Simultaneous rTMS and Piano Playing Improve Hand Dexterity and Cortical Motor Representation in a Professional Pianist with Multiple Sclerosis: A Case Report (P... Academic Article uri icon


  • OBJECTIVE: To assess the effectiveness of simultaneous rTMS and piano playing in improving hand dexterity and inducing changes in cortical excitability in a professional pianist affected by multiple sclerosis undergoing a 3-week period neurorehabilitation. BACKGROUND: Motor learning is a fundamental process of neurorehabilitation. One of its neurophysiological substrates-modulation cortex excitability-provides the rationale for non invasive brain stimulation techniques, such as repetitive transcranial stimulation (rTMS). Therefore, association of neuromotor rehabilitation and rTMS may be more effective than their use alone. DESIGN/METHODS: A 39 yo pianist affected by multiple sclerosis with a bimanual (L> R) sensory-motor impairment due to 3 cervical relapses in the previous 3-12 months underwent a 3 week daily neurorehabilitation followed by sessions of H-coil rTMS …

publication date

  • February 12, 2013