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Does Repetitive Transcranial Magnetic Stimulation (Rtms) Have Therapeutic Effects on Dynamic Balance of Children With Cerebral Palsy? ∗ Publisher Pubmed



Dadashi F1 ; Lotfian M1 ; Rafieenazari Z2 ; Shahroki A3 ; Irani A4 ; Mirbagheri A5 ; Mirbagheri MM1
Authors
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Authors Affiliations
  1. 1. Department of Medical Physics and Biomedical Engineering, Tehran University of Medical Sciences and Neuralengineering Research Center, Noorafshar Hospital, Tehran, Iran
  2. 2. Department of Physics of Shahid Beheshti, University and Djavad Mowafaghian Research Center for Intelligent NeuroRehabilitation Technologies, Iran
  3. 3. Noorafshar Hospital, Tehran University of Medical Sciences and Neuralengineering Research Center, Tehran, Iran
  4. 4. Department of Occupational Therapy, Faculty of Rehabilitation, Shahid Beheshti University of Medical Sciences Health Services, Tehran, Iran
  5. 5. Department of Medical Physics and Biomedical Engineering at School of Medicine, Co-affiliated with the Research Center for Biomedical Technologies and Robotics (RCBTR), Tehran University of Medical Sciences (TUMS), Tehran, Iran

Source: Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society# EMBS Published:2019


Abstract

Our big goal in this research was to evaluate the therapeutic effects of repetitive Transcranial Magnetic Stimulation (rTMS) on cerebral palsy (CP) children with balance deficits. Four spastic hemiplegic CP children were participated; the experimental group received rTMS training 4 days a week for 3 weeks and then for the next 3 weeks they received typical occupational therapy just after rTMS therapy. The control group received placebo rTMS instead of real one accordingly. Their dynamic balance was evaluated before the start of the treatment and 6 weeks after it. Center of pressure (COP) and center of mass (COM) features were regarded as dynamic balance parameters. Our results showed that the peak to peak of COP, COM, COM-COP, COM-COP inclination angles all improved for both experimental (15-86%) and control group patients, though there was less improvement about 8-46% in features of the control patients. Our results demonstrate that intensive sessions of the rTMS training could have the potential to enhance the therapeutic effects of typical occupational therapy that can produce dynamic balance improvements in CP children compared to using the occupational therapy by itself. © 2019 IEEE.
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