Affiliations: [a] Department of Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
| [b] Department of Neurology, Faculty of Medicine, Cairo University, Egypt
| [c] Department of Clinical Neurophysiology, Faculty of Medicine, Cairo University, Egypt
| [d] Department of Basic Science, Faculty of Physical Therapy, Cairo University, Egypt
Correspondence:
[*]
Address for correspondence: Engy BadrEldin Saleh Mous-tafa, PhD., Lecturer of Neuromuscular Disorders & Its Surgery, Faculty of physical Therapy, Cairo University, 7 Ahmed ELzayat St. Bien Elsarayat, Dokki, P.O. Box 11432 Giza, Egypt. Tel.: +2 02 37617691; +2 02 37617693; Fax:+2 02 37617692; E-mail: engybm.saleh@cu.edu.eg.
Abstract: BACKGROUND:Cortical reorganization between both cerebral hemispheres plays an important role in regaining the affected upper extremity motor function post-stroke. OBJECTIVES:The purpose of the current study was to investigate the recommended number of contra-lesion low frequency repetitive transcranial magnetic stimulation (LF-rTMS) sessions that could enhance cortical reorganization post-stroke. METHODS:Forty patients with right hemiparetic subacute ischemic stroke with an age range between 50–65 yrs were randomly assigned into two equal groups: control (GA) and study (GB) groups. Both groups were treated with a selected physical therapy program for the upper limb. Sham and real contra-lesion LF-rTMS was conducted for both groups daily for two consecutive weeks. Sequential changes of cortical excitability were calculated by the end of each session. RESULTS:The significant enhancement in the cortical excitability was observed at the fourth session in favor of the study group (GB). Sequential rate of change in cortical excitability was significant for the first eight sessions. From the ninth session onwards, no difference could be detected between groups. CONCLUSION:The pattern of recovery after stroke is extensive and not all factors could be controlled. Application of LF-rTMS in conjugation with a selected physical therapy program for the upper limb from four to eight sessions seems to be efficient.
Keywords: Cortical excitability, cortical reorganization, sequential changes, single pulse TMS, transcranial magnetic stimulation, upper limb motor performance.
