Effectiveness of Transcranial Direct Current Stimulation [tDCS] on Headache Sign and Sleep Quality in Migraine Patients

Document Type : Original Research

Authors
Y. Asadipour
S. Zomorodi
S. Ghodrati
Department of Clinical Psychology, Faculty of Humanity Science, Islamic Azad University West Tehran Branch, Tehran, Iran.
10.22034/IJMPP.9.2.1034
Abstract
Aims: Migraine is a common, painful, and, in severe and chronic cases, debilitating disease characterized by frequent, unilateral, and pulsating attacks with moderate to severe intensity, sensitivity to light, nausea, or vomiting. This study aimed to investigate the effectiveness of Transcranial Direct Current Stimulation [tDCS] on headache signs and sleep quality in migraine patients.

Method and Materials: The current research design was a semi-experimental type of pretest and post-test with a 2-week follow-up. The statistical population of this study was all patients suffering from migraine in Yazd city. A sample of 30 people was selected using the available sampling method, and they were placed in two experimental and control groups by random sampling. The tools used in this research were the Ahvaz Migraine Questionnaire and the Pittsburgh Sleep Quality Questionnaire. The tDCS treatment method included 5 sessions of 20 minutes with a current of 2 mA. The data were analyzed using the analysis of covariance method.

Findings: The results showed that there is a significant difference between the experimental and control groups in the scores of headache signs and sleep quality in the post-test and follow-up [p<0/01].

Conclusion: The study showed that tDCS treatment has an effective role in improving headache signs and sleep quality.

