Reduction of Chronic Fatigue Through Transcranial Direct Current Stimulation and Low-Intensity Aerobic Exercise: A Case Study of Two Patients With Granulomatosis With Polyangiitis
2024

Reducing Chronic Fatigue in Patients with Granulomatosis with Polyangiitis

Sample size: 2 publication 10 minutes Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Dos Santos Alexandre M, De Andrade Vanessa P, Silva Paulo Roberto S, Grecco Marcus V, D'Andrea Greve Julia Maria, Shinjo Samuel K

Primary Institution: Faculdade de Medicina da Universidade de São Paulo (FMUSP), Sao Paulo, BRA

Hypothesis

Can transcranial direct current stimulation combined with low-intensity aerobic exercise reduce chronic fatigue in patients with granulomatosis with polyangiitis?

Conclusion

Transcranial direct current stimulation significantly reduced chronic fatigue by about 60% and improved quality of life in patients with granulomatosis with polyangiitis.

Supporting Evidence

  • Transcranial direct current stimulation reduced chronic fatigue by approximately 60%.
  • The tDCS patient showed improvements in physical activity levels and functional capacity.
  • The sham patient experienced declines in physical activity and minimal improvement in chronic fatigue.
  • Both patients reported no adverse effects or disease reactivation.

Takeaway

This study shows that a special type of brain stimulation combined with light exercise can help people with a serious illness feel much less tired.

Methodology

Two patients were randomly assigned to receive either active or sham transcranial direct current stimulation during low-intensity aerobic exercise, with assessments conducted at three time points.

Potential Biases

Potential bias due to the small sample size and lack of a larger control group.

Limitations

The small sample size limits the generalizability of the findings.

Participant Demographics

Two female patients aged 42 and 57, both with granulomatosis with polyangiitis.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.74105

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