This is fascinating because it is applied to the non-injured hemisphere. What will it take for your doctor and hospital to create this as a stroke protocol and implement in the hospital? 20 years or more? But I do wonder exactly what damage those patients it worked on had. Would it have worked on me where most of my pre-motor cortex is dead and half my motor cortex is dead?
http://www.medpagetoday.com/MeetingCoverage/ISCNeuroEdition/44347?
Magnetic brain stimulation added to hand and arm rehabilitation after
a stroke nearly doubled the improvement in motor control, a pilot study
showed.
Upper
extremity Fugl-Meyer Score rose by nearly 15 points over 6 months after
the 6-week rehab program with transcranial magnetic stimulation compared with an improvement of about seven points with the sham stimulation group (P=0.017).
Almost
half achieved a clinically important difference of at least 4.5 points
on that measure compared with about 30% in the sham group, Richard Harvey, MD, of Northwestern University and the Rehabilitation Institute of Chicago, and colleagues found.
The
difference was even more substantial when looking only at the roughly
half of patients who didn't get further upper limb therapy after the
first month of follow-up (20% versus 50%, P<0.001), the researchers reported here at the International Stroke Conference (ISC).
The stimulation involved 1 Hz pulses to the noninjured hemisphere,
with the rationale that it would balance out cortical excitability.
"Recovery
of motor function is associated with a return to balance in the two
hemispheres," Harvey explained at the ISC session. "Balanced cortical
excitability may be necessary for appropriate motor function."
No comments:
Post a Comment