The Effectiveness of the Home Rehabilitation Program (HRP) after the Application of Transcranial Magnetic Stimulation (TMS) Post-Stroke

DOI

10.2991/978-2-38476-118-0_77How to use a DOI?

Keywords

Home Rehabilitation Program; Transcranial Magnetic Stimulation; Post-Stroke

Abstract

Transcranial Magnetic Stimulation (TMS) for post-stroke patients has been shown to improve motor function in a short period, but no one has yet investigated how post-stroke rehabilitation will provide an optimal effect after additional patient Home Rehabilitation Programs (HRP) is applied. The objective of this study was to determine the efficacy of an additional HRP following TMS application in influencing plasticity and upper motor function post-stroke. RCT’s study involved 10 post-ischemic strokes divided into two groups, 5 as a treatment group who received an HRP after TMS 1 Hz and 5 as a control group who received only TMS 1 Hz. Investigate plasticity using BDNF human marker and upper motor function using the Action Research Arm Test (ARAT) and the Wolf Motor Function Test (WMFT) before and after the program was run for 7 days in a row. An independent t-test result showed that there was a significant difference in the effect of upper motor function (ARAT and WMFT) between the treatment compared to the control group with a p-value < 0.05. Increased levels average of BDNF also occurred in the treatment group. The combination of HRP after the TMS indicates a plasticity process that was in line with improved finger motor skills and hand motor function. A strong correlation between increased levels of BDNF with ARAT and WMFT. A HRP after TMS 1 Hz application was more effective in improving the level of BDNF and motor function post- ischemic stroke.

Copyright

© 2024 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Umi Budi Rahayu
AU  - Sakinah Sakinah
AU  - Santri Ramida
PY  - 2023
DA  - 2023/10/10
TI  - The Effectiveness of the Home Rehabilitation Program (HRP) after the Application of Transcranial Magnetic Stimulation (TMS) Post-Stroke
BT  - Proceedings of the 4th Borobudur International Symposium on Humanities and Social Science 2022 (BIS-HSS 2022)
PB  - Atlantis Press
SP  - 661
EP  - 671
SN  - 2352-5398
UR  - https://doi.org/10.2991/978-2-38476-118-0_77
DO  - 10.2991/978-2-38476-118-0_77
ID  - Rahayu2023
ER  -