ABRAHAO FONTES BAPTISTA
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
6 resultados
Resultados de Busca
Agora exibindo 1 - 6 de 6
- Applications of Non-invasive Neuromodulation for the Management of Disorders Related to COVID-19(2020) BAPTISTA, Abrahao Fontes; BALTAR, Adriana; OKANO, Alexandre Hideki; MOREIRA, Alexandre; CAMPOS, Ana Carolina Pinheiro; FERNANDES, Ana Mercia; BRUNONI, Andre Russowsky; BADRAN, Bashar W.; TANAKA, Clarice; ANDRADE, Daniel Ciampi de; MACHADO, Daniel Gomes da Silva; MORYA, Edgard; TRUJILLO, Eduardo; SWAMI, Jaiti K.; CAMPRODON, Joan A.; MONTE-SILVA, Katia; SA, Katia Nunes; NUNES, Isadora; GOULARDINS, Juliana Barbosa; BIKSON, Marom; SUDBRACK-OLIVEIRA, Pedro; CARVALHO, Priscila de; DUARTE-MOREIRA, Rafael Jardim; PAGANO, Rosana Lima; SHINJO, Samuel Katsuyuki; ZANA, YossiBackground: Novel coronavirus disease (COVID-19) morbidity is not restricted to the respiratory system, but also affects the nervous system. Non-invasive neuromodulation may be useful in the treatment of the disorders associated with COVID-19. Objective: To describe the rationale and empirical basis of the use of non-invasive neuromodulation in the management of patients with COVID-10 and related disorders. Methods: We summarize COVID-19 pathophysiology with emphasis of direct neuroinvasiveness, neuroimmune response and inflammation, autonomic balance and neurological, musculoskeletal and neuropsychiatric sequela. This supports the development of a framework for advancing applications of non-invasive neuromodulation in the management COVID-19 and related disorders. Results: Non-invasive neuromodulation may manage disorders associated with COVID-19 through four pathways: (1) Direct infection mitigation through the stimulation of regions involved in the regulation of systemic anti-inflammatory responses and/or autonomic responses and prevention of neuroinflammation and recovery of respiration; (2) Amelioration of COVID-19 symptoms of musculoskeletal pain and systemic fatigue; (3) Augmenting cognitive and physical rehabilitation following critical illness; and (4) Treating outbreak-related mental distress including neurological and psychiatric disorders exacerbated by surrounding psychosocial stressors related to COVID-19. The selection of the appropriate techniques will depend on the identified target treatment pathway. Conclusion: COVID-19 infection results in a myriad of acute and chronic symptoms, both directly associated with respiratory distress (e.g., rehabilitation) or of yet-to-be-determined etiology (e.g., fatigue). Non-invasive neuromodulation is a toolbox of techniques that based on targeted pathways and empirical evidence (largely in non-COVID-19 patients) can be investigated in the management of patients with COVID-19.
- Update on the Use of Transcranial Electrical Brain Stimulation to Manage Acute and Chronic COVID-19 Symptoms(2020) PILLONI, Giuseppina; BIKSON, Marom; BADRAN, Bashar W.; GEORGE, Mark S.; KAUTZ, Steven A.; OKANO, Alexandre Hideki; BAPTISTA, Abrahao Fontes; CHARVET, Leigh E.The coronavirus disease 19 (COVID-19) pandemic has resulted in the urgent need to develop and deploy treatment approaches that can minimize mortality and morbidity. As infection, resulting illness, and the often prolonged recovery period continue to be characterized, therapeutic roles for transcranial electrical stimulation (tES) have emerged as promising non-pharmacological interventions. tES techniques have established therapeutic potential for managing a range of conditions relevant to COVID-19 illness and recovery, and may further be relevant for the general management of increased mental health problems during this time. Furthermore, these tES techniques can be inexpensive, portable, and allow for trained self-administration. Here, we summarize the rationale for using tES techniques, specifically transcranial Direct Current Stimulation (tDCS), across the COVID-19 clinical course, and index ongoing efforts to evaluate the inclusion of tES optimal clinical care.
