Accelerated repetitive transcranial magnetic stimulation in the treatment of post-concussion symptoms due to mild traumatic brain injury: a pilot study
Abstract
Objective: To investigate the feasibility, tolerability, and efficacy of twice-daily, low frequency (LF) repetitive transcranial magnetic stimulation (rTMS) over the right dorsolateral prefrontal cortex (DLPFC) in the reduction of chronic post-concussion symptoms (PCS) in patients who have suffered a mild traumatic brain injury (mTBI).Methods: 15 patients with mTBI received 30 sessions of twice-daily LF rTMS (1 Hz) over the right DLPFC. Post-concussion symptoms, pain, disability, fatigue, apathy, agitation, and mood were assessed by a psychiatrist pre- and post-treatment. Cognitive testing was also performed pre-, mid-, and post-rTMS.Results: All participants completed treatment with no serious adverse events. Significant improvements were observed in overall post-concussion symptoms, disability and pain ratings, as well as depression and anxiety symptoms. There was no significant change in overall executive functioning, fatigue severity, apathy, or agitation. Cognitive testing revealed improvements in verbal fluency, working memory, selective attention, and cognitive processing speed.Conclusions: This small-sample pilot study suggests that twice-daily, LF rTMS over the right DLPFC can be safely and tolerably applied and has the potential to improve post-concussion symptoms as well as elements of mood and cognition in patients with mTBI. Larger, sham-controlled studies will be important to confirm these observations.
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- Authors
- Meek, B. P., Hill, S., & Modirrousta, M.
- Affiliations
- University of Manitoba (CA)
- Corresponding author
- Modirrousta, Mandana
- Venue
- Brain Injury
- Publisher
- Informa UK Limited
- Published
- 2020-12-10
- Volume
- 35
- Issue
- 1
- Pages
- 48-58
- ISSN
- 0269-9052 (ISSN-L)
- 1362-301X
- OpenAlex
- W3112586709
- Semantic Scholar
- e4287622b8b98a7f1133d3ac0dbe223f1cfd8fb1
- Cited by
- 16
- References
- 102
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 1 · 2023: 4 · 2022: 4
- FWCI
- 1.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Injury (publishedVersion)
- PubMed (publishedVersion)
- Funders
- the St. Boniface Hospital Foundation
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- repetitive transcranial magnetic stimulation, mild traumatic brain injury, post-concussion symptoms, low-frequency rTMS, dorsolateral prefrontal cortex, anxiety and depression, cognitive function, executive function, working memory, fatigue, pain and disability
- MeSH terms
- Brain Concussion, Humans, Pilot Projects, Treatment Outcome, Prefrontal Cortex, Post-Concussion Syndrome, Transcranial Magnetic Stimulation
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