The effects of high-frequency transcranial magnetic stimulation combined with transcutaneous electrical stimulation in a severe stroke patient.
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.
Department of Rehabilitation, Kawamura Hospital;
Soichiro
S
Koyama
Faculty of Rehabilitation, School of Health Sciences, Fujita Health University;
Shigeo
S
Tanabe
Department of Rehabilitation, Kawamura Hospital;
Kazuya
K
Takeda
Department of Rehabilitation, Kawamura Hospital;
Hiroaki
H
Warashina
Faculty of Rehabilitation, School of Health Sciences, Fujita Health University;
Hiroaki
H
Sakurai
Faculty of Rehabilitation, School of Health Sciences, Fujita Health University;
Yoshikiyo
Y
Kanada
Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine; ; Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital;
Ryuji
R
Okumura
Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine; ; Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital;
Jun
J
Shinoda
Department of Neurosurgical, Kawamura Hospital, Japan.
Junji
J
Nagata
Department of Neurosurgical, Kawamura Hospital, Japan.
Tetsuo
T
Kanno
positron-emission tomography; repetitive transcranial magnetic stimulation; severely chronic stroke.; transcutaneous electrical stimulation