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Effects of Repetitive Transcranial Magnetic Stimulation on Neuropathic Pain and Walking Ability in Patients with Incomplete Spinal Cord Injury

Journal of Magnetics, Volume 28, Number 2, 30 Jun 2023, Pages 208-212
Hyun Gyu Cha * (Joongbu University)
Abstract
The purpose of this study was to investigate the effects of rTMS on neuropathic pain and walking ability in
patients with iSCI. 10 subjects were assigned to each of the experimental group (10 Hz rTMS) and the control
group (5 Hz rTMS group). The rTMS intervention was administered 5 times a week for 20 minutes each time
for 6 weeks. All measurements were performed before rTMS intervention and 6 weeks after rTMS intervention.
In this study, VAS (Visual Analog Scale) and SF-MPQ (Short Form - McGill Pain Questionnaire) were
applied to evaluate the pain of patients with spinal cord injuries. Gait endurance was evaluated by the 6-minute
walking test (6MWT), and walking speed was evaluated by the 10-m walking test (10MWT). In the comparison
between each group, the experimental group showed significant differences in the post-intervention SFMPQ,
6-minute walking test, and 10-meter walking test (p < 0.05), and the control group showed a significant
difference in the 10-minute walking test (p < 0.05). In the comparison between the two groups, there was no significant
difference in all variables after intervention (p > 0.05). High-frequency rTMS can help reduce neuropathic
pain in clinical practice and improve walking ability in patients with incomplete spinal cord injury.
Keywords: neuropathic pain; repetitive transcranial magnetic stimulation; spinal cord injury.
DOI: https://doi.org/10.4283/JMAG.2023.28.2.208
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