Annals of Rehabilitation Medicine

Korean Academy of Rehabilitation Medicine (대한재활의학회)
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Effect of Combined Therapy of Robot and Low-Frequency Repetitive Transcranial Magnetic Stimulation on Hemispatial Neglect in Stroke Patients

  • Kim, Sang Beom (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine) ;
  • Lee, Kyeong Woo (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine) ;
  • Lee, Jong Hwa (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine) ;
  • Lee, Sook Joung (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine) ;
  • Park, Jin Gee (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine) ;
  • Lee, Joung Bok (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine)
  • Received : 2018.06.14
  • Accepted : 2018.08.16
  • Published : 2018.12.31
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Abstract

Objective To investigate the effect of upper limb rehabilitation combining robot with low-frequency repetitive transcranial magnetic stimulation (rTMS) on unilateral spatial neglect in stroke patients. Methods Patients who had hemispatial neglect after right hemisphere stroke were randomly divided into rTMS only group, robot only group, and combined group. All groups received conventional neglect therapy and additional treatment for each group. rTMS group received rTMS therapy. Robot group received robot therapy, while combined group received both therapies. The effect of therapy was assessed with Motor-Free Visual Perception Test-3 (MVPT-3), line bisection test, star cancellation test, Catherine Bergego Scale (CBS), Mini-Mental State Examination (MMSE), and the Korean version of Modified Barthel Index (K-MBI). These measurements were evaluated before and after treatment. Results For each group, 10 patients were recruited. There were no significant differences in baseline characteristics or initial values among the three groups. Two weeks after the therapy, all groups showed significant improvement in MVPT-3, line bisection test, star cancellation test, CBS, MMSE, and K-MBI. However, changes in measurements showed no significant differences among groups. Conclusion Treatment effect of the combined therapy of robotic therapy and low-frequency rTMS therapy for hemispatial neglect was not statistically different from that of each single treatment. Results of this study did not prove the superiority of any of the three treatments. Further study with large number of patients is needed to evaluate the superiority of these treatments.

Keywords

References

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