Comparison between Transcranial Direct Current Stimulation protocols in Chronic Migraine (NEUROMIG)

Authors

DOI:

https://doi.org/10.33448/rsd-v9i8.5768

Keywords:

Transcranial direct current stimulation; Neuropsychological tests; Migraine disorders; Pain.

Abstract

Chronic migraine (CM) has a wide range of symptoms, with debilitating consequences for those individuals refractory to the conventional treatments. In this context, Transcranial Direct Current Stimulation (tDCS) is a promising technique, although there is still no consensus on the most appropriate protocol, which may vary in relation to the number and interval between the application sessions. The present work consists of a protocol to assess the clinical and cognitive effects of ETCC on CM in the form of a double-blind, randomized and placebo-controlled clinical trial. The sample will consist of women aged between 20 and 45 years with a diagnosis of CM. A sociodemographic questionnaire and instruments for assessing cognitive functions, affective aspects, and clinical evaluation of migraine will be applied. Participants will be randomly distributed among 3 groups: Group 1: will receive a daily tDCS session for 15 minutes; Group 2: will receive two daily tDCS sessions of 15 minutes, with an interval of 20 minutes between them; Group 3: will receive simulated stimulation (sham) for 15 minutes. The anode electrode will be placed on the left dorsolateral prefrontal cortex and the reference electrode on the contralateral supraorbital region. In the Groups 1 and 2 the current will have an intensity of 2mA and will be applied for 10 consecutive days. We expect that tDCS will be effective in reducing symptoms in CM, with a decreased in pain and stress, and an improvement in the cognitive performance. This study will help to define a more appropriate neuromodulation protocol, contributing to the clinical decision making in CM.

References

Andrade, S. M., de Brito Aranha, R. E. L., de Oliveira, E. A., de Mendonça, C. T. P. L., Martins, W. K. N., Alves, N. T., & Fernández-Calvo, B. (2017). Transcranial direct current stimulation over the primary motor vs prefrontal cortex in refractory chronic migraine: a pilot randomized controlled trial. Journal of the Neurological Sciences, 378, 225-232.

Araujo, C. M., Barbosa, I., Lemos, S., Domingues, R., & Teixeira, A. (2012). Cognitive impairment in migraine. Dementia e Neuropsychologia, 6, 74-79.

Auvichayapat, P., Janyacharoen, T., Rotenberg, A., Tiamkao, S., Krisanaprakornkit, T., Sinawat, S., & Auvichayapat, N. (2012). Migraine prophylaxis by anodal transcranial direct current stimulation, a randomized, placebo-controlled trial. Journal of the Medical Association of Thailand, 95(8), 1003-12.

Aurora, S. K., Barrodale, P. M., Tipton, R. L., & Khodavirdi, A. (2007). Brainstem dysfunction in chronic migraine as evidenced by neurophysiological and positron emission tomography studies. Headache: The Journal of Head and Face Pain, 47(7), 996-1003.

Ayele, B. A., & Yifru, Y. M. (2018). Migraine-related disability and co-morbid depression among migraineurs in Ethiopia: a cross-sectional study. BMC Neurology, 18(1), 95.

Bates, M. E., & Lemay, E. P. (2004). The d2 Test of attention: construct validity and extensions in scoring techniques. Journal of the International Neuropsychological Society, 10(3), 392-400.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II. San Antonio, 78(2), 490-498.

Bergeron, D., Flynn, K., Verret, L., Poulin, S., Bouchard, R. W., Bocti, C., & Laforce, R. J. (2017). Multicenter validation of an MMSE‐MoCA conversion table. Journal of the American Geriatrics Society, 65(5), 1067-1072.

Bhola, R., Kinsella, E., Giffin, N., Lipscombe, S., Ahmed, F., Weatherall, M., & Goadsby, P. J. (2015). Single-pulse transcranial magnetic stimulation (sTMS) for the acute treatment of migraine: evaluation of outcome data for the UK post market pilot program. The Journal of Headache and Pain, 16(1), 51.

