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Effects of Repetitive Transcranial Magnetic Stimulation on Psychological Aspects of Patients with Chronic Lower Back Pain

Journal of Magnetics, Volume 24, Number 3, 30 Sep 2019, Pages 543-548
Young-Shin Lee (Department of Physical Therapy, Samsung Electronics Musculoskeletal Disorders Prevention Center), Sea-Hyun Bae (Department of Physical Therapy, Dongshin University), Kyung-Yoon Kim * (Department of Physical Therapy, Dongshin University)
Abstract
To investigate the effects of repetitive transcranial magnetic stimulation (rTMS) to the anterior cingulate cortex (ACC) area on changes in psychological aspects in chronic lower back pain patients. Twenty-one subjects
were randomly assigned to control group (n=10, both general physiotherapy and sham rTMS) and experimental group (n=11, both general physiotherapy and rTMS). Each group received treatment (physiotherapy : 20
minutes, 10 Hz rTMS : 10 minutes) five days per week for 4 weeks. Assessment of psychological aspects was measured pre, post, and 2 week follow up after treatment. The comparison results with regard to heart rate
variability (HRV), EEG (α wave), Beck Depression Inventory version (K-BDI), Fear of Daily Activities Questionnaire (FDAQ), and Fear-Avoidance Belief Questionnaire (FABQ) confirmed that experimental group had a
greater recovery to positive levels in comparison to control group. As a results, the application of rTMS to the ACC together with physiotherapy can have a positive effect on pain-related psychological aspects.
 
Keywords: repetitive transcranial magnetic stimulation; psychological aspects; anterior cingulate cortex; chronic lower back pain
DOI: https://doi.org/10.4283/JMAG.2019.24.3.543
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