Effects of Repetitive Transcranial Magnetic Stimulation Over Trunk Motor Spot on Balance Function in Stroke Patients.
Effects of Repetitive Transcranial Magnetic Stimulation Over Trunk Motor Spot on Balance Function in Stroke Patients.
复制标题
重复的经颅磁刺激对中风患者平衡功能的影响。
DOI：
10.5535/arm.2016.40.5.826
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发表时间：
2016-10
期刊：
影响因子：
--
通讯作者：
Yoon SR
中科院分区：
文献类型：
--
作者：
Choi CM;Kim JH;Lee JK;Lee BY;Kee HS;Jung KI;Yoon SR
评估高频重复经颅磁刺激（rTMS）对慢性卒中患者平衡功能的疗效。三十名患有慢性中风的参与者参加了这项研究。高频 (10 Hz) rTMS 通过躯干电机点上的蝶形线圈进行传输。每个患者均按随机顺序接受真实和假 rTMS。 rTMS 周期（真实或假）每个周期由 10 次组成，持续两周，中间有 4 周的冲洗期。通过 Berg 平衡量表和计算机动态姿势描记法测量平衡功能，以确定每个治疗期之前和结束后一天以及 1 个月随访时 rTMS 的效果。与假rTMS后相比，高频rTMS后平衡功能显着改善（p<0.05）。治疗期间患者未出现严重不良反应。在慢性中风患者中，对躯干运动区进行高频rTMS似乎是改善平衡功能的有效方法，且没有任何特定的副作用。需要进一步的研究来确定潜在的机制并生成详细的方案。
To assess the efficacy of high-frequency repetitive transcranial magnetic stimulation (rTMS) on balance function in patients with chronic stroke. Thirty participants with chronic stroke were enrolled in this study. High frequency (10 Hz) rTMS was delivered with butterfly-coil on trunk motor spot. Each patient received both real and sham rTMS in a random sequence. The rTMS cycles (real or sham) were composed of 10 sessions each, administered over two weeks, and separated by a 4-week washout period. Balance function was measured by Berg Balance Scale and computerized dynamic posturography to determine the effect of rTMS before and one day after the end of each treatment period, as well as at a 1-month follow-up. The balance function was significantly improved after high frequency rTMS as compared with that after sham rTMS (p<0.05). There was no serious adverse effect in patients during the treatment period. In the chronic stroke patients, high frequency rTMS to the trunk motor area seems to be a helpful way to improve balance function without any specific adverse effects. Further studies are needed to identify the underlying mechanism and generate a detailed protocol.