Abstract
Upper extremity (UE) motor deficits lead to significant disability and dependence in individuals, poststroke. Intense physiotherapy has found to be beneficial in restoring the UE function. Repetitive Magnetic Stimulation (rPMS) is a novel therapeutic modality which aids in the rehabilitation of stroke patients. It utilizes high-intensity electromagnetic field to stimulate neuromuscular tissue which is found to be beneficial in pain management and other effects such as fracture healing, myostimulation, joint mobilization and spasticity reduction. The rPMS have found to decrease spasticity and bring about muscle balance by relaxing spastic muscles and stimulating antagonistic muscles respectively. Although rPMSis widely used all over the world, literature on the Indian population is lacking. This case report is the first from India which describes the beneficial effects of rPMS in UE rehabilitation of a post-stroke individual using BTL- 6000 Super Inductive System. Keywords: Repetitive magnetic stimulation, Upper limb rehabilitation, Stroke hemiparesis, Super inductive system, Spasticity.
Highlights
Stroke is defined as “rapidly developing clinical signs of focal disturbance of cerebral function, with symptoms lasting 24 hours or longer or leading to death, with no apparent cause other than of vascular origin”.1 It is the second leading cause of death and the third leading cause of disability around the world
It is found to be beneficial in pain management and other effects such as fracture healing, myostimulation, joint mobilization and spasticity reduction
The field applicator has a six joint arm providing precise positioning over the treatment area, with coil cooling system ensuring maximum treatment time with minimal adverse effects.it has an advantage of stimulating nerve and muscle without much skin sensory stimulation
Summary
Stroke is defined as “rapidly developing clinical signs of focal (or global) disturbance of cerebral function, with symptoms lasting 24 hours or longer or leading to death, with no apparent cause other than of vascular origin”.1 It is the second leading cause of death and the third leading cause of disability around the world. Stroke is defined as “rapidly developing clinical signs of focal (or global) disturbance of cerebral function, with symptoms lasting 24 hours or longer or leading to death, with no apparent cause other than of vascular origin”.1. It is the second leading cause of death and the third leading cause of disability around the world. Electrical stimulation, mirror therapy, modified constraintinduced movement therapy, robotics and virtual reality are administered with a view to improve UL function Among these therapies task-oriented training and mCIMT have been recommended to be used for routine therapy.[4] The ultimate aim of UL rehabilitation focuses on the reduction in disability and increase in social participation. We have shared our experience and findings when rPMS was used to treat a stroke patient in addition to regular therapy
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