Mesh : Humans Transcranial Magnetic Stimulation Hyperalgesia Upper Extremity Complex Regional Pain Syndromes / therapy Hand

来  源:   DOI:10.1213/XAA.0000000000001768   PDF(Pubmed)

Abstract:
This case report describes the use of repetitive transcranial magnetic stimulation (rTMS) combined with sensorimotor training (SMT) to treat an individual with complex regional pain syndrome (CRPS) type 2 with allodynia of the right hand/wrist. After the 9-week intervention, there was a clinically meaningful reduction in pain intensity which continued to 3 months after intervention. Further, clinically meaningful improvements in wrist and hand function and allodynia were observed. Although the use of rTMS for CRPS has been reported, this unique report provides valuable insight into the clinical utility of rTMS plus SMT for the treatment of CRPS and related symptoms.
摘要:
该病例报告描述了使用重复经颅磁刺激(rTMS)结合感觉运动训练(SMT)治疗患有2型复杂区域疼痛综合征(CRPS)并伴有右手/手腕异常性疼痛的个体。经过9周的干预,疼痛强度有临床意义的降低,持续至干预后3个月.Further,观察到腕部和手部功能和异常性疼痛有临床意义的改善。尽管已经报道了将rTMS用于CRPS,这份独特的报告为rTMS加SMT治疗CRPS和相关症状的临床应用提供了有价值的见解.
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