By Masahiro Abo, Wataru Kakuda
Repetitive transcranial magnetic stimulation (rTMS) is more and more being studied and utilized in stroke rehabilitation. This instruction manual is the 1st concise consultant for clinicians and researchers operating with or studying approximately rTMS in stroke rehabilitation. It can provide a realistic consultant to the unconventional use of rTMS together with in depth rehabilitation for the remedy of neurological sequelae of stroke. the appliance parts integrated are post-stroke higher limb hemiparesis, decrease limb hemiparesis, aphasia and dysphagia.
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Sample text
6) [10]. It is classified into six stages from I to VI, which qualitatively evaluate a series of recovery processes: first, the flaccid state in the acute phase is observed, associative reactions and synergies appear, individual movements can be observed, and normal movements gradually return with the attenuation of spasticity. However, patients with paralysis do not uniformly follow this recovery process and may stop recovering at a certain stage according to the lesion. In Japan, BRS is widely used as the most basic and common qualitative functional evaluation method of central motor paralysis.
5 0 At admission At discharge Fig. 9 Change in WFMT log performance time in patients receiving NEURO-15. 001 70 FMA score (points) 60 50 40 30 20 10 0 At admission At discharge Four weeks after discharge Fig. 10 Evaluation at four weeks after discharge and change in FMA score in evaluated patients. 5 0 At admission At discharge 4 weeks after discharge Fig. 11 Evaluation at four weeks after discharge and change in WFMT log performance time in evaluated patients. WFMT log performance time at discharge and at four weeks after discharge showed a significant improvement compared to that at admission [20] 4 Efforts by Each Institution for Improving the Quality of rTMS Treatment 35 4 Efforts by Each Institution for Improving the Quality of rTMS Treatment As described above, the safety and efficacy of NEURO-15 has been demonstrated with the results of the previous studies.
B. Training Contents The training content of NEURO-15 was as follows: (i) Low-frequency rTMS was performed for the patient in sitting position using MagPro R30 and a figure-8 coil. (ii) Stimulation was performed on the site where the largest MEP in the FDI muscle of the upper limb on the nonparalyzed side can be elicited within the primary motor area of the nonlesional hemisphere. (iii) The intensity was set at 90 % of the motor threshold of the muscle (the minimum stimulus intensity that can produce MEP at the stimulation site).
