Rehabilitative effect of low—frequency rTMS combined FES on lower limb spasm and motor function in patients with subacute ischemic stroke
10.3969/j.issn.1008－0074.2019.02.02
- VernacularTitle:低频 r T MS联合 F ES治疗对亚急性期缺血性脑卒中患者下肢痉挛及运动功能的康复作用
- Author:
Huayao HUANG
1
;
Houwei DU
;
Chao CHEN
;
Yixian ZHANG
;
Qingfa CHEN
;
Zhenqiang CHEN
;
Xinhong JIANG
;
Jing LI
;
Jin WEI
;
Nan LIU
Author Information
1. 福建医科大学附属协和医院康复科
- Keywords:
Stroke;
Transcranial magnetic stimulation;
Electric stimulation therapy
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2019;28(2):134-138
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To explore rehabilitative effect of low—frequency (1Hz ,LF) repetitive transcranial magnetic stimulation (rTMS) combined functional electrical stimulation (FES) on lower limb spasm and motor function in pa—tients with subacute ischemic stroke (SAIS).Methods : A total of 92 SAIS patients with lower limb spasm and motor dysfunction hospitalized in our department were randomly divided into sham stimulation + FES group (sham stimu—lation group ,n＝45) and low—frequency rTMS + FES group (LF—rTMS group ,n＝47) ,both groups were continu—ously treated for three weeks .Lower limb motor function and spasm severity were assessed by Fugl—Meyer motor as—sessment (FMA) and modified Ashworth scale (MAS) respectively before and after treatment ,and motor evoked potential (MEP) was detected .Results : Compared with before treatment ,there was significant rise in FMA score , and significant reductions in MAS score and MEP in two groups after three—week treatment , P＝ 0.001 all ;com—pared with sham stimulation group ,there was significant rise in FMA score [16. 0 (13.0 ,23. 5 ) scores vs. 19. 0 (16.0 ,27.0) scores] ,and significant reductions in MAS score [1. 5 (1. 3 ,1.5) scores vs. 1. 0 (0. 5 ,1. 5) scores] and MEP [ (24.64 ± 0. 39) ms vs. (24.43 ± 0.31) ms] in LF—rTMS group after treatment , P＜0.05 or ＜ 0. 01 . Conclusion : Compared with sham stimulation + FES ,LF—rTMS + FES can more significantly improve lower limb spasm and motor function in patients with subacute ischemic stroke .
