Deans' stroke musings: Role of 1 and 3â€ƒHz repetitive transcranial magnetic stimulation on motor function recovery after acute ischaemic stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, August 25, 2019

Role of 1 and 3â€ƒHz repetitive transcranial magnetic stimulation on motor function recovery after acute ischaemic stroke

I see nothing here that they did any objective damage diagnosis. So none of this is repeatable and is useless for deciding who should get such rehab. But you can read the 8 pages and make your own assessment.

Role of 1 and 3â€ƒHz repetitive transcranial magnetic stimulation on motor function recovery after acute ischaemic stroke

Background and purpose: The purpose of this study was to compare the long-term eﬀect of ﬁve daily sessions of 1 vs. 3 Hz repetitive transcranial magnetic stimulation (rTMS) on motor recovery in acute stroke. Methods: A total of 36 patients with acute ischaemic stroke participated in the study. The patients were randomly assigned into one of three groups; the ﬁrst and second groups received real rTMS; 1 and 3 Hz and third group received sham stimulation, daily for 5 days. Motor disability was assessed before and after the last session, and then after ﬁrst, second and third month. Cortical excitability was assessed before and after the second and ﬁfth session. The outcome measure was clinical disability at 3 months post-rTMS. Results: No signiﬁcant diﬀerences were found in basal rating scales between the three groups. At the 3-month time point, both of the real rTMS groups had improved signiﬁcantly more in diﬀerent rating scales than the sham group; in addition, the 1 Hz group performed better than the 3 Hz group. Measures of cortical excitability immediately after the last session showed that the 1 Hz group had reduced excitability of the non-stroke hemisphere and increased excitability of the stroke hemisphere, whereas the 3 Hz group only showed increased excitability of the stroke hemisphere. Conclusion: These results conﬁrm that ﬁve daily sessions of rTMS over motor cortex using either 1 Hz over the unaﬀected hemisphere or 3 Hz over the aﬀected hemisphere can enhance recovery. At 3 months, the improvement was more pronounced in 1 Hz group.