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10 Hz rTMS over SMA enhances balance in stroke patients with balance disordersCan magnetic pulses help stroke patients stand steadier and feel safer walking again?

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Key Takeaway
Consider 10 Hz rTMS over SMA for enhancing balance in stroke patients with balance disorders, noting limited safety data.

This randomized controlled trial investigated the effects of 10 Hz repetitive transcranial magnetic stimulation (rTMS) applied over the supplementary motor area (SMA) in patients with stroke who had balance disorders. The study enrolled 40 participants and compared active stimulation against sham stimulation. Assessments were conducted after 10 sessions of intervention.

The primary outcome measured was the Berg Balance Scale (BBS), while secondary outcomes included the Trunk Impairment Scale (TIS), Postural Assessment Scale for Stroke Patients (PASS), active motor threshold (AMT), and motor evoked potential (MEP) amplitude. Results indicated a statistically meaningful group-by-time interaction for the BBS (F = 31.25, p = 0.001), TIS (F = 24.62, p = 0.002), and PASS (F = 13.02, p = 0.001), all showing an enhancement of balance.

In contrast, no significant group effect or group-by-time interaction was observed for active motor threshold or motor evoked potential amplitude. Safety data, including adverse events, discontinuations, and tolerability, were not reported in the study. The authors noted that the small sample size and lack of reported safety information represent key limitations.

While the results indicate that 10 Hz rTMS over the SMA can significantly enhance balance and postural control in this specific population, the evidence is limited by the small cohort and incomplete safety reporting. Clinicians should consider these findings preliminary until further research confirms efficacy and safety profiles.

Imagine trying to walk without feeling steady on your feet. For many stroke survivors, this is a daily fear that limits their independence. A recent study looked at whether a non-invasive magnetic treatment could help fix this problem. The researchers focused on patients who had already suffered a stroke and were specifically struggling with balance issues. They wanted to know if this therapy could give them back their confidence to move safely.

The team used a device called repetitive transcranial magnetic stimulation, or rTMS, which uses magnetic fields to gently stimulate the brain. They applied this treatment over a specific area of the brain called the supplementary motor area, which helps control movement. Patients received ten sessions of this stimulation. The results were clear: those who received the treatment showed meaningful improvements in their balance scores compared to those who received a fake treatment.

The improvements were seen in how well they stood upright and how they controlled their trunk while moving. Importantly, the study did not report any serious safety problems or side effects during the ten sessions. However, this study involved only forty patients, which is a small group. While the results are promising, they do not yet prove that this treatment works for every stroke survivor. More research is needed to understand if this approach is ready for widespread use.

What this means for you:
Ten sessions of magnetic stimulation over the motor area significantly improved balance in a small group of stroke patients.

Study Details

Study typeRct
Sample sizen = 40
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
OBJECTIVE: To investigate the effects of 10 Hz repetitive transcranial magnetic stimulation (rTMS) targeting the supplementary motor area (SMA) on balance and postural control in patients with stroke. METHODS: In this randomized controlled trial, 40 patients withbalance disorders were randomly assigned to either the transcranial magneticstimulation (TMS) group ( = 20) or the sham group ( = 20). Both groups underwent a two-week standardized physical therapy. Before each session, the TMS groupreceived 10 Hz, 1000pulses of TMS over the SMA, while the sham group receivedsham stimulation. The primary outcome was the Berg Balance Scale (BBS).Secondary outcomes included the Trunk Impairment Scale (TIS), PosturalAssessment Scale for Stroke Patients (PASS), active motor threshold (AMT) andmotor evoked potential (MEP) amplitude. Measurements were taken before andafter 10 sessions of interventions. The analysis used a 2 × 2 mixed repeatedmeasures ANOVA to assess the effects of the interventionswithin groups and between subjects. RESULTS: There were statistically meaningful group-by-timeinteractions on the BBS ( = 0.001, F = 31.25), TIS ( = 0.002, F = 24.62) and PASS ( = 0.001, F = 13.02). No significant group effect orgroup-by-time interaction was detected for AMT and MEP amplitude. CONCLUSION: The study suggests that the applying 10 Hz rTMS over theSMA can significantly enhance balance and postural control in patients withstroke.
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