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Factors related to the effects of repeated transcranial magnetic stimulation and occupational therapy in patients with chronic stroke upper limb paralysis: An investigation into the improvement of upper limb function 1 month after discharge Masanori Maeda 1 , Yusuke Maekawa 1 , Yumi Toya 1 , Satoshi Katai 2 , Hitoshi Mutai 3 1Department of Occupational Therapy, JA Nagano Koseiren Kakeyu-Misayama Rehabilitation Center Kakeyu Hospital 2Department of Neurology, JA Nagano Koseiren Kakeyu-Misayama Rehabilitation Center Kakeyu Hospital 3Department of Medical Sciences, Graduate School of Medicine, Shinshu University Keyword: 脳卒中 , 上肢麻痺 , 予後予測 , 反復性経頭蓋磁気刺激 , 作業療法 , Stroke , Upper limb paralysis , Prognosis prediction , Repetitive transcranial magnetic stimulation , Occupational therapy pp.415-423
Published Date 2021/8/15
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 We carried out 2 weeks of repetitive transcranial magnetic stimulation and occupational therapy on chronic stroke patients with upper limb paralysis. The results showed a significant reduction in upper limb paralysis and an increase in frequency of use of the paralyzed side of the upper limb one month after the intervention. Factors associated with the Minimal Clinically Important Difference one month after the intervention were moderate pre-intervention paralysis and left-side paralysis in FMA, and low muscle tone in Motor Activity Log-Quality of movement. These results suggest that in the case of non-dominant moderate upper limb paralysis, it may be useful to increase the weight of interventions to reduce the paralysis, to pay attention to the degree of muscle tension in the fingers, and to provide interventions and guidance after the completion of interventions to reduce paralysis.


Copyright © 2021, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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