Biaggio, A. M. B., Natalício, L., & Spielberger, C. D. (1977). Desenvolvimento da forma experimental em português do Inventário de Ansiedade Traço-Estado (IDATE) de Spielberger. Arquivos Brasileiros de Psicologia Aplicada, 29(3), 31-44.

Bielak, A. A., Mansueti, L., Strauss, E., & Dixon, R. A. (2006). Performance on the Hayling and Brixton tests in older adults: Norms and correlates. Archives of Clinical Neuropsychology, 21(2), 141-149.

Bohotin, V., Fumal, A., Vandenheede, M., Bohotin, C., & Schoenen, J. (2003). Excitability of visual V1‐V2 and motor cortices to single transcranial magnetic stimuli in migraine: a reappraisal using a figure‐of‐eight coil. Cephalalgia, 23(4), 264-270.

Brickenkamp, R. (2007). D2, Teste de atenção. Lisboa: CEGOC-TEA.

Brickenkamp, R., & Zillmer, E. (1998). The d2 Test of Attention (p.86). Seattle, Washington: Hogrefe & Huber Publishers.

Brunoni, A. R. (2012). Tratamento do transtorno depressivo maior com estimulação transcraniana por corrente contínua: ensaio clínico aleatorizado, duplo-cego, fatorial. Dissertação de doutorado, Universidade de São Paulo.

Buse, D., Manack, A., Serrano, D., Reed, M., Varon, S., Turkel, C., & Lipton, R. (2012). Headache impact of chronic and episodic migraine: results from the american migraine prevalence and prevention study. Headache: The Journal of Head and Face Pain, 52(1), 3-17.

Buse, D. C., Silberstein, S. D., Manack, A. N., Papapetropoulos, S., & Lipton, R. B. (2013). Psychiatric comorbidities of episodic and chronic migraine. Journal of Neurology, 260(8), 1960-1969.

Cauás, M., Lima, M., Lago, C., Ponzi, E. A. C., Oliveira, D., & Valença, M. M. (2010). Migrânea e cefaleia do tipo tensional: alguns aspectos históricos. Headache Medicine, 1, 29-33.

Cruz Gonzalez, P., Fong, K. N., & Brown, T. (2018). The effects of transcranial direct current stimulation on the cognitive functions in older adults with mild cognitive impairment: a pilot study. Behavioural Neurology, 2018.

DaSilva, A. F., Mendonca, M. E., Zaghi, S., Lopes, M., DosSantos, M. F., Spierings, E. L., Bajwa, Z., Datta, A., Bikson, M., & Fregni, F. (2012). tDCS‐induced analgesia and electrical fields in pain‐related neural networks in chronic migraine. Headache: The Journal of Head and Face Pain, 52(8), 1283-1295.

DaSilva, A. F., Truong, D. Q., DosSantos, M. F., Toback, R. L., Datta, A., & Bikson, M. (2015). State-of-art neuroanatomical target analysis of high-definition and conventional tDCS montages used for migraine and pain control. Frontiers in Neuroanatomy, 9, 89.

Dancey, C. P., & Reidy, J. (2013). Estatística sem matemática para psicologia. Porto Alegre: Penso Editora.

Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135-168.

Doruk, D., Gray, Z., Bravo, G. L., Pascual-Leone, A., & Fregni, F. (2014). Effects of tDCS on executive function in Parkinson's disease. Neuroscience Letters, 582, 27-31.

Duro, D., Simoes, M. R., Ponciano, E., & Santana, I. (2010). Validation studies of the Portuguese experimental version of the Montreal Cognitive Assessment (MoCA): confirmatory factor analysis. Journal of Neurology, 257(5), 728-734.

Fragoso, Y. D. (2002). MIDAS (Migraine Disability Assessment): a valuable tool for work-site identification of migraine in workers in Brazil. Sao Paulo Medical Journal, 120(4), 118-121.

