Prospects for the use of therapeutic transcranial magnetic stimulation in diabetic polyneuropathy
DOI: 10.32364/2587-6821-2023-7-10-3
M.P. Bobrov1, E.V. Ekusheva1,2, V.B. Voitenkov1,3, E.V. Khozhenko1
1Academy of Postgraduate Education of the Federal Scientific and Clinical Center of the Federal Medical Biological Agency of Russian Federation, Moscow, Russian Federation
2Belgorod State University, Belgorod, Russian Federation
3Children's Research and Clinical Center of Infectious Diseases of the Federal Medical- Biological Agency, St. Petersburg, Russian Federation
This article examines promising areas of therapeutic transcranial magnetic stimulation (TMS) for the treatment of diabetic polyneuropathy (DPN) — a common complication of diabetes mellitus, which significantly reduces the life quality of patients. Conservative therapy of this condition is not always effective; therefore, the article discusses alternative treatment methods, including TMS — a method in which magnetic induction is used to affect the brain structures. TMS use for the DPN treatment has shown certain positive results. The article discusses various aspects of the TMS use, including protocols, treatment duration, dosage and safety. A review of existing Russian and foreign studies with recommendations on the TMS use in clinical practice for the DPN treatment is being conducted. These studies demonstrate the potential of using TMS as an additional treatment method of DPN. However, there is a need in further clinical studies for a deeper understanding of the TMS efficacy and mechanisms of action in this disease. TMS use in the DPN treatment may represent a new direction in the field of therapeutic methods that contribute to improving the patient lives with diabetes mellitus.
Keywords: diabetes mellitus, complications, diabetic polyneuropathy, neuropathic pain, rhythmic transcranial magnetic stimulation, conservative therapy.
For citation: Bobrov M.P., Ekusheva E.V., Voitenkov V.B., Khozhenko E.V. Prospects for the use of therapeutic transcranial magnetic stimulation in diabetic polyneuropathy. Russian Medical Inquiry. 2023;7(10):625–629 (in Russ.). DOI: 10.32364/2587-6821-2023-7-10-3.
About the authors:
Maxim P. Bobrov — Resident of the 2nd year of the Department of Nervous Diseases and Neurogical Rehabilitation, Academy of Postgraduate Education of the Federal Scientific and Clinical Center of the Federal Medical Biological Agency of Russian Federation; 91, Volokolamskoe road, Moscow, 125371, Russian Federation; ORCID iD 0009-0000-5447-7320.
Evgenia V. Ekusheva — Dr. Sc. (Med.), Professor of the Department of Nervous Diseases and Neurogical Rehabilitation, Academy of Postgraduate Education of the Federal Scientific and Clinical Center of the Federal Medical Biological Agency of Russian Federation; 91, Volokolamskoe Road, Moscow, 125371, Russian Federation; Leading Researcher of the Laboratory "Problemy Starenia", Belgorod State University; 85, Pobedy Str., Belgorod, 308015, Russian Federation; ORCID iD 0000-0002-3638-6094.
Vladislav B. Voitenkov — C. Sc. (Med.), Associate Professor of the Department of Nervous Diseases and Neurogical Rehabilitation, Academy of Postgraduate Education of the Federal Scientific and Clinical Center of the Federal Medical Biological Agency of Russian Federation; 91, Volokolamskoe road, Moscow, 125371, Russian Federation; Head of the Department of Functional Diagnostics, Children's Research and Clinical Center of Infectious Diseases of the Federal Medical Biological Agency; 9, Professor Popov Str., St. Petersburg, 197022, Russian Federation; ORCID iD 0000-0003-0448-7402.
Elena V. Khozhenko — Dr. Sc. (Med.), Professor of the Department of Nervous Diseases and Neurogical Rehabilitation, Academy of Postgraduate Education of the Federal Scientific and Clinical Center of the Federal Medical Biological Agency of Russian Federation; 91, Volokolamskoe road, Moscow, 125371, Russian Federation; ORCID iD 0000-0003-0313-1754.
Contact information: Maxim P. Bobrov, e-mail: gintoky95@gmail.com.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interest.
Received 02.08.2023.
Revised 25.08.2023.
Accepted 19.09.2023.
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