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《Neural Injury and Functional Reconstruction》 2018-03
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Effect of Low Frequency Repetitive Transcranial Magnetic Stimulation Combined with Occupational Therapy on Recovery of Upper Limb Function in Stroke Patients

JIANG Yan-ping;ZHANG Rui-lian;ZHU Qiang;Department of Rehibilitation,Jiaozhou Central Hospital of Qingdao;Department of Neurology,Jiaozhou Central Hospital of Qingdao;Department of Emergency, Jiaozhou Central Hospital of Qingdao;  
Objective: To investigate the changes in upper limb spasm and motor function of patients with stroke after low-frequency repetitive transcranial magnetic stimulation(r TMS) combined with occupational therapy(OT.) Methods: Forty-seven patients with upper limb hemiplegia after stroke were recruited to the study. Patients were divided according to the Brunnstrom stages into the stage 3 group(12 patients), stage 4 group(15 patients), and stage 5 group(20 patients) then treated with r TMS combined with OT for 15 days. The affected upper limb spasm and motor function were evaluated prior to and after treatment as well as during the30-day follow-up. Results: The MAS score and WMFT score for all patients post-treatment and during the 30 day follow-up were significantly decreased(P0.01), and the FMA score was significantly improved(P0.01);this was especially apparent in the stage 4 group. At the same time, it was found that patients with improvement to hemiplegia upper limb spasticity improved upper limb motor function significantly more than those without improvement to spasticity. Conclusion: Patients with upper limb hemiplegia after stroke who have been treated with low-frequency r TMS combined with OT for 15 days can significantly improve hemiplegia and motor function in the upper limbs, with patients in Brunnstrom hemiplegia stage 4 experiencing the most benefit.Moreover, improving the spastic symptoms of the damaged upper limb helps to improve its motor function.
【CateGory Index】: R743.3
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