Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a review
Abstract Repetitive transcranial magnetic stimulation (rTMS) is a neuromodulatory technique approved by the US Food and Drug Administration for use in treatment-resistant major depressive disorder. It works by generating localized magnetic fields that create depolarizing electrical currents in neuro...
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | Sleep Science and Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41606-020-00057-9 |
| _version_ | 1818575883707875328 |
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| author | Ricardo Oroz Simon Kung Paul E. Croarkin Joseph Cheung |
| author_facet | Ricardo Oroz Simon Kung Paul E. Croarkin Joseph Cheung |
| author_sort | Ricardo Oroz |
| collection | DOAJ |
| description | Abstract Repetitive transcranial magnetic stimulation (rTMS) is a neuromodulatory technique approved by the US Food and Drug Administration for use in treatment-resistant major depressive disorder. It works by generating localized magnetic fields that create depolarizing electrical currents in neurons a few centimeters below the scalp. This localized effect is believed to stimulate neural plasticity, activate compensatory processes, and influence cortical excitability. Additionally, rTMS has been used in a variety of clinical trials for neurological and psychiatric conditions such as anxiety, post-traumatic stress disorder and epilepsy. Beneficial effects in sleep parameters have been documented in these trials, as well as in major depressive disorder, and have led to an interest in using rTMS in the field of sleep medicine for specific disorders such as insomnia, hypersomnia, and restless legs syndrome. It is unknown whether rTMS has intrinsically beneficial properties when applied to primary sleep disorders, or if it only acts on sleep through mood disorders. This narrative review sought to examine available literature regarding the application of rTMS for sleep disorder to identify knowledge gaps and inform future study design. The literature in this area remains scarce, with few randomized clinical trials on rTMS and insomnia. Available studies have found mixed results, with some studies reporting subjective sleep improvement while objective improvement is less consistent. Due to the heterogeneity of results and the variations in rTMS protocols, no definitive conclusions have been reached, signaling the need for further research. |
| first_indexed | 2024-12-15T00:47:11Z |
| format | Article |
| id | doaj.art-8595b29941d748fd957bcb9c8c6b7424 |
| institution | Directory Open Access Journal |
| issn | 2398-2683 |
| language | English |
| last_indexed | 2024-12-15T00:47:11Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Sleep Science and Practice |
| spelling | doaj.art-8595b29941d748fd957bcb9c8c6b74242022-12-21T22:41:31ZengBMCSleep Science and Practice2398-26832021-02-015111010.1186/s41606-020-00057-9Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a reviewRicardo Oroz0Simon Kung1Paul E. Croarkin2Joseph Cheung3University of NavarraDepartment of Psychiatry and Psychology, Mayo ClinicDepartment of Psychiatry and Psychology, Mayo ClinicDivision of Pulmonary, Allergy and Sleep Medicine, Mayo ClinicAbstract Repetitive transcranial magnetic stimulation (rTMS) is a neuromodulatory technique approved by the US Food and Drug Administration for use in treatment-resistant major depressive disorder. It works by generating localized magnetic fields that create depolarizing electrical currents in neurons a few centimeters below the scalp. This localized effect is believed to stimulate neural plasticity, activate compensatory processes, and influence cortical excitability. Additionally, rTMS has been used in a variety of clinical trials for neurological and psychiatric conditions such as anxiety, post-traumatic stress disorder and epilepsy. Beneficial effects in sleep parameters have been documented in these trials, as well as in major depressive disorder, and have led to an interest in using rTMS in the field of sleep medicine for specific disorders such as insomnia, hypersomnia, and restless legs syndrome. It is unknown whether rTMS has intrinsically beneficial properties when applied to primary sleep disorders, or if it only acts on sleep through mood disorders. This narrative review sought to examine available literature regarding the application of rTMS for sleep disorder to identify knowledge gaps and inform future study design. The literature in this area remains scarce, with few randomized clinical trials on rTMS and insomnia. Available studies have found mixed results, with some studies reporting subjective sleep improvement while objective improvement is less consistent. Due to the heterogeneity of results and the variations in rTMS protocols, no definitive conclusions have been reached, signaling the need for further research.https://doi.org/10.1186/s41606-020-00057-9Transcranial magnetic stimulationInsomniaSleep disorders |
| spellingShingle | Ricardo Oroz Simon Kung Paul E. Croarkin Joseph Cheung Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a review Sleep Science and Practice Transcranial magnetic stimulation Insomnia Sleep disorders |
| title | Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a review |
| title_full | Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a review |
| title_fullStr | Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a review |
| title_full_unstemmed | Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a review |
| title_short | Transcranial magnetic stimulation therapeutic applications on sleep and insomnia: a review |
| title_sort | transcranial magnetic stimulation therapeutic applications on sleep and insomnia a review |
| topic | Transcranial magnetic stimulation Insomnia Sleep disorders |
| url | https://doi.org/10.1186/s41606-020-00057-9 |
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