Efficacy of Transcranial Direct Current Stimulation and Repetitive Transcranial Magnetic Stimulation for Treating Fibromyalgia Syndrome: A Systematic Review.
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| Title: | Efficacy of Transcranial Direct Current Stimulation and Repetitive Transcranial Magnetic Stimulation for Treating Fibromyalgia Syndrome: A Systematic Review. |
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| Authors: | Marlow, Nicole M., Bonilha, Heather S., Short, E. Baron |
| Source: | Pain Practice. Feb2013, Vol. 13 Issue 2, p131-145. 15p. 2 Charts. |
| Subjects: | Treatment of fibromyalgia, CINAHL database, Electric stimulation, Information storage & retrieval systems, Medical databases, Psychology information storage & retrieval systems, Magnetotherapy, MEDLINE, Neurologic examination, Online information services, Health outcome assessment, Scales (Weighing instruments), Skull, T-test (Statistics), Systematic reviews, Treatment effectiveness, Adverse health care events |
| Abstract: | Objective: To systematically review the literature to date applying repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) for patients with fibromyalgia syndrome (FMS). Method: Electronic bibliography databases screened included PubMed, Ovid MEDLINE, PsychINFO, CINAHL, and Cochrane Library. The keyword 'fibromyalgia' was combined with ('transcranial' and 'stimulation') or 'TMS' or 'tDCS' or 'transcranial magnetic stimulation' or 'transcranial direct current stimulation'. Results: Nine of 23 studies were included; brain stimulation sites comprised either the primary motor cortex (M1) or the dorsolateral prefrontal cortex (DLPFC). Five studies used rTMS (high-frequency-M1: 2, low-frequency-DLPFC: 2, high-frequency-DLPFC: 1), while 4 applied tDCS (anodal-M1: 1, anodal-M1/DLPFC: 3). Eight were double-blinded, randomized controlled trials. Most (80%) rTMS studies that measured pain reported significant decreases, while all (100%) tDCS studies with pain measures reported significant decreases. Greater longevity of significant pain reductions was observed for excitatory M1 rTMS/tDCS. Conclusion: Studies involving excitatory rTMS/tDCS at M1 showed analogous pain reductions as well as considerably fewer side effects compared to FDA apaproved FMS pharmaceuticals. The most commonly reported side effects were mild, including transient headaches and scalp discomforts at the stimulation site. Yearly use of rTMS/tDCS regimens appears costly ($11,740 to 14,507/year); however, analyses to apapropriately weigh these costs against clinical and quality of life benefits for patients with FMS are lacking. Consequently, rTMS/tDCS should be considered when treating patients with FMS, particularly those who are unable to find adequate symptom relief with other therapies. Further work into optimal stimulation parameters and standardized outcome measures is needed to clarify associated efficacy and effectiveness. [ABSTRACT FROM AUTHOR] |
| Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 85293719 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Efficacy of Transcranial Direct Current Stimulation and Repetitive Transcranial Magnetic Stimulation for Treating Fibromyalgia Syndrome: A Systematic Review. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Marlow%2C+Nicole+M%2E%22">Marlow, Nicole M.</searchLink><br /><searchLink fieldCode="AR" term="%22Bonilha%2C+Heather+S%2E%22">Bonilha, Heather S.</searchLink><br /><searchLink fieldCode="AR" term="%22Short%2C+E%2E+Baron%22">Short, E. Baron</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Feb2013, Vol. 13 Issue 2, p131-145. 15p. 2 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Treatment+of+fibromyalgia%22">Treatment of fibromyalgia</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Electric+stimulation%22">Electric stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Information+storage+%26+retrieval+systems%22">Information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetotherapy%22">Magnetotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Neurologic+examination%22">Neurologic examination</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Scales+%28Weighing+instruments%29%22">Scales (Weighing instruments)</searchLink><br /><searchLink fieldCode="DE" term="%22Skull%22">Skull</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Adverse+health+care+events%22">Adverse health care events</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: To systematically review the literature to date applying repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) for patients with fibromyalgia syndrome (FMS). Method: Electronic bibliography databases screened included PubMed, Ovid MEDLINE, PsychINFO, CINAHL, and Cochrane Library. The keyword 'fibromyalgia' was combined with ('transcranial' and 'stimulation') or 'TMS' or 'tDCS' or 'transcranial magnetic stimulation' or 'transcranial direct current stimulation'. Results: Nine of 23 studies were included; brain stimulation sites comprised either the primary motor cortex (M1) or the dorsolateral prefrontal cortex (DLPFC). Five studies used rTMS (high-frequency-M1: 2, low-frequency-DLPFC: 2, high-frequency-DLPFC: 1), while 4 applied tDCS (anodal-M1: 1, anodal-M1/DLPFC: 3). Eight were double-blinded, randomized controlled trials. Most (80%) rTMS studies that measured pain reported significant decreases, while all (100%) tDCS studies with pain measures reported significant decreases. Greater longevity of significant pain reductions was observed for excitatory M1 rTMS/tDCS. Conclusion: Studies involving excitatory rTMS/tDCS at M1 showed analogous pain reductions as well as considerably fewer side effects compared to FDA apaproved FMS pharmaceuticals. The most commonly reported side effects were mild, including transient headaches and scalp discomforts at the stimulation site. Yearly use of rTMS/tDCS regimens appears costly ($11,740 to 14,507/year); however, analyses to apapropriately weigh these costs against clinical and quality of life benefits for patients with FMS are lacking. Consequently, rTMS/tDCS should be considered when treating patients with FMS, particularly those who are unable to find adequate symptom relief with other therapies. Further work into optimal stimulation parameters and standardized outcome measures is needed to clarify associated efficacy and effectiveness. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/j.1533-2500.2012.00562.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 131 Subjects: – SubjectFull: Treatment of fibromyalgia Type: general – SubjectFull: CINAHL database Type: general – SubjectFull: Electric stimulation Type: general – SubjectFull: Information storage & retrieval systems Type: general – SubjectFull: Medical databases Type: general – SubjectFull: Psychology information storage & retrieval systems Type: general – SubjectFull: Magnetotherapy Type: general – SubjectFull: MEDLINE Type: general – SubjectFull: Neurologic examination Type: general – SubjectFull: Online information services Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: Scales (Weighing instruments) Type: general – SubjectFull: Skull Type: general – SubjectFull: T-test (Statistics) Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Adverse health care events Type: general Titles: – TitleFull: Efficacy of Transcranial Direct Current Stimulation and Repetitive Transcranial Magnetic Stimulation for Treating Fibromyalgia Syndrome: A Systematic Review. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Marlow, Nicole M. – PersonEntity: Name: NameFull: Bonilha, Heather S. – PersonEntity: Name: NameFull: Short, E. Baron IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2013 Type: published Y: 2013 Identifiers: – Type: issn-print Value: 15307085 Numbering: – Type: volume Value: 13 – Type: issue Value: 2 Titles: – TitleFull: Pain Practice Type: main |
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