Effect of repeated transcranial magnetic stimulation combined with rope binding muscle training on motor function of patients with post-stroke hemiplegia
Objective To observe the effect of repeated transcranial magnetic stimulation combined with rope binding muscle training on motor function of patients with post-stroke hemiplegia. Methods A total of 109 patients with post-stroke hemiplegia were selected and divided into a control group (54 cases) and an observation group (55 cases) according to envelope method. The control group received rope binding muscle training,and the observation group received repeated transcranial magnetic stimulation on the basis of the control group. Both groups were compared in terms of central motor conduction time (CMCT),motor evoked potentials (MEP),walking speed,stride frequency,stride length ratio,integrated electromyography (iEMG),synergistic contraction rate (CR),and Fugel-Meye Assessment (FMA),National Institutes of Health Stroke Scale (NIHSS),Berg Balance Scale (BBS),and modified Barthel Index (MBI) scores. Results After treatment,CMCT in both groups was shorter than that before treatment,and CMCT of (9.45±1.08) ms in the observation group was shorter than (10.18±1.27) ms in the control group;MEP in both groups was higher than that before treatment,and MEP of (1.35±0.24) mV in the observation group was higher than (1.24±0.27) mV in the control group (P<0.05). After treatment,the walking speed,stride frequency and stride length ratio in both groups increased compared with those before treatment;in the observation group,the walking speed was (53.85±5.22) cm/s,the stride frequency was (90.33±6.47) steps/min and the stride length ratio was (1.22±0.13)％,which were higher than (50.85±4.86) cm/s,(86.57±7.12) steps/min,and (1.15±0.14)％ in the control group (P<0.05). After treatment,iEMG in both groups increased compared with that before treatment,and iEMG of (52.18±11.25) μV in the observation group was higher than (47.03±10.84) μV in the control group;CR in both groups decreased compared with that before treatment,and CR of (38.70±4.28)％ in the observation group was lower than (41.72±5.64)％ in the control group (P<0.05). After treatment,FMA,BBS and MBI scores in both groups increased compared with those before treatment,and the observation group was higher than the control group;NIHSS scores in both groups decreased compared with those before treatment,and the observation group was lower than the control group (P<0.05). Conclusion Repetitive transcranial magnetic stimulation combined with rope binding muscle training is more conducive to the rehabilitation of motor function in patients with poststroke hemiplegia.
万方数据
维普
