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Sub-Threshold Continuous TMS
Protocols
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TMS stands for
Transcranial Magnetic Stimulation
. TMS was approved by the FDA for the treatment of depression in 2008, but this was
only for approved TMS devices using a specific high-intensity protocol: rTMS. No Micro-Pulse device is approved for this purpose.
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If you have, or believe you have, depression, you must seek professional clinical advice. This is no substitute for professional clinical advice.
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TMS is currently under investigation for a wide range of clinical applications other than depression.
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Many people wish to self-experiment, and while the ICES model M1 cannot generate the extremely high levels of power of a clinical TMS
device, the inherent efficiency and lower power of ICES technology *may* be useful for this application. You are now in the realm of total
self-experimentation, so you must be very cautious.
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The model M1 is pre-programmed to only deliver scTMS, which means “sub-threshold, continuous TMS”, whereas the FDA approved
protocol is for very high intensity, short bursts called rTMS (repetitive TMS). High intensity rTMS is known to cause seizures in a small
percentage of people subjected to rTMS, likely because the intensity used is sufficient to cause neural depolarization in the motor areas of
the brain (see papers below).
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The model M only delivers scTMS, which should be well below the threshold that could cause motor activation and lead to seizures. BUT
THE SAFETY OF THIS APPROACH HAS NOT BEEN TESTED AND VERIFIED.
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The model M1 delivers scTMS at the recommended 10 pps (Hz), with a timer that limits the stimulation to 30 minutes or 60 minutes.
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This link will lead you to a recent Clinical Consensus Review Paper for the use of TMS for the treatment of depression:
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http://www.brainstimjrnl.com/article/S1935-861X(16)30038-9/fulltext
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or you can download a PDF of the same paper here:
http://www.brainstimjrnl.com/article/S1935-861X(16)30038-9/pdf
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This link takes you to a clinical paper on the use of TMS in depression:
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http://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.2010.10060864
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This paper clearly shows how coils may be placed on the head (on page 3 of 9)
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There are many more scientific papers available by searching Google Scholar using the search terms “TMS depression”