Supplementing rehabilitation training with low-frequency transcranial magnetic stimulation improves the abnormal spine posture of persons with Parkinson′s disease
10.3760/cma.j.cn421666-20240819-00671
- VernacularTitle:低频经颅磁刺激联合康复训练治疗帕金森病患者脊柱姿势异常的疗效观察
- Author:
Siyuan CHEN
1
;
Qi GU
1
;
Shaopu WU
1
;
Dongsheng LI
1
;
Xue LI
1
;
Jianjun MA
1
Author Information
1. 郑州大学人民医院（河南省人民医院，河南大学人民医院），郑州 450003
- Publication Type:Journal Article
- Keywords:
Parkinson′s disease;
Posture;
Pisa syndrome;
Repetitive transcranial magnetic stimulation
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(1):36-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of supplementing rehabilitation training with low-frequency repetitive transcranial magnetic stimulation (rTMS) on the abnormal spine posture of Parkinson′s disease (PD) patients.Methods:A total 40 PD patients with Pisa syndrome (PS) were randomly divided into an observation group and a control group, each of 20. Both groups received conventional drug therapy and rehabilitation training (including myodynamia training and balance function training), while the observation group was additionally provided with low-frequency rTMS of the primary motor cortical area (M1) on the convex side of the scoliosis. Before the treatment and after 2 and 3 weeks, the scoliosis angle was measured, and motor functioning and balance were evaluated using the timed up and go test (TUGT) and the Berg balance scale (BBS). The subjects′ mental state was quantified using the exercise self-efficacy (ESE) scale, and the modified Barthel Index (MBI) was used to quantify their ability in the activities of daily life.Results:After the treatment, significant improvement was observed in the average scoliosis angles, TUGT, BBS, ESE and MBI scores of both groups compared to the pre-treatment levels. In the control group, all of the indicators had returned to their pre-treatment levels 3 weeks after treatment, but in the observation group they remained significantly improved.Conclusions:Low-frequency rTMS combined with rehabilitation training can significantly reduce the scoliosis angle of PD patients, improve their motor functioning and balance, increase their exercise confidence and improve their ability in the activities of daily living over the long term. The combination is worth applying and promoting in clinical practice.
