COMPARISON OF THE EFFECTS OF NERVUS VAGUS STIMULATION, TENS, AND BACKUP STIMULATION DEVICE ON THE AUTONOMIC NERVOUS SYSTEM AND PAIN IN FIBROMYALGIA PATIENTS

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dc.authorid0000-0002-9191-5710
dc.authorid0000-0002-7332-4693
dc.contributor.authorYalçın, Gülay
dc.contributor.authorKayış, Rukiye
dc.contributor.authorBeceni, Esra
dc.contributor.authorKülekçioğlu, Sevinç
dc.contributor.authorid308202
dc.contributor.authorid392833
dc.date.accessioned2026-06-25T11:42:39Z
dc.date.available2026-06-25T11:42:39Z
dc.date.issued2025-09
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.description.abstractPurpose: This study aimed to compare the acute effects of vagus nerve stimulation (VNS), transcutaneous electrical nerve stimulation (TENS), and the backup stimulation device (Backup) on pain, sympathetic, and parasympathetic nervous system functions in fibromyalgia patients. Methods: Thirty fibromyalgia patients (aged 20-45) from a hospital in Bursa were randomly assigned to three groups: VNS, TENS, and Backup stimulation device. Each group received a 30-minute session once weekly for five sessions. Pain was assessed using the visual analog scale (VAS), and sympathetic and parasympathetic functions were measured with the Elite heart rate variability device. Parameters included heart rate, root mean square of successive differences, proportion of NN50 divided by total RR intervals, low-frequency/high-frequency (LF/HF) power, and LF/HF ratio. Results: No significant post-intervention changes were found in autonomic parameters across groups (p>0.05). However, all groups showed a significant reduction in VAS scores (p<0.05), indicating effective pain relief. Heart rate significantly decreased only in the Backup group (p<0.05), suggesting a shift toward parasympathetic dominance. Between-group analysis revealed significant differences in VAS scores between the TENS and VNS groups, and the VNS and Backup groups (p<0.05), indicating variability in pain response. Conclusion: TENS, VNS, and Backup stimulation devices effectively reduce pain in fibromyalgia patients. The heart rate reduction in the Backup group suggests a potential effect on autonomic regulation, which may offer a beneficial approach for managing fibromyalgia symptoms. Although autonomic parameters showed no significant changes overall, further research is needed to understand the long-term effects and clinical relevance of these treatments.
dc.identifier.citationYalçın, G., Kayış, R., Beceni, E., & Külekçioğlu, S. (2025). COMPARISON OF THE EFFECTS OF NERVUS VAGUS STIMULATION, TENS, AND BACKUP STIMULATION DEVICE ON THE AUTONOMIC NERVOUS SYSTEM AND PAIN IN FIBROMYALGIA PATIENTS. Türk Fizyoterapi ve Rehabilitasyon Dergisi, 36(2), 222-231. https://doi.org/10.21653/tjpr.1483952
dc.identifier.doi10.21653/tjpr.1483952
dc.identifier.eissn2651-446X
dc.identifier.endpage231
dc.identifier.issn2651-4451
dc.identifier.issue2
dc.identifier.startpage222
dc.identifier.urihttps://dspace.mudanya.edu.tr/handle/20.500.14362/434
dc.identifier.volume36
dc.institutionauthorYalçın, Gülay
dc.institutionauthorBeceni, Esra
dc.language.isoen
dc.publisherTÜRKİYE FİZYOTERAPİSTLER DERNEĞİ
dc.relation.journalTurkish Journal of Physiotherapy and Rehabilitation
dc.relation.publicationcategoryMakale- Ulusal-Hakemli Dergi- Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectAutonomic nervous system
dc.subjectFibromyalgia
dc.subjectNervus vagus stimulation
dc.subjectPain
dc.subjectOtonom sinir sistemi
dc.subjectFibromiyalji
dc.subjectNervus vagus uyarımı
dc.subjectAğrı
dc.titleCOMPARISON OF THE EFFECTS OF NERVUS VAGUS STIMULATION, TENS, AND BACKUP STIMULATION DEVICE ON THE AUTONOMIC NERVOUS SYSTEM AND PAIN IN FIBROMYALGIA PATIENTS
dc.title.alternativeFİBROMİYALJİ HASTALARINDA NERVUS VAGUS STİMÜLASYONU, TENS VE BACKUP CİHAZ UYARIMININ OTONOM SİNİR SİSTEMİ VE AĞRI ÜZERİNDEKİ ETKİLERİNİN KARŞILAŞTIRILMASI
dc.typeMakale
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