The Effect Of Repetitive Transcranial Magnetic Stimulation Combined With Lower Limb Robot On Lower Limb Motor Function With Stroke Patients

Objective:To investigate the effect of repetitive transcranial magnetic stimulation(TMS)combined with lower limb rehabilitation robot on the recovery of lower limbs motor function in stroke patients.Methods : We conducted a randomized,controlled,double blind trial to divide 40 stroke patients into 2 groups,each group had 20 cases,the control group and the treatment group.Routine rehabilitative therapy was given to the control group.The treatment group was treated with repetitive transcranial magnetic stimulation combined with lower limbs robot treatment on the basis of the control group.The repetitive transcranial magnetic stimulation stimulating primary motor area in the human cerebral cortex.1Hz magnetic stimulation was applied in the motor cortex of the healthy side,and 3Hz magnetic stimulation was applied in the motor cortex of the affected side.The lower limbs robot was set: the angle of the standing bed was 70-80 degrees,and the training speed was 1-2km/h.The time of magnetic stimulation and walking was 20 min each time,1 times a day,5 times a week and 4 weeks for continuous treatment.The two groups were evaluated by Brunnstrom,Barthel index,Fugl-Meyer motor function scores and Berg balance scale(BBS),When patients are treated for pretherapy,2 weeks and 4 weeks.Results:Before treatment,there was no difference in the scores of Brunnstrom,Fugl-Meyer motor function scores,Barthel index and Berger balance scale(BBS)between the control group and the treatment group(P>0.05).After 2 weeks,the all indexes in the 2 groups were improved,and the treatment group was more improved than that in the control group(P<0.05).After 4 weeks,all the above scores in the 2 groups increased significantly,and the difference between the two groups was statistically significant(P<0.05),and the improvement in the treatment group was more significan.Conclusions:Repetitive transcranial magnetic stimulation combined with lower limb robot is beneficial to lower limbs motor function,walking ability and balance function in stroke patients.