Supplementing transcranial magnetic stimulation with intermittent resistance training improves the recovery of motor function in Parkinson′s disease
10.3760/cma.j.issn.0254-1424.2023.04.004
- VernacularTitle:间歇性抗阻训练联合低频重复经颅磁刺激对帕金森病患者运动功能恢复的影响
- Author:
Dongsheng LI
1
;
Qi GU
;
Xue LI
;
Xiaoxue SHI
;
Jianjun MA
;
Yujuan MA
;
Haiyang YU
Author Information
1. 河南省人民医院(郑州大学人民医院)神经内科，郑州 450003
- Keywords:
Parkinson′s disease;
Resistance training;
Transcranial magnetic stimulation;
Motor function;
Muscle tone
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(4):307-311
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore any effect of supplementing low-frequency repeated transcranial magnetic stimulation (rTMS) with intermittent resistance training on muscle tone and the recovery of motor function among persons with Parkinson′s disease (PD).Methods:A total of 104 PD patients were randomly divided into an observation group and a control group, each of 52. Both groups were treated with conventional drugs and low-frequency rTMS, while the observation group was additionally provided with intermittent resistance training for 8 weeks. Before and after the intervention, the motor functioning of both groups was evaluated using unified Parkinson′s disease rating scale-III (UPDRS-III) and the Berg Balance Scale (BBS). Limb muscle tension was quantified using the modified Ashworth scale (MAS). The subjects′ psychological states were quantified using the exercise self-efficacy scale (ESE), and the modified Barthel index (MBI) was applied to evaluate their ability in the activities of daily living. A 3D motion processing system collected and analyzed data describing each subject′s gait kinematics.Results:After the intervention, significantly greater average improvement was observed in all of the outcome measures among the observation group compared with the control group.Conclusion:Combining intermittent resistance training with low-frequency rTMS can significantly reduce muscle tone and improve the motor functioning of PD patients. The combination is more effective than low-frequency rTMS alone.
