The effects of repetitive transcranial magnetic stimulation combined with divergent shock wave on the muscle spasm in patients with traumatic spinal cord injury
10.3969/j.issn.1001-1242.2023.12.005
- VernacularTitle:重复经颅磁刺激联合发散式冲击波治疗创伤性脊髓损伤患者肌肉痉挛的疗效观察
- Author:
Lihua LUO
1
;
Dongyu WU
;
Yusheng WANG
Author Information
1. 中国中医科学院望京医院康复治疗中心,北京市,100102
- Keywords:
traumatic spinal cord injury;
muscle spasms;
repetitive transcranial magnetic stimulation;
divergent shock wave
- From:
Chinese Journal of Rehabilitation Medicine
2023;38(12):1663-1668
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effects of repetitive transcranial magnetic stimulation combined with divergent shock wave on muscle spasm in patients with traumatic spinal cord injury,and to explore a new clinical treatment method for the disease. Method:Fifity-nine patients with traumatic spinal cord injury with muscle spasm from January 2017 to June 2021 were selected and randomly divided into the observation group(n=30)and the control group(n=29)with the method of random number table.The patients in the observation group received repeated transcranial magnet-ic stimulation combined with divergent shock wave therapy,while the patients in the control group received ba-clofen treatment.Both groups received conventional rehabilitation therapy,including exercise therapy,acupunc-ture and massage.The treatment time was 8 weeks.The modified Ashworth score,Barthel index and SF-36 score of the patients in the observation group and the control group were compared before and after treatment. Result:After treatment,the effective rate of the observation group was 86.67％,which was significantly high-er than that of the control group(P＜0.05).The total score of Barthel index and SF-36 score of the two groups were significantly increased compared with those before treatment(P＜0.05).The Barthel index and SF-36 score in the observation group were significantly higher than those in the control group(P＜0.05). Conclusion:Repetitive transcranial magnetic stimulation combined with divergent shock wave can effectively im-prove the symptoms of muscle spasm in patients with traumatic spinal cord injury and can fully improve their ability of daily life and quality of life,which has achieved good clinical efficacy.
