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Combined application of TMS/tDCS with intensive occupational therapy for upper limb hemiparesis

Research Project

Project/Area Number 21500493
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionJikei University School of Medicine

Principal Investigator

KAKUDA Wataru  東京慈恵会医科大学, 医学部, 講師 (00453788)

Co-Investigator(Kenkyū-buntansha) ABO Masahiro  東京慈恵会医科大学, 医学部, 教授 (00266587)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2011: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2010: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2009: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords経頭蓋磁気刺激 / 経頭蓋直流電気刺激 / 脳卒中 / 機能回復 / 上肢麻痺 / 作業療法 / 痙縮 / TMS / tDCS
Research Abstract

The main purpose of this study was to clarify the most beneficial therapeutic approach for upper limb hemiparesis after stroke among some modalities of repetitive transcranial magnetic stimulation(RTMS) and transcranial direct current stimulation(TDCS), and to investigate the clinical effect of combined application of RTMS/TDCS and intensive rehabilitative training. As a result, consecutive application of low-frequency RTMS over the non-lesional hemisphere with intensive occupational therapy was safe and seemed to have a potential to improve motor function of the affected upper limb in post-stroke patients. In addition, this combination significantly reduced abnormally increased muscle tonus of the affected upper limb, indicating the anti-spastic effect of the intervention. Unfortunately, the effect of TDCS on upper limb motor function after stroke has not been elucidated sufficiently so far, because of unexpected mechanical trouble with the device.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (27 results)

All 2012 2011 2010

All Journal Article (15 results) (of which Peer Reviewed: 6 results) Presentation (9 results) Book (3 results)

  • [Journal Article] A multi-center study on low-frequency rTMS combined with intensive occupational therapy for upper limb hemiparesis after stroke2012

    • Author(s)
      Kakuda W, Abo M, Shimizu M, Sasanuma J, Okamoto T, Yokoi A, Taguchi K, Mitani S, Harashima H, Urushidani N, Urashima M
    • Journal Title

      Journal of NeuroEngineering and Rehabilitation

      Volume: 9 Pages: 4-4

    • Related Report
      2011 Final Research Report
  • [Journal Article] Combined therapeutic application of botulinum toxin type A, lowfrequency rTMS, and intensive occupational therapy for poststroke spastic upper limb hemiparesis : A preliminary study2012

    • Author(s)
      Kakuda W, Abo M, et al
    • Journal Title

      Eur J Phys Rehabil Med

      Volume: 48 Pages: 47-55

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Application of combined 6-Hz primed low-frequency rTMS and intensive occupational therapy for upper limb hemiparesis after stroke2011

    • Author(s)
      Kakuda W, Abo M, Kobayashi K, Momosaki R, Yokoi A, Fukuda A, Umemori T
    • Journal Title

      NeuroRehabilitation

      Volume: 29 Pages: 365-371

    • Related Report
      2011 Final Research Report
  • [Journal Article] Outpatient application of repetitive transcranial magnetic stimulation and occupational therapy for upper limb hemiparesis after stroke : A pilot study2011

    • Author(s)
      Kakuda W, Abo M, Momosaki R, Yokoi A, Ito H, Ishikawa A, Taguchi K
    • Journal Title

      Jikeikai Medical Journal

      Volume: 58 Pages: 103-108

    • Related Report
      2011 Final Research Report
  • [Journal Article] Combined therapeutic application of botulinum toxin type A, low-frequency rTMS, and intensive occupational therapy for post-stroke spastic upper limb hemiparesis2011

    • Author(s)
      Kakuda W, Abo M, Momosaki R, Yokoi A, Fukuda A, Ito H, Tominaga A, Umemori T, Kameda Y
    • Journal Title

      Eur J Phys Rehabil Med

      Volume: 48 Pages: 47-55

    • Related Report
      2011 Final Research Report
  • [Journal Article] Combination treatment of low-frequency rTMS and occupational therapy with levodopa administration : an intensive neurorehabilitative approach for upper limb hemiparesis after stroke2011

