Evaluation of Contralateral Limb Cross Education and High-Frequency Repetitive Transcranial Magnetic Stimulation on Functional Indices of the Affected Upper Limb in Subacute Phase of Stroke

Author:

Rezaei Katayoon12,Kordi Yoosefinejad Amin12ORCID,Moslemi Haghighi Farzaneh1,Razeghi Mohsen12ORCID

Affiliation:

1. Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

2. Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background. Stroke is one of the causes of long-term morbidity. Despite rehabilitation strategies, most survivors live with motor deficits in the upper limbs. Objectives. The aim of the study was to compare the effect of contralateral cross education (CE) and high-frequency repetitive magnetic stimulation (HF-rTMS) on the function of upper extremity in subacute phase of stroke. Methods. Forty patients were randomly assigned into 4 groups. Group “A” received physical therapy (PT) for 10 sessions, 3 times per week. Group “B” received PT and HF-rTMS as follows: stimulation of 20 Hz for 5 s, intertrain interval for 50 s, 20 trains, 2000 pulses at 90% resting motor threshold, and conventional PT. Group “C” was treated with CE and PT. In group “D,” HF-rTMS, CE, and PT were administered. Results. Significant differences were found in the Fugl-Meyer scale between “A” and “C” ( P = 0.01 ), “A” and “D” ( P = 0.02 ), and “B” and “C” groups ( P = 0.01 ). In the box-block test, there were significant differences between “A” and “B” ( P = 0.01 ), “A” and “C” ( P < 0.001 ), “B” and “D” ( P = 0.001 ), and “B” and “C” groups ( P = 0.01 ). Statistical differences were observed in grip strength between “A” and “B” ( P = 0.01 ) and “A” and “C” groups ( P = 0.02 ). Conclusions. It is suggested that clinicians select the therapeutic methods in line with their expected goal. When the goal is to improve upper extremity function, CE+PT could be more effective than HF-rTMS+PT. Also, CE+PT and HF-rTMS+PT were more effective than CE+HF-rTMS+PT at improving grip strength. Therefore, combining several methods would not always lead to better results.

Funder

Shiraz University of Medical Sciences

Publisher

Hindawi Limited

Subject

Neurology (clinical),Psychiatry and Mental health,Health Policy,Neuropsychology and Physiological Psychology

Reference51 articles.

1. Estimating the contribution of selected risk factors in attributable burden to stroke in Iran;M. Karami;Iranian Journal of Public Health,2012

2. Towards effective neurorehabilitation for stroke patients;J. Krupinski;International Journal of Physical Medicine and Rehabilitation,2014

3. Efficacy of Coupling Repetitive Transcranial Magnetic Stimulation and Physical Therapy to Reduce Upper-Limb Spasticity in Patients With Stroke: A Randomized Controlled Trial

4. Serial treatments of primed low-frequency rTMS in stroke: Characteristics of responders vs. nonresponders

5. What Do Motor “Recovery” and “Compensation” Mean in Patients Following Stroke?

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3