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@ARTICLE{Herr:281916,
author = {Herr, Thorsten and Gamain, Julie and Strauss, S. and
Szeska, C. and Flöel, Agnes and Penner, Iris-Katharina and
Weymar, Mathias and Grothe, M.},
title = {{E}ffect of non-invasive transcutaneous auricular vagus
nerve stimulation (ta{VNS}) on non-motor symptoms in
multiple sclerosis: study protocol for a randomised,
controlled trial.},
journal = {BMJ open},
volume = {15},
number = {11},
issn = {2044-6055},
address = {London},
publisher = {BMJ Publishing Group},
reportid = {DZNE-2025-01258},
pages = {e103998},
year = {2025},
abstract = {Research in people with relapsing remitting multiple
sclerosis (PwRRMS) is increasingly focusing on non-motor
symptoms like cognitive impairment, fatigue and depression.
Due to the high negative impact on quality of life and high
socioeconomic costs based on these symptoms, more specific
research to improve non-motor symptoms is needed.
Transcutaneous auricular vagus nerve stimulation (taVNS) has
been found to be a cognitive enhancer in preclinical
research and was successfully used for the treatment of
psychiatric and neurological disorders to combat
dysfunctional cognitive and affective processes. However,
the capacity of taVNS to improve cognitive and other
non-motor symptoms in PwRRMS has not been tested yet. The
aim of this study is to evaluate the therapeutic potential
of taVNS on cognitive processing speed. Based on ample
evidence demonstrating that taVNS promotes adaptive
cognitive and affective processes, we hypothesised that
taVNS would alleviate cognitive processing speed in
PwRRMS.This study protocol describes the prospective,
single-centre, SHAM-controlled, single-blinded trial with a
planned sample size of 60 participants (30 PwRRMS, with a
diagnosis of multiple sclerosis according to McDonald
criteria and 30 healthy controls; age: 18-50 years). The
Symbol Digit Modalities Test (SDMT) will be used to
determine cognitive processing speed, Beck Depression
Inventory-II to determine depression and Fatigue Scale for
Motor and Cognitive Functions to determine fatigue. The
severity of multiple sclerosis will be assessed using the
Expanded Disability Status Scale. After baseline assessment,
a taVNS protocol (duration: 30 min, tolerance threshold,
pulse width: 250 μs, stimulation frequency: 25 Hz, 30 s
on/30 s off) will be applied, followed by post-intervention
assessment.The study was reviewed and approved by the local
ethics committee of the University Medical Centre Greifswald
(study reference number: BB137/24).www.drks.de, number:
DRKS00034912. Study results will be disseminated through
academic conferences as well as peer-reviewed
publications.DRKS00034912.},
keywords = {Multiple sclerosis (Other) / NEUROPHYSIOLOGY (Other) /
Neurophysiology (Other)},
cin = {AG Flöel},
ddc = {610},
cid = {I:(DE-2719)5000081},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41213698},
pmc = {pmc:PMC12598993},
doi = {10.1136/bmjopen-2025-103998},
url = {https://pub.dzne.de/record/281916},
}