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ISSN: 1935-1232 (P)

ISSN: 1941-2010 (E)

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Abstract

Effect of repetitive Transcranial Magnetic Stimulation in Decreasing Muscle Tone of Spastic Hemiplegic Children: A Randomized Controlled Trial
Author(s): Mohamed Serag Eldein Mahgoub*, Wagdy William Amin Younan, Nadia Mohamed Abd Elhakiem, Mina Nashat Halim Farag, Emad Makram Ghattas and Tamer Mohamed El-Saeed

Background: Brain spastic paralysis (cp) is one of the most frequent neurologic turmoil due to immature cerebral injury or any other harm to the birth brain. Many therapies have been employed to make life meaningful for the CP patient, for example, medical, surgical, and rehabilitation treatment. More recently, Repetitive Transcranial Magnetic Stimulus (R-TMS) has developed as a new, established technique for treating distinct neurological and psychiatric issues.

Objective: investigate the efficacy of r-TMS on muscle spasticity in CP children by stimulating the brain's motor cortex area responsible for muscle movements.

Methods: Thirty spastic hemiplegic paralytic cerebral children aged between 7-14 years were recruited randomly, assigned to two groups from an extensive rehabilitation institution (15 children each). Standard therapy 1 h duration for 4 weeks (5 days per week) was undertaken for the Control Group (CG), while the Study Group (SG) underwent Repetitive Transcranial Magnetic Stimulation (r-TMS). A frequency of 10 Hz was given, consisting of 1,500 pulses for 15 minutes daily for 20 days remedy blended with standard therapy.

Main outcome measures: 3D kinematics gait evaluation was performed at the baseline and after the intervention to provide indicators for improving and reducing spasticity.

Results: The study group has been improved statistically significantly as compared with the control group.

Conclusion: r-TMS is a proper supplemental physical treatment method for hemiparetic CP children because it essentially contributes to reducing spasticity and enhancing patient walking patterns.