Fregni, F., Orsati, F., Pedrosa, W., Fecteau, S., Tome, F. A., Nitsche, M. A., & Boggio, P. S. (2008). Transcranial direct current stimulation of the prefrontal cortex modulates the desire for specific foods. Appetite, 51(1), 34-41.

Freitas, S., Simões, M. R., Martins, C., Vilar, M., & Santana, I. (2010). Estudos de adaptação do Montreal Cognitive Assessment (MoCA) para a população portuguesa. Avaliação Psicológica, 9(3), 345-357.

Fricke, K., Seeber, A. A., Thirugnanasambandam, N., Paulus, W., Nitsche, M. A., & Rothwell, J. C. (2010). Time course of the induction of homeostatic plasticity generated by repeated transcranial direct current stimulation of the human motor cortex. Journal of Neurophysiology, 105(3), 1141-1149.

Gil-Gouveia, R., Oliveira, A. G., & Martins, I. P. (2014).Cognitive dysfunction during migraine attacks: A study on migraine without aura. Cephalalgia, 35(8), 662-674.

Gindri, G., Zibetti, M. R., & Fonseca, R. P. (2008). Funções executivas pós-lesão de hemisfério direito: estudo comparativo e freqüência de déficits. Psico, 39(3), 282-291.

Gorenstein, C., & Andrade, L. H. S. G. (1998). Inventário de depressão de Beck: propriedades psicométricas da versão em português. Revista de Psiquiatria Clinica, 25(5), 245-50.

Grice, K. O., Vogel, K. A., Le, V., Mitchell, A., Muniz, S., & Vollmer, M. A. (2003). Adult norms for a commercially available Nine Hole Peg Test for finger dexterity. American Journal of Occupational Therapy, 57(5), 570-573.

Hampstead, B. M., Briceño, E. M., Mascaro, N., Mourdoukoutas, A., & Bikson, M. (2016). Current status of transcranial direct current stimulation in posttraumatic stress and other anxiety disorders. Current Behavioral Neuroscience Reports, 3(2), 95-101.

Headache Classification Committee of the International Headache Society (IHS). (2018). The international classification of headache disorders, 3rd edition. Cephalalgia, 38(1):1-211.

Hollis, S., & Campbell, F. (1999). What is meant by intention to treat analysis? Survey of published randomised controlled trials. Bmj, 319(7211), 670-674.

IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.

Krummenacher, P., Candia, V., Folkers, G., Schedlowski, M., & Schönbächler, G. (2010). Prefrontal cortex modulates placebo analgesia. PAIN®, 148(3), 368-374.

Kumar, S., Singh, S., Kumar, N., & Verma, R. (2018). The effects of repetitive transcranial magnetic stimulation at dorsolateral prefrontal cortex in the treatment of migraine comorbid with depression: a retrospective open study. Clinical Psychopharmacology and Neuroscience, 16(1), 62.

Lefaucheur, J. P., Antal, A., Ayache, S. S., Benninger, D. H., Brunelin, J., Cogiamanian, F., & Marangolo, P. (2017). Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS). Clinical Neurophysiology, 128(1), 56-92.

Leite, J., Carvalho, S., Fregni, F., & Gonçalves, O. F. (2011). Task-specific effects of tDCS-induced cortical excitability changes on cognitive and motor sequence set shifting performance. PloS One, 6(9), e24140.

Lorenz, J., Minoshima, S., & Casey, K. L. (2003). Keeping pain out of mind: the role of the dorsolateral prefrontal cortex in pain modulation. Brain, 126(5), 1079-1091.

Meron, D., Hedger, N., Garner, M., & Baldwin, D. S. (2015). Transcranial direct current stimulation (tDCS) in the treatment of depression: systematic review and meta-analysis of efficacy and tolerability. Neuroscience & Biobehavioral Reviews, 57, 46-62.

