Efficiency of treatment of post-stroke depression in acute, early and late recovery periods of ischemic stroke with the use of rhythmic transcranial magnetic stimulation
Relevance: Post-stroke depression has a significant negative impact on the quality of life of stroke patients and also reduces their neurorehabilitation potential. Transcranial magnetic stimulation is a non-invasive therapeutic method that affects the excitability of neurons, which has a modulating effect on the imbalance of nervous processes, helping to reduce the severity of depression. Objective: to evaluate the effectiveness of rhythmic transcranial magnetic stimulation in the rehabilitation of patients after ischemic stroke, followed by the development of post-stroke depression in the acute, early and late recovery periods. Methods: analysis of case histories, testing using the Hamilton scale for assessing depression, and statistical analysis of data. Results: before the start of therapy with rhythmic transcranial magnetic stimulation, the average value on the Hamilton scale in the experimental group was 16.88 ± 0.74 points, in the control group - 15.24 ± 0.85 points. The severity of post-stroke depression did not depend on the age of the patients. After rhythmic transcranial magnetic stimulation in the experimental group, the mean value on the Hamilton scale decreased to 10.08 ± 0.67 points, in the control group it was 13.12 ± 0.77. There was revealed a significant statistical significance of the differences between the two groups according to the Hamilton scale. Conclusions: according to the results of the study, transcranial magnetic stimulation had a positive effect on the course of post-stroke depression and contributed to its regression.