Comparison of the Effects of Repetitive Transcranial Magnetic Stimulation and Aerobic Exercise as an Adjunct Therapy in Depressed Patients on Activity of Daily Living and Quality of Life

Background: Depression is one of the most common causes disabilities and poor quality life worldwide. One-fifth patients fail to respond antidepressant therapy. Hence, adjunct therapy urgently needed. Aim: This study aims compare effectiveness repetitive transcranial magnetic stimulation (rTMS) aerobic exercise as on activity daily living in depressed patients. Material Methods: A randomized-controlled experiment was conducted between May 2019 January 2020. Twenty-seven were divided into three groups for two weeks: antidepressant-only, antidepressant-and-aerobic exercise, antidepressant-and-rTMS. The Barthel Index SF-36 used assess life. Results: After intervention, there no appreciable changes scores any (p>0.05). Following therapy, results physical function, bodily discomfort, public health, vitality, social emotional role functioning, mental health all showed substantial improvements across (p 0.05). Patients rTMS improved more than those other areas overall (15.71±6.075, p=0.009), functioning (20.29±11.940, p=0.049), (14.29±6.075, p=0.041). However, score did not differ (p=0.664). Conclusion: Better improvement group compared supports use an additional It enhance with moderate severe first-episode depression.