Transcranial Magnetic Stimulation Therapy in Neuropathic Painful Spinal Cord Injury Patients
Spinal Cord Injuries, Neuropathic Pain, Neurological Diseases or Conditions
About this trial
This is an interventional treatment trial for Spinal Cord Injuries focused on measuring Repetitive Transcranial Magnetic Stimulation, Neurological Rehabilitation
Eligibility Criteria
Inclusion Criteria: Between the ages of 20-70, who applied to the AFSU Physical Medicine and Rehabilitation inpatient service with the diagnosis of spinal cord injury and Having spinal cord injury with neurophatic pain at least six months ago, Able to follow two-stage verbal commands, Agreeing to participate in the study voluntarily and regularly, Patients who are medically stable (no previous myocardial infarction, no musculoskeletal problems) will be included in our study. Exclusion Criteria: Having an important comorbid disease such as severe heart disease (aortic stenosis, angina, hypertrophic cardiomyopathy, arrhythmia, pacemaker) and uncontrolled hypertension, Epilepsy, History of antiepileptic drug use, Intracranial metal object, Presence of in-ear implant, Cognitive dysfunction, Lower extremity peripheral nerve injury, With malignancy and active infection, Infection on the skin in the application area, Having an open wound, Having inflammatory disease, Orthopedic injuries that can limit maximum effort contractions, Having a brain lesion or a history of drug use that will affect the seizure threshold, Patients with increased intracranial pressure or uncontrolled migraine will not be included.
Sites / Locations
- AfyonkarahisarRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
High-frequency real-time rTMS protocol
Sham rTMS Protocol
It was planned to apply a total of 1200 beats to the dorsolateral prefrontal cortex daily at a frequency of 10 HZ at 110% intensity of the motor threshold for 15 sessions.
It was planned to apply daily sham rTMS to the dorsolateral prefrontal cortex for 15 sessions.