Effects of High-frequency Repetitive Transcranial Magnetic Stimulation to Premotor Areas on Upper Limb Motor Dysfunction after Stroke
10.3969/j.issn.1006-9771.2020.06.014
- VernacularTitle:运动前区高频重复经颅磁刺激对脑卒中上肢功能康复的疗效
- Author:
Zhe ZHOU
1
;
Xia-feng SHEN
2
;
Li XIONG
3
;
Wen ZHANG
3
;
Hong-yan HUANG
3
;
Ping ZHANG
3
;
Yi WU
4
;
Ji-feng RONG
3
Author Information
1. Department of Rehabilitation Medicine, The First Rehabilitation Hospital of Shanghai, Shanghai 200090, China
2. Department of Neurological Rehabilitation, The First Rehabilitation Hospital of Shanghai, Shanghai 200090, China
3. Rehabilitation Treatment Center, The First Rehabilitation Hospital of Shanghai, Shanghai 200090, China
4. Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai 200040, China
- Publication Type:Research Article
- Keywords:
stroke;
repetitive transcranial magnetic stimulation;
premotor areas;
upper limb;
hand function;
rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(6):697-702
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of high-frequency repetitive transcranial magnetic stimulation (rTMS) on upper limb motor function in hemiplegic patients after stroke. Methods:From August, 2018 to July, 2019, 60 patients with hemiplegia after stroke were randomly divided into control group (n = 30) and observation group (n = 30). Both groups received conventional treatment. The observation group accepted 5 Hz rTMS to ipsilesional hemisphere premotor areas for three weeks. The control group received sham stimulation. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Brunnstrom stages, modified Ashworth Scale (MAS), modified Barthel Index (MBI) and Wolf Motor Function Test before and after treatment. Results:Two patients dropped in the control group. After treatment, the scores of FMA-UE, MBI and Wolf Motor Function Test improved in both groups (|t| > 3.686, P < 0.01), and the difference values of FMA-UE and Wolf Motor Function Test before and after treatment were more in the observation group than in the control group (|t| > 2.119, P < 0.05). Conclusion:High-frequency rTMS to ipsilesional hemisphere premotor areas could improve the recovery of upper limb and hand motor function in hemiplegic patients after stroke.
