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Iranian Journal of Neurology، جلد ۱۵، شماره ۳، صفحات ۱۴۰-۱۴۵
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عنوان انگلیسی A single-subject study to evaluate ‎the inhibitory repetitive transcranial ‎magnetic stimulation combined ‎with traditional dysphagia‎ therapy in patients with‎ post-stroke dysphagia
چکیده انگلیسی مقاله Background: Post-stroke dysphagia is common and is associated with the development of pneumonia. To investigate the effects of repetitive transcranial magnetic stimulation (rTMS) combined with traditional dysphagia therapy (TDT) on swallowing function in patients with post-stroke dysphagia. Methods: In this single-subject study, four patients with dysphagia post-stroke included. The patients received the rTMS applied to the intact cerebral hemisphere at 1 Hz with train of 1200 for 5 consecutive days combined with TDT 3 days per week for 6 weeks. The main outcome measure was the Mann Assessment of Swallowing Ability (MASA). Measurements were taken before, after the end of 5 th , 10 th , 15 th treatment sessions, and after the end of the treatment (18 th session). Results: The MASA scores improved in all patients following treatment. The maximum and minimum change in level between the baseline phase and treatment phase was +84 and +36. The greatest percentage improvement was observed after 5 th treatment sessions ranging between 11 and 35%. The treatment trend was upward shown by the directions of the slopes indicated by positive values (+9.1-+20.7). The dysphagia was resolved after 10 th treatment session in all participants. The aspiration resolved in two participants after the 5 th treatment session and resolved in another 2 participants after the 10 th treatment session. Conclusion: The combination therapy of rTMS plus TDT improved swallowing function in patients with post-stroke dysphagia. Further research with a larger sample size is recommended.
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نویسندگان مقاله لیلا قلیچی | leila ghelichi
department of speech and language pathology, school of rehabilitation ‎sciences, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

محمد تقی جغتایی | mohammad taghi joghataei
cellular and molecular research center, department of anatomy, school of medicine, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

شهره جلایی | shohreh jalaie
department of physiotherapy, school of rehabilitation, tehran university of ‎medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه تهران (Tehran university)

نورالدین نخستین انصاری | noureddin nakhostin ansari
department of physiotherapy, school of rehabilitation, tehran university of ‎medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه تهران (Tehran university)

بیژن فروغ | bijan forogh
‎department of physical medicine and rehabilitation, school of medicine, iran ‎university of medical sciences, tehran, iran


مسعود مهرپور | masoud mehrpour
‎department of neurology, firouzgar hospital, iran university of medical ‎sciences, tehran, iran
نشانی اینترنتی http://ijnl.tums.ac.ir/index.php/ijnl/article/view/1041
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Article
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