Effects Of Mirror Therapy After Intermittent Theta Burst Stimulation On Motor Recovery Of Upper Limbs And Self-care Ability After Stroke

Objective: There are various rehabilitation training methods for upper limb of stroke patients with hemiplegia in clinical practice,but the traditional single therapy has a slow recovery speed and a long cycle,and the treatment effect can not meet the needs of stroke patients for upper limb motor function.In order to find a combination program that can shorten the treatment period of upper limb rehabilitation for stroke patients and enhance the treatment effect,This study combined Intermittent Theta burst stimulation(i TBS)with mirror therapy(MT).To observe the effect of the program on upper limb motor function and self-care ability of stroke patients.Methods: A total of 45 stroke patients who were hospitalized in the Department of Rehabilitation Medicine of Weihai Municipal Hospital from April 2020 to May 2021 and met the inclusion criteria and did not meet the exclusion criteria were selected in this study.Using Excel,they were divided into 3 groups: the control group(n = 15),the i TBS group(n = 15)and the combination group(n = 15).All the three groups received conventional drug treatment,including drug treatment for promoting nerve recovery,and took according to the course of treatment.In addition to conventional occupational therapy,the i TBS group received i TBS stimulation,and the combined group received i TBS stimulation and mirror therapy.The treatment time of all treatment groups was 45 minutes.The above treatments were given once a day,6 days a week for 4 weeks.Patients were assessed before and after four weeks of treatment by the same therapist.Therapists used the Fugl-Meyer Assessment(UL-FMA),the Arm action assessment scale(Arm action assessment,UL-FMA),and the Fugl-Meyer Assessment scale(UL-FMA).ARAT)assessed the patient’s upper limb motor function,gross motor of the upper arm,and gross and fine functions of the fingers.The Modified barthel index(MBI)was used to evaluate the self-care ability of patients.Results: There were no significant differences in age,course of disease,gender,side of brain injury and stroke type among the three groups before treatment(P>0.05).There was no significant difference in FMA,ARAT and MBI among the three groups(P>0.05).The FMA scores of the control group,the i TBS group,and the combination group increased from(25.93±15.19)points,(27.00±16.15)points,(25.07±11.50)points to(34.53±18.28)points,(45.20±12.79)points,(55.13±6.61)points,respectively.ARAT scores increased from(11.87±8.54),(11.13±7.49),(11.20±7.87)to(18.67±13.12),(27.80±12.05),(37.00±8.63);MBI scores were increased from 42.00±14.49,41.67±10.29,40.00±9.06 to 54.67±13.82,63.00±9.78,71.00±7.12,respectively.After statistical analysis,compared with before treatment,the motor function and self-care ability of the three groups after treatment were improved,all P<0.05,the differences were statistically significant.Compared with the control group,the patients in the i TBS group and the combination group improved more significantly after related treatment,and the differences were statistically significant(P<0.05).Compared with the patients in the i TBS group,the patients in the combination group had better upper limb motor performance and improved self-care ability more significantly,P<0.05,the difference was statistically significant.Conclusion: The combination of intermittent theta burst transcranial magnetic stimulation and mirror therapy can significantly improve the upper limb motor performance of stroke patients,and improve the self-care ability of patients.