Combining robot-assisted gait training with Theta burst stimulation of the cerebellum improves rehabilitation outcomes after anterior cruciate ligament reconstruction
10.3760/cma.j.cn421666-20250225-00172
- VernacularTitle:小脑间歇性θ爆发刺激后行机器人辅助步态训练对前交叉韧带重建术后患者下肢功能的影响
- Author:
Hang ZHANG
1
;
Weiguan CHEN
;
Wei SHI
;
Siwei XU
;
Yuejiao CAO
;
Baihong CUI
;
Ziliang YU
;
Hongjian LU
Author Information
1. 南通大学第二附属医院，南通 226000
- Publication Type:Journal Article
- Keywords:
Intermittent theta burst stimulation;
Cerebellum;
Robots;
Anterior cruciate ligament reconstruction
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(10):922-928
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of robot-assisted gait training (RAGT) supplemented with intermittent theta burst stimulation (iTBS) of the cerebellum in restoring lower limb function after anterior cruciate ligament reconstruction (ACLR).Methods:Eighty ACLR patients were randomly divided into a control group, a magnetic stimulation group, a robot group and a combined group, each with 20 members. The robot and magnetic stimulation groups underwent RAGT and cerebellar iTBS before conventional training, while the combined group received iTBS followed by RAGT and then conventional training. The treatments were administered once a day, three days per week for four weeks. Before and after the intervention, the peak torque ratio of the knee flexors and extensors (H/Q), peak torque of the knee extensors (PT), and knee repositioning angle difference were measured. Knee function and balance (using the Berg Balance Scale (BBS)) were also assessed.Results:The combined group demonstrated significantly better quadriceps PT and H/Q% than the other 3 groups. Knee repositioning angle difference improved significantly in all of the groups after the treatment, with the combined group showing the smallest difference (5.00±1.21)°, significantly better than the other three groups. Lysholm and BBS scores had also improved significantly in all of the groups, with the combined group′s improvements again significantly better than those of the other groups.Conclusion:Intermittent theta burst stimulation of the cerebellum combined with robot-assisted gait training can significantly improve knee function and balance after ACLR.
