Objective To investigate the effects of transcranial magnetic stimulation (TMS) combined with wax therapy on improving motor function of stroke patients with limb spasticity.Methods This study included 80 cases of patients with limb spasticity following strokes at Wujin Hospital of Traditional Chinese Medicine from January 2021 to January 2024.They were randomly divided into the control group and the experimental group by the random number table method,each with 40 participants.The control group received standard rehabilitation treatments,while the experimental group additionally received TMS and wax therapy.Treatments were administered five times a week over a period of eight weeks.The rehabilitation effect and traditional Chinese medicine symptom scores were compared between the two groups.The spasticity was assessed via the modified Ashworth scale (MAS),the single-leg weight-bearing capacity via single-leg weight-bearing time (SLWT),the limb function via Fugl-Meyer Assessment (FMA),the neurological function via National Institutes of Health Stroke Scale (NIHSS),and the motor function via Fine Motor Function Measure (FMFM).Results The overall effective rate of the experimental group was higher than that of the control group (P<0.05).The differences in MAS,NIHSS and FMA scores before and after intervention in the experimental group were greater than those in the control group (P<0.05).The differences in traditional Chinese medicine symptom scores (fatigue,numbness,and unsteady walking) before and after intervention in the experimental group were greater than those in the control group (P<0.05).The differences in FMFM scores (B,C,D,E subitem scores and total scores) before and after intervention in the experimental group were higher than those in the control group (P<0.05).The differences in SLWT and the range of motion for flexion and extension of the knee joint and the hip joint before and after intervention in the experimental group were higher than those in the control group (P<0.05).Conclusions Combining TMS with wax therapy significantly enhances the recovery of motor function in stroke patients with limb spasticity,and can serve as an effective complement to conventional rehabilitation treatment.
关键词
脑卒中/肢体痉挛/经颅磁刺激/蜡疗/运动功能
Key words
stroke/limb spasticity/transcranial magnetic stimulation/wax therapy/motor function
维普
万方数据