Effects of Various Intensity of Repetitive Transcranial Magnetic Stimulation on Upper Limbs Motor Function after Stroke
10.3969/j.issn.1006-9771.2016.09.003
- VernacularTitle:不同强度低频重复经颅磁刺激对脑卒中后上肢运动功能障碍的疗效
- Author:
Bingjie LI
;
Fang LI
;
Tong ZHANG
- Publication Type:Journal Article
- Keywords:
stroke;
repetitive transcranial magnetic stimulation;
motor;
upper limbs;
rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2016;22(9):1004-1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of various intensity of 1 Hz repetitive transcranial magnetic stimulation (rTMS) on up-per limbs motor function after stroke. Methods From December, 2014 to December, 2015, sixty patients with ischemic stroke were random-ly divided into high density group (HD, n=20), low density group (LD, n=20) and control group (n=20). They all received routine rehabilita-tion and medication. The HD group received rTMS over contralesional motor cortex twice a day, while the LD group received rTMS once a day, and the control group received sham stimulation, 10 minutes a time for 10 days. They were tested with motor-evoked potentials (MEPs), Fugl-Meyer Assessment (FMA) of upper limbs and modified Barthel Index (MBI) before and after treatment. Results The ampli-tude of MEPs of the affected cortex, the scores of FMA and MBI were more in HD and LD groups than in the control group after treatment (P<0.01), and were more in HD group than in LD group (P<0.01). No serious side-effect was found. Conclusion rTMS was feasible for pa-tients with stroke to improve the upper limbs motor function. It is more effective as more times a day.