Title of article
The Effect of Repetitive Transcranial Magnetic Stimulation on Postural Stability After Acute Stroke: A Clinical Trial
Author/Authors
Ahadi Tannaz نويسنده Department of Physical Medicine and Rehabilitation, School of Medicine, Tehran University of Medical Sciences, Tehran , Akhavan Hejazi Seyed Majid نويسنده Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya , Kuala Lumpur, Malaysia. Akhavan Hejazi Seyed Majid , Forogh Bijan نويسنده Department of Physical Medicine and Rrehabilitation, Firuzgar Hospital, Tehran University of Medical Science, Tehran, Iran. Forogh Bijan , Nazari Maryam نويسنده , Sajadi Simin نويسنده Neuromusculoskeletal Research Center, Firoozgar Hospital, Tehran, Iran. Sajadi Simin , Abdul Latif Lydia نويسنده Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Abdul Latif Lydia , Raissi Gholamreza نويسنده Neuromusculoskeletal Research Center, Firoozgar Hospital, Tehran, Iran. Raissi Gholamreza
Pages
8
From page
405
Abstract
Introduction: Balance impairment is a common problem and a major cause of motor disability after stroke. Therefore, this study aimed to investigate whether low-frequency repetitive Transcranial Magnetic Stimulation (rTMS) improves the postural balance problems in stroke patients.
Methods: This randomized double blind clinical trial with 12 weeks follow-up was conducted on stroke patients. Treatment was carried with 1 Hz rTMS in contralateral brain hemisphere over the primary motor area for 20 minutes (1200 pulses) for 5 consecutive days. Static postural stability, Medical Research Council (MRC), Berg Balance Scale (BBS), and Fugl-Meyer assessments were evaluated immediately, 3 weeks and 12 weeks after intervention.
Results: A total of 26 patients were enrolled (age range=53 to 79 years; 61.5% were male) in this study. Administering rTMS produced a significant recovery based on BBS (df=86, 7; F=7.4; P=0.01), Fugl-Meyer Scale (df=86, 7; F=8.7; P<0.001), MRC score (df=87, 7; F=2.9; P=0.01), and static postural stability (df=87, 7; F=9.8; P<0.001) during the 12 weeks follow-up.
Conclusion: According to the findings, rTMS as an adjuvant therapy may improve the static postural stability, falling risk, coordination, motor recovery, and muscle strength in patients with stroke.
Journal title
Astroparticle Physics
Serial Year
2017
Record number
2409431
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