Expert consensus on precise intervention with repetitive transcranial magnetic stimulation for sleep disorders in the elderly
10.11886/scjsws20260306001
- VernacularTitle:老年睡眠障碍的重复经颅磁刺激精准干预专家共识
- Author:
Yuan SHAO
1
;
Jian WANG
1
;
Wei LIANG
1
;
Yingli ZHANG
1
;
Gangqiang HOU
1
;
Xia LI
2
;
Yi XING
3
;
Lu WANG
4
;
Shi TANG
5
;
Yongjun WANG
1
Author Information
1. Shenzhen Kangning Hospital， Shenzhen Mental Health Center， Shenzhen 518118， China
2. Mental Health Center， Shanghai Jiao Tong University School of Medicine， Shanghai 200030， China
3. Xuanwu Hospital， Capital Medical University， Beijing 100053， China
4. School of Basic Medical Science， Fudan University， Shanghai 200032， China
5. Shandong Provincial Hospital， Ji'nan 250021， China
- Publication Type:Journal Article
- Keywords:
The elderly;
Sleep disorders;
Repetitive transcranial magnetic stimulation;
Depression disorder;
Mild cognitive impairment;
Alzheimer's disease
- From:
Sichuan Mental Health
2026;39(2):97-105
- CountryChina
- Language:Chinese
-
Abstract:
In recent years， repetitive transcranial magnetic stimulation （rTMS） has garnered significant attention as a therapeutic approach for sleep disorders in the elderly. However， the prevailing rTMS protocols are predominantly developed based on normative neurophysiological data derived from young adults and fail to incorporate individualized parameters tailored to the brain characteristics of the elderly. To address this gap， the consensus development group synthesized the latest evidence from 2010 to 2025 and established a standardized rTMS protocol specifically for elderly patients with sleep disorders. Adhering to the Appraisal of Guidelines for Research and Evaluation II （AGREE II） framework， systematically screened randomized controlled trials （RCTs） and systematic reviews regarding rTMS in the treatment of sleep disorders across various conditions. Meanwhile， the Grading of Recommendations Assessment， Development and Evaluation （GRADE） system was employed to rigorously grade the quality of evidence and the strength of recommendations. This consensus guideline delineates precise rTMS protocols for the management of sleep disorders in the elderly， highlights the adjustment of stimulation intensity according to scalp-cortex distance recommends either MRI‑guided neuronavigation or the Beam F3/F4 heuristic approach for accurate target localization， thereby providing precise rTMS intervention protocol for sleep disorders in the elderly， aiming to enhance clinical efficacy while ensuring treatment safety. ［Funded by National Key Research and Development Program （number， 2023YFC3603200）； General Program of Shenzhen Science and Technology Innovation Commission （number， JCYJ20240813112859008， JCYJ20240813112900002）； Youth Program of Shenzhen Kangning Hospital （number， KN2023A004）； www.guidelines-registry.cn number， PREPARE-2026CN530］
