Effects of Combined Repetitive Peripheral Magnetic Stimulation and Occupational Therapy on Upper Limb Paresis and ADL in a Chronic Infarct Patient：A Case Report / The Japanese Journal of Rehabilitation Medicine

ABSTRACT

The lack of a definitive approach for improving severe upper extremity (UE) paresis after stroke makes it difficult to achieve full recovery. Thus, we investigated the effects of repetitive peripheral magnetic stimulation (rPMS) on UE paresis and activities of daily living in the chronic phase of stroke. We present the case of a 65-year-old female patient who developed right UE paresis 6 years after stroke. She received 20 min of rPMS per session on her affected UE prior to the standard care. She underwent a total of nine rPMS sessions in 3 months. Outcome measures included UE motor section of the Fugl-Meyer Motor Assessment scale，Wolf Motor Function Test, and Box and Block Test. All measurements have improved. After the intervention, she used the affected UE more frequently and positively in her daily life than she did prior to the intervention. The outcomes of the case demonstrate the benefits of rPMS for UE paresis even in the chronic phase of stroke, with shorter duration and lower dose of intervention.