| Background:Stroke is a global health problem,with ischemic heart disease and malignant tumors constituting the three major death diseases in most countries.It has the characteristics of high morbidity,high disability and high mortality.After stroke,about 70%to 80%of survivors have different degrees of disability.Nearly half of the survivors even lose the ability to take care of themselves independently,which brings heavy economic pressure to their families and even the whole society.Among the survivors of stroke,about 55%-75%of them had limb dyskinesia,and the upper limb dyskinesia accounted for more than 80%of them,and only about 30%of them could achieve complete recovery of upper limb motor function.It is of great significance to carry out stroke rehabilitation,explore effective rehabilitation treatment programs and promote the recovery of upper limb motor function in stroke patients with hemiplegia,so as to alleviate the burden of family and society.Research purposes:To explore the effect of high frequency repetitive transcranial magnetic stimulation combined with electromyographic biofeedback therapy on motor dysfunction of upper limbs in stroke patients with hemiplegia.Objects and methods:This study selected 60 stroke patients with hemiplegia who were hospitalized in the Department of Neurosurgery,Rehabilitation Medicine and Neurology,Pearl River Hospital,Southern Medical University from September 2018 to January 2019.Sixty patients were randomly divided into four groups:control group,electromyographic biofeedback treatment group,repetitive transcranial magnetic stimulation group,electromyographic biofeedback combined with repetitive transcranial magnetic stimulation group,15 cases in each group.Before treatment,the general data(gender,age,course of disease,etc.)of the four groups were compared,with comparability(P>0.05).All patients were given corresponding drugs and routine rehabilitation treatment according to the condition of the disease and the specific situation of the residual dysfunction.In addition,EMG group was treated with EMG biofeedback therapy,magnetic stimulation group was treated with high frequency repetitive transcranial magnetic stimulation(10Hz,acting on M1 area of the affected hemisphere),combined group was treated with electrobiofeedback therapy and repetitive transcranial magnetic stimulation therapy.All the treatments were given once a day,5 times a week for 2 weeks.Before treatment and after 2 weeks of treatment,the upper limb motor function of each group was evaluated by modified Barthel index scale,FMA score(upper limb part),surface electromyography and so on.The improvement of upper limb motor function of each group was observed after 2 weeks of treatment,and the curative effect was compared and analyzed.Result:Two weeks after treatment,the FMA score,Brunnstrom stage,peak amplitude of sEMG and modified Barr's index(MBI)score of upper limbs and hands in the four groups were improved compared with those before treatment(P<0.05);the functional improvement of EMG group and magnetic stimulation group was better than that of control group(P<0.05);the effect between EMG group and magnetic stimulation group was similar(P>0.05);the functional improvement of combined group was better than that of the other three groups(P<0.05).Conclusion:1.High frequency repeated transcranial magnetic stimulation therapy can effectively improve the motor function of hemiplegic upper limbs in stroke patients.2.Electromyographic biofeedback treatment can effectively improve the motor function of upper limbs in hemiplegic stroke patients.3.High frequency repeated transcranial magnetic stimulation combined with electromyographic biofeedback treatment has better effect on hemiplegic upper limb motor function in stroke patients. |
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