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• W2017498338 abstract "Chronic myofascial pain syndrome has been related to defective descending inhibitory systems. Twenty-four females aged 19 to 65 years with chronic myofascial pain syndrome were randomized to receive 10 sessions of repetitive transcranial magnetic stimulation (rTMS) (n = 12) at 10 Hz or a sham intervention (n = 12). We tested if pain (quantitative sensory testing), descending inhibitory systems (conditioned pain modulation [quantitative sensory testing + conditioned pain modulation]), cortical excitability (TMS parameters), and the brain-derived neurotrophic factor (BDNF) would be modified. There was a significant interaction (time vs group) regarding the main outcomes of the pain scores as indexed by the visual analog scale on pain (analysis of variance, P < .01). Post hoc analysis showed that compared with placebo-sham, the treatment reduced daily pain scores by −30.21% (95% confidence interval = −39.23 to −21.20) and analgesic use by −44.56 (−57.46 to −31.67). Compared to sham, rTMS enhanced the corticospinal inhibitory system (41.74% reduction in quantitative sensory testing + conditioned pain modulation, P < .05), reduced the intracortical facilitation in 23.94% (P = .03), increased the motor evoked potential in 52.02% (P = .02), and presented 12.38 ng/mL higher serum BDNF (95% confidence interval = 2.32–22.38). No adverse events were observed. rTMS analgesic effects in chronic myofascial pain syndrome were mediated by top-down regulation mechanisms, enhancing the corticospinal inhibitory system possibly via BDNF secretion modulation. High-frequency rTMS analgesic effects were mediated by top-down regulation mechanisms enhancing the corticospinal inhibitory, and this effect involved an increase in BDNF secretion." @default.
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• W2017498338 date "2014-08-01" @default.
• W2017498338 modified "2023-10-18" @default.
• W2017498338 title "Repetitive Transcranial Magnetic Stimulation Increases the Corticospinal Inhibition and the Brain-Derived Neurotrophic Factor in Chronic Myofascial Pain Syndrome: An Explanatory Double-Blinded, Randomized, Sham-Controlled Trial" @default.
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• W2017498338 doi "https://doi.org/10.1016/j.jpain.2014.05.001" @default.
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