RecruitingNot ApplicableNCT04867187

rTMS Efficacy Coupled With Mirror Therapy

Clinical Study of Repetitive Transcranial Magnetic Stimulation (RTMS) Efficacy Coupled With Mirror Therapy for Neuropathic Pain Relief


Sponsor

Centre Hospitalier Universitaire de Saint Etienne

Enrollment

64 participants

Start Date

Oct 27, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Neuropathic pain is particularly difficult to treat with classic first-line drugs. Neuromodulation techniques using repetitive transcranial magnetic stimulation (rTMS) are useful alternative, but there is a need to improve their analgesic effect.Virtual reality mirror therapy has shown the capacity to alleviate pain and may be easily coupled with rTMS.The present project will investigate in individuals with neuropathic pain the effects of the rTMS coupled with virtual reality mirror therapy.


Eligibility

Min Age: 18 YearsMax Age: 85 Years

Inclusion Criteria4

  • Clinical symptoms typical of neuropathic pain
  • Refractory to drug therapies
  • Lasting for at least 6 months, with a moderate to severe pain intensity (≥4/10 on Visual Analog Scale, VAS) and a stable pain treatment since 1month at least
  • Having right to health benefits

Exclusion Criteria3

  • Ferromagnetic components and implanted microprocessors (i.e. cochlear implants)
  • Drug-resistant or active epilepsy, pacemaker, pregnancy, ongoing depression or personality troubles, and ongoing opioid treatment.
  • Any other contraindications to MRI scanner (e.g., claustrophobia, etc.).

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Interventions

OTHERRepetitive transcranial magnetic stimulation (rTMS)

20 minutes of high frequency (20Hz) rTMS.

OTHERMirror therapy using virtual reality

active mirror-based therapy

OTHERMirror therapy using sham mirror

20 minutes of sham mirror-based therapy


Locations(2)

Hôpital Neurologique Pierre Wertheimer

Bron, France

Centre Hospitalier Universitaire de Saint-Etienne

Saint-Etienne, France

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NCT04867187


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