Effect of different frequencies of rTMS on hemiplegic shoulder pain after stroke
10.3969/j.issn.1673-9701.2025.16.002
- VernacularTitle:不同频率rTMS对脑卒中后偏瘫肩痛的影响
- Author:
Jinjun HUANG
1
;
Jianmin SHOU
1
;
Bo XIONG
1
Author Information
1. 桂平市人民医院康复医学科,广西桂平 537200
- Publication Type:Journal Article
- Keywords:
Stroke;
Hemiplegic shoulder pain;
Repetitive transcranial magnetic stimulation;
Intermittent theta burst stimulation
- From:
China Modern Doctor
2025;63(16):5-8,30
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of different frequencies of repetitive transcranial magnetic stimulation(rTMS)combined with conventional rehabilitation therapy on patients with hemiplegic shoulder pain after stroke.Methods A total of 90 patients with hemiplegic shoulder pain after stroke who underwent rehabilitation training at Guiping People's Hospital from September 2022 to May 2024 were selected.They were randomly divided into control group and observation groups A,B,C,D and E,with 15 cases in each group.Every patient received standard rehabilitation care.Observation groups A,B,C,D,and E were respectively given rTMS treatment with 1Hz,5Hz,10Hz,20Hz,and intermittent theta burst stimulation(iTBS),while control group was given pseudo-rTMS treatment.Before treatment and after two weeks of treatment,the scores of upper limb Fugl-Meyer assessment(FMA),pain visual analogue scale(VAS),and modified Barthel index(MBI)in each group were compared.Results Before treatment,there were no statistically significant differences in VAS,upper limb FMA and MBI scores among each group of patients(P＞0.05).After two weeks of treatment,upper limb FMA and MBI scores of six groups were significantly higher than those before treatment,and VAS scores were significantly lower than those before treatment(P＜0.05).VAS score in observation group E was significantly lower than that in control group and observation groups A,B,C,and D(P＜0.05),and upper limb FMA score was significantly higher than that in control group and observation groups A,B,C,and D(P＜0.05).There was no statistically significant difference in MBI scores among six groups of patients(P＞0.05).Conclusion rTMS combined with conventional rehabilitation therapy has positive significance in improving pain,upper limb function and daily life of patients with hemiplegic shoulder pain after stroke.iTBS is superior to other stimulation modes in relieving pain and improving upper limb function,and can be promoted and applied in clinical work.
