Effect Of RPMS Combined With RTMS On Upper Limb Motor Function Of Stroke Patients

Objective:To study the effects of repetitive peripheral magnetic stimulation(rPMS)combined with repetitive transcranial magnetic stimulation(rTMS)on upper limb motor function and daily living ability of stroke patients.Methods:In this study,63 stroke patients hospitalized from November 2018 to October 2020 were selected and randomly divided into head treatment group(n=21),peripheral treatment group(n=21)and combined treatment group(n=21).The Fugl-Meyer assessment(FMA)and modified Barthel index were performed on each patient before treatment.All the patients in the three groups received routine rehabilitation treatment and internal medicine treatment,in which routine rehabilitation treatment was once a day,five days a week,for two consecutive weeks.On this basis,the head treatment group received rTMS on the healthy side,the peripheral group received rPMS on the peripheral muscles,and the combined group received rTMS on the healthy side combined with rPMS on the peripheral muscles,once a day,7 days a week for 2 weeks.Two weeks after treatment,FMA and modified Barthel index were evaluated again.The FMA and modified Barthel index were compared before and after treatment.Results:All patients were able to tolerate and successfully completed the experiment,and no adverse reactions occurred.The FMA and modified Barthel indexes of the three groups had no significant difference before treatment(p>0.05),but increased significantly after 2 weeks of treatment(p<0.05).After treatment,the FMA and modified Barthel indexes of the combined group improved the most(p<0.05),and there was no significant difference between rTMS group and rPMS group.Conclusion:All the three treatment methods can improve the upper limb motor function and daily living ability of stroke patients.The rTMS group and rPMS group have the same therapeutic effect,while the combined group is obviously superior to the other two groups,with the most significant therapeutic effect.