Clinical efficacy of low-frequency repetitive transcranial magnetic stimulation combined with staging acupuncture for patients with stroke-induced hemiplegia
Objective To observe the clinical efficacy of low-frequency repetitive transcranial magnetic stimulation(LF-rTMS)combined with staging acupuncture for patients with stroke-induced hemiplegia.Methods A total of 106 pa-tients with stroke-induced hemiplegia were randomly divided into three groups.Based on routine Western medicine,they re-ceived LF-rTMS therapy(n=37),Brunnstrom stag-based staging acupuncture therapy(n=35),or combination therapy(n=34).The treatment continued for6 courses,the aim was to compare surface electromyography(SEMG)including root mean square(RMS)and co-contraction ratio(CR)of biceps brachii during elbow flexion and triceps brachii during elbow extension in hemiplegic upper limb,the proportion of patients at recovery stages(Brunnstrom Stages Ⅳ-Ⅴ),the upper limb motor func-tion test of Fugl-meyer assessment(U-FMA),Modified Ashworth Scale(MAS),Modified Barthel Index(MBI).Results After treatment,RMS of biceps brachii during elbow flexion and triceps brachii during elbow extension in the three groups was significantly increased than that before treatment,but CR was significantly decreased(all P<0.05),and the combination group was superior to the LF-rTMS and the staging acupuncture group for RMS and CR(all P<0.05).After treatment,the proportion of patients at recovery stages(Brunnstrom Stages Ⅳ-Ⅴ)in the three groups was significantly increased than that before treatment(P<0.05),which was significantly higher in the combination group than in the LF-rTMS and the staging acupuncture group(P<0.05).U-FMA and MBI scores in the three groups after treatment were significantly increased than those before treatment,but MAS scores were significantly decreased(all P<0.05),and the combination group was superior to the LF-rTMS and the staging acupuncture group for the scores of U-FMA,MBI,MAS(all P<0.05).Conclusion The combination of LF-rTMS and staging acupuncture in stroke-induced hemiplegia has definite clinical efficacy,which can effectively regulate SEMG,promote limb function recovery,improve spasticity and daily liv-ing ability.
StrokeApoplexyHemiplegiaRepetitive transcranial magnetic stimulationAcupuncture therapy
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