The effect of cerebellar intermittent theta burst stimulation combined with exercise therapy on balance and walking function in stroke patients
10.3969/j.issn.1001-1242.2025.08.007
- VernacularTitle:小脑间歇性θ短阵脉冲刺激联合运动疗法对脑卒中患者平衡及步行功能的影响
- Author:
Wusiman PATIMAN
1
;
Abudusadike ZULIPINUER
1
;
Chong TIAN
1
Author Information
1. 新疆医科大学第一附属医院康复医学科,乌鲁木齐市,830000
- Publication Type:Journal Article
- Keywords:
cerebellum;
repetitive transcranial magnetic stimulation;
theta burst stimulation;
balance;
gait
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(8):1182-1188
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of cerebellar intermittent theta burst stimulation(iTBS)combined with ex-ercise therapy on balance and walking function in stroke patients.Method:Sixty stroke patients with balance and gait disturbances were randomly assigned to an experimental group(n=30)and a control group(n=30).Both groups received exercise therapy.Before exercise therapy,the experimental group received iTBS treatment on the cerebellar hemisphere contralateral to the lesion,while the control group received sham stimulation at the same site.iTBS treatment was administered once daily,6 times a week,for 2 consecutive weeks.The balance and gait functions were evaluated before and after treatment us-ing the Berg balance scale(BBS),Pro-kin balance master static balance test,Timed Up and Go Test(TUGT),10-meter walking test(10MWT),and Tinetti performance oriented mobility assessment-gait(Tinetti POMA-G).Result:After treatment,both groups of patients showed improvements in BBS scores,Pro-kin balance master static balance test parameters,TUGT time,10MWT walking speed,and POMA-G scores compared to before treatment(P<0.001).The experimental group showed better BBS scores,Pro-kin balance master static balance test parameters in eyes closed condition,TUGT time,10MWT walking speed,and Tinetti POMA-G scores compared to the control group after treatment(P<0.05).Conclusion:The combination of cerebellar iTBS and exercise therapy effectively improve balance and walking function in stroke patients.