Trastornos del movimiento
17 enero 2024

Repetitive Peripheral Magnetic Stimulation to Improve Upper Limb Spasticity and Function in a Chronic Stroke Patient. A Single Case Study.

Enrique Carrasco-González
a:1:{s:5:"es_ES";s:12:"Neuron Rehab";}
Estimulación Magnética Periférica RepetitivaEspasticidadHiperresistenciaIctus
Vol. 5 Núm. 2 (2023): Diciembre



Hombre blanco de 69 años que se le diagnosticó un accidente cerebrovascular isquémico de la arteria cerebral media en julio del 2020. El procedimiento consistió en dos semanas de tratamiento control mediante entrenamiento robótico y orientado a tareas, seguido de cuatro semanas de tratamiento experimental aplicando rPMS, añadiendo el tratamiento control. Finalmente se aplicó el tratamiento control durante 2 semanas más. Se llevaron a cabo  evaluaciones de espasticidad utilizando rPMS y un goniometro, función motora con la preuba de Nine Hole Peg Test y Finger Taping Test. A nivel estadístico se aplico el método de banda descriptica de dos desviaciones estándar (DTSD) para ver el efecto del tratamiento aplicado

  Cómo citar

Lerín Calvo A, Rodriguez Martinez D, Carrasco-González E. Repetitive Peripheral Magnetic Stimulation to Improve Upper Limb Spasticity and Function in a Chronic Stroke Patient. A Single Case Study. . MOVE [Internet]. 17 de enero de 2024 [citado 19 de mayo de 2024];5(2):565-73. Disponible en:


Arnold, G. et al. (2005) ‘Sensitivity and Specifity of Finger Tapping Test Scores for the Detection of Suspect Effort’, The Clinical Neuropsychologist, 19(1), pp. 105–120. Available at: DOI:

Beaulieu, L.-D. et al. (2015) ‘Noninvasive neurostimulation in chronic stroke: a double-blind randomized sham-controlled testing of clinical and corticomotor effects’, Topics in Stroke Rehabilitation, 22(1), pp. 8–17. Available at: DOI:

Beaulieu, L.-D. and Schneider, C. (2015) ‘Repetitive peripheral magnetic stimulation to reduce pain or improve sensorimotor impairments: A literature review on parameters of application and afferents recruitment’, Neurophysiologie Clinique/Clinical Neurophysiology, 45(3), pp. 223–237. Available at: DOI:

Bethoux, F. (2015) ‘Spasticity Management After Stroke’, Physical Medicine and Rehabilitation Clinics of North America, 26(4), pp. 625–639. Available at: DOI:

Boukhvalova, A.K. et al. (2018) ‘Identifying and Quantifying Neurological Disability via Smartphone’, Frontiers in Neurology, 9. Available at: DOI:

Bovend’Eerdt, T.J.H., Botell, R.E. and Wade, D.T. (2009) ‘Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide’, Clinical rehabilitation, 23(4), pp. 352–361. Available at: DOI:

Broeks, J.G. et al. (1999) ‘The long-term outcome of arm function after stroke: results of a follow-up study’, Disability and rehabilitation, 21(8), pp. 357–364. Available at: DOI:

Buma, F., Kwakkel, G. and Ramsey, N. (2013) ‘Understanding upper limb recovery after stroke’, Restorative neurology and neuroscience, 31(6), pp. 707–722. Available at: DOI:

Chen, H.M. et al. (2009) ‘Test-Retest Reproducibility and Smallest Real Difference of 5 Hand Function Tests in Patients With Stroke’,, 23(5), pp. 435–440. Available at: DOI:

Chen, S. et al. (2020) ‘Electroencephalography Mu Rhythm Changes and Decreased Spasticity After Repetitive Peripheral Magnetic Stimulation in Patients Following Stroke’, Frontiers in neurology, 11. Available at: DOI:

