Physical Therapy Combined with Transcranial Magnetic Stimulation Therapy: Treatment Practice Considering the Effect of Reducing Upper Limb Spasticity on Gait

We perform physical therapy combined with repetitive transcranial magnetic stimulation (rTMS) in stroke patients hemiplegia the maintenance phase intent of improving support paralyzed leg. In gait evaluation hemiplegia, it is important to assess elements related coordination carefully. rTMS effective alleviating tension upper limbs. As helps upper-limb swing become evident during gait, makes trunk rotation necessary for left–right appear more easily. a result, has potential improved or rotation. Post-rTMS may prepare environment suitable hip extending stance side. therapy, advisable practice standing up, maintaining posture walking by making good use these effects. conduct practices combination following: up focusing on load evenly distributed both sides, slant-board training, which enables forward shift center mass, fixating limbs back body side, and increasing It also discuss injection botulinum toxin, suppresses spasticity ankle plantar flexors physician. Gait associated variety factors significant intrapatient interpatient variations. this regard, physiotherapists are required develop treatment program based quantitative evaluation, especially, hemiplegia.