《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2019, Vol. 25 ›› Issue (5): 590-592.doi: 10.3969/j.issn.1006-9771.2019.05.017

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Repeated Transcranial Magnetic Stimulation Combined with Mirror Therapy for Upper Limb and Hand Rehabilitation after Stroke: A Case Report

YANG Yan-hui1, ZHANG Jie1, DONG Yuan-yuan1, JIA Jie1,2   

  1. 1.Shaanxi Rehabilitation Hospital, Xi’an, Shaanxi 710065, China
    2.Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Received:2018-09-06 Revised:2018-10-22 Published:2019-05-25 Online:2019-05-29
  • Contact: JIA Jie, E-mail: shannonjj@126.com

Abstract: Objective To explore the effects of repetitive transcranial magnetic stimulation (rTMS) combined with mirror therapy (MT) on upper limb and hand function after stroke.Methods A patient after right basal ganglia hemorrhage accepted intermittent routine rehabilitation for more than three months, and did not satisfy in upper limb and hand function recovery. Then, he accepted rTMS combined with MT for six weeks. He was assessed with Brunnstrom stage, Fugl-Meyer Assessment, limb function evaluation of hemiplegia, modified Ashworth Scale, modified Barthel Index, Minnesota Rate of Manipulation Test and Jebsen Hand Function Test before and after treatment. Results The patient improved in motor function, Minnesota Rate of Manipulation Test and Jebsen Hand Function Test, with spasm relief after treatment. Conclusion rTMS combined with MT can be applied for rehabilitation of upper limbs and hands after stroke.

Key words: stroke, repetitive transcranial magnetic stimulation, mirror therapy, hands, upper limbs

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