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Clinics and Practice
Volume 2
Issue 4
10.4081/cp.2012.e89
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

The Effects of High-Frequency Transcranial Magnetic Stimulation Combined with Transcutaneous Electrical Stimulation in a Severe Stroke Patient

by
Soichiro Koyama
1,
Shigeo Tanabe
1,*,
Kazuya Takeda
1,
Hiroaki Warashina
1,
Hiroaki Sakurai
2,
Yoshikiyo Kanada
2,
Ryuji Okumura
1,
Jun Shinoda
3,
Junji Nagata
1 and
Tetsuo Kanno
4
1
Department of Rehabilitation, Kawamura Hospital, Japan
2
Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Japan
3
Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine; Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, Japan
4
Department of Neurosurgical, Kawamura Hospital, Japan
*
Author to whom correspondence should be addressed.
Clin. Pract. 2012, 2(4), e89; https://doi.org/10.4081/cp.2012.e89
Submission received: 24 September 2012 / Revised: 29 October 2012 / Accepted: 13 November 2012 / Published: 18 December 2012

Abstract

The case report describes the effects of 5 Hz repetitive transcranial magnetic stimulation (rTMS) combined with transcutaneous electrical stimulation (TES) in a patient with severe stroke. The patient was a 69-year-old male who was affected by a left middle cerebral artery infarction. The patient had no movement in his right hand. To assess the effects, cerebral blood flow and motor function were measured before and after treatment. This treatment delivered rTMS over the affected M1 with TES at the paretic wrist extensor muscles for 10 days. The regional cerebral blood flow (rCBF) in the entire brain was measured by positronemission tomography. To evaluate the motor function, the Fugl-Meyer assessment (FMA) was used. After treatment, the rCBF was increased (except for the stimulated region), and the FMA score was slightly improved. These results suggest the potential therapeutic use of rTMS combined with TES for recovery in severe stroke.
Keywords: repetitive transcranial magnetic stimulation; transcutaneous electrical stimulation; positron-emission tomography; severely chronic stroke repetitive transcranial magnetic stimulation; transcutaneous electrical stimulation; positron-emission tomography; severely chronic stroke

Share and Cite

MDPI and ACS Style

Koyama, S.; Tanabe, S.; Takeda, K.; Warashina, H.; Sakurai, H.; Kanada, Y.; Okumura, R.; Shinoda, J.; Nagata, J.; Kanno, T. The Effects of High-Frequency Transcranial Magnetic Stimulation Combined with Transcutaneous Electrical Stimulation in a Severe Stroke Patient. Clin. Pract. 2012, 2, e89. https://doi.org/10.4081/cp.2012.e89

AMA Style

Koyama S, Tanabe S, Takeda K, Warashina H, Sakurai H, Kanada Y, Okumura R, Shinoda J, Nagata J, Kanno T. The Effects of High-Frequency Transcranial Magnetic Stimulation Combined with Transcutaneous Electrical Stimulation in a Severe Stroke Patient. Clinics and Practice. 2012; 2(4):e89. https://doi.org/10.4081/cp.2012.e89

Chicago/Turabian Style

Koyama, Soichiro, Shigeo Tanabe, Kazuya Takeda, Hiroaki Warashina, Hiroaki Sakurai, Yoshikiyo Kanada, Ryuji Okumura, Jun Shinoda, Junji Nagata, and Tetsuo Kanno. 2012. "The Effects of High-Frequency Transcranial Magnetic Stimulation Combined with Transcutaneous Electrical Stimulation in a Severe Stroke Patient" Clinics and Practice 2, no. 4: e89. https://doi.org/10.4081/cp.2012.e89

APA Style

Koyama, S., Tanabe, S., Takeda, K., Warashina, H., Sakurai, H., Kanada, Y., Okumura, R., Shinoda, J., Nagata, J., & Kanno, T. (2012). The Effects of High-Frequency Transcranial Magnetic Stimulation Combined with Transcutaneous Electrical Stimulation in a Severe Stroke Patient. Clinics and Practice, 2(4), e89. https://doi.org/10.4081/cp.2012.e89

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