Models for Nociception Stimulation and Memory Effects in Awake and Aware Healthy Individuals

IEEE Trans Biomed Eng. 2019 Mar;66(3):718-726. doi: 10.1109/TBME.2018.2854917. Epub 2018 Jul 13.

Abstract

Objective: This paper introduces a primer in the health care practice, namely a mathematical model and methodology for detecting and analysing nociceptor stimulation followed by related tissue memory effects.

Methods: Noninvasive nociceptor stimulus protocol and prototype device for measuring bioimpedance is provided. Various time instants, sensor location, and stimulus train have been analysed.

Results: The method and model indicate that nociceptor stimulation perceived as pain in awake healthy volunteers is noninvasively detected. The existence of a memory effect is proven from data. Sensor location had minimal effect on detection level, while day-to-day variability was observed without being significant.

Conclusion: Following the experimental study, the model enables a comprehensive management of chronic pain patients, and possibly other analgesia, or pain related regulatory loops.

Significance: A device and methodology for noninvasive for detecting nociception stimulation have been developed. The proposed method and models have been validated on healthy volunteers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analgesia
  • Chronic Pain
  • Electric Impedance*
  • Female
  • Hand / physiology
  • Humans
  • Male
  • Nociception / physiology*
  • Pain* / diagnosis
  • Pain* / physiopathology
  • Signal Processing, Computer-Assisted*
  • Wakefulness / physiology*