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

doi:10.3233/NRE-141127

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

Faculty of Rehabilitation

Research output: Contribution to journal › Article › peer-review

19 Citations (Scopus)

Abstract

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 language	English
Pages (from-to)	363-368
Number of pages	6
Journal	NeuroRehabilitation
Volume	35
Issue number	3
DOIs	https://doi.org/10.3233/NRE-141127
Publication status	Published - 2014

All Science Journal Classification (ASJC) codes

Physical Therapy, Sports Therapy and Rehabilitation
Rehabilitation
Clinical Neurology

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abstract = "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.",

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

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T1 - NMES with rTMS for moderate to severe dysfunction after stroke

AU - Koyama, Soichiro

AU - Tanabe, Shigeo

AU - Warashina, Hiroaki

AU - Kaneko, Tomoaki

AU - Sakurai, Hiroaki

AU - Kanada, Yoshikiyo

AU - Nagata, Junji

AU - Kanno, Tetsuo

PY - 2014

Y1 - 2014

N2 - 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.

AB - 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.

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NMES with rTMS for moderate to severe dysfunction after stroke

Abstract

All Science Journal Classification (ASJC) codes

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