    • Author(s)
      Kakuda W, Abo M, Kobayashi K, Momosaki R, Yokoi A, Fukuda A, Ito H, Tominaga A
    • Journal Title

      Int J Neurosci

      Volume: 121 Pages: 373-378

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] Anti-spastic effect of low-frequency rTMS applied with occupational therapy in post-stroke patients with upper limb hemiparesis2011

    • Author(s)
      Kakuda W, Abo M, Kobayashi K, Momosaki R, Yokoi A, Fukuda A, Ito H, Tominaga A, Umemori T, Kameda Y
    • Journal Title

      Brain Injury

      Volume: 25 Pages: 496-502

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] Baseline severity of upper limb hemiparesis influences the outcome of low-frequency rTMS combined with intensive occupational therapy in patients who have had a stroke2011

    • Author(s)
      Kakuda W, Abo M, Kobayashi K, Takagishi T, Momosaki R, Yokoi A, Fukuda A, Ito H, Tominaga A
    • Journal Title

      PMR

      Volume: 3 Pages: 516-522

    • Related Report
      2011 Final Research Report
  • [Journal Article] Anti-spastic effect of low-frequency rTMS applied with occupational therapy in post-stroke patients with upper limb hemiparesis2011

    • Author(s)
      Kakuda W, et al.
    • Journal Title

      Brain Injury

      Volume: 25巻 Pages: 496-502

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Low-frequency repetitive transcranial magnetic stimulation and intensive occupational therapy for poststroke patients with upper limb hemiparesis : preliminary study of a 15-day protocol2010

    • Author(s)
      Kakuda W, Abo M, Kobayashi K, Momosaki R, Yokoi A, Fukuda A, Ishikawa A, Ito H
    • Journal Title

      Int J Rehabil Res

      Volume: 33 Pages: 339-345

    • Related Report
      2011 Final Research Report
  • [Journal Article] Six-day course of repetitive transcranial magnetic stimulation plus occupational therapy for post-stroke patients with upper limb hemiparesis : A case series study2010

    • Author(s)
      Kakuda W, Abo M, Kaito N, Ishikawa A, Taguchi K, Yokoi A
    • Journal Title

      Disability and Rehabilitation

      Volume: 32 Pages: 801-807

    • Related Report
      2011 Final Research Report
  • [Journal Article] Low-frequency repetitive transcranial agnetic stimulation and intensive occupational therapy for poststroke patients with upper limb hemiparesis2010

    • Author(s)
      Kakuda W, et al.
    • Journal Title

      International Journal of Rehabilitation Research

      Volume: 33巻 Pages: 339-345

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Six-day course of repetitive transcranial magnetic stimulation plus occupational therapy for post-stroke patients with upper limb hemiparesis2010

    • Author(s)
      Kakuda W, et al.
    • Journal Title

      Disability and Rehabilitation

      Volume: 32巻 Pages: 801-807

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Six-day course of repetitive transcranial magnetic stimulation plus occupational therapy for post-stroke patients with upper limb hemiparesis : A case series study2010

    • Author(s)
      Kakuda W, Abo M, et al.
    • Journal Title

      Disability and Rehabilitation 32

      Pages: 801-807

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Low-frequency rTMS and intensive occupational therapy for post-stroke patients with upper limb hemiparesis : A preliminary study of 15-day protocol2010

    • Author(s)
      Kakuda W, Abo M, et al.
    • Journal Title

      International Journal of Rehabilitation Research (IN PRESS)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] 経頭蓋磁気刺激と集中的リハビリテーションの併用療法2011

    • Author(s)
      角田亘
    • Organizer
      第48回日本リハビリテーション医学会学術集会シンポジウム
    • Place of Presentation
      千葉県千葉市(招待講演)
    • Year and Date
      2011-11-02
    • Related Report
      2011 Annual Research Report
  • [Presentation] 脳卒中後上肢麻痺に対する低頻度rTMSと集中的作業療法の併用療法~上肢麻痺の重症度別の検討2011

