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Effects of 1 Hz Low-Frequency Repetitive Transcranial Magnetic Stimulation Combined with Upper Limb Robotic Therapy on Upper Limb Function and Activities of Daily Living in Stroke Patients

Journal of Magnetics, Volume 28, Number 4, 31 Dec 2023, Pages 514-520
Byung-Il Yang (Sangji University), Bo-Kyoung Song * (Kangwon National University), Jung-Woo Jeong * (Bobath Memorial Hospital)
Abstract
This study demonstrated that upper limb robotic therapy (ULRT) combined with 1 Hz low-frequency repetitive
transcranial magnetic stimulation (LF-rTMS) improved upper limb (UL) function and activities of daily
living (ADLs) in stroke patients. 16 stroke patients were treated with 1 Hz LF-rTMS on non-affected cerebral
hemisphere, 8 in ULRT group, and 8 in the UL combined with traditional occupational therapy (ULTOT)
group. Assessment include fugl-meyer assessment (FMA), modified ashworth scale (MAS), and modified barthel
index (MBI). As a result, ULRT group showed significant differences in FMA, MAS, and MBI (p<0.05),
and ULTOT group showed significant differences in FMA and MBI in two groups (p<0.05). There were significant
differences in FMA, MAS, and MBI between two groups (p<0.05) (p<0.001). Through this, ULTOT group
and ULRT group with 1 Hz LF-rTMS helped UL function and ADLs. In particular, ULRT with 1 Hz LFrTMS
helped improve UL function and ADLs.
Keywords: 1 Hz low-frequency repetitive transcranial magnetic stimulation; stroke; robotic therapy; upper limb function; activities of daily living
DOI: https://doi.org/10.4283/JMAG.2023.28.4.514
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