Effect of High Frequency Transcranial Magnetic Stimulation on Upper Extremity Motoric Function in Subacute Stroke Ischemic Patient at Dr. Soetomo General Hospital Surabaya

Abstract

: Stroke cause motoric function disturbances that can decrease quality of life. Damaged brain caused by stroke have an ability to repair itself which is called neuroplasticity. Transcranial Magnetic Stimulation (TMS) was introduced as a non-invasive tool that could stimulate damaged brain hemisphere to increase neuroplasticity. This study aimed to prove and determine the effect of Repetitive Transcranial Magnetic Stimulation (rTMS) on upper extremity motoric function in subacute stroke ischemic patient. Eighteen subjects included in inclusion criteria, divided into 2 groups, control and intervention group. Control group had conventional therapy for 5 days consecutively and intervention group had conventional therapy and rTMS for 5 days consecutively. Upper extremity motoric function was evaluated with Fugl-Meyer Assessment (FMA). It was done before and after the intervention had completed. There were increasing of FMA score in control group 53.2 to 57.4 (p=0,012) and intervention group 40.3 to 54.1 (p=0,000). The increasing of FMA score in intervention group was higher 13.7 vs 4.2 (p=0,000). Combination of conventional and TMS therapy improved upper extremity function better than single conventional therapy in subacute stroke ischemic patient.