Treatment TMS is based on stimulating the brain with an external magnetic field. This stimulation is carried out with a device called magnetic coil (head). Although magnetic coils can be in different shapes, those in the shape of 8 are preferred at most. A magnetic field is created in this coil, which is brought closer to the head, with the help of a high-intensity electric current whose direction is suddenly changed.
TMS is a new method and is being intensively researched. That's why it is tested in a wide variety of diseases of the nervous system.
Accordingly, we can list the effective conditions of TMS treatment item by item.
Effectiveness at Level A evidence:
Nervous system In case of pain-related pain, high-frequency TMS applied to the brain part (motor cortex) on the opposite side of the painful side may be effective in reducing pain.
High-frequency TMS treatment applied to the left brain part (dorsolateral prefrontal cortex) is drug-resistant. It may be effective in cases of depression.
Low-frequency TMS treatment applied to the brain region (motor cortex) on the opposite side of the paralyzed side after the acute period may be effective in improving hand functions after stroke.
Evidence B level effectiveness:
High frequency TMS applied to the relevant part of the left brain (dorsolateral prefrontal cortex) may be effective in improving the quality of life and reducing pain in fibromyalgia patients.
High frequency TMS applied bilaterally to the motor cortex or dorsolateral prefrontal cortex may be effective in movement disorders and depression in Parkinson's patients.
Intermittent application in multiple sclerosis patients. TMS (intermittent theta burst stimulation) can be effective in reducing muscle tension (spasticity) in the legs.
Slow motion applied to the right brain section (inferior frontal gyrus - the equivalent of the speech center in the left brain hemisphere). Frequency TMS treatment may be effective in the treatment of some types of speech disorders (non-fleuent aphasia) that develop after stroke.
TMS is used in many different disorders other than the diseases listed above. Results at levels of evidence C and D are not included here, and TMS is still effective in many neurological diseases. It is not recommended. It is very likely that new diseases will be added to this list as level A and B evidence emerges.
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