{"id":11900,"date":"2017-09-27T09:47:50","date_gmt":"2017-09-27T12:47:50","guid":{"rendered":"http:\/\/www.institutosantosdumont.org.br\/?p=11900"},"modified":"2017-10-16T10:13:50","modified_gmt":"2017-10-16T12:13:50","slug":"iinels-curso-neuromodulacao-dor","status":"publish","type":"post","link":"https:\/\/institutosantosdumont.org.br\/en\/iinels-curso-neuromodulacao-dor\/","title":{"rendered":"IIN-ELS promotes unprecedented course on neuromodulation for pain management"},"content":{"rendered":"<p>Chronic pain is something that impacts people&#039;s quality of life in countless ways. It can make basic movements (such as bending down) difficult, affect productivity at work, and even interfere with interpersonal relationships. Aware of the need and expectation for promising new treatments, researchers at <strong><a href=\"https:\/\/institutosantosdumont.org.br\/en\/unidades\/instituto-neurociencias\/\" target=\"_blank\" rel=\"noopener noreferrer\">Edmond and Lily Safra International Institute of Neuroscience (IIN-ELS)<\/a><\/strong> promoted a<strong> training of medical professionals<\/strong> about a new technique with great therapeutic potential, neuromodulation.<\/p>\n<p>O <strong>Invasive Spinal Neuromodulation Course<\/strong> was held for the first time in Brazil in Natal-RN, during the 13th Brazilian Congress of Pain (CBDor), an event organized by <a href=\"http:\/\/www.sbed.org.br\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Brazilian Society for the Study of Pain (SBED)<\/strong><\/a>. In addition to IIN-ELS\/ISD and SBED, the training was attended by <a href=\"https:\/\/www.sobramid.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Brazilian Society of Interventional Pain Medicine (Sobramid)<\/strong><\/a> and the three companies authorized by the National Health Surveillance Agency (Anvisa) to market neuromodulation equipment for pain treatment in Brazil: <a href=\"http:\/\/www.bostonscientific.com\/pt-BR\/home.html\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Boston Scientific<\/strong><\/a>, <a href=\"http:\/\/www.medtronicbrasil.com.br\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Medtronic<\/strong><\/a> It is <a href=\"http:\/\/www.abbottbrasil.com.br\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>SJM\/Abbott<\/strong><\/a>.<\/p>\n<p>Neurosurgeon and researcher at IIN-ELS <strong>Hougelle Simplicio<\/strong> explains that neuromodulation therapy helps treat pain through <strong>electrical stimulation of the spinal cord<\/strong>\u00a0of patients. To do this, an electrode is implanted inside the spinal column, over the spinal cord. A wire installed under the skin connects this electrode to an electrical stimulus generator, similar to what is done with a cardiac pacemaker. \u201cThis continuous stimulation of the spinal cord <strong>alters the perception of pain<\/strong> in the patient, improving chronic pain between 50 and 90%\u201d, informs Hougelle.<\/p>\n<figure id=\"attachment_11942\" aria-describedby=\"caption-attachment-11942\" style=\"width: 1000px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/hougelle-congresso-dor.jpg\" alt=\"Pesquisador do IIN-ELS Hougelle Simplicio apresenta no CBDor \" width=\"1000\" height=\"667\" \/><figcaption id=\"caption-attachment-11942\" class=\"wp-caption-text\">IIN-ELS researcher Hougelle Simplicio in a presentation during CBDor, in Natal-RN.<\/figcaption><\/figure>\n<p>The indication of neuromodulation and the implantation of equipment can only be performed by <strong>medical professionals<\/strong>, trained in chronic pain care and specific techniques. The treatment applies exclusively to some cases of <strong>chronic pain<\/strong>, those in which the person feels for months or years, without improvement with conventional treatments or surgeries.<\/p>\n<p>The course coordinated by IIN-ELS included two parts. The first, theoretical, addressed <strong>basic principles of neuromodulation<\/strong>. The practical part put participants in contact with the real systems of the manufacturing companies that operate in Brazil, with explanations from product experts and tutoring from doctors who already work in the area. \u201cThe great difference in this course was bringing together medical societies and the private sector to train professionals in the application of this new therapy, understanding what type of patients can benefit from the treatment, how to perform the implant and program the equipment\u201d, comments Hougelle.<\/p>\n<figure><img decoding=\"async\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/produtos-boston-scientific.jpg\" sizes=\"(max-width: 1000px) 100vw, 1000px\" srcset=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/produtos-boston-scientific.jpg 1000w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/produtos-boston-scientific-300x200.jpg 300w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/produtos-boston-scientific-768x512.jpg 768w\" alt=\"Apresenta\u00e7\u00e3o de produtos da Boston Scientific\" width=\"1000\" height=\"667\" \/><figcaption>Boston Scientific Product Presentation at CBDor.