Abstract
The objective of the present study was to compare the safety and effectiveness of navigated and non-navigated rhythmic transcranial magnetic stimulation rTMS in the patients presenting with post-stroke hemiparesis. Methods: Group 1 consisted of 31 patients with post-stroke hemiparesis treated by navigated rTMS. Thirty comparable patients treated without navigation were included in Group 2. The patients were examined 3.2±1.1 month after stroke. Their mean age was 42±10.1 years. The average NIHSS score declined from 15.9±3.5 to 10.2±3.9 in Group 1 and from 15.8±3.0 to 13.1±3.4 in Group 2 (p=0.05). The Barthel index characterizing the degree of functional independence increased from 14.5±4.4 to 25.7±6.8 in Group 1 and from 14.3±4.2 to 18.1±5.9 in Group 2 (p=0.07). Navigated rTMS should be preferred as a method for locomotor rehabilitation after stroke.
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