Clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplasty

ObjectiveTo investigate the effect of repeated transcranial magnetic stimulation(rTMS)on chronic pain after total knee arthroplasty(TKA).MethodsA total of 121 patients with postoperative chronic post-surgical pain(CPSP)who underwent unilateral TKA from January 2021 to June 2023 and who fulfilled the...

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Main Authors: Wang Hongbin, Yuan Hua, Sun Xiaolong, Xu Mulan, Wu Xiangbo, Long Hua
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2024-01-01
Series:康复学报
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails?columnId=59663285&Fpath=home&index=0
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author Wang Hongbin
Yuan Hua
Sun Xiaolong
Xu Mulan
Wu Xiangbo
Long Hua
author_facet Wang Hongbin
Yuan Hua
Sun Xiaolong
Xu Mulan
Wu Xiangbo
Long Hua
author_sort Wang Hongbin
collection DOAJ
description ObjectiveTo investigate the effect of repeated transcranial magnetic stimulation(rTMS)on chronic pain after total knee arthroplasty(TKA).MethodsA total of 121 patients with postoperative chronic post-surgical pain(CPSP)who underwent unilateral TKA from January 2021 to June 2023 and who fulfilled the criteria were randomly assigned to receive rTMS(paralateral M1 area,10Hz,80% resting threshold,stimulation time of 1s,interval time of 3s,1200 pulses/min,once daily)or sham stimulation for one week.NRS scores and HSS scores for knee pain were compared between the two groups after 3 days,1 week,2 weeks,and 4 weeks of treatment,by repeated-measures analysis of variance.ResultsRepeated analyses of the NRS scores and total HSS scores in the two groups revealed statistically significant differences in rTMS compared with controls in pain (HSS1), joint activity (HSS3), flexion (HSS5), and subtraction (HSS7).ConclusionAs a safe and cost-effective neuromodulatory technique, rTMS is well suited to relieve chronic pain after TKA, improve the overall recovery of joint function, and improve quality of life, and is worthy of clinical application.
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spelling doaj-art-bc7874e4f7ce42d985ea8543b8f665902025-01-14T10:08:49ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282024-01-011759663285Clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplastyWang HongbinYuan HuaSun XiaolongXu MulanWu XiangboLong HuaObjectiveTo investigate the effect of repeated transcranial magnetic stimulation(rTMS)on chronic pain after total knee arthroplasty(TKA).MethodsA total of 121 patients with postoperative chronic post-surgical pain(CPSP)who underwent unilateral TKA from January 2021 to June 2023 and who fulfilled the criteria were randomly assigned to receive rTMS(paralateral M1 area,10Hz,80% resting threshold,stimulation time of 1s,interval time of 3s,1200 pulses/min,once daily)or sham stimulation for one week.NRS scores and HSS scores for knee pain were compared between the two groups after 3 days,1 week,2 weeks,and 4 weeks of treatment,by repeated-measures analysis of variance.ResultsRepeated analyses of the NRS scores and total HSS scores in the two groups revealed statistically significant differences in rTMS compared with controls in pain (HSS1), joint activity (HSS3), flexion (HSS5), and subtraction (HSS7).ConclusionAs a safe and cost-effective neuromodulatory technique, rTMS is well suited to relieve chronic pain after TKA, improve the overall recovery of joint function, and improve quality of life, and is worthy of clinical application.http://kfxb.publish.founderss.cn/thesisDetails?columnId=59663285&Fpath=home&index=0Repeat transcranial magnetic stimulationtotal knee arthroplastyChronic post-surgical pain
spellingShingle Wang Hongbin
Yuan Hua
Sun Xiaolong
Xu Mulan
Wu Xiangbo
Long Hua
Clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplasty
康复学报
Repeat transcranial magnetic stimulation
total knee arthroplasty
Chronic post-surgical pain
title Clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplasty
title_full Clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplasty
title_fullStr Clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplasty
title_full_unstemmed Clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplasty
title_short Clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplasty
title_sort clinical study of repetitive transcranial magnetic stimulation to improve chronic pain after total knee arthroplasty
topic Repeat transcranial magnetic stimulation
total knee arthroplasty
Chronic post-surgical pain
url http://kfxb.publish.founderss.cn/thesisDetails?columnId=59663285&Fpath=home&index=0
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