Duchen, L.W. and Strich, S.J. (1968) ‘The effects of botulinum toxin on the pattern of innervation of skeletal muscle in the mouse’, Quarterly Journal of Experimental Physiology and Cognate Medical Sciences, 53(1), pp. 84–89. Available at: DOI:

Fernandez-Lobera, M., Morales, M. and Valls-Solé, J. (2022) ‘Repetitive peripheral magnetic stimulation for the assessment of wrist spasticity: reliability, validation and correlation with clinical measures’, Disability and Rehabilitation, 44(18), pp. 5257–5267. Available at: DOI:

Fleuren, J.F.M. et al. (2010) ‘Stop using the Ashworth Scale for the assessment of spasticity’, Journal of neurology, neurosurgery, and psychiatry, 81(1), pp. 46–52. Available at: DOI:

Grant, M. and Ponsford, J. (2014) ‘Goal attainment scaling in brain injury rehabilitation: strengths, limitations and recommendations for future applications’, Neuropsychological rehabilitation, 24(5), pp. 661–677. Available at: DOI:

De Groot-Driessen, D., Van De Sande, P. and Van Heugten, C. (2006) ‘Speed of finger tapping as a predictor of functional outcome after unilateral stroke’, Archives of physical medicine and rehabilitation, 87(1), pp. 40–44. Available at: DOI:

Janssen, J. et al. (2020) ‘Factors Influencing the Delivery of Intensive Rehabilitation in Stroke: Patient Perceptions Versus Rehabilitation Therapist Perceptions’, Physical Therapy, 100(2), p. 307. Available at: DOI:

Jones, T.A. (2017) ‘Motor compensation and its effects on neural reorganization after stroke’, Nature reviews. Neuroscience, 18(5), pp. 267–280. Available at: DOI:

Kassam, F. et al. (2023) ‘Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey’, Toxins, 15(1), p. 58. Available at: DOI:

Katan, M. and Luft, A. (2018) ‘Global Burden of Stroke’, Seminars in neurology, 38(2), pp. 208–211. Available at: DOI:

Krewer, C. et al. (2014) ‘Effects of Repetitive Peripheral Magnetic Stimulation on Upper-Limb Spasticity and Impairment in Patients With Spastic Hemiparesis: A Randomized, Double-Blind, Sham-Controlled Study’, Archives of Physical Medicine and Rehabilitation, 95(6), pp. 1039–1047. Available at: DOI:

Lance, J. (1980) Spasticity: Disordered Motor Control. Chicago: Year Book Medical Publishers.

Ledda, C. et al. (2022) ‘Time to onset and duration of botulinum toxin efficacy in movement disorders’, Journal of Neurology, 269(7), pp. 3706–3712. Available at: DOI:

Levy, J. et al. (2019) ‘Does botulinum toxin treatment improve upper limb active function?’, Annals of Physical and Rehabilitation Medicine, 62(4), pp. 234–240. Available at: DOI:

Li, F., Wu, Y. and Li, X. (2014) ‘Test-retest reliability and inter-rater reliability of the Modified Tardieu Scale and the Modified Ashworth Scale in hemiplegic patients with stroke’, European journal of physical and rehabilitation medicine, 50(1), pp. 9–15. Available at: (Accessed: 30 December 2022).

Lindsay, C. et al. (2016) ‘Pharmacological interventions other than botulinum toxin for spasticity after stroke’, Cochrane Database of Systematic Reviews, 2016(10). Available at: DOI:

Machetanz, J. et al. (1994) ‘Magnetically induced muscle contraction is caused by motor nerve stimulation and not by direct muscle activation’, Muscle & Nerve, 17(10), pp. 1170–1175. Available at: DOI:

Mahmood, A. et al. (2019) ‘Effect of Transcutaneous Electrical Nerve Stimulation on Spasticity in Adults With Stroke: A Systematic Review and Meta-analysis’, Archives of Physical Medicine and Rehabilitation, 100(4), pp. 751–768. Available at: DOI:

Malhotra, S. et al. (2011) ‘Spasticity and contractures at the wrist after stroke: time course of development and their association with functional recovery of the upper limb’, Clinical rehabilitation, 25(2), pp. 184–191. Available at: DOI:

