The Role of Transcranial Magnetic Stimulation in the Rehabilitation of Patients with Ischemic Strokeg

Abstract

Stroke is an acute violation of cerebral circulation, it is accompanied by structural changes in brain tissue and persistent organic symptoms. According to WHO materials, the frequency of strokes ranges from 1.5 to 7.4 per 1000 population. It is well known that stroke ranks 2nd after coronary heart disease in the list of causes of death and disability. In Uzbekistan, about 60,000 cases of ischemic stroke are observed annually (stat. Department of the Ministry of Health of the Republic of Uzbekistan and the Stroke Registry in Uzbekistan). The mortality rate is approximately 44%, and disability is 70-80%. Only about 10% of patients return to normal life after a stroke.

The task of rehabilitation is to return these 60% of patients to their former life or to adapt them physically and socially to everyday life as much as possible, taking into account their condition and lost functions.

Adequate, timely and comprehensive rehabilitation helps the patient to quickly restore certain functions lost due to the disease or to minimize the resulting defect and adapt to his condition. [1]

According to the recommendations of the world's leading organizations involved in the study of stroke, rehabilitation after stroke should be carried out by a multidisciplinary team.

The use of innovative methods to obtain the best result in the rehabilitation of post-stroke patients plays a crucial role. One of the new innovative and safe methods is transcranial magnetic stimulation.

The use of the method increases the results of medical rehabilitation in the acute and early recovery periods. To achieve the optimal result of rehabilitation measures, it is recommended to perform magneto stimulation of the affected hemisphere with a frequency of magnetic pulses up to 10 Hz, and of the unaffected one — 1 Hz with synchronous electromyostimulation according to the classical method.