| Effects of High-frequency Repetitive Transcranial Magnetic Stimulation on Orientation, Visual Perception and ADL of Stroke Patients with Cognitive Impairment and Aphasia |
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| DOI： |
| EN KeyWords: repetitive transcranial magnetic stimulation stroke cognitive impairment aphasia orientation and visual perception ability of daily living |
| Fund Project:河南省科技发展计划项目基金资助（192102310313） |
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| EN Abstract: |
| Objective: To explore the effects of 10 Hz repetitive transcranial magnetic stimulation (rTMS) on the rehabilitation of orientation, visual perception and ability of daily living (ADL) in stroke patients with cognitive impairment and aphasia. Methods: Totally, 50 stroke patients were divided into treatment group (n=25) and control group (n=25) according to the random principle. Both groups were given conventional medication and cognitive and speech rehabilitation training. The treatment group accepted 10 Hz rTMS. The control group received sham stimulation. Before and after treatment for 4 weeks, orientation and visual perception in the Lowenston Occupational Therapy Cognitive Scale (Lotca), modified Barthel index (MBI), and event-related potential P300 were used to evaluate the two groups. Results: After 4 weeks of treatment, orientation and visual perception in Lotca scale and MBI scores of the two groups were significantly higher than those before treatment (all P<0.01), and the scores of the treatment group were significantly higher than those of the control group (all P<0.05). The latency of P300 in both groups was significantly shortened (all P<0.01) and the amplitude of P300 in both groups was significantly increased (all P<0.01). The latency of P300 was shorter (P<0.01) and the amplitude was higher in treatment group than those in control group (P<0.01). Conclusion: High-frequency rTMS treatment can effectively promote the recovery of orientation and visual perception and ADL in patients with cognitive impairment and aphasia. |
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