Repetitive transcranial magnetic stimulation as an adjunct to constraint-induced therapy: an exploratory randomized controlled trial.
Am J Phys Med Rehabil
; 86(9): 707-15, 2007 Sep.
Article
em En
| MEDLINE
| ID: mdl-17709994
ABSTRACT
OBJECTIVE:
To test the potential adjuvant effect of repetitive transcranial magnetic stimulation (rTMS) on motor learning in a group of stroke survivors undergoing constraint-induced therapy (CIT) for upper-limb hemiparesis.DESIGN:
This was a prospective randomized, double-blind, sham-controlled, parallel group study. Nineteen individuals, one or more years poststroke, were randomized to either a rTMS + CIT (n = 9) or a sham rTMS + CIT (n = 10) group and participated in the 2-wk intervention.RESULTS:
Regardless of group assignment, participants demonstrated significant gains on the primary outcomemeasures:
the Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL)--Amount of Use, and on secondary outcome measures including the Box and Block Test (BBT) and the MAL--How Well. Participants receiving rTMS failed to show differential improvement on either primary outcome measure.CONCLUSIONS:
Although this study provided further evidence that even relatively brief sessions of CIT can have a substantial effect, it provided no support for adjuvant use of rTMS.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Paresia
/
Estimulação Magnética Transcraniana
/
Terapia por Exercício
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Reabilitação do Acidente Vascular Cerebral
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article