Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018)

2020
Authors
Lefaucheur, Jean-PascalAleman, Andre
Baeken, Chris
Benninger, David H.

Brunelin, Jerome

Di Lazzaro, Vincenzo

Filipović, Saša

Grefkes, Christian
Hasan, Alkomiet
Hummel, Friedhelm C.
Jaaskelainen, Satu K.
Langguth, Berthold
Leocani, Letizia
Londero, Alain
Nardone, Raffaele
Nguyen, Jean-Paul
Nyffeler, Thomas

Oliveira-Maia, Albino J.

Oliviero, Antonio

Padberg, Frank
Palm, Ulrich
Paulus, Walter

Poulet, Emmanuel
Quartarone, Angelo
Rachid, Fady
Rektorova, Irena
Rossi, Simone
Sahlsten, Hanna
Schecklmann, Martin
Szekely, David
Ziemann, Ulf
Article (Published version)

Metadata
Show full item recordAbstract
A group of European experts reappraised the guidelines on the therapeutic efficacy of repetitive transcranial magnetic stimulation (rTMS) previously published in 2014 [Lefaucheur et al., Clin Neurophysiol 2014;125:2150-206]. These updated recommendations take into account all rTMS publications, including data prior to 2014, as well as currently reviewed literature until the end of 2018. Level A evidence (definite efficacy) was reached for: high-frequency (HF) rTMS of the primary motor cortex (M1) contralateral to the painful side for neuropathic pain; HF-rTMS of the left dorsolateral prefrontal cortex (DLPFC) using a figure-of-8 or a Hl-coil for depression; low-frequency (LF) rTMS of contralesional M1 for hand motor recovery in the post-acute stage of stroke. Level B evidence (probable efficacy) was reached for: HF-rTMS of the left M1 or DLPFC for improving quality of life or pain, respectively, in fibromyalgia; HF-rTMS of bilateral M1 regions or the left DLPFC for improving motor impa...irment or depression, respectively, in Parkinson's disease; HF-rTMS of ipsilesional M1 for promoting motor recovery at the post-acute stage of stroke; intermittent theta burst stimulation targeted to the leg motor cortex for lower limb spasticity in multiple sclerosis; HF-rTMS of the right DLPFC in posttraumatic stress disorder; LF-rTMS of the right inferior frontal gyrus in chronic post-stroke non-fluent aphasia; LF-rTMS of the right DLPFC in depression; and bihemispheric stimulation of the DLPFC combining right-sided LF-rTMS (or continuous theta burst stimulation) and left-sided HF-rTMS (or intermittent theta burst stimulation) in depression. Level A/B evidence is not reached concerning efficacy of rTMS in any other condition. The current recommendations are based on the differences reached in therapeutic efficacy of real vs. sham rTMS protocols, replicated in a sufficient number of independent studies. This does not mean that the benefit produced by rTMS inevitably reaches a level of clinical relevance.
Keywords:
Cortex / Indication / Neurology / Neuromodulation / Noninvasive brain stimulation / Psychiatry / TreatmentSource:
Clinical Neurophysiology, 2020, 131, 2, 474-528Publisher:
- Elsevier Ireland Ltd, Clare
Funding / projects:
- Noninvasive modulation of cortical excitability and plasticity - Noninvasive neuromodulation of the CNS in the study of physiological mechanisms, diagnosis and treatment (RS-175012)
- Fundacao para a Ciencia e Tecnologia (FCT/MCTES -) [FCT-PTDC/ME C-PSQ/30302/2017-IC&DT-LISBOA-01-0145-FEDER, FCT-PTDC/MED-NEU/31331/2017]
- Czech Ministry of HealthMinistry of Health, Czech Republic [AZV 16-31868A]
- FEDER, under the Partnership Agreement Lisboa 2020 - Programa Operacional Regional de Lisboa
DOI: 10.1016/j.clinph.2019.11.002
ISSN: 1388-2457
PubMed: 31901449
WoS: 000507859400021
Scopus: 2-s2.0-85077913954
Collections
Institution/Community
