Optimization of Stroke Rehabilitation with a Combination of Repetitive Transcranial Magnetic Stimulation, Brainwave Entrainment, and Dry Needling: A Case Report

Introduction Ischemic stroke is a leading cause of global disability, often resulting in persistent motor and cognitive impairments. Recent advances in neurorehabilitation emphasize multimodal approaches to enhance neuroplasticity. This case report explores the clinical effects of combining Repetitive Transcranial Magnetic Stimulation (rTMS), Brainwave Entrainment (BWE), and Dry Needling (DN) for post-stroke recovery. Case Report A 46-year-old male presented with right-sided hemiparesis and dysarthria one year post-ischemic stroke. Clinical evaluation and quantitative EEG (qEEG) revealed persistent motor deficits and cerebral wave asymmetry. A tailored rehabilitation program incorporating rTMS targeting motor and prefrontal areas, BWE using alpha-frequency binaural beats, and DN to alleviate spasticity was administered. After two cycles of intervention, the patient demonstrated improvements in muscle tone (Modified Ashworth Scale reduced from 2 to 1+) and motor coordination. qEEG analysis showed neurophysiological changes consistent with cortical reorganization. Conclusion This case underscores the potential of integrating rTMS, BWE, and DN in stroke rehabilitation. The multimodal approach facilitated functional and neurophysiological improvements, suggesting its value in enhancing recovery pathways for chronic stroke patients.