Simultaneous application of transcranial magnetic stimulation and low-frequency electrostatic field as treatment of carbohydrate and lipid disorders in patients with metabolic syndrome


Submitted: 3 January 2022
Accepted: 22 January 2022
Published: 22 February 2022
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Authors

  • Andrey A. Benkov Limited Liability Company "Med TeKo", Moscow, Russian Federation.
  • Sergey N. Nagornev Federal State Budgetary Institution "Center for Strategic Planning and Management of Biomedical Health Risks" of the Federal Biomedical Agency of the Russian Federation, Moscow, Russian Federation.
  • Valery K. Frolkov Federal State Budgetary Institution "Center for Strategic Planning and Management of Biomedical Health Risks" of the Federal Biomedical Agency of the Russian Federation, Moscow, Russian Federation.
  • Valentine F. Reps FGBU "Pyatigorsk State Research Institute of Balneology of the Federal Medical and Biological Agency of the Russian Federation, Moscow, Russian Federation.
  • Dmitriy A. Edelev Federal State Budgetary Educational Institution of Higher Education "Lomonosov Moscow State University", Moscow, Russian Federation.
  • Anatoly D. Fesyun FGBU "National Medical Research Center for Rehabilitation and Balneology" of the Ministry of Health of the Russian Federation, Moscow, Russian Federation.
  • Maxim Yu. Yakovlev FGBU "National Medical Research Center for Rehabilitation and Balneology" of the Ministry of Health of the Russian Federation, Moscow, Russia; Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation.
  • Natalia Fedorovna Tumanova FGBU "National Medical Research Center for Rehabilitation and Balneology" of the Ministry of Health of the Russian Federation, Moscow, Russian Federation.
  • Natalia P. Sanina Moscow regional research clinical institute named after M.F. Vladimirskiy, Russian Federation.
  • Maria Chiara Maccarone Physical Medicine and Rehabilitation School, University of Padova, Padua, Italy. https://orcid.org/0000-0003-2793-1334
  • Stefano Masiero Physical Medicine and Rehabilitation School, University of Padova, Padua, Italy; Rehabilitation Unit, Department of Neuroscience, University of Padova, Padua, Italy.

The metabolic syndrome, which covers a wide variety of pathological concerns, is rapidly becoming a global pandemic. This syndrome is difficult to treat pharmacologically. Physiotherapy techniques, which have both local and systemic effects, can be employed as a suitable substitute. The purpose of this study was to investigate the therapeutic effects of a program of simultaneous physiotherapy that included migrant transcranial magnetic stimulation (TMS) and the exposure to an alternating low-frequency electrostatic field (LFEF) in the treatment of metabolic syndrome patients. Ninety patients were randomly assigned to three study groups. While continuing the usual drug therapy the first group (30 patients) received LFEF intervention, the second group (30 patients) received TMS, and the third group (30 patients) underwent the simultaneous use of these non-invasive techniques (LFEF + TMS). All treatments involved 10 sessions with daily frequency. In all the patients before and after treatment body weight, blood pressure parameters, levels of insulin, cortisol, glucose, total cholesterol, high density lipoproteins, malondialdehyde, and Schiff bases, the activity of the antioxidant enzymes catalase and of the superoxide dismutase were studied. The changes in the outcomes assessed revealed a different reaction to therapy with LFEF or TMS, as well as a greater benefit when both treatments were used at the same time. A simultaneous LFEF and TMS intervention seems a promising resource for the treatment of the metabolic syndrome, particularly of the lipid and carbohydrate metabolism disorders. However, further studies are needed to confirm these findings and investigate the underlying mechanisms.


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Andrey A. Benkov, Nagornev, S. N., Frolkov, V. K., Reps, V. F., Edelev, D. A., Fesyun, A. D., Yakovlev, M. Y., Tumanova, N. F., Sanina, N. P., Maccarone, M. C., & Stefano Masiero. (2022). Simultaneous application of transcranial magnetic stimulation and low-frequency electrostatic field as treatment of carbohydrate and lipid disorders in patients with metabolic syndrome. European Journal of Translational Myology, 32(1). https://doi.org/10.4081/ejtm.2022.10351

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