Abstract
Traumatic brain injury (TBI) leads to motor deficits and impaired balance and gait, significantly impacting patients’ quality of life. Repetitive transcranial magnetic stimulation (rTMS) aims to increase recovery by modulating cortical plasticity. A male patient in his late 20s presented with tetraplegia and balance impairment for four years after TBI. Initial home-based exercises yielded no significant improvement. The patient subsequently underwent rTMS and neuromotor training over 2 weeks to improve motor control and balance. The Fugl-Meyer assessment (FMA) and Berg Balance scale (BBS) demonstrated improvements post-treatment: the FMA score increased by 25.76% and 20.5% for the upper and lower limbs, respectively, and the BBS score increased by 37.5%. Post-treatment, the patient was able to walk with minimal support. The Functional Independence Measure and Functional Assessment Measure scale (FIM-FAM) scale demonstrated a 17.6% improvement, indicating enhanced Activities of Daily Living (ADLs) and increased independence. rTMS combined with neuromotor rehabilitation may enhance motor and balance outcomes in patients with chronic TBI. Further studies are warranted in terms of randomized controlled trials.
Keywords
New rehabilitative technologies, Neurorehabilitation, Trauma and rehabilitation