Effect of high and low frequency interactive rTMS on limb function, swallowing function and daily living activities in elderly stroke patients with hemiplegia

doi:10.11817/j.issn.1673-9248.2023.04.009

Abstract

Abstract:

Objective

To investigate the effect of the high and low-frequency interactive repetitive transcranial magnetic stimulation (rTMS) on limb function, swallowing function and daily living activities in elderly stroke patients with hemiplegia.

Methods

A total of 80 stroke patients with hemiplegia admitted to Tangshan Workers' Hospital from August 2017 to December 2021 were collected, and randomly divided into the observation group and the control group with 40 cases in each. The control group received conventional rehabilitation intervention and low-frequency rTMS. The observation group received conventional rehabilitation intervention and high and low frequency interactive rTMS. Motor function, swallowing function, and activities of daily living in the two groups were observed.

Results

After treatment, the Fugl-Meyer scores assessment upper extremity and modified Barthel index (MBI) scores of the two groups were increased, and the observation group had higher scores than those in the control group. The modified Ashworth scale (MAS) scores were decreased, and the observation group had lower scores than those in the control group (P＜0.05). After treatment, F-wave latency of upper limb median nerve were reduced, and F-wave latency of upper limb median nerve in the observation group were shorter than those in the control group (P＜0.05).

Conclusion

High and low frequency interactive rTMS can significantly improve limb motor function and activities of daily living of elderly stroke patients with hemiplegia.

Key words: Repetitive transcranial magnetic stimulation, High frequency, Low frequency, Stroke, Hemiplegia

Yan Qi, Yan Zhang, Xue Chen, Ying Liu, Nan Shi. Effect of high and low frequency interactive rTMS on limb function, swallowing function and daily living activities in elderly stroke patients with hemiplegia[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 359-363.

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Figures/Tables 3

组别	例数	年龄（岁， $x ¯$ ±s）	发病时间（个月， $x ¯$ ±s）	性别[例（%）]		TOAST分型[例（%）]
组别	例数	年龄（岁， $x ¯$ ±s）	发病时间（个月， $x ¯$ ±s）	男性	女性	小动脉闭塞型	心源性栓塞型	大动脉粥样硬化型
低频组	40	66.36±3.67	2.98±0.71	25（62.50）	15（37.50）	11（27.50）	15（37.50）	14（35.00）
高频组	40	66.51±3.78	2.91±0.74	23（57.50）	17（42.50）	10（25.00）	13（32.50）	17（42.50）
交互组	40	66.75±3.42	2.82±0.79	22（55.00）	18（45.00）	11（27.50）	13（32.50）	16（40.00）
统计值		F=0.118	F=0.461	χ²=0.897		χ²=0.555
P值		0.889	0.632	0.639		0.968

组别	例数	年龄（岁， $x ¯$ ±s）	发病时间（个月， $x ¯$ ±s）	性别[例（%）]		TOAST分型[例（%）]
组别	例数	年龄（岁， $x ¯$ ±s）	发病时间（个月， $x ¯$ ±s）	男性	女性	小动脉闭塞型	心源性栓塞型	大动脉粥样硬化型
低频组	40	66.36±3.67	2.98±0.71	25（62.50）	15（37.50）	11（27.50）	15（37.50）	14（35.00）
高频组	40	66.51±3.78	2.91±0.74	23（57.50）	17（42.50）	10（25.00）	13（32.50）	17（42.50）
交互组	40	66.75±3.42	2.82±0.79	22（55.00）	18（45.00）	11（27.50）	13（32.50）	16（40.00）
统计值		F=0.118	F=0.461	χ²=0.897		χ²=0.555
P值		0.889	0.632	0.639		0.968

组别	例数	上肢Fugl-Meyer		MBI		洼田饮水试验
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
低频组	40	22.13±3.17	25.98±5.21^a	44.80±10.50	57.80±18.20^a	3.27±0.45	2.03±0.56
高频组	40	22.26±3.43	26.56±5.58^a	44.62±10.37	58.73±18.35^a	3.31±0.47	2.05±0.52^a
交互组	40	22.38±3.65	33.38±6.19^abc	44.40±10.20	74.62±20.60^abc	3.33±0.48	1.56±0.40^abc
F值		0.053	21.038	0.015	9.819	0.171	12.403
P值		0.948	＜0.001	0.985	＜0.001	0.843	＜0.001

组别	例数	F波潜伏期（ms）		屈肘MAS（分）		屈腕MAS（分）
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
低频组	40	27.33±1.75	26.19±1.22^a	2.78±0.58	1.64±0.32^a	2.24±0.65	1.67±0.48^a
高频组	40	27.30±1.73	26.47±1.20^a	2.71±0.50	1.60±0.35^a	2.36±0.62	1.60±0.45^a
交互组	40	27.41±1.82	25.48±0.94^abc	2.62±0.34	1.01±0.21^abc	2.33±0.71	1.21±0.32^abc
F值		0.041	8.198	1.100	55.509	0.357	13.772
P值		0.959	＜0.001	0.336	＜0.001	0.701	＜0.001

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