    • Author(s)
      角田亘, 他
    • Organizer
      第36回日本脳卒中学会総会
    • Place of Presentation
      京都
    • Related Report
      2011 Final Research Report
  • [Presentation] Is the efficacy of low-frequency rTMS combined with intensive occupational therapy influenced by baseline severity of upper limb hemiparesis in post-stroke patients?2011

    • Author(s)
      Kakuda W, Abo M, Kobayashi K, Momosaki R, Yokoi A, Fukuda A, Ito H, Tominaga A
    • Organizer
      2011 International Stroke Conference
    • Place of Presentation
      Los Angeles
    • Related Report
      2011 Final Research Report 2010 Annual Research Report
  • [Presentation] Low-frequency rTMS plus intensive occupational therapy improves motor function and reduces spasticity of paretic upper limbin post-stroke patients : A pilot study.2010

    • Author(s)
      Kakuda W, Abo M, el al.
    • Organizer
      6th World Congress of Neurorehabilitation.
    • Place of Presentation
      Vienna, Austria
    • Year and Date
      2010-03-23
    • Related Report
      2009 Annual Research Report
  • [Presentation] Combination treatment of low-frequency rTMS and intensive occupational therapy for post-stroke patients with upper limb hemiparesis.2010

    • Author(s)
      Kakuda W, Abo M, et al.
    • Organizer
      2010 International Stroke Conference
    • Place of Presentation
      San Antonio, USA
    • Year and Date
      2010-02-25
    • Related Report
      2009 Annual Research Report
  • [Presentation] 脳卒中後上肢麻痺に対する外来治療としての反復性経頭蓋磁気刺激と集中的作業療法の併用療法2010

    • Author(s)
      角田亘, 他
    • Organizer
      第47回日本リハビリテーション医学会学術集会
    • Place of Presentation
      鹿児島
    • Related Report
      2011 Final Research Report
  • [Presentation] 脳卒中後上肢麻痺に対する低頻度経頭蓋磁気刺激と集中的作業療法の併用療法2010

    • Author(s)
      角田亘, 他
    • Organizer
      第35回日本脳卒中学会総会
    • Place of Presentation
      盛岡
    • Related Report
      2011 Final Research Report
  • [Presentation] Low-frequency rTMS plus intensive occupational therapy improves motor function and reduces spasticity of paretic upper limb in post-stroke patients : A pilot study2010

    • Author(s)
      Kakuda W, Abo M, Kobayashi K, Momosaki R, Yokoi A, Fukuda A, Ishikawa A, Ito H
    • Organizer
      6th World Congress of Neurorehabilitation
    • Place of Presentation
      Vienna
    • Related Report
      2011 Final Research Report
  • [Presentation] Combination treatment of low-frequency rTMS and intensive occupational therapy for post-stroke patients with upper limb hemiparesis2010

    • Author(s)
      Kakuda W, Abo M, Kobayashi K, Momosaki R, Yokoi A, Fukuda A
    • Organizer
      2010 International Stroke Conference
    • Place of Presentation
      San Antonio
    • Related Report
      2011 Final Research Report
  • [Book] 上肢麻痺および失語症に対するrTMS治療. MB Medical Rehabilitation創刊10周年記念症例から学ぶ実践脳卒中リハビリテーション2011

    • Author(s)
      角田亘、安保雅博
    • Publisher
      全日本病院出版会
    • Related Report
      2011 Final Research Report
  • [Book] MB Medical Rehabilitation創刊10周年記念症例から学ぶ実践脳卒中リハビリテーション2011

    • Author(s)
      角田亘、安保雅博
    • Total Pages
      6
    • Publisher
      全日本病院出版会
    • Related Report
      2011 Annual Research Report
  • [Book] 新たな治療手段TMSとは?他. rTMSと集中的作業療法による手指機能回復へのアプローチ2010

    • Author(s)
      角田亘
    • Publisher
      三輪書店
    • Related Report
      2011 Final Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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