Neuromodulation based on rTMS affects behavioral measures and autonomic nervous system activity in children with autism

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Sokhadze, G., Casanova, M., Kelly, D., Casanova, M., Russell, B., & Sokhadze, E. M. (2017). Neuromodulation based on rTMS affects behavioral measures and autonomic nervous system activity in children with autism. NeuroRegulation, 4(2), 65. https://doi.org/10.15540/nr.4.2.65

Publication date: 30 Jun 2017 Added to AutiHub: 14 Sep 2026 Type: Article Article language: English
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Authors

Publication authors
6
Publication authors identified as autistic
2 / 6 (33.3%)
  1. Guela Sokhadze
  2. Manuel Casanova *
  3. Desmond Kelly
  1. Manuel Casanova *
  2. Brook Russell
  3. Estate M Sokhadze

Abstract

Many children with autism spectrum disorder (ASD) exhibit symptoms associated with autonomic nervous system (ANS) dysfunction indicative of low psychophysiological flexibility. It is suggested that ASD symptoms are associated with generalized abnormalities in the central nervous system, including structures and networks involved in the top-down regulation of the ANS. Repetitive transcranial magnetic stimulation (rTMS) has been suggested as a possible therapy to target ANS regulation deficits in ASD. In the current study we used neuromodulation based on rTMS over the dorsolateral prefrontal cortex (DLPFC) to reduce sympathetic arousal and increase parasympathetic activity in children with ASD. In a study on 27 children with autism we administered weekly 0.5 Hz rTMS bilaterally over the DLPFC with concurrent recording of autonomic activity. Statistical analysis of time and frequency domain heart rate variability (HRV) indices and skin conductance level (SCL) revealed a strong linear regression of most HRV and SCL measures. Several parental behavioral rating scores improved post-TMS and showed a correlation with autonomic outcomes, in particular parasympathetic indices of HRV negatively correlated with repetitive and stereotyped behaviors, while sympathetic arousal indices showed positive correlation with the same behaviors. The paper discusses potential neurobiological mechanisms involved in post-TMS autonomic balance and aberrant behavior improvements.

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Cited references
100
With a DOI
90
Without a DOI, from raw bibliography text
9
1 / 100 (1.0%) cited references include at least one author identified as autistic.
References with data to complete
10 / 100 (10.0%)
References with detected author names
90 / 100 (90.0%)
Without detected author names
10
Without a structured title
9
Without a stable identifier
9
References with raw author names still to review
10
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
360
From DOI or external metadata
360
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
34
66 / 360 (18.3%) names are linked to an author already present in AutiHub. 294 / 360 (81.7%) names are not yet linked.
Names linked to a person identified as autistic
1 / 360 (0.3%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 1 / 66 (1.5%). Distinct people identified as autistic: 1 / 282 (0.4%).
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