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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background : The prognostic application of transcranial magnetic stimulation (TMS) for assessing motor and functional recovery in stroke patients has yielded controversial results, largely because of heterogeneous inclusion criteria. Methods : Sixteen acute stroke patients (12 lacunar infarct, 4 cortical infarct) with motor deficit (Medical Research Council (MRC) Scale ≤3) were prospectively studied in the first week after stroke and evaluated by clinical scales (MRC Scale, modified Rankin Scale, NIH Stroke Scale), with 3-week follow-up. TMS was performed within 1 week after stroke, recording the motor evoked potential (MEP) in the first dorsal interossei (FDI) and abductor hallucis (AH). Results : Overall, the presence of MEP was associated with better motor recovery in both FDI and AH. This was consistent in the subgroup analysis with initially paralyzed limb. The patients with the presence of MEP in either FDI or AH had better functional recovery than those without. This was also significant in the subgroup analysis with lacunar infarct. Conclusions : MEP obtained by early TMS in acute stroke patients with motor deficit may be a useful prognostic indicator of motor and functional recovery, even after adjustment of initial weakness and lesion location. Korean Journal of Stroke 2000;2 (1): 57~61
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