Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke Patients
Objective To investigate the effects of hand training using low-frequency repetitive transcranial magnetic stimulation (rTMS) within the aftereffect period on hand function in patients with subacute stroke. Methods The subacute stroke patients with hand weaknesses were divided randomly into two grou...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2018-08-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-2018-42-4-521.pdf |
| _version_ | 1797717052531671040 |
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| author | Joo Won Park Sang Beom Kim Kyeong Woo Lee Jong Hwa Lee Jin Gee Park Sook Joung Lee |
| author_facet | Joo Won Park Sang Beom Kim Kyeong Woo Lee Jong Hwa Lee Jin Gee Park Sook Joung Lee |
| author_sort | Joo Won Park |
| collection | DOAJ |
| description | Objective To investigate the effects of hand training using low-frequency repetitive transcranial magnetic stimulation (rTMS) within the aftereffect period on hand function in patients with subacute stroke. Methods The subacute stroke patients with hand weaknesses were divided randomly into two groups. Patients in the intervention group underwent hand training within the aftereffect period, that is, immediately after receiving low-frequency rTMS treatment. Patients in the control group underwent hand training 2 hours after the low-frequency rTMS treatment. A manual function test (MFT) for ‘grasp and pinch’ and ‘hand activities’; a manual muscle test (MMT) for ‘grasp’, ‘release’, and ‘abductor pollicis brevis (APB)’; and the Modified Ashworth Scale for finger flexion were performed and measured before and immediately after combined therapy as well as 2 weeks after combined therapy. Results Thirty-two patients with hand weakness were enrolled in this study. The intervention group patients showed more improvements in grasp MMT and MMT APB tested immediately after combined therapy. However, the changes in all measurements were not significantly different between the two groups 2 weeks after the combined therapy. In both groups, hand functions improved significantly immediately after combined therapy and 2 weeks after combined therapy. Conclusion Hand training immediately after low-frequency rTMS showed more rapid improvement in the motor power of hands than hand training conducted 2 hours after low-frequency rTMS. Our results suggest that conducting hand training immediately after low-frequency rTMS could be an improved useful therapeutic option in subacute stroke patients. |
| first_indexed | 2024-03-12T08:30:37Z |
| format | Article |
| id | doaj.art-44e237a642ca493180aab5c18eedcb55 |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T08:30:37Z |
| publishDate | 2018-08-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-44e237a642ca493180aab5c18eedcb552023-09-02T17:38:24ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532018-08-0142452152710.5535/arm.2018.42.4.5214011Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke PatientsJoo Won Park0Sang Beom Kim1Kyeong Woo Lee2Jong Hwa Lee3Jin Gee Park4Sook Joung Lee5 Department of Physical Medicine and Rehabilitation and Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Korea Department of Physical Medicine and Rehabilitation and Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Korea Department of Physical Medicine and Rehabilitation and Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Korea Department of Physical Medicine and Rehabilitation and Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Korea Department of Physical Medicine and Rehabilitation and Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Korea Department of Physical Medicine and Rehabilitation, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, KoreaObjective To investigate the effects of hand training using low-frequency repetitive transcranial magnetic stimulation (rTMS) within the aftereffect period on hand function in patients with subacute stroke. Methods The subacute stroke patients with hand weaknesses were divided randomly into two groups. Patients in the intervention group underwent hand training within the aftereffect period, that is, immediately after receiving low-frequency rTMS treatment. Patients in the control group underwent hand training 2 hours after the low-frequency rTMS treatment. A manual function test (MFT) for ‘grasp and pinch’ and ‘hand activities’; a manual muscle test (MMT) for ‘grasp’, ‘release’, and ‘abductor pollicis brevis (APB)’; and the Modified Ashworth Scale for finger flexion were performed and measured before and immediately after combined therapy as well as 2 weeks after combined therapy. Results Thirty-two patients with hand weakness were enrolled in this study. The intervention group patients showed more improvements in grasp MMT and MMT APB tested immediately after combined therapy. However, the changes in all measurements were not significantly different between the two groups 2 weeks after the combined therapy. In both groups, hand functions improved significantly immediately after combined therapy and 2 weeks after combined therapy. Conclusion Hand training immediately after low-frequency rTMS showed more rapid improvement in the motor power of hands than hand training conducted 2 hours after low-frequency rTMS. Our results suggest that conducting hand training immediately after low-frequency rTMS could be an improved useful therapeutic option in subacute stroke patients.http://www.e-arm.org/upload/pdf/arm-2018-42-4-521.pdfTranscranial magnetic stimulationStrokeFunctional recoveryAftereffect |
| spellingShingle | Joo Won Park Sang Beom Kim Kyeong Woo Lee Jong Hwa Lee Jin Gee Park Sook Joung Lee Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke Patients Annals of Rehabilitation Medicine Transcranial magnetic stimulation Stroke Functional recovery Aftereffect |
| title | Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke Patients |
| title_full | Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke Patients |
| title_fullStr | Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke Patients |
| title_full_unstemmed | Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke Patients |
| title_short | Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke Patients |
| title_sort | effects of hand training during the aftereffect period of low frequency rtms in subacute stroke patients |
| topic | Transcranial magnetic stimulation Stroke Functional recovery Aftereffect |
| url | http://www.e-arm.org/upload/pdf/arm-2018-42-4-521.pdf |
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