A pilot study on the effects of low frequency repetitive transcranial magnetic stimulation on lower extremity spasticity and motor neuron excitability in patients after stroke

被引：45

作者：

Naghdi, Soofia ^{[1
]}

Ansari, Noureddin Nakhostin ^{[1
]}

Rastgoo, Maryam ^{[1
]}

Forogh, Bijan ^{[2
]}

Jalaie, Shohreh ^{[1
]}

Olyaei, Gholamreza ^{[1
]}

机构：

[1] Univ Tehran Med Sci, Sch Rehabil, Dept Physiotherapy, Enghelab Ave,Pitch-e-shemiran, Tehran 11489, Iran

[2] Iran Univ Med Sci, Sch Med, Dept Phys Med & Rehabil, Tehran, Iran

来源：

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES | 2015年 / 19卷 / 04期

关键词：

Stroke; Spasticity; rTMS; H-reflex; Function; Therapy;

D O I：

10.1016/j.jbmt.2014.10.001

中图分类号：

R49 [康复医学];

学科分类号：

100215 [康复医学与理疗学];

摘要：

Purpose: To evaluate the effect of low frequency, repetitive transcranial magnetic stimulation (rTMS) on the lower extremity spasticity and motor neuron excitability in patients after stroke. Methods: Seven patients after stroke aged 42-78 years were included in this pretest-posttest clinical trial. The rTMS at 1 Hz and duration of 20 min was applied to the intact leg motor cortex for five consecutive sessions. Primary outcome measures were the Modified Modified Ashwoth Scale (MMAS) and the H-max/M-max ratio. Measurements were taken at baseline (T0), after the last treatment (5th) session (T1), and at 1 week follow up (T2). Results: Clinically assessed ankle plantar flexor spasticity (p = 0.05) improved significantly after treatment at T1. Knee extensor spasticity scored 0 after treatment at T1 and T2. The H-max/M-max ratio showed no statistically significant improvement after treatment. Conclusion: The pilot data indicate that the inhibitory rTMS of the intact leg motor cortex in patients after stroke may improve the lower extremity spasticity. (C) 2014 Elsevier Ltd. All rights reserved.

引用

页码：616 / 623

页数：8

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