TMS for PREP2 Homepage

This module is for staff who are training to be TMS operators so they can determine MEP status as part of PREP2.

The following modules are all needed if you intend to use TMS for PREP2, and we strongly recommend working through the modules in order. Completing the quiz at the end of each module will provide you with a certificate for that module:

TMS Overview provides background information about TMS and how it works.
TMS Safety Checklist describes the contraindications and safety considerations for TMS and provides a checklist for screening
EMG technique describes how to record from upper limb muscles and troubleshoot potential EMG issues
PREP2 TMS Protocol specifically describes how TMS is used in the PREP2 prediction tool.
Simple MEP identification describes how to detect MEPs in simple scenarios to determine MEP status
Challenging MEP identification describes how to detect MEPs in challenging scenarios to determine MEP status

Useful videos showing how to perform aspects of TMS can be found on the EMG and TMS training videos page.

We recommend that you review our published protocol for using TMS to determine MEP status. The video for this protocol is available below. Access to this video may depend on your institutional access.

Please note since this video was released there has been an update to the TMS technique for PREP2

The presence of one MEP minimum is needed to classify someone as MEP+, not 5 MEPs as indicated in the video

<a title="Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke" href="https://www.jove.com/video/60665/determining-functional-status-corticospinal-tract-within-one-week">Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke</a> </p> <p>

You will also need practical training from an expert in TMS in order to develop the necessary skills.

Training will need to involve:

Orientation to the TMS equipment and software
Training sessions involving people who haven’t experienced a stroke
Training sessions involving people with recent stroke who require TMS as part of the PREP2 prediction tool
Supervised sessions where you will be supported by a trainer while you develop further experience and skill
Competency sessions where your skills will be evaluated by a trainer
This process may take several weeks or months, and a template competency document is available so that you can see how you will be evaluated

Feedback

On completion of this module your feedback would be valuable. Please click here to complete a 2 minute feedback survey.

If you and your team would like to discuss TMS training for PREP2, please contact us at prep.training.info@gmail.com.