Volume 21 Issue 2
Feb.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(2): 309-312
CHEN Yan-yan, LI Shu-qiang, CUI Jian, HU Yuan, LIU Bing-jie, WU Rui. Effects of peripheral magnetic stimulation and transcranial magnetic stimulation on upper extremity motor function in patients with cerebral infarction[J]. Chinese Journal of General Practice, 2023, 21(2): 309-312. doi: 10.16766/j.cnki.issn.1674-4152.002870
Citation: CHEN Yan-yan, LI Shu-qiang, CUI Jian, HU Yuan, LIU Bing-jie, WU Rui. Effects of peripheral magnetic stimulation and transcranial magnetic stimulation on upper extremity motor function in patients with cerebral infarction[J]. Chinese Journal of General Practice, 2023, 21(2): 309-312. doi: 10.16766/j.cnki.issn.1674-4152.002870
shu

Effects of peripheral magnetic stimulation and transcranial magnetic stimulation on upper extremity motor function in patients with cerebral infarction

doi: 10.16766/j.cnki.issn.1674-4152.002870
  • 1.

    Department of Neurological Rehabilitation, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450014, China

Funds:

 LHGJ20210389

  • Received Date: 2022-02-25
    Available Online: 2023-04-20
    Abstract
  •   Objective  To observe the effect of peripheral magnetic stimulation and transcranial magnetic stimulation on the recovery of upper limb motor function in patients with cerebral infarction.  Methods  A total of 42 patients with cerebral infarction who were admitted to the Second Affiliated Hospital of Zhengzhou University from September 2020 to November 2021 were included in the study. They were assessed for upper limb motor dysfunction, and divided into the control group (n=20) and observation group (n=22) by using the random number table method. Both groups received routine rehabilitation treatment, and the control group was given transcranial magnetic stimulation. On the basis of the control group, the observation group was given peripheral magnetic stimulation. Before and after the treatment, upper limber Fugl-Meyer assessment of motor recovery (UL-FMA) was used to evaluate patients' upper limb motor function, the modified Barthel index (MBI) was used to evaluate patients' ability of daily living, and diffusion tensor imaging data were used to evaluate the repair of damaged nerve fibre bundles.  Results  After 4 weeks of treatment, the UL-FMA score [32.50 (15.75, 46.50) points] and MBI [76.50 (59.50, 91.25) points] in the observation group were significantly higher than those before treatment (all P < 0.05), while the UL-FMA score [29.50 (10.25, 40.00) points] and MBI [89.00 (50.00, 90.00) points] in the control group were significantly higher than those before treatment (all P < 0.05). The difference of UL-FMA scores before and after treatment [12.00 (9.75, 13.25) scores] in the observation group was statistically significant compared with the UL-FMA deviations before and after treatment [7.00 (5.00, 9.00) scores] in the control group (P < 0.05). The difference of MBI before and after treatment [18.50 (10.00, 22.50) scores] in the observation group was statistically significant compared with the MBI deviations [10.00(7.00, 13.75) scores] in the control group (P < 0.05). The density of damaged nerve fibre bundles increased in both groups.  Conclusion  Transcranial magnetic stimulation combined with peripheral magnetic stimulation promote the upper limb motor function in patients after cerebral infarct and improve patients' activities of daily living.

     

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