Mathiowetz, V. et al. (1985) ‘Adult Norms for the Nine Hole Peg Test of Finger Dexterity’, The Occupational Therapy Journal of Research, 5(1), pp. 24–38. Available at: DOI:

Multani, I. et al. (2019) ‘Botulinum Toxin in the Management of Children with Cerebral Palsy’, Pediatric Drugs, 21(4), pp. 261–281. Available at: DOI:

van den Noort, J.C. et al. (2017) ‘European consensus on the concepts and measurement of the pathophysiological neuromuscular responses to passive muscle stretch’, European Journal of Neurology, 24(7), pp. 981-e38. Available at: DOI:

Nourbakhsh, M.R. and Ottenbacher, K.J. (1994) ‘The statistical analysis of single-subject data: a comparative examination’, Physical therapy, 74(8), pp. 768–776. Available at: DOI:

Opheim, A. et al. (2015) ‘Early prediction of long-term upper limb spasticity after stroke’, Neurology, 85(10), pp. 873–880. Available at: DOI:

Otter, S.J. et al. (2015) ‘The reliability of a smartphone goniometer application compared with a traditional goniometer for measuring first metatarsophalangeal joint dorsiflexion’, Journal of Foot and Ankle Research, 8(1), p. 30. Available at: DOI:

Pan, J.-X. et al. (2022) ‘Effects of repetitive peripheral magnetic stimulation on spasticity evaluated with modified Ashworth scale/Ashworth scale in patients with spastic paralysis: A systematic review and meta-analysis’, Frontiers in Neurology, 13. Available at: DOI:

Pike, S. et al. (2022) ‘Chronic stroke survivors with upper limb spasticity: linking experience to the ICF’, Disability and Rehabilitation, 44(15), pp. 3925–3937. Available at: DOI:

Prigatano, G.P. and Wong, J.L. (1997) ‘Speed of finger tapping and goal attainment after unilateral cerebral vascular accident’, Archives of physical medicine and rehabilitation, 78(8), pp. 847–852. Available at: DOI:

Puce, L. et al. (2021) ‘Spasticity, spastic dystonia, and static stretch reflex in hypertonic muscles of patients with multiple sclerosis’, Clinical Neurophysiology Practice, 6, pp. 194–202. Available at: DOI:

Pundik, S. et al. (2014) ‘Functional Brain Correlates of Upper Limb Spasticity and Its Mitigation following Rehabilitation in Chronic Stroke Survivors’, Stroke research and treatment, 2014. Available at: DOI:

Reid, S. and Egan, B. (2019) ‘The validity and reliability of DrGoniometer, a smartphone application, for measuring forearm supination’, Journal of Hand Therapy, 32(1), pp. 110–117. Available at: DOI:

Sale, P., Lombardi, V. and Franceschini, M. (2012) ‘Hand Robotics Rehabilitation: Feasibility and Preliminary Results of a Robotic Treatment in Patients with Hemiparesis’, Stroke Research and Treatment, 2012, pp. 1–5. Available at: DOI:

Sun, L.-C. et al. (2019) ‘Efficacy and Safety of Botulinum Toxin Type A for Limb Spasticity after Stroke: A Meta-Analysis of Randomized Controlled Trials’, BioMed Research International, 2019, pp. 1–17. Available at: DOI:

Ward, N.S., Brander, F. and Kelly, K. (2019) ‘Intensive upper limb neurorehabilitation in chronic stroke: outcomes from the Queen Square programme’, Journal of neurology, neurosurgery, and psychiatry, 90(5), pp. 498–506. Available at: DOI:

Zschorlich, V.R. et al. (2019) ‘Repetitive Peripheral Magnetic Nerve Stimulation (rPMS) as Adjuvant Therapy Reduces Skeletal Muscle Reflex Activity’, Frontiers in Neurology, 10(AUG), p. 930. Available at: DOI: