Exploring rTMS Therapy for Stroke-Induced Limb Weakness in Kaohsiung - Rehabilitation

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Repetitive Transcranial Magnetic Stimulation (rTMS) for the treatment of hemiparesis following stroke?


My mother suffered from a stroke in June of this year, resulting in left-sided hemiparesis.
She has been discharged from the hospital but continues to attend outpatient rehabilitation.
However, the recovery has been limited, and her left hand and foot remain weak.
With the six-month golden recovery period nearing its end, I, as a family member, feel very anxious.
I came across "repetitive transcranial magnetic stimulation (rTMS) therapy" online and am very interested in trying it.
Are there any hospitals in Kaohsiung that offer this type of rehabilitation treatment? I would like to take my mother for an evaluation to see if rTMS therapy can be implemented.
Thank you!

sandy, 40~49 year old female. Ask Date: 2020/10/11

Dr. Su Hongci reply Rehabilitation


Hello: The principle of repetitive transcranial magnetic stimulation (rTMS) is to induce a weak electrical current through magnetic waves to stimulate underactive areas of the brain (such as the left prefrontal cortex), thereby affecting the neural circuits related to emotional regulation.
A considerable amount of literature has shown that rTMS is a safe and non-invasive treatment method.
The U.S.
FDA approved its use for cases of depression that are resistant to pharmacological treatment in 2008, and Taiwan also approved rTMS for adults with treatment-resistant major depressive disorder in April 2018.
Its application in stroke is an emerging out-of-pocket treatment; please consult medical institutions if needed.
Wishing you peace and safety.

Reply Date: 2020/10/11

More Info


Exploring rTMS Therapy for Stroke-Induced Limb Weakness in Kaohsiung
Thank you for your inquiry regarding the use of repetitive Transcranial Magnetic Stimulation (rTMS) therapy for your mother's stroke-induced limb weakness. It’s understandable to feel anxious about her recovery, especially as the six-month window for optimal rehabilitation approaches. rTMS is an innovative treatment that has gained attention for its potential benefits in neurorehabilitation, particularly for patients who have experienced strokes.

rTMS works by using magnetic fields to stimulate nerve cells in the brain. This non-invasive technique can help enhance neural plasticity, which is the brain's ability to reorganize itself by forming new neural connections. For stroke patients, rTMS can potentially improve motor function and reduce weakness in affected limbs by promoting recovery in the brain regions responsible for movement.

In Kaohsiung, several medical facilities and rehabilitation centers may offer rTMS therapy. It is advisable to consult with a neurologist or a rehabilitation specialist who can evaluate your mother's specific condition and determine whether rTMS is a suitable option for her. They can also provide guidance on the potential benefits and risks associated with this treatment.

Before proceeding with rTMS, it’s essential to consider a few factors:
1. Assessment of Eligibility: Not all patients are suitable candidates for rTMS. A thorough evaluation by a healthcare professional is necessary to determine if your mother’s condition aligns with the indications for rTMS therapy.

2. Complementary Therapies: rTMS is often used in conjunction with traditional rehabilitation methods, such as physical therapy and occupational therapy. These therapies can work synergistically with rTMS to enhance recovery outcomes.

3. Availability of Services: While rTMS is becoming more widely available, not all hospitals or clinics may offer this treatment. It’s important to contact local rehabilitation centers or hospitals in Kaohsiung to inquire about their rTMS services.

4. Research and Evidence: Although rTMS has shown promise in various studies for improving motor function post-stroke, ongoing research is essential to fully understand its efficacy and long-term benefits. Discussing the latest research findings with your healthcare provider can provide additional insights.

5. Cost and Insurance Coverage: Check with your health insurance provider to see if rTMS therapy is covered under your plan. The cost of treatment can vary significantly depending on the facility and the number of sessions required.

In conclusion, rTMS therapy could be a valuable addition to your mother’s rehabilitation plan, especially if traditional methods have yielded limited results. I recommend reaching out to local hospitals or rehabilitation centers in Kaohsiung that specialize in stroke recovery and inquire about their rTMS offerings. Additionally, ensure that your mother receives a comprehensive evaluation to tailor her treatment plan to her specific needs.

Your proactive approach in seeking advanced treatment options for your mother is commendable, and I wish you both the best in her recovery journey. If you have any further questions or need assistance in finding facilities, feel free to ask.

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