Effect of r-TMS over standard therapy in decreasing muscle tone of spastic cerebral palsy patients.

作者: Meena Gupta , Bablu Lal Rajak , Dinesh Bhatia , Arun Mukherjee

DOI: 10.3109/03091902.2016.1161854

关键词:

摘要: Spastic cerebral palsy (CP) is the one of most common neurological disorders occurring due to damage immature brain or any other lesion at time birth. To aid in making life CP patient meaningful, several interventions such as medical, surgical and rehabilitation have been employed date. Besides these, recently repetitive Transcranial magnetic stimulation (r-TMS) a new found approach which being for treating various psychological conditions. The aim this study was observe effects r-TMS on muscle spasticity patients by stimulating motor cortex area brain, responsible movements. In study, 20 subjects diagnosed with were recruited 10 each placed two groups, namely research group (RG) (mean age, height weight 7.99 (SD = 4.66) years, 116.7 23.57) cm 21.40 10.95) kg, respectively) control (CG) 8.41 4.32) 107.9 26.33) cm, 12.63) respectively). frequencies 5 Hz 10 Hz administered 15 min daily RG followed standard therapy (ST) 1 h duration days. Moreover, given only Modified Ashworth Scale (MAS) used an outcome measure determine level spasticity. A pre- assessment MAS score performed both CG prior starting therapy; similarly post-assessment after days done changes post-therapy. Statistical analysis pre vs post scores showed that few muscles reduction tightness administering ST CG. On contrary, underwent combined significant decrease (p < 0.05) all selected therapy.

参考文章(22)
I Odéen, Reduction of muscular hypertonus by long-term muscle stretch. Scandinavian Journal of Rehabilitation Medicine. ,vol. 13, pp. 93- 99 ,(1981)
Marc Sindou, George Georgoulis, Keyhole interlaminar dorsal rhizotomy for spastic diplegia in cerebral palsy Acta Neurochirurgica. ,vol. 157, pp. 1187- 1196 ,(2015) , 10.1007/S00701-015-2453-1
Ganesh Bavikatte, T. Gaber, Approach to spasticity in general practice. British Journal of Medical Practitioners. ,vol. 2, pp. 29- 34 ,(2009)
Nobuhito MOROTA, Satoshi IHARA, Hideki OGIWARA, Neurosurgical Management of Childhood Spasticity: Functional Posterior Rhizotomy and Intrathecal Baclofen Infusion Therapy. Neurologia Medico-chirurgica. ,vol. 55, pp. 624- 639 ,(2015) , 10.2176/NMC.RA.2014-0445
David C. Hemmy, Sanford J. Larson, Anthony Sances, Edward A. Millar, The effect of cerebellar stimulation on focal seizure activity and spasticity in monkeys Journal of Neurosurgery. ,vol. 46, pp. 648- 653 ,(1977) , 10.3171/JNS.1977.46.5.0648
K. Nojima, Y. Katayama, K. Iramina, Predicting rTMS effect for deciding stimulation parameters international conference of the ieee engineering in medicine and biology society. ,vol. 2013, pp. 6369- 6372 ,(2013) , 10.1109/EMBC.2013.6611011
P.M. Rossini, A.T. Barker, A. Berardelli, M.D. Caramia, G. Caruso, R.Q. Cracco, M.R. Dimitrijević, M. Hallett, Y. Katayama, C.H. Lücking, A.L. Maertens de Noordhout, C.D. Marsden, N.M.F. Murray, J.C. Rothwell, M. Swash, C. Tomberg, Non-invasive electrical and magnetic stimulation of the brain, spinal cord and roots: basic principles and procedures for routine clinical application. Report of an IFCN committee Electroencephalography and Clinical Neurophysiology. ,vol. 91, pp. 79- 92 ,(1994) , 10.1016/0013-4694(94)90029-9
M. Galarza, E. G. Fowler, L. Chipps, T. M. Padden, J. A. Lazareff, Functional assessment of children with cerebral palsy following limited (L4-S1) selective posterior rhizotomy--a preliminary report. Acta Neurochirurgica. ,vol. 143, pp. 865- 872 ,(2001) , 10.1007/S007010170016
G. Sheean, The pathophysiology of spasticity European Journal of Neurology. ,vol. 9, pp. 3- 9 ,(2002) , 10.1046/J.1468-1331.2002.0090S1003.X
Philippe A. Chouinard, Ysbrand D. Van Der Werf, Gabriel Leonard, Tomás Paus, Modulating neural networks with transcranial magnetic stimulation applied over the dorsal premotor and primary motor cortices. Journal of Neurophysiology. ,vol. 90, pp. 1071- 1083 ,(2003) , 10.1152/JN.01105.2002