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1. Amano, T., Selyama, A., & Toichi M. (2012, June). The activity of the brain cortex measured by NIRS during EMDR session of phantom limb pain [La actividad del cortex cerebral medida por espectroscopía casi infrarroja (NIRS) durante una sesión de EMDR en Dolor de Miembro Fantasma]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
We are reporting the case of a female patient with severe chronic pain, which was successfully treated applying a phantom limb pain (PLP) protocol of the Eye Movement Desensitization and Reprocessing (EMDR). The patient is a seventy-­‐ year-­‐old female, who suffered from paralysis in the left lower limb due to an accident during an orthopedic operation for herniated disc. After the operation, she began to experience sharp pain in the paralyzed limb, and neither nerve blocks nor trials of medicine were effective for this pain. It continued for 8 years until a PLP protocol was applied. During the sessions of the protocol, her sharp pain gradually diminished and virtually disappeared at the end of the EMDR sessions. A follow-­‐up interview, held three years after the sessions, confirmed no recurrence. The study was designed to examine the changes of frontal and temporal cortices in the blood flow in brain by NIRS during sessions of EMDR. During the recall of her trauma-­‐related events, her heart rate and the blood flow increased in the area of the right superior temporal sulcus. Eye movement with the recall of traumatic events leads to a generalized decrease in brain blood flow. The results suggest that a PLP protocol may be an effective option for the treatment of chronic pain. It is probably because the technique, which is effective for post-­‐traumatic stress disorder, can potentially dissolve traumatic pain memory. The findings on blood flow seem to suggest that EMDR is effective in treating PTSD by normalizing excessive cerebral activation, particularly in the right hemisphere, which is related to the memory of trauma.

Presentamos el caso de una mujer con dolor crónico severo tratado con éxito mediante un protocolo de desensibilización y reprocesamiento con movimientos oculares (EMDR) para dolor de miembro fantasma (DMF). Se trata de una mujer de setenta y dos años de edad que sufría una parálisis en la extremidad inferior izquierda debido a un accidente durante una intervención quirúrgica ortopédica por una hernia discal. Tras la operación, empezó a experimentar un dolor agudo en el miembro paralizado; ni los bloqueos nerviosos regionales ni las pruebas con fármacos fueron eficaces para tratar su dolor. Así siguió durante 8 años hasta la aplicación de un protocolo para el tratamiento del DMF. Durante las sesiones en las que se seguía el protocolo, el dolor agudo que sufría disminuía progresivamente y desaparición por completo al finalizar las sesiones de EMDR. Durante una entrevista de seguimiento a los tres años se confirmó la ausencia de una recurrencia del dolor. Se diseñó el estudio para examinar los cambios del flujo sanguíneo cerebral en las cortezas frontal y temporal mediante NIRS en las sesiones de EMDR. Durante el recuerdo de los eventos relacionados con el trauma, se aumentó la frecuencia cardiaca y el flujo sanguíneo en el área del sulco temporal superior derecho. Los movimientos oculares que se producen con el recuerdo de los eventos traumáticos conlleva una disminución generalizada del flujo sanguíneo al cerebro. Los resultados sugieren que un protocolo específico para DMF puede representar una alternativa efectiva para el tratamiento del dolor crónico. Probablemente se debe a que esta técnica que es efectiva en el trastorno por estrés post-­‐traumático, tiene el potencial de disolver el recuerdo del dolor traumático. Los hallazgos sobre el flujo sanguíneo parecen sugerir que EMDR es efectivo en el tratamiento del TEPT al normalizar la activación cerebral excesiva, sobre todo en el hemisferio derecho, que guarda relación con el recuerdo del trauma.

Keywords: Brain  Cortex  NIRS  Phantom Limb Pain  

Accuracy Verified: Yes


2. Ohtani, T., Matsuo, K., Kasai, K., Kato, T., & Kato, N. (2010, February). Erratum to “Hemodynamic responses of eye movement desensitization and reprocessing in posttraumatic stress disorder”. Neuroscience Research, 66(2), 232. doi:10.1016/j.neures.2009.12.002.

