The effects of combining repeated transcranial magnetic stimulation with modified constraint-induced movement therapy on walking ability after a stroke
10.3760/cma.j.issn.0254-1424.2023.09.003
- VernacularTitle:重复经颅磁刺激联合改良强制性运动疗法对脑卒中患者步行功能的影响
- Author:
Dongyan ZHU
1
;
Hongjian LU
;
Zhidong HUANG
;
Liang WANG
;
Jiajia ZHAI
;
Qian XU
;
Zhenzhen HAN
;
Yuejiao CAO
;
Huiyuan JI
Author Information
1. 南通市第一人民医院康复医学科，南通 226001
- Keywords:
Stroke;
Repetitive transcranial magnetic stimulation;
Movement therapy;
Constraint-induced movement therapy;
Walking
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(9):781-785
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To seek any differential effect of combining repeated transcranial magnetic stimulation (rTMS) with a modified version of constraint-induced movement therapy (mCIMT) on the walking ability of stroke survivors.Methods:Seventy-five stroke survivors were randomly divided into a sham rTMS group, an rTMS group and a combined group, each of 25. In addition to 40 minutes of routine rehabilitation daily, including balance training, transfer training, muscle strength training, and proprioceptive training five times a week for 4 weeks, the sham rTMS group and rTMS group received sham or genuine rTMS. The combined group received 20 minutes of rTMS followed by mCIMT training 30 minutes later. The treatment was performed once a day, 5 days a week for 4 weeks. Before and after the treatment, all groups were evaluated using the Fugl-Meyer lower extremity assessment, the Berg balance scale, a 10-metre walk test and the modified Barthel index.Results:Significant improvement was observed in the average scores of all three groups in all of the assessments. The combined group′s averages were, however, significantly better than those of the other two groups.Conclusion:Supplementing mCIMT with rTMS can better improve the walking and other abilities in the activities of daily living of stroke survivors.
