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@# Objective To explore the effect of peripheral magnetic stimulation and repetitive transcranial magnetic stimulation (rTMS) on hand and upper limb motor function in a patient with chronic stroke. Methods A case three years after stroke accepted routine rehabilitation, meanwhile he accepted peripheral magnetic stimulation on the paralyzed (right) forearm and rTMS on bilateral sensorimotor cortex in addition, for four weeks. Results The score of Fulg-Meyer Assessment of motor function of upper limb improved after treatment, while his grade of modified Ashworth Scale reduced. Conclusion Peripheral magnetic stimulation combined with rTMS might be an effective treatment for the upper limb motor dysfunction for patients with chronic stroke.
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@#Objective To investigate the feasibility of Multi-dimensional Visual Hand Function Rehabilitation Quantitative Assessment System in the assessment of hand function for stroke patients. Methods From November, 2017 to July, 2018, 17 stroke inpatients were assessed with Fugl-Meyer Assessment-upper extremities (FMA-UE) and the Multi-dimensional Assessment System. Results The results of Multi-dimensional Assessment System positively correlated with the score of FMA-UE (r = 0.609, P = 0.010). Conclusion The Multi-dimensional Visual Hand Function Rehabilitation Quantitative Assessment System can be used to assess the hand function for stroke patients quantitatively.
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@#Objective To investigate the immediate effects of repetitive peripheral magnetic stimulation (rPMS) on upper limb spasticity and motor function for stroke patients. Methods From May to October, 2018, 14 stroke patients accepted rPMS once. They were assessed with modified Ashworth Scale (MAS) and modified Tardieu Scale (MTS) of Upper limb, and Fugl-Meyer Assessment-Upper Extremities (FMA-UE) before and after stimulation. Results The score of FMA-UE impoved (t = -3.166, P < 0.01) after rPMS, as well as those of MAS of shoulder adductors, shoulder extensors, elbow flexors, elbow extensors and wrist flexors (P < 0.05), and R1 of shoulder adductors, shoulder extensors, elbow flexors, elbow extensors and wrist flexors in MTS (P < 0.05), R2 of shoulder adductors and shoulder extensors (P < 0.05). Conclusion rPMS may immediately effect spasticity and motor function on upper limbs in stroke patients.
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Based on some physiological events and two kinds of function, assistive and rehabilitative, brain-computer interface gives re-al-time, multi-sensor feedbacks to assist hand function, modulating patients' brain signals by the closed loop proprioceptive feedback. It can improve cerebral plasticity and remodeling, that comes a novel approach to hand rehabilitaion after stroke.