Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Proposed Topic (Second preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Authors (including presenting author) :
LauHW(1), LoKY(1), NgKW(1)
Affiliation :
(1)Department of Neurosurgery, Kwong Wah Hospital
Introduction :
Transcranial magnetic stimulation (TMS) is a technique for non-invasive stimulation of the human brain. A number of repetitive TMS (rTMS) protocols have been established to modulate neuronal plasticity in many neurological disorders, e.g. stroke, Parkinson’s disease, psychiatric disorders, and Alzheimer’s disease. The protocols can enhance motor recovery in stroke patients and relieve symptoms of neurological diseases. TMS service has been implemented in our department since March 2018.
Objectives :
(1) to summarize and evaluate our TMS service.
Methodology :
Stroke patients with rehabilitation potential were selected for TMS therapy. A multi-disciplinary team involving neurosurgeons, nurses, physiotherapists, occupational therapists was set to optimize patients’ rehabilitation progress. Patients’ motor function and satisfaction and any procedure-related complications were recorded to evaluate the outcome of TMS services.
Result & Outcome :
From March 2018 till January 2024, our department had performed TMS on 33 patients. Most patients showed satisfactory functional outcomes and symptom relief after the therapy. No severe complication was noted.
TMS service can safely enhance clinical outcomes for stroke patients. Patients receiving TMS service also had high satisfaction. Multi-disciplinary coordination is essential to produce the best rehabilitation result. In the future, with the integrated environmental improvements from the new KWH building,TMS service can be further developed to overcome the increasing demand for neuro-rehabilitation.
