Combination Therapy of Low Frequency Repetitive Transcranial Magnetic Stimulation and Intensive Physical Therapy for a Chronic Stroke Patient: A Case Study

MIYAKOSHI Hiroyuki, NIIMI Masachika, IKEGAMI Isao, NAKAMURA Takehiko, KIMURA Chikou

doi:10.1589/rika.34.529

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Other Title

慢性期片麻痺患者に対する低頻度反復性経頭蓋磁気刺激と集中的理学療法の併用を試みた一症例
症例研究慢性期片麻痺患者に対する低頻度反復性経頭蓋磁気刺激と集中的理学療法の併用を試みた一症例
ショウレイケンキュウマンセイキヘンマヒカンジャニタイスルテイヒンドハンプクセイケイズガイジキシゲキトシュウチュウテキリガクリョウホウノヘイヨウオココロミタイチショウレイ

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Abstract

<p>[Purpose] We report the effect of a combination therapy of low frequency repetitive transcranial magnetic stimulation (rTMS) to the primary motor area of the lower limb on the nonlesional hemisphere and intensive physical therapy (PT) on a stroke patient with lower limb hemiparesis. [Participants and Methods] The subject was a 70-year-old male with left hemiplegia 14 months after stroke onset. The primary motor area which presents ankle dorsiflexion in the nonlesional hemisphere was identified using functional MRI prior to rTMS application. One treatment session consisted of 20-minutes 1 Hz low frequency rTMS and 60 minutes PT. Two sessions were conducted per day. A total of 21 sessions were performed during a 15-day hospital stay. [Results] Compared to hospitalization, at discharge, improvements were seen in MAS of the left soleus muscle, FRT, BBS, cane walking time, TUG, and FIM. [Conclusion] At one month after discharge, the patient was able to walk without a cane. It can be said that the combination therapy was an effective treatment method for this patient. </p>

Journal

Rigakuryoho Kagaku

Rigakuryoho Kagaku 34 (4), 529-533, 2019

The Society of Physical Therapy Science

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