Effects of somatosensory simulation training system combined with high frequency repetitive transcranial magnetic stimulation on upper limb muscle tension and spinal motor neuron excitability in patients with upper limb hemiplegia after stroke
Objective To analyze the effects of somatosensory simulation training system combined with high frequency repetitive transcranial magnetic stimulation on upper limb muscle tension and spinal motor neuron excitability in patients with upper limb hemiplegia after stroke.Methods A total of 100 patients with upper limb hemiplegia after stroke admitted in our hospital from March 2019 to April 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 50 cases in each group.The control group received routine rehabilitation treatment,and the observation group received somatosensory simulation training system combined with high frequency repetitive transcranial magnetic stimulation on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of Modified Ashworth Scale(MAS)and the Clinic Spasticity Index(CSI)in the observation group were lower than those in the control group,and Upper Fugl-Meyer Motor Function Assessment(U-FMA)score was higher than that in the control group(P<0.05).After intervention,the H-wave maximum(Hmax),M-wave maximum(Mmax)and Hmax/Mmax in the observation group were lower than those in the control group(P<0.05).After intervention,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(P<0.05).Conclusion The somatosensory simulation training system combined with high frequency repetitive transcranial magnetic stimulation in the rehabilitation treatment of patients with upper limb hemiplegia after stroke can improve the neurological function and spinal motor neuron excitability,promote the recovery of upper limb muscle tension and upper limb function,which is worthy of clinical promotion.
somatosensory simulation training systemhigh frequency repetitive transcranial magnetic stimulationstrokeupper limb hemiplegiaspinal motor neurons excitabilityupper limb muscle tension
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