Effects of low frequency repetitive transcranial magnetic stimulation combined with rehabilitation robot on the recovery of hand dysfunction in stroke patients
10.3969/j.issn.1001-1242.2024.02.006
- VernacularTitle:低频重复经颅磁刺激联合康复机器人治疗脑卒中手功能障碍的临床研究
- Author:
Mulei QIU
1
;
Chuanjie WANG
;
Benmei CHEN
Author Information
1. 复旦大学附属金山医院康复科,上海市,201508
- Keywords:
repetitive transcranial magnetic stimulation;
rehabilitation robot;
stroke;
hand dysfunction
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(2):185-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the therapeutic effect of low-frequency repetitive transcranial magnetic stimulation com-bined with rehabilitation robot on hand dysfunction in stroke patients. Method:Totally 36 patients with stroke hand dysfunction treated in the Rehabilitation Department of Jinshan Hospital were randomly divided into the experimental group(n=18)and the control group(n=18).Both groups of patients received routine treatment.Both groups were treated with 1Hz repetitive transcranial magnet-ic stimulation on the unaffected side,and the experimental group was added by a hand function rehabilitation robot.Both groups were treated 5 times a week for 4 weeks.The assessment were evaluated before treatment,2 weeks and 4 weeks after treatment,including the latency of cortical motor evoked potential(MEP),central motor conduction time(CMCT),Fugl-Meyer assessment(FMA)score and motor intensity index(MI)score. Result:After 4 weeks of treatment,MEP,CMCT,FMA and MI of the two groups were significantly im-proved compared with those before treatment(P<0.001).After 4 weeks of treatment,MEP,CMCT,FMA and MI in the experimental group were significantly improved compared with those in the control group(P<0.05). Conclusion:The contralateral low-frequency repetitive transcranial magnetic stimulation combined with rehabilita-tion robot can significantly improve hand dysfunction in stroke patients.