Effects of high-frequency rTMS combined with FES on lower limb spasticity and post activation depres-sion in stroke patients
10.3969/j.issn.1001-1242.2024.11.012
- VernacularTitle:高频重复经颅磁刺激联合功能性电刺激对脑卒中患者下肢痉挛及激活后抑制的影响
- Author:
Shuai JIANG
1
;
Juan XIAO
;
Zejian LIU
Author Information
1. 北京小汤山医院康复中心,北京市,102211
- Keywords:
stroke;
spasm;
repetitive transcranial magnetic stimulation;
functional electrical stimulation;
post-ac-tivation depression
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(11):1638-1643
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of high-frequency repetitive transcranial magnetic stimulation(rTMS)com-bined with functional electrical stimulation(FES)on lower limb spasm and on post activation depression(PAD)of tibialis anterior muscle and soleus in stroke patients. Method:A total of 40 patients with stroke accompanied by lower limb spasm were selected and divided into rTMS+FES combined therapy group(n=20)and control group(n=20)by random number sequence method.Patients in the rTMS+FES combined group were treated with rTMS and FES,and the control group was treat-ed with FES alone.The treatment was performed 5 days per week for 4 weeks.The clinical spasticity index(CSI)was used to assess the severity of spasticity before and after treatment.The patient's PAD was observed with the H-reflex,and the patient's resting motion threshold(RMT)and motion-evoked potential(MEP)elici-tation were recorded. Result:After 4 weeks,the scores of CSI[(4.70±2.23)points]and RMT[(66.00±8.83)％]were significantly re-duced(P＜0.05)in the combined group.The tibial anterior muscle PAD and soleus muscle PAD and MEP elici-tation rate were significantly increased[(0.34±0.18)％,(0.32±0.15)％,21.4％,respectively,P＜0.05].There were no significant differences in the control group.Pearson analysis showed that CSI score was significantly nega-tively correlated with tibial anterior muscle PAD and soleus muscle PAD(P＜0.05). Conclusion:High-frequency rTMS combined with FES can significantly improve the lower limb spasm in stroke patients and improve the post activation depression of tibialis anterior muscle and soleus after activation.High-frequency rTMS combined with FES can improve cortical excitability and nerve conduction function in stroke patients.
