UPEC, EA4391, Clinical Neurophysiology Department, Henri-Mondor University Hospital, Faculty of Medicine, 94010 Créteil, France.
Multidisciplinary Pain, Palliative and Supportive care Center, UIC 22/CAT2 and Laboratoire de Thérapeutique (EA3826), University Hospital, 44000 Nantes, France; Multidisciplinary Pain Center, groupe ELSAN, clinique Bretéché, 44000 Nantes, France.
Neurophysiol Clin. 2019 Sep;49(4):301-307. doi: 10.1016/j.neucli.2019.07.014. Epub 2019 Jul 30.
High-frequency repetitive transcranial magnetic stimulation (rTMS) of the primary motor cortex has a good level of evidence of efficacy as a method for providing analgesic effects in patients with chronic pain. However, there is still no consensus regarding the parameters of stimulation to use and the detailed protocol to apply for therapeutic practice. In this article, we review the main technical points to address, and we propose a practical algorithm of how to use rTMS for chronic pain treatment in daily clinical practice.
高频重复经颅磁刺激（rTMS）刺激初级运动皮层具有很好的疗效证据，可作为提供慢性疼痛患者镇痛效果的一种方法。然而，对于使用的刺激参数以及应用于治疗实践的详细方案，仍未达成共识。在本文中，我们回顾了需要解决的主要技术要点，并提出了一种在日常临床实践中如何使用 rTMS 治疗慢性疼痛的实用算法。
