磁刺激
偏瘫
上肢
冲程(发动机)
物理医学与康复
医学
心理学
物理疗法
急性中风
刺激
外科
内科学
病变
机械工程
工程类
组织纤溶酶原激活剂
作者
Nozomu Sasaki,Wataru Kakuda,Masahiro Abo
出处
期刊:Brain Injury
[Informa]
日期:2014-08-20
卷期号:28 (13-14): 1682-1686
被引量:40
标识
DOI:10.3109/02699052.2014.947626
摘要
High- and low-frequency repetitive transcranial magnetic stimulation (HF-rTMS and LF-rTMS) has been shown to be beneficial for upper limb hemiparesis in patients with acute stroke. However, no study has examined the usefulness of bilateral application of HF- and LF-rTMS (BL-rTMS).Fifty-eight hemiparetic patients with acute stroke were randomly assigned into two groups: HF-rTMS group and BL-rTMS group. All patients were scheduled to receive five sessions of either HF-rTMS over the lesional hemisphere or BL-rTMS over both hemispheres for 5 days. Motor function of the affected upper limb was evaluated using the Brunnstrom Recovery Stage (BRS) for upper-limb and hand-fingers, grip strength and tapping frequency, before the first session and after the last session of rTMS.Improvement of BRS for the upper limb and hand/finger was significantly greater in the BL-rTMS group than the HF-rTMS group (p < 0.01). Improvement in grip strength and tapping frequency was also greater in the BL-rTMS group, although the differences were not statistically significant.The proposed BL-rTMS is safe and feasible and showed a greater improvement of BRS of the affected upper limb compared to HF-rTMS. This novel rTMS approach may be a useful intervention for hemiparetic patients with acute stroke.
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