Takeuchi Naoyuki, Toshima Masahiko, Chuma Takayo, Matsuo Yuichiro, Ikoma Katsunori
Department of Rehabilitation Medicine, Hospital of Hokkaido University, Sapporo, Japan.
Am J Phys Med Rehabil. 2008 Jan;87(1):74-7. doi: 10.1097/PHM.0b013e31815e7055.
We present a case report of a 56-yr-old chronic stroke patient with right hemiparesis who was treated with repetitive transcranial magnetic stimulation (rTMS) therapy. Before stroke, the patient had suffered an accident that led to paralysis and contracture of the left upper limb, and, subsequently, he was forced to use only his right upper limb for routine activities, despite right hemiparesis. We performed subthreshold rTMS (1 Hz, 25 mins) and sham stimulation of the contralesional primary motor cortex (M1) at different times. Immediately after rTMS, the patient was able to write characters with increased speed and accuracy, and this effect continued for more than 7 days; however, this was not the case after sham stimulation. Moreover, the writing practice after rTMS improved the patient's pinch force.
我们报告一例56岁慢性中风患者，右侧偏瘫，接受重复经颅磁刺激（rTMS）治疗。中风前，患者曾遭遇事故，导致左上肢瘫痪和挛缩，随后，尽管右侧偏瘫，他被迫仅用右上肢进行日常活动。我们在不同时间对患侧初级运动皮层（M1）进行阈下rTMS（1赫兹，25分钟）和假刺激。rTMS后，患者能够以更快的速度和更高的准确性书写字符，且这种效果持续超过7天；然而，假刺激后并非如此。此外，rTMS后的书写练习提高了患者的捏力。
