The effects of high-frequency transcranial magnetic stimulation combined with transcutaneous electrical stimulation in a severe stroke patient

  • Soichiro Koyama Department of Rehabilitation, Kawamura Hospital, Japan.
  • Shigeo Tanabe | tanabes@fujita-hu.ac.jp Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Japan.
  • Kazuya Takeda Department of Rehabilitation, Kawamura Hospital, Japan.
  • Hiroaki Warashina Department of Rehabilitation, Kawamura Hospital, Japan.
  • Hiroaki Sakurai Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Japan.
  • Yoshikiyo Kanada Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Japan.
  • Ryuji Okumura Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine; Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, Japan.
  • Jun Shinoda Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine; Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, Japan.
  • Junji Nagata Department of Neurosurgical, Kawamura Hospital, Japan.
  • Tetsuo Kanno Department of Neurosurgical, Kawamura Hospital, Japan.

Abstract

The case report describes the effects of 5 Hz repetitive transcranial magnetic stimulation (rTMS) combined with transcutaneous electrical stimulation (TES) in a patient with severe stroke. The patient was a 69-year-old male who was affected by a left middle cerebral artery infarction. The patient had no movement in his right hand. To assess the effects, cerebral blood flow and motor function were measured before and after treatment. This treatment delivered rTMS over the affected M1 with TES at the paretic wrist extensor muscles for 10 days. The regional cerebral blood flow (rCBF) in the entire brain was measured by positronemission tomography. To evaluate the motor function, the Fugl-Meyer assessment (FMA) was used. After treatment, the rCBF was increased (except for the stimulated region), and the FMA score was slightly improved. These results suggest the potential therapeutic use of rTMS combined with TES for recovery in severe stroke.

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Published
2012-12-18
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Section
Case Reports
Keywords:
repetitive transcranial magnetic stimulation, transcutaneous electrical stimulation, positron-emission tomography, severely chronic stroke.
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How to Cite
Koyama, S., Tanabe, S., Takeda, K., Warashina, H., Sakurai, H., Kanada, Y., Okumura, R., Shinoda, J., Nagata, J., & Kanno, T. (2012). The effects of high-frequency transcranial magnetic stimulation combined with transcutaneous electrical stimulation in a severe stroke patient. Clinics and Practice, 2(4), e89. https://doi.org/10.4081/cp.2012.e89

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