Exploring the Efficacy of High-frequency rTMS Combined with Quantitative Rehabilitation Training in Patients with Postural Control Disorders after Cerebral Infarction Based on Neurological,Cognitive and Limb Functions

MA Xinping; ZHU Yu

doi:10.3969/j.issn.1002-3429.2024.03.010

Abstract：Objective To explore the application value of high-frequency repetitive transcranial magnetic stimulation(rTMS)combined with quantitative rehabilitation training in patients with postural control disorders after cerebral infarction.Methods A total of 120 patients with postural control disorder after cerebral infarction who received treatment in our hospital from January 2020 to January 2023 were selected and divided into three groups,with 40 cases in each group,by random num-ber table method.The observation group received high-frequency rTMS combined with quantitative rehabilitation training.Control group one received high-frequency rTMS treatment,and control group two received quantitative rehabilitation training.The clinical efficacy,neurological and cognitive functions[National Institute of Health Stroke Scale(NIHSS),Mini-mental State Examination(MMSE),Montreal Cognitive Assessment(MoCA)],upper and lower limb motor function and balance function[Fugl-Meyer Assessment Scale(FMA),Postural Assessment Scale for Stroke Patients(PASS),Brunel Balance Scale(BBS)],gait motion parameters,root mean square(RMS)value by surface electromyography,Stroke-Specific Quality of Life Scale(SS-QOL)score before and after intervention were observed in the three groups.Results After intervention,the total effective rate of observation group(92.50%,37/40)was higher than that of control group one(72.50%,29/40)and control group two(70.00%,28/40)(P<0.05).After the intervention,the NIHSS score of the observation group was the lowest,followed by control group one and control group two,while the MMSE and MoCA scores were the highest,followed by control group one and control group two(P<0.05).After intervention,the FMA scores,PASS and BBS score of upper and lower limbs,and the ratio of stride frequency,stride speed,and stride length in observation group were higher than those in control group one and control group two(P<0.05).After intervention,the RMS of elbow flexion,elbow flexion and elbow extension in observation group were higher than those in control group one and control group two(P<0.05).After interven-tion,the scores of SS-QOL scale in observation group were higher than those in control group one and control group two(P<0.05).Conclusion rTMS combined with quantitative rehabilitation training can improve the clinical efficacy of patients with postural control disorder after cerebral infarction,improve limb function and body balance ability,promote the recovery of neu-ral function and cognitive function,improve muscle tone and gait parameters,and improve the quality of life.