Effects of the combination of repetitive transcranial magnetic stimulation (rTMS) and physiotherapy as well as physiotherapy alone on motor and sensory improvement were assessed after spinal cord decompression in patients with CSM.. Other spondylosis with myelopathy, cervical region
Conditions
Interventions
Intervention 1: Control group: Intervention group: Performing physiotherapy on patients after cervical myelopathy spondylosis. Conventional physiotherapy for 2 weeks (each week, 5 sessions, and each s
Sponsors
Shiraz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: • All the patients with a diagnosis of cervical spondylotic myelopathy and neurological deficits in the neurological exam. The patients whose information and follow-ups were complete. The patients with an age range between 18 & 70 years old. • The patients with have symptoms between 2 months to 4 years before operation / Operation to rTMS interval below 6 months. • The patients which in pre operation cervical spine MRI having one or more levels of stenosis or cord compression.
Exclusion criteria
Exclusion criteria: The patients with cognitive disorder, neurological or musculoskeletal disorder The patients with any contraindication for receiving magnetic stimulation like vascular clipping in the brain, intraocular prosthesis and etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Motor and sensory changes. Timepoint: Before and after the intervention. Method of measurement: Motor and sensory changes (ASIA score).;Ability to walking. Timepoint: Before and after the intervention. Method of measurement: Ability to walking (Nurick scale).;Muscle tone. Timepoint: Before and after the intervention. Method of measurement: Muscle tone (modified Ashworth scale).;Motor and sensory dysfunction. Timepoint: Before and after the intervention. Method of measurement: Motor and sensory dysfunction:(Modified Japanese Orthopaedic Association scoring system). | — |
Secondary
| Measure | Time frame |
|---|---|
| ASIA score(Motor and sensory changes). Timepoint: Before and after the intervention. Method of measurement: Motor index scoring: It is done by rating zero to 5 muscle strength and giving a score of zero to 5 to each key muscle. Due to the presence of 5 key muscles in each limb, the maximum score of each limb is 25 points (5 × 5) and in a total of four limbs, the maximum score is 100 points. Sensory index scoring: There is a maximum total of 56 points each for light touch and pinprick (sharp/dull discrimination) modalities, for a total of 112 points per side of the body.;Nurick scale(Ability to walking). Timepoint: Before and after the intervention. Method of measurement: Signs or symptoms of root involvement but without evidence of spinal cord disease? grade=0 Signs of spinal cord disease but no difficulty in walking ? grade=1 Slight difficulty in walking which did not prevent full-time employment? grade=2 Difficulty in walking which prevented full-time employment or the ability todo all housework, but which was not so severe as to require someone else’s help to walk ? grade=3 Able to walk only with someone else’s help or with the aid of a frame ? grade=4 Chair bound or bedridden ? grade=5.;Modified Ashworth scale(Muscle tone). Timepoint: Before and after the intervention. Method of measurement: 0: No increase in muscle tone 1: Slight increase in muscle tone, with a catch and release or minimal resistance at the end of the range of motion, when an affected part(s) is moved in flexion or extension | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Majid Reza Farrokhi
Shiraz University of Medical Sciences
Outcome results
None listed