Effects of repetitive transcranial magnetic stimulation combined with core stabilization training on balance function and ultrasound imaging in stroke patients
Objective:To explore the effect of repetitive transcranial magnetic resonance spectroscopy(rTMS)combined with core stabilization training on the recovery of stroke patients.Methods:A total of 45 patients with stroke hemiplegia who met the criteria were randomly divided into a control group(n=15),a magnetic stimulation group(n=15),and a combination group(n=15).The routine treatment was the same in the three groups,while the control group received sham rTMS+core stability training;In the magnetic stimulation group,1 Hz rTMS was added to the contralateral side on the basis of conventional rehabilitation treatment.The combination group was giv-en 1 Hz rTMS combined with core stabilization training on the contralateral side on the basis of conventional rehabil-itation treatment.All three groups were continuously intervened for 3 weeks.The thickness of transversus abdomi-nis muscle(TrA),internal oblique muscle(IO),and external oblique muscle(EO)in the three groups before and after treatment were compared,and the Fugl-Myer motor function(FMA),Berg balance scale(BBS),and modified Barthel index(MBI)were evaluated.Results:There was no statistically significant difference in the general informa-tion among the three groups before treatment(P＞0.05).After 3 weeks of treatment,there were statistically sig-nificant differences in FMA,BBS,and MBI in the three groups compared to those before treatment(P＜0.001).The thickness of TrA,IO,and EO on the affected side of the three groups after treatment increased compared to that before treatment.Among them,the combination group and magnetic stimulation group showed a significant in-crease compared to that before treatment(all P＜0.05),while the control group showed no significant increase com-pared to that before treatment.The FMA and TrA thicknesses on the affected side in the combined group were com-pared with those of the magnetic stimulation group,respectively.The FMA,BBS,MBI,the thickness of TrA and EO on the affected side in the combined group were compared with those of the control group,respectively.The dif-ferences in the MBI between the magnetic stimulation group and the control group were statistically signifi-cant(P＜0.05).There was no statistically significant difference in the thickness of TrA,IO,and EO on the contralateral side within and between the three groups.Conclusion:Low frequency rTMS combined with core stability training can significantly improve patients'motor and balance functions,and improve their activities of dai-ly living,which is worth promoting and applying in clinical practice.
repetitive transcranial magnetic stimulationcore stability trainingstrokebalance functionultra-sound imagingabdominal muscle group
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