Effect of High-Frequency Repetitive Transcranial Magnetic Stimulation on Improving Neck and Shoulder Pain and Leukoporosis in Patients with Chronic Stroke Hemiplegia.

Source: Acta Medica Mediterranea. 37(5) (pp 2463-2469), 2021.

Date of Publication: 2021.

Author: Shao D.

Abstract
Objective:
The present study aims to investigate the effect of high-frequency repetitive transcranial magnetic stimulation on improving neck and shoulder pain and leukoporosis in patients suffering from chronic stroke hemiplegia.

Method(s): A total of 100 patients having chronic stroke hemiplegia were divided into two groups: Treatment group and sham exposure group. The treatment group received high-frequency repetitive transcranial magnetic stimulation. The researchers have analyzed both pre-and post-treatment functional scores of shoulder joints and cervical spine, total score and intensity of neck and shoulder pain, ReHo values and FA, MD values and cognitive changes of the white matter region of the two groups.

Result(s): After the treatment, there were significant differences between the two groups in terms of functional scores of shoulder joint and cervical spine, the total score and intensity of neck and shoulder pain, FA, MD values and cognitive changes (P<0.05); they were statistically significant. The total neck and shoulder pain score and MMSE score were respectively (3.55+/-1.26) and (36.31+/-4.45) in the treatment group, being (6.38+/-2.11) and (27.12+/-3.61) respectively in the sham exposure group. Moreover, the treatment group had higher cervical spine function score than the that of the sham exposure group, with greatly improved limb function.

Conclusion(s): High-frequency repetitive transcranial magnetic stimulation has a good clinical effect on improving neck and shoulder pain and leukoporosis in patients having chronic stroke hemiplegia; this is worthy of clinical application.