Comparative study between transcranial direct current and repetitive transcranial electromagnetic stimulation in the rehabilitation of primary fibromyalgia

Background Fibromyalgia syndrome (FMS) is a complex disorder where a widespread musculoskeletal pain (without a clear lesion basis) is associated with a great variety of symptoms including affective disturbances, central fatigue, cognitive dysfunction and even a particular skin reactivity to several chemical substances. Despite intense research effort, especially in the last years, the pathophysiology of the disease remains to be explained. The treatment recommendations were classified as pharmacological therapies, non-pharmacological treatments, and complementary non-pharmacological therapies. Also, particular interest has been raised by techniques able to perform effective modulation of brain areas through magnetic or electric currents applied to the scalp like transcranial magnetic and electrical stimulation such as direct current (TMS and tDCS). Objective: To compare the efficacy of Repetitive transcranial magnetic stimulation (r-TMS) and transcranial direct current stimulation (t-DCS) as non- invasive brain stimulation techniques in the rehabilitation of patients with primary (1ry) fibromyalgia (FM). Patients and Methods The present study included 30 patients with 1ry FM, equally divided into 2 groups. Group I included 15 patients who received 8 sessions of rTMS and Group II included 15 patients who received 8 sessions of anodal tDCS. Differences in visual analogue scale (VAS) of pain, tender point scale, Fibromyalgia Impact Questionnaire (FIQ) and Hospital Anxiety and Depression Scale (HADS) were assessed before and after completion of assigned treatment sessions. Results Pain VAS, tender point scale, FIQ and HADS showed significant decrease between baseline and follow-up assessments for both groups. Moreover, a significant change in all assessment scales was observed post treatment when compared between both groups with more significant improvement in the group received rTMS. Conclusion Both rTMS and tDCS techniques showed marked improvement in symptoms of pain, functional status and quality of life in patients with 1ry fibromyalgia. Both techniques can be considered as promising alternatives therapeutic options in the treatment of FM in order to reduce side effects of long-term use of drugs.

Management of toxic optic neuropathy via a combination of Wharton’s jelly-derived mesenchymal stem cells with electromagnetic stimulation

Purpose To investigate the effect of the combination of Wharton's jelly derived mesenchymal stem cells (WJ-MSC) and high frequency repetitive electromagnetic stimulation (rEMS) in the therapy of toxic optic neuropathies with severe symptoms after the available current therapy modalities which were unsucessful. Material and methods This prospective, open-label clinical phase-3 study was conducted at Ankara University Faculty of Medicine, Department of Ophthalmology between April 2019 and April 2021. Thirty-six eyes of 18 patients with toxic optic neuropathy (TON) were included in the study. Within 1–3 months after the emergency interventions, patients with various degrees of sequela visual disturbances were studied in this clinical trial. The cases were divided into three groups according to similar demographic characteristics. Group 1: Consists of 12 eyes of 12 patients treated with the WJ-MSC and rEMS combination in one eye. Group 2: Consists of 12 eyes of 12 patients treated with only rEMS in one eye. Group 3: Consists of 12 eyes of six patients treated with only WJ-MSC in both eyes. The course was evaluated by comparing the quantitive functional and structural assessment parameters measured before and at the fourth month of applications in each group. Results The mean best corrected visual acuity (BCVA) delta change percentages of the groups can be ranked as: Group 1 (47%) > Group 3 (32%) > Group 2 (21%). The mean fundus perimetry deviation index (FPDI) delta change percentages of the groups can be ranked as: Group 1 (95%) > Group 2 (33%) > Group 3 (27%). The mean ganglion cell complex (GCC) thickness delta change (decrease in thickness) percentages can be ranked as: Group 1 (− 21%) > Group 3 (− 15%) > Group 2 (− 13%). The visual evoked potential (VEP) P100 latency delta change percentages of the groups can be ranked as: Group 1 (− 18%) > Group 3 (− 10%) > Group 2 (− 8%). The P100 amplitude delta change percentages of the groups can be ranked as: Group 1 (105%) > Group 3 (83%) > Group 2 (24%). Conclusion Toxic optic neuropathies are emergent pathologies that can result in acute and permanent blindness. After poisoning with toxic substances, progressive apoptosis continues in optic nerve axons and ganglion cells. After the proper first systemic intervention in intensive care clinic, the WJ-MSC and rEMS combination seems very effective in the short-term period in cases with TON. To prevent permanent blindness, a combination of WJ-MSC and rEMS application as soon as possible may increase the chance of success in currently untreatable cases. Trial Registration ClinicalTrials.gov ID: NCT04877067.

Assessment of magnetic flux density properties of electromagnetic noninvasive phrenic nerve stimulations for environmental safety in an ICU environment

Diaphragm weakness affects up to 60% of ventilated patients leading to muscle atrophy, reduction of muscle fiber force via muscle fiber injuries and prolonged weaning from mechanical ventilation. Electromagnetic stimulation of the phrenic nerve can induce contractions of the diaphragm and potentially prevent and treat loss of muscular function. Recommended safety distance of electromagnetic coils is 1 m. The aim of this study was to investigate the magnetic flux density in a typical intensive care unit (ICU) setting. Simulation of magnetic flux density generated by a butterfly coil was performed in a Berlin ICU training center with testing of potential disturbance and heating of medical equipment. Approximate safety distances to surrounding medical ICU equipment were additionally measured in an ICU training center in Bern. Magnetic flux density declined exponentially with advancing distance from the stimulation coil. Above a coil distance of 300 mm with stimulation of 100% power the signal could not be distinguished from the surrounding magnetic background noise. Electromagnetic stimulation of the phrenic nerve for diaphragm contraction in an intensive care unit setting seems to be safe and feasible from a technical point of view with a distance above 300 mm to ICU equipment from the stimulation coil.