Institut za medicinska istraživanjaTY - JOUR AU - Lefaucheur, Jean-Pascal AU - Aleman, Andre AU - Baeken, Chris AU - Benninger, David H. AU - Brunelin, Jerome AU - Di Lazzaro, Vincenzo AU - Filipović, Saša AU - Grefkes, Christian AU - Hasan, Alkomiet AU - Hummel, Friedhelm C. AU - Jaaskelainen, Satu K. AU - Langguth, Berthold AU - Leocani, Letizia AU - Londero, Alain AU - Nardone, Raffaele AU - Nguyen, Jean-Paul AU - Nyffeler, Thomas AU - Oliveira-Maia, Albino J. AU - Oliviero, Antonio AU - Padberg, Frank AU - Palm, Ulrich AU - Paulus, Walter AU - Poulet, Emmanuel AU - Quartarone, Angelo AU - Rachid, Fady AU - Rektorova, Irena AU - Rossi, Simone AU - Sahlsten, Hanna AU - Schecklmann, Martin AU - Szekely, David AU - Ziemann, Ulf PY - 2020 UR - http://rimi.imi.bg.ac.rs/handle/123456789/1032 AB - A group of European experts reappraised the guidelines on the therapeutic efficacy of repetitive transcranial magnetic stimulation (rTMS) previously published in 2014 [Lefaucheur et al., Clin Neurophysiol 2014;125:2150-206]. These updated recommendations take into account all rTMS publications, including data prior to 2014, as well as currently reviewed literature until the end of 2018. Level A evidence (definite efficacy) was reached for: high-frequency (HF) rTMS of the primary motor cortex (M1) contralateral to the painful side for neuropathic pain; HF-rTMS of the left dorsolateral prefrontal cortex (DLPFC) using a figure-of-8 or a Hl-coil for depression; low-frequency (LF) rTMS of contralesional M1 for hand motor recovery in the post-acute stage of stroke. Level B evidence (probable efficacy) was reached for: HF-rTMS of the left M1 or DLPFC for improving quality of life or pain, respectively, in fibromyalgia; HF-rTMS of bilateral M1 regions or the left DLPFC for improving motor impairment or depression, respectively, in Parkinson's disease; HF-rTMS of ipsilesional M1 for promoting motor recovery at the post-acute stage of stroke; intermittent theta burst stimulation targeted to the leg motor cortex for lower limb spasticity in multiple sclerosis; HF-rTMS of the right DLPFC in posttraumatic stress disorder; LF-rTMS of the right inferior frontal gyrus in chronic post-stroke non-fluent aphasia; LF-rTMS of the right DLPFC in depression; and bihemispheric stimulation of the DLPFC combining right-sided LF-rTMS (or continuous theta burst stimulation) and left-sided HF-rTMS (or intermittent theta burst stimulation) in depression. Level A/B evidence is not reached concerning efficacy of rTMS in any other condition. The current recommendations are based on the differences reached in therapeutic efficacy of real vs. sham rTMS protocols, replicated in a sufficient number of independent studies. This does not mean that the benefit produced by rTMS inevitably reaches a level of clinical relevance. PB - Elsevier Ireland Ltd, Clare T2 - Clinical Neurophysiology T1 - Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018) EP - 528 IS - 2 SP - 474 VL - 131 DO - 10.1016/j.clinph.2019.11.002 UR - conv_4713 ER -
@article{ author = "Lefaucheur, Jean-Pascal and Aleman, Andre and Baeken, Chris and Benninger, David H. and Brunelin, Jerome and Di Lazzaro, Vincenzo and Filipović, Saša and Grefkes, Christian and Hasan, Alkomiet and Hummel, Friedhelm C. and Jaaskelainen, Satu K. and Langguth, Berthold and Leocani, Letizia and Londero, Alain and Nardone, Raffaele and Nguyen, Jean-Paul and Nyffeler, Thomas and Oliveira-Maia, Albino J. and Oliviero, Antonio and Padberg, Frank and Palm, Ulrich and Paulus, Walter and Poulet, Emmanuel and Quartarone, Angelo and Rachid, Fady and Rektorova, Irena and Rossi, Simone and Sahlsten, Hanna and Schecklmann, Martin and Szekely, David and Ziemann, Ulf", year = "2020", abstract = "A group of European experts reappraised the guidelines on the therapeutic efficacy of repetitive transcranial magnetic stimulation (rTMS) previously published in 2014 [Lefaucheur et al., Clin Neurophysiol 2014;125:2150-206]. These updated recommendations take into account all rTMS publications, including data prior to 2014, as well as