The effectiveness of the Home Rehabilitation Program (HRP) after the application of Transcranial Magnetic Stimulation (TMS) post-stroke Umi Budi, Rahayu1*, Sakinah, Sakinah1, Santri Ramida2
1Department of Physiotherapy, Faculty of Health Science, Universitas Muhammadiyah Surakarta, Indonesia
2Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Yogyakarta, Indonesia
Abstract
Introduction and Objective: 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.
Methodology: RCT^s study involved 10 post-ischemic stroke 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.
Results: 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.
Discussion: 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.
Conclusion: A HRP after TMS 1 Hz application was more effective in improving the level of BDNF and motor function post-ischemic stroke.
Keywords: Upper Motor Function, Transcranial Magnetic Stimulation, Home Rehabilitation Program, Post-ischemic stroke
