Effects of rTMS combined with rPMS on stroke patients with arm paralysis after contralateral seventh cervical nerve transfer: a case-series

Figures & data

Table 1. Patient demographics.

Patient demogra phics	Gender	Age	Hemorrhage /Infarct	Lesion site	Hemiplegic side	Time from onset to operation	Time from operation to rehabilitation
#101	M	41	Hemorrhage	Right frontal and temporal lobe	Left	12 months	13 days
#102	M	40	Hemorrhage	Right basal ganglia	Left	8 months	12 days
#103	M	39	Hemorrhage	Left basal ganglia	Right	7 months	14 days
#104	F	51	Hemorrhage	Left basal ganglia	Right	10 months	12 days

Figure 1. Application of rTMS on Ml of the contralesional hemisphere (a) and rPMS, (b) on EFM.

Figure 2. Grip strength (a) and pinch strength (b) was assessed by Elink comprehensive hand function test system.

Figure 3. shows the muscle tone of EEM (a), EFM (b), WFM (c) and FD (d) before and after operation, and before and 15 days after rehabilitation. All the change trends of average MAS at four time points are decreased after surgery immediately, gradually increase till to rehabilitation, and then decrease again after rehabilitation.

Table 2. Modified Ashworth Scale of ELM, EEM, WFM and FD before operation, after operation, before rehabilitation and 15 days after rehabilitation.

Patients	EFM				EEM				WFM				FD
	T1	T2	T3	T4	T1	T2	T3	T4	T1	T2	T3	T4	T1	T2	T3	T4
#101	1.5	1	1	1	2	1	1.5	1	2	0	1.5	1.5	1.5	1	1.5	1
#102	1.5	0	1.5	1	2	1	1	1	1.5	1	1.5	1	2	1	1.5	1
#103	1.5	1	1	1	1	0	0	0	1.5	0	1	1	1.5	0	1	0
#104	2	1	1	1	3	1	1	1	1	0	0	0	2	0	1.5	1

T1 = pre-operation, T2 = post-operation, T3 = before-rehabilitation, T4 = 15 days post-rehabilitation.

Table 3. NRS, Grip strength and pinch strength before and after rehabilitation.

Patients	NRS		Grip strength (N)		Pinch strength (N)
	T3	T4^a	T3	T4^a	T3	T4^a
#101	8	6	20.8	31.6	5.1	6.9
#102	5	2	26.3	37.2	5.5	7.9
#103	4	2	29.1	40.6	4.9	7.4
#104	6	3	18.4	29.1	4.1	6.2

T3 = before-rehabilitation, T4 = 15 days post-rehabilitation.

a Significant difference between before-rehabilitation and 15 days post-rehabilitation.