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      Bibliometric Analysis of Functional Magnetic Resonance Imaging Studies on Manual Therapy Analgesia from 2002–2022

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          Abstract

          Background

          Research on the brain mechanisms underlying manual therapy (MT)-induced analgesia has been conducted worldwide. However, no bibliometric analysis has been performed on functional magnetic resonance imaging (fMRI) studies of MT analgesia. To provide a theoretical foundation for the practical application of MT analgesia, this study examined the current incarnation, hotspots, and frontiers of fMRI-based MT analgesia research over the previous 20 years.

          Methods

          All publications were obtained from the Science Citation Index-Expanded (SCI-E) of Web of Science Core Collection (WOSCC). We used CiteSpace 6.1.R3 to analyze publications, authors, cited authors, countries, institutions, cited journals, references, and keywords. We also evaluated keyword co-occurrences and timelines, and citation bursts. The search was conducted from 2002–2022 and was completed within one day on October 7, 2022.

          Results

          In total, 261 articles were retrieved. The total number of annual publications showed a fluctuating but overall increasing trend. Author B. Humphreys had the highest number of publications (eight articles) and J. E. Bialosky had the highest centrality (0.45). The United States of America (USA) was the country with the most publications (84 articles), accounting for 32.18% of all publications. Output institutions were mainly the University of Zurich, University of Switzerland, and the National University of Health Sciences of the USA. The Spine (118) and the Journal of Manipulative and Physiological Therapeutics (80) were most frequently cited. The four hot topics in fMRI studies on MT analgesia were “low back pain”, “magnetic resonance imaging”, “spinal manipulation”, and “manual therapy.” The frontier topics were “clinical impacts of pain disorders” and “cutting-edge technical capabilities offered by magnetic resonance imaging”.

          Conclusion

          fMRI studies of MT analgesia have potential applications. fMRI studies of MT analgesia have linked several brain areas, with the default mode network (DMN) garnering the most attention. Future research should include international collaboration and RCTs on this topic.

          Related collections

          Most cited references56

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          Functional connectivity in the motor cortex of resting human brain using echo-planar MRI.

          An MRI time course of 512 echo-planar images (EPI) in resting human brain obtained every 250 ms reveals fluctuations in signal intensity in each pixel that have a physiologic origin. Regions of the sensorimotor cortex that were activated secondary to hand movement were identified using functional MRI methodology (FMRI). Time courses of low frequency (< 0.1 Hz) fluctuations in resting brain were observed to have a high degree of temporal correlation (P < 10(-3)) within these regions and also with time courses in several other regions that can be associated with motor function. It is concluded that correlation of low frequency fluctuations, which may arise from fluctuations in blood oxygenation or flow, is a manifestation of functional connectivity of the brain.
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            • Abstract: found
            • Article: not found

            Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment.

            This large scale computer-assisted telephone survey was undertaken to explore the prevalence, severity, treatment and impact of chronic pain in 15 European countries and Israel. Screening interviews identified respondents aged 18 years with chronic pain for in-depth interviews. 19% of 46,394 respondents willing to participate (refusal rate 46%) had suffered pain for 6 months, had experienced pain in the last month and several times during the last week. Their pain intensity was 5 on a 10-point Numeric Rating Scale (NRS) (1 = no pain, 10 = worst pain imaginable) during last episode of pain. In-depth interviews with 4839 respondents with chronic pain (about 300 per country) showed: 66% had moderate pain (NRS = 5-7), 34% had severe pain (NRS = 8-10), 46% had constant pain, 54% had intermittent pain. 59% had suffered with pain for two to 15 years, 21% had been diagnosed with depression because of their pain, 61% were less able or unable to work outside the home, 19% had lost their job and 13% had changed jobs because of their pain. 60% visited their doctor about their pain 2-9 times in the last six months. Only 2% were currently treated by a pain management specialist. One-third of the chronic pain sufferers were currently not being treated. Two-thirds used non-medication treatments, e.g,. massage (30%), physical therapy (21%), acupuncture (13%). Almost half were taking non-prescription analgesics; 'over the counter' (OTC) NSAIDs (55%), paracetamol (43%), weak opioids (13%). Two-thirds were taking prescription medicines: NSAIDs (44%), weak opioids (23%), paracetamol (18%), COX-2 inhibitors (1-36%), and strong opioids (5%). Forty percent had inadequate management of their pain. Interesting differences between countries were observed, possibly reflecting differences in cultural background and local traditions in managing chronic pain. Chronic pain of moderate to severe intensity occurs in 19% of adult Europeans, seriously affecting the quality of their social and working lives. Very few were managed by pain specialists and nearly half received inadequate pain management. Although differences were observed between the 16 countries, we have documented that chronic pain is a major health care problem in Europe that needs to be taken more seriously.
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              Wandering minds: the default network and stimulus-independent thought.

              Despite evidence pointing to a ubiquitous tendency of human minds to wander, little is known about the neural operations that support this core component of human cognition. Using both thought sampling and brain imaging, the current investigation demonstrated that mind-wandering is associated with activity in a default network of cortical regions that are active when the brain is "at rest." In addition, individuals' reports of the tendency of their minds to wander were correlated with activity in this network.

                Author and article information

                Journal
                J Pain Res
                J Pain Res
                jpr
                Journal of Pain Research
                Dove
                1178-7090
                19 June 2023
                2023
                : 16
                : 2115-2129
                Affiliations
                [1 ]The Third Clinical Medical College of Zhejiang Chinese Medical University , Hangzhou, Zhejiang, People’s Republic of China
                Author notes
                Correspondence: Zhi-Zhen Lv; Li-Jiang Lv, The Third Clinical Medical College of Zhejiang Chinese Medical University , No. 548, Binwen Road, Hangzhou, 310053, People’s Republic of China, Tel +86 13750821128; +86 13958107858, Email lvzhizhen1992@163.com; lvlijiang0288@163.com
                [*]

                These authors contributed equally to this work

                Author information
                http://orcid.org/0000-0002-5700-2942
                http://orcid.org/0000-0002-8748-9763
                http://orcid.org/0000-0001-6037-7174
                Article
                412658
                10.2147/JPR.S412658
                10289250
                37361428
                3eb133e7-02d5-4f0c-bb66-062ed105285f
                © 2023 Zhou et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 05 April 2023
                : 13 June 2023
                Page count
                Figures: 10, Tables: 7, References: 56, Pages: 15
                Funding
                Funded by: General Program of National Natural Science Foundation of China;
                Funded by: “Pioneer” and “Leading Goose” R&D Program of Zhejiang;
                Funded by: Traditional Chinese Medicine Science and Technology Program of Zhejiang;
                This study was supported by the General Program of National Natural Science Foundation of China (Grant No. 82274672), the “Pioneer” and “Leading Goose” R&D Program of Zhejiang (Grant No. 2022C03123), the Traditional Chinese Medicine Science and Technology Program of Zhejiang (Grant No. 2020ZX010).
                Categories
                Review

                Anesthesiology & Pain management
                manual therapy,analgesia,functional magnetic resonance imaging,citespace,bibliometric analysis,web of science

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