Rehabilitation study of somatosensory game combined with high frequency repetitive transcranial magnetic stimulation on mild cognitive impairment after stroke
10.3760/cma.j.cn115682-20210930-04472
- VernacularTitle:体感游戏联合高频重复经颅磁刺激在卒中后轻度认知功能障碍患者康复中的应用
- Author:
Xiaoxiao ZHANG
1
;
Mingxia JIANG
;
Ruihui SUN
;
Yue ZHENG
;
Fang WANG
;
Xiaojing YAN
Author Information
1. 温州医科大学附属第一医院康复科,温州 325000
- Keywords:
Stroke;
Somatosensory game;
Repetitive transcranial magnetic stimulation;
Mild cognitive impairment
- From:
Chinese Journal of Modern Nursing
2022;28(15):2057-2061
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of somatosensory games combined with high frequency repetitive transcranial magnetic stimulation on cognitive function rehabilitation in patients with mild cognitive impairment after stroke.Methods:Using the convenience sampling method, a total of 64 patients with post stroke cognitive impairment (PSCI) admitted to Rehabilitation Department of the First Affiliated Hospital of Wenzhou Medical University from January to June 2021 were selected as the research objects. According to the order of admission and the 1∶1 matching principle, they were randomly divided into the control group and the observation group, with 32 cases in each group. The patients in the control group received high-frequency repetitive transcranial magnetic stimulation and conventional cognitive rehabilitation training, while the observation group received somatosensory game training on the basis of the control group. Scores of National Institute of Health Stroke Scale (NIHSS) , Montreal Cognitive Assessment (MoCA) , Mini-mental State Examination (MMSE) and Modified Barthel Index (MBI) were compared between the two groups before and after the intervention.Results:After 20 days of intervention, the NIHSS score of the observation group was lower than that of the control group, and the difference was statistically significant ( P<0.05) . The scores of MoCA, MMSE and MBI in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . The compliance rate of rehabilitation therapy in the observation group was higher than that in the control group, and the difference between the two groups was statistically significant (χ 2=4.267, P=0.039) . Conclusions:Somatosensory games combined with high-frequency repetitive transcranial magnetic stimulation can improve the cognitive ability of patients with PSCI, improve the compliance rate of patients with rehabilitation exercises and help patients recover.