| Clinical study of low frequency repetitive transcranial magnetic stimulation combined with mirror therapy on the recovery of upper limbs’ motor functions in patients after cerebral infarction |
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| EN KeyWords: Transcranial magnetic stimulation Mirror therapy Cerebral infarction Upper limb motor function |
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| EN Abstract: |
| Objective: To explore the clinical effects of low-frequency repetitive transcranial magnetic stimulation (rTMS) combined with mirror therapy (MT) on the recovery of upper limbs’ motor functions in patients after cerebral infarction. Method: Sixty patients after cerebral infarction were randomly divided into two groups: the treatment group (n=30) and the control group (n=30). The patients of both groups all received standard medicine treatment and physical therapy. Patients in the treatment group and the control group were treated with low frequency rTMS every day, and then MT and routine operation were performed separately. Before and after treatment, the Fugl-Meyer motor assess (FMA) and Motricity index (MI) were used to evaluate the motor functions of the affected side, and neuroelectrophysiology was evaluated by motor envoked potential(MEP) incubation period and central motor conduction time(CMCT). Results: After 4 weeks of treatment, FMA and MI scores were significantly improved in both groups as compared with those before treatment (all P<0.05), and the scores in the teaetment group were significantly higher than those in the control group (all P<0.05). MEP latency and CMCT were significantly shorter after treatment in both groups than before treatment (all P<0.05), and MEP latency and CMCT were significantly shorter in the treatment group than in the control group (all P<0.05). Conclusion: Low-frequency rTMS combined with MT or conventional occupational therapy can both improve motor functions of hemiplegic upper limbs after cerebral infarction. And low-frequency rTMS combined with MT has better efficacy. |
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