[The efficacy of transcranial magnetic stimulation in acute ischemic stroke]. / Effektivnost' transkranial'noi magnitnoi stimulyatsii v ostrom periode ishemicheskogo insul'ta.

OBJECTIVE: To study an effect of the course treatment with transcranial magnetic stimulation (TMS) on cognitive functions, movement deficit, daily activity and cerebral hemodynamics in the acute ischemic stroke. MATERIAL AND METHODS: Ninety-two patients, including 32 patients treated with TMS (the main group), 30 patients who received placebo (comparison group 1) and 30 patients who received low intensity magnetic stimulation and basic complex therapy during 10 days once a day (the comparison group 2), were examined. RESULTS AND CONCLUSION: A significant improvement of cognitive processes, restoration of motor functions, increase in daily activities, normalization of the cerebral hemodynamics were observed. Based on these RESULTS: the inclusion of TMS in the complex rehabilitation system of post-stroke patients is recommended.

[The effectiveness of early rehabilitation of the patients presenting with ischemic stroke].

In this paper we evaluate the clinical effectiveness of rehabilitation of 92 patients who survived after acute ischemic stroke and received the combined treatment with the use of transcranial magnetic stimulation (the study group, n=32). The first control group (n=30) included the patients given transcranial magnetic stimulation in the function of placebo (n=30) and the second control group was comprised of the patients who received low-frequency magnetic therapy (n=30). The course of transcranial magnetic stimulation (TMS) resulted in the significant regression of the locomotor deficiency in the patients of the study group compared with those in both control groups (χ2>3,8). In addition, a significant decrease in anxiety and depression was documented in the patients of the study group. Dynamics of these characteristics in the patients of the control groups group was significantly less pronounced (χ2>3,8). The well apparent improvement of the cognitive function evaluated with the help of the MMSE test was observed in the patients of the study group and control group 2, but this effect of transcranial magnetic stimulation was significantly more pronounced than that of low-frequency magnetic therapy (χ2>3,8). Transcranial magnetic stimulation significantly normalized cerebral hemodynamics on the side of the stroke-affected hemisphere and improved the daily activities of the patients. Studying the long-term results within 6 months after the onset of rehabilitation in the hospital environment, most patients rated their health with improving. The evaluation of long-term results of the treatment during the 6 month rehabilitation period demonstrated that the majority of the patients reported the marked improvement of their health status.