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The Effect of High Frequency Repetitive Transcranial Magnetic Stimulation on Gait Abilities in Incomplete Spinal Cord Injury Patients: A Randomized Controlled Trial

Journal of Magnetics, Volume 25, Number 2, 30 Jun 2020, Pages 301-306
Myoung Kwon Kim (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University), Si A Lee * (Department of Physical Therapy, Graduate School, Daegu University)
Abstract
This study was conducted to investigate the effects of high frequency repetitive transcranial magnetic stimulation
(rTMS) on gait abilities in incomplete spinal cord patients. 16 subjects were randomly assigned to each of 8
experimental and control groups. 20 Hz high frequency rTMS was applied to the experimental group for 20
minutes per day, 5 times a week for a total of 4 weeks and sham rTMS was applied to the control group. The
subjects were assessed for gait abilities by 10 meter walk test (10MWT), 6 minute walk test (6MWT) and community
walk test (CWT). A significant improvement in 10MWT, 6MWT and CWT was observed after intervention
in the experimental group (p < 0.05), and there was a significant improvement in all evaluation items
compared to the control group (p < 0.05). The results of this study suggest that high frequency rTMS applied to
primary motor cortex (M1) positively affects gait abilities in incomplete spinal cord injury patients.
Keywords: community ambulation; gait; high frequency repetitive transcranial magnetic stimulation; magnetic field
DOI: https://doi.org/10.4283/JMAG.2020.25.2.301
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