Application of repetitive transcranial magnetic stimulation combined with head-eye sensory-motor integration training in the rehabilitation treatment of post-stroke hemiplegia
Objective To explore the application of repetitive transcranial magnetic stimulation(rTMS)combined with head-eye sensory-motor integration training in the rehabilitation treatment of post-stroke hemiplegia.Methods A prospective research method was used.From February 2020 to February 2023,102 post-stroke hemiplegic patients admitted to Dezhou Municipal Hospital were enrolled in the study,and were divided into a control group with odd numbers and an observation group with even numbers by the ball-drawing method.In the control group,26 males and 25 females,aged(65.23±7.14)years,received routine rehabilitation treatment.In the observation group,25 males and 26 females,aged(64.89±7.31)years,were given rTMS combined with head-eye sensory-motor integration training on the basis of control group,with a course of treatment of 6 weeks.The two groups were evaluated before and after treatment using the Montreal Cognitive Assessment(MoCA),simplified Fugl-Meyer Motor Function Rating Scale(FMA),modified Barthel Index(MBI),and Mini-Mental State Examination(MMSE).The clinical efficacy and satisfaction with the rehabilitation effect were compared between the two groups.t test and x2 test were used for statistical analysis.Results The overall clinical treatment effectiveness rate of the observation group was 92.15％(47/51),which was higher than 76.47％(39/51)of the control group,with a statistically significant difference(x2=4.744,P=0.029).Two months after treatment,the MoCA score,FMA score,MBI score,and MMSE score in the observation group were higher than those in the control group[(26.84±5.32)points vs.(21.34±4.51)points,(62.38±14.86)points vs.(53.81± 13.27)points,(69.24±21.07)points vs.(56.75±16.53)points,(28.47±2.01)points vs.(25.06± 1.94)points],with statistically significant differences(t=5.631,3.072,3.331,and 8.717,all P＜0.05).The total satisfaction rate with the rehabilitation effect in the observation group was 90.19％(46/51),which was higher than that in the control group[72.55％(37/51)],with a statistically significant difference(x2=5.239,P=0.022).Conclusion rTMS combined with head-eye sensory-motor integration training has significant clinical and rehabilitation effects in the rehabilitation treatment of post-stroke hemiplegia,improving the cognitive function,motor function,and daily living ability,with popularization value.
Repetitive transcranial magnetic stimulationSensory-motor integration trainingStrokeHemiplegiaMotorfunctionRehabilitationtreatment
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维普
