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Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors

BACKGROUND: It is very difficult for patients with severe upper extremity (UE) paresis after stroke to achieve full recovery because of the lack of a definitive approach for improving severe UE paresis immediately after onset. OBJECTIVE: to investigate the effects of repetitive peripheral magnetic s...

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Autores principales: Obayashi, Shigeru, Takahashi, Rina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458515/
https://www.ncbi.nlm.nih.gov/pubmed/32508342
http://dx.doi.org/10.3233/NRE-203085
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author Obayashi, Shigeru
Takahashi, Rina
author_facet Obayashi, Shigeru
Takahashi, Rina
author_sort Obayashi, Shigeru
collection PubMed
description BACKGROUND: It is very difficult for patients with severe upper extremity (UE) paresis after stroke to achieve full recovery because of the lack of a definitive approach for improving severe UE paresis immediately after onset. OBJECTIVE: to investigate the effects of repetitive peripheral magnetic stimulation (rPMS) on severe UE paresis during early acute phase of stroke. METHODS: Nineteen participants with severe UE disability met the criteria. 10 subjects received 15–20 minutes of rPMS prior to standard care per session, while 9 age- and severity-matched subjects received two times 20 minutes of standard care. Outcome measures included UE motor section of the Fugl-Meyer Motor Assessment Scale (FMA-UE), Wolf motor function test (WMFT), and box and block test (BBT). RESULTS: The rPMS group received treatment (average sessions: 7.8) after a median 9.2 days from stroke (16.5 sessions after 5 days for control). To adjust the different treatment durations, we defined “progress rate” as the gains of UE function scores divided by treatment duration. The progress rate was significantly different in FMA-UE and WMFT, but not in BBT. CONCLUSIONS: The present study suggested beneficial effects of rPMS on severe UE paresis during early acute phase of stroke.
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spelling pubmed-74585152020-09-11 Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors Obayashi, Shigeru Takahashi, Rina NeuroRehabilitation Research Article BACKGROUND: It is very difficult for patients with severe upper extremity (UE) paresis after stroke to achieve full recovery because of the lack of a definitive approach for improving severe UE paresis immediately after onset. OBJECTIVE: to investigate the effects of repetitive peripheral magnetic stimulation (rPMS) on severe UE paresis during early acute phase of stroke. METHODS: Nineteen participants with severe UE disability met the criteria. 10 subjects received 15–20 minutes of rPMS prior to standard care per session, while 9 age- and severity-matched subjects received two times 20 minutes of standard care. Outcome measures included UE motor section of the Fugl-Meyer Motor Assessment Scale (FMA-UE), Wolf motor function test (WMFT), and box and block test (BBT). RESULTS: The rPMS group received treatment (average sessions: 7.8) after a median 9.2 days from stroke (16.5 sessions after 5 days for control). To adjust the different treatment durations, we defined “progress rate” as the gains of UE function scores divided by treatment duration. The progress rate was significantly different in FMA-UE and WMFT, but not in BBT. CONCLUSIONS: The present study suggested beneficial effects of rPMS on severe UE paresis during early acute phase of stroke. IOS Press 2020-07-13 /pmc/articles/PMC7458515/ /pubmed/32508342 http://dx.doi.org/10.3233/NRE-203085 Text en © 2020 – IOS Press and the authors. All rights reserved https://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Obayashi, Shigeru
Takahashi, Rina
Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
title Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
title_full Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
title_fullStr Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
title_full_unstemmed Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
title_short Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
title_sort repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458515/
https://www.ncbi.nlm.nih.gov/pubmed/32508342
http://dx.doi.org/10.3233/NRE-203085
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