磁刺激
痉挛
冲程(发动机)
医学
物理医学与康复
兴奋性突触后电位
改良阿什沃思量表
刺激
抑制性突触后电位
运动皮层
运动功能
心理学
麻醉
内科学
物理
热力学
作者
A. Abdel‐Kader,Lamia Afifi,Eman Maher,Abdulalim A. Atteya,Dina A. El Salmawy
出处
期刊:Journal of Clinical Neurophysiology
[Ovid Technologies (Wolters Kluwer)]
日期:2024-07-01
卷期号:41 (5): 478-483
标识
DOI:10.1097/wnp.0000000000000987
摘要
Purpose: Repetitive transcranial magnetic stimulation (rTMS) can enhance brain plasticity after stroke. At low frequencies, rTMS has an inhibitory effect, whereas at high frequencies, it has an excitatory effect. Combining both frequencies in bilateral stimulation is a new rTMS protocol under investigation, especially in the subacute stage. Methods: Fifty-five patients with subacute stroke were divided into four groups according to the rTMS protocol delivered: bilateral, inhibitory, excitatory, and control groups. All groups received concomitant task-oriented physiotherapy. Pretreatment to posttreatment assessment was performed twice, immediately after sessions and 1 month later. Volitional motor control was evaluated by Fugl-Meyer and Wolf motor function tests, and for spasticity, the Ashworth scale was used. Results: All groups showed significant improvement. Bilateral, inhibitory, and excitatory groups showed same efficacy, but the bilateral protocol was superior in spasticity. No correlations were found between improvement and stroke duration and site except for spasticity. Conclusions: Bilateral rTMS shows a comparable effect to inhibitory and excitatory rTMS in improving motor disability in subacute stroke. However, it is superior for spasticity.
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