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Transcranial stimulation to treat low back pain<br />

Sangtae Ahn et al reported that<br />

targeting a specific part of the brain<br />

with a weak alternating current of<br />

electricity significantly decreased chronic<br />

lower back pain (CLBP) in all participants<br />

of a small clinical trial. This treatment,<br />

known as Transcranial Alternating Current<br />

Stimulation (tACS), was used in a group<br />

of 20 patients based on the hypothesis<br />

that naturally occurring alpha oscillations<br />

associated with the thalamo-cortical<br />

activity pattern in the human brain are<br />

impaired in chronic pain and can be<br />

modulated. All patients were suffering<br />

from CLBP and were subjected to<br />

tACS and sham stimulation in different<br />

sessions. In one session the researchers<br />

targeted the somatosensory region using<br />

tACS to enhance the naturally occurring<br />

alpha-waves. The other session provided<br />

a weak untargeted electrical current<br />

for a placebo effect. The patients could<br />

not differentiate both the sessions. The<br />

findings revealed significantly<br />

enhanced alpha oscillations in<br />

the somatosensory regionon<br />

stimulation withalpha-tACS<br />

compared to placebo<br />

stimulation. The results, as<br />

recorded with EEG, were<br />

correlated with pain<br />

relief, giving successful<br />

target identification.<br />

Researchers plan<br />

on conducting<br />

a larger study<br />

to discover the<br />

effects of multiple<br />

tACS sessions,<br />

suggesting that it may<br />

provide a non-invasive<br />

therapeutic benefit for<br />

other brain associated<br />

disorders as well.<br />

The Journal of Pain DOI: https://doi.<br />

org/10.1016/j.jpain.<strong>2018</strong>.09.004<br />

compounds found in brewed coffee to<br />

alter the aggregation profile of amyloidbeta,<br />

tau and alpha-synuclein found<br />

associated with dementia. Three different<br />

types of coffee including light roast,<br />

dark roast, and decaffeinated dark roast<br />

and six different coffee components<br />

were analysed in the study. Of the<br />

various coffee components investigated,<br />

phenylindane was the only compound<br />

found to be a potent inhibitor of both<br />

amyloid-beta and tau aggregation, unlike<br />

other components. The study is the first<br />

to report on the aggregation inhibition<br />

activity of phenylindane for Ab, tau and<br />

a-synuclein. The researchers are currently<br />

involved in a further investigation on the<br />

cell and animal models for AD and PD<br />

based on the promising observations of<br />

the study.<br />

Frontiers in Neuroscience, <strong>2018</strong>; 12 October<br />

<strong>2018</strong>DOI: 10.3389/fnins.<strong>2018</strong>.00735<br />

Neck scan detects<br />

early chances of<br />

dementia<br />

Researchers from University College<br />

London (UCL) have found that a<br />

five-minute scan of blood vessels in<br />

the neck could predict the potential<br />

onset of dementia a decade before the<br />

appearance of any apparent symptoms.<br />

Led by Professor John Deanfield, the<br />

team of international researchers<br />

studied a group of 3,191 middle-aged<br />

volunteers who were given an ultrasound<br />

to measure the intensity of the pulse<br />

reaching their brain from the heart via<br />

the neck. Over the next 15 years, the<br />

participants were monitored for their<br />

memory and problem-solving ability.<br />

Participants whose blood reached<br />

their brain with the highest intensity<br />

(25%) at the beginning of the study<br />

showed 50% higher risk of developing<br />

cognitive decline over next decade<br />

compared to the rest of the participants.<br />

The research claims to reveal the first<br />

direct link between the heart's pulse<br />

transmitted towards the brain and<br />

future impairments in cognitive function.<br />

The research suggests that adopting a<br />

healthy lifestyle controlling the blood<br />

pressure and cholesterol levels is the way<br />

to help stave off vascular dementia. The<br />

researchers proclaim that the scan could<br />

become a routine screening programme<br />

for people at risk of developing dementia<br />

once it is confirmed in larger studies.<br />

University College London https://www.ucl.ac.uk/<br />

news/news-articles/1118/121118-neck-scan-<br />

Alzheimers<br />

—Compiled by Divya Choyikutty<br />

<strong>DECEMBER</strong> <strong>2018</strong> / FUTURE MEDICINE / 53

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