EFFECTIFVENESS OF TRANSCRANIAL MAGNETIC STIMULATION IN REHABILITATION OF STROKE PATIENTS
Introduction. Stroke is a major cause of disability in the worldwide and in Kazakhstan and is resistant disadaptation.
The aim: To study the effectiveness of TMS in the rehabilitation of patients with ischemic stroke in the early recovery period.
Methods. In an experimental randomized controlled study forty-four patients with ischemic stroke were examined in the early recovery period.
Patients of the experimental group (n = 22 patients) received a course of rehabilitation, including exercise therapy, physical therapy with kinesitherapy, massage, magnetic therapy, individual lessons in the fine motor skills on the method Montessori, electrical muscle stimulation and additionally (>5Hz) frequency TMS on unaffected and (<1Hz) on affected part of the hemisphere (in the projection of the motor cortex and central gyrus) on the apparatus «Neuro-MS/D». NIHSS scale, Barthel Index, Rankin Scale disability, muscle strength, the MMSE scale and the Clock "drawing" test used for evaluation the effectiveness of treatment. Statistical analysis was performed using the Mann-Whitney test.
Results. The experimental group showed statistically significant improvements in the NIHSS scale (p=0,026), the index Barthel (p=0,042), the modified Rankin scale (p=0,049), the strength of the hand muscles (p=0,040), the strength of the leg muscles (p=0,021), the scale MMSE (p=0,007) and the clock drawing test (p=0,042) after intervention. Statistically significant differences were did’t found in patients of control group.
Conclusions: So, we found a statistically significant positive effect of TMS on motor deficit, daily activities, and the level of cognitive disorders in patients with ischemic stroke in the Kazakh sample.
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Акимжанова А.К., Гржибовский A.М., Хайбуллин Т.Н., Изатуллаева Н.С., Гордиенко М.И., Акимжанов К.Д. Эффективность транскраниальной магнитной стимуляции в реабилитации пациентов с мозговым инсультом / / Наука и Здравоохранение. 2016. №4. С. 50-65. Akimzhanova A.K., Grjibovski A.M., Khaibullin T.N., Izatullayeva N.S., Gordienko M.I., Akimzhanov K.D. Effectifveness of transcranial magnetic stimulation in rehabilitation of stroke patients. Nauka i Zdravookhranenie [Science & Healthcare]. 2016, 4, pp. 50-65. Әкімжанова Ә.Қ., Гржибовский A.М., Хайбуллин Т.Н., Изатуллаева Н.С., Гордиенко М.И., Әкімжанов Қ.Д. Ми инсульті болған науқастардың қалпына келтіру кезінде транскраниальді магнитті стимуляцияның тиімділігі / / Ғылым және Денсаулық сақтау. 2016. №4. Б. 50-65.Related publications:
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