The Effect of Isokinetic Muscle Strength Training Combined with Low-Frequency Repetitive Transcranial Magnetic Stimulation on Upper Limb Muscle Spasms and Motor Function in Patients with Upper Limb Hemiplegia after Cerebral Infarction
Objective To explore the effect of isokinetic muscle strength training combined with low-frequency repetitive transcranial magnetic stimulation(TMS)on patients with upper limb hemiplegia after cerebral infarction.Methods 150 patients with cerebral infarction and upper limb hemiplegia treated in Yangxin County People's Hospital from January 2021 to January 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 75 cases in each group.Both groups were treated with low-frequency TMS.On this basis,the control group was treated with routine training intervention,and the observation group was treated with isokinetic muscle strength training intervention on the basis of the control group.Motor function,upper limb muscle spasm,ability of daily living and quality of life were compared between the two groups.Results After intervention,the modified Ashworth score of the observation group was(1.03±0.24)points,which was lower than(1.57±0.55)points of the control group,and the difference was statistically significant(P<0.05);the scores of upper limb,middle wrist and hand in Fugl-Meyer Motor Function Assessment Scale,Barthel Index and quality of life comprehensive assessment questionnaire of the observation group were higher than those of control group,and the differences between groups were statistically significant(P<0.05).Conclusion The combination of isokinetic muscle strength training and low-frequency TMS can effectively alleviate upper limb muscle spasms in patients with upper limb hemiplegia caused by cerebral infarction,promote their motor function improvement,and enhance their daily living ability and quality of life.
Cerebral infarction with upper limb hemiplegiaIsokinetic muscle strength trainingLow frequency TMSUpper limb muscle spasmsMotor function
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