DYNAMICS OF MOTOR FUNCTION RECOVERY AND MOTOR ADAPTATION IN ISCHEMIC STROKE UNDER THE INFLUENCE OF LOW-FREQUENCY TRANSCRANIAL MAGNETIC STIMULATION

The recovery of motor functions after ischemic stroke (IS) is limited not only by the degree of damage to the corticospinal tract but also by the disruption of interhemispheric balance. According to the theory of "interhemispheric rivalry," the hyperactivity of the intact hemisphere exerts excessive inhibitory influence on the affected cortex via transcallosal connections, hindering neuroplasticity. Low-frequency (1 Hz) repetitive transcranial magnetic stimulation (LF-rTMS), which has an inhibitory effect, makes it possible to suppress this hyperexcitability and release the affected hemisphere 11. However, most studies focus on muscle strength, while motor adaptation—the ability to reorganize motor programs under new conditions—remains a poorly studied aspect of rehabilitation 2,32,3.