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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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open access

Published: 08 July 2023

Effect of Repetitive Transcranial Magnetic Stimulation on Change in Delta Theta Alfa Beta Ratio (DTABR) and Motor Function in Ischemic Stroke Patients

Andi Kurnia Bintang, Willy Candra

Hasanuddin University

journal of social and political sciences
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doi

10.31014/aior.1994.06.03.272

Pages: 1-14

Keywords: Stroke Ischemic, Repetitive Transcranial Magnetic Stimulation, Fugl Mayer Assesment, Quantitative Electrocephalogram

Abstract

Background: Stroke is the leading cause of long-term disability worldwide. The electroencephalography (EEG) of ischemic stroke patients is a slow background and the quantitative electroencephalogram (qEEG) shows an increased delta+theta/alpha+beta ratio (DTABR). Disability can be assessed using a Fugl Mayer Motor Assessment (FMA). In this study, we will examine the effect of Repetitive transcranial magnetic stimulation (rTMS) on changes in DTABR and assess motor function improvement in ischemic stroke patients with unilateral brain lesions. Methods: Thirty patients were divided into 2 groups. The first group received standard stroke therapy and gave rTMS intervention. The second group received only standard stroke therapy. All patients recorded using a EEG recorder and the results will be converted into qEEG. All samples will also be assessed for motor function using FMA before and after the intervention. The qEEG results obtained the absolute value of the power of each brain wave which we then calculated DTABR before and after treatment. Results: There was a greater decrease in DTABR in the treatment group when compared to the control group on the EEG electrodes Cz (p=0.029), C3 (p=0.048), C4 (p=0.004), Pz (p=0.015) and total DTABR (p=0.011) and greater motor improvement in the treatment group when compared to the control group p<0.001. In the Spearman's test there is a relationship between changes in DTABR and FMA with p value = 0.001. Conclusion: There is an increase in motor function associated with a decrease in DTABR in patients with ischemic stroke with unilateral lesions after rTMS intervention

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