Miller, E. K., & Cohen, J. D. (2001). An integrative theory of prefrontal cortex function. Annual Review of Neuroscience, 24(1), 167-202.

Moher, D., Schulz, K. F., & Altman, D. G. (2001). The CONSORT statement: revised recommendations for improving the quality of reports of parallel group randomized trials. BMC Medical Research Methodology, 1(1), 2.

Monte-Silva, K., Kuo, M. F., Liebetanz, D., Paulus, W., & Nitsche, M. A. (2010). Shaping the optimal repetition interval for cathodal transcranial direct current stimulation (tDCS). Journal of Neurophysiology, 103(4), 1735-1740.

Monte-Silva, K., Kuo, M. F., Hessenthaler, S., Fresnoza, S., Liebetanz, D., Paulus, W., & Nitsche, M. A. (2013). Induction of late LTP-like plasticity in the human motor cortex by repeated non-invasive brain stimulation. Brain Stimulation, 6(3), 424-432.

Nagaratnam, N., & Gayagay, G. (2007). Validation of the Cumulative Illness Rating Scale (CIRS) in hospitalized nonagenarians. Archives of Gerontology and Geriatrics, 44(1), 29-36.

Nascimento, E. D. (1998). Adaptação da terceira edição da escala Wechsler de inteligência para adultos (WAIS-III) para uso no contexto brasileiro. Temas em Psicologia, 6(3), 263-270.

Nascimento, E. (2005). WAIS-III: Escala de Inteligência Wechsler para Adultos-manual técnico. São Paulo: Casa do Psicólogo.

Nascimento, E. D., & Figueiredo, V. D. (2002). WISC-III e WAIS-III: alterações nas versões originais americanas decorrentes das adaptações para uso no Brasil. Psicologia: Reflexão e Crítica, 15(3), 603-612.

Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., & Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695-699.

Nishida, K., Koshikawa, Y., Morishima, Y., Yoshimura, M., Katsura, K., Ueda, S., & Kinoshita, T. (2019). Pre-stimulus brain activity is associated with state-anxiety changes during single-session transcranial direct current stimulation. Frontiers in human neuroscience, 13, 266.

Nitsche, M. A., Liebetanz, D., Antal, A., Lang, N., Tergau, F., & Paulus, W. (2003). Modulation of cortical excitability by weak direct current stimulation–technical, safety and functional aspects. Supplements to Clinical Neurophysiology, 56(3), 255-276.

Ng‐Mak, D. S., Fitzgerald, K. A., Norquist, J. M., Banderas, B. F., Nelsen, L. M., Evans, C. J., Healy, C. G., Ho, T. W., & Bigal, M. (2011). Key concepts of migraine postdrome: a qualitative study to develop a post‐migraine questionnaire. Headache: The Journal of Head and Face Pain, 51(1), 105-117.

Noseda, R., & Burstein, R. (2013). Migraine pathophysiology: anatomy of the trigeminovascular pathway and associated neurological symptoms, cortical spreading depression, sensitization, and modulation of pain. PAIN, 154, S44-S53.

Poreisz, C., Boros, K.,Antal, A., & Paulus, W. (2007). Safety aspects of transcranial direct current stimulation concerning healthy subjects and patients. Brain Research Bulletin, 72(4), 208-214.

Price, D. D., McGrath, P. A., Rafii, A., & Buckingham, B. (1983). The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain, 17(1), 45-56.

Puledda, F., & Goadsby, P. J. (2017). An update on non‐pharmacological neuromodulation for the acute and preventive treatment of migraine. Headache: The Journal of Head and Face Pain, 57(4), 685-691.

Rathbone, M., Parkinson, W., Rehman, Y., Jiang, S., Bhandari, M., & Kumbhare, D. (2016). Magnitude and variability of effect sizes for the associations between chronic pain and cognitive test performances: a meta-analysis. British Journal of Pain, 10(3), 141-155.