<\/figcaption><\/figure>\n<figure><img decoding=\"async\" src=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/produtos-abbott.jpg\" sizes=\"(max-width: 1000px) 100vw, 1000px\" srcset=\"https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/produtos-abbott.jpg 1000w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/produtos-abbott-300x200.jpg 300w, https:\/\/institutosantosdumont.org.br\/wp-content\/uploads\/2017\/09\/produtos-abbott-768x512.jpg 768w\" alt=\"Apresenta\u00e7\u00e3o de produtos da SJM\/Abbott\" width=\"1000\" height=\"667\" \/><figcaption>Presentation of SJM\/Abbott Products at CBDor.<\/figcaption><\/figure>\n<h2><strong>IIN-ELS pioneering research in Neuromodulation<\/strong><\/h2>\n<p>Neuromodulation is one of the main lines of research in <strong>IIN-ELS\/ISD<\/strong>, located in Maca\u00edba-RN. The researchers&#039; objective is to develop more efficient methods (e.g. electrodes and generators), in addition to understanding <strong>pathophysiological mechanisms<\/strong> that contribute to future generations of neuromodulators, a major area for research and development in biomedical engineering. \u201cOur research begins with <strong>computational modeling<\/strong>. The best results are forwarded to preclinical testing and then <strong>human clinical studies<\/strong>\u201c, explains Hougelle.<\/p>\n<p>The first IIN-ELS study on neuromodulation that reached the testing phase in human patients was with <strong>Parkinson&#039;s therapy<\/strong>. Brazil is one of only three countries in the world that already carries out tests on humans in this area, along with Canada and France.<\/p>\n<p>Typically, patients are given brain stimulation to treat tremor and movement problems. However, these stimulations do not improve the <strong>walk<\/strong>, known as gait by researchers. Scientific work from IIN-ELS has shown that electrical stimulation of the spinal cord improves gait.<\/p>\n<p>The first work on this topic was carried out with rodents in <strong>Duke University<\/strong> and published in 2009, in <a href=\"http:\/\/doi.org\/10.1126\/science.1164901\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Science magazine<\/strong><\/a>. Preclinical tests were carried out at IIN-ELS in Maca\u00edba-RN with non-human primates and were published in 2014 demonstrating the effectiveness of spinal cord stimulation. More recently, research in France and S\u00e3o Paulo with <a href=\"http:\/\/dx.doi.org\/10.1002\/mds.26850\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>spinal cord stimulation in humans<\/strong><\/a> showed significant results for <strong>gait recovery<\/strong> in people with Parkinson&#039;s. This is evidence of the importance for Brazil to invest in research and development for the country to innovate in biomedical engineering.<\/p>\n<p><strong>Text and Photos:<\/strong>\u00a0Luiz Paulo Juttel \/ Ascom \u2013 ISD<\/p>\n<p><strong>Communication Office<\/strong><br \/>\ncomunicacao@isd.org.br<br \/>\n(84) 99416-1880<\/p>\n<h3>Santos Dumont Institute (ISD)<\/h3>\n<p>Social organization that maintains ties with the Ministry of Education (MEC) and whose mission is to promote education for life, forming citizens through integrated teaching, research and extension actions and to contribute to a fairer and more humane transformation of the Brazilian social reality.<\/p>","protected":false},"excerpt":{"rendered":"<p>Dor cr\u00f4nica \u00e9 algo que impacta a qualidade de vida das pessoas de in\u00fameras formas. Ela pode dificultar movimentos b\u00e1sicos (como se abaixar), prejudicar a produtividade no trabalho e at\u00e9 interferir no relacionamento interpessoal. Ciente da necessidade e expectativa por novos tratamentos promisso [&#8230;]<\/p>","protected":false},"author":6,"featured_media":11925,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1,8,273,10],"tags":[292,294,64],"class_list":["post-11900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-destaque_noticia","category-ensino","category-neurociencias","category-pesquisa","tag-curso","tag-dor","tag-neuromodulacao"],"acf":[],"_links":{"self":[{"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/posts\/11900","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/comments?post=11900"}],"version-history":[{"count":0,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/posts\/11900\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/media\/11925"}],"wp:attachment":[{"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/media?parent=11900"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/categories?post=11900"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/institutosantosdumont.org.br\/en\/wp-json\/wp\/v2\/tags?post=11900"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}