Effects of mirror therapy based on goal setting combined with repetitive transcranial magnetic stimulation on electrophysiology of limb peripheral nerve and motor function in patients with hemiplegia after stroke
Objective To investigate the effects of mirror therapy based on goal setting combined with repetitive transcranial magnetic stimulation on electrophysiology of limb peripheral nerve and motor function in patients with hemiplegia after stroke.Methods A total of 80 patients with hemiplegia after stroke admitted from February 2020 to March 2022 were selected as the research objects and divided into control group and observation group according to the random number table method,with 40 cases in each group.The control group was treated with repetitive transcranial magnetic stimulation,and the observation group was treated with mirror therapy based on goal setting on the basis of the control group.The therapeutic effects of the two groups were compared.Results After treatment,the amplitude of tibiofibular nerve,sensory nerve conduction velocity(SCV)and motor nerve conduction velocity(MCV)of tibial nerve and common peroneal nerve in the observation group were higher than those in the control group,and the latency of tibiofibular nerve was shorter than that in the control group(P<0.05).After treatment,the levels of 5-hydroxytryptamine(5-HT),dopamine(DA)and norepinephrine(NE)in the observation group were higher than those in the control group(P<0.05).After treatment,the levels of brain-derived neurotrophic factor(BDNF)and nerve growth factor(NGF)in the observation group were higher than those in the control group,and the National Institutes of Health Stroke Scale(NIHSS)score was lower than that in the control group(P<0.05).After treatment,the scores of Fugl-Meyer Assessment Scale-Lower Extremity(FMA-LE),Activity of Daily Living Scale(ADL)and Berg Balance Scale(BBS)in the observation group were higher than those in the control group(P<0.05).Conclusion Mirror therapy based on goal setting combined with repetitive transcranial magnetic stimulation can promote the recovery of limb peripheral nerve conduction function,repair damaged nerve function and improve limb motor function in patients with hemiplegia after stroke.
mirror therapy based on goal settingrepetitive transcranial magnetic stimulationhemiplegia after stroke
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