The effect of combining robot assistance with repetitive transcranial magnetic stimulation on lower limb function after a stroke
10.3760/cma.j.issn.0254-1424.2021.08.010
- VernacularTitle:骨盆辅助式康复机器人联合重复经颅磁刺激对脑卒中后偏瘫患者下肢功能的影响
- Author:
Aimei SHI
1
;
Qi ZHENG
;
Hefeng BAI
;
Jianming FU
;
Xudong GU
;
Yunhai YAO
;
Fang SHEN
;
Cao LU
;
Ming ZENG
Author Information
1. 浙江省嘉兴市第二医院康复医学中心，嘉兴 314000
- Keywords:
Transcranial magnetic stimulation;
Robot-assisted training;
Stroke;
Motor functioning;
Walking
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2021;43(8):712-716
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of robot-assisted training and repetitive transcranial magnetic stimulation (rTMS) on the lower limb function of hemiplegic stroke survivors.Methods:Forty hemiplegic stroke patients were randomly divided into a treatment group ( n=20) and a control group ( n=20). Both groups were given routine rehabilitation training and robot-assisted walking training, but the treatment group was additionally treated with rTMS at 1Hz applied to the primary motor cortex M1 area at an intensity of 80% of the resting motor threshold. The stimulation time was 5 seconds at 5-second intervals, 600 pulses each time, five times a week for 8 weeks. Lower limb motor function, balance and walking function were assessed before and after the intervention using the Fugl-Meyer assessment for the lower extremities, the Berg balance scale and the Holden walking function scale. Results:There was no significant difference between the two groups in any measurement before the training, but after the intervention all of the measurements had improved significantly in both groups, with the average Fugl-Meyer score, Berg score and Holden grading significantly better in the treatment group.Conclusion:Repetitive transcranial magnetic stimulation can improve the effectiveness of robot-assisted walking training in improving lower limb motor function, balance and walking after a stroke.
