Transcranial Stimulation (TCS) P-TS001. Motor evoke potential assessment in post stroke rehabilitation with add on acupuncture or Malay massage therapy using trans-magnetic stimulation (TMS) on cortical region of brain

• Published in: Clinical neurophysiology 2021-08, Vol.132 (8), p.e87-e87
• Main Authors: Beng Hoong, Chew, Beng Hooi, Ong, Hon Yin, Tan, bt Ismail, Fadzila, Muhammad Radzi Abu Hassan, Datuk Dr
• Format: Article
• Language: English
• ISSN: 1388-2457; 1872-8952
• DOI: 10.1016/j.clinph.2021.02.192

Introduction. We did the first TMS-Motor Evoke Potential (MEP) in assessing this group of patients in Malaysia. This is the initial step looking into new method of assessment in clinical recovery of stroke patient. Results. 7 subjects completed the assessment where 2 of them (Group 1) managed by rehabilitation programme only and the others (Group 2) with add on acupuncture or Malay massage therapy to post-stroke rehabilitation programme. Besides MEP, each subject was assessed with other 4 outcomes: NIHSS, Modified Barthel Index (MBI), Berg Balance Score (BBS), and Quality of Life-EQ5D score to define clinical recovery of stroke. We have 1 patient in Group 2 showed the emergence of MEP after interventional therapy. Neurological outcome of Group 1 having NIHSS score ranging from 10-20 before discharged and improved to ranging 5-6 after treatment. Group 2 having NIHSS score of ranging 3-11 before discharged and improved to range 0-7. Functional outcome of Group 1 having MBI score of ranging 51-56 improved to MBI ranging 87-91 after treatment. Group 2 showed MBI ranged between 32-52 and improved to range of 91-95 after interventional therapy. We also have BBS score ranging 1-18 before therapy to 29-50 after therapy. In term of quality of life, both groups showed improvement of EQ5D scores of ranging 0.024-0.539 before discharge to scores ranging 0.751-1.000 after treatment. Conclusion. MEP predicted clinical recovery potentially favorable to intervention group where we should explore further for the statistical significance of this assessment.