{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:41:41Z","timestamp":1787316101913,"version":"build-2736575974"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"the First People \u2019s Hospital of Lianyungang City","award":["QN202116"],"award-info":[{"award-number":["QN202116"]}]},{"name":"the Kangda College of Nanjing Medical University","award":["KD2021KYJJZD033"],"award-info":[{"award-number":["KD2021KYJJZD033"]}]},{"name":"the Kangda College of Nanjing Medical University","award":["KD2021KYJJZD067"],"award-info":[{"award-number":["KD2021KYJJZD067"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medicine"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Chemotherapy-induced peripheral neuropathy is one of the major toxicities in multiple myeloma patients, often resulting in dose reductions or treatment interruptions. Repetitive transcranial magnetic stimulation is a safe non-invasive neuromodulation therapy with potential benefits for chemotherapy-induced peripheral neuropathy. The objective of this study was to investigate the efficacy of repetitive transcranial magnetic stimulation treatment on chemotherapy-induced peripheral neuropathy in multiple myeloma patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods:<\/jats:title>\n                    <jats:p>We screened 30 multiple myeloma patients with chemotherapy-induced peripheral neuropathy who underwent repetitive transcranial magnetic stimulation treatment in this study. Prior to and following repetitive transcranial magnetic stimulation treatment, patients were assessed with nerve conduction velocity, visual analog scale and the European Organization of Research and Treatment of Cancer Quality of Life Questionnaire-CIPN 20-item scale (EORTC QLQ-CIPN20). Categorical and continuous variables were analyzed using Fisher\u2019s exact test and Mann-Whitney U test respectively. A p-value\u2009&lt;\u20090.05 (2-tailed) was considered statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Following repetitive transcranial magnetic stimulation treatment, 24\/30 (80.0%) patients reported a reduction in chemotherapy-induced peripheral neuropathy symptoms. Meanwhile, all 15 patients with grade 2 chemotherapy-induced peripheral neuropathy experienced improvements about themselves, compared to 8\/10 patient with grade 3 chemotherapy-induced peripheral neuropathy and 1\/5 with grade 4 chemotherapy-induced peripheral neuropathy. Visual analog scale scores decreased after repetitive transcranial magnetic stimulation treatment (5.40\u2009\u00b1\u20091.94 vs 3.10\u2009\u00b1\u20091.60, p\u2009&lt;\u20090.001). We also observed enhancements in both motor conduction velocity and sensory conduction velocity of patients in bilateral median nerves, posterior tibial nerves, common ulnar nerves and peroneal nerves following repetitive transcranial magnetic stimulation treatment. Analysis of the European Organization of Research and Treatment of Cancer Quality of Life Questionnaire-CIPN 20-item scale data (17.68\u2009\u00b1\u20098.14 vs 10.50\u2009\u00b1\u20099.55, p\u2009&lt;\u20090.001) revealed significant reductions in scores. Patients with grade 2\u20133 ( n\u2009=\u200925) exhibited a mean reduction of 8.89\u2009\u00b1\u20094.24\u2009points, while those with grade 4 ( n\u2009=\u20095) showed a difference value of 3.54\u2009\u00b1\u20093.45, p\u2009&lt;\u20090.001. No adverse events were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our findings suggest that repetitive transcranial magnetic stimulation is a safe and effective therapeutic approach for ameliorating peripheral nerve injury and alleviating the chemotherapy-induced peripheral neuropathy symptoms in multiple myeloma patients. Early initiation of repetitive transcranial magnetic stimulation treatment may yield more favorable outcomes for these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20503121231209088","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T02:42:26Z","timestamp":1698633746000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Repetitive transcranial magnetic stimulation for chemotherapy-induced peripheral neuropathy in multiple myeloma: A pilot study"],"prefix":"10.1177","volume":"11","author":[{"given":"Zhenzhuang","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, The First People\u2019s Hospital of Lianyungang, Jiangsu, China"},{"name":"First Affiliated Hospital, Kangda College of Nanjing Medical University, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiwei","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The First People\u2019s Hospital of Lianyungang, Jiangsu, China"},{"name":"First Affiliated Hospital, Kangda College of Nanjing Medical University, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Miao","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital, Kangda College of Nanjing Medical University, Jiangsu, China"},{"name":"Department of Hematology, The First People\u2019s Hospital of Lianyungang, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Li","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital, Kangda College of Nanjing Medical University, Jiangsu, China"},{"name":"Department of Neurology, The First People\u2019s Hospital of Lianyungang, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Wang","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital, Kangda College of Nanjing Medical University, Jiangsu, China"},{"name":"Department of Hematology, The First People\u2019s Hospital of Lianyungang, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dandan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, The First People\u2019s Hospital of Lianyungang, Jiangsu, China"},{"name":"First Affiliated Hospital, Kangda College of Nanjing Medical University, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hainan","family":"Yu","sequence":"additional","affiliation":[{"name":"Family Planning Association of Lianyungang City, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1857-0530","authenticated-orcid":false,"given":"Yuanxin","family":"Zhu","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital, Kangda College of Nanjing Medical University, Jiangsu, China"},{"name":"Department of Hematology, The First People\u2019s Hospital of Lianyungang, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,29]]},"reference":[{"key":"bibr1-20503121231209088","doi-asserted-by":"publisher","DOI":"10.1038\/leu.2016.380"},{"key":"bibr2-20503121231209088","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2017.00086"},{"key":"bibr3-20503121231209088","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2014.09.020"},{"key":"bibr4-20503121231209088","first-page":"8","volume":"24","author":"Farguhar-Smith P","year":"2016","journal-title":"Pain Clin Updates"},{"key":"bibr5-20503121231209088","doi-asserted-by":"publisher","DOI":"10.1016\/j.neucli.2006.08.002"},{"key":"bibr6-20503121231209088","first-page":"1219","volume":"31","author":"Gao F","year":"2016","journal-title":"Chin J Ctrl Endem Dis"},{"key":"bibr7-20503121231209088","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2020.01.020"},{"key":"bibr8-20503121231209088","doi-asserted-by":"publisher","DOI":"10.1007\/s11910-020-1021-0"},{"key":"bibr9-20503121231209088","unstructured":"National Institutes of Health, National Cancer Institute. 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