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重复经颅磁刺激结合感觉运动训练治疗上肢复杂性区域疼痛综合征 2 型:病例报告

Repetitive Transcranial Magnetic Stimulation with Sensorimotor Training for the Treatment of Complex Regional Pain Syndrome Type 2 of the Upper Limb Case Report.

机构信息

From the School of Biomedical Engineering, McMaster University, Hamilton, Ontario, Canada.

Departments of Kinesiology.

出版信息

A A Pract. 2024 Mar 28;18(4):e01768. doi: 10.1213/XAA.0000000000001768. eCollection 2024 Apr 1.

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

本病例报告描述了使用重复经颅磁刺激(rTMS)联合感觉运动训练(SMT)治疗一名右手/腕部感觉异常性疼痛的复杂性区域疼痛综合征(CRPS)2 型患者。经过 9 周的干预,疼痛强度有明显的临床改善,并持续到干预后 3 个月。此外,观察到手腕和手部功能以及感觉异常有明显的临床改善。尽管已有 rTMS 治疗 CRPS 的报道,但本独特报告为 rTMS 联合 SMT 治疗 CRPS 及相关症状的临床应用提供了有价值的见解。

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