Effects of High-frequency Repetitive Transcranial Magnetic Stimulation to Premotor Areas on Upper Limb Mo-tor Dysfunction after Stroke
ZHOU Zhe1a
SHEN Xia-feng1b
XIONG Li1c
ZHANG Wen1c
HUANG Hong-yan1c
ZHANG Ping1c
WU Yi2
RONG Ji-feng1c
Abstract：Objective To explore the effect of high-frequency repetitive transcranial magnetic stimulation (rTMS) on upper limb motor function in hemiplegic patients after stroke. Methods From August, 2018 to July, 2019, 60 patients with hemiplegia after stroke were randomly divided into control group (n=30) and observation group (n=30). Both groups received conventional treatment. The observation group accepted 5 Hz rTMS to ipsilesional hemisphere premotor areas for three weeks. The control group received sham stimulation. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Brunnstrom stages, modified Ashworth Scale (MAS), modified Barthel Index (MBI) and Wolf Motor Function Test before and after treatment. Results Two patients dropped in the control group. After treatment, the scores of FMA-UE, MBI and Wolf Motor Function Test improved in both groups(|t|>3.686, P<0.01), and the difference values of FMA-UE and Wolf Motor Function Test before and after treatment were more in the observation group than in the control group(|t|>2.119, P<0.05). Conclusion High-frequency rTMS to ipsilesional hemisphere premotor areas could improve the recovery of upper limb and hand motor function in hemiplegic patients after stroke.
Keywords：strokerepetitive transcranial magnetic stimulationpremotor areasupper limbhand functionrehabilitation
Publication Date：2020-06-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 697-702 )