Combination Protocol of Low-Frequency rTMS and Intensive Occupational Therapy for Post-stroke Upper Limb Hemiparesis: a 6-year Experience of More Than 1700 Japanese Patients

Translational Stroke Research
Wataru KakudaHiroyoshi Hara

Abstract

Several years ago, we proposed a combination protocol of repetitive transcranial magnetic stimulation (rTMS) and intensive occupational therapy (OT) for upper limb hemiparesis after stroke. Subsequently, the number of patients treated with the protocol has increased in Japan. We aimed to present the latest data on our proposed combination protocol for post-stroke upper limb hemiparesis as a result of a multi-institutional study. After confirming that a patient met the inclusion criteria for the protocol, they were scheduled to receive the 15-day inpatient protocol. In the protocol, two sessions of 20-min rTMS and 120-min occupational therapy were provided daily, except for Sundays and the days of admission/discharge. Motor function of the affected upper limb was evaluated by the Fugl-Meyer assessment (FMA) and Wolf motor function test (WMFT) at admission/discharge and at 4 weeks after discharge if possible. A total of 1725 post-stroke patients were studied (mean age at admission 61.4 ± 13.0 years). The scheduled 15-day protocol was completed by all patients. At discharge, the increase in FMA score, shortening in performance time of WMFT, and increase in functional ability scale (FAS) score of WMFT were significant (FMA score 46...Continue Reading

References

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Citations

Mar 10, 2017·Journal of Motor Behavior·Mary Ellen StoykovSangeetha Madhavan
Dec 15, 2017·Frontiers in Behavioral Neuroscience·Jing-Na JinTao Yin
Aug 23, 2019·Experimental Brain Research·Jing-Na JinTao Yin
Feb 27, 2020·Rinshō shinkeigaku = Clinical neurology·Wataru Kakuda
Jul 7, 2017·Translational Stroke Research·Norihito ShimamuraHiroki Ohkuma
May 4, 2017·Acta Neurologica Scandinavica·L SebastianelliR Nardone
Sep 3, 2021·Somatosensory & Motor Research·Pradeepa Ruwan Wanni ArachchigeAtsushi Senoo
Nov 8, 2017·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ana DionísioMiguel Castelo-Branco

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