Annals of Rehabilitation Medicine

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"Joo Won Park"

Original Articles

Effects of Hand Training During the Aftereffect Period of Low-Frequency rTMS in Subacute Stroke Patients: Joo Won Park, Sang Beom Kim, Kyeong Woo Lee, Jong Hwa Lee, Jin Gee Park, Sook Joung Lee; Ann Rehabil Med 2018;42(4):521-527. Published online August 31, 2018; DOI: https://doi.org/10.5535/arm.2018.42.4.521

Abstract
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Objective
To investigate the effects of hand training using low-frequency repetitive transcranial magnetic stimulation (rTMS) within the aftereffect period on hand function in patients with subacute stroke.
Methods
The subacute stroke patients with hand weaknesses were divided randomly into two groups. Patients in the intervention group underwent hand training within the aftereffect period, that is, immediately after receiving low-frequency rTMS treatment. Patients in the control group underwent hand training 2 hours after the lowfrequency rTMS treatment. A manual function test (MFT) for ‘grasp and pinch’ and ‘hand activities’; a manual muscle test (MMT) for ‘grasp’, ‘release’, and ‘abductor pollicis brevis (APB)’; and the Modified Ashworth Scale for finger flexion were performed and measured before and immediately after combined therapy as well as 2 weeks after combined therapy.
Results
Thirty-two patients with hand weakness were enrolled in this study. The intervention group patients showed more improvements in grasp MMT and MMT APB tested immediately after combined therapy. However, the changes in all measurements were not significantly different between the two groups 2 weeks after the combined therapy. In both groups, hand functions improved significantly immediately after combined therapy and 2 weeks after combined therapy.
Conclusion
Hand training immediately after low-frequency rTMS showed more rapid improvement in the motor power of hands than hand training conducted 2 hours after low-frequency rTMS. Our results suggest that conducting hand training immediately after low-frequency rTMS could be an improved useful therapeutic option in subacute stroke patients.

Citations

Citations to this article as recorded by

Combined effect of repetitive transcranial magnetic stimulation and physical exercise on cortical plasticity
Ya-Wen Yang, Wen-Xiu Pan, Qing Xie
Neural Regeneration Research.2020; 15(11): 1986. CrossRef
Effect of Combined Therapy of Robot and Low-Frequency Repetitive Transcranial Magnetic Stimulation on Hemispatial Neglect in Stroke Patients
Sang Beom Kim, Kyeong Woo Lee, Jong Hwa Lee, Sook Joung Lee, Jin Gee Park, Joung Bok Lee
Annals of Rehabilitation Medicine.2018; 42(6): 788. CrossRef

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Effect of Caregiver Driven Robot-Assisted In-Ward Training in Subacute Stroke Patients: A Case Series: Sang Beom Kim, Kyeong Woo Lee, Jong Hwa Lee, Sook Joung Lee, Jin Gee Park, Joo Won Park; Ann Rehabil Med 2018;42(2):195-203. Published online April 30, 2018; DOI: https://doi.org/10.5535/arm.2018.42.2.195

Abstract
PDF

Objective

To evaluate the effect of caregiver driven robot-assisted in-ward training in subacute stroke patients.

Methods

A retrospective evaluation was performed for patients treated with caregiver driven robot-assisted in-ward training to retain gait function from June 2014 and December 2016. All patients received more than 2 weeks of caregiver driven robot-assisted in-ward training after undergoing conventional programs. The robot was used as a sitting device, a standing frame, or a high-walker depending on functional status of the patient. Patients were evaluated before and after robot training. Patient records were assessed by Korean version of Modified Barthel Index (K-MBI), Functional Independence Measure (FIM), and Functional Ambulation Category (FAC).

Results

Initially, patients used the robot as a sitting device (n=6), a standing frame (n=7), or a partial body-weight support high-walker (n=2). As patient functions were improved, usage level of the robot was changed to the next level. At the end of the treatment, the robot was used as a sitting device (n=1), a standing frame (n=6), or high-walker (n=8). Scores of K-MBI (Δ17.47±10.72) and FIM (Δ19.80±12.34) were improved in all patients.

Conclusion

Patients' usage level of the robot and functional scores were improved. Therefore, performing additional caregiver driven robot-assisted in-ward training is feasible and beneficial for subacute stroke patients.

Citations

Citations to this article as recorded by

Bilateral Prefrontal Cortex Activation During Sensorimotor Tasks in People with Subacute Stroke – An Exploratory Functional Near-Infrared Spectroscopy Study
Siying Luan, Laura K Fitzgibbin-Colllins, Sarthak Kohli, Nathan Durand, Susan Hunter, Jamie L Fleet, Ricardo Viana, Robert Teasell, Sue Peters
NeuroRehabilitation.2025; 57(3): 339. CrossRef
Gait analysis in patients with cerebral infarction and intracerebral hemorrhage walking with a body weight-supported walker
Hiroo Koshisaki, Shigeo Tanabe, Shota Nagai, Kenji Kawakami, Hiroaki Sakurai
NeuroRehabilitation: An International, Interdisciplinary Journal.2024; 55(4): 468. CrossRef
Motion path planning of soccer training auxiliary robot based on genetic algorithm in fixed-point rotation environment
Hui Ding
Journal of Ambient Intelligence and Humanized Computing.2020; 11(12): 6261. CrossRef
The impact of availability and identity of the caregiver on the post-stroke patient
Dor Vadas, Leonid Kalichman
International Journal of Therapy and Rehabilitation.2020; 27(6): 1. CrossRef