Abstract
Abstract
Background
Stroke is one of the leading causes of disability worldwide, with hand and arm weakness, affecting the patients’ daily activities and quality of life. Recently, repetitive peripheral magnetic stimulation (rPMS) was found to enhance neuroplasticity and motor recovery post-stroke hemiparesis via its deep proprioceptive stimulation and simulation of lost voluntary movement.
Objective
To determine the therapeutic effect of rPMS on the functional improvement of upper limb in patients with hemiparesis following cerebrovascular insult and to compare the effect of therapy in subacute and chronic cases.
Results
Post-rehabilitation program both the Fugl-Meyer-Upper Extremity scale (FM-UE) and Functional Independence Measures (FIM) scale showed highly significant improvement in the active group, compared to controls. Regarding active range of motion (AROM) of the shoulder abductors, triceps, wrist extensors and supinators, significant differences were also found in the active group in comparison to controls. Modified Ashworth scale showed also significant change in the active group. When dividing our patients according to the duration post-stroke, into subacute group (6 weeks to 6 months post-stroke) and chronic group (more than 6-month post-stroke), the subacute group showed significant improvements in the FM-UE scale, and in the AROM of wrist extensors and supinators but not in the chronic group. Ultrasonographic measurements showed a significant decrease in cross sectional area of the control group.
Conclusion
rPMS is potentially effective in improving motor recovery post-stroke, especially in the subacute stage.
Publisher
Springer Science and Business Media LLC
Subject
General Earth and Planetary Sciences,General Environmental Science,Industrial and Manufacturing Engineering,Materials Science (miscellaneous),Business and International Management
Reference25 articles.
1. Nichols-Larsen DS, Clark PC, Zeringue A, Greenspan A, Blanton S (2005) Factors influencing stroke survivors’ quality of life during subacute recovery. Stroke 36(7):1480–1484
2. Capo-Lugo CE, Askew RL, Muldoon K, Maas M, Liotta E, Prabhakaran S et al (2020) Longer time before acute rehabilitation therapy worsens disability after intracerebral hemorrhage. Arch Phys Med Rehabil 101(5):870–876
3. Kristensen MGH, Busk H, Wienecke T (2022) Neuromuscular electrical stimulation improves activities of daily living post stroke: a systematic review and meta-analysis. Arch Rehabil Res Clin Transl 4(1):100167
4. Yang JD, Liao CD, Huang SW, Tam KW, Liou TH, Lee YH et al (2019) Effectiveness of electrical stimulation therapy in improving arm function after stroke: a systematic review and a meta-analysis of randomised controlled trials. Clin Rehabil 33(8):1286–1297
5. Kinoshita S, Ikeda K, Yasuno S, Takahashi S, Yamada N, Okuyama Y et al (2020) Dose-response of rPMS for upper Limb hemiparesis after stroke. Medicine (Baltimore) 99(24):e20752