Electromagnetic Stimulation of Microbial Activity in Wastewater Treatment: Experimental Equipment

A system for electromagnetic stimulation of microorganisms' activity from the active sludge of wastewater treatment plants was developed and preliminarily tested. Through electrochemical, gravimetric, XRD, and SEM-EDAX measurements, it was found that austenitic stainless steel 18/8 presents good stability to AC polarization in wastewater. Preliminary determinations performed through the dielectric spectroscopy technique indicated that the activated sludge's microbial flora is sensitive to 50 ± 0.1 Hz. The stimulation system developed and put into service on the biological aerobic treatment bioreactor consists of a pair of polarizing electrodes, made of perforated 18/8 stainless steel sheet, electrically connected to a power supply, which at 50 Hz is capable of debiting adjustable voltages between 5 and 24 Vrms at a maximum current of 5 A. Preliminary in situ measurements showed that following the stimulation of the microorganisms from the sludge suspension, as a result of an applied electromagnetic field of approximately 4.5 V/m at 50 Hz, the metabolism of residues is accelerated substantially (organic residues determined by oxygen demand decrease by about 42 %, nitrogen/ammonium content by about 44% and total phosphorus by about 50 % which results in an increase in free oxygen concentration by about 71 %).

Use of electromagnetic stimulation on an Enterococcus faecalis biofilm on root canal treated teeth in vitro

Root canal disinfection is of utmost importance in the success of the treatment, thus, a novel method for achieving root canal disinfection by electromagnetic waves, creating a synergistic reaction via electric and thermal energy, was created. To study electromagnetic stimulation (EMS) for the disinfection of root canal in vitro, single rooted teeth were instrumented with a 45.05 Wave One Gold reciprocating file. Specimens were sterilized and inoculated with Enterococcus faecalis ATCC 29,212, which grew for 15 days to form an established biofilm. Samples were treated with 6% sodium hypochlorite (NaOCl), 1.5% NaOCl 1.5% NaOCl with EMS, 0.9% saline with EMS or 0.9% saline. After treatments, the colony forming units (CFU) was determined. Data was analyzed by Wilcoxon Rank Sums Test (α = 0.05). One sample per group was scored and split for confocal laser scanning microscopy imaging. There was a significant effect with the use of NaOCl with or without EMS versus 0.9% saline with or without EMS (p = 0.012 and 0.003, respectively). CFUs were lower when using 0.9% saline with EMS versus 0.9% saline alone (p = 0.002). Confocal imaging confirmed CFU findings. EMS with saline has an antibiofilm effect against E. faecalis and can potentially be applied for endodontic disinfection.

Neurofeedback training of control network improves SSVEP-based BCI performance in children

Background: In the past 20 years, neural engineering has made unprecedented progress in the interpretation of brain information (e.g., brain-computer interfaces) and neuromodulation (e.g., electromagnetic stimulation and neurofeedback). However, the study of improving the performance of the brain-computer interface (BCI) using the neuromodulation method rarely exists. The present study designs a neurofeedback training method to improve the performance of steady-state visual evoked potential (SSVEP) BCI and further explores its underlying mechanisms. Methods: As the parietal lobe is the sole hub of information transmission, up-regulating alpha-band power of the parietal lobe by neurofeedback training was presented in this study as a new neural modulation method to improve SSVEP-based BCI in this study. Results: After this neurofeedback training (NFT), the signal-to-noise ratio (SNR), accuracy, and information transfer rate (ITR) of SSVEP-based BCI were increased by 5.8%, 4.7%, and 15.6% respectively. However, no improvement has been observed in the control group in which the subjects do not participate in NFT. Evidence from the network analysis and attention test further indicate that NFT improves attention via developing the control ability of the parietal lobe and then enhances the above SSVEP indicators.Conclusion: Up-regulating parietal alpha-amplitude using neurofeedback training significantly improves the SSVEP-baesd BCI performance through modulating the control network. The study validates an effective neuromodulation method, and possibly also contributes to explaining the function of the parietal lobe in the control network.

Influence of Silver Nanoparticles, Laser Light and Electromagnetic Stimulation of Seeds on Germination Rate and Photosynthetic Parameters in Pumpkin (Cucurbita pepo L.) Leaves

The study aimed to determine the impact of laser light (L), magnetic stimulation (p) and silver nanocolloid (AgNC) on pumpkin seeds on the germination rate and content of photosynthetic pigments as well as the efficiency of photosynthesis and greenness index in the plant’s development stages. Seeds germinated after the use of various combinations of different refining techniques. The best results were observed for the alternating magnetic field, where the germination energy increased significantly by 20% relative to the control. A similar effect was observed in terms of germination capacity which increased by 4%. A decrease in terms of emergence rate was observed in all study groups. Leaves grown from seeds soaked in nanocolloidal silver on platters were characterised by a significantly higher content of chlorophyll a and b by, respectively, 53 and 11%, as well as 79% higher carotenoid content. The leaves of potted plants contained 42 and 43% more chlorophyll a in groups p and AgNC. In addition, 66 and 81% more carotenoids in groups L and p. At the stage of the onset of flowering of pumpkin, an improvement in terms of photosynthetic efficiency and greenness index was observed in all study groups. The highest improvement was recorded for seeds soaked in silver and reached 23% (intensity of photosynthesis) and 11% (greenness index SPAD).

Активация нейромедиаторов мозга животных интерференционными транскраниальными токами

A method of transcranial electromagnetic stimulation of the mammalian brain is proposed. The method is based on the interference of currents caused by high-frequency orthogonal oscillations of electric fields, which are modulated by low-frequency meander pulses. The effectiveness of the method was confirmed by the results of experiments on stimulating the brain of rats and rabbits.