Language: English

Format: Journal

Abstract:
Reports an error in "Hemodynamic responses of eye movement desensitization and reprocessing in posttraumatic stress disorder" by Toshiyuki Ohta ni, Koji Matsuo, Kiyoto Kasai, Tadafumi Kato and Nobumasa Kato (Neuroscience Research, 2009[Dec], Vol 65[4], 375-383). The publisher regrets that the surname of Dr. Ohtani was incorrectly spelt in the original article. The corrected author listing is given in the erratum. (The following abstract of the original article appeared in record 2009-20201-001). Eye movement desensitization and reprocessing (EMDR) is an effective psychological intervention for posttraumatic stress disorder (PTSD). Trauma-related recall (Recall) with eye movements (EMs) is thought to reduce distress. However, the neural mechanisms underlying this process remain unknown. Thirteen patients with PTSD received EMDR treatment over the course of 2–10 weeks. We assessed the change in hemoglobin concentration in the lateral prefrontal cortex (PFC) during Recall with and without EM using multi-channel near-infrared spectroscopy (NIRS). Clinical diagnosis and improvement were evaluated using the Clinician-Administered PTSD Scale. Recall with EM was associated with a significant decrease in oxygenated hemoglobin concentration ([oxy-Hb]) in the lateral PFC as compared with Recall without EM. Longitudinally, [oxy-Hb] during Recall significantly decreased and the amount of decrease was significantly correlated with clinical improvement when the post-treatment data was compared with that of the pre-treatment. Our results suggest that performing EM during Recall reduces the over-activity of the lateral PFC, which may be part of the biological basis for the efficacy of EMDR in PTSD. NIRS may be a useful tool for objective assessment of psychological intervention in PTSD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Hemodynamic Responses  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


3. Ohtani, T., & Matsuo, K. (2006). Functional abnormality of the prefrontal cortex in posttraumatic stress disorder: Psychophysiology and treatment studies assessed by near-infrared spectroscopy. In N. Kato; M. Kawata, & Pitman, R. K (Eds.), PTSD: Brain mechanisms and clinical implications (pp. 235-245). Tokyo: Springer-Verlag.

Language: English

Format: Book Section

Abstract:
A growing number of functional neuroimaging studies on PTSD have described the abnormal response of amygdala and prefrontal cortex to traumatic stimuli. Abnormal activation of some parts of the prefrontal cortex might possibly be involved in the pathophysiology of PTSD. [Adapted from Text, pp. 235-236]TOPICS TREATED: Near-infrared spectroscopy (NIRS); NIRS studies in PTSD; Neuroimaging studies of treatment in PTSD (Selective-serotonin reuptake inhibitor [SSRI] and Eye movement desensitization and reprocessing [EMDR].([Adapted from Text, pp. 235-236] [Pilots]

Keywords: Brain Imaging  Neuroanatomy  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


4. Ohtani, T., Matsuoa, K., Kasai, K., Katob, T., and Katoa, N. (2005, May). Hemodynamic response to emotional memory recall with eye movement. Neuroscience Letters, 380(1-2), 75-79. doi:10.1016/j.neures.2009.08.014.

Language: English

Format: Journal

Abstract:
Previous studies on rapid eye movement sleep have demonstrated the effect of eye movement on emotional memory. However, the brain mechanism involved in the influence of the eye movement on the emotional recall remains unclear. We investigated the prefrontal response during an emotional memory recall with and without eye movement. Ten healthy volunteers were recruited. The changes in concentration of oxygenated hemoglobin ([oxy-Hb]) in the prefrontal cortex were examined using near-infrared spectroscopy (NIRS) during a task that involved emotional recall with and without eye movement. Six participants demonstrated a significant increase in [oxy-Hb] during emotional recall, and the level of increase was reduced through repeated emotional recall with eye movement. The results suggest that eye movement is associated with a reduction in the hemodynamic response to emotional memory recall

Keywords: Eye Movement  Emotional Recall  Near-infrared Spectroscopy  Prefrontal Cortex  

Accuracy Verified: Yes


5. Ichii, M., Amano, T., & Yoshikawa, H. (2012, June). Hemodynamic responses during EMDR treatment of traumatic memory [Respuestas hemodinámicas durante el tratamiento de memorias traumáticas con EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In order to investigate brain activity during EMDR, 52-channel NIRS(near –infrared spectroscopy) and heart rate were measured in treating a traumatic memory of non-clinical twenty five year old woman. A target memory was sexually molestation by a stranger when she was ten years old, and forced to touch penis of perpetrator. And IES-R score was as low as 11. A well-experienced EMDR therapist (=M.I.) applied estandarized EMDR protocol. Negative cognition was “I am shameful person”, and positive cognition was ”I deserve to live.” The body location is both arms and hands. By thirty-seven sets of EM, 7.5 level of SUDs decreased to 0, and VOC went up from 3.5 to 7. The [oxy-Hb] change in right orbitofrontal cortex increased as the negative emotion went up, and decreased rapidly after processing. The [oxy-Hb] change in left orbitofrontal cortex decreased just after cognitive interweave of responsibility was done. The [oxy-Hb] variation in right temporal lobe increased rapidly, and the [oxy-Hb] change in left temporal lobe decreased when direction of EM was changed from horizontal to diagonal movement when negative imagery disappeared. Heart rate data show gradual decreasing tendency throughout the session. Within each set, heart rate also decreased by EM. By monitoring NIRS, various techniques or pivotal processes in EMDR may be supposed to influence brain. In order to confirm the relationship, we should collect data from more subjects.