currently reviewed literature until the end of 2018. Level A evidence (definite efficacy) was reached for: high-frequency (HF) rTMS of the primary motor cortex (M1) contralateral to the painful side for neuropathic pain; HF-rTMS of the left dorsolateral prefrontal cortex (DLPFC) using a figure-of-8 or a Hl-coil for depression; low-frequency (LF) rTMS of contralesional M1 for hand motor recovery in the post-acute stage of stroke. Level B evidence (probable efficacy) was reached for: HF-rTMS of the left M1 or DLPFC for improving quality of life or pain, respectively, in fibromyalgia; HF-rTMS of bilateral M1 regions or the left DLPFC for improving motor impairment or depression, respectively, in Parkinson's disease; HF-rTMS of ipsilesional M1 for promoting motor recovery at the post-acute stage of stroke; intermittent theta burst stimulation targeted to the leg motor cortex for lower limb spasticity in multiple sclerosis; HF-rTMS of the right DLPFC in posttraumatic stress disorder; LF-rTMS of the right inferior frontal gyrus in chronic post-stroke non-fluent aphasia; LF-rTMS of the right DLPFC in depression; and bihemispheric stimulation of the DLPFC combining right-sided LF-rTMS (or continuous theta burst stimulation) and left-sided HF-rTMS (or intermittent theta burst stimulation) in depression. Level A/B evidence is not reached concerning efficacy of rTMS in any other condition. The current recommendations are based on the differences reached in therapeutic efficacy of real vs. sham rTMS protocols, replicated in a sufficient number of independent studies. This does not mean that the benefit produced by rTMS inevitably reaches a level of clinical relevance.", publisher = "Elsevier Ireland Ltd, Clare", journal = "Clinical Neurophysiology", title = "Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018)", pages = "528-474", number = "2", volume = "131", doi = "10.1016/j.clinph.2019.11.002", url = "conv_4713" }
Lefaucheur, J., Aleman, A., Baeken, C., Benninger, D. H., Brunelin, J., Di Lazzaro, V., Filipović, S., Grefkes, C., Hasan, A., Hummel, F. C., Jaaskelainen, S. K., Langguth, B., Leocani, L., Londero, A., Nardone, R., Nguyen, J., Nyffeler, T., Oliveira-Maia, A. J., Oliviero, A., Padberg, F., Palm, U., Paulus, W., Poulet, E., Quartarone, A., Rachid, F., Rektorova, I., Rossi, S., Sahlsten, H., Schecklmann, M., Szekely, D.,& Ziemann, U.. (2020). Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018). in Clinical Neurophysiology Elsevier Ireland Ltd, Clare., 131(2), 474-528. https://doi.org/10.1016/j.clinph.2019.11.002 conv_4713
Lefaucheur J, Aleman A, Baeken C, Benninger DH, Brunelin J, Di Lazzaro V, Filipović S, Grefkes C, Hasan A, Hummel FC, Jaaskelainen SK, Langguth B, Leocani L, Londero A, Nardone R, Nguyen J, Nyffeler T, Oliveira-Maia AJ, Oliviero A, Padberg F, Palm U, Paulus W, Poulet E, Quartarone A, Rachid F, Rektorova I, Rossi S, Sahlsten H, Schecklmann M, Szekely D, Ziemann U. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018). in Clinical Neurophysiology. 2020;131(2):474-528. doi:10.1016/j.clinph.2019.11.002 conv_4713 .
Lefaucheur, Jean-Pascal, Aleman, Andre, Baeken, Chris, Benninger, David H., Brunelin, Jerome, Di Lazzaro, Vincenzo, Filipović, Saša, Grefkes, Christian, Hasan, Alkomiet, Hummel, Friedhelm C., Jaaskelainen, Satu K., Langguth, Berthold, Leocani, Letizia, Londero, Alain, Nardone, Raffaele, Nguyen, Jean-Paul, Nyffeler, Thomas, Oliveira-Maia, Albino J., Oliviero, Antonio, Padberg, Frank, Palm, Ulrich, Paulus, Walter, Poulet, Emmanuel, Quartarone, Angelo, Rachid, Fady, Rektorova, Irena, Rossi, Simone, Sahlsten, Hanna, Schecklmann, Martin, Szekely, David, Ziemann, Ulf, "Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018)" in Clinical Neurophysiology, 131, no. 2 (2020):474-528, https://doi.org/10.1016/j.clinph.2019.11.002 ., conv_4713 .