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Diseases treated at the Magwise clinic

Post-stroke paresis

Post-stroke results from damage to the brain or spinal cord caused by a stroke. Strokes can cause ischemia or hemorrhage in the brain, leading to impaired blood flow and tissue damage.

Table of Contents

  1. Symptoms of post-traumatic paresis
  2. Treatment of paresis
  3. Advanced Neurostimulation Programme Supporting the Rehabilitation of Paresis
  4. Paresis treatment available at Magwise
  5. References

Symptoms of post-traumatic paresis

Symptoms are characterized by loss of muscle strength and difficulty controlling movements. They may affect one side of the body (unilateral paresis) or both sides (bilateral paresis), depending on the location of the brain injury. They mainly include:

  • Muscle weakness
  • Muscle stiffness
  • Difficulty moving around
  • Balance disorders
  • Movement coordination problems
  • Difficulty speaking and swallowing

Treatment of paresis

Treating post-traumatic paresis resulting from stroke usually involves a comprehensive and multidisciplinary approach.

- Medical care. Stroke patients require medical monitoring and care to manage stroke-related complications such as high blood pressure, diabetes, heart disease, etc. Medications such as anticoagulants and antiplatelet drugs can be used to reduce the risk of a recurrence of a stroke.

- Rehabilitation and physiotherapy. Physiotherapy is a crucial element of the treatment of post-stroke paresis. A physical therapist will develop a rehabilitation program that includes exercises to improve muscle strength, balance, coordination, and range of motion. Exercises can be conducted both in a clinical setting and at home.

- Occupational therapy. It focuses on improving functional skills and independent functioning. An occupational therapist can help you regain everyday skills such as eating, dressing, washing, writing, etc., through exercise, training in compensatory techniques, and technical aids.

- Speech therapy. If stroke affects speech and swallowing, speech therapy may be necessary. A speech therapist will help improve pronunciation, understanding, and speech production and rehabilitate swallowing functions.

- Psychological therapy and support. Post-stroke paresis can affect the patient's emotional well-being. Psychological therapy, emotional support, and support groups can help deal with emotional difficulties and adapt to change.

- Pharmacological therapy. In some cases, medications may be used to manage accompanying symptoms such as pain, muscle spasms, tremors, etc. Your doctor may prescribe painkillers, muscle relaxants, antihypertensives, etc.

- Surgical interventions. In cases where post-traumatic paresis is significant and significantly limits the patient's functioning, surgical interventions such as drug pump implantation or revascularization surgery may be considered to restore blood flow to the damaged area of the brain.

- Brain Neuromodulation Transcranial Magnetic Stimulation (TMS), a non-invasive neuromodulation technique, uses magnetic pulses to modulate the activity of specific brain regions. This supports functional reorganisation and helps restore motor abilities. As a result, it enables more effective motor recovery and improves patients’ quality of life. TMS therapy is commonly administered on an outpatient basis in Western countries, such as Germany.

- Peripheral Magnetic Stimulation (mPNS) in Post-Stroke Rehabilitation Peripheral Magnetic Stimulation (mPNS) works by activating nerves and muscles through magnetic pulses, thereby supporting the recovery of motor functions and alleviating pain. This method can be particularly beneficial when traditional rehabilitation approaches are limited due to pain or difficulty initiating voluntary movement.

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Advanced Neurostimulation Programme Supporting the Rehabilitation of Paresis

At Magwise Clinic, we offer an advanced neurostimulation programme designed to support the rehabilitation of post-stroke patients with motor impairments. Our approach is developed in line with current clinical knowledge and protocols based on the experience of MagVenture.

In post-stroke rehabilitation, it is essential to promote neuroplasticity and restore interhemispheric balance—key mechanisms that underlie the recovery process following a stroke. Our approach integrates Transcranial Magnetic Stimulation (TMS) and Magnetic Peripheral Nerve Stimulation (mPNS) to effectively target both central and peripheral mechanisms responsible for post-stroke motor dysfunction.

A meta-analysis has shown that peripheral magnetic nerve stimulation can improve upper limb motor impairments, proximal muscle strength, and activity limitations, but has no significant effect on muscle spasticity or distal strength in post-stroke patients.

– Chen, Z. J., Li, Y. A., Xia, N., Gu, M. H., Xu, J., & Huang, X. L. (2023). Effects of repetitive peripheral magnetic stimulation for the upper limb after stroke: Meta-analysis of randomized controlled trials. Heliyon, 9(5), e15767. https://doi.org/10.1016/j.heliyon.2023.e15767

Non-invasive brain stimulation, including repetitive Transcranial Magnetic Stimulation (rTMS), may be considered as an adjunct to upper limb therapy.

– Mead GE, Sposato LA, Sampaio Silva G, et al. (2023). A systematic review and synthesis of global stroke guidelines on behalf of the World Stroke Organization. International Journal of Stroke, 18(5), 499–531. doi:10.1177/17474930231156753

At Magwise, we create personalised, safe, and evidence-based neurostimulation therapy programmes that effectively complement traditional physiotherapy and pharmacological treatment—or serve as an alternative—in comprehensive post-stroke care.

Paresis treatment available at Magwise

References

Bonin Pinto C, Morales-Quezada L, de Toledo Piza PV, Zeng D, Saleh Vélez FG, Ferreira IS, Lucena PH, Duarte D, Lopes F, El-Hagrassy MM, Rizzo LV, Camargo EC, Lin DJ, Mazwi N, Wang QM, Black-Schaffer R, Fregni F. Combining Fluoxetine and rTMS in Poststroke Motor Recovery: A Placebo- Controlled Double-Blind Randomized Phase 2 Clinical Trial. Neurorehabil Neural Repair. 2019 Aug; PMCID: PMC6688938.

Our Specialists in the Treatment of Post-Stroke Paresis