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            <front>

                <journal-meta>
                                                                <journal-id>jbachs</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Journal of Basic and Clinical Health Sciences</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2564-7288</issn>
                                                                                            <publisher>
                    <publisher-name>Dokuz Eylul University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.5152/jbachs.2017.110</article-id>
                                                                                                                                                                                            <title-group>
                                                                                                                        <article-title>The Effects of Navigated Repetitive Transcranial Magnetic Simulation and Brunnstrom Movement Therapy on Upper Extremity Proprioceptive Sense and Spasticity in Stroke Patients: A Double-Blind Randomized Trial</article-title>
                                                                                                                                        </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                <name>
                                    <surname>Özkeskin</surname>
                                    <given-names>Mehmet</given-names>
                                </name>
                                                                    <aff>Department of Physical Therapy and Rehabilitation, Dokuz Eylül University Institute of Health Sciences, İzmir, Turkey</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                <name>
                                    <surname>Öztürk</surname>
                                    <given-names>Vesile</given-names>
                                </name>
                                                                    <aff>Department of Neurology, Dokuz Eylül University School of Medicine, İzmir, Turkey</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                <name>
                                    <surname>Çakmur</surname>
                                    <given-names>Raif</given-names>
                                </name>
                                                                    <aff>Department of Neurology, Dokuz Eylül University School of Medicine, İzmir, Turkey</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                <name>
                                    <surname>Kara</surname>
                                    <given-names>Bilge</given-names>
                                </name>
                                                                    <aff>Department of Neurological Physiotherapy and Rehabilitation, Dokuz Eylül University School of Physical Therapy and Rehabilitation, İzmir, Turkey</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                <name>
                                    <surname>Küçük</surname>
                                    <given-names>Fadime</given-names>
                                </name>
                                                                    <aff>Department of Physical Therapy and Rehabilitation, Hacettepe University Institute of Health Sciences, Ankara, Turkey</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20170601">
                    <day>06</day>
                    <month>01</month>
                    <year>2017</year>
                </pub-date>
                                        <volume>1</volume>
                                        <issue>2</issue>
                                        <fpage>29</fpage>
                                        <lpage>35</lpage>
                        
                        <history>
                                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2016, Journal of Basic and Clinical Health Sciences</copyright-statement>
                    <copyright-year>2016</copyright-year>
                    <copyright-holder>Journal of Basic and Clinical Health Sciences</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Purpose: The purpose of this study is to investigate the effects of various treatments  repetitive transcranial magnetic stimulation and Brunnstrom movement therapy  on upper extremity proprioceptive sense and spasticity.Methods: Twenty-one stroke patients were included in the study. The treatment group  Group 1; n=10  was administered navigated real repetitive transcranial magnetic stimulation  rTMS , and the control group  Group 2; n=11  was administered sham rTMS by the first researcher. The patients in both groups had upper extremity exercises according to Brunnstrom movement therapy  BMT . The patients were assessed using the Brunnstrom recovery stages  BRS , proprioceptive sense assessment, and the modified Ashworth scale  MAS .Results: Between the treatment group and control group patients, there were no significant statistical differences obtained from pre-treatment and postreatment tenth day, first month, and third month by BRS wrist, hand, and upper extremity stages. The intragroup comparison of the treatment group patients revealed a statistically significant difference between the pre-treatment and post-treatment third month BRS-hand and BRS-upper extremity stages.The pretreatment and postreatment tenth day and first month evaluations of the wrist proprioceptive sense of the groups presented a significant difference. There was no statistically significant difference between the groups in terms of MAS scores before and after treatment evaluations.Conclusion: The rTMS and BMT approaches that were implemented in the study affected the proprioceptive sense of the wrist after the treatment and in the early period but did not change spasticity</p></abstract>
                                                                                    
            
                                                            <kwd-group>
                                                    <kwd>Repetitive transcranial magnetic stimulation</kwd>
                                                    <kwd>  stroke</kwd>
                                                    <kwd>  Brunnstrom recovery stages</kwd>
                                                    <kwd>  proprioceptive sense</kwd>
                                                    <kwd>  spasticity</kwd>
                                            </kwd-group>
                                                        
                                                                                                                                                    </article-meta>
    </front>
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