The effects of repetitive high-frequency transcranial magnetic stimulation on the upper limb motor function of stroke survivors
10.3760/cma.j.issn.0254-1424.2024.09.005
- VernacularTitle:基于脑电微状态和表面肌电观察重复经颅磁刺激对脑卒中后右侧偏瘫患者上肢运动功能的影响
- Author:
Rong XIN
1
;
Xianxian YU
;
Siman CHENG
;
Jiale XIE
;
Gengqiang LIN
;
Xin WEI
;
Pu WANG
Author Information
1. 中山大学附属第七医院康复医学科，深圳 518107
- Keywords:
Stroke;
Transcranial magnetic stimulation;
Upper limb motor dysfunction;
Electroencephalographic microstates;
Surface electromyography
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(9):791-798
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effects of repetitive high-frequency transcranial magnetic stimulation (rTMS) on the upper limb motor function of stroke survivors with right hemiplegia.Methods:Forty stroke survivors with right hemiplegia were divided at random into a high-frequency rTMS group and a sham stimulation group, each of 20. In addition to routine rehabilitation, the high-frequency rTMS group was given daily high-frequency rTMS 5d per week for 2 weeks, while the sham stimulation group was provided with sham rTMS. Before and after the treatment, both groups were evaluated using the Fugl-Meyer Upper Extremity motor function evaluation scale (FMA-UE), surface electromyography (sEMG), and electroencephalographic microstatus testing. Any adverse reactions in the course of the treatment were recorded.Results:After the treatment, the average FMA-UE scores of both groups had improved significantly, with the average of the high-frequency rTMS group significantly higher than the other group′s average. After the treatment the peak-to-peak sEMG value of the radial long extensor carpi radialis longus muscle in the high-frequency rTMS group was significantly higher than before the treatment and significantly higher than that of the other group. The temporal coverage of microstate B, the average duration and temporal coverage of microstate C, and the temporal coverage and frequency of occurrence of microstate D after treatment of both groups were also significantly improved. The mean duration of electroencephalographic (EEG) microstate A was negatively correlated with the FMA-UE scale scores ( r=-0.57) and its temporal coverage was positively correlated with the peak-to-peak sEMG value of the ulnar lateral wrist flexor. The mean duration of EEG microstate B was positively correlated with the peak-to-peak sEMG value of the triceps brachii and deltoid, and the mean duration of EEG microstate C was also positively correlated with the peak-to-peak sEMG value of the deltoid muscle. Conclusions:High-frequency rTMS can effectively improve the upper limb motor functioning of stroke survivors with right hemiparesis. After high-frequency rTMS, the functional network activity related to EEG microstate B increases significantly, while that related to microstates C and D decreases significantly.
