Repetitive Transcranial Magnetic Stimulation Combined With Bimanual Therapy for Upper Limb Stroke Rehabilitation

Korábbi kezelés

• Currently using medications that lower the seizure threshold;
• Subjects taking antidepressants who cannot discontinue the medication;

Más betegség

• A history of epilepsy or family history of epilepsy;
• Co-existing neurological diseases (such as multiple sclerosis, other neurodegenerative diseases, meningitis, brain abscess, or meningioma);
• Subjects with sleep disorders during rTMS treatment;
• Subjects with cerebellar stroke or brainstem stroke;
• Cerebral ischemic disorders resulting from traumatic brain injury;
• History of bleeding tendency and other conditions affecting upper limb function, such as myasthenia gravis, systemic immune neuropathy, severe epilepsy, endocrine system disorders, wearers of external or internal cardiac pacemakers, individuals with metallic implants or orthopedic devices;
• Co-existing severe heart, liver, kidney dysfunction, or other serious physical illnesses;
• Subjects with impaired consciousness who cannot cooperate with examinations or treatments, such as those with mental disorders, or those with intellectual or cognitive impairments, severe dementia;
• Co-existing severe liver, kidney, or hematological disorders;
• Skin disease (e.g., pressure ulcers, trauma, cellulitis, etc.).

Egyéb

• Presence of suicidal tendencies;
• Pregnant or planning to become pregnant;
• Subjects with uncontrollable migraines caused by elevated intracranial pressure;
• Transient ischemic attacks (TIAs);
• Presence of implanted electronic devices in the body;
• Special vulnerable populations;

• Age 40-80 years;
• First-onset stroke patients;
• Patients diagnosed with cerebral infarction or hemorrhage through CT or MRI;
• Signed informed consent form by the patient and their family;
• Stable physiological parameters;
• Stroke occurred within the last 12 months;
• Patients with unilateral hand function impairment caused by the stroke;
• Upper limb muscle tone (Modified Ashworth Scale, MAS) less than 3 points;
• Able to follow two-step commands.