Keywords

Subjects

1.Nemat Gorgani Q, Razghi Jahormi, Sodeh, Taqa, Karimzadeh. The effect of group B vitamins on the improvement of migraine symptoms: a review article. Shafai Khatam Journal of Neuroscience. 2020;8(2):119-29 persian.
2.Faraji H, Paknahad Z, Chitsaz A. Dietary intake of thiamine in migraine patients and healthy subjects: a case-control study. Clinical nutrition research. 2018;7(1):40-7.
3.Feigin VL, Abajobir AA, Abate KH, Abd-Allah F, Abdulle AM, Abera SF, et al. Global, regional, and national burden of neurological disorders during 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet Neurology. 2017;16(11):877-97.
4.Lai T-H, Chou K-H, Fuh J-L, Lee P-L, Kung Y-C, Lin C-P, et al. Gray matter changes related to medication overuse in patients with chronic migraine. Cephalalgia. 2016;36(14):1324-33.
5.Zhang Y, Kong Q, Chen J, Li L, Wang D, Zhou J. International Classification of Headache Disorders 3rd edition beta-based field testing of vestibular migraine in China: Demographic, clinical characteristics, audiometric findings and diagnosis statues. Cephalalgia. 2016;36(3):240-8.
6.Sadeghian Homa KF, Jafarian Maryam. The mechanisms involved in the pathophysiology of migraine types (review article). Shefaye Khatam Neuroscience. 2013;1(4):50-4 persian.
7.Farhadi Z, Alidoost S, Behzadifar M, Mohammadibakhsh R, Khodadadi N, Sepehrian R, et al. The prevalence of migraine in Iran: a systematic review and meta-analysis. Iranian Red Crescent Medical Journal. 2016;18(10).
8.Charles A. The pathophysiology of migraine: implications for clinical management. The Lancet Neurology. 2018;17(2):174-82.
9.Yazidkhah AS, Rezaei Jamaloui, Haghayegh. The effectiveness of mindfulness therapy on pain intensity and psychological well-being in patients with migraine headaches. Cognitive Analytical Psychology Quarterly. 2022;13(48):67-55[persian].
10.Dodick DW. A phase‐by‐phase review of migraine pathophysiology. Headache: the journal of head and face pain. 2018;58:4-16.
11.Ambrosini A, Schoenen J. Electrophysiological response patterns of primary sensory cortices in migraine. The journal of headache and pain. 2006;7:377-88.
12.Coppola G, Pierelli F, Schoenen J. Is the cerebral cortex hyperexcitable or hyperresponsive in migraine? Cephalalgia. 2007;27(12):1427-39.
13.Viganò A, D’Elia TS, Sava SL, Auvé M, De Pasqua V, Colosimo A, et al. Transcranial direct current stimulation (tDCS) of the visual cortex: a proof-of-concept study based on interictal electrophysiological abnormalities in migraine. The journal of headache and pain. 2013;14:1-9.
14.Behrouzifar S, Zenouzi S, NEZAFATI M, ESMAEILI H. Possible Effective Factors on the Sleep Quality and Quantity of Patients after Coronary Artery Bypass Graft. 2008.
15.Kosari Z, Dadashi M, Maghbouli M, Mostafavi H. Comparing the effectiveness of neurofeedback and transcranial direct current stimulation on sleep quality of patients with migraine. Basic and Clinical Neuroscience. 2019;10(6):579.
16.Kelman L, Rains JC. Headache and sleep: examination of sleep patterns and complaints in a large clinical sample of migraineurs. Headache: The Journal of Head and Face Pain. 2005;45(7):904-10.
17.Beshrpour S, Taghizadeh Heer, Sara, Fatahzadeh Ardalani, ghasem. Comparison of anxiety sensitivity, ataxia and sleep quality in migraine patients and normal people. Anesthesia and pain. 2022;12(4):87-97[persian].
18.Hashmipour IA. The effectiveness of neurofeedback treatment on sleep quality and pain control in migraine headache sufferers referred to neurology clinics in Ahvaz. Psychological achievements. 2022;29(2):91-104 persian.
19.Hosseinpour A, Hosni, Jaafar, Zargar. Effectiveness of pharmacotherapy combined with short-term mindfulness therapy in reducing migraine disability and improving sleep quality. Shafai Khatam Journal of Neuroscience. 2020;8(2):18-28 persian.
20.Marotta N, De Sire A, Marinaro C, Moggio L, Inzitari MT, Russo I, et al. Efficacy of Transcranial Direct Current Stimulation (tDCS) on balance and gait in multiple sclerosis patients: a machine learning approach. Journal of Clinical Medicine. 2022;11(12):3505.
21.Paulus W. Transcranial electrical stimulation (tES–tDCS; tRNS, tACS) methods. Neuropsychological rehabilitation. 2011;21(5):602-17.
22.Akraminejad F. The Effectiveness of Transcranial Direct Current Stimulation on Decision Making and Inhibition Control in Patients with Migraine 2019.
23.Afzali G, Dartaj, Bagheri. Comparing the effectiveness of mindfulness training and transcranial brain stimulation using direct electric current on the quality of life of women with migraine headaches. community health. 2020;14(3):1_12 persian.
24.Cai G, Xia Z, Charvet L, Xiao F, Datta A, Androulakis XM. A systematic review and meta-analysis on the efficacy of repeated transcranial direct current stimulation for migraine. Journal of Pain Research. 2021:1171-83.
25.Dalla Volta G, Marceglia S, Zavarise P, Antonaci F. Cathodal tDCS guided by thermography as adjunctive therapy in chronic migraine patients: a sham-controlled pilot study. Frontiers in Neurology. 2020;11:121.
26.Antal A, Kriener N, Lang N, Boros K, Paulus W. Cathodal transcranial direct current stimulation of the visual cortex in the prophylactic treatment of migraine. Cephalalgia. 2011;31(7):820-8.
27.Najarian B. Construction and Validation of a Questionnaire for Measuring Symptoms of Migraine Headache in Undergraduate Students. Journal of Psychological Achievements. 1997;4(2):30-43.
28.Ahdab R, Mansour AG, Khazen G, El-Khoury C, Sabbouh TM, Salem M, et al. Cathodal transcranial direct current stimulation of the occipital cortex in episodic migraine: a randomized sham-controlled crossover study. Journal of Clinical Medicine. 2019;9(1):60.
29.Stilling JM, Monchi O, Amoozegar F, Debert CT. Transcranial magnetic and direct current stimulation (TMS/tDCS) for the treatment of headache: A Systematic Review. Headache: The Journal of Head and Face Pain. 2019;59(3):339-57.
30.Pacheco-Barrios K, Cardenas-Rojas A, Thibaut A, Costa B, Ferreira I, Caumo W, et al. Methods and strategies of tDCS for the treatment of pain: current status and future directions. Expert review of medical devices. 2020;17(9):879-98.
31.De Icco R, Putortì A, De Paoli I, Ferrara E, Cremascoli R, Terzaghi M, et al. Anodal transcranial direct current stimulation in chronic migraine and medication overuse headache: a pilot double-blind randomized sham-controlled trial. Clinical Neurophysiology. 2021;132(1):126-36.
32.Karthik N, Kulkarni G, Taly A, Rao S, Sinha S. Sleep disturbances in ‘migraine without aura’—A questionnaire based study. Journal of the neurological sciences. 2012;321(1-2):73-6.
33.Sullivan DP, Martin PR. Sleep and headaches: Relationships between migraine and non‐migraine headaches and sleep duration, sleep quality, chronotype, and obstructive sleep apnoea risk. Australian Journal of Psychology. 2017;69(3):210-7.
34.Ruggiero F, Nigro M, Ferrucci R, Vergari M, Ariodante A, Monti A, et al. P183 Transcranial direct current stimulation improves sleep quality. Clinical Neurophysiology. 2017;128(3):e106.
35.Frase L, Piosczyk H, Zittel S, Jahn F, Selhausen P, Krone L, et al. Modulation of total sleep time by transcranial direct current stimulation (tDCS). Neuropsychopharmacology. 2016;41(10):2577-86.
International Journal of Musculoskeletal Pain Prevention
Volume 9, Issue 2
May 2024
Pages 1034-1042