Peripheral magnetic theta burst stimulation to muscles can effectively reduce spasticity: a randomized controlled trial.
- Resource Type
- Academic Journal
- Authors
- El Nahas N; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.; Kenawy FF; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt. fatma.fathalla@med.asu.edu.eg.; Abd Eldayem EH; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.; Roushdy TM; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.; Helmy SM; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.; Akl AZ; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.; Ashour AA; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.; Emara TH; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.; Moawad MM; Neurology Specialist, Ministry of Health, Cairo, Egypt.; Amin RM; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.; Elbokl AM; Ain Shams Neuromodulation Research Lab, Neurology Department, Faculty of Medicine, Ain Shams University, P. O. Box 1159, Cairo, Egypt.
- Source
- Publisher: BioMed Central Country of Publication: England NLM ID: 101232233 Publication Model: Electronic Cited Medium: Internet ISSN: 1743-0003 (Electronic) Linking ISSN: 17430003 NLM ISO Abbreviation: J Neuroeng Rehabil Subsets: MEDLINE
- Subject
- Language
- English
Background: Spasticity is a common complication of many neurological diseases and despite contributing much disability; the available therapeutic options are limited. Peripheral magnetic stimulation is one promising option. In this study, we investigated whether peripheral intermittent theta burst stimulation (piTBS) will reduce spasticity when applied directly on spastic muscles.
Methods: In this sham-controlled study, eight successive sessions of piTBS were applied directly to spastic muscles with supra threshold intensity. Assessment was done by modified Ashworth scale (mAS) and estimated Botulinum toxin dose (eBTD) at baseline and after the 8th session in both active and sham groups.
Results: A total of 120 spastic muscles of 36 patients were included in the analysis. Significant reduction of mAS and eBTD was found in the active compared to sham group (p < 0.001). The difference in mAS was also significant when tested in upper limb and lower limb subgroups. The degree of reduction in mAS was positively correlated with the baseline scores in the active group.
Conclusion: piTBS could be a promising method to reduce spasticity and eBTD. It consumes less time than standard high frequency protocols without compromising treatment efficacy.
Trial Registration: Clinical trial registry number: PACTR202009622405087. Retrospectively Registered 14th September, 2020.
(© 2022. The Author(s).)