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The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review

Aimee Pink, Claire Williams Orcid Logo, Nick Alderman, Martine Stoffels

Neuropsychological Rehabilitation, Volume: 31, Issue: 3, Pages: 479 - 505

Swansea University Authors: Aimee Pink, Claire Williams Orcid Logo, Nick Alderman

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DOI (Published version): 10.1080/09602011.2019.1706585

Abstract

There is continued interest in developing effective and innovative treatment approaches to manage and improve outcomes after traumatic brain injury (TBI). Included in this, is the potential use of repetitive transcranial magnetic stimulation (rTMS), a neuromodulatory tool currently recommended by th...

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Published in: Neuropsychological Rehabilitation
ISSN: 0960-2011 1464-0694
Published: Informa UK Limited 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa53114
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spelling v2 53114 2020-01-06 The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review b104bd4518ffc637bf9091ef85ff3a9b Aimee Pink Aimee Pink true false 21dc2ebf100cf324becc27e8db6fde8d 0000-0002-0791-744X Claire Williams Claire Williams true false 1593af77d08757805fa8874face821b5 Nick Alderman Nick Alderman true false 2020-01-06 FGMHL There is continued interest in developing effective and innovative treatment approaches to manage and improve outcomes after traumatic brain injury (TBI). Included in this, is the potential use of repetitive transcranial magnetic stimulation (rTMS), a neuromodulatory tool currently recommended by the National Institute for Health and Care Excellence as a treatment for depression. This review considers the application of rTMS after TBI, focussing on its therapeutic efficacy for a broad range of sequalae, whether an optimal and safe rTMS protocol can be determined, and recommendations for future clinical and research work. Five research databases (MEDLINE, CINAHL, PsychINFO, SCOPUS, and Web of Science) were electronically searched, identifying 30 empirical studies (single and multiple subject case reports; randomized controlled trials) for the full review. Evidence suggests that rTMS has the potential to be an efficacious therapeutic intervention for multiple symptoms after TBI, including depression, dizziness, central pain, and visual neglect. However, the picture is less encouraging for prolonged disorders of consciousness and mixed for cognitive outcomes. Overall, rTMS was well-tolerated by patients, although some incidents of side effects and seizures have been reported. Recommendations are made for more comprehensive guidelines and sufficient reporting of rTMS parameters and procedures. Journal Article Neuropsychological Rehabilitation 31 3 479 505 Informa UK Limited 0960-2011 1464-0694 repetitive transcranial magnetic stimulation, rTMS, traumatic brain injury, rehabilitation, efficacy, intervention 1 3 2021 2021-03-01 10.1080/09602011.2019.1706585 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2024-01-09T11:23:50.1420165 2020-01-06T15:11:17.1290607 Professional Services Aimee Pink 1 Claire Williams 0000-0002-0791-744X 2 Nick Alderman 3 Martine Stoffels 4 53114__16668__acbc8bd133cc47eba6b3c0f5124d0b00.pdf 53114.pdf 2020-02-21T18:35:11.0937507 Output 384626 application/pdf Accepted Manuscript true 2020-12-27T00:00:00.0000000 true
title The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review
spellingShingle The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review
Aimee Pink
Claire Williams
Nick Alderman
title_short The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review
title_full The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review
title_fullStr The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review
title_full_unstemmed The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review
title_sort The use of repetitive transcranial magnetic stimulation (rTMS) following traumatic brain injury (TBI): A scoping review
author_id_str_mv b104bd4518ffc637bf9091ef85ff3a9b
21dc2ebf100cf324becc27e8db6fde8d
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author_id_fullname_str_mv b104bd4518ffc637bf9091ef85ff3a9b_***_Aimee Pink
21dc2ebf100cf324becc27e8db6fde8d_***_Claire Williams
1593af77d08757805fa8874face821b5_***_Nick Alderman
author Aimee Pink
Claire Williams
Nick Alderman
author2 Aimee Pink
Claire Williams
Nick Alderman
Martine Stoffels
format Journal article
container_title Neuropsychological Rehabilitation
container_volume 31
container_issue 3
container_start_page 479
publishDate 2021
institution Swansea University
issn 0960-2011
1464-0694
doi_str_mv 10.1080/09602011.2019.1706585
publisher Informa UK Limited
college_str Professional Services
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hierarchy_top_title Professional Services
hierarchy_parent_id professionalservices
hierarchy_parent_title Professional Services
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description There is continued interest in developing effective and innovative treatment approaches to manage and improve outcomes after traumatic brain injury (TBI). Included in this, is the potential use of repetitive transcranial magnetic stimulation (rTMS), a neuromodulatory tool currently recommended by the National Institute for Health and Care Excellence as a treatment for depression. This review considers the application of rTMS after TBI, focussing on its therapeutic efficacy for a broad range of sequalae, whether an optimal and safe rTMS protocol can be determined, and recommendations for future clinical and research work. Five research databases (MEDLINE, CINAHL, PsychINFO, SCOPUS, and Web of Science) were electronically searched, identifying 30 empirical studies (single and multiple subject case reports; randomized controlled trials) for the full review. Evidence suggests that rTMS has the potential to be an efficacious therapeutic intervention for multiple symptoms after TBI, including depression, dizziness, central pain, and visual neglect. However, the picture is less encouraging for prolonged disorders of consciousness and mixed for cognitive outcomes. Overall, rTMS was well-tolerated by patients, although some incidents of side effects and seizures have been reported. Recommendations are made for more comprehensive guidelines and sufficient reporting of rTMS parameters and procedures.
published_date 2021-03-01T11:23:52Z
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