Volume 26, Issue 7 (10-2019)                   RJMS 2019, 26(7): 124-130 | Back to browse issues page

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Malakuoti K, Niksolat M, Kianmehr N, Zandie Z. The effects of anodal stimulation of primary motor cortex pain among older adults with fibromyalgia: A randomized, double-blind, placebo-controlled trial. RJMS 2019; 26 (7) :124-130
URL: http://rjms.iums.ac.ir/article-1-5751-en.html
MD, Assistant Professor, Geriatrician, Clinical Research Development Center of Firoozabadi Hospital, Iran University of Medical Science, Tehran, Iran ( , niksolat.m@iums.ac.ir
Abstract:   (3401 Views)
Background: Fibromyalgia includes a fatigue syndrome with chronic pain that declines the patients’ quality of life. Previous studies confirm these observations, but there is no study on aged-population regarding this issue. Thus we investigated the impacts of anodal stimulation on the life quality in aged-population suffering from fibromyalgia.
Methods: Fifty aged females with fibromyalgia were randomized to receive sham stimulation or real tDCS with the anode centered over the primary motor cortex (M1) and a cathode over the contralateral supraorbital area (2 mA for 20 minutes for 10 sessions). The overall effect of fibromyalgia on the quality of life was assessed using the Fibromyalgia Impact Questionnaire (FIQ) and SF-36 quality of life questionnaire. Also, the mood and anxiety levels were evaluated with Beck depression inventory and Hamilton Anxiety Rating Scale. All assessments were done before, after the last session, and 30 days after the last session of the stimulation.
Results: The quality of life was evaluated for shame stimulation group as well as stimulation group, before the intervention, immediately after the last session, a month later on that were as follows: FIQ: 58.84, 58.4 (p=0.796), 56.17, 49.26 (p=0.020),57.86, 52.32 (p=0.050) and SF-36 score: 38.04, 41.31 (p=0.43), 45.49, 49.84 (p=0.376), 40.40, 45.38 (p=0.138) respectively. In addition, the levels of anxiety and depression for both control and intervention groups were 20.36, 18.84 (p=0.219), 16.68, 15.52 (p=0.106), 18.00, 16.12 (p=0.112), respectively.
Conclusion: Although the quality of life for the intervention group was increased, it was not significant. In this regard, the results were inconsistent with the result of previous literature, investigating this issue. Furthermore, the results of the level of anxiety and depression were not significantly different for both groups.
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Type of Study: Research | Subject: Rheumatology

References
2. 1. Zabihiyeganeh M, Khiabani E, Nojomi M, Jahed SA. Effect of vitamin D on widespread pain index of fibromyalgia patients. Razi J Med Sci; 2014.21(124):96-102.
3. 2. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis & Rheumatism: Official J ACR Open Rheumatol; 1990.33(2):160-72.
4. 3. Häuser W, Ablin J, Fitzcharles M-A, Littlejohn G, Luciano JV, Usui C, et al. Fibromyalgia. Nature Rev Dis Primers; 2015.1:15022.
5. 4. Fregni F, Boggio PS, Nitsche MA, Marcolin MA, Rigonatti SP, Pascual-Leone A. Treatment of major depression with transcranial direct current stimulation. Bipolar disord; 2006.8(2):203-4.
6. 5. Fregni F, Gimenes R, Valle AC, Ferreira MJ, Rocha RR, Natalle L, et al. A randomized, sham-controlled, proof of principle study of transcranial direct current stimulation for the treatment of pain in fibromyalgia. Arthritis Rheumat; 2006.54(12):3988-98.
7. 6. Jones CJ, Rutledge DN, Aquino J. Predictors of physical performance and functional ability in people 50+ with and without fibromyalgia. J Aging Phys Act; 2010.18(3):353-68.
8. 7. Lefaucheur JP, Drouot X, Keravel Y, Nguyen JP.
9. Pain relief induced by repetitive transcranial magnetic stimulation of precentral cortex. Neuroreport; 2001.12(13):2963-5.
10. 8. Littlejohn GO. Balanced treatments for fibromyalgia. Arthritis Rheumat; 2004.50(9):2725-
11. 9. Nitsche MA, Paulus W. Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation. J Physiol; 2000.527(3):633-9.
12. 10. Fritsch B, Reis J, Martinowich K, Schambra HM, Ji Y, Cohen LG, et al. Direct current stimulation promotes BDNF-dependent synaptic plasticity: potential implications for motor learning. Neuron; 2010.66(2):198-204.
13. 11. Monte-Silva K, Kuo MF, Hessenthaler S, Fresnoza S, Liebetanz D, Paulus W, et al. Induction of late LTP-like plasticity in the human motor cortex by repeated non-invasive brain stimulation. Brain Stimul; 2013.6(3):424-32.
14. 12. Nitsche MA, Fricke K, Henschke U, Schlitterlau A, Liebetanz D, Lang N, et al. Pharmacological modulation of cortical excitability shifts induced by transcranial direct current stimulation in humans. J Physiol; 2003.553(Pt 1):293-301.
15. 13. Sim J, Madden S. Illness experience in fibromyalgia syndrome: a metasynthesis of qualitative studies. Soc Sci Med; 2008.67(1):57-67.
16. 14. Wolfe F, Clauw DJ, Fitzcharles M-A, Goldenberg DL, Häuser W, Katz RL, et al., editors. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Seminars in arthritis and rheumatism; 2016: Elsevier.
17. 15. Gandiga PC, Hummel FC, Cohen LG. Transcranial DC stimulation (tDCS): a tool for double-blind sham-controlled clinical studies in brain stimulation. Clin Neurophysiol; 2006.117(4):845-50.
18. 16. Jales Junior LH, Costa MdDL, Jales Neto LH, Ribeiro JPM, Freitas WJSdN, Teixeira MJ. Transcranial direct current stimulation in fibromyalgia: effects on pain and quality of life evaluated clinically and by brain perfusion scintigraphy. Revista Dor; 2015.16(1):37-42.
19. 17. Valle A, Roizenblatt S, Botte S, Zaghi S, Riberto M, Tufik S, et al. Efficacy of anodal transcranial direct current stimulation (tDCS) for the treatment of fibromyalgia: results of a randomized, sham-controlled longitudinal clinical trial. J Pain Manag; 2009.2(3):353-61.
20. 18. Fagerlund AJ, Hansen OA, Aslaksen PM. Transcranial direct current stimulation as a treatment for patients with fibromyalgia: a randomized controlled trial. Pain; 2015.156(1):62-71.

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