Bihemispheric repetitive transcranial magnetic stimulation combined with intensive occupational therapy for upper limb hemiparesis after stroke

2013 ◽  
Vol 36 (4) ◽  
pp. 323-329 ◽  
Author(s):  
Naoki Yamada ◽  
Wataru Kakuda ◽  
Takahiro Kondo ◽  
Masato Shimizu ◽  
Sugao Mitani ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Occupational Therapy ◽  
Upper Limb ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Upper Limb Hemiparesis

scholarly journals Combination Treatment of Low-Frequency Repetitive Transcranial Magnetic Stimulation and Intensive Occupational Therapy for Ataxic Hemiparesis due to Thalamic Hemorrhage

2017 ◽  
Vol 9 (2) ◽  
pp. 179-187 ◽  
Author(s):  
Naoki Urushidani ◽  
Takatsugu Okamoto ◽  
Shoji Kinoshita ◽  
Shingo Yamane ◽  
Hiroaki Tamashiro ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Occupational Therapy ◽  
Motor Function ◽  
Upper Limb ◽  
Combination Treatment ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Low Frequency ◽  
Thalamic Hemorrhage ◽  
Ataxic Hemiparesis

Background: Both low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) and intensive occupational therapy (OT) are clinically beneficial for post-stroke patients with upper-limb hemiparesis. However, the usefulness of LF-rTMS and intensive OT for ataxic hemiparesis (AH) is unknown. Methods: The study subjects included 7 patients with AH. All patients had ataxia and mild hemiparesis without a sensory disturbance that was due to thalamic hemorrhage. Each patient was scheduled to receive 20-min rTMS at 1 Hz at the contralesional cerebral hemisphere followed by 120-min intensive OT, daily for 21 sessions. The primary outcome was the motor function of the affected upper limb that was evaluated by using the Fugl-Meyer Assessment (FMA). In addition, the International Cooperative Ataxia Rating Scale (ICARS) score was determined to assess the severity of ataxia. Results: All patients completed the protocol without any adverse effects. The FMA score significantly increased after treatment. Notably, the ICARS score also significantly decreased. Conclusions: Our proposed combination treatment is a safe and feasible neurorehabilitative intervention for patients with AH due to thalamic hemorrhage. Our results demonstrate the possibility that rTMS in combination with intensive OT could improve motor function and alleviated ataxia in patients with AH.

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