Effect of Repetitive Transcranial Magnetic Stimulation Combined with Extracorporeal Shock Wave Therapy on Spasticity in Patients with Spinal Cord Injury
Objective:To observe the effect of repetitive transcranial magnetic stimulation combined with extracorporeal shock wave therapy(ESWT)on spasticity in patients with spinal cord injury(SCI).Methods:A total of 45 patients with incomplete SCI admitted to Xinyu People's Hospital from January 2020 to December 2022 were selected,all of whom had lower extremity muscle spasms.They were randomly divided into group A,group B and group C,with 15 patients in each group.All three groups were given conventional methods of rehabilitation training,group B was given rTMS treatment,group C was given rTMS combined with ESWT.Modified Ashworth scale,Fugl-Meyer assessment and modified Barthel index of 3 groups were assessed before and after treatment.Results:MAS was significantly lower than before treatment,and FMA and MBI were significantly higher than begore treatement(t=3.292,4.583,12.649,-8.921,-12.466,-24.234,-10.208,-13.256,-20.327;P＜0.01),in which the MAS of group C were significantly lower than that of group B and group A(t=2.168,7.341;P＜0.05).The FMA and MBI of group C were significantly higher than that of group B and group A(t=-2.568,t=-3.877,t=-2.244,t=-4.049;P＜0.05).Conclusion:Transcranial magnetic stimulation combined with extracorporeal shock wave therapy can effectively improve the spasticity of lower limbs after spinal cord injury.It can improve the patient's motor function and activity of daily life,and it is worth to be studied further.
Spinal cord injurySpasticityRepetitive transcranial magnetic stimulationExtracorporeal shock wave therapy
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