Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 12 , Pages 1574-1580 , December 2007

The Effect of a Series of Repetitive Transcranial Magnetic Stimulations of the Motor Cortex on Central Pain After Spinal Cord Injury

  • Ruth Defrin, PhD

      Affiliations

    • Department of Physical Therapy, Sackler Medical School, Tel-Aviv University, Ramat Aviv, Israel
    • Corresponding Author InformationReprint requests to Ruth Defrin, PhD, Dept of Physical Therapy, Sackler School of Medicine, Tel Aviv University, Ramat Aviv, Israel 69978
    • ,
  • Leon Grunhaus, MD

      Affiliations

    • Department of Psychiatry, Sackler Medical School, Tel-Aviv University, Ramat Aviv, Israel
    • Jerusalem Mental Health Center, Jerusalem, Israel.
    • ,
  • Doron Zamir, MSc

      Affiliations

    • Department of Physical Therapy, Sackler Medical School, Tel-Aviv University, Ramat Aviv, Israel
    • ,
  • Gabi Zeilig, MD

      Affiliations

    • Department of Neurological Rehabilitation, Sackler Medical School, Tel-Aviv University, Ramat Aviv, Israel
    • Chaim Sheba Medical Center, Tel Hashomer, Israel

  • Image Result

    Chronic pain intensity (VAS ratings) measured before and immediately after each of the 10 treatment sessions (acute effect) of the real rTMS and sham rTMS groups. VAS ratings decreased significantly i

    Chronic pain intensity (VAS ratings) measured before and immediately after each of the 10 treatment sessions (acute effect) of the real rTMS and sham rTMS groups. VAS ratings decreased significantly in both groups. NOTE. Bars denote mean ± standard deviation (SD). *P<.001.

  • Image Result
    The change in chronic pain intensity (VAS ratings) throughout the real and sham rTMS treatment series. The values are the average pain ratings before each treatment trial. Both groups exhibited a tren

    The change in chronic pain intensity (VAS ratings) throughout the real and sham rTMS treatment series. The values are the average pain ratings before each treatment trial. Both groups exhibited a trend toward a reduction in pain intensity. NOTE. Values are group means ± SD.

  • Image Result
    Group mean heat-pain threshold measured in painful body regions below the level of lesion of patients receiving real and sham rTMS, before and after the treatment series. Only in the real rTMS group d

    Group mean heat-pain threshold measured in painful body regions below the level of lesion of patients receiving real and sham rTMS, before and after the treatment series. Only in the real rTMS group did pain threshold exhibit a borderline significant increase, indicating a possible analgesic effect. NOTE. Bars denote mean ± SD. *P=.06.

 Supported by the National Association of the Insurance Companies.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)01452-9

doi: 10.1016/j.apmr.2007.07.025

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 12 , Pages 1574-1580 , December 2007

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