| Objective: To observe the efficacy of repetitive transcranial magnetic stimulation (rTMS) combined with upper limb robot virtual scenario training in the treatment of post-stroke cognitive impairment (PSCI). Methods: Fifty-nine patients with PSCI were selected and divided into control group (n=20), rTMS group (n=20) and combined group (n=19) by the random number table method. The control group received conventional cognitive training treatment, the rTMS group received conventional cognitive training treatment and rTMS treatment, and the combined group received conventional cognitive training, rTMS treatment and upper limb robot virtual scene training for 20 days. Before and after treatment, the patients were assessed with Montreal Cognitive Assessment Scale (MoCA), upper limb force feedback motion control training system and modified Barthel Index (MBI). Results: After 20 days of treatment, the MoCA and MBI scores in the three groups were significantly higher than those before treatment (all P<0.01). The MoCA and MBI scores in the rTMS group and the combined group were significantly higher than those in the control group (all P<0.01), and those in the combined group were significantly higher than those in the rTMS group (both P<0.01). The virtual scene training scores in the three groups after treatment were significantly higher than those before treatment (all P<0.01), and those in the combined group were significantly higher than those in the control group and rTMS group (both P<0.01). There was no significant difference in the virtual scene training scores between rTMS group and control group. Conclusion: The rTMS combined with upper limb robot virtual scenario training can significantly improve post-stroke cognitive function and ability of daily life. |
