Low-frequency Repetitive Transcranial Magnetic Stimulation Improves Cognition and Psychiatric Function in Fibromyalgia: Study
A recent clinical trial Brain Sciences journal explored the efficacy of repetitive transcranial magnetic stimulation (rTMS) in addressing multiple domains of fibromyalgia-related symptoms. This study focused on evaluating the impact of low-frequency rTMS on psychiatric and cognitive disorders in fibromyalgia patients.
This trial included a total of 42 patients diagnosed with fibromyalgia (FM) who were randomly assigned to receive either active or sham rTMS treatments. Over the course of 20 sessions, the participants in the active group were administered 1 Hz rTMS at 120% of their resting motor threshold by delivering a total of 1200 pulses per session to the right dorsolateral prefrontal cortex (DLPFC). The sham group underwent identical procedures without the active stimulation.
The assessments were conducted at three intervals; the baseline, post-treatment and three months post-treatment. The evaluation tools included the Fibromyalgia Impact Questionnaire (FIQ), Hamilton Depression and Anxiety Rating Scales (HDRS and HARS), Montreal Cognitive Assessment (MoCA), Rey Auditory Verbal Learning Test (RAVLT), Tower of London test (TOL) and the Trail Making and Digit Span Tests. These comprehensive evaluations measured the influence of rTMS on both psychiatric and cognitive functions in FM patients.
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