CASE REPORT article
Front. Rehabil. Sci.
Sec. Rehabilitation in Neurological Conditions
Volume 6 - 2025 | doi: 10.3389/fresc.2025.1617492
This article is part of the Research TopicNeuromodulation Techniques, Mechanisms, and Potential Benefits for Physical Activity Participation and Human PerformanceView all 4 articles
Effect of Repetitive Peripheral Magnetic Stimulation for Patients with Chronic Stroke: A Case Report Using an AB Design
Provisionally accepted
Shota Itoh1
Kenta Fujimura2*
Shogo Imamura1Ryoka Itoh1Yuma Misawa1Mii Matsuda1Chisato Chikamori1
Hiroki Tanikawa2Hirofumi Maeda2Hitoshi Kagaya2,3- 1Fujita Health University Hospital, Toyoake, Aichi, Japan
- 2Fujita Health University, Toyoake, Japan
- 3National Center for Geriatrics and Gerontology (NCGG), Ōbu, Aichi, Japan
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Objective: To determine the effects of repetitive peripheral magnetic stimulation in a patient with chronic stroke. Design: Case report. Patients: A man in his 70s presented with left hemiplegia secondary to cerebral hemorrhage. Methods: An AB design was used: phase A (sham stimulation) and phase B (active stimulation). Magnetic stimulation was applied using a peripheral magnetic stimulator (Pathleader; IFG, Sendai, Japan). Outcomes were assessed at four points: before the intervention, after phase A, after phase B, and at follow-up (3 weeks after phase B) using the Modified Ashworth Scale, range of motion, Fugl-Meyer Assessment, Simple Test for Evaluating Hand Function, and Canadian Occupational Performance Measures. Results: The Modified Ashworth Scale score for the wrist extensor remained unchanged in phase A but improved after phase B and was sustained at follow-up. The range of motion showed no change. The Fugl-Meyer Assessment scores were 40, 41, 44, and 45, respectively, and the Simple Test for Evaluating Hand Function scores were 1, 4, 3, and 5, respectively, at the four time points. One Canadian Occupational Performance Measure item improved after phase B and remained stable. Conclusion: In patients with chronic stroke and severe hemiplegia, repetitive peripheral magnetic stimulation may be effective in reducing spasticity and improving motor function.
Keywords: Magnetic Stimulation Therapy, Muscle Spasticity, Stroke, Upper limb, neuromuscular disorders
Received: 24 Apr 2025; Accepted: 18 Jul 2025.
Copyright: © 2025 Itoh, Fujimura, Imamura, Itoh, Misawa, Matsuda, Chikamori, Tanikawa, Maeda and Kagaya. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Kenta Fujimura, Fujita Health University, Toyoake, Japan
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