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2005 Fiscal Year Final Research Report Summary

Intensive repetition of facilitation exercise and transcranial magnetic stimulation promotes motor functional recovery of the hemiplegic limb.

Research Project

Project/Area Number 16500345
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionKagoshima University

Principal Investigator

ETHO Seiji  Kagoshima University, Medical and Dental Hospital, Assistant Professor, 医学部・歯学部附属病院, 講師 (70295244)

Co-Investigator(Kenkyū-buntansha) KAWAHIRA Kazumi  Kagoshima University, Graduate School of Medical and Dental Sciences, Professor, 大学院・医歯学総合研究科, 教授 (20117493)
SHIMODOZONO Megumi  Kagoshima University, Medical and Dental Hospital, Research Associate, 医学部・歯学部附属病院, 助手 (30325782)
TANAKA Nobuyuki  Kagoshima University, Emeritus Professor, 名誉教授 (40041454)
Project Period (FY) 2004 – 2005
Keywordsfacilitation exercise / transcranial magnetic stimulation / hemiplegia / stroke
Research Abstract

We combined the intensive repetition movements and the transcranial magnetic stimulation (TMS) to improve voluntary movement of a hemiplegic limb in patients with stroke. The subjects were 7 patients with hemiplegic. The Intensive repetition of voluntary movement of hemiplegic upper limbs elicited by facilitation techniques (IRT) sessions consisted of 3 kind of specific exercise patterns for the hemiplegic upper limb selected from among 7 specific exercise patterns to promote motor functional recovery of the hemiplegic upper limb. The exercise was performed with the assistance of a occupational therapist or physician was repeated 500 times a day (5 days a week). 8 specific exercise pattern were 1) shoulder flexion, 2) shoulder flexion, adduction, external rotation-extension, abduction, internal rotation pattern, 3) elbow extension, 4) pronation-supination, 5) extension of fingers, 6) thumb abduction, 7) index finger or middle finger extension. The patient moved hemiplegic upper limb or shoulders or fingers with TMS simultaneously. The patients were instructed to concentrate their visual attention on their lower limb movements and to make submaximal effort to avoid strong contraction of non-targeted muscles. STEF(Simple Test for Evaluation of hand Function), Ueda's grade (function of upper limb ), Brunnstrom stage (function of fingers) were used for evaluation of functional recovery. STEF or Brunnstrom stage were improved during training combined IRT and TMS. Further research using a randomized control study is needed to better define the effect of training combined IRT with TMS.

  • Research Products

    (4 results)

All 2005

All Journal Article (3 results) Book (1 results)

  • [Journal Article] 脳卒中麻痺肢への促通手技に経頭蓋磁気刺激を併用した一例2005

    • Author(s)
      衛藤誠二, 川平和美, 松元秀次, 石川聖子
    • Journal Title

      鹿児島リハビリテーション医学研究会会誌 16(1)

      Pages: 25-27

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] A stroke patient with intensive repetition of facilitation exercise and transcranial magnetic stimulation for motor functional recovery of the hemiplegic limb.2005

    • Author(s)
      Seiji Etoh, Kazumi Kawahira, Shuji Matsumoto, Seiko Ishikawa
    • Journal Title

      Journal of Rehabilitation Medicine in Kagoshima 16(1)

      Pages: 25-27

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Brain plasticity for motor functional recovery of the hemiplegic limb.2005

    • Author(s)
      Seiji Etoh, Kazumi Kawahira, Katsuya Kamata
    • Journal Title

      New current of Rehabilitation Medicine. Terada International Office.

    • Description
      「研究成果報告書概要(欧文)」より
  • [Book] 脳の可塑性と脳卒中片麻痺治療への応用、先端医療シリーズ36、リハビリテーション医学の新しい流れ(里宇明元, 才藤栄一, 出江伸一編集),pp58-612005

    • Author(s)
      衛藤誠二, 川平和美, 鎌田克也
    • Total Pages
      528
    • Publisher
      寺田国際事務所/先端医療技術研究所
    • Description
      「研究成果報告書概要(和文)」より

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Published: 2008-05-27  

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