Effects of high-frequency repetitive transcranial magnetic stimulation on reducing hemiplegic shoulder pain in patients with chronic stoke: a randomized controlled trial

Choi, Gyu-Sik; Lee, Hee Jin

doi:10.1080/00207454.2017.1367682

Cited by 36 publications

(45 citation statements)

References 45 publications

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“…The VAS score decreased from 7 to 5.6 at 2 weeks and then to 3.9 at 8 weeks after rTMS treatment. Other observational studies that predominantly involved patients with CPSP (35, 37-39) also showed the analgesic effect of high-frequency rTMS stimulation (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Section: Central Pain After Strokementioning

confidence: 84%

“…Five case studies (88,(90)(91)(92)94) also reported that rTMS reduced pain in patients with PLP after amputation. High-frequency rTMS stimulation (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) Hz, mainly to the DLPFC) and low-frequency stimulation (1 Hz, targets including the supplementary motor complex, primary somatosensory area, and primary sensory cortex) were performed, and significant the patients reported significant improvements in PLP.…”

Section: Phantom Painmentioning

confidence: 99%

“…Hemiplegic shoulder pain is one of the most common causes of pain after stroke and develops in 87% of patients at 4 months after stroke. In 2018, Choi et al (11) conducted an RCT that included 24 patients with hemiplegic shoulder pain. Twelve patients were allocated to receive 10-Hz rTMS over the contralateral motor cortex, and the other twelve received sham stimulation.…”

Section: Other Disordersmentioning

confidence: 99%

“…Stimulation frequency is associated with synaptic changes; higher frequencies (> 5 Hz) are excitatory, and lower frequencies (< 1 Hz) are inhibitory. Thus, high-frequency stimulation increases cortical excitability, while low-frequency stimulation decreases cortical excitability (11). The stimulation frequency can be applied differently according to the stimulation site and patient pain conditions.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Repetitive Transcranial Magnetic Stimulation on Pain Management: A Systematic Narrative Review

Yang

Lee

2020

Front. Neurol.

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Recently, clinicians have been using repetitive transcranial magnetic stimulation (rTMS) for treating various pain conditions. This systematic narrative review aimed to examine the use and efficacy of rTMS for controlling various pain conditions. A PubMed search was conducted for articles that were published until June 7, 2019 and used rTMS for pain alleviation. The key search phrase for identifying potentially relevant articles was (repetitive transcranial magnetic stimulation AND pain). The following inclusion criteria were applied for article selection: (1) patients with pain, (2) rTMS was applied for pain management, and (3) follow-up evaluations were performed after rTMS stimulation to assess the reduction in pain. Review articles were excluded. Overall, 1,030 potentially relevant articles were identified. After reading the titles and abstracts and assessing eligibility based on the full-text articles, 106 publications were finally included in our analysis. Overall, our findings suggested that rTMS is beneficial for treating neuropathic pain of various origins, such as central pain, pain from peripheral nerve disorders, fibromyalgia, and migraine. Although data on the use of rTMS for orofacial pain, including trigeminal neuralgia, phantom pain, low back pain, myofascial pain syndrome, pelvic pain, and complex regional pain syndrome, were promising, there was insufficient evidence to determine the efficacy of rTMS for treating these conditions. Therefore, further studies are needed to validate the effects of rTMS on pain relief in these conditions. Overall, this review will help guide clinicians in making informed decisions regarding whether rTMS is an appropriate option for managing various pain conditions.

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Section: Central Pain After Strokementioning

confidence: 84%

Section: Phantom Painmentioning

confidence: 99%

Section: Other Disordersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of Repetitive Transcranial Magnetic Stimulation on Pain Management: A Systematic Narrative Review

Yang

Lee

2020

Front. Neurol.

