Transcranial magnetic stimulation can enhance the effectiveness of motor imagery therapy after a stroke
10.3760/cma.j.issn.0254-1424.2022.07.005
- VernacularTitle:重复经颅磁刺激诱导下运动想象疗法对脑卒中患者上肢运动功能的影响
- Author:
Leilei JU
1
;
Guangxu XU
;
Zhaoxiang MENG
;
Xin WANG
;
Xing JIN
;
Yanan ZUO
;
Jiahui WANG
;
Shuangyue YANG
Author Information
1. 南京医科大学扬州临床医学院，扬州 225001
- Keywords:
Stroke;
Transcranial magnetic stimulation;
Motor imagery therapy;
Motor evoked potentials;
Upper limb motor function
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(7):599-603
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of combining motor imagery therapy (MIT) with repeated transcranial magnetic stimulation (rTMS) for improving upper limb motor functioning after a stroke.Methods:Ninety stroke survivors were randomly divided into a control group, an MIT group and a combination group, each of 30. All received conventional rehabilitation therapy, while the MIT group additionally received MIT and the combination group received the MIT along with 1Hz rTMS applied over the M1 region of the contralateral cortex. Before and after 4 weeks of treatment, everyone′s upper limb functioning was quantified using the Fugl-Meyer assessment scale (FMA) and the Hong Kong version of the hemiplegia upper limb function test (FTHUE-HK). Motor evoked potentials (MEPs), cortical latency (CL) and central motor conduction time (CMCT) were also recorded.Results:After the treatment the average FMA and FTHUE-HK scores of all three groups had improved significantly. The average CL and CMCT were significantly shortened. Compared with the control group, the average upper limb FMA score and FTHUE-HK scores of the treatment group were significantly higher. The combination group showed a significant improvement in its average MEP cortical latency and CMCT values.Conclusions:MIT therapy alone can improve the upper limb motor functioning of stroke survivors, but it is more effective in combination with rTMS.
