页> 外文期刊>Journal of pain and symptom management. >The Long-Term Impact of Neurofeedback on Symptom Burden and Interference in Patients With Chronic Chemotherapy-Induced Neuropathy: Analysis of a Randomized Controlled Trial
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The Long-Term Impact of Neurofeedback on Symptom Burden and Interference in Patients With Chronic Chemotherapy-Induced Neuropathy: Analysis of a Randomized Controlled Trial

机译：神经融合对慢性化疗诱导的神经病变患者症状负担和干扰的长期影响：随机对照试验分析

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摘要

Context. Chemotherapy-induced peripheral neuropathy (CIPN) is a common side effect of cancer treatment and may adversely affect quality of life (QOL) for years.& para;& para;Objectives. We explored the long-term effects of electroencephalographic neurofeedback (NFB) as a treatment for CIPN and other aspects of QOL.& para;& para;Methods. Seventy-one cancer survivors (mean age 62.5; 87% females) with CIPN were randomized to NFB or to a waitlist control (WLC) group. The NFB group underwent 20 sessions of NFB where rewards were given for voluntary changes in electroencephalography. Measurements of pain, cancer-related symptoms, QOL, sleep, and fatigue were obtained at baseline, end of treatment, and one and four months later.& para;& para;Results. Seventy one participants enrolled in the study. At the end of treatment, 30 in the NFB group and 32 in the WLC group completed assessments; at four months, 23 in the NFB group and 28 in the WLC completed assessments. Linear mixed model analysis revealed significant group x time interaction for pain severity. A general linear model determined that the NFB group had greater improvements in worst pain (primary outcome) and other symptoms such as numbness, cancer-related symptom severity, symptom interference, physical functioning, general health, and fatigue compared with the WLC group at the end of treatment and four months (all P 0.05). Effect sizes were moderate or large for most measures.& para;& para;Conclusion. NFB appears to result in long-term reduction in multiple CIPN symptoms and improved postchemotherapy QOL and fatigue. (C) 2018 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
机译：语境。化疗诱导的周围神经病变（CIPN）是癌症治疗的常见效果，可能对多年来的生活质量（QOL）产生不利影响。＆段;＆段;目标。我们探讨了脑电图神经融合（NFB）作为CIPN和QOL其他方面的治疗的长期效果。＆段;＆PARA;方法。七十一癌症幸存者（平均年龄为62.5; 87％的女性）与CIPN随机化为NFB或候补人物控制（WLC）组。 NFB组接受了20个NFB会话，其中给出了脑电图的自愿变化的奖励。在基线，治疗结束和一到四个月后获得疼痛，癌症相关症状，QoL，睡眠和疲劳的测量。＆段;＆段;结果。七十一名参与者参加了该研究。在治疗结束时，在NFB组30中和32人在WLC集团完成评估;四个月，在NFB集团中的23个和38名WLC完成的评估。线性混合模型分析显示疼痛严重程度的重要组X时间相互作用。一般线性模型确定NFB组在最严重的疼痛（主要结果）和其他症状中具有更大的改善，例如麻木，癌症相关的症状严重程度，症状干扰，与WLC组相比的症状干扰，身体运作，一般健康和疲劳治疗结束和四个月（所有P <0.05）。对于大多数措施，影响尺寸适中或大。＆para;＆para;结论。 NFB似乎导致多种CIPN症状的长期减少和改善的培养疗法QOL和疲劳。 （c）2018美国临终关怀和姑息医学。由elsevier Inc.保留所有权利发布。

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  • 作者

    Prinsloo Sarah; Novy Diane; Driver Larry; Lyle Randall; Ramondetta Lois; Eng Cathy; Lopez Gabriel; Li Yisheng; Cohen Lorenzo;

  • 作者单位

    Univ Texas MD Anderson Canc Ctr Dept Palliat Rehabil &

    Integrat Med 1515 Holcombe Blvd Unit 1414;

    Univ Texas MD Anderson Canc Ctr Dept Pain Med Houston TX 77030 USA;

    Univ Texas MD Anderson Canc Ctr Dept Pain Med Houston TX 77030 USA;

    Mt Mercy Univ Dept Marriage &

    Family Therapy Cedar Rapids IA USA;

    Univ Texas MD Anderson Canc Ctr Dept Gynecol Oncol &

    Reprod Med Houston TX 77030 USA;

    Univ Texas MD Anderson Canc Ctr Dept Gastrointestinal Med Oncol Houston TX 77030 USA;

    Univ Texas MD Anderson Canc Ctr Dept Palliat Rehabil &

    Integrat Med 1515 Holcombe Blvd Unit 1414;

    Univ Texas MD Anderson Canc Ctr Dept Biostat Houston TX 77030 USA;

    Univ Texas MD Anderson Canc Ctr Dept Palliat Rehabil &

    Integrat Med 1515 Holcombe Blvd Unit 1414;

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  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    Pain; neurofeedback; neuropathy; survivorship; EEG; quality of life;

    机译：疼痛;神经疾病;神经病变;生存;脑电图;脑电图;生活质量;

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