Effect of intensive motor training with repetitive transcranial magnetic stimulation on upper limb motor function in chronic post-stroke patients with severe upper limb motor impairment
| Autor: | Nobutoshi Kawamura, Ikuo Motoya, Kazuya Takeda, Mami Kawamura, Shigeo Tanabe, Yoshikiyo Kanada, Junji Nagata, Soichiro Koyama, Yuichi Hirakawa, Hiroaki Sakurai, T. Kanno |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Movement disorders Motor training medicine.medical_treatment Motor function Upper Extremity 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Outcome Assessment Health Care Humans Medicine Stroke Aged Aged 80 and over Community and Home Care Movement Disorders business.industry Rehabilitation Stroke Rehabilitation Motor impairment Middle Aged medicine.disease Transcranial Magnetic Stimulation Exercise Therapy Clinical trial Transcranial magnetic stimulation medicine.anatomical_structure Upper limb Female Neurology (clinical) medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Topics in Stroke Rehabilitation. :1-5 |
| ISSN: | 1945-5119 1074-9357 |
| DOI: | 10.1080/10749357.2018.1466971 |
| Popis: | Background Intensive motor training with low-frequency repetitive transcranial magnetic stimulation (rTMS) has efficacy as a therapeutic method for motor dysfunction of the affected upper limb in patients with mild to moderate stroke. However, it is not clear whether this combination therapy has the same effect in chronic post-stroke patients with severe upper limb motor impairment. Objectives The aim of this study was to test the treatment effects of intensive motor training with low-frequency rTMS in chronic post-stroke patients with severe upper limb motor impairment. Methods A convenience sample of 26 chronic post-stroke patients with severe upper limb motor impairment participated in this study with the non-randomized, non-controlled clinical trial. All subjects were hospitalized to receive intensive motor training with low-frequency rTMS. During 2 weeks in which Sundays were excluded, a total of 24 sessions (2 sessions per day) of the intervention were conducted. The Fugl-Meyer Assessment (FMA) and Wolf Motor Function Test (WMFT) were used to assess motor impairment and function of the affected upper limb, respectively, before and after intervention. Paired t-test was used to analyze the effects of the intervention. Results The FMA total score and WMFT log performance time significantly improved from before to after intervention (FMA: 12.6-18.0; WMFT: 3.6-3.3, p |
| Databáze: | OpenAIRE |
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