Effects of Intermittent Theta Short Burst Pulse Stimulation to the Cerebellum Vermis on Lower Limb Motor Dysfunction in Stroke Patients
Objective:To investigate the effects of intermittent theta short burst pulse stimulation(iTBS)to the cerebellum vermis on lower limb motor dysfunction in stroke patients.Methods:A total of 42 stroke patients with post-stroke lower limb motor dysfunction were randomly divided into an iTBS group(21 cases)and a control group(21 cases).Both groups underwent standard rehabilitation training and physical therapy,with the iTBS group also receiving targeted iTBS to the cerebellar vermis for two weeks.The Fugl-Meyer assessment of Lower erxtremity(FMA-LE),6-minute walking test,60°/s concentric knee extension strength measurement,Berg Balance Scale(BBS),Modified Ashworth Scale(MAS)and Barthel Index(BI)were assessed before and after treatment in both groups.Results:There were no statistically significant differences in the FMA-LE,6-minute walking test,60°/s concentric knee extension strength measurement,BBS,MAS or BI scores between the two groups before treatment(P>0.05).After treatment,both groups showed significant improvements in the scores for the FMA-LE,6-minute walking test,60°/s concentric knee extension strength measurement,BBS,MAS and BI(P<0.05),whereas the iTBS group exhibited superior improvements in the FMA-LE,60°/s concentric knee extension strength measurement,BBS and BI scores compared to the control group(P<0.05).Conclusion:iTBS targeting the cerebellar vermis can improve lower limb motor function and daily living abilities in stroke patients.
strokemotor dysfunctionability of daily activitiesintermittent theta short burst pulse stimulation