Effect of Non-dominant Hand Function Optimization through rTMS as an adjunct to Conventional Physiotherapy on Creative Thinking of Healthy Adults

Published: 12 December 2025| Version 1 | DOI: 10.17632/dnjvwtvhpp.1
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Description

Background: There’s an element of fine motor skills and coordination in creative thinking. Conventional physiotherapy is known to improve individuals’ motor function, while rTMS has the potential to improve neuroplasticity and excite cortical activity. It is widely known that stroke leads to a salient diminutive of motor cognitive interaction as a result of some incapacity to use motor skills; rTMS has shown improvements in the deepening of hand motor function, potentially diversifying creativity. Thus, the integration of rTMS and physiotherapy represents a potential approach for promoting creative thinking in healthy subjects. Purpose: To evaluate the effect of rTMS as an adjunct to conventional physiotherapy on non- dominant hand function optimization and its impact on creative thinking in healthy adults. Using sequentially numbered, opaque, sealed envelopes, the patients will be randomly allocated to groups 1 and 2. Methods: An internal pilot study consisting of 24 participants will be conducted to calculate the sample size. For four weeks, the experimental group (group 1) will receive active rTMS, exercise, while the control group (group 2) will receive sham rTMS and neurobic exercise. Primary outcome measures used will be the Box and Block Test (BBT) for manual dexterity, the Raven's Advanced Progressive Matrices Test for creative thinking, and the Secondary outcome measure used will be the Hand Grip Dynamometer for hand grip strength and the Corsi Task for cognition. Data Analysis: Based on the calculated sample size, the Normality of the data will be checked. If the data is found to be normally distributed, parametric tests will be used. If the data is not found to be normally distributed, then non-parametric tests will be used.

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Institutions

  • Lovely Professional University

Categories

Physical Therapy, Neurology, Neuromodulation, Human Cognition

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