NMES with rTMS for moderate to severe dysfunction after stroke

Soichiro Koyama, Shigeo Tanabe, Hiroaki Warashina, Tomoaki Kaneko, Hiroaki Sakurai, Yoshikiyo Kanada, Junji Nagata, Tetsuo Kanno

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


BACKGROUND: Motor dysfunction after stroke might be improved by neuromuscular electrical stimulation (NMES) combined with 1 Hz repetitive transcranial magnetic stimulation (rTMS) in patients with moderate and severe motor dysfunction.

OBJECTIVE: This preliminary study tested the effect of this treatment combination.

METHODS: Fifteen patients (60.5 ± 10.3 years old) participated in the study. All patients had been affected by cerebral artery infarction or hemorrhage and had moderate or severe motor dysfunction in their affected hand. The patients received NMES at paretic wrist extensor muscles combined with rTMS over the unaffected M1 hemisphere twice a day, six days/week over two weeks. All participants underwent the following battery of tests to evaluate the motor function of the affected hand: Upper limb Fugl-Meyer Assessment (UFMA), Wolf Motor Function Test (WMFT), and Box and Block Test (BBT). RESULTS: UFMA, WMFT, and BBT scores improved significantly after the study.

CONCLUSIONS: These results suggest that NMES combined with rTMS could be useful for recovery of moderate and severe motor function after stroke.

Original languageEnglish
Pages (from-to)363-368
Number of pages6
Issue number3
Publication statusPublished - 2014

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology


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