This study evaluates peripheral nervous system function using Multiple Excitability Measures (MEM) to obtain "electrophysiological pain phenotypes"
Using MEM for peripheral sensory and motor axons we want to identify a set of excitability measures that: 1. Correlate with parameters of clinical pain and of pain processing in existing pain patients (cross sectional study), with the aim to obtain an objective Pain Biomarker. 2. Predict development of neuropathic pain in susceptible patients (longitudinal study). Neuropathic Pain Predictor for patients: i. Undergoing surgical procedures associated with a relatively high risk of developing neuropathic pain such as thoracotomy and hernia repair ii. Planning to start chemotherapy with potentially neurotoxic agents such as vincristine
Study Type
OBSERVATIONAL
Enrollment
200
The technique of threshold tracking can be used to obtain several measures of peripheral nerve excitability (Multiple Excitability Measures or MEM), such as refractoriness, supernormality, strength-duration time constant and 'threshold electrotonus' (i.e. the changes in threshold produced by long-lasting depolarizing or hyperpolarizing current pulses). Each of these measurements depends on membrane potential and on other biophysical properties of the axons. Many of these excitability parameters are very constant among different subjects, while other, such as the current/threshold parameters and the super/sub-excitability parameters, appear to be characteristic of an individual
Neuroscience technologies
Barcelona, Spain
RECRUITINGElectrophysiological pain phenotypes using MEM. Pain biomarker
Correlate with parameters of clinical pain and of pain processing in existing pain patients
Time frame: Single assessment (cross sectional study) at the first and only visit
Electrophysiological pain phenotypes using MEM. Pain predictor
Predict development of neuropathic pain in susceptible patients
Time frame: Single assessment at baseline, before any procedure (surgery/chemotherapy)
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