Effects of transcranial direct current stimulation and transcranial magnetic stimulation in patients with fibromyalgia. A systematic review.

Autor:	Conde-Antón Á; Clinical Research in Health Sciences Group, Department of Surgery, Ophthalmology, Otorhinolaryngology, and Physical Therapy, Faculty of Health Sciences, University of Valladolid, Soria, Spain. Electronic address: angelaacf7@gmail.com., Hernando-Garijo I; Clinical Research in Health Sciences Group, Department of Surgery, Ophthalmology, Otorhinolaryngology, and Physical Therapy, Faculty of Health Sciences, University of Valladolid, Soria, Spain. Electronic address: Ignacio.hernando@uva.es., Jiménez-Del-Barrio S; Clinical Research in Health Sciences Group, Department of Surgery, Ophthalmology, Otorhinolaryngology, and Physical Therapy, Faculty of Health Sciences, University of Valladolid, Soria, Spain. Electronic address: sandra.jimenez.barrio@uva.es., Mingo-Gómez MT; Clinical Research in Health Sciences Group, Department of Surgery, Ophthalmology, Otorhinolaryngology, and Physical Therapy, Faculty of Health Sciences, University of Valladolid, Soria, Spain. Electronic address: tmingo@cir.uva.es., Medrano-de-la-Fuente R; Clinical Research in Health Sciences Group, Department of Surgery, Ophthalmology, Otorhinolaryngology, and Physical Therapy, Faculty of Health Sciences, University of Valladolid, Soria, Spain. Electronic address: Ricardo.medrano@uva.es., Ceballos-Laita L; Clinical Research in Health Sciences Group, Department of Surgery, Ophthalmology, Otorhinolaryngology, and Physical Therapy, Faculty of Health Sciences, University of Valladolid, Soria, Spain. Electronic address: luis.ceballos@uva.es.
Jazyk:	angličtina
Zdroj:	Neurologia [Neurologia (Engl Ed)] 2023 Jul-Aug; Vol. 38 (6), pp. 427-439. Date of Electronic Publication: 2023 Apr 07.
DOI:	10.1016/j.nrleng.2020.07.025
Abstrakt:	Background: Fibromyalgia syndrome (FM) is a chronic pathology characterised by widespread pain commonly associated with psychological distress affecting quality of life. In recent years, transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS) have been investigated to treat chronic pain. The aim of the current review is to determine the effects of tDCS and TMS on the main symptoms of patients with FM. Development: A systematic review based on PRISMA guidelines was carried out. The search strategy was performed in MEDLINE, SCOPUS, PEDro and Cochrane Library. Randomised controlled trials based on the effects of tDCS and TMS on pain, pressure pain threshold (PPT), fatigue, anxiety and depression, catastrophising and quality of life in patients with FM were analysed. Fourteen studies were included. Conclusions: The application of tDCS to the motor cortex is the only intervention shown to decrease pain in the short and medium-term in patients with FM. The application of both interventions showed improvements in PPT, catastrophising and quality of life when applied to the motor cortex, and in fatigue when applied to the dorsolateral prefrontal cortex. The effects of these interventions on anxiety and depression are unclear. (Copyright © 2020 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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