重复经颅磁刺激结合反复促通疗法对脑卒中后下肢运动功能的影响OACSTPCD

Objective:To observe the effect of repetitive transcranial magnetic stimulation(rTMS)combined with repetitive facilitative exercise on lower limb motor function after stroke.Methods:A random number table was used to divide 80 stroke patients who met the inclusion criteria into a control group of 40 cases and an observation group of 40 cases.Both groups received routine rehabilitation and rTMS treatment,while the observation group received repetitive facilitative exercise on this basis,6 times a week for 4 weeks.Before and after treatment,the lower limb motor function of patients was evaluated using the Fugl Meyer Scale(FMA-LE),Functional Walking Scale(FAC),Berg Balance Scale(BBS),and 10m Maximum Walking Speed Test(10MWT).Results:After 4 weeks of treat-ment,the scores of FMA-LE,FAC,BBS,and 10MWT in both groups were improved compared to those before treatment(P＜0.05),and those in the observation group were higher than those in the control group(P＜0.05).Conclusion:The combination of rTMS and repetitive facilitative exercise can effectively improve lower limb balance and motor function,and promote the recovery of walking function in stroke patients.