1. Altered Amplitude of Low-Frequency Fluctuations of rs-fMRI Signal followed by rTMS Analgesic Effects in Non-Specific Chronic Low Back Pain (CLBP) Patients
- Author
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Mahboubeh Masoumbeigi, Nader Riyahi Alam, Ramin Kordi, Mohsen Rostami, Abbas Rahimiforoushani, Amir Homayoun Jafari, Hasan Hashemi, and Anita Ebrahimpour
- Subjects
low back pain ,pain relief ,disability evaluation ,transcranial magnetic stimulation ,functional mri ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Background: Non-specific chronic low back pain (CLBP) is a common painful condition and is responsible for different physical disorders. Despite alternative therapies, patients still suffer from persistent pain. Repetitive transcranial magnetic stimulation (rTMS) has provided much evidence of pain reduction, but results have not been examined deeply in CLBP symptoms.Objective: The analgesic effect of rTMS in non-specific CLBP patients was evaluated by the amplitude of low-frequency fluctuation (ALFF) analysis in resting-state fMRI.Material and Methods: In this experimental study, fifteen non-specific CLBP participants (46.87±10.89 years) received 20 Hz rTMS over the motor cortex. The pain intensity and brain functional scan were obtained during pre and post-stimulation for all participants. The ALFF maps of the brain in two scan sessions were identified and the percentage of pain reduction (PPR%) was determined using paired t-test. Also, correlation analysis was used to find a relationship between ALFFs and pain intensity.Results: Pain intensity was significantly reduced after induced-rTMS in non-specific CLBP (36.22%±13.28, P
- Published
- 2024
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