Effect of graded motor imagery combined with repetitive transcranial magnetic stimulation on upper limb function of stroke patients
10.3969/j.issn.1006-9771.2023.05.004
- VernacularTitle:分级运动表象联合重复经颅磁刺激对脑卒中患者上肢功能的效果
- Author:
Fan JIA
1
;
Ying ZHAO
1
;
Zhao WANG
1
;
Jie CHEN
2
;
Sihan LU
1
;
Ming ZHANG
1
Author Information
1. Xuzhou Rehabilitation Hospital, Xuzhou Medical University, Xuzhou, Jiangsu 221003, China
2. Xuzhou Clinical College of Xuzhou Medical University/Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, China
- Publication Type:Journal Article
- Keywords:
stroke;
upper limb;
motor function;
transcranial magnetic stimulation;
graded motor imagery
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(5):516-520
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the effects of graded motor imagery (GMI) combined with repetitive transcranial magnetic stimulation (rTMS) on upper limb function and activities of daily living of stroke patients. MethodsFrom June, 2022 to February, 2023, 45 stroke patients from Xuzhou Rehabilitation Hospital and Xuzhou Central Hospital were recruited and divided into control group (n = 15), GMI group (n = 15) and combined group (n = 15) randomly. All the groups received conventional rehabilitation, in addition, GMI group received GMI and the combined group received GMI and rTMS, for four weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Action Research Arm Test (ARAT), modified Barthel Index (MBI) and Hong Kong version of Functional Test for the Hemiplegic Upper Extremity (FTHUE-HK) before and after treatment. ResultsThe scores of FMA-UE, ARAT and MBI, and grades of FTHUE-HK improved in all the groups after treatment (|t| > 9.681, P < 0.001), and all these indexes were the best in the combined group (F > 13.241, P < 0.001). ConclusionGMI combined with rTMS can further improve the motor function of upper limbs and activities of daily living of stroke patients.
