The effects of combining repetitive peripheral magnetic stimulation with repetitive transcranial magnetic stimulation in treating upper limb dysfunction after a stroke
10.3760/cma.j.issn.0254-1424.2024.05.005
- VernacularTitle:重复外周磁刺激联合重复经颅磁刺激对脑卒中后上肢功能障碍的影响
- Author:
Qian CAI
1
;
Liang XU
;
Wudong SUN
;
Ming MA
;
Yue SUN
Author Information
1. 东南大学附属中大医院康复医学科，南京 210009
- Keywords:
Transcranial magnetic stimulation;
Peripheral magnetic stimulation;
Magnetic stimulation;
Stroke;
Upper limb function
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(5):412-416
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of combining repetitive peripheral magnetic stimulation (rPMS) with repeated transcranial magnetic stimulation (rTMS) on upper limb dysfunction after a stroke.Methods:A total of 128 stroke survivors were randomly divided into a control group, a central group, a peripheral group and a combined group, each of 32. In addition to conventional medical treatment and rehabilitation training, the combined group were given 1Hz rTMS over the M1 area of the unaffected hemisphere and rPMS on the Erb point of the affected upper limb. The central group were given rTMS with sham rPMS, the peripheral group was given rPMS and sham rTMS, while the control group received sham rTMS and sham rPMS. Both the rPMS and rTMS, genuine and sham, were administered once daily for 15 minutes each time, 6 days a week for 4 consecutive weeks. Before and after the treatment, the Fugl-Meyer upper extremity assessment (FMA-UE) and the Wolf motor function test (WMFT) were administered to evaluate the upper limb motor function of the subjects′ affected side. The Modified Barthel index (MBI) quantified their ability in the activities of daily life.Results:After the intervention, the average FMA-UE, WMFT and MBI scores had improved significantly in all four groups. After the intervention the average FMA-UE, WMFT and MBI scores of the combined, central and peripheral groups were all significantly better than the control group′s averages, with those of the combined group significantly superior to the central and peripheral groups.Conclusion:Both rTMS and rPMS can promote the recovery of upper limb motor function after a stroke and ability in daily life activities. Their combination can achieve better effects.
