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Clin Case Rep. 2018 Mar 8;6(5):792-797. doi: 10.1002/ccr3.1455. eCollection 2018 May.

Video evidence of improved hand function following repetitive transcranial magnetic stimulation combined with physical therapy in stroke: a case report.

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Division of Physical Therapy and Division of Rehabilitation Science University of Minnesota Minneapolis Minnesota.
Department of Psychiatry Institute for Engineering in Medicine University of Minnesota Minneapolis Minnesota.
Department of Neurology University of Minnesota Minneapolis Minnesota.


In a 46-year-old female 6 months poststroke who presented with minimal paretic hand function, repetitive transcranial magnetic stimulation (rTMS), and exercises considerably improved her function beyond that accomplished with conventional rehabilitation. However, intermittent rTMS (2 sessions/week) was required to sustain the benefits. Research is required to determine the critical frequency of intermittent rTMS needed to sustain functional gains long term.


Case report; hand; physical therapy; repetitive transcranial magnetic stimulation; stroke

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