If this really worked, where is the EXACT PROTOCOL located so survivors can find it and deliver it to their doctor and therapists? It's been proven many times that no one in the stroke medical 'profession' keeps current with stroke research!
Testing spasticity mechanisms in chronic stroke before and after intervention with contralesional motor cortex 1 Hz rTMS and physiotherapy
Journal of NeuroEngineering and Rehabilitation. Volume 20(150)
NARIC Accession Number: J93169. What's this?
Author(s): Mahmoud, Wala, Hultborn, Hans, Zuluaga, Jagoba, Zrenner, Christoph, Zrenner, Brigitte, Ziemann, Ulf, Ramos‑Murguialday, Ander.
Publication Year: 2023.
Abstract: Study examined the effects of an intervention combining repetitive transcranial magnetic stimulation (rTMS) and physiotherapy on spasticity of the wrist flexors in chronic stroke patients. The effects of 1 Hz rTMS in combination with 50 minutes of physiotherapy, 3 times a week for 4 to 6 weeks on spasticity of the wrist flexor muscles was measured in 54 chronic stroke patients using a hand-held dynamometer for objective quantification of the stretch reflex response. In addition, researchers measured the excitability of three spinal mechanisms thought to be related to post-stroke spasticity: post-activation depression, presynaptic inhibition and reciprocal inhibition before and after the intervention. Effects on motor impairment and function were also assessed using standardized stroke-specific clinical scales. The stretch reflex-mediated torque in the wrist flexors was significantly reduced after the intervention, while no change was detected in the passive stiffness. Additionally, there was a significant improvement in the clinical tests of motor impairment and function. There were no significant changes in the excitability of any of the measured spinal mechanisms. This study demonstrated that contralesional motor cortex 1 Hz rTMS and physiotherapy can reduce the stretch reflex-mediated component of resistance to muscle stretch without affecting passive stiffness in chronic stroke. The specific physiological mechanisms driving this spasticity reduction remain unresolved, as no changes were observed in the excitability of the investigated spinal mechanisms.
Descriptor Terms: BRAIN, ELECTRICAL STIMULATION, INTERVENTION, MOTOR SKILLS, MUSCLES, NEUROMUSCULAR DISORDERS, PHYSICAL THERAPY, SPASTICITY, STROKE.
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Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01275-9(link is external).
Citation: Mahmoud, Wala, Hultborn, Hans, Zuluaga, Jagoba, Zrenner, Christoph, Zrenner, Brigitte, Ziemann, Ulf, Ramos‑Murguialday, Ander. (2023.) Testing spasticity mechanisms in chronic stroke before and after intervention with contralesional motor cortex 1 Hz rTMS and physiotherapy. Journal of NeuroEngineering and Rehabilitation., 20(150) Retrieved 1/30/2024, from REHABDATA database.
NARIC Accession Number: J93169. What's this?
Author(s): Mahmoud, Wala, Hultborn, Hans, Zuluaga, Jagoba, Zrenner, Christoph, Zrenner, Brigitte, Ziemann, Ulf, Ramos‑Murguialday, Ander.
Publication Year: 2023.
Abstract: Study examined the effects of an intervention combining repetitive transcranial magnetic stimulation (rTMS) and physiotherapy on spasticity of the wrist flexors in chronic stroke patients. The effects of 1 Hz rTMS in combination with 50 minutes of physiotherapy, 3 times a week for 4 to 6 weeks on spasticity of the wrist flexor muscles was measured in 54 chronic stroke patients using a hand-held dynamometer for objective quantification of the stretch reflex response. In addition, researchers measured the excitability of three spinal mechanisms thought to be related to post-stroke spasticity: post-activation depression, presynaptic inhibition and reciprocal inhibition before and after the intervention. Effects on motor impairment and function were also assessed using standardized stroke-specific clinical scales. The stretch reflex-mediated torque in the wrist flexors was significantly reduced after the intervention, while no change was detected in the passive stiffness. Additionally, there was a significant improvement in the clinical tests of motor impairment and function. There were no significant changes in the excitability of any of the measured spinal mechanisms. This study demonstrated that contralesional motor cortex 1 Hz rTMS and physiotherapy can reduce the stretch reflex-mediated component of resistance to muscle stretch without affecting passive stiffness in chronic stroke. The specific physiological mechanisms driving this spasticity reduction remain unresolved, as no changes were observed in the excitability of the investigated spinal mechanisms.
Descriptor Terms: BRAIN, ELECTRICAL STIMULATION, INTERVENTION, MOTOR SKILLS, MUSCLES, NEUROMUSCULAR DISORDERS, PHYSICAL THERAPY, SPASTICITY, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Request Information.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01275-9(link is external).
Citation: Mahmoud, Wala, Hultborn, Hans, Zuluaga, Jagoba, Zrenner, Christoph, Zrenner, Brigitte, Ziemann, Ulf, Ramos‑Murguialday, Ander. (2023.) Testing spasticity mechanisms in chronic stroke before and after intervention with contralesional motor cortex 1 Hz rTMS and physiotherapy. Journal of NeuroEngineering and Rehabilitation., 20(150) Retrieved 1/30/2024, from REHABDATA database.
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