Stroke

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STROKE

TMS accelerates rehabilitation after a stroke or ictus.

TMS offers a new treatment to accelerate recovery in pacients who have suffered a stroke. It is a safe, non invasive and ambulatory treatment.

HOW DOES TMS WORK TO REDUCE MOTOR SEQUELAE FROM A STROKE?

Transcraneal Magnetic Stimulation or TMS has proven to be of great help in treatment for patients who have had a stroke.

TMS is FDA approved and has been supported by clinical trials Worldwide. It is applied by high level academic institutions, hospitals and leader centers around the world.

CEREBROVASCULAR ACCIDENT OR STROKE

WHAT IS A STROKE?

A stroke occurs when the flow of oxygen-rich blood is blocked from reaching parts of the brain tissue, therefore brain cells start to die after a few minutes. Sudden bleeding of the brain can also damage brain cells.

WHAT ARE THE SYMPTOMS OF A STROKE?

A Cerebrovascular Accident (CVA), or stroke, causes damage to specific brain areas. The symptoms resulting from the “brain attack” will depend on the area of the brain that was affected. The functional consequences of a stroke are directly associated with the region of the brain that was damaged. Occasionally, it is possible that the person that suffered a CVA does not even realize that he/she has suffered cerebral trauma.

Generally, a sudden development of one or more of the following signs and symptoms indicates the onset of a stroke:

  • Numbness or weakness of the face, arms, or legs – especially on one side of the body.

  • Confusion, trouble speaking or understanding.

  • Changes in vision; sudden trouble seeing in one or both eyes.

  • Severe headache with no known cause.

  • Slurred speech, inability to speak or understand speech.

  • Drooling or difficulty swallowing.

  • Loss of memory.

  • Vertigo (feeling of dizziness).

  • Loss of balance and coordination.

  • Personality changes.

  • Mood changes (depression, apathy).

  • Drowsiness, lethargy, or loss of consciousness.

  • Uncontrollable eye movements or eyelid drooping.

TMS TREATMENT FOR STOKE

HOW DOES TMS TREAT THE COGNITIVE, EMOTIONAL, AND PHYSICAL DEFICITS THAT RESULT FROM A STROKE?

TMS stimulates an unaffected area of the primary motor cortex contra-lateral to the original lesion with a magnetic field of 1 Hz. This stimulation is carried out through an “8”shaped magnetic spiral situated on top of the skull.

The magnetic fields created by the spiral, induce little magnetic impulses inside the brain that alter the activity of the neuronal mechanisms; exciting activity in this section of the brain.

TMS arouses the primary motor cortex of the unaffected region in order to reduce the intensity and excitability of the injured area and encourage transcallosal communication between the uninjured cortex and the injured cortex. Therefore this procedure contributes to cortical reorganization, motor improvement, isolation of desired movements and neuroplasticity.

Neurological rehabilitation, in conjunction with transcranial magnetic stimulation, is crucial in the recovery of motor function and physical coordination in the aftermath of a stroke. Our treatment encompasses both physical and cerebral recuperation through the use of TMS and physical therapy in our NeuroFT clinic. www.neuroft.com

HOW LONG AFTER SUFFERING A STROKE CAN TREATMENT BE CONDUCTED?

The treatment can be received soon after suffering a stroke or years later because neuroplasticity is not time dependent. Spontaneous recovery occurs during the first six months after suffering a stroke. TMS can be applied during the period of spontaneous recovery; though is difficult to attribute the improvement to TMS alone during this time.

WHAT IS THE DIFFERENCE BETWEEN TRADITIONAL REHABILITATION AND TMS?

The focus of traditional neurological rehabilitation has been oriented towards compensation and not the recovery of the individual. This is to say that that the individual is taught to use other non-effected extremities to do life’s daily activities. We find the compensatory technique is not truly beneficial to the individual. In contrast, TMS Neuro works as an additional tool to help the affected area increase its potential and maximizes its functionality.

AM I AN IDEAL CANDIDATE FOR TMS FOR STROKE?

Treatment requires an initial comprehensive assessment by our medical staff, in which they examine the current health state of each individual, analyze medications, undergo diagnostic studies (MRI, CT, etc.) and determine if this treatment is right for you.

TMS joins efforts with the patient and our team

The TMS procedure focuses on accelerating rehabilitation in patients who have lost their functional independence in daily life. Even though TMS focuses on patient attention and improvement, we can also offer assistance for their support group and coordination with their treating doctor.

The complete process which encompasses evaluation, treatment, rehab sesiones and follow up takes approximately three weeks. This treatment is ambulatory and requires approximately an hour and a half per day including TMS and rehab session.

This treatment takes ten (10) days of tms consecutive treatment and seven (7) sessions of neurological rehabilitation at NeuroFT Clinic for Neurological Rehabilitation.

RESULTS TMS FOR STROKE

WHAT IS THE RESULT OF TMS TREATMENT FOR PATIENTS THAT SUFFER FROM THE COGNITIVE, EMOTIONAL, AND PHYSICAL DEFICITS OF A STROKE?

Transcranial Magnetic Stimulation together with neurological rehabilitation can achieve a 12% to 15% improvement in motor function.

WHAT ARE THE ADVANTAGES TO TMS FOR STROKE?

The process has many distinct advantages:

  • Improves motor function in paretic limbs of patients suffering from mild or moderate motor deficit

  • Improves motor function in patients with total paralysis of the affected limb.

  • Improves muscle strength of affected muscles.

  • Improves performance and motor control of the affected extremity in activities such as: bi manuals, gait, balance and functional movements of daily life.

  • TMS is not time dependent; positive changes in motor function have been observed in patients with deficits immediately after and years after the stroke.

  • TMS is performed as an outpatient treatment without hospitalization.

  • The patient is always awake during the treatment.

  • The treatment has no significant side effects.

  • The patient can talk, listen to music or relax and sleep.

  • TMS is noninvasive; it is effective and safe.

  • The treatment does not require that the patient receive anesthesia.

  • The improvement in the patient can be very fast.