EFFECTIFVENESS OF TRANSCRANIAL MAGNETICSTIMULATION IN REHABILITATION OF STROKE PATIENTS

Abstract

Introduction. Stroke is a major cause of disability in the worldwide and in Kazakhstan and is
resistant disadaptation.
The aim: To study the effectiveness of TMS in the rehabilitation of patients with ischemic stroke in
the early recovery period.
Methods. In an experimental randomized controlled study forty-four patients with ischemic stroke
were examined in the early recovery period.
Patients of the experimental group (n = 22 patients) received a course of rehabilitation, including
exercise therapy, physical therapy with kinesitherapy, massage, magnetic therapy, individual lessons in
the fine motor skills on the method Montessori, electrical muscle stimulation and additionally (>5Hz)
frequency TMS on unaffected and (<1Hz) on affected part of the hemisphere (in the projection of the
motor cortex and central gyrus) on the apparatus «Neuro-MS/D». NIHSS scale, Barthel Index, Rankin
Scale disability, muscle strength, the MMSE scale and the Clock "drawing" test used for evaluation the
effectiveness of treatment. Statistical analysis was performed using the Mann-Whitney test.
Results. The experimental group showed statistically significant improvements in the NIHSS scale
(p=0,026), the index Barthel (p=0,042), the modified Rankin scale (p=0,049), the strength of the hand
muscles (p=0,040), the strength of the leg muscles (p=0,021), the scale MMSE (p=0,007) and the clock
drawing test (p=0,042) after intervention. Statistically significant differences were did’t found in patients
of control group.
Conclusions: So, we found a statistically significant positive effect of TMS on motor deficit, daily
activities, and the level of cognitive disorders in patients with ischemic stroke in the Kazakh sample.