Rocha, S., Melo, L., Boudoux, C., Foerster, Á., Araújo, D., & Monte-Silva, K. (2015). Transcranial direct current stimulation in the prophylactic treatment of migraine based on interictal visual cortex excitability abnormalities: A pilot randomized controlled trial. Journal of the Neurological Sciences, 349(1), 33-39.

Salthouse, T. A. (1996). The processing-speed theory of adult age differences in cognition. Psychological review, 103(3), 403.

Salthouse, T. A. (2005). Relations between cognitive abilities and measures of executive functioning. Neuropsychology, 19(4), 532.

Sazci, A., Sazci, G., Sazci, B., Ergul, E., & Idrisoglu, H. A. (2016). Nicotinamide-N-Methyltransferase gene rs694539 variant and migraine risk. The Journal of Headache and Pain, 17(1), 93.

Schwedt, T. J. (2014). Chronic migraine. BMJ: British Medical Journal (Online), 348.

Seminowicz, D. A., Wideman, T. H., Naso, L., Hatami-Khoroushahi, Z., Fallatah, S., Ware, M. A., Jarzem, P., Bushnell, M. C., Shir, Y., Ouellet, J. A., & Stone, L. S. (2011). Effective treatment of chronic low back pain in humans reverses abnormal brain anatomy and function. The Journal of Neuroscience, 31(20), 7540-7550.

Shirahige, L., Melo, L., Nogueira, F., Rocha, S., & Monte-Silva, K. (2016). Efficacy of noninvasive brain stimulation on pain control in migraine patients: a systematic review and meta-analysis. Headache: The Journal of Head and Face Pain, 56(10), 1565–1596.

Singh, A., Erwin-Grabner, T., Goya-Maldonado, R., & Antal, A. (2019). Transcranial magnetic and direct current stimulation in the treatment of depression: basic mechanisms and challenges of two commonly used brain stimulation methods in interventional psychiatry. Neuropsychobiology, 1-11

Spinnler, H. (1987). Standardizzazione e taratura italiana di test neuropsicologici. The Italian Journal of Neurological Sciences, 6, 21-120.

Stewart, W. F., Lipton, R. B., Kolodner, K., Liberman, J., & Sawyer, J. (1999). Reliability of the migraine disability assessment score in a population‐based sample of headache sufferers. Cephalalgia, 19(2), 107-114.

Tremblay, S., Lepage, J. F., Latulipe-Loiselle, A., Fregni, F., Pascual-Leone, A., & Théoret, H. (2014). The uncertain outcome of prefrontal tDCS. Brain Stimulation, 7(6), 773-783.

Vecchio, E., Ricci, K., Montemurno, A., Delussi, M., Invitto, S., & de Tommaso, M. (2016). Effects of left primary motor and dorsolateral prefrontal cortex transcranial direct current stimulation on laser-evoked potentials in migraine patients and normal subjects. Neuroscience Letters, 626, 149-157.

Yang, M., Rendas-Baum, R., Varon, S. F., &Kosinski, M. (2011). Validation of the Headache Impact Test (HIT-6™) across episodic and chronic migraine. Cephalalgia, 31(3), 357-367.

Zandifar, A., Asgari, F., Haghdoost, F., Masjedi, S. S., Manouchehri, N., Banihashemi, M., & Lipton, R. B. (2014). Reliability and validity of the migraine disability assessment scale among migraine and tension type headache in Iranian patients. BioMed Research International, 2014.

Published

17/07/2020

How to Cite

ARANHA, R. E. L. de B.; TORRO, N.; ANDRADE, S. M. de; FERNÁNDEZ-CALVO, B.; OLIVEIRA, E. A. de. Comparison between Transcranial Direct Current Stimulation protocols in Chronic Migraine (NEUROMIG). Research, Society and Development, [S. l.], v. 9, n. 8, p. e562985768, 2020. DOI: 10.33448/rsd-v9i8.5768. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/5768. Acesso em: 19 apr. 2024.

Issue

Section

Note Preview