Para poder investigar la actividad cerebral durante EMDR, se midieron la NIRS (espectroscopia cercana al infrarrojo) de 52 canales y el ritmo cardíaco para tratar los recuerdos traumático de una mujer no clínica de veinticinco años. Un recuerdo diana fue un abuso sexual de un extraño cuando tenía 10 años y el agresor la obligó a tocarle el pene. La puntuación del IES-­‐R fue de 11. Un terapeuta EMDR con experiencia (=M.I.) aplicó el protocolo estándar de EMDR. La cognición negativa fue “Soy una persona vergonzosa”, y la cognición positiva fue ”Merezco vivir.” La localización corporal fue en ambos brazos y manos. Después de 37 sets de movimientos oculares, el SUD de 7,5 bajó a 0, y el VOC subió de un 3,5 a un 7. El cambio [oxy-­‐Hb] en el córtex órbitofrontal derecho aumentó a medida que aumentaba la emoción negativa, y disminuyó rápidamente después del procesamiento. El cambio [oxy-­‐Hb] en el córtex órbitofrontal izquierdo disminuyó justo después de hacerse un entrelazado cognitivo de responsabilidad. La variación [oxy-­‐Hb] en el lóbulo temporal derecho aumentó rápidamente, y el cambio [oxy-­‐Hb] en el lóbulo temporal izquierdo disminuyó al cambiar la dirección de los movimientos oculares de horizontal a diagonal cuando desapareció la imagen negativa. Los datos del ritmo cardíaco muestran una tendencia decreciente gradual a lo largo de la sesión. En cada una de las tandas, el ritmo cardíaco también disminuyó por los movimientos oculares. A través de monitorear el NIRS, se supone que diversas técnicas o procesos centrales en EMDR influyen en el cerebro. Para poder confirmar esta relación, deberíamos recolectar datos de más sujetos.

Keywords: Hemodynamic Responses  

Accuracy Verified: Yes


6. Ohtani, T., Matsuo, K., Kasai, K., Kato, T., & Kato, N. (2009, December). Hemodynamic responses of eye movement desensitization and reprocessing in posttraumatic stress disorder. Neuroscience Research, 65(4), 375-383. doi:10.1016/j.neures.2009.08.014.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is an effective psychological intervention for posttraumatic stress disorder (PTSD). Trauma-related recall (Recall) with eye movements (EMs) is thought to reduce distress. However, the neural mechanisms underlying this process remain unknown. Thirteen patients with PTSD received EMDR treatment over the course of 2 to 10 weeks. We assessed the change in hemoglobin concentration in the lateral prefrontal cortex (PFC) during Recall with and without EM using multi-channel near-infrared spectroscopy (NIRS). Clinical diagnosis and improvement were evaluated using the Clinician-Administered PTSD Scale. Recall with EM was associated with a significant decrease in oxygenated hemoglobin concentration ([oxy-Hb]) in the lateral PFC as compared with Recall without EM. Longitudinally, [oxy-Hb] during Recall significantly decreased and the amount of decrease was significantly correlated with clinical improvement when the post-treatment data was compared with that of the pre-treatment. Our results suggest that performing EM during Recall reduces the over-activity of the lateral PFC, which may be part of the biological basis for the efficacy of EMDR in PTSD. NIRS may be a useful tool for objective assessment of psychological intervention in PTSD.

Keywords: Hemodynamic Responses  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


7. Koichi, T., Matuso, K., Toshiyuki, O., Tadashi, K., Akira, I., & Nobumasa, K. [綱島浩一、松尾幸治、大溪俊幸、加藤忠史、岩波明、加藤進昌] (2003). Research on cerebral hemodynamics of frontal lobe in PTSD using NIRS. Annual Report of the Research on Nervous and Mental Disorders, 186.

Language: English

Format: Other

Abstract:
For 34 victims of Tokyo subway sarin attack, the frontal lobe function was investigated during eye movement desensitization reprocessing (EMDR). And, cerebral hemodynamics in frontal lobe was examined using near infrared spectral analysis (NIRS) for 10 healthy subjects and 2 patients with posttraumatic stress disorder (PTSD). As the result, frontal lobe functional depression of frontal lobe was indicated in PTSD patients. It was indicated that the lowering of the cathexis was concerned in frontal lobe functional depression in PTSD patients. In patients with PTSD, according to the advance of EMDRt, the activation of the frontal lobe was decreased, and it was indicated that this pattern would be similar to that of healthy subject.

Keywords: Cerebral Hemodynamics of Frontal Lobe  NIRS  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: No