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“…Für HF-rTMS/M1 beim CRPS I wird weiterhin eine Empfehlung auf Evidenzlevel C gegeben [41]. Kürzlich wurde auch über eine signifikante Schmerzlinderung (25-30 %) bei Schulterschmerzen im chronischen Stadium nach Schlaganfall mit Hemiplegie berichtet, was bis zu 4 Wochen nach der rTMS anhielt [76]. Bei Phantomschmerz wurde rTMS/M1 kontralateral zum amputierten Glied appliziert [77], was eine signifikante Reduktion der Schmerzintensität von 30 % bis zu 2 Wochen nach der letzten rTMS zeigte.…”

Section: Andere Schmerzsyndromeunclassified

Transkranielle Magnetstimulation

Golaszewski¹,

Nardone²

2020

Nervenheilkunde

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ZUSAMMENFASSUNGDie repetitive transkranielle Magnetstimulation ermöglicht eine nicht invasive Modulation der kortikalen Erregbarkeit des Gehirns, welche durch verschiedene Stimulationsparameter erhöht oder verringert werden kann. Die induzierten Veränderungen können vorübergehend oder längerfristig sein. Es können im Gehirn unterschiedliche neuromodulatorische Prozesse hinsichtlich der stimulierten Region und des stimulierten neuronalen Gewebes induziert werden, was die Schmerzwahrnehmung im Gehirn verändern kann. Es werden kontinuierliche Serien von TMS-Pulsen mit niedriger (≤ 1Hz) oder höherer Frequenz (> 1Hz) mit Hemmung oder Fazilitierung der kortikalen Erregbarkeit durch Veränderungen der synaptischen Transmission angewendet, was zu synaptischer Plastizität insbesondere im Bereich der Langzeitpotenzierung (LTP) oder Langzeitdepression (LTD) führt. Hinreichend Evidenz für die Wirksamkeit der rTMS in der Schmerztherapie gibt es insbesondere für chronisch neuropathische Schmerzen zentraler oder peripherer Genese und für die Fibromyalgie.

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Brain stimulation for chronic pain management: a narrative review of analgesic mechanisms and clinical evidence

et al. 2023

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Chronic pain constitutes one of the most common chronic complaints that people experience. According to the International Association for the Study of Pain, chronic pain is defined as pain that persists or recurs longer than 3 months. Chronic pain has a significant impact on individuals’ well-being and psychosocial health and the economy of healthcare systems as well. Despite the availability of numerous therapeutic modalities, treatment of chronic pain can be challenging. Only about 30% of individuals with non-cancer chronic pain achieve improvement from standard pharmacological treatment. Therefore, numerous therapeutic approaches were proposed as a potential treatment for chronic pain including non-opioid pharmacological agents, nerve blocks, acupuncture, cannabidiol, stem cells, exosomes, and neurostimulation techniques. Although some neurostimulation methods such as spinal cord stimulation were successfully introduced into clinical practice as a therapy for chronic pain, the current evidence for brain stimulation efficacy in the treatment of chronic pain remains unclear. Hence, this narrative literature review aimed to give an up-to-date overview of brain stimulation methods, including deep brain stimulation, motor cortex stimulation, transcranial direct current stimulation, repetitive transcranial magnetic stimulation, cranial electrotherapy stimulation, and reduced impedance non-invasive cortical electrostimulation as a potential treatment for chronic pain.

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Effects of high-frequency repetitive transcranial magnetic stimulation on reducing hemiplegic shoulder pain in patients with chronic stoke: a randomized controlled trial

Abstract: High-frequency rTMS could be used as a safe, beneficial therapeutic tool to manage HSP. We think it can be used as an adjuvant therapeutic modality to enhance the therapeutic outcome of HSP.

Cited by 36 publications

References 45 publications

Effect of Repetitive Transcranial Magnetic Stimulation on Pain Management: A Systematic Narrative Review

Effect of Repetitive Transcranial Magnetic Stimulation on Pain Management: A Systematic Narrative Review

Transkranielle Magnetstimulation

Brain stimulation for chronic pain management: a narrative review of analgesic mechanisms and clinical evidence

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