Transcranial Magnetic Stimulation Therapy in Neuropathic Painful Spinal Cord Injury Patients

Inclusion Criteria: Between the ages of 20-70, who applied to the AFSU Physical Medicine and Rehabilitation inpatient service with the diagnosis of spinal cord injury and * Having spinal cord injury with neurophatic pain at least six months ago, * Able to follow two-stage verbal commands, * Agreeing to participate in the study voluntarily and regularly, * Patients who are medically stable (no previous myocardial infarction, no musculoskeletal problems) will be included in our study. Exclusion Criteria: Having an important comorbid disease such as severe heart disease (aortic stenosis, angina, hypertrophic cardiomyopathy, arrhythmia, pacemaker) and uncontrolled hypertension, * Epilepsy, * History of antiepileptic drug use, * Intracranial metal object, * Presence of in-ear implant, * Cognitive dysfunction, * Lower extremity peripheral nerve injury, * With malignancy and active infection, * Infection on the skin in the application area, * Having an open wound, * Having inflammatory disease, * Orthopedic injuries that can limit maximum effort contractions, * Having a brain lesion or a history of drug use that will affect the seizure threshold, * Patients with increased intracranial pressure or uncontrolled migraine will not be included.