Effect of high-and low-frequency repetitive transcranial magnetic stimulation combined with Rood's approach on lower limb muscle strength and walking function in stroke patients
Objective To explore the effects of high-and low-frequency repetitive transcranial magnetic stimulation(rTMS)combined with Rood's approach on the lower limb muscle strength and walking function of stroke patients.Methods From February 2020 to February 2023,the 100 stroke patients admitted to Changzhou Wujin Hospital of Traditional Chinese Medicine were selected and randomly divided into the monotherapy group and the combined group using the envelope method,with 50 cases in each group.The monotherapy group was treated with the Rood's approach,and the combined group was treated with both rTMS and the Rood's approach.The quality of life,neurological function,lower limb muscle strength,walking function,and neurophysiological indicators before and after treatment were compared between the two groups.Results The differences of SS-QOL scores in terms of energy,family roles,thinking,and social roles before and after treatment in the combination group were higher than those in the monotherapy group(P＜0.05).Comparison of the National Institutes of Health Stroke Scale(NIHSS)scores at 2,4,and 6 weeks between the combination and monotherapy groups using repeated measures ANOVA revealed that there was a statistically significant difference in NIHSS scores among different time points(P＜0.05)and between the combination and monotherapy groups,and that the change trend of NIHSS scores was different between the combination group and the monotherapy group(P＜0.05).The differences of the ratio of the peak torque of extensors to body weight and the ratio of the peak torque of flexors to body weight before and after treatment in the combination group were higher than those in the monotherapy group(P＜0.05).The differences of Berg Balance Scale(BBS)scores,Holden Functional Ambulation Categories(HFAC)scores,and Tinetti Gait Assessment(TGA)scores before and after treatment in the combination group were all higher than those in the monotherapy group(P＜0.05).The differences of motor evoked potential(MEP)amplitude and central motor conduction time(CMCT)before and after treatment in the combination group were higher than those in the monotherapy group(P＜0.05).Conclusions The combination of rTMS with Rood's approach significantly impacts the lower limb muscle strength and walking function of stroke patients.
strokehigh-and low-frequency repetitive transcranial magnetic stimulationRood's approachlower limb muscle strengthwalking function
维普
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