- Sickle cell disease chronic joint pain: Clinical assessment based on maladaptive central nervous system plasticity(2022) LOPES, Tiago da Silva; BALLAS, Samir K.; SANTANA, Jamille Evelyn Rodrigues Souza; MELO-CARNEIRO, Pedro de; OLIVEIRA, Lilian Becerra de; SA, Katia Nunes; LOPES, Larissa Conceicao Dias; SILVA, Wellington dos Santos; LUCENA, Rita; BAPTISTA, Abrahao FontesChronic joint pain (CJP) is among the significant musculoskeletal comorbidities in sickle cell disease (SCD) individuals. However, many healthcare professionals have difficulties in understanding and evaluating it. In addition, most musculoskeletal evaluation procedures do not consider central nervous system (CNS) plasticity associated with CJP, which is frequently maladaptive. This review study highlights the potential mechanisms of CNS maladaptive plasticity related to CJP in SCD and proposes reliable instruments and methods for musculoskeletal assessment adapted to those patients. A review was carried out in the PubMed and SciELO databases, searching for information that could help in the understanding of the mechanisms of CNS maladaptive plasticity related to pain in SCD and that presented assessment instruments/methods that could be used in the clinical setting by healthcare professionals who manage chronic pain in SCD individuals. Some maladaptive CNS plasticity mechanisms seem important in CJP, including the impairment of pain endogenous control systems, central sensitization, motor cortex reorganization, motor control modification, and arthrogenic muscle inhibition. Understanding the link between maladaptive CNS plasticity and CJP mechanisms and its assessment through accurate instruments and methods may help healthcare professionals to increase the quality of treatment offered to SCD patients.
- Closed-loop neurostimulation for affective symptoms and disorders: An overview(2021) MORENO, Javier Guerrero; JR, Claudinei Eduardo Biazoli; BAPTISTA, Abrahao Fontes; TRAMBAIOLLI, Lucas RemoaldoAffective and anxiety disorders are the most prevalent and incident psychiatric disorders worldwide. Therapeutic approaches to these disorders using non-invasive brain stimulation (NIBS) and analogous techniques have been extensively investigated. In this paper, we discuss the combination of NIBS and neurofeedback in closed-loop setups and its application for affective symptoms and disorders. For this, we first provide a rationale for this combination by presenting some of the main original findings of NIBS, with a primary focus on transcranial magnetic stimulation (TMS), and neurofeedback, including protocols based on electroencephalography (EEG) and functional magnetic resonance imaging (fMRI). Then, we provide a scope review of studies combining realtime neurofeedback with NIBS protocols in the so-called closed-loop brain state-dependent neuromodulation (BSDS). Finally, we discuss the concomitant use of TMS and real-time functional near-infrared spectroscopy (fNIRS) as a possible solution to the current limitations of BSDS-based protocols for affective and anxiety disorders.
- Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC(2)-NIN-CP)(2019) BAPTISTA, Abrahao Fontes; FERNANDES, Ana Mercia B. L.; SA, Katia Nunes; OKANO, Alexandre Hideki; BRUNONI, Andre Russowsky; LARA-SOLARES, Argelia; ISKANDAR, Aziza Jreige; GUERRERO, Carlos; AMESCUA-GARCIA, Cesar; KRAYCHETE, Durval Campos; CAPARELLI-DAQUER, Egas; ATENCIO, Elias; PIEDIMONTE, Fabian; COLIMON, Frantz; HAZIME, Fuad Ahmed; GARCIA, Joao Batista S.; HERNANDEZ-CASTRO, John Jairo; CANTISANI, Jose Alberto Flores; MONTE-SILVA, Katia Karina do; CORREIA, Luis Claudio Lemos; GALLEGOS, Manuel Sempertegui; MARCOLIN, Marco Antonio; RICCO, Maria Antonieta; COOK, Maria Berenguel; BONILLA, Patricia; SCHESTATSKY, Pedro; GALHARDONI, Ricardo; SILVA, Valquiria; BARRERA, William Delgado; CAUMO, Wolnei; BOUHASSIRA, Didier; CHIPCHASE, Lucy S.; LEFAUCHEUR, Jean-Pascal; TEIXEIRA, Manoel Jacobsen; ANDRADE, Daniel Ciampi deIntroduction: Chronic pain (CP) is highly prevalent and generally undertreated health condition. Noninvasive brain stimulation may contribute to decrease pain intensity and influence other aspects related to CP. Objective: To provide consensus-based recommendations for the use of noninvasive brain stimulation in clinical practice. Methods: Systematic review of the literature searching for randomized clinical trials followed by consensus panel. Recommendations also involved a cost-estimation study. Results: The systematic review wielded 24 transcranial direct current stimulation (tDCS) and 22 repetitive transcranial magnetic stimulation (rTMS) studies. The following recommendations were provided: (1) Level A for anodal tDCS over the primary motor cortex (M1) in fibromyalgia, and level B for peripheral neuropathic pain, abdominal pain, and migraine; bifrontal (F3/F4) tDCS and M1 high-definition (HD)-tDCS for fibromyalgia; Oz/Cz tDCS for migraine and for secondary benefits such as improvement in quality of life, decrease in anxiety, and increase in pressure pain threshold; (2) level A recommendation for high-frequency (HF) rTMS over M1 for fibromyalgia and neuropathic pain, and level B for myofascial or musculoskeletal pain, complex regional pain syndrome, and migraine; (3) level A recommendation against the use of anodal M1 tDCS for low back pain; and (4) level B recommendation against the use of HF rTMS over the left dorsolateral prefrontal cortex in the control of pain. Conclusion: Transcranial DCS and rTMS are recommended techniques to be used in the control of CP conditions, with low to moderate analgesic effects, and no severe adverse events. These recommendations are based on a systematic review of the literature and a consensus made by experts in the field. Readers should use it as part of the resources available to decision-making.
- Beyond the target area: an integrative view of tDCS-induced motor cortex modulation in patients and athletes(2019) MORYA, Edgard; MONTE-SILVA, Katia; BIKSON, Marom; ESMAEILPOUR, Zeinab; BIAZOLI JR., Claudinei Eduardo; FONSECA, Andre; BOCCI, Tommaso; FARZAN, Faranak; CHATTERJEE, Raaj; HAUSDORFF, Jeffrey M.; MACHADO, Daniel Gomes da Silva; BRUNONI, Andre Russowsky; MEZGER, Eva; MOSCALESKI, Luciane Aparecida; PEGADO, Rodrigo; SATO, Joao Ricardo; CAETANO, Marcelo Salvador; SA, Katia Nunes; TANAKA, Clarice; LI, Li Min; BAPTISTA, Abrahao Fontes; OKANO, Alexandre HidekiTranscranial Direct Current Stimulation (tDCS) is a non-invasive technique used to modulate neural tissue. Neuromodulation apparently improves cognitive functions in several neurologic diseases treatment and sports performance. In this study, we present a comprehensive, integrative review of tDCS for motor rehabilitation and motor learning in healthy individuals, athletes and multiple neurologic and neuropsychiatric conditions. We also report on neuromodulation mechanisms, main applications, current knowledge including areas such as language, embodied cognition, functional and social aspects, and future directions. We present the use and perspectives of new developments in tDCS technology, namely high-definition tDCS (HD-tDCS) which promises to overcome one of the main tDCS limitation (i.e., low focality) and its application for neurological disease, pain relief, and motor learning/rehabilitation. Finally, we provided information regarding the Transcutaneous Spinal Direct Current Stimulation (tsDCS) in clinical applications, Cerebellar tDCS (ctDCS) and its influence on motor learning, and TMS combined with electroencephalography (EEG) as a tool to evaluate tDCS effects on brain function.