Effect of bilateral sequential repetitive transcranial magnetic stimulation on motor function of upper limbs in stroke patients
10.3969/j.issn.1006-9771.2023.08.009
- VernacularTitle:双侧序贯重复经颅磁刺激干预脑卒中患者上肢运动功能的效果
- Author:
Yiting CHEN
1
;
Qian WANG
2
;
Shenhong CUI
2
;
Yingcai LI
1
;
Siyu ZHANG
1
;
Yanxu WEI
1
;
Hui REN
1
;
Jun LENG
2
;
Bin CHEN
3
Author Information
1. College of Rehabilitation, Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250014, China
2. Department of Rehabilitation Medicine, the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250001, China
3. Department of Rehabilitation, Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350000, China
- Publication Type:Journal Article
- Keywords:
stroke;
repetitive transcranial magnetic stimulation;
electroacupuncture;
upper limbs;
motor function
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(8):926-932
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo observe the effect of bilateral sequential repetitive transcranial magnetic stimulation on the motor function of upper limbs in stroke patients. MethodsFrom December, 2020 to December, 2022, 62 stroke inpatients in the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine were included. They were randomly divided into control group (n = 31) and observation group (n = 31). Both groups accepted conventional medicine and rehabilitation, as well as electroacupuncture antagonistic muscle therapy. Before electroacupuncture, the observation group acceped low-frequency repetitive transcranial magnetic stimulation at primary motor cortex (M1) on the healthy side, followed by intermittent theta burst stimulation at M1 on the affected side, for four weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), modified Barthel Index (MBI) and modified Ashworth Scale (MAS), and motor evoked potential (MEP) latency was compared before and after treatment. ResultsOne patient dropped down in the observation group, and no adverse event happened. After treatment, the scores of FMA-UE and MBI significantly increased (|t| > 9.953, P < 0.001), and the score of MAS and the latency of MEP significantly decreased (|t| > 5.043, P < 0.001) in both groups; while all of them were better in the observation group than in the control group (|t| > 2.237, P < 0.05). ConclusionBilateral sequential repetitive transcranial magnetic stimulation can effectively promote the recovery of upper limb motor function in stroke patients.
